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Home My WebLink AboutBuilding Permit 00-0791 DATE RECEIVFD CITY OF PRIOR LAKE ! ?j BUILDING PERMIT, 8: ~ ro TEMPORARY CERTIFICATE OF 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 . I L _. A \ i.-\ 11'5 fi """I"'IIN t> ~ lI2 () c t N-E 1. DATE g/'J-IIOO R~ 3. LEGAL DESCRIPTION LOT 1.(" BLOCK 'A.!"D ltDo \;f, ON . R PID d.') - ,2,43- t:;:;(") - 0 \I1Mf \k t\ \ LL ADDITION 4. OWNER (Address) (Tel. No.) (Name) 5. ARCHITECT (Address) (Tel No.) (Name) 6. BUILDER (Name) (Address) W\/lJl')wObD rt()W\tf (Tel. No.) H:?lI twiN b Avt-S q<;;"~~" 8"lJ4' 'W,f'rJ<;.UllLE" vv..", S5-'.le>4> Septic LI Deck D Addition 0 Finish Attic 0 7. TYPE OF WORK New Construction ~ Fireplace/}. Alterations 0 Rs-roofing 0 Porch 0 As-siding 0 Finish Basement 0 1. White 2. Pink 3. Yellow File City Applicant Permit No. -1ln . 07Cf / BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION .Mt.U .;"rp 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE /"50, C?VO 17. COMPLETION DATE Chimney LI Misc. 8. PROPERTY AREA OR ACRES 19' PROPERTY DIMENSIONS 110' CULVERT SIZE Sq.Ft. 1L!10lo W;dth-lJ._'1l""Depth l(q '_(.." Ves No I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for th~ a,bove ~,entio~rope~ and ~at a!1 construction will conform to all existing state an~ 1o~1 !aws and ~iIl proceed in accordance with submitted plans. I am aware that the bUilding official c re oke this ~It for Just cause. Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perfo~eejed insp9dions. X 1')(/V/j1,A__~ .;;2 I q 7 ~;;u /0"0 Sig66ture License No. Dete- Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... .'1', Sewer Tap ................................... $ ~l' $ Pressure Reducer .......e................ $ Meter Hom ... .... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ BuUdersDepos;t ............................ $~~' 00 Other ......................................... $ Pa;d T~~I;;;;;:fj;......~~~ifill:fti 7f1 Date q. Z(). r/IJ By This is to certify th t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s requested. This document when s;g the C. lanner constitutes a temporary cei71 :')ing compl;ance and allows construction to commence. Before occupancy. ,a Certificate of Occupancy must be issued. _~, _ ............... //9'::) Cijy Planner te Special Conditions W any FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION j.sc>JOClC). on USEOFBUILDING ~fl ~ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee ................................... $ 1,137. '2c;- T}3't. ;:>( 7e; . 00 Plan Check Fee ......................... .... $ State Surcharge ......................... .... $ Penalty ............................... ........ $ Plumbing Permit Fee ....................... $ ~o Mechanical Permit Fee ..................... $ Issued 24 hour notice for all inspections (952) 447-9850 MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA Ll PILING LOGS LI PERCOLATION TESTS Ll PLANS & SPECS Ll SETS SURVEV PLOT PLAN LI COPIES Ll t9:sn.oo I, ( a~ .00 , I q€; ,t;2CL t J;l6,00 L. ::!c:91"1 .0 e;l . "7at'l.