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Home My WebLink AboutBuilding Permit 99-1430 ADDRESS DATE ~ d.'30 /4 ::3(; 3 b I u <--hI rr/ I" rUll TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. 99 -/?f30 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI 0 EX/GRAD/FilliNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL /1f;\~GA~L1NE AIR TST o MECH FINAL (~~-r COMMENTS: ~ -1- ~JL ~ ,~ &~....... ~, -"" )c:f)vORK SATISFACTORY, PROCEED I 0 ';;ORRECT ACTION AND PROCEED o CORRECT /2.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! !NSNOrl ~TIME CITY OF PRIOR LAKE 22. ~ INSPECTION NOTICE SCHEDULED ADDRESS 143(."s ~ OWNER CONTR. PHONE NO. PERMIT NO. qq - /45C\ o FOOTING o PLUMBING RI o EX/GRAD/FILLING o FOUNDATION A 0 MECH RI o COMPLAINT o FRAMING ~ATER HOOKUP o FIREPLACE RI o INSULATION EWER HOOKUP o FIREPLACE FINAL o FINAL ~LUMBING FINAL o GASLINE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: I 'I "1 () ( Yk)/N. ~ Au I? V c... ' " .f TI~J ,1\\..C-- ^ ~. . - )oJ.; C .n.../- ~ l P ~ rL L<..c.-~ V ~~ ;":i\ . +W~~~ ,.- Mf:A/1- ~ VI.A.~ ~ .fwv lv~ C-dlr( ~ <\L VUr. D Cl~ o Inspector: Owner/Contr: CALL ~7-9850 FoJ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIME vlTY OF PRIOR LAKE 1;;)7 q:uv INSPECTION NOTICE SCHEDULED ADDRESS /4 36 '3 :2) u ~hN'j OWNER CONTR. PHONE NO. PERMIT NO. Cf0-/4SJ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FIN~ ,;KC MECH FINAL ~ COMMENTS:m ~ ~. ~c.., @J ('~=v......-, -h Al-1~, '- -Bl ~r ~ " ~.~-~ -fu -S~ 77rJ~ ~.-fL"..7.~ ~._. ~ '5:')~~~, {.'~,.~;::'~ ~ ~ , .; v ~. L.o-1L) A ,~, ~ '"C :u..a..R., Pd- ~.~ ;:;;.~ ~ ~. '.i~~~ d7;-' r ~ >W '1:?L ~p;}.}:f ~ ~ (('fit,~ .~ ~~ I[Z) ~" ~ ~ ~LJ Q~ - ~ ~,.'~ o WORK SATISFACTORY, PROCEED T~ M g-I -GO ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: ~ , Owner/Contr: - , o FOOTING o FOUNDATION o FRAMING ~SULATION ~ ~~NAL o SITE INSPECTIO o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOn ~..,-,,-'".,._-_.." -~._-_._,..~--_.._....--._..._--._--_._------- ~;-. - ",-,:::\~i~~,,":.,. "~~,.~J,!""",Y'Y'l:~~~~~~";~#,~")'1;.,\;\;;.,,,,..~..~,,,,Qtt-.,1!l/'l,,,~,~~-'F,,;~. ',-' ", '.J> &k TIME CITY OF PRIOR LAKE 11~ INSPECTION NOTICE SCHEDULED ADDRESS \43(,3 ~_'!_' Lrl 'Tk..- OWNER CONTR. PHONE NO. PERMIT NO. q(::j- /4],0 o FOOTING o PLUMBING RI o EXIGRAD/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 LUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: f v..l9. ~ q~ ~ c ..ffi-.-' U~ rl4,(j ~/ / / Inspector: Owner/Contr: ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 6,BUILDER (Name) /'::? 6,,?<(,.~ L.,4 t<<!!",il/-<.. (Tel. No,) ;j;Peff" ,I/~;Jr''?'(/JN C u5TZ!P7.. Ikm<tC, '-;z, ~~-7'!,O'b 7."rYPE OF WORK / Fireplace jj /Septic LI Deck 0 As-roofing 0 Porch LI NewConstructlontv' Alterations [j Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE Chimney c:l Mise, _<I} .?- (J '. 00 0 . 0 b 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS _ 110. CULVERT SIZE 17. tbMPLETION DATE Sq, Ft. /1 ill 0 Wldth/~ J.. Oepth 1- 0 1 Yes No ...-/' /l 5 /1 t? I hereby'certify fhat I have furnished information on this application whi~h 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 offi~an ~e this p~...w ju~use. Furthermore, I hereby agree that the city official or a des!9nee may enter upon the property to perfonn needed inspections. X h~ /rr</-k.~.Az.-u. <;i '"f,</'I /2/;J.~/ 1" ; Signature ~ License No. Date ~\ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATF I=\Fl":FIVF:n /z/zz!qc; DIREcnONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2, SiTY..9D.ll"~ iq-~f#-? AlueP,'l'.cI T~A.L 3, LEGAL DESCRIPTION h f'lJtJh 1. DATE I.J../ 'J- 'J- / '1" LOT .e~OCK /-/ I /I "d- PID 0>5'- :"iG.J. _,,'>"2,,\-0 ADDITION 4. OWNER _r:{J 5, ARCHITECT (Name) I. I~ I-rEX. (Name) (Address) (Tel, No,) (Address) (Tel. No.) 1. White 2. Pink 3. Yellow File City Applicant Permit No. 99-/t/3@ BUILDING INFORMATION 11. SIZE OF STRUCTURE (HeighJl.. ~ ('jIidt~ :L '" (,. :J.-I.~ 12, NO, OF STORI,. 13. TYPE 9F CONSTRUCTION .> r 0. 14, FLOOR AREA APPORTIONMENT USE (De,Ih) 47 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual Side Side Front Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING s'F.D 2;;;0, CC:O' eo PERMIT VALUATION TYPE OF CONSTRUcnON: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 4 't1 PennitFee ................................... $~ ~ . ~ Plan Check Fee ............................. $ 'i {,(. .1\ State Surcharge ............................. $ II n . 00 Penalty ....................................... $ Plumbing Penni! Fee ....................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS c:l ENERGY DATA c:l PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN COPIES c:l c:l Amount Brought Forward .................. $ Parl< Support Fee ........................... $-.6....0 .ex') SAC ......................................... $ f 6.<::;-0 .erO ~...m.~~.'o<..,d ...~.......$ .5V.OV Sewer Tap ................................... $ $ SIt." Pressure Reducer .......................... $ MeterHom ................................... $ 5L" Water Meter ..~........................... $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ City: ~ Mechanical Penni! Fee ..................... $ Sewer & Water Pennit ...................... $ Issued Date Ll5,00 1~5.oo I . '200 .d6 11')1").00 l,hl9n_= By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordin ce and may proceed requested. This document when ;g~:: CfY~an:er constitutes a tempooary Gem'cate of Zoning complian5" and allow construction to C mmenco, efore occupancy. a Certificate of Occupancy most be iss"ed, , F.f~ .I-IA,,1:3O .""\~ - .' ~ Co"<9~. ~rty Planner Date Sp cial Conditioos ~ any 24 hour notice for all inspections 447.9850 ... ,. Job Address N3b3 J?!(H ~ ,,;cJ Heating Contracto("'~.<:"A....."-1rl F'" - --; Name of Tester ::::l.. ('. Date --Y- 3-00 .7 to 'b ;35b Percent O2 Percent CO Percent C02 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 Input , " ..-..- -"~- _.._...._~._-_...--~'-- ~--"....-' _.._~ _. '-'-, .. -<' '~",.~' 1 The (~enler of Ihe Like Counlry White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT r.HEr.KLI~T NAME OF APPLICANT APPLICATION RECEIVED /.- ./,; , , /'. il ~ I '\' /,^., 1'/ , / ,/' .c:-' / ",::. I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 'Cf " ,,(-~- Accepted Accepted With Corrections v'" ~~'0/tIDy ~L-. Denied Reviewed By: ~...v.......~ Date: t-ll-ecQ Comments: ~ -l- ~"'tf'V~ .c;...~ ~ ~vDM 1" IAAeJve-.. ~ 1;'~o \2~M:GfP1:,J.VeJJ L:.v1P:rzO. y~0~~~ , A/L/~t9'~ I~ r?4HJ~^~<<iHM V\~~~ rY\,\f'tO {"e.q;Jif~ (f;)d.oyI ~~,~~ ~~kU~~ ~~ IN\~ loo~40L . {J.~ ~'ft-~_ Q ~YL9L-t;9re_... "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." ~1 99~/Lf30 White - Building Canary . Engineering Pink . Planning ThrCrnluoflhr 1.lkfCounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /1f ~/l/ e:A e/V' W , /z-/Z.z-,/Q9 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-3h..~ t5t-U6.15/18O ~ Accepted Accepted With Corrections ~ Denied Reviewed By: 9J()~A- - -; Date: 1?.-'2~-'?"r Comments: ~ r...Ql A 'fr:G-..J...--j) -/'{~12 ~ "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." /' @ (7'7- / Lj:':;' 0 I White - Building Canary - Engineering Pink - Planning Tht Ctnltr of lht ub COIUlll') BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr NAME OF APPLICANT /I/C NE~)R;VD./ /z/z,z./9Q , APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14-3h..'j (5L-UE-.6/~O 7K.- Accepted ./ Accepted With Corrections Denied Reviewed By: /..I1I1L:rf1l.. ,;:UIIE.S....JWiY , , Date: ..L/J.! ()(J Comments: 1)1t.~~...",. M\L<"- tJo-r Bf: IAls"""Iu..E:f~ lJAJn, - -r7-/E. P/loP,,~~l"\ J::'Tutt~ ~.I\~k'" .< ,,,,)~mL.L.Eh. Sa- I/\JFOA.....4-n"",) ON ~...E .l<:~v€l1<~ ~1l\E.. = ~&...rr.s: I. 6..nJ,- (!IUIDt.. /";~PEX!:f10N IJ./FnIlMA"r'oN 2. t.:'nao,,.j(. R-04,J ~. ER<:l.S.,noJ CnAlranL rI1,A<.tIIF'l ~tX,,,,..1 ~rn.nt. RAAl "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." CITY OF PRIOR .LAKE . PLUMBING PERMIT Applicant ('"",e -""' 2.. - ~'-1" ~ Address: _ \ 1..\ ., U 0;;;;- '&-. (ldt# r7 f ,. /2.-L Signature: It\. ~ Q.r ~ Legal Description: Lot l ? Block "2- Sub V 1'?If.'-, /-1-,' '-' Y-I;:>.. Site Address' 142,Io."3?,j" ";,,,!'2.D -rf.2- R.l BUildingPermiU-- ciQ-"t..J.3() PlOt 2~.31.o2.-021-D NOTE: This permit v.111 not be processed without complete information. FIXTURE UNITS JRN.12.2000 11:42RM GENZ RYRN 6513226147 nc emfa' at I'" ..... ClnIIlI7 Quantity Type of Fbdure Ouantity --:.-.. "2- Bath Tub with or without shower I DishwashElr I Roor Orain t..f Lavatory (bathroom sink) I Laundry Tray C1 or 2 comllsrtment sink) I Shower Stall I Sinks Bar Sink ~ Water Closet (toilet) --' "3 I I . , '.' ) i ..' FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) RllSidentlal, New One & Two Family RllSidential. Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL NO.861 P.2/3 RIo CiIY ....-.. qq. /1+.30 I. BIuo :I. Ciuld 3. yana.... # Phone: l"C;\-w'Z.:?:'-'!Wc..( f2ny.....-.ell.... n, Type of Fixture Rough-Ins Water Heater Water Sottner Stand Pipe (wsshing machine) Sewage Ejector BacldIow Assembly (RPZ. DaublEl Check, PVB) 1 Baclcflow Assembly T Elst Lawn Sprinkler Other .- SJ.)..rn() Pu..ofV'.(} This permit is gra....d upon the express condition tl:I.t said contractor. shall co '1fJ@"'lIpecot:;withtheOrdinanCes of the Slll!e Plwnbin . dme 1.5 Illeroof. _ ' oc> DATE . ,. AJ.J.J:.3.l C:';)'" " ,~." Call for all ins ctions 24 hounl in advance. 16200 Eagle CreekAv. S.E.. Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245 A1l Equal Op~onunity Employer _.,~,-"-,------"-""-"-- CITY OF PRIOR LAKE , 16200 EIIlIIe Creek Av. S.E. Pe'm~ No. Prior Lao, UN 55372 \~) QQ-/f30 TYPE OF STRUcnJR~ I.~."'--, Ale" I. an. .( DIY ). Ydk..-I Calndar .... :;:: ~ ttEATlNG APPLICATION I PERMIT "" 0: Date. 1\ I 'L 100 PIO' ~5- 3(.,2. - ()2../- n SiteAddreu 14-3b3 6\LLJI..elrU::> T (L. .... ~ Lot .-ll Block 2- Addftlon IGrw ~ \-h' l L Y t'b 2 OWne(s Name 'fZ.o~ V\.AQ...J\..JUl.Y t'LL '-I Addle" vn ~J<... 3Vl.o ll'~,l\e... Hsatlng Conlractor r'Je.Y"'l7_ - ~ \....J Address IU111 c:;- c;:..,..,., O....IoLrl_r To? J Telsphone II laS\ - 1...\ L ~ - \ ~ Wl\ Furn8ll8 MAIIke & Model l ~ 'F- TYPE OF SYSTEM J Warm Air Planls X Model Sin J;pIUISF- 4 !!:':.-l-z.G Gravity , Mechanical AlrConclllanlng) ~'I'2. &\I~ Vent. Syalem HEATING OR POWEll PlANT SI81lm HotWaler Radiation Spadal Oevlc&s . R ^r:.of' ...-v-v"o..l ""'1- Conn. Load 3 FIIIII t\ f ,q-,. GLlRue Slz& 5"' I ~ Supply OpenIngs ) a, ~ ReMn Opllllings 9 ~ Input.flD,OD7) OuIput ~lUoO '" N Edr. z: ~ elm. Other Devices TYPE OF WORK y. E: ffi AIIerallons .... Replecemenl New Cons1Nction Eal. Camp, Dale , '. "" RepaIr IS) Est. Coil $ IS) IS) "! HEATING PERMIT FEE $ " --: STATE SURCHARGE $ z: ([ >.., TOTAL PERMIT FEES $ Building Permh II qq-I tJ... '?f) .50 Recelplll. Single Family Commerolal. 'I Two.FBI1II~ ,. Ill<iIelrlal Fee Schedule Industrlal, CommercIal 8. Mulll-Famlly Reeldllntial, Heating & AC ResldllnUal, Healing Only. Residential, Gas Areplace RMidenllal, Adrlltlone & AHeratlons R861denllal, AC Only MUti.Famlly Publ'" Dlhar 1 % of fob coilt ('39.50 mlnlroom) $99,60 $&4,50 139.50 '39.50 '39.60 Remember 10 add Ihe Stale Surcharge on lhe bottom of lhls apprtcallon. The.prlce of your hestlng permTllntlud88 O/Ie rough-In and one linel lnepec:llon. ' Mdllional inspetllons wIll be billed al $35.00 eech, House HeatingTesl Record mllSt be aubmlned wnh ~"'1<1;",, IlIDIJiIIIlUIIllm before buDd- Ing ter1Uk:ale of occupancy wlll be tS<<ued, ..F4T 1:AI r.ta ATlO'-l1l qr:(\I""Fn with numbsr 01 8lIppl~ and relwn openings Ilsled peo room with CFM's per opening. New slrucluroo or IIddltfons send floor plan wHh auppllf and relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITV OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR lAl<E, MN 65372. City Hall tJusllll88 hours are e e,m. - 4:30 p.m, ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL). CALL CITY HALL 447-4230 I hereb~ apply lor B methanlcal s~steme permll end I acknowledgltlh811hlt Inlolmallon above la complele end Bcturala; Ihat Ihe wOlk will be In conformance with Ihe ordinance. and code8 01 the ally and with the 8tale bulldlngfmechanfcel codes; Ihalthls lorm does not become B perml! until sIgned blllhe BUILDING OFFICIAL; thatlhe wo,k wiil be fn accordBnce with Ihe approved plan In Ihe castt E?i~. reVle~ and ~pprovel 01 Plan:"l 'l- \ CO f. - AppItcaJd}8~JP..1' /Da18 "-_~/ff~ ///4-/{J7) f 0a16 Butldrcare Signalur. &llEE. - 'M.E YELLOW - APPLtCAtfT GOLD. CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: NO. QQ-/t/-30 Sewer and Water contractors must be registered with the City. APPLICANT: Sk rn PHONE: Rf?Lj~ L,/ )lIt? ADDRESS: /1J~~1~if'~J~DATE: 3~f~GO SIGNATURE: ~~SlY BLDG. PERMIT # Cf9-/tf-3Q SITE ADDRESV /Lj3/;3 ~J PID# 25-302...-0Z-/-0 tel FILL IN THE BLANKS 1. Estimated length of water service (~ feet. ~ \3'll.fJ.\ 2. Size of water service / II inch(es). 3. Location of any couplings from structure 4. Type of sewer pipe. ABS PVC >(' Cast Iron 5. Estimated length of sewer line l ~() feet. feet. 6. Clean out (if required), located at structure. feet from -------------ij-fA---------------------------------------------- ---------------- ---------------------------------------------- This applicati ~~ your permit when approved; > ~ BY (1JUA'-- DATE: 3/ /3/ () 0 ==================================================== 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 building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID AMOUNT PAID RECEIPT # REC'D BY 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 553721 Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer ~ ~ , (l. CITY OF PRIOR LAKE .J.4I' s H tI q..:iI= 162l1O E.... CnIek Av. S.E. P....... No. qq (J.. /1./..30 Priar ...... IIN 55372 HEATING APPUCA110N / PERIfi 011I8 ~~....~ -0"0 PIO, Z5-3(PZ - OZ-/- 0 SIa~ 1431,'1 ~ .BIlL, bl'r"! -r;.- I?../ LaI (P BIadl Z. AdcliImn )::;N O!l7mlJ 4-W Own....Nam. klo...J i'\,.tt..:t-.... e it'd/UtI . . - - . . I Addr_ V N ID <D t- V V N ~ <D HaBIg ConnI:Illf has Li'fVJ.. n II ~ 4 VOIo fl.IJ.HLdf'L S t T ""..t t...u../ ;).).L,-iD~O ...... .MIIlaUbfel . /.J'D.t-A},~{o lVPEOFSYSTEII ~ WJ f~ (g6TJO -rl.. :='Ajr Plan\s Iotechanical Air CandiliDning Vonl SysI.... IEAlItG OR POWER PUN1" SIIlam Hill Water Radialion Special Devices t1 r~ D bL..tL Olher Devices II. >'i""'''''' nJlI 9 . . r":'.....~ /JI'.'" '\.. V ,. I Add.... r.L. ~ ~ (l. t (: .J ~ d ~ Conn. LD8d Fuel ,l.~t M6 oJ S"",1y Operi... Flue Size Aelum Openings /npuI~an Output Edr. Ctm. TYPE OF WORK E: a: b1 ... New CanstrucliDn / ~ ... AleralioIlS RepI--..nI --_._-~..- -----. . .------..-.---- Repair Est. Camp. 0aIIl . EslCosU 1...mm- BuilllinlJPemtU 9t;-/430 HEATING PERMlTFEE. ".,...p~~ STATE SURCHARGE I .50 plJILDING P ~ ~ I N ~ I ~ a: E: TOTAL PERMIT FEES r Receipt 1/ TYPE OF STAUCTIJAE 1.1"'d file 1 ..... Cily ].111I'" ~ Single FamIly Com.'I -alii / Mun;.Famlly OIlIer Two-FarniIy Indu81riel Pltiic Fee Schedule Industrial, CclIIImercieJ & Mull>-Family Reoidenlilll, Heemg & AC Reeidential, ......ing Only Residenlal, Gel Fireplel:e Residenial, Additions & Allellllions Residenliel, AC Only 1'" 01 job coat (S39.511llinimwnl 189.50 164.50 $39.50 P..50 139.50 Rernembef to odd the SlaIe Surdlerge on 1IIe bollom oI1his appIil:alion. The prioe of your healing permit includes one rough-in and one final ill.pection. Adcitional ..spections will be billed at 135.00 each. House Heeling Toot Record rrosl be s.mm;11Iid _ tt -,\01;... IIIIllIlflllldlal: bolo.e la.ild- ing cer1iicale 01 DCCUpency will be issued. l:!f6[t' A' r.1lI A'1"1nN1'l ~Ff'! II'lFn wilh number of sLqJlv .nd relum lIpOIings iohJd per .--0 w~h CFVs per opening. New structurus Of addiIio"" send 1100, plan w" suPIIIY and _ loo:aIions st.Mn. HEll!' LOSS CALCULATIONS, PAYMENT AND APP~ONS MAV BE MAILED TO THE CITY OF PRIOR lAKE, t6200 EAGlE CREEK AVE. S.E. PRIOR l..AKE, MN 55372. CiIy Hal business hours .... 8 a.m. . 4:30 pm. ALL WORK MUST BE INSPECTED (IIOUGH-IN AND F1NAL)- CALL CITY HALL 447~O I I i , i I I i I I t I hereby apply lor a mechanical systems pennil and I aClrnowte"'e thatlhe inlormalon above is complele Vld accurate: that the work will be in conformance _u_ ,.WitR Ihe eRlilllll,cG6 and ...."GO oll"e cloy anD w,m'"1lHo-state Iluilding/mechanical codes: ""'tthis rorm does not become e permit unlil signed by the BUilDING OFFICIAL: that lIle work win be in accordance with the approved plan in the case of all work which ...quire. review and approval 01 plans. v~"M~lA r(1.nJJ. 3/~ 3/(;;,700 Dale ~ing OtIicars Signa/ure DEPARTMENT OF BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD SITE ADDRESS 14:S103 -:g\Ue.'oIl'"6l. ---y;::-,,-,\ NATURE OF WORK l'\"'" (\tmh~\"UC'\'1OY\ USE OF BUILDING SF t) PERMIT NO. 99 -143" DATE ISSUED --L' -, ~ -'11 CONTRACTOR ~~ 1'\c l\)po.l"...'C>'''\ (\,"~ ~~ NOTE: THIS IS NOT A PERMIT FOO ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING ~ 11'1~.OO I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH.-: S If;:) ;;hq(dCJ iJ ) (l;"-^ !to!(k) ELECTRICAL ~~ 1/ PLUMBING 1>, n i '" till "(11 z1 If' /lffJ HEATING (if req .r d) ~ l 'Sf) FIREPLACE itJiJ GAS LINE AIR TEST ~ 3h/rJIJ COVER NO WORK UNTIL ~BOVE HAS BEEN SIGNED I I FINALS INSPECTOR SEWER I WATER I SEPTIC FRAMING INSULATION I \'I~Ui~!I" uLlll~,~1 'II GRADING (Prior to Sodding) BUILDING f{'...()-rv '5/ /d'"b ELECTRICAL PLUMBING HEATING DO NOT DATE l J 9\\\l9J 'O/~I(:;6 i/zf,.(b'b -{6 LY J?41n t/ &:1', '4h7/rfb ~AS BEEN SIGNED OCCUpy UNTIL ABOVE NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections aod maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main 'entrim"ce. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 .--~-,---"--'-'-'-"--'-~'--" --.. --.--.-.-,.. -_..,-,-.-_"- -,