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Home My WebLink AboutBuilding Permit 97-0505 T y DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE � SCHEDULED �o ��( �� I r ADDRESS �'y y � � � OWNER CONTR. PHONE NO. PERMIT NO. 9� —' J� � ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATIO � ❑ SEWER HOOKUP ❑ FIREPLACE FINAL �, FINAL �, .Q s��'Ruo �❑ pLUMBING FINAL � GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: �, , Gc�—a � �. - � F: ��,., C�WORK SATISFACTORY, PROCEED �❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING I nspector: OwneNContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� ,�vor, ,:ro�.c+.^sr�a ."'.s�pr�R,��p�v, ��v .gs - ��.�^V� �� • .� � • ' ' � � ' � , • o , x. ,+ f h 'k� , , p y ' +� � � u � � . � � 'ry� � • ��y.A� �` 'i ;r"; ^1y f y� + y. Y ^h, �, �4 ;y1�! y�! i�f � :�. ip � w � ° ' � � i ' � ` ' a �Y. /' ' � ':� � r � ��Y��It�i� lt� �ttU�ltl`.� _ - ` .; , . - CITY OF PRIOR LAKE � ��` i= ' �� g ' �e�artr�er�t of �uitbir�g 3�r�g�►ectton � � � ��' �Final Fermitted ❑ Conditional C.O. Expires : *� . � This Ceni,ficate 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 Lake regulating building construction or use. For tht follawing: � � ,r. - Use Classification. SINGLE FAMILY Bldg. Permit No. 4�-5QS �' � � Ocwpancy Type g Type Consuuction � Fire Zone N �A Zoning District Rl � . � �' ' LegalDescription L3, Bl, CARRIAGE HILLS 4TH ADDN. ,,� = 4444 COACHMAIV' LAN�' � : - Owner of Building Site Addre'ss �' ��"` 1 C.1Z. PARTRIDGE, 14696 LANDAU LN. , PRI�R LAK�, t�tN 55 72 �� Contractor's Name & Address +, ROBER D. HU'PC3?INS ,,. �"- CityPlanner ��NN TO � � �. } Building Official �` t � / Date: i .,Y': " nace: Cw'' � � t l �.' ! � �s � �` POST IN A CONSPICUOUS PLACE ' � �" - - ' . J � r e + M �� ` ✓ rt `..M' �A, x I �Y , M + I 1 + P 3 M., .? y i� •� + M' • �' f � � / � : �y,;_ ` � � •1 y 1T� 4 / f'�'� , F _ 1 l • t � • • l i . • . t: . , y �� _ ��^�..��ti�� r'��.`.�� „i . . ... . . _ . . . .. . .. . . . _ .. ._ _ ... . _. . + HO SE HEATIKG TEST RECORD �F�� A�DRESS , APT. FLOOR CITY .�SUBURB .00CUPANT OWNER F4EAT LOSS D TE HTG. INST. ° SOL� BY INSTALL�[T BY Elsehitoi o► Sy Gos Line Br TYPE OF HEt. GA FA �HW STEAM .._� SPACE HTR. UNIT HTR. OTHER � � � " G/CS ESIGN CONVERSION MAKE '.{.,=;, � MAKE OF BURNER �� Model Ss►io) Max.. BTU F?�oting , (NP�fT MAKE OF FURNACE # Model ' .._,. .— CtNITROLS - -- �`s zq` . � % _ _ _ :. �. f� _ _ _ _ . _. - . ��RtM�STA7 Heat y �"""�' Ve�t Size "� 1� Valre KIND OF LINER SIZE �� ONE � Limit �, DroFt Hood spularor /L__/'.( f�-��'� Limit Settin9 � Fil#.�.=-dr; � Size Numbsr Fan Setting ! � Chimnsy 4ocation ,,in 'ds�._.Outsids Pilot Type ✓ Chimney Construetion � Pilot Moks Pilot Model Smoke Bomb Wiring — Pilot Timing '�' D�aft Test Top L.W. Cut Off Doo� Pressure Lightin inat. Pressv►e �� Psresnt CO Dote Tested '� � I�put CFH � _ Peresnt 0 �" Company Testing Stuck Temp. Peresnt CO Name of 7estsr ` , ,v, Form 235 ' _ ._ _ T y . sA� � ! ' . ^ .. . . -.s� R �, � . ;f«,�ae DA TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �d �l.fi Q� !O :'i� ADDRESS �� C.t�,LY�.,w+CN, �C�le OWNER CONTR. PHONE NO. PERMIT NO. _`7 SOS ❑ FOOTING 0 PLUMBINCo RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATI p ❑ SEWER HOOKUP ❑ FIREPLACE FINAL j!� FINAL � �PLUMBING FINAL� ❑ GASLINE AIR TST ❑ IE-tNS�F.CZ�ON �' MECH FINAL � ❑ \ COMMENTS: 1 C�.4� �rr�s C�ra� — CJ�2c-,,. S S � rvti �-►�`t�✓�. G�sriS v d ��-c-e�,i� � c Fre- `k �- � , . � /� w {it � � a ' l S " Pl � (J Q.,,�r t�,, l�lR,�.�... - t,.'�.- �..��-- ❑ WORK SATISFACTORY, PROCEED C ``�� r D �S (�CORRECT CTION AND PROCEED RREC ORK, CALL F EINSPECTION BEFO COVERING Inspector: wner/Contr: CA 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD EQ IREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! fNSNOTl DATE TIME CITY OF PRIOR LAKE �� , INSPECTION NOTICE SCHEDULEQ /��9 /•' � ADDRESS �¢��?' CD�}(,�/�-�M/�"f l� L OlJ . OWNER CONTR. PHONE NO. PERMIT NO. 9�" �J ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI � ❑ NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FiNAL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: i . ��. q,.�.Q...� ��p. - w4a�� -�ss3 z. ��- -E- ,�s 3 /y , S L .t l� r rb-�r O � WORK SATISFACTORY, PROCEED ❑ CORRE C A D PROCEED CO CT K LL FOR REINSPECTION BEFORE COVERING Insp ctor: OwnedContr: CAL - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! fNSNOTI �OF pRf �R� DATE RECEIVED CITY OF PRIOR LAKE 1. White File � �v z. P;� c�cy � � �/� G�e� BUILDING PERMIT 3. Yellow Applicant TEMPORARY CERTIFICATE OF �V��--�j ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Permit No. `_� DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN / BEFORE PERMIT IS iSSUED (Please Print or Type and sign at bottom) G�' `� �� BUILDING INFORMATION 2. SITE ADDRESS 11. SIZE OF STRUCTURE tl / (Height) (Width) (pepth) .�� /�.. 3. IEGAL DESCRIPTION 12. NO.OF STORIES LOT � � BLOCK � PID G✓ �.'3I� "� D�3 "'C� � �� 13. NPE OF CONSTRUCTION ADDITION 4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE O'k�� '� 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) � P Add ess) �.. _ n p� __(Tel. N� y � ` � S 15. NUMBER OF OCCUPANTS OR SEATS 1:k9�� f ' F ..' ► ^ OCCUPANTS �� SEATS 7. TYPE OF WORK Fireplace Septic O Deck O Re-roofing O Porch O New Constructio� Alterations O Addition O Finish Attic O Re-siding O Finish Basement O 16. PROJECT COSTNALUE Chimney O Misc. 8. PROPER AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. OMPIETION DATE Sq. Ft. '� Width g'"�, Depth `2� Yes t-- No � I hereby certify that I have fumished information on this application which is to the best of my knowledge tNe and corcect. 1 also certiTy that I am the owner or authorized agent for the above mentioned properly 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 buildi o i n revoke t' r st . Furthermore, I hereby agree that the c�offi�r� designee may enter upon the property to perform needed in e ions. C.� �,._ �_ , Signature ucense No. Date FOR ADMINISTRATIVE USE SETBACKS: Required MATERIAL FlLED WITH APPLICATION Actual SOIL TESTS O ENERGY DATA O Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TEStS O y^� SPACES REQ. PLANS & SPECS O SETS USE OF BUILDING � �L/ SPACES ON PLAN SURVEY O COPIES PERMIT VALUATION I OQ�DD� .� PLOT PLAN O TYPE OF CONSTRUCTION: I II III IV Amount Brou ht Forvvard . $ O�cupancyGroup A 8 E F� I M S U City: g ••'•••••• •••••••• Divisan 1 2 4 ^ Pa�lt Support Fee ........................... $ `�� '�B PertnftFee ................................... $ �8� - ac 'J� SAC ......................................... Plan Check Fee g r j ��.�!� Collective Street Fee ....................... $ ............................. State Surcharge ............................. $ Sd .CX7 • SewerTap ................i;.................$ , Penalry ....................................... $ /.�L2� /�� ja/�. Pressure Reducer '�.l� $ Meter Hom ...... .. $ Plumbing Permit Fee ...�� ... .... ...... $ � C� 0• �� Mechanical Permit Fee ..5? O � p � �� ,s • �' Water Meter ..�1� ..................... 3.. • � ........�..1....... $ � s� , C/��! 3 � •�.,� Sewer & Water ConnecUon Fee ........... $ • Sewer & Water Permit .. � ............. .$ Water Tower Fee $ � l'�i /... ........................... . Gas Fir Pertnft ......... ............ $ �l �• �� Water Ta $ p ................................... This comes ur Building Permit h roy� Builder's Deposit ............................ $ � ��0 0•� d By Date ��' T ( Other ........................................ $ Certificate of Occu ncy Total Due .............................. $ �2.�_� Paid 3 Z.. • �' � Rec;eipt . �S� � tssued Date q By Th' ' to certi(y tha the request in the above application and acxompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when s' b iry nner constitutes a temporary Certific ie of Z nin compliance and allows consGuction to commence. Before occupancy, a Certificate of Occupancy must be issued. aa City Planner Date Special Conditions 'rf any ' 24 hour �otice (or all inspections 447-9850 � 0 ° � 11 � Oj '' � CITY OF PRIOR LAKE M� 1. Pink .,-,,� . n � z. c�� . �, t ts2oo �a ie Creek Av. s.E. —$D5 TYPE OF STRUCTURE �' Ye �� ° " ' �"" u s + 9 Pelr11i1 No. °° w Prior Lake, MN 55372 , HEATING APPLICATION / PERMIT sin9le Family Two-Family M�li-Family � / Commercial Induslrial � Date ��T 4� PID M 25 -3 /4' - 003 d P� Olhe� N � Site Address _�7 �� G( M4„ (�-.�.a– K/ Fee Schedule N D Lot 3 81ock � Addilion Cf?�2F21 �1G ��{j(�(�,,s �� Indusirial, Commercial 8 Multi-Family 1% ol job cosl (539,5U nNni►rwm) � Owner's Name � 2 'l'""Q,�,,�'��.. Flesidenlial, Heali�g �, AC 599.50 J. Residenlial, Heating Only �64.50 � ID Address Residential, Gas Fireplace �39.50 � HealingContraclot �LLIED FIRESIDE dba FIRESIDE CORNER �esidenlial,Additions&Alteralions � 539.50 p. Residen(ial, AC Only 539.50 � Address 2700 N. FAIRVIEW, R�SEVILLE, MN 55113 � n 0 Tefephone � 6 51– 6 3 3– 2 5 61 Remember lo add ihe Stale 5urcharge on Ihe boNom ot Ihis applicalion, �� FIREPLACE �� 1G�o _ TYPE OF SYSTEM � f�{►jq�� Make a Madel S_-75� The price ot you� heating permit i�cludes one rough-in a�d one linal inspeclion. � Warm Air planls Model Siie Gravity Addilional inspeclions will be bitled at $35.00 each. Conn, load Mschanical House Healing Tesl Record musl be submil[ed wiih � di Ai� Condilioning ing cerli(icate ol occupancy wi11 be issued. �� ore bu71d Fuel __ 7 s_�_ �lue 5ize Yenl, Syslem HEATING Ofl POWER PLANT AT ��-� �� W�th number ol supply and ►eturn openings Iisled pi Supply Openings Steam room wilh CFM's per opening. New strucfures or additions send Iloor plan rvith eupply and relum IoceGons shown. HEAT LOSS GALCULATIoNS, PAYMENT AND � Retum Openings Ho{ Waler AP('LICATIONS MAY BE MAI�ED TO THE CITY OF PRlOR tAKE� 16200 EAGtE � Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372. N Inpuf Oulput ,�3�� Special Devicss � Cily Hall business hours are 8 a.m. - 4:30 p.m. W Edr. . Olher Devices ALL WORK MUST 8E �NSPECTED (ROUGH-IN AND FlNAL) - CAL.L CITY HALL W Clm. � 447-4230 � TYPE OF WORK 0� I he�eby apply !or a mechanical syslems permit and I acknowledge that Ihe � k inlormation above is complele and accurale; 1ha1 the work wlll be in conformance Alteralions Replacemen! New Conslruclion wi�h �he ordinences and codes of the cily and wilh !he stafe building/mech�nical Fiepair Esl. Comp. Date u codes; lhal Ihis form does nol become a permit untii signed by the BUIIDING OFFICiAL; that lhe work will be in accordance wilh tha approved plan in the Est, Cosl S BUilding Petm� # ��' �[� J� case o( all work which requires review and approval of plans. HEATING PERMIT FEE $ — -- � � STATE SURCHARGE � .5O �D W� �RM�� P �� ' / y/ Data O pP \N�' P "' TOTAL PERMI7 FEES ; Receipl f� �� 9 �ro+�g-f)t#i�l�s-S�►a1ure Dals �v� - • � �,,� � � v� r �uvr� i.��. �C TYPE OF STRUC7�uHE '� f B'10Q EB��! ri1�Bl�I aV. B.F. �i1A1�1 O ��_ s ' Prbi Laloe� MN 5�72 L �[ r ( U�� O Sin�e Farni�t � 7r�ro-Famlly MuNFFsnnAy m HEATING APPLICATION / PERMIT ��_ P � _ o�h�, m �/ � _ f � commercial� � � P1 I� � �ats � � �ita Addross Q t--��` , � � / Fee Sched�►�s • � m o! 3 Block � A�id�bn Ci�.��/f h'iGC S 4'e' tndust�ial, Commercist a MuRi-Fam�y 1�6 at �ob cost js3��0 miNrnum) /�� Vv ResideRtlsl, HeatiNg A AC :99.50 cv hNr►e�`s Nama lJl'� � �� + r�� Re�IdenU�al� Hsating Only �4•� � � V � � � Reaide�6ia1, Cas'1�replace 5:19.b0 lddress ' ( � � � itesldential, Addiifor� & A4terallQS�a $39.60 , lealing CoMrador � D O ��/�le�sldeniial, AG Only ��•� lddress J� r� � � e C��IEI/ �� I �/_ Remember !o add !he State Surd►atge on !he bo�om of U�l� ap�l'�estboe. (alaphons il t0 'u�nace Make b Modei l.r , �l �pE OF S1ISTEM Tt►e p�ice ol your heaGng pe�mN include� one rough-In end oae linat lnepect6aa. � 1 W � � Plenis Nodel Sita � � � Gr Addilio�al inspec'tiane will be bNlad ai a.15.00 each. Machanica! Hovse Neadnp Tes1 Reco�d rnuet be suibmitled wiih �ldIIg p� �1I�[ betore build� :,onn. Loa AN Car+d'd(oning Mg cerl�Ncste ot ovcup�ancf+ w� be �aed ', � Fual I�+ � �� Fh�e 81ze V�M. S�/stern �gj GAECULATION� �ttSE� � number ol auRp�Y and rohHn opanings Ik1ed pet � � N HFAIING OR p01NER PLANT room wi�h CFM'e per opening. New alructures o� addNiarn aend Floor p�n wAh suppty � Supply Openings Sleam and relvm �cat}ons shown. NEAT LOSS CALC�JEAttONS, P�AifMENT AND Z Retu�n Opani�gs Nat Weler APAEICAT60N5 MAY BE MAlLED'[D THE CITY OF PP16A IAKE� 16200 EAGLE F -�� CREEK AVf. S.E. PRIOA WE�. MN 56372. Q = Inpul Oulput � Special D�vicea _ C�y �� SF�nesa haurs ere e o.m. - 4:30 p.m. � Q Ed�. �� D,� ALL W�RI( Mt1ST BE INSPEC7'ED (AOUGH-IN Alri) F�NAL) - CALL C1TY HAf.L � Clrn. 4AT-4?�@ 'rypE OF WORK i hsreby apply lor a mechanical �yetams permit end 1�cknowlsdps lhat Ibe intormallan ebove ia complete and ��cunie; lhat ih� wo►Ic wl�l be fn o�nle�menos Ana�ations R�pt�CemoM �, �+1sw Canst�uctbn _ yr;th �he a�dinancee and cales of Ihs ct�y and witt� the �aie bulldinp/mscha�ic�l � codes; thal lhis lo�m does Aat �ecome v perm[t unlU slpned by Ihs Bi�ILD�Na :� Repelr Esl. C�omp. Oala OFFiGIAL: lhal the work +nrNl be in scoads�oe wllh tha epproveQ pla� In ihs m � �7— 505 ae ol all wo�k wt►Ich ►+� uhes review and appra+nl 01 plana, � Es1. Ca�f S '� v 8ufldinp Pe�mil It _ (� t_� � � � HEATINO PERMIT FEE � � ��`'" PA�� ,� ' .50 ,� gU1L�IN A p q /� �9 9 � STATE SURCHARGE ;_ � � � � Rsce 1 N D�1s �w TOTJi� PERMIT FEES � b �� r . . . _ . . . . . �: • • . ��. . , OREEN - FILE , ^. . - RjO�, YELLOMI - APKICANT � � oo�o - c�rr t�r y C� � (�7 CTTY OF PRIOR LAKE NO. M, SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. � �, APPLICANT : f�.�r'yt �,�.� - ,�- \� ^ � � PHONE : °r 7 �'' S y � � i � - �.,'_ � ,. ADDRESS : ' � '�, t ''�'`""'� ' DATE : �� - �. � -- 9 J f�-��. ', ,— �.•� .5 5'� '� / '� SIGNATURE• ''� �� ^ i BLDG. PERMIT # E �' ` "-` ,..�' „ SITE ADDRESS: �� , �,�? ;, �r.-�,� ��, PID# - FILL IN THE BLANKS _1. Estima�ed length of water service feet. � rr 2. Size of water service inch(es). J 3. Locat�,on of any couplings from structure feet. .� 4. Type of sewer pipe. ABS PVC � Cast Iron 5. Estimated length of sewer line �-/,S feet. 6. Clean out (if required), located at feet from structure. s ------------------- ---------------------------------------------- ----------- -- — --------------------------------------------- -- �.....----.... , This app s mes your permit when approv d. t BY DATE • �� ` , . FEES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $�t�.$0 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 d plicate sewer and water permits are issued. DATE PAID �� '��--�'�! � r• AMOUNT PAID RECEIPT # REC'D BY 4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER Aug-30-99 07:57 D&D MECHANICAL INC. 612-890-4650 P_O1 � 0 � PR�O,� 7 (:ITY QF PRIOR LAKE ;: Y"oW �pP�m, � ,^ PL UMB/NG PERMlT PP Na. 9�— �5 _ Applic nt: D+ D ]'Yl � �- �-I A.N ,'c..r� C' o Phone: S`� D 8 a-�f�d The Cmter o/ IMr !�\� C�unu� Addre. �: ( 2 4� �' v S Signat re: Legal escription: lot 3 8fock � Sub C��/Rc`sE H/�45 �-� Site A� jress: C o� c k� k I►� L. f►-�V �.- �/ - Buildir i Permit � - O �P �� S� PID #. ZS- 3/¢ - 003-0 NOTE This permit witl not be processed without complete informatlon. FiXTURE UNITS �uantiy Type ol =ixiure Quantity Type of Fixture 1 � Bath Tub with or witl aut shower Rough-ins J � Dishwasher ! Water Heater f Flo�r Drnin � W:11or `��(11ir�r � Lavatory (bathrovni ;ink) Stand Pipe (washing machine) � Laundry Tray (1 or : compartment sink) Sewage Ejector ( Shower Stall BacMlow Assembiy (RPZ, Double Checfc, P�/B) � Sinks Back(low Assembly Tes! 6ar Sink Lawn Sprinkler � � Water Closet (toilel) � Other s y � _ L` �C.�h^ FEE SCHEDULE Industrial, Commercial E Vlulti-Family (1 °a ot job cost, $39.50 r inimum) g Residential, New One 8'wo Family $99.50 � 9�7 • 3�0 , Residential, Additio�s 8 Iterations 339.50 � State Surcharge � .50 � DO .Ov � � ] R- ' GRAND TOTAL $ � � BU�� NQ pERMIT '� s permit is Qrah[ed upon the exprtss conciition that said . tractor, shal) comply in all respec�s with the ordinances �•' he Stace plumbing Co d the am ndm ts thcceof. _ a� 30 9 Da1� � - ATiEST t all for all in ctions 24 hours in advance. 16200 Eaale Crcek Av. S.E., P� �� r Lake� Minnesota 55372 / Ph. (612) �7-�.230 / F�,Y (6 t?) �t7-�1?�t� An Equa) Oppor[uniry Employer _ - ---- „�. dREEN - FILE O � P R l�� re«ow - �� oa.n - c�Tr (�+ � v � � CITY OF PRIOR LAKE NO. �� •1��NNE'a��' SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLICANT : `t� PHONE : �'{ 7 7 ' � �/ � � ADDRESS : � f �- ��-°' � DATE : � - �. � — 9 9 �n^�/ � �`�'` 3 / �'' SIGNATURE: BLDG. PERMIT # SITE ADDRESS: 1 � u.-� �. PID# FILL IN THE BLANKS 1. Estimated length of water service feet. ,, 2. Size of water service inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC Y � Cast Iron 5. Estimated length of sewer line �,l,S feet. 6. Clean out (if required), located at feet from structure. � This appl mes your permit when approv d. BY DATE• �� EES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $�Tl.SO plus $ .50 surcharge. � * Sewer and water permits issued for new construction must be recvrded on the building permit card at the time of issuance to insure that no d plicate sewer and water permits are issued. DATE PAID � C� ��- (� AMOUNT PAID RECEIPT # REC'D BY 4629 Dakota St. S.E., Prior L.ake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUIYITY EMPIAYER �F PRIp�, �.� 9 �- SOS � x m � ��" ,-' �� _; � White - Buil�ng TAe Cenler of IAe l.ake CouA�ry Canacy - En�inee�g -_ �? Pink - Plarining �� PERMtT APP��r`er� N DEP�IRT ENT CHECK �ST NAME OFAppUCANT G� K� .��1 �� iU�� .��s APPLICATION RECEIVED � / � � The Buiiding, Engineering, and Planning Departments have reviewed the buildin ermi application for construction activity which is proposed at: 9 P t i . � C�1 c t�i'/��/ r-� /�.l G-/`�/ . . Accepted ____,l Accepted With Corrections - Denied � � Revipwe�+ By ; �,�L__�C�H��Sha.�rN� date: �� Comments: ,, o ,,,�,�, aE e , ,� . AiuO� ALo.v[ ��M.o..,�qGE � UTi �, tTY Ef{SEµy��s AS .ru ec ' ��TrcLlr t'�' e�RESc I q,� MPAtiw f ,�� T+�E C� Da.� =r F�A iF A,� � A� F3w �rs F'o 2 TFt E .�ep . �E2VIC ��n R �E.IA's'ton4 �awEJ ' Er2 TH E � .r � � /}PPR .c - . � 9`�$_ ZS I�•t �,tE FQo�►T' � i o� Tr►�c .-� 9„�a w,TN TrtF � � .+F2Fi. , . ' _L4�ESY � �.. ` I Ec�a ,�}.— q53 /, TH£�tE Sr�/oucd i3E ` c.�' , �.rr • i �ALL FQoM �1{E l.o..,+Es7' Fi.oe/L - To T�„�tc ' o SE�-+ ER. 7v,3 . o.vc. E� 9 Ie�ALK t t �" � �� q . � ACEi� �''Y Tb/ /� . r nCe '.7� O � Nfrr� � t I �EE +9cdr►,� .-..� . }, F.�rrt� �'a,anF � � �IUSPEcTro�V xJ fL-�f�4Tiav Z�/tq0�+tu l"sa � j �. EQoStCnJ /� „JT/Lot. ' tAiJ�a , ,,, « `f��os �a � , _��..��'�.ura � Ps�+.� "The issuance or rantin of a � ' computations �shail not be construed _ o �a permtpor, n approval o ean�c �tians and an y of the pro v i s i o n s o f t h i s c o d e o r o f any o t her or dinance of the jurisdiction �� Pe� rmits presuming to give authority to violate or cancel the provi�ions of this code or other ordinances of the jurisdiction shali not be valid." �' . �~�; � .�f� ,�._. . . . . . . �F PRlp � � ,. �.� . . ' U m ` ,' .. � � r White - Building �, . ; Canary - Er�gineering :�� „ Pink - Planning ' � f The Center ot �he L�ke Counlry ^;�� :± i BUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST '} , ; ,, __ NAME OF APPLIGANT - . . F�.. . � .f 1 ,�: � �<, i ,..._,1 �� .� �r` �- � ; .� � y ---� / r�r t' � i - - A#�PLICATION RECEIVED � � �--' ! + �� r� 3 ,,,�>,,,;�, _ " y y.�. The Building, Engineering, and Planning Departments have reviewed the building permit s. '- �'application for construction activity which is proposed at: � �� ~ � � �f � � ; ! f 1 %:' � l �'4 ; �- i �eM� ' .�V� —=--� Accepted 1/ Accepted With Corrections Denied Reviewed By: - Date: �" 7 �-`� i Comments: �- � n'� � �p �Jt �e� ccc,�', !U � - �n� S �P fi LirP-O "The issuance or granting of a permit or approval of plans, specificatians 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." O F PR/pR � 9 � �� , m White - Building Canary - Engineering Pink - Planning The fenler of Ihe Lake Country FlUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT G • � . P �� APPLICATION RECEIVED �/ �� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �� Go�ct�� ' �n/ . � Accepted Accepted With Corrections Denied Reviewed By: � Date: �� Z3—� t Comments: �. R�� .tl Q�� k�� "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." P �' DEPARTMENT OF R LA K E BUiLDING AND INSPECTfON I � N PE TI N RE RD :SITE ADDRESS ��y �o�c�w�a,,.►�, �u..� ;NATURE OF WORK 1�1ew C�aNsl�� USE OF BUILDING SFp PERMIT NO. ��?-So�'" DATE ISSUED ��23 � CONTRACTOR ��I�r� d� �.��- NOTE: THIS fS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMiT IS BY SEPARATE DOC ENT iNS R �arE FOOTING f ' FOUNDATION (Prior to Backfill) pod� � ,�/, � � �'`/ . �-3p- � PLACE NO CONCRETE UNTIL ABOV AS BEEN SfGNED = ROU - INS � SEWER / WATER i SEPTIC � q g FRAMING Gl (G INSULATION ,�� ` � �2� ��i9 ELECTRICAL PLUMBING r q 1 HEATtNG (if required) q t �j �iREPLACE ` ' ' f�o 9 • GAS LINE AIR TEST q' y� COVER NO WORK UNTtL ABOVE HAS EN SIGNED WALLBOARD FtNALS GRADiNG (Prior to Sodding) � � �'9 BUILDING . - c� , q , ELECTRICAL PLUMBI(�G HEATING DO NOT OCCUPY UNTIL ABOVE BEEN IGN D NOTICE � Thl• card must be posted near an electricai 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. , Calf between 8:00 and 9:00 A.M. for afi inspections �� FOR ALL INSPECTIONS (612) 447-9850 i b 1 �. � # � z �� ' � � � � t � ti � � a . +� � j �f � a . � �