HomeMy WebLinkAboutBuilding Permit (MGM) 08-0805 TE TIME
CITY OF PRIOR L/0.KE
INSPECTION NOTICE SCHEDULED � ZC7 1,1
ADDRESS � � � � � Gd�N/�� �
OWNER CONTR.
PHONE NO. PERMIT NO. � ` �O�s
❑ FOOTING � PLUMSlNG RI O EX/GRADIFILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
0!{--FINAL � PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: � �oS�� �E �
( ![
❑ WORK SATISFACTORY, PROCEEtf
�-CORRECT ACT A ROCEED
❑ CORRECT , C FO REINSPECTION BEFORE COVERING
Inspector: /Contr.
CALL 447-9850 FOR THE NEX CTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH dc SAFETY!
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DATE TIME
CITY OF PRIOR LAKE QTT—
lNSPECTION NOTICE SCHEDULED !
ADDRESS �yf � 3 �e�nn,���,.� a,�2 �p
OWNER CONTR.
PHONE NO. PERMIT NO. p.— D S�
� OOTING O PLUMBlNG R1 O EX/CaRAD/FILLlNG
/❑ FOUNDATION � MECH RI O COMPLAINT
❑ FRAMING ❑ WATER HOOKUP O FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL O GASLINE AIR TST
O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�. P����. A,�o�. h� •
, .� �� � u�c �a.r
��rcic�csr-� �_Vt.�.-+-,a�— �
❑ WORK SATISFACTORY, PROCEED
� CORRECT TION AND PROCEED
r�
❑ CORRE W , CALL FOR REINSPECTION BEFORE COVERING
inspector Owner/Contr.
C -9850 FOR THE NEXT INSPECTION 24 HOURS tN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOT{CE SCHEDULED (v (rv Ch4 f l��-
ADDRESS I � i � - �� � `—�`��'`'�
OWNER CONTR.
PHONE NO. PERMIT NO. � - � ���
❑ FOOTING �fPLUMBING Rl ❑ EX/GRAD/FILLING
❑ FOUNDAT{ON ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ PIREPLACE Rl
❑ INSULATION ❑ SEWER HOO}CUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTfON ❑ M FINAL ❑
COMMENTS: � � �
lvott.' ��c.i„ �g�n- wi� �-
� �/'�ANty /�t ..Y��--- o'
p�T �
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F�N�-�- �l�'�"`.. r �
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�WORK SATfSFACTORY, PROCEED
0 CORRECT ACT{ON AND P ED
O CORRECT WORK F R' EINSPECTION BEFORE COVERING
Inspector: OwnerlContr.
CALL 447-9850 FOR TFiE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
WSN071
pATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �G 2D
ADDRESS � � � �3 CatM�M.t,...r�,
OWNER CONTR.
PHONE NO. PERMIT NO. �.i(J � OQD�
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI O COMPLAINT
�FRAMING O WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL O PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: ��;- �; �,
�WORK SATISFACTORY, PROCEED
❑ CORRECT AC ION AND PROCEED
0 CORRECT , CALL FOR REINSPECTION BEFORE COVERING
inspector: OwnedContr.
CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAFETY!
nvs�von
D11TE TIME
CITY OF PRIt3R LAKE
INSPECTION NOTICE SC1iEDULED /� 'S
ADDRESS I� ��]� ��yy►.Qj-� � , �J�J
OWNER CONTR.
PHONE NO. PERAAIT NO. �—��' p��
❑ FOOTING ❑ PLUMBING R1 O EXIGRADlFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP D FIREPLACE RI
❑ INSULATION ❑ SEIfVER HOOKUP O FIREPLACE FINAL
❑ FINAL ❑ PLUMBINCa FINAL ,�6ASUNE AIR TST
❑ SITE INSPECTION � MECH F{NAl ❑
COMMENTS:
�
.
� �
��?��1�,, --- S�� - - - --
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
� CORRECT FOR REINSPECTION BEFORE COVERING
lnspedor: Owner/Contr.
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODB REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFBTY!
r�s�von
T@ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULEO � �
ADDRESS � �- � �� �M.M��'�Il..��j'
OWNER CONTR.
PHONE RI . CO(� �03 '��PERMIT NO. � �(��-
❑ FOOTING ❑ PLUMB{NG Ri ❑ EXIGRADIFILLfNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ 1NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL O GASUAfE AfR TST
❑ SITE INSPECTION O MECH FINAL n, ❑
I
COMMENTS: - �� S�pP ��•. � f ��Sr � �
!� � - �t� � ,
s E � mN 2 �- v�4+�
� • .�, rs b�..2-s 2..
1� , r'�� c� ,�/1ev�-,D 1 VA�c S ��T
T
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VV / t - -
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p� �
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, � �
❑ WORK SA7ISFACTORY, PROCEED
�CORRECT ACTfON AND PROCEED
❑ CORRECT WO K, LL FOR REINSPECTION BEFORE COVERING
Inspector: OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTN dc SAFL'TY!
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DAT T1ME
CITY OF PRIOR LAKE
INSPECTiON NOTICE SCHEDULED l l 1 �� ��_
ADDRESS �, � �� 3 Cc�w�.Mc.,� � c..� /4�
OWNER CONTR.
PHONE NO. PERMIT NO. O�-���
❑ FOOTING O PLUMBING Rl ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
f� FINAL � c.c> cv . O PLUMBING FINAL O faASUNH AIR TST
❑ SITE INSPECTION !!- MECH FINALAPPR��-aO ❑
COMMENTS: 1, �.g-`��� .� �
t N 1 1 L�1V �-4� �t' �-��f l/N I,rS'
' 1r( Ta-� �- t,.J ��yR?i_ — . u5 � l l� b
� . � �v't'�'�'f pu�c�� � S��
T c�
CL�ss �...«.. p���r [� SPr�� �02 6tz-3�3 -a518
❑ WORK SATISFACTORY, PROCEEO
� CORRECT ACTION AND PROCEED
❑ CORRECT y1/6�R , ALL FOR REINSPECTION BEFORE COVERiNG
Inspector: �� Owner/Contr:
CALL A47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQDIREMENTSARE FOR YOUR PERSONAL HEALTH k SAFETY!
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS �
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING O PLUMBING RI � EX/GRAD/FILLING
❑ FOUNDATION O MECH RI O COMPLAINT
❑ FRAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP � FIREPLACE F1NAL
O FINAL 0 PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAL ❑
COMMEN S: � - �� q.,r.�C. �(��
l�'
� �
❑ WORK SATISFACTORY, PROCEED
/ `%j�CORRECT ACTION A PROCEED
�� CORRECT O K, L FOR REINSPECTION BEFORE COVERING
inspector: � � OwnedContr:
CALL 447-8850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYl
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�F PRIp�
��\�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � ! � r a .�
� � AND UTILITY CONNECTION PERMIT
�-
I NN E S O�
I�1'hue File pERMIT NO . O�� OSO
2 Pmk City �
? \'ellow Applica�u
lease e or rint and si n at bottom)
ADDRESS (convert existing 6800 sq. ft. retail ZONING(ot�ceuse)
14173 Commerce Avenue NE building to MGM wine & spirts) C�i�
LEGAL DESCRIPTION (offce use orily)
LOT BLOCK ADDITION PID Z'S. I q—, O, O �
OWNER Totem Foods, Inc. (952) 345-8882
(Name) (Phone)
(Address) c/o Carleton Property Services — 6950 France Avenue, Edina, MN 55435
BUII,DER
(Company Name) Schrei b�' M�_�11 anc�� ('�nGtrt�rti �n (Phone) �651) 774-9440
(Contact Name) Bruce Schreiber (Phone) �651) 774-9440
(Address) 1286 Hudson Road , St . Paul , NIlV 55106 V�js ( Z.. • pt $
TYPE OF WORK ❑ New Construction �Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fnush ❑ Fireplace
❑Addition X�]Alteration ❑Uhlity Connection ¢
CODE: ❑I.R.C. B.C. ❑ Misc.
Type of Constnutio : I II III IV A�
Occupancy Group: A B E F H I.� R S U PROJECT COST/VALiTE $ 2�� , ��� • �� �
Division: 1 2 3 4 5 (excluding land) *
I hereby cerafy that I have furnished informaaon on this apphcation 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 construc[ion will conform to all exisang state and local laws and will proceed in accordance with submitted p(ans. I am aware that the building
ofFicial can rev�erm�t for �ust cause Furthermore, I hereby agree tha[ the city official or a designee may enter upon the property to perform needed mspechons
x
� NA 09/18/08
� � Signature Contractor's License No. Date
Permit Valuation 2 ��� � Park Support Fee # $
Permit Fee $ �� 3� �� SAC # $ �,
Plan Check Fee $ �� .7 Water Meter Size 5/8"; 1"; $ �
State Surcharge $ D � _ Pressure Reducer $ _
Penalty $ Sewer/Water Connection Fee # $ _
Plumbing Permit Fee $ ��T� Water Tower Fee # $ �
Mechanical Permit Fee $ s����� Builder's Deposit $ �,
Sewer & Water Permit Fee $ ,,.. Other $ '
Gas Fireplace Permit Fee $ '� TOTAL DUE SQ. Z d S $ 2 SZ$ �
(,� /O- Z � O�
This Appl' ' n omes Your Building Permit Whe Ap roved Paid 2 Recei t NO.
Date U^ " B
lD i Og
uildui Officiai ate
Th�s �s to certify that the request �n the above applicanon and accompanying documents is in accordance with the C�ry Zorung Ordinance and may proceed as requested. This dowment
when signed by the City Planner consatutes a temporarv Certificate of Zoning compliance and allows constmchon to commence. Before occupancy, a Ce�ti6cate of Occupancy must be
�ssued � ----i---- ^— - `
'� 9 ��' se� �°/1'�'h� s�i�,��-
Plannm uec[or Date Special Condrtwns, �f any
24 liour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 llakota Street S.E., Prior iake, Minnesota 55372
O � PRIp�
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��NNES��P anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT SCN�� /�'lc� /�UL(�f I Nt��
APPLICATION RECEIVED 9. `�. Ob
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ �/�3 CC��I�E/�'�c� �Y�/� .
Accepted +� Acce ted With Corrections
�
Denied
Reviewed By: Date: t � ���
Comments: �. s � f�� �v � i4� /��.�4�5 �Fau�
� /►�' �'//�Y�-- / `'�� � �%���Cc�- G/�/6�ivC�/Z
l� � c�� P��ne�-�•� /,�•� f�����-
�s�s
� /¢/v �L �G �2 � c.� C�.�N l p' S �i �r R�
"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 approva! 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 shali not be valid."
O � PRip�
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White - Building
�NNE50`SP Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ���'�°�- �:- � f���{' � l` d t"�L C�,r I/`v,��`
APPLICATION RECEIVED /�. �'�" . �� t�r
t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�
,� '�- �" - 7, % Ca�r i`;�f f�1 � !`� �'-�= ,*��° �' �
Accepted � Accepted With Corrections
Denied
Reviewed By: Date: ��°
Comments: - jan �r�lts Y"eaK;,.�� 7�r �ar,rry ,
- �iCil'��'{� e�(%S�/Aa L r�KSh QI'�Uo�LtY'e Tar bfs� ��3�s� /�'`r��Sa,
"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."
