HomeMy WebLinkAboutBuilding Permit 99-1155
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~: ~~~ ~trtifiratt . nt ~(rupanry r .; (
I :~ Cl.. i OF PRIOR LAKE
.~~! Jltpartmtnt of Jiuilbing 3Jn~ptdion
~ ..~~. )tt:;inal Permitted 0 Conditional e.O. Expire.
i~" I This. Certificate issued pur~uant to tM requirements of Section 307 of the Uniform B~ilding Code
~:. . cenifymg that at the time of ISsuance thIS structure was m compliance WIth the vanous ordmances of the
;~' City of Prior lAke regulating building construction or use. For the following:
'",,'
".
Use Classificati,....
Sim,le Familv
llldg. Pennit Nn 99-11 55
Occupancy Type
R3
VN
N/A
Zoning District Rl
Type Construction
Fire Zone
Legal Description
L4, B4, Knob Hill 2nd Addn
Owner of Building
~il< Address 1440R Pike Lalo-p ']',.. i1 ~
Contractor's Name & Addres'
Brandl-An~erson. 166 Cobblestone Ln.. Burnsville. 55337
6::J / rity Planner
. I
Date:
Robert D. Hutchins
q //t7~':1fficial
Jenni Tovar
0.1<:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/4~0fl5
SCHEDULED 3/~OO Z: /J CJ
'P1.L:6 LK-- 7E. .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?9-115S
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,D)'LUMBING FINAL
/,,-MECH FINAL
COMMENTS: a+.-... ~ ~ ,'J; C) L
1 Csv-oclP. De. ~(\o\<.&~_~
8V\.cl i--r~ pk t1~J~
_ Hu.v-o. Sl.vL -kc, , d.v"'tW~
&rbs..l!^ ~J
Clu>-. ~Jv-uJ-
~Jl ri.n\tfJ.,J^\~. hAP.
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~r-- \...JJy, ( )W\.~ 'n yW,J c.JO(..-
ctgi~~~ A.Mc.<."e- ~ (}JIS-r ~~
(~~ ~~~
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
'X" FINAL
/0" SITE INSPECTION
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
.J(/{'{Rze.-
~
ERING
Inspector. _ uwner/Contr:
CAl~850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE kQUIREkENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNOTJ
Lrplq' 2: ~ ">
/4-?-o8 PIK6 LJC-re-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
~WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
qt1-//55
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: '14/ ~ </-0 PrJe..- 1- f/
5'.i* -I-~
It,?' I"~ ti:lf-"-"K" ~, --"~ fP'-
~~I n opt v c c"
-7~--=-~ - ~ d_J ~ ......LA'!.. ~ -LI.
~ ff'''- m- 1 hi! ~ ~
(IJ5) f.J'ur::fo_", 1J-- .~ ~ j~
@D ~ -r:P.-n.~, /J.J~r <.L., Vo-.L..
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~A""""'~'
@.1tn-l~ ~,
..-/
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORrALL FOR REINSPECTlON BEFORE COVERING
Inspector: r.q- ( OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSHOTE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS \44tlf'l
. ~ArE._
\~
? kL LnILC- u,.
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ll:- Co
OWNER
CONTR.
PHONE NO. PERMIT NO. tf'i -/1 <)}'
o FOOTING ~~UMBING RI 0 EXIGRAD/FILLING
o FOUNDATION I'FT CH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKU~O ,FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL .SLINE AIR TST
o SITE INSPECTION ~ECH FINAL 0
COMMENTS:
([) 1o?~ ~41 /~ /1fP'''''
6<:"'<2 A&I .<;.f'
y~~~
.)
';'-
"
"fl ~ORKSATISFACTORY, PROCEED
...a<;;ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
, "
'\",'.'/i
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
,"'SHOTl
---r--------
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
2./2."1/00 2:00
ADDRESS
/ 4~?3 PIi:: 1':- LA::::..
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
l'i 0 SEWER HOOKUP
r XPLUMBING FINAL
o MECH FINAL
COMMENTS:
lAA1:!"c ~V,~
c.>t<....
99-(/55
o EXlGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
(UhNS~
~cto
\"I.JJ
{L,~ r~
/'
/'
/......
YPROCEEO
PROCEED
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS WoK
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
D.JNSULATION
~INAL
o SITE INSPECTIO
COMMENTS: S+"-
-
- SCHEDULED
. .
DA 'E TIME
q t(~
--,--
A--r
Potu La.k. u...
INSNQTl
'7<1- ItSS"
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
1A-..
~
o-t.
"-
~- rit." _ ~
fP-'.~~
~~ ;!:;j-
"- '
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Q. tt( lJ
UJ 4~. · -"
~:~
]
~
-
o
~YvORK SATISFACTORY, PROCEEO
/ ;'CORRECT ACTION AND PROCEED
o COR~EC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
,
s~~
DATE RECEIVED
q/z-I /~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3 Yellow
File
City
Applicant
Permit No.
qe:;-//ss
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS
14I.Jo<;t p; /l.e. klla 1",..."'; I N E
1. DATE
'1/11/'17
I'<r-I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
,.c;;:' c:;; I
12. NO. OF STORIES
2-
3. LEGAL DESCRIPTION
Lf
ADDITION K 1'\" J.,
LOT
BLOCK t-J
1-J;.1J ~C!' A-iA-
- ' -
PID AG'--"! " f!6
-.- . - --'.IIIe:;;;
25-.3;3'- 022-(')
13. TYPE OF CONSTRUCTION
fr........e
14. FLOOR AREA APPORTIONMENT USE
4. OWNER (Name)
....J3 r",~I--A ., ,~~ "S;"n Ut....<<<;
5. ARCHITECT (Name)
(Address) (Tel. No.)
/UUJ,INhneJ..... i?lUnf,,,,;IIe. ~1~"O~3('\
(Address) (Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
OCCUPANTS
SEATS
Front
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 I.~, 0<Xl. Cl c) PLOT PLAN 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~pn
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee .........,.....,........... $ ASO. QO
SAC ....,......................,............. L1f~!:::;t') . OC
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
L ""1fl~. '2Jf"1
703.qr-:,
G.'i.~
Collective Street Fee ....................... $
Sewer Tap ................................... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing PelT11it Fee ..?!."7/!.~, $
Me<hanical PelT11it Fee ,'!.'!.:~/ I-?.?. $
f/9'//~
Sewer & Water Permit ...................... $
~.. $
Pressure Reducer ...".................... ~
LIS. c.:o
I f"X"). 00
'(f)(')'('}6
. 35'-50
~
MeIer Horn .....~........................... $
Water Meter ..."":1.0......................... $----1 ~~-. t:JC)
Sewer & Water Connection Fee ........... $ J. 2(j~. 00
Water Tower Fee ........................... $ ? Ot:) . C9 0
Thl A ~ ce~B it. ,..~~..;~~:,~I~~.;e~it~~~~~
By ~ Dare J'. 7
CertifICate of upancy
Water Tap ................................... $_
Builders Deposit .........,.............,.... $ I, 5"00 . (fJO
Other ......................................... $
Total Due ....,.,.......,.....,...,..... $ J5r..O.t(J
Paid 75'(,; O. 70 Receipt~, .3' '2- 9/
Date loh-lf'j By ,{feL---
Th~~fy that the request in the above application and accompanying documents is in accordance with the City Zoning .Ordinance and may proceed a/r;quested. This document whe~
5i9'1 bYj~n:r ~rr;Jfrary Certificate.of Zonin compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. _
(7 City Planner Date Special Conditions if any
Issued
24 hour notice for aU inspections 447-9850
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.._._.~-._._..
..
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",ddress
/f~o
~'/ce L~4 AI.
leating Contractor AIR MASTERS INC
Name of Tester -;? __, ~~..L
Date '1- 1--
b
()
)
5f') po
Percent 0,
Percent co
Percent co,
Stack Temp,
Combustion air is adequateJ~ supplied per
UMC Sec. 606 I'P<
Input J#~
~
11(09/99 TUE 11:30 FAX 612447424~
Quantity
2.
I
I
I.f-
I
J
I
::$,
I
CITY OF PRIOR LAKE
Ili004
CITY OF PRIOR LAKE t ~l. ~~ij,U<
PLUMBING PERMIT PI" No. CJq -! /55'
"TAW. MECHANICAL INC. ~hone' 651-463-8220
5050 W 220m ST., FARMINGTON, MN 55024
Applloant
Address:
Signature:
legal Description: lot 4- etock
SUe Addreas: 14408 PIKE lAKE TRAIL
Building Permit II qq-/ /5::;, ,PIDII 25- 339- 022-0
NOTE: This permit will not be processed w~hout complet. Information.
FIXTURE UNrrS
Thil permit j, STtU'ttCd upon the expl'Cte l;OOdition that ~lIIjd
contrat;tor. IIhlll! compl)' in all respects with the ordinances
of the Stale ph,lmb~nl ~d the .mendJne.n~-:- thefCOr,
~~ // hs/J'?' DATE
. . 'l b/;-r......--- AlTEST
Call roc all ~tlons 24 hours in advancx.
I
Type of Fixture
Bath Tub w~h or without shower
Dishwasher
Floor Dreln
lavatory (batrltoom sink)
laundry Tray (lor 2 compartment sink)
Shower Stail
SinkS
Bar Sink
Water Closet (tolllt)
FEE SCHtDULE
InduSltlal, Commercial & MulU-Family
(1% of job cosl, $39,50 minimum)
Residential, New One &. Two Family
Residential, Additions & Alterations
State Surcharge
Quantity
-3
J
/
J
$99.50
$39.50
GRAND TOTAL
4-
Sub KNOB H/u_
2ND
Type 01 Fixture
Rough-Ins
Waler Heater
Waler Sollner
Stand Pipe (washing machine)
Sewagl Ejector
Baoldlow Assembly (RPZ, Doubll Check, PVB)
Backflow Assembly Test
lawn Sprlnl<ler
Other SU""-i?"()~
. ".$~~\O W~~"M\\
\~\NG
MO'V I 0 Ql3
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16200 Eagle Creek Av. S.B. Prior Lake, MN 553721 Ph (612) 447-98501 PAX (612) 447-4245
An Equal Opportunity Employer
fee ScIloduIe
~ Fl'. ....~-.I. '....ow I.;.-~.' .Fatnly
~~~ HNmgAAC ~
Re.icIenIi8i, .~ ~ o.~
fWidenli8I, Gas "'~
_....liaI, AddiIiGn. & ,\Ile, otic..
Re-.bal, AI:. Only
ftf7ll8 l/;r2tllr;v/ cr ';1 ~ f
...~ .-to ack: IIIe Stille Sun:Ilarge "" Itle _ Dl ttn ~.
N
lSl
~. .~ CIlY OF PRIOR I.JUCE
D, 1ll2Oll Eagle Cf'MllIII/. s,e. PwmlN", qq - / /55
PItDr LaIoe. ... 5972 -.--
, HEAilHG APPLICATION I PERMIT
0aI0 '11/ I ~ PIl' 25-339- 02.2..- 0
81t~ I'NO~ f,fCt J-,.)U ~',.J
l<lI .:L 0.... -1- NttJa>n t.;o b I!. i ( 2t/>/ d AtN...
00ItW'1'*". A-dA/V hL /!'I!I'~ '(Jl.J-aA/' H#t1ft'J .
J.dcIroes /r.!, ~jjlfJhfJ~ Ld~ t{{.tA$t/(j/~
He8>ll~ .' /tIlL. /J1I'1J7'i/(.S .:rt<!c.
AddNsS J41, q d t-AIA '1.( r;:: ,fl/t #-id
T...-.'. [tfz-Y3J-J~n/-
F............aMoclel / bfi//1/II'>L
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WadllSia 100 I oCt 0
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'TYPE OF SYS'IEII
WIno Ai PlanlS
GrawiIy
.........1coI
Nt Candltiar*lg
v-. Syslem .
HEAllNO 011 POWIJI PUJlT
Slam
Hal w..
Radilllln
Special Devk>es
ill
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ill
H
H
en
CD
N
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ill
COrIt.lllad
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F..... "/l,, c..o&FW SiD I+-
S\lAIIr ~ --,1.. 0
RtlurnOponi,. (0
~ {tJC,r)()O ()fp<a ro, u"O
&I, I s-V
C111t. \ '-I. () ()
0Ilw Devices
TYPE OF WOllK
lblaliDlll
. Roplacem_
_ C<>nstrue\Io!\
r-
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'Ilu~' 99-/155
HE4l1lG P9lMIT FEE I ~ ' , ~
STATESURCHAfIOE y.50 (jJ~. ~-d0J
TOTAl.I'EflNIT~ . AeteipI.--{~
RI!*'
EL Cool.
TYPE OF STRUCTURE
Single r.mty ~___ 'fwo.Famly
1_
1._
J._
FIlo
""
('-
Cammttcial
InMtrial
I'dJIic
WlH'amily
0"'""
1'1. <J4 jolJ oost (139.50 minimoml
m.5C
164.50
139.50
'139-50
$JUG
The priDo of you< ~ parmi! indudeo """ fOU!IHn ond .....1iuI rc-;-'.
AddiiontrI ~ _ be lMIod 81135.00 each.
_ -.g TISI Reeofll _1lI1lDril1ed wilIlll!.i!ll!!lllll!!!llllllllda _ IUkt-
1ng.1' ...".oI......r;.'q'MIbliUU8d..
.....,.,.r..'.... ~'f< -"'l"""'....,,_or~and"""m~lIGl_per
_ dl CAhpeo ~ _ _ or --.. - -pIIrl-.......
and.....m 1u..Ao<.. -..n, H~ lOSS CALCULATIONS. w.YMENr AND
A!'PltC.(OONS MAY BE MAA.EIllO THE crrv OF PRI<J'f lAKE, 1620ll EAGLE
CRfB( AIlE. s.E. PfIKlf\ LAKE. 1m 55372.
City Hal buIin_ _ are 8 am. . 4:30 ~m
AU. WORIlIIIIST BE INSPECTEO CIIOUGIWH AMI FINAL) . CAU. ClTT ltAU.
447-4131I
I herebJ apply for a meo/wlieal sy_ permit and lade" "":. 1ha11he
inlomllllion ebow is oomplete ",d llCCUt81e: I..... 11M ""'" wig be in ccnIclfm_
wi\tl tl1<l onIinances and coGoi lit the city anct wilIIltoe mI. bu~g/rltecMnicaI
ellOes; II'Iallhls I<1rm does nm become I pemlilllmi1liVnect by 11M 80ILDING
OFFICIAl; ItI&l !h. wort< ,ill be in accanIInoe wilt> tile apprawd pten'", !tie
case 01 at! ftr!< whictl ,.,... ,8Yi_ and ~<MII of plans,
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_05,'06"B9~'~1 FAX 6124<)4245
CITY OF PRIOR LIKE
:c 00 1
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant. _""::;;;p d /?Ze?/k' a,',,::.......{ Phone:
Address II/g)$' 0~~r/- &..., H' .$6"
Slgnalure: /'iLL ~7C-<--,'~ 5/,~{,'..-JC'
Legal Descnptlon Lot 4 Block 9 Sub
SlleAddress, /'111~8' ~~ MLL -rY..o'/
q9-//s-~ PION
Blue
2 vola
1 y ~ iI 0"
Fd.
C"l
^ppl.HlI.lll
99-//SS-
o/L/C -,5t/3/
h--/'c eLA- R;,
#
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Quan\lty
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/C;1l/d"lo// '-'-,z-NO
_~/"f L...c4
8ui~ding Permit #
NOTE. This permit will not be processed without complete Information
FIXTURE UNITS
Type 01 r-Ixture
Ouan\i\y
Type of Fixture
Bath Tub with or wIthout shower
/
I
Water Heater
Rough-Ins
Dishwasher
Floor Drain
Water Sollner
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
I
Stand Pipe (washing machine)
Sewage Elector
Bacldlow Assembly IRPZ, Double Check, PVB)
Backilow Assembly Tes!
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, Add,lions & Alterations
$
$
$99 50
$39,50
Slate Surcharge
GRAND TOTAt
_ A TTl;ST
Call fur allul'
16200 Eagle Creek Av SE.. Prior Lake, M,nne"l" 55372 / Ph. (612) 447-4'230/ FAX (612) 447424)
An Equal Opportunity Employer
~
...
GltEI!. . FILl!
YELLOW - AP"-ICAN'
GOLD. elT.,
CITY OF PRIOR LAKE NO. 7'~-~~~
SEWER AND WATER PERMIT .
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: D..k:.nN N L ~
ADDRESS:.Rf'1il f\~IE'L..5(
SIGNATURE: ~.I..UJA~. . ~
SITE ADDRESS: N'+Dl:j PI~ \...~ Ie AlL
PHONE:
c..(<-- "tl~ -G545'"
DATE:
BLDG. PERMIT #
PID#
't1-/! J S-
FILL IN THE BLANKS
1.
2.
Estimated length of water service
. . I (/ . h )
S~ze of water serv~ce ~nc (es .
Location of any couplings from structure
feet.
3.
feet.
4. Type of sewer pipe. ABS
PVC '><'
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
BY
==================================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $t,.~o 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 srer and water permits are
issued. p"t tD .,... ~ vq
DATE PAID AMOUNT PAID
RECEIPT # REC'D BY f21~..:.
4629 Dakota SI. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447.4230 I Fax (612) 447.4245
AN EQUAL OPPORTUNITY EMPLDYER
HEAT1NG APPLICATION 1 PERMIT
0aIe // //6/<79 Pia 2. 6 - 33<7 - t;z z. - 0
sa. Mdf_ )<-/t-/Ok P 'j,{ e. I.LJ kp 7;-0. ; /
lclt ..!:L BlIck <I AddiIion Y.,,,,,, J.j.1 / ;:)d- j:)~~
Owneo'......, ~I',.. "..( ( J/J".,JPr<i!''''- UNVV'r
hJ4r-J!._f- ('oht..lL:lrJ-"",e_ L--:"p. jl.,u-.",di-P
HeoMgConWldflt v.kr- Itna,( ).pre -n..P.
. n ~ II./ro'lv (~j/AJC"P /:}IIR 8-/01/ fJ.//
Telaphooo', IQu..- ~.:l/~$c;,s~
F......MaIIo&Model 1.<>.,..,,''''' CfJl/III,1&lYPEClFSYSIBlI
.. ' ",tJ1 w.m Air Plan..
Graoily AddiIioftsl iMpedioNl wiI be biIod at $35.00 each,
.........i<:sI _ ~ House -.g Tesl Flec:<ml ......1 be .lbIlilIed _ toM.... --mt"'-lIebe ~
Air Condticlnirg ./ J . J""" ... n.- " in!J CGflilic:sIe 01 .. - ~ '"ICy wi! be issuOd.
Vent. 8ys1"'"
tJf& ('AI n 0 ,.-r~ ~,.., ,,"""" .... number 01 ~ and ......m opmirIlIS listed pel'
HEA11NG OR rowER PLAJlT room WillI CFVs..... opening. _ slr -. .,., or ," . . ... IS - - pI8n -....
seosm and retum 1ocaIioo", shown HEAT LOSS CALCULATIONS, PAYMENT AN)
HoI w- APPlICATI<ltlS MAY BE MAIlED 10 THE CITY OF PRIOR l..AKt:, 16200 EAG~
Radi8IiaR CRfEI( AVE. S.E. PflIOR LAKE. MN 55372-
SpociaI DeoIces
CITY OF PRIOR LAKE
16200 Eagle CNek All. s.e. ........ No. !l!1.:LLS6
PrIar UIle. ... 55372
NodsI Sia
CGm. Losd
F.... n"./..
flue Size
~~
Rolur~ Openings
...... itn.'H)
0uqU .\;() "nO
Edr.
0tIt0r Devices
Clm..
TYPE OF WORK
.x
Me<aliollS
Repeir
E.ot.Coot$ 1.'J l/'^
AoplacwJ1onl
_ Co""'UCllOn
Est. Camp. Dalo
. II"<> liIIiIding PormlI .
99-//55
HEATING PERMIT FEE $
STATESURCIW\GE $
TOTAl PEIOOT FEES .
.50
,_ (PAID WiTK
~iUILD\NG PE~;';,1\T
J:YPE OF STAUCTUR~
,-
'--
J. v.....
....
a.,
..-
<:>
'"
,
..
..
,
'"
'"
Single I1niy
,/
Mo-Famiy
Multi-Family
Comm&l'CiaI
InduStrial
P.-
Othe,
'"
'"
t:I
<:>
""
FeeSc_
..
...
..
~ lncklsIrial. Commercial & ......li-eamir
Resldenlial. Healilg & AC
R/iSiderdial, Healing Only
Re..ideI,'Oll, Gas fireplace
, Flesidantial, Adliilions & ...........,-
Re&1danlial, 1j; 0IIIy
1 % of j~ cost (-~ :~,m, inimwn, ,I
$99.50 ''fu J"2 f . .-~ ,.. ,
! Ls /.-. i;' ,
-'.so D ---~~. LO .' -,
--- , I ,- .... "
::: \\ NOV I 5 IS93
$39.50
."
..
....
CO> I
,
~ ,
j!' ~ \1
ilJ; g ~
,
I
,
I
i
I
_Ill add 1I1e Sla1e SuldIarge on IlK! bolIom at lhie..-".....n
The price of YOU' ~ permit includes one """"-in n one IinaI inspection
'"'
~
-l
...,
o
."
...
'"
~
o
.,
city Hall businesS hours are 8 a.m. . .:90 p.rn.
