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HomeMy WebLinkAboutBuilding Permit 99-0112 ~,~~\ -' '(>+t.? ,{~'1~ l.t ',i: ..~. 'Ft'. K' "1,~;,' !;<~'{_~':~-f~~.~ ,'" ~.... .1,~',},.~~<.",";'-4:~~';Io"J~:,')~~~~~4.'>~1'-"'!{,~;~"~f!!?,';l"':;'''f, I. ~'S 'f:~:~ ., 1 tilr- -.~- ~ -, ..--- - ~ - - - --.- -- - - -- ---- ---~~-- - - .' ...~.~t.~. .....#'.~.. '~" ......' ..... ...,......~~I.~.....~..*....*'T.~......*....~.. ....~~.--~-~.-~...........~.., . ;~\ ........~I'IF:...' Ii!-" '.' ." ... 'A.~ .-' . .',p,"'. ~, \. .;;:rl .' 'f... ..... .... .tn.P"!. .'l"! ,';.) ... ". ,... ...:.. '" ".. ~;":'. !'i,:-.....:'i!.. "'Z."'o;~."~~.'~.:i.:s ;...h. ..-.'''' :...." ~.... ~.x i"tL~." ;d.-.'~, / '. .<, I ~:"\.. A~. A~":"~:'~:2~.~::1;~'_~1)~~.~-t.~ .~5~i~Yr"'''''':~1i~"+'~'.'~'.~~ :1!''''''~.... L ~(~ ' ".... ~ """,""U. .. U., J'U""..'_ -~" ..................". '" "'u -- ,~~. i,:~ii QLertifiratt at (lDcrnpanry · --' r:f CITY OF PRIOR LAKE rt jDepartment of ~uilbilllJ 3Jn~pettion j''';;' ~inal Pennitted 0 Conditional C.O. Expires l-~t " This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code ~. . certifying thot at the time of .."",,nee this ,,",ctun was in complionce with the various my}inances of the .,..::. . City of Prior Lake regulating building construction or use. For the following: X; '. Use Classification Single Familv . Bldg. PennitNo 99-0112 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District R 1 Legal Description LlO, B1 Pheasant Meadows Phase II Owner of Building c;ite Address 17192 Pheasant Meadows LN. SW Contractor's Name & Address Williams Dev. 1535 Bav~rian Shores Dr Chaska MN 55318 Robert D. HutchinsD"J. C. PI lenni Tovar, - f-V " tty anner ~ 1/ I "t-l.- It; ~ ... Date: CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSU~ ~FINA o SITE IN PECTION COMMENTS: DATE TIME SCHEDULED If/ZZ t, Ut t:~ 41G11.J7~ r-,/ Ci7 , I' I -- CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL (I~~ /'J (~-V;ZrJ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ;::-r ur /l /~/(1 ~ (WORK SATISFACTORY, PROCEED o CORRECT ACTION A~N~CEED o CORRECT WO~L REINSPECTlON BEFORE COVERING Inspector: -ICe /- Owner/Contr: / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED "? _2.. ~ ...qq -z.. r ~() o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREV. o PLUMBI RI A 0 MECHANICA ~ATER HOOKUP SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ~ JI'~~.I-!~ qq-l~ ~~!{(. / ~G o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o ADDRESS \ 1\ '1 '2.. +- '16, p~ OWNER PHONE NO. COMMENTS: t \,oBI s~~ 1\0 plfG- ~o T~ CoffV- - No Co~ AM ~ ~t c..;t- ~. looP( Lo~ CO *- ~;VL-- D1-{. \'0 \ Svk.~ 4:0 Plfr- r tit T~ p<- u.. Co ~ r<.A - \ ~ \ 5' -t-roVV\ ~+;W1 J 41':> ~ S ~ p...,Yl...-- Ok..- _ ^ J\.11 I' 0 l () f ~c'/VvI.. /,!.J4jL v. . ~ PAD PI Pe. ~-g/+- ~ ~ ~o>c:es -to &-~cl6 WrUf W~ L-Ml<: ~ C-cJvlc-ydc..-Flour G.vvk ~o)C o WORK SATI!"~ACTORY. PROCEED ~RRECT A : N AND PROCEED /0 CORRECT R L ,)R REINSPECTION BEFORE COVERING Inspector: I Owner/Contr: CALL ~4.~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE t llEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! - -. ,..- "T' T DATE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ll:Q) '" -2.5-q<:j Phe.o~ ~ ADDRESS \ ~ I q z.. PHONE NO. CONTR. PERMIT NO. <1q - 111- OWNER o FOOTING o FRAMING ~SULATIOt}^ FINAL 1'\ o FOUNDA TI N o DEMOLITION o FIRE PREVo ~LUMBING RI ,+. ~CHANICAL '*"'~ c--' o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHORENVETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o ~MENTS: ~ ~p(\tJ. ~ ~~ ihf9 ~T ' ~ "Cv(l oit -Iv ~ ")G-\. ~'O ~ C~~fY- - - ~ ~ p ~S;,~-2't dl,Jov7< ~~ c7!tt.A.-t-OIt.fJ or<.d ~- co. 17> "-- / --- /' . , . ksr --- ~-I-~ 1 . ~ .--=-- - ------ Inspector: / Owner/Contr: /"-/ CALL ~-4230 "OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. roDE R. ~ENTSAlIE FOR YOUg PERSONAL HEALm & SAFETY! DATE TIME r/dB s,. c-m 1'7/92- P/-I6ASrJAJI ~C/lOO vJ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREVo COMMEN.TS: jA _ \cUt- ''11ill ~ V ,/ SCHEDULED CONTR. PERMIT NO. qq-/ /2- o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP AD SEPTIC INSTALL ,.:s:J>LUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o A n ~ ClY'- v~~ ~O C 1/~7 I) r j;}rv. __ ~ '7~~ / J..~ / ~ / IJt r'() ~ \.Af)~\. /" (f\Ci \1 /' V\\\ /. // ) // --L ~ WORK~SFAc-rbRY' <..0 CORRE ACTlOJ ~ ED o CORR 7W RK ALL F R R INSPECTION BEFORE COVERING Inspecto ': 1,----, _ Owner/Contr: CALL 447~~qR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQ~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! SCHEDULED DATE ~/2-3 TIME CITY OF PRIOR LAKE INSPECTION NOTICE AT. ADDRESS 354- 7 6U/rJ 1Nf\ \ t;R- I KA\ L- OWNER CONTR. PHONE NO. PERMIT NO. g9-112.. o FOOTING o FRAMING o INSULATION. o FINAL o FOUNDATION o DEMOLITION o FIRE PREVo b PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL ~ V PLUMBING FINAL /o""SITE INSPECTION o EXC/GRADfFILLlNG o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: r r...lk M. l<. -'h',V/+ -\JcJm. ~ ~ Inspector: Owner/Contr: CALL 47-4: 30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE R}J;IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! (Tel. No,) 1-7~<:'<- ~,.~ (Tel. No.) .,,) 15, NUMBER OF OCCUPANTS OR SEATS . Gt:.}-~5~"O";)rr /-6>1;'~ ~'rh......; -b"/.M" c.A~LL -:55: ':t W 7, TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction)r Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COST N ALUE Chimney 0 Misc, Cj'JI. ,(:r~ 8, PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10, CULVERT SIZE 17. COMPLETION DATE Sq, Ft. :; J ~ Width 3.IJ,.' Depth g 1J I Yes No . )-1 ~ ~, I?- "'tA- I hereby certifY that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am'the ownef or authorized agent for the above mentioned pro that all ction 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 __ e it f use, F~~rmore. I hereby agree that the city official or a designe. e may enter up, on the property to perfOrm~~i pections, X V"'\~-f7?~ _~./ i..C. l\ A ,q~ /7<%7' /. ~ 9-? ~ignat'ure Uf.t1.t1..- / I tJ ,( J7""rt U '(/-i'1nM ~ 4Lf Date Amount Brought Forward .................. $ Park Support Fee ....................,...... $ SAC ......................................... $, Collective Street Fee ....................... $ Sewer Tap ................................... $ c,Lf' $ Pressure Reducer .:1t3.................... $ Meter Hom ....t::JT......................... $ Water Meter ...19............................ $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ I ~ 5~(!) ~~ Other ......................................... $ Total Due .............................. $ -~I::1,~I3.22.- Paid 7873 .ZZ Receipt No, 3jjJcJ7W Issued Date 3 -c;- -q 7 By G This is to certify that the req est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ!Jted, This document when signed by er n utes a temporary Cerli te of Z nin co pliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued, I' ~..r DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ':C~ \ 9. 2. SITE ADDRESS / 1...1!3....,~ - 3, LEGAL DESCRIPTION 1. DATE _ 2/~h ~ J ,,_ J, ' / (""" I')~ jL/tJi4.e/I(Ii.U~~ ~ ;;J, L-1" I - '341 PID:;)5-~-OI{J- () PLo~6 .:LL , DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) Pl~~~-~ LOT IV BLOCK I ADDITION _,.,i:..y ~r.... ~ jL48r:Y.dou-r.. (Address) (Tel, No,) 4, OWNER (Name) C:::;:;.....---- 5, ARCHITECT (Name) (Address) .,4y./"~,,~j}G;/~I----"g;--'. ();s-....-.b('.v~ "IA 2~ 0- 6, BUILDER (Name) (Address) tJ!!/;~ /)GCJ/I'PjJ;~ ~ J./C FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO, SPACES ON PLAN I PERMIT VALUATION I IS,&:!r) .CCl USE OF BUILDING 5H=A- TYPE OF CONSTRUCTION: I II III IV (1il Occupancy Group A B E F H I M~ S U Division 1 2 (j) 4 Permit Fee ................................... $ City: Plan Check Fee ............................. $ q S::L':::t S- iD 115. '(7 5~.SO State Surcharge............................. $ Penalty ....................................... $ 100.00 l DO .O() 55.S'" ce Pe it .~.... ................ $ 40 .00 acom Yo "n9 Permit When~p.ro~'t1 Date 7- 10 -7 Certificate of Occupancy Plumbing Permit Fee ....................... $ Mechanical Permit Fee ...................., $ Sewer & Water Permit ...................... $ Special Conditions ~ any 24 hour notice for all inspections 447-9850 1. White 2, Pink 3. Yellow File City Applicant Permit No. qq -DilL BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (Width) :l.1/- .;;r, -I:. ., 12, NO. OF STORIES J 13, TYPE OF CONSTRUCTION ~ 14. FLOOR AREA APPORTIONMENT USE J,..-,L/P (Depth) ~I OCCUPANTS SEATS MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o COPIES o s:\ sn ' 00.. lo~.QQ 45',t1IL t '2. S. 0(') ,I, '2.00 .(ITJ (01) .tJrJ .. -( OJ'S HEATING & AIR CONDITIONING, INC. HOUSE HEATING TEST RECORD No. f1Yf/'fJ /IY ,\; ;i'.',~ ", 'i;: , Permit Owner \~-'. ".1__... ~vc... Address~ ~J..'<IS.C',^,..( ~~ Installed By L\ ..\ ~ II ~.et'1(() .c. l GAS DESIGNED UNIT A ,_.,.~;(,; ~ (,UAU7 (.) A y ~u '1 <) () </ I j <i ~ .31 f'J.,.'; ~~~ ;~ ~'.:.: ~;' Make Model Serial -t'-t --;1' C'!c- 0 , / Rated Input ,. ~ . ;,;'~ Jio:, , ~~~ ,. ~i~ ',' TEST pilot Timing .,.., -:')*c Pressure Percent CO. Limit Setting 1/) ~-<; J ) / c." Percent O. Input CFH ':r I j,).. Percent CO J'" Stack Temp , <;1 ;r; ..' Heat Anticipator setting }:, ),"" ~t';- Date Tested /; /' I....I.~(- J ')' T .""" 11'::'" '. " K ,/' /'/ ~';Naltte.,.b~Tes:t7r '" ,,'''' " ~ ;~,'\;,}.~:..:~t/~./i:;~,:;,..r')/:;> ,'. . """.:,.;;::"\: ,)1,-" A ~~ ...- /\ M Il.. E <I ..-i N en ISI en en en ..-i CITY OF PRIOR LAKE Me 18200 Eegle Creek Av. S.E. P.rmit No. ~ -Of /2- Prior Lake, MN 55372 HEATING APPLlCATJON J PERMIT Date LJ -8- qc; PID, 25- ~4( - 010 - () Sit. Address 1"7 /9 ~ I Yh.,C( ~""'-\- (Yk1 6o~ ).p.f\~ Lol 10 Block ( Addition ?f:\EA~tSr M6A.DCUJ 2.~ N){)N. Own~(SN~meWj JlIGVr\\C) 'Dwe..\o 0 mt.r'\\- . 'iLC . , . Addle.. J6~~ ~Q.vo.c-i,-"C"\. ,~O\~.~ Q("'VL HealIng Conltactor ,D:\ I ~ ~Y\ -\-; C\c:.A -t \\ c.. Addr," ~ J.Jx~uX ~vc.... ~\~r\v', \\Q_ Mt\\ 5S2D \ . . T~~phon.' J.lq'7 - ;)..(do \ Furnace Make & Model He.qt-N-Glo ModelSifl ~~-.550 en ISI I- ~ <I If) en 1..0 N f'- en "" N ..-i 1..0 Conn. load Fuel Flue Size o z w z o I Il.. Supply Openings Aelum Openings Inpul Oulput Ed!. Clm., TYPE OF WORK Alwralions Replacement , Esl. Comp. Dati ~ z ..... I- <I W I (J') ..., .0 Repair. TYPE OF SYSTEM WIJm Air Plaols Grawity Ned1anlcal Air Condllionlng Vent. System HEAnNGORPOWERPLANT Sleam ~oI Water RadiaUon Special Devices Other Devices New Construction x C!q;o //2- PAIL> WITH BUILDING PERMIT Esl. Colt S HEATING PERMIT FEE' STATE SURCHARGE . TOT At PERMIT FEES S BIlUdlng Pelmh , ~~~ .50 2f 0 ~ ReceIpt' E o ~ 1.L TYPE OF STRUCTURE L 0.... . Oly 3. Yellow . eo-or Single Famly Commercial )( Mulll--Famlly Othe, lWo-Family I ndull,III, Public FBe Schedule Industrial, Commercial & Multr.Fllnily Residenlal, Heating & AC ResidenRl, Heating Only Resldenlal, Gas Fireplace Residenlal, Additions," Alteralions Residenlll, AC Only 1% 01 job COIl ($39..&0 minimum) S99.50 $64.50 $39.50 539.50 U9.50 Remember 10 edd the State Surcha'ge on the bottom olthll 'PpllcaUon. ~ I Th& pric. of your heating permillncludel one rough-in Ind on. nn.1 In8pecllon. Additional ifIspecllons will be bllled.t t.J5.00 each. H OUSt Heelng Tesl Record musl be submllled with buDd!nII "lIIfmlj numbIr belore build- ing certificate of occupancy wll be iuued. . HFAT r.Al r.I ",,"TlnN,~ ~F(\1I1RFI'l wIth number of supply and "lum openingllla1ecf pe' rC)()m wilh CFN's per opening. New structUI8I or additions IBnd Ooor plan with supply IlId relurn localions.hown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 18200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 56372- Cily Hall business hourI are 8 I.m. . 4:30 p.m. AU WORK MUST BE INSPECTED (ROUGH-IN AND FINAL.) . CALL CITY HALL 447-4230 f hereby apply for a mechanical IYBllms permit and I acknowledg. tha' the informaUon above Is complele and accurate; thai the work will be In conlorlMllCl wlllllhe ordinances and code. of the city and wUh Ihe Ila'e building/mechanical codes; Ihallt1is form does not become a permit until Iluned by Ihe BUilDING OFFICIAL; thallhe wo,k wlll be In accordance with lhe approved plan In the case 01 all work which require. review and approval 0' plans. \~ ~ ~ L)-B~q9 - /? ~pt~ SIg " Dati M-r.vr/l J 4- / /(() I qq - Building Ollieara S Dati )' ./ 9'1-0//:2 Th. (..I.r or Iho La" CO..lry White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ( CL (( (( (i' II ( \j APPLICATION RECEIVED :.).,:? /(/ ~'? f. )(' (..v: r(YIJ / llfl ct I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / " / 'f) 1-/;(( ({ fit. c( ;( ( -(/1 r'-( rf V..J !(-; I ( ( J./ Accepted ./ Accepted With Corrections Denied Beviewed By: ~ EWR.E5.rVl.ANN Date: 3/,,/rn I I Comments: MAJ(J~ ~.... ~ eO\JLJ~YE'~ 10 ,qAJl'. .tkc,^.I6 nll.l4,...JA6E.. ...BAjf\ tJTlL Ir"y E"~~MEAlT"'t ~~ ~ J'ls 'rlt~,_ . ~ 1,uFoItMAnnN f).A) ?~ SiDE. ::i'LT f="...f'Al c1 ~,J 1?~Afl. ?I<.T"'~I <<= I,cr SH-~LD 'K/i. tR~crG{) --1i.-r 11::tF' ~~ cF D,SruRU,t) s<,'1 S"e-E" A-1"-rACJ::f...MtAJ'r'S': i. h#-Jr"tt... ~"'Ol.1J~ IllhPEc.r,oloJ IAJFolt~47Jd...J z. ;:;'",DIAJi.. B..au 3. fl{o~~ Cc.,vrt<.~~4Su",€.s tf E~~,J e~A.117t.<I L :;:( tIf"; "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." ~~~, {: :~.~.' ...., ".~:~2,"~'('t'\~4'\\':'i~~:(:"I'. !'" ,- ,I" i ( /1) .. l ,-_... Th~ ("~nl~r or Ih~ L.k~ Counlry White . Building Canary . Engineering Pink . Planning j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .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 ~ 'Reviewed By: ~Ure-R~ Date: :Sr-~-?]9 '-" Comments: ~~ g - 2 r-~0 1 W~ cfJ ~)6m~ t1u,~5 ~'1\th /~1) ~ hT;-rf). c:trv}U d/!t/~ ~, ~~ Kp'r ~ C~ ~tlikvl)4IMMp-. fJ F.9h9 -:VeeS) ~ (./ ~~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." 99-0//2 The Center or the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~~(JtJ j ~ i~ l1Vt1..,;(: APPLICATION RECEIVED 0/'-/1-99 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J 7/tfJ. PlUCUZ1V-Z ;U-tad&W ia~ Accepted Accepted With Corrections '--:,L.. Denied Reviewed BY:~ ~ i:- f Comments: Date: :z - '2. ~- CJ c:; /. MQ.llA~t""- ~~,~ ~ "2. '3o~ ~ J.- +-11 o..Q..Li 3. eeo.& ~ll lt~ol (lu- ~ fIr, ~ W ~r.n an.:..L .~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." I. Blue 2, Gold 3, Yellow CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: GI'l/f)'1. f1<<.c...l.t. Address: 11 IS') 1'1'0 ~ A.~. Signature: (U Jt/i- _ 1/ Legal Description: Lot I 0 Bloct Site Address: )7/ "I J... f)h"'l.1">,,,{.. (7",,,-: 'Lv Building Permit # qq - (rz--- PID #..25- 34"7- ol 0- D NOTE: This permit will not be processed without complete information. File City Applicant # qq-//2- Phone(~JJ) ~~ Cji (~'"'3 /po The Cenler nr Ihe toke Counlry Quantity I t I 02- I I I .2 Sub Plt€'f\S'PoJT l1e1\O~L,J' ~> I~'.J. FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall I Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL $ This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the amen9~e~ts thereof. RECE17)ffJ. ~IILfqq_DATE )<f~ AITEST I Call for all inspections 24 hours in advance. PAIL) 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 S~9 Address Owner's Name Address Healing Conlraclor Address Telephone" Model Size Conn. load Fuel ~'\ CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permil No. qq- / / 2- Prior lake, MN 55372 Flue Size Supply Openings _ Relurn Openings Inpul , OutpUI ~(.1).) Edr. Clm., Al1eralions Repair Esl. Cosl $ / J(JJ()) . HEA TlNG PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ PJD, .2S~.34-7- 0 10- 0 AOON. TYPE OF SYSTEM Warm Air P/anls Gravily , Mechanical Air Condilioning _ Venl. Syslem HfA TING OR POWER PLANT Sleam Hal Waler Radialion Special Devices Olher Devices Replacemenl TYPE OF WOnK kJ Est. Comp. Dale , New Conslruclion ~73 Building Permit. _ qq-I/2- .50 PAID WITH ~"" BUILDING PERMIT) Receipl . , TYPE OF STRUCTURE I. 1'1. l. Ci...... 1. y~"o.. )> . file '0 Cil, "1 CunluClO I W o I \0 \0 o " Single Family Commercial Two-Family. Induslrial HEATING APPLICATION I PERMIT Dale (jj,3) / '9 Cj /7/ '1 ~ :!!~ 1rLu..Arw",..) lol 10 Block / Addilion _nl€RS~N'T I"16'AO() W 2 ~ ;{)tLu7"t CJaLia..vJ Arlied Fireside dba Fireside Comer License #20090911 2700 N. Falrview Ave. nosevlne. MN :>>:ill:t 6511633-2561 Furnace Make & Model d:lt,,,,:! A.J (d u ~T - "7It?.L- Fee Schedule Industrial, Commercial & Multi-Family Residential. Healill9 & AC Residenlial, Healing Only Residenlial, Gas Fireplace Residenlial, Addilions & AlIeralions Residenlial, AC Only PllbUc Multi-Family Olher 1 % 0/ job cosl ($39.50 minimum) $99.50 $64.50 $39,50 $39.50 $39.50 N to )> 'TI ..10 "1 ID VI ..10 (l ID n ' o "1 :3 ID "1 Remember 10 add Ihe Stale Surcharge on Ihe bollom of Ihis applicalion. The price 01 your healing permil includes Olle rough.in and one final inspeclion. Addilional inspections will be billed al $35.00 each. House I lea ling Tesl Record musl be submillcd wilh buildino np,mi' nllmhr.r be/ore build- ing cerlilicale 01 occupancy will be issued. HEAl CAI CUI ATlONS REOIJIRE"O wilh number 0/ supply and relurn openings lisled pe room with CFM's per opening, New struclures or addilions send 1I00r plan wilh supply and relurn localions shown, HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. Cily Hall business hours are 8 a.m_ . 4:30 p.m. 01 .... N 01 W w to to to ~ ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY tiALL 447....230 I hereby apply lor a mechanical syslems permit and I acknowledge lhallhe in/ormalion above is complele and accurale; Ihal Ihe work will be in conformance with Ihe ordinances and codes ollhe city and with Ihe slale building/mechanical codes; Ihatlhis lorm does nol become a permil until signed by Ihe BUllUING OFFICIAL; Ihal Ihe work will be in accordance wilh Ihe approved plan in the case 01 all work which requires review and approval 0/ plans. .&~~,' -, ..- p-l BuiltJing Ollical's Signalure '#J~9q , , Daie \l , o .... Dale PRIOR lAKE ~NSeECTION RECOR DEPARTMENT OF . BUILDING AND INSPECTION :~,SITEADDRE.~S 17lot. ~ 9keo.,,().AA.\..' P'\~0b-t.0c:, ~.p NATl.JRE'OFWORK. New ~~. USE OF BUILDING SFA PERMIT NO. '1'1-nll"L DATE ISSUED 2- ~Co --q'l CONTRACTOR Wln;~c.. f\o\'J..Q~~"1"':: "..', '"".. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS'Ct'B'ELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING INS~ECTOR i\) , 1., . ~I ."~ t. .,:',,:~'" t,.\ . . . '-t"~~ ~~~ ~> I<~, FOUNDATION (Prior to Backfill) r~ 1\,) I NO CONCRETE UNTIL ABOVE HAS BEEN SI . . . . , f) ROUGH- INS .SEWERIWATERISEPTIC If s..Z2'97 FRAMING 1/ , i INSULATION ELECTRICAL' PLUMBING- C}f tf~n-'1't J>. '-/;;..J.6'7'~'fj.dJ::";,;~!("':; HEATING (if required), (J~ lf~!3..qq :\' S, t/-~ ~q; 'I" . FIREPLACE ~ . \-\ . <: -'~;1\ GAS'L.INEAIRTEST ClSl 'f-J;-'~' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS v0, (2) (). \-\. ~ .\- - <::\~. GRADING (Prior to Sodding) BUILDING 1.e.,); -r'.J;2q'-l-'1'~ !, - ?,r;';1~) ELECTRICAL , PLUMBING, HEATING ,DO NOT OCCUpy q.i. j , ;j'4( ,7';1' . ,iJj '~~/~. ~ 3-5. UrJ:rlL ABOVE HAS NO TI C E 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, card shall be placed near main entrance..,. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-4230