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Home My WebLink AboutBuilding Permit 99-0170 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~2- 2..: 30 ADDRESS 5553 HlqHPOfN OWNER CONTR. PHONE NO. PERMIT NO. qq - 17 0 o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL A II WATER HOOKUP r' ~ SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTSi fj 1\ _ t,e' ~ 4tJ X ~U-- ~. (lvc, .- fJo ~ G't~/ CMJ Vr-..O f :~ , 5 y- It IlJv 0/,1/ ~y +~ ~J bo$ ~ . " c9rkdt:- O~ORKSA ACTORY,PROCEED "CORRE AC ON AND PROCEED o CORR TWO , CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: CALL 447 4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! .,---- 0, 'T"' .- ADDRESS 5553 DATE TIME ~/z..cf/cr1 ~; 0 0 H/~I-I PO/I$' I SCHEDULED CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. 9 1-/70 o FOOTING A 0 PLUMBING RI o FRAMING ~MECHANICAL t::/NJl9l.- o INSULATIONa. (A 0 WATER HOOKUP ;9:.FINAL I~ 0 SEWER HOOKUP o FOUNDATION 0 SEPTIC INSTALL o DEMOLITION 0 PLUMBING FINAL o FIRE PREVo 0 "'E INSPECTION S~MMENTS: . -rATlV J:bof2-r ~ 0 J.( ./ llJ f(\'\.c...Q ~ ~\'neer-M0 ~ . !! ?(?~, ~Al 4-Y'.ec::.. OoCA ~f' iJ>('~1l'Y}Il<!.MJt Gr05tQ() ~r~ fYO,tt-+-r~ \AW-~ fA) :ReW10IJ'l.. CatStv~Oh ~'5 I (~~ ~ ~ ~:-Ij!l<<, o EXC/GRAD/FILLING o LKSHOREANETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o ~ h~ ~c€A\leJ cJr.sd +~~ q~r~;e.~,:f~ J~ ~' 'V // / Inspector: CALL :s ARE FOR YOUR PERSONAL HEALTH & SAFETYl T DATE TIME "3v CITY OF PRIOR LAKE ~,Z~ ~Cf( -.J~ . INSPECTION NOTICE SCHEDULED ADDRESS 5553 ~-+ Po ;vJ-c.. CT OWNER CONTR. PHONE NO. PERMIT NO. qq- fiO o FOOTING o PLUMBING RI o EXC/GRAD/FILLlNG o FRAMING o MECHANICAL o LKSHORE~ETLAND o INSULATION o WATER HOOKUP o COMPLAINT o FINAL o SEWER HOOKUP o SEPTIC FINAL o FOUNDATION ~PTIC INSTALL fr o FIREPLACE o DEMOLITION LUMBING FINAL 0 o FIRE PREVo o SITE INSPECTION ~~~~.~ ~~~~ W~ ~~~Tk- U~- /I ~.. ct< /" /' ECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447 R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQ!IRE ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! r CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 5553 OWNER PHONE NO. D FOOTING o FRAMING o INSULATION )(FINAL o FOUNDATION D DEMOLITION D FIRE PREV. COMMENTS: ~ 1M OJ:. (! ,111/&)( /5 -1:1&.^ <\cJ~ SCHEDULED DATE TIME t./-z.tl./ '11 . I t: 30 P/I.1 J..II(~" POI Alr ~ C OJIl. T" CONTR. e f f11 HOM€. &,L.I)€'IH. PERMIT NO. 99-/70 X EXC/GRAD/FILLlNG o LKSHORElWETLAND D COMPLAINT o SEPTIC FINAL o FIREPLACE D PL-Jt:J/ P D PLUMBING RI o MECHANICAL D WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL D PLUMBING FINAL D SITE INSPECTION I c:: fJ GC EP"f'l!1.lJ.. P eJ P€.IlIS TtaNt4- L. :p~'rJ€.r..ItJ.-Y 1<: .II.) .tlfqPTIt!AJ ~)u_r FENCE IJAJ1:l.!.." ~n~ X WORK SATISFACTORY, PROCEED D CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: "PIu<<- f1wner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI 'T '~~',';''".-..~tll<~Ii't<;"''"?~. ,'I.,,,", ':..t.. :'>'" '-)~~'}:;~l'p\.'t;.~1~t~~"h :~JI'::r-,"~" >Ji'~,,~~ IZ*J, ,~~~,,"",;'t"'.'i~~:'~"';1'~ CITY OF PRIOR LAKE INSPECTION NOTICE . .. SCHEDULED ADDRESS 5653 ~,J~ CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATIO~ )B( FINAL o SITE INSPEC ~ COMMENTS:000 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL .... N I T....~~ ~r'R C, TIME f1rr 'lq. 170 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o --- 7;)~ ()J L.<7 ~ eX ~~. ~ 2~" c.JJ, <n~ ~ .-- /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOU,-CALL FOR REINSPECTION BEFORE COVERING Inspector: If-f.- , Owner/Contr: J CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl .. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 3-11-99 e..o \J (' 1- puiJ /)s-.. 535"-CtJI-Q fi"J) D . -(Address) (Tel No) 'R V 1 ~ t1u j J:"" t..- ::l.Y Y9 ..1/ i.J K 6 '6 ~ (Addr~ etJro~O J41~el. ~50 Y 7 (Address) (Tel. No.) OCCUPANTS ____- SEA~ 16. PROJECT COSTNALUE / J..J: 0 (JQ 19, PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLfETION DATE Width 10 0 Depth 1'lr'1 Yes ~o u:;; 7 r-- I f - If I hereby certify ihat 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 abover;}men . 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 :uilding offi' can ~st cau~ hereby agree that the city official or u~,ee{;ay enter upon the property to pe;rm:eUd:"'s~s, t --' ~~ ~ QAIE..RECEI'lEQ MAR , 2 1999 , DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2.SITEg~~ Hi~~'/J+L 3. LEGAL DESCRIPTION ,. LOT I BLOCK I . Cf1rJiNA ~ R.,'c4x- ADDITION 4. OWNER c.~~ 5. ARCHITECT (Name) HoML (Name) 6. BUILDER (Name) 7. TYPE OF WORK New Construction ~ Chimney (J Misc. 8, PROPERTY AREA OR ACRES Sq,Ft. ;)/, 5"fo Fireplace (J Alterations (J Septic (J Addition (J Deck (J Finish Attic (J PID S-t:b 1, DATE 7 " 0 --<{ 2. 'dJ- Re-roofing (J Porch (J Re-siding (J Finish Basement (J 1. White 2, Pink 3. Yellow File City Applicant Permit No. Qc;-/7() BUILDING INFORMATION 11. SIZE OF STRUCTURE (Heightt:1 (Width) YI3 (Depth)......1 p 12. NO. OF fORIES 13.l)'PE Of CONSTRUCTION "f rtV <ilL F-.- ~1I '- Y 14, FL06R AREA APPORTIONMENT USE ------- ./ /' 15. NUMBER OF OCCUPANTS OR SEATS SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back BUILDING DEPARTMENT VALUATION Side Side USE OF BUILDING ~FD OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I ~S. noo _ (') '" WaterTap ................................... $ Builder's Deposit ............................ $ II t::; ()Q . r9 a Other ......................................... $ Total Due .............................. $-=t::lQIv-lf"1 Paid / Lftk .q 1 Receipt No. '3 Ll ~ ( l( ~ ~~~ ~ A~ This is to certify that the request in the above application and accompanying documents is In accordance with the City Zoning Ordinance a~d may proceed as re~sted. ThiS document when si y the C' nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued. _ ~--2-~ Planner Date Special Conditions ff any TYPE OF CONSTRUCTION: I II III IV (5Q. Occupancy Group A B E F HIM ~ S U Division 1 2 (i)4 Permit Fee ................................... $ I 0 \"2. ~'2."'-- ~~7.ql 31.2.!S" Plan Check Fee ................. ............ $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ l 0 0 : olJ t60 . 00 ~( .5"0 Sewer & Water Permit ...................... $ our Building Permit Wgen f-RProv#jck Date ~-1'1 City: ~ W OvC\, ~^~ tJj1) Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ %" $ Pressure Reducer .......................... $ Meter Horn ........ .1......................... $ Water Meter ..~..~........................ $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 24 hour notice for all inspections 447-9850 r' MATERIAL FILED WITH APPLICATION SOIL TESTS (J ENERGY DATA (J PILING LOGS 0 PERCOLATION TESTS (J PLANS & SPECS (J SURVEY 0 SETS COPIES PLOT PLAN (J f3~O-c)-47 1050.()O L1t;',00 1"2.$"",00 II '2..00 .00 100 .00 ,. -./ --------------....;......;;.., *Permit" *Job Addr..S5'S3 /AfI, ~ d. *Heating c. ,.lor METRO AIR *Testera/Signature fl1tl Date Pounds Pressure Time *Gas Une Pressurized Inspected PERFORMANCE TEST *Percent C02 ~, ,;;1~ 'Percent CO -1).% . Percent 02 --' . 6 % .Stack Temp. ~~ Final Inspection Date / .,:' '" C?9-/7{) Tit< C.ft'" ollh. lak. Co.. I" White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (' l/i i f/6;}e/ 3--() L/1 .j . (l -OLtt..ldt t. J-. L'>{A..(' APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5553 /jfilt/}6tj~ 1'--1. ,J Accepted -/ Accepted With Corrections Denied Reviewed By: _;,JAt..~K eIo4REs..,,cw,V Date: ~lz.l..I,'t I I Comments:),/,sE (!AcJrlON wl/EAJ ('OAJ.t1)WC.T1o^,-, A:.Th/l7)' ~~ AJaA 7jJE: Cd..k.IlE~ WALK A.... '"T"n 1,)01 ~("f:. V-. ~Mf:.b ~El..~ (tf\kr "lE. REPuvt:'~ B... -,-~ ~c...1)E:A.. 2 t,ll,.k\~ ~T BE ~tlE"Eb. "10 tWb ~~ ~'AJA6~ AtJO UTlLIT..... t:ASEMeJrS. A.s I"o\tJcH AS ?1t.~I<AL. S,LT FEAJt.L. GIl-l wa -?"'ltt"lON of .,...,<.. l.!:lr ~ &. fR€~T€J) AT IHE. C.tx:.f:. oF J),~TU~ <::011... 5'::E 'NFeflr\4ArIQN oN RfvEIlSE SI tv: _<;~E A7'T~l.I-\fI'lE...rrs.: I. t=':-oAL aRAf\,AlI:. IA1...P~C:Tt~ IAlFc.ItM,fJ:DorJ Z. t111.t4CJlNI" H..t4N ..3, t~/ON eOA..lfflOL MF-A<:'tlr1 E.S 4. E~ '<2-u r: O~O'- PUfN "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit fOf, 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 -/70 Thr ('rntrr of Ihr Lakr Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (! ~lf'? ;L$~~ 6LLddtA/~ ~ . 3-;;) LtC; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5553 ~~ I'-/-. Accepted Accepted With Corrections X Denied ~) Il k Reviewed By: I J 4.. !J J')",...----? '7 '\ Date: J-!8-tj Comments: I, CSoJ.. (;A. ,Q --( ~ p..v-~~' 0~--- 2-. Md..' lA- ~~ II\.. 7',. rJ~.J'cT)A.. Q~ :;. ~pc;09-. /A QQ c,LH~ 4~ "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." .-,--..... --r---...,...,--'-'---.-......----..-' / /",~ ~.l(~-''''' Tho Conlor of lho L.ko Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ./ / / (I' ( / / - />/:'I~ -/! ( . .' "r '/ f,/' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is P!oposed at: ( ,/" /";' i I / I .., (c'".. l /.",,-;,>' Accepted v Accepted With Corrections Denied Reviewed By: S~fJ..7~ Date: 3-L'-/~ Comments: "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." t. ,. c-~(i\ ., 'y\D~ CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: "ScnQte..r 9\umb irq Address: ,. n~ :Sf. Signature: h Legal Dele tion: Lot I. Block Site Address: 5553 )-J'"c;t1{)olnt (!.:/. Building Permit # q q ~ / 7 C) .PID # 25 - ,~~s - () 0 I - 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS I. B'- i, Gold 3. Yellow "Ie alY Applj~ # QQ-/70 Phone: '1l.rJ,~134 Yn(Jr" A.a f.t.o.- mltJ 553'7 2. lA. C:"'.r III lh. lot. CDUII." Sub CAROINt'fL. '€'IOt!1€- 571-1 ",-oaf Quantity Type of Fi~ure } 8ath Tub with or without shower J --'- Dishwasher I Floor Drain J- Lavatory (bathroom sink) J Laundry Tray (1 or 2 compartment sink) !l J Shower Stall I L Sinl(s Bar Sink J- Water Closet (toilet) Quantity Type of Fixture J I I J Rough-Ins ~er Heater Water Softner Stand Pipe (washing machine) Sewage Ejector J Backflow Assembly (APl, Dol.tJle Cheek, PVB) L~ackfl~ Assembly Test Lawn Sprinkler Other FI!E SCIiEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $39.50 $ $ $ $ .50 GRAND TOTAL $ _ Thi. ~ .,...J( is granted upon (he el{preu condition mal said <<londor. shall almply in all respects with rhc ordinanc;:cs of r.tJe S~te Plumbing Code and me lIII)en~cnts thereof. ,/l Rp>PlJT.. NO. +/,"Z-/q, _ DATE ~ - ArrEST C/ ' Call for an inspections 24 hours in advance. 16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer 03/31/99 WED 08:36 FAX 6128621223 oJ/JI/99 WED tHl:24 Y.U 6UHHH! JD EXCAVATING, INC. c:fn of PlllO," LAD: 4PR~ ~7/'0~ U( \~ ~~,.~ ..... --u nu.a. - .......... .... --~ . SJPI. No.C[q ./ (70 CITY 01" PRI:OR LiUtE SEWER AND WATER PDMIT 1I0TE: SeWer and Water eon~raetors mU$~ De r.qis~ered wi~h the City. x APPLIcANT: J /) e.X C/'7 V RTf'" c:, I IN C . :r.PliONE: ~'w 1- - 4-3 ~ L )(. ADDRESS: I ~~ 2. - 13'2. N ~ AV€'I COON RFtPI D~ DATE: :3 - '3 \ - 99' . ~ If\. ,BL""". PEr.U'IT ,/rq -('to S IeNATURE; ~.i",f 4. -'- ....... ~ '-'(' I' )( SII'E ADDREss:,555 3 I+I~H 'POI _ COl,Ae-tPIDf 3-.5'-335'- 00(-0 FILL rN THE BlAN~ 1. Estimated length of Va~er s_rvic~ f&e1:. 2. Si~e of waeer s&rvice I ineb(e$). 3. Location or ~ny cOQplihqs fro~ ~tructure fCilet. 4 - 'l'ype of sewer pipe. ABS I've:::: X Cast Iron feet. 5_ Estima~ed len9~h of sewer line 6. Clean out (if required). located at structur@. ;:;~~-=::-:erm~t -=~:-ap:::d. c__~___ BY . _:~ ... -.- --" DATI::: 3/31 (q [1 feet f:roJll ~==~a:~=~===~~__~~___~=~_~===~____=-________~~~______#_== F:E:ES: $ ~ S 35.00 .50 35.50 S@w@r ana vater line connec~ion permit. S1.1rc:harqe TOTAL · Fee tor either se~er or wa~er individually is 520.00 plus S .50 surcha~ge. -- * Sewer a~d water permits issued for new cons~ruction .ust be recorded on the buildin9 perm1~ cara at the time of issuance to insure that no dup11cate SeVer and ~ater permi~s are iS$ued. DATE PArD r' PAID WITH I DUILUIJ~U ~t:HMIT ~ AKOUN'T PAIl;> REC.D BY RECEIPT # _ 16200 Eagle Creek AV. S.E_. Prior Lake. Minnesota S537'l1 Ph, (612) 447-4230 I FAX (612) 447-4245 J\.n Equal OprorUlnily Eniploy"r I4J 003 iQOOl 0... Date. o z: Fuel N~\. ~ H CI o ~ I- W E Supply Openings ~ Return Openings V\ lnput 8'i> . Q\) \) OUtput.t t ~ Edr. . Cfm_. \\sa ,...__._p_;;' -~~..:- ~... :.. _~.--::~__:_, ~..?~_.~yTt:; ..~ -. ~ - " -.: . .. TYPE OF SYSTEM ./ Warm Air Plants ./\J Gravity Mechanical Air Condhioning Vent. System HEAnNGORPOWERPUNT Steam Hot Watar Radiation Special Del/ices Olhar Devices E 0... ..-I N Alterations TYPE OF WORK Replacement. New Construction X ..:. r~~~-~~',:.",~~,,:,,~.~~ '--:r::-;: ,:,,:~,J_!T~""~~c~'1':-'~:--~:-" , . ....,... _' ',,";o;'~ 7 . ," '~4i "'~ " -'" ~. ~. ,-->,' , . -., . : :-,::~1~3:"~_ ': ~~~~~-=-~"-..t~-'<-':- . ~'~-~~~~.' -., ~ ." .- _: .-:~' ~-'~ ... ..~.. . :uCrrYOFPRlOiHAKE . . ..'. , t ~~~ ': . : .., . 1~ Eagle ~reek Av. S.E.. P~rmit No. qq - r70 ': . -.. '.,,' ,. PnorLake..MN55372. . . ..-I :\: :,'~. '. ;":- HI;~l1.N,GA~U~~~O~,lPER~IT S - ~ -'\ ~ "' PlOt 2.5'-335-001-0 to Site Address c; S- S- ~ -\:\ \ ,~ ~ 0; ,,1- C+, ..-I .' Lot I . Block I Addbicn CA~/;t/At, t</~e; 57lf AOON. Ovm~r's Name L ~ 'tV\. f\l'~ S Address ::) ~'" '-\ N ~ ' '6\o!h- ~ -' ~ Heal1ng Contractor . ~ CL-\r() . .{\ ~,... ~f) ( · Address. \\o'"\~~ \N\\'~.~N-1\VL- ~('\O("'liAm.1 Telephone' . "" ~ -, - '6 \ ~ \.\ Furnace Make &. Modele .P. rr~ ~V"" Mldel SfZ8 . f'{\. \f - ~ () Conn. toad S ~ " \\ II Flue Size S ..-I (]'I (]'I (]'I ..-I R&pair Esl. Comp. Date . Est. C061$ ~ ~ (:) 0 ~ Building Permit". qq ..-/7 J (T) HEA TlOO PERM IT FEE $ STATE SURCHARGE , TOTAl PERMIT FEES $ )- CI E .50 r .-- PAID WITH '""', , BUILDING PERMIT Receipt fI ~ .-- "_0 "'1; '.~ '\ ,> .: .l':.~ ~,~: '''',.. 2. Gra:c - , City 1. Ydl<II'I . Coatnc1Dr TYPE 'OF STRUCTURE Single Family . . Commercial x Two-Family [naustrial Public Multi-Family Other FeEt Schedule Industrial, Commercial & Mulll-Family Residential, Heating & A.C . Residentia~ Heating Only Residential, Gas Rreplace R8$idential, Additions &. Alterations Residential, AC Only 1 % 01 job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 '39.50 Remember 10 add the State Surcharg& on the bottom of this applfcalion. The price of your heating permit Includes one Tough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with ~uildino n.ermit number before build- ing .certificate of occupancy will be issued. HEAT CALCULAT[ONS REQUIRED wilh number o' supply and return openings listed per room with CFM's per o~ning. New struc~res or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAVMENT AND APPLICATIONS MAY BE MAILED TO THE CITY.OF PRiOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372.. City Hall business hours are 6 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FlNAl) - CALL CITY HALL 447-4230 I hereby apply for a mechanical systems permit and I acknowledge that the inlormalion above IS complete 3nd accurate; thalthe work will be in conformance with lhe ordinances and codes 01 the cily and with the stale building/mechanical codes; that this form does not become a pelmit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the "Vf\11 work which '~ros review and opprovBI of S~s~ _ ~ '1 ~S. · . 1>/;~q ljUlldtmdOflical'lI Sillltlawre . Date CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: 5a.hz.r<t:\ ~\urt\b\,""q Address: ~ ~OO Ad nOon (l iide Sf. Signature: ~~Jo. Legal DesCrl~IO~ Lot ' I Block I Sub-.C..A&OI N AL (2J D~ Site Address: 555?\ }-\fahoojn4 (I +. 5TH ADDN. Building Permit # q q - l[oJ r - - PIO # 2...'5- 335 - 00 l- 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS TIW e..... ar .... I..... c_...., (f'/" C-- ~o~~ Quantity Type of Fixture Quantity I Bath Tub with or without shower J I Dishwasher I I Floor Drain :J- Lavatory (bathroom sink) I I Laundry Tray (' 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 GAAND TOTAL I. Blue 2. Galli 3. Yellow Ill.... City AppIi- # QQ-170 Phone: 447-1073<1 \'rior La~ rnu '5532. Type of Fixture Rough-ins Water Heater Water $oftner Stand Pipe (washing machine) sewage Ejector Backflow Assembly (RPZ, Double Check. PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ $ .50 $ nus pennit is gl'antcd upon the e~pl'CSS condition Ihat Slid contraclor. shall comply in all r.pccu with th~ ordinances of the State Plumbing Code and the am,"dm~ts thereof, _ -I ~#;m. A;1Z-.7 r:,q DATE ~ ATTEST Call for all inspections 24 hours in advance. PAID WITH -, ) l BUILDING PERMIT 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 65S-3 I-JI-f I)~,J-- c.t-~ NATURE OF WORK 1\J~ r_r\LA..~' USE OF BUILDING Sr:-D PERMIT NO. q '1-( 7 0 DATE ISSUED CONTRACTOR ~ ~ tt-\ ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I ~CTOR I FOUNDATION (Prior to Backfill) I \j (2-\-*- I 4 /~ ~q PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC/,? 1(-12 - 9:~ .. FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~-18-C('r DATE FOOTING 13 -Z<'D. tf'( '1 5 -\5--~' 5'"'- } ~-"J~ TS v . ,5. .\.h -l+ \ Y.-u4G r-~ ~.y-0j1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FI~~LS ~1 ulz#~ lo-{~-17 ,.. ~.D -~. 1-~--9c; \\ (ii)';,,) ,\) I "l' .~, f K ~...L)9 OCCUpy UNTIL ABOV HAS BEEN SIGNED NOTICE GRADING (Prior to Soddin~) BUILDING '\to. ~~, ~q-,-~,\ ELECTRICAL PLUMBING HEATING DO NOT (p -J 1-2J~ ~ This card must be posted near an electrical service cabinet prior to rough-in inspections C!nd 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 (612) 447-9850