HomeMy WebLinkAboutBuilding Permit 99-1336
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-:~: CITY OF PRIOR LAKE i,~;4:
I l_#
1Department of jiuilbing 3Jn~pection , U..~:
lld Final Permitted 0 Conditional CO, Expires ' ,';"
This Certificate issued pursuant to the requirements of Sec,ion 307 of the Uniform Building Code
certifying that at the time of issuance this s'ruclure was in compliance with the various ordinances of'he
City of Prior lAke regulating building cons'ruction or use, For the following:
Fire Zone
Bldg. Permit Nn
N/A
99-1336
R2SD
Use Classificatinn
Single Family
Occupancy Type
R3
Type Construction
VN
Zoning District
LcgalDescriptionWeRt 1/2 of Lot 2. Block 1, Glynwater First Addn
Owner of Building
'\ite Address
3503 Bay Knolls Drive
Contractor'sName&Address Wensmann Homes, 1895 Plaz:-l Dr., Eagan, MN 55122
Robert D. Hutchins
qty Planner
Jenni Tovar
.. , .-
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/8- - 11-/)1
ADDRESS
~~O~ '}S.o,) KII1()IIc.vr.
I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
% FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD'FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: Sf J
I~""'ue C ,0,
ClD.::::.e .\.,'}p
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: h. \ \~)) AN Owner/Contr:
I
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
"
SCHEDULED
DATE TIME
q.t.3'OlJ
Z:30
,
3503 8A1/ KN00S
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~~
\r' FINAL 1\1 1"\
to SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
.11. 0 SEWER HOOKUP
r~LUMBING FINAL
/'K~ECH FINAL
COMMENTS:
(i) F't-, C~ k
H1I A- r OJ<.-
.
{~_/~-'
U
qq -/3:S (0
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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c: - . '" / / )
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-
RY,PROCEED
ROCEED
R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL l7.9850 FORI 'HE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE RkQUlREM,i;TS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
~_.. INSNOTI
5~~-
DA,,!,REt1'1'1ft[::~ c. CITY OF PRIOR LAKE
i~.~:.. ...' ,,_~. ~~ Ii
; , BUILDING PERMIT,
NOV I 6 1009 ;1 TEMPORARY CERTIFICATE OF
\ I 'i; ZONING COMPLIANCE
~L---------_-AI{D UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS
.JrOj /J.. v k No/If
3. LEGAL DESCRIPTION 1
LOTl..Jr.s11.... J.O(.l BLOCK / PID ;;S"-1S'1J -()l>;).-I
ADDITION C IYNWATf'r / sr ei'd../.' T,rdv
140 OWNER (Name) (Address)
Is. ARCHITECT (Name) (Address)
6, BUILDER (Name) ~/(AddreSS)
Ol'/V.s m #/./VN /19 $" I ' # ziP-Dr
).Jomf'f Cp. '''IV J1J/V !J-S-J.).~
7. TYPE OF WORK Fireplace 0 ~ Septic 0 Deck 0
New Construction ~ Alterations 0 Addition (] Finish Attic 0
1. DATE
/I-/{, - 'I 'J
I..)r;lIf'
(Tel. No,)
(Tel. No.)
(Tel. No,)
, ,j-/- "10/'" 'It'dD
Re-rooffng [j Porch 0
Re-siding 0 Finish Basement 0
L White
2. Pink
3. Yellow
File
City
Applicant
/'1,11/Nrlt.-(;, <(q-/33!S'
Permit No. q9- / 33 b_
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO, OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
\
Chimney 0 Misc.
la. PROPERTY AREA OR ACRES /9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that J 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 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
buildinq,sfficial can revo~is peJ1Jit for j~ cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X/.J~~ rAf.-". I~~J" /)-./~.99
d" dSignature License No. Date-
17. COMPLETION DATE
"
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERM'T VALUAT'ON I '2l( I ("\CY'l .,., 0
USE OF BUILDING
5FI"r
TYPE OF CONSTllUCTION; I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
SOIL TESTS
o ENERGY DATA
o
PILING LOGS LI PERCOLATION TESTS CJ
PLANS & SPECS LI
SURVEY 0
SETS
COPIES
PLOT PLAN
o
I nc>~ ."'2.":;-
(p <::;'1 . "7 I
(,"2.. DO
Amount Brought Forward .................. $
Pan< Support Fee ........................... $ 9 ">0 .1':0
SAC ...........,.....,.......,............... $~' . r> So .00
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
.. $
I
Pressure Reducer .......................... $
Meter Horn ................................... $
Wale,Mele, ......l.~:..........,.....,...... $~ "\O.0e.
