HomeMy WebLinkAboutBuilding Permit 99-1394
~
I
........,
(lLertifirau of OOrmpaury
CITY OF PRIOR LAKE
J:lepartment of Jiuilbing 3J n5'pection
)&Final Permitted o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time a/issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
Use Classification SINGLE FAMILY Bldg. Permit No. 99-1394
Occupancy Type R3 Type Construction VB Fire Zone HI A Zoning District RISD
-
Legal [)escnption L2, Rl, NORTBWOOD OAKS FIRST ADDITION
-
Owner of Building Site Address ---.J RIVE
Contractor's Name & AddressMANLEY BROS., 10778 ALISON WAY, ..MN
ROBERT City Planner
- -
Date: 7- -0 Date: 2
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 7-~l-01-
ADDRESS 30 t( !
K ~ II ~('..Ly- c.J--
PHONE NO.
CONTR.
PERMIT NO. 1'7 - I '3 - '1 L(
OWNER
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 EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORREC C ION AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY SlF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'fllt>/ol
ADDRESS ~i j<'Nao...",a.ICli.E... DR.
OWNER
CONTR. iYJr<t.....r.,.. &"'rnQ ~
PHONE NO.
PERMIT NO.
<J'1-/3N
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
)!,.. EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~)
-L:---
)If WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: u..)aJ "-. --5S;.
t""\'.'np-r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IlVSNOTl
CATE
'7/37/DD
\~ Ml \ r-i dt\ ~
CONTR.
qq- J?)q4
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3CJ y--,
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOATION
o FRAMING
~SULATION
FINAL \3,LD
o ITE INSPECTI&?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME t?
S:OO
o EXlGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I. F:~\ <Drr..cI... J:",~\'0V"0 l5o:>\o~,"- sj
"2.. <s.....~ .1-1""<2'" (~) 2~" h.eeo, ~6 .'", +t",~* 'r'''-'Y P
~~='~~-b~~~:~~ .t"~,,~-EJJ
'--
(~ G.J?O do ~~) IS-
1,\ fI ~i..o Ux" b~
o WORK SATISFACTORY, PROCEED
~ORR I NO PROCEEO
o COR ECT W , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
30~/
t::N OuRI 066
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
!$/Bf WATER HOOKUP
SEWER HOOKUP
i4 ~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
.~Ir
cU1;U,.d--:S-
r
DATE TIME
~
I:3/)
99-/39+-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
35 ,f{.
~~
~ 7"0
-~fiJ.
Alwrl~~~
')c( WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEEO
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/'I'-fJ...
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
7~~ TIME
CITY OF PRIOR LAKE tt:-.,.
INSPECTION NOTICE SCHEDULED
ADDRESS ~41 ~/{ r;~(., Cr-
OWNER CONTR.
PHONE NO. PERMIT NO. q9 - 13'1'1
o FOOTING o PLUMBING RI o EX/GRAD/FilliNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION ~EWER HOOKUP o FIREPLACE FINAL
o FINAL PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
flENTS~ .j1;;-1_.J ..
~ttrn~
(J ~1A" ~1^1<;
~~~
1--~ ~+
o~
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~-"-'--
PHI ":,,
~~:( O~ (: i '1,\ ,l." QATE RECEIVED. . CITY OF PRIOR LAKE
~ ,ii,
fj ~ L)) \ BUILDING PERMIT,
'\ 'lD, EC - 3,,~ii IlEMPORARY CERTIFICATE OF
,\ "u__' __J! ZONING COMPLIANCE
, l1-' AND 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
804/ K.NOU_R./O e: DR.
3. LEGAL DESCRIPTION
LOT d
ADomON jJ(}r fI1u lDOd
AlN
Permit No.
1. DATE
1;)./-0C,
,12/6
1. White
2. Pink
3. Yellow
File
City
Applican
91-/3'l4
BUILDING ....ORMA TION
1,. SIZE OF STRUCTURE
(Heigtll~ 'L1 (Width) (Depth)
12. NO. OF STORIES
~
BLOCK I
(Xl.ks, \S1
Add., +n>n
PID 2!S-3bD- OOZ-O
13.
4. OWNER
(Name)
(Address)
5.A
L3
6. BUILDER
(Name)
(Address)
(Tel. No.)
(Tel. No.)
iPSt-t.{ ,
(Tel. No.)
15. NUMBER OF OCC'}JNTS OR SEATS
OCCUPANTS
brDfi-,.ers &fLS-frI)f.:hOh wm 4/,S6n)J
7. TYPE OF OAK Fireplace 0 Septic 0 Deck 0 Re-roofing LJ Porch 0
New Construction){ Alterations CI Addition 0 Finish Attic D Re-siding 0 Finish Basement a 16, PROJEqT_ COSTNALUE
Chimney jj Misc. ~O (yJ)
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17- COMPLETION DATE
Sq.Ft '5 }{) Width Depth Ves No -::prrn P('CI//cJU
I hereby cert that I have fumlshed 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
buildir'!g official qan revoke this permit fgr just cause. Furthermore, I hereby agree that the city official pr a designee may enter upon the property to perlonn needed Inspections.
X j(,U,h" 0 /},!,;,1c.LL'i ,;/I'fJ5':l3.:n ,:1 -I-Wi
Signatur~{' License No. Date
'/nJ.rt
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
..5F.[)
TYPE OF CONSlllUCTION: 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 QQ.-.:/3.9..4:. $
Mechanical Permit Fee 9.q.~.I39.4:: $
Sewer & Weter perml,QQ:./3.'1.4: $
Gas Fireplace Permit 9.'.'J..:/3..9.4$
SEATS
FOR ADMINISTRATIVE USE
Sa'"
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS r:J ENERGY DATA jj
PILING LOGS c:J PERCOLATION TESTS jj
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ;;?CO)OOO. 06
S U
City:
1,31'1'>7 .'2."
'101. '71
~OO .06
IbO,ro
too-OO
S65D
4() .00
~
Thl
By
Issued
PLANS & SPECS 1"1
SURVEY r:J
PLOT PLAN
1"1
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,. $
Pressure Reducer .~fL................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
24 hour notice for all inspections 447-4230
SETS
COPIES
F',.'V).oo
I 6 <=J:> .CO
LIS. 00
I'J-S.oO
1'2(")0.00
'100 .0'0
',SOO .CC>
fi)/.3 '-I;:.fh
.3/, 5.f' 6
This document when
ust be Issued.
..
.
Job Address J04 I k....",/! ('9.1 e
Heating Contractor In!'r'''I''A - 1/,.",4/""1'
Name of Tester fr, '" 10-1
Date 4-21- Of?
00/
P~rcent 02 ~ t'a
() 0.%
Percent CO -
Percent C02 7 %
3'13 C)
Stack Temp. ---
Combustion air is adequately supplied per
UMC Sec. 606 ~~
input
-~
--
~-- "
.fl
CITY OF PRIOR LAKE
"'WIlING "'''Mn'
ha..fi (" ~\ m'o\n
f'\ an \{C
I. ,.. 11Io
La. a.,
J...__
PI' No. 9 '1 ~ /39tt
~"o_: qS'J, -4411-c..1'J3<./
io Lo..~
\\\().\\ \~
00~-
~~ -: .1\~ 1~?-;
'- '" - ..... 'T.;..;.cr,~ c>
....f. ~\ \ \ 0 \)c 11Jf-~
.. ~ a. ,.,;,.~~ ~;; ~ "'0 ~~- <~D -ffi~-~
IICt'TW: TIlII..."... fa tie II. r .... J . camp,.. Infa",.llon.
~UI_..
~ 1Wellfpll .. ^''!'''4l1' Type at 'brIu,.
~ .... TW .... or _- ... .". - .3 AoutPl-tn.
\ ~ M~ \ w..., .....I.r
\ ...... DIl*I ."..,. Iolltler
!\ '"-41>>' f .--..1Ink) \ It.ncr PIpe r-.lhillgllladli".l
, · - ~. T..,. (1 or, .... _ ~IC 8InIl) s..ap Ii_or
~' .. _ .L..... ....fh ..- .-~ (,.,.~ 0.:....01-. pva)
\ .... - - '.~w "-Tel)' T."
lit .. L.nrt Iplti.,..
'l. --0.. .... CIfler
... TlI
u
~ - IllI. ~ .-. 'b!I a """htft~
('" .,... -. -.. IfU.""",
- -. ~. .... 0. a 'nIIa IIMIIIy
- 'r -.. ..a _ .....
... "'4~__
~~~ tA\1
~~~'G ~~......... II.................. ....,
~\\j)\\'" rI - ...;,!-II~":.~..... ~~....:. .
NO. a..ft
. . A'MD'r
~ .... 316........ !'n.
16200 EItJ. C:... A.... ....,.,. L.-. U1_- _ JJ372 1 PIL ('12) "'-4230 I F."'" (612) 4oI7...::~s
All..... -:t. '. -",'.._
."~JIID TOTAl..
."~-,-
I,
JUN 2 I 2000
1i . ~M IS
~~:.
HEATING PERMIT FEE $
STATESURCI1ARGE $
TOTAL PERMIT FEES $
Conn. load
Fuel 6~ Flu. Siz.
Supply Oponlngs
Relurn Openings
Input
Edr.
Address 2700 11 FAIRVIE\l
Tolephone f 651-633-2561
FIREPLACE
l!untp Make & Modol
Model Siza
r'~
~
elm.
HaalVlgContractor ALlBD FIRESIDE
Mdrsss
Oa18
OulpUl
HEATING APPLICATION
CITY OF PRIOR LAI<E MC
16200 Eagle CreekAv. S.E. Permit No. Cjc;_ /39~
Prior Lake, MN 55~72 -
I PERMIT
Comp.
TYPE OF WORK
New COllSIrucUon
61~~__
99-/39
0819
Build'lI1g Permit'
50
ROSEVILLE
Recelpl~
dba FIRESIDE
TYPE OF SYSTEM
Warm Air PllIIllll _
Gravily
MeclIallical _
AT Conditioning _
Venl. Sy.lem _
HEAliNG OR POWER PLAtH
Sleam _
Hot Weier _
Radiation _
Sp<<ial Devices
OIher Devices
HN
55113
CORNER
)c1
Fee Schedule
~Induslrlal. CllIJlIM.cial & MuIl~Family
R<!sidenrl8l, Healing & AC
Residential Healing Only
Residenlial Gas FlfepllClt
Residenlial, A.ddltions & Alle.alions
Residenlial, AC Only
City Hal business hours art 8 un. . ~:30 p.m.
ALL WORK MUST liE INSPECTED (nDUGH-Ift AND FINAL) . CALL CITY HALL ;:
a
~~7-42:10 !ll
;::
I hereby apply lor a mechanical systems permit a"d I leIln1lWledge thallh.. ..
inlormali<ln above is cemptele and accurate; rhat Ihe work will be in conlorm.once
wilh Ihe ordinances and codes ollhe cilr and ..Ilh lhe sllle buUdingfmect>anlcal
codes: Ihat this lorm does nol become e permit until siqned by the IIUtLOING
OFFICIAL; Ihallhe work will be in accordance with lhe approved plan In lhe
case or NI work which requires review and approval of plana. 'J?
, ~
/j/ r./"
z.. NIJA~ #-::
AppIie8flr, ' ~
s-:
1::!fAI REQUIRED wilb number 01 supply and rel..n operings IlsIed lit
moon wilh CFM's per opening. New struclUlu 0( ad<MiotlS send floor plen wilh Iupply
and ret..." localions shown. HEAT LOSS CAlCULAllONS, PAYMENT AND
APPUCATIONS MAY BE MAILED 10 THE CITY OF PA10R lAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55372.
Remember 10 add Ihe Slale S..fl:herge on the botlom ~
~
'"
The price oIl'our healing "",mil includes one rough-In and one linal inspection. l:l
M:lilional inspections will be btled al $35.00 each. ::
III
HllUSe Healing Test RBCOfd must be submilted with IlIlikIiog IlIUIIiI DlIIDIlIL belOfe build-!:
ing cerlilieate 01 occupancy wi! be Issued.
Single Family
Commercial
Two-Fe.mI!y
industrial
1% 01 JOO cosl($39.5O minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
1.1'1""
1. 0...
,. r.....
RE
_ MuItl-F....iy _
Public Other
.
of
1his appIcalion.
1\
2(100
rn
..
::J
r.. rt
01, '"
COWIIC_":':
."
.....
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..
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([
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V
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III
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Il'
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TOTAL PERM
~
.
Repair
Ell. Cost $
HEATING PERMIT FEE S
HEAnNG APPUCAlION I
Da 51J.~/cro
SJa Mct_ 30 LJ I KnlJl
1aI ...a.- MIdI -.l.. Addilion -b
Owner'. Name M I... /oJ I a.r ^ ~
Ad*_
Helling ContladDr G (l S L.
Address tj g D (" ltI-J
Teleflhone t q S). - J.d-.'-
M!Fr-- Make" MacW J't- N .6
~I ra r lo..CL 0-....-0
Model Size
Com.lDed
Fuel tJJ. ~ Flue Si.e
Supply Openings
Retum Openings
...
Eelr.
ctm.
~
ISI
II.
CITY OF PRIOR LAKE ~'.sli~l
16200 Ellgle CNlIkAv. S.E. PermilNo. ,~ 13/it./
Prior laD. 11M 55172 ,-
~
1..... tile
L .... ....
1_ CD'*-='1lI
Sitgle I1Imily /' Two-Family MIMi-Femily _
- -
Com....,ase _ 1n4Jslriel_ PLMc 0Iher -
Fee Schedule i '
,
InlUIriIII, Cammen:iIIl .. Mulli-FamiIy '%01 job cosl (139.50 llinimum)
Reeidenlial. Hll8Iing I K:. $99.50 ..,
RasidenIieI, Healitg Onl\l 1&4.50 2 6 ~
Reeide.ad, Gas ~ 139.50
Residenlial, Additions & AIlIlralions 139.50
Residenlial. At; Only '39.50
Remembef to add \he SIlIIe Sun:huge on lhe bolIlIm oIltis application.
The price 01 ,.,.. r healing p...... indudes one rough-in and one r.... impection.
Adlftonal inspedions wit be billed III $35.00 eadI.
House Heatirlg T.st Recoftl must be submilled wilh IIIliIJl!!g IIll!IIliIIllIIDlH beIono bui1D-
ing certilca18 01 oa:Ilp8IlCY wll be issued.
IiEAI CALCUlATIONS REQUIRED wilh number 01 supply and n1Un ....ningli isted per
"*" with CFM's per opering. New sIlucIUIH or lIddtions .....Ioor plan wilh ........
and ......m locations Ihown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR U\ICE, 162llO EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 56372.
City Hall business houn are 8 Lm.. 4:30 p.m.
AU. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)- CALL arv HALL
447-G3D
I her.by apply for a m.chanical syslems p.rmit and r acknowleclge Ihat the
inIonnalion above is complete ~nd accurale; that !he work win b. it conformance
wilt. t"~ u,di....~ri"'tAI .,td ~ud.,a u' tha L;iy ilfld wclh lit" 5(.." buUd~ngtlJltft,;nClldcal
codll6; Ihallhis form does not become a pelmil until signed by \he BUILDING
OFFICIAL; that Ih. work will b. in accordance with the approvecl plan in the
case 01 all work which requiles review and approval 01 plans.
