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Home My WebLink AboutBuilding Permit 00-0889 6~~ .QATF RFr:FIV-;Q CITY OF PRIOR LAKE M A I N BUILDING PERMIT, F I ~5 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Depth) 7-/7-00 "DIRECTIONS ~. DAT t SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ' J/JA " BEFORE PERMIT IS ISSUED (Please Prinl or Type and sign ~rJxY!l r VUi ( /4 ~ 2, SITE ADDRE~)q nA-A::DL ~ /1, J n, /,.- ~ /'lCl'" ::;.;4 / fI n f"LL-- (-'.A '" V t- ~u~ , 3. LEGAL DESCRIPTION t'J. ~T ll"-\\f- 31 ~.l-\\Y") - '(') ADDITloN~n .A;n\.lJ_ IIII/o, 4. OWNER (Name) (Address) De.\( 12. NO, OF STORIES PID 26-373-011~() 13. TYPE OF CONSTRUCTION 5, ARCHITECT (Name) (Tel. No.) {P'jl-2")1.-7t'2..2... (" (Tel. No,) Mi\,e J (P12-~-'l~ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE D,R, HOlffi5~) ~"a WA CfU''''I~+ON PFW": SUITE~4ess EAGAN. MN 55122 (("" ') ;)~b -7/;)9 7. TYPE OF WORK Fireplace LJ Septic 0 Deckls..- ""'Rs-roofing 0 Porch 0 NewConstruction'TI Alterations 0 Addition 0 Finish Attic LI Rs-siding 0 Finish Basement D tJ.6. PROJECT COSTNALUE Chimney Cl MIse/" I ~ ] Q, iD 7 0 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110' CULVERT SIZE 1'17. COMPLETION DATE Sq. Ft. Width Depth Yes 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 the above ioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted p/Ms. I am aware that the buildin fficial n revoke th~~'t . st cause. f}irthermore, I hereby agree that the city official or a design,ee may enter upon the property to perform ne ed in actions. X ~ n d--c' ~ ,-J? ~<:h<~~-J Signatue license No. t 6. BUILDER (Name) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS Cl ENERGY DATA Cl PILING LOGS Cl PERCOLATION TESTS Cl PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN Cl BUILDING DEPARTMENT VALUATION USE OF,IlJJILDING ~. 3FA OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMITVALUATtON~ ..~I"'\ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 :3 4 S U City: Amount Brought Forward ..............,... $ Park Support Fee ............. .............. $ SAC """",."""""""""""'""",, $ Collective Street Fee ....................... It Sewer Tap ................................... It . 86i"l .~ I, 11V'l.~ Permit Fee ...................... ..... .... .... $ fOl._ 00 l./ SP-. . "tC> "'?~.s-o - - Plan Check Fee ............................. $ State Surcharge ................. ............ $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Pressure Red~ . Water Tower Fee ........................... $ Water Tap ................................... q: Builders Deposil """"'"""""""",,. $ I. 9'::0 .C>O Other ......................................... $_ _ Total Due """"""""""""",," $ ,,_ !'Jz..5. q,,-. Paid f. e2.-r;-. qV Recei~r/', .33(062--' Date /.(l/?-{f7) By 1'VfVl-/ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may prOCeed#(r'equested. This document when ~"t'1fnn~~mporarycelE)jtif~mPliance ndallowsc slruCtiOnto,comme e. Belor """, 'a"'of cupancy be issued. ~;:ner Date Special itions n an 100 .1'\0 100 . 0 0 .,'?5'. s-o Lo'!:> Meter Horn .................... ............... $ Water MeIer ................................. $_ _ Sewer & Water Connection Fee ........... $ , ,~~ f) .rY-i '].""1") .t"0 Mechanical Permit Fee ..................... $ 24 hour notice lor all inspections 447-9850 --~-~,._--_..._---"_. .---......-..-"----. ...~_. 03/13/01 TUE 13:26 FAX 6124474245 CITY OF PRIOR LAKE I4J 002 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd .3- 14-...0 I . '~. ,Wh'" "!' I PERMIT NO "'. .' ,"" 2. rmk ("Y, . . r~/.".<' ' , vJ"'w Apo""'" 01 0/7 0 I'illllat_)~ 2. - / /'16AfJtJw (UI,eVb ZONING (office use) rPlease!vpt or crint a ADDRESS 54-/q I qrvN t16'7DoW C-(/,eV6 RZ. , LEGAL DESCRI 'TION (otl'1ce use only) LOT I BLOC!. 2- ADDITION D/9E-;erIGLO 7lt/JeO /fOOA./ PID 2e::;~373- 0/1- (j ~~~R ~! .~-; / 7;7(,:.. IlL--- (Phone) rt/ 2 ~~/-- I'V ~ (Address) r . BUILDER I . / (Name' , ?, K! _ H02..77J1V (Address) 3"A it? NA-.sI{IN~7?J/J De... , TYPE OF WORI o New Construction ODeck ]Lower Level Finish 0 Fireplace ~iSC, ~II:R.. MfETFL/ ,e~njtl.F.I? 171X {;t5/- ~D'f"- ~(.I (Phone) PHfJAlf'3: 6A~fI rJ OPorch o Re-Roofmg ORe.Siding OAddition OAlteration OUllhty Connection PROJECT COST/VALUE (<xdudirtgland) $ I hereby ctrtlfy that :1' lave furnished information on this application which is to the best of my knowledge tT'Ue ilnd correct. I also certify that 1 ;\m the owner or authorized agent for ,C above~mentioned property and that aU consttuction. will conform to aU existing state and local laws and will proceed in accordance with submined plAns. I a aware that the building official CII" revoke this permit for just Cilu~e. Furthermore. I here'Vy np;tee that the ciry offiCial OT a dc!ii~nee may entcr upon the prope,l . to perform needed inspections. ' I x Signamre \ Permit Fce , I Plan Check Fee i I State Surcharge , I Penalty I I Plumbing Perml'! 'ee I Mechanical Perri, t Fee I Sewer & Water J: :rmit Fcc I Gas Fireplace P,,, mit Fee $ $ $ $ $ $ $ $ Thi, Application Ii :ome< Your Building PeInllt When Approved I 1 1 I \ ContTactor'5 Lieense No Date I Park Support Fee # $ I SAC # $ I Water Meter Size 5/8"; 1"; 1Ji." $ 475.00 I Pressure Reducer $ /4-0.00 Sewer/Water Connection Fee # $ Water Tower Fee # $ I Builder's Deposit $ I Other $ ! TOTAL DUE $ fo/5. 00 _ I Paid (U5.0 0 I R~c")fflt .:N()~O I Budding Oft:, ..I Date I Date .,3-/4,..-0/ BV?" ~. - I Thi.~ iJ 10 certify that ch reque~t IfI the abOve ;\PpllcJ.t1on and ;,cco1'l'lpanYlng documents is 11'l3ccnrdane<: With the CItY Zoning Ordinance ;'u:'I6 may ploeeed as n=queSled TIm document I ~:~;~ "gnod by ,hc Cil; ~Ia""" consmut"" te"'po''''Y Ccrtificate of Zonmg comp"an" and ,lIow, ~~n ro;~~n~ ~c1 "''''p,.cy.' Ccm""" of O""PMCY "'"" bc Pllll. ling Director Date Special Condlt;('ln!i, if any ~ - 00 'O~~1 Thf Ctnll!'r of lht L.kt Counl!')' White - Building Canary - Engineering Pink - Planning .BUlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D, /2, HoJ2TOtJ 7 r7. 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted / Accepted With Corrections Denied Reviewed By: t::Qarlf Car(-::;"n Comments: 5.& ~ re}/~n-e .s- i/e Date: ~M . .& aI'/h?HtP/ /~,~~ .?'""~ al-hehPle,ck--( J7;,-a/ C~ 3 PM/Nt dlnl ~f~< /rf -- ' --. - ~f~H/~ Z;;~rA<~ <>7.~~ ~</&h- e~/A / p,t.-:z "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," CITY OF PRIOR LAKE Me QQa 16200 Eagle Cf'gek Av. S.E. Permll No. 00 -0 V D I Prior Lake. MN 55372 I ~-~ F!RESIDB dba FIRESIDE CORNER MN 55113 TYPE OF SYSTEM Warm All Plants Gr8Ylly Mechsnk:al Air Condllloni"ll VlnL Sy"lm HEAl1HG OR POWEll PLANT SleIm Hot Waer Rad'1&Iion SpedBl Dems Model Sill!. Com. load FUll b4s Flue SlzI Supply Opltrings Rllurn Opining. 1nP'l1 Edt., crm. Oulpul~ rID OIher D...,ic.8 lYPE OF WORK AIIsrations A'!",-:..,.....J...:.n1 New Construction ~ Repair Est Cool . . EsL Comp. Dale ::J!/.3!OI II DD CO Buldilg P.""U HEATING PERMIT FEE $ STATE SURCHARGE $ TOTALPERMITFEES . .50 PAlO WIiH 6U\\.D\NG r ~:-.:_'.~'l' ReceIpt' TYPE OF STRUCTUR~ Slngls Family Commen:ial,' H :D m '" H <:1 m n a :D z m :D Two-Femlly IndJetrlal , ~Famly Public Other Fee SdledtAe Industllal, Commen:ial & Multi-F&mIy Resldenlial, HeBllng & N; ReskIenlial, Healing Only Rsstdenlial, Gas Fireplace Aesidenllel, Additions & A1leralions A1!Sldenli8l, AC Only 1 ')l, 01 Job cost (S38.50 mi'*'un) $99.50 164.50 $39.50 139.50 $39.50 A, ., . '. " 10 odd lhe Sla18 Sult:hetge OlIlhe bollom 011'* 8ppflC8lion. CD '" ~ Tho price of yvur: _, ,.~ ~ PBlmlllnctudos one rouglHn Mc:I one hllnepectivn. CD '" '" Additionellnspeclions will be billed .. 135.00 each. lJl lJl lJl House Headng Tesl ReconllllUll be submilled wl1h IluJIsI!I:u IIIIIIi I'IIIdlIII: belure bu ... Ing cerliltcal. 0/ 0C0l4J8IlCY wII ... iMued. ' .. lif& CALCUlATIONS REQUIRED wlUt IIJI1lber 01 supply end .elunt . , '''.1 .r lsIed room Mh CFM" per IIpBlWlg. Haw slnlclurM or ..' " . ...... loot ,*,n .... ~ and relum loceUom Mown. HEM LOSS CALCUIATlONS, Plm.IEHr AND APPUCMIONS MAY BE MAILEDroTl-lE CITY OF PRIOR lAKE, 112110 EAGLE CREEK AVE. S.E. PRIOR lAKE, MN 56372. ." .. 0" cay Hd bus'....s hours lIIe 8 a.m. .4:30 p_rn. ..... . AU. WORK MUST BE INSPECtED \ROUGfl-lH AHD FINAL) . CAlL CITY HAlL 447-42:JO a ~ .. '" '" ." I hereby apply lor a mechanical system. permit and I ecknowledge IIlaI the.": inlormetion above Is compla'e and accYlale: Ihallha _,k will ba In conlorman wllh Ihe ordinances and code. 01 the clly and wilh Iha slale bulldln"'",llChanl codes; Ihallhls torm does no1 become a permit until signed by \he BVllDI~ OFFICIAL; lhal the worl< will be 'n accordance wllh Ihe epproved plan In lhi case of.all work which requirM review end approvel 01 pleno, ." D> <0 .. .J}7jtJ/ Da" lJl - lJl lalUro f'-H< - 7 ')111i1 ,,-~,1 ~ Dale 's SlgnllUl1l CITY OF PRIOR LAKE MC ' " 16200 Eagle Creek Av_ S.E. Permit No. Ii) " , I(~ Prior Lake, MN 5.5372 ~ HEAnNG APPLICATION I PERMIT Date I\\llllbo PID/I Off)-iP13-oll-0 SiI8Adcfress 5L\.ll.i;,II.US,lln,ll,18,i'l. HtWY\ mmdbW (11YVe Sf.. Lal -L Block ;;(. ~dltion .-JJlv AIf4!rP Jh;( ~ xL Owner's Name V 12.. HDr ton L AddrllSS ~ Wl1s~iU'lDi~'on1)v ~4 ,erJ/W'J /VlN SSIL1.- HeatingCantraclor n-ci-(it1~ Uf~ J Address 3la5D . J('~'J)y --te-l ~ fVlN 95/22- Tel.~honet ~ 1051- Lj5L~2115 Furnace Make & Madel ~~ Maciel Size #- Y $ Y .J::4;"o;z y (/70 Conn. Load Fuel .IY'.d7f' Supply Openings Return Openings Input _ 7<>,. &>,00 Edr. Z 7. .J'yt? FlueSize ~/, U4:1S n'''" .q '9' Out~ut f6J """'0 Clm. A/?A TYPE OF WORK Alteralions Replacement Repair TYPE OF SYSTEM Warm Air Planls Gravity Mechanical Air Cancfllioning ;t. -~;t'~~ Vent.SySlllrn ;t-~4r-Pf7?~ HEATING OR POWEll PLANT Steam, HatWaler Radialian Special Devices Other Devices Nll'N Construction [./" ESl Cam~. Date .3 OOf:J, ...... , 8uifding PerroB' Est. Cast $ HEATING PERMIT FEE$ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 PAID WITH BUILDING PERMIT . Receipt' TYPE OF STRUCTURI; J. Pillk 2, Gnn 3. Yellow . . . . . . m. City eo._ Single Family Commercial v Two-Famiy Industrial Multi-family Pubic Other, . < . F~ Schedule . . Industrial, Commercial & MulIi-FnmIIy Residenti.., Heating & AC Residential, Healing Only Residential, Gas Fireplace R ~ ~ ~_ ~al, Additions & Allerations Residential, AC Only . c 1%'01 jDb cost ($39.50 minimum) S99.50 PLEASE NOTE: ~ $64.50 Air Conditioner Units Canm c $39.50 Encroach Into Required Side ~ S39.5C Yard Setbacks. ~ S39.5C N(N 8 _ ~ . V.i -.---"./ Remember to add the Stale Surcharge on the bottom 01J1\!Jia.ppIiCi'...." The price of your:, _~.:, '," permit includes one rough-in and one finallnspeclion. Additional inspections will be billed at $35.00 each, House Healing Test Record must be submitted with buildino Ilml!!iI numhe~ before build- ing certificate of occupancy will be issued. IiE& CAlCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opemg. Now structures or additions send floor plan with sup~ly and return I~~~~~..~ shown. HEAT LOSS CALCULATIONS, PAVMENT AND APPLICATIONS MAY, BE MAILED TO THE CITY OF PRIOR ~152llC JilELE CREEK AVE. S,E. PRIOR LAKE, MN 55372. - :I aw ~ ~ ~ ~ c ~ ~ :- ~ c :- ~ ~ City Hall business hours are 8 a.rn, - 4:30 p_m. Ii -.,__ 1--/ ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL C1I'LH~L 447__ I hereby apply for a mechanical systems permit and I acknowledge thalthe information above is com~lele and accurate; thatlhe work will be in conformance with the ordinances and codes of the city and wllh Ihe state buildingfmechanical codes; thaI this form does not become a permit until sign ad by Ihe BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans, /J~ 3'...4.r>- ~<e-~...?'~~ /P/.:z?/IIO / ' .7 APJlflC8f1fs Signalure,. ~ - "Date ~ /(-0-0 BuiJdlog Ollical's SignallJre Dale I!j; c: c: ... P,L. FA>C 447- 4243 6~~ 00 0 ~~1 Tht' ("t'nl..r of Ih.. L.k.. Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!;T NAME OF APPLICANT APPLICATION RECEIVED D. 12. HoK..-I UtJ /./'7. 1')0 I I The Building. Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ()V\J '31. ~ ~ Accepted Accepted With Corrections ~ Denied Reviewed BY:C2.2 ~ -k: . / - Comments: Date: to - c- - 2"00 I. f(~ a..Il 1AH-....cl.o_li w......~ "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." u~\ White - Building Canary . Engineering Pink - Planning Th. Ct'nl..r of Ih.. Lak.. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L . ./'~- / . ! . / I i ;-- , . , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections ~ Denied / /J Reviewed By: ~.A-WZ:tw/~ Date: [()/q,/~ Comments: C L- ') (S\,.hlt\I~('\ f'~€ll'<\q-<; '*- 'e.J..lv.\ Vt~/klJ2 F'tZeM PU!]LU p.... cD.,W (~51A Jb14rR/,) \ c;\~lALl. f ~l5.' tt:\~ At- M~"-IIMl~~ (tL)% (' I.-A~~ /, .^"\4UDl)J4L~ (~<;e.P .A-lit~ ~(P_ ).. '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," BRANDT ENGINEERING & SURVEYING 14041 Burnhaven Drive · Suite 114 . Burnsville. MN 55337 Phone: 952-435-1966 . Fax: 952-435-2929 30 January 2001 ReNillas at DEER FIELD THIRD and future additions To Whom It May Concern: I have calculated the load from the steel beams in the garage and computed the actual load from these steel beams onto the 4" wide concrete block The design load is 15,000 pounds at each end of the beam ThiS transfers into a load of 57 I psi on the concrete block The allowable load onto the concrete block is 1700 p<i Therefore the design load on the 4" concrete block is considerable less than the allowable load, Therefore, 4" wide concrete block are mOTe than adequate to sustain the design load from the steel beam ~,!! .-E Minnesota Registration No, 8140 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIllE SCHEDULED c:j- /d. - 0- ::t-dtJ/1 /lLII1c!dXl ADDRESS .s 7/ f? 9-' LJ.'j /Cj OWNER CONTR. PERMIT NO.CJa- Y1ro <I- 8[;9 PHONE 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 o EXIGRADlFILLiNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLiNE AIR TST o COMMENTS: c~y r ()~" (), I ; 1/\ <-'C V IU.> r ?~i!sz o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING OJl) Inspector: Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! """'In CITY OF PRIOR LAKE . PLUMBING PERMIT Applicant ~ 1/17- ~~ Address: ''-l~S ."-- ~"!.- -rOl SIi;nature: ,~._~. -'legal Description: LDtW1' r-~I Blockll'Jor.r.. B Sub ""t>....~pli:) '\I; ~\~ Site Addr&ss:-r..4f~ I~ AAA.... (',. .... \.... . BLlilding Permit #PID # NOTE: This permit will net be processed without complete information, AXTURE UNITS :10 4:09PM GENZ RYAN 6513226147 t"rl"'~kcC._....,. - . Quantity Type Df Fixture l Bath Tub with or without shower I Dishwasher I Fioor Drain Z Lallatory (bathroom sink) 1 Laundry Tray (lor 2 compartment sink) Shower Stall f Sinks I BarSin!< 1- Water Closet (toilet) Quantity I ",~ , FEE SCHEDULE Industrial. Commercial & Multi-Family (1% of job cost, S39.50 minimum) Residential. New One & Two Family Residenllal. Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL NO.528 --P.2/17- . 1. Ill.. File 2. Gold Cty 3. 'feU- AppUQgC OO,()&Bq # Phone:-,,=,S'I- W z..~ -1144 - 0-,~~. n'r ~~ Type of FiXllJre Rough-ins Water Heater Water Soflner Stand Pipe (washing machine) Sewage Ejector Bac~w Assembly (RP2, Double Ch~k, PVS) Backflow Assembly Test Lawn Sprinkler Other $ $ $ $ _50 PAID WITH BUILDING PERMIT :Ii This penni! is llI'iIDted UpOD lbe ""press condition thai said eontnctof, st'l,ul compJy i tJ5 with the ordinances of lbe State Plumbin~ Ihe amendments thereof. O.~IJ'()CI DATE ,.... ections 24 hours in advance. AIJ&.;)l 16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372 I Ph, (612) 447-4230 / FAX (612) 4474245 An Equal Opportunity Employef 2. 3. -\ 4. .- 5. 6_ J.2000 4:09PM GENZ RYAN 6513226147 NO. 528 P.3/17- --""" ~....ow - -..c.." GOLD . or'f I . -. -. CITY OF PRIOR LAKE SEWER AND WATER PERMIT NO. OO.Of?efJ NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: W.n;o~ eLf c.fb."!",,~I~ ~.,,.~ PHONE:..k.61-42.3-1/4-/-l ADDRESS: 14'LjE,~ ~=r .,..~, fl~<'bner"".r ~.efJiI DATE:: ~\'X'\~ SIGNATURE:..j..l. ~(\ ",~BLDG. PERMIT f SITE ADDRESS:~,^I';:-:l..I'-:.dt19 iUA-PlP Cl.1..e.lIL PIDII 6\oe:.8 FILL IN THE BLANKS 40' 1. Estimated length of water service I ,. Size of water service inch(es). feet_ Location of any couplings from s~ructure Type of sewer pipe. ABs PVC X Cast Iron Estimated length of sewer lin~~' feet. Clean out (if required), located at feet from structure. feet. ------_....:- - - _._-~-------~~-----~-----------~ This ----=: permit wnen approved. BY D~TE: JO '/f: 'ClD ~~===-====~- -~-------~===~~~=-----~ FEES: $ $ $ 35.00 .50 33.50 Sewer and water line connection permit. Surcharge TOTAL Fee for either sewer or water individually is $20_00 plus $ _50 surcharg'e. * 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 RECEIPT # AMOUNT PAID ----4!r..\O \N~~\\. REC' 0 BY' 6U\\,.O\N\:l' . , 4629 Dakota St..S.E., Prior Lake, Minnesota 55372' I Ph. (612)4474230 I Fax (612) 4474245 PRIOJ~ LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION ~... SITE ADDRESS M+ 0mu-o. NATURE OF WORK N~Lo\ c.....J~..,d..,'tJV- . USE OF BUILDING S'flA PERMIT NO. /)0. Og~q DATE ISSUED 9-7':''2==.0 CONTRACTOR D. R 4,}f"'\"""^ I (''5'I-::ksc. -7/2u NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCOMENT flll\j~-~l . n\d~~ ~ I FOOTING oN/e.1 ~ I '6"!l...t/~ I FOUNDATION (Prior to Backfill) t.f 4 f';n. I/ok.r, /IJ-() PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATERISEPTIC~\)P'~ /N;n!~ I FRAMING I & b:?I ~alo I . INSULATION @r 10h~/t1 / ELECTRICAL r ' PLUMBING ~ u.~ f7.n I/I~~ ~ I ~!13/'(J/_ HEATING (ifrequired)ii.U gp", 'orc77!do~ fI,;n-. ///{,/~ tfJr, d)/.;x>!() I FIREPLACE . I~, 8//3/dl GAS LINE AIR TEST p;p, ~ ~ ~ a/;;.a-lol I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ,~~ ?/~7/()( ~ I FINALS GRADING (Prior to Soddin,9) d. I fl)al JO-/3 9111--.J.. BUILDING1.c../J.~ r/I/6/ ~ tJ/ZoI/J1 I 0 f) g "Id," '). ELECTRICAL . '\ II PLUMBING I r ~'11LlhlJ I ~ d-.\ 0 \ HEATING .1 k \ .1f(CtJ/~J I . -,. DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card S~.lll! be placed near main entrance. INSPECTOR DATE Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 HOUSE HEATING TEST RECORD r ~/f .,," ADDRESS j rf'h'f'. _~,/~~/rZ.J ;' OCCUPANT HEAT LOSS SOLD BY Electrical Work By TYPE DF HEAT ("/~/'f APT. _FLOOR '1WNER. DATE HTG. INST. <:: - / f' (') JOB # CITY SUBURB ;<./7 /((/. , INSTALLED BY: ,4-",...-" /,nE Gas Line By ~ GA _FA ),L.-HW _STEAM _SPACE HTR, _UNIT HTR, _OTHER GAS DESIGN CONVERSION . /' MAKE OF BURNER \ .( Model _ , Max. BTU Rating. MAKE OF FURNAr~ Model _ :/ . MAKF ! /I././I/U/ Model'7/J//?C;//l) p'/?7,; Serial ~,}- i iil ..; o,!i/~/ INPUT .F ' CONTROLS THERMOSTAT / ", ldi Heat Plug Vol.e I.' ,f Limit Limit Setting Fan Setting Pilot Typ'" Pilot Make Pilot Mod.1 Pilot Timing_ L.W. Cut Off 'j Pressure.J ) Input CFH '/1 Stack Temp. _"' f Form 235 I I I 5/ k- I I C. (, ( Percent co &. 1 . t Y Percent O2 Percent CO Vent Siz,- ~/ I KIND OF LINER. Draft Hood _ Fi It.r. 5iz.... ). Chimney Location Inside Chimney Construction _ / ( ~. Smoke Bomb D.olt \ ./ ) . Door Pres sur. SIZE NONF RegulaTor 1111~,' '-/-; Number Outside Wiring _ \/ Test Tar. lighting Inst Dote Tested /:,. !" rl Company Test;n. Frederkkson Heafing & A(C, 3650 Kennebec Dr" Eagan, MN 55122 Name of Tester tYI('~l.,/ LVIVe D. R- !-I()I!o'" r~~ 0f}t1 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 5"'-1/9 kl.,j~ OWNER CONTR. PHONE NO, PERMIT NO, o FOOTING o FOUNDATION o FRAMING o INSULATION .......I=IN4L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: SLI/) ')LIJ 3 r ~~ DATE TIME if.{ tI-03 O>=tiu@6lllFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:4~_ ..:- Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSliOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7 -Hi -01 It (VI ADDRESS 5'-/ / s- Few., (}1(e,rJt9V G/,- CONTR, /).R.. Hol I" ". PERMIT NO, [) ~3 OWNER PHONE 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 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: Cj4J~- tU(-(J-~l.drJ c,ur?r< Do V(W'c.If. Cil.Jlh - oK.. ( C; 4/Cf -(")1' 'Q' 'l;,v}/ J /l\ / r;( \'\':"'" \J 'A-' \) i~ C;X SI.JI4 - 0 /( 5l(J) -oK. 5Lf/7 -nk. 5413 Ai(.~rJ /t.(J~J ~/r.fc,(", f:Jr,'/'~r 541~ - 0t o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED >(CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ff~ _ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl I 1 j 1 j 1 DATE TIME CITY OF PRIOR LAKE . 4.Z(),(}/ INSPECTION NOTICE SCHEDULED Z:ro ADDRESS 5r1/9 MNN OWNER CONTR. PHONE NO. PERMIT NO. (JO -0889' o FOOTING ~ PLUMBING R~ o EX/GRAD/FILLING o FOUNDATION MECH'" ~ o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATI~ o SEWER HOOKUP o FIREPLACE FINAL FINAL o PLUMBING FINAL o GAS LINE AIR TST ~ SITE INSP N o MECH FINAL 0 . COMMENTS:l1.) U I\,c. ~- ~ ~J:JJ \rrrd..- ~, @':'M-.J A-..~ .A.,~ ,~.~ ~, -=-=tl-- J' -'V (f) ~ ~-;.. -1-;/ m--- "(j/t~ r -+0 ~ ~, ~~ { ~~ f~ ~. - 't- ~I~~ J;Af:J:t:i::!i t~ -~~" ~T',~O, -b.J1 '-- ~~ -' "'--...... .~ go/, I t\ ~ ") ,~ ._--~;- .~-- o_.~,.~.,.,-,- o WORK SATISFACTORY, PROCEED \IIi 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! lNSNOT/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ~/q P!rwrJ CONTR, OWNER PHONE NO, PERMIT NO. ~ PLUMBING RI /O'f;IECH RI o WATER HOOKUP q)lEWER HOOKUP or PLUMBING FINAL o MECH FINAL o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME t.J.vot ~',~ (),~0q J o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o YhP)I\()w&-et:: ()~: 1'\0 ~ {'t'V(f~ - -:/ rORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECJ:10Rf:CALL FOR REINSPECTION BEFORE COVERING Inspector: _b .\ OWner/Conlr: CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PEIISONAL HEALTH &. SAFETY! INSNOfl