HomeMy WebLinkAboutBuilding Permit 00-0505
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
-- .T;;'~~"~~~~~b/;'
JUN-Im
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
3..,j" 3
3. LEGAL DESCRIPTION
LOT / I BLOCK
G /v/Vwa1-tr
, .
ADDITION
6Iv/V/,JPt1pr T r4./ 1
~
.Uc(jN~
4. OWNER
, (Name)
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER (Name)
WflN.11n (,f~#
;.Jo", p!'
7. TYPE OFWORK Fireplace LJ
New constructiOrV' Alterations LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(AdJ"ess)
/ S '/5 '/42."'"- [) r
f~ qliH 111~
St!1fic LJ Deck LJ
Addition'b Finish Attic LJ
9. PROPERTY DIMENSIONS
Width Depth
/\/w
~"""'...'......,.,...
:'rrlliL~
n,.. '. .
1. White
2. Pink
3. Yellow
File
City;...
Appliall('
.~,)'t:
;Jr'
----
Permit No.
00..
1. DATE
6-/-~ooo
1(25 D
~t;4}t
BUILDI~TION
'....'
11. SIZE OF ST
(Height) . . .......; (Depth)
12. NO. OF STORIES
PID J.s--31o> - 0'13- 0
a~t/
Side
USE OF BUILDING
~t-~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(,5"1- Y'eJ' - 'WOO
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
SEATS.
16. PROJECT COSTNALUE
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 . I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici can revoke this pe~for just use. F ermore, I hereby agree that the city official or a designee m~enter upon the property to perform.Jleeded inspections.
X (/;....;:.:- - / -J/ ~ J- ~ - / - (J 0
/ ~ ~~ ~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ................. ............ $
State Su rcharge ............................. $
Penalty....................................... $
L. "2 3:2. 2. c;;-
8-J:O · q c.
f19. ~Q..
(/
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
100.00
I~"
Sewer & Water Pennlt ...................... $ 35. '5()
Gas ~ . Pe k .~...... $ 'fD .t'Y)
This m r uilding Permit When Approved.
By Date ~"11-~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Side
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS a PERCOLATION TESTS LJ
PLANS & SPECS LJ
SURVEY a
PLOT PLAN LJ
SETS
COPIES
I G,"~ri,~
~,9Y= ,;f
~
" ttl,
Amount Brought Forward .. .. .. .. ... .. .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. . .. .. .. . .. . .... $
Sewer Tap ................................... $
::l't $
Pressure Reducer ..:7.a................... $
aso.o~'
I, I 00 .00
t1S.DC,
Meter Horn ................................... $
Water Meter ................................. $ t 2. 5". l) 0
Sewer & Water Connection Fee ........... $~OO .00
Water Tower Fee ........................... $ '1 DO. Of"'l
Water Tap ................................... $
Builder's Deposit ............................ $ - 0 -
Other......................................... $
Total Due ........~,................. $~. 4/ ~" Z L
Paid b \ 4/3, Receipt No. ? c;.., ~ 07
Issued ...;). ,
Date (~/ed '00 By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni~inance I.n~ may proceed as ested. This document when
Sig~)t PI~ner constitutes a temporary Certificate of Zoning compliance~nd allows struction to commence. Before occupa~....a ~ .. te of pancy must be issued.
~ ~-Vh~(4dI ..(,~\Hr ~ ~J
City Planner Date - - Special Conditions if any
24 hour notice for all inspections (952) 447-9850
The Center of the Lake Country
(JJ~O%
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \J.eT"\~f\ ~rY\e.S
APPLICATION RECEIVED June. \ ~\-, Q DO 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3.7)~ ~ Q, .IS\J.~ 1,-'r IlU I t\~\tJ
x.
Accep1e With Corrections
Denied rJ/.!?
Reviewed By: -r~ ~i.
Comments:
~cP cJ.Q a.f~ ~~
Accepted
Date:
(,-/'1 ~?a:>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. II
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00 .o5V~
The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'W..ef'\~'{'l\Q. K\O ~~e.s
APPLICATION RECEIVED JU0e \)t \ '~.OOO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,') 2) b3 Q, \j'\.~ oJ- (' \ rn.L" ~ l ~
Accepted
~
Accepted With Corrections
Date:
0~t3.ao
Iii.;"
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
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..... "f- .