I p~-,
~ ..5
ire -
-
.50
d... ~;:;;.---
cY
___ _ """........nI _ - ----
DIII8 5
TYPE OF SYS1EIII
WSIfII Ai, Plants _
GrMy
Mechanical _
AilCondilioning_
Venl SysIam _
HEA.,.G OR POWER PLANT
SI8MI
Hot W_ _
Radiation _
Special Devicllls
OIher Ilevic8s
D
Esl~.
.5(50 - Building Permit.
"-
~
~
.&I-
12/16/99 THU 14:54 FAX 6128902753
STOCKER EXCAVATING
IilI 001
fll!N.E. - PIIZ
1'!.U,.DW . ......ICAIIT
GDUI .. CI'T'f
CITY OF PRIOR Ll\KE . NO. CJ9-/3A4-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
l:>e reqistgrgd
with the City.
APPLICANT: DC Mechanical/Stocker Excavating
PHONE: 890-4241
1. Estimated length of water service
DATE: 12/16/99
BLDG. PERMIT # qq-/,3l(4-
pID# 25:{~"F~:o~-
, .
Ii
. I
feet\.1 DEe 16(900
I
SITE ADDRESS:
ADDRESS:
SIGNATURE:
~
FILL IN THE BLANKS
2_ Si~e of water service
inch(es) .
'u'--____________~~
3. Location of any couplings from structure
feet~
4. Type of sewer pipe. ABS____ PVC-x-- Cast Iron____
5. Estimated length of sewer line
feet.
6. Clean out (if required). located at
structure.
feet
from
This
===~~;====--~~=--======~~====--~====~~===~~~~~--=
BY
es your permit when approved.
. . DATE: n../2-I/QCj
, ,
=::::;;=======:::::;::
===~======~~=~====;====~===~-----===============----
FEES:
$
$
S
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 building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. -
DATE PAID
RECEIPT #
AMOUNT PAID ;~\tJ\"t\-\~.\"\
, ~ ' ~~....
REC'D BY . \ D\NG
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 1 Ph. (612) 447-4230 1 FAX (612) 447-424~
An Equal Opponunity Employer
TOTAL PERMIT FEES $
STATE SURCHARGE
$
.50
O()
Receipt #
/' PAID WITH
\ 6UILDING PE,c.'
,.
,
HEATING PERMIT FEE $
Est. Cost $
Repair
A~erations
Est.
Replacement
Comp. Date
Building Perm~ #
New Construction
v
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with 1he approved plan in the
case of I work which requirJs revi.ew and approval of plans.
Cfm.
TYPE OF WORK
City Hall 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)
447-9850
Edr.
Other Devices
CALL CITY HALL
Return Openings
Input /}(')/)()()
Supply Openings
Output
Flue Size
~
JD
HEATING OR POWER PLANT
Steam _
Hot Water _
Radiation _
Special Devices
business hours are 8 a.m.
HEAT LATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or addttions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Fuel
Conn. Load
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical _
Air Cond~ioning
Vent. System
heating permit rough-in and one
inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina
ing certificate of occupancy will be issued.
oermit !llIlI!!2m before build-
Model Size
The price of your
Additional
Telephone #
includes one
inal inspection.
Address
Lot
S~e Address
Remember to add the State Surcharge on the bottorn of this application.
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Fee Schedule
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
.
23
200J
Date
- 002-
Single Family
Commercial
x
,
Industrial
Public
Mu~i-Family
Other
HEATING APPLICATION
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
I
PERMIT
99-/394-
Two-Family
TYPE OF STRUCTURE
I.
2.
3.
Pink
Green
Yellow
File
Diy
Contractor
~
"The issuance or granting of a permit or approval of platl::j/ specifications and
computations shall not be construed to be a permit for, or an apprQval of, any violation of
any of the provisions of this code or of any other ordinance of the' jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
'1-. Eftos,OAJ C~..J-'A.D...~~ ~
3 ERos lD "" Co "-'Il'tot.. I'1lAS"ll.fH
:'\a: A~~ME.J\"'S' 1. (,..AI.. 1:;....tH' I Al"'~<:r.o.J JAlFDIt..Ar,.A1 7 (.;'II"I"",,_?, AN
.s~E JAJF,,""1f.\T'lo....... ON 1""1"'Ce: !?':uE:AsE. !\./O~.
IS IA.J~ T"ALLEb.
Comments: 1)RIU'!WAV ....us'T" "'0'" BE 1""$TALt..EO VAJ"rh,;. t:.O,.JCttETE.. SIOl!!:uJAa..'"
Date: 11./'3/"
Reviewed By: IJ"I..T$. E...IlE.:s...."....-.l
Denied
Accepted With Corrections
.;
Accepted
MN
o r<....
304-/ k:.NOLL /2./0rq6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
NAME OF APPLICANT H /1 N L.. E- V 81<. os . CON 5TT.:2..
I
APPLICATION RECEIVED 12/3 / q '1
" '~
---- ...-. ....... .... -.~....-... - . ,.,...... .... ""..~'"'..._.~.
White - Building
Canary - Engineering
Pink - Planning
Thf (:fnll'r of Ihl' tab Counlry
qq-/3q4-
,
./'"
.
"''''0_'
, . ',,~;-v" ,+~..t,.."",~. ~~ q.
" v.'
.~
~~
qq-/3q4-
Th~ ("mll'r of thl' L.kf Counll'}'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT H /1 N L- E.. V 13 fC 0.$ . CO IV SIR.
APPLICATION RECEIVED /2/3 / q '1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Denied
Accepted With Corrections
DR- /\IN
I-
304-/ K:.N{)U__R/Oq6
(2J fJ ,/~
Date:
1'2.--8-
Reviewed By:
Comments:
Up{.rO cJl. 0.. ~ tl:c.......d2-~,
"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."
"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'~
~L- cw (~
c~ B-v\.~
~~A<;....
L 2 -l'-{~1~
Date:
~~
Reviewed By:
Denied
l~
Accepted With Corrections
Accepted
Nrl
w~
t:~/'../{LL 1,-:",/ [)(;;E
:/' -. 4- '
~.c I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
NAME OF APPLICANT /"'/;-1/\/ L- E- vel<' (N?::. . CON ::':77<2.. .
I , .
APPLICATION RECEIVED /2 / ,.3 I q 1
f I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White .. Building
Canary - Engineering
Pink - Planning
Th~ Ctlller or lhe Like Counlry
,/)/) j? '74-
./ (~l- .../"
.~
~
..........
-'~""'"-
-~._- ~-~,......_-,.,". -- - ._._~ ---'---~'----"''''''''''''''''~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..3Q.:/J KVlIiIj,,('~'Je.- 1\-,
NATURE OF WORK JJf'W 0~shllc..kriV\
USE OF BUILDING ~t=-D
PERMIT NO. ~l- l'S'1 '-f DATE ISSUED I~ -8 - crt
CONTRACTOR Mo.."'\Q.~ ~1'Ce.. ~~J. .
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABO
ROUGH - INS
1-.
SEWER I WATER I SEPTIC
FRAMING
INSULATION .
ELECTRICAL..
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL AB
Blr'B I
FINALS
E HAS BEEN SIGNED
I
GRADING (Prior to Soddin )
BUILDINGTCO '77..; q /t(; ~ 't/
ELECTRICAL
PLUMBING
HEATING
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 .'l1aintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
4.!a,o
~ . - 0 (
7- (00C>
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850