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Home My WebLink AboutBuilding Permit 01-0125 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 2-12-0 I Date Rec' d I.White File 2. Pink City ). Yellow Applicant I PERMIT NO. 01- O!Z5J (Please!VD~ or orint and sim at bottom) ADDRESS ~,y.:<O ~ /??~ cp~/;'e-~- . LEGAL DESCRIPTION (office use only) 6t,()f!,?' t9A//r.;. 7 .JOe'f"" nr QCK ADDITION OWNER (Name) (Address) BUILDER (Name) /J. ~ (Address) . -?"'5t"1'i"? I I ZONING (office use) 1<.2- ~=""'i,.c/~ 1..=>"-ft:J PID 25-.373- 0/1-0 TYPE OF WORK ~ New Construction ODeck o Misc. OLower Level Finish o Fireplace (Phone) .x4:.ZR7ZVV ~. (Phone) b~~ ~-s7E ~ ~~~~ - ?"/.$k, ~.:( .;;? 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. &.:... ~~. ><z. ~ l' , Signature I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ '7 <"7 ."'7e; I ~-I~ 3l;. .00 I 00 . OC> lCO.OO Sh.~O 'Itj .00 ") . 2-20~ Date ~ OPorch OAddition ORe-Roofmg ORe-Siding OAlteration OUtility Connection PROJECT COST /V ALUE (excluding land) $ 7",;? /t?O ~~~ -z--cf-t::J / Contractor's License No. Date '- I Park Support Fee I SAC I",,_~ . # I Water Meter I i: ~ r"; 'i L.J~e. I Pressure Reducer <t I <iaU $ I Sewer/Water Connection Fee # $ I Water Tower Fee # $ I Builder's Deposit $ I Other $ I TOTAL DUE $ ,?""z.7'1 # $ $ 85"0. en I. ISD .Ijfj .."'CS6 l,J{; .M I._~.oo - ~ 1IO .I'D , ,.r.s-OO.Oc) I Paid I Date I ~~ceiPft~J#S-~ r}~ '1Z-.77 ", /vi; I . 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 igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ,~ ~~~~.,- - "Planning Director -- 2-f~(P{.C;;1 ~-- ~ia~i~8r~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Ol-,Old( T"~ Ce<ftle'r of 1M LIIk!' Counlt') White . Building Canary - Engineering Pink - Planning . BUILDING PERMIT APPLtCAttOO!PARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. R. J-tu~(7)N 2-12-01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 54 ZO r-:AW N fvlsADOl\J tU/~\/~ V Accepted With Corrections Accepted Denied Reviewed By: ~a~"... - Date: Vu/D I comJrents~_ . ~BV;J- r~1~jO~~~ Th ('~~< ~ ~_ ~I(). 6. ~ ~r ~ ~P~dJ.J svAYA, It1[P/..~v:- tB~ ~ ~ ~tq~~ ~ ~A~i~~ . ~AlM t9<<---~~ 1!\A1~~ ~ ('~~ tA~.~ f! lt~~ 1 ~)\tW'td,<" &y--~ ---fJv~J\ LfJ~ ~ W~ ~I&.~ ~~ .~ ~ ~ - ~~~ ~~ ~. Cli."' ' -dt "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." b / /D I ;Is" Th~ C~nl~r of lh<r L.k~ COllnlr)' White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. R. 1-+o~JotJ . 2-/2-01 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit apPlicati05~rWction PAtw~ is MSAdDo0J w ~Vb Accepted Accepted With Corrections X- Denied _ Reviewed By: b17d.y~., Date: :l-:;2C> - ~( ~:Qnt:w a-+kcU ~.oc1~ (;)/~,,-_ .L- Cv..a _ ~_ lI\..J) _ S,- .['r\ 1)_ - ~J-~ <f d ~ ~ '~,.. .~ "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." el/- t2,- /11.,,',, F,'Ic. {1j/.1l0/Pfll White . Building S42l,S'LW Canary - EngineeringSl4l'l 511 .....\ Pink . Planning , 72....1 6/-121- ~ {-/2-7 (J 1-12.:) (j l"'lc~ 0: -130 Thlf Cr-nl'lT of the- Lakr- Country . mm..DING PERMIT APPLICATION DEPARTMENT CHECKLISt NAME OF APPLICANT D. g. H-oelD~ 2-12-01 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 54 LO PA W N MSA OOV\J tu /2\/(::; Accepted x Accepted With Corrections Deniep Reviewed By: /i/~/' Bn'ts(. Date: 02.-2-11-0/ Comments:. See Reverse Side for Additional Information! ~ Anacnments: 1) l:iradlng Plan, 2) ErosIon Control Measures 3) Erosion Control Pia" ~ ~ "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." FEB. 15.2001 12:36PM GENZ RYAN 6513226147 NO. 773 P.10 I CITY 0 PRIOR LAKE . PLU 'BING PERM" I." JIll. a. 11011 Qy J. y_ AppIl_ , fl/,DIZ6 PhOM:.lt2..I)/- t.;7..!; -I lULl ,?rt:.I'lrIN'l/J trI r- ,~ ., TIll CllNtr eI tit ... e;...;, . ' Applicant: Add,...: SI;nature: I.Igal Ceecrlptlan: Sub fYlJ" ~ ,DD \I ilhc:.... Slta Add....: r:.U r / J V?--U~ ~ Buildln; Permit' PIC * NOTE: Thll permit \\(III not ba pl'llceaad without camplata information, !'IIXTURI UNITS "_,:t Quantlly Typa of FlxIura Quantity Type of FIxture , ""'...., i ; :~',: '_' ...' I '.. 1 I.' I Bath Tub with or without lhowlr I Cllhwuher I Floor Crain 2- Lavatory (bathl'llOm link) / Laundry Tray (1 or 2 compartment s nk) &hllWar Stall S1nkl Bar SInk '2-- I Watar Clo..t (toll_t) Rough-ina Water Heater Water 80llnar Stand Pipe (washing machine) Sawa;1 &Jactor , s.ck1low Alumbly (RPZ. DDUbIa Check, PVB) BackIIow Aaumbly Test Lawn Sprlnkllr Other FEE SCHECULE ~ IndU8lrl'" Commercial .. Multi-Family (1 % of job cost, $38.50 minimum) Ruidential. New On. .. Two Family RUidantlal, Adelitlon. .. Altarallons State Surcharg_ GRANO rOTAL $ $ $ $ .50 P~\OG'J'J~tP.M\i eu\\,.O\~ $18.50 i$3UQ " ' . .. :":""'; 'Thl. pannill. JlIIlt d upon lhe IllP"'" c:ondltlon ilia! old ...nuaclal', .haD coo ply in 011 rupoaII with tJ. ardt_ o~tho S_ Plumbln iiI2111C11hc ".....11II u-t. . .R' . ~.,7~-OI DATE I ATI1!iST Call tor alllnlJ! JCUOIII 24 hours in Idyanc;c. . 16200 BacIe Creek Av. S.E., Prior Lake, M1nlesotl 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~S An Iiqual OPPOrtunity IimplaYlr FEB. 15.2001 12:36PM GENZ RYAN 6513226147 NO. 773 P.9 _..... ' --._In' leU. ern CI'l'Y ~r ~OR ~ SEWU A ~Il WA'l'D PlJlHIT '. NO. 01- OIz;5 NOTE: Sewe~ and Wate~ contractors must be reqi.tere4 with the c1 ty . APPLICAN'l':~4;I- ~"~,......- UM-n.ot'~ PHONE:~-~'2.?r-I'a.W ADDRESS: 14~._ :J~:""-''''~ :<<DIoIll DATE: SIONA'l'tlRE: . - t BLDG. PERMIT #1l1..=.al2.5 SITE ADDRESS: !=... _ _ r I PID* FILL ~N THE BaNKS 1 1. Istimated lenqth of wate ~ .ezvice 40 I" feet. z. Size of water .ezvice inch(e.). :I. - 4. .., : ....... 5. &. Location of any coupllnql from s~ructure ,feet. Type of sewer pipe. ASS PVC ~ Cast Iron Estilll&ted leng1:h of sewe ~ ,line t..JO' feet. Clean out (if requireS), located at feet from structure. ,.",. '."-,-".,,,, -- .' -"."'''''''''''''' ''''"'''~....,.,." 'l'hi.. apPl1cation1J~You-: pe~it when approved. BY 1///1'1li- DATE: '3 - Z - 0 1 , . ",,,,,..._, ." ,.,,1,_ " . .,,,,,,~_,,.,, ' ...._,."..,," , , , , '.,_",_.'." _ nES: $ 35.00 $ .50 $ 35.50 Sew.~ and watar line connection permit. Surclarqe TO'l'A~ * Fe. for either sewer 2[ iater inelividually i. $20.00 plus $ .50 surcharqe. .. Sewer and water permits issued for new construction must be recorded on the builel1n9 permit carel at the time of i.suance ta in8ure that no elupli:ate .ewer and water permits are issued. '" DATE PAID AMOUNT PA::r;D o~~~~~~\"'\ RECEIPT t REC'D BY ~\~\~ . 4629 Dakota Sl $.E. PrIor I..ak.. MlnnUCl~ 55372' I Ph. (&12)4474230 I Fax (&1214474245 CITY OF PRJOR LAKE Me 162ClO Eagle CreekAv. S.E. Perm~ No. DI- 0 1'2.5 Prior Lake, MN 55312 HEAnNG APPlICATION I PERMT Date 31w.c.' PilI Si18 Address SlJ.2c) Hlwn M.f.o..dow Ctv-'i.i. Se. lot n Block ., Addlion Owner'sName DR. H-~r"+on Address~ W~ ~r Su.i-J.t..ZbtJ Hea1ingConlr~ A.ll~l1.nt' Mreho..n,w Addfess 31t5tl lleM~ br ~ l E't1AO.Yl ~W" ~z. .... Telephone' USI I.J.'5L" 21'5 Furnace Make & Mod.1 ~r\J4.n+ . M~S~ 3g3~^VOL40'O Conn. Load 2.1. ~~ Fulll ~M- FlueSize LV'OO'i Jl ~ 4- Supply Openings Return Openings InpUl1D. DDL 0utput5lt.. bO 0 Edr. C1m'_ ~Db ~ OF STRUCTURE !.J'i_ z.a.- 3. r..... Fa< Cloy 00_ . . . . . . Single Family Commercial Two-Famiy Indusltial Mulli-Family other /...-"" P1Alic .. c . Fee Schedule .. .. . c Induslrial. Convnercial & Multi-Family Aesidenlial, Healing & AC t,~' ~,":ial, Healing Only e~ /lMI5"5J2.7.. ResidenIiaf, Gas F..epIaca J Residential, Alfdilions & Alterations Residel..laI, AC Ortt 1'11..01 job cost ($39.50 minirrum) $99.50 PLEASE NOTE: ~ $&4.50 Air Conditioner UnilS Carull c $39.50 Encroach Into Required SidE: $39.5C Yard Setbacks. ~ $39.5C ~ . . lYPE OF ",,~.cnl Warm Air Plants Gravity AddiIional. ..,., ..:: ... wil be billed aI $35.00 each. Mechanical ~ Hoose Hearing Tesl Record must be submltled with IlllilIliIKlllllllIlill!l!ll!l!llr before build- Air Conditioning ~r L11lht Z. tlIn. , ing certilicale at accupe.n.cy wil be issued. V.nt. System ~-~cn.....bAi1\+A.hS HEATING OR POWEfI PLANT Steam Hot W...r Radiation Special Devices Other D.vices TYPE OFWORK ,.., ConSlruclion a..--""" Repair Est. Cost $ Replacemenl Est. Comp. Date Building Permtll Alterations HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERUIT FEES $ .50 ()1-hI25 PAID WITH BUILDING PERMIT Raceipl "II Rememberto add the StBle Surcharge on !he bClllom 0/ this appllcalion. The price at your: ,','" .. permit includes one rough-in and one flll81 ~.....~_~':ln. ~ ~ ~ ~ l:lE& CALCllLATlONS REQUIRED with number 01 supply and rllh.m openings Ilsted per room will CFM's per opening. New struclUres or ,...... s send IIoor plan with supply and I81Um Ioc;a.tions shown. HEAT LOSS CALCULATIO/IIS, PAYMENT AND II.PPLICATIONS MAY BE MAILED TO THE CllY OF PRIOR LAKE. 1 &200 EAGLE CREEK AVE. S.E. PRIOR lAKE, MN 55372. . c .. .. :r. ~ c :r. ClIy Hall business hoUIS are S a.m. . 4:30 p.m. f; ~ AlL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CAlL CIT'I HALL ~- I hereby apply for a mechanical systems permit and I acknowJedge thaI the inlormatioo above is complete and accurate: !hat the work win be In conformance with Ihe ordinances and codes of the city and with the state buHding/lTlechanical codes; that this form does not become a permit until signed by lhe 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. 'd.~ijlt. u_ 'Z..LMw.r~ t~) 'fr"A#~S 54g~re V ~ rill ,,}l1r:..t.J. lJPJ",geJ~~ PL. F=A;l 447- 4z.4S" .$/UIDI tW< E1200l Date I!!i c ~...... c .. ...-.,.. ..,-.'.,.. FIRESIDE CORNER #4360 P.001/006 ~ll { OF PRIOR LAKE Date J.lae'd HEATING/AIR Cu. I.........ONINGIFIREPLACE PERMIT /PI.... "",,,..1II'Iat 11II4 oIIIl1. balm...) AnDms 5qq^ ~ h1.,;",(}~, a,,,,.., i =-- S- I PERMIT NO. 01- l,;l S-I I ZO~~"".l I . LBGAL DESCRJPTION (om... _ only) , d- LOT t/ BLOCK J-.. A.......u.ON i.A n /I A 1'1 ,~rQ =? r OWNER. '"'"'\ I ~ (Name) r:l;) Il ~ (Al1dress) APPUCANT (Name) ALLIED FIBESIDlIy ~A FI~IQl': c;?RN1m (Address) 2700 N _ l1'A:IRIT:rEW AVENrlE CMdmtl (Co P ) lIRENtlA 1llJS'l1a'l nlaCt erson ..... APPLICANT SIGNATURE /JD~~ 11 ..tI~ pm:;;(Ij - ~73 - o/4-Q (Phone) (phone) 651-633-25"1, 1:2O~IN"T.T.1r.: MM (CIly) (phone) 651-633-2561 DAn S7~i", ~I!:.'-'" (Zip Cade) - APPLICANT PLEASE COMPLETE BELOW [5IIlIEW CONSTRUCTION FURNACE MAKE AND M.ODEL fLUE SIZE RETURN OPENINGS TYPB OF SYSTEM OWIllII Air PllUll$ OOravfT:y J Mechanical . ]AIr CDllclidOlllns JVom. S~SIIOlII FIllEPLACB MAKE AND MODEL ~(z, o REPLACBMBNT o ALTERATIONS ftlEL OUTPUT INPUT HEATING OR. POWER PLANT ~s_ HoIW_ RodilllOll S"",,ltI DcYtca J 0Ihcr D...,_ _Sl7Jb?l'. PLEASE NOTE: Au CGnditl_ Units Canaat EJu:rooch into Required SId.e Yard S.u.cks PEt SCHEDULE IDlluslrltl. Commcrottl '" Muld-P..,uly 1% of job COSI ReJldlllllllll. (lis Pfrepl_ $39.'0 minimum Rcoid""lial. HOIItI''801; Ale (1'1... ConslnlcllOll) $99,~ ~idellllal. Addilloas I/. AI_Ion. Rcofdcndol. HwlnS Only (Now Con5ll1lcd0ll) $64,'0 IUIIIdenllal. AC only Estimated Cost $ $39,'0 539.50 $39.50 Building ~nnlt 1# HEA TIN<l PBRMIT FEE $ STATE SURCHARGE S TOTAL PERMIT lEE S .so B PAID WITH UILDING PERMIT (omccuoco""J Thl. Applkation 1J<<000llII Your BUild'" Permit WIleD Appr'DY1d Paid _'II OlBell! Dill U ....r ...de. Ib, all '.'P"Cllon. (95a) ....7-91!O. f.. (952) 447-4245 f(ecelpl NO. - DIt.e 5-1/-0 I 8y ~ PRIOR LAKE DEPARTMENT OF . .' BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 54'20 F"nwlfl t4@o.&ou, (1 "Mt NATURE OF WORK NeJ~ USE OF BUILDING _ .~ f:" fir. PERMIT NO. 01- 0126 DATE JSSUED ;2-::J.O-;J.JX)t CONTRACTOR D. R. l-IorbV\ PHONE c..SI-~r..-IIj(o NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING I1w lA..C:r. ~ ~/'3~()1 ~,G/I/t:71 HEATING (if required)o.-tiLa. ~. 3/3d/c ( 1A.6.. ~M~" . ~ ~?hl/ FIREPLACE &r. '. s-1r'O'1 () I ' , GAS LINE AIR TEST 4. ~;s-~ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 'fW-~IP~ (Z)~. .tf(sm/ ~'tr' ~. G./laVtJ' FINALS .~i;) ~, -' !J3J61 , Il ~b( OCCUpy UNTIL ABOVE' HAS NOTICE . INSPECTOR ~TE 'FOOTING I ~ v~ I 3 k~!Dl l, , FOUNDATION (Prior to Backfill) I /h-, hi 3/.z.:'Eftr/ Ejf'/' ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED' ~~,/DI ROUGH - INS A (~. b/S/6/ A h/bJ/l';( I GRADING (Prior to Soddin~) BUILDING~L'\) t Jj 'ti 1<<;"/01 ELECTRICAL I PLUMBING HEATING DO NOT p~ i-Ak-Q 1 q. I J.J- 7//Z/!JJ 7111/0/ BEEI<I SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections hl!v!' be!n approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447.9850 tl""~ll\i\lii.~~~u :r., J :~~r' Cllr OF PRIOR LAKE :.~ .1Jgepartment of .uilbhtlI Jn~pedion !,.: ~ FmaI Pennitted 0 Conditional C.O. Expires_ :...:. . This CertijiCtJle issued pllnuanl to 1M requirements of Section 307 of tM Uniform BIIi[d;ng Code ~'" certifying that Ql tM time of isSllQ1lCe this structure was in compliance with 1M variOlU ordinances of tM I,.'; City of Prior lAke regulating blli[d;ng construction or IUe. For tM foUowing: :1 =-" :,~:~:': -- ,;-:,:'~:, 'It Legal Des<:riplion. BUILDING 7. UNIT 27. DEERFIELD THIRD ADDITION :1I -: OwnerofBuildins SiteAddress 5420 FAWN MEADOW CURVE SE I~ DR HORTON. 3459 WASHINGTON DR.. SUITE 204. EAGAN 55122 - COIIIl1IClOr', NIIIIe '" Address ~~~~ · ROBERT D. HUTCHINS ,nfl ,City_ ~- 4-ij~~ r I Date: - ~~~'-.'''i'''~t..........,...t-''~~.~~.-'~'.'~#-.-."Jr.:.... ". '-, ~ .' ';"'''''"'~.J.?'-.'''''' '.'__.ij.~.'.. ~ . ~ . Of ~""UJI'I!IqJ : .~. : i .~. ~ I " ,.. \' -' - DON RYE Date: POST IN A CONSPICUOUS PLACE ,'}"."~",,., .. . , -.... APT. _FLOOR "WNER JOB #..5:...2 ,p- ? SUBURB/.) J ,. ADDRESS fW6 fUA /'"1r..J,~.J r', "',N OCCUPANT. HEA T LOSS. DA TE HTG, INST. SOLD BY .:'2//", T INSTALLED BY L/' ,-~ / EI.ctrical Work By l';a. Line By ;;;//,1/1; -" -" TYPE OF HEAT GA_FA-X--HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER_ -/4~ .JiAS DESIGN CONVERSION MAKE _ .;/1" JT MAKE OF BURNER Mo<I.1 'L'; VOJ~g;>Q Mod.l. /' 5.ial ...A,I'), 4J.t?')vrJ Max. BTU Rating / INPUT / /_rTrl MAKE OF FURNAC~ /' Model HOUSE HEATING TEST RECORD CITY _ \ CONTROLS THERMOSTAT f/'IJ"f H..t Plug V.I.. _ I),', Limit _ ..,( ,/0 Limit S.ttin~ F.n Setting _ '"TiKlI) Pil.t Type I piI.t Moko (J (7 Pil.t M.d.l ~ r J j I PiI.tTiming J J ~ L.W. Cut Off ( I f/" Vent Size KIND OF LINER Draft Hood _ Fi Ite,. Size Chimney Location Chimney Construction SIZI: NONF Regulator ~11.r,')' /~r-7 Number I"sid... /,/;. rf r? Outside Smoke Bomb Draft _ Door Pr.ssur~ /Y Wiring _ T..t T.g Y Lighting IJst. Input CFH Stack Temp. " ~ Form 235 7<{?iJ P.r.ont CO2 -k 7 Percent 02-l if Percent co f) I Date Tested /- r-rn Compony T.sting F~dcson Heating & AlC, 3650 Kennebec Dr" Eagon, MN 55122 Narrie of Tester _ /" LJ Pre.sur. '7. r, ",,_, J. { . " DATE nilE CITY OF PRIOR LAKE INSPECnON NOTICE SCHEDULED q-/~...(3-- ADDRESS .s 4d<i2,,-~t./:;)...L3fttutL.1)1..e.R:~ OWNER PHONE NO. CONTR. PERMITNO.O/- I~S oJ...-- I;)..' o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECnON o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE ANAL o GASLINE AIR TST o COMMENTS: Sf:/---T Ai: ~ /lIJ"/l./ / (U-'U/-{_~ If:/' t 7 ~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR RElNSPECTION BEFORE COVERING Inspector. .(jJ/J OwnerlContr: CALL 447.9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEA.LTH & SAFETY! """'"' CITY OF PRIOR LAKE INSPEcnON NonCE SCHEDULED DATE TIME '1-.U-01 '1"7 ADDRESS 3'1:JO s::c.Wt1 lYIec,thLJ (.u/' OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDA nON o FRAMING o INSULATION 0Ill. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI CJ WATER HOOKUP o SEWER HOOKUP CJ PLUMBING FINAL o MECH FINAL COMMENTS: 5'1Jo W-"I-hf't \/",11/1 -tJf.... U rf'A.tI A----~ () Ic 54 ~I 0r"th oK... 5lf').) rut. ~ () k 5'iJ.3 (u..J ~ ~olL 5'i)L( b~~ -"t<. F8?. t:; ('7 n..tM - 0 r 01- {ZS- ~ ~ILUNG CJ COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GASLlNE AIR TST o ;II(. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:~~~ --=:. .ner/Contr: CALL 0147-9950 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. """'"' CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 7-1). -0) l~ ~ ~ IJfJO f::-~IJ{--f~ ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. .-- /---/-r5 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL LUMBING FINAL o SITE INSPECTIOA; I - ~~EC~ FINAL COMMENTS: r.r L-- r /T'--lC/ o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ ~ ~V~4' VV1~ III U),(j. oYv ~WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~CALL FOR REINSPECTION BEFORE COVERING Inspector: ~,ry I Owner/Contr: "ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ llYSNOTI "'- CITY OF PRIOR LAKE INSPEcnON NonCE SCHEDULED DATE jTIME 7- (1--0 .?~ cTO ADDRESS 5~~::llt .;J.;}.../ ;)."~,~,dC;: ?-t~UUJ1...;_ OWNER CONTR. 't'1U!tldouJ ar (- r~~1 (OLCo) /<>LFf/ (~ PHONE NO. PERMIT NO. I r7-Q, I 3 (7 " o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~SEWER HOOKUP o FINAL 0 PLUMBING FINAL o SITE INSPECTION ECH FINAL COMMENTS: o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~~ ;S WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner/Contr: CALL "7-98&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ (NSNQf' DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '1]2311)/ IO~ ~ 0 ADDRESS 5/d20 ~~ OWNER CONTR. PHONE NO. PERMIT NO. I'J I - 7::J- c: o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE Rl o INSULATION 0 SEWER HOOKUP fl- FIREPLACE FINAL ~FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST 1] SITE INSPECTION J1tJ? MECH FINAL 0 COMMENTS: <<l ~ ~f\Y-'-o.t1l fh^. or-...JJ n , CjjJ ~ t. r Mlk? 0 ~- d.e..ud~~~ , i iiri"'. ".~. ...., T (' Oj~ 'I~s-;;) , --~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT ~CALL FOR REINSPECTION BEFORE COVERING Inspector. -ICZv, OWner/Contr: / CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI /NINOn CITY OF PRIOR LAKE Me 16200 Eagle CnItlkAv_ S.E. Permn No. 01- 0 125 Prior Lake, MN 5.5372 HEAnNG APPLICATION I PERMIT Date 3lll 11'1\ Plltl Site Address 54-lb FdA\ln M.tA.dl)'\AJ Cu.Y\'.L S~ lDt .2.1... Block ., Addlion Owner'aName "DR. H-ar-ton Addr_~ ~r Su.i+t~7.b4- HealIng Conlrador f1..lli4.n+' Mf.dvJ.ni CAJ Adell_ 31&51) \(f..Mf..bes;. br ~ l etallYl ~N' ~ TeIephoml' Jr.il 1J'Sz. - Z-"5 oJ Furnace Make & Model "i>r\lll.l\+ . ModelSize ~8~/(.A"1lZJ.40'1'l Conn. Load 2.1. ~~ Fuel ~o.l- FlueSize iflldtuS B ~ 4- Supply Openings Return Openill9" InpUl10. DDl:LoUlpul.5u.. bOO Edr. C1m'_ ~Ob AJterations Repair Est. Cost $ TYPE OF WORK HEATI'4G PEFlMITFEE$ STATE SURCHARGE $ TOTAL PERUrr FEES $ .50 IYfE' OF STRUCTURE. I.I'luk 2., QfecIl 3. Yd18l1' F;Jo Ory ..... ....".. . . . . . . Single Famitt . Mtllli-Fami!y OIlIer (..../' lWo-Famiy . Industl'ial Putllic Commercial . < ~ Fee Schedule . . . c Industrial, Cc>, . ..~... & Multi-Family Residential, HealB\g & N:. Residential, Healing Only E"~/.l\ ftMI SflIZ.7.. Residenlial. Gu FnpIace J . ResidenliaJ. AddIions & Alteralions Residenlial. AC Only 1'1".01 job cost 1$39.5<1 mininun) $99.50 PLEASE NOTE: ~ S64.&l Air Conditioner Units Cannt c $39.50 Encroach Into Required Side E $39.5C Yard Setbacks. ~ ~~~ ~ ~ ~ TYPE OF SYSTEM Warm Air Plants Gravity A<ldiIional, ..~. -'ons wll be billed aI $35.00 each. Mechanical .. HOllSe Healing Teat Record must be submitted with buiklina 1!IIlliI!!lIl!!lm before buld- Air Con ..... ",J iSr Ilo..n-t Z. t71n . inll certi6caIB of occupancy will be issued. Vent Sys1em 1.-5'O~blli1\.fA.nS I:LEAt CALCULATIONS REOUIRED with number of supply and rllh.m openill9" listed per HEATING OR POWEll PLANT room wiIh CFM's per opening. ~ 1ItlUC111r8S or BdcIIions send floor plan with supply Steam and relum Iooatioos shown. HEAT lOSS CALCULATIONS, PAVMENT AND HolWafer APPLICATIONS MAY aE MAILED TO THE CITV OF PRIOR lAKE. 16200 EAGlE Radialion CREEK AVE. S.E. PRIOR lAKE, IAN 55372. . Spec:iaI D8'Iices Other Oevices . New Conslruclion 1,./'" Replacemenl Est. Com~. Dale Buicling Penn! II 01-/)125 PAID WITH BUII.DING t'ERMIT RscsipUI Remember to add the State Sur<:harge on !he bollom of Itlis application. The price of your heatinll permit includes one rough-in and one fll8l inspection. ~ ~ ~ ~ c: ~ ., :. ~ c: :. City HaD business hours are B a.m. - 4:30 p.m. ~ " " All WORK IolUS'T" BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 441.- Il\ereby apply for a mechanical systems permit and I acknowledge tnat the informalion above is complete and accurate; thaI the work win be in conformance with the ordinances and codes ot the city and w~h Ihe state buBdingfmechanical codes; Ihat this form does not become a permit until signed bV the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case cf all work which requires review and approvai_ 01 plana. " ,.....,.'1" _ A.JJ~ll1 - 7.J..Mwy~ lMM) -"~ss~re L? .I till ....tlJr=h. l)~.,..,qeJ~~~ PL. FA>l447- 4243" .3Ju/o/ . ~2001 I!!! co l-"'" C .... -- \..... Dale