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Home My WebLink AboutPermits 00-1037 & 01-0179 ~~ nATF F1Fr~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. While 2. Pink 3. Yellow File City 11.2'00 Permit No. 'cant DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUEO (Please Print or Type and sign at bottom) 12. SITE ADDRESS /7...z'Y~ 1t?~fl:7~7<J JO'(/I/E.sE"" 3. LEGAL DESCRIPTION 1. DATE // - ~ -Cl'C/ R../ BUILDING IN 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT ..v BLOCK /" dl~ PID 2.5-/9,., - n04 - D ADDITION 4. OWNER ~";;<?Ao'~:z.n (Name) 13. TYPE OF CONSTRUCTION (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) 7. TYPE OF WORK New Construction" Chimney 0 Misc. 8. PROPERlY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have furnished inlannatlon 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 exlsting 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. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x~J4 ~ ~~6"57 ...........h/e>z:::> Signature License No. ,. FDate Fireplace LJ Alterations LJ (Address) (Tel. No.) (Address) (Tel. No.) ~5' NUMBER OF OCCUPANTS OR SEATS ~. ~.y~ A/~.-v IO<'l" ,s.....r.: OCCUPANTS ,A-~ RYV fl57'...:I'.;l ~~-~-7- S . D k R f' SEATS eptlc LJ ec LJ e-roo Ing LJ Porch LJ Addition LJ Finish Attic LJ Re.siding LJ Finish Basement LJ 16. PROJECT COSTNALUE .....""""'/ .;?7~ 17. COMPLETION DATE 6. BUILDER (Name) .a ~. W~ >'<'~ r SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front MATERIAL FILED WITH APPLICATION Back Side Side SOIL TESTS Cl ENERGY DATA Cl OFF STREET PARKING PILING LOGS Cl PERCOLATION TESTS Cl SPACES REO. PLANS & SPECS Cl SETS SPACES ON PLAN SURVEY Cl COPIES PERMIT VALUATION ~ .-.c> PLOT PLAN Cl BUILDING DEPARTMENT VALUATION USE OF BUILDING 5~-\ TYPE OF CONSTRUCTION: I )I III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 S U City: Amount Brought Forward .................. 't Park Support Fee ........................... . A,Q. ~ SAC ......................................... $--4-! 00 .~ Collective Street Fee ......... .... .... ...... It Sewer Tap ................................... $ $ Permit Fee ................................... $ 887.2< 57".?1 50.00 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Pressure Reducer .......................... 'l: Meter Horn ... .... .... ................. ....... 'l: Water Meter ................................. . 125. OV. Sewer & Water Connection Fee ........... $~OO ~ WaterTowerFee ........................... $ ?~ ..t!!aa Water Tap ................................... $ Builder's Deposit .............................'1', - 0 Lf6"~ loo.t:>O /4c:) .Od Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ sS-.;r-O Gas~.p.rmit~.... ............... $ lfO.oc> Thi i' com our Building Permit Y"}1en "",~~esL.. By ~ Date -11__~..J S ~ Certificate of occuir,cy Plumbing Permit Fee ....................... $ Issued Other ......................................... $_ Total Due .............................. $ 5: f3()9. 'fb . . Paid Receipt No. Date By 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 as .requested. This docUme;jt wh sig~ Cftelanner_c~nstitutes a temporary eNe of Z~n'!pg complian~nd al.lows constru~ to cO.l}l(Qence. B~.(I re occupa~y. a Certificate of O~:":,~ beASSf . ~I~ 2:7/(4') >:.i~e.c:r- \1:> V"',,-U.i..:) ... . ~..,...~ 'v- -t-- C~y Planner Date Special Conditio if any - . 24 hour notice lor all inspections 447-9850 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please!vpe or print and sign at bottom) # 0 0 - I ()37 ADDRESS /7.R'i! Da,rPcJ) '0v'ol~ :~t: I White 2 Pink J. Yellow File Citv Applicant LEGAL DESCRIPTION (office use only) ~ I ~ LOT BLOCK ADDITION V<:wf'" Id ,J",J OWNER (Name) (Address) Date Rec'd 3-/3-0/ / ..... ZONING (office use) IZ/ PID25-372- (){j4--0 (Phone) BUILDER (Name) b. Q. i-k-"/"" ~(. - mIl (Phone) . I(gS/~;ZSV - 71..l9 (Address) ::j..;s'i JJ;;~)"~lvv. h..,~,<,k. 20Y !fa j 4". /?J,./ SSI.;J.:l TYPE OF WORK o New Construction o Fireplace ODeck ~Lower Level Finish o Misc. OPorch ORe-Roofing ORe-Siding OUtility Connection PROJECT COST/VALUE (excluding land) $ /7 S;? 7 I Park Support Fee I SAC I Water Meter Size 5/8"; 1"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # # # 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-mentioned ..'vy....~j 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. Furthermore, I hereby agree that the city official or a designee may enter upon the propertY to perform neede~ 1s~ections. X YI/;2L,t (J)?~ df)tX!St,s7 .:?-/..l-t)j / J' Signature Contractor's License No. Date ~ 3, OOC> )<f.7S I I 1.'50 I I ("W,c'JO I I I I , $ $ $ $ $ $ $ $ OAddition OAlteration $ $ $ $ $ $ $ $ $ I/e" z5" I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee 3.'5.?I:cl Date Paid Date //r,.z~ ~. "L'? ,-)/ , I Rece~rutt3 !3lA- BV~V______ 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 as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Datc Special Condltions, if any 24 hour uotiee for all inspections (952) 447-9850, fax (952) 447-4245 ~';; ~ 00,1031 Th.C..",.,...I....C."",,, ~ 4k' DI ~o114 While - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J) ft2. /11)tZl oN //II~. - - / 3-/3 - () / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7Z4--PJ ()f-J::j.2R6/f) /J~ 56 ~ Accepted Accepted With Corrections~ Denied Date: ~ 5' -1S"--ak::J( Reviewed By: Comments: fo~tte-~ +?~~~ "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," ~ ~~ QU~I037 Thr Crnu.r of Ihi!' Lake Counlry White - Building Canary - Engineering Pink - Planning eUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /) It? )f-{) /2 mrJ //- 7 - 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted 1724-0 / I) t:;:J?/C FI P7_I) D/C. '5:6 Accepted With Corrections Denied Reviewed By: 1-.t..1-.. Date: II-/~ -00 Comments: ~ m/'9/AJ~/---*/ f7j~ ('.QIlJ/J7Bor-:: "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." DO-w?>7 Thr (""nlfr of Ihr Lakr Countl1' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT, APPLICATION RECEIVED /) J.? }l( /2 TC/J /1- 7 - CO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 17000' Ac;;. L'rT l)br:/~ ;::IP7..J~ UIC'_ C (--: Accepted v Accepted With Corrections Denied 1- Reviewed By: ~~/..IM Date: Lt/2...z..-/l9VJ Com^n~s~ _ ~~~BlJ~ ~, 9~C-Y- ~ % ~b~!.. rC%- ~\P<1tJ..~ +~~~~-tO~ ~ . Ar.wf'i-~ " "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, 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." ~~ 60-1037 Th~ C.,ntn of Ih., I,ab Counll')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /J te. HoI27V~ //- 7- 00 The Building. Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7Z~ /Jt:/bIe.FIFA-D Ole. 5"""5' Accepted Accepted With Corrections X Denied n Reviewed By~ J( Comments: R.L I' Date: If ~rg-~ ~.! !>lJ i let.~ ~"^; ~ ~r s~':., C::Sutv......,.. U~. II 172.1/2.. CM.e.rCdJ.. fGr Dlc.....L c -, "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." JRN. 9.2001 12:37PM GENZ RYRN 6513226147 NO. 225 P.10"~ , . _....... 'RW..__ __ . ClT"f -, . C:ITY or PRIOR LAD NO. 09 - IfFf7 SEWER AND WA~ER PERMIT NOTE: Sewer ana Water contractors ~ust be registered w;1th the City. APPI.ICANT:~.;J- ~Plu.""bl~"'- u.n~"-Jt'_ PHONE:../p51-42.'!o-'/4U ADDRESS: I L4~. ..I2...'T' .,-.... "......Ulet..""r Sl;"cWt.OATE: SIGNATUQ:: Q _ __ BLDG. :PE~I'l' * S!TE Aoq1u:SS :--Di.~ ~~ ~PID# ! . . FILL IN _THE'BLANXS 40' ., 1. Est1mat~a lenqth of water service I I' Size of water service ;nch(es). feet. i :2 . ,..-.., (~':J ..~ 3. Location ot any couplings from s~ructure 4, Type of sewer pipe. ABS PVC: X Cast Iron 5. Estima~.d lenqth ot s~wer lin,~1 feet. ~~ Clean out lif required), located at fee~- fro~ - structuje. feet. 1~.' .....j . . . ::;=::::::::;7liiUas.-;o::=:::it =:::= ap:::::~-=~=-----=== BY - ~JJ]J:.; . DATE: / /q ~ 0 ( . ..,~=. ------_....=~=~=_...:_.._---.;,....=----_..~---~...~.' -=-~--=----=-.. FEES: $ 35.1;1'0 Sewer and water line connectiCjln p~rmit. $ .50 Surcharqe , _ $.. 35. ~.o TOTAL .. · . Fee 'for eithe~ sewer or water individually is: $20.00 plus $ .50 surcharqe. .' Sewer and wat~r permits' issued for new construct1~n must be recorded on the buildinq'perm~t card at the tims'of issuance to insure that no duplicate sewer and water ~.rmits are ia s\1ed . - : '.j\\\~t"\ ~\ DATE PAlti AMOUNT PAID ~r..\O r:; ,~~?-W\ . ~u\~J~\~ RECEIPT '# REC'O BY P . . 4629 DakotB SI. 5.E. Prior Lalw, Minnl80ta 55372: I Ph. (612) 4474230 I Fax (612) 447-4245 AN EQUIIL OPPORTUNITY EMP!aI'ER P.11 NO. 225 GENZ RYRN 65132261471 JRN. 9.2001 12:37PM I. Blue 2._ 1, YoIlow .... c" ~ # Of) ~ /031- Phone: 1~-LJ2~IILJL/ , ~_ . #fLRwv""nr ~ . , CITY OF PRIOR LAKE' ,PLUMBING PERMIT Applicant: C!::,,;r. '2..- ~I~o.-t! AdCll'8lC: -,u.'1Up:..., .c:y,... eol'2..d_'l '7'lI? 1 ..t Signature: l~, 1 ('1 L..iL 0 ~'.' Legal D.SCriplion~ Block' S~b~,"" ?-'A.Q. : Site AddrllBII:~"7.u(} IV' 1rA-....O rll::)..z.. ~':. Building Permit # PID # NOTE; Thill j:lermit ~i11 not be pre_lied without ~mplete information. FIXTURE UNITS' TJk! ee..... a' ..... Llih ColIn.., I -- ',' Quantity Type of Fixture Bath Tub with or without _hower Dishwasher Floor Drain Lavatory. (bathroom sinl<) ~nClry Tray (1 or 2 oompartmenl sink) Shower Stall sinks Bar Sink Water Clo.et (toilet) : Quantity TYpe of FIXtUre , Rough-Ins. : Water Heater Wat\tr Sellner , Slal;ld Pipe (waahing machine) ; Sev.!age Ejector, a.clclIow Assembly (RPZ. DoUble Check, PVB) Sackflow A.Bambly Tell Lawn Sprinkler Other I \ _I ~. I I I I leI , r ".~"- 'i'::') 2--- FEE SCHEDULE , IndUlllrial. CO:mmlrcial & MUlli-Famfly (1 % of job ,~t. $39.50 minimum) Residential, New One & Two Family Realdentlal, AcIditions & Alterations , $ $ $ . $ $99.50 $311.50 .50 '.'\Ir\ ' ?/I..\O '1\,<e.f\l-J\\1 eU\\J)\~G , . Slate Surchal'ge .- GRAND TOTAL $ 'nIil permit i. gnnicd upon the exp..... condition thlt .';4 contractor, .hall comply in Il.I fIIIpectl witb the ardinlne.,.; O! the ~Plumbl lh"lDfIIdJ!"'ft~,lhcreof- ' o. ---L.:::!.:.QL DA"IE ,,~ ".','':, j .....; 16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612)447-4230 I FAX (612) 447-42~5 An Equal Opponuniry Employet - - GREEN - fILE YELLOW - APPLICANT GOLD - cn., CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.W.No. OO-{037 NOTE: Sewer and Water contractors must be registered with the City. ADDRESS: Uenz Ryan 14745 S. Robert Tr., Rosemount PHONE: APPLICANT: DATE: 17248 Deerfield Dr. 00-1037 BLDG. PERMIT # PID# SIGNATURE: SITE ADDRESS: FILL IN THE BLANKS 1. Estimated length of water service feet. 2. Size of water service 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 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 $j~.~ 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. RECEIPT # This permit covers the double AMOUNT PA fee for the sewer and water. REC'D BY Paid by Genz Ryan check #0073412 dated 1/29/2001. DATE PAID 16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer ,._~..._.__._.__.."-----_._-- ...------...-........-........-.---..--.-- '" o o ~ '" o o CITY OF PRIOR LAKE Me OO-!037 16200 Eagle Creek Av. S.E. Pelml1 No. . Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Dale 31-*>/01 PI0iJ,5-a7;J,- OOL/- 0 I I '])"IJA~"".P.:J},~ ~ S~e Addless -/..2.Jf/Ji' .'.~;, . · to< 4- -4 ,,,",,:41~&. .Xu.ffYlCi- OwnoJ's Name ~. lh",6, 1/uo.~' ( U Addres. Hea~ngConlraclor ALLIED FIRIlSIDE db. FIRESIDE CORNER Address 2700 N. FAIRVIEW, ROSEVILLE. MN 55113 Telephone ~ 651- 6 33- 2 561 FIRF.I'LACE ~ 11lmt-tI!! Mak.. &. Model ~ r AJ C; (., Modol5izo. ~ "7.(l)1lZ- '" '" '" ~ o L) '" " H '" '" '" H "' Conn. load FYel~ Supply Openings RelUln Op""I"9s Inpul O\Jlpul~ro flUB Size ~ m ~ Edr. co co '" Clm. lYPE OF SYSTEM Watlll Air Planls Gravl1y Mechanical Air Condilioning VenL Syslem HEATING OR POWER PLANT Slearn Hot Weier Radialion Spocial Device. Other Oevices '" o Altorations Replacamanl TYPEOFWORK New Conslruclion '>0 rl "' '" co rl Repair _ EsL Comp. Dale ~ 0 I EsI. Cosl $ -1) ()o.OiJ BuDding Permit N rl o o N o co HEATU,G PERMIT FEE $ STATE SURCHARGE $, TOTAL PERMIT FEES $, '" .: ;;: ".. .50 PAID WITH BUILDING r-2r;,'J,'IT , Rece;pl ~ TYPE OF STRUCTURI;. t.I'lI'lk. 1. Gttn l.Y'crl_ fit.: CIlr C-".. Sin gle family Two-Femily Industrial MulU-Femiy Olher GommerciJ:11 PubDc Fe& Schedule Indusblal. Commercial II. MulU-Family Residential. Healihll II. AC Residenlial, Heallng Only Residential, Gas Fireplace Residential. AddiUons II.. AlleraliotlS Residential, AC Only 1 % of lob cosl (S3UO minimum) $!I!I_Sll $SUO $39.50 $39.50 $39.50 Rememb... 10 add Ihe SIale Swcharge on \he bollom 01 this applicelion. The price of y"ur healing pennillnctudes one IQugh-in end "no Ilnal """,oemn. AddiUonal'nspec\ioM wJ1l be billed 0.1 $35.00 each. House Heating Tesl Record musl be submitted wnh buildinG RmDl11ll1!!l1!m. belore buid- ieg certificate 01 occupancy wiU be issued. I:lEl\I CALCULATIONS REQU IRED Wl1h number 01 supply end hilum opOllings Usled pe room willi CFM's per opening. N... slruclurK or a<WiUohS send floor plan wllh supply and return locallDtlS shown. HEAT tDSS CAlCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAIlED ro TtIE CITY OF PRIOR LAKE. 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. Cily HaD business hours llIe 8 am. . 4:30 p.m. , ALL WORK MUST BE INSPECTED (nOUGH-lli AND FINAL) . CALL CITY HALl 441-4230 I hereby apply lor II. mechanical syolems permil and I acknowledge Ihallhll inrormation above is comple.tB and accurale; lhat the work will be in conformanc. wllh Ihe ordinances and codes 01 Ihe city and with Ihe slale building/mechanical codes; Ihal Ih]s lo.m does nol become a permit unlll signed by Ihe BUILDING OFFICIAl; Ihellhe work will be in accordance wilh the 8ppwved plan In Ih& ces"J9" wor/7h requires review and approval 01 pllll1s. &~7~ dlJr/o, , Applicanl's ~a.lut" ' Date 'LAC- Lf- ~- / Buiding Omca(YSi!lf1alure Dale Conn. load CITY OF PRIOR LAKE MC 16200 Eagle Creek Av_ S.E. Permit No. () 0 - I 031 Prior Lake, MN 5.5372 TYPE OF STRUCTURE I. Pillk 2. en... 3. Yellow "10 0.,. Coatnctl)c .. , .. . . . Date Singie Family Commercial Two-Family Industrial Multi-Family PuilIic Other ~ .. " 6 Feil Schedule .. .. Heating Contractor Industrial. Commercjal & Multi-FalTllly Residentia~ Heafmg & AC - Residentia~ Healing Only Iv W 95122ResidBnliaI. Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1%'of job cost CS39.50 minimum) , $99.50 PLEASE NOTE: ~ $64.50 Air Conditioner UniTS CaruK c $39.50 Encroach Into Required Side ~ $39.5C Yard Setbacks. ~ $39.5C ~ . . , c Remember to add the Slate Surcharge on lhe bottom 01 this application. Fuel TYPE OF SYSTEM Warm Air Plants Grallily Additional inspections wil bB billed at $35.00 each. Mochanical . House Healing Test Record must be submitted with buildin" IlmlI!i! ~ before build- Air Concfllicning !::$VlJ"v1.nI- 2. -hJ d.. ing certificate of OCQIpancy will be issued. Vent. System '2..-'5llr~llit P"m Rut,; l:lfAI ~lIATlnl\lll REQUIRED with number of supply and retum openings fisted per MEA TING OR POWEll PLANT room w~h CFM's per opening. New structures or additions send floor plan will1 supply Stoam and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND HOlWater APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE Radiation CREEK AVE. S.E. PRIOR lAKE, MN 55372. Special Devices Tbe price of your : .~~~. '" penn~ indudes ona rough-in and one final ~,.,.~""on. ~ ... ... ... Edr. City Hall business hours are S a.m, - 4:30 p.m. c .., ., :- ... c :- ~ .. " Supply Openings Return Openings Input1b, bDD Output 5u, Mo ctm. ~CD Other Devices All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 447-9850 TYPE OF WORK Est. Cost $ ()() ~ /031 I I hereby apply for a mechanical systems permit and I ack110wledge that the information above is complete and accurate: that the work wiD be In conformance with the ordinances and codes 01 the city and with the state buUdinglmechanical codes: that this lorm does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case 01 all work which requires review and approval of plans. A~eralions Repair Replacement Est. Comp. Date Building Perm. " New Construction V HEATING PEAMIT FEE $ i STA!ESURCHARGE $ TOTAL PERMIT FEES $ .50 PAID wrTl-l __" ~'''''l'''' R . Bun. DING \-,c.n'-J,i I .capl II>- fUi.-/ wmcl 1.b..k.J Date 2-U?-O/ Date ~ c:: c:: .... Building O"r's Signature PL. FA;oC 447- 4243' PRIOR LAKE INSPECTION RECORD 'Pperf.'plJ 1),. OEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 172. ,,~ NATURE OF WORK kJew USE OF BUILDING ~ F'A PERMIT NO. 00 - I ()37 DATE ISSUED J 1- /3 - 2000 CONTRACTOR i),.........f:.e.( d I (PSI - 256:,-.,13(;:, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~PECTOR DATE I FOOTING I ~ I 1/5/t; / I FOUNDATION (Prior to Backfill)~ - I ~. \! J z../OI I ~. (I'll 0 { , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING I.."', ",.Or. e;.....k"1i HEATING (if required) FIREPLACE GAS LINE AIR TEST I I !/ / a/(} I I . ((. I h P. !?+ -if / rzlA I ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~M ~I Z/$"/~ { ~. o'?l1'5Jb1 ~< :J8<</OI F'INALS' I ~ I 'f7:r '3/z.11 0 I J ~ ~. ~. /?,.. . 'IfjUB( ;., / ; ;r!rj ( . ( . I 1./ / 9 1M ~ f:;:p 02(~1 GRADING (Prior to Sodding) BUILDING r.c.,6/~ c;t/114/ 6+ tkA,/ ELECTRICAL . PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE 1;1 ~/ol /0; 0(;:;.shl 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, cilr.d lihl!.1I be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 JOB # \'7?S 17;JYJ /)~,///.u /)/ ,-:'F' HOUSE H EATING TEST RECORD SUBUR~ _ DA TE HTG. INST. 1/. /J ' ?'7 CONTROLS THERMOSTAT .,f/~,..1111 Heat Plug Valve If / /-(1 Umit. I "/ L. ., Self' r I V 1m' In'" Fan Setting Pilot Type . Pila' Make Pilot Model ADDR ESS OCCUPANT HEAT LOSS SOLD BY Electrical Work By I';aS Line By TYPE OF HEAT GA _ FA _HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER MAKE ~,. /I'//'U /' GAS DESIGN \ CONVERSION V i""J MAKE OF BURNER ~ Madel j U,r" ""O//J 0-;; Madel ./' Swial )/0Z>4ff/c,C- Max. BTU Ra'ing_ ./' INPUT ;.:J (FtTIJ MAKE OF FURNACF ./ Madel ! Pilot Timing L. W. Cu. Off Pressure 1. \: '" Input CFH_ Stack Temp. Form 235 J .-;-' / / /1/' /~I ) II~ -- W(, ;//({-p Percent CO2 Percent O2 Percent CO -;cJ (?,l o APT._FLOOR '1WNER CITY - INSTALLED BY. A/~&.<?,..- /" // Vent Siz'" KIND OF LINER Draft Hood <IZE NONF Regulafor ,,11Ij/ A__/;: /P"'\ Number Filters Size Chimney Location Chimney Construction Inside --:'/M" .{./ /-f' Oo..ide Smoke Bomb _ Draft Wiring Test Ta~' lighting Insf ~ Door Pres sur. /r 1/"/1 h Dote T Bsted . Company Testing Nome of Tester Frederkksq). Heating & AlC, 3650 Kennebec Dr., Eagan, MN 55122 ~//I/ . DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED j2-sHn ADDRESS 172-1.{'iJ" O~(fN! cl OWNER CONlR. PHONE NO. PERMIT NO. (J-/(/J7 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADtFlLLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: So-c! / rr /Y..- ') , ~ r ( ~(O);~ ~ ) / ----- ------ {' r;~ --- - ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~;K~ FOR REINSPECTION BEFORE COVERING Inspector: -If-/LJ' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ '''''''''' OA TE TIME SCHEDULED ~ /O~ 'f S ~ ltt, CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS -11-,:) L( ~ OWNER PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~SEWERHOOKUP o FINAL ~ PLUMBING FINAL o SITE INSPECTION MECH FINAL , COMMENTS:(1) 16~ (? A-.~ ' tJ f ~. ~~ ~6r-- ~ BtJ-IO'J? o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED q(lCORRECT ACTION AND PROCEED o CORRECT W~ CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. fNSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ~-Jr-{JI 3;3..0 /1:JL/8'..' )~~~ o CONTR. ADDRESS OWNER PHONE NO. PERMIT NO. o-/()31 o FOOTING o FOUNDATION o FRAMING o INSULATION ...Q-1'IPIAL o SITE INSPECTION ~ COMMENTS:(/) ~. ~-OU ,___ Q.-t~ ~~ <I.. ~ ~ W uv v ..bo ~~ t:; ~. ~, Ib~ ';J./\_L....<~ ' J o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL EI MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o --"'c~"''''M . ( Tc...o, -t-JJ ~. c . .~"........ p., 1 \ It:! (..~ ) ....' . . -'--~.- ""-~"","_,,...:..o..._, ."-,,-~--,-."" ~_',., ,'.. ~,:f- (!p; ~j) o WORK SATISFACTORY, PROCEED Y CORRECT ACTiON AND PROCEED o CORRECT WO?!' CALL FOR REINSPECTION BEFORE COVERING Inspector: ,~I Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! I/iSNOTl