HomeMy WebLinkAboutBuilding Permit 99-1235
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~}I CITY OF PRIOR LAKE :~
;~~! J}tpartmtnt of Jiuilbing 3Jn~ptction .,~~J
"\t.:: IDinal Permitted 0 Conditional C.O. Expires J~.~ \
.~ ~ J
.~~ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code !i:l
~;~ certifying that at the time of isslUlnce this structure was in compliance with the various ordinances of the ~ )
-.~. City of Prior lAke regulating building. construction or use. For the following: !i....~ 1
~ .~
~, Use Classificatio. SINGLE FA.'1ILY Bldg. PermiIN" 99-1235 .;",1
._...1 ~_;j I
Oc Type R3 T C . VN F. Zo N/ A Z. D.. PUD
cupancy YPC onstructlon Ire ne omng IStrict
1,27, B1, Tm: WILDS THIRD ADDITION
Legal Description
Owner of Building
~iteAddress 3396 WOOD DUCK DRIVE
Contraclor's Name & Address DAHLE BROS., 9304 LYNDALE AVE. S., BLOOMINGTON 55420
DON RYE
ROBERT D. HUTCHINS
tpdJng Official
I~I. DO Date:
, .POST IN A CONSPICUOUS PLACE
f"ity Planner
Date:
DATE TIME
CITY OF PRIOR LAKE , . /, I 1,,-
INSPECTION NOTICE SCHEDULED / ~ A ~
ADDRESS ~ ~ ~ tJtJ IJkr,J ~ elL I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
IlO FINAL
tf SITE INSPECTION
COMMENTS: Slt
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~
~o
(
99 -/~3~
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
,
-.
_-:-
~
,- - .........'-
ff,.f~~
'__.~:"..~_'~_~7~;:'~'~-~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
.. ..--r--.-
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3:>qt:,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
"""""" ~
h J 1?Jt:1 0w:Jc 7/V
TIME
I/;{p/
CONTR.
PERMIT NO.
?f~(~.5r
o PLUMBING RI
A ~ECH RI
1A A TER HOOKUP
" SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..E.OMIYIENT,S: /I t "
3.7' ()J:,1 ~ _ .q 0
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(;) R.~1t ~ MevJ.-. (,,,,,1 ~ ~ Cx~~
ION BEFORE COVERING
Inspector: Owner/Contr:
CALJ 447-9850 FOR TI E NEXT INSPECTION 24 HOURS IN ADVANCE.
II
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1./-1'1-00 If) :t9tJ
ADDRESS
5=5 9~ ~i) J:vC-l<- :DIL,
OWNER
CONTR.
PHONE NO,
PERMIT NO.
1'7-/ d..-q 5:
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 CDMPLAINT
o FRAMING e 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATlDN 0 SEWER HODKUP@DFIREPLACEFINAL
pr: FINAL BLJ N P< ):it PLUMBING FINA I\. rt- 0 GAS LINE AIR TST
o SITE INSPECTI 0 MECH FINAL f"\ 0
COMMENTSUJ) ~ ~ ~
~ JM I ('1~~ ~ ~fIu,..J
~) .Ad- ('I~ ~ ~/ ~. ~
~ ~ h">- ~, .rur,
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_ 4,qn':"'- Jfi r.:...ATv.-U ~ Fe::.u._. 0M/':..~.
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(1.) I~~ ~ ~ ~ ~:::t:t-~/~.
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W~ MdfA M~ ~- ,
o WORK SATISFACTORY, PROCEED fM ~ AU1+/..- 'S(()(Lu
f CORRECT ACTION AND PROCEED "ii.r:: ~UJ, ~-/L/~CJO
o CORRECT WORK, CALL FOR REINSPECTlON E COVERING.,;/d'O- /(;1.0
Inspector: #:rl Owner!.. I.~~
CALL 447.9850 FOR THE NEXT INS!! C~ 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR ,"PERSONAL HEALTH & SAFETYI
INSNOTI
II
".-'- _...
CITY OF PRIOR LAKE
n1SPECTlON NOTICE
SCHEDULED
DATE TIME
l/ -(if -(10 9::? 0
ADDRESS
'2.39 (p 00"" ()lA.vl"- J),R..
~, llJ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL MJi 0 PLUMBING FINAL
o SITE INSPECTION rJlr'V:R MECH FINAL
COMMENTS:aJ ~ If, C. .
~~)
Ofl- 1G.-3S
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
4F\}iI GASLINE AIR TST [P,
'(!YD~..e.
~ 0..-12 ~
W-J)A-t'~ /M0-C.&A~ ~.
. J
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~~
~ p, ~. ~YJ - dt.,
.~.<J
o WORK SATISFACTORY. PROCEED
)( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: .err, Owner/Contr: t(~ ~ ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I I
... ...,----
J' IV OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~t.
OWNER
PHONE NO.
o FOOTING
o FOUNDAT
DFRA
o ULATION
FINAL
o SITE INSPECTION
COMMENTS:
C;;~/
{ 5., r/'/'/JK
I~
/~<;
--
SCHEDULED ~;p TIME
j//d J)vt /)r
CONTR. j];h# ~~.
99-/a?~
~D/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/]V'
-
o/<
'-
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I I
INSNOTl
--,------1'
B~~
f1A TF RFr:FIVFn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
IO/IZ/qq
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
"339'"
4. OWNER (Na,me) L. () . (Addre~
Oc.-h~enctor~' n;cL.J- ueh
15. ARCHITECT (Na~ ) -1t-ddress)
-Ph: 11/ ps r Ion n nq )-1-I1C.
6. BUILDER (Name) (Address)
Dahle 8('05. 930L/ L'-(nd;de Ave.- So.
blooVY1;~Ton/MtIJ 55'id.O
Septic 0- Deck D
Addition 0 Finish Attic 0
7. TYPE OF WORK
New constructiO~
Chimney 0 Mise
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq.Ft. J'f,330/) Width J~O'DePth IS-<6' Ves @
I hereby cenlfy that 1 ha umished informa . on t I pplication which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the ahov . :':...""., .;........... n will conform to all existing slale and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi official c voke this pennit r just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X ,/-<<,ph-, ~ ~~ /;;,47 10 -- '8 -"7 <f
/' Signature license NO'. Date
Wood
3. LEGAL DESCRIPTION
LOT
";{'1
ine..-
BLOCK
iA.J; Ids
ADDITION
Fireplace 0
Alterations 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
!<~o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ........ ..................... $
State Surcharge ............................. $
Penalty .................. ..................... $
Plumbing Pennit Fee ~~.I~. $
Mecllanical Perm" Fee ??~L~Q. $
9eJ-l.- "c
Sewer & WaterPennit ........ .~.. $
Gas Fireplace Perm" 'i9:~)z.:3.t:l.. $
1. DATE
/0/';/'19
Dr,' Ve:-
DucJc
J
3rd
Nw
PUD
1. White
2. Pink
3. Yellow
File
City
Applicant
PIO 2.5-337- 027- 0
Add;+iOt1.-
Permit No.
c;CJ- /7.. '35
c/JAAJ '-I Lf 5" (Tel. No.) 'is? 'g eYt
CH) '+'+0 - / q5/ )33
{ (p (d.) '+ 3d(~L~6 '-f~
(Tel. No.)
((.,I;)'..) Wr?-
&,q Mo
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
Bad<
Side
Side
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
liD ; '7'>< /
12. NO. OF STORIES
One-
IDepth) I /
K4/
13. TYPE OF CONSTRUCTION
Ro.. rn hIe r
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
.3
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
',':?77.'/'5'"
1=1 9 <.) .21
9'1 - cO
Amount Brought Forward .................. $
Park Support Fee ................. .... ...... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap .................................... $
$
This ~tjq~com~ Your Building Pennit When Approved.
By ~. I/fi... ~ Date .Lt2:::/"5 - 9'7
/
Certificate of Occupancy
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ! "I Po, n ()(~. 00
S U
City:
~ e:;n .0 eo
10 <:;n .00
10. DiD
(D 0 .06'
/ 0 O.ClCJ
::?cs- .sO
46.0f)
~
Pressure Reducer .......................... $
Meter Hom ... .... .... ............. .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $J:
Water Tower Fee ........................... !t,
'2 <;>0. OCl
/00. (9(7
-'OO.t9D
Water Tap ................................... ~,
Builder's Deposit ............................ $ I. C:;-fJD ~ 0(3
Other ......................................... It
Total Due .............................. $ A, z (, ,-. 910
Paid <ii<. 7.[.,c".Qf::, ReceiPtN9~... ~/"c;7 3
~u~ J
Date/:ltl../ti'i By l
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning' Ordina'nce and may proceed asl{equested. This document when
signt;)t C~. ~er nstitutes a temporary Cartili e of Zoning comPlia*ce a d Ilows co~truction to commence. Bef.ore occu. .panc.Y'/A a Certific'!!..e 6t oc~p~nC?l must be issued.
__~~ V. 1 v~ft ~--fi f14V;MICd/ .,.6it ~ 10'
. ty r ~ at Special Conditions if any U
V 24 hour notice for all inspections 447-9850
LP Gas Natural ~as
J~b Address 3-D qb ~ ld'IT.\ ~k. ~
.'.. HeatIng Contractor ~IRE.INC.
Name oITester :"l.';'
Date L; -I. ~ -Ct""\
.,~' -
(")
- ~.\Y'
-'~~/
.~~~~
..
.
Percent 0
2
Percent CO
Percent CO
2
Stack Temp.
Pressure
Input
11
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'.
... '. ....'.
YlLLH . '-'CA1IT
-.1 . C1ff
,(~.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE: Sewer and Water
. contractors must
be registered
with the city.
NO. r;9~/Z.35
APPLICANT: ~ rn PHONE: Rtt;-l//'19
ADDRESS: /11/9 ~~. DATE:_J2-1S'-79
SIGNATURE;~ :~9~- BLDG. PERMIT 1# qt?~/z:3S
SITE ADDRE~~ 96 -1d~~JlTht?PIDI# Z.5-3~- oZ-7-0
.,
1.
FILL IN THE BLANKS
Estimated length of water service LJLY
. '(
Size of water service / inch(es).
Location of any couplings from structure
'j-
2.
fe~~. DEe 2 01999
"
Wl....-...___. _._.________.'__......
-.-!L/'i
,
3.
, JjlJd.
~
4. Type of sewer pipe. ABS pvc)l Cast Iron
5. Estimated length of sewer line ~tl feet.
6. Clean out (if required), located at
structure.
feet
from
I.
BY
.
This
permit when approved. /
DATE: nJ~o/qq
-----------------------------------------------------
-----------------------------------------------------
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 buildin~ permit card at the time of -issuance
to insure that no dupl1cate sewer and water__.B6tmi~ are
issued. /-flfl-\O~'i~~\ "
DATE PAID AMOUNT ~~~O\~
RECEIPT 1#
REC'O BY
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-424~ .
An Equal Opportunity Employer .; .', . .iiJ'..",
, ,. ,~,........
,.
11
j -h _ ~.'~
If
CITY OF PRIOR LAKE
PLU~BING PERMIT PPNo q9-/235
APPlicantS- '(/r;( I?-' v t" 1/::/ f'/{j Phon'" C) ~ - CY'6 - 6"&96
Address: ':j>7S-,,: ~o// A/rLjfO ft Eu;vl"'~ S"~/.?)
Signature: ,;?:d .~-L.-~~~
Legal Description: Lot 2? Block /c:, 'b h?" ffi /'// -.5_-
Site Address: '3 ?.vr:: /~7r'" 1"- Ll/-& A-o;.-<~ #: J-P.
Building Permit # qq- / 2...3-e:s- PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
~1
Tht' Ct'nlt'r of lht' L.ke Counlry
Quantity Type of Fixture
.2 Bath Tub with or without shower
(' Dishwasher
/ Floor Drain
cr 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 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
1. Blue
2. Gold
3. Yellow
File
City
Applicant
Quantity
3
/"
Type of Fixture
Rough-ins
Water Heater
Water Sollner
./ Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$99.50
$39.50
$
$
$
$
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, Shall]om (Ijt all r e ts with the ordinances
of the State Plumbin .~ e mpndmfnts thereof.
~ 1//'1/-,'0 DATE
\1TEST
Call for all ins ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
Dale.
;)j 3/ (j)
,
Sile Add'e..
Lo: 27 Block
Owner', Name
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permi! No. tjt:j-/2.3S'
Prior Lake, MN 55372
HEATING APPLICATION / PERMIT
PID' 25-337- 02-7-0
33q~ ~~ ,OA.l.<.<t. PUO
Add~ion J1I(t.-05.3 RD ~OO;V,
.JwltLAd
/
,,1
lU.:./JL.
Adme.. _
HealingCoollador ~LLIED FIRESIDE dba FIRESIDE CORNER
Add,... 2700 N. FAIRVIEW, ROSEVILLF., MN 5511J
Telephone' _651-633-2561
FIREPLACE ii,
IliImKl> Mob & Model AAd tJ{~
11p-'11!O
Model Size
Com. Load
Fuei
(..w
Supply Opa.lngs
ReLurn Openings
lopUl
Edr.
elm.
Aleralio.,
Repair
E.I. Cos'. $
Flue Size
TYPE OF SYSTEM
Worm Air PlanLs
Gravity _
M&chanlcal
Air CondiLion log
Venl. System.
HEATING OR POWER PLANT
Steam
Hat Water
Radialion
SpecialD&vices
Output (jO,w
Other Dey;ces
TYPE OF WORK
Replacement.
}d
New Co nslruction
Est Comp. DaLe
,)/7 fw
Building Perm~' .
QQ-/Z35
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES ~.
.50
~ PAID WITH
! BUILDING PERMIT
Rece pi ,
TYPE OF STRUCTURI;
t. PI'"
l,(irertt
l. VEU_
<J>
..
:J
rt
file
eMf OJ
eo,.,l;.tQ '<
Single Family
."
1-'.
-,
..
'"
1-'.
a.
..
Two-FIII1lily
Industrial
Mult~Family
Public Olh",
Commercial
Fe 0 Schedulo
n
o
-,
:J
..
-,
Industrial, Commercial & Multi-Family
Residenlial, Healing & AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residential. Add"rtions & Alteralions
Residential, AC Only
1 % 01 job cost 1$39.50 minimum)
$99.50
$64.50
$39.50 FfB - 3 2UOO
S39.50
$39.50 c...__
Ram ember 10 add the Slate Surcharge oolhe bollom 01 this application.
~.~~-- .-
m
'"
The price of your heating permil includes one rough-in and one Rnal inspeclion.
m
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Additional inspections will be billed et $35.00 each. lJl
lJl
Hou... Healing Tesl Record musl be subrmled willl ~"il<1inn wmil n,..",.,,,. belo,e build ':
lng cellilicale 01 occupancy will be issued. _.
t1EAT CAI.CUlATIONS AEOlllAFn wilh numbef 01 supply and return opeflings lisled '"
room with CFM's per opening. New structures ()( e.dditi<>ns send floor pl8l1 w.h supply
and roturn I"""lions shown. IIEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S-E- PRIOR LAKE, MN 55372.
Cijy Hall business hours are 11 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
."
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...
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i hereby apply lor a mechanical syslems permit and I aCknowledge Ihallhe
Information above is complete and aecrnate; Ihat the work will be in conformance
wllh Ihe ordinances and codes of the cily and with Ihe slate building/mechanical
codes; lhalthis IorIO does nol become a permit unlil signed by Ihe BUILDING
OFFICIAL; that Ihe work will be In eccordance wilh tho approved plan In Ill"
ca.e of all work which reqwres review and approval 01 plans.
"
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APP~_
BUildizromcai's Slgnaluro
:J.Ijj uJ
Dat.
Z/~/(Jl)
Dol.
N
-
N
Stlpply Openings
Retum Openings
CITY OF PRIOR LAKE MC
16200 Eegle enek Ay. S.E. penna No.
Prior laIul, MN 553n
qc; -1635
TYPE OF STRUCT.!.lBI;
2. till_..
J._
Single Farnly
Commercial.
)(
T1VO-Flmi,
Industrial
HEAnNG APPLICATION I PERMIT
Dale (') I - '29 - ,., f'\ PID ,
Sle Address ~ "' Cf.G. t.Voodd..uL.k 0.,.
10I _ IIIodI. _ MlIliun
Owntfs Nallla -1)- 1..1 ~ R....x.
A~.." Cf ~n4 L.._ .l..l~ IL
,
HealilgConlrado' U",ll...,. A....."
Address 'Ill I W (~+.... t;+
TelaphonaJ <;t'i 0 - 4 3D I
Fum"""MakeUblal L~_"", (..-2.3
Model Sill i 2 S". ~~
Conn. Load r.; s: 00 2-
J 1\
Futll UIl\..T F\Je Size CO (\
Fee Schedule
'l:^-'-
(nduslnal, Commen:ial & Mulli-Family
Residanlial. Heating & N;
Residenlial Healing Only
Aesidenijal Gas Fireplace
Residenlia1, Additions & A1181a1lons
Residenlial, N; Only
C
1':_.,.
PubIc
MuRi.F....1Iy
OCher
1% 01 job casl ($3!J.50 minmum)
'99.S0
~.50
S39.S0 .
~9.50
$39.50
JAN ;j I 2000
Aememb.. 'It add lhe 51110 Sun:harge on "'e bIlnltm of lhia apJ!ka/lltn.
The price of Y"ur healing permil incbIea one rough-in and ..... finol inspeclion.
Addilional inspedi..... w.ll be blled al S35.00 each..
Hoose Healing Tesl A"""'" mus'.... submilled wi'" ~, li'<ii....1lllIIIIil1llllDlllll: bale... bui~
ing ce,lilica1e oIltCaJpancy wi be issued.
llJ'AT CALCUIATION~ "Fnl I'1>Fn will> number ItlauppIJ and Illlum operings listed pel
",om willl CHI's pel openilg. New sllucM8s Itr addililtl1l send noor plan wlh sup",",
- return IlICatiltns shown. HEAT lOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAIlED 10 THE CfTY OF PRIOA LAKE, 16200 EAGlE
CREEK AVE. 5.E. PRIOR lAKE, MN 553n.
Cily Hall businese hltuts are 8 a.m.. 4:JO p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) . CALL crn HALL
441-4230
tyPE OF SYSTEM
Warm Air Planls
Gravky
Mochanical
Ai Condlliltning
VIOL S,slom
14
~
HEATING Oil POWER PLANT
Sloam
HtJI WeIer
Radialion
Spacial DOYicas
Ed,.
1"",1 12Jr ,~"'" Oulpul. I 0 <). O<>J
.
elm.
/ f.OD
AIl..aIioM
R...
Esl Cosl S
I hereb, apply lor a mechanical systemo permit and I acllnawledge lhat the
inlarmaliltn ebove is cltmple'e .nd aCCllra'.; thellh. wor. wDl be In """'ltrmance
with Ihe ardln.nee. .nd cClde. of Ill. clly end wllh lhe .1.le bulIdinglmech.nic:a1
codes; lhat lIlis Iltrm daea nol become. permit unlil signed by lhe BUILDING
OFFICIAl; thai the Wltrk lrill be In accordanee with tho .pp'....d plan In the
case a1aR work wl~ch requires review emlllpp'It...1 01 pions.
011I.. Devices
TYPE OFWOflK
A8p1acoment
Naw Conslructiltn t('
EsL Camp. 0aIe
BuidlngPermhl 99-/23S-
( PAID WITH
BUILDING PERMIT
HEATING PffiMIT FEE'
.50
STATE SUIICHARGE $
TOTAL PERMIT FEES $
(-
Racofpt ,
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Del.
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"-joi-~V~ili....'t '..4-:~~-_i.WtJrl:ltL&;i>1:,+";"~~~~.JtJ;:,.!.>,~"",-.,...JM.~,,t.-J4.l.t~ aA''.I'.lM'.)~~'''' ~r."" ,,-
'''I' ....
GREE. . fILE
YELLOW . APPLICANT
GOLD. elT,.
'~
I
CITY OF PRIOR LAKE NO. qq-r~~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
NE:
,_ DATE:
l.
2 .
Estimated length of water service
rs-V
feet.
~ \?>1~
Size of water service
II
/ inch(es).
3. Location of any couplings from structure
fe.et.
4. Type of sewer pipe. ABS PVC D<- Cast Iron
5. Estimated length of sewer line ~c1 feet.
6. Clean out (if required), located at
structure.
feet
from
BY
------------------------------------------------
------------------------------------------------
This
s your permit when approv~.!
~ DATE: 3/13 (J7)
v
".r^
---------------------------------------------------
---------------------------------------------------
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
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
1 "." "'-,"" ~-w"-'''''''''''-;'''i~~''~ ~"""""\L~""'-','~",, .,'....-'~ u~ _~~~... .....1'!"""'....,.,...ot IF ..,.,.'11" III~II IIIIIIII'I\IIIIIII''''''~ ~ ~~~.
~\
White - Building
Canary - Engineering
Pink - Planning
Tht' ('t'nlt'rof lht' Llkt'Counlry
BUILDING PERMIT APPLICATION nl:PARTMENT 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:
Acceoted
Accepted With Corrections
Date:
l1-x-CfJ
- .
10 i Sldt t/ard..s
,
"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."
/.')(' .
t -I
" ,--
(1--) ~~ r-::
. L_ _~~, --,'
White - Building
Canary - Engineering
Pink - Planning
Tht Cf~lfr of Iht' t.kf ellun'rt
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~;,L) j-/ t E b/c:'C5,
/~// /2,/91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ":.>,?, Ci;J /~. . II) I~-..
__ _ rc I ~ (. CD U (jC-V-:-- ----
NvV
Accepted
./
Accepted With Corrections
Denied
Reviewed By: kJA~.,-Ett E..",(3MANN
Date: ,o!t.2--{n
Comments: A
1)12.1.JI:WllY Cr1......J l"JIJLY 15t: ?J MA!,It.., M<....lIoV C)~
7..iJ. t..JllJ!: ~r
~....n:: ?l1oP(,:a.\Y LfJJ~_
~~L IlJroQi"'\.A"T'"""IOd ("")..J "'-r-IE Rf:Jr;L'(,~ Slb!:_
,sf:E.. A,-.,.Al....M~: I. r;-,.,,o\t... ~a.AbF: llll.<;;p';:c.-no,.J ~,Jf"[11L1'I'\A-""J.'),,1 l. (.2ftADIIJ(~ r::L~,,\
3 Fn,."....n....\ ('0 N-rl1..A)(.. Mf:A5un.ES
y.. -.Cll OS,IOt'..J COf\JrRO<.....- RA,...J
"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 I
99-/235
White - Building
Canary - Engineering
Pink - Planning
Tht ('C'nlt'rof Ihl' L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D,4 Hi- 6 BeoS.
/0/ /2-/ CJCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33Cjb 1;1/DOD DUC-!L Dr<..
NW
Accepted
Accepted With Corrections Y
:::::.d By(d~ ~ ~
Comments:
I. \?"I"A, Cl\\ {jHQc~ howlocJ\--s.
Date: /0 - ('0-11
"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 ,
--_.__.__.,...,~---~-
I'
~AIOR LAKE
INSPECTION RE.CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1~q In \...)'VyQ Dl )r~ 'PI-.
NATUREOFWORK )..\Pl" Qn1^,s.h"')0b'rTV\
USE OF BUILDING ;) \="D
PERMIT NO. 9s- lc.<, os- DATE ISSUED ID-IS- 9<t
CONTRACTOR ~Q~\~ IR\-~s,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO MENT
I'
FOOTING
I FOUNDATION (Prior to Backfill) / 'f1
PLACE NO CONCRETE UNTILjABOVE HAS BEEN SIGNED
ROUGH INS
II/j)) tj3/1a7J
I it1Jd1bL/;!;-o i)~.
IV' IL <
I '
ik:JJ ~/~/oo
(~~/J/oG
V(/II ,)-/!ioo
(.p. ~ I rb-!{lf/I J. lot
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
I~ ~--:/~oo
~J thL/-go &n
DATE
Ltl. 'J.~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
, 1
7 /1 sl 0,0
2-1,,<5"1 tV
# - - '"
.., I'; = ';
GRADING (Prior to Sodding)
BUILDING T,t,O.iili (d5-8D
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
t:) III I~
Il...- /JI-M
.
vile., 'h; l/-Itf-rfC
\I/r, m--. 4-IIfJ~
UNTIL AB'OVE HAS
NOTICE
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and m~ntained 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
11