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Home My WebLink AboutBuilding Permit #00-0284 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ItPR , 4 2000 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Permit No. ~O -'OZ84- DATE RECEIVED_. r '.', .-. .-- ", 1. White 2. Pink 3. Yellow File City Applicant 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 I LJ.~ 7 f) Robi () l2('1 f\ - E ~.i 3. LEGAL DESCRIPTION LOT / BLOCK S- PID ;~S-- 331-oa3-0 ADDITION ~ I/i'// 5e<'"'I')~'/ #~. ,7.J~7P'- 4. OWNER (Name) (Address) 1. DATE LfJltJ JtJ{) . , BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 7. TYPE OF WORK Fireplace 0 New ConstructiO~ Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. (Addr~ss) /)iMd~//;C27 ~e}o (Address) Lf4'7 -rAe:S /Jr :5hq~e>/'tf:' --€_ Septic 0 Deck 0 Addition 0 Finish Attic 0 (Tel. No.) ~/i~C--~7~7 (Tel. No.) '176 ~9} '1/'1- ')::>/7 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 5. ARCHITECT (Name) kre65 LLiI 6. BUILDER (Name) lOk ,4~t~ 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE SEATS .I. P~ )WALUE 17. COMPLETION DATE 7-~-a? Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Yes No 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 bUildin~al can revoke this "permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X V tJ _ ~-?'--^--- . 'fb , Lj" ~ -/St'~ Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS (J BUILDING DEPARTMENT VALUATION OFF STREET PARKING USE OF BUILDING ~FD SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SETS COPIES ';1 001 c:lOO 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 Permit Fee................................... $-L3.8'1. 2 S Plan Check Fee ......... .................... $ 'i' 61. l' State Surcharge ............................. $ ttJfJ -1:)0 Penalty ....................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. . .. .. . .. .. .. . .. . .. .. . . .. .. .. .. .. . .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer ..".................... : Meter Hom ... ................................ $ Water Meter..... ............................ $ I 2~ l) Sewer & Water Connection Fee ........... $~ec!> ~c:!>O Water Tower Fee ........................... $ rr:o . ~(J Water Tap ................................... $ Builder's Deposit ............................ $ I : ~ 00 . ~ Other ......................................... $ f!HJ .~ I, I tJCJ " C!:11" Plumbing Permit Fee ....................... $ lfXJ.oo l/JD.OO ;!S.IO qt;. {)fJ ~~ f.(S.oo Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This By Your Building ~:tr;itq~~ ~!~ Paid ~a)II~.q.~.~.~.....~~~~i~;~o~ Issued }~ Date c~1 laD By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 dina~ce and may proceed s~. the !:,iy fanner constitutes a temporary Certificate of Zoning compliance d allows co struction to commence. Be~ occ'!Pancy.~ertificate k~_~~--L4t'~_ ]d.. 21t~ · .tJ.V\. /C C:ity Planner Date Special Conditi s if any 24 hour notice for all inspections 447-9850 ~ myO~~.v White - Building Canary - Engineering Pink - Planning The Cenler of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , (') YYl t-"())"m ~ APPLICATION RECEIVED A PI I \ ,L \ ;)00 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: jif37 f( l<() '0\ Y) 12d IN E Accepted Accepted With Corrections ~ Denied Reviewed By: Wi /~ Comments: Date: q- :l?,.. 