~ 5~~ OO'61t1 I Thr C..nlrr of Ih.. Lab Counlry White - Building Canary - Engineering Pink - Planning IWILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l..u \ l\J D \.A. ) () (").J"'. ~()I'v\ F ~ APPLICATION RECEIVED AUC-::>lJ'!:-...T ass~ ;:)non The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 141lfS HUM.tJ\,\~\CJ~\Q\,) G~)R.T {\IE Accepted -r- Accepted With Corrections Denied ~ Reviewe y: ~~ Comments: Date: f- {-26CO R~ ct\l Q,:\kc~ ,^~a..:t"!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 ordinances of the jurisdiction shall not be valid." .~1 60---o,Q { Th. ("fnlrr of lh. L.k. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT t,U \ l\J D \.A. ) n (j 1"\ ~\ ()i'v\ F ~ APPLICATION RECEIVED J-\\y~\ )~T ~-;5: ~non The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ..1-+ \ ~-lS \-\l) 1'-\ \'-;\ \ '" \ hT,.I Q f) (. ,ell..) \< T 1\.) E Accepted ./ Accepted With Corrections Denied Reviewed By: ~~~ Date: ~/3D/eo Comments: "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." 00- 01Q I Tht' Cl!'nln 0' lht' Lab Counl!'}' While - Building 'Canary '. El1gltll!ering Pink - Planning aUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l J \ l\JD\_^) nCJ]') 4()IV\.F~ APPLICATION RECEIVED A l J (--, I 1S-. T (;;)(5 ~ ;:) non The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14 P=75 H l ) HN\ It\j (-;~\ ~ \) GCJu R"\ t\ IE / Accepted Accepted With Corrections Denied Reviewed By: GrOAt drbdn Date: 'f~ICl7 Comments: ~"( r',UIC11- e%~('erl Yo' / Jeh//J/ 4'., Jt'/'''':f'r''. 5u -lip ,-IJ/{/Je S;h -hr d/c4~ma/ /dh'r/77d4~ .fe/fllll' wIII/ /11'1 ip /1t'[?~/ /. /' .5 k;//Je's -ex'C'e-e/ 3: / k/llh cI .l:h.fJ Ja~p. 5;." tlllz:r~hf11P~: I. ,/;/1'1/ ?-.x~ :3, 1;-~.sIi:m ~h / /Ifp t71/././pS Lj 7h~/"hk hz,"/n-r z;,.f)rmahJ?,~ brzr/-y I'''-t tkh/ /Jk_. "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." ~ ..;y,f?~ .-..-- - ~ _. .~ =- ~. ..'I*".h~"_~'~~~~' ,.... .... ..'~~'.' ~~;_." . 'I:~" . .'", i~';.:1o; ,...... :~r.;;;.i"';--.. ',~,..,~,:'-. I, I,J, - -" ,',.,;'....".'-~..r""';.~'...'..AI;"'-,.... ~: - - I, - :.'! QLtrtifirsu at <mrmpanry ~~: I ell r OF PRIOR LAKE i.t~. 'rl Department of ~umring 3Jn~pection (~:, {'Final Permitted D Conditional C,O, Expires i ~-1' ! This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code ( ~~, J certifying that at the time of issuance this structure was in compliance with the various ordinances of the (c;;t ,~ City of Prior Lake regulating building construction or use, For the following: ". . , ( ?;' (I'."'~......: ~. J l.i.~.(.:i i";~ I ~,,- I (.., (. .,'1 ~. j (~-; l!J:. (". , (~I 1::1'" (~': (. . .' . (~. , , L Use Classificatir'" SINGLE FAMILY Bldg. Permil No 00-0791 N/ A z. 0.. Rl aomg IStrict Occupancy Type R3 Fire Zone VN . Type Construction Legal Description L16. B2. SECOND ADDTTTON TO MAfLE: HTT.T. Owner of Building Contractor', Name IlL Addres' WINDWOOD HOMES. 14175 HUMMINGBIRD nDE Cljire Address 14311 EWING AVE. S.. BURNSVILLE. OONRYE MN 55306 Date: ROBERT D. HUTCHINS -1Z- Bulldini OffiCial Qt I ~ 1.Jl -0 \ Date: I POST IN A CONSPICUOUS PLACE City Planner 1/-2.0 -01 AT /4-[J5 HIJHKIN6E1@) I n(J - 7q / CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 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 o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: CJvosC Flv~ DATE TIME o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o Vt~lI) o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION 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 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME II-~()-()I ADDRESS /'1/ 7~ HUf111"'I")hl'd C! OWNER CONTR. k/. '~"/v orx! hC_-5 PHONE NO. PERMIT NO. &? - 7'7/ SCHEDULED o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL oS:exIGRADlFlLLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ u rh B& - (") K: ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector4 ~---- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI JNSNOTJ ADDRESS /4/7S SCrDULED jzJ;;}o fa. 45 ~Y1)(,v6> ~ Cr CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR, PHONE NO. PERMIT NO. 79/ o FOOTING o FOUNDA nON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP .....CJ?EWER HOOKUP ~UMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: r II1A /1 AAO N'\A ~ r iM,oJ0r' O\::: .$ 8afecl ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORI , CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FO' THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSHOTI ADDRESS I~ / 7S DATE TIME SCHEDULED 4<.[(/ It<> ~: 0-0 I-J IMn tIA-, ^!J b;d) C'J', CONTR, CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. PERMIT NO. 0-7'1/ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL /if, MECH FINAL COMMENTS: $Lcl)p . ti:\ ~t......<L ~ (2) f~ ~ . R:\.-f, 1,-, "-"^' s4fr::-~ ~ ~ ~-fr.. ~ irPOo<.P, ..*.11(4) ~ ~ ~ a.JL. ~.cS:J ?'~ ~~ . - Q ....L. , _....'.". I (\ u-::::t. -rJ.J.AJ L.><> ~ d '~' 1PAM r_O.. ~~';T~l f -," "t.... I I ..', _~_ -,C.,'--',.:M"'>' .' -- ~/ .Y o FOOTING o FOUNDATION o FRAMING o INSULATION )Q FINAL o SITE INSPECTION o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ _ \) /}}Jjj Owner/Contr: CALL~7-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lNSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED IO/z//JIJ I/,"v. , ADDRESS ILI/75 A/&U1Il/lA...ftJ'ib/12d (':f, J OWNER CONTR. PHONE NO. PERMIT NO. <:") - '7'1' J o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMrJENTS: -L o PLUMBING RI o MECHRI @ ~WATER HOOKUP SEWER HOOKUP ~ PLUMBING FINA f? . o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o tJv 1-1< r::-; ~ ., ~ L--' ~ \;/ ----- . II '. 4l . 1 .:::::t?J017L.- ~(?' ~/>1j)'/c-?~ r- ~ #1-< /Vi', 11:-- j::-, (j";;{J , ~ORK SATISFACT Y. PROCEEO o CORRECT Arl< A 0 PROCEEO o CORRECT W , L ~OR REINSPECTION BEFORE COVERING Inspector: - -" Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI '" '" ~ "" t:l '" or: '" ~ .... ~ '" '" or: ~. I I ,.o~ PR10i! ~~ ';/~~ HEAliNG APPLICATION I PERMIT Oall f!)o PID.;:;5-;:IL/J;-())r;-O Sfte Addreu ;'1/71 JltJMIN~R/LJ:J c-r - ... Fee Schedule I.Jlt ~ Blodl~ Addllion IY} fJ. rJ/ e fir if d- NJ A:~ Industrill, Commercial &. Mulli-FamHy I Resldenlial, HlJaling &. AC Residenlial, Healing Only Residential, Gas Fireplace Residential, "ddilions &. Allerations Residential, "C Only CITV OF PRIOR LAKE 16200 EBllle Creek Av. S.E. P8Im'l NaiJ -0 Prior Lake, UN 55372 1q/ IYef. OF STRUCTl!BE 1...... 1."""" ). 'lclfv. "'" Clly Coall"aclDl .... o ,0 i~ Single Family I)( Tw...FamilV CornmGfclal Indus',ial Pub~c Mulll.Femny Olher Addlell Healing ConI/idol (.;/J~l!1L$ kll.-O~s AddlI..I3t/()~ /t;C14 JfV N', Telephone' '"/{,3 - lI1i1U - L/~:, FUIRam Make e. ModelcS"V.PtE..e/D Ai: Model Sill 1)- 4o.,p '" iE /( P e.E.>f FP 1% 01 job cosl ($39.50 minimum) $99,50 $64.50 $39.50 $39.50 $39.50 Owner'. Name Remember \0 add lhe SIale Surcharge on lhe ~olIom 01 lhis appticaUon. o o ~I ::11 I STATE SURCHARGE $ TOTAL PERMITFEES S .50 PAID WITH BUILDING PERMIT ~ Th,e pr~.oI your heating permHl)Clud.es one lOUgh-in and ooe Dnat inepecllon. Addl~onal inspecllons win be billed a\ $35.00 aach, House Healing Tesl Rec:ord musl be submine<l wilh llIliIlIiDlI QmII1it DI!IIlIW belore bull~ ing ce~.jcale 01 occupancy will be issued. I:iEAI CALCULATIONS REQUIRED wilh numbel 01 supply end relUln openings Ilsled pe loom with CFM's pel opening. NIIW .IIuclures 01 addiUons .end loor plan wlh supplY and relum lo""~ons shown. HEAT LOSS CALGULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 162.00 EAGLE CREEK AVE, S,E. PRIOR lAKE, MN 55372- Cily Hall busilKlss houn; 818 6 a.m. . 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL). CALL CllY HALL 9f;). - 447-4a6 02i1~ I neleby apply 101 a mechanical syslems permil and I acknowledge Ihallhe inlormation abOVI is complete Ind accurale; thaI Ihe work will be In conlolmance wllh Ihe ordinances end cod.. allhe cUy and wilh Ihe sllte bunclnglmechanical codes; !hallhls lorm does nol become": permit unlll signed by Ihe BUILDING OFFICIAL; thai Ihl work will ~.. in acco,dance wilh Iha approved plan in Ihe case of all wolk which requires review snd apl'ro"al 01 plans. U~ (! ~ ///;()~ - Applicant's ~n~"'e - . Dele ~ ~ JI-d/-o6 Building 0119'1'" Signalure Oete .... 0> ~I ",. ",' ..I ...-II, ;1 ?I Conn.loed Fuel jlltr l'Ua Size g' Supply eplnlnge I Relu,n Openings I Inpul;t' f'd~ aulpol Edr. Clm. TYPE OF SYSTEM Warm Air Planls . Gravity Mechanical Ai, Condhionlng Venl. Syslem _ HEATING OR POWER PlANT Slum Hal Walel RadlaUon Special DevicllS othel DevlclI$ TYPE OF WORK ""'Iallonl Replacement New Oonsl,uction K ...., .... Repek Esl. Comp. Dall Est. Coal' Building Perml18 HEAllNG PERMIT FEE $ z o :>l Recaipl . 1.- ~ ..... ll'c!lDW n& Q<y c- ! ~~'~ crrY OF PRIOR LAKE . 1i;- '6200 Eagle CTeek AV. S.E.. ?er.;'1~ N~. ~~..::I '"' \ , Prior Lake, MN S5372 ...... HEA.TING ~?L1CAnON I ?En.MiT "'" \Q-\Q- QU PID; d.5~~'-i?u/-~..-o ~Address \'-\\\S .\\"'",,",""~f"I,,~~rl I ::. ~ 9100<.). Ad:ihi~n (\ Lt YJ 'v.. W\ \ \ J.. "^' ~ n6~' N",nB \rS. ~ (\ ~ '^' I UU \ +\ r) fl-\D ~ o . ';;i",'" \ '-\., \ \ <:;y....: 1'\ \ 1\.; L ~-., iIJ', \\" ,"\. \ !\,- ",saling Com,a:lo' 'I.. ~ 'r\"._ ~ \, \. Add,... \\nu..~l, ~I....\tor~ I\v~ '\-l.~; V""'\.v.Kc ,.\.~hon6 11 '-\ '-\ 1- ~ \ ~ '\ F'!.'ma::8 Malia 1 Mollet (4,..".; \-" ...~.l SlZII \'\ \j 'fl- \ \.) \\ Com.1.:;a:l ~() --q ~ ~ Fuel ~) v.\- Ru. Si:z.~ r V c \, ~ TYPE OF STRUCTURE Sin.l. ?amily X lw~Fam~y Ind1.!Si7ial, MuII~?am~ _.._. COr:'L"n9r::ial ?u:iJ: C'..~j :=eE S:hedule lnciLlStrial, C~mm..r:ial ~ Multi-Fa'nlly R..sio..ntial, Hating 1 AC ;j!Si:ieniial, Heaiing Only "..sio"nli2!, Gas m;.la:! Residential. Mti"fIions & A,LlOo'~"'~~ i'I!!Sidenlial, /II:; Only ~ % ,,1 job :zi (53'=.50 minimum) Se~L50 S;;(.SD ~5!-=O m.5lI S3931 ".."'ember IX> aDd the s= Su:::nary. Dn the bQ\lom oi this .,.,.:-;;..1\. T\?E OF ".,,, I =Ill Warm Ai. PIanI:s V Gravity Mechani:al '>.c M Condi1ionin;~ "on\. System ~-A~GORPOWERPuun S1e2lll HOIWlIIer Rad"adi~n S;>a::Oal Devices Tne pri:a ~l ywr huling Jl"rmi\ in:Iude:s Doe R>~ lUld an. fu1al ~4i.n. Ati:iiiicnal Wls;>e=ti0ll5 will be bmlld at ~..oO each. H=-e H02linglesl i'lecon! lIlUS1 be subm!Iled wtn Illlilb.l!m!llil. ~ :m.r. buiJd. ing ~ 01 OC:::U;>IIl."Y will be iss1Jed. H=A:i ell! el!l mONS i\::OII1;:!=n wllh number !to str,9ly and Mum. _."~''''"' 1isIe~ p!' "'om wiItI CFM's per cr,>ening. New stru::lutes Dr odditions ~cr fi.o, plan willrsUJlPly ond n:Iurn l<>:alions sllown. IE!\T LOSS CAL..ClJLAi10NS, I'AYM3IT AND A??LlOOlONS MAY 3E 1vII\l1.3l1tl7HE CITY or ?RIO" lJ\JCE. , 6200 ~GU ...r.=, AVS- s.E. 7rlIDn LAKE, MN 537Z. City Hall ~....;,,_ hours.,. 8 &.IIl..~:30 p.m. AU. WOIIJC !lUST BE lNSPEC'ml (ROUGH-lH. AND fIItA1.J . CALL. CIiY HAU. ~...czIIl Su;>pIy O;>anin;s i'la1um O;>Imin;s lnj:lU'. ~.-mb Outp'.l1 ~). "O\S"b 0::_ \ ([:dr. \~).S- Cl:hel Devioes ~CIrn. ~ W E \ , ....... iYl"E OF WORK \.1 I t>ereloy apply 101 2. lIIIlcllanical syst8ms permlt and 1 ed<nllWled;e 1tIa11h. \ . ~ " .inIa._....;:..,' all""" is c:ump\elle and ac::wate; 1h2Ilho-work vrilIbe in ..,..;..","",. . AlL.....:...._ Repla:::e1l181t NIW Canstru:li~n with IIIe anlZlan_ 11III =des 01 lbe city and with lb. ~ bulIdin~chanical ~ ' .' ~. . coda; 1h1ll thls 10m cro.. hill ....com. a pe!IJIII unliI Bignell by \he BUI\.l)ING II>- Repair . . ~ Camp. , . " OFMCIAI.:!hat the Work wll be in ac=ardan.. wII!lllii ~ plan in \he ::.';;:~:~ "Y """,;,d. \l.ll\- PAlDW\TH ~ ~n'7' ......... ~.;;: \ ~ (() . ~"" .. '. . 50 BUILDlNGPERMIT '. "Q-I"}l/'''JSV- . .' DII!a.:', N STATESURCHARGE $ . . ...,', .'.' . "., '.';7- '..~ '. . . ~ ID-//-OU. :"~~~I~:PERt..v:rFEES $". R~I. . . V lIuilllina~~ '.' DaIIo U.. .'i. '.. :..:: ..' .....~:.:., .'.~'.'_':'~""""'.""-."" .......;. :"'.".0 ..~::.,......-:....,.,.",.. 0._ ." "'lII':'':. -0- "-'''-''''''~-:';:'''''''''''~'~...~...-......~ ..,... _........_. ....."'&.r_._.....oIIo:.1:;~.~._....;:;'~.:r..__....~."""~.~ ' ..."':"'....'f-.:._:;=;::O:,..- .-.~- ~:;~.~.:......4...~":--~~~~.~.;1-,.J!_.....~.{~~;:_::...~..'l.-.;....;.........::._ l. ...~:'"'.:,_~~~......~~r. _ . ...~~::.L-~..-:.:.---:;;~ _ .~.. ., ",:-..,..~ ..-. . ......, ...-";.-.....~ ..':,.......~~"'S--~..~..'...I~.......,J~ ~.,..:.,.. "o...s. .~~~~~..... ~...._ - -"'~~t:'r. _~.~_~...."._.....~. .. :-._ .....- .... -' ....:- . -: - "'7'::..'.. '- '-" -'. -. ... .. .. .. _ ".-. T""~"" '......... .. ~. ., ...... .... ~ .:.~:-U:~...: ,:~:L,j<:..';>:;-:'"...:--0-~IJ_.~ ..,!,...;~:...-i:._::"!'!O ~....~ _ .-&,. ,- ..... ..-"... -~ .. . i'.. I. .bo 1'Ilc 1. <laid Chy '.Y- ~ PP Nt>. fiG ';"71/ Applicant Ma++;'pul J"1."j,/6. /n/I. Phone:~S/) ";-2-'1-~':t"l'" A~dress: I~~ ~D~~~' .P"'_~Jnt:. NI'I _';:""U"y. ~ Signature: ".I r '.:::Df. .' - -" ''"1J'; : Legal D.~ption. Lot I~ . Bloc~ LA. SUb':IJJ.I1J~" ';'Ih - 2~.J ~ SIte Address: ""'Ie '-flu W rl. LLl. tl.lJ.d (/>If 'I~+. -;;J:f. _.. _ BuDding PermiU CJ PID 1# ,:) 5 :p l./ 3- ();lC)..O NOTE: This permit \AIm not be ptoc:essad witl'1out complete intormalion. ' FIXTURE UNITS Water Softner Stand Pipe (washing machine) Sewage Eje<;tor 3....;I..w A$5embly (RPZ, Coubr8,Check, pwi Backllow ,o,ssembly Test Lawn Sprinkler Other .c.._ ~~D puma 10-25-2000 02:26PM MATTHEW DANIELS. INC. CITY OF PRIOR LAKE PLUMBING PERMIT TIie C-M' .. .. taM c....., Quantity Type of FIXture L Bath Tub with or without shower -+" I Dishwasher I / Floor Drain I ~ Lavatory (bathroom sink) I / l.aundry Tray (1 or 2 compartment sink) I I Shewer Stall I I Sinks Bar Sink ...g Water Closet (toilet) Quantity ..3 / / J Rough-ins Wat"r Heater I FEE SCH!DUI.E Industrial. Cemmercial & Multi-Family (1%Qf job coat. 539.50 minimum) Residential. New One & Two Family Residential. Additiens & Alterations 423 3017 P.01 Type of Facture $99.50 $39.50 $ $ 94.SlJ $ s .50 ,I ',I .1,1 . I :lW GRANO TOTAL $ /4/).4tJ ~ ~ nu.. permi' I. gr.IIltecl _pcn the __ candiaon dial ",id conltXtor. sholl comply in all '""peets ..lib the ocdlllllDcos of the Stale PI....binl CAde onclllle 11I1.: ;,... .'': ~f. '-"....::., ,1'10./(1 d-b CX--6ATE ~ ATIEST U Call for all illspec:tions 24 hows in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-423"0 / F.'\X (612) 447~245 AIll!qual c.~._.....Jty Employer ! ! ~" au PAID WITk . lLDlNG peRMIT i TOTAL P.01 (1)~ GREEN - FLE YELLOW - APPLICANT GOLD - en" CITY OF PRIOR LAKE SEWER AND WATER PERMIT S,w. No. ttJ- 791 NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: fJa.h.\IlM E leC. ADDRESS: J (~ " fl r D Pt"C-J 'v .>1- 'I L If tJL. S- .l"'1<! SIGNATURE: eJ...... .~_ [)-..AD-,^ SITE ADDRESS:-1.!:Ll7.r J.)......_......,GA"T/>.A Cr- FILL IN THE BLANKS PHONE:f?ol -, 90 f:, DATE: 10f/OO BLDG. PERMIT # PID# ;)S-- 5- 31f3-(j:1 ~- 0 1. Estimated length of water service 40 feet. 2. Size of water service I " inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC X Cast Iron 5. Estimated length of sewer line I.{o feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ This application becomes your permit when approved. BY DATE: ------------------------------------------------------------------ ------------------------------------------------------------------ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $~.~ 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 dupl icate sewer and water pePA!tJ.WITflIre issued. BUILDING PERMIT DATE PAID /0/ d -00 AMOUNT PAID ..~ 1 RECEIPT # REC'D BY a ~ () 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer ......... ......... ..._ ......_-a1l. -a_-a... "'......... ....I.. .-'\..l.V-'\ LJ1.J.\.L ~UU.L CITY OF PRIOR LAKE ~ ~~t ~;~IiCID' PLUMBING P~RMIT # j)--jq ( APPlicant:~. p~ f) l;u> .. Phone:. <fl~}/~P?/ J/otl AddrBSS: 81t#' .tp;at/JI 'f}{/f/ - ~,.h.A. J1(1L f51.?2- Signature: (p ~ ~~ ' ..' ~ legal Description: lot !-f. Blopk d. ~ sutlJlla.f/ e. H ( / / ;).. Site Address: /<lI?~ III..I/lUMlljlJl/tf. & . _ Building Permit # .PID # ;::),,5 - 3 Lf3 - (JJ. 5' 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS J""("rtl.Uftll"'I...tCcn"..", Ud..w; 00 ,. Quantity .J I ( J ( ( / -3 Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain lavatory (bathroom sink) laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) .1 I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector I j / BackflDw Assembly (RPZ, Double Check, PV8) I Backflow Assembly Test lawn Sprinkler Other FEE SCHEDULE Industrial. Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations Stale Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL {vIe $ This permit is granted upon the express condition lhat said contractor. shall comply ir'l all rc.'1pccts with the ordin.1nces of the St.te Plumbing Cade and Ihe amendment. lilereof. - R~EIPTNO./O -:,)S--GG:(ATE r !r<= - A ITEST Call for all in~tions 24 hours in advance. PAID WITH BUILDING PERMIT 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE INSPECTION RECORD OJ.. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS lyj7.s- f-f Ul/Vt 1M I\IMA......,.,~ NATURE OF WORK JJf'uJ ~ USE OF BUILDING - oS f:"[) PERMIT NO. (}()- {)7q! DATE ISSUED 1-1-'2.~ CONTRACTOR ~J"lA.rll..:\r"lt"'\,..Q l-{~",-- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~/2-2Y0'tl i , ....j , ~ I FOUNDATION (Prior to Backfill~ I ~ 1/c;. 7/d7J I Ih, !(}/;;/170 l PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS JD~d--6D ~ &n I<w 1I)/'1/~ /f$.J~ ! 11 /13/~ I {(({~~ I // /.iz.JY~ I if //3/~(:J..) f,P. ~'/2#1d . I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS INSPECTOR I FOOTING - -.JI~ I rn, SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ......- I I I ~. I 1~. I ih.. I 0- DATE GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE ,.aJ2l,t)IJ>O R\/ t t 1~/;;ZOl.!tlO "f,~ 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 availBble, ca~d .shall be placed near main entrance. . Call between 8:00 an( 9:00 A.M. for all inspections FOR ALL INSPI::CTIONS (612) 447-9850