HomeMy WebLinkAboutBuilding Permit 99-1346
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i, :\111 QLertifirau nt (JDrropanty f ~;A
'~ l~
':~ CITY OF PRIOR LAKE ~~I
jlepartment of Jhilbing lns-pection ~~i
%Final Permitted 0 Conditional e.O. Expire-
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 ordi1lDJlces afthe
City of Prior Lake regulating building construction or use. For the following:
Use ClassiticatiC'ft
SinO'le Familv
99-1346
PUD
Bldg. Permit No,
Occupancy Type
R3
VN
N/A
Zoning District
Type Construction
Fire Zone
Legal Description
L37, Bl. The Wilds Third Addn
Owner of Building
,li;.1te Address
1.5...18..1 tJn()~ 1ll1r'k 1'"r:;liL.NW,
ContraclOr'sName&AddressMittelstaedt Bros.. 2425 96th St.. Inver Grove Hts. .
Robert D. Hutchi~s
Jenni Tovar
rity Planner
Date:
LI-- /d.~C) I
Date:
h.
"'.:......:...0..."
.' ,~". . '. ,
'.~.....tii,~".l;~"<'~;':~~'_-C
liiIar.i
........
r PRIOR LAKE
.-ECTlON NOTICE
SCHEDULED
DATE TIME
~b<i)t) /</S
ADDRESS
/5/8/ f/V()OD DUCK-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
XPLUMBING F.INAL
)is MECH FINAL
-is" d~.
\. rr "'1".'-- , t:?6'2- ~~. 'D6:I>"'ir'
2.?oP~Tf~ _
S_ ~~ ~fAc.t Dt2t~
4.~~ ~{4&L. )
,:::;- r..A")V~ E>c~ ~A-~ nf-
~/_~ (I'J ~APAf"~
/ f
(0 /3// IOn
I. I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
);(" FINAL
/OSITE INSPECTION
COMMENTS:
T6tY\.P.
CONTR.
PERMIT NO.
co-
90 -/34-0
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY~ PROCEED
~RRECT ACTION ANdl PROCEED
o CORRECT wrjP1. 4AL " FOR REINSPECTION BEFORE COVERING
Inspector: k" ~ ~,--< Owner/Contr:
CALL 44~'98~ tOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
._..."---"-----~".~-,.,-~-"...._,._._.-
~ TIME
.' PRIOR LAKE H.'LJ
fCTION NOTICE SCHEDULED
ADDRESS Ifllt>l WIT/\. ~u.c.!.- Th_
OWNER CONTR.
PHONE NO. PERMIT NO. qq-~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ULATION ~R HOOKUP o FIREPLACE FINAL
AL LUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
~~Mi ~V\~
(. ~ilYd s.~ dUr,v~o7\
&vsruY\ ~iv--c.--f -l- ~~ Glu.-. Un .
) ~k.~L>v- ~JL -r--
\~. "'<:'i,l~~u
~< ,,+~~.r{~
~ p L.k,..~ I ~J<::-<" <:;....... &0
- U, th.l'J A Id:! C;:U "-I~C
.~*0 Cw:". WI)
- >IN- ~ (J1r.-
~7JV1./
o WORK TIS CTOR CEED
~RE T CTI N D ROCEED
~RE WOR. AL FOR REINSPECTION BEFORE COV RING
Inspector:
I-~
CALL \u7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ODE R~MENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
",
~'Iz.,'O(
/5/f:3/ WOOD fJ(J~ Tl?
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
! INSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.~?I r:::-
. I .Ie......-
DATE TIME
99./ /34-fo
o EXIGRAD/FILLiNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o.GASLiNE AIR TST
"
.;;'"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'E) - \)~ Owner/Contr:
CALL 447-9860 FOR T..!.: NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~
TIME
ADDRESS J51j1 WOOC.f\ULK 1R:
OWNER
CONTR. fJ1,-rr~LSrAF1'.r &n-'.
PHONE NO.
PERMIT NO.
