HomeMy WebLinkAboutBuilding Permit 99-1421
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.tf-lZ-01
ADDRESS
/5Z00 1'11000 DUeJ:::-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q'1,/4-2- J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ilt FINAL
fi- SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINI\",.>
o MECH FINAL .
o EX/GRAD/FilliNG
o COMPLAINT
.. 0 FIREPLACE RI
"0 FIREPLACE FINAL
o GAS liNE AIR TST
o
COMMENTS:
~ORK SATiSFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORf' CAll FOR REINSPECTION BEFORE COVERING
Inspector: b -U~ Owner/Contr:
CALL 447-9850 FO~THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
[NSNOTl
....._----------.._~"---~ -. -_..~_.-'._--- ...--'-"-~_._-~-
~ATE TIME
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
)!l;WATER HOOKUP
"ll("SEWER HOOKUP
IO'1>LUMBING FINAL
o MECH FINAL
CJ9-/t/2../
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/ // ~ Ir ~ p;.., _~ (l i~
LH- ~1f.e, t/O ~ ~
_/J~~ ~
c"~ /'''' (/
J /:~1 .0'; .' J/1
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.
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v:
' /,{J
Jct"WoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/_.. l".
, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
,a
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
W $:30
ADDRESS J 50l ('}O \N 00 D b, ,('.k. l4..n.
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
\ D)NSUL,M!9l'!
~:INAL 6illG
o SITE INSPECTION
COMMENTS:
ell &yo;~
h,jrl,lttr
- 0
G) ttV Ar
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)(PLUMBING FINAL
1)(MECH FINAL
~vJn.P
-J-v,;. v
VWu)'wd
u -
~
~
'Plk DwJ Ck
1..lo1J- ~ ~
qq-l<ia\
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
f V" ,U r
1u
v<<..~
E COVERING
Inspector: Owner/Contr:
CALL 4471~850 - OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQ IRE ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
T!'fSNorl
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tiftit ,- -,--: -=--~....,.. ~~ ~~:; --..,-;;- -v-. ~ -.... - - -)f- -~- ~..-- - - -l~r- -JttI-~
:J&~,,""~""'~I ~1~~~I~~~I'."I'~I~#""I.i*I'~!.;'t.
t-:;::i.{ .- .. . . ~~~catt at (@~;'''ll_'_.~''- ~:
1- tt<
:'" . CITY OF PRIOR LAKE >~
--;d; -- 1Bepartment of jiuilbinlJ Jn~pection r,~.(
~'~I: fFinal Permitted 0 Conditional C.O. Expires
r.- This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
~ 'C._, 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:
Use Oassificati('''
Single Famil v
Bldg. Permit NCl'
99-1421
Occupancy Type
R3
Type Construction
VN
Fire Zone N / A
Zoning District pun
Legal Descriptio~
L20, Bl, The Wilds Second Addition
Owner of Building
C;;ite Address
ConlractOr'sName&Addres,Willenbrinp; Co r s., 332 Minnesota St.. Suite WI099
St. Paul,
Robert D. Hutchins
'~ / ;;nJtficw
T v 0 "
f'ity Planner
lenni Tovar
Date:
Dale:
(/-/d-O/
POST IN A CONSPICUOUS PLACE
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DA TF RFr.F1':lE..D.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
12./17/91
CJC1-/42-1
Permit No.
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 / !ii ~ 0 0
~/_.,;,./../ "" "I . 'C /
, ( .'.) (')r)~ ,..:> " 5'--
3. LEGAL DESCRIPTION
1. DATE
(1.-h-rlQq
--r12.a. I L..- PU D
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO. OF STORIES
J ~D
A~u"T1h ,J
25'~ '2-30 Z60
"7 f') BLOCK
ItJ ILD~ L_ ':!.....'"
LOT
ADDITlON
13. TYPE OF CONSTRUCTION
4, OWNER (Name)
'W I. u...4:.,J n ~W ("
(Address)
~T. ,<(.!\j)L
(Tel. No,)
0\ <} / -(,,"~""
(Tel. No.)
fofl.- - 3l:> - 'Wit
(Tel. No.) ~0., ~
'~lj\:,l,\ \~0\\ ...,c<t
l!\ \'Jilt> ~ );,'I\'~"
Re-roofing Ij Porch Lt
Re-siding Ij Finish Basement CI
14, FLOOR AREA APPORTIONMENT USE
('.1> .,~
5. ARCHITECT
Ii ;..pi ~
6. BUILDER
(Name)
UJ~Tor"'1.
(Name)
(Address)
Coj)Ct.f'r"-, ArJ'O()V~R.
(Address)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
c>w,Jt ~
~>'tMt
7. TYPE OF WORK
New constructio~
Chimney Ij Misc.
la, PROPERTY AREA OR ACR!j 19, PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq,Ft !,/Dtf< r Width Depth Yes No ~
I hereby certify that I have furnished information on this application which is to the best of my knowledger1'rue 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 official ~ke thi~it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X . Ut ~g,..=-- U~""No, I~~ ~
p.~
SEATS
DeckLl
Finish Attic Ij
Fireplace Ij
Alterations LI
Septiclj
Addition LI
16. PROJECT COSTNALUE
17. COMPLETION DATE
/
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS r:l ENERGY DATA r:l
PILING LOGS LI PERCOLATION TESTS LI
Side
Side
Fmot
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 1'7<:. f?C!e-> . ex::>
PLANS & SPECS LI
SURVEY LI
SETS
COPIES
~e;rD
USE OF BUILDING
PLOT PLAN
r:l
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Permit Fee ..........~~~~~~...1...~...~..~... $_' . ~ C):). ~ S-
ec~.q(,
9)(PsQ
Amount Brought Forward .................. to
Park Support Fee ........................... ~
SAC .........................................11':
City:
~6.(? <S>a
I. oc;-c> .C90
. -r SO . Cf7)
SellSi" II ~tfGutl7l1\1 ....................... It:
Plan Check Fee ............................. ~
Sewer Tap ................................... ~
" $
Pressure Reducer ..1....................... $
MeterHorn...........................4..... $
Water Meter ..................................It:
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
State Surcharge ............................. $
70.C3€?
~.l9PJ
Penalty ....................................... ~
Plumbing Permit Fee ....................... $
~q
Mechanical Permit Fee ..................... $
J, 2C96. ~
',t')r'l.C9$I
Water Tap ................................... It:
Builders Deposit ............................ $ // 5'~ .c9i'"l
mher ......................................... $ ~r; . ~{
Total Due .............................. 0;: __ }. c,....... L
Paid ~ 0 9~. z. I Receipt ~ fA 7z.4.-
Issued
Date J Ii J OD By
this is to certify th the request in the above application and accompanying documents is in accordance with the City Zonin6 Ordinance and may proceed' r&quested. This document when
s~the City Ia er constitutes a temporary Ce\li1i?te of Zoning)X'.J'fI;an~d allows con""cti:~mz::~~e1t1fc~, ,~ ~ l,; Certificate of OccuP~~t be issued.
?""-'\^"_ J.A." lhZ-~"17'1.~./UL. ' ~-'-V('.I~
~ Planner '- Date -......; ~ Special Conditions if il1t - '-J
This
By
24 hour notice for all inspections 447.4230
.,
o
..
G.B.S.
HeatinQ & Air Conditioninq,
The First Natl. Bank Bldg.
332 Minnesota St. - Ste. W1099
Sl Paul, MN 55101
651-665-9901
C<>2 '7.711. CO 12-
. <>2 7. it Eff. 2?/. J
Stack Temp. 3 ~ ~
Gas Pressure ~. ~ ~
AJAr ~
Installer. '2 ~
~!!?-3./06
.~
~\
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Thf Crntfr of lhf t.kf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
W/f.{~t;.NBRI^/G C,O.
12/17/q9
t I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~200 WOOD DUC'...K- - I K.
Accepted
Accepted With Corrections --<
Denied (" /
Reviewed By: ~j.oiJ...7l ~/
Comments:
{. ~4d a~~-
Date:
/2-2.2-'71'
"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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1.'1 I/__/,-!- '-_
White - Building
Canary - Engineering
Pink . Planning
Thr Crntu of lhr L.kr Counl!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!! !! L t. /:;'/< ll\/(":::j
, t.
12/ /--//(/(/
(I
,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/i- 1'< ,/''\
.....,./ ~ I \"./
/ . I f.l
lj t r< --l--k
-, .-'-
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
c;~~
Date:
/1-- 2..1 .qq
Comments:
cD ~/~~~~~~~ <,;;~~
t:v\U~ l\A~ 4"~ c;.,t-k Vlov-d. .s.S~c _
\J
tD )2-,~~ ~M" ~'l~ ~~. ~9vv<.. 1~.9tJ~ ew.J
~/~M_:t'n8N\lb~.~ ~).(33tIAtJ-Ql 'To
~0.e..-~ ~ ~ : tJk WJIfW'~(N\~,
(J) v~~~ w~ c~, Jc-{ 't='~ ~~ d;:
W ~/~ Pi~. L'-v\e. (J<' 0 -tJ ') i ('J9rvP--,-~~","-
"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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: ,. .~~
L-fJ-' \ilL
CD
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Tht Cf'nfl'ror lhe I.lb Counlry
White - Building
Canary - Engineering
Pink - Planning
~,
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
co.
W/LL6N SR.I ^J6
12/ 17/q9
The'~~~;I~i~9, ~~fn'~~ring, ~Ianning Departments have reviewed the building permit
application for construction activity which is proposed at:
OUC'-.K. TR.
APPLICATION RECEIVED,
/t:;;zoo
/IV 0 00
',-...
~...
Accepted
./
Accepted With Corrections
Denied
Reviewed By: h]",..rElt EHIlES"''''NN
Date: ,z./ u./ 91
.
Comments: o-r..! ""'''Y'OIV,,", D/h"Eo..JM" WlllTloI "1" -r..1" t=i1.o",r ~oPfll1"'" ("J"'~
,IS
'Z.~ FErr.
'in;: I/OJ FoR.MA"rION 0-.1 T~E REllela3l!. 51 DE.
)(
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>'l ~i(.. ~~
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Sf'E A-rnlCtlM.....rrs' I. F...."L. G''''''IIE: IJJSPEanoN IIIIFo....."r,Q.-l
2. ~il.AI\I.J'. PL"N
.
? ERos\o,..,s CO~OL. ME:As'-'a.E:S
Y. &....<IN c.,,,,m<lL RAN
"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."
tfV^
CITY OF PRIOR LAKE Me
162flO ElIgle Creek Av. S.E. P_i1 No. qq _ /'-1;:)/
Prior Lake, MN 55372 .
~,~,.5. Hf!.6-rT~
M~~fjh 6J.L.
-/-,(f/u
~:.~
Hel!llng Contractor
Address ~.:z
o reJapIlOJle' :J~/- ~>>G..
~.~ t "
<urlace Make l Mod,1 ,.-.: ~ l '~fI"",-
"oct.1 Sin L c/>r~ heeD
3 :OM. Load c D." - S"Q:o
f5 'ue1 '" IIr: Flue Sin ftf'
-'
:= uppIy Ope"..
u
~ .8I\Jm OpenfRgs
z
-
lL .put
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gir. .
E
'Ill,
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:&ratlolll
<Sl
... .
inlpai(
...
I. CosI $
~ :ATING PERMIT FEES
I
iSl ATE SURCHARGE S
I
~ TAL PERMIT FEES S
/AI /099
Output.
TYPE OF SYSTEM
W8Im Air Planls
Gr~
Medi8tllca1
AIr Condllionlng
Venl. System,
HEAnHG OR POWER I'LAHT
51.am
HOI War
Radialion
Special DaYices
Oth&r Davfcll$
TYPE OF WORK
Rsplacamant
New ConslIVClton
'I.,
Esl Comp. Dale
IluIIdina Permit'
99-/4~/
.50
-0
Receipt.
TYPE OF STRUCTUR~
1._
Lan..
J.'fdcw
I'ila
C>y
0._
Single family
.'X
Multi-Family
Pllblic Olh...
N
<Sl
(L
-'
a:
f-
o
f-
lW...Family
Induatrial
CommerciAl
Fee Schedule
Industrial. Commerciall. Muli-Famly
Reslden1IaI, Haating l. AC
AlllIidenbl. Healing Only
R8$!denlla~ Gas f"lfeplace
Residential, AdcftIIlII4l. Alterations
Residential. AC Only
1% oIjoO cost (S38.50 mlnimlllll)
$99.50
$64.50 PLEASE NOTE:
~..o\l- Conditioner Units Cannol
S39.50E~""~" I~I" R~uired Sidc-
$39.5OYara:j;~;~i. c c"':
:'i- - '-
, "
Remember 10 add the Slale Surcllarge on the bollorn 01 1/1 Is ~ 2 2(UJ
The price of your healing pennil ir -', -... olle _gh';n and onellnal inspection.
AddjtjonaJ inepactians wl1I be biIad at S35.011 ead1.
HOllIe He.'ngTeal Recom must be ..,bmll1ed with ll!.ildillg llIIII!lI...m.......beto" build-
Ing cer1ilcate 01 occupancy wi. be ill8l/8d.
I:IfAI ~~, 1":' I' 'TlfW.~ P:O=P' m;o:o=., wilh mURKr of supply and relurn openi. Rated per
room wilh CRA's par opening. Nsw IlrucIurel or addilklns send 11001 pial! WIll supply
and return IocaIIons shown. HEAT LOSS CALCUlATIONS. PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CfTY OF PRIOR l.AKE, 16200 EAGLE
CREEK AVE. S.E. PfllOR LAKE. MN 5S372.
City Hal businew hours ara 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (flOUGH-IN AND FINAL) - CALL CITY HALL
447-1150
I hereby apply lor a mechanical ~stem. permit and I acknowledge thall"e
lnlo/malion above is completa and accurale: thai the work will be in cOIIformance
wilh Ihe ordinances a CCldas of Ihe city and willi the slaie buildinll"nechanicet
codes; thallhis rm doe nol become a perm;1 unlU signed by IIIe BUILDING
~FF L; tha. IIle work I be in accordance wilh lhe approved pllUl in Ille
.. of ","" " re 'r.. review and appro.a; of plans.
~'
~ . ~/l'IO
' " AppJic:anfs ~1lN r----..... ;' / Oale
(A~Ju 7 1.'/"//,.6,~~-, ) S7;::;;/t:rYJ
() 8ui!ding 0Ilf7i Signature ' ,D1tle-
CITY OF PRIOR LAKE MC
16200 Eagle CrHk Av. S.E. P"'m~ NO.?1- /t..fZ/
Prior Lake, MN 55372
HEATING APPUCATION I PERMIT
Dall olt()l~o PIDII 25-3Z3-02-0-Q
, . .
SiI6Addllss~~J_C>o Wuodol..r..-tf ",..,.... ptJO
LDl e- S'oell --1- Addnion. n,,- (,v ~ 14 2- ..J/hId ,+,o/J
Ow~efs Namo, t'.hu/, c ~ t',...., ()~.I.s
Add,ess
HealingConlraelOf ,:; ~. ~. rI~G..-+I';" ~ A I~
Address ..J32. - """"''''f~';''' ~ 5!...1... INfO"
Telephon" . ;;rJ~'147i~~"D1-._.-~---(,-fr-6::J:Jt. .~~r,
f1JTnace Melcll Mod II g,we." ~ 'NPE OF SYSTEM
W.,m Air Plaflls wi'
Glavity ,
Mechanical
Ai, Concl~ionin9
Ven!. Syslem ,
Model Size J.C~ ~,IW o<IF-I II
Conn. load _ r
../
Fuel .J IJ-f'
Flue Siu
..,1'
HEATING OR POWER PLANT
Steam
H~I Ww..r
Radia\ion
Spocial Ow;"",
I
I
I
I
I
I
I
I
I
I
I
Supply OpenitlgS .I 'f
Rotu.n Op..ings 7
inplJl.Jlo,UlJO Output J(--' ~
Edr.
OI11er Oevice. ,
Cfm.,
TYPE OF WOAK
./'
Alletaliono
Replacement
Es!. Camp. Oale
New Con&lrvetion
Repair
_ &Jildill9 P81m~' qC; - /t/--z./
. ,.....-.P.MO WITH
\ 6UILOING PE'.:;;v\lT
Eo!. Casl $
HEll TlNG PERMlT FEE $
STATE SURCHARGE .
TOTALPERM1TFEES S
.50
Recelpl . _
1 f'iAA
L "'-
J. "dlow
"'.
00)"
"""",,,H
:rypE OF STRUCTURE
:1
])
;0
I
~
III
I
III
III
Single FamiIV
........-
1Wo.Fam~y
Multi-F_ily
Ollter
Commerc-'al,
Indusl,i"
Public
Fae Schedule
~
1 % 01 job cosl./$39.5O I'11inIlmlmJ ~
$99.5G PLEASE NOTE: N
$64.50 Air Conditioner Units Canne Vl
$39.50 Encroach Into Required Side ~
$19.5C Yard Setbacks.
S19.5C
Inooslrial, Commeroiall MuI~- Fam~y
Reaidential, Heatin 9 I< AC
Resi<lential. Heal"rlg Only () ~
Residential, Gas F,",pl"""" '
Residential, Additions & AlteratiON
Res!dential, M:, Only
Remember 10 add me Stale SVlCharga on Ille bollom 01 'his application.
The pric& 01 your heeling petmM Includes one IOvgh~n and one final iMpeCIion_
Addifional inspections wil be billed al $15.00 each.
House Heating Test AocDld m",t be submilled with ..\i.-llr," QI1II!il"'''''''''', belore buId-
ing cerffica16 of occupancy will be issued.
lol"AT (".A' r.1I1 ATlnNS "'Fr>lIIP~n wilh number 01 supply ami relurn opening. i.'ed per
room w~h CFM's per opening. New .\ruclure. or addilions .ana tloar plan with supply
and ,elUm locations shOWll. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PAlOR LAKE, 16100 EAOLE
CREEl< AVE, S.E, PRIOA LAKE, MN 55372-
Cily Hall business hours are 8 a.m.' 4:30 p.m,
ALL WORK MUST BE INSl'ECTED (flOUGH-IN AND FINAL)' CALL Clrv HALL
"1.09150 rM 'l4~-~~5
I hereby apply lor a mechanical SYllem. pe',",l and I acknowledge lhallhe
intormation above is complete and accu,ale: 11\811111 work wi. be in clmloflnllnCl
wilh the oldinances and codu ollhe city and with Ihe slale building/mechanical
codas: Ihallhis form does nol become a pa/mil until signed by 'he BUilDING
OFFICIAL; 'hat Ihe work wiil be in accordance with the 5Wroved plan ift the
~ wor~ch requires .evi.wand approval of pi""..
p/J",Aw-
/ 'Oa~
3/rOfOCl
Dale
1)
,
,
~Ie
7Q O~ic""s Slgnalure
III
~
01/06/00
THU 13:35 FAX 6128621223
JD EXCAVATING. INC.
141001 __
DJ/U/'ll IlEII "8: 24 F.U 6UHT424S
em OF palO]! UD:
:jhOOI
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CITY 01" PRIo~ Uu...
sailER AND IIJ1.TER PBRXI'l'
lfO'1'E:
SoW.No. QQ-/4Z.1
-APPLIcANt': ID EXCFJVRTINC,. JNC. ~P.HONE:.1:..('''''''-43'fS"2.
)( ADDRtss:l}-42. -i&2.NO AVE., C~N RF\P/lifDATE: I.; (..j -nO
..: SIGNJ\'l'URE:-1--nl^A_.~""":,, 1. ( y,>\\ . BLDG. PFRHI'1' , q?-/'R../
X SITE llDDRESS:-15dnn I. \acJu",\AJ1n. prot 25-323 _ OZ.O--9
FIr.~' rR THE....JILANKSI I~D,iJ:f I( ,: .
1. Estimated lenqth oE "'ate::- ser..'"i.o:e ~ f....t. ill_f .IN -7 2000
2. Sizl! of wat..r :5t1:r\I"i",<! I" inc:hcCls) _ '1\ \
- ih
,.
]. Location ot any eouplinqs frolll stru~u~ .f...-t.
pvcL Cast Zron_
SeVer and Water
c=ontract:ors Rllst
ge registered
wieb the City.
..~
4.
!'ype of sewer pipe.
,
[/1
._-,__v I
ADS
6. Clean out (iL raquiredJ. located at
structurl!!..
5. Estilllated length. of !IG!IJer line 5()
feet.
filet
from
=-=--~-----'=------~_._,=-==-=- ._--~-
~
This ~Plic.a.tirr b"':?liler your
BY ~.,~r..."_ \~ry-
;;;;;..--==e=====~==--..,...______~l__ .".,..
,,--"-,.~ ,
~'--__!ll-.:; _____
permit
wh..... i1ilpro.....d.
DATE: 1- (0 ~Q)
FEES:
$ 35.00
S_ .50
S JS.So
. ._----._---~..~----~------,-=Q:;;
S.wer and water line connection permit.
SUrehar"e
TOTAL -
* fee for either sewer or wa~er individually is $20.00 plus
S .50 surcharg._
· Sewer and wa~er ~r.its issued tor new con$tr~ction must be
recorcled 01'l the buildintJ permit Cilrd lit "tb... ~!l'!. of ;.,....u.nee
to insure that no duP11cate seVer and water permits are
iss~ed _
AIIOUN1' PArD " '~~~\1'
~ :< r"'=.\G l'"'"
REC'D BY ~>j)J\\.P\\'" ,
DATE PArD
REC:E::rPT it
16200 Ealle Cr..,kAv. S.E._ P)-ior I..Ik". MinJllr$ora 55372 I Ph. (612) 447-4230 I PAX (612) 447-4245
An Eq.... Opp.r,ulli'Y Eln.p/ny...
03/15/00 WED 15:29 FAX 6124474245
Quantity
Type of Fixture Quanlily Type of Fixtu
I Bath Tub with or without shOwer Rough.lns
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing ma
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, D
Sinks Backflow Assembly rest
Bar Sink I Lawn Sprinkler
I Water ClOset (toilet) Other
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: rn i IV.~ JJo II U
Address: ! (1):;1. 7.i::lJ..!J4-/ () ^I.E....._
Signature: .
Legal Description: Lot 2 0 _ ~Iock / Sub 71-IE WILDS 2ND
Site Address: I ~ '] {)Oh.J/)()~1< I r/li J PUD'
BUildlngPermii'II-' t)cJ-J'IZI '- PIO,ZS-32.3- 020-0
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS IJ~ htJrY1/0 UJnyfruc.h'()fl.J
I
:L
~001
CITY OF PRIOR LAKE
~.
File
Cily
^ppllc~nt
I; 99-/1-2/
,Phone:1'X'-~11
1. 81uc
1, Gol"
3. Yellow
HI. ('.~I..lttl"..I..h(""unUI
re
chine)
ouble Check. PVB)
Fee SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of jOb cost, $39.50 minimum)
Residential, New One & Two Family
Residential, AdditiOns & Alterations
State Surcharge
, / IC ,,/) (ilckJ.L-:e.
p / <-.-1) ~r ------.---. f)
, V'\ -I-e---r'O- . VI L-<-
~ m ilG &- Lf()
~J~
I ~_et- ~ J
$99,50
$39,50
v{:y ~
J CO~
"'7~
. ~
~
S-
O
\
.. 20_
.50
G
Thi5 pc:rmit is graf'ltc:d upon the expre.~s condition that nid
contractor, shall CC)ltIp y in all res"cct!i with tnc: ordil'lnncc!i
of the St>le Plumbin ! t C am~(~~lIS thereof.
,32. /(JO I)ATE
------ , ^ 11'EST
Call for all i
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447.4230 I FAX ~612) 447-4245
An Equal Opportunity Employer
r
'-',
JD EXCAVATING
1742-132nd Avenue - Coon Rapids, MN 55448
Office (612) 767-4382 - Mobile (612) 366-4806
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ADDRESS I ~7;)a I ,.'l\~\"CIhI..\C:\: -r? DATE \-\$Z ,):)
:-J ,\
CITY 1 a /~--C CA 'KL
JOB # :~SLi I
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G
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o
~'")G(~ 1JuLlir
--.23 ' <Z
?/o ,4
STREET
TIE SHEET
WATER HOOK.UP
~
n
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I SaCl0 W,.,,-A, "t......l", '\~\
NATURE OF WORK Ne.v..:> 0.av.s.~K.lc:.~,,,^",,
USE OF BUILDING ~\='D .
PERMIT NO. 9"1_1'-tz..l DATE ISSUED 1;;l.-~-'T'7
CONTRACTOR IAl. ll~",^ b.'t-t'\.A(- ~. .
NOTE: THIS IS NOT A PERMI-[)FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
, FOUNDATION (Prior to Backfill)ldv'rd~ (/) fir .
PLACE NO CONCRETE UNTIL ~BOV
ROUGH - INS
I'N't- till /J ()
_ frh, 5hi ~D) ~~. ~. ~fr;/P'D
I ff) D I; W ~~ ~,{ (;;;-1'-
I /I I"
I 0J 3/~~ (), It.; /h//JD
vJ/~ j ~ ' ~/~/~/ I ~(;tF. ~
I 'I f I
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ I I
FINALS
'15~
I
tJ~
AS
I
I
UNTIL ABOVE
NOTICE
SEWER I WATER I SEPTIC
FRAMING tl€f.tls~~.
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING fC)l1\) ~1\1(11J
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
f
INS~TOR
I
1- (.{ - 00
DATE
I
HAS BEEN SIGNED
4"'{O - 0 (
4-{~~())
~ 'H.JI<l \ )
\ ~ '(0"2.3 ('[t!>
BEEN SIGNE>'..t
1:his card must be posted near an electrical service ca . et 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~/iO/ oj
ADDRESS J'5Z~o W()ClOOI./''< -,;"
OWNER CONTR. WIl-t.$.tJ!3R/A.J(~ r:~.
PHONE NO.
PERMIT NO.
99- I'll!
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C-l/rh l<~)('
~r
kORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto$~ ~, - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI