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Home My WebLink AboutBuilding Permit 00-0596 'P"'I o o ~ CIT'Y QF PRIOR LAKE 16200 Eagle Creek Av. S.E, P&lmlt No. Prior Lake, MN 55312 00 ~059~ lot AddrMS ~ U.llln, Comrador t?v~~S' g~//~;t.S;1?~ ffJt'~ ~ r.-k r ~ Addre1l/3Y~ /~?- NV A/t'J., ~ - : Terepbone,. '1t,,~ SS'3 II/'V~ /3l: '1~I"'lA't: ~ cr ~ urAHI Mak, 'Model i' LJ PrE12..1 ~ TV PE OF 5 YSTEM 1-4 . Warm Ail P'.nls- ~ Model SJI8 J:::>vr l# 12HI\I"5 Gravity. . Conn Load Mechanical , . . ,,- Air COnditioning . Fuel. M?- FIu'Size? Vllnl. SVsrem . r/} /3l: ~ CI Supp1v OpenIngs . A.lurn Opening; . I I HEAnNQ OR POWER PLANT Sleam . Hal Wat81 Radiation , Special [)svic&& , ~ Input !~ ao o OuIPUI, Ed,. CO) :g elm., N 'P"'I co Other Devices TYPE OF WORK ~ Merallons . Replacement, New ConsllUction . ~ RepaJ, , . E~1. Comp. Dale '7 h ~ () .. t)t! 'f I ~ Est. CoSI' 7//00 Building Perm~ M . '::I ~ HEA TING PERMrr FEE S_ o STATE SURCHARGE . o _ '- ~ TOTAL PERMIT FEES $ '- ' co o x .50 00 - oSq~ , PA\O wrrH 6U\\J)\tlG pe,RNI\l RBcoipl1l . TYPE OF STRUCTURE I. Pill' . File 1. Grlen . 01, l. Yellow . Co.IlIC'. Single Family. Commen:iat k Mum-Family , Public _ Other Akr , lWo-FsmJly . Industrial FOB Schedule Induslrial, Commercial & MulU-Famlly Residential, Heating l AC ResfdenUarl HeaUng Onlv Resjden rr ai, Gas Fireplace ResldenUa'. Addilions & AllelaUons Resldenlia I. AC Only 1% 0' Job cost ($39.50 minimum} $99.50 $64.50 $39.50 139.60 139.50 Rem ember 10 add th e Stale Surcharge on 1he bottom 01 IhJs appJlcaUon. Th.e price 01 vour healing perrotllncludes on" rough-in and one nnal inspection. . ... . ----. . AddUlonallnspecUons wJlI be bfUed at $35.00 each. House HeaUng Tesl Record musl be submitted with buikHog f'l",,,,;t DSIIIlbm be'ore build- Ing certificate 0' occupancy Wifl be rssued. HEM CAt elll ATlONS~J:f'a "R~n, with number 01 supply and re1urn openings Usled pe 'o~m wilh CFM's per opening. New structures or addilions send noorplan wilh supply and IBrUm loe8Uons shown. HEAT LOSS CAlCULATrONS. PAYMENT AND APPLICATIONS MAY BE MAfLED TO THE CITY OF PRjOR lAKE. 16~OO EAGLE CAEEK AVE. S.E. PRIOR LAKE, MN 55372. Cjty HaJl busfnes& hours are 8 a.m. . 4:30 p.m. All WORK MUST BE INSPECTED (ROUGH-IN AND FINAl.) _ CALL crrv HALL 95; .. 447..eeet- y;a. YS , hSleby apply Jor a mechanical systems pelmil and J acknowledge thallhe information above is comp'ele 9nd accural8~ lhallhe work will be In conformance wl1h th& ordlnance& and codes of the ci1y.and with the slalu building/mechanical codes; thai thfs 'orm does not become a permil unUl s'gned by the BUiLDING OFFICIAL; lhat the work will be ;n accordance wilh the approved plan in the r5:7f ~'::8nd app~V8' of ;;h~ ApplIca~'~ ~tJ'fa I . Dale 'Ilk- 9. 5 'O?) Bu;kf.n~I'1 Signature . Date nl'.: REC'EIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF JUL - 8 2000 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 LmO OUA~iVlj) ,.-n.L ^-X 3. LEGAL DESCRIPTION l 7. TYPE OF WORK New constructlon}C Chimney CJ Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE Sq. Ft. 111 '-/,,5'. Widt~--(i;1 If Depth 5'0 I:'Of( Yt:ts No .1 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 Wand 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 oke is rmitfir juS! ca_use. Furthermore, I hereby agree that the city official or ~es~nee may enter upon the property to perform n~~ i~ons. X I~ e:;?-'- ';.,[{'17 ((;/*ftJ I cro ! I Sign;'urY" license No, l Date . \ ' LOT BLOCK ADDITION L{ f'~ I 4. OWNER (Name) 5. ARCHITECT (Name) 6. BUILDER (Name) W\u1D~) ~S Fireplace CJ Alterations CJ SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING ~fD 1. DATE ~ (~d /~ I!. I PID tNtJ~ ~ l L-L- Z5;-Jia- 001-0 (Address) (Tel. No.) (Address) (Tel. No.) (Address) L 4 =3 (( 6L.v iNb t?r,U{; $"' (Tel. No.) 8q<~4L{~ Septic CJ Addition CJ Deck CJ F.lnlsh Attic CJ Re-rooflng CJ Porch CJ Re-slding CJ Finish Basement CJ FOR ADMINISTRATIVE USE Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION --1(,0, l'l0C). Of"' 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 Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ 1. White 2. Pink 3. Yellow File City Applicant Permit No. OO.oS!Ih BUILDING INFORMA nON 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION A/e-0I )F D 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJE9-~ COSTNALUE I C.P tJ <n:FO I 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ PLANS & SPECS c:J SETS COPIES SURVEY CJ PLOT PLAN CJ III 6"1 · '2 S- 7'11 ",1 80.00 Amount Brought Forward . ... .... . ......... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee .. .. .... ..... . .. ....... $ Sewer Tap .... ................. ..... ......... $ $ City: ~s".t)a /J.C2.O .~ t:L Pressure Reducer .....~.,..........'......... $ Meter Horn ................................... $ 4S. 00 100.00 IM.~ 15~u '/O.O~ \,,'~} Y 6<.00 1- \ J~a /' 'P- Water Meter ................................. $ /2. 5'. <:) 0 Sewer & Water Connection Fee ........... $ /~ ZOO .00 Water Tower Fee ........................... $ 7 00. 00 Water Tap .... ............ ........... ........ $ Builder's Deposit ............................ $ /~ ~OO. 00 Other................. ............. ....... .... $ Total Due .............................. $ ~ ~_ 4-h . Paid ~ 834. 4' Rece~'Pt " 378?Z. Issued . Date 7. / r. 0 () By tJ 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 requested. This document when sig~ by Jtl8 City~ canstiIuIBs. .......d'I Cel1ificate 01 ZonOlg compIance and allows ~n to COIMleflCe. Befo<e F'!"'1lCy, · Cerlll'cac;:;;J'Z4SSued ~_-!20~ -., 7--l~ -6V ~ ~~ C~~ ~ ~ , lanner Date Special Conditions if any Ildlng Permit ,,~n~~ Date I ,~ 24 hour notice for all inspections 447-9850 ...t ,. .Permit# -Job Address I LII-J '10 ,.13 J"" e 6.'u;/ . .' -Heating Contractor ME: I RO AIR' -Testers/Signature ~4.. ~ / -Gas Une Pressurized Inspected - Percent C02 - Percent 02 Final Inspection Date Time PERFORMANCE TEST .b. f"I9 t.IOJ/.) Pounds Pressure -Percent CO ('1.)0 ./~~_ C -Stack Temp, .LJ'i6f.D Date / /i' ',- '\, .<~...:.,,:: ... Of- Tht C~nt~r of lhf LahCountry 00-0'590 White .. Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT W\nowoor -orne.s duly O,'j)dllOD APPLjCATION RECEIVED , , . , The Buildingt Engineering" and Pla'nning Departmeflts have reviewed the building permit appli9ation for construction ac~ivity which is prppos'ed. at: . . /44 Lf Q'M u e J I r-c -t:=-(\'1. t\. }::.. Accep~ed7 , , Accepted With Corrections ' Denied Reviewed By;. 9ra.,rl-{!..,.}sOI1.. . Date.: --W~ Comments: 5~ & ~I'~fm ~ .-Ih~ r~v~/'.f~ .~. {;-1J.k,,1v 'frlUs.f ~e. 'lV1'l-~rl!( -I}1J1"1 ,gk~j,/r" .znuJ. ,AlE: , 1/ , 11<< ;ttla.,.~ 'a. Mif""";Utt13: J f/"~< on fA ~ }j,,,IA , .~~ (l,r '-1/,<.- ,house, . s~ qlf...../.T: I 6MI ((".4'/, Z,~))".7h'/v~.h:-' .v. ~:?11%., 3. t;rd;';'~ (',daJ !'f<'IUIlr?f /f. !iaJ'i", ~tJ/~ . . 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 cancei the, provisions of this code or other ordinances o,f the jurisdiction shall not be valid." ' oc . o51~ The eenler of Ihe Lake Counlry White .. Building Canary .. Engineering Pink.. Planning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST W\ncwood - ames duly ()~ APPLICATION RECEIVED The Building, Engineering, and Planning De!partments have reviewed the building permit application. for construction activity which is proposed at: 'M,LJC:1i,d ta\\ ~ Accepted /4440 ~ Accepted With Corrections i' { \ Denied ... Reviewed By: Comments: .I ~l~ Date: ?~l3- t90 f~ .:OFr~ R~ lD... ~ e> I L.J ~ {'/JYvf..e,v-, (y~ J-t{ ~ ~/~ (Mw iA..~ t.-J~ ~ - 7~ rP(~v' (Pe cl--q ~J J.R.<-t9t'-1JG~, , 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 ~ 00.0510 White . Building Canary - Engineering Pink - Planning Thl' ('I'ntl'r of thl' Llkl' Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W,ncwoor: \-'omes illJ -y M l aooo The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4440 ~-~:)iy-d -Irf\\ \ t\.F Accepted Accepted With Corrections ~ Denied ~ Reviewed By{~-49 Date: ?-/l-0:>CS1cJ Comments: ~ Ji ~ U:...-R ~ 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." PRIOR LAKE .. INSPECTION RECORD DEPARTMENT OF -... BUILDING AND INSPECTION SITEADDRESS 14440 ~~-T~\~ NATURE OF WORK, \l(>W USE OF BUILDING ~FD PERMIT NO. QfJ · 0 5q~ [)ATE ISSUED 7 -I 'S -~ CONTRACTOR ~ "vci~ <<v.nAJ--> fRoME- ~ 1s.p,<'/'Ie; :, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT rn, FOUNDATION (Prior to Backfill)~~ ~9-t 7p-7/tJtJ '0 -; -s/." PLACE. NO CONCRETE UNTIL AB~OVE HAsr'BEEN SIGNED ROUGH - INS at; ,./a1joo (\ ~ ~ \~ (('D 6'UQJ /y ..INSPECTOR FOOTING DATE 7/~/pV SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE' , GAS LIN'E AIR TEST ~ ~ r p .~ ~/o-tp/IJ() I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~- FINALS GRADING (Prior to Sodding) 1-/6 BUILDINGtt.o~ f> / r Ie ( Itlt/Of> ~ ELECTRICAL I . PLUMBING HEATING DO NOT $'.)"0) R /l, .~ ~~ ti .Cjl/?/~ / J d/zu/c;j ,. I !/z,/ttJ I i// / /JtJ / I OCCUpy U.NTIL 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 sha.ll be placed near main entrance. ." Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ~~.. ~~.~ crrv QF PRIOR LAKE ~ :} ~ 1S200 Eagle Creek Av. S.E.. ?er.;,tt N~. C) \) - O~ ~ b \. Prior Lake, MN 55372 . \,,- HEATING A?i'L1CA.T10N I PERMIT JS&, 8-0Q-oo... ~;e AddresJ4 Lf4t/J B IIAe....bi rd T r- ,I. ~ F-. ~ I Bb_--k , Aod7ii:m. KNOO HILL 41Jt ~Mlers Name \r\ : l\ ~ \,J II {\ r\ +\ r) N So . I ..".. _ ~ess \ ~ ~ \ \ (-~ : ,,~_ (\ .. \. ~_ 'I 1 V ;'\ '" \"\ \ ~ \ . HaCi!in; Ccmra::cr I "\ \ ~'-~ n\ ~ ~ ,~\ A:lclress, \ \'\ ~ ~ ~"'" '\,.h.\ lOr-v. .\ Y t V.~; IT' ~ L, ltt. Teiepb:>>ne # ~ ~ --. - C& \ ~ '" :: 1JJ11ace Maki l ~d Bt (~... "" ~ \...... "'~1l1 Sin I ~. <J M V f' l~ ~ ~nn.. L...-a:f . ~ t:) J ~ ~ FYI! , N ~ Flue Siz. ,PV L Su;JP)y O?enin;s. l, Mvtr.un C);)enln::s cg Input I ~~ .~ ~ 'ID OIl1jJIII, q ") ~C() \ L Fut,k :a. Or- . 3, YI:1bN " nk Ci1y c- n'PE OF ~ i .-IUCTURE. Single 'Famliy ,X 1wo--Fanu1y , Inoustrial Muffi.Farr,~ _.'. Commedal_ PI!) #. ?ubc: . , Ct'~r. ~e S:i'letiute In:i~ Cornm~r:iall Mu/1j..Fa.-nay R~Sl:i~ Heating & AC i1esi:ieniia[. Heating Only F\esidenti21. G2S ~~~a.;! ResiaenfiaJ. AdditiO:lS &. A1l!:ucns ~eslCenti!1. AC Only , .k ~ job ~st tSS~.50 minirnu:n) SgS.50 S~.50 t39..50 ~..50 ~.SD ne:'i\!:mber to Bd~ the S:at! Su::har;e on the b~~ of !his 1p:,1l...,t;Dn. TYPE OF SY~ J.::.M Warm Air Plants Griw1ly , Mechani::al Air Cona1tionin~ Vent.. Systllrn.)O HaTING OR POWER PlANT Steam, Hot Wale. . RacrGlti:m , S7~aJ De~ . The pri:e of your h&ating pennit in::1uOes ~n! rou~ln am:! one 1irW irts;>>e::tion. Ad:6tional inspe::ticns wi! be bled aI $35.00 each.. .ltJ HC)T~ H.""~"'g Ie$; R&::o~ rnus1 be submitted w;n hnnmnnn!l!rmb n1rmhP.r b--io~ bcJii1J.. ing =e~ of o-~ wDl be msuec1. H= I(;f"...., C\ 11 (rJnN~ ~::n. U~=n wi1h number oj SUjr,)~ anti mum. o~nn;s listed P9' room With CFM1s- per OP!linp.. New stru:tures or .-trtl1gns ftnd ftDor plan wiUrEUj3ply and teUn k.";;ons shown. HE1J LOSS CAlCU~ONS, PAYMEHT AND AP?UCRlONS MAY SEMAII :t\ TO THE CTTY OF PnlOR LAKE. 16200 :A,t:1 = c;:t~ AVE.. ~ = P~OR LAKE. MN SS37L. Chy Hall ~ h~ m 8 Lm... (:30 p..rn. Olher Dev:..,..~ , ALl WORK MUST lIE 1NSP5L JlW 1II0U~ AND FINA1.l- CAU. CITY HAU ... . 4C7",,","~ , \ 'TYPE OF WCIllX \. J I herwby apply for. mechanical systems pennjland I acknDWIed9llhallh. \ . ~ . ,Infollllldillll.... is CGII1pIft ud -=nte; IhalIle'WOltl:da in ~ . ~ RejIla::oi'IlII. NlIw CIlnsllU:li:m. " . wlIIIlb. Drdinancu and =cIea Df 111, dt.y and d tho &l!dI bullcII~ a: i-.-, ' . . 1:.4 Camp. "'-ala '". '. . codes: ~ Ihls II!rm dces IlDI beCDme a, J>en}dt until s!gne~ by lb. BUILDING !Ii ". ' . tp , , , ft n.' " OFi=lC~ 1hat Iba 'WDdc ~ be in ~-nIance wI1h Ih..pplllVed plan in lho N,~ ~I, q S"t)~ ~ ~'~"'I\;hlllllll: ,'t:A~- 57-'" . -." ~ \:~.~~. .......amI ~.Df.p\III&. . . '". ; HEAllNG PERMIT h= ~ .......... ~ J 1 . . - '.;. . ' . ~ ~ ) '(J ::-:.<::0 c;>. . " _"'~rr, . .. ' _, ~ ~~-r.e ~ $, .5~ -. iiII8 .......... · "'. . ." _ ~ _ CoIII'".-: r:.O...i::. . c;> ... . ..---~ 0 ( 0 , ..... 1DTAI.. PSuIrT........ t, ~. , CollI S~ ;-~:;:.~../, · ::. ; _ _ . '. ..: ...::. -.: ..... o' .,,:". "... :. . '.: ,'. :;.. ":: " _ .::.:;,..... .:. ....;_ ::":;'.;.~....". ., "I~- ::.I:.... . . -:. ... '~.... ~~.; ...:- -:.. :.....~....,-..~. ~.- '....~ , ..~'" . ......:; ..._.' _." ,-\l'-:r .~.-.__..;-I_, .~~~.. ....r:. ....:.t't ~ .~..l....._ ..:.': r":. ~~~~" ~"~~~L~ ;.:r.:.ro:-. ~ ""r.. . '.. . ;. '-' ... ~ -"_po!'" ~.-. "" '~'" - ~ " "_, .....:- ~. '~'!;",~~ 'or ""-"'_.... _ .._~. ," _" _... ~ . . ""'.).~". ':' '; ".' ::~:~.: .~" :(~~n:;;:::~~~-....,!.'.-d('o.-;;i~ o{"...:~,,. ~:, '<~:;:1-: ';?r:~,.~..:.. , . .~~~i:I'f:~1io .:~.... ,:;;. ~ .' . , _,~ . . "'.. .... . ~, ,.,..;;. ',.,'. , ,"'" "". . .. . ~Edr. <I - octm. Il:: ' I- W E J~~~ CITY OF PRIOR LAKE SEWER AND Wl\TER PERMIT JUL 2 6 2000 APPLICANT: OafcflbL E Xc. ADDRESS: J ~ Ii t :r OfLrd w,4-"f L IL tlL . SIGNATURE: e.J2....~ D.....jl SITE ADDRESS: ltt '-IlIO (lCt-tC&7jU) "'rt1-. FILL IN THE BLANKS 1. Estimated length of water service 3 D 2 . size of water service (( inch(es) . I 3. Location of any couplings from structure 4. Type of sewer pipe. ABS PVC ')( 5. Estimated length of sewer line 30 6. Clean out (if required), located at structure. GREEN - FILE YELLOW - AItPLICANT GOLD - CITY S.W.No._n(J -Qsq~ NOTE: Sewer and Water contractors must be registered with the city. PHONE: f~:J -tflJ6 DATE: 7./2';0 0 I f BLDG. PERMIT #S1)-05<\<Q PID# Q5-3b~-QC.L-O feet. - feet. Cast Iron feet. ""'-- feet from ------------------------------------------------------------------- ------------------------------------------------------------------- Thirapp:icatj~ecomes ~our ~rmit when approved. BY (_~~~, ~..i~) DATE: ~/(Jr) =============J===============:================================== 35.00 .50 35.50 Sewer and water line connection permit. Surchargf~ TOTAL $ $ $ * Fee for either sewer or water individually is $J.?5D plus $ .50 surcharge. Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. * DATE PAID / / REC'D BY AMOUNT PAID RECEIPT # hAlO WITH ~UIWIN~ PERMIT ,/ 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer CITY OF PRIOR LAKE 16.200 Eagle Creek Av. S.E. Parmi' No_ cx)-QSqb Prior laic., MN 55372 ' LDt I Block Owner'a Name. AddrlU .u... " Conllactol aUlt'~5' .RV.lL.DV'"A!!:S 6'?~.s Add,..,(No;- I r?:..'" U At.. 'JlVHrelV?A'- hr.. a-W/. T~.phon.' ,7".3 ... ~ 9t1 W~ 3 ~~~"c:='.c ;I' . IJAi188 Nakl & Model c- )vAF"~d;e r Model Siz, ,~()t!J(jT Conn. Load , FUII,/(#r TYPE OF SYSTEM Warm Air Planls ~ Gravlly Mechanical , Ai.r Condnloning , Vent. System, HEA T1NG OR POWER PLANT Steam , Hol Wafer Radial;on , Special Devices _ Flue SIze r Supply Openings. I I Return Oplnings , Inpu~~~ OUlpUI. Ed,. elm.. Other Devices TYPE OF WORK AI. ral~nl Replacement New ConshlIctJoa 'X Repair. Esl. Comp. Da1e , -.L) Ell. CoJl./~ ~ B~~gP8rmh' /')D-iJo::::;c,~ '"' HEATING PERMIT FEE ,. 3 ~ ~ . ~~o ~~€.~~\~ STATE SURCHARGE' / ,50 0\j\\J)\~ TOTAl PERMITFE~.~ -- Receipl '. . . TYPE OF STRUCTURE L Phti 1. GRell ). YelJcrw o go ""- N en ""- o o . file . City COIIllaclor Single FamiJy Commercial '><... lV/o- Family rnduslt;al Public MuIU.F8RliIv a:s Other .. ~ I-t Fee Schedule ~ ..... o CD Industrial. Commercial & MuJU-Famiry Residential. Healing & AC Re8~dent;aJ. Heating OnJV Residential, Gas Fireplace ResldenUaJ. Additions & AJteralions Resld&n\lal, AC Only ~ ~ ~\ I! ! ! = ~ N en en ~ o go go -:t ~28m Remember to add the Slale Surcharge on lhe bottom or this appficaUon, Tha pric~ .0' your healing pe'ml~ l~!ud8S one rough-in and one nnar inapsclion. AddltlonallnspecUons wUI be bJlled at $35.0Q each. HoU&e Heating Test Record mus{ be submiUed wilh bf~~~rU,,'I1WlDII "'\rIlh~' before buJld- ing c:erUficate 01 occupancv wUI be Issued. HEATGAlCUIATIONR ~FnlUpl=n wifh number 0' supply and return openinga lialed pe room with CFM's per opening. New struclures or additions send noor plan with suppJy and reluln locations shown. HEAT lOSS CALCUlATIONS, PAYMENT AND APPLICATIONS MI\Y BE MAILED TO THE CITY OF PRJOR LAKE. 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. City HalJ business hours are 8 a.m. . 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-tN AND FINAL) . CALL CITY HALL 441-4230 , hereby apply for a mechanical $ystems permit and I acknowledge that Ihe inlormallon above is complele end accurate; Ihat the work wiJI be In conformance wUh Ihe ordinances and codes o( the cilV and wUh the slale building/mechanical codes; Ihallhfs form does n01 become" pe,mH unUl signed bV 'he BUtLDtNG OFFICIAL~ Ihat the work will be tn accordance wHh the approvad phln In the f;j heZ=:W :nd approval 01 p'r4~/t9!? C' APPri~t's ~r8 ... - f }lat8 A(lA jJy;L I /.1 J'n/, ,'uA ~ <;S-/.:?y.trn o Building omtarl!gniiur8 . J DalY ~ in ~ ~ III tJ:' ~ I-t b tr:I ~ III tr:I ~ ""0 ~ tr:I III III ~ o o ~ 10/21/99 THU 13:14 FAX 6124474245 CITY OF PRIOR UUCE I4J 001 CITY OF PRIOR LAKE ~. ~:w ~~liCIDI jijPLUM~r!G PERMIT if} ill - ()S2b Applicant: ';f;J. .~ to. Phone: ~ -:;;2 / ~ / Address: p () ftutL_ rlmo/7 ~;l.. Signature: ~ legal DeSCriptiO'l ~?T,;' B~ock . I Sub "'~'o \-\i II Site Address: Ltt!:t!iI) i)ktLhrc( ! /'.. ~ - Lith AI)()k) Building Permit # (\{)-. ()oq ~ PID#QS-3bcl-OOI-O NOTE: This permit will not be processed without complete information. FIXTURE UNITS ~) ~ 111, (",nlt'r nt lhe' I...... Coun.", Quantity ~. Type of Fixture Quantity n Bath Tub with or without shower 0 eo,..- / Dishwasher / / Floor Drain c3 Lavatory (bathroom sink) / / Laundry Tray (1 or 2 compartment sink) I Shower Stall / Sinks Bar Sink ( !3 Water Closet (toilet) FEE SCHEDULE Industtiar. Commercial & Multi-Family (1 % 01 job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL 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 $ ~, $ #'t<<-~ $ <<Q~~ ~ $ .50 ~~ '\ / $ ------=:::: \ "~.:-~.....f2...C:,.c,. ~..r- ~ D'W @ ...\'~\\'.. '\\3...~_S?~l~ \', (, 1\00 - 9 '2fOl J\ ' \ II ~\iL.-___- -.-...--- --- .,..,-------- - 16200 Eagle Creek Av. Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opportunity Employer CITY OF PRIOR LAtq: INSPECTION NOTICE SC:HEOULEO DATE TIME //-~-o 9:dO ADDRESS l!:i!f '-10 13 /u-eb/ rol o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER tiOOKUP t,y'c, ~ PLUMBING FINAL ~ MECH FINAL COMME<NT~:fI~_(f) ~ i2-3 ~ t, ~ ~ ~~ - M91-. M.~~ ~ ~ ~ ~ Ir-J:.~J (Lf)~ ~~ '~~k~, , (9 ~ /~ 'Yf' rf/t11 Sa-'~' ~ .4c:.~t ;R. ~l.-J - tr'L . ~ -(/J) t1~ ~ -I.J/~ ~ ~k't. p~ ~ b~~~~ - ~ ~- , V ~&(!') ~ ir ~~. ~ ~-rJ4 ~--=to~, ~~t:;,__}l ~I ~ i-<>~. ~~ ~~/'~~-( ~ o (1~ ~,..,..." OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION IX FINAL o SITE INSPECTION ~. ~... o WORK SATISFACTO, D . Y CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REI ~ O-S9~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o , . -';"~''''''._'''1''-''''''''';~ , :1// /0. I.".....~.,'..".' I I ~ ,..--.__..~;~'f'!~~-;....,..~~'~'": '-..- ION BEFORE COVERING Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 7/ Z '7/tJ I) <=J .' ~ 0 DLLl€ 81 ~D TrL. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ILJ4tf() OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI ~WA TER HOOKUP ~SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIME 0'- S~ <.0 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o Inspect~r: -J Owner/Gontr: CA\.! 447-985~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY! CITY INSP: UOR LAKE " NOTICE DATE TIME SCHEDULED ~-I-ol ADDRI:;~~ 1'-1'1'-10 i3{ue l7/l-d Ti'c,t I OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION 8:.. FINAL o SITE INSPECTION CONTR. PERMIT NO. 00 -65-96 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~. EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 6/IUr1~-OC brc#d/rac. - 6> K J -P14..i.n..:Lc.. i """ fpcfdtrl' ~-rt.9s.iJp /l Co/JI-/o' VVJ j.,' 1/ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTION 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 DATE TIME ~Z2-al Ht- ADDRESS 1444 O' S ~UJl. D\\~ i \ ~ . CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER PHONE NO. CONTR. PERMIT NO. ~ - Q:if., o FOOTING o FOUNDATION o FRAMING Q....NSU~LAI e J2"EHAL o SITE I TION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ /1 0 MECH FIN; 7 J v~~hCtY v COMMENTS: o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GA~LlNE AIR TST .P( ~~ \ ,PROCEED D PEED L FOR REINSPECTION BEFORE COVERING Owner/Contr: INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!