HomeMy WebLinkAboutBuilding Permit 99-1335
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~'I CITY OF PRIOR LAKE {.,-~
~ i 1Iepartment of liuilbing 3Jn~pection t~
~~j )g[Final Permitted 0 Conditional C.O. Expires I, ~
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time o/issuance this structure was in compliance with the various ordinances o/the
City of Prior Lake regulating building construction or use. For the following:
Single Familv
Use Classification
Bldg. Permit Nr.
99-1335
Occupancy Type
R3
Type Construction
'IN
FireZone N/A
Zoning District
R2SD
LegalDescriptior West 1/2 Lot 2, Block 1, Glynwater First Addn
Owner of Building
Site Address
3501 Bay Knolls Drive
Contractor',Name&Addres' Wensmann Homes. 1895 Plaza Dr.. Eallan. MN 55122
Robert D. Hutchins
City Planner
Jenni Tovar
Date:
;'."""~'"
,,<U.~~i...'
'.'.~.'
~.
~~
;~~",,~,1.;;_';::~~:.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1.;1-11-0 I
OWNER
3501 -:K,,, K'MIh; l1r.
dONTR.
ADDRESS
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
SE-T
I~ c.le. ('.,,0.
rJc9se . ~,'Ie.
o 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
/!-:) 7-C( fJfI1
SSO{ - 3503-3505- sSD7 &v'i-"oI!J
I
CONTR. /li!ef/SfY}:,/YI Hom6
PERMIT NO. 77-/35:)-99-1336
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
-e. ~NSULATION
r'"'(INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
!)(EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
&r4dcr 0K
4,,[, &V,"J - of::..
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,--7' 4/ _
Inspector?'" (~! -- - ~
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /-S-(J() /I :00
84'1' I:::,v Of..-<- S ~
CONTR.
PERMIT NO. t:jQ-IJ3S 4-/~3e
ADDRESS .7,501 + 3~()7
COMMENTS:
FeN -
~rt' ~tf
/C---{() ~ 4.f ~J
~~~
OWNER
PHONE NO.
D FOOTING A
;if FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
J.I. D PLUMBING RI
~D ECH RI
ATER HOOKUP
SEWER HOOKUP
~~UMBING FINAL
D MECH FINAL
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
o
I
!III1!vS"n c
.,J..A /
~~ /"'~~
~
.
. 'Zt-o PIc.. -r" ScJI.. 40
ttl-z.. II ,- 4tr ^ OJ<-
~'V M- 1( fvn,- ~
~~~
Y, PROCEED
SPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44t-9850 Fck THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
t./.z;z.b
~J!~
J
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
::?50(
OWNER
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
~SEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
DATE TIME
'1:1.5
99 -/355
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C.QMMENTS: (J)~.M f?~ ~
f.JJ p- T/v~ ~ ~ q;.. ~ ;;...... M,U.e...-.
II II
t11~ U)'~L. -~
o WORK SATISFACTORY, PROCEED
J< CORRECT ACTION AND PROCEED
o CORRECT WO'lf' CALL FOR REINSPECTION BEFORE COVERING
Inspector: t1.:l--l Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
PHONE NO.
DATE TIME
SCHEDULED C; p~ /: IS-
~Q.J_\ .kY\.1y{~
CO~R.
PERMIT NO, 9Y - /335r'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ,-S 6() I
OWNER
o FOOTING 0 PLUMBING RI 0 EXlGRADfFllLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING b. 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION rl r . P 0 FIREPLACE FINAL
"""'FINAL --:R It::. ~ - A~ PLUMBING FINAL 0 GASLlNE AIR TST
V'[i'-'SITE IN~ECTION ( 1/'l MECH FIN:.~ _ 0
COMMENTS: -- -------- ~
I 'h)\ ~ \ P' ^ E-rv:?. ,'vi ee v- I 'on '^' '"
C;(lILr,-"."A - *{.(S p~ ctuxj:P1:!:1ctVr
8rasl'ol"1 ~()l I ~
~ Off (.{JltA.- Wt ~
CWt_ ~ ~ (2..) 12." (). )d+./l,~<>
./
letq eCl h /~
. ~
'rAIlJfY ~ ~,(
~
rK(x-
CTORY, PROCEED
AND PROCEED
R PECTION BEFORE COVERING
Inspector: Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
COD REQUIREMENT. ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
i!:~f l~?~>y 'rr)I~. @f[~o[~-}h:~;
u .. ~ !(
. NOV I 6 1999
'\
lJ_.._m
ADDITION
14. OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
/,.J('N$ m";V~
I-J 6IM f'r
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I
J
I. White
2. Pink
3. Yellow
File
City
Applicant
I1AIN FIL.6
Permit No. qq-/335
1. DATE
/1- / (, - 'I 9
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 Musr BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
3s-0 1 Aa... kNolls Dr; (/ e
3. LEGAL DESCRJI,TlON '
LOT ~ :lJ..).. r L BLOCK
C; J V AJ tv... t fOr
12. NO. OF STORIES
sr
PIC ;J.S-3.:,-/) -0 0,. - J
a. ~d.. r,"..Iv
13. TYPE OF CONSTRUCTION
(Address)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(A<W,ss) .
18'1!" r/4f'Z';" Dr
[d."4 IV J'1l/V 5SI:n..
SM>ii~ 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
(TeL No.)
(Tel. No.)
(,SI- 'II) '-Y~DiI
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
Is. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building ~ial can revoke ~~e ~ ca:~rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /J~ .,,< 1~5R II-I('-'J?
tJ' /i Signature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SP/+
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ............................... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
17. COMPLETION DA"'TE.
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS Ll PERCOLATION TESTS Ll
10(') . 0(")
( l')() d)(')
~~ ,1Jb
ece Penntt ";b" ...,.,........... $ If,o . ()()
I ion mes our Building Permit ~l1e~ ~prove~~
By Date _,. \ rt .J<......"'1
,.~ -
Certificate of occupancl
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
BI.("J(')el.t)\::>
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
S U
City:
PLOT PLAN
o
"/(.,F) .SO
4 crt . ~~
4tJ.b
" L>'
~\\\\I') -
~~'~(\l'\
\". D .
II \' .
Amount Brought Forward .................. $
Pa<kSupport Fee .................,......... $ A s""f) .l2:
SAC ....,.,.................................. $-1-// So . ~O
Collective Street Fee ....................... $
Sewer Tap ................................... It
.. ~,
I
Pressure Reducer .......................... $
Meter Horn ................................... It
Water Meter ..........I.~.r................... It
Sewer & Water Connection Fee ........... $_'
Water Tower Fee ........................... $
70 .(90
~50. oC>
2o~.~
lOt:> ,t:)O
Water Tap ................................... It
Builder's Deposit ............................ $_1 ~ 1'\('":) (") _ ~
Other ......................................... $
Total Due ,..,.......................,.. $-7Z04. 0..3
Paid Receipt No. ~(,.")9 ~
By G::1b
Dale 1'2 -)..... -o,~
v .
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 as requested. This document when
'~~nnerconstitutesa temporary Certificate ofZo~mplian~nd allow~structiontoccrnmenCEf)~efore occu.~n OCYCY." a a~icate ?{O~ustbe issued.
~AII ~\-1-Q..-"1'1", ~p_ _ (\N.A'~~~( '"",~>vv.
. C.yPlanner - Date --=:.- . - S~ICond~lI~nsilany -- -
24 hour notice tor aU inspections 447-9850
..
.
Job Address '3 5'tJ{ ~ j(;rdl J
Heating contractor~ Z' (;I{ yP;o
Name of Tester J.{. t
Date b - f} - ~
Percent 0, 7
Percent co C>
Stack Temp. l5~~
Percent co, ~
'<
JAN. 28. 2000 2:25PM
GENZ RYAN 6513226147
NO. 350
P.4/17
CITY OF PRIOR -LAKE
,PLUMBING PERMIT
I..'" I'iIo
2. Go,. Cily
3. Yellow AppUQIII:
qq-/335
#
JAN 3 I 20UO
Applicant ('-' .v'I2 -{?, .a.r'\ PI~.... ~_ Phone:lo<;\-\.I7" -\ lLiIJ
Address: \ 4'\L.\o;:... ~ ~...,- '"Te L
. Signature: IA.. 1.n ~ Qt..
_ Legal Description: Lot Block Sub
Site Address: ;:>, E::D I 5A V If.rq I (<;, 10 II?
Building Permitlt <;7t?- i335"' PID #
NOTE: This permit "{ill not be processed without complete Information.
FIXTURE UNITS
'T\c Cd.... Oflbe l...IIIn, c........
-.'
Quantity Type of Fildure
, 8ath Tub with or without shower
\ DishWasher
( Floor Drain
3 Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
t Shower Stall
\ Sinks
Bar Sink
,. 2- Water Closet (toile!)
'.
,
Quantity
Type of Fixture
~
I
fLl
Rough-ins
Water Heater
Water Sollner
Stand Pipe (Washing machine)
Sewage Ejector
8ackIIow Assembly (RP7, Double ChecJc, PVB)
Backllow Assembly Test
Lawn Sprinkler
Other
FEI! SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, AddItions & Merations
State'Surcharge
$
$99.SO $
$39.SO $
$ .50
GRAND TOTAL
\Nil'r\.. ili''\
. ,,~\O ?'C.'.,.'
($ ~ gll'>\G
<aU"" .
(j
.
This permit is granted Upon the eJ;press condition that said
COnltllClor. shall C~;'ped5. widJ the ordinilnecs
of the Stale PI~bi 1{ ""'"i."7cts thereof.
, .z. z. 00 DATE
.
~ ATTI!ST
Call for all i~tiODS 24 hours in advance.
16200 Eagle CreekAv. S,E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-42~5
An Equal Op~olUlnity Employer
~., rnl6l9.i
~
Dal8
SKit Address
lol
Block
Ownsr's Name
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Pa.mil No.
Prior Lake, MN 55372
qq, 1.3~5
IiEATlNG APPLICATION I PERMIT
PIO...z5-35D - DDZ-I
r",dt.-- )tJ"~ .e 260
/ .,ST
Addraos
Healing Cool1ac1oT ALL UD FIRES IDE d ba FIRES IDE CORlIER
IIddlBss 2700 N, FAIRVIEW. ROSEVILLE. MN 55113
Telep/lonil' 651-633-2561
FIREPLACE I
1ltI.n", Malle & Model II H jJ G {;:>
3/'/m
(J
:Jal k"
--. /}.
Addillonv 6LVNW;CfT6/Z-
0". ,
11 }
U/fi/11,.,y),./-.J"," .J:/If~~_~
Model Sile
Conn. load
Fuel (<n1.....
Supply Opening.
Relurn Openings
Inpul
Edr,
Ctm.
Aleralions
Repair,
_c:;/_ 'XD~
FIIIe Sile
..,~
Ovlplll "",,X.fLv
TYPE OF SYSTEM
Warm Air Plallls
Gravity
Mechanical
Air Cond~ioning
Venl System .
HEATING OR POWER PLANT
Slltaffl
HoI Waler
Radlallon
Spocial Dovices
Olhe.Dovices
TYPE OF WORK
Roplacamont
Esl. Comp. Dato
Esl. Cost $. /J 1'1) ,1',
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PEAMlT FEES $
New Construction
!eM
31&
,50
qq-/335
~
~,rb:NG'PERM\T J
Rocelpl #
Building Permh .
TYPE OF STRUCTUR~
f.P!Il"
t. Gmt.
1. YdID"
rn
lD
::J
Clo, r+
c.lrKlor co
'<
fik
Single Family .
Commercial
"
1-'.
,
_lD
0>
1-'.
a.
lD
T__Famlly
Induslrlal
. MulU-Famly
Pubic Oltter
Fee Schedule
n
o
,
::J
lD
,
Induslrial, Commen:ial & Mum-Family
nesillential, Healif1g II. AC
Residential. Healing Only
Residential, Gas F~eplace
Residential, Addllions II. Alleralions
R esidenliaf, AC Only
1% qI.Job ~{J~9.50 minimum)
r -.. _,. .___
.$99.50' ! ' . ';-, ;-~:-
$64.50
$39.5lY
$39.50
$39,50
..
'2lXXJ
~
Remember 10 add Ihe Slale SUrl:harge on Ihe bollom of IlIs oppfication.
Tho ",ice 01 ~Ut heating permfllncludes one .oogh.in and """ llnaf tnspaclion.
'"
01
~
'"
'"
'"
Mdilionalinspeclions wit be billed at $35.00 each.
III
House lIeatlng Te.. Recmd must be subrMled wilh buildina IlIlIIIil ~""'''I'!'' belore buil6- ::
ing .certificale of occupancy will be :~'wl ~
I:1fAI CALCUI.ATIONS RFOIIIRFO with number 01 ""pply 000 relurn openings listed P4
'Dom with CFM's per openl,,!!. New structures Dr additions I4lI1d Door plan willi supply
and relurn laeati""s shown. HEAT lOSS N' ~ 'lATIONS, p,r,YMENT ANO
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55312.
;:
..
,
Cily Hall business hours Bre 8 a.m. . 4:3D p.rn.
~
o
o
ALL WORK MUST BE INSPECTED (ROUGH"" AND FINAL) -CALL CITY HALL
447-4230
III
o
I\l
I hereby apply lor a mechanical syslems parmi! and I acknowledge thai the ~
inlormalion above is complele and accurale; Ihallha work will be in conlormance ..
wilh Ihe ordInances and codes 0' the clly and wilh the slale buHdingfmecl1enical
codes; !hat Ihis form does nol become a permit unlil signed by Ihe BUILDING
OFFICIAL; Ihallhe work will be in accordance with \he approved plan to Ihe
case 01 all work whIch requires review and apPlDval of plans.
&.a?i1Jr
API' .. ure
auil~ alliesrs Signalure
SH"o
. / Dala
3/ h/OO
, Data
-0
..
<0
lD
I\l
-
I\l
. c-
~' ", CITY OF PRIOR LAKE' '. '~I
~J .-..... ....... S.E. ...... qf'/33S~
~. ~ Prior Lake, MN 55372 -
~ HEAllNG APPLICATION J PERMIT Single Family
"fiale 1/2-8) 00 PIO II ~,5 ~ 350 - 00 z.. -; Commorclal
350 I Pxty (( JIJ()(L<.,~~
TYPE OF STRUCTUFij;
I. .......--\ N.
'lllro i CiI1
]. Veil.. _ _.... c.r.:_
><-
Two.Famlly
indusl1ial
Public
Mufti-Family
OIher
ISlt.. Addreu
Lf)
(11'
..at Block
0_
z'
OWnlf's Name (A lp Jl'l.tt11J1n L}.,;y.rv~
Add/ess , /~~ P 1a2tl. /)~ Sri- 20D
HealllIIJ Conl/ador - r ~ fl Z- - f..uI"L.n
i U
AdiJr&S8. \ Ll-"1 U-S <20 f.n6l,~-r~L
(0 bl-r...j'2.D -II t..{ t../-
FurnllCG Meka & Mode! I r' %lm',c TYPE OFSYSlEM
/' '7 ~ I "'- _ -1<"-- W81m Air Plante X.
ModalSlze I ~-f.V'.. .:::> 1= GravIIy
Conn. Load M&<:hanlcal
~ J . AIr ConclftlonllllJ)( 2- TU .....,
coFuel 1\ A'r~eslze1alP' 4 ",g"trJt""Venl.S,stem
~~pply Openings 1 ~ HEAlING OR POWER PLANT
Lf) ! Steam
\D Relurn Openlll\ls F-, Hol Walel
a: 1 {.,Q Radlallon
Ii Input S; 07J0 Oulpul I rlOO SpeclalOevlcet
~Ed;.
w
Ul
Cfm.,
Fea ScheciJle
Addftlon
Indusldel, Commerdal & Mulll-Faro.y
Realdential. Healll!l & AC
Rasldsntia~ Heating Only.
Resldentlal, Gas Flrepf""e
Realdonlla~ Addnlons & Allelatlons
Rll8idenlial, AC Only
'i2n~l..v()m.u'1 r ~
Remamb8f 10 add Ihe Stale Surcharge on the boIIom 01 this eppllcatlcn_
1 % of Job cael ($39.50 mlnfmum)
$99.50
$84.50
$39.50
$39.60
$39.50
.,
JAN 3 I 2000
- ,
Telephone" ,
Dlhar Devices r-n,., Th
""'~oIACQ..
Ths.llflce of your healing peTmillncludes OIlS 10ugh.1n end one finallnapecllon. '
Addlffonallnapscflona will be blled el $36,00 eeeh.
Houae Healing Tesl Record must be 5ubmflled with '..H,,,." RmmlI "l/mhA' belore build-
Ing cerlRlcale or occupancy wiD be Issued.
,U"'lIT '141 fll" 41"101\111 "FnI "..,,,'1 wOh numbel of suPflly end /Blum openings Isled per
loom with CFM's pel opaning. N sw sttUclulSS or additions IInd Iloor plan with supJllv
end lelum loolliona shown. HEAT lOSS CAlctlLATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR I..AKE. 16200 EAGLE
CREEK AVE. S.E- PRIOR LAKE, UN 65372.
CIIy Hall buslll&&5 hours SIS 8 a.m, - 4:30 p,m.
ALL WORK MUST BE INSPECTED lROUGH-IN AND FlNAl)- CALL CITY HALL
447-4130
I
I
I
I
i
Replacemenl .
New Constroctlon
'J.
I hsrebv apply 101 a machanloal Bystsme permit and I aollnowlsdgs Ihallhe
Information above Is complels and accurafe; Ihallhe work will be In oonformence
wllh Ihe ordlnences and codes of lhe oity end wllh Il1e slale bulldlnglmechsf\1ca.1
codes; Ihat thla fOlm does nol become a permit unlllslgned bV Ihe BUILDING
OFFICIAL; Ihallhs wOlk will be in eccordence with Ihe apploved plan In the
case of all wrrk which r8qullee rsvlew and approval of plene,
\1 !l!IJ~ tfz:!.~
~ z-/~/()o
Dele
euflnij OI1lcaI'. Signature
E
Q.
\D
OJ AIIe/alklns
OJ '
Repalr
(S)
ISl Est. Cosl $
ISl .
OJ
ai HEATING PERMIT FEE'
OJ
i STATE SURCHARGE .
a:
"
TOTALPERMITFEES $
TYPE OF WORK
Est Comp. DaIs
Building PI1III hi .
.50
C. PAID WIT,"! .
i BUILDING PE.,..,/T
Receipt"
--- ',"'-'<-"~_..._....-,.,------
.........--
1,,_.
.-
Th~ C~nl~r of th~ L.k~ Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVE=n
, ,
" ,
i,
/ ..
'--
, I
1''/ / / I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l'. ,..! j y'
, .
( 1.._
j:.:~. .
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~ ~J-4-~~
Date:
Il-2-Cz -qq
Comments:
~nQ ~cJb.r~ w ~ 0~r~< ('~
~ / (" /TV\hf;TIi~ L9~ tAw-w-.~'i ~ ~JcJ
\,~LM=r- ~yY-- (~V1- '^-~ I sx /zl)) '-'L, '1
~&JJz9~d ~~lJ,/€- 1D~, V\)~ IAr
i II 1lp,( - ~ ~ ~~ "re/~~
"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-/335
Thf ('rnlrr of Ihr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDIti(iHRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6N~H/J#N 1/0/'165
/ / / /0.1 qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,356/
t3A Y KtVOlA."S 0 R-.
~
Accepted With Corrections
Accepted
Denied
(?J~k
Date:
If - 2;?,-9'7
Reviewed By:
Comments:
O(Qr.Jl cJ2Q ~~ ~O~
"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."
/
~~
Qc;'-/335
Tht'C....lt'r of Iht ukt'Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
j V E IvS.fl,J;V N /10/165
/ I / /0/ C;q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
350/ b/IV KNOLL.-S 0f2.,
Accepted
./
Accepted With Corrections
Denied
Reviewed By: J,hoL-rlCn f ..lDE:'.....^'^'
Date: /Ii,~/9q
I .
Comments: -r....F' MA.,."h.lO'..L a.6 "",rntt -r~ E "'nur~ F"flsI" l!otttJEn of ?Aq:CS:-,_ R
Mus.-r 'BE. Fa..lJ.!l.\-t WITI-I Tl-4.E. FINAL <:'RAOE
'\"lCiE lAJFnJt MAllON c')^-.J 1a..JF'"
Rt'\JFn!.f: $., ne:
<:~E.. ,4'fT):ttl.-lMe:.urS.: '..L.-h.JAI- f-.1lAAf:" I..t!U.t.PE.~"j"JD,J JAlFtlI1MAI.IFM.1 t. C:IMtJ,,Jr.. RAd
':3: UOSIOl...J CCrJl7ltO)L- MFA<unF<:;'
LJ. &'05.10,.,) C6/'J'f"It",- PLAN
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
DEC. 14.1999 3:03PM
GENZ RYRN 6513226147
NO. 152
P.4/5
_. . PILI
1"U.LGW' . ~.,.
8QI.D .. CIT"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO.
99-/335
NOTE:
Sewer and Water
contractors must
I:le registered
with the City.
APPLICANT: f ~...n2 -,? a");n PI h: -U::rr= PH.,e.NE: LoSI- 47:~y I J L/ l.{
7'"', - "., ~<S:i<i'" 1_
ADDRESS: 141U~ ~C>. \7~Qtf'- 'lfLL ~"-VV"I"\ DATE: IZ)/lfHq
SIGNATURE: \A.. h-t.-VCl- BLDG. PERM!:~ iI tJq-/.33S
SITE ADDRESS:~~_";' l(fblls" ~ PIOll 21"i-35'D-nn2-/
FILL IN THE BLANKS
I
1. Estimated length of water service ~~ feet.
I "
2. Size of water service inch(es).
3 . Location of any couplings from st;ructure feet.
..-.. 4. Type of sewer pipe. ABS pvc X Cast Iron
\ ) .LfD~
.:..- 5. Estimated length of linli! feet.
sewer
6. Clean out (if required), located at feet from
structure.
~~=-----===-----==~=------------===~==~---~-~~==-----==----===
This apPli~at' ~~s your permit when approved.
BY; ~ DA,TE: /2,~s;l9"l
------==== =======-----=====-----======-----:==~----~~---------==
FEES:
~
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
'*
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
'* Sewer and water permits issued for new construction must I:le
recorded on the buildin~ permit card at the time of issuance
to insure that no dupllcate sewer and water permits are
issued.
I..J
DATE PAID
RECEIPT iI
AMOUNT PAID. ,1\ '.
REC I D BY ./ 1'~\~~ \'~\"'~,\\\
\ e\l\\.O\'
, 4629 Dakola St. S.E, Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (6121 4474245
AN EQUAL OPl'ORTl.JNI'TY EMPlDVER
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..550f /.3o.~ KV\d {s Dr--,
NATURE OF WORK !\Jeu\ 'li~-
USE OF BUILDING ~ F J+
PERMIT NO. g~ - (~~ DATE ISSUED /(- 2<..-97
CONTRACTOR l.lp.k..o, I'-'-<>--~,^" ~CLb
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING '~OR I \ v "2AD\~~
, FOUNDATION (Prior to Backfill) rr;;J:i3f (Y .)<-/~l!/ If '- f)J .f/r/Db
PLACE NO CONCRETE UNTU?'ABOVE HA~ BEEN SIGNED
ROUGH - INS
(jfJ"1..,kln
W/~ fltJ::J, 5//::6
.hi:, of;q /uv
4--/
~) 3/1/111)
fv -J!):h 5'//>;(t78
I Pff. ,~I!i/J()
I .
~ 3/2.(" c
I
J
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS I.
I IV /)
I
I
I ~
I
OCCUpy UNTIL ABOVE
NOTICE
j
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
w-
V
II-Z7-0:
b)~ leO
W224v
0- v f Cit l~fA )"IJ
HA$I BEEN SIG'NED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850