Sewer & Water Connection Fee ........... $ (. ?~. ~
f 1)_ "''''
Water Tower Fee ........................... $-.. LA" , .,'. ,_
Water Tap ................................... $
Builder's Deposit ............................ !I"
Other ......................................... ~
TotalOue ....,.......,.......,......... $_" / /9...cb
Receipl No, SI ~S99
By V? R.
S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty............................... ........ $
roo.()o
leo.oo
35".40
Gas Fireplace Permit ....................... $ 40, c.9O
Thi~i~~com~lour Building Permit When Approved.
BY(kItOJi,t~ Dale /(-?-"5-'tf
Certificate of Occupancy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Paid
Date
1'2-?3-'TI
70.00
o
~
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
s~~~Vt~::te:atemporart!lfi:at~~~~comPIi~~d.:OWsV!:~~"6[;;J~~~~~IV~~i~Ued.
City Planner Date ~ Special Conditions Wl.ny - ........
24 hour notice for all inspections 447-9850
."
Date
Job Address 3 5"" OJ r ~ /lL;t-
/?: YJ /. '
Heating Contractf'~~ ~",p1
Name atTester 7. (.
~ -5"'~
7
t::>
.
Percent O2
Percent CO
Percent C02
~
/1'1
Stack Temp,
Combustion air is adequately supplied per
UMC Sec. 606
Input
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"
JAN. 28. 2000 2:24PM
GENZ RYAN 6513226147
NO. 350
P.2/17
I." PlI.
:I. Gold Cty
3. y.o.w ,A:pp'liClllE
# QQ-/33ro
Phone: CA61- L/ ~ ~ - II Li L1
CITY OF PRIOR -LAKE
,PLUMBING PERMIT
ApPlicant:hro - t? ~ e1n.. +I:rr:.
Address: IL\.1\1.S ~4 ~~ '12...L--
Signature: Il ,~"~ 1')
. Legal Descrlptlon: Lot elock~ub
SlleAddress: 3ED-o 6A~ IUnDII So. '(')Jle.
Building Penni! # 'Y t!l :..-/~(o PID #
NOTE: This permit wJII not be processed without complete information.
rIA I \JRE UNrrS
nil c...tn' ., ."" L.b C..IlI"
JAN J I LJOO
Quantity
2
I
/
3
2-
\.,)'
r'
, .
Type of Fil(l1Jre
Quantity
Type of Flxlure
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector,
Back1low Assembly (RPZ. Double Check, PVB) j
Backflow Assembly Test '
Lawn Sprinkler
Other
$
$
$
$
.50
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatcry (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
2..1
I
\N\\~.'\\
$ ~f>..\O ~ ,,,\:;., wI .
D'
.,\,-011"
\:)'u
Thi. permit is gtantod upon the express condition tha. .aid
conltaClOr. shall compl r p. with the ordinallC:Cs
of the State Plumbin~ mnell~""''V' thereof.
. z.~&O DATE
" TT'EST
Call for all i cClions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 44742301 FAX (612) 447-4245
An Equal Oppcrwnity Employef
FEE SCHEDUL.E
Industrial, Commercial & Multi-Family
(1% 01 job ccst, 539.5D minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
Dale
Site Address
Lot
O'.......,.S Narn.
CITY OF PRIOR LAKE Me
16200 Eagle Creak Av. S.E. P8,mitNo. q9-/330
Prior Lake, MN 55372
Block
AddresS
Healing Coolraclo' ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. rAIRVIEW'. ROSEVILLE, KN 55113
Telephone' 651-633-2561
FIREPLACE
IlIIJnt!IIJ Make & Model '1J., d- /J 0; c..
HEATING APPUCATION I PERMIT
d..-:J-li-oo> PID. 25-350 - 002.-/
3stJ3 ~. 4(itAA,.~ ~2SD
, .
Addition GLVNWATE:Je
/,j/~'~A' .~~
Modo! Si~..
Conn. Load
FiI.1
(",
Supply Openings
Alll" rn Openings
lnpUl
Ed,.
elrn.
Ailer.tions ,
Repai,.
_S-!. ?,,"l>
Flue Sl~.
Oulput .:l3,~,o
lYPE OF SYSTEM
W3Irn Nr Plants
Gravity
M..chaffi:a1
Air Condilloning
Vent.Sf"em
HEATING OR POWER PLANT
51eam
Hot Waler
Radialion
Special Devices
Other Devices
Replacement
lYPE OF WORK
New Construction
~
Est. Cosl S / ,'{Y} ,"
Est. Comp. Date
Building Perm~ .
QCf-/330
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PER'~IT FEES $
J,D!i
.50
(. p,b.IO wrTH
\ BUILOING pe::;;Mli
Roc.ipl .
TYPE OF STRUCTURE
I. I\nl
1.~1lI
1.'Y'-
rn
..
"
....
'"
'<
Fole
OJy
COIItnc:tar
Single Family
/
"
,...,
.,
..
"
,...,
Q.
..
lWo-Family
Induslrlal
MulU-FamlIy
Commercial
Public Olher,
Fee Schedulll
n
o
.,
"
..
.,
Induslrial. Commercial & MuHi.Famly
Residen~al. Heating & AC
Residential. Heating Only
Residential. Gas Fireplace
Residential, Additions & Allerations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.SO
$64.SO
$39.SO
$39.SO
$39.50L~._.
FEB L 5 2000 ,
lJ
--_v
---...,....",-".--
I.-
Remember 10 add the Slale Surcharge on the bottom of this lll'plicalion.
0>
'"
The price 01 your heating permiIlncludes one rough-In and one rlllal inspecllon.
0>
r.>
r.>
'"
Hou... HeaUng Test Record muSI be submltt&d with IMI!fuJg 1lW!lil......""'. be""e build- ::l
Ing certillca1e 01 occuparcy wil be Issued. ...
Additional inspections will be billed al $35,00 each,
HEAT CALCULATIONS REQUIRFO wiIf1 numbe, 01 slJllflty end rlllum openinqs Isled pe
room wilh CFM's per openin9. New slnJclurea or edditions send tIoor plan with supply
end relum lacallons shown. HEAT LOSS ~.. ..... 'LATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372-
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAl)- CALL CITY HAll
44704230
"
..
0"
,
'"
...
a
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...
..
1 hereby apply for a mecllanlcal systems permil and I acknowledge lhal the g;
inlormation above is complele and accUlate; Ihallhe work win bll in con'o,mance ;g
with the ordinances and codes 01 the city and wllh Ihe slale building/mechanical"'
codes; lhat lhis lorm does not become a permit unm signed by Ihe BUILDING
OFFICIAL: Ihat Il1e work will be in accordance with !he approved plan In the
case 01 all work willen requires ,eview and approval 0' plans.
J!:/h,o'1L~ df;}4/()J
r ~ ~5iOo
Brng Officars SignalulB DIlle
"
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..
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-
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.
CJC;-/330
Thor ClI'nll'f ., t1u~ Lak., CO..llry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
NENSHANN HONES
/ I 11f; /qq
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3503 BAV Kfl/OL-LS DR.
Accepted
/
Accepted With Corrections
Denied
Reviewed By: iJltLTER F:lo4f2.E..stttI4I11AJ
Date:
. .
III" I'.
.
Comments: SEE 3..,,,..C>,....,. ~..A....,. "" q'l- /335 (~~i>O I BA... lCAJou..s lHUoE \ F(,I<
.....
1N.F'oA..""A"-~...\
rlO"""M.E~ ~ tlTTa~..., rM.,:'".J]S._
"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."
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White - Building
Canary - Engineering
Pink - Planning
The ('enler of Ihf L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
/' j"
/ ~ r:
I "
;iSf~
;'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~.~,...'
{.".'
i 1/
,j...
" L_ L. ---,)
l:., fe'
Accepted
1/
Accepted With Corrections
Denied
Reviewed By:
~~AAAf't-
~
Date:
lt~c,AC,
Comments:
A1v~r& <;ul;;{C-L\\\'o ~ Cr91Al'~&-v1( '*
~ (~.-O~~Q ()~ t~ ~l '
~((~~J \tt;r ,0,;,./ (~V\~ L{l~.
"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."
~1
Q9'- /330
Thr (',nln of lh, L.kt' Count"..
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WE.NSHA!\/;V H0l'165
/I//f,/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3503
BAV j:::N'{)t-U5 Df2.
Accepted
Accepted With Corrections r;,<
Denied ~ () /L ~
Reviewed By:(r ~ ll:k-y
Comments:
Sea- ~~ 4t:- '11 - l'3"SS ~~
Date:
1/-2'3-7'(
pro...-s S~S.
.
Su fV"'-y --v::.c...
"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 \0 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 RYAN 6513226147
NO. 152
P.5/5
APR~
d~l/~s\
_.ou
1'ELUiw . U'PUCAIIT
810&..1I. ClTt'
1-
2.
3,
...-.. 4.
I I
l
-' 5.
6,
i I
'-
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO, QQ-/33(P
NOTE: Sewer and water
contractors must
be registered
with the city.
APPLICANT: HJOk.fll.j' rlfllt-:f: ~
ADDRESS: ,\.11,.<"" c........ ~\~-rll?j'. (L-=srr-..,.....
SIGNATURE: \f\ kc:? \ ~f\.Q.,.-.
SITE ADDRESS: ~~' p..,~ JlvIOlb DY2...
FILL IN THE BLANKS
r
Estimated length of water service 40
PHONE: w~/-1../7~-/fL.J.lj.
DATE: IzllU ~q
,
BLDG, PERMIT II q'1-/335
PID#_~..:r,-3,9) _ 002..-1
feet,
Size of water service
inch (es) .
Location of any couplings frOm structure
feet,
Type of sewer pipe, ABS PVC )(
"0'
Estimated length of sewer lin~ ~
Cast Iron
feet,
..
Clean out (if required), located at
structure,
feet
from
--......=====D=:___;;;;;:::l:===-==---z=;===~===~~___~,__==;=-:===__~___.
~-'=;~===~====
This
BY
=~=====~::=- ---==:==---'---.-_===;;:r::!:==a -w___=========;;;;:x====.;;:;;;===____====
FEES:
$
S
$
Sewer and water line connection permit.
SurCharge
TOTAL
35.00
.50
35,50
* 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 permi~~_,~~e
issued, , ,,\O'l'l~~0'
DATE PAID AMOU?i"'l' PAID _ ~~~Q\~G
RECEIPT #
REC'O 13Y
, 4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph, (612) 4474230 I FaJC (612) 4474245
AN EQUAL OPPORTUNrlY EMI'I.OYEit
I
CITY OF PRIOR LAKE' i ~
, 18200 Eagle Creek Av. S.E. PermUNo. 99 -/33(P
Prior Lake. UN 55372
Dale
Sb Add,_
LeI _ Block Addlllon
~ne"'Nome IA)l.Y1~(1 ~6-..
I~q " pf12Q. De. <;ff-p 21m
Heating Conltac1or ("ry .J/1 Z. - ~
ILl 1U-&=J )a,-, (l-r.#Ii?J '/If/ L P"Vr/VfllJ.'('ff
Telep/1onet lilt::: I . L17 ~ -I I d4
I -
Furnlll8 Make & Model ( 1.J.t\ V"\r)'{
I
Modal Size (;2f ~~-IS-
cOnn. Load
Fuel~(k\ r~~~lueSlze
Supply Openings I S
.,
Addr_
Address ,
Re1ulft Openings
Inpul tc:;1fIfD
, ,
Edr.
TYPE OF SYSTEM
Warm All PIan18 f..
GItlYIIy ,
Mechanical
Alr Condlllonlng It Z- '( '1- IDrJ
Vent. Sy51em
HEATING OR POWER PLANT
Steam
HoI Waler
Rad1aIIan
Special Devlces
Output ,O,or5D
elm.
OIher Devlcos (.~ "1D _
p!Yl.olCUJl
TYPE OF WORK
Allere1bna
Rep~nt.
New Construction Je
EsI. Comp. Dale
Bundlng Pennll'
Repair
Est. Cosl .
. HEATING PERMIT FEE .
STATE SURCHARGE $
TOTALPERMITFEES .
.50
~
r PAID WiTH
I15UILDING PE. .. .iT
R8Clllpl'
:rYPE OF ~TAUCTURE
I.Pi"'JI\Ie
1. (;,0' a"
], YeI... c.ncow
SlIl9ie Family
Commerclal
v
'-
lWo.Famly
Indusltial
Multl.FamlIy
PltlIlc 0Ih1l
'-<
D
:z
N
m
N
ISI
ISI
ISI
Fee Sdledule
Induslffal, Commen:lal & MIi1I-FIIllIUy
Rll8ldanAal, Headng & 11;
Rll8ldenllal, Heating Only,
Resldenllal, Bas AreplIllIl
Resldenti.I, Adrll1lon,. & AlemUons
Residential, AC Only
1% 0' lob cost ($39.60 mlnlmuml
$99.50
$64.50
$39.50
$39.50
$39.50
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.!AN 3 \ 2.000
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RlI/\18l1\Iler 10 add lhe Slele Surcharge on Ihe boftom 0' !hIS eppllcallan.
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The,price 01 your healing pelmillnck,l(lea Olle lGUgh.ln and one lInaU "': """1. '
AdljiUoll8llnspscllons wll be billed el '35.00 each.
House Healing Tes' Record musl be submllled with ....,''<11... ItIlDIliI number bel0f8 bulld.
'lIg certifica'e 0' occupancy wlI be ISlued.
IiEAr ro.. ro, I' .....nw~ ~F(\' IIPO='1 WIlh number 01 supply and Allum openlngs bled per
room with CFM's psr opening. New slruclulll8 or sddllions send Ooor plan with Sllpllly
and return IocaUons shown. HEAT LOSS ,.., ,.. 'LATIONS, PAYMENT AND
APPLlCM1DNS MAY BE MAILEO TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55312.
Cily Hall bualness houre are 8 a,m.' 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH"N AND F1NALI- CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and J acknowladge thallhe
In/OImsllon above Is complete and accurate; Ihallhe work wlfl be In con/onnance
with tho ordinances snd codes o/lho clly and wllh the alelo building/mechanIcal
codes; Ihal this lorm dooa nal become a permit un111 elgned by Ihe BUILDING
OFFICIAL; Ihat 'ho work will be In accordence with the approved plan In the
case 01 all work hlch requires review and approval 01 plans.
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BUHdnf01licars Signeluta
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J,C; () 3, ~"\ ~ {is 'Dr-
NATURE OF WORK ,up,^,> (J~.
USE OF BUILDING SFA
PERMIT NO. q<=,- 1331,. DATE ISSUED /(- G ~ -97'
CONTRACTOR t.J.PA-LLA. _~ f-i-...- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I /1 /dz,'f /~ f I
, FOUNDATION (Prior to Backfill) '::~ I ~~ /J/Jb/~'" I
PLACE NO CONCRETE UNTk.JIABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I
FRAMING _
INSULATION (/}) .9'. ?:.OV
ELECTRICAL V
PLUMBING YfJh/t/(/l)
HEATING (if required) I /)
FIREPLACE I ,~ /J./ Y -I. ~ J I
GAS LINE AIR TEST IL.1P/->/uv I
COVER NO WORK UNTI~BOVE HAS BEEN SIGNED
I~ I I
FINALS
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO N'()T OCCUPY UNTIL ABOVE
NOTICE
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q.13-0r
~ q . t 3 .f) (
a .l3.~(
HAS BEEN SIGNED
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