HomeMy WebLinkAboutBuilding Permit #00-0115
zj; ~l~DO
CITY OF PRIOR LAKE see t11\ I N ~. =te
BUILDING PERMIT, t:lu=; ~ 00 01'23: Yellow
TEMPORARY CERTIFICATE"dF-""- -
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
Permit No.
00-01/5
. 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
3330
G /y IV (..)4 Trr'
3. lEGAL DESCRIPTION
I BLOCK;;"
G'/~a1fr ~N'"
, (Name)
LOT
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUilDER (Name)
L..JfN.J/11'lN/V
/J Din pJ"
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
Chimney 0 Misc.
1. DATE
T r4~ J
;1- ,25" 00
~26D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Nw
12. NO. OF STORIES
PID ~S - J'.!>-- 0011'-0
ct d // I,' oN
13. TYPE OF CONSTRUCTION
./
(Address)
(Tel. No.)
14. FlOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(AgpIess)
I i 1~ rla:z.~ f) ('II II'
{UlAN mIV S5"J~~
1I Septic 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
(,~-I- ~4/' - ~116 ()
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
8. PROPERTY AREA OR ACRES
Sq.Ft.
No
9. PROPERTY DIMENSIONS
17. COMPLETION DATE
1 O. CULVERT SIZE
Width
Depth
Yes
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 for
the above mentioned property and t at 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 ;?Iicial can rev7k is pe for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /~,-. /"y,ftf
- / I Signature License No. Date
V FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
BUilDING DEPARTMENT VALUATION
USE OF BUilDING
~F~
MATERIAL FILED WITH APPLICATION
Back
SOil TESTS
a
o ENERGY DATA
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ OC4 O~ .00
PILING lOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer ..~,................... $
Meter Hom ................................... $
- t)c)
Water Meter.................. ............... $ I 76 .
Sewer & Water Connection Fee ........... $--/,_ oj 00 .6)0
Water Tower Fee ........................... $ ., Of) . 06
Water Tap ................................... $
Builder's Deposit ............................ $
Other.................................. ....... $
Total Due .............................. $ 5PJOCj t.fh
Paid ~.t./h ReceiPtt./~9~e
Date ~JI"';/O U By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proc~eqUested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
aSll · ~
LIOf) .06
~. :;tS-
fi!ljp .71
Sf) .f)(j
loO.oO
( c> 6 · 60
35.50
4f) · Dc;)
4';. Qb
Gas Fireplace Permit ....................... $
Th~ 'flT'/I'::"'"~g Pennk Wh~AI!roved
By I , 7~ - Date '5 s. ~O
Certificate of Occupancy
Issued
City Planner
C>
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
0) ~o i5'
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
NAME OF APPLICANT
APPLICATION RECEIVED
weNs t1I1NN
2-/25/ Q[J
. /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
333 0 ~LYNW Pr 16r<- I te-
Accepted ,Y--
Accepted With Corrections
Denied (/-- _ )
Reviewed B~ j)
Comments:
S.e!L 601\ctl~ ?~~ -\- -::;~
M 4,'vt ~.. ( J
~~
Date:
:3 -3- 2C)C: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."
[;1) -0 uS
The Center of the L.kr Country
White - Building ,
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
... [~ J
l 1-, i
I
. ,.. /
1/\v'IV
_.-'.)'..~, /~_. .-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ /) r;
'''_/>- ~.- '-, ;,- ,. fLY' ~,. \.; ( c. ,1'--
...-.;. ;
i .(...
Accepted V
Accepted With Corrections
Denied
Reviewed By: ~ ~
Date:
?'-{p-t9D
Comments:
~ SubjeL'\ <10 ~ ~c:,;6Y1< 4'i~
C-.U. {J, ~ /Jr(v~ ~ ~ ~Wi~
?--~ ~l~,
~t9'P~ ~~e <.~~ Ioe. LA)1'1hNl Lb't
~~ {~~~-\~~,
_. ., ~
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."
."
,.
\
'\
Job Address 3330 &'kA IVo.. -tr r
Heating Contractor Gt'A ~. j(Yr~ ~
r'1 L (_ v
77 . /7 -6?\
7 -
o
g
35~
Name of Tester
Date
Percent O2
~ Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
,
'\,
MAR.14.2000 11:52AM
GENZ RYAN 6513226147
NO. 763
P.5/5
..... " PILE
TILLGW . Uft.Ic:MT
&OLD . CIT'
CiTY OF PRIOR LAKE NO.J.{J-O/ Lb
SEWER AND WATER ~LKMIT
NO~E~ Sewer and Water
contractors must
be registered
with the City.
4.
3 .
- '. 4 .
5.
6.
APPLICANT: &lJ2.~ (l~ .PHONE:.f.l,61-4"Z:;.-ll~
ADDRESS: 'U'lu<~~-(~-r ~~DATE:~
SIGNATURE: \ - ..Jk - t'J__ ~ BLDG. PERMIT tOO -OilS-
SITE ADDRESS: _ _ -.\~~<J'l 'flU...NWpIDjf~- 3&5~ 004-0
FILL IN THE BLANKS
40,
1. Estimated lenqth of wa~er service feet.
, ~ c
Size of water service inch(es).
Location of any couplinqs from s~ructure
Type of sewer pipe. ABS pVC X Cast Iron
Estimated lenqth of sewer l~n~ ~' feet.
Clean out (if required), located at feet from
structure.
feet.
This
------------=-..._~-...:;:----.------~==.---==--:.~::::::;,--=::::
BY
your permit when approved~ .
\..-- DATE: 3// 4-/00
. I
============-,~----_......_===--=======-------.. . .::::~=========--.;;=;::;;;--=
FEES:
$
$
$
::35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee fer either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the Duildin~ permit card at the time of issuance
to insure that no dupllcate sewer and water permits are
issued.
REC'D BY
~~~IO"' ,,~\~
C.. fI 1 G f>\::.\~~'\jl\
: CUl\_O\\'\ .
DATE PAID
RECEIPT #
AMOUNT PAID
. 4629 Dakota St S.E., Prier Lake, Minnesota ~c;~72 I Ph. (612) 4474230 I Fax (612) 4474245
N4 EQ~l OPPORiUNrTY e.tPlDfEl:l
rP~~C" . CITY OFPRJOR LAKE' (J
B ,~ . 18200 Eagle Cnek Av. S.E. Perm2' No. 00 - 0 1/5
~ Prior uk,., MN &5372 .
~ HEAnNG APPUCAnOH '.PERMIT 8"'. Famtj ~
n: U l ~ I .A Commeldal
D~. _-..ltU[Jl) flD. Z5-3{pS... OO~-O
~ Slddell81S 3~~ (!'h~,._-.A'\" of? ...,-" All /t..?...o
~ laI / Block 2- AddJno~ ~LVtJ fV,q~ 2ND
o
~ OWneteNlml \1 '" n'\fVV\.r\(\ ~~
-~ - - . .... -
Address \~~ O\A'"l.~ l)~ ~f 7"0 F..Ar'_~~, ~~? 7_
H.8IngConlractol .~'Z-- a~
Addre.. \U.,Uc., Sn' {l~.& -to (.),.If_
TaI.phon.' \ tn\ - U, ~- \ \ UU
FurnlOl MaJca & Model t '.n 1I\n X
Model Size C.., 2 ~(;\ ?_J ~-'"1S-
CoM. Load
~ '1
~ Fuel ~ 'Pr\. ~~kJ. SIze U .lll~ nr
~ ~
N
~ SUPPli OpenIngs
~
~ Return Openlng.
~ 'npul1s-; noo Output, lID,ooo
0:: _
N Edr_
z
w
l!) elm.
, (
L1
E
Q..
tT\ Alleratlone
If)
(T) Repelr
nPE OF WORK
Replacement
Eal..Comp. Oat.
I
TYPE OF STRUCruRE
I. fI_ "-x FIle
1.CJ~' .) atr
1 ~_ Ccnndac'
lWo-FemRv
'nelIalrlal
Pubic
Mu1t1- Famly
Ot" e r
Fee Scheel,,'.
rndul"lIl. Commercial & MulU-FamUv
Reeldentlal. He81ing & AC
Reslden.". H......g On~
Reslden.". Gu Rr.ptace
Resfdenl.f. Addlllona 1 Alte r.ltona .
Realdlntfal. AC Only
" f"\t.Lmll1.n\
Remember 10 add the State SlRha.g8 on the boMom 01 thrs eppIca~km_
TYPE OF SYSTEM
Warm Air Plants
G,avfty
Mechenlc8l
AJrCondllonlng 'l ?,,?~ ~..,
Vent. System
HEAnNQORPOWEAAANT
Steam
Hot Waler
Radlallon
Special Device. ,
Other Devices
New Construction
x
~ Esl Cost,
~
~ HEATING PERMrr fEE'
OJ
~ ST~lE SURCHARGE .
Q..
a: TOTAL PERMIT FEES .
, BuUclng Perma, , 00- 0 I/S
f PAID WITH
.5D OUILDING PEP,~'~I1~
Receipt' .
1% 01 J~b COI' ($39.60 minimum)
'99.60
184.60 ) .
$39.50
138.60 . J :, LOOO
'38.60
The .prfc. 01 your hea11ng permlllnclude. one rough-kt and ooe finalln8ptC)tron.
,
Addltronallnepecllonl wll be bled .t 136.00 each. S
Hcue. H8811. Tell RHord mUll b. aubmllted wllh WD6:ua PtID:DII DIIIIbtI before buld-
Ing cerlillcale 01 occupancr ~ be Issued.
- ~FAT ~~I ~.'I .Tln~'~ ~~tl, 'I~n with number of aupplV end feturn oprings listed per
room wIIh CfM'. per ope"'O. New Itruclur.. or acfdrtona send ftoor plan wilh .uppl~
. and lelurn locations II1own. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PAIOR LAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 65372.
Cnv Hall buaJnlSl haulS are 8 8.m.. 4=30 p.m.
. ,,~. I
ALL WORK MUST BE INSPECTED (ROOOH-IN AND FINAL) · CALL CITY HALL
447-4230
I hereby apply for a mechanrcaJ systems permit and I acknowledge Ihal rhe
Inlorml11olllbovsls complefe end accurst.; Ihal the wOlk wrll be In conlormance .
with the ordinances and code. of the city end wUh Ihe sial. bUlldlnJ/mechanlcal
codes: lhal thl. form do.. nol become a permit until elgned by Ih6 BUILDING
OFFIC'AL: thai the work wIll be In 8CJoordance with 'he approved p'an In the
eals 01 all YOrk which requires ,evlew end apPloval of plane.
Lf I, p>!{'Jf)
4/lo70()
lYale .
APR. 18.2000 3:57PM
GENZ RYAN 6513226147
NO.013
P.2/11
~. - ~
J
CITY OF PRIOR LAKE
. PLUMBING PERMIT
'Applicanl: ('~l!.fl '7_ - ~ Phone:
Address: jU.1 US" ~ ~ "'TtD' ~ f l I~~ u LL ""'-.T
Signature: ~ ~ 0..... .'
Legal Description: Lot I Block 2-- .Sub Gt'-YN tv' ~I c:;.Je.... 2.N.o
SiteAddress: ~3~ ~'LL'" 1.(/ All IJ!!..ZSJ::).
BuDding Pennit # ... ~--.b / US PIO t 2.5 - ~5 - 004- - 0
NOn:: This ~ennit wjll not be precessed without complete infcnnation.
FIXTURE UNII:>> \\
'.'
I. ._ RIo
2. GaW CiIr
3. Yellow A"uc.
4# (Jl --0 1/5
lDS t -u""2. ~-, I t..J.U
-,
,.
Quantity Type of Fixture Quantity TYr;18 of Fixtura
l Bath Tub with or Without shower 5 Rough-ins
, Dishwasher 1 Water Heater
, Floor Drain rz.. \ \ Water Softner
2. Lavatory (bathroom sink) , Stand Pipe (washing machine)
, Laundry Tray (1 or 2 compartment sink) Sewage Ejector.
\ Shower Stall 8acJcftow Assembly (RPZ, Cauble Chec:k, PV8)
\ Sinks 8ackflow Assembly Test
Bar Sink Lawn Sprinkler
, .
,. ,
. ,', ,;,-, ~ Water Closet (to~et) Other
(':'..,
r~~ SCHEDULE
;, Industrial, Commercial & Multi-Family
(1 % of job cost, S3S.5Q minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
Sta~e Surcharge
~
-
. CD
~
.'~.
:_~
$99.50
$39.50
S
$
$
$ ..50 .
C OJ\'lD wrrH ~ ~'-r'
. ..-1"'\ ~ PEP..".\ ~
nu\LD'N~
$ ~~ .
GRAND TOTAL
This t -...Jt is tiA-tal upon the ~prcss condition that said
coDl:ractor, shall c:omply ill all tClpClCts tricb the ordinanCCl
of the Sea:. P1umbins c:acs. and the am.,dzMnJs thereof,
. !~#/z,o/()o DATE
. ,
Ai u:'s1
CalI far ~l in cnons 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~S
An equal Op,OEtUnil)' Employer _,
Thf Crntu of thf Lab Counlry
6D ~O ( 5
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t..l/ L. "Ie II,; .'1 J\ .. i1 /
.. v vI v~ /"/rl IVI v
2-/2-5 /0 0
. /
The Building, Engineering, and Planning Departments have reviewed the building permit
application. for construction activity which is proposed at:
3330 GLYNvV/i IE-r<- /t<!-
Accepted
Accepted With Corrections
./
Denied
Revievved By:
I r A ,_A C"'. A'_._ . ."- .
Wt1 U t1{ (H'U:.~""'..I'MV
1""\_"-_. . ~ /0. J__
Ud.l~. ~/" I tlU
. "
Comments:.~ 11tf:
~p,&..o.AJt. PrA,...,;- h,1t... 33:Ztl ~Wt4T:Dl. WI(-
~n.. lAJ':-etl.~~-rlfJN I tJ.oMM~ A~O f}TTl4lHM€,Jrs...,
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."
~
~
CITY OF PRIOR LAKE Me
162.00 Eagle Creek Av. S.E. Permit No. (57) -(J) } 5'
Prior Lake, MN 55::172 -
HEATING APPLICATION I PERMIT
Date n;)S111.1 . PlO# otic) - 3fS'- (J{)t(-()
, ,
Site Adctess 33~ 0/!i,. .r.lrJ.~ 'IA- iJW
Lot I Bklck ~ Addition I C-.lu nlAJrA.W d~ oonN
~A^ ~~
OWner's Name
Addrss,S
HealingConlractor ALLIED FIRESIDE dba FIRESIDE CORNEl
55113
AddrR!lS 2700 N. FAIRVIE"T, ROSE\'ILLE, MN
Telephone' 651- 63 3- 2561
FIREPLACE I I
~D Make & Model f.VlJt:J..f AJ (d ~
Model Size. ~ 7....q)/r?
Conn. Load
Fuel ~-
TYPE OF SYSTEM
Warm IUr Plants
Gravity
Mechanical
Air Cond ~tio ning
Vent. Sy.stem
FIu9Slz&
Supply Openings
Return Openings
Inpm OUlpul ~ 1lrn
Edr. .
HEATING OR POWER PLANT
Steam
Hot Wal9 r
Radialia n
Spociaf Devices
Other Devices
Cfm..
TYPE OF WORK
Alterations
Replacement.
New Cons\ruclion
~
Repatr Est. Comp. Date ~ / db
Est. Cost $ --tJ...C.rJAT:J _ Buidiog Permit' ()(J - () \ Q ,'5'
HEATlNGPEAMITFEES / ~#,
STATE SURCHARGE $ /50 . ~\~G ~
TOTAL PERMIT FEES S / Receipl fI -~,'~
,
en
CD
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TYPE OF STRUCTURE
I. fj,,\ - File
1. (Inn - Oly
,. \"'elkl... - Coalnc.tvr !f
Single Family
. Multi-Family
f'ubl;c OCher
"
.....
"'1
CD
en
.....
a.
CD
n
o
"'1
::J
CD
"'1
Commercis)
Two-Family
I ndostrlal
Fee Schedule
-'~-"--
rnduslrial, Commercial & Mulli-Family
nesiden'ial, Hea1inq & AC
Resid9nlial. Healing On1y
Resid~~ial. Gas Rreplace
ResidenUal. AddiUons & Alterations
Residen1jal. ^C Only
1 % of. j~ ~~t' ("9.50 minlmum~
$99.50 . f .
$64.SO
$39.50 MAY 25 2fXXJ
$39.50
$39.50
R emernber to add lhe Slate Su n::h a rgs on the botlo m 01 lhis Bpf'licstio n.
CD
U1
~
CD
c.l
c.l
Additionall.'1Spections will be billed al 135.00 ea<:h. c>>
c>>
House Heating Test Record must be submitled wilh buildina ~.,.it 1W'''''~Ar belore build- ~
ing certificate 01 occupancy wiD b& isSlJ ed. .. .
The price of your heating permit includes one rough-1n and Of'e tirlsl inspection.
HEAl CALCULATIONS REaU~REO wFth number 01 supply and r~urn openings listed pe
mom wfth CFM'! p9f opening. New structures or additions send floor pan wm, IUppty
and Jelum locations shown. HEAT lOSS CAlCULATtONS, PAYMENT AND
APPLICATIONS MAY BE NAilED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRlOR lAKE, MN 55372,
3::
l>>
'<
I
City Hal business hours are 8 B.m.. 4:30 p.m. .
r -
ALL WORK MUST BE INSPECTED (ROUGH..'N AND FINAL). CALL errY HALL
447...,130
N
U1
I
o
o
N
-..I
I hereby apply lor a mechanical systems permit and I acknowtedge that the ~
information above is complele and accurale~ lhat 'he work wi11 b9 in conformance ...
with the ordinances and codes or the city And wilh Ihe siale buitdin9/mechanica:
codes; that this rarm does not become a permi1 untU signed by the BUtLOING
OFFICIAL; lhat the work will be in 8ccOIdance with lhe approved plan ~n the
case of aU wort< which requifes review and approval 01 plans.
6n..,(b. ?J Po/T1 .
'( ApplicaF)t~.tur8
/ fA~~^ 7' k A'JnAhA;;. ';j
(j.. Buildinlf Oflica1 Slgnalu19 -
57;x-/~
I ' Dale
~-1~ )1r-17l
I Dale
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. errv OF PRIOR LAKE' (J
. 18200 Eagle Cnlek Av. S.E. PermJ' No. on ....O\lS"'
Prior Lalc,e, MN &53~2
PID' .~ ,) - .3 (,5 - DOL( -C)
;:;/f\QA{):.;N
-'0 Prll_
Model SIz8 .
CoM. Load
~ ~
~ Fu&1 ~Pr'-. ~~"'8 S)Z8 U, 1ll\Jt1 nr
~ h
~ SUPPli Openings , (
~ RelumOpenlngs L1
~ 'npul15i 000 Oulptj uO,~
0:: .
N Edr.
z .
w
l!) elm.
nPE OF SYSTEM
Warm Air Planla
Qravfty
Mechanlcel
Air ConcHtlonlng ~ ?\I?# rrh.."
Vent. System
HEAllNQ OR POWER PlANT
Steam
Hot Waler
Red IaI10n
SpadaJ Devlc..
Other Device.
E
a..
..-t Alterations
..-t
'<:f R8pI!IIr
TYPE OF WORK
New Construction
'l
Replacement
E81~.Comp. Date
I
BuUd5ng Permll ,
,
01")-0 \\:)
~ Eat CosI'
es)
~ HEATING PERMrr FEE $
CD
: ST~1E SURCHARGE .
a..
a: TOTAL PERMIT FEES S
.50
. ----
Recllpt II
TYPE OF STRUCnJRE
.. 1'1.... ,.~ FIle
1. ClR-' j Otr
1 Ydl....-. CCIIlIrIdW
8tngle Famf~ ~
Commercial
lWo-FamHv
fnc1Jatrlal
InduS',lal, Commercial & MulU-Famllv
Aeeldenl". Heeling & AC
Resldlnl.'" He.1i10 On~
Resldenl8J, Gu Rrepface
Resldenl.'. Addillona & Alte,atlons.
ResJden1fal. AC OnTy
" t'\~ou..v "
Remember 10 add lhe Slate Surcharge on the bonom of thrs e.pplfca~km_
Fee Schedule
Mutt\- FamRy
Publrc . Olla e r,
:~~1 ~ ($39.60 m1n11lllllll)
'M.60\ / :
$38..> ~ l 9 2iJX)
139.60
'39.60
1.-'
The .prtee o' your healng permlllncludel one rough-In and 0IMt final ~tron.
,
Adcltronll InspecUons wi be b1Ged BI 136.00 Nch. ~
HOUle HeBll11I Tesl Record musl be aubmltted wllh IIAfng PIII.DII DIIIlbK before mid-
rng cerliOcale 01 accupanc~ ~ be Issued.
. ....FAT ~_' ~, II "Tln~l~ -=-1=(\' "~n, wlh nwnber of aupplV and return opnngs bled per
room wIIh CfM'. per opeOOO. New Itruelurel or addrdona lend floor plan with aupplr
. and lelurn locatlona MOWn. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAl' J:n TO THE CITY OF PAIOR LAKE, 18200 EAGLE
CReEK AVE. S.E. PRIOR LAKE, MN 55372.
Chy Hall bUUrHI hou1'8 are 8 8.m. . 4=30 Pi m.
" .
. , I
ALL WORK MUST BE INSPECTED (ROOOH-IN AND FINAL) · CALL CITY HALL
447-4.130
[hereby apply for a mechanrca' system. permit and I acknowledge Ihat Ihe
4nlorma'lon above Is comp1ele end accur.'.; Ihallhe wOlk wnl be In conformance'
wUh the ordinances and code. 0' the city end wUh Ihe atale buUdlnJlmechanlcal
codes: thai this form does not become a permit until Signed by Ihe. BUILDING
OFFIOJAL; Ihal the work wIll be In aaoordance with the approved ptan tn the
cass 01 .11 Hork whtch requlr.. 'Bvlew and apploval of plan..
Lf II 'P>!rrn
. / oa,
~ / q (JI)
- I Dale'
PRI.OR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3$30 (6{,*^'='..JQ.~j
NATURE OF WORK ~ ~~ ~
USE OF BUILDING "s,p A .
PERMIT NO. DATE ISSUED 3-:5-~0:::1D
CONTRACTOR L0~> ~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING <<1 ':f/Jf.l
FOUNDATION (Prior to Backfill) v( ! 1 J 3/27
PLACE NO CONCRETE UNTIL ~\OVE HAS BEEN SIGNED
ROUGH - INS
(/J) 51/!;
~ '.
lJ/zDIDb
. Jr:-.
DATE
SEWER' WATER,' SEPTIC
FRAMING /,()/~ UP.t'L.L~
INSULATION I
.ELECTRICAL
PLUMBING ")
HEATING (if required) , RY
FIREPLACE &/1 /0 ()
GAS LINE AIR TEST ~ ~ fP tMtV
COVER NO WORK UNTIL A OVE HAS BEEN SIGNED
WALLBOARD
I I.. _
R.II ~~6~O v'~. 7~DD
/,.,/.,. flt. 71s~D ..
fd3b/~,
J:F ja-. zlsI~
~;/~~ /;.~~. I.~
GRADING (Prior to Sodding)
BUILDING r:c.f)' W '1/Jt;/Ub ~ 7,b",(n
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
~
~
/hI 7/a-b/tW
~, 7/()-fl/cn
. , .
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
\0 /?"'-i/ 00
/6/301(7)
, ,
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3':330
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
SCHEDULED
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~ ;. L.v"-J
DATE TIME
It(JO~
A,l;
1/2- I
0- //5
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,){V WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.::::ECT t:;:LL FOR REINS::::/:~:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTI
DATE
?/~ka
GLV/l/WI1It:/7?
L.. 01'
J
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3~-:S 0
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A 9 MECH RI
~ ()Q WATER HOOKUP
'r ciCSEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENT~: ,,\
SO' ~~
4-u
\" -r'-\f(.
LL-
4-, fi-
r
/'
/'
/ ~/'
TIME
/.' 3-0
t5ZJ - OilS
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rvc-
Inspector: Owner/Contr:
CALL 4~7-9850~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'---'"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~~M~
Gt-~A/W/trG:-t2- (iL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3330
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 -/ It!)
o FOOTING 0 PLUMBING RI
o FOUNDA~IO 0 MECH RI
[,-*{",~FRAMING 0 WATER HOOKUP
o INSULA T 0 SEWER HOOKUP
o FINAL 0 PLUMBING ~I~
o SITE INSPECTION X MECH FINA~
CO.MMENTS: ,. FI.)L Hoc,G /" ~-r'1CJtr~
~ fI7 .(J . ., \ l
~ I
1- ~ C' 4- NA-l ~s F6'2-I~ {N Be..
2,. "E." tV~(~ ~~J ()~-Io'\C'\
~."7. .H~ ~~~. ,,J f1tvr\(Cvt~
. . I (,. (V
o. (". -rrJ (M
o EX/GRAD/FILLING
o COMPLAINT~
FIREPLACE
~FIREPLACE AL
o GASLINE AIR TST
o
o WORK SATISFACT RY, PROCEED
'Js(cORREC:rJ II IN D PROCEED
/'0 doRREC I) R' ( C . L, R REINSPECTION BEFORE COVERING
Inspector: ,............. ~ , Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
JPtp :;; : <1P
~~l~:J-e.r
<60NTR.
SCHEDULED
ADDRESS 3 ,,~;3[)
PHONE NO.
PERMIT NO. CJ a - ~ \\~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~S~RHOOKU~
~PLUMBING FINA
~MECH FINAL
COMMENTSr1J) ~ ~ ~ (;i;A..f
v
fx, ~~;/~~
@~~~~~~ .
?1J~~~/~
r .~~~..
~1~<~.;/~~
o FOOTING
o FOUNDATION
o FRAMING
~NSULATIOQ
FINAL ~
o ITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
fW.(r,]J ~ ~ P~c,
~ - D1---
r^uA.. - ~
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
/ ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
h
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
~~
r-;jn~r- M
CONTR. tI/&/<2L2f4/tX-
PERMIT NO. @-//> ~
~RAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 333t1
OWNER
PHONE NO.
o FOOTING
o FOUNDA T
OFRA
DILATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.bra;t;"&1 /S'
/! J ,
( AU-J}t!J.Y / .>
tJ~
~
---
TIME
~..
/
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr~~ntr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!