HomeMy WebLinkAboutBuilding Permit 99-0845
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. PRIOR LAKE
~"ECTION NOTICE
DATE TIME
SCHEDULED J?f31m /.'3<;
711OJSI1NT Ht.nLA1iJ
ADDRESS
/'lO 12-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: 1
7 J ":x:f A L
lleLe-i V-t &
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A ~EWER HOOKUP
LUMBING FINAL
A MECH FINAL
~~
,
0,,- "",I..
,
~d
o CORRECT
q9- 845
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
':::>lrJ..~.5
OR REINSPECTION BEFORE COVERING
Inspector: Owner/Conlr:
CALL 44\98~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
111
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or: 80 (f1HJ) 66 ,6 I. 'MV
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,(t~7 TIME
CITY OF PRIOR LAKE i.oo
INSPECTION NOTICE SCHEDULED
ADDRESS /70 r Z- F'rfE/f?/'f/l.!T 111&041
OWNER CONTR.
PHONE NO. PERMIT NO. 19;3'4 s-
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING ~"TERHOOKUP~ o FIREPLACE RI
o INSULATION 'SEWER HOOKUP o FIREPLACE FINAL
o FINAL o LUMBING FINA " o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ---'81 t. tV'
h u,
I II
n.:..WORK SATISFACTORY, PROCEED
o CORRECT ACTIOll'D PROCEED
o CORRECT W~, LL FOR REINSPECTION BEFORE COVERING
Inspector: 1< ) Owner/Contr:
{
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
, , OF PRIOR LAKE
.....SP!i'CTION NOTICE
SCHEDULED
DATE TIME
{'/'21/00
ADDRESS -1-70/'Z.. 'iJJ~5~ur M~g"., L4N~
OWNER
PHONE NO.
PERMIT NO.
CONTR. ~)AJJl>Au Cc,NS-;".
99-N&;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'.Ii( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAl.
COMMENTS:
bn.Ar'lE.<: (),;: f'F.k laJ4q J "'~"c""-"~~
~f)1C'
)&. EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)if. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~'_
""aler/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOqR PERSONAL HEALTH & SAFETY!
I II
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ADDRESS -DD1l. pbc-t
OWNER
PHONE NO.
O[<t rn
(tl
~
INSNOTJ
PERMIT NO. q't.~l.{~
o EX/GRAD/FILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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~RK SA TIS l!; TORY, PROCEED
o CORRECT A 10 AND PROCEED
'L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447l8;J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQ~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CONTR.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~1IiC.I:!. ~I~AL
Ce..... oLJu9.
o FOOTING
o FOUNDATION
o FRAMING fr:-
O INSULATIO
~INAL
o SITE INSPECT /
COMMENT~ _
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
jUL =,a ~
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 r .
nOIJ.- pHell?ANr MtA,aJ /,NJe.
3. LEGAL DESCRIPTIO~
LOT '2- BLOCK ')..-
~AoJ'T" !fl F..kfJoJtJ
1. DATE
7/1 Jq,
/2./
PID .zL5-32P>- 0/3-0
ADDITION
4. OWNER (Name) (Address)
4I1Jblo,iCoN';1fWG-T/O';f.n. I M':-. ~ B:.J"",f,-. pt-/O/l-iAa
5. ARCHITECT (Name) (Address)
II /,
(T.1. No.)
"12.- 4+J -.1"001
(T.1. No.)
I'
(Tel. No.)
"
6. BUILDER
(Name)
II
(Address)
II
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No. 9 9- ~ 45""
.." I - L
"",~ t,lT A-~ r ~,_...t.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Helghp (Widthl
:2J 2B
12. NO. OF STORIES
I
ICopthl,
79..
13. TYPE OF CONSTRUCTION
W<t:>, fl1Jltlle
14. FLOOR AREA APPORTIONMENT USE
j 3l,? -'A f'"T
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace LJ Septic 0 Heating 0 Plumbing 0 Reroofing LI Porch 0
Newconstructio* Alterations 0 AdditionCl Finish AtticCl ResidingCJ Finish BasementCl 16. ~TIMATEDVA~
~~n_ T~~
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. ~~lEnON DATE
Sq. Ft. .2..flB Width ~I ' Depth 78' Yes No .r/t;OT l'f'iq
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that' am the owner or authorized agent for
the above mentioned rty and that all struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding official can r is permtt f st ca s.. Furth.rmor.. I h.r.by agr.. that the city official or a 7~; may en1er upon the prop.rty to p.rform :;h2;;;eo1ions.
'gnature / Ucense No. I Ie
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
t-ronl
..Ok
tiiCle
::liCle
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I OcJ.t"Ji'"Vl. (9("')
USE OF BUILDING
,S,t:" A
TYPE OF CONSTRUCTION: I II 111 IV V
Occupancy Group A BEl H R M
Division 1 2 3 4
MATERIAL FILED WITH APPUCATION
SOIL TESTS n ENERGY DATA n
PILING LOGS n PERCOLATION TESTS n
PLANS & SPECS CI SETS
SURVEY
PLOT PLAN
n COPIES
n
COy:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
A<l(") . ~IT
/6"'>C:l .""'0
Q07.-;;S-
~PI'1. '7~
6~.ol")
100.00
/ OC) _00 Wat.rM.ter ................................. S
35 . 5 D Check if CI Sewer & Water Connection Fee ........... $
C"p. </ (f Deferred n Wat.rTower Fee ........................... $
_, ...b..'..................... sO. 0 Wat.rTap $
This ~~mJvour Building Permit When Approved. Builder's D~~~i~':~:: $ ~ C).JCD
By (t ~r Dat.7 -/S-'7J1 Oth.r ......................................... $ _. ,(),; .; 1
/ TotaIDu............................... S~
Certificate of Occupancy 64 A, €>JL
Pald 71- ,. -"f7 .ReceiotNo. ~~.....,
Issued I f. gQff-
This is to certify that the request in the above application and eccompen~ng documems is in aCCO<<lance wnh the ~at~~ ~anc~ may pr'::~ as ~ed. This documem when
s~. thef' P1 P1aa~nnner constitutes a temporary Certificate of Zo~1p1ia~nd allows con,truction to comn:'e~. 8efJIre pccupancy, ~rtificate of OccupaRCY~be issued.
,/,V\M.~~","" "7 '~2 "'>-e-p .. /'~~ ("~I.'<;.~ ~ UJvv'JLT'\ ~.
City Planner Date - Special Conditions if any
24 Hour notice for all inspections 447-42309:00 a.m. .10:00 a.m.
Permit Fee ................................... $
Collective Street Fee ....................... $
Plan Checking Fee ......................... $
~
(\~~jtC(
~/\
Sewer Tap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer ..~.................... $
Meter Horn ................................... $
<fc:i. t9 G
State Surcharge ............................. $
~.....f?lh"'1..................... $
Ser';"'~~ L..rr....:~~............... $
eU,~1 ..~........S::t:~................ $
/~." 0
I. '20CJ .ClzJ.:
'7r)() . AD
TM C~ftl.... 0' 1M Lab C...nlry
(;71. f<l~
White - Building
. Canary - Engineering
. Pink ... Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS-r .
NAME OF APPLICANT 5/) IV Dr} L./ CC)/v.:::/k.... .
. APPLICATION RECEIVED 7/ a /<'79
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/70/.z. ///-/E>JS/l/v-r- /I/E/IUCiV ~...jJ.
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: J.,,('i'TF:12 E"",il.I!:.<;...A,vAl
Date: 7. / ''''.. /9q
. .
Comments:~..- 1~""I>T7dAJ ._0,," RE"uCIl.<;F S'O';:'
S~E.. ArrAr<l/ll&m!O.. ). Fi"'<t<- ~ J/oJSPc<:.,,,,,,.} INF.""..".,,,tJ 2. &A.Al'u^,t.. ~"'"
. ~ E~,^~, t"."AJrR.ll' I'1EA'5LlJtf:"<:
4- ~ t2. <to,.,) c......,~~'- RAN
"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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White - Building
Canary - Engineering
Pink - Planning
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Thr ("rnlrr of thr L.kr Counlry
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:
./
.'
,: I / ..:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: _ ~ t~c-- , . ~
Date:
"7 - ( 2-~C1q
D/~~ ~~e-::rtz5v1.
~\!AA1AM. /~l~ /'X
IJJ'i~ J-.l-( F,oO~
~~ L.I.Wh '-
Comments:
1YJi~ /'~J... !'J1~(~\ s~
IN~ P"A{--V~ ~f-Dv ~ ~~14 tJY\,~",
~ /(\8C)~ ~~S- ~~ ~{,.f1~
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~ ~_~. ~W~\(Q ~ ~Cv'\L.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." "
~~
q9-8~S
Thf ('rnlu or Ihr Lab Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT SrlNO~U etJN.5"n2- .
APPLICATION RECEIVED 7 / t3 / 99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/70/2- ?//EJ/1S47I/"T N6170CJW .I-..Al.
Accepted
Accepted With Corrections
y
Denied ? ,() ~/
Reviewed By: (~~r
Comments:
Date:
)~/<,-'1C;
I. 0."J) J3p. t:t:- cft- 13 <f c( .to t-
S(JrV<--<-< _ 2;t-c-.
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P(~ 4~cs.
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"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."
11'
'~o~x PR/Oo?(
~ '7,
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: 1J; / /pJ AMn/r/~1 ~()
Address: ~/j') /YI//'I.pf~cl /// L
Signature: /!J ff~; /JJ~/?'u
Legal Description: Lot> 7- ~Iock 2-- SubJ}-lF:A."iAA/T I'1FAOOW5
Site Address: /;tX.~ ~h~# ~ 4/;!1/J~}..hU 1</
Building Permit # rq - f3L/-S"' PID #.25 -3ZS- 01.3-0
NOTE: This permit will not be processed without complete information,
Thr Ctnlfr of lht' L.b Cuunlr)'
Quantity
Z
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1. Blue
2. Gold
3. Yellow
File
City
Applicant
# qq- ELlS
Phone: ~/o/2 "z;IZ/
FIXTURE UNITS
Quantity
Type of Fixture
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink(
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimurT))
,
Residential, New One & Two FarilY
Residential, Additions & Alterations
State Surcharge
:3
/
Rough-ins
Water Heater
Water Softi1er-.. ~
~
Stand Pipe (washing macllin.e)
~
Sewage Ejector
-~~--
// /
,
~.
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
, fA.\O-W\TH..
"eu\t.e~~ 1"\:.\"",;\1
This permit is granted upon the express condition that said
contractor, shall comply i I resp cts with the ordinances
of the State Plumbing C O/l1'e,dr::et,ts thereof.
RE 1/Z/3a/"l1!j DATE
-.!--, \TfEST
Call for all insticlions 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 Opportunily Employer
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq - ;,4i5
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
10- l -crcf PID.2.5 -32P;- 0/3-0
I J 0 I rl- P t-tf7A S f\1\Jl MF,JtlX"lw
Dale.
She Address
(.2.1
Lot ~ Block Z. Addttion. 'PHG.A.s.o..lVl H E"AOO W S
OWne(sName ~f\ 1\JDAU.. &fV~T(lPl
Address _ t nAAS- PD U. tJi I\J S T
Heating Contractor ~A-T1c. <3.ARAC:tG"'/")cy,(2..f FPL
Address. q::tl () W ~ oml \\.)6 r\-V F~ }j
Telephone' . tnfri- ?:d R"' --"1Scn
Furnace Make & Model f..1.eA\lLf\~
(,OFL 3C,
Model Size
Conn. Load
Fuel N A'f" Flue Size
Supply Openings
Return Openings
Input;;).); MD Oulput
Edr.
Clm..
TYPE OF SYSTEM
Warm Air Plants
Gravtty.
Mechanical
Air Condttioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices .
Other Devices
Aherations
Replacemenl
TYPE OF WORK
Nuw Construction
Repair
Est. Cost $
Est. Comp. Date
Building Permh .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERM.1T"EES $
.50
99 ~ ff4S
/ft.\O~ \
\ eu\\.O\tlG fe.i'.'~\1' J
Receipt' _
1. PiDk
2. Grr::eIl
3. YeUow
File
City
~ .~.. .'.-
0-
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--..
o
00
--..
co
co
TYPE OF STRUCTUR~
Single Family
Commercial
Two-Family
Industrial
Mulli-Family
Other
0-
N
0-
..
Public
Fee Schedule
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0-
N
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0-
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....
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N
Industrial, Commercial & Muhi-Family
Residential, Healing & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, 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 Surcharge on the bottom 01 this application.
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The price 01 your heating permit Includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Healing Test Record must be submitted with btlik!i!Jg IliJ]!lil "..mber before build-
ing cerlilicale 01 occupancy will be issued.
tlfAI r.Al r.1J1 ATION!; RF'OUIRED with number 01 supply and return openings listed per
room with CFM's per opening. New structures or addilions send floor plan wilh supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
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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 hereby apply for a mechanical systems permit and I acknowledge that the
inlormation above is complele and accurate; that the work will be in conlormance
wilh the ordinances and codes 01 the city and with the state building/mechanical
codes; that this lorm does not become a permit unlil signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requi)'6ll review and approval of plans.
^ J ".-. I I A ~
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Building Olllcal's Signalure _ -p'te
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HEATING APPLICATION / PERMIT
j()- /:l-99 PID' 2.5-32.8-0/3-0
S~e Address /70/;) j/); ea.-';tZn-l mr A ~-U Ie I Fee Schedule
Lot Z- Block 2.- Add~ion PlleRS/t/l./T n~oow Induslrial, Commercial & Multi-Family
"1\1\ rl fil< I A f\ "^ ~ \ Residential, Heating & AC
Owne(s Name L){):... YR 0./ /'"' LA l ,C;T . R 'd . I H . 0 I
, eSI enlla, eating n y
Address (OX~ hO~ i\ S-t. \\).. ~ .. rnor ~ Residential, Gas Fireplace
. (\ "j I \". .\ \ /.\ r. n ~ r .,- ",,.> . Residential, Additions & Alterations
Healing Contractor HUV'-'LN C\V.V\>L> \ -1-1 "'-' - R 'd I' I AC 0 I
aSI enla, ny
:!J~ ";)\ 1-I)It..{J (~+. L0 . I. "\ ~~OfU~.Ju
Telephone' L/L/S--/O; {;O
Furnace Make & MOd;J{Vi1e if/LLfXt;CJ TYPE OF SYSTEMC _
. /<[) 0/,0 WarmAirPlanls rwrM-v>--"
Model SIZe U I '-" Gravity
Mechanical
Air Cond~ioning -r /Z1.rJp /f/.r- AM
Vent. System
Date
Address
Conn. Load
Fuel JJtd
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
qCj - e45'
~tl
Flue Size J
8
Return Openings B
InputU D, D DD Output ,CSL/ , tJ DD
Supply Openings
Edr.
Cfm.
Alterations
Repair
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
Repiacement New Constructio';
Est. Comp. Date
Building Perm~ .
CJ4,JO
99, 84-0
Est. Cost $
HEATING PERMIT FEE $
.50
/0 A J1~' .....,---- ." .,....,.,
lI. t/U Receipt # p;\in ,. i' .
ItX t;-' ~
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Conlractor
Single Family
/\l
Multi-Family
Other
Two-Family
Commerci::ll
Industrial
Public
~ cost ($39.50 minimum)
~
$64.50
$39.50
$39.50 L.c.: i I 4 1999
$39.50
Remember 10 add the Stale Surcharge on the bottom of lhis applicalion.
The price of your heating permil includes one rough-in and one final inspection.
Add~ional inspeclions will be billed al $35.00 each.
House Healing Tesl Record must be submitted with buildinn oerm~ number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOLJIRFn w~h number of supply and return openings listed per
room w~h CFM's per opening. New slructures or add~ions send floor plan wilh 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.
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 accurale; that the work will be in conformance
wilh lhe ordinances and codes of the city and with the stale building/mechanical
codes; that lhis form does nol 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 work which requires review and approval of plans.
;d/(./~ /D~//99
,.
r..:
Date
/o/zo/9r
DlIte
'e
,..,...--
~-
....
GllEEM . PILE
YELLOW . APPLtCAMT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. qr-ytj5
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: nlJAL (;PME 'Ide PHONE: ~-/6dl
ADDRESS: PI? 8DX)(J.. fJtJJfJ~ AAI-fF #J;t/ DATE: 1J~J9'7
SIGNATURE:.ff~A2/~~/7'f!/..//;J/~ BLDG. PERMIT # qc!-1f4s
SITE ADDRESS: J'10/4 .;JrfeAS.IJAJr j?J;:::jt/h)L/)L#rfJ5i 25'<$7.-8-013-0
FILL IN THE BLANKS
1. Estimated length of water service
iA~
feet.
2 .
Size of water service
I /1 .
lnch(es) .
ft
feet.
3 .
Location of any couplings from structure
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 appli~ion becJ5esfiyour permit when approved. I
~ ""'-,-;~~Ctd; DATE: /1/,1'/91
;;----~;;~;;;;;;;;=========================~==~===~==;=======
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 ~ ,.
~;;.,\v(_
REC'D BY (.-"",,:\;\-
\ \~ '..,'
RECEIPT #
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunily Employer
... ..- -"""'---
GREEN. FR.E
YELLOW . A.PPLICA.NT
GOLD. CITY
CITY OF PRIOR LAKE NO. 9?- f3t/S-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT:lh//hiJ A//?rJ"&~7 4) PHONE: ./-/92--2/2/
ADDRESS: j/41J /M-!?/M-?' ///L DATE: ~///~ ,.:l:?){.,
SIGNATURE: ~#;7~ ///r/?/71"d BLDG. PERMIT # 99-B45"
- ~
SITE ADDRESS: / J18/Z /?!;#/}/Jr>"",L $/M/'.?_h' PID# 25-3;:>P,- Ol~-{)
FILL IN THE BLANKS
1. Estimated length of water service
..?/i) feet.
2. Size of water service
/
inch(es) .
3. Location of any couplings from structure
4. Type of sewer pipe. ABS PVC ~ast Iron
5. Estimated length of sewer line AV feet.
6. Clean out (if required), located at
structure.
feet.
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
-\'"
AMOUNT PAID _ \~II\'-
... ~'y\.''''-" \."t,~"'
REC' 0 BY\ ';)' 11\..011-.\0 (" -
RECEIPT #
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunily Employer
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Ir--,O 17 \Kk~ M~ tV"L'
NATURE OF WORK IV",,, \ 0m, J\ ~
USE OF BUILDING S. r4
PERMIT NO. q? - A '15 gATE ISSUED .~
CONTRACTOR~-~ () - ~*..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
')
7 -I?-~)
INSPECTOR
DATE
I FOOTING~) -LD 11S 2-1'
I FOUNDATION (Prior to Backfill) Cd' f{j~j I
PLACE NO CONCRETE U~'L ABOVE HAS BEEN SIGNED
ROUGH - INS
I pH Ir;/ft:!r)
br. Cf IAIV'V
.j;;,
SEWER I WATER I SEPTIC
FRAMING r~ .p(e...
IINSULATiO~~_
. ELECTRICAL
PLUMBING ({<'if. Q:J ejz-s!<fr
HEATING (if required) f!jf
FIREPLACE
GAS LINE AIR TEST ~~ ('Q.(90~. 10-19-7'7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~,.II't'\LI ~~ I~. If) I,} 97' I
FINALS
WF; v /Z,7/VU
I
(6 -/'I-en
ID-/'J-r1
i
I
f\1. fW~ to-I?-')") ,:;j),2./~"~
&to 11)0-1411
I \~
GRADING (Prior to Sodding)
BUILDING 11)) '1lJ 'iI, I ~
I ELECTRICAL ;
PLUMBING
HEATING
DO NOT
GP 1~/3'O/f~
1{,) ,;>IJ'(J)(-">
OCCUpy UNTIL ~OVE HAS BEEN
NOTICE
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
I II i I