HomeMy WebLinkAboutBuilding Permit 99-0974
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. "J.~I :',. I~~I,"", ""',',d:~, ",'I'~~~:>r.,.'~~'~.*i'~-I~,,~,~.'#"'~'i'*"'...',!If",
!".~~.~~.'c.'.."~:~~~::;r~i-Y~'~:c-~..~~~
~~ lIlepartmtnl of JIIuilbing 3Jnu(lttlion
~~t. . )(Final Permitted 0 Conditional C,Q. Expires
-~ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
f. certifying that at the time of issuance this structure was in compliance with the various ordinances of the
.:~ City of Prior Laice regulating building construction or use. For the following:
!i:. ' Single Family 99-974
Use Classificatior Bldg. Pennit No
Occupancy Type
R3
Zoning District
Rl
N!A
VN
Type Construction
Fire Zone
Legal Description
Ll, B6, Knob Hill Second Addition
Owner of Building
~iteAddress 4680 Hummin~bird rre i1
Constr., 21225 Hamburg, Lakeville, MN
Jenni Tovar
Contractor's Name &Addrestr Thomas J. M.'3.urer
Robert D. Hutchins ~ .
f"ity Planner
Date:
Date:
~J22Io"
4& %'0 NIMrtIt^/N&BI/UJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION m
FINAL
{f SITE INSPECTI
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
CATE
TIME
A c"'f';
Tf2..
CjCj - 97</
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
)':r ~ap ~ T~Gt.-S
-r.A..u
.~
~ ,"';;U d~
J~ ..A~'
--.)
------
.~
I~ ffh- <to, ~ I~ "\----""
~:6.~ 4--~j
~ .~
-
~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: f?;t. , Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
I '~-_._-'_.__.- -"---'.,--.
II
DATE
I~('I-~ ("9
f-, V.M IY'I f ~\)\lt,O
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4 (0150
OWNER
CONTR.
PHONE NO,
PERMIT NO.
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
~ PLUMBING FINAL
'O"'MECH FINAL
<4
COMMENTS:
l. f(O'd~" V2-.~ C>'^fr
'2.- :I."..)"Jl (:, ~ +LJ~ ....-
Jr. ~,~- <... f _I\p. 'f)-c
TIME
to,: 0-0
Cr
901,'114-
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
0...0
..
,
~D" S'TIIlP~TOR.~. DROCEED
<J:..<fOR~CTION AND PROCE~
. - -
o CO~RK' CALL FOR REINSPECTlON BEFORE COVERING
Inspe r: ) . Owner/Contr:
CAL V 7-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOIl YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-~-_.-._,,_._-_._--_..._,.-~"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
SCHEDULED I~~~
J.iUhl'::J.6IYd Tlc..
PERMIT NO, CJ'1- q7i/
!o .-(;0
ADDRESS t./ (.80
OWNER
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~SULATIOII /14 0 SEWER HOOKUP 0 FIREPLACE FINAL
~~NAL {V n ~ 0 jlI!UMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 'j;;j'MECH FINAL 0
_COMMENTS: PlIo ~ ~,~ 0 ~
W FiY'IaJ p<< ~I)"e&,ha. deJ;1t:
(V~ (Lc,.d t+v~ oG... d~.ll,.0,nWll.t\-J-
'@ &-ffiirYl ~l I --~
~~ ~~~ ~ kCUvt~ wcJi
((:)~ C- ~-"-lr\ ~~ r ~d? CSn-".-/. ~
dJit-rk^. J>----~, ~
..~ aU ~
/ .,..-~ C.r6~ f-IJ '1 - / - ~ ')
~~---- ~
/
/
E COVERING
C LL 447-9861 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
C~E REQUlfMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V '_0"
."1.
DATE TIME
,<lOR LAKE
, nON NOTICE
SCHEDULED
sf Is/DD
ADDRESS 1/(.70 J.lV_IIJ6,I!.Ifll'> -r"...-
PHONE NO.
CONTR. 17 tyJ",~~1J
PERMIT NO. '/"1- '71
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'51 FINAL
'0'" SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)J. EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(!.ultflBO-.l fN,(
~ IS tlu.EPr"llIl\LE
tMAlA/1'A"J S,,-.- FEo.Jlf:.. U..l~"
S/lCll)U
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~.f'JU
"wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
.~"-"_.~.._."'...'"---_.__._..__.-
I !I
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
j~1
:r:;?~;
I 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
"-JU,., ~.-.I.!/&... J.7",.J ~.
3. LEGAL DESCRIPTION I
I
ADDITION k' All), II;}I
I. White
2. Pi""
3. Yellow
File
City
Applicant
Permit No.
qq-97<1
1. DATE
'?-1-f9
~I
2-5-33'j- O.s8-CJ
PID I(""b .41;/1 3D)
(Address)
",~"'lJle of.$'? ""
&...1'1" .2/'>'~ /I--J.M4('1 "Y~,,~ ':f~ P
Septic (] Deck 0 Re-nt'ofing 0 Porch 0
Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement 0
7. TYPE OF WORK
New construction)il
Chimney 0 Misc.
Is. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. /-1 -!IJ() Width Depth Yes G)
,
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that J am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building ~~~~ ~~ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X_ j..,cr-{J/'P1~ 4.H.11 _R-fit-9?
- Signature Ucense No. Date
LOT
BLOCK
Go
",12"
4. OWNER (Name)
#J; k.~ ;:-el/;fUdk
15. A~CHITECT (Name)
fJj...~ ~_(J
6. BUILDER
(Address)
(Address)
(Name)
-rf...~ J'.
1Y1~
FlrePla~
Alterations [""J
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
,-S/-'I'$';'-07). ~
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
--------...
17. COMPLETION DATE
I
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Water Meter ................................. .If: t ::J ~ . (') D
Sewer & Water Connection Fee ........... $-Ll ~ (")0 . l':>,,"_
WaterTowerFee ........................... $--2t?f") ~ 190
Water Tap ................................... $
Builde(s Deposit ............................ $ '1 fj ~r'\ . c:r)
Other .........................................0;:
Total Due .............................. $ (~c;-4.#
Paid '71;5 t/. r.f r;, Receipt ~9. 3~ () ~-;
Issued Date" /2-/tJCJ By dl/f(
Thg' . t certify that the~est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may p.roc~ requested. This document when
'ig ed b t~lan r . sa mporary Certifi of Z in compliance jillows construction to commence. Before occupary;'y, a Ce[lificate of Qtcppancy mu be issued.
J/?i- . fl, -lA'I MI tu..-rl W QelL
City Planner D te Special Conditions if any
24 hour notice lor all Inspections 447-9850
Front
Baok
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
..>FD
PERMIT VALUATION
II.B.~.o6'
TYPE OF CONSlRUCllON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Permit Fee ................................... $
I. '2. '2."7 . 2S
l) qI""J . II
~t{.oO
Plan Check Fee ............................. $
State Surcharge ............................. $
:::~~.~~~~~~.:::.:~::..:..::f.: : (O 0 . C 1)
Mechanical PerTTllt Fee -li.'1lJ..4.:... $ I 00 ." 0
Sewer & Water Permit .lf9..~f..1tJ..... $~' 5"0
epermil.f.. .(..f..1f... $ I/o .b15
~ ,Jy~J
\}l~~ r
n9 Permitjlrl/1~~
Datel:i ..~;,..--C I
, ,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOI.ATION TESTS Cl
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PI.AN
Cl
Amount Brought Forward ....~...... f;
Park Support Fee .....................~< p.C::i(") .CO
SAC .......................................... $~~~ I&C
CollectiveStreetFee ...........~ ~
Sewer Tap ...................................0;::
$
Pressure Reducer .......................... $
Meter Horn ................................... f;
I.{'i".oo
,<".. ~ ~q...~..l~'"",",,,,,,,,,,,,,__r..q.__.....-n1TIil;1',,:Jl~"""___ __q~ ~.,._.,'lllllllllll ''',.~I'' I II"... ~ wJI
"I
.~
, / iI-I'!
" /. / ',-'
The> Ce>nle>r of lhf L.ke> Counlry
White . Building
Canary . Engineering
Pink . Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKYSI
NAME OF APPLICANT
APPLICATION RECEIVED
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"
(
Denied
t/'
~VV\
{J.t/{. JC1c0
A'1e. l/niT CCi-nr0T ~Crotflli-.
^M"loted With Corrections
Accepted
Reviewed By:
Comments:
Date:
'6 -/?-77
"
/0 11rltr1#
~~;
"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."
'iv. Cf7rJ
T.... C....rr or 1M uk. Co."''''
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-)'~ /'/r/(/ /2E/~
0/0 lye;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building peimit
application for construction activity which is proposed at:
L/(~ SO HUI'1/''1/ No ti (/20 772-_
I
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: W....L.'FE<<.. fHIlf'.~""AMAl
~ t I I..
ua e: il.IIV/Yy
I f
Comments: R,'Al.FF Mus..-
BE c."v~y'a:>
10 14ND t4UJN{. Dn,q'Ntl/GE:. ~
j)T'lL.IT'I ~A.s..E.IIWEJ..rr<..
A'
"'0<>1--'1< 5:!.04cr,c,",c _
.C;~ JJ4JFoIf..oMATloN oAJ
Rf.\lF Il~F _", DE_
~FF AiTACIo-lME:."..tn:.: I f'7Al,qL- 412.Anr:.. JftJ~('''i~,.J 1,Jr:nt'Pr44.AT"I'2.!:/ 7. (.;A.~"wr~ 'R_AN
.3- FQn~.If\....J ~.oA..l'T'40L. IYlFAs:un:€S'
'"I. F:ttLJ~I.aA1 (!tJNTIl.OL R,aA.'
"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
t 'i
~1
qtJ ~ CIte!
Thf erne... of thr ukr Counll'J'
White - Building
Canary - Engineering
Pink - Planning
IDJll.PING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y-, /'? /7 U te-~~
6/q /9<9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/ fo 80 HUM M / 11I6 8/120 I/~.
I
Accepted Accepted With Corrections /-
Comments:
Denied
Reviewed By: () 0 ilyd
f, eR-,<o9- ~ tLfhcW
Date:
<9.2$'-9<;:
~~
"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 r
SEP.20,1999 12:15PM
GENZ-RYAN
NO,413
P.2/2
--......
YD.LDW.. ~.,.
IICIUII..QT'f'
CITY OF PRIOR LAKE
SEWER ANO WATER PERMIT
NO. qq-974-
NOTE: Sewe~ and water
cont~actors must
be reqistered
with the city.
APPLICANT: C-ern?~- ~I\..) ~(".... PHONE: laCI-LV2:z.,-I.c:fLf
ADDRESS: IU1!Bi"I _ TILl.. 1o~W)';'JIVTrDATE:~q
SIGNATURE:, ~A. \41.)." BLDG. PERMIT fqq-974-
- 1""\f!.L-'
SITE ADDRESS: UJr8 0 ~J.lMlnn; ,,~~ /?1m PIDf 2S - 339 - 038 - 0
FILL IN THE BLANKs,te1
L/O'
1.
Estimated length
of water service
/ "
inch(es).
Type of sewer pipe.
ABS
from st;~cture
PVC X Cast Iron
,/ ,,,, '
~ feet.
feet. wrn-\
('" P~\?G p~f.N'I\1
\ e\J\\..OIr..
feet.
2 .
3.
.--. 4.
5.
6.
Size of water service
Location of any couplings
Estimated length of sewer line
Clean out (if required), located at
structure.
feet
from
=============~=~=~=~===;____=~;=--==~=-----=_____~~~~=======---~c
Thi a plicat' n ~ecomes your permit when approved.
BY (). '^--- DATE: o,../ZtJ lqq
~~~~---~---~~~-----------=~~=~~~~==---~---~-~----===~~==~
FEES:
$
$
~
35.00
.50
35.50
Sewer and water line connection permit.
Surcharg-e
TOTAL
* Fee for either sewer or water individually is $20.00 plus
S .50 surcharge.
* Sewer and water permits issued for new const~ction ~ust be
recorded on the building permit card at the time of ~ssuance
to insure that no duplicate sewer and water ..peZ'llloil~ ~:u:e
issued. /' ~fl.\RG~pE.P\\'^\ \
DATE PAID AMOUNT PAID 'e~\\..O~ .
RECEIPT # ___ RECIO' BY ~ .
4629 Dakota 51. 5.E., Prior Lake. Minnesota 55372 I Ph. (6121 447-4230 I FIIX (612) 4474245
AN EQlJAL OPPORTUl'!r1'I' EMPl.OY'OR
II I
~'--'---'-'---
,
OCT. 1.1999 8: 37RM
GENZ RYRN 6513226147
NO.B8B
P.2/5
CITY OF PRIOR LAKE
. PLUMBING PERMIT
I. 81.. FiIo
2.GoId.CiIy
3. YIlQaw Applkat
# 9c;-Q74-
TlN' C....... ,., duo La.... c:.."11Y
Applicant;~'L- r/LUA-> "I.k>~'i-I!r-
Address: _1'-1"1<./'5' s:...: P...lcY t?I ...""
Signature; .-iJ. 1 f),JA-fA 1...-
Legal Description: &tJ / Block 6 Sub ~ f.It'f I 2vt 0
Site Address: ~'irc. f-J... .............;IIJ...lIbIIZ.D T<Z...L ~E. 12-/
Building Permit # qC?- q74- .1"10# 25-339- 038-0
NOTE: This permit wjll not be processed without complete information.
FIXTURE UNITS
Phone: 1o"51-~7~.'.l.!:iJ..1
~~ V"'.... c;C;O(n~
Quantity Type of FiXture Quanlily Type of Fixture
2- Bath Tub with or without shower Rough.ins
I I Dishwasher I Water Heater
I ( Floor Drain t./ Water Soflner
I L-l Lavatory (bathroom sink) Stand Pipe (washing machine)
I I Laundry Tray (1 or 2 compartment sink) Sewage Ejec:tor
I Shower Stall Backf10w Assembly (RPZ. Double Check, PV8)
I Sinks Bal:kflow Assembly Test 1
L Bar Sink Lawn Sprinkler
I 3 Water Closet (toilet) other
I ,
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1% of job cos!, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50 \-\
r"'1i~\O 'N~\.\'\NI\\
\ ,U\\.O\NG
$99,50
$39.50
i~
This pennit is granted upon tho expr.ss condition that said
contrac:,or. shall <:omply in all '..peas willi 1II. o'dinana:s
of th. S..tc Plumbing and Ill. ;unOlldJll.n':J thereof.
. /~I4:/t1q DA'TE
A.11'1lST
Call for a1 Inspections 24 hOUfS in advance.
16200 Eagle CrcckAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Op,onunilY Employer .
I [
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq - q74-
Prior Lake, UN 55372 '
SI::04L1
Address. Z\ 7.:Z5
Helling ConlraclCr , ~2-- fu p.,f'-) "P\ \n 00\- ~r.....
AddreS8, l\X\L\S ~ ~r -t"JLL ~IUl"
Telephone" , \1'5\" '-\'1- ~ - \ \ '-\ '-\
Furnace Make & Model r~~
Model Size ,e, "2-CGo I 1..\- \7.. '0
Conn. Load
l'-
~=\I81 ^,/4"O 1l!.AI-Flue Size IQ ·
N
~)upplr Openings, (11) '2-\
12Retum Openl1lQ9 , q
z
~Input r l.5,crro OuIput If'lo.rfm')
'"
~Edr, .
w
'"
elm..
SIDfo%'
!
i.PiIdl
.. D..
J. Yd...
FlIo
Cty
c...o.c.or
JVPE OF STRUCTURE
Single Family
Commercial
')(
Two-Family
Induslrial
Public
Multl-Femlly
_ OUler
Fee 5chedYle
Industrial, Commercial & Mu1I~F.mlly
Residential, Heating & AC
Residential, Healing Only,
Ruldenllal, Gaa FI,eplace
Residenllal, Ad<ilfonl & Aile ,ation.
Rll5ldential, AC Only
1 % 01 Job coal ($39.60 mlnlmum)
$99.60
&64,50
$39,50
'39.!iO
$39,50
Remember to add ItIe Slate Surcharge on the b<lltDm D11II1s aPJllIcaIIan.
The,prlce 01 your healing pelmlt Includes one rough-in Ind ona flnel Inapedlon,
AdditionallnapecUonl wlll be bllfed at $35.00 each.
TVPE OF SYSTEM
W81m Air Planl"
Gravity,
Mechanical . ,House Healing Teel R""Dld mUll be sLtlmiUed wUh "oll,f~." RtDIlII .."m".., before buNd-
Air Condil1onlng t.L...oI'Dl ro~!- ?>'12.. ing cerllleale 01 ClCCIlpaney wi~ bell8Ued,
Vent. SV8lem .,.,....
"'~.T r..' rJ " .Tln"'~ <l~"III<l"O with number 01 supply and relUm openings IlIlled per
HEAllNO OR POWER PLANT room whh CFM'a per opening. New alruclUfes or e.dd~lona eend lIoor plan with supply
Sleam . and ,elurn locallona &l1own. HEAT LOSS CALCULATIONS, PAYMENT ANO
Hot Waler . . APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
RlllIalloo , CREEK AVE. S.E. PRIOR LAKE, UN 65372-
Speclal Davie.,
OIher Davlces
Repla.c:em&nl
TYPE OF WORK
N8W Con51roC1lon
Y--
E
cr
rn
r:! AlIalatlons
rn
Repair
(T\
~ Eat CosI $
....
...; HEATING PERMrr FEE ~
tJ STAlE SURCHARGE ,
o .
TOTAlPERMITFEES ~
Esl. Comp, Dale
99- 974-
/ ~p..\~~~?-Wl\"t
\ -e\j\\'O\\-"
i '
Building Permll' .
.50
Recelpl' .
City Hall business houra 8Ie B a.m. - 4,30 p.m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)' CALL CIlY HALL
447-4230
I hereby apply lor a mechenlcal ayslems permlland I acknowledge thallhe
lnlDrmalion above Is cDmplele end accurale: thallhe work will be In conlormance
wllh the ordInances end codes 01 the clly and wlllllha alala bulldlng/mechanlclll
codes: Ihallhis IDrm does not become a permll until algned by Ihe BUILDING
OFFICIAL: Ihallhe work will be In accordance wllh the approved plan In Ihe
case 01 II work which requires review and approval 01 plana.
U ~,.' /O/I/qq
._- Dale
10/4- /qq
I Dale
"
Buildng om...r. Slgnalure
FROM WENZEL MECHANICAL 612-452-0367
(WED) 10. 20' 99 14: 17/8T. 14: 16/NO. 3561851082 P 2
CITY OF PRIOR LAKE :: ~ :.
PLUMBING PERMIT PPNo. J. Y99~9;L
....pplicant: WEI'h..G.L-ft"Il1(l,;,.J(,,-.l H-6nr1~r:fk." Phone: &51-'-/5"z-I'>"'>
Address: ~ SHAoJHE.E ~Olll"" _ tJ\lS1hJ MN. 5~f.z;j_
Signature: ~ ~ 01. . .
Legal Description: Lot I Block {n Sub l4JoB H,,-L Ze
Sile Address: 4"80 rJ-1l1lll.... .,.J....~n.~ 1lt" IL N. (i.. Ie I
Building Pennll It ~q - '1 '1 t./- PIC It Z '5 - 339 - () a?> - ()
NOTE: This permit will nol be proc:esslld wlU10ut camplele infermat/on.
r-IA II.fRE UNITS
n. Ctlll.,. fII 1M LaM ea...."
i: Quantity Type af Fixture
I: z. Bath TUb with or wilhout shower
I: I Dishwasher
I! r Floor Drain
I L./ Lavalory (balhroom sink)
I ! LaundlY Tray (1 or 2 c:omparrment sink)
I I Show.,r Slall
I I Sinks
I I Bar Sink
I 3 Water Clonl (toilel)
Quantity
Type of Fixture
1
Rough-Ins
Waler Heater
Water Softner
Stand Pipe (washing machine)
, Sewage EjeCtor
I Baddlow Assembly (RPZ, Double Check, PYa)
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
'.
Industrial. Commercial & Multi-Family
(1% of job cost, 539.50 minimum)
Residential, New One & Two Family
Residential, Additions &. Alterations
State Surcharge
599.50
539.50
s
s
s
s
.50
GRAND TOTAL
( SU.r~~~t~RM\1'.
e 'w
Thil pennil is gnllued upon the uprcJJ l;gndition thaI. .aid
~qCn.c:ECr. shaU comply ,- respects ...hh the orcUR8IJces
of the S~ Plumbing t:l}dmel}l'U1creof.
Rl' lolzs/qq DAn;
/__ ATICST
Call for all in ections 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372 f Ph. (612) 447-4230 f FAX. (612) 447-4245
An Equal Opponuni'Y Employer
I r
..
.
Job Address f~ tI/lJ1lIl1;M~;' J
Heating Contract.h..,;.4.....
Name of Tester / j[, (.
1J-1'I-4~
7
{)
~
36!)~
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
input
I II
i :1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS d ("f'1tJ WJllM LV'" '^5 c'.'l"rO /;"',[
NATURE OF WORK ~€li\ ~S~"tlC~'''hYt
USE OF BUILDING SF:11
PERMIT NO. 1''1.. q'll{ DATE ISSUED
CONTRACTOR n.,............ C~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING RJS7S y,:)) /'~~1'1 12/-/ I V/&/1-:1
I FOUNDATION (Prior to Backf(lI) (pi) I bi, I i)- 20, 9'7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~'i?j
I7J) /J/aJ'f'5
1/
(/))Jvbj97
HEATING (if required) 4.J L- tI}; UsJ'; (/fj // -/ tl
FIREPLACE~) l7 h-, ...-.... I /d-/lS--'Y
GAS LINE AIR TEST (ilJ/ I /1-10- <::5}
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEif
r"~~+~,',~u I I
FINALS
/;\IG 5'/h"/tb
8;,
SEWER I WATER I SEPTIC
FRAMING LV C
INSULATION
ELECTRICAL
PLUMBING
9j -,),1-1 '1
JI-ICJ
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
tk2/otJ
(;J/
l\ s m
BEEN 51 NED
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
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