HomeMy WebLinkAboutBuilding Permit #99-1385
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QI:trtfffcatt at 'ccupanry
CII r OF PRIOR LAKE
Department of .utIbing 3Jn~pettion
){ Final Permitted 0 Conditional C.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 ordinances of the
City of Prior LaJce regulating building construction or use. For the following:
Use Classifica'io. S 11\1,\ Ie FtI...... I ~ y 'DwH II Nej Bldg. Permi.No '19 -I 5 & 5
~ ~
Occupancy Type (2 - 3 Type Conslnlctioo 1/ rJ Fire Zone IV ) A Zooing District ((.. - I
LegalDescriptioo L 5 , 53 I(Nae HILL S'E1!.aNI'> Ad& ;f,'",..)
Owner of Building ~ite Address J '-I 5 (" s R.~ 8 /Iv KCJAQ N, t;,
Cootractor'sName&Add._' f<nrl'- QI2Ui4 tio.... "'0;; , 316,/ K~r7fU'l S'i; f'1Z;Q~ LfV...f:
RobQrLt- n, i-Ill'tchir-J'S fflLcityPlanncr 'JeNt-Ji lovAte.. 553'12
9!JiJL~ffiCiaJ Date:
I I
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/l./3 C:, !
1?0 L.....
fZJ
OWNER
CONTR.
PERMIT NO. ~- /3SS-
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A ~ .)IECH RI
^;ll1' ;PATER HOOKUP
,... J'1IOlEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
54' k/!...eQ~~
1~'6~
a)~
40 If V c
Cpr-
. 'A
tv.~
I
~ 5' IA">'L
6l--L.
, J ,1 _I
~ J/Yu.Jr;. I
~-:K ..pM4'A~ ~
/'
/'
DATE TIME
I~ 11.'4
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
AJb
.
&r-~_
..iPt' ~~CrA
ECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 '-9850 FOR J.HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE
CITY OF PRIOR LAKE / J /11 / rrz.
INSPECTION NOTICE SCHEDULED ~
ADDRESS / 4~ {..., S- 12n 'h', (\ ~ rA
TIME
1:30
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1\ jt(PLUMBING RI
f't 0 MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)f'PLUMBING FINAL
o MECH FINAL
~6-
o CXJGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
. J Pr 0 FIREPLACE FINAL Cp
1~':ry'"CA'~l
() I - (!, ([l~ , /J
k.J ~ ~M+1J/\ /0 \0Y' "---- - V ~\
"lJ ~k- u ~ .It., tvv;.. .luf'-:I~~ - \
e~~~^l~. ~0J
.~~ wr~~-::r ~~ /
i iJ.A"Oh.l'- ~ lr;f:L r1V) - An
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...liJ{JJ^ (~M-7-m tu~ I
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- u ~l...---'" t.f-r
V '
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
S... ,ar/Contr:
CA L 447-~ 160 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COJV: REQ9IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTl
0-_'.'.--'--,''''''-.- ..---.--__~.__,.~_,.______.,._.___....._'w,~,__._ __.._ ___~__..__.___.___._._._._.___.
DATE TIME
CITY OF PRIOR LAKE Lj-15-tJb ':00
INSPECTION NOTICE SCHEDULED
ADDRESS /~/5fn 5 ~ol31 ,J ,(d,
OWNER CONTR.
PHONE NO. PERMIT NO, 99- /3S'5
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
1iC FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
/0. SITE INSPECTION ,)CMECH FINAL 0
COMMENTS;O ~ ~ L~..R fJ/.j~.Jf ..u/o--/r,J~/
/i;1.!) -:J~..ch/~ _ .o~':'~ ~V~
- / rh~, () U p
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wCt~ &" rrI I~ .~ff~'&'u
~ 1.}".ntlA ueJ ~ . ~ O~ - ~ ~
Jo ~ w-, ~, ~ 0
~C!t) !1A.1 .P~ t; j... '~,,o, ~- IJ ~(d-t7
PA/lTiJ Fllf., I3/DcJ:eJ, -~ ~ ~ -fI1<v--A 7i#-'-~
t'...J!Lcf, ~ -o-1c.- 1d;/-&, fStJ?"t2.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
" CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ I.f L
Inspector: ~ Owner/contr:cd7~
CALL 447-9850 FOR THE NEXT INSPECTION ::~~N ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
, .