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: Th~ ('~n'~r of 'h~. Lak~ Counlry "
White. . - Building
Canary- Engineering
Pink '. . Planning" .
BUILDING' PERMIT APPLIC~TlON DEPARTMENT' CHECKLIST .
'"
. .' .
. . .
NAME OF~PPLlCANT ... 'J.iT'\ ~f\\-\1)me...~ ..
APPLlCATIONRECEIVED3vr\e.\~t\~ DC 0
: ,.
. . The BUild,in9J Engin~ering, and Planning De'p~utmerits have reviewed th~..b.Uild.irig p~rmit.' .'
..... application fqr cqnstruction activity.which is proposed 'at: ' . .' . .
. . 33b~ ~\lj'lHa:kr' \ rw
.. ... Accepted .. . /
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,. . . .
Ac~epted With Correcti~ns
. '. .
" .
Denied. :.
Reviewed By:
.Gr 41\ t &rl flJIt
Date:
6//J/M'
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. ,
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. Comments: ". See' ': ;Jora.A-h~61'1
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. . . . . .' ~ .. . ....
~c: ..#o4~II"s: ./. .' F,it.tl '~"~'~l"~~~.~.co"/~il?~
. 3. 'fus./lJn :' ~"Ir,I'N(fffM';t'r' .If' ,erds>~~ .C:,.jI~./.I%t~.' .
. "
liThe issuance' or granting:' of' a permit'or approval of. plans', specifications. and
computationsshi:ill riot be construed to be a permit for, or an approval of,.'Cihy violation of....
. . any of the: provisions of. this. code or ofahy. other ,ordinance of the. jurisdiction. . Perrriits,
. . presuming to give authority to violate ,or: cancel the provisidn~qf this' code or other:
ordinances Of. the jurisdiction shall' not be valid." . , . . " .... "
..
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.....
JobAddress 3~6 3> ~/"i'W;,t-f~
Heating Contract~r ~ ~ Il ~
Name of Tester 1/- Cr, '
-LfJ- 'r~OO
7
1)
C6
I/~
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
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Healing Contr8Clor ,
.CITY OF PRIOR LAKE I (.;~.)
. 11200 EIII'a CrHk Av. S.E. Permit No. CJ7~ - osns- --
P,lor ~ke. UN 55372 -
lYPE OF STRUCTURE
L Ilak h_\ f\fc
1. Ore I CItJ
J. v..1.. J CoaInd<<
Conn. Load .
['--
~ Fuel ~.~FlueSlz8
I..D' -
~ Supply Openlngs, -L.. ""L-
~
~ Return OpenIngs r I f)
Z
5!: Input, IW. dUO Output ~u\ C)\)O
0:::
~ Edr.,
w
t!) elm.,
~
~ ~I "1 EAnNG APPUCATlON I PERMIT
(LDa18 , '1 17 .1\0 PID',Q.s--X~ - /'}LI3-D
I..D SR_ Addre". ?;lJ::Ao~ k-R ~ I A) m-f L-, -r (2..J__ . (
~ ~ /1 IlkIc:k 4 AddIIIon fb{,./ f'lAA 111 ,h. r- ;;;,.d A.4)1J AI
zown.feName. w~ V\bt ~'S:.
Addlesa , , ~ 6 PI C\ ~A Da.- Sre. Zoo 6A-GA N 5'"51 z.z..
c;~L--~
Add,ess , ILl"1'" 6 ~ ILr1fW xi.:r- ,/2..1_ (I r") ~~~ \..\.V'\ T
Telephone II , lD '0\ - L-\ 2. "0 - II Lf 4-
Furnace Make & Model lo .,^-'nO ~ TYPE OF SYSTEM
C ~ '2..\ Warm Air P~n'l '"
Model Size . "')2.10 \.')L J ll-\ N..J Gravity , '
Meehanlcat
Air ConditionIng \I. u."'Tt>~
Vent. System , ' -.
