HomeMy WebLinkAboutBuilding Permit 99-0787
T'
~.,
,_ ~-'''I'''' --
I
I
j
i
I
t
~trtifirau at (0rrupanry
CITY OF PRIOR LAKE
1lBepartment o( .uilbing 3Jn~ptttion
,iFinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Budding Code
certifying that at the time of issuance this structure was in compliance with the various orditiances of the
City of Prior Lake regulating bUildi'fj construction or use. For the following:
UseOassificalioo SINGLE FAMIL'f/
Occupancy Type R3
Bldg. Permit No..
99-787
Type Construction
VN
Fire Zone
N!A
Zoning District
PUD
, ..<"~, "'-..... .,-" ,
L4, B2 THE WILDS 3RD ADDITION
Owner of Building
3257 WOOD DUCK DRIVE
Site Address
Conlractor.sH'-.....~,_. R.A. KaT HOMES INC. 7694 128TH ST W.
ROB6T )(1 HUTCHINS rjty Planner' JENNI;fOYfrlI.
Da..:'\ I j Ih
\j V/
APPLE VALLEY MN 55124
Date:
/ ? -r)/
/
.
~. ~, .'ij>_":'":'i'''' l,~,.,~' "".~'.'I"!l;~'.J7"" ,,_.)IIIIIII"I'I._~.... ~;U '''''':'l112_~~I,'~_-l...-"L"', '_.:',!,!
BVHNSVILLE
Heating & Air Conditioning, Inc.
12481 RIwde l,bwJ Av.. So., Savog.. MN 55378 . 894.0005
Orslat Test Report for JoW
10 L(
Address 3;)-::7 'A)Doc1J,nff 7r City ProF t.... It e
Occupant "A Ir i',I-
Date of Install J 'J- - J D - qq
Type of HT. F/A 'f HW Space HT Unit HT
0lhPl'
Make
Model
Serial
Input
~r1~fJr
.3 30 V1 A-tJ o~'6IOo
33ot}Pr vO'f0/oofJkJIt
100.00D
_ Pilot Type G low
_. -
j' Pressure 3, a
1 1~'PutCFH /OD
Stack Temp 3:>J
C02 8,3
02 &.5"
CO 0
DaleTested I') I D - 7''1
Company Bur,,"'j.ilt !-Ie",i;,," + Ale
NameofTesler ~ t{J~q, J
v -
~
'\
DATE TIME
CITY OF PRIOR LAKE 8-3- 200C
INSPECTION NOTICE SCHEDULED
ADDRESS .~;>~/ kWduc~
OWNER CONTR.
PHONE NO. PERMIT NO. C;'j- /~I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~..A
...J-- '/ ~ [<) ~
hORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~WORK' CALL FOR REINSPECTION BEFORE COVERING
Inspect r:. M Owner/Contc:
CAe 44tS/sO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IlVSNOTl
.. ,..,_. ..... "T-'-' "..-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
~ 3:60
- 2257 ItJ 0 D () D U C~I::::
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q9-7~7
,
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATIQN'~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
..l!(FINAL IV, 0 PLUMBINGFINA,} 0 GASLlNEAIRTST
(' 0- SITE INSPECTION )(MECH FINAL t\ 0
COMMENTS: e.T\O ~Cft.... ~ 'L<;' c:k-
~:;Q ~;iki- ~~;Z~. ~
(1j ~- ",'Ii: ~~ ~utv~ fr~
(~ ~~ (\... (C.(>...d-~ <a...~ O+- br0~;6'(\.
-- '. ... ~rcl
I ~l - r _rL f" f- (- ~ ~.)
~ l~r~ ~
~
0) WAle.
.
~-t-
Or<;J- CJ "--
o WORK SATIS~TORY' PROCEED
r:/; ORRECT AC 10 AND PROCEED
~ORRECT W .tL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.9J50!FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
aMt
.3257 WooD DUCIC:... TR-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
(lOMM..ENTS:
OJ t~~"""\f
1K IU.L
gV\X.UA
l~
p~
rlAruQ
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
AD SEWER HOOKUP
f1 ~ PLUMBING FINAL
(" 0 MECH FINAL
,
C;h
DATE TIME
,3: 30
9q-7f37
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
Co.
/In
~^
f~~7
v
QJA,...,
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3Q ,,()
l0o.d. 'f),:,ck
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ 0 PLUMBING RI
o MECH RI
g,wATER HOOKUP
)!I SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
,-'2.4-<t"( I: IS;:
\)r.~
<fl ~ 78i7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: </3' .fl~. h-, ~ 4 <!J
It I . '\ _ ;/
~?t"'" ,,~ u..-' ~ "...... ~r'
J:.~,.~:n t'~ /~ ,~ ~L
,~-tL.:I- iJI",-
<;l..g ~ J<->- ~
v
I
I
I
I
I
h Il
\ I ~'Iv!' ~: I
~41 \ g;.r /~fW ,/".$1,'
"'- [----
/ -""'0'
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: U. Owner/Contr:
,
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADY.t.NC,=.
I, .~
l""-
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
ii~\
DATE RECEIVED
CITY OF PRIOR LAKE OI!..l6l/1lI11t-
BUILDING PERMIT, Pel?f'1tf #'
TEMPORARY CERTIFICATE OF trf9- 7S7
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
----
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1'/;:;6/q'l
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
2. SITE ADDRESS
----,1257
3. LEGAL DESCRI~TION
LOT I.f
NOOO
DtJ ct:::-
DR.
12. NO. OF STORIES
ADDITION
14. OWNER
15. ARCHITECT
6. BUILDER
me
BLOCK
WILD5
2-
.312{)
PID 2.5- 33...7.0t.fl-O
itDDf\/- .
13. TYPE OF CONSTRUCTION
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(Tel. No.)
(Name) 1,81- 'fJ7 . '15/,3(Address)
.Ie. .4. Kerr; / IV c,. . ('7k.t;WN:12, ~;.p,I.sw O-OWISL.S )
7. TYPE OF WORK Fireplace 0 Deck 0 Re-roofingO PorchLJ
New Construction 0 Alterations 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc. 12. II
lB. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 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 owner or authorized agent for
the above mentioned 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
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
x
Signature
License No.
Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
- SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ,.,...........".,.,............,., $
City:
Amount Brought Forward ...".."......... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Plan Check Fee ........................,.... ~
Sewer Tap .,...,..,............,.,.,.,.",.,. $
/ -/ $
Pressure Reducer ......,................... $
7tJ.OO
MeterHom.......Z. ..;...................... $
Water Meter ..... ...~....................... $-.250.00
State Surcharge ............................. $
Penalty .........,..,.,...........,.,.......... $
Plumbing Permit Fee ....................... ,ct.
Mechanical Permit Fee ,...........",.,.... $
This Applicati
By
Building ~:t':iIW~
Sewer & Water Connection Fee .,.,.,..... $
WaterTowerFee ........................... $
Water Tap .,.............".."..".,.,.,.... $
Builder's Deposit ...........?fi..."f'...... $- ~ }
Other ex~.....t:$j.~.......... ~ / '7fJ, no
Totel Due .............................. $Y/I:;"O .171')
Sewer & Water Permit ...................... $
Certifi of Occupancy
Issued
Paid
Receipt No.
Date
By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Spec~1 Conditions if any
24 hour ootice for all inspections 447-9850
~1
Ol\T~ j::U::r.!:::'I\f~r)
&P~/qq
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I :t;.,/'t<t
PUD
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
CJ'!-7(b7
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
1. 2..!:1 WMd
3. LEGAL DESCRIPTION
If
~....
LOT
BLOCK
\AI. ~ I\~
Z-
Sri.
PIO 2~-337. 0112-0
MdJ It.", .
BUILDING INFORMATION
11. SIZE OF STRUCTURE 1
(Height) (Width) 71 (Depth) II ^ '
AJ"~_ v "",' .."\ ~1.:J~Jf- ~
."
12. NO. OF STORIES
2-
[)l<U-
))"/lJ!
4.0WJlEAR ,) (Name)
Ie .f(DI i-h.....es ;;t:::.<-
15. ARCHITECT (Ntme) ~
1:>,6. L. 1'>< S ,<t....
6. BUILDER (Name) V
I-f,,~~
(Tel. No.)
bsl-b87-9S'/2.
13. TYPE OF CON~TRUC1IgfJ
~ R~s.l....+'..J(
14. FLOOR AREA APPORTIONMENT USE
ADDITION
(Address)
A,U.
r (Address)
e:''''-''J~...
lAddress) 6..J,.,. (Tel. No.) .-J5. NUMBER OF OCCUPANTS OR SEATS
'"7b4.'I l2-ul""~T.W. /.~J ~~ ~3 Z.
.,.-. - OCCUPANTS
~c.. ~/~ VAI~ 5$11..( "2d1...-0530
Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
Alterations 0 Addition D Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. ft 3 00, 0 () 0
18. PROPERTY AREA OR ACRES 19. PROPERTj DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. 1t//S7 Width 110 Depth ftp1.s1 Ves - No - ()trr ~O 1'1'i?
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 owner or authorized agent for
the above mentioned pe and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uilding Official r e mast cause. Furthermore, I hereby agree that the city Offi~Jo ~ dis~~e zay enter upon the property to perfo~ ni~e~i:,e;Ofls.
, si9nature" License No. Date
(TeL No.)
/"!>/-"87-9S/3
~.A. koT
7. TYPE OF WORK
New Construction r
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
..ok
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LI PERCOLATION TESTS LI
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SJ::D
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '-~.... ~C""),."\ 0 [!)c--.....
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
LI
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM (]) S U
Division 1 2(9 ~ ~
Permit Fee ................................... $ I. ~18 ,L
Plan Check Fee ............................. $ "I -:2::l.c, h?
J 5"6 .0'")
Penalty ..,.....,.,..,.,.......... ............. $
Plumbing Permit Fee ........"............. $
Mechanical Permit Fee ......"............. $
J (,)0,0(3
I () ~ ,~,-"
3S' ,<;""0
<,Jo . OC>
Amount Brought Forward ................,. It:
Park Support Fee ........................... $
SAC ...".................................... ~
~ Collective Street Fee ....................... <l:
{~~ ~ :~::~~::~~~~~:"~~~~1~::~'~'~:~'~:~:~:~:
^~ ~ .,;:::::::;.::~:~::::::::::::::::::::::::: :
,
Sewer & Water Connection Fee ...,..".,. $
WaterTowerFee .,.",."..,......,...,..., <l:
!.Jr>. CYl
City:
.s=t ,",CL (j 0-
1 0 ,t;C':J,~
State Surcharge ,..,.,....,....,...,.,....... $
Sewer & Water Permit .....,......,......... $
t2G:.OO
11200,00
/Or:l .r~
Thi
By
Issued
I/,' n"'),cn
Other ......................................... $-crrrli-
Total Due .............................. $_ . 'f L-
Paid q(}l!!Jq <I i Receipt No. :3 ~"3 9
Date 7 //1 (q~ By M.....
t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~~e~d. This document when
nstitutes a t polary certifilit!qT4jmPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
-oate Special Conditions if any
Water Tap .,...,...,..,.."...,...,.,...,.,., it
Builder's Deposit ,.,.,..."...,.,...,...,..., t.
24 hour notice for all inspections 447-9850
qC;, 7f7
Tit.. C..,u"r or I.... Lak" Co..,..,.
White - Building
Canary- Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
j:;:'. Pi. ;COT ;-!O/'-?E S
~ /24-/9q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-? 2 r.-
'-./ ..J /
/\,'CCU ULC/~ DR.
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: l..f"LrEJC.. 'CrlltE......AN,.J
. Date: '/"1/9"1
Comments: J?<>",o~ ""<1ST BE.
f!.t')AltJE.'r'€'D
r"
A..v^ ALoAl': nQAJIJt4f.~
I
~ lJ"rlf_,rY
EA-<~'JT<
..:ls r'ot\Jc..1>I A~
?..,tAr:.T"~AI
1<-lE: i)l:>'ue:..,,,,,
CAN ONI." 'a€. A 1"1"1..,,..<>..., oF' '2.... rEEr 4r TH~ F~/JAJ'T P.cQ~""
L1.u€.
f.:1l AbE:
o.J
TI<E:
S,OE LoT LJ....J~~ h/ll~ 'R:~ ~LQ~,c-,y"'-
'C\t9'LJTr..rrt.e..t)
" UF.
"-0
71-l~
Lt4tfGF- ('U,QNt.fr,
IJJ eLEoJATi<ltV
DF
At\;:r-AC,-E"J-r r I'"r'" S .
:SE~
lNr=ottMATION
aN
/<~oJl!El<.SF' S"H~.
S€f<. ATTACH.....F'^"": I~... (.,l.o..o," ~"'T"i"~/AlF".......tfIL.Slt!..I? ~"O""G
'P...o.J 5. Uos,o^-.\ ('...rrn..., M.~Sun.e<.. If &0<'''.. 1 f'OfoJ'rtt.'L HAAl
"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.'.~6._~",.~,.,;o:;..,.,..",~"".""""",,1>'lll-:4-, n>~_" "~""','~ ".'~'''''''';'':_'~.' -"'~;';-';'--~"".""'\~ ,"':'"""';:"';,"","-:"""",';'I"'~",1"~J'-.'J'.~' ,>,""-"""""-~-",,,"'!;.,,,,,~->~,,,,..~r"l'--"-"
"~__'~"":oo.,J...4>".,,,"; '''c' ~--'-'-'''':
.
.~~x PR/O""
'" '7
'I-. "1-
- rT1
U
i
,
Thr Crnler of tht Llkt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Reviewed By:
/
(J C15JV1J(>>-J Dal' fc/)9/99
'Afr- e~ ~ -MlCnxu..h CTh /0' 5 ickVqnls.
Accepted With Corrections
Accepted
Denied
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."
~1
qq-787
Thr Crnltr of lhr L.kr Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECJ(L1ST
NAME OF APPLICANT
APPLICATION RECEIVED
I!:. A. ;COI HOMES
h/Z4-/Qq
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.3 Z 57 WOOD OUC/<- DR.
Accepted Accepted With Corrections ~
Denied () I <J;1
Reviewed By:V m ~
Comments:
Date:
& ~ -Sa - ( S
/
f~ cJic<~rlli'J-. ~~
( 1 ")
Tvx> Zz:..
So~ ~u,~
-hn_s ~l..1~ ~I'-^-- C<.tf){)~Q. -tiU.2...J l,~l-
u
"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."
- - - --"....._---._.._._-------~._~._------y---------,..__..-
".._--~_.,,--,-----.._-~----,--..~.."._-_., ._~--,---^_.-
GREEN - fllLE
YELLOW - APPLICANT
GOLD - en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
s.w. No. 99-787
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: L1JJm4D~ mUJh.A/YJJ~AJJ PHONE: J.I6Dl-IS65
ADDRESS: /959 :dhAl.ImlU~ 1.J..- DATE: 7/"'" /9?
SIGNATURE: ~AP.m ;;t'. O~hAAA7I) BLDG. PERMIT #
SITE ADDRES~: ~. ? l~ ud7J7!.. J6.k.... Jk.. PID#
32.57 FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
==================================================================
This app.IJcaj:.U~){our permit when approve!.
BY I~~ DATE: 7 (~/"''1
, "---./
==================================================================
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
...AID WITH
l BUILDING PERMIT
AMOUNT PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 1 FAX (612) 447-4245
An Equal Opportunily Employer
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. qq-7~7
Applicant: ~ Ii. -;7) IJh /II ~ J 1.'0 ,..J.U' ) Phone: (to '~n) ~E -3'A"51J
A~dress: ~;rl (J~J.".4"Ur"'. ~f.' ~v.>ni A" I r. '7'1 J) ."''''''.?>5<'
Signature: H P YJI.... ~JJ.h J uu/'~
Legal Description: Lot 4 Blo~ 2. Sub WI L.D S 3 "!E
Site Address: \!JtJ.5Fj>lr~~p.l> )~",;} J PUD
BuildingPermiU qq-7A7 PID#. ZS-337-04z.-(}.
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
TIM C'-I.,. ~ rille La.. C,""III.,.
Quantity Type of Fixture Quantity
.L- Bath Tub with or without shower S
/ Dishwasher I
/ Floor Drain
S- Lavatory (bathroom sink) I
/ Laundry Tray (lor 2 compartment sink)
/ Shower Stall
/ Sinks
Bar Sink
..3 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
I. so..
2. 0014
), Yellow
FU.
Cl&y
Aw""""
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (RPZ, Double Check, PVBj
Back/low Assembly Test
Lawn Sprinkler
Other
$
$ qq.SlJ
$
$ .50
GRAND TOTAL $ 4~.
/~~~p.\';\\i
\ e\3\\.O\N
This permit is granted upon the express condition that said
contractor. shall comply in all .~.__~ with the ordinances
of the Stale Plumbing Code and the amend~h;ereof.
~Jf9.; n'r I? DATE
/;:fff...0- ATI'EST
Call for all ~ections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opponunity Employer
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Petmit No. qq-7f37
Prior Lake, MN 55372
HEATING APPLICATION 1 PERMIT
Date Q-.;y:j-79 PID# 25- 337- 042. - 0
SneAddtess 3;;'r'1 LV ~~H /LP~J PUD
Lot 4- Block Z. Addnion W I L-DS 3 ~
Owne~sName /<- J4 tCo-:t ~
Address Q69-1 Id-Pt:t-Sr 4..J . ~Oa.R..R.!.1, srid<-,-
Heating Contractor ~ ~~....-<..P 'i-lLln -
Addtess /d-<lf / ~ ~ I} -~ ,4. ~
Telephone # bld-.f'91.,/ t!)CJd /-
Furnace Make & Model 7iJu.~ TYPE OF SYSTEM
1/ :5 30A-l'l-I/Df/j'KlNarm Air Plants
Model Size 3~A-.4Uov.#- - /0 CJ Gravity
Mechanical
Air Condnioning )(
Vent. System )(
Conn. Load
Fuel '77 C;~ Flue Size
Supply Openings
13
/?-/
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
Input /&7" t'Jtlc) Output
Edt.
Cfm.
Other Devices
TYPE OF WORK
"
Atterations
New Construction )(
Replacement
Repair
Est. Comp. Date
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
9<?-787
Building Permn #
0"7 ~-v
.50
/tltJ ~
/- \,N\1'\-\
Receipt# 4\rt~~G p€-'?>~\\
TYPE OF STRUCTURI;
I. Pink
2. Gleen
3. Yellow
File
City
Contractor
Single Family ,'II
Commercial
Two.Family
Industrial
Public
Multi,Family
Other
Fee Schedule
Industrial, Commercial & Multi,Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
..
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough, in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinn oermit number before build,
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOLJIRf!). with number of supply and return openings listed per
room with CFM's per opening. New structutes or additions send floor plan with supply
and return 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.
City Hall business hours are 8 a.m. ' 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447,9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state buildinglmechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of ~II w.o orrkk w w~ . _ requires review and approval of plans.
~~~- 6 CJ/a-1/Q'7
pAjplic~J/!~Sig~ . Date
NPA/'KJ f7Ji~;c.'f)4_~ _ /0 /4-/qq
Building Olfical's Signature Dat~
L
'77 I s,-CB,/
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permi! No. 99- 7f3 7
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale Q/.1o/<;C; PID, Z5-337-C-rl2--0
"' I .
S~e Addre.. . :;'...)57 L<>(\~ <IJJ.
Lol 4- Block ~ Add~ion WILD5 3~ ,40lJN.
Owner'sName_'/-;?4 ):;,r JL~
Addre.. .
Healing Conlraclor ALLIED FIRES IDE dba FIRESIDE CORNER
Add,... 2700 N. FAIRVIEW, ROSEVILLE. MN 55113
Telephone #. 651- 6 3 3 - 2S 61
FIREPLACE Hw J 61. p.,-, Tl'-"
flI.oow\lll Make 1\ Modell~'" ., tJ.. .v -rtJr..
Model Size.
Conn. Load.
"< Fuel Gr.aJ
~
\T Supply Openings
Relurn Opening.
Flue Size
'npul
"fO, "'" (
Oulpul w=
Edr. .
Clm.
TYPE OF WORK
Aneralions
Replacemenl
R!!pair.
Est. Camp. Dale
Building Perm~ # _
E.t. Co., $ .~ Q)
HEA TlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMITFEES $
.50
TYPE OF SYSTEM
Warm Air Plant.
Gravily.
Mechanical
Air Condilioning
Vent Syslem .
HEATING OR POWER PLANT
Steam
Hal Waler
Radialion .
Special Devices
Olher Device.
New Construction
)(
Receipl # .
/
TYPE OF STRUCTUflli
I l'ink
2. (If'ttll
J. Yella-.-
III
rik t'D
Cil1 "0
I
COllblrlOl"W
o
I
III
III
o
....
Single Family
livo.Family
Induslrial .
Multi.Family
Olher
Commercial
PulJIjc
Fee Schedule
o
0\
il
"
....
,
ID
VI
Industrial, Commen::ial & Mulli.Family
Aesidenlial. Healing 1\ AC
Residenlial, Itealing Only
Residenlial, Gas Fireplace
Residenlial, Additions & Alleralions
Residenlial. AC Only
1 % 0' job co.t ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
....
C.
ID
n
o
,
::l
ID
,
Rememuer 10 add Ihe Slale Surcharge on Ihe boll om 01 Ihi. epplicalion.
The price of your healing per mil includes one rougll.in and one final inspeclion.
Addilional in.peclions will be billed at $35.00 each.
Hou,e Healu'g Test Record mu.' be submilled with l1l1ili!i!Jg I1tiIIIill!llllllw: belo,e build,
i"g cerlillcale of occupancy will be issued.
!:if./ll CALCIJLAT IOf'lS REOUlRFQ w~h number of supply end relurn openings Iisled pe
room wilh CFM's per opening. New struclures or additions send 11001 plan wilh supply
and relurn localion. 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.
0\
U1
....
City Hall business hours are 8 a.m. ' 4:30 p.m.
0\
IN
IN
III
III
III
j:>
All WORK MUST BE INSPECTED (ROUGH,/N AND FINAL) . CALL CITY HALL
447-4230
I hereby apply ror a mechanical systern. permil and I acknowledge Ihatlhe
in forma lion above is complele and accurale; lhal the work will be in conformance
wilh Ihe ordinances and codes 0' Ihe city and with Ihe slalo building/mechanical
carlos; Ih., Ihis rorm does nol become a permil unlil signed by the BUILDING
OFFICIAL; Ihal Ihe work will be in accordance wilh Ihe approved plan in Ihe
case or all work which requires review and approval of plans.
k~ Jlv.A--
~alu'e
/'luiJding Ollica!'s Signalure
Cj /.i<i/ 9'1
. Dale
/O/{" /qq
Dale
il
o
....
P'RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~ S ry L. ~ ThlA 'Or- .
NATURE OF WORK k\.,,,,, O"",,~L
USE OF BUILDING :::iECl
PERMIT NO. '\"1- '18'1
CONTRACTOR \C.A.~,J- I-\o~c:..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO~O:NT DATE
, FOOTING I IV I 7-/2-'99
I FOUNDATION (Prior to Backfill) I V I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG - INS
FRAMING l....
INSULATION CWl eA.
ELECTRICAL ~
PLUMBING t~)
HEATING (if required) r~)
FIREPLACE i2,.1. dk- J~, /b-r('19
GAS LINE AIR TEST
DATE ISSUED
J-I-'19
I
J
'7 ~ z.(p~~~
\ lJ \ \ '\ \ 'qq
/0- to-1'7
01,
(tA-.
iD-t~-0/7
10~ 13 ~11
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
GRADING (Prior to Sodding)
BUILDING /2tJ -m 7/t fro
ELECTRICAL
PLUMBING (~/z..hff'l
HEATING ~ ~'I/99
DO NOT OCCUPY UNTIL A OVE 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
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~1-3boLI
Dv",K: f)...
/<, -f} fLnJ. HtJflVl
ADDRESS
3;2. 5 I VO€J/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
a FOOTING
a FOUNDATION
a FRAMING
a INSULATION
~L
a SITE INSPECTION
a PLUMBING RI
a MECH RI
a WATER HOOKUP
a SEWER HOOKUP
a PLUMBING FINAL
a MECH FINAL
~LUNG
a COMPLAINT
a FIREPLACE RI
a FIREPLACE FINAL
a GASLINE AIR TST
a
COMMENTS:
Gr..h- fit
G,,.16 Bu1"-- fl!-
f't( WORK SATISFACTORY, PROCEED
Va ~RRECT ACTION AND PROCEED
a CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pee1.0~~ _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEilLTH & SAFETY/
IJaNOTl