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Home My WebLink AboutBuilding Permit 00-0545 CITY OF PRIOR LAKE V I BUILDING PERMIT, J...~ 1-/1'5 (jJ TEMPORARY CERTIFICATE OF ,... Q\ ~ ltl ZONING COMPLIANCE ~ ~ AND UTILITY CONNECTION PERMIT Permit No. ~ DATE RECEIVED 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 /557/ I5mtJJsdt.- LN. 3. LEGAL DESCRI/P~N LOT ~ , ; _ _ ~ _ '~~K _ r - ADDITION {~ ~d ~ 4. OWNER (Name) 5. ARCHITECT (Name) 6. BUILDER (Name) U}€n9YJ{jj)n J-h;m.e,S 7. TYPE OF WORK Fireplace a New construction~ Alterations LJ Chimney a Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 1. DATE (p- / S-r-{Z) 1. White 2. Pink 3. Yellow File City Appticant BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (W1ClIh) (Depth) Back Side Side NIiJ, PID~-3('7"()lq-o 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 18:J/S) fJ 1fl2a.. /Jr~ (Tel. No.) ~ik ~ 65"/~ l/tJ,,~l/tItt Re-roofing a Porch a Re-siding LJ Finish Basement LJ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~!OOO .00 SURVEY PLOT PLAN LJ COPIES a Septic a Addition LJ Deck a Finish Attic LJ 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 nd 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 ~ui~=evoke tho permit f just cause. Furthermore. I hereby agree that the city OffiCI ~Ke may enter upon the property to P~ga / /? Signature License No. Date V FOR ADMINISTRATIVE USE SETBACKS: RfKtuired Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING S,f (J( MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA IJ PILING LOGS a PERCOLATION TESTS a PLANS & SPECS a SETS 9. PROPERTY DIMENSIONS Width Depth 17. COMPLETION DATE 1 O. CULVERT SIZE Yes No TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ Plumbing Permit Fee ....................... $ I 0 C> . 00 100-00 Mechanical Permit Fee ..................... $ 3'-.,0 ....#....~;I~i:.;.:.u~:~ ~ Date -l1"~Y' Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty..... .................................. $ Sewer & Water Permit ...................... $ City: Amount Brought Forward . .. . .. .. . . .. .. .... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee . .. .. .. .. .. .. .. .. .. .... $ Sewer Tap .... ............. ............ ...... $ Pressure Reducer ....~................ : Meter Horn .............~................. $ Water Meter .......... .."'1f':"l.. .. .. . .. . .. ... $ Sewer & Water Connection Fee ........... $ Water Tower Fee . .. . .. .. .. .... .. .. .. . .. .... $ ~.oo !>--s-~ ., I{ 0 C{?_~ 650 "OC:> I I Of!) 40 Oe- I 4$.00 as. 00_ 112~ .oe t?t:JD.eD Water Tap ................................... $ Builder's Deposit ............................ $--.L.,.500 .. eo Other ......................................... $ Total Due ....;.1...................... $1f:f;- 'fIL Paid 1~'1 () Receipt No. ~ ~-~ - Date ' By A"-" This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdl ance and may proceed aShQuested. This document when ~~by ~. temporaJy ~la 01 Zoning co~oa~ aIIows~, s, truction to commence. Before occupancy. a Certificate o/oCcupancy must be issued. Jp"l~ ~'- fiV ~~..~ ~i"\~_ City anner Date Special Conditions if any 24 hour notice for all inspections (952) 447-9850 Certificate of Occupancy ( 0 · os-K' The Center of the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT LJ-t,. ~ ~ ~ APPLICATION RECEIVED G,. - I ~ - ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 15~11 ~~ock~,'d2.e ~. Accepted Accepted With Corrections ~ Denied :.7 ;1 Reviewed By: {J;::::::.y ~ Comments: I, ~ ~(( O-~cW ~ Date: t, . 2cr -2a::;o ----- 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." The C....tr oif .ht Lakt Coun.ry JO"~ White .,Bt.alktIrtg Can." : '............ Pink .... . Planning :~,~\fNli.;':;)~\~t1t\\~"H~Nf,"i~?# BU,LDINGPERMIT APPI.&ATIQN OEfARTMENT CHECKLIST NAME OF APPLICANT v...: 0 ~() ~ APPLICATION RECEIVED J l_lI\.L. \ S+T'\ ) ~ OJ DO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 15S'1 'BmtlC-b\clP", ~ ~J Accepted L-/' Accepted With Corrections Denied Reviewed By: Date: --b -J-t,-4JO Comments: ~~~ '\it) ~ ~h!i~~ ~~_ -C:Ut JJ. ~M-tl ~~ IJ&;J<, ~T"lW" ~'NAJ~'6M/' 3vr& 1~f;C7yJ ~ . .~_. 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 - 'f- DD"O~4<' . , . ( Wtlite - Building Canary . Engineering' Pink - Planning . Thco ('"con'c>rof .hco Lake Coun.ry . . . BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST . I ,',' ~ . l . . . . :'. - " . , . ; : . NAME OF APPLI~AN~' . U,-, 0 .~ '~_Q _>'-> ; APPLICATION RECEIVED ~ Y()/\.L. . \ S-:') ~ Q) () 0 . . . " ',' \ " t , . . .'f !...,' ',Ii : . The Building, Engineering, and Planning Departments have reviewed the building permit. application for construction activity which i~.proposed at: . /55 '11 ~f151fC-h\clo.. ~. ,'-\U:' ': / Accepted Accepted With Corrections , . . \ . .' .._.........________._._____.~.... ... ....... .. ."_"~_'" ......____ __....___--.------.-.-- __._ ._..... . ......._._._.___. ___._._. _.___ ...:_.... _.._..:.... .........._____ _............_ ._.~...... OM .__ .__ .0.... _ .____....._...... '5"(( 4.!b.dtlllt,,!r: l nAA/ G.cd~ ::z:i,~J'ed,iJIt .L.f;~ ~. arlfLj,~ fllUt . 3.. ErD$ioY\ Co^+r-ol H~o.Sl4.r~s ~. Er~s;~~ (I""r"lrt?l P/~n liThe issuance or granting of' a permit or approved 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 pr~suming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." " - '<i. ... Job Address!'fS 7/ J3Ya:;)/~ 51;)( Heating COhtractor b /~ ~ I< v ~ #'" Name of Tester j(.. ('. V :..~~...... 1;/ - ~ 7 A A ,,., . {/\J 7 o ~ 3~o (f Dete -- Percent 02 Percent CO Percent C02 Stack Temp. Combustion air is adequately supplied per UMC'Sec.606 Input ..., .', 'J;',~" .' ..".. i. , 64-5 , ... __"' " " / ." JIJ'I. 3121. 2000 8: 35AM -~~ " \'<. ~,.:! :g@~r~~~.~ :XJ: ~~ ~N&S9~(~"~-.~~ l':: . MOTE: ~ i ' \ \ I \ t L\., t,",,_.-e"''''''''~- "_ L... 2. 3. () 4. 5. 6. . - , ~. GENZ RYAN 6S1~6147 NO. 977 P.6/9 - .IIILI ~ · ,.-.10.... ..... . -. NQ.{$)-~5 Sewer and Water can~ractors mus~ be registered wi t.h the ci ty . APPLICANT: C1t"Jt'\~- ~Ptu.,.,,\o,~ ~~.ul"_ PHONE:~I"~-IILt-lJ ADDRESS; I &.III :r -r... ti!..,~...-.cu:.rAr ';C"cWLDA'l"E: (.ILl SO ,.J;::S;;;) _ SIGNA...ud: _ - ,., BLDG. PERMIT t..DD-aytIS SITE ADDRESS: I~" (/_f\J PIC' <975 - ?:J..f;!J -~O FILL IN THE BLANU 40. 1 1. Estimated length of water service feet. , , c Size of water service lnch(es). Loc.~ion of any couplings fro. s~ructur~ Type of sewer pipe. ABS PVC X' Cast Iron f Estimated length ot sewer lin~ ~ feet. Clean out (it required), located a~ feet fro. structure. feet. . ---.-.......................-------=-.... .. ~-- z:___ .....--- BY app~ica~i~eA~;;:s~our permit w&.n approved. . . ;.. (~ " ) ~TE: ry J:.;r /c>n . JU' / ---- -----~- ~~.~ JIl . __ _ _ ___ 1- .. FE S $ $ 35.00 .50 35.50 Sewer and water line connec~ion permit. Surcharqe TOTAL * Fe. for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued tor new construction mus~ be reCorded on the buildiny permit carel at the time of issuance ~o insu~e ~hat70 d 1 cate sewer and water permits are l.ssued. DATE PAID ~ AMOtnr.l' PAIn / RECSIPT f / ~.6 REC'O BY / (.".- / . 4629 Dakota St. c:;, J:.. PrIor La.. MInnesota 55372 J Ph. (612) 4474230 I Fax (612) 447-4245 AN !QlW. OPPORTuNITY IMIID'fER HEAnNG APPLICATION I PERMIT Date /IJ-,:)f),./D . P.lI~S-- ~/~J/- Q{q-o SlIeAd*- ";$11 .JtAdwJ~ /....- -' - . lol{ C\. BlaI:k ~ AddIIon Co (l- 11) (J nk-P X ~ ~ cL- Owner's Nam. /J 111AI~L._A" -'~ Address Heating Comradot ~LLIRD FIRESIDE dba FIR1!.SIDR COllNEI. ~f.. 2700 N, FAIRVIRW. IOSEVILLR. MN 55113 651-633-2561 T~tACE ~u- 'u/y-G, l1J , F M u& Model " I!UnIIP a ...:5(, 1.Sb 'llI/ (\ Flu. Size ~ 'W'"" - CD 0) lU a.. :E a.. N (f) o o I o N I of-' o o ~ CI) CI) CI) (f) (f) co Moder Size Ccmn. load FUll On 'W'"" It) co Supply Openings _ Return Openings Input Edr. Glm., a: w z a: o o w C H en w a: H LL Aleralions CITY OF PRIOR LAKE Me , - /' 16200 Eagle CrNk Av. S.E. P."nit No. 0- ~ L{~ Prior Lalce, MN 55372 Output, ~ 3.1'XXJ TYPE OF SYSTEM Warm Air Plan's Gravi'y . Mechanical A~ Condlfoning Vent. System . HEATING OR POWER PLANT Steam . Hot Water RacIIat10a SpedalDems Other DIVas TYPE OF WORK y Repfacem8nl Now Construction A"'f Est. Comp. Dale . E~. Cosl.S / /00 CO Bulding Permit. . HEATING PERMIT FEE $. . . >- CD of-' C Q) en STATE SURC'HARGE $ TdHALPEAMlT FEES $ PAID WITH .50 i BUILDING PERMIT Recltlpt" t I. .... - ... 1. Onft - atJ J. YIl1IuII . c..nc. TYPE OF STRUCTURE Single F8IIl1ty Commercial Two-Famiy industrial Muftl-FamIt P\Mc Othef Fe. SchedlJle ~18f. Commereial & Mufti-Famity Residenrial, Heating & N; Residential, He.", Ontt Restdenlia.', Gas Fireplace R8Sidertia1, AddItIons & Afterations Residenlial, AC Only " (~.~mk*1un) ;c ,"-,. l. _._~,...~~._-_......__.__.. - Remember to add Ihe Slale Sun:harge on Ihe bottom' olRis appication. The price or your heating permil D::Iudes one rough-In and OM In., if\Sl)8ttlon. I\ddiIionaJ inspections wiI be bi1ed at $35.00 each. H"'\"'l"" Healing Test RecoRl must be sutmtled wtth buIding QIDDI DIIDbII belore buId. ing C8lt1icale 01 0CClIpIII'IC'V wi. be Issued. tIEAI ~A' rJ" ATI(W,C; qf" .-RFn w" runber of supply .Nt ,.un openlnglllltld pi room with CFM'. per opening. New strucllnl or IddIianI send Ioor plM wlh auppl, and Altum Iocalona lhown. HEAT lOSS CAlCUlAllONS. PAYMENT AND . APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE. 16200 EAGlE CREEK AVE. S.E. PRKm LAKE. MN 55372- City Hall bum_ hourI are a a.m. - ,4:30 pm. ALL WORK MUST BE Il4SPECTED (ROUGH-tN AND ANAL) - CALL CITY HALL 447 -4230 I hereby apply for '8 mechanical systems pe,mit and I acknowtedge that the inrormaHon above Is comptet8 and acaual.; that the work wnl be incon'ormance wilh the ordinance. and codes oI1he city and with the atat. buUdinglmechanica codes: that Ihis form does nol become a permit until signed by the BUILDING OFFICIAL; lhatthe work wi" be in accordance wi1h the approved"" in thl ca~o all work. wh, fch requires rev1ew and approval of plans. nl VA' "/-,' . ~ ~ IfJ~~ .It) < /d3 )R,(JftC~.s Signat, ...) I 'DaI. .-. \ (' A(tI/ / AAP'~ /&--[;)...3 ~u /b~dt1go,"car. Signature :'0_ ~' j I , CITY OF PRIOR LAKE Me ~ ~~ 16200 Eagle ere.kAv. S.E, p.rmllN(J.O-~Lf~J Prior Lake, MN 55372 ( " ./ ' HEATING APPLICATION I PERMIT 0..11 lrjJfoa PIli ;J. 5- . ~ /... '? - 0 1'i--9 Sice Acldnass /rrJl "AdAl~.A, ( ~ Lot /q Block ( AddIion k-f, JYlll,U(jfer .3 \-"d Ownel's Hame t ),"'........ r;;:;. I I' Address , HtlalingContraclor ALLIED FIRESIDE dba rIIlESID! COllNXI Address, 2700 tL FAIRVIEW~ 1.0SEVILLE. KW 55113 Telephone' 6 S 1.. 633-2 5 61 ,tlEPLACE 11 .,... Make & Model ..~d )J ~ 6a Mod~ Sit, r ..5<... 7 Sb7Tl_ Conn. Load Fuel ~ TYPE OF SYSTEM Watm Atr Plants Grnily Mechanical Air Condllonlng Vent. Syslem HEAllNO OR POWER PLANT Sle8m Hot Water RadialJon Special Divas Flue Size Supp1y OplningS Return OpenJngs Input ,OUlput ).3,t\t"r') Edr. Other [)eva. efm., TYPE OF WORK Alterations Repair. Replacement Est. Comp. Dale New Construction ~ II/i . t Est. Cost $ J I (}). ~ . . . I-tEATlNG PERMIT FEE $ STATE SURCHARGE $ TOTAL PEAMfT FEES S Building Permit , .50 PAID WIT" , BUIII1ING PERiVilT .... Receipt , '.~ TYPE OF STRUCTURE en I. Pi... . File ~ 1. 0... - Cil, r+ 3. ydl.... - c..Kl OJ '< Fee Sched... " H :D m en H c m o o :D z m 1 % 01 Job cost (t39.50 R1i1Inun) :D $99.50 $64.50 $39,50 $39_50 $39.50 Mu....Femly T~famify hMilsIrial P\Mc , Other CommelCial lnd~. Commercial & Mulli-Fanily P-;;~ntk1l, Healing I AD Residenlial, Heating Ontt R8Sidenlta~ Gas Fnplace Residentia~ AddiCions &. Alterations AeskIenlia~ N; Only Remember to add the Slale Surcharge on 1M bottom'of this applicalion. Q) U1 .... The prO! 01 your hea1ing permllncludes one rOlAglHn Md one fInat inspection.. Q) U) Additional inspections wi be bited al 135.00 Itach. U) aD House HeaUng Test Record must be slbmitled wilt buiklng RIUIit IUdIII before bul : ing cerlificate 01 0CQJpanCy wi be issued. ...JJ: HEAT ~,A_ ~J" ATI(1"'~ Pr=f\1"RFJl wiIh nwnber of suppty and reIum openings listed room with CFM'. p. opening. New .truclur.. or Mlditions nnd toor plan wIh atpply and retOOl locations shown. HEAT lOSS CAlCUlR"IONS. PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRK>R LAKE, 1&200 EAGlE 0 CREEK AVE. S.E. PRIOR LAKE. MN 55372. ~ en, Hall busineis hours .r. . a.m, .. 4:30 p.m. I ~ I o o ; ALL WORK MUST BE INSPEC11:D (ROUGH-IN AND FINAL) . CALL CITY HALL 447-4230 I\) U) 1 hereby apply for a mechanical systems permit and I acknowredge that the ~ inlormation above is complete and accurate; lhal ,he work wift b. in conlormlnc ~ with the ordInance. and codes of the city and wflh Ihe slate build~nglm.c"'ank codes; that this 'orm does not become a permit until .lgned b~ the BUIlDIN OFFICIAL: that the work wAf be tn accordance wil:h the approved plan in the ca&~e of an wor~k/1whfCh ...qulre. review and approval 01 plan.. 'LuA~ ~ /oin/O) ^ K*il" Signature ' I' Da~ ~.. l/~ f.-oO Building 0IItj' SigMlure Da1e "'1J lD co (D - .... CITY OF PRIOR LAKE 18200 Eagr. Creek Av. S.E. Permit No. m -() S- L...-J S Prior Lake. UN 55372 N ~ " \D a: Date HEATING APPLlCAnON J PERMIT ~\25'nD PIO., cQS - 3 ~'l-6lq-o Site Address l~"'" \ t\~~l ~ I ....." S 1aI 'C\ . Block, . ~! ~ blMf'AkrA.le.r 31'9\.~ Z OWn.. Name I.."" J^t....nrn vuf"'\ ~~ Address m ~ PI A-~ 1M- ~ _ 2..nrt fZJ AAN ~('z.. 'l.. Healrng Conlractor r -AI -.Y17_ - R-~ Address 11I1lf6 ~ ~ -rILl- ~W-Ylr S~ Te'ephone' , lelCt ~ 42~-t 1\.4.4- Furnace Make & Model tbu'\bA TYPE OF SYStEM 'Warm Air Plan.. )( Model Size C?2lDG\. ~ 4- (00 G,avfty r Mechanical . ~r Condftlonlng ." '-' n r-.l Vent. Syate.., HEAllNG OR POWER PLANT Steam r HoI Water Radiation Special Devices Conn. Load t:r Fuel1N At,~ ~ I.:D Rj Supply Openings (T) ~ If) Relum Oplnlngs \D ~ Input too. croo >- - 0:: N Edr. Z ~ Cfm. flu. Sfze ~"'2- ID Output q"ooO OIherOevle.. VulvrllL "1-." TYPE OF WORK E $ AJa8ra~ns _ (T) ~ Repair New Construction v... Rep'acement Ell. Colllp. Dale . BuHd'ng Perm)' . cJO - 0 S LI 0 / ,. PAlO W,,.H $ /50 BU\LO\NG PERM\" $/ ~ E&!. Cost . ~ ~ HEATING PERMIT FEE I If) ~ STATE SURCHARGE l!) - ~ TOTAL PERMIT FEES Receipt 1#" - TYPE OF STRUCTURE 1. I'Jd Z. Ore l. YclJ, File 01., eo-... Single Famly Commerctal v lWo-Famlly Induslrlal Public Mull-Famllv Other '. Fee Schedu1e Indu4triaf, Commercial & Multi.Famlly Residefltlal, Hea1lng & AC Resldent'al, Healing Onti. Residentla', Gas Afeplace Residential, Adttfllons & AHaralions Rssldential, AC Onry t % 01 jab coa' (SS9.50 mlnlmunt) $99.50 '~rn p "2 JW g $84.50 1 \~ .5 $39.50 v,/ I $39.50 ~\ I AUG 28_ $39.60 " \ u ;J ~l Remember to add 1he State Surcharge on lie bottom of iNs .wL.tlC'ft. The.prlce of your healing permU tndud&a one lough-In and one flnaJ inspection. AdcltionaJ Inspections wi be blIed at $35.00 each. House Healing Teal Record mus1 be Iubmltted with IJ.-.ll_"~" p,.rmll .." In'II~AI before huiIcI- rng certi(;cate of occupancy wi be 'ssued A.II=ar ~A'r..II. Ann~R REOUIRED with number 0' SU~ and re.urn openings IIsled per room with CFfla per opentng. New alrvcturu 01 eddlUons send noor pan with supply and felUm locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE CREEK AVE. S.E. PRrOR LAKE, MN 55372. City Hall bJslneH hours are 8 a.m. - 4:::10 p.m. ALL WORK MUST BE WSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-4130 I helebr apply 'or a mechanical systems permit and I acknowledge that the Information abov& 18 complete and accurate; thatlhe work wI. be In conformance with the ordrnancea and codes 01 the city end wllh the state bulldlng/machanlcal codes; thallh[s form does nol become a permit until .'gnad by the BUILDING OFFICIAL; thai the work wUI be in accordance with the approved plan In Ihe caS8 01 all trk which r8quirH '8vl_ and approval 01 plans- , ill · ~\2~o-O 1/- leanl's e . Catlf D.-' .J..A '"J" A ~ ~ lont jJfj C IItjtding l:lIIiclll's rra - " Dale' AUG.25.2000 10:37AM GENZ RYAN 6513226147 NO. 136 P.7/12 n, r........ of '1I11P IS..L~"" . , rn' "::--'" -,' r'" ",", ,- \1 i'r~ C !' . /' ", \-.:::::7 ..s LJ \:.J I . 1._28" \ \, o CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: ,~~ Address:. ,Ll\4~ ~ .eo~, ,,-,- Sign~ture: UO ~ Q , . . Legal Description: Lot I q" Block J Sub~ (, ~ ~ Site Address: I~-' I ~~t~ ~ V' ~1C.l:H Building Permit' ()() - a ~ LJ "C:;;- PIC. 6;>5" -t3 G 7 ::0(1- 0 NOTE: This permit ~ill not be processed without camplete information. FIXTURE UNITS I. Bile File 2. Ciold at)" 3. YdJow AppIi_t # J1D-~4s-' Phone:.J.pSl- U 2 ~- , 14-4 . , Quantity Type of Fixture Quantity f Bath Tub with or witt10ut shower , Dishwasher , \ Floor Drain e,ll ~ Lavatory (bathroam sink) I 1 Laundry Tray (1 or 2 compartment sink) Z. Shower Stall I Sinks ear Sink ?; Water Closet (toilet) Type of FIxture Rough-ins Water Heater Water Softrler Stand Pipe (\NaShing machine) Sewage Ejector Backtlow Assembly (RPz. DoUble Check. PVB) Backffow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1 ole. of job cost. $39.50 minimum) Residential. New One & Two Family Residential. Additions & Alterations State Surcharge $99.50 $39.50 $ I $ I '" $ I ~r>-\O 'J'J~~~\~ $ / .50 \ \\\...Q\~G / flu GRAND TOTAL $ This r .....:t ii ,ranted upon lhe express condition that said contmctar, shall comply in DJl respeecs with Ute ordinances D~s_Plomb~d_aml~~~' . 'f .1 , . R NO. )( DATE /~ ' I'cluj. ~I:ST 4 for all i~s 24 hours in advance. 16200 E3g1e Creek Av, S,E..~r Lake, Minnesolll. 55372 J Ph. (612) 447-4230 J PAX (612) 447-42~5 An Equal Oppo~unity Employer PRIOR LAKE -OEPARTMENTOF -... . BUILDING AND INSPECTION -.I INSPECTION RECORD -..- SITE ADDRESS 15'::; '11 ~s~ L~. NATURE OF WORK ~ USE OF BUILDING ~c:-A PERMIT NO. 0.1;.. 05~ DATE ISSUED "..~<<=t..coC)O CONTRACTOR uJ(.M..~~~ ~ c.. PHaHE" l.S( - 4ot-.. t./c.loo NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT .1 t;-:;;, fO,llp (/ll) ~. . t~/~1 Ira (11t,/~ J-,/-, H.k . j.//Iof/tro 4. ~/z~/~ f:;f, ~,' /~!S/fl"'({Z.) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEp ~ IL, I ~NSPECTOR DATE FOOTING~ ~ 6/nial' O~V 1!!?//!~ FOUNDATION {Prior to BaCkflll)'le; . f1p. 7//'l/~ .113 7 k]}" . , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC ,J,l '1t:.- , "NAMING / l' INSULATION "'~L,L--~. 11/11 ~" ELECTRICAL PLUMBING, HEATING (if required) FIREPLACE ~~'-' (~ . . GAS LINE AIR TEST ~ /~I J/ /P'O I /1 /.z-/4/J ~. JJ,. '/111.:./"" . , GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT FINALS IYJ (1, /~!)r'1 't>.\~ . ~'~L{ OCCUpy UNTIL ABOVE H~S NOTICE , ~Q~I 11 )2.!.I DO ~l\ ~ IIf . , no I ) 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 and 9:00 A.M. for all inspections FOR ALL INSPEClelONS (612) 447-9850, I.4iii =".~.~~ ~ .--0... -.. .......... - -.~............. " :..;',\ .~"."~; :~'.'~ ;~;~*''''_~;'~:~~i'''''i); ....."" ..,~... ... 'co',' ., ~ ,., "'.'" ri-' , "... ," ,.. r~f1 criv~~t!p~~~~ K- . I'.:.'.....~....'. . 1Departmt. nt of _UUbl.' ng Jnspedion ~ '~: ' }l(Fina1 Permitted 0 Conditional C,O. Expires (~.'....' This Certificate issued pursU/Jllt to lhe requirements of Section '307 of the Uniform Building Code ~. certifying that at the time of issU/Jnce this structure was in compliance with the various ordi1llJ1lces. of the ~ :~:'::ooIAe re~;;=~::I:""cUon or use. For t:l:~~o. 00-0545 r\. .'~:~.:;' R3 N/A Znn:"g 0.'5.-:'" R2SD It Occupancy Type Type Construction _ VN Fire Zone "..... w M #!r ;~: (~.- . (J> · ~_:. ~ ':.~~ Legal Description T, 1 Q r in! f.:T .~ A. TRR T'R T"9n A. nT)I\L Owner of Building . Site Address U5 71 BROOKS-IDE LANE NW Contractor's NameltAddress.WENSMANN, 1895 PLAZA DR., EAGAN, MN ROBERT D. HUTCHINS DON RYE _ City Planner . Building .OfticW Id-. 04 of t , POST IN A CONSPICUOUS PLACE Date: CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I ;'.{El TlUE ADDRESS 15571 BROOKSIDE LANE PERMIT #00-545 OWNER PHONE NO. o FOOTING o FOUNDATION 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 EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: . C- .p~e- c~o, \;.\~ ~ \ S;S U,lO: ~ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORt< I CALL FOR REINSPECTION BEFORE COVERING Inspector: ~I \~ Owner/Contr: CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI 1J~ze ~ ZWU 15571 13f.Dot..cS(06 CITY OF PRIOR LAKE INSPECnON NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~NSULA TI9Jh. J FINAL CJ!7' o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~LUMBING FIN~. . JC- MECH FINAL r..tJ' - COMMENTS: DATE TillE oo-~ o EXIGRADIALLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o -r~~; /).. J ...,- {--~'le ~h(~ ~ /? {~ r ~Vl X WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED D CORRECT WORK~CALL FOR REINSPECTION BEFORE COVERING Inspector: is. lauq Qwner/Contr. CALL 447-9860 FQR ~~ NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECnON NOTICE SCHEDULED 10- A).c>/ 19/YJ ADDRESS 15571 -I ~s '17 13rtV~r, I'd, Ln. OWNER CONTR. W CtI StrJe, II '" PHONE NO. PERMIT NO. ex;> - ~ 'IS o FOOTING o FOUNDATION 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 ~ EXI~llLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 141/ (;)f- SOfT )(WORK SATISFACTORY, PROCEED , 0 "cORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector#~ ~ner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY! /NSNOTl