HomeMy WebLinkAboutBuilding Permit 99-1338
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CITY OF PRIOR LAKE '. (~;
1Department of Jjuilbing 3JntSpedion {till
MFinal Permitted 0 Conditional e.O. Expire. V-A
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:
Single Family
Use dassificati,....
Rldg. Permit No,
99-1338
Occupancy Type
R3
Type Construction VN
N/A
R2SD
Fire Zone
Zoning District
ug&~ri~ioo East 1/2 of Lot 2, Block 1, Glynwater First Addn
Owner of Building
Wensmann Homes,
CUIlU.....U. '5 Name &: Addres.
.....Add 3507 Bay Knolls Drive
'I.... ress
1895 Plaza Dr., Eagan, MN 55122
Date:
Robert D. Hutchins rityPlanner Jenni Tovar
I) Building Official
~. VQAJJt 3. -OS. Ua.. Dale:
\ POST IN A CONSPICUOUS PLACE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
3 -l::)-C)~
ADDRESS
:3~07 ~~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
qq-I~3 S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
...
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r L" s So-
CD.
-hIe.
Ji!""WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK',1ALL FOR REINSPECTION BEFORE COVERING
Inspector: "'6. \l (u"y! Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3SD '1 ~) "-1 "'~,1. \~
OWNER <cbNTR.
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
A~EWER HOOKUP
PLUMBING FINAL
fr MECH FINAL
COMMENTS:
W~~
(~~
:-,1 r~A7f D. TIME
~ (:YJ
9C(-/335r
o EXlGRADtFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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Inspector: Owner/Contr:
CALL 44~ .9850 FOR nl:. NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~ ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
QATF RFr.F1VF12 CITY OF PRIOR LAKE
-'-. BUILDING PERMIT,
NOV I 6 ~ lIi! EMPORARY CERTIFICATE OF
\ I , . ZONING COMPLIANCE
uL-- . UTILITY CONNECTION PERMIT
I DIRECTIONS --~
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
1S"o 7 k /lnPr D rltJ (
...,(Address)
If 9S- rla.,- Or
C''''v,:uv m/V
Fireplace CI (I Septic 0 Deck 0
Alterations 0 Addition 0 Finish Attic 0
/34)"
3. LEGAL DESCRIPTION
LOTrd11;~Df )..f:;... BLOCK
ADDITION C /VN JJ4 rtr
14. OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
W(N.f' ",q/VN
jJ 0 ,.,.. ('.J'
7. TYPE OF WORK
New Constructjon~
1. DATE
/I-/f,- 7 '/
I
1fT
PID ,;J:)-j5V - 06;),-0
oA/,'rioJV
1. White
2. Pink
3. Yellow
File
City
Applicant
(Address)
(Tel. No.)
IWf/H FJL6 99-13Bli
Permit No. QQ-/3.39J
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.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. 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 off~1 can revoke thi~, 7't for j ':;Z.. :u:::,~:e, I hereby agree that the city official or a deSign,ee may enter upon the property to pertorm needed inspections.
X /.1 ~ ,./ J 7' r.f' JJ~J' - 9']
t?' - SIQ e -, LICense No. Date
Water Tap ................................... <t
Builder's Deposit ............................ $ "'- 0-
Other ......................................... $
Total Due .............................. $ .-5'704-.0 "3
Paid ReceipUi!o. 3~1
Date (2/2.3-9'1 By 1Id\
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
signed bv the Citv P nner constitutes a temporary Certificate of ZonillJ.9,Ompliance <;9. d allOW.s cons~: to commence. fore upancy, a certif~. te of Oc~~cy mxst!?B issued.
<: 'JJ . ,_ 11-L.-"1=-t1 ~ _0.-, ^~/' . ~ _~"TI8,A(
L~ anner - - Date - - -'= d - Specia ooditiOhs if any -
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
<FA
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 ...................... $
........... $
Amount Brought Forward .................. $
Park Support Fee ........................... It
SAC ......................................... ~
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
..
Pressure Reducer ...r.................... <t
Meter Horn ... .... ...i..y.t........... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $_1
.
WaterTowerFee ........................... $
(Address)
(Tel. No.)
(Tel. No.)
~ft- ~ut ,,/Y()(J
Re.roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
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City.
7w~'~
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/ 0I"l . 196
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ennit Wp<y> ApJl\ovJlll. C
Date //-/.S-<t(
, .
Issued
24 hour notice for all inspections 447.9850
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
LJ ENERGY DATA
o
PILING LOGS LJ PERCOLATION TESTS LI
PLANS & SPECS LJ
SURVEY 0
SETS
COPIES
PLOT PLAN
o
~ '5"0.00
10 ")0.00
70. c96
2. 'S'"o .0.
'2CJrJ . ~
100./Y)
JAN. 28, 2000 2:25PM
GENZ RYAN 6513226147
NO. 350
P,5/17
JAN 3 I 20W
CITY OF PRIOR .LAKE
. PLUMBING PERMIT
Applioant: r__ 02.- flJ,n.n ~b..... 137-..-
Address: IU'1Uc::-~rpC">""'IR" 'l2-L
Signature; --lA. In~.L.9- I
. Legal Description: Lot . C J I'llock
Site Address: .=Y.=rl-, fZA..,; Lno ( I So '"n.:::>
Building Permit i C/ <9 :.. / '1 '"? V PID 4#
. . -
NOTE: This permit WJII not be I'I'DC8Ssed without complete information.
I"'IA I "'RE UNITS
1..1ao l'l1o
.. Gold Cl...
3. YeU_ AppIiQl'l
# 9q ~/33a.
Phone- (":'~ 1- \.p2... - II vl/ _
"'-1':SL. . nd In -r c::::<::7\t4-
.
'.
n. c........ or UN LAb c._"
Sub
QuantIty Type of FIXture Quantity Type of Fixture
I Bath Tub w~h or without shower 3 Rough-ins
I Dishwasher f Water Heater
r Roor Drain t-J Water Softner
~ Lavatory (bathroom sink) I Stand Fipe (washing machine)
Laundry Tray (1 or 2 cOl11partment sink) Sewage Ejector.
I Shower Stall 8aclcl1ow Assembly (RPl, Double Check. PVB)
I Sinks 8ackflow Assembly Test
L. Bat Sink Lawn Sprinkler
2- Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1% of job cost, $39,50 minimum)
Residential, New One & Two Family
Residential, Addlllons & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
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$ ...,,\0 .. \..,;:.,.,'"
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This pcnnit is grantC!d upon the e.x.press condition that said.
cantrnCIDr, shall comply in all rcspoets wi,h the ordinance.5
of the State Plumbins d mendl1)On'$ th_of.
. R ~/oo DAm
A TTI!ST
ClIII for all i
nons 24 hoors in advnnc:c,
16200 Eagle Creek Av, S,E., Prior Lake. MinnesoJa 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal OPflonunity Employe.
Dal"
SRe Add..s.
Lot
Block
Owmu's Name
CITY OF PRIOR lAKE Me
16200 Eagle Creek Av. S.E, Permit No. qq - /3.38
Prior Lake, MN 55372 .
, Add~ion
Address
HeatingContraclor ALLIED FIRESIDE dba FIRJl.SIDE CORNER
Addre.. 2700 N. "AIRVIEW. ROSl!VIlLE. MN 55113
Telephone' 651-633-2561
FIREPLACE
lliIJrmllP Make & Model "lJu..r j.J f,~,
Model Size, SL 7S1)/Tl
HEATING APPLICATION I PERMIT
;;'h,ylm PID' Z5-35'O-()oz.--O
:~oQl.<) g~ ..r;:'..a... /)n~ !?-zSD
(/ .-
4/ VN'y,//lTEIZ
!J~~ .~
Conn. Load
Fue.
(~
Supply Openings
Aeluln (};lenings
Inplll
Edr.
Clrr..
Alleralio ns
Repai,.
Est. Cost $
Ruo Sill
Output ...)J.QXl
TYPE OF SYSTEM
Warm Air Plant.
Grav~y
t.Ae<:ha...ical
Air Cond~loning
Venl System
HEATING OR POWER PLANT
Sleam
Hot Wale'
Radialion
SpecialOovice.
Other Dovlces
Aoplacem"nl
TYPE OF WORK
New Construclion
)O)tJ
E.t Comp. Oato
II OJ. 0\
dtM/OJ
Building Perm~ .
flEATING PERMIT FEE $
STATE SURCHARGE $
TOTALPERMlTFEES $
,50
t" pP,\O W\'T\-\
Receipl # \ e\.l\\.OING ?ERMli
TYPE OF STRUCTUBE
I.Pi....
1. Hnx..
1. y......
rn
CD
:J
...
lD
'<
FIle
Q~
"-,,..
Single FamUy
"T1
.....
-,
CD
"
.....
a.
CD
n
o
-,
:J
CD
-,
Two-Family
Indusltial
MulU-Family
. P\AJic. O"'r.
Commercial
Fee Schedula
Induslrial, Commercial & M(jI~Family
Residential, Healing & AC
Residenlia~ Healing Only
Residenlia~ Gas Fireplace
Residenlla~ Addli""" & ANerations
Residential. AC Only
1% of job cost ($39.50 minlll1lll1)
$99.50
$64:50
$39.50
$39.50 , FEB 2 5 2000
$39.50 ' . iJ
-~ -~--'-'-"'_._--~<~--~-""-"__L.,;../
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Remember to add Ihe Slate Surcharge on the botlom oIlhis appli<:ation.
The price 01 your healing permil includes ona rough-in and ana final inspacliolJ.
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Ol
House Heating Tesl Aecon:t IruSt be subm~led with huilr1inn JWllIiI no...""" bef0l8 buld- g:
ing cerlitical8 01 occupancy wil be issued. ...
"<!dilionall,..:-nM'""1l! wil be billed 81 $35.00 each.
HFAT CAlCUlATIONS ""01 IIR~n will; n..-nber 01 sUJlllly and ,alum opanings IIsl..:! pe
room with CFM's per opening. New structures or additions ....d lloor plan wilh supply
and relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE r.... "~TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
"T1
CD
0-
,
N
...
o
o
City Hall busIness hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-lN AND FINAL) . CALL CITY HALL
447-4230
...
..
I hereby apply for a mechanical systems permit and I ecknowledge thallhll g;
information above is complele and accurale; thai the work will b8 in conlo,mence ;g
with Ih" ordInances and codes 01 the cily and with the slale buildinglmochanical-'
codes; Ihat \his 101m does no' become a permit until signed by the BUilDING
OFFICIAL: thalH.e work will be in accordance with the approved plan In tha
case ~II work ~hiCh requires review and approval of plans.
_fJ",_.G h J/.,.l.J;'/""
I Apptic . e '/ oa~
Z Z.~/OO
BllilOOrHiCarS Signature Dale
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l.ftoIo-,Hlo
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3. rcu..._-, CIIIIbdor
. CITY OF PRIOR LAKE
. 112GO EIIgIe CrNfc Av. s,e, PennKNo,
PrIor Lake, MN 55372
& SlIe Address
l()'
{T}'
o l.Dt _ Block _ Addhlon
z ! 3 J. ._~,
Owner's Name , J 'J ~ .v1 n v....J.l'iYT JL c:....
kQc;- PlazA"~.
Hlt8l1ng ConlractDr ~ In? _ - f lAll. ..Y\
Mdr_ IU1U&"" ~ ~bf~ -Ir2,
- -
Talephona' (~rl- Lf2.~ - I I uLJ
. ...... -.
FumllClt Malia & Mod&! I -' ,^ VI ~ A.
ModelSlze r-.7_':J,r-\ z.I ~-IS;
F1ap/acemen! New Construction
En Comp. Dale
BuDding PermA ,
"""'.PA1t?WITH. ,
J:n ,IiIUILDi"'-< ,... ,
.i.IV l
0..'
Datlt
Address
CoM, Load
t'-
~ Fultl Ak ('-;tJJ)
\J)
OJ
iiJ Supply Clpllnlngs
.... .
l()
\J) Relum OpenIngs
z
~ Input '1C.~
'" '
~Edr.
w
"'Cfm,
fIIIe Slza Ll" bll..(hj(
J~
6
Output ld),cijU
E:
a..
K] AKelltlion.
.. .
OJ
Repatl.
~EsI.CoS'
& .
~ HEATING PERMIT FEE $
OJ
i STATE SURCHARGE .,
IT .
....,
TOTAl PERMIT FEES "
TYPE OF WORK
TYPE OF STRUCTURE
Single Family
{l
MuKi-Femlly
PubrlC OIhet
lWo-Famly
IndusldaJ
.,
Commen: '11 '
Fea Schedule
Induslrtal, CllIMlarclsl & Multl.Famlly 1 % 81 lob cost ($39.50 minimum)
Residential, HeaUng & AC $99.50 ..
Resldentia~ Heetlng Only $64,50
Resldentia~ Gae F1t~ $39.50
Residential. AdtlRicns & Afteratlons $30.50
Residential, AC Only $39,50
fLf)!'f.ffY"Y'rJ I m-~ .
. "'Itemember to Ildd thlt Slale Surcha.ge on thlt bottom o/thl. "",,"cellon,
~,. 7r-n
JAN 3 I 2000
"
TYPE OF SYSTEM
WIllIII Air Plants "
G,avlly
Mechanfcal
1Jr Condllcn!ng IC. z... Th '"
Vent. System
HEATlNGOFl POWER PUNT
SINlD
Hol Water
AadlaUon
Sp8dal Devices _
The,p'lce of your healing pe,mltl- -, . '" ana tough-In and ontl ftnaJ In&flection.
AddlllonallNlplcllons will be bBI&d a' t3f;,oo each,
HOlISlt H8lIUng Tesl Recold musl be SLtlmltted wnh h.ildlno IIMIlIiI ""mhA' be!oIlt Ilulld-
log ceriilk:ale 01 occupancy wi. be Issued.
tl".T r.AI r.111 .TIO...1I ""I'I ""F" willi ....mber <If 6UPP/Y end relum openings Ilsled pltr
room wilh CFM's per cpening. New allUclutes or addittons Mnd /Ioor plsn wlh IUppIy
and relum localions shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAV BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. s'E, PRIOR LAKE, MN 65372.
City H811 business hours a,e 8 a.m, -.4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FiNAL) - CALL CITY HALL
447-.4230
OtherDevlcea (~j) rn
hr, mAP f) ~
.
X:'
1 herltby apply 101 a mechanlcalsyalltms permit and I acknoWledge lhalthe
InlormaUon abovlt Is complele and accurale; Ihallhe work will be In con'orme/l<le
wllh the ordinances end codea 01 the clly and with the alate bulldlng/mllCh.nleal
codes; Ihalthls 'o,m does nol become a petmll unlll algned by Ihe BUILDING
OFFICIAL; Ihallhe work will be in llC<lordance wllh Ih. approved plan In Ihe
eaBi i a:IQork which requlrlts review and ~pprollal 01 Plan;'!Z8faU
-( - ~~7()O
Dale
F1&Cefpl.'
Bulldin1oltlcal'S Slonatute
~i
qc;=- /33 B
Th. C~lrr of lbr Lllk" Co.nlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHfCKLI~
NAME OF APPLICANT
N/~/VS/I/I/lN/f/ /10/'/65
// //{;/C;q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3507
]3/-JV KNOLLS De.
,
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: iJAL-T"Jl::Q E""f\t;'.,~NIl't/lJ^}
Date:
. ,
lilt'!"
,
Comments: .5P'
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.
"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
Thr C~nlu of lh~ L,b Counlry
1'\' lllDII',lr, PI'=R~lT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED.
..
/' .I"
f l/'./. .1
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;
;
i;
. .
A' "
c
,/ t_
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~AA. ~_
Date:
[ (- J--<S ~~
Comments: _
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~ ~ ~., ^ ./\
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"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."
~~
q?-/33B
Th~ ('tnltr 0' cht L.kt' Counlr}
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPu.c.ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W&/lI.5/t-J /l /1/ IV Ho/16S
// //~ /qq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3507 EAY K/IIOL-LS De_
Accepted /<--
Denied () Il j
Reviewed By: ~ 'j) (j~ r
Comments:
"~ f6P.it C(9-
:l () I-I,}...'V' ti..c...-
o
Accepted With Corrections
Date:
I (-2<,~9?
(515" For (f1o--s
<3f2Q.c "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."
DEC. 14,1999 3:02PM
GENZ RYRN 6513226147
NO, 152
P.2/5
_.OLE
'nI.I.IN . ~
tIOI.D . CI1''f
CITY OF PRIOR LAKE NO. qq-/336
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT:
bO'1Z-- ~ .
ADDRESS: \'-I:'IL\: c;...., (I J">'ofJUr-r-.o"":
fJ--
fLc",VV"<'r
PHONE: ~\-WL.~-l\ 4U
~DATE: \7j\,-\-~q
BLDG. PERMIT iI 9<; -/33';/
SIGNATURE:
Pny 11_",.,....,1.. \v PID# .?/5<sSO-OOz.-O.
~
SITE ADDRESS:
FILL IN THE BLANKS
1- Estimated length of water service 4rJ feet.
2. Size of water service /" inch(es).
3. Location of any couplings from st;ructure feet.
.-, 4. Type of sewer pipe. ABS pvc ""- Cast Iron
" . )
_.~. 5. Estimated len$l"th of line L/D' feet.
sewer
6. Clean out (if required) , located at feet from
structure.
:::::~=:=::=.______.;;::====_______~_____====~=:O;S;:;-===___~=!!!I!;l!!!Z========
This apPlicatio/~Jlta,S1 your pe~it wnen approved.
B~ . ~~ D~TE: /?/lS/9Q
" . j / f
====~==--===~----=====-----------------=====-----=========--------~
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 be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued.
.'
'",- ..~'
DATE PAID
RECEIPT "#
AMOUNT PAID, ',r- ''''i"fr\ 'I:!
/ t'1"'- P'\::.\-"\i'.1
REC I D BY -\'1' \lLO\NG
, 4629 Dakota SI. SE. Plior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fal< (612) 11474245
AI'! EQUAL OPi'OIlT1JNITY EMPLOYER
PRIOR LAKE
,
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 35(), ~\J UI'1() I [$ [Y--.
NATURE OF WORK "\p" \ l r>l\W '
USE OF BUILDING ~ FA-
PERMIT NO, '11- I '338 DATE ISSUED // - ~ < - 97-
CONTRACTOR ~J.e.,,,..J\~ ,_ ~ ~ ^-
- ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, FOOTING I KJ;/~/vr/tf1 I
, FOUNDATION (Prior to Backfill) lI;j ( cpo/? ') I
PLACE NO CONCRETE UNTt{ ABOVE HAS BEEN SIGNED
ROUGH - INS
GRADING (Prior to Sodding)
BUILDING ~~ -n; ~ /w
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
SEWER I WATER I SEPTIC
FRAMING ~~ '5 ~U~7
INSULATION I V ,3lNJfiJ
ELECTRICAL I \ I '
PLUMBING litf) 3,4-/<11.) 1\ I
HEATING (if required) .1 lf~ ~ I '3 bf'1jV'
FIREPLACE I ~ V I '3 /vi~,w'"
GAS LINE AIR TEST rfIJ) 3j?/(fi) I;
COVER NO WORK UNTIlVABOVE HAS BEEN SIGNED
I I
FINALS I
I tv rs, \
. ~,\J~
~1 . '7 1(,)7
~~ .; I~~
HAS \)3EEN SIGNED
J
~ wr~li~ I. ._
II ~ J. 7 ,,0 I
3~5"-O~
I
I
UNTIL ABOVE
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 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