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Home My WebLink AboutBuilding Permit 99-1307 ;0>. ;r/f1!'J..~ .~ -, <r, ",.,.. -= ~ P- i! ~ i!'~.A~-t i:i ~ Qtertifirau nt ~rmpanry CITY OF PRIOR LAKE iDepartment of jljuilbing 3J n~pection !):Final Permitted o 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 Lake regulating building construction or use. For the following: Use C1assificatio~ Single Family Bldg. Pennit No. 99-1307 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District PUD L35, Bl, The Wilds Third Addition Legal Description Owner of Building Site Address 15173 Wood Duck-Ira11--- COntraclor',Name&AddressButler Housing, PO Box 24597, Apple Valley MN 55124 Robert Vj I Jenni TOV'lT - City Planner Date: _ Date: POST IN A CONSPICUOUS. PLACE . i I V' 1 , i -i i'i. Li",i,k'('~ r.o . . , Limit Setting / ;t.J ,- . ..t FonS-tHng :,< ~~ PU.. Ty.. I $,]: Pi lot Mak. Pilot Model Pilot Timing 17 <''It'''_c... L.W. Cu' 011 7 -"w, Pressure .). ~,' ,C. Petcent CO2 Input CFH /~ Pete.ntO, StaekTemp. Percent CO Form 235 Oate'T..t.d Compony T ..tjng Na....-6f T..t.r~.'{,"f' ~ok~' Bomb 0..,,_ DoorPr...ure Si:lr:e OaimMy.Location ~im"'y Construction THERMOSTAT Valye ~ ,~~ f Ven' Sic. KIND OF LINER Draft Hood Filter. ';') Ie-I ADDR ESS J ::> OCCUPANT ~ HEAT LOSS_ SOLD BY EI.ctriC';IWo(r8~" TYPE OF HEAT G STEAM ----'- <:ONTltllLS Heat PI", MAKE OF BURNER Mad.1 Ma.. 8TU Rating _ MAKE OF FURNACE Madel ",,,", --- ,.';;';;:-':i.7'.~)::,.~~______ ~~'t.. , TALLED BY ttTne BY- SPACE HTR. UNIT HTR. _OTHER CONVERSION -.-. -- ,._-~-.~ SIZE NONE ----:-- R..uIOTot "'umber Inaid. Outsid. _ y'v,- _ Wiring ______ _1...10"_ _ Lighting Inst. t) ~ _..:....c:.~'. DATE HTG. INST. "".:"; /.~;..l rid, !:I"fA. TI (<<,.1 APT. _FLOOR_ OWNER .,,~ i\ ClTyLo ," !i k,(. .SUBURB - - - - --, f . "'l<lb"'!()!:.il'! ,<I>>'X'J~..tl<. .1f' HOUSE A~~t'i"'ir,""fl'll'/t." :\-, ~'i ~""""~ '~''''V- ~. TEST RECORD ,~,.tll,."",.q;"t.. J"'~IW'P''W- ;- ;','4~- '":'~ -.:....,,_~.:..:i..:.:.o""'- ,~ ~.~~~.h~_~'~<-"'~' .;.'.;".:';;i-~~.;~, '-,,,' <~~~..o...i.:;.~~..:.;..;.....-:c..;.",,",.:.-...' {"-) THERMOSTAT -.J5.. Valve ~'D~'" Limit J(:lYt:...1. Limit S.tting-.L:2JL Fan S.tting I"' . 'M P;lo'Type ~/:l>:r PHo' Mok. I~ PHot Model Pilot Timing I 7f/!'.~ L.W. CU. Off P,...ur. l.;J ';.; { P.,c.n' Input CFH/O . Percent ., Stade Temp. . Percent F OI'm 235 CO2 O2 CO Plug ...~ PateT est.d Compony . T .sting Na.... of T."er Smok. BoMb 0.0"_ Door . Pre..",. V.nt Size KIND OF LINER Draft.Hood _ Flit.,. Siae Chim...y Location Gimney Construction ..--' MAKE Mod.l: s.rial. INPUT STEAM ~?"fP...c..,.~. f~ MAKE}OF BURNER Mod.l: Max. tJ'TU Rating _ MAKE OF FURNACE Mod.1 CONVERSION ,. - - _ SIZE_ _NONE - --.,; R.,ulal'Or'~ - - --Humber_ - Inside O"taid. _ f'Vt.. Wiring .T .st Tal Lighting Inst. _ ~ ~ ADDRESS OCCUPANT HEAT LOSS SOLD BY _ Electticol W-ork~By TYPE OF HEA T GA _ FA -X-HW_ ~~,-- -- INST. -' ?t ;" (" FLOOR_CITY t..J<{ SUBURB '~:~"".. ,,.., til~,./. '.~~i:.2'~<<;~"')\)~ RECORD ".~~"#<>'"""'~41<'~"~~'''.'''''C "'lIII CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS \5/15 W~~ OWNER CONTR. qq -I&:>7 PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION ~PlUMBING RI ; 0 CHRI ER HOOKUP EWER HOOKUP PLUMBING FINAL o MECH FINAL COMMENTS: \~' -u:~~ --J..rr6V'-- (9V( I" .J....~ ~f~~ ~. TIME ((:10 o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASllNE AIR TST o ~v:- No CJ K.-- ~ jt . . y---s::-<h-uJt G> lfLt'A :u .. ~ , ~ QJr ~ Ju &c--k Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSfVOTJ ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! -T DATE ~ ADDRESS JSJ '1- ~ (^) my-I G)(' Ac~ TIME L.t cIO " rv OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER CONTR. PHONE NO. c,q-J.SO't PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP f\ 0 SEWER HOOKUP ~l:::l{ PLUMBING FINAL // D'MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o 1 w~ c; s:tr A,Y/ uk- ~ ~ ou..:;( c::>11' Inspector: Owner/Contr: R THE NEXT INSPECTION 24 HOURS IN ADVANCE. ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl -T. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /S/73 NOO 0 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~D ~~~~~TION , 11'\ SITE INSPECT~~ COMMENTS: I 00, o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL XMECH FINAL~ DATE TIME 9.c..cf) OUCJC z:5.eJ 99-1507 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o SdT ) \-W~ CYSu-:t- cv au ) Inspector: ontr: CALL 447- 8 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. E COVERING INSNOTl EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI .-...--. , CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /SIE OWNER DATE TIME SCHEDULED ~ tVarj ~.pk ..,-a/ I ,- b'u/j,,- {;!? 119"- PERMIT NO. f________ . _ o PLUMBING RI EX/GRAD/FilliNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GAS LINE AIR TST o MECH FINAL 0 PHONE NO. o FOOTING o FOUNDATION ~ING o ULATION FINAL o SITE INSPECTION COMMENTS: G~t:I~ IS OK- ~ S~1 /' ./' ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO , ~All F"INSPECTION BEFORE COVERING Inspector: { ..a'f.A on!r: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI IIVSNOTJ - a_--T DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEOULED I a -,r;-O{) ,4./ ADDRESS /5'"/7:3 [/)CJiJ}) 0 l~cK - It< , OWNER CONTR. PHONE NO. QQ-/301 PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATIO~ FINAL ~ SITE INSPEC N o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER 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:..5 qr 'I. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL 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! INSNOTl -I g" CITY OF PRIOR LAKE I BUILDING PERMIT, EMPORARY CERTIFICATE OF ZONING COMPLIANCE UTILITY CONNECTION PERMIT .-3. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 7. TYPE OF WORK New constructiO;( Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. FI. I ~ ot5o Permit No. PUD (Tel. No.) .1- (Tel. No.1 ~12- Q2E-Zle8 , 1. White 2. Pink 3. Yellow File City Applicant Cfl-/307 15.N EROFOCCUPANTSOR~ OCCUPANTS (~ ~ Finish Attic 0 Rs-roofing 0 Porch 0 Rs-siding 0 Finish Basement 0 SEATS 16. pr;;;ZBNa:o 17. COMPLETION DATE F"eb W 7.00'() SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Baok Side BUILDING DEPARTMENT VALUATION Side SOIL TESTS MATERIAL FILED WITH APPLICATION " o ENERGY DATA PILING LOGS D PERCOLATION TESTS 0 USE OF BUILDING 5FLJ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~cXlO .C::>e> PLANS & SPECS " SURVEY a TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A 8 E F HIM R S U City: Division 1 2 :3 4 Permit Fee ............................... .... $ ~;;;l :). .:;- I "1l'~ I ~ tliD. ~o- 1"187.25" n.'l/.?! 1(,6.190 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ . ocr.- 1301 Plumbing Permit Fee .I.. ....1.'..... ...... $ Mechanical Permit Fee't.'J:.I;:?Q]... $ . aa, /307 Sewer & WaterPerTTlIt /..f............. .... $ Gas Fire lace Permn .9.. ..:.I.:J/?7'''' $ foo.o(j ~ /f)(7. ':'0 . '1,,5. '50 Ljo. cpO ur Building ~:tr:iti(~ 7~~~ , . Issued PLOT PLAN " SETS COPIES ~ 50.06 I 0 ,<:)0.00 iboO ~b 2.~ I "2.':) "'0 I, '2..00.1'10 70n.OQ c;0C) .CO ~ 33L/. 4v u ~(, 0 Amount Brought Forward .................. $ Part< Support Fee ........................... $ SAC ,......................................., $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer ~ II $ ............L..........$ MeterHom....~... ........................ $ . /: Water Meter ...... ....................... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $_(, Other ......................................... $ Total Due .............................. $ Paid Receipt No. Date 24 hour notice for an inspections 447-9850 -'---~~ CITY OF PRIOR LAKE ~. ~::~w ~~'iam PL!JMBING PERMIT PPNo. QQ"/3DT Applicant: Lv e, He r q... 13,,, 'f /0 e k. Phone: W;;l 8' li'.;). - 8'''' 81 Address; / So .r E. ~c.J 9 /3. JSt./ ". tt sui /1 ~ ht AI SS.$ 3 7 Signalure: L.u,J,t.C4=:, .~y ~...<hJ Legal Descnption; Lal -.:, " Block J S"b W I'-OS 3 rJ. Site Address: I Sf 7,''; y.J '" 0 d D'-/ e k '/ rQ i I ?Uf) Building Permit; ~ f"i::>7 PIC # 25-3"37- 0.35-~ NOTE: This permit wi!' .:w'G'ssed without complete information. ...rlE:': ,i1TS FROM WELTER & BLRYLOCK PHONE ~ :::', ~'''o;' '~'" F ~.~.." L,' :' I I) ~ Tilor Ct,"tt 01 Ih~ tall.. '1II1ltl" Quantity Type of Fixture ~ Bath Tub with or without shower I Dishwasher I Roar .Drain 5 Lavatory (bathroom s:nk) ( Laundry Tray (1 or 2 compartment s ,.. I Shower Stall ( Sinks Bar Sin k - 3 Water Closet (tolie,) FEE SCHEDULE Industrial, Commerc:al & Multi.Fcc- (1% of job cost, $39.50 rr,inimc'c ReSidential. New One & Two Famllj Residential. Additions & Alterations Stale Surcharge This pe;rni,;\ ;. contr:J.c,Qf, ~ll:'; I or the: Sc:r'~ :-'~ll'" Call inl 16200 Eagle Creek Av. S.E.. Plior Lake .\'1. 1-\;'. E ~.; 512 8828573 Dec. 17 1999 09:34RM P2 --."