HomeMy WebLinkAboutBuilding Permit 99-1440
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DAJ:C QC~CI\/.E.D.
DEG281!Bl
'--"'--"-'~'-"'-"
DIRECTIONS _'_________.
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Plea.. Print or Type and sign al bottom)
2. SITE ADDRESS
/52..:39
I
,/V IL.D
:5 17.-< Rl<wA 11
3. LEGAL DESCRIPTION
/Y'
r I-JE
)
1. DATE
/Z/Z.9je'1
PlJD
2.
PID 2.5~3z3-01..j.-Q
JlJ..bJTJIJA)
(Address) (Tel. No.) I
f?,A JtvR ,,/~ iC (5 q'jO
(Address) ,( (Tel. No.) r
C" s reJl1 Co IUU-P'0 ~Au'Ja1/eR 3;)3 'i'lll
(Address) (Tel. No.)
3 '3 ,. }-I ,,., JJh.of4 rr I
bS J -C(."l q 90'
Rs-rooflng CJ Porch CJ
As-siding 0 Finish Basement LI
-'
k."I...L~IvFl;?INV
7. TYPE OF WORK Fireplace 0
New Construction"" Alterations 0
Chimney 0 Misc.
lB. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS 11 O. CULVERT SIZE
Sq.Ft ;)Os'?</ Widlh/~7 + Deplh It -;;. Ves No
I hereby certify thai I have furnished infonnation on this application which is to the best of my knowledge true and correct. I also certify that I 4m the owner or authorized agent for
the above mentioned property and that all construction wlll confonn to all existing state and local laws and will proceed in accordance with s\Jbmltled plans. I am aware that the
building official can revoke th@.pennitforjustcause. Furthennore, I hereby agree that the city official or a designee may enter upon the proper!ty to pertonn needed ....... "'~M~' oJ.
X 7:C..6l._' o/.nj " 0C7~1 fI-...:..." ~= I C ,PI'} I .::!A h6'C- /'1 '1 '7
(T Signature /f License No. : Date
lOT
BLOCK
1,,-,I/...b.5.
ADDITION
14. OWNER (Name)
130 e R4
15. ARCHITECT (Name) ;!
<. 7(P'Y
6. BUilDER (Name)
.
c.~
Septic 0
Addition 0
Deck 0
Finish Attic 0
1. White
2. Pink
3. Yellow
File
City
~
Per'1"it No.
Q<llolt/40
"\"
,.'<'~:."
: ".~~~~';')'
~UILDIliiiifFORMATlON
11. SIZE bF ST~~TURE
(Hei~t) (WIdth) (Depth)
12. NO. OF STORIES
13. lYPEIOF CONSTRUCTION
14. FlOO~ AREA APPORTIONMENT USE
15. NUM~ER OF OCCUPANTS OR SEATS
OCC~PANTS
SEATS
16. PROJECT COSTNALUE
!
17. COM,!,LETION DATE
-
FOR ADMiNiSTRATiVE USE
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION lID. ooe.~
Meter Horn ..........................~........ 4:
Water Meter .....1.'.~..............~........ 4: ?Sb, eo
Sewer & Water Connection Fee ..~........ $-..1 7 ~. 06
Water Tower Fee u.uu...uuuufuuuu $ . 1'] DD .00
Water Tap ................................... $
Builders Depo~1 .uu.uu..........uuuu $ ,. C; 00. DC>
Other ...uuu.u.......u.......uu.u...... $
POid T~~;i:u~ri;u.u.~;,~;.. $l't,o;Jl;tfl?
Dele t:tr1 :r~ ~(,~
that the request In the above application and accompanying documents IS In accordance With the City Zon gO nee and may pr~1s document when
Planner constitutes a ....".I"....../Certifi.cete of Z~"9.. COmPlie~ow;, C~:-"Co;.-~ ~kJe~ncy, a ~te 9lfl=Pa~...be Issued.
! - '2-v<r ~ Iy~<f" .u..J-.~.. ~
ity Planner Date Special Conditions Ifa.,y ,
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
Back
5~.
USE OF BUILDING
SF'/')
lYPE OF CONSTRUCTlON: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... $
S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
1.231] .:>S-
Plo'l.2.1
as.eJO
Penalty ....................................... $
Plurrblng PennK Fee .9!1.:jM.tl:P $ II'JO .(!> 0
Mechanical Pennlt Fee '?1:. 1'1#..9.. $ (00 . (') f?
Sewer & Waler PennK 9.9:.fi:I:!I..Q. $ 35.'5'0
Gas~' ennK 9.?.114.Q.. $ c.f() .t9 0
This s Your Building Pennlt When Appr.9.~.
By ~ Date , - 7-"'"
Certificate of Occupancy
~
Issued
Amount Brought FOlW8rd .........;......... $;
Park Support Fee ..................i......... $
SAC m...............uu......u..,..u.... $
Collective Street Fee ..............~........ $;
Sewer Tap .........................~......... $:
t" $
Pressure Reducer ..........................4:
5"",
24 hour notice for atlinspections 447-9850
MATERIAIL FILED WITH APPLICATION
,
SOIL TESTS i LJ ENERGV DATA LJ
PILING lOGS . LJ
PlANS & SPEc$ LJ
SURVEY LJ
PERCOLATION TESTS LJ
SETS
COPIES
PLOT PLAN
LJ
R <;7'l . I'X9
1,loa.Do
7().~
..
.0
.
G.B.S.
Heatlna & Air Conditioning,
The First Natl. Bank Bldg.
332 MInnesota St.. Ste. W1099
St. Paul, MN 55101
651-665-9901
c~ 6-. f".% co 1.2 /,,-r
.. ~I/./ 16 . Eff.?{)'/ ?O
-v/ r
Stack Temp... "17/
Gas Pl'888ure ~. 6
In~'St:L
~
\"
.1,,1
Thr ern I'" of Ih" Lab Country
qc; - / L.j.L/-O
Wt ite - Building
eS! ISry - Engineering
Pir k - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl$I
NAME OF APPLICANT
APPLICATION RECEIVED
tv IL L E:- N 8f<. IN 6
/2.) 26/99 I
1 '
co.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5239
/.. I . r
v Lf)..:..;.,
Prlk'IC..IV A V
I
Accepted
Denied
Accepted With Corrections
v
Reviewed By:
~
~I~
;
Date:
1- ? -'1Q
Comments:
2. t-/ ~C ~^/.. ~l.VMA ~/tl)~ I -V lr~ rX-
fv~ ~f1nr~ ~, L\f'Vl~L.J- ~~c9-Lj)~
,~ ~_ CY\- YeAAJs..a.-l ~~ /lit-J
"The issuance or granting of a permit or approval of plans, spe! :ifications and
computations shall not be construed to be a permit for, or an approval of, my violation of
any of the provisions of this code or of any other ordinance of the jurisd ction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CJ9-/Lf.40
WI Ite - Building
Ca lary - Engineering
Pir k - Planning
The Ctnltr 0' lite LlIk, C...nll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKL\S!
NAME OF APPLICANT
APPLICATION RECEIVED
WIL,L5N8RIN6
/2../ 26/99 I
CO,.
!
The Building, Engineering, and Planning Departments have reviewed the Ibuilding permit
application for construction activity which is proposed at: !
15239
WILDS
Prtf21:::. N A- V
I
Accepted
Accepted With Corrections
x
Denied
(2;J/X-;?--
/
~
Date: I - 7 -~049
Reviewed By:
clJ~nts:
~ II I.l.fkc~ I-f-.l AA....
"The issuance or granting of a permit or approval of plans, spe' ;ifications and
computations shall not be construed to be a permit for, or an approval of, my violation of
any of the provisions of this code or of any other ordinance of the jurisd ction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
/~
r
ThtCtnlrr of Ihlf L.kr COllnlr)'
99- / L/-L/-O
Wl1ite - Building
Callary - Engineering
Pi~k - Planning
,
mm...DING PERMIT APPLICATION DEPARTMENT CHECKLI~T
i
NAME OF APPLICANT
fl/IL-l EN ORIN Cj
/2/2-6/99
I
CO.:
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the ~uilding permit
application for construction activity which is proposed at:
/5231
IVlcDS
P/lRt::::.IVA V
I
Accepted ../
Accepled With Corrections
Denied
Reviewed By: /JIlL TEll F....Q f:5M"NA'
Date:
. I
II 7 I 00
, .
Comments: RFAII.. YA~()
R,,^,erF
.$>1.."...0 BE <'..OI\Jvr:yfJ, tro..vAIl..O<::
I
-r..H:
SOUTt-IE:R.l\.l M05-.
Lor CORlUF1L
SEE
I IU Fi.A.....4,- "'''U
f'lA.! nlE. 'KE".JFnsE. 5fDF
f'",,Jsrn,,<.no..J Vf...'''LE:..... ptfun- rNTf:iC
~," LoT' FROM "T""HE /,,,,-- ()E - ~A(. ",,,,0 NO. FR.... WI"'1~ AktICuJA't'
~"H"'eJJTSI LI::.".... f.:.tMlE W!.RR:JTI.fIJ J^'Fdt.""l>rl~7" (.!-t,qOI"j~ R..f1Al
:S. &..:\<"., (\",'rn.oc.. M&A""ItL.s
t/: E/l,,-r.'~JA'\ !":A.l0>> OL.. H.A AI I
"The 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, ~ny violation of
any of the provisions of this code or of any other ordinance of the jurisdi<:jtion. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
._ ...."".::...=.:::. ".~~l~:,..:.:!-!'J'\'\,9..u.i~'''~'''D
I,;J.H IJ~' ~I<j VI'( L.\l\!;
10001
~ CITYOF,PRIOR LAKE
~... \.~\ PLUMBING PERMIT PPiNQ._q~-/NO
- r:;j Appllcanl: H/~f!- AlAI,-L.V Phene: 1783- QOeo
.__/ Address"" 'lA' " " .. 1,/7-. '7....... fila'" ~
... ,'""...1 '., ..." ""'"'' ...........Ionatu;.:)f ll.M:Lih MV 1..' p~ fUO' CZL-,
e,flS6 _____ loellaIO.'rlpllen, Lei: /4, BlcckJ Sub IV/L.OS 2ND._
1J" (jJM ~ Sit. Address: /6z34 WILOS PI<.WY , ,
5' ()vG7 V BuildinllP.rmltll ' "qq... 14.tJ.O PID#~~- ~ ~ O/..q..O
to rt \ NOTE: This pernllt will nOt be p,oc.li.d without com!,lot8 Informaqon.
~ FtXTURE UNITS
I, Rh..
1.. C.ld
). V.Uow
PI',
Cily
AIIlIlie.nt
Quantity Type 01 FllClure Quantity Ty )8 of Fixture
,
;J- Bath Tub with or withoul shower, J Rough.ins
I Dish\\lasher I Water Heate, !
( Floor Drain Wetsr Sollner I
~ L.avatory (bathroom Sink) Stand Pipe lw~nil1g machIne)
I Laundry Trey (' or 2 compartmenl sink) Se\\lage Ejectc ,
Shower Stall Backflow Assem IIy (RPZ. Double Check, PVB)
I Sinks Backflow ASsembly Tesl
aar Sink Lawn Sprinkle, \
,
3 WIIlar Closet (loilet) Olher
F~1i SCHEDULI!!
Industrial, Commercial & MU!ti,FamilY ,
('% of job cost, $3".50 minimum)
Resloentlal. New One & Two Family
Residential, Additions II. Alterations
Slale Surcharge
GRAND TOTAL
$
$
$
$ .50
~;~'~'~~;~:"':':":., '..;'
y...'wi,.l'r!':.l........' .
.., '\ ;""I':',...':..:~' -
_""..~''''1. .'
!l';' - ,- ! '
$IlB,50
$3~,50
"nib p-:rmh Is Ilt.tt,~ u~n the CXl'Jl"e!I~ condiUoll \ha' Ilid
cont'K\Ot,..,t'llln QQ~pl)' in .I1I'CAI'CCII with lhe MCl;n.'~ets
or th. SIal. Plumbl.s Cod. .n<1 Lh. ,..o.clmcnl, \/l.r.of.
ROCEII'T NO, DATE
, A'rTUT
Call for all inspection. :2:4 hours in advance.
16200 Eagle CrcckAv. S.I!. Prior Lake.~N SS~721 Ph (612) 447.9850 I PAX (612) 447-424~
A.1i Equ~l Ovportunity empluy....
GIIIIl. - PILI
YELLOW - A"UCAIIT
i GOLD - CITY
I
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
i
S.WrNo.~440
Sewer.and Water
contrcilctors must
be ,registered
with ,the City.
APPLICANT:~. tA. Ra...u
~ ADDRESS: /,$"d.59 w~k1~
SIGNATURE: ~L ,/(c
SITE ADDRESS: 18)")) ~b(\tlt-U\.i
I
FILL IN
LlJ,
el<.wv.
~
PHONE:
(,.,l~ .;2~\-d~l.oO
/11; <//00
DATE:
.Aut.
BLDG. PERMfT #
,
ifcS~d PID#~- /) 14--0
/
THE BLANKS
1. Estimated length of water service \'!~
feet.
2. Size of water service
("
inch(es) .
3 .
Location of any couplings from structure feH.
PVCl I
Type of sewer pipe. ABS Cast Iron
Estimated length of sewer line "IOu feet!
Clean out (if required) , located at A ftet from
structure. I
4 .
5.
6.
::::=:~ -0 o:~:=::::--::::::=::::~::::~:=:~--_._----------
======,l:=============================================~===========
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connectio~ permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is ~11.~ plus
$ .50 surcharge.
* Sewer and water permits issued for new constructioll must be
recorded on the building permit card at the time 0: issuance
to insure that no duplicate sewer and water pl!rmits are
issued.
DATE PAID
AMOUNT PAID ,..",.\)1) V:,
~ . 0." ...-
\ ~\l\\.O\'i''-'
..
"
RECEIPT #
REC'D BY
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 MC
.. . 1U. EIlI'. c,.... Av. I.E. P.nnll N.. 9q -I.!L'-IO
III , Nor Like, AIM 55172
~~ ~. ." HEATI~G'~ueAnOH/P~MlT
~ - 2~
.: Du ... - PI/J, PlS- -b',3 -OJ L.{ - 0
g llaAddr_ U5'~~Cf ___ JJJ'-/D/J-/~ . .~
~ iJIl L!:L 81adl_ '_ AddliDn.::Ih (I. ~ ~r.c{ A~
~ . .. II- J .
~ 0....... N_~/4..4 ~ .
~ w
Addr_.
........ea... (J.B.s. ~/~ M't/J
,
411._~ I-fI~Jt1iID ~_ .r--<._ ~/."
rel.....,.ti2f:JJ_ fLI~ <~+ ~A' J
:! ..- ....., ~N1~'::> {j1f!~F SYSTEM
('l: ~ ..........0 Wwlll Air 1'111I1.
....1In-., . ~r'" Gr~
.. -. ....1J!.L- '>>01 MocIlMQI
:s Ail Colllll'loNng
~ .., flu. Sill _ V.n1. ~.m
i wlr ~ ffEAnHGOA FOWER PUNT
- SInm
~ IIUm Cp.Mg. HoI WII..
~ .......
L*OiIfIUI SjledaJOMas
AF/1J9'
~W
~
~..
-&
0lIIer~" ,
-
~
lYPE 01' WO"M
',Wiw C411IIINUlcm
E:-
_G-__~
Vl ~Nlr
Ill.
u,
Ill' Cull
..
I
IlIllllHG PERMIT FEE a
Ill,
I
r- . 'IE SURCHAllGE .
Ill'
~ ; AI. I'EAMrr FI;E3 ,
:;).
([
Rep..." "
E.. Comp. 0...
" IuIdlnQ "'ll1I4 .
CfCf- /4 '-ID
,50
Recelpl
TYPE OF STRUCTURE
'.JlMit. ~I
1Ch&. 0r.1
,._.--
Sing" FU.1ft ..Y .......F:uni1y ,
ClI/IIIIItrcial lNMIoiaI
Mufll-Famiy _
NIle , 0lrIer
F.. SCn.flli.
lI1Wstrial, C_MlIIl . MlAII-Flmly
RMidl...w, HHling lAC
AariIIIIlI.L Hnbl9 ~
Ael\dlftllaL Gas 11'....
AIIid~... A~ l Ahodooll
RMicl...... AC 0nIJ
1% ollc* -' {l:lUO
$!J9.5l1
184.50 PLEASE NOTE:
..SO Air Conditioner Unib Canool
$3I.50~~hlzI!O~R~.~ide_
.1.50f~ f~lbIcQ.. :', .
'i'"
"OJ _
Rememller 10 gd ... SliIII SlIIl:IMo,. an Iho lIolOln D/~. ~ 2 200l
ThII prica at your hlllling l*lIl~ indudw ono ........... IIlII ~"fN1 inlFBC:Van.
AMINIII iIIp KIiCIns WllI .. II_ad ., t35.OCl ......
Hau.. H4dng Tul Roc..., IIIIIIlIle lubl1llllell wllh lI61iag IIIII!.iIl!IIIIIIIlI!: h'Dltllllld-
Ing cllllllcala eI DCcupanc, will be iuued,
.tIf& c.uClJlATICNS RBlaA!;Q lIIrilIl number II I\WIJ _ N1U11l ..,."lnlll.alId per
Niom wtlII CN. per openl.._ N_ JIIUc:\ufl' III &dcfjIuM _d 000, ...... willi -.ply
J/ld '......Ior....".."... HEAT LOSS CALCUlATIONS, PAYMENT AND
API'UCo401OHS MAV Be MAILED TO TIiE CITY OFPMlAlAKE, 11200 EAGlE
CREEK AVE. a.E. PAfOfllAJCE, MH 55372.
City Hall bu__ IIcMI .,. . LIII. . 4::30 p.m.
ALL WORIC MUS'f BE IHSPEClEO (ROUGH.IN AND 'INAL). CAU en HALL
44'...,.
I h.r.b, .pply 10, a m.ch.nic.hyst..... "e'IIli' tnd ~ ,.' ., 'c. :".-1lI11u..--
infilmiatiOA iIIovel. complet. and lICcural.; Ihallh. Wllk will bo in conlor.n.ft~.
wllh lh. aldlnonc.. ami 0DlI.. 01 I.... cily and 1IIilIIlhlIllaielluillllng/mlClillllclI
cod..; IMI lhi. '0'," du. nol bocome a p.rl!lll UIlIll sign.. by lhe BVKDING
OFFICIAL; 'hallhe work lIriIIll. ... .cco,dllnc:e wIltIlII8 app'lMId plan ill""
~I work"" .....1Il,.. rwvl_ IIId appravtl 01 Plant.
~~O- . S6.L~,
/ .'D
S-/<;J / - -
, /1'8~
~~u'C~~<
,'- ,.~
,-
(J
~._,- ~ / HEATING APPLICATION I PERMIT
Dalo-.J-t" ~ "00 ~..;!5 - 323- 014 - 0
ShAddress -Lf:l J9 ~. '/,# /J.r~,;. PilI)
LIlI 14- Block ---L- Addlion WIt-OS 2ND
(Nftm Nam.~, '1/1../",;" &~/t
, .
/.t4dta&~L ""'NI&J,Ja sk. 5oA.l-~ AJlo'" ,Sr.I6..L ~
4.J ' M.~I
HIl8ina ConItKlOf 1:. 1:;). S . H t JI-n".. .j- A /C!J
- '
MAss~ H,ftLUJ..J. .It';"', ~....IL W/O',
T IIIephon.I' ~ I:J. -f /I., ~ .. ~IC.
F'Jlftac:& Mak& & Model A '<:,_ Jo
IoIodeI Size ~i .31(",,& &/1/1 J
....
c
c
ISiI
CITY OF PRIOR LAkE MC
16200 Eagle Creek Av, S.E. Permit No.
Prior Lake, MN ssm
qq- /4+0
!:;!
~
.....
'"
c.
-
'"
...
...
'"
'"
....
-
.~
Colli!. load
Fuel Al4-r:
;: \Ie sa.
~"
Supptf Cpen;n;s
19
7
o...lpJl~___
Ao:umOpermgs
Inpul //0. ~
.. .
...
..
...
..
...
...
..
....
<D
Edr,
err.\.
5'.1'41,1-
S~'O'
TYPE Of SYSTEM
Wa,m A;r Plants
GriMly
Mec~.,*",
A"Cc~
Viilllt. System
HEATING OR POWER PLANT
S~.aa r:'I
HoI WaIeI
P.adialion
Special Devices
.:Jlher Dev cas
>1
i:: AIIorlllions
TYPE OF WORK
/
...
~ RIpH',
"'
c
Replacement New eonslludian
--Est Comp. [)at.
., EsI. CUIII
..,
.. HEAlWG PERMIT FEE S
, BtJildlng Perm. ,
Qtf-/440
0
0 STATE SURCHARGE $
..
.. TOTAL PERMtTFEES $
"
r>
c
.50
'Irt~~ci'~~~\,,',n'
Rtceipt. '
TYPE OF STRUCTURI;
J. fUlt
..-.
:l. Yr:IJow
....
""
c..
Single FacWIy
C.. ,_',J
./
Mldli.family
Public 0IIIer_
Two-F&nlly
Industial
File Sche<tJIe
!ndus1riaI, c.,.,..-",n:raI &. ~.FaNj
Residential, Heating &. AC
Residential, Healing Only
RlllIid""tiaI, Gas Fireplace
Re-s'.:liln4iaJ. Addilions & AlIelations
Resldenlal. N; lhly
l%of '.,., cnsllS39.50 rnnnuwl
S99.50 PLEASE NOn
564.50 Air Cor:':'liollcr Unit
SS9.5C Eocr<v.:ch Into ~cquil
S3ll.5<: Yard &tbacks.
SJ!l.5C
A, , ~,,~, add :he S+.ate S.rdlalge " lhe botIo", oIthis appicalion,
The price '" your healing permit in::udes one rougn-in ant one ';nallllllpllCllO",
AMrtional inspeclklns wi be bille:i al 135.00 each.
House fiealhgTest Record 'llUS1 be ...~. ';""J wiIh ~ l!f:.."1!! J'~ befnre bu
ing "" liIica1e c' :c"'Pa.'!C) '.v'D be is!.cad.
!jf![ ~ '":,,, 4T'Q~ AEOIJIRED ....." I1UIT1ber 01 s\IIJI'r/ and retur" CpeI1;ngs II
'~o;n >VIII CRrs per opening. New slNclures or addilicns ......d IIOllr plan ...."..
aI'd IllIum Ic::alioos shown. HEAT"-OSS C"'LCVlATICHS, fW'L1ENT AND
APPlICATiONS MAY BE MAILED TO THE CITY OF PAIO'\ lJ\KE, 16200 EAGLE\
CREEK AVE. S.E. PRIOR LAKE, loiN 55J72.
City Hal busir1ess hours are 8 a.m. - 4:30 p.m.
All WORK MUST BE 'NS~CTED (ROUGH-IN AND RNAL) _ CALL CITY HAll
"7-9850 F~ 44'7-"Vk>
1 hereby apply ~r a mechanical syslems pe'mi~ and I acknowledge thaI the
informaiioo 3bo;te is complete and occura,.; thalllle work...n be in CO"IoJmanc:
wil!l'!K' ordi~f"ll_l!.r!!L(odes..oLIba.city...... with (he --tJuil!ing/nIechaM:
COdes; that lhis form does IlOt become a per"'il uni! Si~ned ~ ItIe BUILOIN
OFFICIAL; ll\at Ihe work will be in accordllllCe witI1 tile appro~ plan in the
~'" -, '''''''' -". "" -.... :~...,
3/ Z 3/00
Oat.
&J~fJ OII,cal's Signalu'"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '''1;:;1,::>;9 WilJls \Pc.lKW"-"I_
NATURE OF WORK Hew Gn.v.iNrtlT'l:J\o (j
USE OF BUILDING SF fJ
PERMIT NO. '1"'t - 1</4 () DATE ISSUED 1-1- Q,C:C:O
CONTRACTOR ~ c-""'AJ. ,
NOTE: THIS IS NOT A PERMIT'i=OR ANY F THE INS~ECTIONS BELOW
THE PERMIT IS BY SEPARATE D ENT .
FOOTING . ) I i ~ 1J1_r~
I FOUNDATION (Prior to Backfill) 1/.#' U tS.t8j ((lJ / jJJr
PLACE NO CONCRETE UNTI A~OYE HAS BEIB-N SIGNED
ROUGH -=_ms
SEWER/WATER/SEPTIC f!!j;i.JI!di>. i /l
FRAMING ~ f/Y/cU .; Ubfq/{/)
INSULATION I), L//lf/a, ~ ?7,Qy,bn /p, S/; ftJd
ELECTRICAL {l' I ' (.--- " I'"
PLUMBING 1 (;P 3/~S'
HEATING (if required) I (/
, FIREPLACE ~ ~. 5~tJ.o I'
GAS LINE AIR TEST 1 I i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I II
FINALS.
I N/5
I
1
I~.
I~
I
OCCUPY UNTIL ABOVE
NOTICE
Th,IS card must be posted near an electrical service cabinet prior to rOlilgh-in inspections
an.d maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
J
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
! -1 ?,d4
R:/ /!~~
o/i1/flh . . ..
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Itrlifirau of (JDrrnpanry
Cllf OF PRIOR LAKE
Department of Jiuilbing Jn~pection
~inal Permitted D Conditional C.O. Expires
I
This Certificate issued pursUQ1lt to the require17U!nIs of Section 307 of the Uniform Ikilding Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Loke regulating building construction or use. For the following: '
I
9'-1440
Zoning Di'lri~ PUB
Use Classification.
SIlIGIJ! FAMILY
Bldg. Pennil No.
Occuponcy Type
III
Type Construction
VII Fire Zone NI A
SECOND ADDITION
gal " Ll4, Bl, THE WILDS
Le IleSC"ptton
Owner of Building
~ite Addre.. 15219 WILDS
i
p~~v
c...._._._.,Name & Addrea.WII.I.ERBllIlfG F!f:. 332,_.I.I.,SOTA ST.. ST. PAUL
11..........4 D. "U~""L....,)r {r!CityPlanrJer _ JEMlU TOVAR
1 . Ii: ,Bu;;tymCial V ' . Date:
I
''''~.
\
Date:
POST IN A CONSPICUOUS PLACE
~ .J/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5Z3Q
WIt/Of ~~L/
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tftf -fNO
o FOOTING
D FOUNOATION
D FRAMING
D INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING R1
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o QAsLlAIIHllft TST
)If' ':) .\.-'\
COMMENTS:
/1./ _/1 (".~ V71~
L/~e.- ~ I ",F.s.--
/'
/WORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Conlr:
"7. {~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
""""'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
7-7-0/
ADDRESS 15:<39 W,'' is {J l. \./)1
OWNER CONTR. v.IJ'/I(~"b
PHONE NO. PERMITNO. 99 - /l/'1D
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
N7FiNAL
~ INSPECTION
[] PLUMBING RI
D MECH RI
D WATER HOOKUP
[] SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
~ILUNG
"D COiiPtAiNT
D FIREPLACE RI
[] FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
G~,~
()( WORK SATISFACTORY. PROCEED
V D \ORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
lnspector.d~ _. ~ Owner/Contr.
gALL "7-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE,
CODE REQUIREMENTS A1lE FOR YOUR PERSONAL HEAL11I & SAFETYI
U<SIWm
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ ~
l.u'\\cll. ~
CONTR.
PERMIT NO. 1/'1 ?9- /'/40
ADDRESS \ ~ Q '?-, ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
(& 0 WATER HOOKUP
. 0 EWER HOOKUP
t) ~~UMBING FINAL
~ECH FINAL
gsXl . D/FILLING
o C PLAINT
IR~CE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:t'l) ,p~ LJ., / eel -"A_'lJ 7
, - ~ I .
~)ii:r....... f~ -r,.ALJ . ./,'th
~~".. _1 ~ ~~;'-'dJ~ tUf,
f v ;---. - 1 . / ..,.-.....
/..~......"
11 /
~-~
~~
o WORK SATISFACTORY, PROCEED
)!7CORRECT ACTION AND PROCEED
o CORRECT~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f <1'J-- . Owner/Contr:
,
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
ONSNOTl
DATE TIME
CITY OF PRIQ,R LAKE - / :I.c,-
INSPI!CTlON NOTICE SCHEDULED
ADDRESS \Sd~q C.l ~;IA.'l,. ?~ J Jl 6
OWNER CONTR.
PHONE NO. PERMIT NO. Q q.:..E:lY n
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~
)It MECH FINAL v:Y
COMMENTS(1) 9~~ ~ d::J ~ 1(l:i:tL.
~ ~ -;~ ~(SJ f=",p' ~
~(9J_bf, ~ )@~
~ ~~ ,J .o-,.;~ ~~~
. ~ Oh-IU ,~ ~ ruI- t<.dtL. :."
" ~aZa ~ ~ -11 7i:t( ~ ~~
, -;,;....p ~~ ~~.~. '- .
~~(4~~l-" c-. ~~~W ~ ~~
~ ~~ &J~
'I' .-
n, ;L ~/ ,a;,/J. ~ ~
~~/~
lfl /?J- h- ~ ~.AD ~;! ~~.
~~.
~RK SATISFACTORY, PROCEED ~, ~,
tJ CORRECT ACTION AND PROCEED
f CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~~j ,
Inspector: h, Owner/Contr.
o FOOTING
OF OU N. DATION1t?
o FRAMING T\
AESU~T.fON
FINA LtG L
o ITE I SPECTION
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl