HomeMy WebLinkAboutBuilding Permit 99-1269
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~ } CITY OF PRIOR LAKE ..~.
.Jl liIltparlm,nl of llluilbing .JUSp'dion !1tt
M Final Permitted 0 Conditional C.O. Expires ~'.._
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This Cenificate issued pursuant to the requirements of Section 307 of the Uniform Building Code .r;;.
cenifying 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: ~
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Use Classificatio,",
SINGLE FAMILY
~Idg. Permit No
99-1269
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1SD
Legal Descriptior
L5, B2, THIRD ADDITION TO RASPBERRY RIDGE
Contractor's Name & AddressKEYI.AND HOME~ ~
67,
ROBERT D. HUTCHINS
7 / 19i~~ Official
f
Cite Address 15042 APPALOOSA TRAIL
17021 FISH POINT RD., PRIOR LAKE, 55372
JENNI TOVAR
r:ityPlanner
Owner of Building
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Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ISO 41..
OWNER
PHONE NO.
~
A ~~I.u.,~.. . Ii.
TIME
kJ:b
SCHEDULED
CONTR.
PERMIT NO. qq - J U. ~
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
n. D/PLUMBING FINAL 0 GASLlNE AIR TST
~ MECH FINAL 0
?.-.H-... ~,. ~ .7 O~
W En~ i>e^ G~'h~.hC ck.f!
C4i SeA akA. +v-'U..<:.. 1{A' rl.eJ.J~l.J.. rM~
(~\-\uni ~ ftAce.. ~M.-w~
(A) eK.~(j)Y' C01'\C..1rd-e .- - ~ -tf.oor
(5) ~Sib^ c...~cJ(
(0 RefYlOv'e..- Co(\<;~c..-f-ron d~,..,-...
(7) Pell..IhaA'\~ -{-yard- ;Pos1-s
.;
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIOJlr P.
WINAL f'J
'0 SITE INSPECTION
COMMENTS:
.- \
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G.~
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o WORI<.SATISFACTORY. PROCEED
{l r.RR' T A TION AND PROCEED
FOR'}(1 T W RK, CALL FOR REINSPECTION BEFORE COVERING
InspeCIO.r Owner/Contr:
C~ LL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 160'12.
4,pQo IUIJ'~
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OWNER
~
tIC-
TIME
ll:CO
CONTR.
PERMIT NO. qq -
/2.(" '1
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A O~WERHOOKUP
~ ~.:UMBING FINAL
o MECH FINAL
COMMENTS:r .~
uJl>.1l^ ~~
(J tf..QQ ~"'/T1~ ~ U.'.Vi
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O\IL.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
I ~....._..._. ~~. ~_......... ._-
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ TIME
SCHEDULED / III '1Q t{:3CJ
4Pf>6-/oo5 C4-
. .
CONTR.
PERMIT NO. ~&f- /2.C:,e;
ADDRESS /501/ z.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A .D.-JIIECHRI
~ATER HOOKUP
SEWER HOOKUP
f\ 0 PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMt=N1;S: _
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Inspector: Owner/Contr:
CA \=f447_9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD REQ 1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15142
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING (B)
I SULATION
NAL
~~E INSPECTIO
COMMENTS: ~J
---
-
SCHEDULED
~~
, I CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
i -c.U>
';:f1 WORK SATISFACTORY, PROCEED
/ 0 CORRECT ACTION AND PROCEED
&
~
TIME
A1
qq _ /Uc{
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l.u.I~=-
..,.."
~ )
../
-
-
o CORRECT ~ALL. 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!
II
INSfVOTl
--.-.-----+..-.....--r-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
@~
DA TI= FII=r:I="l\fI=n.
OCT 2 O.
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12.SITEADDRESS 1'!::642 /lr?'/?/lt:ooS/f ?7E!/9/'-
3. LEGAL DESCRIPTION
LOT 5 BLOCK 2-
ADDITION ~ ~""~?l;il~~:Y ~t::.lcE.
14. OWNER (Name) (Address)
15. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
C/9- 12bq
,
1. DATE
ID-I~~<rf
.12 /.5LJ
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
(Tel No.)
12. NO. OF STORIES
1>>)0
13. TYPE OF CONSTRUCTION
e.€.s.~.,..'-
14. FLOOR AREA APPORTIONMENT USE
2~4" ,p
PID
?&;-.3<1Z-- ()/~- 6
(Tel. No.)
(Tel No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
K81'~~ \~S l702-\ '8.~ Yb\~ ~~. 44.o~'(OO
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Rs-roofing a Porch Ll
New Constructio~ Alterations [] Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement CI 11 PROJECT COSTNALUE
Chimney 0 Misc. ~ U. f:>. c::5CSO
18. PROPERTY AREA OR ACRES 19. PROPER~ DIMENSIONS, '110. CULVERT SIZE 17. COMPLETION DATE
Sq Ft 120.,5>."2.. Width!!f) Depth 1&\. \"1 Yes No 2-l!3~ c;:C)
I hereby cert1ty 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 mantia party and that all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uildi . permit for just cause. Furthermore, I hereby agree that the city official or a L~n~3nter upon the property to pertol o~i ~~
Signature License No. Date ....
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
..sF J.J
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN D
PERMIT VALUATION
I (,~."1Vl . cro
>
Water Tap ................................... $
Builder's Deposit ............................ $-1; ~ r:Jr" ~rf:)
Other ......................................... $
Total Due .............................. $ 'Z 62. 6. 2-/
Paid '7J'3 ;_78 . 7 I Receipt No. -3 ~ -~J 3 2
Date II j;"I/<?c; By Jlle ~ .
est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~~ requested. This cIocument when
nst~tas a temporary CertitiPi'fe ol~!if complian~ 'l")! allows construction to commence. Belme occu. .pancy, a Certificate of OccuR8ncy must be issued.
_''1 h!llll ~C vlIl1- CllIIluTf ..l(lVl'QILtYJ ~()' 51d!,!u..t~
ner ate Special Conditions ~ any
TYPE OF CONSTRUCTION: I II III IV (J)c-
Occupancy Group A B E F HIM 5' S U
0""'," 1 0 4 '2. '2 :2S"
Permit Fee ................................... $ \ I l .
787. q(P
~~.so
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee "l'!:J.?:<P...7.. $ I V 0 . ~
Mechanical Pennit Fee~.:..t.~..'l.. $ /60.6-'
Sewer & Water Penn' r.!.:..I.?:~..r.... $ :35-:~-:O
Gas Fireplace Pennit r.r..:..l?-~.1.... $ f/{/ . C9l/
This~~es . iIW~!l(l_~roveSl.'l
BY~_ ~ Date IV'~L.7-~'
Certificate of Occup cy
" )
ni",t
l0Jl',til]
, II"
Issued
ThisMIS rtifythatther
sign by t . ann
/ .
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Amount Brought Forward .................. $
Park Support Fee ........................... $ F>,<:;rJ.CJ..C:4
SAC ......................................... LJ ~ ,<:;n ''"'0-
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
I#J 't5. Of)
{ 2-<;' .(9..3
1.2(90.00
')(')f'l _~c
24 hour notice for all inspections 447~9850
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"Permit_
'_Add,... J :5?N.<' /(l>~",. s.:S.<'{
, METR6 AIR
"Heating.... . _..
"Tester'l/Signldur. ~ /4..
~
I!!!!!
Pau....
Pressure
"au Une
PrttsaUfized
'-
"Percent c~
.Percent ~
PERFORMANCE TEST
i V
7,3
"Petcenl co
o
. St73
.Slack Temp_
Final Inspection
Da..
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II
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. PermQ No. qq -/ Z(pQ
Prior Lake, MN 55372 . /
Dalo
HEATING APPLICATION I PERMIT
d- C/Oc PID . --2.-5 - :~,t../..2-. - 0 f.s - 0
I'l /1 .
i'XXi... 1/"""tl';AV'4,'L /j YJJj,J
1<.1050
Site Addro..
lot 5 Bktck 2~dlili~ R/fSPBc;e,e</
- ~ .'
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Owner's Name .- i".b.-- f'~Ai; ~''''_/
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leI06,G 3 R..O
Adores.
HeatingCOllt,aclor ALLIED FIRESIDE dba FIRESIDE CORNER
Addre.s 2700 N. FAIRVIEW. ROSEVILLE. HN 55113
Talephone'. 651- 63 3 - 2561
FIREPLACE . i
~I!!> Mako & Modal 1..j,,J /; &.c
Model SilO
fa:::cu -1JG.,
Conn. load
"
Fuel ~.
Flue Sizo
Supply Openir.g.
Relurn Openings
Input
Oulpul, ,:)7 nv
Ed,.
Clm.
TYPE OF SYSTEM
Wa,m Air Planls
G,avily
Machanical
Ai, Cond illoning
Vent. Sy.lem
HEATlNG OR POWER PLANT
Sloam
Hot Wak"
Radialion
Special Oevicos
Othe,Oavlee.
TYPE OF WORK
New COMtruclion
I
XU"
Al.,alions
Aaplaeemant .
Esl. Comp. Date
Repair
Est. Cosl $
/ f~'1', I):)
,'.f ..I [,
Building Pelm~ .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
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, QQ-/2ro9
( PAIDWITH
lBUILDING PERMIT
Raceipl ,
TYPE OF STRUCTURE
J Pi'llk
I. Gnra
J,l'e1_
en
f1~ ..
City ;;.
ConIrKtOf OJ
'<
Single Family
Com_relal
. lWo-Family .
Indus"lal
Fae Schedule
Industrial, Commercial & Muh~Family
Residen lial, He81lng & AC
Residential, Heating Only
Re.ld8l1tlal. Gas Fireplace
Residential, AdlttiOO6 & Allerations
Resldential, AC Only
. MulHamIIy
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Public
Othe,
1 % QI job cost ($39.50 minimum)
$99,50
$64 SO
$39, SO
$39. 50
$39.50L,_ _
FEB - 7 2000
L
-_......,...-
Remembe,lo add the Slale Sur<:ha'ge on Ihe bollom ollhis application.
Additionallnspeclions will be billed et $35.00 each.
The price 01 YO\Jr healing pe,mil inclUde. ana rOUj/h-in 8fld one nna! in.peclion.
Ol
W
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House Heating Tesl R""o,d musl be submilted with lllWling Bmil nil"'''''' before buld, g:
ing cerliflcale 01 occupancy wiN be issued. ...
liEAT CALCIlLATIONS REOlIIRFO w~h number of supply and ""urn openings listed p.
100m with CHI's pa' opening. Naw st,uctures or addilillns sen<! 1100< plan wfth .upply
and relum location. shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAtlED TO THE CITY OF PRIOR lAKE, ltllOO EAGLE
CREEK AVE. S.E. PRfOR LAKE, MN 55372.
City Hal business hoUls ore 8 a.m, . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.fN AND FINAL! - CALL CITY HALL
441-4230
I hereby apply lor a mechanical syslems permil and I acknowledge Ihallhe ;g
info,malion above is complele and accurate; Ihallho work will bo in conlormanc. ..
wilh lhe ordinances and codes 01 the clly and w;1h the slale l>uildingfmechanlcal
codes; that Ihis lorm does nol be<:oma a permit unlil signed by Ihe BUilDING
OFFICIAL; Ihallha wo,k will be In accordance with the apPlOved plan In the
ease of all work which ,equi,es ,eview and approval or ptans.
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FILE No.377 12/15 '99 AM 09:0:
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fh. t""I.' ", nu I.~~. C''''Kh.
CT
A~pljc;.In:
AtJcJre::.s:
Signali.H
LegallJ,'",
Slle Add
Duildillg i!.)'
NOTE: .,
QLlsnlily Type ,-,I F
3 Oath TUb with ,)r willlU.
I Dishwasher
J FI"'lr 0r;1il\
_? Lavatory (ball;,-uonl ~:
/ Laul\dry Tm,! ('i or :2,-,
~ Shower Slail
d- Sinko
Bar Sink
1/ Water CI03t-J! (toilel)
FEE SCHEDULE
Induslrial, Cornrne i.3! ~', ,\
{1% o( Job cosl, $3::<50 r I
Rasidentl~l, Now One & r
Residenllal, AdcJ liC'I1S & !\
Slate SUrchiJrql:'
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16200 Eagle Creek t\v. SE, h,-,
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'- '..", ~('!or
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-: (612) 447-.~'.:45
11/22/99 MON 09:56 FAX 6128902753
STOCKER EXCAVATING
'i
--.r.. . ....
TILLOW . .&PPl.ICA...
&QUI . ern
CITY OF PRIOR LAKE.
SEWER AND WATER PERMIT
NO. qq~(Z(p1
NOTE: Sewer and Water
contractors must
be reqistered
with the city.
APPLICANT: DC Mechanical/Stocker Excavating
.PHONE:
890-4241
11/22/99
SITE ADDRESS.
t 125th S~lZ;(q~ mIL::::: PERMIT # qq-/Zifj
Appaloosa Trail /2./SD .PID# 25 <"',47- 0/5 - Q
ADDRESS:
SIGNATURE:
FILL IN THE BLANKS
1. Estimated length of water service
feet-.
2. Size of water service
inch(esl.
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS____ PVC y
5. Estimated length ot sewer line
Cast Iron
feet.
6. Clean out (if requiredl. located at
structure.
feet
from
~~==~--~=~~==-=~~-===;~~===-===~==~===~~=~=~=~~=~====~~===~~=~~=
This apPlicatio~~~~~our permit when approv~~ /
BY aJULfL- -- DATE: //;2.2.-/QQ
~---",,=~=~==~;::..=======-====--===-~= --=======~====~=~====--"""""-
FEES:
$
s
$
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 be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. .
DATE PAID
RECEIPT #
AMOUNT PAI~~\O ~Cl.M\'t
O\~~'
REC'D BY t'.U\~ -
16200 Eagle Creek Av. S.E... Prior Lake. Minnesota 55372/ Ph_ (612) 447-4230 I FAX (612) 447-4245
An Equal Oppo\'ll1ni<y Employer
, ,
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E, Pannh No. tt ~ - \ :;, ~ ~
Prior Lake, MN 55372
HEATINGAPPUCATION/PERMIT
Dabo \d - '~-'1 ~ PID' 25-3'-1-2. - 015-0
Sil8Adlhss \ s04 ':J AnD C\ lc,'O.s~. 1<.1$
. .
LoI 5 Block:) Add_ion t-.. ." \.U r.... , fJ..,; J.. III ~ 3 RD
Owne/'$ Nama \( D~"\' <..,.....\. \\ ~ ( "
Addl_.\I<Y~.{' .5;, I." ~~ 'l'r;l\.- \b..\lJ....
HeatlngConlradDr \~ 't~ \\, r- ::S:n \.
Mdresa \ \n ~ i. ("\ \..\L \ l 0"'-'. ~ " l 1-) {'; <.r ~ L, Kc
'. .
Talephone' . U. ~1- 'i \~""
Furn_ Nak, "Modol <...a...f' (~ '<"
...
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OJ
['..
IS)
o
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Modol Size
"\\"-O~
S':,J"l.,~
c;:- II
Flue Size ~
Conn. Load
Fuel N .... \--
0::
H
([
o
0::
f-
W
:E
Supply Openings \-,
Relum Openings ~
Input ~~m.oulpUl ")':~
Edr.
elm.
lJ Un
TYPE OF SYSTEM
Warm Air Plants ~
Gmity
MocI1anical
Air Condllionlng ...lIt-
VeAL System
HEAnNGORPO~RPUUR
Steem
Hot Walar
Radiation
Special D.vlces _
Othor Devic..
Altereticns
Replacement
TYPE OF WORK
Now Construclion
~.
BuJdingPermht _~ l\ - 1z.&9
~ "iO\N1i\-\ .'\
leU\r~\NG pC.;..\
:E
a..
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.,.
...
Repsir' Est. Comp. Data
Esl. eo.t $ .\.0 I (\0 ~
U\
U\
U\
...
(T) HEAlING PERMIT FEE $
...
u STAle SURCHARGE I"
w .
Q :.~Al PE~ FEES $
"f:l~~:'~)'~~~___i_ '.:
;~~111*.- . . ~ .
i\.~~'i,.'"l ~:;:"'.' '~".
.50
Receipt II
. .~--. ',.".-
TYPE OF STRUCTUR~
1.-
2.0.-
1. y""",
Fila
a"
c:.on.....
Single Family ,X
Two-Family
Induslrlal
Mult~Famny
Public Other
Comme~1
Foe Schedule
Indus1rial, Commercial & Multi.Family
Resldontial, Heating & AC
Resldontlal, Healing Only
Residential, Gas Fireplace
Residential. Add~ion9 & Allerstions
Residential. AC Only
1 % of job l101ti$S9.50 minimum)
I.
$99.50 I
$64.50 I'",
$39.50 : ( I
$39.50 1\\1
$39.50 ,.j U
DEe 13 JOO9li .
:[)
. ---_v
Remember 10 add lhe Slate SUlCharga on U1e bolom allrus appucation.
The price 01 your healing per mil Includes one rough-in and one nnel inspection.
Addllionallnspeclions wlU be billed at '35.00 eech.
House Healing Tes' Record must be oullmiUed with blllldlnn Dermil numbAr beIDre build.
ing cer1illcate 01 occupancy will be issued,
!iEAI r.Ar r.11' ATlnN,"- "lCr"lllll""'. with number 01 supply and relurn openings listed per
100m with CFM's per opening. New s1ruclll,es or eddilions sand lloor plan witIt supply
and rerom locations shown. HER LOSS CALCULATiONS, PAYMENT AND
APPLlCArIONS MAY BE MAlLEDlOTHE CITY OF PRiOR LAKE.1~OO EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Hall ~usinBSS haulS are e a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply lor a mechonieal systems permi! and I acknowledge Ihallhe
inlolmalion above ia complele ind accurete; Ihallne work will be in con/ormance
wllh the ordinaneas and code. ollhe !lily lInd willi lhe stale buildingfmechanicel
codes; thaI this Iorm does nol become a per",.I unlil signed by Ihe BUilDING
OFFICiAL: lIlal Ihe work will be In accordance with the approved plan in the
~as~ f{ on work which require. rev; IlW and e"p rovel 01 plllnll.
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AfIr1Wl1"",ture Dala
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Elu",ng 0111!'8I'. Slg.alure Dille
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Tht ("tnltr of lht l.akt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING 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:
--,' ' /.</ ",:::..-
'-
/
'\~ / '-~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: (1-tJ) . ~
Comments: . A-7f'. vnt-r C'a..J1JVt
Date:
it - I V -"11
I L) I S/CLe t/twcf ~
.
-Gt1UrtJu(!,h
"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,"
~\
qt1-IZh9
White . Building
Canary . Engineering
Pink . Planning
Tht'C'pnlnoflhl" LlbCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
K.sVt.-ANO #OH6S
/o/~/qCj
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5642 A,aPrlLOOSrJ ?K:-/-l1 t--
Accepted
Accepted With Corrections ~
Denied ~ ( ;) 0
Reviewed BYl t:::f)( A.../ /J
Comments:
---
Date: /t'J- '?7-9.7j
(J~. j) ,,/ ( ( Ct ffCLC~ ~c... h
"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,
.--.-'-.'.'.'-'.-- --
. ---.....,......--...-...........-. - - - -."' "-----r-... -_.~-
IT
/
,
tit?-1269
Thor r'nln of lhor (..bCollnlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KE I/LrJ II/V /-/0'/<II':/S
/o/z--o/lqCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5042 /!/?/?/jL oo:.-/-/
7R /-) I L--.
Accepted
./
Accepted With Corrections
Denied
Reviewed By: .UA''''''''' F"A"MAcNN
Date: Johq ; j~
,
Comments: .sC6. !rH'"ol't.MA'-,o^-) n..J '--...11:. r?cv("p...~ <.oF".
C:E:F'" (.:\"f"'T'"Ac.....Ul.tE...rf3: ~ I. hA1Al_ IJAAClr;. JAJ"~C'-I<""'l"J I~Jf"",f<I'I1Ano.....r l.. aftACING. RAN
g_ CQOS'O~ Co,....,..-It.-cl..- Mf'"A<;Ul'7FS
4. rRQSr3.....J t(').....rrtt.nL- RRN
"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
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
r---
SITE ADDRESS Isn42 ~"\P~ oos",- \\'.
NATUREOFWORK l\\p<-o1~.
USE OF BUILDING S \"'.D
PERMIT NO. '1'1 - I "LV'( DATE ISSUED
CONTRACTOR ko~ \~ ~j'o,
NOTE: THIS IS NOT It PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU ENT J I DATE
I FOOTING I I I IVllj/44
, FOUNDATION (Prior to Backfill) I VP Iz-A.p~'" I' i
PLACE NO CONCRETE UNTIL /,{BovIVHAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ( /!J /'/://f/hq , I
FRAMING IAi L t/ Y!I -U 1& I (j(f
INSULATION L.f.... /]J ~/crV Ujrr-V..~1,3J6'O
ELECTRICAL 7!
PLUMBING V;.S#: ~1I1!w CZ'D z/n/OL
HEATING (if required) f2 a;l1/.o ( /
FIREPLACE _ oJ!~ ~ flpo. 21/11~
GAS LINE AIR TEST U)) 2-/~J-1) 0;j if/II/OJ i
COVER NO WOiR'K UNTIL ~BOVE HAS BEEN SIGNED
I I
FINALS
Gc -t/Ill/!A?
b.
1~1'.Jl!JIiI""',/!:J
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1'.0.
,jl/ s/n~UJ
/ (
OCCUPY UNTIL ABOVE AS
NOTICE
, Il - ?. 1-'7 7'
7//9/#0
f 1
1/ z,'/I/ jt7
BEENI sllGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintail100d 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
,-_.._----._._..~.,..__.._--_..,.~