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
1<I'3ts
SCHEDULED ~ A. ~
~ 6/tJ RI). N. €:;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-/3<?5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
'\t'FINAL(l!:5/
b SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
~~T/l..Q.p_....
~ e -+--~ {Af2
0'-'
-M.hA"---"L
-
~
(. ~A-IM~
~
- - -
.~.~z.c ~~
~f:'~ ~)
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-
-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
.;
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
.____.____.____ '_~""'_ ____..,.___'.._..n___._.......__~__.__.____.___+,_...._M._.__...._.. _._.______
&~~
.D.4,-c ~1=r:EI.Yf.D.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
_..M.,D UTILITY CONNECTION PERMIT
NOV30~
.....-----___<1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED'IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. White
2. Pink
3. Yellow
File
City
Applicant
1. DATE
Permit No.~1 ~3E ~~
i/-3tJ-<J"f
2, SITE.ADDRESS '
36>5'
JI/;;;; Kt,"H\/ J?J..u>.
3. LEGAL DESCRIPTION
.5"
PeN:J~ ~ llHAJ ~..{''3?''2.
121
BLOCK 3
2"'1:>
PID 2'7 -_:::>~"'fJ - oB-V
LOT
ADDITION K,v"8 J.J".,-
4. OWNER (Name)
.J1itL'S ; UAlI.I j)U~FFJUlr
5. ARCHITECT (Name)
(Address)
ze'1.J Hom€F''''' ,,~.
(Address)
S$1) yy (Tel. No.) "
I.4uVJL'~.,.., .'Z."~f-Slnl
("'er. No.) ,
I
6, BUILDER
(Name)
(Address)
(Tel. No.)
~ G!/,-6/C. lI#,.,c:s
7. TYPE OF WORK
New Construction ~
Chimney [j Misc.
8. PROPERTY AREA OR ACRES
:BP'I k.UTZH. !iT ~w, PIlJIUI..lA-u:.JHN.H37Z- ~n-Y"1-O'l5r
Fireplace [j Septic 0 Deck [j Ae-roofing 0 Porch CJ
Alterations LJ Addition 0 Finish Attic 0 Re-siding 0 Finish Basement CI
BUILDING "'FORMA nON
11. SIZE OF ST rl;';C7URE
(Helgh'._ (W;dth),S",,' (Depth) '19'
12. NO. OF STORIES
"2-
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
1"]..7,..'1,900
'. 17. COMPLETION DATE
19. PROPERTY DIMENSIONS /10, CULVERT SIZE
, ..
W;dthS""J,8<1 Dep'h/72.31 Ves No 3-30-00
. n 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
d th construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Z.01 1o..3o'z.. II-3D -'1q
r
License No.
Do'e
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
--;rrJ
PERMIT VALUATION
I :)';;l .1"lN'I . 1')7r
.
TYPE OF CONSTRUCTION: I II III IV Ii>
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... It.
MATERIAL FILED WITH APPLICATION
SOIL TESTS I) ENERGV DATA I)
PILING LOGS I) PERCOLATION TESTS I)
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
I)
9cr'7.?5'
l~ <{5 . '2J
t,. . h6_
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................,.......,....... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,q~o .ClI~
1 O~.oe
S U
C;ty:
Plan Check Fee ............................. $
State Surcharge .................".......... $
Penalty ..,..................................., $
Plumb;ngPermnFee .'l.,1..::J..?f(;!.,. 1 OC.OCl
, t7cJ - / 'B ", 1
Mechanical Permit Fee /,1.........;),.:::-:.. $_ 00 . o~ _
. C/CJ / -J f){..,- '6S SD
Sewer & Water Permit ....!......-............ $ .
00-1 J{";- 40 00
ce Permit .l..t... .;;:...:...... $ .
$
4 f>. Ot:l
Pressure Reducer .......................... $
Meter Horn ....... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
BuUde,s Deposn ..........................., $ 't 5'1')0. 0<,
Other ......................................... $
Total Due ,...,.....,....,.....,........ $~45/. 9~
Paid 74S(.9h ReceiPt~..e3'~5e>~
Date ""1 By AVA..--
in the above application and accompanying documents is in accordance with the City Zoning Ordin nee and may proceed~u~. This document when
porary Ce1~7/f clT2t 1Pliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
Dale Special Conditions if any
Thi
By
ecomes VL..emrding Permit w~ Approved. q
::7'l)_n Date I - (. -'1' I
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
1'2~.o()
I '2 t'Jf"J .01'1
LOn.07'\
..
,.
~~ - l~ 'is-:-
IJ/~(/;~ r?nj,~
"Hee';ng Con"acto' METRO AIR
-Testers/Signature '1:.:, I
---.---.-<-.......-
"
.Permit'
*Job Address
Q!!!
Dm!
-Gas line
Pressurized
Inspected
PERFORMANCE TEST
. Percent C02 C.i'""~ .per~nl CO
.Percent02 ---1f,;; ~ .StackTemp.
Finallns~tion ."
Pounds
~
0%
MtJ.o
Date
'<
~'
~
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, Mfl 55372
QC;-1365
HEATING APPLICATION I PERMIT
3/, /00 PIO. 2.5-33Q- 0/3-0
. ll.ffl,,\'/-Xhh.l:..r'j;)Mfl IZ-/
. .
5 Block ~ Addbion ;r::.NO/3 HIt-<.- Z NO
(ZlNk ..~.
DaHl
Sh Address
Lot
awner's Name /My it'
Address
Heati09Conlfaclor ALlIED FIRESIDE db. FIRESIDE CORNER
Address VOO N. FAIRVIEW. ROSEVILLE. MN 5H13
Telel'ilorJe' 651-633-2561
FIREPLACE .
illDnolll Make & Model 1:J."'J U t. (~
Model Sizo !"m&l1'L.
Conn. load
Fuel
r:w./
Hue Size
SUpplt Ol'enings
Retuln Openings
Inpul
Edr.
Oulput .)'] ,-t):)
Clm.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mo>chanical
Air Collllilion 109
Vant System
HEATING OR POWER PLANT
Sleam
HoI Waler
RadiaUon
Special Devices
OIher Oaviees
Aleralions
Replacement .
TYPE OF WORK
New Construction
)C
Repair
Est Cosl $
E$I. Comp. Data
Bunding P..m~ .
11m oJ
HEA TU,G PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT fEES S.
3k
.50
/p~\O W\,.""
, aU\\.O\NG PERMI'\" ,
Raceipl .
TYPE OF STRUCTURE
1. Pi.,
t.C__
J. Yellow
II>
fik CD
011 ~
CD.....~ to
'<
Single FamIlY ,
"
.....
,
ID
lJl
.....
a.
ID
Two-Family
Industrial
Multi-Family
Pub4ic Other
Commercial
Fee Schedule
n
o
,
:J
ID
,
Industrial, Commercial & Mulli-Family
Residential, Healing & AC
Residential, Healing Only
Residenllal, Gas Firaplace
Residenfial, Addilions & Alte,alions
Residential. AC Only
1'l\ n/ '...... r.~9.50 minimJm)
"~'. r:.... --
~~~ i ~:::''f='. '1=' .. -... /7 --. ...
SS4}5O!,c.[,' , , 'I Gl :'
[.
$39,50 , . f 'lnnn
URSO L.UUU
S39..4Jl
Remember 10 add Ihe Slale Surcharge on lhe bottom 0/ lhis applicalion.
-.
Tha price oI)'OtIr heating pefm~ includes one rough-in and one final inspeclion,
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Additional inspections will be billed al $35.00 each. '"
lSl
Hoos. Heatlll9 1e$l Record mus! be submitkld with l!Iilll!imllltilllil ",,~...... baIoJ. build. ::
ing cerlilicate 01 occupancy witt be issued. !:
HEAT CALCULATION!; REOUIRFn wilh number 01 supply and return openings listed pt
room with CFM's per opening. New struclure. or addilions send Iloor plan with supply
Bnd relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCI\TIONS MI\V BE MAIlED ro THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, NN 55372.
Cll)- HaD busin&.. houl$ are 8 ..m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl)- CALL CITY HALL
;:
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~
o
o
lSl
o
N
I hereby apply lor a mechanical systems permit and I ackflOwledge Ihal the ~
inlormalion above is complete and accurala: thatlhe work will be in conformance ..
with th. ordinances and codes ollhe cUy and with the stale buildingfmechanlcal
codes; that this form does not become a permil unlil signad by lh. BUtlDING
OFFICIAL; thaI Ihe work will be in accordance wilh the epproved plarl In the
case of all work which requires review and approval 01 plans.
k
447-4230
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ID
.:U .!oil
. Dal
3/~ioo
Dale
-
N
\
Bing Omears SI!jI1alur.
Ii!JOO,I" _
',"'N:' '?'i~':'i(j'i ,'I/+:'~'II"
J
CITY OF PRIOR LAKE
16200 e.9kl Creek Av. S.E. PermilNo. 9t1-/385"
Prior Lake, MN 55372
TYPE OF STRUCTIJRE
HEATING APPLICATION I PERMFT
-;;1- '-em PI0..2.5-33'1-6/3-0
~)oj" Rl\ 1<.1
Dale
S~e Address \ ~ ,"" '\
lei 5' Bleck -3 Add~ion, .KtJO" H/L-v 2ND
OwnefsName. ~ 0 ~\L V",'l.\. \\ Il~J
Address .~ ~ ~'" \l...s.~t.,." \ ~ t-. ~,. ~O- \J1\(a
Heming Contractor .\~,~ ~\..... -1- \"\ \
Address _ \ \n ~ ~ C'\ \..{ L \ l O~ ~ ~ l Vr; V'" ~ '-I IlL
Telephone II . '-\ ~ 1- i \ ~ "\
FumBCll Make & Model '^... r. "'....
Model Slze h\ ~ - ~ ~ \\
Conn. Load. S"~ "l S l
Fuel ~" \ .Flue Sizt c::; 'f
Supply Openl/'Gs , J
Retum Openings _ 'l,
'b'l'J ~~
Input ~ Oulpull\. om
Edr.
CIm"
~\~a
Single FamIly X
, Two-family
. industrial
Commen:ial
Fee Schedule
Induslrial, Commen:ialll. Multi-Family
ResIdential, Heating II. AC
Raaidentilll. Healing Only
Residential. Gas Fireplace
Residential. Alldltions II. Alleraliona
Reslclenlial, AC Only
1.1'ioI<
1. 0.-
3. yt:Daw
-
Ol>'
00_
Mulll-Fomlly
Public Other
t% of job cost ($39.50 minlmum)
599.50
$64..50
S39.50
~_5O
S39.50
Remember to add Ihe Slala SUR:halge on the bottom or !his app6cation.
TYPE OF SYSTEM
Warm Air Pianls ,
Gravity
Mechanical "
Air Condijionillli X
VenL Syotem
HEAlING OR POWER PLANT
Steam
HClIWal<lr
Radialion
Spacial Dovices
"
r'l
tIl
N
N
<Sl
<Sl
<Sl
....
N
<Sl
-0
-u
3:
3:
r'l
--l
;u
o
D
H
;u
The price of your heating pennn Includes one rough-in and one final ir.~.~l~n.
Additionaf inspections wlll be blUed al $35.00 each.
HOllSe Heating Tesl Record mU$l be submilled wIIh ~,,!~r(\nro llID!lilllll!llllm before btl~d-
ing cer1ificol8 01 occupancy wil be Issued.
HFAT r'.AI r.111 ATlnN~ '1='" "'1=1'1 with number 01 supply and return openinSlS 6sl8d per
room willi CFM's.per opening. New s1ructuru or edcfllions end floor plan Mllt'supply
lUld reILIm locaIlons shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPUC!U10NS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEKAVE. S.E PAlOR LAKE, MN 55372-
City Hall I!usinass hcus 8/8 B am, - 4:30 p.rn.
All WORK MUST BE INSPECT11:D (ROUGH-IN AND FINAL) - CAll CITY HAU
447-4230
Olher Devices
Allarallons _
. Replacemenl
TYPE OF WORK
New Consltudion
'~'.
I I'lereby apply for a. mechanica.l systems permit and I acknowledge th.llhe
Infonaation abllV1l Is complele and accurale; Ihat t,he work wDl be in conlormance .
with the ordinances and codel ot Ihe clly .nd wllh the stale bulldlng/mechllllioa!
Repalr' EsL Comp. Dale codu; thallhls forlll doas not bacome a pe"",1I untIl signed by !he BUILDING
. '~ n II OFFICIAL; lhallhe work will be in .ccordance wllh !he approvad plan in !he
ESt. Cost r. 50 CJ~ '7 Bundlng Pem. , "\ v, - )385 case of .11 work wt>~h.. requires revllrW and apprCMII of plans.
HEATING PERMITFEEf. - . ~ .~ . d". ~~- !S):,;::' .
,', . - D PAID\'!, ' ':z~~' - DaI ....-.
- STA1ESUROHAFIGE f .50 BUILDING w . - - , . . -./ ~; 0-""..-
-.. I ........., I ... ';. .., .., 0 .
-..0:,', . .:. ~ ~ .'
~;,~~,PERM(T FEES ". R_Ipl,.. . 7lfing ornc:a,rs ~~11l ... ' . D~ ..
~_. ,"". '~~~?!:;:;;.- .... .:., .':)~C <:$f..~'" ; J)o~~z:.;~'~~;;." :.::'~ ~.~<j".\~:.;; :;.::":..: .' .,::..t"i~1~:{~~~;~.yJ;'~~"':":<l:i}f.\~:'(; :";:: ~ji,ii~~'if.wj~~.,.;~~ft~~" .
"'p."'X~'" '. .' . <(II.,. '~'"~'-1~...t~_~:r:.q'h1l:..J.~''''~'~'''''~''' .. .-.~ .:-)........-...u;~~....J!i,...'-, _ .~~~.....,.t.\;\""~~.=::. .r~!j.f..~:,~--...,.~14~
-.-.~ '" . "." ':-.....- -_." '''-,,~_... '''. ." ........ ",. .~_... .L.'~ .-.~~ - :'~":"""'l""',s.?.. ~~.. ...~"....d~........:-:;1._-;.:.~~._~... 'l'.. _ 7:::.
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GREEN. FILE
YELLOW . APPLICANT
GOLD. CITY'
,
,\
, '..~
CITY OF PRIOR LAKE NO. 9q-/385
SEWER AND WATER PERMIT
APPLICANT:. hAl/h.. (;RAO.E .:I/IJc
ADDRESS: jJl) .,pLJ X JD jO/'IO.e .I/l~ fiP,()
SIGNATURE:~/;~.t/;J/ f1i1/J.u{f~
SITE ADDRESS: }//~:j',{,.~ RDhAJ KtJ.If/J
FILL IN THE BLANKS
1. Estimated length of water service
2. Size of water service
/ 1/ .
J.nch(es).
3. Location of any couplings from structure
NOTE: Sewer and Water
contractors must
be registered
with the City.
PHONE:~J#- ~~/)r/5tf1 J
DATE: /-5f/ h':71 'Y7
I /
BLDG. PERMIT # 'l1-IY6'"
PID#_2S-33'7- ()/3-.I;
5~ feet.
~
feet.
PVC X Cast Iron
4. Type of sewer pipe. ABS
5. Estimated length of sewer line .1167
6. Clean out (if required), located at
structure.
This
BY
DATE:
=====================================================
I
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
feet.
feet
from
* Fee for either sewer or water individually is $~.50 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 permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID _"..,.1-1
, ~'O ~r,..,
REC' 0 BY /,'P~\':-"O' .
~ C\J\\....~
4629 Dakota St S.E.. Prior Lake. Minnesota 55372 I Ph, (612) 447-4230 I Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPWYER
Thf' Cf'nlu or Ih~ ....h COlin!!')'
Q9-/39S-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
ROCI<:::- C1e6Et::.. fIolV;6S
11/3n/qq
/ I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/43&5 /fOB/N BIJ.
Accepted
./
Accepted With Corrections
Denied
Reviewed By: LJ"'L-rBl. EHIlI':~""ANtV
Date: 1z.i8h9
, I
Comments: Sa LvFoflM.aT'''''''' 'lA' r...... ,?EJfJL<. S,C'E:
sEE: ATTI'VHMEooIro;: I. n...JAl- hflAOf' LAI'''''"","",^" ItJ.c/l....AT."'" 2. r.:(lAO,^,C" H AAl
~. E"1tDS\e~ ('.-o,.smo" (I.1.69.uu1.<=:'
t..J. Fl?o't..,,,,..., l'.ft~mOL PLA#\I
"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."
~~
q9- /___~95"
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnltr of lht L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PCC/C Cf2C C;::' Ifc/"/&S
/J!....3C/CJ0
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4: '::;0 ~~ /.. ' 0 f3 / 11/ I..~/),
Accepted
Accepted With Corrections
y
Denied () , /l
Reviewed B~i/!~5
Comments:
Date: 1'2-(. -<to,
I. Rea.&. ill A ft,,~ H~ ~
"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,"
.-"-" --- ',",---~---
'T'-~ -.--,
~-...-.'.........---...........- ----- .~------- "'~..-- -.,.------
~'----.~.'....
i~~
')9-/365'
White - Building
Canary - Engineering
Pink - Planning
.
The Cenler of the take Country
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
A./'( C/c_ C/2c.c~ JIolv;ES
/ 1/1,3(! CJLJ
APPLICATION RECEI\fl=n
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/43(c:;;; ^~CJ::.IN KJJ.
Accepted
/
Accepted With Corrections
Denied ~ A
Reviewed By: (J,tl{ ~ Date: ,;;;)-/'-1-9,
Comments: Me unIt (,.LlfJnff tJf/cnkeh Ie 5ldlt/ardS
. .
JD'~.~ - 11,~'lJi,t4< ~~
"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."
PRIOR LAKE
INSPECTION RECORD
,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I~ 3foS Rololl'\.. e.cx:u:t
NATURE OF WORK I\l~~ G..a.tshU<'-\.tlTY\.
USE OF BUILDING sn.>
PERMIT NO. '1 CJ -I ~?J~ DATE ISSUED I:;l..- ("-'l"l
CONTRACTOR ---Rcrk (\~,,~I<< f..--InIM,p"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~~~ D'tTE
I FOOTING I 9-}\) I 1'J!/fR/qq
I FOUNDATION (Prior to Backfill) I I M I la- 30.-1 ~
PLACE NO CONCRETE UNTIL ABOv..e HAS BEEN SIGNED
ROUGH - INS
YJ '<l30~ /M ~~
~-)' ~)~b ~ ~ hI 1("1\
~/q //JD (J / . I~
I 'f
.;, ,': - '. _ 4"
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING J:;;
HEATING (if required) ffJ
FIREPLACE
GAS LINE AIR TEST JS ~-F'> f/if ,lfll.ftlJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) 4~ 7.!d JI/D
BUILDING t'oJ-.-'H3-{)Q ~, -r,c..b. If-I'f-()' f?n-, f?1.
ELECTRICAL 4-11-00
PLUMBING t(-/3-0D ~
HEATING Jf-/~-tTD ~(
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
r~to (!n~'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850