HomeMy WebLinkAboutBuilding Permit 98-0280 � --��-- -v---��- --v,--.r-,V-�
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- �ITY OF PRIOR LAKE �
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� � � �e�artr�ertt ot �uiibi�g 3�rtg�ectfon ,; �
� ; �Final Permitted ❑ Conditional C.O. Expires
— rti ate issued ursuant to the re uirements o Section 307 o the Uni orm Buildin Code ��
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This Ce fic p q f ,f f 8 ac
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certifying that at the time of issuance this structure was in compliance with the various ordinances of the �.
�� City of Prior Lake regu[ating building construction or use. For the following: . �
� ,i
- UseClassification Si,ngle Family BIdg.PermitNo. 98-280 �
�. �
� Occupancy Type R Type Construction V Fire Zone N�A Zoning District R
Legal Description L8. B1 STERLING SOUTH AT THE WILDS '�
�.
! Owner of Building Sice Address 2866 WILDS LANE ��
.:«
Contractor' sNameBcAddress SHAMROCK BtIILDERS 3200 MAIN ST ��3`i(� COON RAPIDS 55448 �`'
� � Robert D. Hutchins r'yiQ �on Rye �:
� � V 1" City Planner �-
� � Building Official „ �—
� Date: ;
�r: - Date: �'��� ..., (� �• ' �
� •.a` � .
POST IN A CONSPICUOUS PLACE ,
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DATE TIME
CITY OF PRIOR LAKE `
INSPECTION NOTICE SCHEDULED �° � � �
ADDRESS cXt� � Cv �,� L:-� �
OWNER CONTR.
PHONE NO. PERMIT NO. �����L-�
❑ FOOTING � PLUMBING RI ❑ EX/GRAD/FILL�NG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ (NSULATION ❑ SEWER HOOKUP ❑ IREPLACE FINAL
❑ FINAL /� ��LUMBING FINAL LINE AIR TST
0 SITE INSPECTION J..�^'� ECH FINAL ❑
� ��
COMMENTS:
.�
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: �.. OwnedContr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
nvs�vor,
DATE TIME
CITY OF PRIOR LAKE C , �
INSPECTION NOTICE SCHEDULED ` � "BZ �%3lJ
ADDRESS � S �0(/ �,(�c �OC� � �
OWNER CONTR.
PHONE PlO. PERMIT NO. �S "�LS�
� FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� INSULATION � SEWER HOOKUP ❑ FIREPLACE FINAL
CFINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTlON ❑ MECH FINAL ❑
COMMENTS:
11 �o,���,�_��
.�.ssU�- e� 4
1� WORK SATtSFACTORY, PROCEED
/ \
❑ COR T ACTION AND PROCEED
O CO EC ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe r: OwnedContr:
CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT!
DATE T1ME
CITY OF PRIOR LAKE c�aiN
INSPECTION NOTICE SCHEDULED -� �
PERMIT NO. coMP�,�o
ADDRESS ,�� � �� ��S �i�c t
OWNER CONTR.
-. TELEPHONE NO.
�yj � FOOTING ❑PLUMBIN(i RI OSITE INSPECTION
� ❑ FRAMINf3 ❑ MECHANICAL-RI � p EXCAV./(iRADING/FILLING
� ❑ INSULATION �-YV1IfER HOOKUP ❑ LAKESHOREJWETLANDS
�❑ WALL BD. ❑ M R SETRURN�1 ❑ COMPLAINT
2❑ FINAL � R HOOKUP N ❑ GAS LINE AIR TEST
Q O FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
= O DEMOL. O SEPTIC MAINT. ❑ FIREPl.ACE
�❑ FiRE PREV. ❑ PLUMBIN(3 FINA ❑ MECHANICAI FIN �
� COMMENTS: / c ,6
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RK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
O O CARFtECT WORK AND PROCEED
�❑ CORRECT WOiiK. CALL FOR REINSPECTIOM BEFORE COVERIN�
V ❑ CORRECT UNSAFE COND�TION WiTHIN ►i�uRS. INSPECTOR WILL RETURN.
� STOP OR�R POSTED. CALL INSPECTOR.
❑ INSPECTION REOUIRED. CALL TO ARRANOE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on si
inspector f 447-4230
r.rowco�n.nadc. wnn.coayn�sp.�ro.�aF�.
DATE TIME
' �"CI'1"� OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED '� 12 Oo
ADDRESS Z $�j (/ �N' �jtJic pS G /9NE
OWNER CONTR. Ss{��K Bvtto62t
PHONE NO. PERMIT NO. 98'�ZSD
❑ FOOTING ❑ PLUMBING RI � EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAM{NG ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�ES A� ok /�Z�TS � sM a�vocEr s�a��
RE �2�� eur f� S• Qo� �Y,,
..
C.+R ax �3 K
�'�1�4�NS�4�n1 F.�4s�1 Gont�2o� ��vr+c. Son��
J� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /Contr:
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY.�
iNSivori
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED p Q 7� ,/t�.
ADDRESS ��� G (/'�� � .
OWNER CONTR.
PHONE NO. PERMIT N0. Q�r"' ��d
O FOOTiNG ❑ PLUMBING RI ❑ EX/GRAD/FILLING
� FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPIACE RI
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTfON �MECH FINAL ❑
/
COMMENTS: L. �„ ,�'/4•,�
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❑ WORK SATISFACTORY, PROCEED �j�p �U�� "
❑ CORRECT ACTION AND PROCEED t � ! � t
V
� CORRECT WORK, CALL FOR REINSPECTION BEFORE COV ING
lnspector: OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTtON 24 HOURS lN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
❑vsnorl
oF , pR �O•p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ����.��
� � AND UTILITY CONNECTION PERMIT
��A'NES��
l Whrte Fde pERMIT NO.�
2 Pmk Ciry � ���
3 Yellow Applicant
Please or rint aad si at bottom
ADDRESS ZONING (ofleice use)
�28C�<o �/U/Ll�S L/✓ /U'�V✓ �JC�
LEGAL DESCRIPTION (office use only) �'
LOT � BLOCK ADDITION ��i/N Ul/T1� G G��Ln-S PID 2� DOg �O
OWNER ;
(Name) � (Phone)
�
(Address)
BUILDER t l
(Name) �l1Q. ^ �!'�►�'t'T � c�; � �.�. j I'� (Phone) � q I��� 3 ZZ ' �� � j
(ContactName) ��� l•'�) � i (Phone) �fZ.� 7�13�'g��'�
(Address) � �i � v� V � ,1/r , /-4 �� ��� �l .r� Z
TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re-Roofing �Re-Sidinig
�
❑Lower Level Finish ❑ Fireplac�� �Addition ❑Alteration ❑Utility Connection
❑ Misc. � PROJECT COS /VALUE (excluding land) $
I hereby certify that I have fiirnished information on this application which is t the best of my knowledge true and correct. I also certify that I am the oxmer or
authorized agent for the above-mentioned property and that all construction ' conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that e uilding official can revoke this permit fqr just cause. Furthermore, I hereby agree that the ciry official or a designee may
enter upon the pro erfo ections. i
X _ � � �� �. "l 1/zy�oz
ignature ContraMOr's License No. Date
Permit Valuarion ,Park Support Fee # $
Permit Fee $ � �' �'�� ��,SAC # $
Plan Check Fee $ i Water Meter Si 5/8"; "; $�p �n/ �9GJ
State Surcharge $ Pressure Reducer $
Penalty $ , Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
Thi li ti ecomes Y ur Building Permit When Approved , Paid O Recei t l
� Date - O B
1-2�(-O� I
u ding Offi Date I
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constcuccion to rnmmence. Before occupancy, a Certificafe of Occupancy must be
issued. i
Planning Director Date I� Special Conditions, if any
?A hour notice for all inspection$ {952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave�ue Prior Lake, MN 55372
� �
pF pR�O/� DATE RECEIVED CITY OF PRIOR LAK �� � 1. White File
v x BUILDING PERMIT 2' P'°� c`ty
f 3. Yellow AQplicant
� a�n ��� TEMPORARY CERTIFICATE O i
� C7 U -�-- . . , , ZONING COMPLIANCE
�, �:� �'AND UTILITY CONNECTION PERMIT Permit No. BP
DiRECTIONS 1. DATE
SPACES NUMBQ�iE 7HRU 17 IIAUST.4E-FlttEd'IN ,�
BEFORE PERMIT easa or ype and sign at bottom) " BUILDING INFORMATION
2. SITE DDRESS - ZON�G 11. SIZE OF STRUCTURE
� (Height) (Width) (Depth)
� �
3. LEGAL DESCRIPTION 12. NO.OF STORIES
LOT B�QCK PlD ��O 7� Q�IO "L�
( i , � J 13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name) (Address) � i (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
5. ARCFiITECT (Name) (Address) � (Tel. N .)
T { � t � b - O
6. BUILOER (Name) (Address) I (Tel. No.) 15. NUMBER OF OCCUPANTS OR SFATS
, r ' � a � OCCUPANTS
7. TYPE OF WORK Fireplace O Septic O Deck O e-roofing O Porch O SEATS
New Construction 2f Alterations O Addition � Finish Attic O Re-siding O Finish Basement O i 6. PROJECT COSTNALUE
CMmney O Misc.
8. PROPERN AREA OR ACRES 9. PROPERTY DIMENSIONS 1�. CULVERT SIZE 17. COMPL ION DATE
Sq. Ft. Width Depth r�es No
I hereby artify that I have fumished infortnation on this epplication whid� is to the best of my knowledge true and correct. I also cerdty that I am the owrre� or euthotized ageM for
the above mer�ioned property and that all constructlon will conform to all ebsting state �nd bcal laws and will proceed in accordar�ce with submitted plans. 1 am aware that 1he
buildi offi can revoke this pertnit for just cause. urthermore, I her�y agree that thel city officia 9 r a designee may enter upon the properly to perfortn need i ons.
x '1 ' � `t�� 'J�� �
Signature � License No. Dete
FOR ADMI ISTRATIVE USE
SE7BACKS: 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
SPACES REQ. PLANS & SPECS O SETS
USE OF BUILDING SURVEY O COPIES
OF� SPACES ON PLAN
J
PERMIT VALUATION S�. �• d['� PLOT PLAN O
TYPE OF CONSTRUCTION: I II III IV ount Brou M Forvvard $
. g ..................
Occupancy Group A B E F H I M� S U CI �I Park Support Fee ........................... $ �•�
Division 1 2�4 l i SAC ......................................... $ �� Q • � �
Pertnit Fee ................................... $ � I�/ �� I �1D Collector SVeet Fee ...................... $
Plan Cheddng Fee ......................... $ 7 SZ , Z� — � �j �V' Sewer Tap ................................... $
. �
1 � . ,� License Check Fee ......................... $ �
Stete SufCharge ............................. $ l v[J � �
QI p � I Pressure Reducer ....... $ �
Penelty w�� ��'�4��� . .......... $ 3��' � � ` ' �f65� Meter Hom ................................... $
.0 � 4�(1 a v `�. d Z]
Septic System .. � ��'Q............ $_� A . a d , > �,✓ Water Meter ................................. $
��'� dQ Q . 0 �� � Sewer & Water Connection Fee ........... $� ��b � �
Other .......... l C� ............. $ ld Q ,_
�f • Water Tower Fee ........................... $ 7 D(� •�
Subtotal ............................... $
Water ................................... $
This es Your ildin P it When Approved. �I Buflder's D R $ � ���
epos ............................
gy Date ���� il� I Other ......................................... $
Certificate of Occu Total Due .............................. $ � G I� 9�
� �I Paid �T(�_I' � / Receipt No. �"� �/„ (A
Issued �/ ���
� �ate S� 2"l ` 90 By �
This is to cerMy lhat the request in lhe above application and accompanying documents is in acdordance with the City Zoning Ordinance and may proceed as req . T is document when
signed by the CHy P�n �jconstit as temporary Certificate of Zoni g co liance and atlows donstruction to commence. BeFore occupancy, a Cert'rficate of Occupancy rtwst be issued.
ciry 9anner �at specia� c«,ama,s if any
24 hour notice for all in ions 447-4230 /y� �
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OCT.��1'2DU1 08:46 651 633 8864 FIRESIDE CORNER #41D6 P,DD2/009
o� R � , �R CITY OF �IZ�O� LAKE nat� R�'a
� � � ��EATTNG/A�R CONDIT�ON�NG/FIRT���ACE PF�.tMIT
�'�Nkr.so�
z; �;�, r'�° �rRM�T N4. � ,���
a, Yd�aw �IaM
(plea�oe or .' . t aad si at F�otmrb
/�IDDJtTtT,:SS ZONTNG (omce usc)
a��6 GJ,�:�� ' ZC �J
LT:C'sAX. DESCRT,PTLO�T (olfice u�e onty� '
LOT � BLOCK I AD]7X'IZON
� 0 �'T,T? � �O�I`��D�
OwNER
(Name) ^____�� cf�' (�°n'ey
Addmss)
APPLICAN'�'
(r1'�,m,e) ALL?EA FIRE5ZDE D8A F7'R�SIDE �ORNER (PhonE) 657.-833-��6�
(Ad,dtess) 27D0 N FA VIEW AVF�TUE I �n'�� � _ �� ��
(AQae�s) �—�-- (C3c5'� (Ztp Cade)
(Cont�tctPetson) ��DA HLTS�'O�1 (ph.one) 651-633-2561
APPLICAN'z' SIGNA ,?'[J�tL' D'A'1"� -
APR'��CANT 1'LEAS� OMPLET. T BELOW
EW CONSTRUC'i`IrJN � CEMENT �] A,L'x'�RA7'IONS
FUR�tA►CE MAKF ANb MOD��. �'ufiL
Fi,UT' SiZE 1i�TU]tN OPENIT1CiS INAU''x' OUTPUT
TYPE O�' SYSTEM HF. T. J�TG OR P�V{�� �.AIV'T
f]41Varm Air Plants Q S os,,, PLEASE N'OTE:
�]Orav;�y ❑ ot W�cr Air Con,ditioner Units
� �teche,ntcat . [] iafion Cannot En.cruac6 into
Air Condiei�n�ng ❑ S ecia[ Devices Requirod Side Yerd
�]Vent. System [] er Devices Setbeaks
F�REPLAC� MAK£ ANA MODEL 7S�
FE� SCH�DiJ�.T
Inducs'p'9s1. Commercial � Multi-F�mily 1%o�jAb �ost i Rasidencial, Gas Firq�lece S34.50
�39.3� minimum
RGSide�ti�1, Hcating dc A/C (Now Cons�ruccion) �99,50 Residend�l, Addid�ns dt Aitetai�ons 539.34
Rasodencial, Heating Only (,New ConstrvetlAn} $�54.3� Residentfal. A� Oniy $39.54
�stimated Cost S �ufldinR Permit # �
HEATTNG PERMT,T FE� $ � �,
STAT'E SURCHARGE � $ .50 '�I/�p �
ToTA,L ��R1,V�T� 1+�� S Fi�,,�,,
lQFfiec U'e Oniy) �
This A�,ppifeetion J3ecomes Y�ur 1�aildin� �'ertnit Wlien Approv Aaid Receipt o.
A�te
�lni�a�ng vlficfs� neSe �" ?'�
ZA hou� nodce /bt all Inepe�iona (9 ) 447-9850, fax (952) �7-d2a5
Sent By: PLYMOUTH PLUMBING AND HEATING ; 763 5331121 ; Aug-16-01 9:38; Page 1/1
` O �I�/0� Y C ITY O� P R I O R�A KE 3. Yc]low �pQ�rm►
� � rn PL UM,B/NG /�E'RM/T PP xa_ � g�
\\ Applicant:.� C.l� Phone:
Thr CrM�er of �n. Leke CouNry Address
f
Signature•
legal Descrip on: Lot � 61ock Su GY��-
� Site AdQress:�j�p�� � , .S�
�uilding P6rmit # P117 # �✓�� 3G�"' � �
NOT�: This permit will not be �rocessed without complete inform�tion.
�IXTU E UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower � Rough-ins
� Dishwasher I Water:Heater
Floor Drain Water�Softner
Lavatory (bathroom sink) I Stand Pipe (washing machin�t�
� Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall gackflowAssembly (RPZ, DoubleCheck, PVB)
Sinks I Backflow Ass�mbly Test
Bar Sink ', Lawn $prinkler
WaterClp�et (toilet� Other S � l `
FE� SCNEDUL� �
Industriai, Commercial � Multl-Family I I �
(1% of job cost, �38,50 minimum) � ;
Residential, New One & Two Family $99_SO $
Residential, Addi#ions & Alterations �$39.50 � :
State Surcharge $ . ,50
GRAND TOTAL $ �
��
This perniit is granted upon thc cxpress candition that said ��[/��Uq/O
wn�racear, shal] cnmply in all retipeecs with the ardinanees / �'(�%
of the 5tate P1umbing Codt Qn the amchdmcnts che f, �� /J �y
,,,_ RECEIPT O. l b , IoZ�AT7: ; `' ���,'�,,
ATTEST I
Ca11 for aIl irispections 4 hou in advance.
16200 Ea�le Creek Av. S.E., Frior Lake, Minnesota 5 3�2 / Ph. (612) 447-4230 / rAX (612) 447-42�45
An Gqual opportu iity Eitt�loycr
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�F PRIp
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White - Building .
Canary - Engineering
Pink - Planning
The Cen�er ofthe Lrke Country
1 D N E M T PPLI A N PA T ENT H T
,
NAME OF APPLICANT
���„� �� ' �
APPLICATION RECEIVED S�f If� �'
I
I
The Building, Engineering, and Planning D�partments have reviewed the building permit
application for construction activity which is p�roposed at:
T
�"d d
�
Accepted Accepted With �orrections �
Denied '�
I
Reviewed By: �I Date: .S ��—`}'�
�
Comments: �I
�. So� � � f
2. ��;��,.; �-�5�� ��.b-� '�
3 . �e�k- � ,�� c2,v � ec,�� � (o..�, �
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"The issuance or granting of a permit �r approval of plans, specificatians and
computations shall not be construed to be a ermit for, or an approva! of, any violation of
any of the provisions of this code or of any ther ordinance of the jurisdiction. Permits
presuming to give authority to violate or c ncel the provisions of this code or other
ordinances of the jurisdiction shall not be valic�."
I
I
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„ ' �F P R/p�, � b ' �
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White - Building
� '��9
P�111C � ��
The Cenler of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �,��,��,�, -� � �f;_,,� , -�►,� _
APPLfCATION RECEIVED � �`�I�f �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
• J
f rJ ( j� ( //
7S '�G � !.( '/ f•! • 1. ~
Accepted Accepted With Corrections
Denied
Reviewed By: (� - Date: � � Q
� Comments:
. !�'Y�p � � �� � o ��',o
"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."
Q� �� OR�L�� . fllE
� re«a+ - �rr�iC�MT
� � OOLD . G11r
� � '� �
� �
�
�� � CxTY OF PRSO� �KE NQ. �
♦N, � y p �EWER ANq WATER PEL2MIT ���-��.....
NOTE: Sewe� and Water
contraotors must
be r�giste�rei3
c
wi�kh the Cfty.
APPLICANT: � ��„ �
PHONE:
ADDR�SS: - �}VQ _ ,�. DATE: � �_Q�
S TGNA'I'URE �
� HLbG . PER�KIT # � �'
S�TE ADbREBS; � 5`-
�� P�D��..S-- aQ �_d
FILL rN TN� BLANK3
1, Estimated lettgth of weter Servioe ��
feet.
2. 3ize of water service �
inch(es).
3• Locatiion o� any couplings� fxom stiruct re_,
}� feet .
�._ Type of sev�er pipe. A85,� PVC j/
Cast Ixoh
5• Estimated lengtih of sewex� line
�� � feet . �
, G. Clean out (if zequired), located at
structurQ, — f�e� from
�=���=5c��� �baa:Caas.:�iSiP.CSS�=���"-CSS�1SSSaaS���aZSasffiO��s�aaSan�c��aZ=� �_��
This aFp ati be `�
our permik when approved.
gX
DATE : G/1 �9�'
—....�cacsa� :�asoc=: �X�`.xcq�- �.....��
...�a�se= :. �as�z�r��xes
a�Rssc��7� :�s�s��sa�sas�rs- —
=s"
F�ES: $ 36.00 Sewer and water �ine connec��,on p,�rmit.
$�- � 0 surcharqe
TOTAY�
* Fe� foz� either sewer or water inda,vidual�y is SZO,00
$ .50 surcharge. plus
* sewer and water permits isst�ed for new construction mvs� be
�oc�nsure�that�nou�duplicatefii�e�e=d at the time of
and wat� issuance
issued, z perfi1ts aXe
1JATE PAID ' �
R,�c�rPT # .
BUILDING PERMIT �`'jOUNT PAYD �
— —'""""--- REC � D 8Y •
1 G200 Eagle Creek .Av S.�., pr;oa• Lake, Mit�nesota SS372 /�h. (� 1�) q.¢7��230 /�A� _
An �qua1 Opp��u�ity Employer (612) 447 42�35
02/26/88 THU 11:38 FA7L 6124474245 CITY OF PRIOR I.ASE I�002
�� AUG 3 �5y� � B�� �►�
,� ��q , ,r�iTY OF PRIOR LAKE �: 7 � W�
� �„_�-_�.�------_.,�.
� � PLtJMB/N�� jll Rll�lT # ��- ��"D
Appr�csnti �ii [4 �A�L/ dl�+� Phone: 1 "r���7��f�
71r Cnrs .r de L�w twrn Add�es9: '` I� I*^ �(//� �•/'��
3lgnature
Legal Descdption: Lot lojk 5ub
Sits Addrsss• �o • <<
B��aU9 P.m�c # 4�=Z�lU pio � 3� -�D -�
NOTE: Thi� pormh wlri not be proQess�d wilhourt complet� infotmatio�.
FlXT'URE UNtTS
QuBMiry Typ�r aF Fixture Ouardily Type of Focture
Bath T� with ot wi�hout shower Rough-ins �
Dlshwasher Water Heater
� Floor Drein water Saitner
Lsvatory {bathrvom .ink) Stand Plpe (washing ma�ine)
Le�ndry Tray (1 or 2 cornpsrtment siniq 5ewaQe Ejector
� Shower 9ta11 �� � ��Z �� � �)
Slnks 6acicflow Aesembly Test
B�rr Slnk Lawn Sprinkler
Wate� Cioset (taitet) Other
r� scH�cu�
Industl'ial, Camme�al � Muli�Fan'iily
(19b of job e� 539.50 rnfnimum) $�
qesidentia�. New One � Twa Fami�y $99�0 $
� Aeside�l, Addidons & Alt�atior� 5� �
State Swcharge $ .50
GFiAND TOTAL $
1�is p�rrmit is �acred npc►n the a�cpress eandidon ehu aaid
c�actnr. s6�t[ compty fn all ra�peccs Vriih Ihe oNioae�oma
of tha Strte Plwnbin8 Code and �he , ehe�eof.
PAID rto. an'tE
BUILDI n'�s�r
Csll for aD iaspecaooa Z4 �outs in advance.
16200 Eagle Cieck Av. S,E., Ptioc Lakc. M'innesota 55372 ! Ph. (612) 447-4230 i FAX (612) 447-4245
An Lqual Oppocnu�iry EmPloycr
ti0D 'd L8tiL Stib ZI9 9£ � 10 (NOW) 86 ,£0-9(id
oY/�6�98 TaTJ 1i:�9 Ff►a 8124474245 CITY OF PRIOR L.� �]003
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S00 'd LS�L S�ti ZI9 L£�LO (NOW186 ,£0-
W � �� R � DEPARTMENT OF � ;
A K E. B UiLDiNG AND IN��ECTION
I �
N P
E TI N RE RD
�S`1�"E�ADDRESS � �Co �-J;t�l.s l�n � . , . , �
NATURE OF WORK �ek� �?��
.USE�O� BUILDING SF(J � - � .°.r. �,
,
� ` PERMIT NO. � . �� - ��n DATE ISSUED �-i�-9� � ��� �'f �� °s �
�= CONTRACTOFi St��� �� � . � � ,�.�> ,
,��. NOTE.a7`HIS IS NOT A PERMIT FOR ANY �F THE INSPECTIO�S�.��L�W,��
. .. , . �; �, . . t:��.: �;. - . , ,
' � . . THE PERMIT IS B1f SEPARATE DOCUMENT � -� ���_- ,
. . , -�. . -
' INSPE DATE '
F,O�TING . �, �-'S �� . .
FOUNbATION (Prior to Backfil!) � � � � i ��� • ,� '
.���,� ,PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN�D �:�,� :
, . . ::.H.�; . , . .�.:. . . ROUGH �� 1NS �,. � . ,....,�, ,� �. , ,
� .. � ' � � W� � , o � , . � . , �� - . ,ryf.#'� 1 5 . ;
:-j'i k �� r,M'. '.`m• , s�s
� ., � _ •��., , , �`���'`
� S�VI/ER / WATER /. SEPTIC � , Z � : $a�; `"':ii✓
FRAMING UJ �. - ' �
r Q
� INSULATiON " � . . � ���` `
.:�
. ELECTRICAL � . .. ..
°�. �
'�LUMBING � , , .�,�,�; ::�,� ,
, .,
' y y' , '
� HEAttNG (if required) 5 � � d 2,. , �
� FIREPLACE �"'�
, I Z ,
�GA�`UNE�AIR TEST �� � � ` `"���� . "' �
:�`�;"';° ,,���.
�, y �., ,�;k , ,
. � �., , . 2 ^ .
' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED�
, . = �� V �,
� , ; ��, j . ,., ;. F I N A L S � . ���` ,
��j" �y y . � � .. .
� ` GRADING Prior to Soddin ) . J �•�Z•od � � � ��,;,:
�BUI�:�lING � � ° . . , , . - � � .._,;�,'� ��;�.
. ��� �}' ,
: , � ELECTRICAL � ' . . , - . �z: :;.�}�r
, PLUMBING . � ,� , : � , ;,5:.
�.� � HE�►TING . � � � . � . �, �. � ' 4}s: ��� .,,��.
�,, ���'` t�
. ��f'S�� ��' DO NOT OCCUPY UNTIL ABOVE HA BEEN I� �NEL��-� . t:
. .t, �'�� _
.�,:.
, .�. � - � � NOTICE . ,. ". `.° ��
' ^T:;
: '� This card must be posted near an slectrica! servlce cabinet prior to rough-in inspections t ; t �= ;
�` .;, ,' and maintained until ait inspections have been approved. On buildings �nd additions. ;._. �; r,
,:: where no service cabinet is available, card shall be piaced near main entrance. .,� ; A,��;'�i� :'
. . 7- . , . • , ' . ,. � � „4
� `"-- � ; CatF between 8:00 and 9:00 A.M..for aQ inspections �` , ��_ `"°�� �. � =�'� `
. a " �,�:��. - �: �
� ;'"'`�' ' ' - FOR ALL INSPECTIONS 447-4230 �� � �� m ��� ;�"�,��
,,. . �?; . . ;�.