HomeMy WebLinkAboutBuilding Permit 99-0368
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OJ'S HEATING & AIR CONDITIONING, INC.
HOUSE HEATING TEST RECORD
Permit No.
, , t
owner.\i',' " ,;.., ,"',
.
.,.. .)t
Address I: I :3 ''if
i-::}
I ~",::..,
~I - 'i, i
~>""'l,,'1
. ,
Installed Bv
P::
GAS DESIGNED UNIT
Make/Ii fy" ,
Model.(, it
v'
I,' 1" i\
'-. - "
Serial I
./ ! (- c.:, ; ,,--' .;.; c'
Rated Input
-1/',
,:' I,..
~~'.,)
TEST
pilot Timing
-,
Limit setting')
Pressure '-~
Percent CO.
(~ "-(
Input CFH
Percent 0..
""-"", f"
Stack Temp ";.,,
Percent co_
Heat Anticipator Settina I
Date Tested
.-
Name of Tester
~~";-IfP,;:';--t,>'f;F,~ :'~'~:~'~!f\:\"~'~~_~~~_~4<-:~~~ '~;' ~~'?"~ . -It'.
f,._~t,,:::jf~~;~~",...
ADDRESS
/"7/..38
DATE TIME
SCHEDULED ~ 2.: cJO
PII&15"rlNr /'1EI7WtAl
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q9-3ft:;8
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
11 0 MECHANICAL
r:. ~WATER HOOKUP
SEWER HOOKUP
P. 0 SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLANO
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
CO;;~TS: Uu
A{) 'PI/(,.,
III ~\r- lL ~
N.:J U ~
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Inspector: Owner/Contr:
CALL 44b HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
SCHEDULED
~ ~"w
TIME
,.aft LAKE
INSPECTION NOTICE
10: fit)
ADDRESS 11/38 Ph.~n+
M~dtl.nu1 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'lq - ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI ..
o MECH RI.,' ~
~WATER HOOKUP
o EWER HOOKUP
MBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-LL. ~ ~ /r2.-
r~
~/h1,
VI
f -<VA
~-
--
QfwJ.-v~
f)
.-/kY ~/7
1-0
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~ TISFACTORY,4;~ED
o CORRE ACTIO ND~~JEE
o CORREC I ALL F9R- EINSPECTION BEFORE COVERING
---
Inspector: I Owner/Contr:
cALL. 44t9850 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE.
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Il \ ~8 ~AM"" M~O-.J
PERMIT NO. '1 or .- 3 ~23
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~
FINAL ,It
~SITE I CTION
CONTR.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL ""'"
-, ~ J I ""'0'
I
11. -....
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ,
t. t::N"GvJ'~..l~. ~L6N~
2. ~~ r^-^-=> p~ "S:;( (J:yUCf::)tFr;::
~~ S@D IS}kX[ N .
/'
(~O_ b/r
I
l ~tvtP v
t
100
I
o WORK SATISFACTORY, PROCEED
Asl90RRECT AC D PROCEED
o CORRECT 0 , LL FOR REINSPECTION BEFORE COVERING
Inspector:
..
Owner/Contr:
I I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
qCl"'~l
~ n~/~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
APR I 5 III)
CJ9-3fRl
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
t}(,s(qq
1Z1-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width), (Depth),
;2 oJ. ' ~-g f...J.L
12. NO. OF STORIES
J
2. SITE ADDRESS /J
17 J 3 ~ T/.UAS!A-H.T" ~AOOu.>
3. LEGAL DESCRIPTION
LOT !:5
ADDITION ~~A-9 ANT M.I2 A lQ en. \..00
LA~ . <::.. v....
PID 25-3C17-()I67-cJ
- a..~ P~AJ~
~
BLOCK
13. TYPE OF CONSTRUCTION
F=""-""A t-'1 -e D
14. FLOOR AREA APPORTIONMENT USE
r.
I ;:2S () 1::1
4. OWNER (Name)
S~
5. ARCHITECT (Name)
4r1.~ lTee. T i.( -<A<... 0 ~S , Go t'-l
6. BUILDER (Name)
(Address)
(Tel. No.)
(Address) (Tel. No.)
- Lu(~C'ON'gtN /-1~-7IS-3/1<""
(Address) (Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~ I AI fi:, t-{!.. F,<J-I-1' '--f
OCCUPANTS-A, . AC-uo D
a/~~~3 -"'Lz..\l..~
1,0, Ll.1 ^ k.J O-t U<A-OI' 1--(~t!(V . L . L . C
,
I>k Iv..-P
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New constructiO~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc_ q 0 _ 0 <!:J 0 ....
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. 3, 0 ~~ Width 3" Depth 8 <f . Yes ~ '3'
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;'~~'mer or authorized agent for
the above ntioned pro 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
buildin can res permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform 7eded i ISpections.
X ~~t;.'~e_u D OOt',) I 3 ~~ t./- I~ gg
'Signill"UIe License No. , DaUt
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
,lFA
USE OF BUILDING
t ll. ()~C) .eX)
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM ~
Division 1 26)4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .~..................... $
City:
S U
e $""0 t(') Q)
/,()StJ .00
q'1".~~
., ~12. .41
55.50
Plan Check Fee ............................. :l",
State Surcharge ............................. $
Penalty ....................................... ,.
C/5", tJ(f
ICJo.O(J
100.(JO
35' .SO
L( 0 .tJO
Meter Horn ....e::z........................... $
Water Meter ..~........................... $
Sewer & Water Connection Fee ........... $ /, 2.00 . oC!
WaterTowerFee ........................... $ . r 100.t) tJ'
WaterTap ................................... $
Builder's Deposit ............................ $~m .1)0
Other ......................................... $___
Total Due .............................. $ /:f~ /,).,
Paid i3'S5 .lL Receipt No. '35l4Q
Issued
This is to certify that the request in the above application and accompanying documents is in accordance with the c~:;on2 :2a~~ may pr:~d as re~~hi! document when
sig~he City PI constitutes a temporary Certificate of zonin~m fiance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~ ~-1?
/'. ity nner --. Date Special Conditions ~ any
Plumbing Permit Fee ....................... $
~\44
6~Jt
I 25'": m
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
ThiStpP"~ Becqrnes Your Building Permit When ApJ?roved.
By ~ k" Date 3- ~- c;'f
Certificate of Occupancy
24 hour notice for all inspections 447-9850
t;:::."~'';j,''; ';;. ";';-~'7.,i:'~".~<t:n "!f!"'-"';.J'I",i.F")~~~~ \:',~. :':: "dr'~<('A;;~;;:"";::-"r~'";_-::~'r,;1i":';;'S-~~'-;:;"jlim'rl:;:;>;;;''''~:-~~'7.....-,- -~7~-:C---=-,"~-,<,?;;"~:;;;;;'-",-':""<\"r~..,,,,~'::';::,.:.',~~..---;--.....-;:,t\I~-~ """;'''''-'-'''i,,~-....~-.-r-'r'~-''"'7~;,'''--' - - ~''''\''''-".~''F:'-'''"w.'-'~,,";
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Th~ Ct'n't'r or 'ht' L.ke Coun.ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECK,"-IST
NAME OF APPLICANT
APPLICATION RECEIVED
\ \ I: j \' I \ t~ Ii',.
I ' . \., 1..... 1\ \ \ J
-! /, /. (',
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/13B PHEASANT M E-ADOW LN. I '5 V\J
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~
Date:
L1--z.. 7---*7
Comments:
/~CO~ t?:x.,~'&v~ ~~ Qe;MSJ~
~ ltie- ~ ~ ~O ~'il.~~,
"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."
qq- 3(0 ~
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of the t.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\N Ill\ AM S D 8/.
4- Its! q0
I I t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Il (~~ PtvaSlL4-+ rVLetld l1UJ (JJ sw
Accepted
;xC
Accepted With Corrections
Denied
C?J)iL,l
/
Date: (j-23-lY
Reviewed By:
Comments:
I. ~J d- -Y;~g. Fr- ~ f-~
2. S~~ EP #- 9/- 3'fo 7 ;;~ WCM..S;
~.
~~
,
SC);-u€..r-
"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."
GREEN - FILE
YELLOW - APPLICANT
GOLD - CIT'I
CITY OF PRIOR LAKE NO. S?~-~6~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: HI/JIJL ~Rf1IJE :::LAlc PHONE:61,;?-~~{)-IS-:?J
ADDRESS: jJ() EOX If) jJ/(IO/Z hlfK5 I11It1 DATE: .'i1~5199
SIGNATURE: ?.k~h q: /'!k-,td./~~ BLDG. P;RMI; # W;d~,f
SITE ADDRESS: /7/3t:? /flEAGMlT /lJEALt'J0 L/}AJlfID# 25-..34-7- {)/fe,-Q
FILL IN THE BLANKS
1. Estimated length of water service
;pO'
feet.
2. Size of water service
/
inch(es} .
3. Location of any couplings from structure ~
feet.
4 .
Type of sewer pipe. ABS PVC ~
Estimated length of sewer line ~~
Cast Iron
5.
feet.
6. Clean out (if required), located at
structure.
feet
from
==================================================================
This apPli1t!a. ecomes your permit when appr~ved. L
BY DATE : ~/2-.~ /'Cfc;
~ I
========== =======================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 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.
DATE PAID
AMOUNT PAID ..~,\~~_....\1:
~O 'IJ. ~'(\'\"!'-
REC' D BY?6\~G?
lQ\j\\'
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~"R~OJi
~ 0 <,. CITY OF PRIOR LAKE Me
N o~~ 18200 Eegl8 CreekAv. S.E. P.rmilNo. ~Q-3h8
0.. Prior Lake, MN 55372
E
cr
~ . . HEATING APPLlCAnON I PERMIT
~ Dale,t:=)- - \l-} - GJq PitH, zS - 3Li-1- 0/(,- a
~ Si18 Addre.. II \ '~~ ?h.eo.~o.C'\ 1- ~ L>.(,\L
.-l .
~ Let 5" Block Z- AddiUon pHeAS"AI'II7 /'1GA-ocw ;21'10
.-l '
:;;. Own.(sNameLJ. I/iGVY\\~ De.Ue..\oorY\U"\\- \ 'LLC.
m' "
E Addre88 I ~~~ ~a.vo..('"io." .<hO("L~ VC\vL-
Hewng ~nlfeclo' ,'D::S' 'S ~.t; nC,;\ ~ ~ C.
Add'.U.~f:D ~'1l)){ ~Vc...; ~\~c\J, \~- M\\) .:5~7.[:J\
ffi Telephone' -,)..I'f7 - ~~ \ .
~ Furnace Make & Model A~O\ PD % TYPE OF SYSTEM
~ G Wllm Air Plant.
~ Mode'SI1I: Vle070 ~ -'(01000 Gf8\fIty.
IJ) "::2 C2 ') C 0... Mechanical
Conn. load ,. )( ~. .., - :J LJ A,' Co dit' .
. I ' ~Ir n IOnm~
o Filii .~'" i- . Flue-SfZ8 4 r, Vent. Syalem .
z
W Su I n..anings J 0 HEATING OR POWER PLANT
z PP Y "'t'- . Slaam
o ~ '
if Return Openings . :/ Hot Waler
/( L' C C) Radiation
Inputp'1, ()CX:) OU,tput,lJ_d-.()O Speciel ~vices.
Edr.
elm.,
.
Othe, Devices
TYPE OF WORK
x
Al\e'alionl .
, Replacement New Consl NellDn
~ Repair. EsI. Comp, Date ,
z
.....
I- q9-368
cr Est. Cost $ BuUdln~ Perm.' ,
W
I KEATING PERMIT FEE S 64 60
(j) =--
~ PAID WITH
"
0 STATE SURCHARGE $ .50 lBUILDING PERMIT
TOT At PERMIT FEES S 65 Doc:>
E ,...-- Rece..t , .
0 -.
ct:
LL
rvPE OF STRUCTURE
~.....
L (l,ftft
3. Vel'"
.--
cu,
c....-
Single Familv
Commercial
Two.F9mily
Industrfal
'X
M\ltti.Fam~y
Olt1er
pubnc
Fee Schedule
Industrial, Ccmllnen;tal & Mulli-F9mn)'
ResldttnUal, Helling & AC
RasidenUal. Heating Only
Residential, Gas Fireplace
Residenlial, Addhions & AltaraOons
AesidenliBI, AC Omy
1 % ot job Q08\ ($39.50 minimum)
'99.50
'64.50
$39.60
$39.50
$39.50
Remember '0 add Ow Slat. Surcharge on tlle bottom ollhl. appltcation.
The price or your hea1ing permlllncludee one ,ouglWn and one rmallnspecUon.
Addilional inspections will be blRed at $35.00 each.
House Healing Tesl Record musl be submilled wllh lwliIiDg uanft.1WIDbIf beio..llUacl-
Ing ce rlilicate of occupancy will be issued. .
HFAT r.A' r:"',AY1(w.~ qF(lII'J:fI=~ wtlh number of supply and rewm openlngllsted per
room wi1h CFM'. per openinll. New slrocturll' or addiUol1lsend floor ptan wtlh euppty
end relurn loealions sllown. HEAT LOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE.. 18200 EAGLE
CREEK AVE. S. E. PRIOR lAKE, MN 55372.
elly Hall business hOur5 ar. a a.m. . 4:30 p.m. .
ALL WORK MUST BE lNSPECTED (ROUGH-lN AND FINAL) . CALL CITY HALL
441-4~O
I hereby apply ror "mechanical Iystems permit and I acknowledge thlt the
inform8\ion above 15 complele and 8ccu'ale; ntallhe worll wm be In conformance
wilh the ordinances end code. of tbe clly and wllh 'tie &,.t8 bulleAng/mechanlcal
codes; 'hat this fgrm does nol become a permU until ~lJned by Ihe BUILDING
OFFICIAL; Ihat the work will be In accordanca wUh the .pproved plan In lhe
cas. 01 all work which require. review and approval of plan..
~~~~~ 5~)4~qc,
. Ap~lunrw'Z!'"~ . .~. Del,
~)~ 5//~!.,:,
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~~~
~ ~ HEATING APPLICATION I PERMJT
~Il.t=) - \~ - Cfq PID" 25-347-"/(;;,-0
~i.Add,.ulll ~~ ?~P\<.o.f'.-\- ~w 'l~('\~
..-l
~:lt S- BkM:k. 2- Adcfldon PN€ASAN"T MF.;}'lOOW 2^,1?
twn.'" Nlm..LJ I ) I i am \< Dwt... \0 0 (Y\~ \-, . L L C_
E ' '
dd".. I ~ ~~ 'Y,O'vQ..ci/....f'\ .<hO('ft) Q('\vL
ellting ~ac:tGr 'D:s'"") \-\t.P\ -t; t'\CA ~ ~ 1 c...
ctd,... .~ ~D1U){ ~\lt...; ~\'hC'r\ u~ \ "'. M"" ~~ ~ \
rn alephone , . .)..1",- ~~ \ .
~ :wnac:e Make . Mod.l ~ -t - N .GI 0
IJ) ,
~~dIlSlze 5L6'50--rP..
..-l
l.D
.. :Onn. Load
CITY OF PRIOR LAKE Me
18200 Eegle er.ek Av. S.E. Permi' No.
Prtor Lake, MN 55372
ci ;uel
z
~ iupply OpenlnQS
o
if ~_lurn OplNlings
Flu_ Size
nput.
:dr.
0u1pU1
~m.
TYPE OF WORK
I\herlllionl
Replacenient
~
~ Repafr _
t-
a:
w Eat. Colt $
I .
!f1 HEATING PERMIT FEE $ ..:S 9
t-,
Q
.. STATE SURCHARGE $
EjTOTAl PERMIT fEES S J-Io
0:::
LL
Esl. Comp. On
BuMdlng Perml .
~
.50
CJ'O
--
Q9--3(Pf;
TYPE OF SVstEM
Warm Adr Plents
Gmtty
Mecltaricel .
ATr Conditioning
Vent. System
HEATlNG OR POWER PLANT
Sleam
HoI Waler
AldieUon
Speciel Devices
Other Davlc..
New Construction
x
99-.3~8
PAID WITH
lBUILDING PERMIT
R~'
TYPE OF STRUCTURE
t. ..... . ...
1. 0.... . 01,
3-YeGG. . ~
Single Family
Commercial
Two-Family
Indullrial
'X
Mulll.Famlly
Olhlf
P\lblic
Fe. Schedule
Industrial, CommeJdal & Mulli.FemNy
RealdenUal, Heating l AC
RtsldenUaf. Healing Only
Residential, Gas FIreplace
Residential. Addilions & Alleraliona
Residential, A.C Only
I % of Job coat (hfJ.60 mlnlnunJ
199.60
SG4.60
139.&0
139.&0
$39.&0
Remember to add 1he S1ale Surcharge on the bcltlom at lhll application.
The pric. 01 your helUng permit Indudee one rough.1n end one llnallnlpecllon.
Addilional inspections wDI be bUild at $36.00 BaCh.
House Heatin; Te1 Rtcold must be submllted with JwlIdiDg aI.DDIl DWDbIr ber", bulet.
Ing C8ltlncat, ot occupency will be Issued.
HFAT r.A' rA 'I A'Tln"l;,~ ,,-='" t'''F'' with number of aupptv and return open!np OIled per
room wilh CFM'I per opening. New I1ruclurel or addl60na ...d Roor plen with aupply
and rllum 1~llonl shown. HEAT LOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall buslnetS hours are 8 ..m. . 4;30 p.m, .
ALl WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CAll CITY HALL
447-4230
I hereby apply tor 8 mechanica' systems permit and I acknowledg. thlt the
Inhumation sboV1l ls complvte and accurate; thai the worf( will be In COftlormlnce
wl1h lhe ord+nance. and codel of the efty and with the .'ate bulldinDfmechlnlcal
codes; 'halthis 'orm dOli no1 become. permit unmelvned by the BUILDING
OFFI~IAL: that the work will be In accordance with the approved plan In the
caa. of all work which requ1r.. review end approval 01 pren..
~ ~ .,,_ ~ 5- J-f.1-99
// ~ ^fIrnt'8 at, - 5 b;',%q
~cIhti c IC8 . Om.
qq - 3Cc~
Th. c..,.. or Ch. La'" Co..cry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PelMIT APPLICATION DEPARTMENT CHECKLIst
NAME OF APPLICANT
APPLICATION RECEIVED
V~IUJAtv\S DEV.
4/lS/qc7
( I '
. The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/3K PJKi4~IINTtf1EAPDuJ LA.)
Accepted
./
Accepted With Corrections
Denied
Reviewed By:
It. r€.
Y\ lJl#- '- It' _
Date: 4/36/f9-
f
'BcJ/U)t'l.ll.. ?€I(.r'(.rr :tf:; 99- S~ 7 (/7/3'1 f=:.1€ASJ4,.tr J11CII~
/JJF'oItrt1I4TtOA.) t7o"""'~_<. { J4rrI4C";M~.s_
EHf-;~MN
Comments: ..:sEE
LII->)
./
FeR.
"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."
8-16-99; 7:51AM;ELANDER MECHANICAL ;612 445 7487 # 1/ 2
02.126/98 TIIU 11: 38 FAl 6124474245 CITY OF PRIOR lAKE ~ 002
CITY OF PRIOR LAKE . I ~::f:<
1 y.... ~ .J
PLUMBING PERM" # t( r - 3~ y
AppI/clU1t 6'/0. VI. oI.t. "" /1( e. (!.- t..a h I &14' (Phone; 6 ~ 2. - f/ VJ-; ~~ 9 L
Add.~.....,. ~ Y / ~ 4..~tsJ..-'T. 1:>//P~ 5'""tJ ;41c--tJ##".F:,. ~,.J-
Signature: ~ ?(~~"- -
Lagal QeecriptJan: Lot 5 Black Z SUb PJ-IfjA$AAlT f1EY100~ ztiE
SiIB Address: /7/ f If /h",. ~ f" 4 .....-/ /Jfecu;/o~ .&"'" -!II'" ,e / .
BuildlngPennJt# 99- 308 PIO' 2S-3l.t-7 - o/(P-O
Nul c: ThiI pennitwill r1Ot..,. p". ...:.j lid wlthaut COItlp1ele i ,1., "alian_
FIXTURE UNrrS
7IIor c..... .. ...... e-
Quan1JIy
I
f
I
z..
I
f
I
Type gf rllClUre
Badt Tub wlIh arwilhold shower
Quantity
Type CJf F'1XtUt8
.3
I
Rough-ins
2..
DI8hw8sh.".
F1aar Dre'n
Lavery (battvaom..1e)
Uundry Tray (1 or 2 c:ompIUttnenl sink)
.1 s. ,1 Stall
I
I
I
WSIW Sannet
Stand Pipe (washing machine)
Sewage Ejec!cr J
Bt..J6"" A&&entif (APt. Double 0l8dl, PVB)
I B8ddIow Assembly Test
I . Lawn Sprinlder
I other
Water H_ter'
SInks
Bar Sink
Water CIas8t (ta118l)
PEE SCHf!DUl..E
In<<IstriaI, Commercial & Multi-Farnll)<
(1.. at jab c:ast, $39.50 minimum)
Residenliral, New One. T.., Family
(AesJdenlial, AcId1110ns & AlteraliClns
" SI_ $un:hlll98
189.50
$3IUO
$
$
s
.50
$
, ~\N\1'H \\
GRAND TOTAC , P f). PERM
'\" aU\\..: ~.
'J1Ii. p:rmit is IJMW IIp3D thIS- '_.._. asndidolt dIu_
.. ,,' ... r:IDr. 5l1III1 campi) illlIIl '''',' "" wida die lIIlIiaaa.:ra
...._"~--..-
- ....f!Jft7/9t:f. DATE
-"2 A.uu.
Call for all~5pcQiOns 24 boun in ad'IlUICII:.
~.E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
AD Equal Oppol'lWlir:y Employee
. . _..... "",-,"';":.-o-".~......._ _~ __
'PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1'71 ~ ~\,.,~ 1'-\Q~ k I
NATURE OF WORK New Cavtg\-ruc~\d'v\
USE OF BUILDING -':~J SrA
PERMIT NO. 91- ~ Co~ DATE ISSUED (.t-J.3-9cr
CONTRACTOR L. ) II \ iu-....s ~o-fJ-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
- - ,
I FOOTING ~ 6'~ _ I I
FOUNDATION (Prior io Backfill) ~ 41;)~/"1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /;:':!; J -/,:t /t( 1 J
FRAMING ,7 /
INSULATION MI)4( Y 111 R7fO-f . '/ ~tUi .
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST
--
\ ~ -~7jqq
I tJ/ t~ k;4
(
(2P ~~j~1
V (J) 8';)-//99
.(1/~;' .13ft.,
~ wI:;-;),,,
v
ER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) IN 6 CI!lcf 160 I I
BUILDING TC/YII' C Q. To ~j/tb I'f;/zk..<:~ ,e,J. t,/t/" I
I
ELECTRICAL
PLUMBING
HEATING
DO NOT
(JJ Z//!d()
, ~).J. 2.A~ /0
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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 (612) 447-9850