HomeMy WebLinkAboutBuilding Permit 00-0784
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Address)
110:1-\ A.'Sl-\ YOlr-iT \l.O ~
Pi2-\o,.Z.. tAt:-€-.. tvW 'C:h~ 11-
7. TYPE OF WORK Fireplace 0 Septic 0 Deck C1 Re-roofing 0 Porch 0
New construction)( Alterations 0 Addition 0 Finish Attic 0 Re-slding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. q., \'71.. Scn
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. ddMPLETION'DATE
Sq.Ft. l4-~oo Width 141,0 Depth \00 Ves No \2-/I,? 100
I hereby certify that I have fumlshed 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
:uilding O~iC\~~hiS trilij~rthermore, I hereby agree that the city official or r~~ may enter upon the property to perf;nei:f it~ns.
- Signature License No. I DatJ
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION J ~f"YY" .0')
Water Tap ................................... $
Builder's Deposit ............................ $-.1!OC>O . ~
Other ......................................... $
::~: T:':.=:....:~1~~ ~~~t~
This is to certify tha the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sig nner constitutes a temporary Certii3i':Of ZO?~mPliance .nd allows struction to com nee. Before occupanc~~ica~ ~~_~;Ued.
C Planner ~e peelal onditions if\iny
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2t2i4C1r
BLL'€-~\2.0 -nLAU.....
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
~ BLOCK
bJOb +\tu.- 4=lih-
\
(Name)
(Address)
5. ARCHITECT
(Address)
(Name)
6. BUILDEh
(Name)
~'{ ~D th.I.ES
SETBACKS: Required
Actual
Front
.",,,
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
2> ~.\.J
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A 8 E F HIM R S U
Division 1 2 3 4 I I -'7 c;--
Permit Fee ................................... $-Lf-l--L- .2. _
Plan Check Fee ............................. $ 7{tj" , ~
?q.OO
State Surcharge ............................. $
Penalty. ...................................... ~
PlulTlblng Permit Fee ....................... !I:
Mechanical Permit Fee ..................... $
too .d>O
/ ~6 .(:)0
?<" . SO
Issued
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
nO. 0?9J4-
1. DATE
__ B{ Z-\ I 00
(~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigh~l (Wi~~, (D~I
12. NO. OF STORIES
"2-
13. TYPE OF CONSTRUCTION
tJe-N
PID Q=)-3-6~-003-0
(Ter. No.)
14. FLOOR AREA APPORTIONMENT USE
I-'\~JH
iJl'l7etl-
(Tel. No.)
\\\.b
I ?..DO
(Ter. No.)
15. NUMBER OF OCCUPANTS OR SEATS
4<\0 -'1d,-C( .
OCCUPANT"
SEATF
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
Side
PILING LOGS Q PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
City:
Amount Brought Forward .................. $
Pari<: Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..~~~.................:
Meier Horn ... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
las.no
l,l)l.oo.~
1106 .00
~.{1D
'1IDC.~o
'(S. Of')
~
24 hour notice for all inspections 447~9850
OO'01~4/
Th. ("rntrr of lhr Lakr Count"..
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \< E'" J ~ \ c'\.......l"'\ n\. \-\nN\P,
APPLICATION RECEIVED (} \)~\,t' EX I ) QCYJO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I LJ Ll D 4 R\ \\ f' ~"h\ rei Irru!
Accepted ~
Accepted With Corrections
Denied :202
Reviewed Byl;d1~A
Comments:
~.A of( allacJ'AI;,pj~ ~d."
Date:
8 - "'J t- 2r::JCJ(~
"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."
CtJ- 7<11
The ernl... of IhE' L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~p, ~\('L.(',.0\ \-tl\yy\~ "-
APPLICATION RECEIVED (\ \ <ll "<.....t a I ) dCDO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
R\l)f'~ircl TrILl I
/
ILl'-1D4
\
Accepted
Accepted With Corrections
Denied
Reviewed By: G(flk far IsoY\
Comments: Dr/iff' /AlII {-/./I-d fh f1~J1Il.PJ./-
/} -I- +h P D rn () f'rfll /;'1 Po,
- / / / .
SPf. -the lit/(lrc,fl (/t!e J}/
Date: ~ kg/co
7 I
e~.Jlpp'rl ~~
.
ad-lintel/ 1/1&/11t7-h~H~
:2PP a-lJachf'1'/(lft.-K: I. h~q I &-dt :J;;(./fl',1im Lir;r7'/eth~ c? Graly 11M!-
3 {;01<; 1M. 11m..k/ ~.d5:///.e~ f ~S/lM a h/ If~
"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."
I
~1
Ob'01~f
Th~ Crnl~r of thr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~p~ 2>\(L...0-Ck HIIf'{)~ "-
\ " \ 'j \ '1
APPLICATION RECEIVED \ \ IiI; " +- ".~ J CX{CC
\"--- <
\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~, , l - I
\.c: . \ ,_) (' \.., \ ( '. \ \ (} I
I LI Li 0 LI
Accepted
Accepted With Corrections
"../"
Denied
Reviewed By: j/~.:t1.-U ..ce./~ Date: g~'7 /6:cJ
Comments:
Jt{J::r JA~ VV~~W~~ j-~
~~~ ~Q -.r\fVwu JO_.19. tJ ~ /'19/h,
"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."
..
'Permit. _ (')(J~ ()'7'g4
'Job Add,... J ~tj /) ~ /;f/I.U" h ir cI
'Heeting """""""" METRO AIR
"TeSlert/Signatur. ~ lJJ
.
Date
Time
Pounds
Pressure
"Gas Une
Pressurized
Inspected
"Percent CO2
PERFORMANCE TEST
'7'$
hl..cl
.Percent CO
()
/17
"Percent 02
.Stack remp.
Final Inspection
Dele
.
, . n" ~"",. n, ~ ,.',. n, - '.' 1" ";,:--:"'' 1" ",-,--:., 1" __",.
.. ' _ '.. ,..... :"....(1'
Qttdifir8U of ~rmpanry
CITY OF PRIOR LAKE
J:ltpartmtnt of .uiUJing 3Jn~ptttion
)it Final Permitted D Conditional C.O. Expires
This Cenificale issued pursuant to the requirements of Section 307 of the Uniform Building Code
cenifying that althe time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatior
SINGLE FAMILY
Occupancy TYPe
R3
Type Construction
VN
_ Fire Zone
Bldg. Permit Nr,
N/A
00-0784
R1
Zoning District
LegalDescription_T~ R1. KNOB HTT,r, FOllRTH ADD1\!
Owner of Building
~i"Address 14404 BLUEBIRD TRAIL
ContraclOr'sNamc&AddressKEYLAND HOMES, 17021 FISH PT RD., PRIOR LAKE, MN 55372
ROBERT D. HUTCHINS ~
V1 rity Planner
I Bu~di7 Official
7) 'y b 2,-. Da..:
.
DON RYE
Oa..:
POST IN A CONSPICUOUS PLACE
DATE TIME
~A.T'
/#()~ tJU/&$/.e..o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
iii FINAL
to SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SaD/~e:€:.
COMMENTS:
() 0 -()u-?-
o EX/GRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
A ~~
13uJ.IL,.", ~ ~
Jf WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
~ALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
ll'iSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
$h~/-()f
Pn1
ADDRESS
/'1 '1,,1./ RII/{'_I,J~/ T;.L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
('")0 - 7~'I
o FOOTING
o FRAMING
o INSULATION
r::H::EINAL
...- 0 FbUNDA TlON
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~EX~ILLlNG
~OItK~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
f.'II/'" Bn~ - ,') y
blti,j','/liA - 01<.
J
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
'nspecto'#/~A---
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
SCHEDULED ~
l=S_d:S- \';) I tIJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t4.qc>4-
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
lS:.wA TER HOOKUP
~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
lO;~
0:::>- 784-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
\
~.y \ I
COMMENTS:
\
r--.
v
~;\\
<.--,
..- J .
I
/
/
-
LRK SATISFACTf RV, PROCEED
o CORRECT ACTION. ,""'l PROCEED
o CORRECT W,:;;, d 'I L FOR REINSPECTION BEFORE COVERING
Inspector: ~ C '" \ Owner/Contr:
CALL 44;.9860 F~R'THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
\ -\\-0 I. :5: '3-e>
ADDRESS
14404- ~u.J 5131 r<.o
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT10N
ll"'FINAL 1+
iJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)(PLUMBING FINA.L A-
'If- MECH FINAL A
o -764-
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /' 0
- ~rOratIJ (./.
- 'f'""^l1"",,,f dr~~ , k"
_ e..VI.C:r~~ eer \u (Jeppfc)Ve I'l\n:tL'\II.q .
t IJI .
-tree~ Olrtl g.()d ~ deJpJ c? r 1M ~+--
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: ~ ~ \)~ Owner/Contr:
CALL 447..9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTJ
CITY OF PRIOR LAKE MC ~ ~
16200 Eagle Creek Av. S,E. Permll No. U~ _~l ~ -,
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
~-J...~' l$:) PIOltp5 -3c-,;l- 063-D
;;!,ite Address ,~"" O'J\, (S \ '^~ b~ "\.-. ~(..; :\.
