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HomeMy WebLinkAboutBuilding Permit 11.722 A, A , t X 4 4 , A A < A , A N, A CITY OF PRIOR LAKE Y Prparfturttf of puilbitt jittsyttfion Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to t he requirements of Section 110 of the ❑ Residential / ❑ International p. Building Code certifying that at the time of issuance this structure was in compliance with the various � Z ordinances of the City of Prior Lake regulating building construction or use. For the follo wing Use Classification -.57 /VG (.....7- r iii / / Bldg. Permit No. / owing: 72- Z. Occupancy Type iiC' Type Construction VA Zoning District P& Legal Descriptio /- e / 1`- C. , f� �.. Owner of Building Site Address /' 3ZZ. PI fdv i 0E L / l AI G Contractor's Name & Address ` / / fI / "l /f & /'i — ,5,� G® J- /Zr /7 //A � > Ci ty Planner Building)) icial , fi _ Date: t/ � Date: / III POST IN CONSPICUOUS PLAC r V 5 c CI>K n 0 0 0 0 0 - 0 o> 2 0 2 n k k k k . mo _ kCA- c C k 0 m 0 / 2 % 1 m m E * Eoz § ® § % t . � _ » -I m 0 Z - ■ u) 0 z z § ■ » 11 0 z CA C t TI n z - ( m m rel 2 r k k 1� k Z 0 8 o■� �� 0000001 x q m m • m i > m r E -i z 0 0 n -IOc z ■ m■■ - 0 0 - ■ § k Ora E § �� kB k • k h e 0 / Z X 2 § 2 z c cz § ( o St 0 m & c 0 . 2 �� 000000 1 Q z z >z73§§ 7 R. < © L.�� -a§ m hi 0 >mm 4 m 53 ,, ■ E 2 0 $- z m - r o 5 0 0 000000 ; 0 > 20 n n k 0 0 o . . 0 mg z m m � c o k ° 0 a) m z ci, s 2 a Z § 0 cn d 11 o � � � � k Ai q ,� o § § § z § xi b 11 7 k 0 z ~ r m 0 r z 7 r ° N - n 11 % m z 0 0 000000 0 m r ■� ■�■� ■ ] c „ § oc q0c m z § ■rn m 0 0 n % 2 mƒ m » B 2 0 � 0 3 0 m 111 - � o 0 r 2$$ ■ 7 c § z A �. r § -a P m X K _ z 0 m O )(0000 ° 0 1II > E "0 II � i 3���§ z nn§m q pi -I mo t § Cn -4 r 0 7 0 0 0 00000 U 0 > z 0 O r n-nZ� - p 2 c v -4 n n a O O p .. 3 m » CO m m m m0 73 Os m n (1) m v p y p � C ro - - -n N Z Z 7 p ~ co `� z -1 Z W m x hi 0 tvi O D a 0 m z N 4 _ •Tt • m n 090000 0 43 p m FR FR -4 Z O 0 t mr i > (�- N — 1 t x; mx3 " 0 c to m , " m 0 `A 0 C -0 m 0 zm =O -m 3 Z m 0 tr o 0 r - n 0 Z q m rv 1) O m y O A 0 I 73 M 0 m -• m ❑00000 ' N 9 Z , ��1?In ∎ - R. 76 0 carnmEo PRI • z s mm z 0 -.1 Z — = m -1 0 5 0 0>< | 0 000000 v 0> gn n n k 0 c) 73 K �� 73 . 0 § � cl m 0 ref rti t z � \ E. N� o z � mm o k ∎ § r 0 3 . ) -1 •n • 17 2 0 0 000000 z 'n l § m m Em * . °° 0S -10c � ■§ mxs m 0 §% z m ƒ § . >0 0 m z m q q � z 2 2 7 r z # m §§ P ` 0 2 A o 73 k 0 . k 2 )sLo0000 ® m , § 22§§ 0 m % 0 § q 2 s 22 ; t § . -1 fi t m � 0 ,��� rnLO CITY OF PRIOR LAKE BUILDING PERMIT, n r(� f� � a ' 'd TEMPORARY CERTIFICATE OF ZONING COMPLI - 1 ' ' L) L5 En AND UTILITY CONNE, - UTILITY PERMIT JUL 19 2011 NNB $ . .. 1. White File PE . 1 ,.. \ d 1 LW ry .t, 2. Pink City �� 3. Yellow Applicant • (� 7 - _ (Please type or print and sign at bottom) ADDRESS l4 3 22 P (zk-5 t DE. ce u 12--- ZONING (office use) POD LEGAL DESCRIPTION (office use only) LOT BLOCK ( ADDITION LI 1 ter= F E=1 4c"1z -tz- 1 = 1 2 -U r PID 25'1 - 1% D o 60 OWNER (Name) Y. A T N M 'T ' -t 0 NI 1`-S (Phone) (Address) - 12c5 l IN A S 14 1 tJ b u AWE S ST 2.p t O t t H N SS 439 BUILDER (Company Name) M'R-T X 1"1 i 4 +0 1-1 ES (Phone) (Contact Name) SUE- B,P-E- (Phone) (Address) 120 t 1n. It S 14 tt-.l r.T1 J N vt=. S SM- ? rI t O t NJ a M 1`) SSA 39 TYPE OF WORK 0 New Construction Speck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: [fiI.R.C. DI.B.C. ❑ Misc: Type of Construction: I II III IV V A B O c c u p a n c y Group: A B E F H I M R S U PROJECT COST /VALUE $ 12 3 000 Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent'?br 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform nee inspections. x u-� - -_ _— E3� X 3'1 538b 'l ‘19 k1 1 Signature Contractor's License No. Date Permit Valuation dv Park Support Fee # $ Permit Fee $ (_2-t) 5o SAC # $ 272.,?‘0/ ' Plan Check Fee $ 7 °U . Z 26 Water Meter Size 0"; 1 "; $ Go 10. - State Surcharge $ ', ' Pressure Reducer $ 14 - Penalty $ Sewer /Water Connection Fee # $ ( Plumbing Permit Fee $ 1 C-1- - <� Water Tower Fee # $ C ) Mechanical Permit Fee $ ; 4 © Builder's Deposit $ C' Sewer & Water Permit Fee $ 5 � co Othe �i (2- SJ1)c >if $ 1 S -o Gas Fireplace Permit Fee $ 54 co TOTAL DUE $ 553 Z o This Application Becomes Your Building Permit When Approved Paid q) 5 J , Rec No. (p,3 f} ll Date S, - 1 / B Building Official Date This is to c. i . that the - est in the above application and accompanying docum- - in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign . �,'t di ity J . - cons temporary Certificate of Zoning comp ... and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. // k om ` Planning Director -----"-- Date Special Conditions, if any 24 hour notice for ll inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 * Contractor's Material & Test Certificate for Aboveground Piping PROCEDURE Upon completion of e of k, r specnon and tests shall be made by the contractors representative and witnessed by an owner's representative. All defects shall be corrected and system ?eft in service before contractor's personnel finally leave the job. A certificate shah b Hl d out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the ovn' =,er's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with app,o.lna a.ttk`riv a requirements or local ordinances. PROPERTY NAME: JEFFERS POND DATE /2 PROPERTY ADDRESS: 14322 PARKSIDE COURT ACCEPTED BY APPROVING AUTHORITIES: CITY OF WOODBURY ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS OYES ONO EQUIPMENT USED IS APPROVED OYES ONO IF NO. EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS ®YES ONO 0 LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? NO. EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: EWES ONO 1. SYSTEM COMPONENTS INSTRUCTIONS ®YES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS OYES ❑NO 3. NFPA 25 YES ONO LOCATION ENTIRE BULDING YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE SIZE QTY. RATING RELIABLE RES 49 2011 1/2 10 155 SPRINKLERS RELIABLE RES 44HSW 2011 1/2 13 155 RELIABLE F3QR 2011 1/2 1 155 PIPE AND Type of Pipe BLAZEMASTER FITTINGS Type ot Fitting CPVC MAXIMUM TIME TO OPERATE ALARM DEVICE THROUGH TEST CONNECTION ALARM VALVE OR FLOW INDICATOR TYPE MAKE MODEL MIN SEC FLOW INDICATOR POTTER VSR - F 57 DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE TIME TO TRIP TIME WATER ALARM OPERATING TEST THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED CONNNECTION* PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY MIN SEC PSI PSI PSI MIN SEC YES NO W O 0.0.0 WITH 0.0. D. IF NO, EXPLAIN LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE 3 FLOOR MODEL (FLOW_ ING) PRESSURE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVE TEST N/A OPERATION: ❑PNEUMATIC ❑ELECTRIC ❑HYDRAULIC PIPING SUPERVISED OYES ONO DETACHING MEDIA SUPERVISED OYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE OYES ONO CONTROL STATIONS DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN PREACTION FOR TESTING VALVES OYES ONO N/A DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO 4AKF MORFI SI IPFRVISION I OSS Al ARM OPFRATF VAI VF RFI FASF OPFRATF Fl FASF YES NO YES NO MIN SEC HYDROSTATIC: Hydrostatic test shall be made at not less than 200 psi (13.6 bars) for two hours of 50 psi (3.4 bars) above static pressure excess of 150 psi (10.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. M Aboveground piping leakage shall be stopped. TEST DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 - 1/2 psi (0.1 bars) in 24 hours. Test c= ssure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1 - 1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR _.HRS IFNO, STATE REASON DRY PIPING PNEUMATICALLY TESTED OYES ®NO EQUIPMENT OPERATES PROPERLY OYES ONO 00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM S :LICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? Q YES NO DRAIN READING OF GAGE LOCATED. N R WATER RESIDUAL PRESSURE WIT A�VE IN TEST CONNECTION TESTS TEST SUPPLY TEST CONNECTION (' PSI CONNECTION OPEN WIDE PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B ® YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING OYES ONO IF POWDER DRIVEN FASTENERS ARE USED IN OYES ONO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDED PIPING OYES ONO IF YFS 00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES QOMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3? OYES ONO WELDING 00 YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 OYES ONO 00 YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? ®YES ONO CUTOUTS 00 YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? OYES ONO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA OYES ONO NAMEPLATE REMARKS _' ATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: ` -22- /1 NAME OF SPRINKLER CONTRACTOR METRO FIRE PROTECTION T WITNESSED BY A OWN -? r IGNED) _ TITL D 51GNATUF.ES , r > /Z / // :05LER : ' TOR (SIGNED) TITLE DATE I K frid.a ADDITIONAL EXPLANATKY AND NOTES h!! scPR104> CITY OF PRIOR LAKE M '11 t I ] d g HEATING /AIR CONDITIONING /FIREPLACE PE i 1 OCT 1 2011 j � NN 21 P reen File City pirtit4 PERMIT NO.' G 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 14322 PARKSIDE COURT NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) MATTAMY HOMES (Phone) 952- 898 -2100 (Address) APPLICANT (Name) FIRESIDE HEARTH & HOME (Phone) 651- 638 -3318 (Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113 (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE WENDY SCHROEDER DATE 651.638.3318_ APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT 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. ❑ Mechanical ❑ Radiation ['Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL HEAT & GLO SL550TR -IPI -E FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential,,Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ PAID WITH STATE SURCHARGE $ .50 �I�`�t,, PERMIT TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 r ote!' * 4 46,41 • 1!,,,!!10. CITY OF PRIOR LAKE Date Rec'd qi : ,, HEATING /AIR CONDITIONING /FIREPLACE PERMIT v 4NES6<P im p t. r,n rile PERMIT NO. 2. Gree en Cty 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �n n, (Name) �� NA I (� ^ 1 (Phone) . (Address) APPLICANT f 6 r9 \ '1 V1. 16O (Name) 4 4 _ _ ...,; � ( f� In \ n (Phone) (Address) I� � li � _ _ 1 i ` v l.L Q , ; L b ddress (City) (Zip Code) (Contact Person) • .ti _ '`� (P on e) "I �Do - • l 0 __ • • 6- I APPLICANT SIGNATU' ii:7t� ��� (' DATE V APPLICANT PLEASE COMPLETE BELOW Ae NEW CON STRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL X ` > Ot ' lob -N0 `-1 C� FUEL 1 . FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ]Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water .rl Mechanical ❑Radiation into Required Side Yard Setbacks. I 'M Air Conditioning ❑ Special Devices Fireplaces with Box Additions or a nt. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family 1 % of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ � , Building Permit #__ The Minnesota Statutes * 32613.148 HEATING PERMIT FEE $ 1 t L .� "SI, RCIIARGye has been chanced for one year effective STATE SURCHARGE $ 3.O -5O .July 1, 2010, until .tune 30, 2011. TOTAL PERMIT FEE $ )545-D The minimum surcharge for a "ford fee" permit (Office Use Only) is SS beginning July 1.21111 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date 014441 Building Official Date •• 44.1 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 '"r pRi Date Rec'd F ° ; �' 9 CITY OF PRIOR LAKE PLUMBING PERMIT MI/vNESDcl" 1. Blue File 2. Gold City PERMIT NO 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1147,) - kr\LAAre-Cauf------ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER � � jj �� (Name) �Z,e� MOM(l.M ���Vt �C �� (Phone) (Address) APPLICANT • 1 (Name) 8erv- (Phone) q �+ l®0 0 (Address) /L101j1 I lam. i l (�J ing I vM+kS2.. 5-.7tC- � cZei) (Addres `I> (City) (Zip Code) _ q :-: t -• ( APPLICANT SIGNATURE c: (Contact Person) ►� 1 f � (Phone ) qa-aji _ � �� ^ " APPLIC,AN 1' PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture c Bath Tub with or without shower _ Rough -ins Dishwasher 1 Water Heater Floor Drain Water Softener , , 3 Lavatory (Bathroom Sink) _ Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector a Shower Stall _ Backflow Assembly ( Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 i The Minnesota Statutes § 326B.148 't $ � , Building Permit # "SURCHARGE" has been changed for one L year effective PLUMBING PERMIT FEE $ 1 4 C 1- July 1, 2010, until June 30, 2011. STATE SURCHARGE $ :S ,60 The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ is 1S beginning July 1, 2010 1�� ' S PAID WITH H This Application Becomes Your Building Permit When Approved Paid re ceipt FIftdf t7 Date By Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .7 I* t; , • i r . r"';' 0 1 LD LL z ..70.:•....",9,(,) , CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed ..., ' ":„.: • , St`, ( TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1- OCT 1 7 2011 4.(Allogres‘' e, I :.. , ,,i ; .,,, • •': PERMIT 'NO. n Li Z2. at Boum) , „..-- ___—....--• ADDRESS ZONLNG 1).A g Ks i ,b coo T i LEGAL DESCRIPTION (of 144e only) 1 t - LOT BOCK ADDITION PID ‘ --...—..— . .. _ ., OWNER i (Phone) c15a - C39e) - (013,?... (Name) 11 it rirt MY a0M6, , I (Address) 720 i W44114& A‘P," ''... ...._ ....._._ 1 BUILDER C";:v• 14TB-4 p ..,,, 3 , (Compan) Name) _ --704--o417 (Contact Name) -,,IRSPAI &I'i Ni Z. _ Address ) g44-5 L.i.w.e. •vote:, Liwo i.44,14.44./k-11,4 ..* TYPE OF WORK ....) New Conan-tuition ODeck OForch ORe-Roofing DRe-Siding °Lower Level Finish 0 Fireplace ElAddition °Alteration °Utility Conneztion CODE: 01.R.C. [31.B.C. DM Type of Construction: 1 11 111 IV e.) A (/ I Occupancy Group: A 13 E F li 1 MS'IS1.1 PROJECT COST/VALUE $ --. ( t- - c'e> vi,isien: 1 2 (TN 4 5 (exoludirig land) ei II 1 =errs cestly, Mat : hart fumishett taformamm WI this a=mrt rortwh ,I tit; Mt beat of rnv immtitedgc rmt ar.,1 SOZITZT. T also certfy that I am the owner or 114thorizai /rat f•or tht attrtmmtmocm4 prottety ano that ail constovetwo iii ;cam fr at.t ex; ffirm ftatr 41.4 to 1,•1141 .m.1 w°,1,, pr2crtf ;r; attmtianct A:th subrnmett plans I arc /mut that Itt i .".t.c.vil can tooke tha permit tot Writ +31:44e F 1 htfet artt 'hat tht , ntr , tl.rhaal of a dtftpte ma:, er(e7 417...tia I'St. 7 mper to pstforrn needed trspectmas litfla .......4otak — o74 /0-4.-0,-1 I Signature — C.ordractor's LICVLSt No Date L....------- ' . Ferrnti Valuati,on ; i Park St4pcir Fre it S , q an 0 – — . , III-- Fermi Fre - 1 S SAC g $ , I I : 103.00 t Plan Ches:k F 5 re $ &ta Water isile:ei Size s ; s , I , i.--... State Surcharge 5 . 00 1, Pressure Keduoer 5 : I i ..----r---- ,, .........-4 t S ew; - \N'aft-: Connection Fer ii 5 , ', Penalty ; - il I Plumbing Penult Fee I $ I Water Tower Fee # S i i Mectiameal Prmut Fee i $ ---/ Buiders De $ 1 ------ 1, Sewer & Water Perallt Fee 5 Other 5 1 I I Gas Fireplaze Pennit Fee $ I TOTAL DUE Pmb wiTH 1 Ann I I - . l" 1 'on B 1 ines Your Building Permit Wheal Approved I Pa)d. 131111LOING PERR41T 1 1 . 1 , Date i By ' NIIiiirairrofticol - I r ---___ PUS U ;13 ,^traf that Mt request ut tht affmr apptif:stof arm' ,1 &runlet:Is .4 in acfmtriam:t r•;;;;'n inn Ctfy ."Zilm04 Ordinance nd may rotted m remmttem Thal documety I twit= liaatil t;); Mt Cm flames conattmto a trmporary Cem&ate r.:i lomat fl'p' cr amt 41: Ci44SUINtZr+ ( 0 comatamcc More ommaftry, a cinnamic or (rseesingwv mon oe * * LA (( I t .a., at i itt 5 LAO.Th!, T1 oimiw — Dee S 1W tat Confittlorts 23 on rtottct for all ifilptcflorts (9521.447-9SSO. fax (952'1447-4245 4444 Dakota Street S.F..., Prior Lake, Niffmtattta 55372 "" • Ir. • • A g: 4 r s c' 1 41 • • - , • PRIOR LAKE BUILDING AND INSPECTION INS PECTION RECQ SITE ADDRESS ( f . On NATURE OF WORK - i,J&i. - rgui .4.a lac. -k- II •4l USE OF BUILDING S Ar PERMIT NO. (k - 1Z2_ DATE ISSUED 8� 1 CONTRACTOR -At t 4 t K-5 PHONE '1;2- Wig - G.(2/53 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTi NS BELOW THE PERMIT IS BY ,SEPARATE NT A 't- . I W 44 g ( 4' U" INSPECTOR DATE I FOOTING I 1 I !FOUNDATION (Prior to Backfill) I I I PLACE NO CIWRE UNTIL ABOVE�HASMEN SIGNJD 1 c00,1ctc-is 0 L""c. '-'' " lie &W 9W SEWER / WATER / SEPTIC FRAMING f'6 ri /a /Ii INSULATION et I) is I li ELECTRICAL � PLUMBING Uis 06 !'" !, ,6 l fe #12)11 HEATING (if required) 4.'1, 012111 FIREPLACE PA GAS LINE AIR TEST �-,_ eiv 1210 h � p N co . .5" '►: • r `� COVER NO WORK UNTIL ABOV HA BEEN SIGNED tt 1 cis 1 7 e3" FINALS fJ rZ. z 1\ GRADING (Prior to Sodding) BUILDING -gyp i G ►z ELECTRICAL PLUMBING i 4 t c° h HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical 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. FOR ALL INSPECTIONS (952) 447 - 9850