-. ~ ;c.intity Type of Fix1ure 1 3 Rough-ins I i Water Heater l - I Water Sottner I .. I Stand Pipe (washing machine) I , - I Sewage 'E;e~cr l ~,,- Backtlow Assembly (RPZ. Double Check. PVB) I Baokflow Assembly Test ! -- Lawn Sprinkler ! '. I Oiher I .U',_ I _,.. ",~L' $ :5 $ :5 .50 '--"."0 TOTAL :---. ~1 e\J\'J)t condhjgn that said '. wlli1. the ordif'l3.nc~s 1~r. men 5 thereof. '/'1 DATE ATl'EST "'s in advance. , ,. I Ph. (612) 447-4::30 / FA..X (612) 447-4245 ._.:-nplo)'cr FROM WELTER & BLAYLOCK (.-;-T' S E ~':~':~ APPLICANT:JA)e t+er " ADDRESS: ISo 9 E--L! SIGNATURE: (./. ),~ SITE ADDRESS: /5/73 J,voof) 1. Estimated length 0' 2. Size of water seJ:"V -~ J. Location of any co~c; 4. Type of sewer pipe 5. Estimated length 6. Clean out structure. ( if -'-----~---~--------..,... -~ --------------------.- - This application bec~ '.JJ n BY (, f,', . \; /~ ~;......~......===..~==,= ==~, n;ES: $ S $ 35.00 .50 35.50 * Fee tor either s~> $ .50 surcharge. * Sewer and water : recorded on the to insure that r: issued. DATE PAID rZ/11!-t11 RECEIPT # 16200 Eagle Creek Av. S.E" Prio, -'8573 Dec. 17 1999 09:34AM Pi U1111!!M - 'w..1! YI!'LLOW . AP"i..w:...,. GO""". l;1T'f' ;:,.:;:..:.;:'~~~ ':1- LAKE PERMIT NO. qq-/3D7 NOTE: Sewer and Water contractors must be reqistered with the City. PHONE:'/.,) '8''6;).-8108/ DATE: /,;)-/3- 99 BLDG. PERMIT # 1"1-1307 DV(!..K Tra; /PID# :z.15-3?>7-035-0 ;.J\NKsPOD :'0 Llo ,ch(es) . feet,;.. l PAID WITH BUILDING PERMIT ::ructure feet. c ~ Cast 1ron____ i.js- feet. 'ced at - feet from ~==~=====~~===~======~~~==~=== '"hen approved. -)A:rE: /;1-0-'1'1 ~~==~=======~=====~~=====__e_= ,ter line connection permit. ndividually is $20.00 plus c'3.rd .'i(~r must be uance are ,'\.MoUNT '2/ Ph. (612) 447-4230 / FAX (612) 447-4245 Employer Cl :z: - f-- <C UJ ::I: "" UJ f-- -' UJ "" :Z >- <C "" :>:: <C 0) C\J Cl - - "" u.. Cl Cl Cl C\J I Cl - I "" <C :>:: TOTAL PERMIT FEES STATE SURCHARGE $ $ 1 .50 Receipl , /' ( PAIOWiT:-l l eUIlDING \~CI" .3- If), tJtJ ''3 ;;~/ {lO Dale HEATING PERMIT FEE $ Est. Alterallons Repair Cost S 10.000 EsL 00 Replacement 1 2.50 Comp. Buiding Perm~' Dat& lof.ay CP-/30 New Construction 00 xx I herebv apply for IMChanical "ystems p&lm~ and I acknowledge thai th InIlIImaUon above is complele and aClCurate; thatlhe WClIk wi~ be in confofmance w~h the ordi- nances and oodes III Ihe city and w~h the slale building/mechanical codes; Ihallhis /orm dll&s nol become a permit until signed by !he BUILDING OFFICIAL; thallhe work w~1 be in accordance with the &JlI'foved p/an)n the case III all work which reqW"s review and ~ ,.;' Cfm. TYPE OF WORK OIh8f Devices COI'.structo Air Air ExhhanJ!llr - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) 447-4230. CAll cm HA II r~put Ed.. City Hall busines" hoor" are 8 a.m. Return Openings 100,000 Supply Openings Output 90,000 10 Rue Size 26 Fuel Con n. load NAl' GAS 5" each M Cl M C\J Ln C\J co C\J - co cj :z: x <C u.. Model Size Furnace Make & Mode !RMiE 2 - ruCl00 ..(,f!61 (2 Telepllone' FAX 612 furnac,"Pe OF SYSTEM Warm Air Plallts Glavily _ Mechanical _ Air Co~d~;oning Vent. Syslem HEATING OR POWeR PLANT Steam _ Hot Water _ Radiation _ Special Devices w~h number 01 supply and fotum openings lisled per room with CFM's per opening. New struefures Of additions send floor plan with sup- ply and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAilED TO THE CITY OF PRlOR LAKE. 462.9 Dakota SI. S,E. Prior Laka, MN. 55372. House Healing Test Reoor" must be submitted with ing certirlCa/e of oocupancywiil be issued. YES The pfica 01 YOUf heating permit includes one rough.in and one linai inspeclion Add~ional inspections will be billed at $25,00 each. before bui!d- 825-2)03 $532.50 fOf the lirsl $50,000 plus $7.50 lor each lional $1,000 or/raction thereol. Address Healing Conliaclor RAY If. rllELTI;R HEATIKG CO 4637 C hica@} Ava So - ~1pls MIL 55407 .. S50,OO and-over \ $50,000 ~~ addi- $132..50 for the l11sl 510.000 plus $1.00 for each addi- tional $100.00 or /faction the/eof. 10 and including $50,000. AddrlMS S~e Address 15 lot 3:5 Block --1.-. Ownefs Name Add~ion 'IL-06 3L'TLER BlIJSHfG p, 0 SO:, 24597 - - Apple Valley, MIl 55124 $10,001 $20.00 10, the lirst $1,000 plus $1.251or each additional $100.00 or traction Ihereof 10 and including $10,000. 7/l1,eo $ ,001 . $10,000 Dale HEATING APPUCATION I PERMIT J-1C-cO PlOt 25-337- !luck Trail 173 Wood 035 -0 ?tJO so J08 VALUAllON - $1,000 2% of job value, min. $20.00 FEE C\J Cl 0.: CITY OF PRIOR LAKE 4629 DAKOTA STREET S.E. RRIOR LAKE, MN 55372 PellTlitNo. t(9-/307 Singi e Family Comme",ial xx Indusmal Two-Family Public Muhi-Family Other '.P'""" 2.Gteen 3. Veelow file CilY Conlra<:bJr 4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447.4245 AN EQUAL OPPORTUNITY EMPLOYER /' ----- / ~~ ~~<mT PAID REC'D BY DATE PAID RECEIPT # Fee for either sewer or water $ .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. . individually is $20.00 plus * YOu~ t when approved ~ . UfAJu;" . \ DATE: C-, /-y / uV / I ---6-=;------------- --- -- ------------- FEES: $ 35.00 $ .50 $ 35.50 Sewer and water line connection permit. Surcharge TOTAL --------------------------------------------- --------------------------------------------- BY This ------------------------------------------------------------------ ------------------------------------------------------------------ 6. Clean out (if required), located at ~ structure. from feet 5. Estimated length of sewer line~O feet. PVC X Cast Iron 4. Type of sewer pipe. ABS 3. Location of any couplings from structure feet. JUN - 5 2000 FILL IN THE BLANKS I 1. Estimated length of water service b D "r" 2. Size of water service ~ inch(es). feet. NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: ~ ~~ Lo. PHONE: ADDRESS: 7~ ~..c DATE: c:'-;-OO SIGNATURE: ~ ~ BLDG. PERMIT # 99-/207 SITE ADDRESS: IS-17 3 !JtJ-1J-7I $tuk ~0-337-03S--0 GREEN - FILE YELLOW - APPLtCAIIT GOLD - CIT'I CITY OF PRIOR LAKE No.97-/3()7 SEWER AND WATER PERMIT " ,~ Th.. C..nlrr or Ih.. L.h ("OQnlry QQ-/307 While - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /3UTL-6K.- /-Iou::.; I /1/6; COKP 11/3/QCj APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5/73 WOOD DUCK TRAIL- Accepted ./ Accepted With Corrections Denied Reviewed By: W.,,-E/l.. f.'~'~MA"'" Date: ,,"tif' . Comments: Dft"'.IE....hltt't" wlO"fi.{ rAoJ 01JLV BE .q MAlC.l,N\LlM nF' Z4 F"E(T Ar ,-....1::. f"tl6tJ'1'" PttoPfJt.:TY (..ol"'-'E':. :c AM KEe(lf'oV1E..tJi:)IN(~ A o,.J(" 'Oil """0 t'.n 1I1lSf: DF 13L.oc.t( AC>C,"T"'ON o~ .HE: t;)A.1\G.E SlOE 70 O~TAIN "BE"'iT'EJl.. .DAAuJAc.E S€e:. II'JFo!\MA'tIO,.,J n,J "'It-It. Kf'lIE'AS€ SlOE... Sf;:( ~...l"""F"..n:~: J. h~AL... ~AOE. I NSPEaio",\ ),jF"t1M.qTIO^' Z. ~IlAOI~(' ?<..AN 3 ~.Sl..v C (IN "'-dL.. MfA~o.>O$5 4-. &<J~lnN (!()Nl71...DL R~UJ "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." "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- Date: 7lj/7fi7 JO's;dc~ Denied Reviewed By: ( I ~ ~ Comments: AI t unl't C-4V1ncl1 ./?hcro~ Accepted With Corrections v Accepted . /- > I .~ I / '-..,..... j,....__. I' I 11".,.......... jir" 1'7..:0: '" ! .' . ---. J ..... ~<.._ r" '-.' ",-_-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: r / / l' , NAME OF APPLICANT APPLICATION RECEIVED / r<.. _ t-" / . V (-'Z ,/ /1 i "I., " -k/:' L BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST White - Building Canary - Engineering Pink - Planning Thr Crnlero' Iht Llkr Counlry ,-"-' , ","-":" ',1, /' / , , ,f . -', t i ~\ ~",:,..,.,.' ,t"....,.~."'.,..A.'- -, .~:"". ..,..:,~"."~,,,o{k -",,,.,, -......~,>~'"f..~...,,~'_,:.?'h'~,'..:"" -"'~':'"~ - - ,_.,Oc" _~. _. .._,_ . ,,,':,.. ,,~ ;',-~.' .>: !' TlIe Cnl... of 1_ L.Q Coual..,. CITY OF PRIOR LAKE PLUMBING PERMIT PP No. 99- 13d? Applicant: Mtl-H-hpIJ} J1,nie/s. /nt7. Phone: ((",$1) ..,1.;23 - d7..-'ln Address: /5':630 (lnrrOLL"'1RI >tar" .~2fYlOlJ..nt. MN S,fJObY S;g",Me II. ~ E-~ '7J^~ L~gal De~cription. Lot 810ck ~ Sub W ~ Id s '3 (~ Site Address: 151_ _ __ _._' (j __~a" . BuildingPermit# qq-I'3()'7 PID#~S-337-03S-D NOTE: This permit will not be processed without complete information. I. Blue 1. Gold 3. Yellow flle Clly Ai>l>U"", FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture .:L- Bath Tub with or without shower 4- Rough-ins 1 Dishwasher 2- Water Heater .:L. Floor Drain I Water Softner ..;. Lavatory (bathroom sink) / Stand Pipe (washing machine) 1.., Laundry Tray (1 or 2 compartment sink) Sewage Ejector / Shower Stall Backflow Assembly (RPZ, Doubie Check, P'IE / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler -3 Water Closet (toilet) Other FEE SCHEDULE Industrial. Commercial & Multi-Family (1% of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge GRAND TOTAL $ : <9:0 ~~ $ 1()/J.tJ6 Y''t ~ ~ $99.50 $39.50 This permit is granted upon the express condition that said contractor. shall comply in all respects with the ordinances of the State Plumbing Code an e am men thereof. REC N DATE T APR I 72000 16200 Eagle Creek Av. S.E., Prio eke, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal OpportUnicy Employer ---.---' TOTAL PERMIT FEES STATE SURCHARGE $ Receipt # MIOWITH IUI.DING PERMIT HEATING PERMIT FEE $ Est. Repair A~erations Cost $ Est. Comp. Date e:t2- Replacement Building Permil # New Construction ix" 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 this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. Cfm. TYPE OF WORK Edr. Return Openings Input Output HEATING OR POWER PLANT Steam Hot Water _ Radiation _ Special Devices Other Devices City Hall 4;30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) Phone: (952) 447-9850 447-4245 Fax: (952) CALL CITY HALL Gravity Mechanical Air Conditioning Vent. System business hours are 8 a.m. HEAT.QA ULATIONS 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. Supply Openings Conn. Load ~<;,. Flue Size Fuel TYPE OF SYSTEM Warm Air Plants heating permit includes one rough-in and one inspections will be billed at $35.00 each. House Heating Test Record must be submitted with l!l!ik!ing ing certificate of occupancy will be issued. oermit number before build- Model Size The price of your Additional Telephone # VI )(E;P L-f\ c..e, --:-t:I'lla~ Make & Model Address Heating Address Owne~s Name Sile Address ~ Lot AIR CONDITIONER UNITS CANNOT ENCROACH INTO SIDEYARD SETBACKS. final inspection. Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace ,... _.. ~sidential, Additions & Alterations ~esidential, AC Only ILu, M.N SS)I:$ Remember to add the State Surcharge on the bottom of this application $39.50 $39.50 $39.50 1 % of job cost $99.50 $64.50 JUL ($39.50 minimum) 7 Fee Schedule Date Single Family Commercial y Industrial Public Multi-Family Other ~\ HEATING APPLICATION CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 I PERMIT 9'1-1307 Two-Family TYPE OF STRUCTURE 1. 2. 3. P;nk Green Yellow File City Contractor Th.. ('..nlnor Ih.. L.k.. Counlry QQ-/307 White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 8UT~6K flCUs/ /\/6; GOR.P / / / 3/QCJ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5/73 WOOD nUCK/f2A/L- Accepted Accepted With Corrections X Denied ) Reviewed By: VJ6jM __ Comments: Date: {I- II. -q i J. (<",... J. "ll oJ.(....c~ 2..~') eX -\-r~<s t'", .J-L-.e j:::',.oJ-.::J~ ~ t~ -\.~ \,~. "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." . - - .._,--- _......_..~._...._-_... ....- .....--. ~"---.or-----_.' PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION < SITE ADDRESS ~ 7,") NATURE OF WORK .j,J~lA) USE OF BUILDING PERMIT NO. 19- /7-,07 DATE ISSUED //-/&,-1/ CONTRACTOR '{;.1I *=v- f+o()S(~' . NOTE: THIS IS NOT A PERMIT A Y OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT LJ O().J J LJ C\<.. ~vct"'u\A \ """"'-(\ FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNT ROUG SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABO _tlL ".1.. FINALS GRADING (Prior to Sodding) 6!- if'/3' BUILDING 'I. C,.I>. ~ \0 1<.0 "Ii /JI ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HA 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 where ho service cabinet is available, card shall be placed near main entrance. It ~ BEEN SI Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850