HomeMy WebLinkAboutBldg Permit 99-1050
,T'~","!~p~r i!~"!' c;
'l".' 7~- .
... _~-v:\," j1!;~-:r'f"~",;~~"
.:>.-?
.ft~,1f:-;~"/'-" --~.;"':.'
Fl
~==
"'- ,...;~ ',. - -',\ - - - . --.~Ji~
":..J ~. ..j . I..':' fi., _ _'. _t_ '"
~ r----~-. (!trtifttaq in( (@aupanry
,t I CITY OF PRIOR LAKE
'.~ :Ilepartment of Jjuilbing 3Jn~pettion
!f34 j~(Final Permitted 0 Conditional C.O, Expires.
!'"~t-l This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
, It:.., certifying that at the time of issuanc~ this structure was in compliance with the various ordinances of the
'~ ..i': City of Pnor Lake regulating bUlldmg construction or use. For the followmg:
'I~ Single Family 99-1050
'_ -. Use('I....~; :...",*;nn .."....'"". PennitNo
- -
I ". . VN . N A '" PUSD
:' i: Occupancy Type R3 Type ConslrUcllOn Fire Zone / Zoomg District
t~. L12, B4, Cardinal Ridge Fourth Addition
.~, :::rn:;~u~::~g C" A~! 16349, Victoria Curve
'.- . . ~ l .
't'.:...:-.". Contractor', 1.--" ,,,'... Mark Chan,t; 5526 Lost R~J.~on .-5ircle, Prior Lake, ".....'
~~~"_ Robert D. Hutchins B+, rityPlanner Jermi Tovar,,~
f. - - Building OffiCial _~
~ ; , ~>'/ J""" II C Dale: ',~.
I~~ ~ ' ~
~- - POST IN A CONSPICUOUS PLACE 7
.. l.'"
, ,
. - , ....... - ...--.......-- ':",
~- . ~-;;~-'-""_."li''''''.~_''' ....." "_~"'",-' ........ ~..~~~c... .......-,." ~. ~_" """... .~'t~., ....... ",.
/. ~ ~.....' I~a" ':.i."~."'.i!-i'<<.'~'~'~t~'~'~~~ I.::.::+"~I,,,I~ I ~..E". I ~~,
~,~l'_~,,:,,,~_____~.~~ __I=-- ~.~ -":"1___ _:'1___ -=-M~ ..-..___ ___ . '- . _=--~~~il~ji{~ ~..~,,~,~ ~
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS _~7'9
OWNER
PHONE NO.
o FOOTING
o FOUN ON
OF ING
o SULATION
FINAL
o SITE INSPECTION
C~MMENTS:
(.h~ is /K..
Gr~J
Is tlK
DATE TIME
SCHEDULED ~
J/;i!iJ'''/d {j;/7/,P
4tv~ {~Ar
ff-/%tJ
~GRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
~
/'
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
EIN PECTION BEFORE COVERING
Inspector: r Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
INSNOTl
-. fY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I <...34-G.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
..G.pMMENTS: 0
(.u tlill ~n;
@-
-.. r;'E2, /TIME
SCHEDULED ~ ~
V ,,:fuV';-a ~ ,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
Po 0 S}WER HOOKUP
~L..\.rI"'BING FINAL
o MECH FINAL
~
,~
L )~--rB2-
,/
/
~L-0..mN'
'1'1- {O~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
i
i,c.J.:.~..s
~K~TI CTORY, PROCEED
o CORR T AC I N AND PROCEED
o CORREC W , L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALI. 447.9850 FC R THE NEXT INSPECTION 24 HOURS IN ADVANCE,
COD~REQUlREM1NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V ""Non
-_..__._.__...,_._~,-.....-
II
, ,
~ITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \Cc,34q
V;' c.1-or'i;>.,
OWNER
~
TIME
'1':(/()
c"AlL
PHONE NO.
CONTR.
PERMIT NO, qq - L a=tq
v- -e.c..dL... I
()(
1oY'
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
P)NSULATlqw I t'\ 0 SEWER HOOKUP
,Ii{ FINAL , ",.., 1 I II 0 PLUMBING FINAL
o SITE INSPECTION r" fr:t )rMECH FINAL
COMMENTS:
+tol.l~ i':,
I'\.o-\-
<'::;r'1'1/~ UM-lA.A
, ()
~Sl~ 'f(A/L VI\VA'
k:Jv IIU t- (ff h () tJ
~w_ ()
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
rCM1U
VtelA~ _
o WORK S FACTORY, PRO u ~
::"fORRE T AC N ROCEED
~REC K, CA FOR REINSPECTION BEF~ C~ING
, Owner/Contr: f-/ ~ -
Q LL 447-~85 ) FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CI'DE REQUrMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
~ INSNOTJ
II
- .'1-..'..'.----.
---.---....-...--...--.-..
DATE TIME
~ /O~
/c,,3</9 I/; ero.errf e.u ~
, ,
...'TV OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
o FRAMING I5WATER HOOKUP
o INSULATION \ ':ld"" SEWER HOOKUP
o FINAL V 0- PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
99-/0.5V
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: 4.9 I ..4, ~ uJ.
_1/0 ( T'tr.: " /.(N J II ~ "'. dn- "...-+-C" ~'l..e-
Ie::; I /'" />-t'.~~. , ...b->- . ~. __ ~ _ I~, 4.,
~ . '-7~ ,
u_7___ ,~ .,1., - _'1.. f1'>-- _ ~ ,
--~~A.T. ~.
~') jJ.A": .,J~ Afd-t
,.A'JRjJ ..dL.. 6 K -
/
~~,
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: m (, Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
---1-- ------
_.~---~ --
., , f OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
DATE TIME
.,~4'j /.'/5
/(P37& V/C7VK./""l CUlerJE
OWNER
CONTR.
PHONE NO.
~FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
AD PLUMBING RI
o MECH RI
A~WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COPilME~T.: '\.
--.f.p5 ~ 40 PV" c.--
~~5~
f\Jo
~)~' = bl'"l\tL,~~ \
-t-~~ ~X
~ Mw.,.. -, L(Au^- V~l.VtVf cD
5""- ttM..-
uv
~ l),.cit\..JfA~
}L?K SAT FACTORY, PROCEED
tp'CORRECT ON AND PROCEED
o CORRECT N K, C L FOR REINSPECTION BEFORE COVERING
I
Inspector: \ Owner/Contr:
CALL
INSNOTJ
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
99-I05V
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.
'"
~
-b GYo.dt.
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE
II
-~
...-.-..-----.--...-..
o PLUMBING RI
o MECH RI
o FRAMING 0 WATER HOOKUP
o INSU IO~ (III 0 SEWER HOOKUP
~INA fJ f't"~LUMBING FINAL
o SITE NSPE "MECH FINAL
~COMMENTS: 0 ~y ~L 0 ()~
. f,nJ P"A ~Inpt"~ rI.v*-
~ ;XAQ. - -tlvu ~ J\V/\~ 11...L.li.1ADm-eA-d-
l+~V"d '&..IATh..cL. d..vNfuJoV -EJ5:~ _
rr~ S,t1Dwz::..Uc. ) ~
2PAY\~AtP ~~tVHJ~If1,." dvLv,~ '
7 ~~^'U~<~ L~
'WZ~/: .
-
vlTY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1&.34'1
\I '.c. -n::>~ IA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I~,
~ ~ I
(,0. 7"d"
DATE TIME
~o~~
,
CUf<..ve
~-, lOBo
J't-~~
o EXIGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
. .
6-/-0()
, Owner/Conlr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
'MENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
II
~---~_.,.,..._._._--.,-----------~-_._-
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED f3:1slX) A. T;
ADDRESS /fP349 V/Ql)~1T (J"u,ev{5
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
II. FINAL 1t.uR. .
b SITE INSPECTI01"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
i "tNu- o-c..-
.,.--- ~-
~- ~"M..
~ ,f:S,-/.: iA... 0
=::-----...
CA TE TIME
99'-/050
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
~
-
;
.~ J:V~,
, I
TAu.-
~ ~-.j.. ~'.
,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
----___.._.__.n____
&~\
QATI=RI=r:F=IHF,!
"
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2 3 1999
\f;r -rne7A (l,''i2.vE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
I C-. '2,/..}q
3. LEGAL DESCRIPTION
/2.-
eA-eOIIl/I'tt..-
LOT
BLOCK
ADDITION
4. OWNER
MJI.IL.
5. ARCHITECT
(Name)
~-r
(Name)
6, BUILDER
(Name)
HA#
CiI4N-r
Fireplace 0
Alterations 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
5P\">
TYPE OF CONSlRUCllQN: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. ~
Penalty ....................................... $
Plumbing Permit Fee ..~i.~..~~~.... $
Mechanical Permit Fee ..11.~.J.l?5?.. $
Sewer & Water Penn" ...1~.:-:.\.Q:??.. ,c
4-
RIDG r::;
1. DATE
M::z,/ qq
. -J
PUSD
PID 25- 322- O:~5...:...0
4- 771
(Address) (Tel. No.)
"'.5U Lo:;r~iv:vv C4:. LI/f7 - "I'-II?
2 tJS~ t3Cs. "3
(Ter. No,)
t.ftio - 3 ~1.!.
~'I"/~
Re-roofing LI Porch a
Ae-siding I"'J Finish Basement 0
(Address)
LU.
7, TYPE OF WORK
New construction)(
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uilding Officia:m~rm~ .!jythermore, I hereby agree that the city official or a designee may enter upon the property to perfo~~Mons.
/' Signature license No. Dflle
(Address)
t:]?l.J., '-v~'zaNe~
Septic 0
Addition a
Deck 0
Finish Attic 0
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT V ALUA TION I I ~ . tVY'\. C) CJ
S U
City:
qS~.~S-
(" IA . erC"
5"&.00
~oo . QS
I f'O. (,0
~~.5V
~~
~
Th~
By
ur Building permi7hen Ap~~d.
Date -( - -,
,
Issued
I. White
2, Piok
3. Yellow
File
City
Applicant
Permit No.
99~/o50
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(H.ight) (Wroth) (Dopth)
12, NO, OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
.-
SEATS
16, PROJECT COSTNALUE
17. COMPLETION DATI:
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 1':1
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
o
Amount Brought Forward .................. $
ParkSuppnrtFee .............,............. $_~,"=r).QQ
SAC ,..,.................................,.... ( Q,C::;-O . CXS
Collective Street Fee ....................... $
Sewer Tap ................................... $
~" $
Pressure Reducer .......................... $
Meter Hom ....c::J:..,~........................ $
Water Meter ..7&J........................... $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
L{b-Jn
I ;2~ dc)
I , "-CO ,06
JfJG ..-eO
Water Tap ................................... $
Builder's Deposit ............................ $ I, c;-tX:J ~&?
Other ...r~.~~l::,....,...... $. '!:1;::0- '<)~
Total Due ,............................. $ 7633. '2..1-
Paid '7/333, 2--1 Receipt No, '<,~q z.-
Date 9-1 () .c, C/ Bd? f!.
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may prcx:eed as requested. This document wtlen
nstitutes a temporary Certi~ of Zoning compliance and allows construction to """'" ,.""...d. Before occupancy, a Certificate of Occupancy must be issued.
anner . t:t -V- Special Conditions if any
.;.
24 hour notice for all inspections 447-9850
mE. OF STRUCTURI;
1,!'iBl<
~ c;".,.
.3. YcDow
FiIo
a.,
Coono1m
CITY OF PRIOR LAKE q ~ _ \ a 5 D
16200 Eagle Creek Av. S.E. PermM No, , X
Prior Lake, MN 55372 5ingl& Family
HEATING APPLICATION I PERm
"-Oal& \ ~ -")~.",- "I PIO, .z5-322- 035-0
~SMeAdd'ess J ~ ~~ <\ \J ; I.... \\\.:.., '" ,-..,r0.lL PU.5.D
....
olD! /2 Bleck 4- AddMion f'AIW/N/'ft.- ~06F; 47H
z - - -
Own91's Name ~,,~ \<. \...'-' "'" ~
.
Address
Healing Contrlll:lDr ,,\ {~"""=> ~\ r-- --L.Y\ \..
Address, '\ \n ~ 9, t\ '\,t L \ lllnv. ~ Y l
Telephone 1/ , ~ \\ 1- ~ \:l \.\
Fum""" Mak9 & Model <J,.".~' "- yo"
lJ('; lr \ ~ ICe
Model Size
Conn. Lead
Fuel N '" \:-
f'Prv-~'\G
~ \ ?II ~
TYPE OF SYSTEM
Warm Air Plants X
Gravity
Mecnarncal
Air CondBianing .-X
Vent Sysl8m
KEATING OR POWER PLANT
S18am
HDI Wallr
Radiation
Special Devices
Flue Size
S,I
Supply Opening.
\s-
'l
OU1!)111.\\.OG:J
Relum Openings
""
(j! Inpul <6'b oC::J::,
o
g: Edr.
w
E: Clm. _ . \ .'1.~ a
OIher D..1ces
TYPE OF WORK
E:
"-
NAIl'
N erallOn.
OJ' .
. ReJlllir
g; &i Cost $
~ -'~.':. .-.
~,HEAll,NGPERMrTms ..~
8:'~A~SURCHARGE $ .50 /~1M\tl
"'.~ToTAt.PERM!TFEES $ Receipt'te\\\\..o\NG P ,
!jJ;t~~l;~:.:,.::,"~ c..:. " " .,-..:,;~< ~,;; ,.';,,;;; .,' ;;.-;..~;,;_:,.,:,;;.'"'; ~'"'; .~., .
~.~M."''''''''''''",''',." ',,", .--.~.~. ...~~,}"..........., :i"';:'r~~'o!"""'''''''':''-'''' .~.~~.:t~,. .~...,.;.... .,_~...._.
~~L~ :~':'''',. ".'- :'.-t':':~~"~:'~'!S..!I.1>:;~~'~ .~'i nii:';;::~~""'f..~...:- :...... . :":,,"'\..:..:!'::~; -. "'..:_. ,~_ -", ,
.~
Replacement, .
New Construction'
Es1. Comp.. DalAI
S~()D~
~l\- /050
BuDding Permft 1/
Commercial
Two-Family
Induslrial
Public
Multi-family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Healing & AC
Residential, Healing Only
Residential, Gas FireplaC&
Residential, AddMions &. AIle",tions
Residential, AC Only
l%Ofjab"'~(~1fli~, '~'rj-c~, u:
~. r-, (" 'n ',~
~9950 d"i','..': '- " _ d ,-,-,
... 'lll":~ ,C ..!C' 'u_
$64.50 L-;J ,
$39.50 : \: DEe 211!Hl
$39.50
$39.50
"
_V
~
..~,,,-,-.J
Remember to add the Slale Surcharge on !he boIIom of Ihis epplicallan.
The price of your healing permft includes one ,oogl>-;n and one final inspection.
Addilionol ir",~"".ns will be billed al $35.00 each.
House Heating Test RecoRl must be eubmilled wilh ;,uilrlinn Dil!DiIIIIIIIl!li! before buDd-
ing cerllficate at occupancy will be Issued,
.!:IEAI r..' r,.,' />Tln",,,- REQUIRED willi number 01 supply and I8lUm openings BsI8d ~
roam wlth CFM's per opening. New slruc:Nres or additions send !loar plan wi1If supply
and retum lacalians shown. -HEAT LOSS CALCULATIONS, PAYMENT AND
APPLIcATIONS MAY Be MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE, S.E. PRIOR LAKE, MN55372.
city Hall ~ness hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPEC11!D (ROUGH-IN AND FINAL) - CALL CITY HALL
n _____ ___ __ n_ _ _ _ _ _ ___
447-4230
I
I
I
i
~
!
I
!
I hereby apply lor a mechanical systems permit and I acknowledge !hat Ihe .
infDrmatlon above is complete !ltId accurale; Ihat Ihe work will be In conlorrnance
wilh lI1e otlllnances and codas of Ih. clly IIno whh the fIIale bulldinglmecbBnlcal
codes; Ihalthls form doee nol become a pe~11 unlIl signed by the BUILDING
OFFICIAl.; thallhe work wm be in accordance wllh the approved plan In the
cas. of all work which requires review and approval 01 plans.
,~~~,:~~ . . .' ,', . \ ),':'~fl.~:~'\
'. AjIpIkJIhI'~ ," Dale ,i " '. .
'/~/2..7 74i:f
Dale
. .{ f~~ :;~~~~"~'-s." ,.;v~~ ~'~:t~....~ ~;'r~ ;<l~;v::~ ~'~(.~Ji~it. .~ ~:. ..-, .:;~~.:. ~. ~... -.:~i~::~;j". "".~./" ~ ~'. ~.' ~~.; -~"
, .,,"', ,,._,It;.,,~.,,,,,.,,~u_ ~. t;,.] .,. '__~~", _~\""'.~_. M-i:'- .~_l!l~~~~
From : JECHEEXC
~,"'liA'^"~,~ I, ~\,_~",~,!~,"",I.i"
, '
~" '
PHONE No.
612 8926396
5ep.23 1999 2:53PM P01
.; '.'Id"',' "~'r'f'l(' .,~. '(:",'.
, ." .', (("'.,.,11"'" ~~'''l\'''', '.lo)~.i' ~', .'
_I. _ ....
......... .. -.uCU't
"OOLIt.. ..,..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NQ(!lJ- /0 5!J, ,:
Sewe!:".nd Wator
contractors muet
be regietere4
with the CJt:y.
APPLICANT: Je.<>\", E:''I!.C:
AD~REeS: ,2YI ~'h'~~ ("l l::$'L,1
S IC>>A'l'URE: l1. '-:.;e. J, _'
SITE ADUIU':SS: ..l.kl ,,_'LQ;'c~ In)M. e,l )VV e-
fILr, IN T!IE DLANKS
PHONE: '7 !1 ('Y7 L.j G' ~
DATE;
BLOG. PF.RMt,. _11.... / ~
PID' "2.5-322- 035-0,
.;}." -"~:r'
F.stimated length of wator serv1ce
't, ~~.-
reet.
l.
2.
','
3.
4.
5,
6.
size of water servioe
\
~nch(ea) .
Location of any eouplingc from structure
()
BUli_i.J"\j,,, r't::RMIT~
.'felilt,
Type of sewer pipe. ABS PVC ,j C,,:st IrOIl
l J .---
Estimated length of COWer line~\ feet.
Clean out (if required), located at
structure.
feet
from
This:
------===~-~-~====~~===---~-~===~===~==z=
..~-
-.""
I""'1I!!!='==__IIII..Ii;;;;=- .
~=--~==~----=~~~-==~=~=====~e=~=====~==_~_~E_===~=====
our permit when approv~~ ~
- , DATE: Cl/ Z-.'f"/'19
/
,~:
BY
FEES:
$
$
I;
35.00
.50
35.t,;'O
Sewer and water l~ne connection permit.
Surcharge
TOTAL
.. l"...e for ..i 1..l,..r CQwel' ur w..tel' inuividually is $20.00 plus
$ .50 sUrcharge. --
.. Sewer and water permits .lssued for new ,construction must be
reoorded on the buildin~ permit card at the timBof issuance
to insure that no dUpl~"ate sewer and water permits are
issued. , \j'J\\r\ WI\\"
n....TE PAID AMoUN'r PAID ~. ~t~EG ~~\:l\
e\J'....-
nECEIPT ~ REC'D BY
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / PAX (612) 447.4245
An [)qUill OpPl'I"Lunity J1mplo;yc.'
,-
~
II~
I--.-~-'--
/ 0'" PRIOR
",-~,,<,
f::. ~
u rn
q9- 1050
White - Building
Canary - Engineering
Pink - Planning
Tb~ C..nlrr of 1M ukI' Cou_lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Ie / I-J k' /<. C 1-/;--) IV 7-
S/Z3/QCj
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&3L/-q
Vlc-TCR//'l
CUkv6-
Accepted
./
Accepted With Corrections
Denied
M_. .~_..._..J F"'>.__
nt::vII::::Wt:::U DY:
W~rF{(
r
r:..~REC::;"""A^,N
Date:
_1_1__
7/~/77
'.
Comments: K~"'~F"
t"tlJ<j &. C.cNvE'fEt> ;-0 ..q..Jf1
,
ALetAlc.. J)tlAtJJA(j~ ~
I )'rILl rY E'A.s.€Mt:J...J"Cc...
As Muo.~ AS
?RACnc.AL- _
5~ 1 L"r'
F~IoJ~E
~JlJ r~ E.
jS"K<e
OF
,......E
u>r
SHOUl...~
~e:.
fReerEo
AT
-r...E
f'tlG.E' of
VI5.i""urt.i'!,IlI:_"
~"
5E:~ l^,F"aRHM"iON 0...,) ........~ RF&lEJt.tF' _"-"If:
<E.€: a'1'"rAc..HME,.JT$: I. f:,Ji1L ()n.AOIi. }NS,.eC.tfOtJ INFa~-..c'-"1'i.,.J
z. (,'h.."\D.ll.~.t- p, A.....
3. Ea."c,^,\ Co,..>,-4.:)........ MF:ll~"tI:,:'c:.
'-I- f:4.0!,.1~...\ ~"-J""4J'_ ~L,:IAl
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
II
~~
q9- 1050
Th..('..nl..roflh..LlhCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMj:NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;vJA/if!./c CHANT
'6/Z3/QCj
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&3 L/-q
VI C- TOR./ /1 CU/f:. 1..16
Accepted
Accepted With Corrections "<
Denied
Reviewed By: .(j ~~~?J.vJ,,,,,,
Comments:
Date:
CJ -{ - "t~
, '
~, ~oJ
?,~
I. Mo.'lA.k'\A DoS,'ovt ~
~. ~ ~v~tof'>~ Y'(~
"J~ lI~ir~ ~ I-\-",^..A~
<:\-
\ t.e-es
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
T I
^--....---.,.----.
.'
t'RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1l^3l/ i \J,'cld Kb.... Gt--U...A
NATURE OF WORK /Jew Co--J
USE OF BUILDING S FD
PERMIT NO. "i'i -lo'X)
CONTRACTOR Ch~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I "~CTOR I q} 14 ~qE
I FOUNDATION (Prior to Backfill) V/.J)9'.h\19 I
PLACE NO CONCRETE UNT~ ABOVE HAS BEEN SIGNED
ROUGH - INS
rv '~N/'M ~
~ / ;I,/r)"J n
DATE ISSUED 9-/-'7 '7
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING lI/t~A1
HEATING (if required) /0-,/'1"
FIREPLACE" I h,h/OV
GAS LINE AIR TEST I ~ /~"";,.\ I t;D) '3/;/tfP
COVER NO WORK UNTIL ROVE HAS BEENSIGN'ED
j-j.{r ~'71
l'tl\1AJ ~
.
l~
GRADING (Prior to Sodding)
BUILDING --rt!-6lll 8 If 160
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
FINALS
(;; C!.. i".I</.(/T>
bp
~})3/J'/1id ~)07 ~ ~I p(J
OCCUpy UNTIL ABOVE HAgl BEEN ;ldNED
NOTICE
P' / rs'! tffJ
This card must be posted near an electrical service cabinet prior to rough-in inspections
'and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
I I I r---