HomeMy WebLinkAboutBuilding Permit 99-0448
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4Bfo5
4,btrd
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
UiECH RI
WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
ls""l-z.41 -I6;L
\V.3u
ctC1- 448
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ArSs ~. fJJc ~ ~ ~.L...QiI#y
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fJ~~.tA~ ~ III w~.a: - ~ 'f~~
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Inspector:
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
~\
OwnerJContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
Cj{;;J~ TIME
CITY OF PRIOR LAKE lo:-~
INSPECTION NOTICE SCHEDULED
ADDRESS ~5"5 14~LN-d TIL
OWNER CONTR.
PHONE NO. PERMIT NO. qq-~4e
o PLUMBING RI
o MECH RI
o WATER HOOKUP
It ~EWER HOOKUP
PLUMBING FINAL
A MECH FINAL
~t10 ~ ~ tS ole.....
(0 ~ r~ ~kc.~c~
(1) ~4J ~ -\Vc.~s y~
(~&05>~l.)/' Cu~ ~
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1. ~""--b t' -h-c..f _Ac.e-<. ss
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(;~~ ~ 0 b -h. +- hs v.Q ':Al::;~
~,OO WN\46\V w.. tl'( '.&1- -- :
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o FOOTING
o FOUNDATION
o FRAMING
_9tINSULATIO~.
pY FINAL ,.......
o SITE INSPECTION
COMMENTS:
flloo
ov....-
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
f
oV'--
)
/.
o WORK SATISFACTORY, PROCEED
M~::~CT ACTION AND PROC
I/.~ECT WnALL R_ REINSPECTION BEFORE
Inspector: \.~ ,),~VII'"
CALL 447-9 '0 E NEX~ INSPECTION 24 HOURS IN ADVANCE..
CODE REQU E ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE _ r~T' . . 4r
INSPECTION NOTICE SCHEDULED W ~
ADDRESS 45"~ t-l~f;'..-d.. .
OWNER CONTR.
PHONE NO.
PERMIT NO.
'1<1... 448
o FOOTING
o FOUNDATION
o FRAMING 1!)
..9- ~SULA TION
~INAL
o SITE INSPECTIO
COMMENTS: ~O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
. ~
~ J~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CbM./L ~ ~ ~ ~ .(2-)
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~WORK SATISFACTORY, PROCEED
I 0 v CORRECT ACTION AND PROCEED
o CORRECT WO~L FOR REINSPECTION BEFORE COVERING
Inspector: . ~ Owner/Contr:
J (
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
APR 2. 8 ~ TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE +sSlo5
fjU~~R.4JL
:2
'3~ tLtL ~
3. LEGAL DESCRIPTION
I
ADDITION }< Y) () b
4. OWNER (Name)
B~J / A~de""501'l }hrrt~~
5. ARCHITECt (Name)
LOT
6. BUILDER
(Name)
BLOCK
tt-JJ
f3~1 /,4.tJ/erSt:7n 1bh"1@ S
7. IYPE OF WORK
New Constructio~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. /3,<}Qr
1. DATE
'-fIU/ r9
1<...1
PID 25-.344- (';07-(")
(Address)
Jlh ("" tJ/'JIt!'"doAe ~~
(Address)
(Address)
(Tel. No.)
C J 2-111 ~77:l3 D
(Tel. No.)
(Tel. No.)
Fireplace 0
Alterations 0
J Ib Co~ /p5bn e4.n e. b I) -cz.?f;B'~.236
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq- L.J..L+EL
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H~ht) (Widlh)
7-1 I.... 5
12. NO. OF STORIES
817 ~L-
13. TYPE OF CONSTRUCTION
SF!?
14. FLOOR AREA APPORTIONMENT USE
(Depth25l/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
-
16. PROJECT COSTNALUE
~~-
17. cm;)~V/r9
I hereby certify~hat 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 o~ner or authorized agent for
ed proper!Y and that all construction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I am aware that the
n r.evoke permit for just 1e. Furthermore, I hereby agree that the city official or a 1f'3N> y enter upon the property to P~26ir9tions.
Signature License No. 'bate
x
9. PROPERTY DIMENSIONS
Width JrrflJ1 Depth
Yes
10. CULVERT SIZE
No V
SETBACKS: Required
Actual
Front
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
5FD
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :;? ~ l".) C'c:> .00
TYPE OF CONSTRUCTION: I II III IV ( I{)
Occupancy Group A B E F A I-M----ft:. S U
Division 1 fW4 t'] ~
Permit Fee ................................... $ I. ~ .
') 0 I . 1'2--
[00.0(:)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
CifY:
I 00 . CO
JO~ - 00
35""". so
tit} . C) 0'
L fAC\.
~C;~
Gas Fireplace Permit ....................... $
ecomes Jur Building Permit When App~~d.
~ Date t;-~-77
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Colleclive Street Fee ....................... $
Sewer Tap ................................... $
Il' $
Pressure Reducer .......................... $
Meter Hom ........( r........................ $
Waler MeIer ....t........................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
8;20. c;e
/ O~..or")_
7() . C) C!>
~.~ .~c)
I . '2 OC? . ex;
. 'loo .Dd
Water Tap ................................... $
Builder's Deposit ............................ $ I ( f.) C)n . CC
Other ......................................... $_ _ _.
Total Due .............................. $5[d~4. L/ L
Paid e z-e4. '"0/1 Receipt No. 3,,-/"71
Issued , /. e::::
Date sjl<!/lit:j By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed a requested. This document when
signed~lal\l1er constitutes a temporary Certificate of Zoni'J9 compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
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- City Planner ' - Date Special Conditions ff any
24 hour notice for all inspections 447-9850
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CITY OF PRIOR LAKE Me
1620D Eagle Creek Av. S.E. Permil No. qq - i.P.f8
Prior Ub. MN 55372
CD
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HEATING APPLlCA110N I PERMIT
Dale 2- /7- 99 PIO, 2.5#34'9- 007-0
5~t Address. 1/5&5 #Uh71Uf' r'~ h,'rt/ ~ttt.," / ~ I
>J"
LoI I Block I Addilion KNOB HIf.A.., 3~ /JODN.
rL?~c// 4nck~J~ A6~
Own.r"s N8lYlt
Address
HtalingConlradDr _ ()~U~ ~C./A~.J~- / ~-k:ck
/tf..?JR Vl'~~'&..- ~ .;O;?''),)o-~
4'Qa-9'u3/
Furnace Make &. Modt'- ~ TYPE OF SYSTEM
,/ / - A Warm Air Planls
Model Size /, ~ (J'Zn) .!::> TU.- Gravity
Mechanical
Air CondHioning
Vent. System
Addle55
Telephone .
::i.
c:
.,-4
.....
L
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en
L
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o
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III
c:
o
C!
CoIln. Load
FUll /1,6, ,
Au. Size
HEAllHG OA POWER PLANT
Sleam
Hol WaJIer
Radialion
Special Oevius
Supply Openings
Rllurn Openin;s
Inpul OUIPUI.
Edr.
-
OIher Devices
elm.
TYPE OF WORK
~
AIIeralions
. Replacement New ConstruC1ion
. Esl. ~mp. Date _
Repair
Est, Cost $
HEATING PERMIT FEE $
Bu~ding Perml' _
qq-L/tf8
I,
~ p~\O wrn-\
Rece~fl\\.O\NG PEfltA1'
STATE SURCHARGE $
TOTAl. PERMIT FEES $
.50
TYPE OF STRUCTURE
I. PIal
1. ClnlI:.
J. ve>>-
File
Qr,
Coaontilll
Single Family
Commercial
Two-Family
Industrial
Mulli-Family
Public, Olher
Fee Schedule
Industrial. Commercial II. MlJhi.Family
ResideAliaI, Healing & N:.
Residenlal, Healing OnlV
Residen.", GIS FIreplace
Residential, Additions & ,,"_..lions
Residenlial, AC Only
1% 01 job cosl (S39.5D minimum)
S99.S0
$64.50
$39.50
139.50
$39.50
Remember to Idd the Slale Surcharge on I~ botlom 01 this application.
The price 01 your heating permit includes one rough-in and one final inspec1ion.
Addilion~ inspections wll be biKed at S3S.00 each.
Houu HealingTesI Record musl be subll1ifted wilh buildina oA/'mil number belore build-
ing cerlliC8te 01 occupancy wiN b. issued.
r
..
..
..
c:
HF-AT r.AI r.lJIAT'ON~ RFOlllRFD with number 01 supply and return openings listed per .,
room with CFM's per opening. New stNCtures or additions send "oar plan with supply
and letum localions shown. HEAT lOSS CAlCU~TIONS. PAVMENT ANO
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 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
U7-9t5lJ
I hereby apply for a mechanical systems permit and I acknowledge I"allhe
informalion above is complete and accurale; 'hal the work wi. be in conlormance
with Ihe ordinances and codes 0' the city and with lhe stale buildinglmechanic.1
codes; that this 'orm does nol become a permit until signed bV the BUILDING
OFFICIAL; that Ihe work will be in accordlU1ce with Ihe approved plan in Ihe
case 01 all work which requires review and approval 0' plans.
.,
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,5-/7-71
Dale '
8//;jq9
Dare
IS
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Building Offical.s Signalure
Ronald Joseph Schlink
612-440-8618
p. 1
05/06:99 THt' 11: 01 f..U 612HH2~5
CITY OF PR lOR L.o\KE
ill 001
--.---
"If 'rnrr. ft' Ur 1...., (.....H~
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: c:.5o~~ ~L hZlc",lu:c...,~ 'c: "....1. Phone:_
Address: / '" ~~/ J? V-!.~&_; '- Q.,. y.....-t!' fc
Signature: /7CJi',,...,~ ~~
v .-
Legal Description: Lot / Block I Sub...J!{.lLO...lJJ:fJ..f.d... 3 f?;;J?
Site Address: ~ ~ #L< 1"7?h-L,'-'-( 6~~ /~ .. J - / R.. /
Building Permit # qq- if'-lr5 - PID" 25-3t.fCJ- 007-~
NOTE; This permit will not be processed without complete information.
FIXTURE UNITS
Blue:
Oold
Y~lIo~
File
ell>
^Pp1.tCVlI
#4
qq-~t1P;
f!yt? - ?~3/
/h~ _ L---.e.e
Quantity Type 01 Fllllure Quantity
-3 Balh Tub with or without shower /
/ Dishwasher /
I Floor Drain
~ Lavatory (bathroom sink) I
/ laundry Tray (1 oa.tompartment sink)
dl Shower Slall
I Sinks
Bar Sink
/7' Water Closet (Ioilet)
Type of Fixture
Rough-Ins
Water Heater
Water Sonner
Stand Pipe (waShing machine)
Sewage Ejector
Backflow Assembly (RPl. Double Checlc. PVB)
Baclcflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commerciat & Multi-Family
(1% of job cost. $39.50 mInimum)
Residential, New One & Two Family
Residential, Addillons & Alterations
$99.50
$3950
$
S
$
:5
.50
Slate Surcharge
GAAND TOTAL "AID WITH-' .
BUILDING PERMIT :
A
Call for all' spcclions 24 hour!' in advance:.
16200 Eagle Creek Av. S.E., Prior Lake, Minnc.~OIa 55372 / Ph. (612) 447-42JO / FAX (612) 447-4245
An Equal Opporlunily Employ~r
C/C1-4-4-S
Th. C.nl.. of lh. Lab Co....,.
White - Buildi!19
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
BRAN DL.. / I-\N DER.SC::(~
4-/03/ qq
J /
APPLICATiON RECEIVED
.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~
4-.S {;;; 5
HU/,-,'j fvlll\Jeq F31 KG . l RAI L-
".
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: jJAL. ilA.. f.~.U.€.r;."'AAlAJ
. Date: .5/" /'1'
. .
Comments: LNof=~ Mus,
,
BE C""MJ~ 70 IJJ.')lJ ALoN(J DAt'1IA.Jfr.E f
UTI '- ,TV
f:AsEME:.u~ It's 1'1uu-f As P~/C,.,c.I1L.
D,Q'~c!w~.r1of()<:r AJo"-
Ekf E.~ ZI./--' ~ rl'#€. ?ItOP~n-' L".,JE.
~~f:.IIolFdIt.M.AT1eo..J DIU R~uf.Q.~f;. ~
~ A-rTAoiM€~ ~ ,- hNAc... ~n,q01=" /,.J.-.PEc.TtalV INf"cl\'l'-tIlr-&N Z. GtAO,~
RA.u
3. CR.DSIOAl (1 ~rt 01_ ttlF-A.5ua.EC::
q.. &a; II;"..) C"~T~L R A^-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."
QC)-l..J4B
Tht' Cf'ntf'f or Ihe L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
BRANDl-/ AND~R.SON
k/ z8/ qq
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-5~5 ~UH (VI 1N9 81 R..O ' I RAI L-
Accepted
Accepted With Corrections --<-
Comments:
Denied n rI/ tl
Reviewed By: ~ ~
)'
l.~~~
Date: ~- ~ - ~ 't
"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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Thf Cfnlfr or Ihe Like Counlry
White - Building
Canary - Engineering
Pink - Planning
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:
i
\..~.. "'...
"
( ,. j i.
-.'-"
r \ ! i _._.___
Accepted
v
Accepted With Corrections
Denied
~iAro~
Date:
u -- ?O/tl~
. .
Reviewed By:
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 alW 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."
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permil No. CJq- #8
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale .~.3 c.;C;' PID#.25-3W-(J07-0
. / ~c:::: ~ J :t' - ,.f!. /
Slle Address y~c.;, <) 17 i.fA1tAU~.:' . /.., ,(-
lol I Block 2- Addilion..K' 13 #/(... (.... SIe.O
Owner's Nam~ tiA..-k.f ;;~..t'~1},L
. -r-
Address
'-fealing Contraclor ~LL TED F IRES IDE d ha FIRES IDE CORNER
Address 2700 N, FAIRVIEW. ROSEVILLE. MN 55113
Telephone' , 65 1 - 6 33 - 2561
FIREPLACE j J
1Mlw!,\9 Make & Model /fCu..f ;..-i (;,[::;
Model Size 5L I s.7J
Conn. Load
Fuel rzKI
TYPE OF SYSTEM
Warm Air Planls
Gravily,
Mechanical
Air Conditioning .
Ven\. System _
Flue Size
Supply Opllnings
Relurn Openings
Inpul Outpul d.3DD.)
Edr.
HEA TING OR POWER PLANT
Sleam
Hot Waler
Radiation .
Special Devices
Other Devices
ClIO.,
TYPE OF WORK
ANerations
)(
. nllpfacement,
New Conslruction
Repair
Est Cosl $
. Est Comp. Dale . X- (;.1 'j
J IOo.lP Building Perm~ 1# qq - J./.t/-~
fIIltPAlD WITH
BUILDING PERMIT
HEATING PERMIT FEE $
STATE SURCHAnGE $
.50
TOTAL PERMIT FEES $
Receipl II ,
TYPE OF STRUCTURE
)>
1:~.........,);'~~_'" S
1. Gr.-r" ClI, I
l. Yella.. . CO....CIOl 0
W
I
\0
\0
o
en
Single Family
Commercial
Two-Family
Industrial
Multi-Family .
Public
Olf1er
Fee Schedule
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Vl
Induslrial, Commercial & Multi.Family
nesidential. Healing & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential. Addilions & Alteralions
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Remember to add Ihe State Surcharge on the bollom of this application.
The price 01 your heating permil includes one rough-in and one final inspection,
Addilional inspections will be billed at $35.00 each.
House Healing Tesl Rccord musl be submilled with building Dermil number be'ore build-
ing certilicate 0' occupancy will be issued.
tlfAI .QAlC;ULATlONS REQUIREQ witb number 0' supply and return openings listed PE
room with CFM's per opening. New structures or additions send 1I00r plan with supply
and relurn locations 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.
en
U1
....
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
en
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Ol
Ol
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I hereby apply 'or a mechanical systems permit and I acknowledge Ihatthe
inlormalion above is complele and accurate; thai the work will be in conformance
with Ihe ordinances and codes of the city and with the stale building/mechanical
codes; lhat this form does not become a permit unlil signed by the BUILDING
OFFICIAL; Ihat tile work will be in accordance with the approved plan ill the
case of all work which requires review and approval of plans.
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- lfuild.ng Unital S 6I!1/J<liult:l --~
jfJ/7f
/ ' Dale
S/3!Q9
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'flllOW. APPUUtn
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO. 99....~
Sawer and Wator
contractors must
be registered
with the City.
APPLICANT: ui RCtD r~'~ PHONE:~~4117S.
- .-J IS
ADDRESS: ~~ '~I-~ ...If' DATE'_ 'J-"-~' .
SlGNATunB:~ BLDG. PERMIT #__~9-~
SITE ADDI~ESS:~~W\.",bit4 1Ja;l PIO# 2.5"'3+'}- (!-,)7-:-0
FILL IN THE BLANKS I
1. Estimated length of water service ~j feet.
2.
Size of water service
I
1nch(es) .
7
feet.
3.
Location ot any couplings from 6tr~
Type of. sewer pipe. ADS PVC Cast Iron__._
Estimated length of sewer line_ ~&' feet.
4 .
5.
6. Clean out (if required), located at
structure.
feet
from
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This ap~be'1~QUr permit wilen approved.
BY _ ~ .___ DATE: __-::t/0111J_~_
~==~====~=~~=====~=~~~~~=~=~~=~=~~~~~~~=~~=~~;=~~~====~~=~~~~~c=~~
FEES: $ 35.00 Sewer and water line connection permit.
$~~~ Surcharge
$ ~~S.S'"bOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
..
Sewer and water permits issued for new construction must be
rec?rded on the building pormit card at the time of ~ssuance
~o lnsure that no duplicate sewer and water permlts are
lssued.
DATE PAID
AMOUNT PA?"" ~~ 1
REe'D BY .1 e\l\\.l ,~_., .___
RECEIPT #
~6200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-414$
An Equal OpPQflunily Employer
--....--.,....-'
(p~
~~
eX?
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
f- .
SITE ADDRESS ~~ H UVV\\,v\1 V\.s.\.o~r--ci. \ ~.
NATURE OF WORK N.e..L...J ~ - ~
USE OF BUILDING S~~
PERMIT NO. 9" -4q~ DATE ISSUED 5- ~-9-?
CONTRACTOR ~ ~~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING b\v ~ ~ ~C1I'
-.... 'v"
I 5 - dJ?'99
I fAt
I
FOUNDATION {Prior to Backfill~ I ~ If; - &-5 -'1 ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC (~) f.4- ( "
FRAMING ~ \( ,\)
INSULATION (i?) M l'
ELECTRICAL
PLUMBING v:7J ~(glq9
HEATING (if required) W :y'c.jqq
FIREPLACE o..\,~ ~. <;?,4-t? 1./
GAS LINE AIR TEST (jJ) QllPj"9
COVER NO WORK ~TIL ABOVE HAS BEEN SIGNED
I 'vi~ r~O:lD I I
FINALS
?- r2"'~"j
1) ; \.0,- Cf 4
t- /7 -9 9
GRADING (Prior to Sodding)
BUILDING T.c..O, {. t{..-\"fi :r:S.q..'l9.J.)l
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
" I g h't
7 /~Iz,~
I I
~
/;V ?/z,U99
~) tlJv2//'??
UNTIL WBOVE HAS
NOTICE
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 (612) 447-9850