HomeMy WebLinkAboutBuilding Permit #00-0294
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ SEATS
1~ PROJECT COSTNALUE
/ t.-jS I ()O
9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DA~i.
Depth Yes eJ-.-.---- mft L/ I-S: 2LOO
~_.. ___. I I
on thO lication which is to the best of my knowledge true and correct. I also certify {rli!T"'Him the owner or authorized agent for
tion wil conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
use. F.u ermore, I hereby agree that the city official or ~esignee may enter upon the property to perfo!:"l }leed.ed inspections.
~2Z Z _ '7-/0-00
License No. Date
DATE RECEIVED
.,8.
. 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 J /
.~t:) L/' Z
- ,
3. LEGAL DESCRIPTION
/71 giN )rJ ~ JI CIA. )
./ PID
a.::z::QG E-
LOT
ADDITION
I
BLOCK
r?./J4J / N ~I
4. OWNER (Name) (AddreS~~ /:.
/l?4-'7'"/~/. ((};:;L&A/ ~~ V
5. ARCHITECT (Name) /?'? (Address) I
;:::;;;~) // /4//1 ~
6. BUILDER (Name) (Address)
e~e- d/Jl~
Fireplace 0 Septic 0 Deck 0
Alterations 0 Addition LJ Finish Attic LJ
a,1UJ
7. TYPE OF WORK
New constructiO;'~
Chimney 0 Mis! ~
8. PROPERTY AREA OR ACRES
Sq. Ft.
/"
1. DATE
+/0-00
c:!; / .
~,5- 33S-0Jb-o
5~
~~7t./1/
~~t@
(Tel. No.)
~-(;;/aJ
Re-roofing 0 Porch 0
Re-siding LJ Finish Basement LJ
SETBACKS: Required _
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
Side
USE OF BUILDING
~~t:'
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION --Lc.f~ f(;a.t:!JIP
,
Water Tap ................................... $
Builder's Deposit ............................ $~ . DC
Other ..... ......................... ........... $ -
Pakl t~~ D~Y7....:Li~.....~:~;~o$ i. 7~% ~
Date ~ , Y / (/l) By (_ ,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance' and may proceed s r
siQnlllI'I!Y'" ~. P nnet co_ a _IBIY Cernlicale of Zoning compliance and aRows ~ comT' ~ OCCl4!'lflCY. a Ceo1ificate f
/,]..-. --1A ,:5'~--~ Y6' . CA. ~~-
Planner Date' SpeCial Conditions if any
TYPE OFCONSTRUcnoN: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
R S U
Plan Check Fee ............................. $
'1'2/ .2S-
n~.)1
')c.t.oo
'J '52 "1 (
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
IDO.OO
, DO .00
:1$"', tJ rJ
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Th'
By
i1ding Permit When Approved.
Date tj...?. f#'7~a
Issued
Amount Brought Forward .. .. .. .. ... . .. .... $
Park Support Fee ........................... $
SAC .. . .. .. . . .. . . . . .. . . . . . . . . . . .. . . . . . . . . .... $
Collective Street Fee . .. .. .. .. . .. . .. .. .. .... $
Sewer Tap ................................... $
Pressure Reducer .... ~...... .......... :
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
City:
CaP)-;
6 11 00
24 hour notice for all inspections 447-9850
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. -'.J()-O z..~
BUILDING INFORMATION
11. SIZE OF ~TRUCTURE
(Height) I '1 (Width) b') ,. (Depth) :5 0'
12. NO. OF STORIES 7
13..2):PE OF CONSTRUCT;t>.Pi <
.-S. /~. / C- '//J/fl, /'-/
14. FLOoFlAREA APPORTIONMENT utE
ZOLlO
15. NUMBER OF OCCUPA~T~R SEATS
OCCUPANTS ~
MATERIAL FILED WITH APPLICA nON
SOIL TESTS
o ENERGY DATA
o
PILING LOGS LJ PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
LJ COPIES
LJ
850.00
I; I 00 . ~
'i!J.o t?
I 2S-;~ 0
,( ~ rf\ . C!)S'
'1(J(J · oL
{J1} .od1~
The eenle. of Ihe L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLICANT Me.:\yt, G\ ()_~~\ c... \+()l1\e.S
APPLICATION RECEIVED Am \ \~) 0.00 0
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SSL ~ l\~;.~ I~ VieW (/-
^'
Accepted
Accepted With Corrections
Denied ~/l~ (J
Reviewed By: (~Vt, /' /~ Date: q"'ZC,.2(!)O(!)
,. /'
Comments:
(.~~ a&c.Y. ~~
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
(JO- z9i
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Me.:tY1) L.I\ ('l_~'<~ \ c...
I-\p\\
\ \ () 1l,E:S
\~) (~(JO 0
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S5~~ :n~QClGVJ __ V i e.vv ( __-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: WAc..T~ E,..,ftE,5M",J~
Date: q/z'l/ ()O
-, .
Comments: Cc,lJsrltCJC.r1cW IJf..J.Ilc~e.s 1111/5'''' &1JTVl. -rillS (.. or CIII\Jt.'" F'II..,...
1'1f:M),..vu,E.w C...Jtt...T.
Su [gpOA""t4TiON etJ "l1t.t REvElt...sE" 's1{J€..
,..:1
..~'M~i'
.~~~ . ..
;)
\,
SE..f 4rnc1c.4MEtJr$: /. n~A~ a~AJSPELTi~M ~"'lI&MJ /z.. (ri/tAQ(Alc. A..~
3. tR.~' C.~AOt... JA.1~ASlJ~&.S l/.. En..()sl(j~f.- RA-tU
liThe issuance or granting of a permit lOr 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
(jl) -o~4
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~I\ e .\-TO ( / \ (I '-,S \ c.. \-t,"' if'. ~ So.
APPLICATION RECEIVED /:\ ,.-, " \ .\ -z., r':'.'^ L)\
\fr-j, \ ,-}) '..l.i
'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is. proposed at:
. .- ~~:..I-l (~ ;,' ~V~t'f~tAt \J \ \j\)
/1
\. ..I I
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ~
Date:
~ 1- ,&?L)
\.....
Comments:
.i./{ oJ- ~ ~uJ. ~QJ~A~ ~
~ fw-t'~ V"{.e/tev ~ V d~ T.-
'- --",
~~ O'Y~ ~n M f?-~
~(~1 {~'IAL .j - '\hv'v ~,19. cJ G Cw-01
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."
..
'"
.Permit#
.Job Addre~ 1J l'1ead()uJ ~l. 'ec-.1.LT
.Heating Contractor METRO AIR
lOr esters/Signature --! j /"
Date
Poumfs
Pressure
Time
.Gas Une
Pressurized
Inspected
PERFORMANCE TEST ~
"Percent CO2 ~ "PercentCO ute)
"Percent O2 ~ "Stack Temp. ~r(J
Final Inspection
Date
!
"
~
*~ CITY QF PRIOR LAKE
ff. \ 7i '6200 &9\e Creek Av. S.E. Permit Nn.~ .... 0:\ q l\
Prior Lake, UN 55372 -. _. X
'" V HEATING APPLICATION I PERMIT SlfIgle ..amlly
". - .., , """"" ~ '2..' 0 \ I (- Commercial
~ote ~ ~ l" ~ . PIC # ~S - ...l.~<:::: - I~- 1
~iIa Address lS\.fJ. r\ .... ." ~ U"W \J , ~ '"" t. \- . . Fee Sdled1ie
~.lll ! Block.@ - Adal.ion (' ~. \ f'q,1 ~ ~ ~ Ind~riaI. Comm~ & Mulli-Family
o)wner-s Nams \~-\.-(') <.. \t,j ~ , l.. Resldenial. Heating & AC
z ~ t: ' Residential, Heating Only
Address ~ ";1. ~ ~ W , '-\, --- 5\. S C\\J ~ '" -t . ~esidenia1. GIS Fireplacs
H . Co . \"\ '- \ \ ~- {\ \ \ ~"" l I Residen,;. Additions ,. Alterations
ozli~ lIIlacIllI . " \ ~ ~. \ " nesiden1ial, N:. Onl,
Address \ \n ~ i, ~ ~ L \ t Or.v. ~ Y \ V.-: If' \. 4 .It,
TelephoniC ~\.\,- ~ \~~
Fumaca Make l Mod.1 4'1\ 11"\ ~
MDdel SiD ~ ~ \\b ?/\J ... \ ~~
Conn. load, 5 Sse :.:,
Full N ~" RUB Size ~ II
The price d )'OUr heating permit includes one rougtt-in ancI one fNI inspedian.
Addifionallns;tectiorD will be biDed at $35.00 eac:n.
House Haating Test Recon:J must be submttted w1Il ~ I2I!I!lil ~ belore buDo.
ing ::er1liicate of occ:upanq will be issued.
!::e!.t. CALCULIo.TlONS REOUIREO with numbet 0( IUppty WId ran. Dpenings listed per
room VIith CFM's.per opening. New sDudures or addIIions send fIoo, pLan wfttrsupply
and nrbtm tOCdofts Ibown. HEAT LOSS CAU:\J1.ATJONS. PAYMENT ANt>
APPUCRlONS MAY BE MAI1.ED 10 THE CfTY OF PRIOR LAKE. 16200 9(.:1 C
CnEEK AVE. S.~ PfUOR LAKE. MN 55372..
CRy HaJJ ~ess boutS Ala 8 Lift. . 4:30 p.nl.
AU.WORK MUST BE1NSPE\..lcU (ADUGH-IN AND FWAL). CALL ern HALl.
447-aao
\.. J 1 hereby apply fgr. machan\caI systems pem.tt and 1 eclcnowladSJ_ tall the
E Ale .. ns Rep!acarneal New CcmstTuctiDn ~. . ,informdon above is compl. and accurate; that lite work wD" In conlormance .
a:, .- ., _ . . willi 1II,.ordinances ud Cl!des 01... city _ willi 11Io .. bulldi!l~
l}I, l'I8paIr.- . Es:l COmp. DD . " CDcler, 1ba11hla farm does no! beoDmu P8lI!IIt unlihriilled by III, BUII.DING
en ' "" ;p. "'^" . OFFICIAl.; t!Ialu. WDIk wDI be in acconlBnae lIiilh 1II'1IfIP-d pllll ill 1M
Est. ~, ~ ~ /" _ Buiding P8IlIIil. ...DY. - D ~ ~ "" - at all W;Drk wI!~ I8qIlIra rwview and appllMll 01 pIeu.. ' ,
~ ';.:e,.~Grc:nMITr-=1 .. ~ PAID WITH . '. N'\~'~;: . , - .... S1\..: ~. ":
18 :.... .. .", ' ............-: BUILDING PERM 11 ---.I '\ ~ AppIIcInl'a . . " '.
~ STATE SURCHARGE $ ~.50 ." '. ( , .. ; '. . . d _ -l ..~ ~ . : : ~ ,:' . 'r:~' :
m'. , _ .' ,.' . \ ,(~ .._,
~,~ ;~~..~ . . R_"" . . -, - - Butina OII'AI'I~J: A'/" DID
- " . .' ....' , . , . -; '. . . . .. . . :. "
· "", , . '. .;..,~ .".' ,. .. .,... :',~"-" ;. ::,..;,;.,:- - ,; ': '.: ..-,., -.:. :. :,.... .: , -". ..:..... :.~. -'.' .. '.. .- 'L.' :.. :". ..:. ~ . - -.. ......, . _ ~:, '::'., .". "'-.:- . :;i. .
