HomeMy WebLinkAboutBuilding Permit 99-1200
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(I "JI' QLtrftftralt at ~rrnpanry . ,",~,'
--j) CIIY OF PRIOR LAKE;~
'~~I iDepartment of .uilbing 3Jn~pection .-
~:I, i' lIl1 Final Permitted 0 Conditional C.O. Expires
~ '~~ r
:'1" ': ' This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
t,," :: c~rtifying ~hat at the time ofissuanc~ this structure was in compliance with the various ordinances of the
.; : CIty of Pnor lAke regulating bUIlding constructIOn or use, For the following:
~ ;,
':'.j : Use C1..,ificali~ Sin"le Famil v Bldg. Pennil No 99-1080
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1
Legal Description
LS, B2, Raspberry Ridge 2nd Addition
Owner of Building
Site Address
1,0,1 Rl~ck O~k Road
Contraclo,',Name&Addrcs' Blake Buil<4>rs, 747S lSth St.. 1/20S, Oakdale, MN
Robert D. Hutchins ~ .., C' PI Jenni Tovar
[.71-. Ity anner
-,,...-
Da..:
Date:
, ,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5a'E;/
SCHEDULED /0/1 tlC7 ,4.:"
~ &-L,eJ, r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99 -/~(]~
o FOOTING
o FOUNDATIONCfJ
o FRAMING
o INSULATION
FINAL
~ SITE INSPECT N
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:
1 ALL
f'.JI hU
r
~
)d WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::~O~ECT W~:L FOR REINS::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
INSNOTl
I!I
r-.-----'.---
~.._~-
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
z,t~;'()
II; dtJ
ADDRESS
/SVS7 Bt.-rtCK:. ()/1/::... /2D
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
, YD"""MECH FINAL
'19-IZOO
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
1. Se.CUNl T)t~~~~ &,'y-~"R..
......0_.._ '1'\-" "
~l-.J> ~ _/~/)....
'2.
.
Inspector:
Owner/Contr:
/
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1."'-<.
.....
o ~RKSATI
.)11'" CORRE .
o CORRE:T
A TORY, PROCEED
T N AND PROCEED
L FOR REINSPECTION BEFORE COVERING
CALL
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
, ,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/505/
SCHEDULED /(I?elt?'l /:3t)
BL/-1CK- OA-K- I2.D
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QQ-/2tJO
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ATER HOOKUP
EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I. ~~ c../'. ~lt...Il._ "IA~~l...~..lC::;_ Q
q, WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o COR~EC , CALL FOR REINSPECTION BEFORE COVERING
Inspect : Owner/Contr:
C 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
./-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
II
I ------.-----.~-..~
~\
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATI= ~:U:r:I=I\fI=T"
10/1/9'9
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 )I?:)IJhc.1. /'Y,\( e.\
3. LEGAL DESCRIPTION
5
R/KPL(;;,eeV
(Name)
(4",\\>WJ., t:.",.
j; ltth &Jlclm.--..fu:..
7. TYPE OF WORK Fireplace 0
New Construction. Alterations 0
Chimney 0 Misc.
la, PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft Width Depth Yes No
I hereby certify that 1 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
building icial can revoke this permit}or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf9rm neeped ~,.... .is.
X Ah -JOvvu.-:' 1/)-/-.,1'
Signature License No. Date
LOT
BLOCK
ADDITION
14.0W~R
\< I,,\(,
15. ARCHITECT
6, BUILDER
(Name)
(Name)
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
tSFD
1.CATE
\l.~.
jt)- / - 9?j
1:./
:z...
R/~ 2,v.D
(Address)
7'flr I,.I> sf. N.
(Address)
PID 25-~-O{J''''- ()
(Tel. No,n,'-5al-5'lH1
a,,1:0.t {6$'1- )'I6-IHf,lj
(Tel. No.)
(Address) (Tel. No.)
sr;-(J~
7'17) ,r.IJ.,f; N. Oll/(.M~
Septic D Deck D Re.roofing D Porch D
Addition D Finish Attic D Re.siding 0 Finish Basement D
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
l'2.B.ClOO
PERMIT VALUATION .''''''1 :~fC)"'J
Division 1 2 3 4
Permit Fee ................................... $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Penalty ,...................................... $
Plumbing Pe""" Fee .c;9:-:.1U,P.... $
Mechanical Permit Fee 1..1.::.!.?:!!!!... $
Sewer&WaterPe""" 1.9..~..f?d)(!.... $
qq - (UJ()
Gas Fireplace Permit ....................... $
ThISm' ~jIt\)l~m~our Building Permit When Approved.
By 1/1, Date f/').f,,-'i"I
, v/'
Certificate of Occupancy
WaterTowerFee ........................... $
Water Tap ................................... ~
Builders Deposit ............................ $ liS /') I'l . "n
Other ......................................... ,It.
Total Due .............................. $ '7~1. fh
Paid 7504 <1-(;; R.ceipt~o.3"..jf7
Date / 0 //~: By ~____
in the above application and accompanying documents is in accordance with the City zoningOrdinance and may pr~ requested. This document when
itutes a tem rary Certificate of ~onil)9 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
If)- \5,<t
.r--------- Date Special Conditioos n any
Plan Check Fee ............................. $
State Surcharge ............................. $
Issued
v
"
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... It
Sewer Tap ................................... It
c;{," $
Pressure Reducer ..../!................... $
Meter Hom .................... ........ ....... $
Wa1erMe1er ................................. ~
Sewer & Water Connection Fee ........... $
I. ()'77. '],
(. It! 11
(p<.{ . ClD
166.06
'/)".00
~
\0\1
~ ~ . '50
4-(),O(')
24 hour notice for aU inspections 447-9850
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qC{-/2.00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
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 DATE
"
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA D
PILING LOGS D PERGdLATION TESTS 0
PLANS & SPECS 0 (""SETS
SURVEY 0 COPIES
PLOT PLAN
o
F\ ~ . Q.(L
10 e:;n .OC>
'ie;. D (")
I "2".l>6
',?OD.OO
tt:>".lJI">
1 'i - (2.60
19-~O~fYO
Tht' Cl!'nllL'r of lht' L.h Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING P~RMIT APPLICATION DEPARTMENT CIiECKLlSI
NAME OF APPLICANT
'jjL.,q/<::.6 8UIL.-DE/2..S
8/30/11
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.5V5/
8L./7 {!./C- (),q;::::.. I2.D
Accepted
Accepted With Corrections /'.
Denied
(21&)
Date:
9-I-rcr
Reviewed By:
Comments:
I. l(""J. a.ll at+r.rkr.l. l~ol'{..S:C
'2. SoJ.. \='~\- ~ s,(~ \lw-t:l.s.
3. S"-€... ~m""dl
L.J
(<.) j:.'~6\A\- ~o.Kl IH?R
"
"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."
I I -~~-~--_.._._..._.,---_....."------.._-~-~-~.._----......------......----.-.-'-------...-..-----...-.~--------.1'.-'
~
_.., l.~l&~, ,,~_,'"..-....'... ...
()f/-120Q
TIR Cfnlff of Ihf lib Counlry
White - Building
Canary - Engineering
Pink - Planning
eUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
SirlKe. dL.LJI<~
~ /O/I/qc;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~O!J/
8LI--J C Ie (JrJ t::- ~.LJ
/116
Accepted
./
Accepted With Corrections
Denied
Reviewed By:hMLT~ E..ile,,,,,,,,,,^,
Date: JO/I~J99
"
Comments: ~€€ \,Jf'oll."'''T/OM 0,.1 -nlE R€vEJI.sE: s,aE,
go. A"""'A~""'E,.J""-: I. h""""L c.;t1,"n~ )-';51''''cno,"" J...F,.,,, "'''''''MI
~ ~b.j\'{17 -.- 2.C/lfJtt'JIAl/.. Pt..A-A\
3. Ca..nS''''A I (l0A.}j-l20<-- rt1~A_(tJn~'"
'/. UOS"'AJ Co,Jnto,- R.{.l.,.J
"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
~~..~~JF","~""",,~:;!-'~" '..~.""....~, '''j'"''f'JiI:P'.,""",.:,,-,~.:~. ~.~ "~,,~~~,,,~~,~,'<w~""'I!""'~_~'~h"'lj.....~..~,.-......ll . II I ~
Th, (",nlu of th, Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'! l.
,
'-,
-'.J"
<-7
"
I(
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;
/
/ {'.'
.)./-
Denied
/
11.""""
OC/1 j f/1/7. , )
V
A-f{'- IIfl'+ {l~
1\"'~eDted With Corrections
Accepted
Reviewed By:
JO~/3-9'1
, ,
$yJCMJ4.cf1 /0 I 'McIR JO"1c/
Date:
Comments:
"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 Creel< Av. S.E. P8ImiINo. QQ-1200
. Prior /..akll. MN55372
HEATING APPLICATION I PERMIT
Data /d/~j&;q PIO. 25-304-- 00"1-0
.
SRe Address /~:n "I-<P~ 1CW..40
IC../
2ND
lOI .5 Blocl< z.. AddUion, I<:rJSP66telC,/ '€/OGiE-
Owner's Nama ~JL f2u"p~I~
Addflm
Haatit1gContrado1 ALLI1lD FIRESIDE dba FIRESIDE eORIIER
Address. 2700 N. FAIllVIEW. 1l0SEVILLE. MlI 55113
relep/KlRe' _ 651-633-2561
rtREPLACE
lUlO.P Make & Model JJ..J. iJ (0 fA
Model Siz~ $L 7,rO .
Conn. load
fual. ('~J
Supply Openlngs
Relurn Open1ngs
Input
Edr.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condilloning
Vent. System
.Flue SIze
Output J- 3. <.'l:O
HEATlNG OR POWER PLANT
510am
Hot Waler
Radiation
Special Oovice.
Other Devices
elm.
TYPE OF WORK
A11etatiollS
So
Replacem1Kll
New ConslructiOf1
Ropair
EsI. Cosl $
Es!. Comp. Date I,), . 3. Cf?
BulfditgPetmU QQ-1200
/ /1..10.0.)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTALPEAMITFEES $
.50
C. PAID WITH
, BUILDING PERMIT
.
Receipt.
TYPE OF STRUCTURE
I. Pina:
t. (inn;
3. Yellow
Rk
0Iy 01
CotfIle' I
Single Family
CommeIciar
I
lD
lD
U1
CD
W
""
'U
3:
'!Wo-Famlly
I ndllslrlaf
Munl-Famlly
Pubic Other
Fee SchedJle
lndusltlal, Commercial & M~ti-famHy
Resldenfia~ Heating & M:.
Resld....tial, Heating Only
ResldenUal, Ges FlIeplace
. Residential, Additions & A1teraliorlS
Residential, AC Only
1% of job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39,50
$39.50
TI
XI
o
3:
Remember 10 add Ihe Stale Surcharge on t"" boUom of this application.
The price 01 )'.Ollr heating permillncludes one rough-in and one linel inspeclion.
Addilionallnspections wil be b~1ed al $35.00 each.
House Healing Tesl Record musl be submltled with IlllilWng pmmj ~ be/ore bun.
ing cllltificale of ocCupancy will be issued.
HEAT CALCULATIONS REQUIRED wilh number of supply end return openings listed ~
room wlIh CFM's per opening. New slrucl..es or additions send lIoor plan wilh supply
and rBlum Iocalior1s shown, HEAT LOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55312.
City Hal busIness hour. are 8 a.m.. 4:30 p.m.
,
ALL WORK MUST DE INSPECTED (ROUGH-IN AND RNAL). CALL CITY HALL
447-4230
I hereby apply for a mecharncal systems permi! and I acknowledge Ihallhe
inlormation above is complete and accurate; Ihal the work will be in conformanCE
wllh the ordinences and codes of !he cily and wilh Ihe s\ale buildlng/machanlc.
codes; thallhis rorm does not become a permit until signed by Ihe BUILDIN(
OFFICIAL; thallhe work will be In accordance with Ihe approved plan In the
casa of all work which requires review and approval 01 plan...
.t;,.,'kiZ. IId7C,
7};JJL
BuIkIi?ll Oilical's Signalure
I:J/</cn
., Det.
!Z-/3/99
Dale
:u
III
10/18/99 MON 18:48 FAX 6128621223
JD EXCAVATING, INC.
141001
DJ/l1ill! IIiIl "', ~4 FAX GU,,;\1'4Z45
[M DF PIlICll LallI
';.001
i P.Rla
;l~~\
V\~;:
~ .t"
I,,,,fWr.<;.CI'
--...
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---
oJ
CITY OF l'lUOR UUtE
SRIiIGl AIfD !lATER _..........
19C7.1.'E:
s....No.._9'1- /ZOO
:ii.VOIr and lolaUr
c.ont:rac:l:ors lIU~
~ ~.gisl:ered
wh:h the cit.y_
x APPLICANT::Tn eXCf')Vf7TfNC., . INC. --PHoIIE: "t-C:."'-43~ '2.. .
:J( Ar:IDRE.Ss: i'l4,? - i~ "2. NO IWEs, COON RI'tPll)'ftlATE: 'O':'I~ -Cict
,c; SI!<NAT'_'IlE~..J:x..._ ",-\b...~ BLDc;. PDHI!' f q'1-/2.00
x SITE ADDQSs: \SQl3\ ~\a.c.",c;:cl<.. ,_PrD\t .z.::5-~o+- 00"1-0
fiLL IN ~III.\NICS
2. Size of vaT:.er ~ervil;:e
1. Estimated l."~~h of vate~ s.r~i=~
feet.
inc:bCes) _
J. Location or aPly COuplings f~ struet:ur.a
feei:.
4. '1'yp.. of Se....r pipe. AIlS
PVC X
Cast Iron
teet_
S. Esti~at9d le~~h of 5~e~ line
6. Cl~an out (if re~i~.d). locate4 at
struc::tur...
f....t
frOlll
::~~",';iT~y:': ....:it:::~:;~O/99 _u_
~=...==~~-:- ,,-~.._-~-----_...
FEES:
$
~,
S
35.00
.50
)S.SD
Sewer and water lins connection Fer..it.
SUrd>>er..,e
TarAL
. fee fDr either sewe~ Dr vate~ individual~f is $2U.OO plus
$ .50 surcbar..,e.
., Sewwr and Wat&1" pcmits iSSUed tor new c:onsf:ruC1:;ion lIIust boa
recor4ed on. t:J:Je bIIildi.n4 P~:lt c:!.llrci ~~ ~.. t:L"!l!J Q~ ;i...."all<::e
to insure tbat no duplicate sewer and water permits are
i....\:IeCl .
DATE: PAID .1' AJroUJtt PArJ)~- ~\f'J\'T~,~ ~\i
REarF'T f /' ...~\O \,fII~~~~~ J REC'D By (~_"~O\t,~G \"'''''.
I \O\\,~e. \"~
\?u\'..'
16200 ~agle Crcrk Av. S.E.. Prior Uko:, Mil.. '->..... 5537Z f Ph. (6J 2) 4471230 f FAX f612l447-4l45
All &.purl ClprqnuIliIJ' a..pr..y... . .
I I
--~,._-'-
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq -I? /JO
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PID# 2"'5-304 - ()(;Cj-n
BLAClC- OA K... R...O N r::. R.. I
Addnion RA'SPB6RJi:?_V jq 06 E: 2 ~
Date
Sne Address /5D 5 I
Lot 2 Block Z.
Ownefs Name
Address
Healing Contractor A I R.. M S{'J-/ A I\J / (I Ai,,-, / N c... .
Address 1(,.,411 A'BER:OE5N <5r.. HAM LAKf-.
Telephone # fA /2. - 4* - 7747
Furnace Make & Model A~M STRONG TYPE OF SYSTEM
-/ Warm Air Plants
Model Size b I J Tn/ () () D /2.. Gravity
Mechanical
Air Condnioning
Vent. System
5S:'VJ4-
Conn, Load
V'
..........
Fuel tJ KI.
Flue Size
5'1
Supply Openings I '"
Return Openings 10
Input ItO. 000 Output,?;o: ()O 0
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Cfm.
TYPE OF WORK
Aherations
x
Replacement
New Construction
Repair
Est. Comp. Date
Building Permn #
QQ-/200
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
q q .50
.50
ICD.OO
/- \N~
Receipt # ---Te~,r~~aG f>~K'[\\i'
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
~
Multi-Family
Other
Two-Family
Commercial
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi.Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addnions & Alterations
Residential, AC Only
~ cost ($39.50 minimum)
,-=~.50~
$64.50
$39.50
$39.50
$39.50
OCT I . /!H}
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 "..jl(fino oermil numhAr before build-
ing certificate of occupancy will be issued.
HEAT CALr.LJI ATLONS REQUIRED 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 th~.S es not become a permit until signed by the BUILDING
OFFICIAL; t~ rk will be in accordance with the approved plan in the
case of all vi,. " . h requires review and approval of plans.
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CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. 99-(200
Applicant ~ffA'''J j)Uhl~.Jj;J. .,A...... Phone: (t-...-7) ~.:2.~~~'1o/)
Address: A.~,,~/) (l~~"--LlL1t1.LL~t-.JJ..A.. qAli1JYV~iJL~ .W_~J .~~N;.&'
Signature: I)"HI '-r{~)_'/"'''A'-
legal DeSCription/Lot 5 81~?J 2. Sub ~e~~1( ~10c5e;
Site Address: IS-as"! ../uA"')A.a.k.JQ..d~ 1<.1 2ND AOO't.J.
BuildingPermit# Q9~/ZOD PID# ZS-304--fJl'lq-rJ
NOTE: This permit will not be processed without complete information.
n... C"'lft' eel 11M ...... COU"'I'T
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Quantity
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...3
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FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
..5
/
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Eie'ctor
Floor Drain
lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
I
Backtlow Assembly (RPZ, Double Checl<, P'IE
Backflow Assembly Test
Lawn Sprinkler
Other
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ ...!fl. 5?J
$
$ .50
GRAND TOTAL
$4u.
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This pennie is granted upon the express condition that said
contr:lctor. shall comply in all respects with the ordinances
of the State P1Um~ing C ndJne: nlS thereof.
9'Dk?/99oATE
1 .-
A TrEST
Call for aU i~tions 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal OpportUnity Employer
1 d
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ISOSI 'RIM\-. llo.K Rr].
NATURE OF WORK JiQI" Q..~<J.
USE OF BUILDING 'SF\)
PERMIT NO. CJ<=f - 11),00 DATE ISSUED 1IJ If) - S - 11
CONTRACTOR ~ \.., n '1;li\tlotc..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~;Uta fb::. , I !tJ-,;)'d- - 99
I FOUNDATION (Prior to Backfill) p&d <:/} I D/z.s/'" I
PLACE NO CONCRETE UNTI~BOVE HAS BEEN SIGNED
ROUGH - INS
(jJJ 1'~Y/'i1
!/ f 0
I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ()6i VIS
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
11.,110 JClC1
, \ '
f! 11/;/'1'7 (dJ1z./,,/1,
V f/
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l'Vl/iJ Iqq
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~-1Ji1l1G I I
FINALS
GJ>
h,
r
GRADIN6)(Prior to Sodding) _
BUILDING I~ ttl I/-I-~;:~
ELECTRICAL -
PLUMBING
HEATING
DO NOT OCCUPY
!tJ/ 9 / Jj'b
/ d-./d 1M
I (
'IlIR J>.e z,/J ~tw
uffr, q/.u/m
, ,
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
wher~ 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
1.1