.AU. WORK MUST BE INSPECTED (1IOUGKolN AND FINAL) - CALL CITY HALL
447-G30
~
""
'"
I he,eby apply for a mechanical syst.-s pennil and I acIcr1ow1edge lhal the
infonaalion above is cornplele 'If1d accut8\e; that the wort< wi. be in conform_
wilh the ordinances and codes of the city MId wilt1 the slate buiklinglmechanical
codes; thalll1ls lorm does "01 become a permil until sigr>ed by the BUILDING
OFFICIAL; _ilia _ wi. bel" acconlane& wilt1111a ""proved plan'in the
case ~rlc whi,'1' ',,; ires rllYlew and app<ovaI of plans.
/~ . /f//(/7.,
~j~re Date
A/1~ U/ISh9
~ 0lficaI's Signalure Date ---
I!!
e
e
~
99- / /5S-
T"~ (".."In of lh.. L.k.. Counlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
8/~)j/V'OL . i1/v'UE^0CIU
APPLICATION RECEIVED
'1/2 //qcl
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44 uS PIKE LAt::E 772
AlE
Accepted
./
Accepted With Corrections
Denied
Reviewed By: kJI'lL-rFll..tC"''''''''''''''AN.J
Date: 10/' /9'
. ,
Comments: SEE I,.JFo({N\.A.,-,orV ON '-...t€" ({E:.....ER.sE S,()f"
_<'f_F A,....,AC.HME:,.J,-.s; I. .h""..JAt- G!rMiJ6.. JAJSf'CcnOAJ If\Jt:=o R.Mr.tr,ON 2. ~AO,..JJ'~ P,.AN
3. Ell.o'("n;.J, l.O"-'T"Q.O{_ 01~A<v~~~
'-l EA", =-.J CO"'T7<..~ 7{"A1
"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."
QQ-//55'
The rrnlrr of lhr Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING P~MIT APPLICATION D.EeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BRANDL-' IUJOcleSON
q/Z /,/qC;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4408 PIKE LAK-b IX- Ne:
Accepted
Accepted With Corrections X
Denied
Reviewed By:
~~~
Date:
9--:<r.f-.?9
Comments:
'R"'A.el () II () 1-I-o~c.D 1-I~t!Jo~
"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<',~-,:-~,.t'''''''l!i:'X>;'7';-''''''''-'-'-'T'~" -...;.-"'.""....',,""..
-~'"':; .....,.P>-'i'~""';'~""'_~ -.-<,_.~,'\~~~;,;..;~".~~'I~)':!!~"~~~,.-,.,.,~*~;.~~~~,,,;,:I!).;_"r~~~;~""'.~>'.~ x -:
-.., , .- ,-
'j/" ";''','
" "/ - 1-' _'--,
Tht ('tnltro! lht Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTME;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-"/! /. :~., c....
r/ ;'\,/1...-/,(:
i
I, ,
/ ~' /
/
;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .
(
/
t.
,.-,
/ )----.
I
-
r.:~
Reviewed By:
L/
O,t); ~
Accepted With Corrections
Accepted
Denied
Date:
1f;N/97
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,"
PRIOR LAKE
INSPECTION RECORD
.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I L! L/ 05 Po- ke, lEA ~ Ii=- '
NATURE OF WORK}J",,,-, ~c.~l-lJr\-,~
USE OF BUILDING STD
PERMIT NO. 0"}-lIt;;'c- DATE ISSUED c,-?..'-I-"iCj
CONTRACTOR \Sm..~I"'''''--'- I~r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~
I FOOTING(N) f0-, /0-;1),-'1'7
I FOUNDATION (Prior to Backfill) I (/j}/I/~/? 7 I
PLACE NO CONCRETE UNTtlIABOVE HAS BEEN SIGNED
~OUGH - INS
SEWER I WATER I SEPTIC( tV) Ii, /P -2./- t:}1
FRAMING ~ ,
-~
INSULATION (II)) ".&bliJ v
ELECTRICAL ntA.-- i /......,
PLUMBING VIS ~ ( /;';/00 (/J ,hlulJ
HEATING (if requirKd) / ,t!,. //;z/,..
FIREPLACE I . / I
GAS LINE AIR TEST I /)-uC '11z/()U
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I 6 e- 7- 7- (ft)
:-k. Cf.W f o~
y;v dl'1(J ,i i ({rO
OCCUpy UNTIL ABOVE HA~ BEEN Vs 'GNED
NOTICE
.. - ..- ..
,." '. ...... "
GRADING (Prior to Sodding)
BUILDlNG'f....o~ t1llo. u.//J6
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical service cabinet prior to rough>in i Ispections
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