HomeMy WebLinkAboutBuilding Permit 99-1210
T:"";,,~ "~,~'."-" "1#1.lr",,;: ,f",,;1",,~:jj,., ''''*''P:~'.$(
~
.~, :~ "" ." '''";,..t;r{;~_. .'~:::r; :',~-:l4 (':':.~ /':;'oi!..1,~, ",:,"
<\h,
"fI;"~,~f';
--------_.--._~-_---.------------=--- - - -~-- - --
'l'I>cloo';j~'...oo"'''-''-'.'''~'''I"wfJ'''~l'',''!~'~'' ~ - ,:y;'~~"__~
,':J ,~. ',-' , . ,:'ii',,' -':'Vr.-. ~";"",-d,.. ',"~ Ji::'~'~~A:..:s:d'liijhd, Ji::""'-"-:'~ ~l >",""',"-' ",-
\ W'A"- "'-~t;IUI;;;. ~;=:::'~... ~~~
fl' 'I, r- 4-'tl 'i
~ --:~: ii CITY OF PRIOR LAKE
Jilepartment of liuilbing .Jn~pection
Final Permitted 0 Conditional C.O. Expires
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 LaJce regulaJing building construction or use. For the following:
Use dassificati,.n
SINGLE FAMILY
99-1210
":f;ldg. Permit Nr-
Occupancy Type
R3
N/A
Zoning District PUD
Type Construction VN
Fire Zone
Ll, Bl, THE WILDS 4TH ADDN
Legal Description
Owner of Building ~ ~iteAddreS8 15257 WILDS PARKWAY
ConlraclOr'sNamc&Addre" BRANDL--'ND~, 166 COBBLESTONE LN., BURNSVILLE 55337
'-/ \ /
JENNI TOVAR
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I ')2. S7
OWNER
PHONE NO.
-z, p;p
o FOOTING
o FOU ION
OF ING
ULATION
AL
o SITE INSPECTION
~COMMENTS:
(,) sRl'\,,~
SCHEDULED ~
(,J; Us 'Pk..k.Jr
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~G"
Lft-- ClUj:;{
G-rCL- '3> C
J
v:: If (,1
'--
TIME
tF~
'19 - 1210
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r
'tv Ih---
, .
~/c.4
(2) ~M'
(3)~
~
\( ";L'kC
"'----
~
/
~
ORY, PROCEED
D PROCEEO
L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODES:U/REME^ TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJVOTJ
- - -
II
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5257
W IL-OS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
/I 0 MECH RI
(A'f )lI;WATER HOOKUP
,)!-SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMNlENTS:
\...fl) Jw.L AlI_l,
U' ,[,c
. n ' ('
~ -tv"
_DO
~/'-
~
'fife-
- NfJ
y\~ ;() ~
{J.u"
~:l
,~ )CVq.Q
Si r.lr, l..Jr~k.,-
{ .A.NJ? fv Gv G- rJ..<..-
DATE TIME
11./t~
PI< WV
/:/5"
.
qv-/z/O
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Cn~Aff
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
II
., 'f OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5";(57
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o IHlllf'LA TION
lJ"FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~
MJi ...qttv}/
CONTR. -~L/ -,4@.rr_~
PERMIT NO. '1t- /q?$
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~RAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
c;,dfwd tk fa..ne./s A4.'jp heP.n r~itJnerl
.;, /.I- is
(l/POlln/
~
/'
7
~1
~
/'"
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WJJK' CA~~ ~NSPECTI~N BEFORE COVERING
Inspector: ~k "'.'..gpfe........ ,;
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
INSNOTl
--,~-"--'",," .,-,..---._,----,---,._,--_.._._-"-.~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~OMMENTS:
(,) (hJ~ 1~
:e,y'\'A ~V"
'fV~
DATE TIME
/5Z57
SCHEDULED zjlr,/oO Z.:30
01/ l-05 PK-NV
I
CONTR.
PERMIT NO.
qc;-/z/()
o PLUMBING RI
o MECH RI
o WATER HOOKUP
/4 0 SEWER HOOKUP
}!(PLUMBING FINAL
(0 MECH FINAL
o EXlGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~r
DY'c...-t).--,
l'lVl
-
( ~LUJJ1I..J
OK..--
it&) ;~
Owner/Contr:
C LL 447-9iso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
cok REOblREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNOTJ
II
.,_l:T~ / ~ TIME
~ 3-70
~r~
)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J t; 'Zt;?
lv. Idr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1'1- rUG
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO!llI A 0 SEWER HOOKUP
.P1'JNAL ('J A ~MBING FINAL
./ 0 SITE INSPECTION ~ECH FINAL
cOMMENTS:fMil> {-- ~ ~ ~ ~
(D ~.'h'1>,\ rev ~nun~ r1f
(2J ~d<.l r '-"'!.J1 ~J /)
1J ~a~{l. S;~oC.f _ ~,v',V.Ul J;?t~
~,p_ PCnvr
~~.~~
&VOSIO'f' ~
,~Y\al CcJ?-t ~b
W ~~~~ ~ ~m;;:A-,
/ ~ -- - /' - f -?-------
\ \/~_ L,U, 'Tl y~ -if) ~
~! (/
-
o WORK SATISFA
_0 JDRRECT ACTI
~RECTWO
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
--
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QAJF RFr:J:"lV1=1)
10/4-/1,,/
- 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
-! C;.Jt:;7 W "I J... 1/6-A \'.1")'
3. LEGAL DESCRIPTION
LOT I BLOCK J
!h,p IA/,'/AI", 4~ ad""
ADDITION
4. OWNER (Name)
B('''h"IJ~- A...J"""".", fh",,.,,,
5. ARCHITECT (Name)
I. White
2. Pink
3 Yellow
File
City
Applicant
Permit No. qq-IZ / 0
Pf"inl" L60 ko
1. DATE
q -l7-11
BUILOING INFORMATION
11. SIZE OF STRUCTuHl::
(Heighl) ,4w::;.h~ if4~ _ ~ II
12. NO. OF STORI;
13. TYPE OF CONS1fi1)CTION
j.,J()OD rnt~
14, FLOOR AREA APPORTIONMENT USE
PUP
PID Z!'S -.344 - no 1- 0
(Address)
16t,(iJJ.Mp5/t;11~ l.n,
(Address)
(Address)
166cobb/~jlol?eJ..(1,
Bnt!'}IJ)- Andus,,~,..<; B!"[n-sV,/lf)l\ 11, tt'if-OJ-]O
7. TYPE OF WORK Fireplace 0 Septic 0 Deck r!J Re-roofing 0 Porch 0
New ConstructiO~ Alterations LJ Addition [') Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
Chimney LJ Misc. - I 58', 000 -
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10. CULVERT SIZE 17. COMPLETION DATE
So' FI. Width 100 I Depth Ves No""",,--- /- /)' _ 6 0
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for
the above mentioned property and that all constructi n will conform to alt existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
building official canefPke ~his pe it for just cau e. urthermore. I hereby agree that the cjA' official or a designee may enter upon the property to perform needed inspections.
X ('f^N'I.CJ . '<:I.IltJO Lf -=113 <fr 9- 'L 7 -1 'i
Signature License No. Date
6. BUILDER
(Name)
(Tel, No.)
11'1 1/-0). 3D
(Tel. No.)
(Tef. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
- SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION _It;![:,. 000
USE OF BUILDING
::51='D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 234 _
Permit Fee ......,................,.........., $ 1,177 .AS
Plan Check Fee ............................. $--.:11..'" _ "":L'
l"l . t'J r"J
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee 9.9..~j?l.P.. $ 100.00
Mechanical Permit Fee 9.'1..-:... 1.?cI.,Q , $ I f'I n .00
sewe,&waterpermlt?.r.::,12.-1..9., $ 3.5".':>0
Gas FirePlecePFermit ,f.9..'.IY,Q.. $ L{a .(J()
This ~Jid1i~m ' . g PermttWIJIl;!. _!e&> Q
By ~7/ Date If/' (-> 'L.r
Certificate of Dc pancy
City:
~
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
LJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ....''......'..'''''...'''....''''....''' $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.c:l<!:'r) (!)O
I t':l~ .cSlGl
I" $
Pressure Reducer .......................... $
Meter Horn ..........i./...................... $
Wate, Mete, ,....L:..___".."",..."".. $2$0 ,~
Sewer & Water Connection Fee ........... $. I ~ _~
.., t=;)ft) , (ge
"')o.~
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $~ _ CSI!....
Other ......................................... $
T01al Due .."'....,,"....,,......,..., $--'.?-ti It.. ~
Paid 7 '7/ f..- ' ') /P Receipt No, ."7?(.. </81
Issued / IIf'/' .
. Date II 1/"11 By W~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed at requested. This document when
si~rner constitutes a temporary Certificate of Zoni'!;;mPliance.JiPd allows cons~ion to com~ce. Before occu,pancy. a ~icate of Occupancy must be issued.
~vl~._ lA-I\..!.- Cf"" (~.olol>.r{\^",<!K{~ ...rCM"~~
,/ City Planner Dale ~ ~ Special Conditions W any
.\
-'-'-,-r-..
24 hour notice for all inspections 447-9850
" .'--.-..----......--,--,...-------
~_oI'.-
WTE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 'Z- il-4 3-",
ADDRESS I ~?_J;7 u).lc4 ~y~
OWNER CONTR.
PHONE NO.
PERMIT NO. 1'1- IUo
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIOt/ } A 0 SEWER HOOKUP
~NAL (" A ~ ~MBING FINAL
/' 0 SITE INSPECTION ~ECH FINAL
cOMMENTS:fevh--u -\- ~
(i) ~"'h-a.,\ pel- ~nav-~
(2) S:::~ r~t1 -#viJ \J
, ~c.rd.. S~oc.t. riv-,V.(.H~~
~--P. ~
~~,~~
&voSJOY'- ~
1=J\'\a I Co?> t ~\
17'~ ;yo 9_k,.J h1J~
w Ik.un , tiur~ f- ~7 CJ-e.c./h
" ~
/ .---/
\/~-
,
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~
~~
__.. I
L, U, -n
?
f~ijD
'"
~-
o WORK SATISFA" ORY. PROCEED
~o JDRRECT ACTI IN D PR EEO
\9"6GRRECT WOR \ REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.985 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
--
,.
II
Job Address
"
Heating Contractor AIR MASTERS INC
6R\A,J Kut-\-J
"2- - "2-:2 _00
~
o
Cf
Slack Temp, .J q- (>
Combustion air is adequately supplied per
UMC Sec, 606 '-reS
Input ) 5j (JOO
Name of Tester
c "Dale
Percent 0,
Percent CO
Percent CO,
.,-<:
CITY OF PRIOR LAKE
PLUMBING PERMIT
L Blue
2. Gold
3. Yellow
Ale
City
Applical1l:
PPNo,
99-/2-10
Applicant: STATE MF,CHANlc'AT TNe Phone; fi~1-4fii-R220
Address: snso YJ ??(Yf'J..J C:'T' l<'L\"RMTI\T~TI'lT\T MT\T l;r:::;()?/.
Signature: --:I,L_":~
Legal Description: Lot / Block / Sub WI '-DS 47H
Site Address: 1 S? S7 \.JTT DC: l'llT.l)'
Building Permit # Qq'-/2/V PID#. 25-3+4--001- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
"
\ '
This permit is granted upnn the express condition that said
contractor, shall comply rn all respects with the ordinances
of the State Plumbing and the amcI}dmerys thereof.
, /2--@ol'1'? DATE
.
ATTEST
~ C~III~r or IhR L.ke c.~q'Un
Quantity Type of Fixture Quantity
.2. Bath Tub with or without shower .3
/ Dishwasher /
Floor Drain Le>OP
4- Lavatory (bathroom sink)
} Laundry Tray (1 or 2 compartment sink)
I Shower Stall
J 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 & Altetations
State Surcharge
$99,50
$39,50
GRAND TOTAL
Call for aI ,nspections 24 hollrs in advance,
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Back/low Assembly Test
Lawn Sprinkler
Other
$
$ ':"'19. r;' ()
$
50 /_.-
$ ,t:!Ji'~~"\'
$}.'- ~
.I'
,
\ \
.(' t \)~
'i)t.\.>
...-'/
y
".', \ ~...--
'>->....... ---/-
./
../'
16200 Eagle Creek Av. S,E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
, ,
CITY OF PRIOR LAKE MC
16200EagleCrnekAv.S.E. Porm~No. C/c;-/Z/o
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dolo 1- In- /'J{}
S~9 Addross. /&);;.'1'7
PID' 25-~"'A4- ()O/-(')
IJ);/r/, Ih/Jf/'}/F~~ PUD
. d'
Lo1 ~ Block / AddUi"n J1//cO!!:' 4-7li
Own9r'sNamO,~f4r1/ / ~dP/:'fift..
I
AddlesS ,
H..alingConlractol ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N, PAIRVIEW, ROSEVILLE, MN 55113
Tolephone', 651-633-2561
FIREPLACE,!
~Il!l Make & Model 'UflA:!-;') Co&,
Modol Size, g 7:fl;
Conn. load
Fuel ~[
TYPE OF SYSTEM
Warm Air Planls
Gravily
M9c hanical
Air Conditioning
Vent. Syslem
Flue Size
Supply O~enings
Relurn Openings
Input _ Oulput ~3.rm
Edr.
HEATING OR POWER PLANT
Ste"
Hol Water
Radialion
Special Devices
Olhe r Devices
Clm,
TYPE OF WORK
Alterat Ions
Replacemenl
New Canst ruclion )(jGJ
R..palr
Est. Cas! $ //f1J.lJ)
Est Camp. Dale 1- 7, 99
BullOlng Perm~ /I
{ICJ-/z/O
I '
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMITFEES $
.50
/' p~O \N\1'\-\
\ aU\\..O\NG PERM\1'
Rec91plll
TYPE OF STRUCTURE.
J. Pillk
1.. Oreth
J. Ydl,"
l",le
Chr -..,J
Contl:tct -.!.
<p
(l)
(l)
U1
I\J
I>
-..j
J>
:;::
~
I
I
I
I
,
,
I
S;ngle Family
Commercial
,;
. MultI-Family
Two-Family
Indll$lrlal
Pubic
Other
Fee Sch9dule
lnduslrlal, Commercial & Mulli-Family
Residenlial, HIlatlng & AC
Residenlial. Healing Only
R..sidenlial, Gas FIreplace
Residential, Addili"". & Aherallons
Residenlial, AC Only
1 % of job 0081 ($39,50 minimum)
$99,50
$64,50
$39,50
$39,50
$39,50
'T]
Xl
o
:;::
Remember to add lhe Sial.. Surcharge on lhe bottom Dr this applicalion.
The pric.. of your heating permillncJudes on.. rough-in and one lInal inspecliorl.
Addilionallnspeclions will be biled at $35,00 each,
House Healing Tesl Record must b9 submitled wilh lll.!illIimI wmiI nllmhAr belare bui.
Ing cerlilical.. 01 occupancy will be issued,
I::!.W CALCUI ATIONS [lFOIIIRFn whh number of supply and relurn openinllS lisled I
room with CFM'. per "P9nlng. NllW structures or additions send noor plan with supply
and relurn localions shown, HEAT lOSS CALCULATIONS, PAYMENT AND
APPllCA.TIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S,E, PRIOR LAKE. MN 55372.
Cily Hall business hOUIS are B a.m. - 4 :30 p.m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl) - CALL CITY HALL
447-4130
I hereby apply for a mechanical syslems permit and I ackrmwledge Ihallhe
information above is complete and accurale; lhal the work will b.. in conformanc
wilh Ihe ordinances and codes of th.. cily and wilh Ihe state building/mechanic
cod..s; Ihallhis form does not become a permil unlil signed bV Ihe BUILDINI
OFFICIAL; thallh. war. w;U be In accordance wilh Ih9 approved plan In Ihe
case 01 all wmk which requires rev;.., and approval 01 plans.
&/AdL '?i~
~PPfj2ru Sig...ture
. ///!/
i-~
aT OIficat's Signal..,e
/-1,.111
Dale
/ /~ /tJ()
I Bala
lJ
,
01/05/2000 11:38 5128911555
AIR MASTERS INC
PAGE 02
~ ~ I ~_i f I .~ \~ ! II ~ W I i Ill' t I~ " '- ce
as " ~ ~~ I 1 ~ i r I ,. I ~f ,:;:- fi5)~
I :> .. ~ '0..,....___ .:- 1.....-
... ~ ~ ..j ~ f =-...-<;; oe u.,..s.
5 ~ ~ e '_ f -~ ~ ~ ~~~ ~ t '- ~, ~ ; n
· ,- J' l' 1'-3 -- i i ? t ~ ~~ ~g I --.J . Ij~
, i - - ~. ~ -: ~ .~ ~,~ ~,~ . ~ , i.~
IS ",i I ! ,~ I, ~. f '" ~ n n- . ~ J [ I
"V I,,; ~ I. I It ,lr~ j ~ ~ ~ ~ ~~ eN I ~
bl ~ ,&I \ I'. 81, I!.;;; t ~ ~ t ~ 1
~'6 15 c:: <::,., i '" =='=" "\) I !
(j)~ " ~ "~ r' U ,
"tl '::\ ~ . -- ~ i! ~ ~ t"' , ? \-.\::\
~:J: () ~ t i ~ t ~ \ ,~
~,. \ . ~ ~ \S D \~
I I ~ .""': ()
,~ -
~ ~ ....
nun] i Ii
filll!1 !,~
~ .fj~.. !
j I I it i
. I j 0
; I i
I 155!!;i ~ ::i
!!. ~i!:l!:isi!l~ lit i
! I ~
I 'l
1 'I i
l"'''-
l!l ~
i
I ji~t; ~ j i~lll.l'll ~
anJ.~lj i i Igta2 II 11
liltt! ! (~llj ~ J~f t i
t~!l~i II! 1~11Jli i ,I
I: ~g. . ~l' I r 1
! ; i 1 ~. : ~ ~ ~ 'I I
i;i;!ll 1 ~ :j~II' ilr i I
il:~1 ! ~ ii~~lIi '8 I
,!litl · i ~~li.' Ji
jlr:i I alIi I .2.
:__ -" lIIt1if E jlii I i ~
~~ . lilin. ~ liU If ..
!~ ~ !! ji ! 1ii II
i 'i;:li 1 ,
....-.- ........... ,.... .I~""
I I
fll
, ,
(U
a...,..'Te ~~~ ~~:Qn n~a ~R,fZ~.O
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant _ <0 u 'f--"L /JUda'''--'L......L ,Phone:
Address: /k31ff' L/'//,:-kn'.tc- ~."..,.. .->6""
Signature: /7an~ 3~LL,,A-/C
Legal Descnption, Lot J Block _ I Sub WI'-tJ J
Site Address: /!J';;157 ,&:LJ/'/o/.s /'?r..-L:UJ",-,
Building Permit # 99 -/2.-/ 0 PID #
NOTE This permit will not be processed without complete Information.
_05'06/9.s~~.:J)l FAX 612447<245
CITY OF PR 1 OR LAKE
.
l~f ('r"r~1 nl Ihf I".~< f' "....,'~
FIXTURE UNITS
Quantity Type ot FIXture Quanlity
.2 Bath Tub with or without shower I
I Dishwasher /
I Floor Drain
4 Lavatory (bathroom sink) /
1 Laundry Tray (1 or 2 compartment sink)
I Shower Stall
1 / Sinks
I Bar Sink
L 3 Water Closet (toilet)
Rough-inS
Water Heater
Water SoMer
~OOl
Bille
Gola
Y~\lt)'"
File
ellr
"pplJCVlI
# 99-/2-/ ()
-P.e/,c! - Su5/
~/Cr-- ./ ~,
4-71f-
Type of Fixture
Stand Pipe (waShing machine)
Sewage Elector
Backflow Assembly (RPZ, DoUble Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cosl. $39.50 minimum)
Residenlial, New One & Two Family
Resldenlial, Addltrons & Alterations
State Surcharge
$9950
$39.50
$
$
$
$
GRAND TOT At $
Thi~ permit is granted upon the CltpreSh condition that said
comractor. ,\hnl\ comply i RI1 rc~rCC1<. wilh the (lnJi";J.l\cc~
01 Ihe Sr"e Plumbon& od !he /'f;;.mef.' Ihereof
NO ,/1'0 DATE
,
_ATmST
Call for all
,50
16200 Eagle Cteek Av, S.E" Prior Lake, MinncsOla 553721 Ph. (612) 447.42301 FAX (612) 447,4245
An Equal Opportunity Employer
GREIM. fN.,E
UllOW . .P'UC_"'
GOLD. err 1
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO.33 -12/(}
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPT,ICANT: VlVlf~r"I {'LJIJ 1to.d I~~ 't:~c.. PHONE:
^ODRESS:~S $i ;INI~ /I!.,ti, mPfS n,J-J $)c(I~ATE:1l::Jr-9L___.___
SIGNA'fURE: ( I ~ (f)~ BLDG. PE:RMIT # '1'7-/2-10
SI'l'E ADORES; -.1 ~'2e:7 W,lcl'> F:fiV't<'u,(J.1' PID# 25- .344- OCI- 0
FILL IN THE BLANKS
L Estimated length of water service feet.
2. Size of water service inch(es).
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ASS pVC Cast Iron
---
5. Estimated length of sewer line feet.
6. Clean out (if required) , located at feet from
structure.
======~==~======- ~U~==;=~=========~=~~===~~======~===~~=~~~~==~==
BY
W7ffls your permit when approved. I
f~- DATE: /1/O/9Q
This
=::::::==:::::========
=~~~~~===:~~~=~~~=~===~~====~~~==========~~~===~==~==
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. --
I .
Sew~r anq water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that 110 duplicate sower and water permits are
issued.
*
DATE PAID
RECEIPT #
W\"O-\ '
AMOUNT 'p~\r~ pE.RM\" ,
REC I D BY S _____ .,.
lfi2flO Eagle Creek Av, S.E.. Prior Lake, Minnesota 55372 I Ph, (612) 447-4230 I FAX (612) 447.&1245
An Equal Opportunity Employer
II
.,-.-..,- '-.'-..'.---.- '.-T'---
':7'"' -7" ~"~" .:--...........- - -..- ---.-...- ...--- _- -
~.
a PR/0,s;,
.~~\
Thr Crnlrr of thr lakr Country
White - Building
Canary . Engineering
Pink - Planning
flUlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.~'.....-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J_~~_
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
c:::;t~ ~ '
'........~
Date:
lD'L3-q~
"
Comments:
ML.x ~ IAAL\..\...
t{ ~ ~)4
r .J>.J v-0 0.<.
)JlMO 0 ~ Wf~ n't f:\-9hLL-"v bS\Zt=
t~ C~;.,wfW~\~-'\ ~ Tlv> _
2- '-I ~e_€-"\:
"The issuance or granting of a permit or approval of plans, sp,ecifications 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,"
~~
99- /2/0
The' Crhll'r of lbC' L.kr Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 23R/lN DL - fl/\/DE/CSOAi
APPLICATION RECEIVED /0 /4--- / q ?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6257
PI::: /!\/ Y
Accepted With Corrections ~
f/V/C--DS
Accepted
::::::ed By: QfJ IJ~ ~
, I
Comments:
I, i:=.ct .c(( dtkcW ~~
Date:
/cJ-/3-77
"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."
. ,
,._--~---~-'--
""",~,"l', '. '<'T
-;""!'J'
'. ~..A, .l.~~...~,,_....,,:. ,
t~~1 "R/O~'(
U ~
t'1
C/C/ /2/0
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
..i':k / /,/OJ 0 ( - /J /'J ~/ C /\.- C /J
/c /4-/<70
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-----~------
/~~.:!-' /
-
/VILJj_j
///::.[vy
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: iJAITe'Il E,--'''-lC~M,A',v^,
Date: ,LQj:ZR'/"
Comments: .,....- F<\ST'h-U1. ~"R'!, c",r, ,",,-.,<-r OS EO ~ REP,-o'l-~fOD r<" Qt..
(\.Jftl.I.uu _ ~c PI1A~D~f"1) l2\Jttl3Cur i'11.1<t"'" (i..1f.1.TL.H- C.,r't 5rANDA-fU>, _ .AJo
~o..-..)c...,.. (hlt.-r,("l^-I f1.c.--r!\J1 T-( 5-.wr\\)I~D Qc.GrJt1._ (21::.,...... "I"'!!; '1'31;,0 Co,.; Tou!t.. ,
-----
51Ll (/S..lC!O ON 'HE BALK oF' 1"tiE: lA, ~'<)Ho"L.~ BJ': E'l<.Ecrm /IT
.,...e:. "'..MF QC' JJI5"i"UA. BE".D ,$O/t. S!'!': IAJ~fLM.A-1'"loN ON -rwc 1i'F"JIdI,"'- :SlOe.
'f'>lE: I'1AltfMurVf Au..cwARL.f:. LA)lt-.JH o~ A ~\\J€.~14'l" IS z..~ Far ,qr THE:
J=l1o.-..,)T 'f'l1LJpemY t....l~E A ~,o.w. ?m....,,..- Wlt..t... <'lE:€-t> '10 ffC R,u,ro
foCi. IH"E.
C....Rj~ VJcRK'_
So::: thTA(rf.M~~ L h~jQ.L-(',,)/}At'l.e. Jl\lsP~~,(O~ J,.Jf;"ttA4"'-'~h,1 Z. Q~.4-fIJN.(. 'PLAA.'J ~. 6aSt::l,J
~D~OL MfI:\-s.u/'lE,
l.f. CIUJS(4)A.J (;o...Jrrl oe. .f?,q.AJ
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
;f'
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -15~5!L1J;\J.S_~uJ~~
NATURE OF WORK tJew ~, 0
USE OF BUILDING ?-'F J)
PERMIT NO. S'l- 12.\ 0 . DATE ISSUED
CONTRACTOR ~\-.~~~ \ ~v,J, t-~
NOTE: THIS IS NOT A PER T FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY ARATE DO MENT
f 0 -l:5-9'7
,
_ _DATE
I FOOTING ( I~.~
, FOUNDATION (Prior to Backfill) /9 ~ I
PLACE NO CONCRETE UNTIL BO HAS BEEN SIGNED
ROUGH -:ANS
SEWER I WATER I SEPTIC ( /) /.;1/1$,/""} I'
~N~AU:~T~ON ::c Ilv I' /1!....
ELECTRICAL . I
PLUMBING ~. A;.: 1/ 1/1,//00 I
HEATING (if required) (L/~/(/() I
FIREPLACE . (11/ 1/lZ/bO I
GAS LINE AIR TEST I /!/1) ~/(}7> I
COVER NO WORK UNTIL ls-6VE HAS BEEN SIGNED
,~,,, . ...e. I I
FINALS
r.; (1/
J
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
"q.t~aa
\,1
I I
I 92'VPd'dtJ I
UNTIL .1 AB~(f H~:YJ~~N
NOTICE
q{Cri / (R{ /
t ,
SIGNED
This c<l7d must be posted near an electrical service cabinet prior to rough-in inspections
and mliintained until all inspections have been approved. On buildings and additions
where "l! 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
II