HEAliNG OR POWER PLANT
Steam ,
Hot Wa1er ,
Radtallon
Splelal Olv1cas .
Other Devices \fa l^\N\IU.i.- '2.0
-C. ~&..crP ~ · ,. .,~
nPE OF WORK
E
cI
~ A~eral1on, Replacement
(J"I
Repat, . _ Esl. Comp. DatI ,
~ Est. Coli S . Building Perm." --C';f) - ()~---,,~
~ HEAnNGPERMlTFEU /'?~ ..A
d ST~TESURCHARGE $ Ao -'. ~ ~
.., TOTAl PERMIT FEES J/ Receip.....- -
New Construction
'"
Single F8",i~
Comme,cTal
)(
1\Yo.Famlly
Indusir1al
Pub11c
Multl-Famlly ,
OIher
Fee Schedule .
1% 01 Job cQSt ($39.60 minimum)
'99.60
164.50
'39.50
139.60
'39.50
Industrial. CommerclallL Mufti-Family
Reefdentlal, Heating & AC
Resldentral. HNtSng Only.
Res(denUaI. Gas Arsplac8
Resldentral. Adrtittons & Allerallons
Residential. AC Onry
&"""t:"O{Q'\s
Remember to add Ihe Slale Surcharge on 'he bottom 0' this applk=a~lon.
JUL I 8 2000
-
TNt.prlce of YOUl healing permit tncludes one rough-fn and on8 tinal tnspecllon.
I
AddUlonallnspections wDI be billed at 135.00 each.
House Heatfng Tel' Record mu~ be submitted with .,~..U~'''g (V'nn1' ~mm'\f~r, before build.
Ing certible 0' occupancy wII be rssued.
~I=AT ~"I~"~ J'fln~l~ s:J1=(ll ,.qFn with I\Umbel 01 supply and 'eWtn openings listed per
room wtth CFM's per opening. New S1fuclures at adOdlons send "oor plan with supplv
end relum locations shown. HEAT LOSS CALCULATlONS~ PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE ClTY OF PAIOR LAKE, 16200 EAGLE
CREEK AVE- S.E. PRIOR LAKE, MN 65372.
City HaJl busk1ess houlS are 8 a.m. .. 4:30 p.rn.
AU WORK MUST BE INSPECTED (ROUGH..IN AND FINAL)... CALL CITY HALL
447-4230
I hereby applv 'or a mechantcat systems petmlt and I acknowledge 'hat the
I Informallon abov8 11 complete and accurate; that lhe wOlk wHI be In conformance
wUh the oldlnancea and codes of the ClnV and wl1h lhe slale buUdinglmechanlcal
codel; Ihat thla 'o1m does nol become 8 permit unlU stgned by the BUILDING
. .. OFfiCIAL,: that 'he work wlJl be In accordance with the approved plan In 'he
C8~ 0') n which l.quI'.... 'llVlew end ~PPIOV81 01 plans 07 h 7 /t;v
I A ~e uJll.. Datil
L/ln:.C: ~:~",4j,,~) 7kr-kn
o OUldng ~'ilSItii\alti'e . / 00'0'
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ 'Z - R...~
Address: 1l./7L./5 ' ~T~,-
. Signature: .-...._
Legal Description: Lo II Block A SUb ('~ r"
Site Address: ~~ ~u..)~ ~...A-J' ~ A-t)m.)
Building Permit # c::;r;::: ~~ u.s- PIC I~- ~bS... rvB-(L
NOTE: This permit Y{i11 not be processed without complete information.
FIXTURE UNITS
JUL. 18.2000 7:51RM
GENZ RYRN 6513226147
TIl<<' c:e...er ar Ille ~k. C....I"
Quantity
Type of FIXture
Quantity
,
\
Bath Tub with or without shower
Dishwasher
Roar Drain
\
4- Lavatory (bathroom sink)
, Laundry Tray <1 or 2 compartment sink)
~ Shower StaU
Sinks
B~r Sink
2:; . Water Closet (toilet)
1"'1:': SCHEDULE .
Industrial, Commercial & Multi-Family
(1 G/o of job cost, $39.50 minimum)
Residential, New One & TWJ) Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
PA\2GW~~tA\"
1\1\\.0\\'
NO. 586
P.2/6
1. BJa me
2.. GaId 0"
3. Ydtow AppIiQaI
# .1SD - ~OS-
Phone:~~1 .. '-12 B -II ~
712-1.-
Type ot FIXture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage EjQCtor
BacJcflow Assembly (RPZ. Double Check, PVB)
Backtlcw AssQmbly Test
Lawn Sprinkler
Other
.
I.
I
1-
$ / .50
I
· S
s
$
f-
"'\ "
. I
JUl I 7 2000
I.'V~ CITY OF PRIOR LAKE
~ ~I~ Me
@ . 16200 Eagle CreekAv. S.E. perm/l1i. - !5tk~
e Prior LIke, MN 55372
HEATING APPLICATION I P EAMIT
Dale ~/~ t)(; PIO' Q 5'- 2:>G,S-- OLt3- 0
SiCa Address 33~ Q,~Wa:J-I.A"-';~
Lot \ \ Block L.l Addil~ 1;1 ( ~ n ,~ d N1. AJ'}nN
o..n~.~ame--biu~. .~.
Address
Heating Conlrador ALLIED FIRESIDE dba FIRESIDE COR!ER
Address. 2700 N " FAIRV! EW t ROSEV ILLE t HN 5S 113
T B~ephanB' . 6 5 1,- 6 33 - 2. 5 6 1
FIREPLACE J J
IlfnID Make & Model -N!I:I.J- N (; L&>
Model Size ~CX>J~_
COM. load
Fuel 6t:r
Supply Openings
Return Openings
FlJe Sizl
lnpul.
Edr. .
,()UlpU'~ D;o
CIm.,
TYPE OF WORK
AI1eralions
Rlplace.llent
Repair
Est Comp. Dale
lYPE OF SYSTEM
Warm Air Plants
GraYi1y
Mechanical
Air Conditioning
Vent System
HEATING OR POWER PLANT
Steam
Hot Wale'
RaGl8lio "
Special Devk:es.
Other Devices
tJew CORSt ruction
~
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00 - CJSQS'
p~\O \H,1'H
eu\\D\tlG pERM\1
Recelpl , -
Est Cost $. .I J GO...l> BuHding Perm. ,
HEATING PERMIT FEE $ /
STATESURCHARGE $ /50
TOTAL PERMIT FEES $" /'
/'
en
(I)
::J
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TYPE OF STRUCTURE
J. ""k . flk
1. Gnrll . Oty
J. Yellow - CCllllnClDf;:
Single FU- Two-Femi1y
Commercial Industrial
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(I)
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MtJIU.FemIIy
Pubic Olher
Fee- Sched uSe
Induslrial, Commerdar 8. Multi.family
~B&ideA\ial, WeaUng I AC
. "..~ (139,50 miMwm)
~ fr::J B .
~.LS~Wrn, -I:
821. Iii
Residential, Beating Only
Residential. Gas Flrs:'.......e
Residential. Additions & Altefalions
Residenrial, AC Only ~....ar.. --..!:/
Rememb.. \0 add lhe Stale Surdtarge on.. boIlom oIlhis~ I m
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.....
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c.>
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Addilional inspections wil be biled at $35.00 each. CD
CD
House Heali1gTest Record musl be swmiUed with w.Jding UIIDiI ~'.~' belore buM< ~
ing certificate 01 ~",,~upa.ncy will be issued. .. .
The price of your healing permit fncludes one rough-in and one (lnal inspection.
HEAT CAlCULAT1ON~ ~FOlIIRFn with number of supply and return openings listed J
room with CFM's per opening. New structures or additions send loor ptan with supply
and return locations shawn. HEAT LOSS CAlCULAllONS. PAYMENT AND
APPUCATIONS MAY BE MAttED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. M~' 55372.
City Hall busfness hOUfS are B 8.m. . .4;30 p.rn.
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AU WORK MUST BE INS'ECTED (ROUGH-IN AND FINAL) - CALL em HALL
.....
.....
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I hereby apply for a mechanical systems permit and I Icknowledge Ihat 1he ~
in'olmalton above is complete and accurate; that the work wit, be in conformanc".
with the ordinances and codes of the cUy and with Ihe stale buHdlnglmechanlc
codes: Ihat (his form does not be~ome a permit until ,igned by the BUtlDIN
OFFICIAL; (hal the work wlU be In accordance with She approved plan In the
caSpf all work, which r8<luires review and approval 01 plans.
11"Ao~'~ .d~ -fA/Of.
, / ~ APPuca~"7. Sig ure (... ~ ,; Oat,
.LAfl'Mr./ ,',/~uln..~-.J ~/;;,//O{)
"0 BuWng r . Signaturl / .()ell
441-42.30
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CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. on - C:kSt)S'
Prior Lake, MN 55312
HEATING APPLICAnON I PERMIT
Dati ~~ 1 r(JU PD , ,Qs -6'=S" - C\L/ -3 - ()
Ski Adelle.. - .{ 1'(;,. l' Lv;;,"fAki A /.itJ
Lot t\Iodl. i~ A~ ~LA ~\..UHer ~
Owne(s Nam. Ii. )'.6lt!.~,... ~
Address
Heali~\A)nt'aclor ALLIED FIRESIDE dba PIRESIDE COINER
Address, 2700 N. FAIllVIEW, ROSBVILLE. MN 55113
TeJephC)ne I , 651- 633 - 2561
FtREPLACE riJ
PltmMP Make & Mod.t ,/'fI,; J JJ ~CiJ
Model Siz~ hooa ~
Com. load ,
FUBI GAn
Supply Openings
Return Openings
Input
Edr.
elm.,
Akera110n s
Repair.
Est Cosl $ -/I..t.Jo ()I)
HEA TJNG PERMIT FEE $
51 ATE SURCHARGE
TOTAL PERMIT FEES
Flue Sizl .
TYPE OF SYSTEM
Warm IUr Plants
GravUy
Mechanical
Air Condilloning
Vent Sytlern
, HEATING OR POWER PLANT
S1eam
Hal Wat.,
Radjalion
Spocia~ Devices
Output ;)1 n)
OIher Oevlcl.s
. TYPE OF WORK
AepJacem,nt
New Cons\rudioo
k?
EsL Comp. Dale
Buitding Permit" -0 C\ - ~
/ v.J\1\1 , .;
$ /50 ~~~ePEf\\W.
$...../ Receipt. . ~'- .
TYPE OF STRUCTURE
en
(I)
J. Ph" . Ale ~
I. (~ . 011
J. Yelfaw - c...nc.c ~
Slngle FaniJy .
"
1-1
:D
m
en
1-1
o
m
Two-Famly
Incfuslrlal
Murti-Famltf
Pubk OSher
Commercial
Fee Scheduht
Industrial~ Commerciaf & Mu"i-Family
Resjdenfta~ HsaUng & AC
Residential. Heating Only
Restdentiat, Gas Flteplaee
R esidentlat. Additions ~ Alterations
Res1dential, AC Only
II .. ~ 3D)
,';;
-
Remember 10 add the Stale Surcharge on the bottom of this application.
m
U1
.....
The price of your healing permillnclude$ one rough-in and OI1e 1lna1 inspeclkm.
m
~
~
Additional inspedtons wiI be billed at $35.00 each. (I)
(I)
House Healing Tesl Record must be s.ubmitled wilh ." ~,.~~ fWIl'"' tnl~r before bul ~
iog certificate of occupancy wi. be issued. .. .
HFAT CAI CUI ATJONS AF",flRs:::n wiCh number of atJppIy and return openngs Isteel t
room with CFMfa per opening. New .troclu,.. or additions .end Roor plan wtIh aUflPly
and return locations shown.. HEAT LOSS CALCULATIONS, Pl\YMENT ANO
APPUCAnONS MAY BEMAlLEDTOTHECITYOFPAlORlN<E.112OO EAGlE
CREEK AYE. S.E. PflIOR LAKE. MN 55372.
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City Hal business hounI are 8 lI.m." .4:30 p.m.
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ALL WORK MUST BE INS'ECTED (AOUG....n AND FINAL) · CALL CITY HALL
441~2S0
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.....
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I hereby apply for a mechanica1 systems permit and I acknowledge lha' the 3:
information above is complele and accurate; lhal the work wUl be in contofmMC
wilh Ihe ord~nances and codes 0' lhe cRy and wtth the state building/mechanic
codes; thal this rarm does not become a permit until signed by the BUILDfN4
OFFICIAL; that the work wUl be in accordance y,ith the approved plan .n 'he
ca~1 work whIch ,reqUireS review and approval of plans.
I"f,.J.. d"",,- ,ft.;j~
~' Applicartt'I~"'ture ~ " Daae
JDJ..r.... --t /'~I.i;;'. ~ ~/4ha
BuUdiilg Oft.... Sag -- , 'lOa..
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JUN.14.2000 9:14AM
GENZ RYAN 6513226147
NO. 254
P.3/3
_....
...... -~wt'
..... · ar,
CITY 01' PlUOR LAD'
~ I: t atI*J:.a AND WATER I: ~T
Ji . NOTE:
~._._-_.-.. ~--,/ i
. J
00-'0505
NO.
Sewer and water
'contrac~ors mus~
be registered
with the City.
APPLICANT: &r\~- g.~ PHONE: (dS1-U~-IIW.lj
ADDRESS: (Ui ~ ~Q~ '"i&~ 6::&~:""" ~aQ...
SIGNA'l't1RE:-.l , - BLDQ. PERMIT f 00 -osrt.:i
SITE ADDRESS: ~\~l"tf' )"2.L PID'~-,)bS--OLf3-o
FILL IN THE BLANXS
40'
1.
Estimated length of vater service
I 'c
Size gt water service inch(as).
I
J. -. Location of ~ny couplings from s1;ruct.ure
Type of sewer pipe. ASS ' -pve)(. Cast Iron .~
Es\:blated lenqt:h o~ sewer lin. iJD' ~eet.
Clean out (if required), iocated at
structure. ....
feet.
2.
feet..
'i)......
....,
~..:: .'
4.
5..
6.
feet
from
--
a.__
... """"Iit--
--"<,l.
.
This applicati
BY
) 'CI~S your permit when approved. .
, - J
~ ~...~: l.t~1/ .00
..
FEES:
$
$
$
35.00
.50
35.50
Sewer and ".-t.r line connection permit._
surcharqe
TOTAL
* Fee for either sewer or water .individually is $20.00 plus
$ ..50 surcharge.
* Sewer and vater permits issued for new construc~ion mu.~ be
recorded on the buildin9 permit card at. the 'time ot issuance
to insure that no dup11cate sewer and water permits are
issued. ~
DATE PAID .AMOUNT PAID
"":::J::"-
. -
I.....
REC!:IP'l' f
REC'D BY
, 4629 D.\.y~ St. 5.E., Prior ~ Mlnnesaa 55372' ~ Ph. (612) 447-4230 I Fax 1612l 441--
AN !QtW.. 0PPcfn'UN'1Y !MPID\'ER . .
\
//
PRIOR LAKE
...,
INSPECTION RECORD
DEPARTMENT OF -...
BUILDING AND INSPECTION
SITEADDRESS 3~ C(~,,~ ,~,
NATURE OF WORK tJe.w ·
USE OF BUILDING St:A
PERMIT NO. ()O-OSOS DATE ISSUED ~"l' - ",OOC)
CONTRACTOR LJ4t~4V\n "~ Pf\WS.... u51-- I/oG.- 4400
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEGTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING . b:t, _ ~/.;17/h
. . FOUNDATION (Prior to Backfill) 'f~", tk dMrl(Jf) Ia. "@;.. i~, ~ OC
PLACE NO CONCRETE U~E HAS BEEN SIGNED ~191
ROUGH - INS
SEWER I WATER I SEPTIC 6:r . Xl' ? 1~/8rtJ \ l
FRAMING L.t.. (h..,1fU. ~. Y 1""\ \8 ~
INSULATION c,.L- ". ~/$/1t ~. \ J4/z,,(/h \
ELECTRICAL V ) to
PLUMBING f..c.. IJIr., 1/5"'1,", I) H t1 I ~
HEATIN. G (if required) L-I... ~ r~/l6t' f\.. rn J j ~ .~
FIREPLACE' . c--' . 8-"l.,.~ r '7/ w
GAS LINE AIR TEST ~f..f. ~j \, ~ ilZ1/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
FINALS
GRADING (Prior to Sodding) ~ '5
BUILDING 'f,vD~ HIt,- ~. If4/17D ·
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
1 ~ -1/0 ,
fpy,
~
UNTIL ABOVE
NOTICE
/O/$/IM .
I~/;{/PI
,
HAS BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings .and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 ~nd 9:'00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
/;~.': ':(j'
'; ~ .'~;,' / .\,:.;~.~..I:' ;.:;
DATE TIME
CITY OF PRIOR LAKE _1 ^
INSPECTION NOTICE SCHEDULED J~ l"'fll'
ADDRESS 33,"~ ~L( n Wa.-kw-.
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA TIOH
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 EXIGRADIFILLlNG
r:l COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,
I
PWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,
Inspector. ~ - \ ~ Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INViOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/2 -- 7-~l I??
ADDRESS 33 ~3 61 Y" VA Iv r;./
OWNER CONTR. Wllt'''.ry
PHONE NO. PERMIT NO. J:>(J)-~ s-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;g.aNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
G,.,.I ~ - () t::.
(,j/fb "'&,c- g
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:4~ . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TillE
CITY OF PRIOR LAKE /tlJi/OD
INSPECTION NOTICE SCHEDULED L!~
ADDRESS 33~3 +~ Trz... I
OWNER CONTR.
"
PHONE NO. PERMIT NO. t) - 50S
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILUNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ 0 SEWER HOOKUP 0 FI~PLACE FINAL
~INAL LA:) 0 PLUMBING FINAL 0 GASLINE AIR TST
, J SITE INSPECTION ~,. MECH FINAL 0
COMMENTS:@ ~ ~ 11 trY<--
&r~:;~~:L~~
~ ~ ~ 'f).~~~
C~ ,~. ,"- /1~'... iJ. ..I-
o WORK SATISFACTORY. PROCEED
)t CORRECT ACTION AND PROCEED
o CORRECT WORK'l::...L FOR REINSPECTION BEFORE COVERING
Inspector: f.fi::/' ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETY/
INSNOTl
ADDRESS
33103
DATE TIME
SCHEDULED # vt) I; ~
GLV NW ft7b t<--
CITY OF PRIOR LAKE
INSPECnON NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-~05
o FOOTING
~OUNDATION
"~ FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~~TER HOOKUP
EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:@~._ ~ ~ ~.?;Tap ~
@~~~~~~~IL~
~PJ ~ ~ ~, ;t;r~ t>.--f
~~ ..:.v ~ 'l' ~
G'J ' ;~:"-dA ~.. f:: ~.'
~tj J'
~~r t~
JFt,
~~<::! bt!~J1 tZ 4tJ ~
It? 1'jIll-,rK.~ ~ t.:. lL'
~, ArT; d1L-
o WORK SATISFACTORY, PROCEED
)'( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
,
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1.1~11......
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ( 0- 3 -tJb 3; ~ 0
0/l/iJtu:l ~ev ~v-
~. I .
CONTR.
ADDRESS
3363
OWNER
PHONE NO.
() - ~o ':)
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING' 0 WATER HOOKUP
o INSULATION /~l\~ 0 SEWER HOOKUP ~
)!l FINAL (,N~ ',. )(.PLUMBING FI~~
o SITE INSPECTI~ "-: 'c.:'JIl MECH FINAL ~
COMMENTS:(/):'~ ~ ~ - thUt-. i.:u- ~,
@~~~ ~n.J~.,
r U ()' I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
M4L{,j~ ~ ~ k ~
~~ ~i/~~
.,
f~-<D ~(dc-J(1~A,
'-' V~
~ L" .;J.C-r --trL,
~- ~ -~
o WORK SATISFACTORY, PROCEED (~ ~ti~..
o CORRECT ACTION AND PROCEED l' ..~ II~
1
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
. l I