HomeMy WebLinkAboutBuilding Permit 99-1206
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~), CITY OF I' 'KlOR LAKE ~~
. ,@ Department of Jiluilbing lnspection \~:
'tzrFinal Permitted 0 Conditional C.O. Expires....,
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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 Classificati,....
Sinl?le FAmilv
Bldg.PennitNo 99-1206
Occupancy Type
R3
70ning District
R1
VN
N/A
Type Construction
Fire Zone
Legal Description
L8, B4, Woodridge Estat~s Third Addition
4678 Parkwood Drive
Owner of Building
_ f;!ite Address
Contractor',Name&Address R.McNear~y~Custom Homes, P.O. Box 366. Lakeville
Date:
Robert D. Hutchins
;r:;Z;ftiCiaJ
I r
"ity Planner
Jenni Tovar.
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
-J ~AI:
.4-t-
TIME
SCHEDULED
ADDRESS 4(,1~ Pll"~ {)..-M_
OWNER
CONTR.
PHONE NO.
qq. lux.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NSULATION
VFINAL
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 GASLINE AIR TST
o
COMMENTS:
,1,l,
UJ'iok.r (d;A
~ e.O. ~el
h, ~ b....; lc4.
IhMlkJ rkwi. f
V
c.loCL t:i u
)II. WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector! ~ Owner/Contr!
CALL 447.JJO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~., -'-r' - --"
, ,
II
DATE TIME
.'RIOR LAKE
.;TION NOTICE
SCHEDULED
&J" leD
.
ADDRESS iff. 7 9 PIM.K t.}OOI'l J)ItIV~
OWNER CONTR.RolIFm"" fI1L.JfAiWE:",---
PHONE NO. PERMIT NO. '1'I-IUX.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)i( FINAL
o SITE INSPECTION
)( EX/GRADrFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ ,... 4t&I'MI'..L':"
t'...IIl?t\.?~ J(f..b<.
IV
<:<nzA,~r-F'. K:'b
'it')
114~/.n-A(A I Su..:r ~E I Jo..J'T/I '58D.fjt;^
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
)( CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: jI ~_ _ ()w~r/Cont"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
-- --,---.'--.'.
~ TIME
CITY OF PRIOR LAKE Iz.e 1:/~
INSPECTION NOTICE SCHEDULED
ADDRESS 4(",~ P 1O.IZ..ILv..J 0 Q D J)R..lVe
OWNER CONTR.
PHONE NO. PERMIT NO. qq - nO b
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
^ ~EWER HOOKUP
" t::::'.lJLUMBING FINAL
/ 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~OMMENTS:
",f ~ Un,. tft'\lM\.N<V
<5~
~mA~ u.o~
1)J'j~
r 0
~
ul,A--
\0, ~J I~
' lA..)U \... rvv1
U I {1
v lJ
/
/ ~ \
6..WORK ATISFA~R~ROCEED
o CORRE ACTION ~D PROCEED
o CORR T WORK, CA\L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL '4.7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~SARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
II
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 14l. -7 lr
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
111/;;; ab TIME
SCHEDULED " A r
'PP-ru.LlN0::> h
CONTR.
PERMIT NO.
o PLUMBING RI
p.. 0 MECH RI
..~ATER HOOKUP
"~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:: :I
4-61 ~..!l.. ~ "\0
\ U T ~ lA- l.<If~
JL U I L t , ~
r9"\>"r.~.
"
9"\ - l-z..o b
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
- ~O '~-~~"r
(Jl~
~ S' f.. ~ At\ A<l.-/.L
bf(;.().t.
cJ
~P<- Jo
447.1860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD E' 1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
INSNOTl
, ,
DATE
TIM~
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED zlt/oo
ADDRESS ~78 P/1~NOOO Of€-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
r 0' SITE INSPECTION
.3: em
CONTR.
PERMIT NO.
99-12-0~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)(MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~'^"-\ ~ 6Y'O.lh~i&~ d;~
~ AM. T(f-u.<. AQ.A~ >9 Me-d-
.t+avO.. ~ .f.n(P d V(,.uJ ~\A I
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e (~ ,O.AA~).... ~
~:
~
T~_ C,(). ~~,-oc
-
U~W'
,
A1SFACTORY,PROCEED
T, ,CTION AND PROCEED
\' \ ~K. CALL FOR REINSPECTION BEFORE COVERING
\ ) Owner/ContI!
Inspecto .
CA '_L 44'-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COVQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
INSNOTl
, ,
DATE TIME
CITY OF PRIOR LAKE ~Q5 A"
INSPECTION NOTICE SCHEDULED
ADDRESS 4<"7~ Pa....k.~ G.r /W...
OWNER CONTR. --- --.....
PHONE NO. PERM~ 9q-ICAJ~ )
- --
o FOOTING o PLUMBING RI o EXlGRAO/FILLlNG
o FOUNDATION @ o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: So~ 'Ond -r rus
(j) ~ rO.LL!f. ~ ~~ ~~
~ L<>' ~ IT>---- ,-.".......~,.. ~ !JJ(
r.,~ .:;;l~" &1.J~ ~ ~~,
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~. (1.111). 6..-.L -h. ,'"""c-udlJ'
~ ~ ~/L..'>f--.
o WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ry Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
___.. ._,_........__n...' -,_.._
, ,
....R LAKE
.uN NOTICE
ADDRESS
.Lf~7t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_ 0 ~ULATION
~INAL
o SITE INSPECTION
COMMENTS:
(l...."hk" IS t,;k-
DATE TIME
SCHEDULED ~
IJrklA/&}1 !Jr/vt":
CONTR. --/S!.cJ.l"rl ILk. NF'Mle y
PERMIT NO. 7'l-/,;;Jt26 /
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
V EXlGRAD/FILLlNG
/D'tOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO . CALL FO ERING
Inspector: wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
INSNOTl
~- ,....~-,~"~._--- ...--..,--,.~" - -_.-..._.._......_..._--_.~._--
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12SITEAD~Z~ 'b !4pKwn (J d j) fi
3. LEGAL DESCRIPTION
LOT 1; BLOCK </
ADDITION I~"", d.4 :,..!/'l p E.,-rA-r.-s
14. OWNER (NJ916) (Address)
nA 4) ?'J I~ K.~ he> /tt') u <'I A
15. ARCHITECT ~ (Ad~~ I {
6. BUILDER (Nam~ (Addeoss)
;:;; ~ <": L -r /-{ d/l" "",( tJ e"
7. TYPE OF WORK / Fireplace a SeptilEJ
New Constructiono/' Alterations [j Addition D
Chimney D Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq.Ft "! q t/ / Width 7&1 Deplh t)...J.-- Ves @ /.1 /3 / / <f g
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
bUildi~ial ca~vo..ke this permit for ~;e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ 7n. -~... ------ <t; ct.. q</ /6/, / '1 4'
Signature I d license No. I r Date .
~\
QAII=QI=r;I=I\lI=r"\.
joj; jqCj
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1, DATE
/O/; / '1 q
I.
R./
PID
2.5-317 - Ozq-D
::3 A'd ,t:/ de/.
(Tel. No.)
Ljt114tff1
(Tel. No.)
c,I"J. J 'b~ '7t" <t.
C v 5 10/"1 JIo 1"""" "
Deck 0 Re-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- /20?'
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(He~, ~~)
12. NO. OF STORIES
/
13. TYPE OF CONSTRUCTION
S. 1='. P <
14. FLOOR AREA APPORTIONMENT USE
/3tP4
(Dept~)1
.';'f
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
/ ~ 7-. (!J1 O. 0 0
17. COMPL'ETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION 13'>. (lC)(') .C9Cl PLOT PLAN 0
.
Amount Brought Forward .................. It
Park Support Fee .... .... ................... It
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~i~~~~~...l...~...~..~... $ /d:t., 2 .:2 S-
c.. r o. ctf,
Plan Check Fee ............................. $
fl7.!;"o
City:
State Surcharge ......................... .... $
~.<y,.c:c '
/-,0 <Q'). C9 ~
"
S"{3' .
Pressure Reducer .......................... $
'it; . CJ6
Meter Horn .........1'......................... <t
WateeMetee ..5fr,.:........................ $ J Q5.0D
Sewer & Water Connection Fee ........... $_Jt'L OC> .~
WateeTowee Fee ........................... $~"(', . ~
WalerTap ................................... <t
Builder's Deposit ............................ $
Other .........................................0;:
I/,O/,.) .6)0
Total Due .............................. $ ~ 5" ~ ,.:;: 7-L
Paid "7525'. -? I Receipt No. -=r..4.3..eJ
Date /OI/~"1 By ~ ~
the above application and accompanying documents is in accordance with the City zonin{O~inance and may procee~re~u~d. This document when
ut sa tempqrary certiJ(~lf z1~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
, Hlte I I Special Conditions ff any
Penalty ....................................... $
Plumbing PeITl1it Fee . .'1:1.:::If?!?.~.. $
Mechanical PeITl1it Fee 1.1.~.lZ4k. $
Sewee & Water PeITl1it .r..1..:/Z.t:!.0.. $
10(') . OD
((')(\ r90
"35" < SO
~:te. Fire Ii ~eITl1it ~~:.;~:j~~;,~i~~.~.O:it Whon Approv~..C-
By " ~ Date //'J-) ()
-. V
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
II
..
,.
I I
. _0>$ 'j? /;( 1ft,,/woJ jJ 3['
Heating Contractor ~i t1r~ /7
Name of Tester -:s-
/ -~r-G(!)
-{;,7
7,S-
~
-3S- .::2-.
<,
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
UMC Sec. 606
Combustion air is adequately supplied per
-ffLc5'
Input
~
.'
qC;- /20(c
Thr Crnlt:r of Ihr Lakr COUIIII'J'
While - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.k'{ f;; f~ kT /LI L. /10 C /-1 k. Iv {. y
I ," If II c; "~I
I r~_, ,. 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
A,' --7G
q-if -/ (j
I:;,) 1< Ie i \; C DU j) k-
Accepted
./
Accepted With Correction.,
Denied
Reviewed By: t...l,,~,..Eil.. F.../tr,<",,,,,,",,,,
. ,
Date: 10 I, sf??
,
Comments: R.,,,",oFF OAl
,,..,e:
KfAa P"a.-n",,,,J
r)t~ "-H' ~ 1_0;-" J"1.1......<-;-
8€:
Co",,,F"."'~^
.,.;;
1',.,(
A.JOIt.TI-tDtk/ l'<<o"" -r I -or- C-otUJ-tA..
S~-4=_ IN F="oltM.ATION nN IH~ i<F:..J~fl<;r=' :5tJ1t
~~'~M.f!:l.1T'C' J.....E".u1L ('",,,,,,,,E. /AJSPf"f"_T"o.("lN J^I';'''~Ant:JN
? ~ItAOlfJ(. F:..^u
~. E:i1.0s'IO..u. f.n 0T1\..o,
M~"ae::s
l/-. EA.os,rol"0 (' o.....r-(l.,OL- Pf....J'J-N
"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."
1 I
-
~..,...--
._~"'~... -- ~ ......-..
,
---.........,...-'...--- ._"~- ..,-
J tqlh'-'<,.,.~""T~
~\
,
'.
Thr Crntrr of thr L...., Country
White . Building
Canary . Engineering
Pink . Planning
B..U.I..L.DING PERMIT APPLICATION DEP,lH:jTMFNT CHECKLI~T
NAME OF APPLICANT.
APPLICATION RECEIVED.
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.'--
Accepted
V
Denied 0 /]l) ,
Reviewed By: j"7J / ~
IHt, UnIt ~f}{) 1 .tAr1cnJc..U1
Accepted With Corrections
Date:
jO -7-9/
5<dt ~
1./
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."
~1
qq- /200
The Ctnlt'r of the L.keCounlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ROBFY?.T Me... NeJrR..Ney
/0 If /qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4rc 78 PA/.2/c WOOD DI2-_
Accepted
Accepted With Corrections
^
Denied f
Reviewed By: v:.i~~ Date: /D-j--Lf9
Comments:
I. B1U7J al1c1f-~ ~~~
"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,"
. .
._,.._.._".,...,-~~--.._-
'-~'~-~_..
DEC. 6.1999 4:27PM
GENZ RYAN 6513226147
NO.914
P.2/2
Taor c........ ... c..a,.
CITY OF PRIOR LAKE ~ a =-_
"PLUMBING PERMIT # 9q~/20fo
Applicant (d?JII? - ~ Phlll1tl~ iP57~"Z'3-lfl../t..I
Address: ./U'1t/C: ~;..,~-,- ,rILl flruWYV1VYr MA) ~.Q'\~~
Signature. ~__.."
Legal Description: Lot p, Block 4- Sub WOODR.'OG,6 E~""",!t"...s
Site Address: 4LD~ 'P,'fUA:J=D /2.1 ~1rl.D flOON.
BulldlngPermlU qq-IZOtD prDII 2.5-317-02<;-0
NOTE: ThIs permit \1!,i11 nat be proceS6ed wllt10ut complete Information.
rIA I aJRE UNITS
. >
Quantity Type of Fixture Quantity Type of FlXlure
2- Bath Tub wllt1 or WIthout shower a Rough-ins
I Dishwasher I Water Heater
.3 .. Floor Drain e../ Water SOftner
,3 I Lavatory (bathroom sink) I stand Pipe (washing machine)
I I Laundry Tray <1 or 2 compartment sink) Sewage Ejector
J I Shower Stall s.cJcfIow Assembly (RPz. 0aUl1e Check, PVB)
\ l Sinks BlICkllow Assembly Test
l I Bar Sink Lawn Sprinkler
i. 2- I Water Closet (leUel) Other
FEE SCHEDULE .
Indll$lriaJ. Commercial & MUlti-Family
(1% of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
Slate Surcharge
$99.50
539.50
$
$
$
$ .50
~~?~\1
~\.O\~G
,
GRAND TOTAL .
'~
This pemUl i51fU1lled upon me ""pross condition thit saiel
conlrlCtnr. shall comply in all respects lllith the ordinances
or the S_ Plumbing C IIlcl the amClclmenrs lhen=of.
. ..a/b/Q~DATll
l~. A'M'eST
16200 Eagle Creek Av, S.E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~S
An Equal OpparnuUly Employer
II
~~'
~"-
.'{i,"i~,1~~~~~
. '~"".l~18""o'l
. YI\.LOW. AHucAIlf .\ .
80LD Ii Cltf;\;~
'.
, .
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
" ,l ~1,:~:
No.2.9-/i.o~
APPLICANT: ~ rn.
ADDRESS: JIJIP ~~.
SIGNATURE;~ ~9--:
SITE ADDRE~h78 (?~
FILL IN THE BLANKS
1. Estimated length of water service ~O
/I(
2. Size of water service inch(es),
NOTE: Sewer and Water
. contractors must
be registered
with the city. I
:1'-
.PHONE:-&~-l/1'I9
DATE: /2-/5'-79
BLDG. PERMIT # qtf-/ZOfo
PID# z.;S-317- Oz,q. ()
.. :''i
\ '
I
feetnEc l 01999
l.._~_
- -~.;,-' ,
.
3. Location of any couplings from structure
4, Type of sewer pipe. ABS PVC >c Cast Iron
5. Estimated length of sewer line ~ feet.
6. Clean out (if required), located at
structure.
feet.
feet
from
================ -===============================================
If
This
BY
s your permit when approved.!
DATE: Izlz..o Cfr
=============
===================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must De
I! recorded on the buildin~ permit card at the time of issuance
r to insure that no dupl~cate sewer and water 'permits are
issued.
DATE PAID
RECEIPT #
\'\ -
AMOUNT PAID ~~\O \f'J~<;:\\'J\\'t J_
REC'D BY \ ra~\\"O\~G.
16200 Eagle Creek Ay. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 ...
An Equal Opportunity Employer ..~;ilJ, ,,-
"
-~.".......
,.
, t' 'i~. ..'~ '. ,
I I
. CITY OF PRIOR LAKE '. , ,\'.J
. 18208 EIl8Ie C....kAv. S.E. Pe1lllft No. q1 -/ 2- 00
Prlar Lake, MN 55372 .
'\)ate
HEAnNG APPLICATION I PERMIT
1\ h..b\Of'I PIU 25- .3 if -
cz..ci-Q
K/
Telepllone'
Conn. Load
~Fue' tJltT. ~
....
<1l
Rlsupply Openll'G5
(I)
....
:lJRelum OpenIngs
a:lnput 1c;,mo
>- .
'"
NEdr. .
Z
W
19Cfm..
E
D..
L?;Alar81lons
LJ'lRepall
F1ueSlze 5" b"tnf
\ \
,f)
OUlpul
( iD.00
TYPE OF WORK
Replacemanl.
:rYPE OF STAUCTUA~
I. lid. -', I'iIe
1.(Jrw ; alJ
J. ~J CoIIInaar
Slnglo Family
x
Two.FemlIy
Induabial
PlAlHc
Muftl.FamIIy
OIher
SiIa Addre!lS '-Iln~'b p",,,. .. "'C{)
m
~.D1 L Block 4- Addfllon i\IOuOR.I06F: FSTATf}~ .3W
~e(sN8IIle ~:r rJJt'WblQ}! ('uCJiJW) ~<:.....
Address p() I'2nv ..~nl,..
Healing Call1radOr W n 7, - f LII7 Yl
Address Jl..}14r;:. ~ ~ 'It'l_
10'5 f - '-12..~ - (l LJL{
.
Furn_Meke &. Model ILvrVlnk
ModelSlze r-,7~(.)'Z1 ""-It;'"
Commerc'.1
Faa Schedulo
t % 01 fob cosl($39.5O minimum)
$89.60
$64.60
$39.50
$39.50
t39.5O
Indualrlal, CommercIal &. Mull~F8m;1y
ResldenUaI.. Healing &. AC
RaldenUaI, HeaUng Only.
ResldenUaI. Gill Areplaca
Rasldenlial, AddMlons &. Allaralions
R8Ildenlial, AC Only
RDfl~ S5'&~
Remember 10 add the Slate Surcharge M the bcI10m 01 Ihis application.
TYPE OF SYSTEM
Warm Air PlalIls X
Gravtty
Mechanical
Jdr Condftlonlng II. '2,.' I ~ = ..J
VenL Sr5lem
HEAlING OR POWER PLANT
Steam
Hol Wale'
Radlellon
Speclel Dwlcell
OIher Davlces
New Con8l1Uctian
x
EaL Comp. Dale
Building P8I11I~'
~EsI. Cost $ .
en
":HEATlNG PERMIT FEE r
(I)
"!STAlESURCHARGE l'
>
o
zTOTAlPERMITFEES ~
.50
Qc?-/ZO&;
~f>.\O \Nllr\ , '
~eU\\..OI~G pE.\,,,,,.\r~
R_lp,,' -
The. price 01 your healing permillncludes one lough-In and lIIIlt rrnellnspec:Uon. .
Addl1IanaI ilepecUollS will be bll&d al 135.00 each.
Hause Healing Test Record mUll be subn,Uled wlh ",..M;"", JlIDIIiI..,,,,,,,,. belore bulld-
Ing cerlllfcale 01 occupancy will be Issued,
,~clI~ r,1I. r.,,, IITln"~ 'lC(\J ll'lFIl wllh number oIlUpplr and llIlurn openings IlsIed per
room wRh CFM'a per openlng, New alruclu/e. or &ddtions send IIoor plan with supply
elld.atum loGaUona shown. HEAT LOSS C,....." 'TlONS. PAYMENT AND
APPLICATIONS MAV BE MAILED TO THE CIlY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 65372.
CiIr Hell buslnase hours are 8 e.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4234
I horeby apply lor e mechanlcalsyslems permit and I acknowledge Ihal lha
Inlormallon above I. complele and acwrala; Ih.lllI. work will be In conlormence
wilh the o/dlnanc.s and codae oltha city and with Ihe Ilale bulldlngfmechenlcll
cad": Ihet Ihls lorm doe8 nol become a permit until elgned by the BUILDING
OFFICIAL; Ihallhe work will be In accordanos wllh Ihe approved plan In Ihe
caso oletl )/lark which requlras review and approval 01 plan..
tA.
I ~~. alure
(/ (Ie. 1,---
BuI~"OlIicers Signa!ura
1I/'2-.~jA
Dale .
II J 2-4/qc7
, Delli
oT/20,OO nt. J2;3~ HI 61244~H4~
FRX NO. :
CITY OF PRIOR L~KE
Rug. 30 1999 03:18PM P1
'-4;.,',",0\
FROM :
Thuzscb, ',July 20, :l000
The Cit: ofPriQ1'!.U;;e
Attn: ]1 3et, lUagbq Finance Depatlmwt
16200 I: .zle Creek Avenue Southeast
Priorl..., ;e, MN SS:i72
!to: P=:I ait#99.1206
46' !l Parkwood Drive, Prior Lake
D\lfll' Ja; et:
Pleu: :; :ccpt this lc:tter lUll!llY request to have the Sl,5oo.00 Builders Deposit on the above
refe1'8l~; ,d home re~ to the bgmeo~ in lieu of the contractor as listed on the deposit
fonn. 11_ mail to:
Mary C. and/or Dallas L Blakehoroagh
4678 parkwood Drive
Prior La.lca, lIiW1esota 55372
Thank :I )U in advance for YOllr c__..._..:ion.
/?~ ~,,~
RobcIt: icNeaml:)'
'R.. Me}; ,lltMy Custom Homes
........'
I I
-----"-'---_."'._-~"
PRIOR LAKE
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS . 4(" ~ B Pc,t-k\.DClo&. Uh
NATURE OF WORK N"", <2.n.JJ,
USE OF BUILDING Sf2,ll
PERMIT NO. q/- n() y
CONTRACTOR Mr f\\,,~
NOTE: THIS IS NOT A' PERMI"tJFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING @ I ~ INSPECTOR IID_2,OA';ATE
I FOUNDATION (Prior to Backfill) I (~)) // /;/11 I
PLACE NO CONCRETE UNTII[.:t(BOVE HAS BEEN SIGNED
ROUGH - INS
. c7); 11/ d-Ci;" ~,
Ur;~ (J 'IV
P (A:J rflt,Jfq
I (/
I c2J /2./2-1'1'1
: 1f7J'hRfJ
I
DATE ISSUED 10-7-77
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
11) J q,
I I
I
I ,
I /1.011,-/ /c.,c,
I '
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
v
OCCUpy UNTIL ABOVE
NOTICE
I
FINALS
I G ([. 7./i'.CJ:)
I
I
I (h / / (It/IO
I ' (j3' ZIt,fffD
kc\s BEEN SIGNED
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
---- ..-.....,--.