HomeMy WebLinkAboutBuilding Permit #00-0012
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3'-1-f37 BJ:fl./ KNO~L-S
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~~~~!~
~~!ION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
^ .J;4IIECH RI
~ATER HOOKUP
~SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
TIME
;3 : crQ..
OD -fJ?) /7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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Ol\/~
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o CORRECT WORK, CAL
Inspector: Owner/Contr:
CALL 447-9850 FOR'THE Nelc.T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMEN {S ARe/FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'f? - s:.O';t
ADDRESS -.34-87 ~ ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.LX; -(f"Jt) I :)
o FOOTING
o FOUNDATION
o FRAMING
o INSULA rlON
pFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
i s.$ (J, EY (,..fJ"
{-, 1>0 /
'= _IS) s; -e- -n. l.......
ftORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORI~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: -g ; U(i,(A' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/J'iSllOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I Z-7-o/
ADDRESS -J. 7/1 ~ 7 &( Kmlls
OWNER CONTR.
PHONE NO.
Dr.
lAIt".~~nl)
,
PERMIT NO. ex> -- () /2..
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
G/~- "t:-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector#~~ - uWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I"SNOTI
QATE REQEDlEQ CITY OF PRIOR LAKE
/ /7/Z000 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3, Yellow
File
City
Applicanl
SIiIfI I'M/IV ;::;uI tJD-C/JID
Permit No. 00 - 00/2-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
-.S!l37 g ItA:. y
3. LEGAL DESCRIPTION r
LOT t ~ lor 3
1. DATE
Dr,' vt'
/-7-.2000
/:2IS.o
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
k /Vo)!s
BLOCK
ADDITION
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
W~/V.shla/VN
).Jo In fS
7. TYPE OF WORK Fireplace 0
New Construction~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.FI.
12. NO. OF STORIES
I
PID ~.J- 3.50- 0 1J3 - ~
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
/ i fT f / I( ~t::- Dr: v ('
C a; Y Q/V /J1N 55/2..-:1-
,"PtiC 0 Deck 0 Re.roofing 0 Porch 0
Addition 0 Finish Attic 0 Re.siding 0 Finish Basement 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
tsl- -VI t -t'ruo
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
I hereby certify that I have fumished 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 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 official CjjIi revoke this pe. rrJ9. for ju#ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
X Ll ~ tj ~ /Y..F~ /-- J-.:2(jOtJ
/7" ~ignature License No, Date
j'
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFfl
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Side
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
I ~"'J 0('")('). f!)O
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Water Tap ................................... $
Builder's Deposit ............................ ~,
Other ......................................... $
Total Due .............................. $ ~ 10/9" ttb
Paid t:, 0 I 'f.cI ft:, Receipt 9t .,3'(' 7 7-L-
Issued i --I '
Date z,.r/ titJ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinaJe and may proceed requested. This document when
Si~ ~ PI,n r const~utes a temporary Certificat~ of Z.2.ni~ compliance and allows construction to co~e'}!<.El. Before occupancy. a Certificate of Occupancy must be issued,
t - l <-{ - eJU S __ .:J5 r -.l:f:... 60.. 00 / 0
( nner Date Special Conditions ff any
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. ~
Penalty ....................................... $
Plumbing Permit Fee tIP..:..f/J)!."Z..:... $
Mechanical Permit FeP!!:.!fA.I.~... $
Sewer & Water permi#1).~.fJQlk.... $
it fQ.: .Uf)..I. 'k:... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
850.0/3
I (~O .00
IOD/,,~
~ sC/:. 11
1I2. 06
Collective Street Fee ....................... $
Sewer Tap ................................... $
.cL I. $ ,
Pressure Reducer ..'::f~.................. $ 4~. 60
MeterHom.........S....."................ $ - 00
Water Meter ........~................... $ I:J 5 "
Sewer & Water Connection Fee ........... $---1.,.2. 0 6 .00
WaterTowerFee ........................... $ 1a." " if:) ~
100 ,,00
/00 .O"Z'
~'" " S' 0
40 .~ c)
~
o
s X.Q~ermit When Approved.
Date 1- {~-~C!J
24 hour notice for all inspections 447-9850
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The Crntrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,I
/ /
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, J I.,;
1-./ I- .
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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."
00-00/7
Tht Ctnltr of lht Lakt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSl117NN
J / I / 00
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3!i9J7 f5A Y ~NtJ~S
Accepted
Accepted With Corrections
De.
~
Denied
o 11. )s/
-7
Date:
1-/1-ZQ:::::>o
Reviewed By:
'V'
Comments:
~ ~.p * DC) - CJ(j/O
~r (?(~ " S ~c ~. S'ur-u..a..y ~
"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."
CO-QO/?
Thr Crnte-r of the ukr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f/ ~/ E/v(S t-i rl iv/ IV
//7/ 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,3t./'B713IJY J:::N{)I.-t.-S De"
Accepted
./
Accepted With Corrections
Denied
Reviewed By: . LJAL T"EA. E'JoIttE'SW'otA6I^-I
Date:
I ,
1/ IX I (Jf)
, .
Comments: 5EE. 6UI"~1~~ .PE.o-4'T" :#. 00- 010 (3tJ~~ BJ4t' K/lIou..s:. l)A1u9
.F~n. II'lFoa..M.q1",t>A.I I An-"'~H M~AJTS ANO Cnf'iMEtJT.S .
"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."
MAR. 14.2000 1:48PM
GENZ RYAN 6513226147
NO.766 . -P. 3/5--
--.... .
.....LOW. ~
IIOLD . aTw
CITY OF PRIOR LAtcE NO. tJ 0 -00 r 7
SEWER AND WA'~.c.A PElUaT
NOTE: Sewer and Water
contractors must
be reqistered.
with the city.
APPLICANT: ~ n?-~ ~
ADORESS: 'ltlLlS" Sr->~~c....I.I'. 1\
SIGNATllRE: 'k UJ ~ ~I&o
SITE ADDRESS:. '?J...1.~1 lis. /)p
FILL IN THE BLANKS
1. Estimated lenqth of water service 4D J
I',
2. size of water service inch(es).
PHONE: t..r:Sl ~ '2b ~ Itp.{
DATE: U2IJ~
BLDG. PERMIT i ()() -00/2--
Plot 25 -...:5.':::> 0 - 003--0
feet.
3 . Location of any couplings from s't;ructure feet.
I~ 4. Type of sewer pipe. ASS PVC ~ Cast :Iron
'...,. s. Estimated length of lin~ "-/D' feet.
sewer
6. Clean out (if r~r:iuirecl), located at feet from
structure. l
\
=-_..._=-=---~.._-'----.......,-----~
BY
apPlicatiol1'/~--~our pe~it when approved. . /.
~ D~'I'E: 3//4-/(J d
----~~--------------
This
,
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
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 buildinq permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
(" ""\
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DATE PAID
RECEIPT #
AMOUNT PAID
REC'D BY
~,'~C., .\\
~_,\r~\NG r..:. .
. 4629 Dakota St S.E.. Prior I...ab. Minnesota 55372 I Ph" (612) 4474230 I Fax (612) 447-4245
AN-EQuAL opPQRnJNrrY ~
MAR. 14.2000 4:31PM
GENZ RYAN 6513226147
NO. 775
P.15/21
n. en... wi ..... t.1Ic Co.....,
CII f OF PRIOR LAKE
, PLUMBING PERMIT
Applicant (;1., f)~.- ~ .r"'\
Address;J.YjU..~ ~.li~ TILL-
Signature: I Q. -.JI
legal Descrij:ltion: Lot _Block Sub
Site Address: Il 117m r ~ '~ _.
BuildingPennit#. O~ PID# 25- 350-003" Q
NOTE: This permit ~" not be processed lNithout complete information.
FIXTURE UNITS
I. D_ fiJa
2. CioId City
3. YcUaIIr ^\IlIbt
# OO-{)()/2
Phone: lo~ l-t..IZ.~-11 L/ L/
R. f'"'\'~...rY)rn I n-r .
, "
Quantity Type of FlXrUre Quantity Type of Fixture
r Bath Tub with or without shower .5 Rough-Ins
( Dishwasher , Water Heater
I Roor Drain ~I Water Softner
~ Lavatory (bathroom sink) I Stand Pipe (washing machine)
, LaundlY Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall 8acktlaw Assembly (F1PZ. Double Chec~ PV8)
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.' I ~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
S
$
$
$
.50
GRAND TOTAL
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This permit is granted upon the ex~s co!ldition that said
contnc:tor, shall comply in all respe;ts with the ordinmces
of the SQlfc Plumbing e d C am,dmcp9! thereof.
--- 3 /5/{j(} DATE
I
AnEST
Call for all .
, --,.I
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~5
An Equal Opl"onunil:)' Employer
, CITY OF PRIOR LAKE' I,. )
- 16200 Elgie Creek Av. S.E. ParmtlNo. jJO -00(2.:..-
Prior Lake. MN 55372
Dall
Site Addt858
Lo1 Block Addition
OWner'. Name I ue.n (AYYl If\. () /...Innnl' ~
~ . - - - ~
Addless )Vq~ 1))0 2.4 ~ .<q-p 2crD ~
Helling Con1raclar r,...., n?.- f6JtJ.f"\
Address r U.1li~ . ~ R ~ n'J" -rll- L ~VY\T
Telephone' , n~ l-ltZ~ II U L/
. Furnace Make . Model \.0. 11\ vvrt/.... "PE OF SYSTEM
Warm Ail Planta "-
Mode' Sire ~7-'n~ ~..., C- GravItV -
Mechanical
, A'r Condhloning 'l 2-lb '1hf,. \
t.J..l 'Avl.J'lr- Venl. SYslem
HEAllNG OR POWER PLANT
Stum
Hot Waler
Radlatlon
Special Devices
Conn_Load
Fuel Alm-_&-c, flue Slzl
Supply OpenlolJl I c;:-
'1
Re1urn OpenIng.
Inpul ~ 1Vf) OUlput lnn rn::>
Edr.
crm.
Other Devices
TYPE OF WORK
~
AllsYallons
Repair
E.,. Cost $
HEATING PERMIT FEE S.
Replacement
New Constrocllon
Eal Comp. Dale
, Building Permit ,
fJO - 00/2-
STATE SURCHARGE $.
TOTAL PERMIT FEES $,
.50
( PAlO WiTH
Receipt ,,6UlLD\N~ PEI;;\;HT .
1. Jl:illk.- . File
1. Ore ! CiI1
J. YeL. _ . CoIlhClaf'
TYPE OF STRUCTURE
Single Famllv
Commercia'
)('
Two-Family
Industrial.
Fee Schedula
Induslrtaf, Commen:lat & Mutfl-Famlly
Resldan11al, Heating & AC
Realdenllal, Heating Onl~.
Resldenllal, Gas Fireplace
Residential, Adliltions & AHera110ns
Reakfen11al, AC Only
3:
D
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MuUI-fam1IV
Public Olher
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IS)
IS)
1% of job cosl ($39.50 mlnlmt.m)
$99.60
164.60
139.50
$39.50
$39.60
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Remember 10 add the Slale Surcharge on ths bottom oIUlls 8pp1lca~on.
The,prlce 0' your hea1lng permillncludes one rough.ln and one flnalln.spectlon.
AdditIonal inspections will be blUed al 136.00 8lH:la.
House Heating Test Record mus' be aubmltted wtllt twlildl"11'~'.'l'''' f1UnlMr before buHd-
iog certlftcal. 0' ocoopancy wll be issued.
..u: aT CAICUl,ATIONS l:I~nt 111;J~n with number 0' supply and return openings IIsled per
room wlth CFM'a per opening. New structurel or additions 8&J1d Door plan wfth supply
and retum Iocadon. shown. HEAT lOSS CALCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Cily Hall busIness hOUTS are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL). CALL CITY HALL
4474230
I hereby apply for a mechanical systems permit and I acknowledge thallhe
in'ormatlon above Is complete and 8c-curale; 'hat the work will be In conformance
with the ordinances and codes of the city and with the alate bulldlngfmechanleal
oodes; thet this form does nol become. permit until sIgned by 'he BUILDING
OFFICIAL; 1hat the work will be in accordanile with the approved plsn In 1he
case 01 all "ork wh1ch requires review Bnd approvllt 01 plans.
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CITY OF PRIOR LAKE Me .
16200 Eagle Creek Av. S.E. Permit No. (iT) - (J.O Ja
Prior Lake, MN 553n
HEATING APPLICATION I PERMIT
PIDI,as- ~-(S03- 0
#/l.{.] c;J/~ :Ll1-~
~I.l - ,
Addilion ~ llA (\1 A. ~ i~-\-
" J . J,'(j,
i J GA./Yk.,4.. ~ ~.t...J
Dale 5/$0/00
, .
Si&e Address 3fJR1
- \1 O"'b
O:u>+- L.6t~.'~ BJock \
Owner's Name
A.ddress ,
HealingCoAlractor ~LLIED FIRESIDE dba FIRESIDE CORNER
Address. 27 00 N. FA I R V I El-l .
Telephone'. 651-633-2561
FIREPLACE
M1Q.1IP Make & Model iJ.L11 N C,lA
M~I Sitl!. ~~/. /,S.)7tt_
ROSEVILLE. KN 55113
Conn. load
Fuel ~.f
Flue Size
TYPE OF SYSTEM
Warm Air Planls
Gravity ,
Mechanical
Air Condilionin9
Vent System .
HEATING OR POWER PLANT
Sleam
HotWatar
Radialion ,
Special Devices
Supply OpeniAgs
Return Openiflgs
Input,
Edr. ,
Clm.
Oulput .J 3 (')0:)
Olher Devices
TYPE OF WORK
Alleralicns
_ Replacement
I
Est Comp. Da\e
N9W Construction
y
Id.J.;/h
, ,
(') () - ()D \ct
Repair
Est. Cost $
1/ nn ro
Building Permll' .
/
Ao
/
--
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT fEES $
PAID W\TH
BUILDING PERMlT
Receip\ . _
TYPE OF STRUCTURE
I. !'illk - Fik g>
Z, (jlUn Otr ::J
3. Yell.... . ColJI[I~tlIr r+
OJ
'<
Single Family
Commercial
Two-Family
I nduslrial <
Multi. Fam1v
Public. O1her
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Fee Schedule
Industrial, Comrnerclal & Multi-Family
Residential, Healing & AC
Residenlial, Healin~ Only
Residential. Gas Fireplace
Aesiclenlial, Adcltioos & Alterations
Resjdelllial, AC Only
1 % 01 Job c~l (139.50 minimum)
$99.50
$64.50
$39.50
$39.50
539.50
"'a,.~
Remember 10 add lhe State Surcharge on the botlom 01 this application,
The price of YOIr healing permil ill~l'~"!l one rough-In and Olle (tnal inspection.
0)
U1
.....
0)
Addilional inspections will be bined at $35.00 each. ~
ClD
House Healing Tesl Record must be s\J)milled with hllildina .,,,rm.il ~'~I'\. before buld ClD
_ ClD
my cerlilica\e of occupancy will be issued. ~
~EAT GAl CULATlONS REQUIRED with number ot supply and return openings Dsted p
room with CFM's per ope ring. New slruclures or adcilions send floor plan wilh supply
an.j re\urn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCAT10NS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGlE
CREEK AVE. S.E. PRIOR lAKE, MN 55372,
Cily Hall business hour. are 8 I.m. - 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH-rN AND ANAL) - CALL CITY HAll
447..i1230
N
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I hereby apply 'or a mechanical systems permit and I actmowtedge that \he ~
inlormation above is cDmplete and accurate; that the work will be in (:of\fOrmancl ;;g
wi1h lhe ordinances and codes of lhe city and with Ihe slale buildlng/mechanicJ Y.
codes; Ihat \his form does not become a pelmit until signed by the BUILD1N(
OFFICIAL; that the work wHl be in a(:Cordance with the approved plan in the
case or all work ~'Ch requires review and approval 01 plans.
4N.a- II~ .' 5th'OJ
( AP1>licarA)'Sign1ure ('" r - Date
j~ -1 1 il'J)'A 1A.0- ,,) (J$I/W
o au1<fin9 OIIicalr'Ui' . · J lloIo
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.....
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------,
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JobAddress 3'1$7 ~ (rrdU
Heating Contractor ~,,~ ( / Y /)IV'
Name ofTester j{.. C ' v
7-:z6 - t!)O
{
CJ
15
t;Jc>
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
'\
._------'"---_._--.,--~
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :s18? ~." J< IA"/{~ .oJ-
NATURE OF WORK ~'~~-
USE OF BUILDING S1=A-
PERMIT NO. C)e. (1)0/7- DATE ISSUED /-/~..2CJC)C)
CONTRACTOR W~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
l FOOTING _ I 0 I i;;;;; I
I FOUNDATION (Prior to Backfill)tt1)~,tjV r:;'t1,4l~ I
PLACE NO CONCRETEVUNTIL A~VE HAS BEEN SIGNED
ROUGH ~~NS
SEWER I WATER I SEPTIC C (/I) ~)~/))
FRAMING 11"/ bf ~kx>
~ /./, ) ~
INSULATION v.
ELECTRICAL
PLUMBINGf:J1-.,
HEATING (if required) . , " 1 JI? 6/~
FIREPLACE '~S!J: ~~ lL~rJD 67Ji'/tl/J frJ/!.I1V y-~
GAS LINE AIR TEST J' }};? li.!1!4; (JJ ~ 0 ~ DO-onn,
COVER NO WORK UNTIL AE!OVE iHAS BEEN SIGNED
I I
FINALS
NI,
~~U~
q\)
OCCUpy UNTIL ABOVE ~H~
NOTICE
"" I IS! :w
GRADING (Prior to Sodding)
BUILDING /VJ t;. /. (}O
ELECTRICAL
PLUMBING
HEATING
DO NOT
DATE
t(; / / /(JI)
1.2 '1/01
~~-S--O~
D Jj (,Q
~ I 0<
1
BEEN St:1NED
. .
This card must be posted near an electrical service cabinet prior to rough-in inspections
anfJ maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850