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Home My WebLink AboutBuilding Permit 99-0844 _.",,~ -';;r~:~."''''~-- -'-~-'-_____~ ->.~''J:'':'I?<--,~ "'~;;~.".-:," ~ CITY OF PRIOR LAKE 1Dtpartmtnt of ~uilbing 3Jn~ptttion '!Final Permitted 0 Conditional C.O. Expires ThIs Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior l,.ake regulating building construction or use. For the following: Use Cla.ssificatio~ SINGLE FAMILY D.ldg. Permit No 99-844 Occupancy Type R3 Type Construction VN Fire Zone N/A ,Zoning District Rl Legal Description 11. BZ PHEASANT MFA nm,r~ Owner of Building ~i"'Address ) 700E PHEASANT MEADOW LANE SANDAU CON~~ CO. 6885 BOUDIN ST. PRIOR LAKE, MN 55372 Contractor's Name & Address -~-I ~ ;"i,~;:o.".:'...J-',' 'y'" ',Iil",\, ,.".;),:\; ......., '~.;.".-:.~'" ,. .ie.:._ l j-"" ;;;.......,,;;,,;..:.~:""-~~:,.:... DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7008 SCHEDULED /~1~ I,~ ?!IEJ7S /I1l/T n~I1D() tJ OWNER CONTR. PHONE NO. PERMIT NO. qq- &44 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP AD SEWER HOOKUP ~LUMBING FINAL N MECH FINAL ,V\w,.. ()o,~ (~ r/Adr,' e,k,. Uc:J\L- o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o AONU\llENTS: CJJ fw /....) c.XJ:' ~ (l J {")v<::.I' 1- . - .f<<.f- rL4- D INSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447. 1850 FO~THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQ ~TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTJ I I "'i'" '_"__"_~._..~___m_'__ - ~._.,-_...,"--..,.--_._---._---,_...._.._._.~,~_.__.._......_..-.------_.._"_._-~.._._...._-------_...--------,-_. HOUS! HEATING resT RECORD >'CQRW /(00)S PrtFitSA-NT\ r\1.8Do-zJ \FT, _~~OOR _CiTy O~CUP""'T _'_ OWNIR H!AT" ~O$S DA."fE "'H~, INS":', SOLO IY EI.el,lclIl Wg.-I< ey 'T'.Pe: Oil' HEAT IW6URI l"n..~..EO 'T Gel LI". at 0"_'" _'<0' _STb"'_~'""<:E;;TII,_U"'T"n. _OTHER 7:i'j1-> /p> J G"S..QliStO" ,","~E rI/V,.. "t:' Sf') ,"",.1 . "'" VI (J~ e cnr",:re. s.,,. I f'{/~Lj(./ f) Y 0;. (,. INPUT !, I. tJti ' T'NERMCsr"y V. LI...tr 1..'",11 ,,,,ttl,,, p... hu.... Jlil.t T.,... Pll., ....k. ftll.t Meld.1 1111.. TIM'" ~.w. C.. 011 '3 ' .5"' 'f.'''''. 1~-ltlt(;"t1 $,11.... T.",~ r'" '.- 2J1 ---.-. TeOd CQtoiVEt:tSICN ",..K e 0' aURNU .... Mli.. 8 TU RIlin; loll. KE 0' FURH"';E " ' CCHYRC. \ HUI Pt""t VeAt SI.. KINO QfI' ~IN'R. Craft H9.~ Fth.r, Slh Omu,"" ""Deall." Ota.....t e."_I,uc-t NON~ !,IZl FieQ:V'lolG' toI.......' lrll"ti. Outald. '..,,", CO, 1'., (,1% ~.,IU'" o' '7. d % ".I'=:""l(,;.O"';.~ I'l'f\olw 6.",' Cr~h Oeor p,..,,,,,,. '.iel"ll,lIIt In_I. With" I.a, To' /,;}/'/.p"n .fidt~A7t/ nP&. ~~ Oct. i......, c.mpclfl, ""Ii~t H8M. ., T. ~ ,., A /&-f "S:-126 ,!9.1Bl .S .d ~VHO dO Alle or's) 10Hl166 .61-!}OV I .!~/0Zi /7008 ?#t:?I.s~ /'7D'JZ?OlJ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~NSULATION INAL o SITE INSPECTION SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP . r:j PLUMBING FINAL ~ECH FINAL DATE TIME /.~ 91-B44 o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: )JJ t=.w..Q bfA ~i\1..ea"V\D. de,J. LV ~~ ~~"'i~ 1~h.QQ~ ) ~UA'; s;=;...,u ,CL ~ 10 /"i~:OQll C~)S:~ /~. ~<- CA~Jk..O"1"'~~c. ~ l..'rJ1. - t.....c:..t.L ~ el . Lrr. -,1 (i.) GLs f1' rr Jiz.% ~ O~V /~~'t ~ k o WORK SATISFACTORY, PROCEED I\. 0 jORREC ACTION AND PR ~REC CA OR REINSPECTION BEFORE COVE '- ING 60 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD REQ 'IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI I I, INSNOTJ OAT: TIME CITY OF PRIOR LAKE - ~ib INSPECTION NOTICE SCHEDULED f.!.:r ADDRESS l/60e Pk~sr,.J- AAI' fiA .61~) OWNER CONTR. PHONE NO. PERMIT NO. q9- f'-lLj o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATIONk 0 SEWER HOOKUP ~INAL 0 PLUMBING FINAL o SITE INSPEC~~CH FINAL ~ COMME.N1'5: j-Job Uow- rld-ul / I~ ~ Bu..: IA 0"", \ C J J\Q>, , hit. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o '1 ~~ '( MI'1~/ . (/j It! ft.e { /)c..; L ~ ~ "-.. --- / -- I-~" 'ro~,~~~, o CORRECT CTI N AND PROCEED o CORRECT LL FOR REINSPECTION BEFORE COVERING Inspector: L Owner/Contr: CALL ~7-9~.FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE RE~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI I I -- -- ----_._----~------_."'~_.~_. -----, -_.-...~,_._"."_....._".- I ! ;.,o~ PR, 10", ". ,.. ,.. - :>< w "' 4rJ'NNESO'''' File City Applicant 1. White 2. Pink 3. Yellow CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT . - 8 V'_",__ M'~ ""...6 Permit No. q9- 6# l' DATE 7/,/fQ t 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 \7005 PI1~?AIlf lYI~tlP~ L-tw~ 3. LEGAL DESCRIPTION LOT BLOCK;" ADDITION ----fHfM/IWT IV! lOA I?dW 4. OWNER - (Name) (Address) 1~Ofn) CoN'>,tWf/Tldll GZ.J'!f,_J.U5 f'&!lt,,J-5T' 5. ARCHITECT (Name) (Address) h " BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Widtb) 2.1 . Ul' 12. NO. OF STORIES I 13. TYPE OF CONSTRUCTION l,)t\?p fA.AM.~, 14. rL.OOR AREA APPORTIONMENT USE 13h'3 tjt(I F, '-71h) ,r</ PID .?<,;-.32.6- OI2..-t) (Tel. No.) PI1bt M... ""2.-+1-7-&'12>1 (Tel. No.) ,. 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ESTIMATED VALUz,O .1t 10'1: tJOO' ____ 19. PROPERTY DIMENSIONS'" ,- j:O~'CULVERT SIZE 17. COMPLE ~ON DATE . I . I L ~ W,dth 31 Depth If! Yes No '7':fT Iqq I va furnished information on this application which is to the best of my knowledge true and correct. I also certify that, 1 am the owner or authorized agent for all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the or ju cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform n inspections. '1.M...1 7 I Ucense No. (Tel. No.) t, 16. BUILDER 7. TYPE OF WORK New Construction )l. Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft ~.. I e (Address) I (Name) I' Reroofing 0 Porch 0 Finish Basement 0 Heating 0 Plumbing 0 Finish Attic 0 Residing 0 Septic 0 Addition 0 Fireplace 0 Alterations 0 I hereby certify that I the above mentio building official gar. r xl " r FOR ADMINISTRATIVE USE I MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PlANS & SPECS 0 SETS SETBACKS: Required Actual Side Sioe B"" Front - PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING S P"A OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I 0 ~ . ,,('\l') . C) 0 o COPIES o SURVEY PLOT PLAN . TYPE OF CONSTRUCTION: I II 1I11V@ Occupancy Group A BEl ~M Dlvlsion1~ Permit Fee ................................... $_ Amount Brought Forward .................. $ Park Support Fee ........................... $ I'JC; (l .19 D SAC ......................................... Cl t\c;n .~ Collective Street Fee ....................... $ Sewer Tap ................................... $ LIcense Check Fee .Q~t(.................. $ Pressure Reducer ..--:fj.................... $ Meter Hom .......'Kf.f'o..................... $ Water Meter ......If),...................... $ COy: 1'07 2.s 5R'1 . '7 'Z- 5;l. 00 I DO . on too .q) 3'<;".5""0 L/O.eO .. \ \ lG' q \tYYC.a ,\,p Plan Checking Fee ......................... $ l.{t;;'.06 State Surcharge ............................. $ Penalty ..'f.l.\:l............................ $ ~+.0f:J................. $ Other ......................................... $ ~...r.:.p................... $ ( ~<:::.eX? 12 ~ (') . 00 766 .!') (') o Sewer & Water Connection Fee ........... $ o WaterTowerFee ........................... $ Water Tap ................................... $ Builcler'sDeposit .~.... $ Other ......................................... $ Total Due .............................. $ /dI'f'f. L.f / Paid'" Z 14.47 Receip,No -;~~.&4 Date 7 f7.-~ f~,! Bv ~ This is to certify that the request in the above application and accompanying documents is in accordaral with the City Zoning Ordinance and may proceed as requested. This document when sig~ p~. nner constitutes a temporary Certificate of Zoning compliance ~ allows con1fr~~ ~"JerK:e. ~re occ.u.pam:y, a ~;:..ificate of Occupancy must be issued. ~.~AA.. 'I_IIL..qt; _ Y"" t'lU.fK c-w.(y ~ <:\P" CAv0t~s. City Planner Date - ~ Special Condlbons if ahy Check if Deferred IS r-De. our Building Permit When Approved. Date 7.('!;-'1f This By Issuecl 24 Hour notice for all inspections 447.42309:00 a.m.' 10:00 a.m. .....,"i~~~~.'!I!I!t--"?......'"'-"'"",.-.-. <'T';;""?':~~::'"/.~1ljip..\> ~""''''~"""-,,,'-'''--"'Ifr'''''''''''''''-''i,,:-~~~r'''';~~____''~'''''''''-''''''''~~~,(~ ..,..... ,..." .. ., / lhf' ("f'nlu of lhf' L.h ("ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted ~ Accepted With Corrections Denied Reviewed By: ~~~ Comments: ~~~~ I~i ~(f~) <MAlA. \J\.,Q~ ,0->>\1-11".9'6-(" 1-- (~.J-e-r- U IW~ U\IIe<;" Date: /-/2.- 0L; . . {)y~ ~~J;;t)-6M W~ 2.L.{ (;'~ ~K~~ W~"'" S A,j-PJ>TuAvh. .JrJ..r ~ 8lJft?-~ , /i 1.dUvs.. t. tvv'-1~.6 U{le- vOt1/.h9,SN rJD ~ po';Li PVl'--z3v "{ n p..w'MJ't ~1]~--<2 ~ "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." Ii~~ q9-6l/tj Tht Ctnltr of lht L.kt Country White - Building Canary - Engineering Pink - Planning aUILDING PERMlLAPPLlCATION ~RTMENT CHECKLIST NAME OF APPLICANT SANOA U CtJ N.s7"72- . APPLICATION RECEIVED "7/ o/qq The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /'itJof3 'P#OJ.91/V1 Hb/J-D(JW I-A-l Accepted Accepted With Corrections -x:. Denied _ Reviewed By: {U ~. Comments: \. fl~ Ct.-ll Qt+c-.c~ ~~ ~, V &T~ po"- Jo~C? L~ Date: 7 - 15'- <t9r "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." "--'~----~"f""r--"'''''~---- / qrj- Bt.ftj The c.-.,"' 0' 1M Lake COllft'''' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHFr.Kll.SI NAME OF APPLICANT ::.)/-/ NLJ /-J U ~CfJ N .s ~ APPLICATION RECEIVED '//0/90' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / //7 C () P. P/-IEA.5rJ/'vT l'/l/lWi/l/ I-/v Accepted ./ Accepted With Corrections Denied Reviewed By: J,}"'L..rt:.( ~H~ES'J<.t"'A//V Date: 7/1519, -, , Comments: sE."C ItJroR.~,o,"'" :.:"~ RFuEI1....-.F' ~1f\F SF'F ATT...c~~' I--F....""L.. tJA.ADF INS'Ec:noAl /AJ~~""'A-=AI ? ~"nL^JI. H..I\AJ ~. f:R.D~\"..J ('n.AJT'''''L r"It'A<'oAc S + E/lJJ$.Id&. '\ CAJJTIZOl- R AAJ "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." I II! ----,-- GREeN. FM.E YELLOW. APPLICANT GOLD. CIl" CITY OF PRIOR LAKE NO. ? 'I - J;::P-tI-- SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: pjAJIh-.. (.;AIMJE .J.Ne- PHONE: ADDRESS: (.Je> .RmL J 0 j2 RII)(<. LAKE ;I;/IJ DATE: SIGNATURE: ./'k~/;/~//)~~ BLDG. SITE ADDRES~: 17M...?- /;;~/?/fJT jJJt7J~) Ll'f~ ~1'~-/5~1 11!;;;/77 PERMIT # "If.. 8'-f<f Z5-:32.-'1- Dn.-t) FILL IN THE BLANKS 1. Estimated length of water service /JJ5 feet. . . I~ 2. S~ze of water serv~ce inch(es) . ABS PVC X (;,5 ;r feet. 3 . Location of any couplings from structure 4. Type of sewer pipe. Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ This apPlica~on b~~~~r permit when approved. BY (" ~./ZxJ' (A~~ DATE: /1/g/crCj ===\. .__....~Q=L================================================== 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. / . ,;,-.;\ \ AMOUNT PAID '01>-,0,;.". C\\'" REC'D BY \~0W DATE PAID RECEIPT # 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447..4230 / FAX (612) 447..4245 An Equal Opportunity Employer CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permll No. 99- ,B t.f.tf Prior Lake. MN 55372 .- HEAl1NG APPLlCA110N I PERMIT Date. /()-7~'11 PIO. Z5-32P>- 012.-0 SlIeAddress TiAO)( Pl-l-t-A'SAl'\JI'Mht\OauJ 12/ I-1EADOW I. Piak 2. Green 3. Yellow File CilY eon"""'" TYPE OF STRUCTURE Single Family Commercial Two-family Industrial Multi-Family Other Public Fee Schedule Industrial, Commercial & Mulll,Famlly Residenllal, Healing & AC Residential, Heating Only Residenllal. Gas Fireplace ~ F~ uk'oflesidential. Additions & Alterallons ~ """"tlesidential, AC Only t% of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Lot .--L- Block ~ Addllion _ PttEASA.\'JT Owne(s Name_ SAN OAU.. ~ Address. fa ~ ~ n 8::J.J. f) I tJ .s r Heating Contractor .Atl.:roM A- T1 C , G ~ E:()O~ Address q;).lo WUOWLL.vto\ ~VV - Cl' fo().....- ~6"'-7'S'"'O:j Furnace Make & Model ~ t.J\n:11e.... . 0 ri.,~ Telephone # Model Size 0( .'-. - Conn. Load Fuel JCI vt- Flue Size TYPE OF SYSTEM Warm Air Plant' Gravity Mechanical Air Condllioning Vent. System Supply' Openings Return Openi;,gs Input :;2).00() Output Edr., HEAllNG OR POWER PLANT Steam Hot Water Radiation Special Devices Glm. Alterations Repair Est. Cost $ Other Devices TYPE OF WORK Replacement New Construction Est. Comp. Date Building Permll # qq~ B44- HEATING PERMIT FEE ~ STATE SURCHARGE 1" TOTAL PERMIHEES ~ /P~O '/'J\'T\'\ WI\"\" Receipt #\6U\\,.O\~G ~e.~ .50 Remember 10 add the State Surcharge on !he botlom 01 this application. The price of your healing permit Includes one rough-in and one final inspection. Additional inspections will be billed al $35.00 each. House Heating Test Record must be submilled with IlYili!iD9 ~ nllmhRr before build- ing certificale of occupancy will be issued. . I-lEAT CALCULATIQlli! FlFClI 111'11"1'1 with numbet of supply and return openings listed per room with CFM's per opening. New structures or addlllons 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 447-4230 I heteby 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 ollhe city and with the stale building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accotdance with the approved plan in the case of all work which r~uires review and approval of plans. ./1. c /4/ L ~ /~ Q~ y~U/.~-.""-, /...... ,-./ , -&/;;tjsmY;t~ /b;~e/qq 1 ~_- Buikting-Gffical's ~;,,:,...,"'~I'fe Date , ,... <:> "' <:> 00 "' <0 <0 ,... NO ,... '"" ~ ... '" ,... NO '" ,... '"" <:> ..., <:> NO i; >-3 ~! ~ ~ (") '"' ~ '"' '" ;:J ~ '" [;:; -< !!iI <:> <:> NO "' <:> <:> NO CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permit No. t1q- 644-- Prior Lake, MN 55372 Address Model Size Conn. Load Fuel Ayd- s-/( Flue Size Supply Openings X Return Openings ,f Input t-t>, DOO outPut,S-~ ()OO HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Edr. Other Devices Cfm. TYPE OF WORK A~erations Replacement New Construction . X' Repair Est. Comp. Date Building Perm~ # C}q..JO ~. ( PAIDWITH BUILDING PERMIT 99- 84+ Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 J 0 /\ tJ() . {/ , Receipt # t~7~ II %U/ L Pink 2. Green 3. Yellow File City Contractor TYPE OF STRUCTURE Single Family x Multi-Family Other Two-Family Industrial Commerci~1 Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only l~b cost. ($...39.50 minimum) ~ $64.50 lie i i 4 1999 $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 huildinn ~ number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REOUIRED with number of supply and return openings listed per room with CFM's per opening. New structures 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 building/mechanical 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 all wotk which requires review and approval of plans. m/" ~ /c:)-/cJ-99 .e Date /o/z.o/r! Dafe ~ _ _.....L:..._> CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: Ij;/Ihl . hk~//.~'l d() Address: ..#/;6 YEk1/.1,f/7 0/ L signature;/I.#/lM 4.b7fZ,';; Legal Description: Lot / Block z.. " h FWB'1S1"/Nr I"f€:AOOW Site Address: / #M /2!;/1/J /JrYA4 ~ ///.0/;4/0 fi.u ,t!. / Building Permit # rC?-PJ44- PID#.ZS-32S-0IZ-t) NOTE: This petmit will not be processed without complete information. I. Blue 2. Gold 3. Yellow File City Applicant # tJq - f144- ~H?-2j2/ Phone: ThtCrnltrofthtbkrCoUnlry FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture d / I ,~ / i / Bath Tub with or without shower :3 / Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Dishwasher Floor Drain 3 Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall 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 $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL ( flQ.\~;~~~,.,\\ \eU\\.O\t\ Call for all ili;pections 24 hours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opportunity Employer GREEN. FILE YELLOW . APPLICANT GOLD. Cn., CITY OF PRIOR LAKE NO. qq-fJ44- SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: /h.//d/I . AM.n/~i. .:.'l() PHONE: ~P?-7/C::1 ADDRESS:~/) /9/;d/!,M /J/.f'~ DATE:.__jd,/( ~ SIGNATURE: /1.)7/';;) //7'//7/://7) BLDG. PERMIT # CJ1:1-B44- SITE ADDRESS:/#".6f ~/'/Y'/.d~ /J~hd//J PID#~5~32e- ("2-Q FILL IN THE BLANKS~I /Ii') 1. Estimated length of water service feet. 2. Size of water service / inch(es) . 4. Type of sewer pipe. ABS from structure PVC Y Cast Iron H'u feet. 3. Location of any couplings 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ================================================================== BY This ========~======================================================== 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 RECEIPT # AMOUNT yrfp-\Q \lIIrt",w.\\ REC I D ~\)\\.O\~\.:l 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 I~OO8 ~on~1- I\..Ao l!'~<1>...J "P... ^ NATURE OF WORK tJaJ Q.~"'-s.h",c+~ USE OF BUILDING ~ ~ '?FIt- PERMIT NO. 9'1 - 8tfc( DATE ISSUED 7-t"'5-'n CONTRACTOR ~J.c..J ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I V' ~ .. ~. , , FOUNDATION (Prior to Backfill) d 11,) '(j"/?J I PLACE NO CONCRETE UNTtl-L ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC I ff1fJRH 1/j;&AC, I FRAMING r~ ~k I f:I:f, I 10- fJ-I-?1 ~NSULATION ((,2) ____ _ ~L ~, LJQ~ 1'/91 ELECTRICAL I I PLUMBING WC/6.7/zsj9j I h1.~, ID-I?~q~ I I HEATING (ifr~ired) f{) I #n-. I /0 -1'-I-9'? FIREPLACE I I GASLINEAIRTEST(~) I ~ _ I/o.U;-q~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED L.RD~~ 16=r f(J j~99 I ~ - FINALS ,W6 r,ln/IN INSPECTOR DATE I FOOTING (@ I 8~2,"1'1 i J I GRADING (Prior to Sodding) I BUILDING 7W/O e/IDo ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE I (, P tz./fd/et 1 V 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 , ,