'Ir~ 13'-1 (6
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
X EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Curb 130)(
6K
Gn.d/n<
()~
-
5i1-1
XWORK 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!
INSNOTJ
lATE TIME
!!. ~ I J:-CIl)
~ '1__
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \ ~ I P, I
~n
OWNER
CONTR.
PERMIT NO. qq - I 3' <"U.
\" I~rr' \L ~~ ~
ku.~nv - I Un .l-.IJ.Q ~~
~, l ~ 0
(~
-~--<<- + ~ ~
t..JL _
l) h..e..-. ~~
/
/'
o ~ATISFJ"TO Y, ED
~ORRECT AC~lbN 0 PRO ED
o CORRECT WORK CA R REINSPECTlON BEFORE COVERING
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ECH RI
o FRAMING WATER HOOKUP
o INSULATION ~ 9"'"SEWER HOOKUP
o FINAL /~ ;LUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENT;;: ~
2 &' ~ L.....J k-
40
(AI/~
{~ ill......
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Pv0
C"J!-.< cl... (uy
d \ 4 i {.....~
~
~tX
fa
Inspeclor: Owner/Contr:
.CALL 447-9SA\o Fer THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIR'kYt:NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
~1
'7::\ R'1cr'fi""l'f~;=; CITY OF PRIOR LAKE
, ;': ,~S". :'~ ~':/I;; BUILDING PERMIT,
'I TEMPORARY CERTIFICATE OF
i NOV I 7 1999 ZONING COMPLIANCE
, AND UTILITY CONNECTION PERMIT
i. White
2. Pink
3. Yellow
File
City
Applicant
q~/3L.j~
Permit No.
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ''I
B.EFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) Ii /7-7'/
2.SITU~..."OO /~/gl /iko-L :D.Ack-1'nU.P M..u PUD
3. I.EGAI. DESCRIPTION
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
v"
12. NO. OF STORIES
"37 BLOCK
& /AJlt J.s 3t;!
I
PID 75- 337 -t')~~
,
LOT
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No.)
14. FI.OOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
8;'M'DER (Name) (Address) . (Tel. No.)
j(I,it-dst4eJ.f 7Jro/~ _ Ph!;. 'flY, SlE ~r;/ ~f;r--l'77/
Ccrrufnu:Pttrv.. '1;.,"--" ~~ tt.-
7. TYPEOFWOAK Fireplace 0 Septic 0 Deck 0 Re oflngo Porch 0
New constructiO~ Alterations 0 Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement 0
Chimney 0 Misc.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
19. PROPERTY DIMENSIONS
Width Depth
110. CULVERT SIZE
Yes No
17. COMPLETION DATE
e. PROPERTY AREA OR ACRES
Sq. Ft.
I hereby certify that I 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 abov me tloned property 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
bull 'n I can tIli P 't f se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections.
X '?t.N3 /./. /l;.1/
- Lker'lse No. te
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS [j ENERGY DATA [j
PILING LOGS [j PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS [j
SURVEY (J
SETS
COPIES
:5PD
USE OF BUII.DING
I 'Ii .0<::<"') . 0"
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .................. ................. $
Amount Brought Forward .................. 'l:
Park Support Fee ........................... q:
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ................................... ~
., $
Pressure Reducer ...J.................... It
Meter Horn ... .... .... ........................ $
I ..
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... It.
City:
S U
I'l.~.",,",
J D<;'6 .^~
I. ~p."2 ."2."
'?I9~. 41.
"".<:;D
Plan Check Fee ............. ................ $
State Surcharge ............................. $
70 . 00
Penalty ....................................... $
100.00
II'JI) .OD
35" . 50
Thl B :~~:;I~I~~.;e:mitWhen:~~;:
By ~ Date /1-'2"-ll
Certificate of Occupancy
Plumbing Permit Fee ....................... $
~q
-:l 50. 06
I. 20D. on
. ..., 01'1 . eo
Mechanical Permit Fee ..................... $
Sewer & WaterPerrnit ...................... $
Water Tap ................................... It
Builder's Deposit ............................ $ I. &; t':JtJ. 00
Other ......................................... $
Total Due .............................. $ e. 2.7 5.71
Paid ~z. 7S .1/ Receipt o. 3(,,574-
Date 'v/6/ off By ~
ThiSt3:S to ~ the req~in the above application an. d accompanying documents is in accordance with the City Zoning 6~.rdl ance. and may proc s requested. This document when
sign y t ner temporary Certificate of ani compliance a'}l{1<ws construction to commence. Before occupancy, a C~rtilica~ of Occupancy must be issued.
.' . -n "':'1)";;- CI..nt1<5t ~J&.d\ 11\' <.dII1CudC,
/ / C~y Planner Date Sper;lal Condilions if any .
24 hour notice for all inspections 447-9850
Issued
.
...
____~~=;~~;~~;~,~~__~~~_a__~______
r
w
Job Address
Heating Contractor SJ4.8~ ilVI4C
Name atTester 'SJ"JIn ~iIf
Date J- 2tf:/1f1
Percent 0,
-2:t
0/ P/fI1
2.91) ·
~7..
Percent co
Stack Temp.
Percent CO,
.
11/22/99 MON 09:57 FAX 6128902753
STOCKER EXCAVATING
1i!I0~2
...u. . PllJ!
'feLLOW - ~IIT
GOLD - err.,
CITY OF PRIOR LAKE.
SEWER AND WATER PERMIT
NO. -1!l-134f;
NOTE:
sewer and Water
contractors must
be registered
with the City.
APPLICANT: DC Heehan1eal/Scocker Excava~:lng PHONE: 890-4241
AD OR,. , , "'~'1W" c ;:.JfJ ~~G<l.LDATE:_ 11/22/99
SIGNATURE:~.A BLDG. PERMIT # qq-/34b
SITE ADDRESS: 15181 Wood Duck Trail PtJD .PIOil 25-337- 037-0
FILL IN THE BLANKS
1. Estimated length of water serviCe
feet""
2. Size of water service
inch (es) .
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC y
Cast Iron
5. Estimated length of seYer line
feet.
6. Clean out (if required), located at
structure.
feet
from
-----------;jj;-- -=-=-- -----=-- ------------------------=---
::~: app:~:-a-~ -~J?~:-~:::-:e::~:-:he:-::::::::~----~ ---
BY . /y.. . DATE: /2-/9/91
---r=-.. .
- - ---- -------- ----- - --- ------ -
-~-===----;g; _.....______~__lI;lI!:=.=____;=__!l:e___=____.:a==____,.__________...._=_=__
FEES: S 35.00 Sewer and water line connection permit.
5 .50 Surcharge
5 35.50 TOTAL
*
Fee for either sewer or water individually is 520.00 plus
S .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building parmit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. .
RECEIPT #
REC'D BY
DATE PAID
AMOUNT PAID
16200 Eaglc CrcckAv. S.E., Prior Lake. Minnesota 553721 Ph. (612)441-.42301 FAX (612) 447-424,5
^" Equal Opponuni'y Employer
~1
99-/34-6
Thr (~""lu of thr Lab Country
White - Building
Canary - Engineering
Pink - Planning
IDJjLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HI TTEL-S/71oU I
11/17/qq
Bte.05:; .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5"1 B / tV ()O 0 ..f) () ~k.. /12... N W
Accepted
Accepted With Corrections
~
Denied 2 Il
Rev;ewed e/ P?~r/
Comments:
Date:
If - zc/-'i1
R~ a..\l atto.<:.~
(.., I <<
(? J 2.2. helL':,
HJ~
~, .r-~ +rvJ..QJ
\ ts +-
.......
"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,"
_~.__...___._"..'m._,_" ~_.--.M____~^'~'''~~__'_'_''_ _~~.___' _, .._-_._._.~,- ~-,-- ~_""__'" "------------
,
,
".? tf-~~x PRIG-\,\
,. f::: tT1
U
99-/3 L/6
Tht Crnler of lhe L.h Counlry
White - Building
Canary - Engineering
Pink . Planning
aUlLDING PERMIT APPLICATION DEPARTMENT CH.ECl'"1 I~T
NAME OF APPLICANT /'-1/ TTE..L ':::-77/E.. u-r- eK:O~.
APPLICATION RECEIVED. / / / /7 / qc;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/8/ rvoou -DUCK... TK:... NW
Accepted
./
Accepted With Corrections
Denied
Reviewed By: k/AL"rE/1 E....I1ES.....A'AJ
Date: JI.'?~ !qq
Comments: SEe l,JroRMAnoN OAJ rHE R<:uEJI.SE. SIDE_.
~EE. Arn:ic.HME',.lTS. ':. I. F;"'-IAL. aQAnf:' l...J~Pf[_en"'H.j JAiFoIlI'tAnnA\ 2 t!.aA^-I^-t""_ RAN
.3_ &0510o..l CO.IU-.nOL.. rt164~,~~
t./ fu,;","^, f'.A-UTttoC fl,q.,J
"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."
rf
_.. --,--,
'~~." PR/O",;
~ ,\ 7,
0< IS ~ ,~
,/>:/.-" /. C,' t:;: (~
-.." "'--
.'
Tht Ctnltrof lht LlktCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/i/I -l-j'{"l... --'::)'''//C. !-,//-- L'-:-/.~ C.::::.
, / - / - ~
/ /// / /' Ii "'>(~I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .r'/ C;
--/ c'J /i//C(j h(/(~K
Accepted ./
Denied ) A
Reviewed By: (<~ ;j~
+I~ l)f1iT Cunm)1
,
-""ij
i r:::...
I
/ViV
Accepted With Corrections
Comments:
Date: ld/ S-/1j
~ ldecdr-d In IV r s,d-t ';unfS
,
"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 S I J I ~ i ~ f f ~ ~ ' I f f~f I f I ~ '.~(j)
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8l!l iBd: ~~ . '"~~:R ~ &; fill
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~U/~~/~~ 4aU ~~;~~ ~^A O~~~4'4~4~
CITY OF PRIOR LAKE
@OOl
v
-'-. -_1./
CITY OF PRIOR LAKE
. PLUMBING PERMIT
APp/iCant:Y/J//,1/i' /?/A.?
Address: 'v.o/) />0//>/-14.4 ////.
Signature: /~ g,;., /7Y/?/7<;;}
Legal Description: Lot 37 Block I Sub WtW5 ~D
Site Address: J_')'/,R/ //1/;/;Y'/ ~///-f ..//)///4 PU~
Building Permit # q '1- /34-(#'2 PJD #~ .~37- OlJ7-1'l_
NOTE: This permit will not be processed without complete information.
l. Blue-
2. Cold
3. Ycllow
rill:
Ci'Y
^rrliwu
#
qQ-/340
UI.(.'t11Hflllloc'lahC'rtU.un
.Phon'"
'r
.l._..._
; ~ - 5 2000
,.
Quantily
T
/
/
C?
-J
/
I
1
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath TUb with or without shower
Dishwasher
Floor Drain
:5
)
Rough-ins
Water Heater
Waler Softner
Stand Pipe (washing machine)
Sewage Ejector I
Backflow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
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, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ .50
-/tf'o\tJ~?-\-l\\'\"
$ ~O\~G
GRAND TOTAL
This permit is granted upon the express condition thai said
contractor. shall comply' all rc.'ptcts wilh the ordinances
or the St.te Plumbin n I <,t~" thereof.
. ~O DATE
, ATTEST
Call for all' pections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612)447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE MC
16200 Eagle CreekAv. S.E. Permn No. QCj-/_::::S4b
Prior lake, MN 553.72
TYPE OF STRUCTURE
HEATING APPLICATION I PERMIT
Data /-fa-oo PID' .25-337- 037- ()
SilBAddress /c5IJ>/ I,~rfl.id --rJ/aJJ PU[)
~ - ,-
Lot 37 Block / Md~ion. WII...,.O.5 3120 ADON.
HLI tI1.f~m.,U /" d,as .
Owners Name
~
.L
\
'0
~
2r
Conn. Load
FluB Size
Fuel.
Supply Openings
Return Opening.
Input Output
Ed..
Clm.
TYPE OF WORK
Alterations
. Replacement
Repair
Esl. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
.50
TOTAL PERMIT FEES $
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air CORdlllonjng
Ven!. System
HEAllNG OR POWER PLANT
Sleam
Hot Water
Radiation
Special Devices
Otile r DO'tices
New Construction
10
RecBipl .
Single FamUy
Commercial
Two-FamYy
Induslrial
Pubtic
Fee Schedule
Industrial, Commercial & Multi.Family
flesidenlial, Healing &. AC
Residential, Healing Only
Residenlial, Gas Firef'lace
ResldenliaJ, Additions & Alteralions
Residenlial. AC Only
I. fink
1. (ifun
3. Yetlow
file
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MuIU.Famify
OIl1"r
1% 01 job cosl ($39.50 minimum'
$99.50
$&4.50
$39.50
$39.50
$39,50
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Remember 10 add the Stale Surcharge on lhe bonom of this apf'licalion.
The price 01 your heating permit includes one rougl1.in and one final inspeclion.
Mditionallnspectlons w'" be billed at $35.00 each.
House Heating Tesl Re<:om must be submitled wilh buildinlll!llllllil numba. belare buil.
ing certilicate of occupancy will be iseued.
HEAT CAI.CULATIONS REOIIIRFQ wlh number 01 supply and return openings lisled I
room wilh CFM's per opening. New struclures or additions send tloor pl.n witb supply
and relum locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRiOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hOOfS are a a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CAlL CITY HALL
447-4230
i l1ereby apply lor a mechanleal syslems permrt and I acknowledge that the
inlormalion above is complele and .ccurala: Ihal tha work will be in conformanc
with Iha ordinances and codes 01 the city and with Ihe slata building/mechanic
codes; Ihallhls lorm dDes not become a permil unlil signed by the 8UILOINt
OFFICIAL: Ihal the work will be m accordance with the approved plan in thB
case 01 all work which requires review and approval at plans.
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HealingConlractor ALLIElJ FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FURVIEW, ROSEVILLE. MN 55113
Telephooe N _ 651- 63 3-2 5 61
FIREPLACE J
~l!I3 Make & Model ".,1 AJ~c.o
Model Siz~ Sr7i2.C. !/7fl"Or7E>
Est Comp. Date 1-/7-tJ)
),J.el1,l), BuldingPermit# C/9-/.34h
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PRIOR LAKE
.
INSPECTION RE.CORD
SITE ADDRESS ISIF)\ ID-,rd) (J,v\c Tr-
NATURE OF WORK t...lpc., C~.
USE OF BUILDING SFD
PERMIT NO. 'l1- Is'-\(" DATE ISSUED 11-2'-(-"1i
CONTRACTOR M.t\\..~.ltcJ i<::''-e!;=' r~_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I ("'\rTOR I /11) ~ ;E
, FOUNDATION (Prior to Backfill) I (() Ii;. ~/-(1 ruoedJ...,.dQJJ~"';/lk
PLACE NO CONCRETE UNTIL~B~VE HAS BEEtf/SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC (7V 1"z/17/'17
FRAMING l/ II V
INSULATION r.LV /).rh)
ELECTRICAL 1/
PLUMBING ClW ;j~/dO
HEATING (if required) . V;;.J/) /~/Iilb I \ 11 W-
FIREPLACE ( )7 ;/J ~J 10 I. l
GAS LINE AIR TEST t(dY~ I)-~~ I
COVER NO WORK UNTIL UOVE HAS BEEN SIGNED
I.~I .Ii I I
FINALS
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DEPARTMENT OF
BUILDING AND INSPECTION
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4.../D--O /
4-"-/iX --01
GRADING (Prior to Sodding)
BUILDING 7?.1J ff/t /0 ~ ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
1-12o/d>>
?/z~~"
BEEN SIGNED
This car~ 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 nc 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