HomeMy WebLinkAboutBuilding Permit #00-0093
~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
..tti 2 a 2000
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
15(J~ ~~~~~\.L-
3. LEGAL DESCRIPTION
LOT ~ BLOCK 2
ADDITION ~~~~~ &e.D
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
Permit No.
1. DATE
Z (2-1) oe>
J2.ISD
1. White
2. Pink
3. Yellow
File
City
Applicant
Do-oo93
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heig'ill. I (Widt~) (Depth) ,
2--'] .~" .sS
12. NO. OF STORIES
2r
PID 2..5 - ~2..- 012-0
(Tel. No.)
13. TYPE OF CONSTRUCTION
eC::=\t>~"'~'-
14. FLOOR AREA APPORTIONMENT USE
Z. \ ., z.. -rf:t
Deck 0
Finish Attic 0
\7oZl F~~ ~'t. ~O. ~ "Z.)4~olf~
Re-roofing 0" -' Porch 0
Re-siding 0 Finish Basement 0
SEATS
(Tel. No.)
(Tel. No.)
OCCUPANTS
15. NUMBER OF OCCUPANTS OR SEATS
k..E:.'(l,~~O t40~
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction~ Alterations 0 Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COM~L7TION DATE
Sq. Ft. \ 2. z.a, 7 Width,9/. t2.' Depth \ ~ ..2.\ Yes No 6t' z( eo
I hereby certi~ 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
(Address)
(Address)
(Address)
16.~OJECT COSTNALUE
CP\3o,caD
x
d 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
ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~d !~ections.
(C;;~ 2/~Y (;A:)
Signature License No. r .J!fate
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFD
FOR ADMINISTRATIVE USE
Back
Side
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
',oq? .7..5"'
~.11
1J~.oO
IDo.oo
~..C)C>
3~.~
'It). ~
~~
Gas Fireplace Permit ....................... $
Th~ btBeoom!1::" Building Penn~ Wh.I.E! enn &p proro...vee,d.
By 7" Date 'E"!~
Certificate of Occupancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid '7~ ~ 1/. <-f k
Date ~/;~ /~lJ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin{Ordinati"ce and may proceed s requested. This document when
signed by the City P. anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occup~, a Certificate of Occupancy must be issued.
~v~/" Z....lr(Jb ~~~ I::\apr C'19"~Cl~ f~ ('~~
/' .... City Planner r Date...... Special Conditions if any -
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 13~J ~.C!:)C>
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . . . . . .. . .. . .. . . .. . . . . . . . . . . . .. . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
(/ $
Pressure Reducer ...~.................. $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
SETS
COPIES
~c..J . ~
//(!JO..OO
4~- CJO
/ 1.-r.. {fO
I2-()O.. 00
~{j () . tl"l.L
157JD. tf7J
24 hour notice for all inspections 447-9850
/'
"
GO- O~3
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'-
""-
NAME-OF APPLICANT
APPLIGAT~ON RECEIVED
K EV L-~7;VD 1-fo1V/6S
I / I
2/ Z3/oo
, f
The I?uilding, Engineering, and Planning Departments have reviewed the building permit
app1tdation for construction activity which is proposed at:
:~...c_
..... ""---. _\.-"
........ ____ ~ -io. ". ._"- .
"'- - -.. ~~. l
,..\
1
!
AGcep~ad
ISO B~ /7PPr}L 60,~A
/ Ie. .
v'
ACgepted With Corrections
.u "'-- " ,
......-.- ".",., .
Denied
Reviewed By: .i!JAt..-rE/l. EUtf€SMANIU
Date: 2./2.5/00
. I
Comments: ....su. JAI~tl'MA"'I<W oN THE: REuELS€ SlOE..
S~'i"Tw:lc..Wf\lEiJ"iS'. I. ~~R..A~ ~~crl~F4R.~ Z. (;IlAO'AJu p~
3. MOSIOAJ Coum.oc... M~Ill'S
t./. &uS.IOAJ CD.AJi'nfJL.. PLAAJ
liThe 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."
23
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
K6VL-A-ND /fOM65
2/23/00
, f
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_I SO B4- /tPPFt-t,OOS/1
Iie-...
Accepted
Accepted With Corrections ~
Denied .....-. ~ fl / ..
Reviewed By: {!1J R):...~
)'
Date: 3-1-4:JcJO
Comments:
(eJ dJ- ~Q.C,~ ~~
liThe 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."
q3
Th~ C~nl~r of lh~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~,
NAME OF APPLICANT
APPLICATION RECEIVED
k \,./ /. / /.. /j )./t I~'I t-;:. ;:
I
l
2 Ii? 3'/(J()
fl' .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
......,,; .r
[.,.. 1;""~.-1
.()/ ~
- ,
/' .J' )--'/-);..../',1 ,~(, i:' /-J
.." ,~_...... ....- # I
~. . . -;-j. ;,.'
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Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~
Date: ~ -I roo-l.5C"J
Comments:
A/c_ +- .~~ ~u~~ ~ ~
V.JA~^ l'J./\ ~ueev- ~l1~ ~~~.
liThe 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. II
/I
*Job Address / ~ <Sf /jrPM ~,,-.
I '-
*Heating Contractor Mt:.1 RO AIR
~
.Permit#
*T esters/Signature
*Gas Une
Pressurized
Inspected
* Percent CO2
* Percent 02
Final Inspection
~.
Date
Time
Pounds
Pressure
PERFORMANCE TEST
7/ f5
--:711
tJ
*Percent co
*Stack Temp.~;-
Date
FAX:6128904650
PAGE 1
FILE No.826 03/29 '00 AM 10:43 ID:D & D MECHANICAL
1'11I11
.. 111II "It
2. Gold aay
:So Yellow .\ppUoMt
II OO-OCA3
Phone:. ,,~!:U...~e>
'CITY OF :''';IOR .LAKE
PLUMBING P~IfMIT
ApPlloant:.J:;J-t- D .~ 11-. ~. :;::;,. C.
Add,..,: ., J 1 J.JA?.. .J...d-' 0,... ~ ~.
Signature: ~ - r., f . . _
Legit C..crlptlon: Lot ~ IIOOk..1 Sub. ~:~~!~~,~
Site Add,...: I $C) 8 LJ {)/AI' -I L, ( II. -' j:.... j ::. "'" '
Building P.rmfllilP:'~, - C ~.. PJO fl. II.'
NOTE: Thll permit will not b. prooeu.d without oompl.te IntorrT14 Jc 1'1.
P:IXTUR. UNITS
r.. Cell,., 0' lilt L.... CO.III.,.
Quantity.
~
J
I
..$
I
;(
~
~
III II. "II
Type of Fixture
Bath Tub wtth or without .hower
. DI.hwa.her
Floor Drain
Lavatory (bathroom link)
Laundry Tray (1 or 2 oompartment .I"k)
Shower Stall
Slnka
ear Sink
Water Clol. (toUet)
Quantity
,.~ lIE 01 Fixture
I". If
a
I
I
Plough..lnl
Water H..ter
Wat.r loftner
I I'.. ,t
Stand Pipe (Wi .~hg maohlne) .
. I..,
Sewage EJeotc).
~ I'. .t
Baakftow AMtm~ I . '.pz. Double ChIok. PV8)
Baokflow'AI.I, i:~;; Teet
I I..,.
Lawn Sprlnlel.1'
Other
I.....'
1.__
I'" ,
/
I I...
".IICHIDULB
Indultrlll. Comm.rol.' & Multl..Famlly
(1" of Job COlt, '98.10 mlnlmurn)
"..ld.nUal. New One' Two Family
A..'dentlal, Addition. I AIt.ratlon,
State Surcharge
$il.50
$38.60
. ..
.11, ~~, I::
S
. .51~
PA\D WITH."
$ / ~" ~ '1~6U\LD\NG pE~~',vl\ r
l
ORAND TOTAL
I:-~,., r,~';::-"- r
I )
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Thi. pennit 1. Jl'Mted upon Che IXPI'II' condition that ..td ,.
contrEtor. .hall comply in aU ....1** with die OtdhlaDCIl ,"(' i . 3 0 '}Mn
of the State PhambJIIf (:ode and th_ .~~ thereof, LWU
'~' 3?t=&I()ODATB
A1IDST
Call tor aU in. tipn. 24 hoW'l in advance.
1620(lBasle Creek Av. S.B.. Prior Lake, Minneslota 55372/ Ph. (612) 447..4230 / F~: : ~i 2) 447-424~
An Bqual OJ~portunJty Bmplo)'er
CITY OF PRIOR LAKE Me
16200 Eagte CreekAv. S.E. Permll No. (57) - OOQ3
Prior lake, MN 55372
HEATING APPLICATION I PERMIT
5"/ rJQ:J PtD' :2 S - 3t{J.- 6 )~- 0
SiIe Address' ./5O!-</ ~ ~
10I CA BIock:J. f"'dilion '~xr: C.1 r1 or ..s,J, AroN
~(I!i~.t 7~"o.~
Dal9
Owller's Name
Address
Healing Contractor ALLIED FIRESIDE dba FIRESIDE CORRER
Addfi~SS 2700 'N! FAIRVIEW, ROSEYILLE, MN 55113
Tel&phon9 . 65 I - 6 33 - 2561
YIllEPl,ACE
an. Make & Model ~ ;J ~ i.JJ
Modgl Sjl~ bnn) 7P
Conn. load _
Fugf
~
,FJue Size
Supply Openings
Relurn OpenilYJS
lnpul
Edr.
Chn.
TYPE OF SYSTEM
Warm Air Plants
Gravitv .
M&ehanical
Air Conditioning
Vent SysCem
ttEA TIHG OR POWER PLANT
Steam
Hot Waler
Radiation
Special Devices
Other Devices
A~era~ions
, Replac9mBn1_
TYPE Of WORK
N9w Consttuclion
>>
Repair
Est Cost $
. Est Comp. Date .5/J'~/.g,
1/ M1.D Buikfing Perml' oG - OeN ~
HEAT.~G PERMIT FEE $
STATESURCHAAGE $,
TOTAL PERMIT fEES $_
.50
,
Recelpl fI. ~
TYPE OF STRUCTURE
en
m
I. PI" . Fik ~
1. (jnrll - eM, OJ
J. Yellow - COQ..~or '<
Slng1e Family
Two-Famny
Induslrial
Mufti-Family
Pubqc Oth8~
"T1
.....
"'1
m
g)
.....
a.
m
n
o
"'1
:J
m
"'1
Commercial
Fee Sch9dule
Industrialt Commerclal & Multi-Family
Flesiden\ialt Heating & AC
ResidenliaJ, Healing Only
Res1denlia~, Gas Fireplace
nesidenlial. Addilions & Al1eratiollS
Aesidentjal, AC Only
11~E' j1s:a~I~SB ~h~~
$~ ...... .,..r r~, ,
.. l" i 1- ./ '. ...._.... t. .--_..
j ....... .... ~
S64i~ ,-- ~-
t" I
S39~50 f MAY 8 2IIIl
$39.50 .
$39.50
Aemembef kJ add Itte Stale Surcharge on the botlom or lhis applcaUon.
0)
U1
....
The priee of your healing permit includes one rough-in and one final tnspecUon.
0)
t.)
t.)
l\ddilionallospecUons wi. be billed at S35.oo each.
CJ)
CJ)
CJ)
House t-tealing Test Aecold must be submitled wilh buiJdinq ~ DUIDtlm before buId...~
ing certilicale of occupancy wiN be issued.
I::!EAI ~UJ.ATI~ RECUIRED with number 01 supply and return op8rWngs Is\ed pE
room wiU1 CFM's per opening. New structures or additions send Hoor plan with suppty
and return rocations shown. "'EAT LOSS CALCUlATIONS, PAYMENT AND
APPLlCATLONS MAY BE MA.LED TO THE CITY OF PRIOR LAkE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Cjtl' Hal! business hours are 8 am. - 4;30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH..I" AND FINAL). CALL ern HALL
447-4230
3:
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I hereby app!y for a mechanical systems permit and I acknowledge that the
information above is complele and ac{:urate; lhal ,he work will be in conformance
wiLh the ordinances and codes of the city and with Ihe 511le bulJding/mechantcat
codes; lhat this form does not bei:ome a permft untU signed by the BUilDING
OFFICIAL; (hal the work wiU be In accordance wilh IA~ approved plan 10 the
case or all work which requires reviow and approval of p1ans.
,,&. ~
~4'~ ~
/ 1 c. APt> tcant's;/'/J~ture C , ~
V (1 j~ IL/.-U ~ /~~
G BuiIdng OIliCjlr. Signature
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D>
10
(1)
5/i'oJ
, Date
.s- Irp:r k:r.J
/ Oal.
-
....
TYPE OF !) I HUCTURE
1.W
1. Gna
3. YcD_ .
fiIc
City
Coa1n.-
CITY OF PRIOR LAKE . ~\::) _ ~~ ~ '3
16200 Eagle Creek Av. S,E. Permn Na. X
P ri or Lake, UN 55372 5iIIgIe Famiy
HEATING APPLICATION I PERMIT
DG1e ~-).", ~ Ploe 2-.5-34-'2-- ()fZ- 0
Sbe Address \ S Q ~'\ (4..0 '(J ~ \ 0 0 ~ ~ ,eISO
lot ;l Block ~ Addition, ~~ ~"f'"'t} ~ "'~
Owners Name ~ 'J\ ~'"\.~ \-\{) ~ J
Addl8ss \~\ ~\~~ p\-o f(,~- ~\~
Hezlng ComradDT \ ~ (, \ ,.~ ~'r- ~,"\ \
Address '\ \.~ ~ ~ ~, ~ L \ lOr",^ \" \ VI"; IT' \ 4 )It,
Tetephone' ~~, - ~ \ ~"\
Fumacl Maka ~ Model c... <-.,.. r 1 "V'"
Mod.' Sill f 1\ \J -0'-\ \)
Conn. Load S; S ~ ~ \
ruel (\\ '+. ~ Flue SIzI
<; IJ
Supply Openings
'\0
<6
Re\Um Openings
Inpa4 ~ ~ I rJOO 0uIpu1 ., \ - aD{)
Edr.
ctm.
\ '-\ '^ c;-
TYPE OF SY;:a I cnA '-./
Warm Air Pblnts ~
Gnwity
Mecnanica1
Air Condtionln;
Vent System
HEA11NG DR POWER PlANT
S18am
Hot W...
RadiatiDn
Special Devices
Other Devlces
Alt8,,';",ns
. RepJacament
TYPE OF WORK
New ConstructiDn
.~ .
1 hereby appty 101 . mechanical systems permit and 1 aclcnowledge thal the
.mlormalion abova is comptete and accltra'e~ Ihal tn. "WOrk will be in comormallt$ .
with the onlinances and codes of the city ud with the st~1e building/mechanical
Repair ., Est. Co. . Data · . codes; that 11\1& larm does 1\0\ be~m. a penpM undlaignad by the BUILDING
. .' . '. ..,po. .... , 93 . OFRClAl; thai the work will be in accordance with lb. approved plan in the
Est. Cost, "\ ~ ~ BuRdin; Pennl' . 00 - 00 case of all work ~i~_ requires review and approval of plana.. _ .
~~PERMrrFa:S -. ~Vni\'\; ~~.: .>-', ., . -'..~:;:fr:-~;
.:., . . 50 ~~ ""G pe.R~U " AppIj .' D8it~..-
. STATE SURCHARGE $ .. , . a\J\\..O\r't . . . .: -;: . ' . '. I . ~ '. "-'.
". '.. '. . .. . . 3 '?7 (j 0 .
'. :..fi; j:~ ~ERM~FEES $, . Reca1p1.' 8uII'SI Officers ~ . .~, . .
.f'::ib~~;:_:.. .;".:~ . :.:. .~~. . '. .~ :.::...: ...,...-.... . .~... ... . - - f.. .... :'~.. ':. ., ::'~..'. .,-. '" ;._ ":..:~. :"." __:'.
~:i~~~:::~;. ~O;;:'.:: =:... .' ''-'' '. '. ..':-:.;._: "'~".."1'.,,,,::, :":":'-I::-",'j;'~J"'"':!: "~"-,.. . ..' \,., .~."'- ". :....;; ......:-.. -.' .(:';.~t' ':.~-:".-'~...- ': ';~~"'.--.. ...........::...,__...:..-: ~..::.,..:"..,__....~.:: ~.-., ~. ...r':'~._..... . ~':" ....~;~~.~
~.._..,.-_.. . -'. . - . ..,..., .......~.... ",' , "~'.. .. , . - - . . .'- '" . U .' r "',_. ..... r.!:'.;t;"'-'r.' . ... -.. __ ~'ti I!rV:
~~ "=. ,,,,-. .' ".. -:r:i' '\"'?!~~~"J:"~ ~";a;.i r4 .~\.....~'"; ';r. " '.-. .: ".",,:""~\'''' "i'i~~ ;A..~~.~~a:..~ja"~~~.c~~Si: ~ t ?,.... ~'t', S:,J
~. .... . -. .. .....'. . _.:.~ !~~.... ...,....c... r--a-t.. · ..~I~.~:.-t~ .:.., .. :: ...... ..........~~i.."! ~.~.~~-=.~~ .~~.__, __.p,..rr=.(,14 '.....;::'..._~:=....~...;JJ_, ...~-rJw.; _ "- ~
......~... .~. - .
Commerceal
Two-Famtly
_ 'ndusbial
Other
Mufti- Family _" . .'.
?ubJic
Fee Schedule
'ndustriat, Commerc&al &. MuID-FamUy
Residential. Heating & AC
Residential. Heating Only
Residential. Gas Firep!ace
Residential. Adtfmons &. "l1erations
Residential. AC Only
1% of job CDst (S39.50 minimum)
S99.SO
Si4.50
ssg.sO
~.50
sag.SO
Remember to add tne Slate Surcharge on lie bo1\om of this appUcaliDn.
The pra 01 your bea1ng pennft includes one roug..in and one fNJ inspec&on.
"ddlionallnspections will be blled at $35.00 each.
House Heatin~ Test Reeord must be submitled wi1tl buIsIng ami ~ beIore buil~
ing ceriifica~ of occupancy w.l be issued.
tEAl CALCUlATIONS REQUIRED wi\b number of supp~ and raNm. openings rtsleO per
room with CFM'a' per opening. New strudunas (If a.ddltions send Iocr plan wiltrsupply
and mum locations sbovm. H~ LOSS CALCULATIONS. PAYMENT AND
APPUCATlONS MAY BE MAIlED 10 THE CrTY OF PR'OR lAKE, 16200 EAGLE
CREEK AVE. s..e.. PRIOR L.AKE, MN 5>>12.
City Hall ~ness bours are & Lm. - 4:30 p.m.
AU. WORK MUST BE INSPEv & &:&J (RDUGH-IN AND RNAL) . CALl. crrv HAll.
447-4230
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03/16/00 THU 15:22 FAX 6128902753
STOCKER EXCAVATING
I4J 001
~.. - ~
'FELLO_ - ~IIT
GOLD - CIT~
CITY OF PRIOR LAKE NO. () 0 - OOq '3
SEWER AND WATER PERMiT
NOTE: Sewer and Water
contractors lnust
be r&gistared
\lith the city.
APPLICANT: DC Mechanical/Stocker Exca"a~:l.ng PHONE: 890-4241
3/16/00
:::::::~E; 82r;;:;:;;;f"~ 55)~8 ::::: PERMIT: OO-Oif/3
SITE ADDRESS: 15084 Appaloosa Trail PIO# 25 - 34-2.. - OI2--C)
FILL IN THE BLANKS
1. Estimated length of yater service
feet-.
2. Size of water service
inch(es) .
3. Location of any couplinqs from structure
feet.
4. Type of sewer pipe. ABS
PVC 'X
Cast Iron
s. Estimated length of sewer line
_feet.
6. Clean out (if required), located at
struc't.ure.
feet
from
____~S=~=_~=_~====~==~~~==~___~=___~~__8~_~=~5=*~====~=~~==;~_~~
This apPlici!!:ti ~~es your permit when approved., J
BY ,~ . DATE: 3/ZIIOO
=--~~~~:=-~ -====~~=~=~~==-~~-~~--~~~= ~~=====~~=~====~~==~~==~
FEES:
$
$
S
35.00
.50
35.50
SeWQr and water line connection permit.
SurchargQ
TOTAL
* Fee for either sewer or water individually is S20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building pe~it card at the time of issuance
to insure that no duplicate sewer and YQter permits are
issued. -
DATE: PAID
RECEIPT #
AMOUNT PAID
REC'D BY
16200 Eagle Creek Av_ S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /snec.f 14 p{.)Jltk)~ (f).....
NATURE OF WORK N.ew ~ .
USE OF BUILDING ~~FD
PERMIT NO. ()(J - 0013 DATE ISSUED :3-1-2oeJ(J
CONTRACTOR K~a~ ~
NOTE: THIS IS NOTJA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE .m~~o~NT ~ ~ATE
FOOTING l J ") Z4'/ jIKJ
- FOUNDATION (Prior to Backfill) t3~ - ~. / - If.,, If., :(fD
PLACE NO CONCRETE UNTI~'A~oVE HAS BEEN SIGNED
ROUGH/i INS .
SEWER I WATER I SEPTIC 1} L//dtll(gJ 1',
FRAMING 1J/t./-/~. I o/U/'$;l) ~ f};. :jt110D
INSULATION T ~t 6/Z,1/0()
I .
ELECTRICAL
PLUMBING (h st II / 00
HEATING (if required) U /~.~ 5/~Z/t:7b
~=:~~:~~IRTEST~~5/Z2/80 . /li!l~/:;~};f7)~~'~'~1 t(3/ltf
COVER NO WORK' UNTIL AB~ H'AS IBEEN SIGNED I
-
GRADING (Prior to Sodding)
BUILDING 1'W '10 Itll ( 6i
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
/Q,(I/
, ..-
tJ./~ .()l)
.~t\,~~6U
OCCUpy UNTIL ABOVE (HAS
NOTICE
f /
& I~ I~
BEEN jsIG~ED
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 stlaUlle"placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
JZZJ()!f 10 ~OO
ADDRESS 15084 A-Pt?doos ~ TJr
I I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-Cj3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
IOWA TER HOOKUP
: O;'EWER HOOKUP
~. ~MBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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,
J
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( ~
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M~
(JJJ
VL/
COMMENTS:
\ -A-
J Cd 1/\
Owner/Contr:
co
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS IS OJ''!
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
=RA ING
DILATION
FINAL
o SITE INSPECTION
Q2~E/~ TIME
SCHEDULED ..IfLJF
.~5tlr 7 J?
CONTR. t"r1djl/ /bne5
PERMIT NO. aJ - ~
o PLUMBING RI ~RAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
COMMENTS:
.Kfl~iJ UJal! IS ()K
/'
/~
~
"
./
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ;eJK. CA~L" ')j'NSPECTION BE~G
Inspector: ~~~Q"'RePleullu,
,..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
SCHEDULED
~;:~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
g:-Oi)
ADDRESS I So.e4 Arra .enSa
OWNER CONTR.
PHONE NO.
PERMIT NO.
(J-q3
o FOOTING
o FOUNDATION
o FRAMING
,BIfNSULA TI9.ti IV
~~INAL I'V /1
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
HOOKUP
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~MECH FINAL
COMMENTS: f~ ~ ~ \S CJL
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M~A ~ ~/A
( 4.1 ~ : ~~ · V\. . Bw. twA lM.c1r
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. ~ ~
r C~_(),- <:h q-l-cro ~
-'~.. .-
~f- ~~
J
o WORK SATISFACTORY, PROCEED
... CjCORR~T~ON AND PROCEED
~RRE"'!:.~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: /:\) Owner/Contr:
CAL (44~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~ REQuhEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V .. . INSNOTI
DATE
'J/;;n !I:.~n
ADDRESS -.!bakLf Apfld./{JO:) Ci I fCtJ/
OWNER CONTR.
CITY'OF PRIOR LAKE
INSPECTION NOTICE
TIME
SCHEDULED
PHONE NO.
PERMIT NO.
r m - ( ) (-)q 7!::..
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
Ii 0 MECH RI
r^~WATER HOOKUP
~EWERHOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~=~EN~ 4(,) 'iVC
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~ -
Arv ()~
(;fl~~ ~
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tv (2w~ +~
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r 11
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krx
II<
r~
~nRK SATIS.FAC~Q PROCEED
~RRECT ACTIO AND ROC
-4
o CORRECT WORK. eAL R REIN
rrv-uEr
Inspector: Owner/Contr:
CALL 447-9 !so FORlrHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQL ~REMJTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INS/'IOTl
ECTION BEFORE COVERING