HomeMy WebLinkAboutBldg Permits 00-0763 & 00-0764
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6~1
CITY OF PRIOR LAKE
DEMOLITION PERMIT
ttJV6 /11/6 .s b
PID--.25 -I/b- ()M-O
K AI ef1 F 5 t;,V j:;
1
4. OWNER (Name)
6/)J1/IJ.eO ;::UC/ N51C-1
5. ARCHITECT (Name)
/1/0/1/ 6-
6. CONTRACTOR (Name) (Address) I (Tel. No.) ,I I
/tUj~AI . a~6 ht).M~ IA(e-. ~ W. 15 ~ ST......B.LCiCV'-11 AlqTDA/ (,12. (37J. '1150
I hereby certify I have furnished in rmation which is t the best of my knowledge true and correct. 1 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.
Furthe~. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /'" ~~-A, C'~ 0- d (,"U.)
SignlilU~ ) Date
_.1 am
DIRECTIONS
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
'2. SITE ADDRESS 1478 z..
3. LEGAL DESCRIPTION
4-
LOT
BLOCK
ADDITION
(Address)
fjqq3 MAlo.sOK
(Address)
1. White - File
2. Blue - City
3. Yellow - Applicant
Perm~ No. ^ 0 - 1 ~4
SeE rr-, - /(.,,3
1. DATE
BUILDING INFORMATION
7. SIZE OF STRUCTURE
f#/Zb/OO
B. NO. OF STORIES
9. TYPE OF CONSTRUCTION
1 Q. COMPLETION DATE
AI/P;
(Tel. No.)
&/2. #~. Of /4-
(Tel. No.)
f)~HJ5/T (!;I$~ #/oz.t72/
I
RU'O
FOR ADMINISTRATIVE USE
fR/2&/OO
!:,
//11 SAFc"?-j
METRO SAC UNIT DETERMINATION
MATERIAL FILED WITH APPLICATION
CJ Site Restoration Plan
IJ Utility Abandonment Plan
CJ Sewer Abandonment
LJ Water Abandonment
USE OF BUIL~f)
SITE RESTORATION PLAN
IJ Electrical Abandonment
()
te / ) Issued by Date
e abo~mpanYing documents is in accordance with the City Zoning Ordinance and
RI :Ji I fJ1)
I Date I
Accepted by
Rejected by
TYPE OF CONSTRUCTION:
II
V
M
III
H
IV
R
3
4
Occupancy Group A
B
E
Division
2
This is to cert that the request in
may proceed as J89u~. .
C:xpAAD LA.. 7\Oh..JdL.A
~ityJlanner -
IJ Other
CREDITS
Park Oed. Cred~ ................................................ $
SAC Cred~ ......................................................... $
Sewer & Water Connec. Fee Cred~ .................. $
(
(
Water Tower Fee Cred~ .....................................$
Other .................................................................. $
TOTAL CREDITS ........................ $
{
Special Conditions if any
G PRIO,.,.
'.I.~~" '. <t '. . , ~'T" s."C"Il'"'L :l CITY OF PRIOR LAKE
& ~ ro J e rn 0 'W.l ~. ~ BUILDING PERMIT,
! rEMPORARY CERTIFICATE OF
. -I. ZONING COMPLIANCE
. , ~; ID UTILITY CONNECTION PERMIT
DIRECTIONS I'" '" - 1. DATE
SPACES NUMB9D~n 1 TU.......'7 ..nOT 1:11:: ell I cruti-J J }
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ~ 01 00
2. SITE ADDRESS ,
ILJ1<icx (~O , tw In, 19
3. LEGAL DESCRIPTION
-4
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. Do - 7 ~ 3,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Wicilh) (Depth)
(' ,.
"~t"o
12. NO. OF STORIES
,;?,')- II b -o()l.{-O
BLOCK
K. n. I l1 J -"'-" ',\. It ~ n.......~
(Name) -- ,<.J (Address) ~"'-Oll'{
'RUc.../iVSk', 999'? W;ft,;D.5.1>R Au..