~.Dl ""3:> 810cK \ Addition \;,"''.:> \\', \ \ lA-\).
z -
Owne(s Name~.r \~ ~":L0.__Y,or"", ,
\1'1/\.1' 'll
Address 0 C\ "\'- ~ \r\ , \. : \ \
Healing Contractol ~~\-y-" 'A~ ~ -.li) L
Address \ \u ~ 9. 0 \-!. <1..\ { (dh.t A-J ~
Telephone' ~ ':);),- '-'\41- ~\:.l'-\
lc....- I
Furnace Make & IIlodel r, ,-
Model Size 0\Xf\ - J 0 ()
~l ~ \ l1
@VL
0..
Date
Conn. Load
Fuel J\1l),-'I"
Flue Size
\\,
~
Supply Openings
~R8Iurn Openings
H
CI Input \ DC. 1""11... Output C\ ~ .
o _
~
ti Edr,
:E
Clm.
~
lS5""'~
:E
0..
<1l
~ Alt.eratlDns
...
"
.t'/(
'P('I::'~ \)~
TYPE OF SYSTEM
Warm Air Plants-:;<::;
Gravity
Mec~2nical
Air Conditioning ~ 1-\n
Vent. System ...-"<:
HEAllNG OR POWER PLANT
Steam
Hal WateT
Radlalion
Special Devices
Othe. Devices
TYPE OF WORK
Replacement New Construction )(
Repair
IS>
IS>
. Rl Est. Cost S
Rl HEA TlNG PERMIT FEE $
Est. Cemp. Date
) ~, 0 DC\ 0/ Bunding Permn. .
0..
tJJ STATE SURCHARGE S
TOTAL PERMITFEES $
.50
PAID WITH
BUILDING PERMIT
Receipt #
TYPE OF STRUCTURE.
I.PiJdI
1. Greco
3:. Yellow
!'W.
e",
"""",,ow
Single Family
Commercial
x
Multi.Family
Other
TWl>-Family
lneuslrial
Public
Fee Sch edule
Industrial, Commercial & MultJ-Family
Residentia!, Heatt:'(j ~
1%'of job cost ($39.50 minimum)
Dr :- ' n '.' ~ c".r_,
Residential, Addilion. & Alterations
Residential, AC Only
~9.5C Yard Setbacks.
$39.5C
Remember to add the State Surcharge on the bottom 01 this application.
The price of your heating permit includes one .ough.;n and one final inspection.
Add;tional inspections will be biled st $35.00 eac~.
Hoose H..aUng Test Record must be submllled with ~ ll!!!l!llI I!J!l!!W before build-
ing certillcate of occupancy will be issued.
.I::lfAI CALCULATIONS REQUIRED wilh number 01 .upply and relurn openings listed per
mom wiIh CFM's per opening. New s1Nctures or additions send flool plan with supply
and ,elum 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 WORK MVST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447.9850 FAX 4L+7 - 42J.1-5"
I hereby apply lor a mechanical systems permit and t acknowledge that Ihe
Information above is complete and accurate; thet the work will be in conformance
with the ordinances and codes 01 the city and w~h the state building/mechanical
codes; thai this form does not become a permit until signed by the BUILDING
OFFICIAL; t~at lhe work will be in accordance with the approved plan in the
case 01 all wo.k which requires .eview and approval of plans.
-"\'\~^" I~
/i'l'Pp!icahfs Sign8hJre
Ci ~/\0'
\ / Building 01flcal'. Slgnalure
/
~-~ R- (l:)
Dale
10 - 3 -00
Oat.
CITY OF PRIOR LAKE MC
16200 Eagle Creek: Av. S.E. Permil No.
Prior Lake, MN 55372
,
O/7gQ
HEATING APPLICATION I PERMIT
Dalo /AJ!d-J/w PID' '1cJ-3(o::J-O(Y3-0
/ / ,tl. .
ShAdd.ess"-/.!L~ U~'J~7/1Aj ,
lo! -& Block I AddiliDn l(GJo h ildQ, LfUtV
Own..'s Name ~iM.Jl ~j
Addre..
Healing Contraclor ALLIED Jl'IllESIDE dba FIRESID~ COR-NEll
A<ldrsss 2700 N. FAIll.VIEW. ROSBVItLE. MN 55113
Telephone. ~51-~33-25~1 ~
FiREPLACE I. 0V
llmI.. Maluo & Modltl fJ N /J 0(.;:" \ TYPE OF SYSTEM
. ' /. Warm Air Planls
Modal S"" St- ,rR_f' - (\, Gravily
Corll. load \l Mochanical
Air Condllbning
Fuel ~ FI"e Size Van\. Syslam
Supply Openings .
Aetum Openings
InputOulpul~}J
Edr.
HEA llNG OR POWER PLANT
Stum
Hot Wale,
Radialion
Spada! Devlcas
Clm.
Anorations
Repair
Est. eosl $
jJfX).oo
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Other Devices
TYPE OF WORK
. Replacem on(
. Esl. Comp. [}alo
v
Naw Cons11Uclion
BuQding Parmft .
.50
PAID WITH
BUILDING PERMIT
Receipt.
TYPE OF STRUCTURE;
L J"inl
> c""'"
J. Ydlow
'"
ro
:J
c+
.,o,
Cloy
"",,-,00
'<
Single Family
"
H
00
m
'"
H
'"
m
Two-Family
1 rKlls\rial.
M"Ill-FIII1I1y
Public 0"-
Commercial.
Fee Schedule
n
o
00
z
m
00
Ind~ltfal, Commercial & Mull~Family
Residential, Healinjj & AC
Residential. Heelng Only
Residential, Gas Fireplace
Residential, Addftions & Allerations
Residen~sl, AC Or>ly
1 % 04 lob cosl ($39.50 minilnum)
$99.50 --':':; .',;:-,c;=: 'C_ -, r;~c,,? -
$64.50
$39.50
$39.50
$39.50
(X;f2 o.
Remember 10 add Ihe SlaIe Surcharge on .lhe boUom 01 !hIs eppliCaiion.
'"
111
~
The ",ice ul your healing permil Includes one roogh-In and one IInaI inspeclion.
'"
Ul
Ul
Mdiliunal inS!J8Clions will be billed aI $35.00 eech. II)
II)
House HeaUng Tesl R ecOOl musl be sltlmilt8c:l with IlIlildiJlg IlIf!Dil WIdlII: beIonI bul~ ~
11\9 cerliliesle 01 occupancy will be issued. _.
tlfli[ CAlCULATIONS REOUIRED wiIh number 01 stWly and ral\lrn OlJanings Raled I
room with CFM '. per opening. New .lructur... or additions send lIoor plan wi1h supply
al\d return locations '00wn_ HEAT LOSS CALCUlATIONS, ""YMENT AND
APPLICATIONS MAY BE MAllEt) TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. 5..E. PRIOR lAKE. MN 55372.
City HoJI buoine.. houlS are 8 a.m. . 4:30 p.m.
o
"
c+
'"
o
o
o
.
All WORK MUST BE INSPECTED {ROUGH.IN AND F"'ALI- CALL CITY HALL
441-4230
'"
111
...
I hereby apply lor a mechanical systems permit and .1 acknowledge lhallha ~
information above 15 complele and accuralo; Ihatlha wo,. wiN be in conlollnene. -.
willi the u,dinances and codas of the city and wilh the slale buHdlnglmechanic;
codes: Ihallhls lorm does nol become a permil unlll signed by Ihe 8UllDfNl
OFFICIAL; lhallhe work will be in accordance with !he approved plan In Ihe
case 01 all work which requires review and approval of plans.
k :)tdAC: /O/.;(J/tP
~Ilcanr. Signalllra - - / , Dela
a(?~ /O-d.-?-oO
[/ IfItUding Onleara Slgnalure Dale
"
III
<0
ro
'"
-
'"
'00 AM 11:20 ID:D & D MECHANICAL
CITY OF PRIOR LAKE i:E,. :._ /1
PLUMBING PERMIT ~ I) - 1 y,
Aopllcanl: --D..:~- .i") fY'l EC./-I Pr III " ('..A L Phone:...ll..20 - 8.;J g e
Addresa: q t) ~. l..u d:!;.~ I tJ I ,~ I -. "'<;"ti.1Ul.~,s">JI7 Ji'
Slgnalure: ./...2-. - -.L----'~~ _ _,,__ .
Legal Deecrtptjon: Lot ~ Bloc,kL.. S~b_.Kc.tJJ. ;'1 " ~ ttlJJb
811e Addreel: I 'ILl (/l! C"~... ~ I...." --(J-r:./J,. I_P _
Bullllllllg P.rmlt, t'J1) - 0 '7%'-/ PIO t'-..dli: ~W- 006-0
NOTE; Thll permit will not be prooe..ed wllhDut ~ortplele InforrTllltlon.
FIXTURE UNITS
Quanllty I Type of Fhllure Quanllly Tlr
~ Balh TUb wlth or .'Ihoullhower .3 R(lugh.lna
~
I Olllhwaahar I Wi.lar Healer
-
I Floor Drain Wlllar Softn.r
L/ Lavalory (bathroom link) I SUlnd Pipe (WII
j J Laundry Tray (lor 2 compal1menlllnk) S. Na". Ejeclol'
/ Shower 81all Blkldlowa-Ilmbl
c2 Sino Ballkflow Aalan
Bar Sink La~," Sprinkler
J .. Wal.r CIOHI (loUal) I Ol~.r
-
FAX:6128904650
,....c,.....,......c.....,
'II! 8CHEDULI!
IndUltrial, Commercial .\ Mulll-Famlly
(1% 01 lob COil, '39.5(llTIlnlmum)
FlelldanUal. New One 1\ Two Family
Realdenllllll, Addlllona ,'. Allerallona
Slale Surcharge
S99.50
S39.50
GRANO TOTAL
J hill JlIrmll i. .,anled "pon Ule e"proA' candUion III.l uiu
'''''lraclor. .hall co'"ply III all ''''''''1. wllh tho urdlnanc..
II/the Sllte Ph.lmbi'll Coda .1l~lhc. e II tharouf.
lIl!e)!I!''!" NO. DATIl
- ~f'e 1(/.(/./1 ATrBST
Co ror oil inspections 24 hours in IldVllnc".
PAGE
1
pll 01 r;bllura
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$
,
$ 'l9..6....r,l
$
S
ad. "1,
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.50
$ ItJ~.OO
"
PAID WITH
BUILDING PERMIT
115200 Eagl~ Creek Av. S.B., Prior Lake, Minnesota 553721 Ph. (612) 447-4'.!30 1 FAX (612) '.47-4245
An Equal OpponunilY Employ.r
09/12/00 TUB 08:39 FAX 6128902753
STOCKER EXCAVATING
._ ~ 001
...............
"nLOw . "'P\.1C.hT
QOI.D .. en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO. 00 ()7B4-
SQwQr and Water
contractors must
pe registered
with the city.
APPLICANT: DC Mechan1ca1/Scocker Excavating
PHONE:
890-4241
9/8/00
PERMIT # 1'.)0- f'I"7-it(
ADDRESS:
SIGNATURE:
SITE ADDRESS:
S247 ij-.t 125t:h sc~ 55;1B-DATE:
,_~J. .~ BLDG.
14404 Bluebird Trail PID#
FILL IN THE BLANKS
2. Size of water service
inch(es).
feet" . 'iTH
'. "'. '''PERM
'-'-';~GII\j\.:l IT
1. Estimated length of water service
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVCv
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
BY
----=--========-~~~~~~========~~=====~~
;~======aa_====~=_
This
your permit
when approved.
9-/5 '00
DATE:
==~==:=~~==~=~= -=----====~======----------~==------~====---====
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharg'e
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
* Sewer and water permits issued tor new construction must be
recorded on the building permit card at the time of is~uance
to insure that no .duplicate sewer and water -P.~~~.~tre
issued. . [ ~\~G pe.~\'<I' ..
DATE PA.IO AMOUNT PAID 9U~ .
RECEIPT #
REC'OBY
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 /FAX (612) 447-4245
AD Eqlllll Oppoltuni<y Employer
PRIOR LAI\.:
INSPECTION RECOR'D
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /cjL/OL/ ElvPhlt& J;a...{
NATURE OF WORK (J€.IJ)
USE OF BUILDING SI="'[)
PERMIT NO. (lO .07f?4t DATE ISSUED A -;~ I -~coo .
CONTRACTOR ~a......cO a,MLc:.. if t.(tfO."!'1oo
NOTE: THIS IS NcH A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU ENT
I
I J//.J./~
I /tP/$o/tJ:J
I ,t1 /~7/tn
I /~/3~ /,,-0 rt:f/ &t,' 1z/(ffO
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l~ I I
FINALS
I MJ1J
,"-vI! I 1l, ~[u1
I ,
I 1? \ /lA..<4
I ~ \~L
OCCUpy UNTIL ABOVE (HAS
NOTICE
FOOTING
, FOUNDATION (Prior to Backfill) I h-, ) ~1l2 'Z/ (J't>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
[100' J...q~ nD
~
i3L\J
~
~r:
~,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I?H-'"
, j)!'J/~
J/'h4) on
I .,
.
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
g ~ ifl;cJJ i
I I (dOl ~, 1/J.$foz,
,
tJu/'rr
d IN 1"..
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; oar!! ,.hall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850