2ax:::> /.~~ 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 vallid." . .'1 .. .>~ OJ- zg4 The Cenler of the Lab Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , () m ',- () ) m ~ APPLICATION RECEIVED A p, 'I \ \ L4, ;:Jon 0 The Building, Engineering, and Planning Department$;have reviewed the building permit application for construction activity'which is pro~o~~~,Jit: /q37?: 1<0'0\'1) va JNt' Accepted ./ ",' '"Accepted With Corrections Denied Reviewed By: LJIfl.T'f.A.~ C"'~lS"'I4,J&J Date: "I1t-tlffJ tJ . - Comments: -.SEE 1~~~tl.""4T"'ON ON -n.IE. R(v~ -S'O~. ~f.f A"..~~ ~ I. n"'",- a~46~ IAlspu..rJ()~ lAJFlJ~""'Ar'oN ~IIA/:)'AJ(. RAI.J 3- CR<'S'OAJ CON,.a~ ""'~Ac;ulte< 4. E~(JsloAJ Ct,JJTIl. 0, 8..A.'V liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or Gancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." #! ()) -O&~~ White - Building Canary - Engineering Pink - Planning The Center of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT I, , , ('(') \ I (~,,\ ,(Y') E:... p~ I \ \ ~ \ ;)()OO APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /,-:-/ . '7 V ~ () n \ r) 1=./'('\ N E' Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: 2-1{ Fr ~_ ~~ l~W at 8--~ \ 4r ~~ UM.-e ..J- ~U l/l., (), l0 ~ CtqVj /.5 ~V/~ - ~~~ r(j~, <. ~ ~ iY~e-L'\ oJ- ,1~(',~ AM<fO ~ ~lvq.-l _-(C) v.,,- M~ ~~~ ~~,. g:'1 ~~ oM- ~-9 ~ - ~, ~ ~ ~ . .c:L$~ oY (j1~ IJSta ~'I~~ ~~{ ~o ~2h~'l ~ " 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 valiid.1I '" Job Address /1316 RoJ I ~ ;7oJ Heating contractcbeuf Zr) j{ y"O rl r ..... Name of Tester _ '-- (," Date -:(;, '7'" ~ Percent 02 7 Percent co CZ> Stack Temp. 3~ Percent CO2 lS .. , '" f Industrial, Commercial & Mull-Family Residentlal, Heating & AC ResldenUaI. Heating Onlv. RuldanUal, Gu Areplace \ I .' I Resldenlal, Addlpns & ^tti!T8tlons - R.sktentTaI, AC Onlv {2 nf\f .n1/rIl ,11'- Remember to add the Stale Surcharge on the boftom 01 thfs Ipplcl~on. . . I . CITY OF PRIOR LAKE' :; } . 16200 Eagle Creek Av_ S.E. Permit No. . rill - 0 ~~'L. Prior Lake, UN 55372 ..-'!"....... ~lf.. . , b~G APPUCAnON' PERMIT Date. lo\\~ PlOt, ~S-- .J3q- O~-O. 51.Addre", 'l\~\~ e.,",~\~ J2 0 Lot \ Block 5 Addhlon , ~JIl~ &-\-\ t.' 1 - 7_~ '.c OWnefl Naml -r ~m I- ~(tIV1e (' 1)) ~ \ c.... ,f2.... \ i.. c....:r--rtJ,J . . . . Addtess, LlLt"1 -1V\ Il,('. ~ ~'Il.M.l\(J/e Helling ConlraclOr ~ If) 7. - () 'tt' V""l Acldr~. ~U4U.< S10 ~e~ TfLL- .. * . Tal.~n'f-, ~\-U1~- \\'-4-U Furn80l Make" Model Co.VY i P r? tYPE OF SYSTEM ~n ':""'\ ^. f ",.1"\.0 , , ' __ W8Im Air Plants. ~ Model Size. ~ )1\. ""' ~ \ M - V...J Grav1ty, Conn. Load Mechanical , . . . .. . \, All ConctHlontng, ~ '2- ~I. 2- Fuel ,I\. ~1f.~AU8Siz. ~ ~tK\TV.nt. Sylllm, Supplr Openings, \.l D HE;AlING OR POWER PLANT Steam RelUm Openings, \ Hol WatIJ a<..) ~ Radiation Input ~ l)l\tQ Output ., \ IOU ~ Special DcWa. . E~(. . Clm_. Other Dim. AIl.fatlon. TVPE Of WORK Rep1&c8menl New Cons1/Ucllon. X Repair < ElL Camp. Date . Eat. Cost, _ Building Permit. HEATING PERMIT FEE ,< - STAlE SURCHARGE S Ao TO~AlPERMIT// R8celpl' ('jl)- G ~~ L PAID WITH ."..~~ , I I. Pi_ . -', i'l- l. Ore. l CJIJ J. Velk ___J CooIrKW rvPE OF STRUCTURE Single Famny c · CommerciAl x Multt-Famlly , , Olhe. ~ 0"1 N tSI tSI tSI '-f C Z l'wo-Famftv < _ Indualrla1 Pubtic . fee Schedule 1% O!~.. _ . cost ClM.:50 mi. KI'~I'Pk --- $99.60: (r~ rc: .-. -\n \ - \.'... ~ : ., \ .-,-;' c ' . r= ;, . U1 184 rift '. , ... / . _"::! ~ . l,-=~:- 1:: ' .:KI ' , -.-' ... ., I I W .~ . D ~~m 3 $39.60 '39.50 .'\1- The,prlce D' your heaUng permit Includes one rough-il and ona fin811nspGC11on. , Addltlonaf Inspections wll be blled 81 '35.00 each. HOUle H.atlng Test Record muat be eubmllted with bundlng JlIlIDII ,., ',,"l\~' before build- Ing certilica1e qI .,. ...., Ipaney will be Issued. ...s:..,. ~.l ~~ ,. I"rlnM,q ~~fll URI=r) wlth numbel 0' .upply' and ..turn openlngllRated pet room wlh CFM'a pal opening. New alruclures or addiClons sand II00r plan wIth IUpply and felum localon. shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE CREEK AVE. S.E, PRIOR LAKE, MN 65372. Cf~ Ha~ bustness hours are 8 a.m. - 4:30 p.m. AU. WORK t.iUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL ~47-4230 G') M Z N :;0 -< D Z 0"1 U1 ~ W N N 0"1 ~ ~ -.:J I he~ebv apply lor a mechanlcal aystems permit and I acknowledge thai the Info'matlon abov.1s ~ompl8le and accuralei that the work win be In conformance with the ordinances and code8 0' 'he eny and with the atale buUdlnglmachanlc.' z . codea; that tilt. form does not become a perm" until signed bV the BUILDING ~ OFFICIAL; that the work win be 1n accordance wllh the approved plan In 'he ~ ClIlIe .,,'aH ~rk which r!l ulrea mvI8W and approval 01 plana. m t'j\ . i! (L. l 0 , ?-J6f) "1J ( ,-. A n'''s e or 'Data · N '/rJ~. I .'--.0,,1, ,h.;:;;;J 0\ a Bulktng 0/flc8I'e Da1e FROM : KLINGBERG COMPANY r~ 'I I '''''' J t ~7~ PR\IO.p ~, ., ,._;,,~Jj~,,~~~;;,;:~;;:i:~i.~;!~t~;i;L~:i'~,;J:i:;:;::,;;_:,::.,~,;,>,.;,F~ .',. ~ I", ,...........1......-...', '\.A..".;.,..."'.\\oio"I:...,..'.Jt\t:~.""'.""\.~'''..'','.'',,,:,It.'01"'1- '!t..A'...., ...oo." ~. &.4.:J' '. .".........\(.. 'i"~...~.".o;.i..'1if .",,~.,,: ...~Ij,~.H.~..I~ .._I....'..'~......I?,..".\O;;;.. .....',...~.......,. ..... ........ ,... . . , ~ ,.... ~.'" .~"., '~':~;~".~rV!~?~:~~i;;\.~i~~::?t;tt!~~~~/:';t~t;~;:!Jt'J~k.,i,~.f,:::\:.~ i...... '.' .. .' '.:.' :' . .;. ,:,'C!I.,.y O"~"PRIOR'ILAiE:' ,,' " , NO .!I)-oatj hJ.>>~~"~~~~~~~i~~~l"" ' · ,,~til'~J.rtt.A ~7374 MA~ - ~~~~::~';:;:~1'?{':~~..: "'<~?~~fr:>~'~;:~:~~:::~;:~.'~:L:": \::. ... .. rru;,. '~ " ...,~''''' .:...;. '!t:..~'. .~.....' :~..: ~':'. ..... \". ..,.. , .. NOT!. Sew.er and Wilter D138 _ <,j;,~1i;11ifji~~:;;:j~~ll-~~~t.~\r~~;;~::';;':, u. . .. .E~~;;r~~~~:~!i~~ JfJ".::. I.,'. .-,.."....,,/,.~~i~l~y.~.....,~.~.~ . ..~.",......,:..,.Y.... . ........l".' .. ;/ .~. ::~i....~. ";:;;'~:iQ::;v:~:.:~t\l~;{::~i~'~~"~~':':::":""";;~:~~<~~#~~~~~;:j.~{~.:,.::. ~.\::':f :~ (:i!1/11~i2..ss1 APPLICANT. .'.:" t' ~ ':." ...':".' ...... .._l.. . ::-...........\-i..~:"'::.,.~.~~~~. . . Po. -'.i.': . ...::H. I ...~.:.I:.:.~.::..:.\':.~....:..,.:... . :'~~t :', ::., .......:o?:.~.:~~.~,~.~~..i.~.;........ "~" ADDRESS." ~. ::::. ~ ~':'\.:i':-:~~~~~I(:i~A?~'N,,:,:'X;:r:~~::~;r.~iit:~~~lf:i~~""~~~'E". . ~ 41' J~ . .f.. 'f~'.. ~.~.~.. ::f:t.-tr"", .:..:.'.....'.-....\,...,.:~"'~I~...\~.,,~:&iI~~.: .', o/~ .r" "',..e.::;'~ 'I'..' '~..:~""",o;."':l:.",:, ',\'. :.s..... :./!IIJ':', . .:~""".l"~~ '':, .;'.~,..:~ ...~:\"::~~:~...::-:~. '~~~~'r:=:'~::'::." . .. . ...4!. ,'. 11' . ':J:'~' ~.w. 'p:\~.:4,;lii~~.!.. .",': i(..>~'!.~....,.jl,' ';,;~}:'''':- ,.It;,J~'''=.,,:!~:I'' :,:~'..,~.'f.,;, '" <:X.I SIGNATURE - ~i!;:-:';:- ..~ ~\ ,..11 :c"...., ,. ". .~~l;~~.~:....tft:,...:;.:-.;..;:.:..::-.;~.~~~l~:i~:::Bt'DG. , '~'ERKiT # A-t"\ -"'D'o I SITE ADORE.4.S. s' ';',I::iji~~Et*;k~f'f~i:i:ri~jii~;i:~i~,;;~:~~ii~~:.'~ ~O.. ~ J~ :, .,. ~~'1'7." ~,;:~:,fC. :~-::;. ~;:*""c.;~~::"~)~':":-:-;:Y~~'R(!:'.:.~~"::"." - _~Q- ~ . .(. , . . ," ", .... ,'," .....1,. ." "LI' "4 i-.' -1~_ ..#- 11~'11 0 ,....JL . :.:.... Ell:iL :r.N....tta~'..':.BLANiS~:.:.\:~,.i...<;.:...~\ '~'.0;;7 ~~.2- . ;.:':; ;:),~'";&.:;Mj, f.;~~~~~:: ;~~.~':1 >:. ':':~~B!-,~:~;~ .~~:~~~.'f-~i ..~:::~:.~~~:t~~;+;th~i,~;;)i~~:.~. . .,,: 1. E ti 't d 1 ...~~.;.i".;.t;<~~~Elr,.!:..<.~:.~.. ..rs;c~~~,:'t:\.~..(:~b':;;, ..IV?'}:t .' :t'" .. " ~ m~ ~ ,~n7'j~..;~W~~~.t~~r~~'.:.:.:~,..~~~g~~+;.;j~::,; :'.:, ..,.....,.... :.,' .:'..~~.. "~'." 2. S1.ze of water' s..~V1l'C.~.:.., . ,..,. :~..:~"::.. :".~pc~'~.~~'l'~'"'' .. . PHONE NO. May. 08 2000 08:13AM P2 . ',' ~.i.:, .....<>>:.:;; . ,:!."., ~ '. .. . . .:. . .' .,',.. ~. .:" . .....: . ..... ..... : ,'" ,':' " . '. . .;..;......; .'.:<(, . ::=" .. ...... . . ,;' ~ :" ,':..' . ;" : " .. . .', . ..,' .~",." . :..... .... . ,. . . .';.., ..:~ :,.:., :,/~,,~,:' :, .:..' <'..' .. I '. . ... ~~'. . , :: .:. y' . . . . :-:! ? . ""~ . .,' ". . '. ..... ~::; ~ <;'. ...... 3. Location of any couplin9S f:rom strQcture feet.. 4. Type of sewer pipe. ABS PVC X- Cast Iron 5. Estimated length ot sewer line $6 (1keet. 6. Clean out (if required), located at #? teat from structure. - _=__C=________________=_=~====~=,==Z==E__________---~__*___________ This application b~es your permit when approjad. . BY (//;~ '1Ur~ DATE: CS7rrtk) -4 / ' , :::::~~j~~==::~::: ~~~~:::::-:::_:::::_::::-::::::::::-:::m-::~=-- $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. . Sewer and water permits issu.d for new construction must be reeorded on the building permit card at the time. of issuance to insure that no duplicate sewer a~d water permits are issued. DATE PAID ~~ AMO(J~'J' PAID REC'D.BY RECEIPT # 4629 Dakota St S,E., Prior taka. Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 447.4245 . AN EQUAL OPPORTUNITY EMPLOYER CITY OF PRIOR LAKE 1. Blue 2. Gold 3. Yellow File City Applicant ~~--fL)lMBINGJ'ERMIT PPNo.1JO .O~- APPIiCanl:~~'" .pUpn;,,~C? Phone: Address: /NS . <~;A-d- ~~ (QIh~_ ~ <;' ~'Y". Signature: ~ / i ~ F~ ./ ~ ~ ~ Legal Description: Lot / /7 ',BlOCk/? ~ Site Address: / L(~ '7r Kd ~/)/ ~~~ Building Permit # t'o -~2:ft'y PID # 2:-5.. 33"- OZ3 ~ Q NOTE: This permit will not be processed without complete information. Thl' Cl'nll'r of lhl' Lakl' Counlry Quantity Sub FIXTURE UNITS I / I '- / / .( 3 Type of Fixture -- ..... <Qath Tub ~out sho,^~ f Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray ~r 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Quantity 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 I FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL c: $~C ~\\t~'^\"'\ ~~tlG ~ \ This permit is granted upon the express condition that said contractor, shall com y 'n ~ll re p cts with the ordinances of the State Plumbi eF ;;Rc-ts thereof. lb. (;Ill DATE ...... AllbST / Call for all nspections 24 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer ~ CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 00. n z,~ HEATING APPLICATION I PERMIT Date ,- S- ()d PID# '-f 3 7ft R~ b; .J A-'''f ~ Site Address F?nI Lot Block Addition Owner's Name TO 1"-- H-u II'WL (IJ N)'r Address Heating Contractor y,~ Address Telephone # F~ ~~~Make & Model DI F l' AIR CONDITIONER' UNITS CANNOT ENCROACH INTO SIDEYARD SETBACKS. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation. Special Devices Other Devices Model Size ,,___ I __.... VVIIII. Lvau Fuel Flue Size Supply Openings Return Openings Input. Output Edr. Cfm. TYPE OF WORK Alterations Replacement New Construction Repair Est. Comp. Date Building Permit # (7) () 7/6~ if~ Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 Receipt # TYPE OF STRUCTURE 1. Pink File 2. Green City 3. Yellow Contractor Single Family Commercial )C Multi-Family Other Two-Family Industrial Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted \A/ith building. cermit number before build= ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL Phone: (952) 447-9850 Fax: (952) 447-4245 I hereby apply for a mechanical systems permit and I acknowledge that the . information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. b~ Ap ,-s'-ou -] /;7~ "I DaJe PRIOR LAKE INSPECTION RECORD Ro\o\V\. R~_ DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /4 :s ~ 8 NATURE OF WORK ~ USE OF BUILDING ~F\) PEAMIT NO. 00 - -O~ DATE ISSUED 4-;1'1- 2~o CONTRACTOR -I~M 110\M~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , ""I vJ/~ / t?:h FOUNDATION (Prior to Backfill) IJ/~ ~ 6// lop PLACE NO CONCRETE liNTI L ABOVE HAS BEE'N'SIGNED ROUGH/} INS SEWER I WATER I SEPTIC (~ E-rkillJ.'Pr , . FRAMING (./ '. r J 'I') ..., I~ Lht> INSULATION ~oI"'~' ?fJ1/00 .J a Lt..- 7 it- L. ELECTRICAL '1'- v G I ~ ~ PLUMBING (l ~ /~ <jr1otJ /1. f ( ~," . HEATING (if required) 'i-A 1 bV&flJ' In. W " ~3 ((() vJ/& ffht 1/l/tIJ FIREPLACE ~' 'l'} 1 11 ilIt7 ~ GAS LINE AIR TEST ;'"1#//1; ~. ~f' g 7'. 7 -(f7) j COVER NO WORK UNTIL A~VE HAS BEEN SIGNED - INSPECTOR gATE FOOTING . G/~/dV GRADING (Prior to Sodding) BUILDING1'.t,t)~~ l!dJ.!~ <<J f/zi" , ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE FINALS 111 C( fb q/~/ Itr() q/!1~' I ~rt> (,h <O/~J ~r ') '(12;/~ BEEN ISlbNED 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 9hall'-be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 <<trtiJratt nf ~)rrupanry CITY O~' PRIOR LAKE J)tpartmtnt of .uilbing 3JnSptction ~ina1 Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code cenifying that at the time o/issuance this structure was in compliance with the various ordinances o/the City of Prior Lake regulating building constructiOTI or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No, 00-0284 Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District . Rl Legal Description L1, B5, KNOB HILL 2ND ADDN. Owner of Building Site Address 14378 ROBIN ROAD NE Contractor'sName&AddressTOM HOLME/) 447 THEIS DR., SHAKOPEE, MN 55379 ROBERT D. HUTCHINS A5f),_ · JENNI TOVAR f/ .I . City Planner - Date: - iT T 1<< ---1f4 ..~ '-_ -. __.. 'j .. ~ . ,-.-lIt! loW. ....... _" ,._'. ~.-. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDtJLED ~ q. Zr. (/V I'. I ~ DATE TIME ADDRESS /43 /~8 /efJt3/N IU7 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATERHOOKUP o INSULATION 0 SEWER HOOKUP ~ FINAL 0 PLUMBING FINAL /'0 SITE INSPECTION 0 MECH FINAL SOL/ / /16V~ COMMENTS: ~ () . 264- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ '" '-r7 ~WORK SATISFACTORY, PROCEED I 0 CORRECT ACTION AND PROCEED o CORRECTa. KA ALL FOR REINSPECTION BEFORE COVERING Inspector: ry' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS \A3>1b Rob~ 1<d OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION.. ( k 0 SEWER HOOKUP ~INAL f\J'-' A 0 PLUMBING FINAL ~ 0 SITE INSPECTION~ECH FINAL r;;~ TIME /0 : So I tJ/Z8Y / o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~OMMENTS: /'. n ~ {.0 ~'!Vl ~ fOCD5 ~2>Y\ r~,.Q C h~ ) Pt\~ ~ +-{V~J rJ tk,Q Q - FtncJ} ~ (~~ _ S& C-:. &. ~~S' fe.r- ~2.~ \-4J~c. O~~ ~. \(' ~ ~ .-:-- -... -- --- ~ b Lor ~~ ) ~ ~ ~ --=:::. C.O - ~ Inspector: Owne rICo ntr: CALL INSNOTI :s' ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /1 J7? OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o ~ULATION VFINAL o SITE INSPECTION DATE SCHEDULED ~~j~ !r,hl/1 ,k#~/ AlE 7;fl1 /him ~ PERMIT NO. --1JJ - p( '9 - ~RAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o TIME CONTR. [] PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [J PLUMBING FINAL [] MECH FINAL COMMENTS: -.All ? di CIt~M Ilj 1'_ /, a ~ ba/1 e krvr e/ f,U!J I / / ~...-) ~I / ./ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:/~~ CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS L\~'1~ OWNER PHONE NO. DATE TIME SCHEDULED 3j eAJ ,00 .,:).' oQ \2-ob ~ t'!')(\ oj CONTR. PERMIT NO. 00 - 0~. ~ 4 o FOOTING 0 PLUMBING RI o FOUNDATION 10 MECH RI o FRAMING 10 WATER HOOKUP o INSULATION /f/J:0 EWERHOOKUP o FINAL PLUMBING FINAL o SITE INSPECTION I MECH FINAL CO~j~; v o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o /'\ I) (ffi~~ ~ .t'\ \l' ~ (V1nr-Q fc~ Owner/Contr: R THE NEXT INSPECTION 24 HOURS IN ADVANCE. ENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTI OHE TIME CITY OF PRIOR LAKE '-~JAf '2..:~ INSPECTION NOTICE SCHEDULED ,. ADDRESS \4318 ~" TJa.... Rc -:::;> v 1-.. eo OWNER CONTR. PHONE NO. PERMIT NO. G - UL/ o FOOTING IJ PLUMBING RI o EX/GRAD/FilLING o FOUNDATION ~CHRI o COMPLAINT o FRAMING TER HOOKUP o FIREPLACE RI o INSULATION SEWER HOOKUP o FIREPLACE FINAL o FINAL IJ PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION [J MECH FINAL 0 COMMEN1S: 1. - 30' ~~_ ~ PVG \., T\J~___ \L ~~ - JJ ( w~ SS. I ~ W/~ -hv k~ -0 ~ '\) ~ (0~ 'lwi t~~ (;; ~~ of McYlc ~I? (3) ('t{W' &!rut (1)WlZAf A;J'; ~ /' / o ~RKSAT ~.~~RECT j \ fJ\~cJ) .... k~ 1,) ~~ ~{ ^-U ~U REINSPECTION BEFORE COVERING o CORRECT Owner/Contr: R THE NEXT INSPECTION 24 HOURS IN ADVANCE. TS ARB FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI