HomeMy WebLinkAboutBuilding Permit 99-0140
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CITY OF PRIOR LAKE
INSPECTION NOTICE
fA~e;
Z (z ;jQ)
I' '.le.;
TIME
SCHEDULED
ADDRESS
\ -, , \ ~ 'Rk:-~Y\1'4 t1SO{Ju,- u
OWNER
CONTR.
PHONE NO.
~G1". \?\ 0
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAOON.
~NAL/:' -f.;- J
/' 0 SITE ~TION
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINA'- 0 GAS LINE AIR TST
,rl MECH FINAL ~) 0
/ . (P>IVV) ct I V\i\; () (/\: c \ .t-.l~'NL -
COMMENTS: I
,..---"
. ,
',.<>0 '~, /,,-, I <; 1- /'"':1,,; ~ L,_
/
4
v{ JV...jvl f-....-'-~ F d\./'__
t:-,.j b. bc:; fi . ~, AA L-
t I
9 (\ \ OJ
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.or . G- .0.
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..
o WORK SATISFACTORY, PROCEED
IJ( CORRECT ACTION~ND PROCEED
o CORRECT ~~ . K, / LL FOR REINSPECTION BEFORE COVERING
/J'
Inspector: . \. Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-"S/,qq
~~oo
ADDRESS \111 <.:. ~ 11 / Zb
Ph.u.s~ ~
PHONE NO.
CONTR.
PERMIT NO. f'l- I tic 1-/<..1 r
OWNER
o FOOTING
o FRAMING
o INSULATION
_D~L II
~()lJNDATION ~
o DEMOLITION
o FIRE PREV,
~
C~~~TS: ~
I It l"j ~ \;L
+rlty- p~
~
/ t/ tLvru. tc
~~
~~ PQfC
o PLUMBING RI
(>. 0 MECHANICAL
^ ~WATERHooKUP
'" ~ SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC'GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
11 pzo
do ,?V (.,
~!A. l
A
~J
'2-~r
f1<Y
~VC-
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I
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5""8- At n..-
'Rw~ + M~_ Cl_~ bOI( 6~
~rJ
sfN ~ ~bL - tz,..-I () Wc-tk. .J ,
~L~ c.ov-~ ~ a-<---
o WORK SATISFACTORY, PROCEED
..-tORRECT ACTION AND PROCEED
o CORRECT W~L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 1w7 230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE 'RJ,UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T
DATE
CITY OF PRIOR LAKE o/.., I__
INSPECTION NOTICE SCHEDULED ~
ADDRESS '11 \ l, P h.t.DS~ M~
TIME
q;()()
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
iiPLUMBING RI
MECH RI
I WATER HOOKUP
o SEWER HOOKUP
'ia' PLUMBING FINAL
/0 MECH FINAL
Cf'l" ,~
PHONE NO.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CrJjNTtv J ~
y" LJ0t..' ~
/'
W~ ~ ~~
/
/
OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 r-9850 FOR +HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~UIREMEjTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/() .3/- O()
ADDRESS
17// ffJ f'fI&I-)SAAi-r /1(;;/1000
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c;1-/4CJ
o FOOTING
o FOUNDATION
o FRAMING~
o SULA TIO
FINAL
~TEINS N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ct FOR REINSPECTION BEFORE COVERING
/J( -
Inspector: fL-- r Owner/Contr:
V -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOT/
T-
DATE TIME
CITY OF PRIOR LAKE
INSPIiCTION NOTICE
SCHEDULED
7//.0/"
, ,
8t!J
ADDRESS.il.J/J.d ~ rr- rlt;A.bsvJ t. 1\1
PHONE NO.
CONTR. tJ ~&..toI...( JJev/!l.DfIredIJJ
PERMIT NO. 99 - NO
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
X EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~fl.4-DE. IS iI(A~E.
dvllDBoll. 's OPE:lb4rU>-'lI4L.-
1'114,...n?4lN
51 ~ -r-
r~LE-
U/\.lT"1~ <::~0
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ ~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
(Address)
8b W,~-r 7r~ Sf
ChltYk.JJ~
7, TYPE OF WORK FireplaceX' Septic LI Deck"1l Re-roofing LI Porch LI
New ConstructiorllJl Alterations 0 Addition LI Finish Attic 6 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
Chimney LI MiS! - I" r) 5U 0
B. PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10, CULVERT SIZE 17, COMPLETION DATE
Sq,Ft. ]o2( Wldth3f.. Depth fit.( Yes ev ::T~ (..J., l'i~tf
I hereby certify that I have fumished infonnation on this applicatilln 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 mi~ed property and that all construction will cont'onn to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
:uilding OffiCe caJ :d;iS ~ ......us~nnore, I hereby agree that t:;Ci~~C~ :3 i d~ig~e may enter upon the property to ~e~/'::(;1
~ ~ SlQnalure License No_ Date
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Mt\R 2. 1993
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS V j L
J ?11t L1J..J.- MIW T MeA dvyoJ "
3. LEGAL DESCRIPTION
LOT -S BLOCK -z-,
ADDITION ~eA(~ Ml n&JVV..5
4. OWNEI} (Name\\ _ (Address)
W,'II,~ .lJ&-"V-.
5, ARC'1I1:Ep I (Name)
vv \./ \ """" '\ }lL~
6, BUILDER (Name)
W/llfO'V\ j .R~/V. l LC-
1, DATE
/{/
PIDoI~- - LS Y-7 - () /9-()
J~
(Address)
(Tel. No.)
'n'~ -\( C( 0,
(Tel. No.)
(Tel. No,)
qyf- "q DC,
S'S- -3 J7 .J-1Z- -45".91
1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No. C(q -{ LlO
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) I i. (~th~
12. NO, OF STORIES
I
(D~hLt
13, TYPE OF CONSTRUCTION
-r .;vI' l;r')J- / S';,- t. r "'....';,) ,
I
14, FLOOR AREA APPPRTJONM~T USE
I -? 0 J- (tJ 'IM1/N v.#...k'
15, NUMBER OF OCCUPANTS OR SEATS
1
OCCUPANTS
SEATS
(/
'"
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
t::/ It. $
Pressure Reducer .:-1S..................... $
Meter Hom ........~.tl..................... $
Water Meter ........tt...................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ........... ................. ....... $
Builder's Deposit ............................ $ " sex:) . ~()
Other ......................................... $.. _.~ 'J'S. --
Total Due .............................. $ / ~ - 1)-
Paid 1~$'5. I'L Receipt No, >41~o
Date > (n, (C;t; By (2./) t~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance ~nd may proceed as requested. This document when
signed b the ity ~I n er constitutes a temporary certijte of Zoning compliance and allows construction to commence, Before <JCJ}I~nc~, a Certi~icate of Occupancy must be issued,
. -4~ ~ - V'\ "1~r-~~f'S\ ~ ~
C' Pianner Date - -7-- - Special Conditionsif any
SETBACKS: Required
Actual
10 '
Side
I - I
....\
Back
...H 'Y
Front
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION II I ; f.X)O. ~ 0
USE OF BUILDING -.:5,FFI
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM @
Division 1 2 ~ 4
Pennit Fee................................... $
S U
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
<=r '-12 .A.C;-
Inl"2..<.{?
55,'50
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
loo.()'D
I 00.00
35'.50
~
'--'~
~.~
~~
Sewer & Water Pennit ...................... $
GaS~ire lace Pennit f.... ................. $ Lll')' 00
This' acom Your Building Pennit When Appro~d,
By Date _ ~ -3-'11
d
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-4230
Td
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS LI PERCOLATION TESTS 0
PLANS & SPECS LI
SURVEY LI
SETS
COPIES
PLOT PLAN
LI
Rc.,('). O~
J osn .Of:)
'15 . <'0
125" .()O
II~ CO .00
7c>o.~o
,.
-ot
~\~PI:.I'"''I.I:II~'f'''''I'_~ I 11"."\'1~4.'./I'II'I'Jr~"r')J~~~~t -., ,J ~I)(-f'.'jol - '.f.I"'L....l.ft~'.."'f,1' t\l":'
I
OJ'S HEATING & AIR CONDITIONING, INC.
HOUSE HEATING TEST RECORD
.Permi t No.
Owner ! d;,I-/.'cJ~ <; rJ~I/;?t)~.:~ I,uf'_
Address-'-2...lI ~ to h ~11~;-"".J- /f1S;/labw ~
Installed By_n :r(S/-f/U~;..47C
GAS DESIGNED UNIT
Make ~AA/ A
Model r;/..LZ1Jo 70
Serial CJ1CJ-7 /tJ5.i-:r?
Rated Input ~c7~~
r
TEST
Pilot Timingr See....
<;.
Pressure _i4! we
Input CFH 74c:;;x.:J'l:J
Stack Temp~t;
I
I
. t:>
Limi t Setting;?C(?
. Percent CO2 f}z,
Percent O2 q~
Percent CO 0 .Ll C}""
Heat Anticipator Settinq 4 ~
\ Date Tested ;; /d.- GJ.. leV I
\Name of Teste~~U~
-. '--
...,~".', ".,~-.,. ~;~.,";.;;._:~~":"';.;....J';':";"..ilo.~.-;....,"""": "'~.~....:.:...o..~.i "e '~~~...L,_;':"~
<\
CITY OF PRIOR LAKE Me
11200 Ellgle CNek Av. S.E. P.,mll No. qq - / t./O
Prlar Lake, MN 55372
r0
CL
~ "- ~ ./ HEATING APPUCATION I PERMIT
~ Date ~ -Ll- ClCl PID. 26-3'-1-7- O/t;-O
~ SIIAdete.. 17ll(" ?hPG..~-\- {Y),c:;~o~ L,,~ ,Itz./
en -
..-i lat B BIDck 2- AddlllDn 1'IItASlitNl I'1EAOCW 2MO AOON.
~ OwntnNun.LJ. UiGVY\'< De..lJL\O 0 mt.C"'\- . 'lL{_
c ' .
..; Addte.. ,~?-.~ ~Q.Vo.C- "A" .<ho<-i'_~ \)r\J<..-
HIlIlng ~I\trador \):S' ~ ~ -t; C\c.A ~ \\ \ L
Addre.. ~ ~~U~ ~,,'-.. ~\h,AJ, \ \q. (Y)\\' 5~~ \
~ Tllephonl' )../GJ/- ~~ \ .
Xl Furnace Mak8 . MDdIS ~+ ~ IV ~ G 10
~ ModIlSlH5L4t)o =TR
(\J
~ Conn. Load ,
Fu.1
Five Sill ,
o
z
w SuppJy OpIninG' .
z
o
I
CL
Reluln OptIIlngl ,
Inpvl
Edr. ,
elm.,
Output
TYPE OF WORK
AIt.lalionl
R.pllam8lll
TYPE OF SYSTEM
Wum Air Planla
Grmly
Mechanical
Aft CondlUcmlng
v.nt. Syalem
HEAllNG OR POWER PLANT
S1.am'
Ho'l Wel.,
Redla'lon
Speeral DtWlcel
Otlllf Dwlel'
New ConslrucUon X
. EsL Camp. Da.. .
8u1dlng Perm. .
sg
{..:J Re"".,
z .... '
~
tI Ell. Cost,
w '
~ HCATlNG PERMIT fEE. 39
:3 STATESUACHAAGE .
~ TOTAL PERMIT FEES' Llo
o
ct:
u...
.50
dO
qq - /,+0
(/ PAID WITH
i BUILDING PERMIT
R~',
'rVDi: nJ: ~m' .rn1.AJ:1
I. "... . "41_
L 0... . 0lJ
,,~ . .....
Single Family
Commercial
lWo-Feml1y
Indullrlal
'X
MdlI-FemlIt
Olhlr ,
NtIlc
Fee Sd'I.dur.
Induslrlll, Connerd8l& Muni-Family
ResldenUa.. HeaUng I AC
Re81denUa1 Helling Onl,
ResidtnUa., Gaa Rreplace
RuldenOal, AddlUona " Alterations
Residential, AC Only
, % 0' jab eDIt (131.&0 m1nrmllJl)
....60
184.60
$38.60
138.60 ~ - 4 1999
119.60
Remember to IIdd the Sllle Surcharge on 'hi botlont of lhit ",pllcaUon.
The pia of your healing permit IncllId.el one rough-R and OM IInaIlnlpectlDn.
AddllionallnlplClions will be bIlled at '36.00 each.
House Healing Test Reconl mul1 be .ubmllled with bulldlnsJ IIIIIDI DWdIIr belen bcJId.
mg cerclnca'e 01 occupanq wi. be ...ued.
~S:AT r.~, r,." ~Tlnfll,C: q1Cf1' ~.~-=" with number oleupply and recum apet4ngllllted per
room wilh CFM', per opening. New structurel or addRkJrw IInd fIDor plan .. ...,.,
end relum locallont ,hown. HEAT LOSS CALCULAnONS, PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, t8200 EAGLE
CREEK AVE. S.E. PRlOR LAKE. MN 55372.
en, HaU bullnnl hOUR are 8 ..m. . 4:30 p.m. '
ALL WORK MUST BE INSPECTED (ROUGH.-N AND FINAL). CALL CrTY tfALl
447..,230
. hereby apply 'or a mechanloa' .yllteme permit and l .cIInowledgl that the
In'ormatlon above Is comple', and Rocur.1e; thlt the wolll wlI be In oonlorm.nee
with 'h. ordinancu and cod.. of the elly and wllh 'hi 'Iii' bulldlng/mechlnlcal
cod..; that 'hi. 'orm do.. not be com. a permit unUI,lgntd by.... 8UILD1NO
OFFSdIAt: 'hat the work will blln 8cco,dence with the .pproved plan In the
clIae or all work which requlr.. review and 8PproVB' of plan..
~~ b-4-99
-;;; AIP.S ' '- 0.1,
~ ~/ ~/qq
Building Ohl', Slpture D8I1
'of;: rR'g9
~~~l
~ ~ "/ HEATlNG APPUCAllON I PERMIT
~ Dale c; - LI - C1 C) PlD . L~ - :M-"'" - 0 I Cj - 0
IS) . . C
~ Site Addr.u ,Ill} (" ?h()c..~-\- Moc.."'ov.J ~rH 14/
IT'I
..-l lal CO Bb:1c 2- AddlUtm 'PHf7iS/J/I.tr /'1~IiO()vJ z.NO ADDN.
~ '
~Owne"'Nam.L.)1 J11t:.vT\'< 'De.UL\OOIY\U"\t-. 'lLC
c' "
";Addr..., I.t:)~~ ~a..v~C"irA" _~o("I".~ 'Vr\v<..-
Kelling Contractor'\):S ' ~ ~ +: C'\CA, -f ~ c..
Addreu ~ ~~U)( ~w... _ ~\~A"'l \~ Mt\.' ~~2J:> \
l:R Telephone' .,)..1''''7 - ;){do \
Xl furnace Make. Model ~~\ ec>'7o
r-
~ Mode' Slle(')DI O()tO - 10, 000
N
;:D Conn. toacf ~ R '2:. t;"B
.: Fuel ~~ F~e SI1e L/
o
~ Supply OpInings ~
~ Return OpInlngs. '-I
a..
Input ~9J OOOOu1put ~~: 2.00
CITY OF PRIOR LAKE Me
112GO eelle C....k Av. S.E. P.,mi'l No.
Prior Lake, MN 55372
Edr.
elm.
tlt1-/t./o
TYPE OF SVSTEM
W..m AIr P1anls
Gravity
Mechanical
A'rt Condillonlng ,
Vent. Syltem
HEATING OR POWER PLANT
Sleam
Hol Wale,
Radiation
Special Device,
OIher Devices
Alteratione
_ Repllceni.,.,
TYPE OF WORK.
New Conslruclion
x
~ Repair, _ ElL Comp. Dale
.....
I- qq-/4o
Eli Est. Co\t' " BvDdlng Pttml ·
~ HEAT1NGPERMlTFEEI ~4 ~ ,.- PAID WITH
8 STATe SURCHARGE . .50 BUILDING PERMIT
E TOTAl.. PERMIT FEES $ ~h :::::- Receipt , .
0
0:::
LL
'ryD~ nl:' ~Tg. '~T. .~I=
1. 0-. 01,
1. YeIIft . ec.-
Single Family
Commercial
lWo- family
. Induetriat
)(
MlllIl-Famlly
Other
Pubtlc
Fe, Schedule
Industrial. Commercial & Multi-family
Resldenllal. Healing & AC
Realdenllal. HHUng Only
RlltdenUa\, Ou FIreplace
Resldenlial, Additions & Aleeratlons
Residential, AC Only
,% of tab COI' ($38.&0 minimum)
$99.60
184.60
$39.60 JUN - .. &!)
$39.60
139.60
Remember to add the Slale Sun:hwp on the bottom of thll application.
The price of your J1ealing permlllnct\ldes one rough-In and one nnlllntpec:Oon.
Addllionallnspeclions will be billed a' 135.00 each.
HOUle Healing rest AROrd mual be subml11ed with bulldlna IlIDD1I DWJIIII[ .,.to,. buDd-
ing cerlllicate 01 occupency wm bel88ued.
"'!:AT r.AI r,1" 4Tln"~~ ~~nmA~" with number olaupply and retlA'n apenlngt u..d per
,com with CfM'. per opening. New r1ructurel or addltlona ..nd IIoor plan wfIII supply
and relum rocaltons .hown. HEAT lOSS CALCULATIONS. PAVMENT AND
APPLlCATroNS MAY BE MAllet> TO THE CITY OF PRIOR LAKE. t82.00 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
CilV Hall busin8l1 hou.. are 8 I.rn. . 4:30 p.m. '
ALL WORK MUST BE INSPECTED (ROUOH-IN AND FINAL) . CALL CITY HALL
447-4230
I hereby appty lor a mechanical .ysteme permll and t acknowledge 'hit tha
information above Is compl.te and accurale; that the work will be In conformlnce
wi1h the ordlnanceI and cod.. o'lhe elly and with 'he "a'. bulldlnglmechlnlca'
codes; that lhislorm do.. not become a permit unllllfgned by the BUILDING
OFFICIAL; lhallhe work win be In acco,danee wIth the approved plan In the
~~I all wo,k which ,oqul'.. 'ovI0~P'OVolOI P~'t.-)- qq
IS. "----- Date
(, / ~ /49
Building Otllo8l~ Signature 0111
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:.bkn..~-' /I1e.C--~"-l c4<
Address: ~J.,l~/V~
Signature:
, .. .
Legal Description: Lot ~ Block Z. Sub~NI nE,ACf)W 2t!?
Site Address: 1")/11:> J/ICw'#,{ea.5'4a.f A1L~~~ L4~
Building Permit # qq- /1./-0 PID # Z5-.3tJ:7- {)/t:} - 0
NOTE: This permit will not be processed without complete information.
The Center of Ihe Loke Counlry
JUN - 2 1999
FIXTURE UNITS
Ouantity Type of Fixture Quantity
/ Bath Tub with or without shower S
/ Dishwasher I
I Floor Drain
2- Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
Bar Sink
"2- 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
GRAND TOTAL
1. Blue
2, Gold
3. Yellow
File
City
Applicant
PP No. CfCJ- / Llo
Phone: ~Y5-~69~
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ 99.$"0 _
$
$
.50
$ /t?l7 60 _
\!'J \"n-\
flf:>.\O pE.f\N\\\
eU\\..O\NG
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
_ of the State Plumbi;~;;;;;; a~/!7;~r~:~
A~A.f ---- AITEST
Call for all ~pections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
~
Cj4-/t/O
White - Building
Canary - Engineering
Pink - Planning
Th~ ('enler of the L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT b( ) d/./t2frU<J ~
APPLICATION RECEIVED 2 -;;) -€(7'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7//& pht24CLt~/71~ad6k.d Ud.
Accepted
Accepted With Corrections
Denied - () fL
Reviewed By: C~O ~~
Comments:
Date: s,c.( -19
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"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."
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White - Building
Canary - Engineering
Pink - Planning
The' Ce'nte'r or thr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
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Date:
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Comments:
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"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."
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Th. C .ft'.r 0' .... Lak. COuftlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING peRMIT APPLICATION D~RTMENT CHE.CKLlSI
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NAME OF APPLICANT / (' ./1/( It'?' /t~t,J
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APPLICATION RECEIVED d.:;;> 1'7
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By: J.JJ4l"E~ E;,lftcT""UJ~
Date: 3/" /99
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Comments: RvN"FI=' ~ ~ ~ONc/€y~J:) 'T<.'\ AN~' ALDAI~ ~ <:JIJE
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AT T"r4E... ~INAL a~AbE. ANn tI4&o1..s,.. &
.fJ,-r "OlF E' L..€~TIOIU SHowAJ 0..., -n..IE ~1t.40,~ -PLAAI. ')sE (!&z,t!JAJ
~ /l..,AJ5'rrt.uc..T,ol\J ~""Y <lCC.JAS o..u oA., NEA-tl -n./t;
~..ucA..€t:€ ~ - 4"... D..MA6~ f1:tAJ~ W'L.&.. ""JQ",c 70 ae:
~EI>AIA.ED g~ 1Uf: Xc) 'Lbt:'..1l ra.lot2 10 h,uAL SI4A.,) OF'C:. <;;'F-E-
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~ 3. E/L~' ON C/UoJTflOL MCA!:.JIl fS
1-. EllffJ$,OAJ ~f\,JTIUJ, A-AN
"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."
. .
. BUILDING PERMIT APPLICATION DEP ARTMENTCHECKLIST (CON'T) . .
. .
1 .
..' ENGlNhhKlNG COMMENTS
. .. - '.. . . . .
Surface.stoim:water mamageflowing.to the perimeter of this lot to and from adjoining l'.lvyerties . .'.
must. be conveyed to the. roadway and/or. to the rear of the lot. in' drainage swales withiri the
drainat!e easements. All' bare soil '. areas . must be' proteCted from eroding into neighboring.
properties through the installation .of nronerlv installed silt fence or bales. . The silt fence required.
by the erosion control plan mUst be installed prior to any .earthwork being started. . . The rock
'. construction entrance mustbe installed at the time of backfilling of the foundation.' .
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BosJON.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION l
SITE ADDRESS l711lP 7lt\~'^+ \"\ ec....J.ow lv1 .
NATURE OF WORK New Q.~."J'iud-;cT'\I1
USE OF BUILDING .';\=" 1\
PERMIT NO. -33 -lYo DATE ISSUED -.3 - 3 -'il
CONTRACTOR ---1J i 11,'atAA~ O.eu€. (r,.,~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING "'J - ~_
, FOUNDATION (Prior to Backfill) I "3 I / ? l' I
PLACE NO CONCRETE UNTlt ABOVE HAS BEEN SIGNED
ROUGH - ItfS /
I 3/ ')1 / 1 r
I / /
DATE
SEWER I WATER I SEPTIC
FRAMING ~
INSULATION t\V
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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(J I
I
GRADING (Prior to Sodding)
BUILDING /VJ &'/;/00 jet?H-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
rV E 'f i~olq~
LJ6l,
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ff/~ 5At:?
2he;/ rn' I
..fAS 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 adaitions.
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 (612) 447-9850