HomeMy WebLinkAboutBuilding Permit #00-0266
~
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
....5. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~?
,~~f"'-
(Name) ~ddress)
E#k.l /'~/ Z.-c- / P&O
(Name)" (Address).J
;3 :3 5 t!'/5' - ad... H--- /.::::= ",,9-/~1 f 1-
(Name) (Address)
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
/t?719
N/NDSc;e.
3. LEGAL DESCRI'JI~
LOT / '" ~ BLOCK
ADDITION t<./ d-/lA-U./.V}
4.0~~
//7//tt? 'S
5. ARCHITECT
6. BUILDER
5'14 /vtA-
7. TYPE OF WORK ...-' Fireplace 0
New Constructi~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0
Addition 0
Deck 0
Finish Attic 0
9. PROPERTY DIMENSIONS
Width Depth
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 60.-6 2-b 0
1. DATE
LN.
L/~ ~-o
;ctSO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ZS-~~~ -032--0
;:;../ ad;J//
(Tel. No.)
W~ - //6? - S:J- 7C.
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
S 50,.;) V
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
17. COMPLETION DATE
Yes No
I hereby certify that I have fumished informati 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 p~oPerty d", that al struction will conform to all existing state and local laws and will proceed, in~cc ance with submitted plans. I am aware that the
building offic~~~ke t . pe~it for' cause. F hermore, I hereby agree that the city official or a d9i~ rDiJ ~r. pon the property to perform needed inspections.
X //L~~'~ -' /' O~
" - Sfg re -. . License No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
Side
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
$FO
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION r2~/~t).. 00
SETS
COPIES
Water Tap ................................... $
Builder's Deposit ............................ $ I, 5'"D 0 , ~O
Other......................................... $
Total Due.............................. $ 7. .52-8.. :2 I
Paid ry I ~~. ~ . d I Receipt No. . ~ 73 Tf I
Date ~/I /CTD By y: )
This is to certify thit the request in the above application and accompanying documents is in accordance with the City zonin!1' Ordinance and may proceed req sted. This document when
si . )1 nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Oc pancy must be issued.
. ' it -2~'f9D
C' Planner " Date - Special Conditions if any
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
I, t\ 12. '2.. 5""
~ Sf .~
~--o
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
J 0 O. 01>
I () CJ JY')
'35,~U
If 0 .00
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $ \
Gas Fireplace Permit ....................... $
Thi~ Becom~ing permiWhjttproved.
BY~ ~ Date ... ..~
Certificate of occuplnCY
Issued
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. . . .. . . . . . . . . .. . . .. . . .. . . . .. . . . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
r f $
Pressure Reducer .~t>.................... $
Meter Hom ........... ..{I.................... $
Water Meter..... %....................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
I 2.~, (J ()
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8SC . a.;..
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24 hour notice for all inspections 447-9850
00 ~ZGro
The ('enter 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:
j/:r _.;// t;/ J' V / L./ :...= /<. (__ /\./ .
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Date: -4. -LL.{,/90
Comments:
Jt1 gr ~~,A.., Y"v~v.)D-<1 L9~l1\ dJ. ~c9VLL-
~~/~. .k-~. VQ~D~0J<iO ~.
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 01 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."
ov-ouro
Tht ('tnttr of tht takr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6/~6S 6/\//.
4- / 6 /00
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ //9 WINDSor<- LN.
y
Accepted
Accepted With Corrections
Denied /l ()
Reviewed B ( ,/ /YIZ /'.....
~V~ '-
Date: q -(c.f. "'~c..-
Comments:
I.~a@~~~
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."
/'
,,/'
()lJ ---otfo&
<i
Th~ ('tnl~r of lhr t.,,~ Counlt).
White '., Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~ / "j:..-"--' /.--,('/ I
Cl C. c.:- ~-"") v / \/ ' .
4/15/00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~ proposed at:
/6'/19 f"V l/v!.J5ol<- L. f\JI.
,
Accepted
v
Accepted With Corrections
Denied
Reviewed By: JJt1t.TEIl... EHIl!.SMA"''''
Date: viiI/loa
Comments: J;1t~OES AL."" (P )JEST
S,C)E:
?R-PCItN L,A.J~ WIC..t.. ~Nf: n
i3E. CcJ'"
Do..u ~
.,~ Acc:.a~, D4"E
DAAIt'lA(,E: O,J ,I-I,S I1.AJD '"/HE
f) OTAc € NT 1-0'- .
Sl:~ JAJF~It".,v!\TltJA..J c,.J [?€u(:;ASC. S,bE.
S'e:e: A, JnCK~'. I. F;,.,AL- GlAOe:. 1."'SPEaibA,) JAJFo4Jtt14ntJf,J z.~,^J(, PL/4,J
.3 . [Ilo Sl 0,.,) (1.Ai--',-/l () L MrAsv ftF.: ,
tf, tR.SIO IV CO}J'f"'"/l.eJL RAN
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
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(:/ U -0
.Permit# ~ ~ 0
"JobAddresa I (f/ 71 ~ W. ~blr1
"Heating Contractor Me I RO AIR
/-"-?
"Testers/Signature --/ .....:: - "/'7
Oat.
Time
Pounds
Pressure
.Gas Une
Pressurized
Inspected
"Percent 02
PERFORMANCE TEST
~/)i"7'J ".r-..;~
( ",,# 0 .Percent CO L..../ Cp
tb '1~) ?\~
~ "Stack Temp. .JI J ~
· Percent CO2
Final Inspection
Date
,.
/
',,-
~~ CITY QF PRiOR LAKE
< 6 ~. 16200 Eagle CreekAv. S.E. Permit No, (J() - Oabb
Prior Lake. MN 55372
.... ~ HEATING APPLICATION J PERMIT
\0-' ~~~ (p
(L SlIa Address \ \n ~ \ ~ \N,'" ~ J II ~
~ ld \3 81ock3. Additio~.\kJ~\AtfN& 9(~ oMl~
ci Qwnefs Nams \f'\ 1 ~ Go. \ ~5. \4 0 M. e
z Addrllss ~ ." S'-\ \ <...... ~ I.. ~ ~\ '" r .... : n ~ ~Y1
Healing Conarador \~ ~ \ t'"'\.~ ~\,... ~ 'f\ \.
Address \\n ~ \ ~"' '\rl '- \ l ~ \ ~ l V.~: V'"' \ l4 Ct,
Tllephone' '-\ ~1- t \ ~'-\
Fum.. Make & Mode~ __~ I(" f~\ -(..~
Mod_I SlD f (\ f -0 -~ \)
Conn. Load c;, C) ~") ~
Fuel tV C4. \... FIts. S'ID ~ ,~
Suppty Openings. . lc
Retum OpMia;s J
Inpul~ ~ lo<D OutpUl -, \ ~ oro
TYPE OF STRUCruRE
l. riM · HI.
2. an. . CIJ
J.Y.. . ~
SinGle Funny X
Comm....
. . Two-FamIly
~ndusbial
~ Oata
P10. -as- 3J8'-O~'-C
Fee ScheduJe
Industrial. Cammen:i!l & MuJti.Family
Aesideriial, HeaIng , AC
R~ Heating On"
Residential. Gas Fireptacl
ResidenCial. Additions . Alteraions
Residenl81, At, Oldy
. MuIIi-~ _...
?ublic . Other
,% of job ~ ,~~,q:;n ~~.':i"""I'~_ '
599.50 ~\ rn @ ~ D ~1 g S"', \
564.50 '-' ,-~ -- -'- i \ I
S39.50 '~"ml.
~9.50
539.50
Remember to add the Stale Surcharge on It'll bottom alibis applicaIion.
The price 01 your heatinO permillncludes one YO~il and one final inspection.
Additional inspections wi be biL1ed at ~I: 00 each.
House Hlating Test Recocd must be aubrnfttecl with ~ Ulrf",.1BIlDI. m Irnnfl!r before build-
ing cerl1iic8le of (I..... ~,ancy Wl1 be issued..
HFAT r.AI n ,. ,,~ ~-=n ,~~ with runbeT ol supp, and r8Nm. openings &sled per
rDOm with CFM's-per opening. New structures or Iddmons send Iocr plan wJltsupply
an<l ndum locat1ans mown. HEAT LOSS CAI..C\JlAT10NS, PAYMENT AND
APPUCmONS MAY BE MAl' 1:1'\ 10 THE ClTY OF PRJOR lAKE, 16200 E,tl:1 ~
CRR:!( AVE. S.E. PAl OR lAKE. MN 55372.
City Hal quliness hours an e Lm.. - 4:30 p.m.
., · WORl( MUST BE INSPECTED (ROUQH.IN AND FINAl) · CAT' crrv HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowtedge that the
JnformatJon above is complete and accura'e~ that the work will.be in conformance .
with the ordinances and eocies of the city .nd with the st~te bundtngl~lC~anical
- . . codes; that IhiI form ooes not become a. perl]dl untn aign~ by the BUILDING
'. ~~pelr ~ ~mp. DaIa . ~ . OFJ=lClAL; that the work wi..1 b. in ~ccordance with the approved plan in the
:~;$~()~$~' / ~IdHIgPumU ~~~Rt-'tT ,~t(s_..and8l'l'~~.a1:~_:).~~~
.. .' . 's /0 _..,;~p(;. . C1 Appicarta~... (~ . DaIe.- -. .
." STATE SURCHARGE $......-:5? I!U""'""-- " . I ..' "; :"t-I 'j' : / /' \ .',J;:.
:,'.:.- . . , Ttt:1:1! ~ . . . n A~j)" . JA1 A I AAi/l/.l.t 1. _ (,.., / Q (!)r./1.1
~~~:~~. '. ,R~"... ? i, . BlAIng~~~ '. '.' . ,.1 ~<. '.
.'. . . .:.. - " " :, ;:..' ...,. -' :, ~ . .. U . ",' .<.. ..' '. -".' ".. .::. ........ :.., ..... _ . . .., ::........ -::....~... _ ....' ~
. .~..~ .' ..... . ......!;.. .~. .. ,lo' ..,.:...,=,".1~~.... . '... '.' . ,"- .'.." ......... - _' ,.... _, .;1:.- .'. . ...... ."~ ~..; ..-'.-..,.# "., . . ~ ~..:....~.. _...... ._~, ......: ~.. ~... c,,'" ,;';:"~~l:.~~... :;:~.! *
.'~. c..:.:....... .... .. . '..-'1.,.'. .....~..... ':I' .... . ill .-~".". -.~...~. . .... - . ':.-., . .'._..:-,AIk . ',1-. l~~..,.:r~- ~.-" '",_ .l.I.....,.. _""!' _"'.. .'''._ ~_.- .__~~ ~
ir.~~ ~~~:....: . .'.: .~.:-.~~:..,:~~~~~~.i~~~..r.:a:t.b...'.~a~~~~.i{~~. .:- : .lo~. ':::~S:..-;~~o\r~)t~~~;':;~~~~~t~..:~~fi?r:'l1~~\~~~k~.~"g.: .~~
.-., ... .... .. ".. .. .. .. . - .. . -.. ....... ... . II I .. .... I -,... . _ . . .. .. .. I I
. .
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W
E
TYPE Of SVSlBl
Warm Air Plants X
Gravity
MlcbarUcal
Air Conditioning ~
~
V.m. System
HEAnNG OR POWER PlANT
Steam
Ho1 Wi1IIIr
Rad\don
Spedal DaY'" i.
Edt. ..
Cfm.
\\~a
OU.r Devices ,
TYPE OF WORK
.~ .
E
(L
IJ)
N
AJl8~~ .
Maw Construction
Reptacemrmt
..
~
~
~
~
N
~
N
Z
:J
.....,
......~" ..'
.._-----\ -
Jun-21-00 12:16P C1Garwatar Plg.& Htg
~5
"-~
.......---........
Th" ('..n.t, IIf Ih. , .11.. ('u.nlr)'
Quantity
i
(
li'~
1
,
,-
-1
.;)
4478930
P.01
J. Blue
1. null!
3. Yellow
Pile
Cily
AppliQDI
CITY OF PRIOR LAKE
PLUMBING PERMIT pp Nu. 00... 0 'dbfo
Applicant: r /le~'ywatrr- .\'~.9.f ~ tq Phone: 1.-4 '-"41 -:-~ CJ ~ C~
Address: jJp ~U!) \JJh '..tp..~ /f-t.,.4. ?r '<'I'. La:\If.L"",. .tXb.':"~ $..~""J?---
Signature:_ ~{,AbJ'"h) _ ".::1f....i' W~ ._ ..., .
Legal Description: lot ...' , '3 Block 3 sub. W.i.~ l>~
Site Address; 1t/J-:7..L~. v..r,'1::;~r::: ~.~nc:........____ ~.~ AJJ~N
Building Permit # 00 - () d ~ (0 PIO II
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Type of Fixture
Bath Tub with Qr without shower
Dishwasher
Quantity
Type of Fixture
-;7
,)
Rough.ins
Water Heater
I
Floor Drain
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Bacldlow Assembly (APZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
J
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial. Commercial & Multi..Family
(10/0 of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
~~
JiiP
Thi~ permit is ynmlcd upon the eXJH't~s t'lulllilir.'n IhlU said
~nnlnu:lur. shall comply in . ~~pCCl5 ~Ith the (,rdirUlnc:t~s
of t ' S~ate rlurnhinK C c:: an the anJ11ldllienls lh~:rcc."t'.
- .. . 'W"I' O. ~ d\ \ rr7) DATE
... . .rd~__)^'n'EST
for all insf'ccti ns 24 IHlUts rn advancc.~.
JUN 2 I 2rol
16200 Eagle Creek Av.
rior Lake, MN 553721 Ph (612) 447.98501 FAX (612) 447-4245
An Equal Opportunity Employer
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CITY OF' PRIOR LAKE Me
162.00 Eagle CreekAv. S.E. Permit NOrJ.6 b
Prior lake, M N 55372
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CD
HEATING APPLICATION I PERMIT
o I PID#d5-3~&>- O'6~-{)
S~a Address {., , , 9 (JJ ;. IV ~ .J ..;j,r L(\)
llll loJ B~Ck a. Addhion. 1) ~~ Pmlc1v ~A1d.-
Owner"s Name N ~, ~ -hi.! '^ ()-- \ ~ C tV ~
'C' )
{' ~ ~ '" R- f.2rx-- ~ ~ '- ~
Healing Contrac1or, V '\ ~~ F\ ( ~ I ~ 1
v
Address, t 'a \ S \ ~ A:vJt..
Telephona#. C, ~ J- 4(14 elfo3
F-'(;'Lfl~. F
rllFAtl88 Make & Model ",,:.'t TYPE OF SYSTEM
Warm Air Plants
Model Size <:) \J F' .'3 b Gravity ,
Mechanical
Air Cond ~ ion iog "
Vent. System _
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IS)
Date ~- 4
Addr&ss ,
w
u
cr
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0..
W
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......
LL
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U
W
0:::
W
......
::>
Conn, Load,
Fuel N c..fr-
FJue Size
Supply Open! ngs
HEATlNG OR POWER PLANT
Steam
Hot Water
Radialion .
Special Devices _
Return Openings
Input Output
Edr.
elm.
Othe r Devices
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01
IS)
TYPE OF WORK
Alterations
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IS)
N
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I
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Repai r
Replacem ant
Est. Compo Date
B ullding Pe rm it '# _
New Co nstructio n
Est. Cost $ ,
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FE ES S
.50
PAID 'Iv'liH
BUILDING f'EF;,'v:ir
Receipt 1# _
TYPE OF STRUCTURE
), Pink - File
2, Green - City ..-l
3. Yellow - CoDIr~lor IS)
0..
-.J
cr
I-
o
I-
Single Family .
G()m m e rcial
K-
Two- Family,
Industrial
Olher
Multi-Famiry
Pubric
F:ee Schedule
Indus1rial, Commercia! & Multi-Familv
Residential. Heating & AC
Residentiar. Heating Only
Residential, Gas Fireplace
Residentfal, Addmons & Alterati<ms
Residential, AC On Iy
1% of j{)b cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
-
Remember to add the State Surch arge on the bottom of this applrcation.
The price 0' your heating permit includes one rough-in and one final inspection.
Additi{)nal inspeclions win be billed at $35.00 each.
House Heat;ng Test Record must be submjtted with building oermrt number before build-
ing certificate of occu pancy will be issued.
HEAT .cALCULATIONS REQUIRED with number 01 supply and rerum openings listed pe
room with CFM's per opening. New struclures OT addifions send fl001 plan wfth supply
and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAV BE MArLED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Harl business hours are B a,m.. 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FJNAL). CALL CITY HALL
441.9350
I hereby app~y 'or a mechanical systems permit and J acknowledge that the
informalion above is complele and accurale; that the work will be in conformance
with the ordinances and codes of !he city and with the state building/mechanjcal
c(}des~ that this form does not become a permit until signed by the BUfLOrNG
OFFICJAL; that the work will be in accordance with the approved plan in the
case ~ all work which requires review and approval 0' plans.
~ ~ I~ 6'-Li-c;'J
0/ APPI~::Sj9, natu re, '. ,Date
UA~ ---- G - Lf-O .
Buildinrtl)ffical's Signalure Date
From JECHEEXC
PHONE No.
612 8926396
Ma~.31 2001 11:52RM P01
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01' ~
A. ~
5 \E
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~N.:2Y
Qau:.. . ,...
'u,"ow . "PlICa.'
QOL.D . CaT.
cr'llY o Ii' PRIon LAKE
SEWER hND W^TER PEl~IT
DC
NO. Q- l~L:, /p
NOTE:
Sewer and WatBT
contractors must
bo registered
with the city.
APPLICAN'l';, ~~]- (:; C-- \\ (.., l"-- Xc.,
ADDRESS; '1''-~~~"ii].~dllL\,\.t. L_i .... L~ tl~!.._\..
SIGNA'!'URE: t1, ~>tL b",--,-t-, ,.,,-'
SITE ADORES S : .Ja...rz.'.f"..\f.J..l\WJ.~!J J::,.. 4o.J1.p,
FI LT.J J N TIH~ n l.l\NJ<S
t'HONE: 'I J ~ 1''; (,-IS-~
,-!F,j~r.!7-~3)-() I
BLDG. PERMrT 41' ;; 6b
PID#;J5- 33<t- 03;)..-0
DATE:
1. Estimatod leng~h of wntor sorvi~c
\ I
2. Si.ze of WI11-.P.l- !.:;p.rvic~p...._.".,-J._ ;,n("'~h (A~).
3. . Location of ;)ny coupl j nCJr; f'l~om r..:;1:.rl1(,,,:turQ
feet.
fQQt.
4 .
Type of sewer pj,pe.
A13S
PVC
/'
Cast Iron
, !) .
Estimated longth of ~QWar line
feet.
(5.
Clean out
st r.u Ct:\.l 1"0.
(if roquirGld),
locat~d at
feet
from
~~=__===~===~~~_~~~~~~~~~~~ww~~~~===========cc===~==~c~=~===~~=~=_
This bppliclltion beconlc~s YCJu~' pl::!l.H1it. whela Cli-'prU\lt:H.l..
BY
Dl\TE:
----==~==============~~~~~~~~~~~~~~~:._~~~-~~~~~~-~~~~~~~~~~==~=======
FEED:
C :35.00
$ .50
$ -......:i"Sh:..5'iJ,_.
!:..;(':w(:r bl'\d Wbt:',er line connect.ion permit.
Sut.-charqc
'l'Oll'A L
*
Fee f o)~ e i t h c: I: S (: VI (: 1: 0 r W fa t. C 1"
,S .$0 sUTcharge.
individually is $20.00 plu~
*
Gower find water permits issued for new con5truc~ion must be
)..-ecorcled on the: building };.Iu:onl.'L Ci:tl:t.l at. t.l'1~ t:.ime or i:>5uance
tu l.n~uL.e UldL flU dup) .i<,;aLc;'~ ~~jowcr. and W'Jter peLpA;L::i l21.'~
is sue d , .. SUJLo/~D WII}";;
c..... ~ / _ 0 I G Pt::.'-,,.,..
DA'I'E :PAl D e;.J - d rllv.~
AMOUNT rAID
RJ~C' D BY _~.=::.._~.__......
nECEIPT #
16200 Eagle Creek Av, S.E., 'Prior L'akc, MillneS~.)la 5~3721 Ph. (612) 447-4230 I }..(AX '(612) 447~4245
An F.'1"111 OPI'I"'lllnily Employer
PRIOR LAK'E
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JJlU5 lJl\V'C!~r L,^"
NATURE OF WORK lJ~ ~c:.\~od,'Q\.
USE OF BUILDING Sj='f)
PEF\MIT NO. 00 · Oz."" DATE ISSUED <I -/t./-'20CC)
CONTRACTOR ~il-e.~ ~c;.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ INSPECTOR ~ DATE
FOOTING ~ > ~. ~/~/Pl1 &-4 ,\Ia/{IJ
FOUNDATION (Prior to Backfill) !I~ 6,Oo.AJ'
PLACE NO CONCRETE UNTIL A~OVE HAS BEEN SIGNED
ROUGH - INS
:::~~~ WATER I SEPTIC ~% 11/ {)tJ ; 1 to
INSULATION ~fJ I f
ELECTRICAL
PLUMBING / / ~ 7- (Pft.O 0 \ \
HEATING (if required) I'\J 11 ""
FIREPLACE.' , , ~ ~ J
GAS LINE AIR TEST (;~cJO r::P, Ie.T. 6r. (O/"'.r1b
COVER NO WORK UNTIL (ABOVE HAS BEEN SIGNED
-
GRADING (Prior to Sodding)
BUILDINGT,.f,~ I -WJ 81145/01
ELECTRICAL f
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
~ N 8 6'11-OJ
6:r ~11~(oJ ~.
I
,
7!1~/o'
I f
~
/tJ;n
,
UNTIL ABOVE HAS
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.
/O/;9/~ '
. tJ!!~/
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrtifU8U of Q)cmpanry
CITY O~' PRIOR LAKE
11lepartment of .uilbing Inspection
/~Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the, requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances. of the
City of Prior lilke regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
00-0266
Occupancy Type
,Bldg. Permit No,
T C . VN F' Z N/ A Z' D' ,
ype onstructlon Ire one omng Istrict
L13, B3, WILDERNESS PONDS SECOND ADDITION
R3
Legal Description
Owner of Building . Site Address 16719 WINDSOR LANE
Contractor's Name & Address GILES ENT~RPRISES, 23545 CODY AVENUE, FARMINGTON 55024
ROBERT D. HUTCHINS 0" DON RYE
I -J City Planner
Date:
............. " -- ........
~,"
....1,.;...
l'III"';"I"'~"\ 1111'" 11I~,,1I-""""""" 't:_,!..\HI,,'!','~I"'.'~" 'H~_', 1'",.,11.,' '~:11 II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~91"d ItJ: 3tJ
ADDRESS / t.o 7 I 9
WI A.[ {)Sd12-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J-;;2(g(p
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ 0 WATER HOOKUP
o SEWER HOOKUP
.. ~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tj?ME_NTS:, (j) ~~ ~, ~ '
.. ..' ~tJ:t'/ ~ ~ '
- ~ ~ . ~r~
~ -&h-
~-~~~~~.
~F.P,~~~~~~
~-toUE-~~,
o 'F: f' ~ "}<M1 ~ cn-Il. e, /. .;,. 'f.' . ~
o WORK SATISFACTORY, PROCEEO ~Ua 0-
~ CORRECT ACTION AND PROCEED J - U '
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!
INSNOTI
DATE TIME
sjJJJm lW
ADDRESS -.I ~ry ICj \N ;f\d...~,)r La ne_ . .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(0- (}~hh
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ATER HOOKUP
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: rn ~ ~ ·
((jD K~ ~bk' ~ ~()~~.
7) ~t ~L to ~'~ ~Jl.(,i.
~fi V\ 1
f \ - GtfI~
\ .'
.......,,) \ \
?'6 '. \
\ \~\ ~d..'~" ~( /11, r~ ~.
~\, ~'Y\JL IT\._ A.A-* .' t I~-?''*-i-::JJ-
. ~-' ,,'--::;g' { ~ -t-D ~iJ -. L-r.e. ~ (l~ I
~~j~f J
J A ). /7 " L/ ( /
~?I i t/c-~ ~ L./o 7 ~~?...Jo
?? A ;t~- Dv,,)( I
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
,I 0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/,~/'
Inspector: .. ." I , Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE
SCHEDULED S "3/-0 I
Lu~d 60v LJJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
!~?(y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
TIME
9 ~. 0()
() ;;..J.o b
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATI~ 0 SEWER HOOKUP
~NAL 'CCNr"9~. PLUMBING FINAL
o SITE INSPECTION ~ MECH FINAL
COMMENTS:@ M~ -:;~
@~~~.
(jJJ ~ ~ I~ f rr: fJ. '~~..r\O,(
~~~+~~~~~'
~~ f'aJr~ ~~~
.. ~~Jj
t.0 )' - ~, -..c'"r .
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
T:C-.Q.--t.1i &1 ~/D I
M /r ~-~.
~
~T~~ ~-~,
r
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:.::O:ECT ~~ FOR REINS::::,::::FORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
6-214 PIn
"?LJ wLndso,,r L/).
CONTR. 6, " / e.5 b 1-.
PERMIT NO. 00 -;l'~
SCHEDULED
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
.g, INSULATION
..(1 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6/'t1t,(" - C) K
Lulb ./:?U;X - O--t.:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ ..-. ~
Inspecto~~~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / f.{J r-; I 4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSULA TION
FINAL
SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 2/1ZI 0 t.. A: ( l:i
fAJ~L.
CONTR.
PERMIT NO. ~-O' '~(p
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOO,)K",,~U 43'(
o PLUMBING ~
o MECH FI ~.
S'~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~,
~..~,..<"""<. ",';'
\
;;
t
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL ~OR REINSPECTION BEFORE COVERING
Inspector: ' ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl