HomeMy WebLinkAboutBuilding Permit 99-1190
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This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use, For the following:
Use Classificatil"ft
SHlmJ! FAMIJ~v
Dldg. Permit No,
'1'1_11'10
Occupancy Type
R3
Zoning District
RISD
RIA
Type Construction VB
Fire Zone
Legal Description
L2. Bl. RASPBERRY RIDGE THIRD ADDITION
Owner of Building
.' Add 15058 APPALOOSA TRAll, R.E.
'"lIte ress
Contractor's Name & Address
Schafer B:l'Os..
/5-::; ,
'''':ity Planner
Jenni Tovar
4194 143rd St. W.. Rosemount. wr
Date:
Robert D. Hutchins
B'JI'ding gfficial
7//() /00
Dale:
F
J,I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5tJf'S
SCHEDULED 7.!1~/OZJ 4, y.
MPALoosA-
OWNER
CONTR,
PHONE NO.
PERMIT NO,
qq-//Cj()
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
, l2'~ J' ~
~
~
6-w>-- Lv-
~
~
-, '-
td.. 'fr> ~ ~ ~ ~
-;;S,t~~ ~ ~~,
, ~
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"-.
-,
lk-OJ. .it:.U ~ ~~t;..,* 9.:1- ~ ~
~H-," _ ~~
~ A -~,L.-.) 'D?-- ~ ~.
,.
o WORK SATISFACTORY, PROCEED
QII, 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/
JrvSrvOTI
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__._.~,._. ,.._.___~.__~..___ ....n___ _____~'__...._._______.______...__._____.____-_..
1,1
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
Iprqq /:30
/5ZJ85 ,qp~I"'/"OOS/7
SCHEDULED
ADDRESS
OWNER
CONTR,
99-11'10
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
WATER HOOKUP
EWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
34' ~il 40 '{I'IC
,f< ~ lA.- ~
Lo < I-}'~ ~ 10,("
ON_ ~
3 pia,_
(,\r~ ~
() S v p... it--
oV
0..- "^.... -h,
~oJLi;L C
.,l. 11_
(ilA..- Wvw--
~'-
rO....c..:,,-
qxi~,4 <::U~
o ~SATISFACTORY' PROCEED
~::E~T liON ND PROCEED
o CORRECT FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
'"
, .._-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
#
TIME
ZI:5la
ADDRESS
/SDf35 /'Jr/"/1L-O oSrl 7JZ.
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
QCO~
~
1ilitr
I n
I_At' ~
fili
v~
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
/L 0 SEWER HOOKUP
, "'""""PLUMBING FINAL
/D"MECH FINAL
4~
99-1/9D
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
^
+r;>>.LJ'
()~
I~
Inspector: Owner/Contr:
CALL 447-985J FiR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
'"
INSNOTJ
, ,
SCHEDULED
DATE
Ifb./r;
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
". ~./'
__J. ---L)
ADDRESS
/.SZB5: /1r~/lL {;OS/9
OWNER
CONTR,
PHONE NO,
PERMIT NO.
9</-//90
o FOOTING
o FOUNDATION
~FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;XC MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
X FIREPLACE RI
/' iJ FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~-~
Q. ~"'~~.&.lIr-h-I _ S;,,,,,,9.. ~ ~o.
S. M,A~"';-~~"'\~.l--_~
~RK SATISFACTORY, PROCEED
~~RRE~T A TION AND PROCEED
o CORRE RK, 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!
INSNOTJ
'"
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6~~
OATF RI=r.l=I\~
sa>> 2 9 1999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PER~IT IS ISSUED (Please Print or Type and sign at bottom)
a."stll:(~~c.:>.:>
-'5.11 9.< JJ~"^<'d_ -r:.. N,.c..
3. LEGAL DESCRIPTIO~
2.
LOT
BLOCK
I
ADDITION
4, OWNER
~h'\(i.
5. ARCHITECT
;<ASPI36e.ev'
(Name)
f?a/.h.t'L
R.IDe,::;
(Address)
gene-dId
(Name)
(Address)
8, I!fJILDER
(Name)
(Address)
.;::;C. \'a..J ( r
7, """ OF WORK
New Construction [j
13rD5 ,
COH~':;,
;:r;,e ,
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
CJ9-/IC?()
1. DATE
9"'~/'ff'
RIS{;)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25-::;""-2-t)tJ2.-0
,3R.O
Side
USE OF BUILDING
.s~LL
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
13. TYPE OF CONSTRUCTION
(Tel. No.)
14, FLOOR AREA APPORTIONMENT USE
(Tel. No.)
j,n d r~ (Tel. No,)
't17'f/y3 ,M,!oJ,
~rn""'.d c<,1Z-3.Pz,-J'dl2.
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Ae-roofing [j Porch LI
Re-siding 0 Finish Basement CI
SEATS
16, PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas 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
1h e abov. entioned property~n at all construction will conform to all existing state and local taws and will proceed in accordance with submitted plans, I. am aware that the
building . can revo~ this pe it f,r j~t cause. Furthermore, I hereby agree that the city official or a designe~ay enter upon the property to perfo~eed~p~
X . I~' ~ -2&J~t,(l;~y 7-J7-Tr
-Signat'fe License No. Dale
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOil TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLA liON TESTS 0
/"
SETS
COPIES
PERMIT VALUATION
I O-S.OOO. ~O
o
Water Tap ................................... It
Builder's Deposit ............................ $~. C:-t)~ . ~O
Other ......................................... !f:
Total Due .............................. $
Paid 7 Z- S r 7/ Receipl ~"J
Issued t
Date /rJh';/f"Y By .
This~'S to .~~. ~~;~,~; ;~~ppl~atiOn and accompanying documents is in accordance with the City zo;in{ Ordinance and may proceed as uested, This document when
sign r;;rn,ne~rary Certifi10 ~fJjWPtiance and allows construction to commence. Before occupancy, a Certificate 0 Occupancy must be issued.
, City Planner ~ Date - Special Conditions ff any
24 hour notice for all inspections 447.9850
TYPE OF CONSlRUCTlON: I II III IV V
Occupancy Group A 8 E F HIM A S U
Division 1 2 3 4
Permit Fee ................................... $
.,~ :~S"
<=\B{ o.c.J (<!-
51 HC;TJ
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee 9.9.~/J:?t?", $ , c> 0 . CO
Mechanical Permit Fee tff. ~ll fJ2" $ J 00 . r70
Sewer & Water Permit ,9.,?:://fP, $ 35. SO
Gas Fireplace Permtt ,'1.<1.~C?" ~ '-10 . ~
This . n mes Yo 'ng Pennlt When Approved.
By Date /0-5-'1'1
II
City:
~
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee """""""""""'"'' $ P,c;o.ro
SAC """"""""''',,,,'''''''''''''''''' $--1(').<)<).0(1
Collective Street Fee ....................... $
Sewer Tap ................................... $
~" $
Pressure Reducer .......................... $
%.00
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... 4:
WaterTowerFee ........................... $
I ClS.CO
I,? "0 '00
''7oo.eo
85.7/
~ c/z.4.
.
. \,
:'::- ~~ ~ T<.,
Name of Tester ~V\ "
JJ~,I/OI()
(p '7\0
'S ~o
O.O~~
.3Jo
..
~
Dale
itQ:e.
Percent O.
Percenl CO
Stack Temp.
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'" .;
...,.',)> ,~
."
~1
9Q-/190
Thr Cnlrr of lhf L.kt Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~"5 (! HrJ F t;;; Ie:::. 8/.2 0:5 ,
Cl/Zt:? /99
~ONS772--.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5D 85 /1P ,t:J/lt..-OOsrJ I ~
Me
Accepted
Accepted With Corrections Y
Denied
Reviewed By: (j jJ If?. . . A",
V;:J _ /_
Comments:
Date: If) -5"-"i'"
I. n~,.~\.~l~ ~.",.hA 0."..\....l
2. k~ ol[ o.4",-;L....l fi....l.".J;-
7. S..!. d- i"".c.. ~ ~"J.p \...........
.
"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."
III
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White . Building
Canary . Engineering
Pink . Planning
ThtCtnluoflhtuktCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPliCANT
APPLICATION RECEIVED
( ii'I/11
/"
1-_.
/ -.
/./ ~ i.
--
,r;
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---"~
~
/(
// '/ 'e
;/'-
Denied
)(
(}~,~
(fie! UnIt' Cannut V1cri)~vh
Acceoted With Corrections
Accepted
Reviewed By:
Comments:
Date:
ID-1/ ~9i
/0' Sidel/cu-ds',
"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."
/
/
,
,"
r-.: ,- /", 'I
-f/ - / !'fe
White - Building
Canary - Engineering
Pink - Planning
Tht C..nll'r of Ihl' Lab Country -
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT . <S' (' Hll r E/Z 6/<:" oS. (' C ilj ~'7k.._
APPLICATION RECEIVED 9/2 C;//''/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 {) B~ ,/-) j//.///L 00 C/i 7k:
--
/\/ C-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: J.IA'T~A r;:..",r..,......~NN
Date: /OJ!].!?,;
.
Comments: SEe:. l,JrnttMA'f"IOh' n.J -r-r-t€: t?E:.J~r:.. ot::;(l:1F
.s'u",""P Pu""",,p wJJ.Q,
Mv.1'
CON,.Jf;c:1
D.lI<.~eT't..'\"
1..J,o
-rHE:
t:~IJnN~ Da.A\.-..J "In....(".
~f<AQU.
n.'
""<I::
....\":'lan..J
~"" I o.F-
LoT
u^-~E.
f\1..;S,
u:
Low.] E:ND<.J6H 7b
II CC~ I c.~rE..
'-"E:
F'vru"-E:. lJ.o.oi(;
Or...) l-Ol_~
.r<:"~~ A-r-rACl-lMf:'...,-rc::.' J. h.o,)At.. Cfl.4-n~ /A.JSPr:.C-TiOAJ ~F"dlMlIr)OAJ 2_ AIt.I/j)uJ(. fLf1/J
3. Cs2.LJ~ln^) f!OloJranl_ VV1'AI1.6IRf;.5
'/, c-'OAJ CoN,,,-o'- RAN
"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,"
'"
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Pormil No. qq -1/ C/O
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dalo //2.J-rlc; PID' Z5-3t/.-Z.-()OZ-O_
Silo Address /$(J./y ,4iJLJ"/~',),r/l '-'(;1..;_ P J2/SD
- I' ,
Lol 2 Block I Addilion I2f15Pt5ER.,eV Je/D66 3leO
$i:A Uk> &Ar. '
/)
Owner's Namo
Address,
HoalingConlraclor ALLIED FIRF:SIDE dba FIRESIDE CORNF:R
Address, 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Tolophono' _ 651- 63 3- 2 561
FIREPLACE
/Xlmtil!ll Mako & Model ilh/ A jr" ("'-..
Model Size
Conn, Load
Fuol
1'9(0.1
ti:ocwm_
Flue Size
Supply Openings
Relum Openings
Inpu! , Oulput ~ 7 ,'"
Ed..
Clm,
Alleralions
TYPE OF SYSTEM
Warm Air Planls
GravilY.
Mechanical
Air Condilioning
Vent Syslom
HEATING OR POWER PLANT
Sleam
Hol Waler _
Radialion
Spocial Devices
Olher Devices
Replacemonl
TYPE OF WORK
New Conslruclion 'x' Y'
Repair
Est Camp, Dale . II bC/
IIO()Il) BUildingPerm~'" qq-I/QO
Est Cosl $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
---
",~\Q \tl''\'\'\ ~..tt'
.. /''-'I'~''''\'<'
r0\\..'C;<',v
Receipl""
TYPE OF STRUCTUJl!;
'-Pin"
1.(mft
1. Yellow
Z
Fi~ 0
aI, (
ContrKl I
N
N
I
III
III
o
N
Single Family
^
Mulli-Famlly
Other
Two-Family
Industrial
Commercial
Public
Fee Schedule
U'I
W
il
"
..
,
ID
III
..
C.
ID
n
o
,
J
ID
,
f
Induslrial, Commercial & Mulli-Family
Residential, Healing & AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residenlial, Additions & Alleralions
Rcsidenlial, AC Only
1 % 0' job cosl ($39,50 minimum)
$99,50
$64,50
$39.50
$39,50
$39,50
Remember 10 add Ihe Slale Surcharge on Ihe bonom 01 this application,
The price 01 your heating permil includes one rough-in and one final inspection_
Addilional inspections will be billed 01 $35,00 each.
HOllse Healing Tesl Record mUSI be submilled wilh ~ I!lUIIIiI ~"m""'! belOfe build
ing cerlificale 01 -"'''~~lCy will be issued,
I:!fAI CALCUlATIONS REQUIRED with number 01 supply and relurn openings lisled p'
room with CFM's per opening, New slruclures or addilions send lIoor plan wllh supply
and relurn localions shown, HEAT LOSS CALCUlATIONS, PAYMENT AND (II
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 16200 EAGLE U'I
CREEK AVE, S,E, PRIOR LAKE, MN 55372, ....
City Hall business hours are 8 a,m, - 4;30 p,m.
(II
W
W
III
III
III
l>
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)- CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge Ihallhe
information above is complete and accurate; that the work will be in conformance
wilh Ihe ordinances and codes olll1e cily and wilh Ihe slale building/mechanical
codes; Ihallhis lorm does nol become a permit unlil signed by Ihe BUILDING
OFFICIAL; thaI lhe work will be in accordance with the approved plan in the
case 01 all work which requires review and approval 01 plans.
/i!P/<i9 il
, jDala L_ 0
-1L Z 31!:ft- ....
, Dale'
ure
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No, qq -I 190
Prior Lake, MN 55372
HEATING APPLICATION / PERMIT
,..'/JI'l..1.I'J'f PID# 2.5-342-- 002--0
~ /stS~S' .4nIJA/,,,~;IJ 7/2. P-.c.
. .
Lot 2- Block I Addition IiC,qS;:;d~~ .e/D~ G 3/2p
,
Owne(s Name
Address
~~'~~traclor 6tC.oFf's fire, rI- J(11tf. C",O IN".
-.~. J
Address ~;).,5'.> /1/.$T. w. 1ft!J.<;.A.-()/~"'T AtV. SS-o,""
telephone # t.S I - it 'L '3 - "3 F 0 "L-
/,4J11':' I!
fiIlf_ Make & Model .l'AIIQA b'l,"/ TYPE OF SYSTEM
. Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent System
Model Size
Conn, Load
Fuel
Flue Size
Supply Openings
Return Openings
Input Output
Edr,
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Cfm,
TYPE OF WORK
Aiterations
Replacement.
New Construction
Repair Est Comp, Date
Est Cost $ Bu/cling Permit #
HEATING PERMIT FEE $ \ /
. \ / .50
'/J
99-1/90
~-
PAID WITH
BUILDING PEi~. .dT
STATE SURCHARGE $
TOTAL PERMIT FEES $,
Receipt #
.-
TYPE OF STRI,!CTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
v
I
Two.Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99,50
$64,50
$39,50
$39,50
$39,50
Remember to add the State Surcharge on the bottom of this application,
The price of your heating permit includes one rough-in and one final inspection,
Additional inspections will be billed at $35,00 each,
House Heating Test Record must be submitted with buildina ~ nllmhA' before build-
ing certificate of occupancy will be issued,
!::!EAI ~I CLlI ATIONS RFOLlIRFO with number of supply and return openings listed per
room with CFM's per opening, New structures or additions send floor plan with supply
and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE S.E PRIOR LAKE, MN 55372,
City Hall business hours are 8 a,m, - 4:30 p,m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans,
~~
7GJl..-
BUild~ Offical's Signature
1//~1..I'#'t
Date
d /z.. 2./1 '7
Date
~
,;"
_......
"'l1oLDW' -~.,.
..... p DT'f
CITY' OF PRIOR u.x:E NO. W- I/qo
SEWER AND WATER PERMIT
NOTE: Sever and Water
contrac~ors must
be registered
with the City_
APPLICANT: jj).M'~/L ~,/)ff/~LLf
ADDRESS; /'159' ~1/nJLl.-. L'L
SIGNATURE: 1'dA'/.-rJ ~. (.)~
SITE ADDRESS: J50~5~-;f;jj.?lE..
PHONE: fc 5'1- ~Sr9 - /s" 5'
DATE: lo-I?-9J'
BLDG. PERMIT !! qq-I/90
_PIO!! 25-3'-1-2.- OOz.-O
FILL IN THE BLANXS
1. Estimated length of water service
feet'.
2. Size of vater service
/
inch(esl.
J. Location of any couplings from structure
feet_
4. Type of sewer pipe_ ABS
pVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
strUCl:ure.
reet
from
=-====~~===~=~==============~-----============~====~==============
BY
~ your permit when approved_
DATE:: /()/20/CJCj
I 1
This
====::=::;;==;;;:=#~
===================_=====::;;~===~~__=====c===~==__~===
FEES:
$
s
$
35_00
.50
35.50
Sever and water line connection permit_
Surcharge
TOTAL
. Fee for either sewer or water individually is $20.00 plus
$ _50 &;urcharge.
..
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. -
AMOUNT Fr~~\~~~~~~
REC' D Bt ~\}\\..O\~
DATE PAID
RECEIPT II
16200 Eagle CreckA". S.E., Prior Lake, Minnesota. 55372/ Ph. (612) 447-4230 / FAX (612) 447-4145
Ast Equal Oppcrtl1ni<y Employer
III d 9vOlgSI9gS 'ON/gj :gO 18/9j :gO 66,61 '01 (3Dl)
L9S0-Ggv-Gj9 lVOINVH03W 13ZN3M WOHd
1,1
PRIOR LAKE
I
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15(jR''''\~Q \<'II'<'>.Q 'II-.
NATURE OF WORK lJ~", 0~~...k-",~
USE OF BUILDING ~{:'()
PERMIT NO. <;"'1 _ WI (") DATE ISSUED If) -()-~n
CONTRACTpR . ~ \11" '1)""",. \?-",-,J. ~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING /O/ZI "1
, FOUNDATION (Prior to Backfill)~r~1 _ ,10 ,,,2--1'1 (J.; I o,h"/'7"j
PLACE NO CONCRETE UNTIL ABOVE HAS KEEN SIGNED
ROUGH - INS
SEWER 1 WATER 1 SEPTIC ,~ IOIz l/ere,
FRAMING ck-- ~ J) !,_
INSULATION ( . . /~.Ao1
ELECTRICAL
PLUMBING I GJ/ //~<i/f
HEATING (if required) I Vv /14'11-
, -!
FIREPLACE 11./
GAS LINE AIR TEST 1(/)) ILQ/.,1 I
COVER NO WORK UNTIL"OVE HAS BEEN SIGNED
I.' 't"~'''~ I I
FINALS
DATE
((-~-
GRADING (Prior to Sodding) _
- YO>>
BUILDING ~TD 8-1 -~O'-ll\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
.
{fp,- ,
,
1//0/00
1/1-1/ fJ7J
I I
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I _
I///l ,/Jy/!1'
It/" f,r71
This card must be posted near an electrical service cabinet prior to rough-in i'nspectlons
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
Iii
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1s-l9ta ~ A-p~t,05~ Tr I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
CI FOOTING
CI FOUNDATION
CI FRAMING
)iINSULATION
FINAL
CI SITE INSPECTION
CI PLUMBING RI
CI MECH RI
CI WATER HOOKUP
CI SEWER HOOKUP
CI PLUMBING FINAL
CI MECH FINAL
COMMENTS:
/1-11 M
.~
or-Y- ,
tV/'/
/
DATE TIME
l./-3o-or
'7~190
~1lI ~ 1'.j~;:.~ING
- CI CoiIftiEi(fNT
CI FIREPLACE RI
CI FIREPLACE FINAL
CI GASLlNE AIR TST
CI
t)C(' WORK SATISFACTORY, PROCEED
. CI C'ciRRECT ACTION AND PROCEED
CI CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor:~_ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
M1<<m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HElUTH .. SAFETY/