(Name) (Address)
PID
LOT
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
pOwAfltJ
5. ARCHITECT
(Tel. No.)
SA..l'Al-.r.
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
'ls.;r~'Yh -<;1 So
SS''( J;7 ~
:'7" ~ ,"oal'l. ,v 'T4..J
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
6. BUILDER
~K'o'lw, ''is ~
Deck 0
Finish Attic 0
AL.LEN' - L-Ec ltol'llT5
7. TYPE OF WO~' Fireplace 0
New Construction Alterations 0
Chimney 0 Mi .
8. PROPERTY ~ OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 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
:~~ial :.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.
. A. tC-...., ij>-I- 0(\
?- .. Signarure r License No. Date
SEATS
Septic 0
Addition 0
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
s,'"
Side
Side
Front
OFF STREET PARKING PIUNG LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION I G. "l" t':l'"Y) .L!Jt"J PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USEOFBUILDING f'-D
.'\"t
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ................... $
City:
-0
-0
I , :;2~ . ~c:;-
aOO'7~
~r.SD
Permit Fee ................................... $
Plan Check Fee ..................... ........ $
Sewer Tap ................................... $
Pressure Reducer ..lb................... :
Meter Horn ... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builders Deposit ............................ $ 1.500.06
Other ......................................... $
Total Due .............................. $
Paid 3'1(..37.<<./
Date 9. 7- (/1)
----. .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee s requested. This document when
sign C" I ner constitutes a temporary Ce~ca~,-ot Zoning complian~nd allows c ction to commence. Before occupancy, a Certificate of Occupancy must be issued.
'/A- ~3h9:::) s.. 1- (F,..r r~i1I<...
C Planner Date Special Conditions if any - -
State Surcharge ............................. $
'15 ,-,n
Penalty ....................................... It
L...x; .~
Plumbing Permit Fee ....................... It
Mechanical Permit Fee ..................... $~ /'JI) at:>
Sewer & Water Permit ...................... q:: ~c;c::;>
GasFIf a~~.e:;..;........i:,;,t~~~;~
Ji!i;; -
Certificate of Occup cy
125:190
1 SAC. OT~;~
o
0-
C,lP
s\ ~t; 00
~<t(,.3."-'
1
Issued
By
24 hour notice for all inspections (952) 447-9850
Thf ("fnln of lhf L.h Counll')'
While - Building
Canary -~Engineering ~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,
APPLICATION RECEIVED
r:J L !. t./v - L E- E
/ / /_.
(u',' /..(e uO
Hu I~! E-S
8 .. I - 7.c..<t:0
lding, Engineering, and Planning Departments have reviewed the building permit
ion for construction activity which is proposed at:
/47hZ-
/
l'"
Accepted
Denied
t
Gr4~f .
Jle
~
Reviewed By:
Comments: 5o::e
/)/'d~P
{!/JvC Av&
Sc.
--,
Accepted With Corrections
~rl0r ,
rll/tr5i7 Sick ?
:Iv /bf' a~
,
Date: ~f/aJ
~//',{j/1J /ir ~,,,.. r:"ffl _
/if' prbfler~/ ))'M",
/ / /~.
"
SU Ilf!<lf1UlI1o!.>.' I hAil (Jd-
1. Er/J(Jfl ikb/ &
Z!rce/;tf1f .z;/';;;"/l&;';r o? f:-~ ~/ &.r~--:.
4! .5Yp"'/" tU/ tl'hkr- A-- ~/Is-
"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, 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."
.
ThO' r..nln of lhe L.k.. COUnll')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
11 ~ ~ X\- L.Q L> \k~fY\P ~
, . -~ ., "'. i'\
.J i., (..
\.J k (), Ii'+- .....1 .
" .~
'....-)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
i. i') 'X'~~ i
'(f I
i"1
.j ."
I.
( )- J
\. -,~
Accepted
Accepted With Corrections ~
Denied
Reviewed By: Date: B/? ~./ eL)
Comments: ~ ~. ~ 2... ~
i')J J~~'l>'t ~ f?.Jev~llAv'\ ~ f!w ~~~
Co:t- rAt.NV)-;~ ~f~ ~ ~ur 1
('~~J~ ltJj <?iA/~1 Av~o--~
~ r.e.X~~ ~ rZe A-~ f7~~
_IQ~ qeq~ct '~r ~ ~ UueiL/ \)
2) W~~~~~QA<. ~D~ p
~ ~J ~ r'"3~% J~.k\~~
~~ .A.,~. A10 ~ I'~ ~ ~~~.
.~ JdY~ l~ ~~\M.l'~(.JT~{Jt
~~ ~ ~5ue-~~1 ~ Ar~o
"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, 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
5) or5anc~s of t~e jUrisdi~':: n~t be~r ~ ~, \{L^/J~ hooT.
~~ l2..,7~ \,L ..t 'be-~v~.
~ c$. Y2J l eG- Te~~ ~~t2.7S-:' !
~~
White - Building
Canary - Engineering
Pink - Planning
Tht ern'", of thO' r..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
lli\Ln - L4I.L-- \-b, ~
{Lll ~_~ 01 ::;tSriJ
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ LJ'1?<~ (' fflYU, IJ A M /Y\ J 11 )
Accepted
Accepted With Corrections
Date: 23. <. '-f."2&>oo
tDt-..! ~'e.\..'r.;;'r,,^- M.,q,} Io-Q. V-('r,frrJ-. k>.IlroM.. E.D1.l I'W;.fR.cJ,'b "'--
J:r"'\.IA..I.,,,,^- ~k):~= ~ ;O'^- ~, Io~.c.\!.... (")~(,Il\P~<....l1
C;:"Jl 0. (l ~.p c;." \ IlNl4.9.
"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, 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."
Supply Openings
Return Openings
Input
Edr.
A>.OOO
Cfm.
Atterations
2D
1'-1
Outputl.t>4, "CD
PJ-Of7lo?J
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical. ~_
Air Cond~ioning tlml.UUI '/( Ct) tJ8'
Vent. System.
~:~N~ POWE~~'l.. ('
HotWater ~ ~f!:
Radiation
Special Devices
Other Devices
TYPE OF WORK
)(
Replacement New Construction
,.
Repair Est. Comp. Date / -"jl) . (11
Est. Cost $~O I ('fy').. Ci). Building Perm~ #
HEATING PERMIT FEE $-"!;jg. i::-n
STATE SURCHARGE $ V.50
TOTALPERMITFEES $11~ Receipt #
HEATING APPLICATION I PERMIT
Date ID .~h. en PID#~5 -- 1/t,-Q()Lf-D
S~e Address Jrl.?;> (I./)It{> J4.Ilf' n /lP :.f L. Fee Schedule
Lot j) Block Add~ion AN e6-fce..L/.5 (> /)UF . Industrial, Commercial & Multi-Family 1% of job cost ($39.50 minimum)
, >t.. .' Residential, Heating & AC $99.50
Ownefs Name ( · 7 ': t'\<:..t I Residential, Heating Only $64.50 PLEASE NOTE:
Address t~ n.cl.P r ( ~A -IJ-. Residential, Gas Rreplace $39.50Air Conditioner Units Cannot
. ~. J. I Residential, Additions & Alterations $39.50Encroach Into Required Side-
Healing Contractor r _ AIr . Residential AC Only $39 50y d S b
A ~' . ar et acks.
AddressJ3D?5 {J,rul'efP.... [;....." Fd~Al f'4J1tlF. ,/{lJJtj7
t7 c' 1 q, II I I" I Remember to add the State Surcharge on the bottom of this application.
Telephone # ~. _ ':11' ..., ,",_,
Furnace Make & Model &-t W A-
Model Size (".1 J( 4-0"l:)X <./t1
Conn. Load ~!
FueJjj.(;.J.tl FlueSize
PAID WITH
..~PERMIT
......-
TYPE OF STRUCTURE.
I. Pink
2. Green
3. Yellow
Filec
City
Contractor
Single Family
x
Multi-Family
Two-Family
, .
Commercial
Industrial
Other
Public
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinq ~ ~ before build.
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or add~ions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WO.RK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFIC~L; that the work will be in accordance with the approved plan in the
case of w~rkrt'iC~qUireS review and approval of plans.
',[. \"t.__.\L, JD ~'CQ
7!' Ii nfs Sigffii(ure . a eO
/0-,;2.3 -Q
~ing Offical's Signature Date
!
CITY OF PRIOR LAKE MC 1..
16200 Eagle Creek AV.S.E. POlm~ No. f) ~ 1lr> .J
Prior Lake, MN 55372 0
HEATING APPUCATION I PERMIT V ~
Oat. /1b2;;, -0> 1'10 . .J'}5' Ii l, 0 0 L( \ 0
SloAddro... j'l7K.. {$1J. IJ.tfuul_ ~fJIf Q ~
lot J::L Block _ Add~ionK IV eLl rt; €..LI ~ ( ,0 ( ) e _
I
Ownor's Name ()nh< rn. fluiw../
Address
HealingContraclol ALLIED FIRESIDE dba PIRESIDE CORNEl!.
Address 2700 If. PURVIEW. ROSRVILLR. MN 55113
Tel.phono' _ 651-633-2561
FIREPLACE It
1MJ1t... M.... & Modol tif IJ r:; c.
,
&xx, 1Jt_
Model Sizo
TYPE OF SYSTEM
W8Im Air Plants,
Gravily
Mecl1anical
Air Cond~ionlng .
VenL Systom
CoM. load
Fuol
~
.Flue Size
Supply Opel'ings
Return Openings
In"... Oulput~~l
Edr.
HEAllNG OR POWER PLANT
Sloam
Hal Waler
Radiation
Spedal Device.
Other De\llces
Clm.
TYPE OF WORK
AIlo,alions
. ReplacBlTlo'"
New Construclion \t1
Repair. . Esl. Comp. Dalo
Est. Cost I --1.JI>n o. Building Porm~ ,
HEATING PERMIT FEE $
/Dlfl ! ():J
,
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID WI",-
BUILDING PEhi,..
,
Rscelpt ,
TYPE OF STRUCTUR~
11.
1. Gnrrll
J. fen.,.
en
'"
fill :J
""J ....
ColllqcllJJ
'<
Single Family
Com mercial
.."
H
:Il
m
en
H
o
m
n
a
:Il
z
m
:Il
Two-Famiiy
Induslrial
MlAt~Femly
Pubic Other
Fee Schedule
lnd"'!.lrlat, Commercial & Mulli.Family
Residenllal, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addilioo$ & Alterations
Residential, AC Only
, % 01 Job c:os1 ($39.50 mir1illl\m)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add the Slale Surdlarge on the bol1omof Ihis ',.. '.,.:..
'"
'"
~
Tho pric. 0' your healin9 permillncludes OM rough-In and one fuall""'Psclion.
'"
'"
'"
Additional inspections will be bHled at $35.00 each. II)
II)
Hoos. Healing Test RecD;d must be submitled with 1llIillling I!IllIIIIIUIIIlm belore buih ':
ing eert~icale 01 oc:a.opancy will be issueel.
I:IfAI CALCULATIONS. REQUIRED wilh number of supply end rllum openings Iisled I
room wilh CFM's per opening. N_ struclul8S or addiliOJlll send Iloor p1en wiIh IUpply
and relUm locations shoom. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BEMAlLED1OTHECITYDFPRIOALAKE.III200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
a
o
....
CUy Hall business hours ere 8 a.Ill. - 4:30 p.m.
N
'"
a
a
.
ALL WORK MUST BE INSPECllOD (ROUGlHN AND F1NALJ - CALL CITY HAlL
447-4230
'"
N
. II)
I hereby epply lor.. mechameal systems permit and I acknowledge thallhe 'Q
inlolfnation above is complete and aecUfale; Ihal tile work wtll be in conlorm.net!:
with the ordinances and codes 01 the cily and wilh Ih. .Iale buildlng/mechanlcl
codes: that this 'orm does nol become a permit until signed by the BUllOlNI
OFFICIAL: Ihal the work will' be in accordence wilh the approved plan In tile
case or all work which requires review end approval 01 planl.
.ti~J.- Jl~ ~..v01
. Applicanl's Slgnalure Dele
c;;..c ____ 10 ..). 7-aU
IfPiI.w;g OlticBl'. Signaluro Dele
'Q
"
'"
'"
-
GREEN - FR.E
YELLOW - APPltCANT
GOLD - ClT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.w. No. 00. 67(P3
Sewer and Water
contractors must
be registered
with the City.
APPLI CANT: fj /IJA I G j(fl/).E :DfJ G
ADDRESS :J:jj/f /!l1Jt.t!.< STtJefJ, SH&n/l.FE ftJlIl
SIGNATURE: ?t2P/77/p, ~ :l/J.1J./~
SITE ADDRESS: ///'7&; r"J\JE fJ1lE .C;E
FILL IN THE BLANKS
PHONE: ~-.23- Jf!/JO
DATE: 9/2JII:JD
/ /
BLDG. PERMIT # 00.07&3
PID# 25 -I/~ - rJ04--Q
1. Estimated length of water service
~ 7't' feet.
2. Size of water service
r
.r
inch(es) .
3.
Location of any couplings from structure
-
feet.
4. Type of sewer pipe. ABS PVC)( Cast Iron
5. Estimated length of sewer line ?tD feet.
6. Clean out (if required), located at
structure.
feet
from
BY
-----------------------------------------
-----------------------------------------
-----------------
-----------------
This applicatio
your permit when approved.
DATE: q. 2--/ ,C/{)
-------------- --------------------------------------------------
-------------- ---------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $n.~ 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
AMOUNT PAID
RECEIPT #
REC'O BY
,.. p,MO :;~~N\\i
BU\\.1.I1l ~
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
PLUMBING PERMIT
Applicant: AQJ~IJrT- QL~
Address: (P I &) ~ L.o\..h;;---e.... liD \ 'iT
Signature: ~~'\
Legal Description: Lot" l cr~k SUb--!fll(?fL+"C,GLr'5 (" ,OJle
Site Address: J'-1731- CoVE: p<,vE". '
Building Permit # nb-iiP3 PID#;;l5- 1/1...- OO<.{-o
NOTE: This permit will not be processed without complete information.
&~1
The Cl!'nll'r of thl' L.h Count!'}'
FIXTURE UNITS
Quantity Type of Fixture
Quantity
, Bath Tub with or without shower
I Dishwasher
I Floor Drain
L.( Lavatory (bathroom sink)
I Laundry Tray (1 or 2 compartment sink)
J... Shower Stall
d..- Sinks
Bar Sink
.J.-
f
(5
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
1. Blue File
2. Gold City
3. Yellow Applicanl
PPNo. t!J ---U.3
Phone: '1 ')-:J.... Lj 32.. 371 '1
Q.I, v.:-r M r--'
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
$
$ "\ "\ . j"O
$
$ .50
$ I DO :-
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the ~endments thereof.
. , RECEtPTNO. '1-.;(,;l-CODATE
/)1: O/./~ ArrEST
Catflf;r ~l inspections 24 hours in advance.
SEP2 I am
PAID WITH
M.DING PERMIT
16200 Eagle Creek Av. S.B. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
JAN-13-1900 04:17
P.01
Land Surveyors
Planners
::it;- 0'" '7 fa '3
Valley Surveying Co., l!A.
I
(952) 447-2570
Suite 23D
18870 Franklin Trail S.E.
Prior Lake, Minnesota 55372
Allen - Lee Homes
RE: Rucinski residence
14782 Cove Avenue SE
Prior Lake, MN 55372
RE: top of block elevation
Post-it" Fax Note 7671
ITa B'F.ft~ ~ L
CO.!Dopt?A-d . ~""f"
I Fhon. , ~
IF.., >{1_\1- l..\... '\'7
'o"'<l,\v;(OliIP'.ab~ ,
Pn>m 1J,...p
CO''Jta.\~ S-,,~ '11
Phon.'l\l\1_?.-r:10 n
pia. It ' I I J
September 25th, 2000
CERTmCA nON:
I hereby certify that I, under my direct supervision, on September 22nd, 2000,
did measure the top of block elevation at the residence under construction
located at 14782 Cove Avenue SE, a.k.a. Lot 4, KNEAFSEY'S COVE, Scott
County, Minnesota. I further certify that the top of block elevation at the
walkout level is at elevation 911.62 feet NOVO and the top of block
elevation at the entry level is at elevation 913.04 feet NOVD.
e/U ~_____
Ronald A. Swanson, LS
Minnesota Registration No.lOI83
File No~ 9.&5.
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 141)~? OoP A,w
NATURE OF WORK 1'''',\ nN~.
USE OF BUILDING S\=])
PERMIT NO. 00-7&3 DATE ISSUED B-Ic.J~ "2,."..,0
CONTRACTOR ~ ~O" Pt\6N~~B'lI)-l{/So
- ./
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
V'ai& I="DtJ ~lev.;:r.tM ~ ~orv<::;o~ \O<2Jo~ F~ "kiP. INSPECTOR , . DJ\TE
') 1 FOOTING I RIJ. I 't/;s/ct
41 FOUNDATION (Prior to Backfill) W{~ 1n-. ~ ~ ~~ '1I1JJIb
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC;. ~-o.L, Ct.(,+~ I () () R.4\--
FRAMING /3.r. 1 I . /I/;~J;o
INSULATION 'fOH"ct.\ Il)n -SLJ ~ tt ~^1 00 "EV
I ELECTRICAL. '
I PLUMBING ~ IA .G!. a.. /O/'1I~
I HEATING (ifrequired)vJU-#~ faq, /ol}tJJ{}1> rh, /1f)'1//ln
FIREPLACE" . vJr~ ");(1 /1/rJP/i.P6 -jiJp., II /J'II~
GAS LINE AIR TEST /1'IlLA~~fP\(;'>c.xl?eLve...'/l'"'3-00 .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FI~ t:l.e"""",O'^(l....r\ih',....+. e.eo.. ~ FINALS .~~
GRADING (Prior to SOdding) )/./:5 U
BUILDINGI.('.,O, -rJ.t.. f(ff/1I1 ~ J/,).~{II (fr7
ELECTRICAL . . ,. ^ ! ~
PLUMBING . &=r,
HEATING ~ I
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
6-a.-7- 0/
1/ 'I '0 I
d/~310)
~~~/
,
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 INSPECTIONS (612) 447-9850
ADDIleu
OCCIJpANl
tt~A T LOSS .
SOLO tly
el..",<<, ...... 8,
Type OF HEA T
MAK!
Mod. I
$.101
INPUT
~d
APT._FLOt'Il Cl~b -f~~-~_
.'WN!Il .tI./...e....... ~ 1
I'
INSTALLED IY ~~~
0.. Lift. I, ~~
-- .
OA _ FA _II. _ STEAM _SPACE HTIl. _UNIT HT1I. _OTHEIl
GAS DESION COIIVEIlSlOM
IA k-<.-a .
r:. ,t c.1J '" "TO ,..... f-.'i (,)
tPOCJ 51) <t ,., .:l-
q~t?a:;-'
HOIJSE ~EA TlNG TEST RECORD
11./-1 g,).. C? ov-.4---. ,.R.C ,
fI 0k.R....
DATI! ~ INIT. . J ~- 1 -00
.r . ~ J..-....
,,-. ~~TIlOLS
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MAKE OF IUIlN!Il
Me..I.
Me.. ITU II."...
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'7 (, I've..
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Steel.: reMp. . I' {' , p.,ctn' CO 1 0 ,_. ,,...... .r T.t'w. / ~~.4t' . l~
~~~~~~ /
- -------.-.--..--..--.- ._-..~". --------'.-,--.-..- .- ..--.--,,-...-..
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/ HOUSE ~EATlNG TEST RECORD J)~ d
ADDRns/L/7-~~~Lr.: APT._",-O(l" ..~lrI,-'~- -.SUIUAI
OCC\JPAN1. /' ~ OWNER l.4-~~I,4..:..-.
tt~ATLDSS. DA;/_!2.~IT. f?-:Y.I.-or ./' ~
IDLD '-'Y --- INSTALLED IIY ~
EI.."I..I W... 8, Gu Lift. I, ~,
TYPE D" HE A T GA _" A _HW _ S TEAll ~PACI! HTII, _UNIT HTll. ---L'OTHEA
I 11_. ,!AS ~ESIGH CONVERSION
IIA~I! '~ MA!CI 01' IUIINI!Il
lW.1 f!T 1(""" Mo"',
s..,.1 A 7. -r., I ~ . ......v "1 'U... "" x' Mo.. BTU A."...
INPUT _ "1,~"'" nmi I MAleE 01' "UIINACE .
Mo4.1.
CDNTROLS
THeRMOSTAT~~ ;., PI.. .Jfl
V.I.,. ~J1.
LI~II .j;;:~,
Li~" S."I"'~' z.~
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, ~ 1.- I
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Pr...ur. 3..rs-" ."..,' P.rc'n' co,-:!#= 0... T..tN .J ,....,.*1..A t:I (
I,.u' CFH '?~-, _P..-ee", O2 c......., T..'ln. H--:~
Steel.: T."". .3{;,~ P...ce.., CO d'_ ~.f T..,., "'-:----'1.. rn.n...lA~
~-:~ ~;.~..;.~.:...-~ ~ ~
41 I'
Ve.., SI.. ':-J
!CIND 0" LI~1l . SI7- ,NONE -
O,.h H..4 {~J_~:J1I' ~R..ul..., Jt1A ~.. -?ri---:r--
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-41 --
'Z?'" "" 1- IIf
~
APT. -fl~ - CI~ .SUIURI
OWNER ~ '!f!2~
INSTALLED IIY _<t:/~
Gu lift. I, .t:::"~
~PACE MTII. _UNIT MTlI. _OTHER
CONVUSlON
AOOIlEU
OCctlPANl
II'!AT LOSS .
SOLD I!<Y
Electrical W.,1r 8,
TYPE OF HE"T
HOlJSE HEATING
Itl1~::J.. C.~A--.4r.
, , cn\J2..
rEST RECORD
MAKE
1olo4.1
s..1.1
INPUT _
/
O"_FA_NW.J..:::::STEAM
~~~...
-'VJ1i.bQ~;
... J:h'D .7'7,,-fiV
/?C7,t?t:I"
IIAKI! 0,. IUIIMEII
Mo"I,
M... IlTU R...",
MAKE 0,. FUIINA".
Mo4.1.
C2lJTROLS
THERMOSTATfj lP ~A"-::::;..~~~~ V.ft,SI..
V.I.. ' "'J _ - KIND OF LINEII
LI~" o/tW" ~_.;:j- JI'..P: r_ O..h H..4 D ~ .-::....
lI",it ~HI"h J..db.... Flit.. S... -----
r:,... 5.Hln. f " Oth"M, Lee.",,, 1....__
:;::: ::: ~~ i:~ ..fJJr:6.:.. 0.1.._, c.........I.ft.
PII.. Mod.1 s..... J-~ W"lft'/...~~,~
PIl.. fl..,.._ Vt:?..trz-. Dr."f:I~~ T.., T..~ '
L.I'. C., 011 . 0.. P,....... L1th"ft. I.... ' ~
P....... :X"rf'" _P...... co &.' , ~ 0... TOI'H z...-z./Z..-t7{ ~
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"3' '
SIl!
R...I.,., PH.. +~
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"!:lr
Out.ld.
._---~',
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1 /z.'~()O
Ave:.
10/30
ADDRESS
/~7~&-- ('.0';6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,,- 7":3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
)CWATER HOOKUP c1f)
!5 SEWER HOOKUP ...el
o PLUMBING FINA~
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I
f.hr:-./J "'
S""
tfWORK SA TIS FACTOR , ROCEED
o CORRECT A~TIO PROCEED
o CORRECT W K L FOR REINSPECTION BEFORE COVERING
.
Inspector: Owner/Contr:
CALL ;"7-98'0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/4"1A2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/'
( /-71}1~
'--
DATE TIME
SCHEDULED +-4-.{)/
t20lI~ I1l16 Sb
CONTR.
PERMIT NO.
00 .()7b4-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLINE AIR TST
/' Df?.'1r)
-
~I..I
,b
(?'
i,t'WORK SATISFACTORY, PROCEED
6 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~l
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-:n-ol /-J/YI
ADDRESS
fL/78? Love. live. SE
PHONE NO.
CONTR. A/It'! Le.'- HC)ft1d
PERMIT NO. (;J(') - 7 t,3
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;;B:.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;5..EXlGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Lv/~ 'B()~ ~n/<'
br&(d( 1'9 l'
,
)
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~L--=~ -.' Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE 4;~.'3tfJ/ 9:'?o
INSPECTION NOTICE SCHEDULED
ADDRESS 1</7 fd-. CtJi/6 A-J6.
OWNER CONTR.
PHONE NO. PERMIT NO. (J- 7fo3
o PLUMBING RI 0 EX/GRAD/FILLING
MECH RI 0 COMPLAINT
WATER HOOKUP 0 FIREPLACE RI
SEWER HOOKUP 0 FIREPLACE FINAL
PLUMBING FIN":"g 0 GASLlNE AIR TST
MECH FINAL ~ 0
COMMENTS: ~ d)a. 6Jl ~ ~ !~r;
~~,.~Jj~_.tD~~ ~ .
@~-~- -.rz-W'~~~ '
~,(jJ ,t?~ b.~ ()~ /01\,,) M. ~ t'" ~o~
c2lfl,~ A-t~ -{Eta.cFw- - A Jrm.v .~
~O.....: .. - G..-.:J,. A-.A. ~ /2.!' 6i ..Lf)_n.
I -t t, ...I-{;rJ--'
W-.'J'~ I 1-Llc...J/'l-
/'
~.:;m~ ~ J.-:t; P.,.;I:i. ~ ~(~,
~~~(ij.tF ~~
1/,(q;) ~ d~ 1("",,,,<:'-.':) ~A~O~'
~s..,Q ~~ pa.... ~,(i')J) A.c_ l~ ~
~ ~ ..k...n-.. ~ ~ -. 1....
~ iau~ - 3~ / ~ / -:;"JAAt-o! ~
I I {
o WORK SATISFACTORY, PROCEED NO ~ ~
o CORRECT ACTION AND PROCEED 0/- ' _
r CORRECT WORK. CALL FOR REINSPECTION BEFORE OVERING
Inspector: ~ ( Owner/Contr:
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
b SITE INSPECTIO
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI