HomeMy WebLinkAboutBuilding Pemrit #00-0219
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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 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 ~i~f9?ust cause. Furthermore, I hereby agree that the c. ity official or a designee may enter upon the property to perform needed insP8C. tions.
X ~~ 1'7--L~ - ?O/09S-/~ ~-21-~
, Signature License No. - Date
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~7fto
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
/.~~Sq
1. DATE
/LI1lL... T I c:./J-
(2:r
3-- ?I- 00
P(/5D
3. LEGAL DESCRIPTION
LOT L/
ADDITION W,;"',()
PID 25-30/- 004-0
LlTII 1900
BLOCK /
Eav4 t?/V M<- L""e~
I I
/ (Address) (Tel. No.)
L-c<!<.- ~ 7/7 fX,1/~~ ~> qJ;4 -- ?9~?
(Address) J (Tel. No.)
3 '-137 ~[;.q/rJ,A/ jJ~ i/ 65)- ~,.-:L ... 0"72.. </
(Address)"" IJ7n-J2./~c.rI,l/.:'~Tel. No.)
e2K:.. /2... ,,~
A/t::.W CQtJc.ed-> /-:vCc.,s.kn.lk~ t1<. ~/2"" 70.g--~03o
7. TYPE OF WORK' Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction){ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
4. OWNER (Name)
In,'j: ~ It- L.u. I1MJ)
5. ARCHITECT (Name)
PJ.IWC-O ~/VG.
6. BUILDER
(Name)
9. PROPERTY DIMENSION~
Width se~ ~ y
10. CULVERT SIZE
$>
Yes
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~~O. o...c
USE OF BUILDING 5FD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
oo-oz/q
/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
1r~~ht) _1j'9~h)
12. NO. OF STORIES
l-
13. TYPE OF CONSTRUCTION
JV~
14. FLOOR AREA APPORTIONMENT USE
(Depth)
</7-v
15. NUMBER OF OCCUPANTS OR SEATS
9'
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
;?30~
17. COMPLETION DATE
jl-/'i - 00
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
City:
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
6Qj · QS
" ( 00 . OD
Collective Street Fee ....................... $
Sewer Tap ................................... $
1e,f $
Pressure Reducer ... ....................... $
Meter Horn......... 51...................... $
Water Meter ....... .l.f...................... $
Sewer & Water Connection Fee ........... $
Division 1 2 3 4
'11 O~'1. ~~
f ! .32.<.{ .2l
. (p~. 60
Permit Fee................................... $
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
'{:;.^~
Plumbing Permit Fee ....................... $ ~
Mechanical Permit Fee ..................... $
Sewer & Water Penn~ .. ......... ........... $ : ii~ 1 '. v./ .00 W T F $
,11 ater ower ee ...........................
Gas Fireplace Permit ....................... $ L/ D . OC::> k I Water Tap ............. -..................... $
This Aiij;liqlJicoYlleco..LL ..... O..~ding Penn~ When ~proved. Bu~ders Deposit ............................ $ I. c;bOoo 0 0
By ~~ ~ Date :3 pa' J - 2000 Other......................................... $
Certifk:ate of ec1;.ncy pal~;~ ~."tf6..... .... ~~~i~;~O$~ -t-'7~
Issued ~
This Is to cartify that fha 'llQUesf In the abova application and accompanying documents is in accordanca with the c~:;onl~ rdlnat~ may rx:y ij 51 esk.t. This document when
s~. n . City P.I ~r constitutes a temporary Certificate. of Zonil'}g 9...ompliance and allows c.~nJ~ commence. Before occupancy. a Certifi Ie ot:t=. cu~pa cy~ must be issued.
~- ~~I'-t.\-O A~~ _ ~1~ ~ ~ ~
City lanner Date V Special Conditions if any' 5
24 hour notice for all inspections 447-9850
I zCr I'"JfL
!J 2M .00
7~CJ .O~
~/9
Tht' Ct'ntt'r of tht' l.akt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLICANT #6W CONCEPtS //\/ eU~/Orl H~ff6.S
APPLICATION RECEIVED 3/2.. ~I ~ 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5Zt::;Q IV /tV"/ / &q (!/ P
Accepted
Accepted With Corrections
Denied /
Reviewed By: V Y~k-
Comments:
Date: 3. 2l-""2.() CJ)(!)
~. ~ocl ~
J. t1a.~~~''''- 1j..o"'",'C5"V\. ~'"' (
~~~
~ .
s, eeo.cQ oJ i OL~ f+~
~ruu...~
~~~
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."
---
00- 2lcr
The Center of the Lake Country
White .. Building
Canary .. Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
#61'V CONCf5P/S IN eUQIDf// !-I()f16S
3/Z I/()O
, I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/525C}
IV /tu / I (;/q
C/P'
Accepted
./
Accepted With Corrections
Denied
Reviewed By: W~k"'f:1t EHItE.,SM'i4tJ,J
Date: ~.
4-J I') 00
Comments: -ra.lE Pilo Posco 8\J1C.i)1~(. (XTf'tJO, 2f'rONO "'-"~E SuU..OIAlCo PIj/i S}ofDWN
ON -r...E b'ItAOIAll. P<,.AN. TT ,.; T'W.E:. R~SIJ.N$' I\1.Llrr' DF iJ.I~ /,3vlt...DEIl.
10 11~a.'~1tf -rMA'" -rHE .$011:.: CONOITIONS BEvON&> 'H~ 5\Ju.OI~" P140
X Afle. Sul....I4(3LE FoR S\Jp"(Ja.TI~~ -rtofE Plto '_s(O BVILDliVc.. . 'IT" , S 4LSO.
"HoE j3ulC.bEltS ReS'ON.sIBh_'~
1"'"0 ~~E: ""f'A~S 10 c,(J4tt.e:e, AN""
SOH_ c.o~O''''ONS &....(JIUO T"t-te 8UH..OI~l. P140 I.tJHI'H AIl.E ,JOT Su'TA&'€
fin. s",PPoQ.'ll\1cP T'we: p(lOPo~~() B\JI&..bl^l.(...
$E'E: I"'Fotl.MArlDN ot'ol RE\I fJl..sE.
~E:.
~E. hrrl9,,.....E,,J~ ~ I. FiAJAL ~n.AC)f JAlSPEC:T10N lAlFotlM.elTIOu Z. GtAOIA..I(~ Pt-A^-l
.3. EaosI Olt..\ C otJin.oc.. t11EA.i.U6fS
t/-. &OS.'DA.\ CtlJJ'i7l.0c.. M.A-,J
5' EJJ&".J~EL< REPcll4."-
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."
. .~
The ('enler of lhe Lake Counlry
Whi~Li2
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /t'
APPLICATION RECEIVED
J..j 7~'/^~~ /
"~.7() 1-'.'; He: f'/ 6 S
I
;I? / / /, /..
c..-.. . c. V
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~. /-'.:'~ c;
'-.. "-- ...---' /
" ~) .'
/V
) / ~/~/-I {; / J.j
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ Uc ~
Date: ....5 - 2-f!;, f~
Comments:
':2t.-f ~ ~~ ~W~
~~1 L~, ~ '" Vwu
WfcQj1., ~~
V2-Au -LJ <:0 vyJo"
32~ Fr- t=f~ ~~~LL< Y~9J,VL~ ~ b~
v
Aw.e/~ ~ 'FJ1Jv~ A-t~ 5~
~~k Fv~
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.1I
~~
~NE~
GREEN - FILE
YELLOW - APPLICANT
GOLD - CIT ~
CITY OF PRIOR LAKE S.W. No.1J '() .. Cd- ~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
SIGNATURE:
We'3.\oV1~ ~t .J."""i~d: lAc
&5'or cP t /Z.-di I~ hIo",~~wnll- ~> ~bc(
,,' ~n
~..~
t $':2 S"'1 ~""- t-. C~ C,i/,,1 e
PHONE:
'i7 :2-'1,,,6
b- ::J. <( -tV
PERMIT #---1l[).. 2-/1
APPLICANT:
ADDRESS:
DATE:
SITE ADDRESS:
BLDG.
PID#
FILL IN THE BLANKS
l
1. Estimated length of water service ~~
I ,
2. Size of water service -:1 inch (es) .
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ABS PVc)C Cast Iron
(
5. Estimated length of sewer line ~ feet.
feet.
"---
6 .
Clean out
structure.
(if
required) I locat~at -- feet from
=============~============================
BY
es your permit when approved'~
DATE: IrJ~ 0
=================================~~=-==============
This
-------------
-------------
FEES:
$
$
$
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $J~'~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
AMOUNT 'PAl ~,,\O \j\)~~t.A\T
,.. N\:i ~ .
REC'D By6\l\\"O\
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
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~ ~~~ CfTV OF PFIOR LAKE Me
III ,11III EqIe CnlkAtl. $.E. fWnI No.. CD - rn\~
PrIG. a..... IIN S5S72
HEATlIIG APPUCATLON I PEJalrr st9I ~
IlII8 _ ih ~!)Pll' ,<55 - U \ - 004 -0 c-n:lII
.."/" I rz S-r' /tfA.ur ,Ul sr -4t-n ~ T
1IlI. L .... \ ........ \ ,," (Vi 'WN\.!JI ()Y\ ~ l~ ~ Cwm1......' ~ 1 %'a1 jib ....lI3II.5lI......J
. _.' . .:J _ , I ~ MI",. JC _.5D ,. Jl ~E NOTE:
0wMiI"""', /lEA.A.J ('CrY'Cl:.~T j'" ,,^ L.U r ~ ~4)"). Relidlntlll, HI8IirtO Ortf 1M.5O Air Conditioner Units Caw.l
~ . ............. Ga F....... IIlIJiG r:"'"'OIJCh 1n!jI;~uiml Sitk
J I S · hR. FbII...... MdIIIans · MU.. ..50 Y IICCl SetblCit:,/
...._ ea........r . oe .. RlIt. eati.D.&- AllidllnIII. ~ ONy file r:r l' j
.-.-. . &: Air CoadilioniD2 ..
:A03lLexingtoD Ave NE _..... Ill.... .. SI* ........ ...IM -- of... .......-. lliJI_
~. : ~~ - -..
U::P - am e, .
~ .....1 (' 'IJiIl . !- .Y lJl8 price III ,... -~ pemillnctudos ... ........~ ond - hi .........
MocW SID .I \,~e.1+ IZ ~J.\ Gruitr, ' " AddtIOnIII ~ wII be billBd _135.00 .. . ,
ClImIL LaM j ~r> 0 () 0 ~ ~ ~ H80Ililg ToII...Nl_tIe IIIbniIIId .!IiIIIilI'" "'_11II11I-
. I' If - ~ CInII..~ ill DaIIIIcIdI of ~cV wil be illlIIIL
Fuel . .!\A -r-AII Sira:3 V.to Spt8nI ~.T ~.I r,l.. crlfYl~ "'-=ruBED.MIh Nnll. U_"," &Ild.....n .-rinp IsIed per
SlIPPY 0,0..... 2Z- 1lEA1WQ (II PIlWEIlIUNT ...... .... CfM't '* opriI!J. N_ - Df......... ............. ........,
SIlI8m . . IIId ....,m IIaIianB IhIMIL tER" LOSS CAlCULAl1DNS. ~YMIEHT AtIO
......'" 0,11I. J D Ital WtPr . _ APPl.J('IJ1(lNll MIlt lIE MM.EO TO ntE em Of PROR LAKE. 111i1Dl1 EIlOLE
...0 ........ CflEB( INE. &E. PIlIOR LAIlE. WI san. .
~ft~/~DCv a~ ~_I .~
.... ::- . ~.. Dew...s . City HIlI.,.,..... hours are 8 ..... . 4:30 p.m.
Eel!. 01llr 0.:.-. ALL WORJ( MUSt' IE ...ECTED l"OUGtHN ANI FlNA~ . CALL CITY tWJ.
CfnL 1fc.Q'. 10'" ~ 'f.LI'7. ~aJl.S"
T..,..,
_ ladullltll
.......8rIity
P&dc
Ohr
...
AIWI1io" .
typE OF WORK
H..-- N.r Qln!lr1Jd1on -
.
I tie, .by apptr for a ftI8CfIenical .ysf8mIl*mil _ell annawle. lI1al _.
inlDrmaD aboft is GClmplll. 8I\d ..:utlla; tbllt the wark win be 1n aonformu-
with II. cmIinanCM ud ooele. or the ca,," with 1111 ...t. bulldl~icat
co"'-; \ttat ,.. form do.. nol b8DDme . perm1t unW ...... by the BUILDING
OFFICI~' 1118 YIOrt will be 1ft acc~&nce with 111_ IlPF'QWd plan 1n ...
cue, rA II' ~~~cI\ requi,e- ~~ a,prwal of pi...... .
. _.,~ -00/tV
'~, ~""h; A.,~O 's-I::!on
~ 1IU1Iilg fXf/iJ8ra r18 ' Dt'Ie
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f/~(' I,rI-OII',\ ~1I
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IX.
Raflair _ ElL Camp. DIM .
EIl.QIat$~ .1ItIIIeV......U .L-<)~ ~\~
HEAlI5PBl111fFEE. ./ (~~~
SJ"ATE suRailllGE' /:50
~ PERttlTfEES $' / - ~'.
,/
OS/25/00 TH1J 15:14 FAX 6124474245
CITY OF PRIOR LAKE
Tile f:..,.., I,f. ,'" llllb f.~lICI'J
.2611I)
Quantity
3'
I
5
I
It
11
llJoool
. CITY OF PRIOR LAKE t a ~~ij_
. PLUMBING'PERMIT PPNo. oO-OZI9-_
,Applicant: A.1 0 (" 1-"- Al\o ka c P (v""bj~ I IV. Phone: Y" 3 - ?s- 3 - ~3 7.?
AddR1ss: . ;). "J.-~.f..;r (:.(tler Blvd., /.I. lv, ' 51', Pr~~c;) /.1iV SSO 70
Signsture: g---- .' b~
Legal Descriptiotl: Lot 4-. r--- Block / Sub Ml1ND6ahLq 4-111
Site Address: J 5~ SCfN'\." ir;q C i ,e {~
'euildingPermJt~ t)(J -Q?/q.' ' P'D##~t2-~/'" 004--0
, NOTE: This per,,:,it will not be processed Wlt~out complete information.
FIXTURE UNITS
Typ~ of Fixture
Bath Tub wfth or without shower
Dishwa$her
Floor Drain
LavatorY (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks.... j .
..:' Quantity
s
(
Type of Fixture.,
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
. Backflow Assembly (RPZ, Double Check, PVB)
Backflow. Assembly Test
Lawn Sprinkler
Other
$
$ 11.50
$
$ '.50'.: .,/.
$~--
l I.
, ,
, .
. '.This permit is granted upon lhe express condition that !aid
eontractor,shaU comply all respects, with the QTCIinanccs
of thr; State Plumbing ~ ~!~"'~.' s thereof,
R :, ,~'()tJ bATE.
_ ',AI. J~T', .
.~
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I. ~ ..
. Bar Sink
I
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. , . .
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) ~7~9850.lFAX (612) 447424~
..,.. ': .' . . An Equal Opportunity Ell1ploytr .. ...., '~;" .' I ! , . .... .' .
Water Closet (toilet)'
Fe~ SCHEDULE
Industrial, Commercial & Multi-Family
(1'% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Ad~,~tio~~ & Alterations
State Surcharge . ',. .,;.'
'I . '1,"'. " I
$99.50
$39.50
':1
GRANO TOTAL
"
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.' ,
. Call fot" all in
~
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permil No.OO-C~' 9
Prior Lake, MN 55372 '
HEATING APPLICATION I PERMIT
PJD,~5'" 3~ \- C()l.Jl-O
Dale (Ah 1(1)
, t
Silo Address I~;),)'" A),i ,J1rc... r!vid/
, ..- "'.
Lot 4. Btock l. Add1tionLlh~M rm. ) (). ~D
r ~-
Ownats Name /1..1 ti,',/ ~ 0~~~
~ 't'h A\)tN
Address ,
Healing CDnlradOr ALL lED F TRES IDE db a FIR E S IDE CO RNER
ROSEVILLE. HN 55113
Addless _ 2 7 00 N, FA I R V 1 F. W :
TelephorHI t#, 651-633- 2561
FIREPLACE
tMJ1ID Make & Model tJ~ Ii f JJ ~ l.o
TYPE OF SYSTEM
Warm Ail P~aA\s
Gravity ,
Mechanical ,
Air Conditioning _
Vent System,
HEAT1NG OR POWE.R PLANT
Stearn ,
Hot Wale'
Radiation ,
Special Devices _
Mode1 S11~ ,
(dXlY!L
Cann. Load
Fuel, (Q,vJ FLue Size
Supp1V Openings _
Re'urn openings _
'"put ,
Edl. _
elm.
Ou~pu' J '1 Q..b
Other Devices
riPE OF WOnK
\1
Alterations
Replacement.
,
. ..Est. Comp. Dale ,
New Construction
Repair,
"(SIn)
. t
on- O~\q
~~\O '/'J\\\-'\ , '-0
eu\t.O\~G pE~\III\.
Est Cosl $ !-Ir1rJ I }} Bui1ding Perm"" .
HEATING PEAMlT FEE $, /
STATESURCHARGE $ ~50
TOTALPERMITFEE/"
-
Reterp\ # .
J. 1.1C.'.",,,w
TYPE OF STRUCTURE,
0'<
I..
Single Family,
Two-F8II1Uy .
, ndustrial,
Muni-Family ,
Pubic < Oltler,
."
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m
CJ)
1-'.
0-
m
(")
o
,
:J
m
,
Commercial,
Fee Schedule
Induslrlal, Commercial & Mul'i-Family
Res.denUal. Heating & AC
A esidenl;al. Hea\1n 9 Only
Resident'alt Gas Hrep1ace
Residential, Additions & AlleraUons
Residential, AC Only
1% of Job 00$\ ($39.50 minimum)
$99_SO
$64.50
$39.50 ...1M - I 2000
$39.50
$39.50
R8fI\emb9f '0 add tt\e Slale Surcharge on Yle bottom 01 thls application.
CD
(11
~
lhe price 01 your heati~ permil includes one rough-t" and Ol"e final inspection.
CD
Additionat Il'SpecUons wiU be bined at 135.00 each. ~
.louse HeaHng Tesl Record mus\ be submilted with ~ldifl'O ~,rmit ".I~r before build- :
l"g cer tlllca\e of occupancy will be i ssued. ~
HEAT CAlCULATlONS RF=OUIRfO with number 01 ~uW'Y and return openings listed pt
room wllh CFM's per openlng. New structures or addillons send flool plan with suppty
and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MA~LED TO THE CITY OF PRlOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR LAKE, MN 55372.
City Hall business hams ate 8 a.m.. 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH-rN AND FINAL) . CALL CrrY HALL
441-4230
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thereby apptv for a mechanlca1 syslems permit and I acknowtedR9 that the j;!
information above is cOl1'pLe\e and ac~url!lle: (hal Ihe work wUl be in confOfmancE..~
wi1h Ihe ordinances and codes or lhe cily and wllh the slale bujldingJmechanicl
codes; Ihal this form does not bec(1me a permit untU signed by the BUllDIN(
OFFIClAL~ that the work will be in accordance with the approved pLan in the
case or aU work which requires review and approva' of plans.
g".1l- . '1J.DJ~ t,/,i~
/ . / I\pplK:imt'.' a1Ul9 . , I Dal4I
(JV'{)J~' ;rJ/j.o..~ ~JI //TT1
BuUng ftic . iiJnalwe I oii'"
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ISra'S:f tJ::u, ~1'ctA Q~t
NATURE OF WORK --N.w ~Sl~N}~~r~~^
USE OF BUILDING SFD
PERMIT NO. ()O -OZ/9 DATE ISSUED '5-27-2000
CONTRACTOR N~\...:) C.Q\A("'~'tc::...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC ENT
FOOTING ()),)/~I( 4'\vJ'kATE
FOUNDATION (Prior to Backfill) ~t~ ylje.' r ~~ . 4 i;;/ CD
PLACE NO CONCRETE UNTIL ABOV'f:! HAS BEEN SIGNED
ROUGH - INS ./
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SEWER I WATER I SEPTIC
FRAMING ~~ ~. b(~rDO
INSULATION
ELECTRICAL /1
PLUMBING ~I ~k/crv
HEATING (if required) ,; ... / I
FIREPLACE . _ ~ jC1J
GAS LINE AIR TEST t:,/ U[) ~t *], (iV .
COVER NO WORK UNTIL AB~VE HAS BEEN SIGNED
"!:;:_..~ ---:::. -~::
GRADING (Prior to Sodding)
BUILDING t~o. ~ q{ IS/ffD (A/ <6t11/tt;
ELECTRICAL
PLUMBING
HEATING
DO NOT
., .
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~0~
L
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
FINALS
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//-/7-0 I
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This card must be posted near an ele("..t.ric~1 ~ervice 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
APPLIANCE
PERFORMANCE TEST
Locate near the furnace manual
./
LP Gas. . Natu ral Gas /'-
Job Address 1,)''25"7 /l..I4vrzC-F1
Heating Contractor -00 JZ. ~.c-u---. #r ,7-
Name of Tester
Date ~III/oo
I '
Percent O2 ~
Percent CO (Dr 06 ~
0~
//6, ?'D~
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:),)''' we ~
Percent cO2
Stack Temp.
Pressure
White - City Copy Tag - Site Copy
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -.J .oC:\a5"!
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
4-/1 (91:
DATE
TIME
SCHEDULED ~._!Iip.
/1/7
AI aul:ico. (L,'r-
CONTR. AJO/C&I1C-cPb ,'" CLl6~~
CJC) - O;l.{ 7
~X1~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
6 /Vv Tr((..j
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
crN OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
_ 3'~30
ADDRESS 15 ~ S Q. N (\..l J h c Q
OWNER
CONTR.
PHONE NO.
PERMIT NO. ()() - f)~ \q
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING m 0 WATER HOOKUP 0 FIREPLACE RI
~SULA TION lot ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
~ ~~NAL B'LD I" ~_PLUMBING FIN~ 0 GASLlNE AIR TST
o SITE INSPECTION /\ MECH FINAL (~ 0
1CO~MENTS~. ~ ~~ ~~ ~
I~~ 4~'~tV ~1!iJ~ ~
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~(
a. (
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ -d5'-~ /I... T;
ADDRESS
/~d 59 J////../~~
, -
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O-~7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
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: S Y- r
4-1. OK
T~sue C,U ~
(' ~LJs.~ ~~l.e
~ORKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORt:, CALL FOR REINSPECTION BEFORE COVERING
Inspector 1). ~{VJ4
Owner/Contr:
CALL 447-9850 FORlHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8'7-00 3: 00....
ADDRESS 15259 /VAl./IIM ~/ e.. .
OWNER CONTR.
PHONE NO. PERMIT NO. 06. 02/9
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL L,ll )(PLUMBING FINAL 0 GASlINE AIR TST
o SITE INSPECTION VV{ ~ 0 MECH FINAL 0
COMMENTS:~~. -- ~ ~df.-J
@ ~ ~ 'frJr ~ .~~, 4.-~
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o WORK SATISFACTORY, PROCEED ~~~ ~ CT>--'
"J!CORRECT ACTION AND PROCEED ~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~I Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
b/~ro d3()
L)d ,~q ~~' r OA.- (j ('I' ( V "
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO. --aD - ~ 1 q
o FOOTING 0 PLUMBING RI
o FOUNDATION Jt>l'\ 0 MECH RI
o FRAMING ftWATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS{fJ Jl.uJl .fo ~.:..-.s 1/ w. ~
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
h~
I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI