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HomeMy WebLinkAboutBuilding Permit 13. 0161 !� £ ,; 4.-...--, L; � 7 W r . �,f - in„ h � " , /a14,- f '• I rc. M w . w 'P • i1 , '9 .• 4hf•�'h.,w,rrr • . r rf. . r w .... rw . 4 . .r w . r♦ ♦ t: .p••,,., l* t. 9l40•0 •:. 0 �'% �,.,r , �� ,.... ! r '! {9 , •}r,s ,.r . R 1,-,•:1 i .r, 1111,•♦ ♦.J.%,* ,r. r ..,.I.��r,r e .r,A. .r, er,. r r . r .e r ..♦ i■ . . ,11.9. ,.,.•�: ,A • 1 ,6 1 9 . 1, l.Mr1'r w M Mr . O rJr 1'rh � ,.1 h r !. 1r,J , � n- r1 V.r1k. 1 rr r 1 ,J r,r1r :. vNAr , r,rrr- rrrN� . nr1 . . N• • ,.1 ' . r . �, 1 f 1r .: rY� V ,r . r ,1 �r,1 (%• ;yr„1, - yNn. _ -WNnr +,111, rr..ra ,yNrrr y +r • v 1,rr �rn1 �,vr r, ,.W .111 � v N r *�, a . .,r r 1r r 1 r,n virl xyr n� yr r r r t t n r � 1 , oM 1 r 1 r „ t 111 1 1 � 11 , , n a 1r � R y CC ,1 r y« r « 44841,,,‘41,',0 l A Ir , yll In . llr«I lnlnr vnnrr alntrr 1 ttt r 1 t 4 ,.,1 6 ttt t Itlf .. (0:;;: �� 2 1p ^''ttl0 ,' Itf 11, 1 1 t t't i, Ilr , Inv ,1 1 i 1 1i y1 111i1r �G 4 1,1 t / t r,� 111 r t r , ftriilrli 'VP :. 4 111, ; , ', Ht1 } y 1 1. V ;. ') 1 111 1 41 _ fU flrrll ^ 111 fl 11110 `0/111 ■11 }1 : 111lt a 1111 X11, n 11 n n. L fl Ir „ 1 1 I,L, a ��'� ! 1 _ t1 :h 1 :.1 11 .. r 1 _: f t f lt�l :: r nti .,fli L � , 1 �� I ; n t „i, i _ .: t _ .. .. tit _ t Op it it t� t � i 1;;11:1; T 1 N1 I. CITY OF PRIOR LAKE 11 ...10 ; 00'> � !iparfmiu of uithixt T 1nspirfiou . A , i4 . El Final Permi ❑ Conditional C.O. Expires t , This Certificate issued pursuant to the requirements of Section 110 of the El Residential / El International ,I: 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 Cl SINGLE FAMILY Bl Permit No 13 -f116 _1\ A, Occupancy Type Type Construction Zoning District Legal Description L24 • B1, JEFFERS WATERFRONT (It . : 1. PARKSIIIF COURT � 1 Owner of Building Site Address ' (If . - 117 w .9, t � 1 .- Contractor's Name & Address ATT HOMES N. ROBERT D D. HUTCH I NS ��, Ci ty Pl anner �, ( Building Official S K (1;',0:* Date: /n • r / f e. Date: g: > #4::?"--.ft POST IN CONSPICUOUS PLACE , y ^lVi9 al '7, 10.1- . � , ,F ; I:'. 1 0 . It :n � u; +, - P "� � � 'o,t "'' ^ p7. . r; r-- .. .; � I'9 r, �' •u4� P:'�n� 1 h,IJ I � a 1 1 �'� , '. 01 ,� lOe 4 11 a 1 a r 1 , 11 1 111 ; 1111. Ilhl Iglu 4614 •- 111 ,' 1161 4,ik 11 h 1, II : l 1 rA∎ 0 r 11 a 1161 . i yyy �, ._ �In 1 VOA l 11 11 � , , � €l I I rr In , -11 411 , ulu . IIII 11 I1u111 lulu Inln Iulll luny lnn ,, u t tent , I u + tl 1 r Sul! � , ,� , ♦,� r t11n W! A10 r4 J . ' 111 '{ 1 1 r J, 9 1 1 , ,/ r„r, a Hr N 1r 101, 6 1111 } 401 v111M:. 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CZ u, e 0 a 2 2 LI J m 3. 8 ? „_j yj O O z f-- AG !_ a2 3 cn a 2 w w 111 w ❑0❑ ❑ CC ct o = c Z J 0 re a 0 w Y a U U 5p ° a° pZ o z w w0 co a 0 r. a r z U ~ a z a )-- \ w w a co — z Z g z LL! u) 0 w DU W w =��Q A yy. w Ce la z z O O V D 0 3 0 OO LL _ LL( O s. U U n U U? Q O a 0000❑❑ 0 *❑ ❑ c /` -'�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMIPLI.NC t ` AND UTILITY CONNECTION PERMIT Z • 2_5 (3 �. S' 'VW E S O See Male. Fite File 2. Pink City PERMIT NO /3 /6 / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS t4-? Z p - PYSID_ C Ov 2' ZOiv iG (officeuse) LEGAL DESCRIPTION (office use only) LOT Z4'BLOCK E ADDITION fit= �S % A '. 1 - ��- r 2-e t-,l i PID 2-5 c} 12,o Z 0 OWNER (Name) t' P. T 1 N- 1 -1-4 U t--1 E.S (Phone) g - `U 9 5 - 2 -- 1 (Do (Address) `l 2_c l 1,^../ A S1-4 11-1 (, i.-1 ; L E S ..S 2/D t ..O t nd A H N SS L. 9 BUILDER (Company Name) M h --1- M -1 " --1 i Vic) E S (Phone) 9 52 - S 929 - L l 2.e (Contact Name) S Li E . (Phone) (Address) 1 ' 2 4-) t 1..i k St-4 ttv (r .J Az vE- S STS z t >_o t tv H lam\ S SI-1 S5 TYPE OF WORK ,� New Construction g.Deck ❑Porch ❑Re- Roofing o ❑Re- Siding ELower Level Finish El Fireplace ['Addition ['Alteration ❑Utility Connection CODE: ,g]I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ 13 0 , U C Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this 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( Be.-- - 2-C)3 - , S3S 2122-1 t 3 Signature Contractor's License No. Date Permit Valuation t 3 co 0,96).- Park Support Fee # $ Permit Fee # $ ° l.• � o SAC 743.5. Plan Check Fee $ S2 , \ S Water Meter Sized/13"; 1 "; $ State Surcharge $ P ressure Reducer • • Co 8,• $ kt 0 -, Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ t Si. co Water Tower Fee # $ & ©e • • Mechanical Permit Fee 5 (S • 5 - 0 Builder's Deposit 5 Z 50Q Sewer & Water Permit Fee S 517.5-4`) Other St - Gas Fireplace Permit Fee $ 5-4.90 TOTAL DUE $10 � /_ S • 10 f 1 � This Ap cad n : ect mes Your Building Permit When A proved Paid /& ./4r 2 - �S Rec t No. 0 A Date 4 • /v: a By (9 �9J�— af` 5- Building Official — f Dat This is to ce that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signe ,y the Ci' 1. lonstitutessatemporary Certificate of Zoning co plin a and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ,/ . 7 ti ll ik...._ _ ( Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .0 6 06..iver Date Rec'd CITY OF PRIOR LAKE BUILDIN PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .F... 7 —. vs r...• rrt AND LI ILITY CONNECTION PERNIIT 4 ,14111.I I •j . PERMIT NO t3 . (( o ( (Please type or print ard sign at bottom) . , ZONING :ofrxe use) ADDRESS iss , // • - , 1 4- 7, 1 Z._ f LEGAL DESCRITMON (office use LOT BLOCK ADDITION P ID 1 1 OWNER h 1 f Phone) q 2- - 2-1 - I - 21 C.)C, (Address) 72c.)( tijiAs14 it,ib N4 Ai ti 8 s LDINR, i Ni - 31 , "4 0.1611' 014 1 E.:7 ''..- (Comp rt Any Name) iZt 01:1 ss IC N - c-5 (Phone) 1E63 - 27 - (Contact Name) el'IA V le.4-./ (Phone) ,... (Address) ///10 1■JOU5 A Z.- CICCLE NO .)uire" 14 6-14 l M r\i' 55330 1 TYPE OF WORK New Construction OlDe.:#: OPorzii Dike-Rmiing ORc-51,.:..ng CLower Level Finish 0 Factria tJ CODE:V. R . C . 0113C A n °A 1. lteration 0;tility Connection DM 1 Type of Construction: 1 n In IV V A B - ... 1 Occupant Group: A IS E F H 1 M IE) S C PROJECT COST/VALUE S , ...- -'' • Dmsion: 1 2 tp 4 5 ___ (excluding land) I : her*, oertS thr ! have forroshes1 inforroanon on thts *Pon v.Y.,,r..1 I (0 the hest of my knossiedar, trae ara.: :cerst 1 also ...'efflf) that I am the owner o: aulhonzed aglx for the 1 abore-mcnowe 'pen' ' and that all construction will conk to a emsnng vale and locai laws and will preccen ..n a:cur:lance ..iii, sub:tuned pans 1 am aware :Ins the tuziduse I °Mom; c 1 revoke tho perrint NI SI Clint 'tIrthermort 1 here:r t. aver that nle cir, ofiScia■ or a dear-nee ma+ ever 1.srOr tie roper's t0 perform fluor.: 17.5;. .a. S■gnatoir Contractors :.:crtise No ;Date — Permit Valuation Park Suppo Permit Fee 1 5 — — r Fee 5 SAC # # .5 Plan Chezk Fee $ . War Meer Size 5 S' 1' . 5 State Surcharge 5 Pressure Reducer $ Penalty $ SeweriWater Connecrion Fee n 5 f Plumbzng Permit Fee 5 ' Water Tovvez Fee ; 5 1 --, Mecham:al Perm!! Fee 5 , , Builder's Deposit 5 Sewer & Water Permit Fee ; 5 ■ Other 5 Gas Fireplace Perm: Fee S TOTAL DUE 1 $ 40 .. • _ Thi Ap - 1 affirikur Btu . .g Permit 111. Approved ; 1 / Al —"ilk ? (Y i Pald---- Date -- - , Recept No By ---_- PAID WITH F31.01,1'" ric ;al ' ! -----BuiLni NG PERNIrr This is to certify Thar the mourn En the atvw e artuicauon and accompanying dos Is In OttIlli/ACT WS:11 the s'.°‘ Z."6nuag Ordinance and may proceed as requeszti Thas document *her. signed by the Coy Flannet commutes a temporary CendScate cf Zorong CCITip1i.111Ct anti attovra v.:kiss:m(0am 1c cstrrr.ente Bete occupancy, a Ceruficate (tf Csnatpancy must tesued 1 Plartemg r),,,,:::,, -- ----- Daze Special Conditsors„ ,1 ars 24 hoar notice fur all inspections (952) 44'-9S50. fax ■95:: 447-4245 4,S4o Dakota Street S.F... Prior Lake. Minnesota 55.1-2 4 Ri°4' Date Rec'd CITY OF PRIOR LAKE 7 SEWER AND WATER PERMIT NNEsoo /.3-- /66 /6,/, . I. Yellow File PERMIT NO.' 4� Z (Please type or print and sign 3. Gold Applicant / ([J / ( typ p gn at bottom) ADDRESS ZONING (office use) / -3 76 76. ,9'a LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) L-&_ f - 7 z?' (.'T / - (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) l /6./ fi ( 2 2 '' ' t ` I . 4 (Phone) •.' • ICANT SIGNATURE DATE I - . /3 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family I% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ RAID WITH TOTAL PERMIT FEE $ BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Contractor's Material & Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractors representative and witnessed by an owners representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: JEFFERS POND DATE 5 , - 6 . _ /3 PROPERTY ADDRESS: 14372 PARKSIDE COURT "REDWOOD" ACCEPTED BY APPROVING AUTHORITIES: CITY OF WOODBURY ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED OYES ONO IF NO, EXPLAIN DEVIATIONS OYES ONO HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS !EYES ONO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTIONS OYES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS YES ONO 3. NFPA 25 OYES ONO LOCATION ENTIRE BULDING YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE SIZE QTY. RATING RELIABLE RES 49 2013 1/2 11 155 SPRINKLERS RELIABLE RES 44HSW 2013 1/2 16 155 RELIABLE F3QR 2013 1/2 1 155 PIPE AND Type of Pipe BLAZEMASTER FITTINGS Type of Fitting CPVC MAXIMUM TIME TO OPERATE ALARM VALVE OR ALARM DEVICE THROUGH TEST CONNECTION FLOW INDICATOR TYPE MAKE MODEL MIN SEC FLOW INDICATOR POTTER VSR -F 6 5:5 DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE I MODEL SERIAL NO. DRY PIPE TIME TO TRIP ALARM OPERATING TEST THROUGH TEST WATER AIR TRIP POINT TIME WATER REACHED OPERATED CONNNECTION* PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY MIN SEC PSI PSI PSI MIN SEC YES NO W/O Q.O.D. WITH Q.O.D. IF NO, EXPLAIN LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE & FLOOR MODEL (FLOWING) PRESSURE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVE TEST N/A ■ OPERATION: ❑ PNELMATIC ELECTRIC ❑HYDRAULIC PIPING SUPERVISED OYES ONO DETACHING MEDIA SUPERVISED OYES ONO DOES VALVE OPERATE FFOM THE MANUAL TRIP AND /OR REMOTE OYES ❑ NO CONTROL STATIONS DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN PREACTION FOR TESTING VALVES OYES ONO N/A DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKF MODF1 StIPEHBVISION 1 OSS Al ARM OPFRATF VAI VF RFl FASF OPFRATF FF1 FASF YES NO YES NO MIN SEC HYDROSTATIC: Hydrostatic est shall be made at not less than 200 psi (13.6 bars) for two hours of 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All Aboveground piping leakage sha I be stopped. TEST DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water [eve and air pressure and measure air pressure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS IF NO, STATE REASON DRY PIPING PNEUMATICA_LY TESTED OYES ® NO EQUIPMENT OPERATES PROPERLY ® YES ONO N/A DO YOU CERTIFY AS THE SF'RINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? ® YES NO NO _ DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST CONNECTION TESTS TEST SUPPLY TEST CC NNECTION ') PSI CONNECTION OPEN WIDE '/( PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE J FORM NO. 85B OYES ONO OTHER EXPLAIN FLUSHED BY INSTALLER ()F UNDERGROUND SPRINKLER PIPING EYES ONO IF POWDER DRIVEN FASTENERS ARE USED IN EYES ONO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDED PIPING OYES NO _ IF YFS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3? EYES ONO WELDING DO YOU CERTIFY THAT THE. WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 EYES ONO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT TH E INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? EYES ONO CUTOUTS DO YOU CERTIFY THAT YDIJ HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? EYES ONO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA EYES ONO NAMEPLATE _ REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: 9--6., • -- / NAM 2 SPRINKLER CONTRACTOR: FIRE SUPPRESSION SERVICES. LLC. TEST WITNESSED BY I ■ P"E YO ∎ ► : � liNED) TITL SIGNATURES I* _Ls / f/ FOR SPRINKLE ; �.NTRACTOR IGNED) TITLE DATE ADDITIONAL EXPLANATION AND NOTES 7 �, Builders Deposit to ' -. \\,, , ....*..,,,.) - j V o City of Prior Lake A 500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 130 days after the date the building permit is issued. If the work is not complete within the 130 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing - this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: SITE ADDRESS: 1 -` - 1. 2 PN - w- S I o S Coo p_a- PERMIT # 13. HO( REFUND TO BE MAILED TO: 21 4 1 - - i - t = 12 1 1 t:S14- t1.,1GTa PoV S Su 1 Zo 1 t t--1 s, / ; 1.1 SS 43 9 AUTHORIZATION TO RELEASE PLF SSE REMEMBER l i j alb-- *Z( SUO.OU coda S. Allen, Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION (° I I. 13 Acct. 801.20204 Date 2. KEEP EROSION CONTROL IN PLACE T o i f .. - - • . s- ' - ' - ' 1 1 - " ''t s" 'VIDMIII IIMIW�T:�T >, SIGNATURE: }- --._ �__<___ C:\Documents and SettingslsbarelLocal Settings \Temporarj Internet Files\ Content .Outlook \B080X19A1Bt1ILDERS DEPOSIT FORM.DOC PRIOR LA K E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS (' 3'1 Z PA-( I De Cr . NATURE OF WORK Nt> 2-c.A,k 6=K.. Ft N _ _ L. USE OF BUILDING F wu L - L c /,••, PERMIT NO. t?,-- l(K 1 DATE ISSUED 37sli 3 CONTRACTOR r`1a- r-rA. r1 o rv1 E--5 PHONE a -8I S . 21 co NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMEN ►` �j1 '(_ ^ `- • 7 1 010 `J t {'(-i £ F4 ' INSP OH DATE S l 1 , 1 FOOTING FOUNDATION (Prior to Backfill) I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED P �o e Jss- ___ , ROUGH - I N S SEWER/WATER/SEPTIC FRAMING f. wl P i.- x„1,,3 INSULATION ELECTRICAL PLUMBING HEATING (if required) y21_ FIREPLACE GAS LINE AIR TEST COVER NO NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 F 2� p•,-i s I sr 1 '7RS t s, t/ 1 FIN ALS GRADING (Prior to Sodding) BUILDING ' L j J l/f t[) ELECTRICAL • PLUMBING y'. 77 HEATING f.1/ <7 DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED 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. FOR ALL INSPECTIONS (952) 447 - 9850 BUILDING PERMIT # P.LD.# CITY OF PRIOR LAKE SINGLE FAMILY WORKSHEET NAME OF GENERAL CONTRACTOR: r AN: 7 - A 1-1 �C ADDRESS OF PROPOSED PROJECT: 14 -1 F►I,1� -1C-S 1 De_ CO U SQUARE FOOT FLOOR AREA FIRST FLOOR (INCLUDE 4- SEASON PORCH AREA) SECOND FLOOR BASEMENT FINISHED : c: o BASEMENT UNFINISHED GARAGE DECK 3- SEASON PORCH SCREEN PORCH NUMBER OF FULL BATHROOMS NUMBER OF HALF BATHROOMS SEWER AND WATER CONTRACTOR: O S (DS l -'-1 gjp- L3S5 NAME PHONE # NUMBER OF GAS FIREPLACES: INSTALLER: •f= 112- ES l ICE 4-1 E4f -- 1 44 p M E to B I - (,3 `D - 333 9 NAME PHONE # NUMBER OF WOOD BURNING FIREPLACES: INSTALLER: NAME PHONE # MECH.�:NICAL CONTRACTOR: e_6-4 - 2_ - - t 0 co NAME PHONE# FURNACE: CHECK ONE: ® YES ❑ NO AIR CONDITIONER: CHECK ONE: ® YES ❑ NO AIR TO AIR EXCHANGER: CHECK ONE: ❑ YES E NO PLUMBLNG CONTRACTOR: (Erl 2 - l c )O NAME PHONE # WATER METER SIZE: CHECK ONE: n 5/8" (STANDARD) n 1" ❑ 1 %2" ❑ 2" THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE NO CRACKS. ❑ THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE CRACKS IN THE ❑ SIDEWALK ❑ CURB ATTENTION APPLICANT: YOUR BUILDING PERMIT APPLICATION WILL NOT BE ACCEPTED UNTIL ALL REQUIRED INFORMATION IS COMPLETE. 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