(��x��r�x���e ��' (�x����cx�r
CITY OF PRIOR LAKE
�P�tt�#�t��t� .v� �ixY�.�t�c� �xc���x�t.a�t
❑ Final Permitted Ca'Conditional C.O. Expires t'o > o
This Certificate issued pursuant to the requirements of Section 110 of the � Residential / 0 International
Building Code 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 Classification W��G�� L+ Bldg. Pernut No. V�/• vO�
Occupancy Type Type Conshuction Zoning District ��
Legal Desctipdon a�. Z . ��� / � �����
Owner of Building Site Address ���� ��'I������ / r v
Contractor's Nazne & Address �
/'�► . ��� � �7�� �/J Ciry Planner
B din Official
Date: �� � Date:
POST IN CONSPICUOUS PLACE
FROM TOTAL REFRIGERATION SYSTEMS.INC CTUE)OCT 21 2008 10:04/ST.10:03/No.6611516073 P 1
949 South Concorc! Street
South St. Paul, MN 55075 . . ' . - , •
651-457-7804 Fax 651-457-9122
To: Permit departrnent Froere; l.aurie
F� 9
� o■te: �a2�ros
I�ee Permit applic;aaon CC:
� Urgent ❑ For Review O Please Conwnent ❑�ease Reply ❑ Ploas� R�yel�
� of pa�s Mcluding aover page 2 �
Please r.all immedtabely iPyou do not r�eoeive all pages, 651�57-7804.
� ComnlerNs:
Can you pleaser r�eview the attached permit application and let me know what other inf�omiation you
may need? This is fo� mechanicaUrefrigeratian installation and the application is not specific to
refrigeration.
Thank you, .
Laurie
f� (GC.- ,w.oe.�S•t+g" � c��
, �'' �'I/L�4r o�
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�jON/�.�/t ���� (� �C� ��� �
BUI�DIN �VIE
INSPECTOR
DATE � Z o S PEF' �- b
[J'ACCE TED AS SUBMITTED
❑ ACCEPTED V1�1�: ; CORRECTIQNS AS NOTED
p NOT A,CCEPTED-CORRECT 8� RESUBMIT
These commen�s are for your iMumiation. All wak shall be done
� full compl;�nce ��ith a;1 applic�bie building & zoning code r+e�
" . �evi�W�
KEEP THIS F'LAN SET i�N S1: E AT ALL TIMES
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,, ,, ,� CITY OF PRIOR LAKE Date Rec d
�; ;�� �'�,,!�� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
`,=--- ,�
�jN��� ���� �it/ 08 . b ��
1 Pmk File pERMIT NO. �� �
2 Green C�p /J
3 Yellow Apphcant • `�
Please or 'nt and si ai bottom
ADDR.ESS � wo ����� � • ZONING(ofl�ceuse)
. � � �.u��. /�/ �.
LEGAL DESCRIPTION (oflF'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) �-'E� f�LY � � � t`� N �'� S I YV G. (Phone) �� 2 ' �S � [a -13 5 �
(Address) 'ggSO V�Er�TWp�T� 1°cVE �.• ��Lvbwt�n3G,'Rsr� �v��ZC7
(Address) (Ciry) (Zip Code)
(Contact Person) �+°t.R-�{ '.�'� O 11#t'�.Z. (Phone) lQ I o'Z - �f (0 (o — l3 5 �
APPLICANT SIGNATURE � DATE Il7 - 7� D�
PLICANT PLEASE C4MPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS
,�oR.1C, ��sc�c Pn�h�: IW &;+au.i r�l �2� NEw R-c s. t71sT(ti p�,morJ �ROm t'�+c�1� r- �a+! s
�'► � i r=s ta - ro �-r<<-til • -
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
18 Mechanical ❑ Radiation
❑Air Condifioning ❑ Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a BuiZding Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Mutti-Family I% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, AddiUons & Alteradons $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ a� O O �•� Building Permit #
HEATING PERMIT FEE $ a O• r
STATE SURCHARGE $ .50 �
TOTAL PERMIT FEE $ c�QO • S�
(Office Use Only)
This 1' es Your Building Permit en pproved PaidZe�� � S'D Receipt No. rf 9D�
�7�I
�� � d Dat lO. ��I•Q �/ BY
Bui ins Oificial ate
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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b .�j .. • �- ♦ f , � �� ,"^ ,♦
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�
4� PRj �lp Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT
�, �
���'NES��� ��� �`/�— 8�j
Z� d �,�, PERMIT NO.
3 Yellow Appl�cant � '���
Please or ' aad si at lattom
ADDRESS ZONING c��� �>
� � I �7 3 Gaw�v►t.��e e /l/�"
LEGAL DESCRIPTION (oflFce use only)
LOT BLOCK ADDITION p�
OWNER — �r-
(Name) t c'� `� Vh ro a� S� Z vl C, C�O �u''�e�ah P (Phone)
(Address) (o R 5� h c� f�►/� .S � 2�a ��,�. MN 5��f 3S
APPLICANT
(Name) � ti� e'� �� �.�, 6 ��-' �o,rp . (Phone) 7 63 -S 31-- ZC�O o
(Address) gs� � �.y ( 6 `i' /V �( ti r"to�.�. , /`'1 /J �� �11
(A ess) ( ity) (Zip Code)
(Contact Person) 12 �C. �'r'I.� b (Phone) _ _ � (2 `� I 9 - 0 8�1 �
APPLICANT SIGNATURE ` DATE I O 8'
APPLICANT PLEASE COMPLETE BELOW
uanrit T of Figture Quantit T of Fizture
Bath Tub with or without shower Rou -ins
Dishwasher � Water Heater
Floor Drain Water Softener
2. Lavato athroom Sink Stand Pi e ashin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Bacl�low Assembl
Sinks mo S; �k Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet oilet t Other 'h n.�k, �o,,,,�~}�,�
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alteiations $49.50
Estimated Cost $ � �, 9 � �� 4 a Building Permit #
.
PLUMBING PERMIT FEE $ r( 9, O o
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ( ( q.$'o
<otr+� u� a,i
This A c t Be r Building Permit hen pproved Paid (/ �� Receipt No. �� `
<O l � Date / By /,
Buil inQ Otificial Date ��/ lU � � I'��
24 hour notice for all inspections (952) 447-9850, faa (952) 447-4245
464G Dakot: Strcet S.E., Prior Lake, R�nesota 55372
FROM TOTAL REFRIGERATION SYSTEMS.INC CTUE)OCT 21 2008 10:04/ST.10:03/No.6B11516073 P 2
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� * • CITl' OF PRIOR LAKE na� R��a
" x HEATIN�OAIIt CUNIIITIONiNG/�'IREPLACE PERMIT
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�-�«�.a�� . . � �i L � �✓ O 8 . 4 bOS
' ;� � �, PERMIT NO. � Q d .�
�. reuo. pp�ani �� O 1 �
k az ' aod ' ubotmm
ADDRESS ZONIIQG (oeioe we)
4 � �
l �
LEGAL DESCRIPTT�N (offia we onty)
LOT BLOQC ADDITION pID
OWNE
mt��� m�,���.� c.�„�+,�-t (�,�) 6 S 1� ys6� • 1 Oo�
(naa�) I � ,
APPLICA� .`� � �
(Naanel 1�.`�' r'� A 2.� ;�—� (Phone) la5 �- L-1 Sl - �t9C�'�-�
cpdd�) g�-1Ci `.� . r�r,cdrr� '� . s. �- �r•►�. m n s�n� s'
(A�) (�Y) �ZP C�)
(Contact Prtson) (Yhone) ���,�-��S � - ` � Cx7 '
�
APPLICANT SIGNATCJRE DATE
APPLICANT PLEASE. C��IPLETE BELOW
W CONSTRUCTION - ❑ �tEPLACEAQEENT � ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE S1ZE RETURN OPENINGS INPiJT OUTPUT
TYPE OF SYSTEM HEATII�TG OR POWER PLANT
� � p � � � PLEASE NOTE:
[]Gravi�y ❑ Hot Wacr Air Condirioner Units
�M� � � Cannot Encroach into
o ,� �o�;u� o��� ��� Re�uirod Side Yard
pvau. sy� p oe��. n��«� sedbmexs
FIREPLACE MAKE AND MODEL
� �E scx�nu�.E
{ndustrial, Commercial dc Multi-Family lYo of job cost � Rai�►!ial, Gas Fircptace 539.50
� 539.50 minimum
Ftcsidcntial, Heating � A/C (New C��tructFOn) S99.50 Resida�tial, Additioas & Alte�ations $39.50
Ruidcntial, Hrahng Only (New Cons�uccion) 564.59 �� Residential, AC Only 539.50
� LZ ,��J
Fstimated Cost S � Huilding Permit !� �,
HEATING PERMiT FEE S � ��� �
STATE SURCHARGfi S .50 '
AL PEAMIT FEE S 4 Do, �U
(OSice Use Oa 1
Thb Ap tio a utldin Permit Whe App ved Paid�� ��� ' t No�� yC?
�
� ! D Z 2 �,� Dace $
mee o�.i a.n !�. $^. d � .
?A 6our notice for all inepestiQns (932) 447.9gSp4 hx (95Z) 447�47A5
16200 F.a�!^ Crulc Avenue. Ptb� [�ke, MN SS3?1
�3. 3 s9 �.�
400.on �n `-� '�*'
"�'�' i�6o--- -
226.00in 141.53in � ��'�--:�,,,. _--- -------_
� 83 48 in ; 64.75 in 83 52 in 145.70 in � v, ,. »�' "� R° "�
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F ped�t: Tom 5[hommx
�� � 'L4.50 in �': fArtec,; �A-I DUa�ler_�Tmfsl�c
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i f1el�ax MfdA Pna Lake a
5 s �r�00C'in � I I� �I•� �•
I I . y� �ypx (hmnel LeNen
! ?4.50 rn ,- 5ke 1: See Drowmg
I Au 2: - - -
197,72 in ' Fem t. NA
60.00 in. Tall MGM Letter5 on a CuStom 15.00 in, Tall Raceway = �
I'ainted to Match 8uilding ;'=�s: �
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96.00 in � RetlLEDlg�g -
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�'a' erarx a�teE kf cF aw �ci�et � 4 � , � °� e '''� _ ..
PhOtO Cell Wifing ' �' � ' � " ' ' '
a �AST ELEYAtION """"'°"�'°
M
A-7 xN.E: iro' . t�-o' O Underwrkers �
s L Laboratories Inc. S IGN SOURCE M
INSTALL IN ACCOHDANCE WRH THE ��
N.E.C. AND �OCAL ELECTRICAL CODES.
1660 Uuollro Drive •(honhassen, NN 55311
Phone: 952.908.9111 • Fmc:952906.9153
www.sgo-wurce.com
APPROVED " t � � � t PLEASE (HANGE
� AS IS: � � "' � � � � � � AND RESUBMIT:
P R� Q� L� � E B�IPLDIN�G A D�NSPECTiON
N P T E RD
1 N R
SITE ADDRESS �� �m� ��' �� �' �'.
NATURE OF WURK ' �� t�G''
USF QF BUILt71NG
PERMIT NO. DATE ISSUED �o � o
CONTRACTOR Gµ +�, � PHONE �si -`T`t � -�C44o
NOTE: THIS IS NOT A PERMIT FOR A Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
N�PECTOR OATE
FOOTING �J ZO o�
FOUNDATION jPrlor to Backfili
Pi.ACE NO C4NCRETE UNTIL A60YE HAS BEEN SIGNED
ROUGH - INS
F�tl1M�NG
lM�UL�A►T�aN �
EL�C�'RICAi.
PL.t��1�iG r� � S
HEA'�iNG if ufred t� �Z �
GAS Li�IE AIR TEST �1 j
Ct)YER NO WORK UNTiL ABOVE HAS B N�1 N D
�'/`�t���1'� 6� ���
FINALS
�31�l1.��'i �w � o, �ra o [t �
�1ti.��'�i��4L
P��1�il�i w � 14. � b�
t�F�1'1'��1� �� � � �
t�t� Ni�T C1��CCUPY UN71L ABt3VE HAS BEEN S1�sNED
��TI�E �
'this card �ust #� psast�rd n�ar � o�tricai servk� cabinet prior to rough-in Mspections
�nd rru�in#aln�d untii ali i��pections have been approv�cl. On butidings and additions
vrhere no �e� +ra�binet �s avsilable, card st�al! ba plsced �ear main �ntrance.
�OR ALL lNSPECTIONS (952) 44i-8850