t- '-_~E#'_ .J". . - & . ...;so..... ~....~...., '\; ~..~""Y...1~~. .... .... .~. "'_' . _ ~.~. ... ~ . ~06. _~_ T' L,.)IjJ~:o........ .~. l';'" '~_.I~...",". . ~., '#. _.~., _:...~:"_~.. .~
-.,'";t: .."" '.. ...~- .' ~~ ..~....... .~ -t:o;;.,. ... i.'I........, ....~ . --. ~ 'wo:;"$"~_ . ...,,, :o'!___....,. ""-;-~e..' .' ~~:"'. . ~~_ "'..--:
~?-:"~ ~"'-. . . :...::.~ .....~ .-.._~~~-;.~~~.i~~~ ,?~'~~!..",.;~,,'::-~"'Zi~~:;... .:..: ...,)~'. '::~~''''j'''!'~~~--~~~:'.L~~ ~',r-:. ~U~.~1::fl:.~. ,~~., ':~~",,' ~;:.
..~ .::..:...: . . - ." -~. ...... '.' .... ..~~ - .,- ... ~,... ....-l"... :.... ~..~~ ...... 1Ii_ _ ' . __
Supply Open:,I"r \3
Rewm O;Jenin;s \0
~ lnptlt ,~, t\ nO Outpul~ "bQ ~~
H '
<I Edt.
o
~ elm. \\~~
E
TYPE OF ::) t HU", I \JRE
1. Iiak . FlIt
1. Gnat - eu;,
!. Yd. . CaDa=r
. 1w~Famity
~ Muli.Farnil~ _...
, lndL'Strial
? ublic
Other
1% of job~~--4U~_. _~,
. .' ; \ ) . ~ i r . . L_. ' 17 ~-' _'"
1::99 SO "I,! Lr.:,-.~ ~.--. !. 5..,
.... ., I ~-- /. ~ ~
5-&4.50
$39.50
~.50
S39.SO
.al.
rtemember to add the &1m Surcharge ~ the b*m of !tis appIcIIion.
TYPE OF S\ ~ I c.IIl
Warm Air PMts -.)l
Gravity
Mechanical
Air Conditi:tnil\g --3 -\0 \Ilt'-
Vent. System
HEATlNG OR POWER PLANT
Staam
Hot WlI!er
RadimiDn
Special Devices
CIhlar Oevi::as
TYPE OF WORK
~~--._-- - - ~~
~~~~ ell v QF PRIOR LAKE
o ~. 16200 Eagle Creek Av. S..E. Pint! No. 00.. 0 z...94--
P riar Lake, MN !b.a, 2
~ HEAilNG APPUCATION / PERMIT
~ Dall \o~~I- tSC). PIO,2."')-.33S-C/G,-O
? ~'v\ ~ ~\(:)\,V \)~ '-'v (,\:'..
..-' ...-
TYPE OF STRU\" I \JRE
1. IWr . ..
2. Cina .. a,
1 'YdDW . c.n:-
Remember to add h &ala Surcharg. on the bcdtom or lis application.
The "rice af ~ healing permit includes one mugh-in and one tnaI inspection.
AddiIionaIlnspeclons WJ1 be bled at $35.00 eadL
House Hitting Test RecoiU must be lU:mdlted will &UIdiDa ~ mmtbII before build-
ing certiicate of ~ wi be issuld.
H:Ar CAto.n '-TlONS ILCOUIREO witt number of supply and ....... openings listeci p!r
roam wiIh CFM'I per apening.. New structura or additions send Iklor plan wItr supply
and reun kations shown. HEAT LOSS CALCUtATlON~ PAYMENT AND
APPUOO1ONS MAY BE MAIlED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Cn=:r{ AVE. SaE. PRJOR lAKE. MN SS372.
aty Hd ~......; hOUG are 8 un. . 4:30 p.m.
AU. WORK MUST BE INSPE\-l~ (ROUGH-IN AND FINAL) - CAU. CrTY HALL
447-tZJO
Singl. FarnD)r X
Commen:ial
_ Two-FamRy
Industrial
Site Addr.
v
ffi Lot I Bbck z.. Addition ~/"'A(.., ~04e:, ~
2 Own.f5 Name ~-\ --Il (\,,; ~ ; t..
Addl8SS ,,~~~ W ,'-\\ ~ 5\-. S~" ~~~
.~, f\ ·
Heming ComradDr \ t \ ~ t'\,: ':' ...,' \ ~ \.....
Addr_ \ ~ ~ i () . '-l ~ \ t()N. "\ ~ l VI"; V" \.14 k{,
1'll.phone f '-\ ~ t - ~ \ :l"'\
FumBCI.Maka & Mod.J Lt n", U)G
Model Shl '\ 0 ~ ~ -Yl.\ , Q ()
Conn.LDad S, ~ ~ ~
<s "
Fuel ~ ~ \-0 Rul Slz,
Fee Schedule
Industri~ c...'".u,rln:ill . Mufti-Family _
Residential. Heating & N;
Residential, Heating Onlv
Residen6aJ. Gas Fnplaee
Residential. Additions &. AJteratians
ResiciBnlial. AC Onty
Suppty Openings \~
Retum Openings '6
~ Input I (X). :)(l() Ouqxd ~ ~ u CO
.....
a:
0 :dr. .
~ ) 51 S-'
~ Cfm..
IW
E:
TYPE OF SY~ II:If
Wmm Air Plants , .)(
GraviIr
Mechanical
M Conditioning ..3 ....lJh
Vent. Systam .
HEATING OR POWER PLAHT
Staam
Hat Wate, '.
Raalation
Special Devices
OthIr O.vi::as
lYPE OF WORK
_ MlJti. FarrtU~ _..
. Pubic
Other
.1 % of job cost ($39.$0 m1rimum.)
S99.50
S64..so
S39.50
~9.50
539.50
~lJ/_
,,1./
'--,
. \.1 I hereby apply lor a m.chanical SY8!8mc permll ami! acIcnvwI.. lhallh8
tt AhraliDns RoopIac.mIlll N8w Constlllclon ~. . .lnlormalion above ;, -.pIlle and _e; ilia! .... work will.... In conlormlftCl .
ii! . . .. . . . wbh .... ordIn~ and codn 01 Ill. ciIy and wIIh !be II!," bIIi1d1n~ecbaniC;ll
co . RlIpIIir. . S;" Comp. DaII . .' · . coder, thallhis Icrm does IlO\ ~ma a JItIn;niI unlll ~ by the BUILDING
~-., I. Q O.J a ttl Z A OFFIClAl.; that the .WOrk will be In accordance with the approved plan in the
IS) ~ ~ $ \.Ia~~./ Bvielng PIIInIl. ~ - 9, case of an ~ork ~_ requires rllYillwand IppfllVlll 01 p11hL. . .
~ o.~~G~"I:d '. I' V4\"ffl. 'Jt\ ~~ . . .'. ~-~.Yl- ?J:j~-. .
~ .....~~~SImCHARGE $ .5~...iSPEfIMT '... ~. ,':~:. .: i.'L ~{ :.J:....
::J :: '"':"A1.PERMrrr=S $ R~r--- . ., .: . ~ 7l till. .-
.., ~~.;-- '':'. .. B II 0lIicaI'a ...... D'at8 . .
-~~'!f,.",;~~.. '..~~..,. .... . .:..~;,"..~ .' ..:.,:,.:-": 0'. ~ .:.... ~ .".; __' ......:. .:. ..... :'::.. .:"0 ::...... .:. ". :.. .:";";._. .'.
~~$~,"~ .: .-': ,....':;:i':\~~~.r~~f~-i:~g~...~, (&1 :'C.<:.:.; -':;{Z~fi:'''~~);'-~~~~'~4'''~: ;J.i..~~..t:.:ii~;:.:.::-~;{,;lI".i?~'t~
.~..',~-- ~"'.. ....... . ~.....,-~.~ ,..........: ... .......~~-:-.,.;....'.~ ..:o~...;.. '~--.:~,,=...:_~ ......~..._ . __'0 h_
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. ()o- O~qtf
Applicant: f'IIa#h~uJ ~ni~J~. Int1_. Phone:~S;') ..Jc:L3 - ~'7.3o
Address: .lffZ30 (JorroLlSel >V~ I .~~. MN Ss-al:Jf
Signature: lLA r J. '-f)/.~ . .
Legal De~cription. Lot 'oJ j- 810ckO ~ SUb~gdd:J
Site Address: Ss-J/-J- "-fy~ A A .J)) /lJ..i...U2J ~), -r-.
Building Permit #I ()tJ -' 0 Q Of tf PIO # Q S - 33S- 0 )b-(l
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1. Blue
2. Gold
3. Ycnow
File
C1cy
Appl1c::mt
11M CIII.... 0' I'" Lak. Country
Quantity Type of Fixture Quantity
I Bath Tub with or without shower ~
I Dishwasher I
I Floo r 0 rain I
d Lavatory (bathroom sink) I
~ Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
Bar Sink
...3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8ackflow Assembly (APZ, Double Check, P'I::
Back1low Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 ~'c, of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ --=t9.50
$
$ .50
GRAND TOTAL
$ /tJ6./KL~~.
-1 VI- '\ CA "J ~J2s pennit is granled u~n the express condition that said
O~fr 1;) v contractor, shall comply in all respects WI. .th the ordinances
~:; ~U of the jtate Plumbing Code and the amC\ldme ts thereof.
r O. ~ L DATE
( ~/VJ. J I ." 1 1 cST
~l/or all inspe'cJns 24 hours in advance.
'6200 Eagle Creek Av. S.E.. ~.!Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunicy Employer
APR j 7 2000
~J
'j
1.
SLOG. i PERMIT j OV.. 0 z,t:"f it/-
;: 'DkJ.1.~) e,r PIC#~.~-33S- O/(,-()
I
F'I LL IN THE BLANKS I i
Estimated length of water service '1'1 f.,et_
size of water service I inch (es) . I
~lTY Of' 'PUOR au
SEWER AND WATER PERl"
NOTE: $ewer ana Water
c-ontractcrs JOust
he reg1sterQd
w~tb J,e Jill.
PHONEII t (j ~Jt
1-
]~J:' 7rf ~~n
....
~W.No. fJl) .10 VI ~
APPLICANT: J'~ c1u.
, '4 -;)
i \\""]" 1/ I ,\.
~. - _~(l~~ .-U..
SIGNATURE:$. .
SITE ADDRESS: 5~,
I
,J
2.
3 .
Location ot any couplings from structure
Type of sewer pipe. ASS PVC r/ Cast I1'on
v'f
'C)
feet.
4 .
6.
Clean out
structure.
(if
required) ,
located
at.
teet.
- '~II
feet
from
5.
Estimated length of sewer line
________~_~==~_____~~~~==~=-----~===-----~==-----~l=~-_~~~=~~---~=-
This;'~licati b comes v~rmit when a~~~f
BY (/ /o.;aAo.:, c;, · 4 L--) DATE:' . if?)
~::~e~~:$=~-:5_.:5-00e_-==~:::::-:::=:::::-::::-::::::::::=::::::~=--
ry Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually ;.5 $~?"'" plus
$ .50 surcharge.
Sewer and wa~er permits issued for new const~lction must be
recorded on the building permit card at the tl...me of issuance
l~s~~~~re that no duplicate \\~ew.r and Wl!llrr per/mits are
DATE PAID /. ""~~~~~~OUNT PAID i
RECEIPT # / ~\)\\J) REC'O BY /
/ l/
f
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota ,55372 J Ph. (612) 447-4:~30 J FAX (612) 447-4245
An Equal Opportunity Bmployer I
I
*
,j
t/t . d
8t~'ON
~ES:t 0002.tt'.nr
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SSLl<. HeaJ.oc,.J\Jt'~ C f-
NATURE OF WORK ~ Ne~
USE OF BUILDING ,+1)
PERMIT NO. O{J -();;).Cf'!. DATE ISSUED l( - 2 U
,
CONTRACTOR v'-\.e~Na (~.'C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 'NSPE1N &;\"'l.~
FOUNDATION {Prior to Backfill}
- PLACE NO CONCRETE UNTIL ABOVE ~AS BEEN SIGNED
ROUGH ,-JNS
SEWER/WATER/SEPTIC W ~h~o
FRAMING 1/ I tv
INSULATION Jftr
ELECTRICAL
PLUMBING f1, 6/3~
HEATING (if required) rT rtJrJ I '7/~! ~
FIREPLACE ·
GAS LINE AIR TEST fn- I p~ '1/f,7~
tit. v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r~
v
I 10,vq
1 /lll~
/ i
GRADING {Prior to Sodding}
BUILDING "t,t), -rcJ1 "Jfjof(J\ ~, 3 '11 H
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
J-~
/()-~'I-{)O
/)
t-. f'/I5"/~ .
UNTIL ABOVE HAS BEE~~NED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections 1la.ve b.een 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
,F
~trti:irau n~- (Occupancy
CITY O~' PRIOR LAKE
jDtpartmtnt of .uilbing 3Jnsptttion
~ Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requireTTU.~nts 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 Lake regulating building construction or use. For the following:
Use Classification.
SINGLE FAMILY
. Bldg. P_oo.Jt No. 00-0294
Legal Description.
R3 Type Construction _ VB Fire Zone NI A
Ll, B2, CARDINAL RIDGE 5TH ADDN.
'Zoning District
PUD
Occupancy Type
Owner of Building
Site Address ~542 MEADO"" LEW COURT
Contractor's Name & Address l'a.J.l\.O CLASSIC, 9202 141ST STREET, SAVAGE, KN
ROBERT D. no J. CJlINS,., t:;' -/ _ City Planner
Building 9., ffir~ . (
....' / / (.. C; 0 Date:
IpOST IN A CONSPICUOUS PLACE
55378
JENNI TOVAR
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/~~ ~()
"""
A. r:
ADDRESS
65 ~~ tv1~t)t..U I)/~ C'f-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)-d-9~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
f2[ 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: ~ J... c;,
~ ;, Nt-rdD C,Jb
~~
t.~
<:.,,/"'
O.K,~
6)t~
~.
'I
o WORK SA TISF,A~TORY, PROCEED
~CORRECT AC TIVN AND PROCEED
o CORRECT we )Rk, CAll FOR REINSPECTION BEFORE COVERING
Inspector. {!, \~. Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~.oo 3.'30
ADDRESS
5542 /'1e:rtz;)dW V / 6V\I C{
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - 0 z-'f-!!/-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
V"FINAL tH!/'
/0' SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
TIP
1;~1J/()~
. I ../
11.11_, ,,1_1111
~~~
o WORK SATISFACTORY, PROCEEID
o CORRECT ACTION AND PROCEED
r CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
.INSPECTION NOTICE SCHEDULED !fJ-Z~7lJ
ADDRESS 5~4 Z /J'lPL,rdacJ Y#pJtJ C-t:-
OWNER CONTR. ~ &~c..JltJ//2?..f
PHONE NO. PERMIT NO. &0..... ~?4-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
A-EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
COMMENTS:
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect~ Owner/Contr:
CALL 447-9850 F~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER CONTR.
PHONE NO.
PERMIT NO. ("\() - ()c:;}q 4
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 ~~O EWER HOOKUP 0 FIREPLACE FINAL
o FINAL PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION . 0 MECH FINAL 0
COMMENTS:(-/) ~.,~ ~)
.. (V(~ -uy OL / ~ ~
o 'NORK SATISFACTORY, PROCEED
t:ORRECT ACTION AND PROCEED
:.:O:ECT WO~~L FOR REINS:::/::~~FORE COVERING
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI