HomeMy WebLinkAboutBuilding Permit 99-1258
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CITY OF PRIOR LAKE ~~~
\. -,
lBepartment of ~uilbing .Jn~ptction ~i4;
, Final Permitted 0 Conditional C.O. Expires ti -':
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
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SINGLE FA'lILY
Type Construction VN
Bldg. PemtitN< 99-1258
Fire Zone N / A Zoning District PUD
Use Classificatior
Occupancy Type
R3
Legal Description
1.2, B2, THE WILDS THIRD ADDITION
Owner of Building
C:;te Address
3221 WOOD DUCK DRIVE
Contracto,'s Name & Address METRO CLASSIC HOMES, 8703
ROBERT D. HUTCHINS tJ1.
'7;" Olfi - y ....:... City Planner
1 g c .
.~/L7 %'11 Date:
I
HF.ATJ.lERTON RIDGE DR. BURNSVILLE
JENNI TOVAR
Date:
POST IN A CONSPICUOUS PLACE
. ,
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO ~/~/oo I-\~
. .
~ 'SDW),L DR-
ADDRESS 3 Z 2..-1
OWNER
CONTR.
PHONE NO.
't9 -I 'Z..- SRI
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION <<y\
~ FINAL '(tSI
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.
COMMENTS: ~ .... T~
~. !J~~rr1~
I'\O~--i-.:.1l, _ ~ ;", .) b ,~ tl
~~ A<~_.
,~1;.tc..".c~
....-"
-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTlON BEFORE COVERING
Inspector: . 'J:;2!r" Owner/Contr:
(
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED e,: ~.au '" er
ADDRESS :5 2-2-1 rvOO!) o U f!.4/
OWNER CONTR.
PHONE NO. PERMIT NO. t? '? . (ZTFJ
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUt@PDFIREPLACEFINAL
o FINAL 0 PLUMBING FINA ^ . ~ASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL f"" r- C; ~ .-or-
COMMENTS:(/)) ~ .,Q.tLA... ..' J- ~ p.r.:J;..,
@ ,J'pg~ (:d.)- ..).~,' v ~ -hL ~.
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J~~';""~.
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0-.-& ~ P~.::.#-~.
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L.._._. '=',1 { C'O:r.-......) ~ C- ~(3) /t~
F'r:v~ . v f U) 0/1-. .'~
o WORK SATISFACTORY, PROCEED LlLJ6 - I b7cJ
o CORRECT ACTION AND PROCEED I I (IJt.<W,J )
)(FORRECT WO'-i.ALL FOR REINSPECTION BEFORE COVERING
Inspector: ' ~\ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-...,.._...._-_..--r-~..---_._------.~---_.--,----
. ,
.JF PRIOR LAKE
.PECTION NOTICE
SCHEDULED
ADDRESS
,~dal
~J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUN ION
OF ING
o SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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15
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'.5
OK
.....
DATE
~
Du('k Dr;tlf>_
-&.k ~ rrk ~
'l9~ ;';SY'
~GRAD'FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
TIME
)~
r f.. I
J )
/"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.,
.-.---...-..- "'--'--'--'-'--",--~-" .----~--..--.-.-__r__----.- -- .----.--'-~-'_.
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~2Z1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
II/'~l~'
~ Br, Vc::.
TIME
lo~oo
Wcod ~
CONTR.
PERMIT NO.
Cf1- J2S8
o PLUMBING RI
A ~ECH RI
A TER HOOKUP
SEWER HOOKUP
{-\ 0 PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT,,: 1\ . _
SO' ~
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fJo ~
{/p.p
f'r--
,411"'-
sz
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~Zt..,,~ '6- Cu.J.:,
~K SATISFACTOREROCEED
fJ7 CORRECT ACTION A D P OCEED
o CORRECT WORK, CA ~ ~SPECTION BEFORE COVERING
Inspector: I ./ Owner/Contr:
CALL 447-9850 FoL TH , NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMEWARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
II
INSPECTION NOTICE
JrlEDULED
,17/00 1'30
ADDRESS
32.2-1 WOOD OUU<..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qc;-/Zb8
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
A p)'LUMBING FINAL
.Jll'.,MECH FINAL
.cqMMENTS: ~ ~ S -17 -/'1
ll) \-eX'~4"R4- ~+"'~M-
(~ Th5~ t\
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r:.
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. k("ff'.i 1'/ ri
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o ~K~ATI FACTORY, PROCEED
~;~~I CT A ND PROCEED
o CORREo C L FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
CA L 447-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~ REQUlRJ 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFET;'
V INSNO"
---.-____.u... l
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II
, . , OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
322../
~ .3:3L;
WOOD DUCK-
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cl'l-/2.59>
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
./j 0 SEWER HOOKUP
r I ~PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
/
. Owner/Contr:
C, ILL 4.47-9 150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CO~E RE;REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFEr;!
V INSNOTl
-_._-.._-...._._.~-"-.,._----_.,_.,._--_.~ . -'-' ---_..,--~--
~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~i~~r:q
DIREC'llONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
\2. SITE ADDRESS _J. _ _ L-
_~~2-./ IA)cpd OUQ.(.
3. LEGAL DESCRIPTION
2 BLOCK 2
--r'#.6' W;, L-E) (" :3 ~
4. OWNEi' I~e) ../ /./- (Addr,..) /
_ J4U./\/") J )~4/.J rl j;P~/)4J US
5. ARC~CT (Na~ (Address)
l-tf'f../7 // /LJ//2 C-.
B.mER (~. .. I /. (Address)
udaP/l U#\C/(" . ~;PA3>.
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0
New construCrlon~ Alterations 0 Addition 0 Finish Attic 0
Chimney 0 Misc.
18. PROPERn: AfEA OR ACRES-
Sq.FI. j'l- 701J
1 hereby carr "that 1
the above ntion p
building ial r
X
]Vz.
1. DATE
9- 15-99
ZONING
PUD
LOT
PID
7S-.~3T o4-D-O
4LJO.
ADDITION
(Tel. No.)
~~J-O
(Tel. No.)
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
\9. PROPERTY DIMENSIONS.. /. \100 CULVE~E
Width I OJ-Depth /..,-0 Yes ( No ~
had Infonnation 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
t"'~on. rm to all eXIsting state and local laws and Will proceed In accordance With submitted plans I am aware that the
ae. ore, I hereby agree that the City offiCial or a .~nee may enter upon the property to perform ~~~.
Y.1Z? <'::':L. -
- .' Loen..N, //YT7~/q Cj
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Back
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION J.89~"""""".'f\~
USE OF BUILDING
SFn
TYPE OF CONSTRUCTION: I 11 III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
City:
P.nn~ Fee ................................... $ I.:!' ~ .?'J...
AFi'l.qfo
State Surcharge ............................. < a,7, .;<:rJ.-3E;e.H 91-1258
~..H.U4f-........................ $....-1.0."\ .no ;:-;;~; ::~~:
S.~li. s, I.... .db.................... $ I () n . (") Q c.P. 'i''f - f....'g
Other .....St0.......................... $ ~5 . "VJ
_I ......FE................ $ Llt).m
Plan Checking Fee ......................... $
Side
I. White
2. Pink
3. Yellow
File
City
ApplicaDl
00_ /258
Permit No. BP 77'
BUILDING INFORMATION
1,. SIZ~TRUCTURE
(He;"'1) IW>Jtt>I~.J (Depth) ~ 2
12. NO. OF STORIES Z
13 ;::tPE OF CO)'STRUgr~ I.
r7/AJ-:(?" rp/(l- ..-/
14. FLOOR ),REA APPORTIONMENT usll'
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ?
SEAT~
16. PROJECT COSTNALUE
/$7, /00
17.A.:&:/':;;;~ 199 Cj
MATERIAL FILED WITH APPLICA'llON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS 0
SURVEY 0
PLOT PLAN Ll
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $ f1\S-O. GO'
SAC ......................................... $Lac;n . f'\ r.J.
Collector Street Fee ....................... $
Sewer Tap .................................... ~
License Check Fee ',"tl"' ................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
,,,
Water Meter ................................. $
Sewer & Water Connection Fee ........... $~ ~
.,
Water Tower Fee ........................... $
7t:).0:::s
2'?Q.o()
200,oC;
,Do. al!J
Water Tap ................................... $
Bu;ldars Depos;' ............................ $ I.. <;'~ .~.
Other ......................................... $
Total Due ..........T................ $ 12, /70. '" B
Pa;d p,r O.G!> Rece;PtNP;; 3&-1-71
Issued . A}U ^---
Date 0 By / //fr'
Th~~t r est in the above application and "'~W'. .....:.. ./ing documents is in accordance with the City Zoning o.rdinance nd may proceed a) requested. This document w
sign by n ~~ a...\9"'fX>rary Certifj~f Zon~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Issued.
,. ~f I~Jf-I!I- .
( l City Planner Dale Special Conditions if any
V' 24 hour notice fOf all inspections 447.4230 .
This ~~es Your Building Permit When Approved.
By~...k..._ Date td-2!!)-~'7
Certificate of pancy
-'~._'"T'"'_..'.'-~"
-,-----.----.,-
..
.Permit#
-~------~-------
.
.Job Addr8H
-Heating ContT-=tOf
"Testers/Signature
.Gas Une
Pressurized
Inspected
"Percent CO2
.. Percent 02
Final Inspection .
METRO AIR
'7~
T
Q!!!
Time
PERFORMA.NCE TEST
(p, Q'O(t!J
7t (dfll
.Percent CO
"Stack Temp.
Pounds
~
t'cf<,
.:>,) (j D
Date
"
CITY OF PRIOR LAKE
16200 Eagle Cnek Av. s.E. Parmll NO.<\ 9 - \ ). S' ~
PrIOlLAIle, MN 55372 .
HEAllNG APPUCATION I PERMIT
DIIe \~-\o -'\ ~ PIO' ZS-337-0Lf.O-O
5atAddr_ ~:)~ \ \.l () () ~ ~\A(,\' PlJO
I..al z. BIDck 2., Add.1on WIL..OS 31120 A.DDN.
Own.... Name \\...,:\rt\ \., \ '-\-!>~~ u \\ \.) M.~
~ ~I\~) \\~"t\tJh"l ~\.o\., \. <,~" 4Ct"-....
HICIngConlradDr\"\ {~ \\,,... ~Y\ \. '
AddJ_ \ \n ~ i \'\ ~ L \ lt~ ~ ~ l 1+: IT' \. tdlc
Telephan" '--\ v,,1- i \ ::l ""
Furn_ Maklt .. Model lL "V'\ \\)G
ModeISlza ~'()u \1.'- i/", - \~\)
Qmn. LoIId II 'J \0 ~
FIIIIN",l'
.-<
a.
V
.-<
IS>
o
Z
F1~a SIze
C:;-"
Supply Openings
;).0
~
~
H
a:
o
~
f-
~
Retum ap.ningI
Inp\II \ ~.I'I IX) Olltpul ~,oCiO
Edr.
CIm.
\ '51 S-
TYPE OF SYSTEM
Warm ~r Plants -X
Gtavily
Mechanical
Air Condlioning Jc.
Vent. !!vltem ...
HEAnNG OR POWER PLANT
Steam
Hot W8ler
Radiation
Spocial De'Iicee
Other Devic8s
AIIIlIIlona
Repll.cament
TYPE OF WORK
NlIW Construction
.~,
E
~
Rapalr
Ell. CosIS
HEATING PERMIT FEE S.
S'TAlESURCHARGE S
u .,'
~ . TOTAl PERMIT FEES S
Ell Comp. Date
BuDding Permi! II ~ ~ - \ d. S'~
MO~~'~\
.50 \~NGP~'p"" ,
RllCe1pl'
(T)
(J'I
~
....
\D
IL: .
. :~"i~ ij.~.>~ ~: ..-'
~.",......,.,
. ~ '. '.
;:.s,...;.:.:'-;''': :.,
TYPE OF STRUCTURE
J._ FIle
1._ -CItr
l. _ - CoaoxlN
SRIgle FIIlIily X
Commeldal
1\vo-FemIIy
Industrial
Public
Mulll-Famlly
, Ott~r
Fee Scheriole
Induamal, Commerclal . Multi-FemIIy
RftidenIiIi, Hellling . ~
Residential, He8ling Only
ReaidentieJ, Gal Fireplace
. "". ,. \tal, AcIdIlIane .. Alleralionl
Residential AC Only
1 % of job cost. ($39.50 minimum)
$99.50 '
$64.50
$39.5D
$39.50
$39.5D
Remember 10 Bdd the SlIII8 SuR:harge an the bottom of this 8Jl"'."'" ),
The price of ra"r hea1lng permil incIudea one rougMn and one llnlll inapllCllon.
AddilionaIlnspecliOll8 wi be biled al $35.00 eeeb.
House HeatIng Tesl Record llIU8Ille aubmilled willi bu;ldinl;! gmmjIl1IIIllbir befor. build-
ing -*ale of ' .. . .' ' leV wiI be Isaued.
"'''~T ~.' Mil .T1""'~ II"'" ""F'1 with number oI8\lpply and reIum openlnge llsted per
IQClfIl wIIb CFM'a per opening. NtIw structures or IddlliOflll send Iloor plan willtSllJlP1y
end l1Ilum IocaIons Ihown. HE/(I" lOSS CAI..CUlATIONS, PAYMENT AND
APPUCATlONS MAY BEMAILEDTOTHECITYOFPRIORLAKE.1l12OO EAGlE
CREEK AVE. a.E. PRIOR lAKE, MN 56372-
CIty Hd l!uelne.. hol/!$ aIll 8 Lm. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl). CALL CITY HAll
447-tz30
I hereby applv lor a mec:llllnlcal BYslema permit and I acknalVledge lhal the
inlolmallollabove 18 complete !lftd accurate; lhat the worll will be In conformance .
with (he ordin_a and cod.. oIlhe cIty .nd with Ihe atate bulldingl","hanlcal
codea; Ihallhia form dON nol become a perlpll until signed by the BUILDING
OFFICIAl; that Ihe wolle wm be in accordance with the epproved plan In Ihe
c..e 0111I1 work whic:h requires revl_ and approval oJ plana.
V'\\(MAJ\ i" ~ 'cl-~ -~C;
~ 1?-/~i91
DIiIe
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B7Offafa~
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.....
GREEN - FK.E
YELLOW - APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. <19-/2.58
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT ~....\ <-~ 0 l;:. )( c:...
ADDRESS: dYI.b-\:t-rfl ,..{IA)p L-II'AL---
SIGNATURE: y~ J/-" '. - .
SITE ADDRESS:. ~:JQI Yl)MJ..J,lrk 'Ov,/~
.
PHONE:
DATE: Il/(0/"11
BLDG. PERMIT # q Cr. /) ~--~
PID# 2.5-337- 0<4-0-0
1.
Estimated length of water
Size of water service )
FILL IN THE BLANKS
--
service i ~
feet.
2 .
inch(es) .
4.
Type of sewer pipe.
ABS
from structure
PVC ~ Cast Iron
tf ~ -feet.
feet.
3 .
Location of any couplings
5.
Estimated length of sewer line
6. Clean out (if required), located at
structure.
feet
from
==============f1-=.'=~==============================================
This appl icatio "I/(p-l.~ your permit when approved. / /
BY / if0f.L__ DATE: 11/ I{) qq
f- ( i ,
============= ===================================================
FEES: S 35.00 Sewer and water line connection permit.
S .50 surcharge
S 35.50 TOTAL
* Fee for either sewer or water individually is Sj.rJ.tJ1I) plus
S .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 PAID WiTH
cmc.;:;:::C';' .
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. BIuo
2. Gold
3. Yellow
File
CIty
Applic::am
r ) i :~:1 '
~--"-=II
I'. "
)1
,
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo tJq./2.5f:"
Applicant: ~t+j J/ 'J) 11,,:U J;) ,vht /" . Phone/ ~b/) .Jtl3 -3.'/.30
Address: ki;b,,-'V) &.!-_.VJI(t/ J._ ~~, C1f... J rf , J I L f- .~ J ,,'fb7Jt.,l{
Signature: -b.. \ '''' "-rI. ''....In.''VJLJ,}';<J~
. f ~ J' if
Legai Description: Lot Z. _Blot!k 2 Sub rl/ I LD ~J .:3 f2i.)
Site Address: ..3:uu J//~) JJl,,~1U) Pi./D
Building PermiU q q.. /256 PID # 25- .33-/.. 040 - C
NOTE: This permit will not be processed without complete information.
r
11M Cftllft' 01 II.. Lake COUall")'
:1
\
:\\
., \
NOV
Quantity
.fL,
/
-.3
.;
I
I
I
I r/L'
-.3
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain ( Z e ~a.raqe)
~
Lavatory (bathroom sink)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage EjeCtor
Backtlow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler (, r 2.)
Other
-3
I
I
Laundry Tray (1 or 2 compartment sink)
Shower Stail
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
$99.50
$39.50
$
$ qq.bCJ
$
$ .50
State Surcharge
GRAND TOTAL
$ .tra,$.?-.WS\
~\\..O\~
,6
This pennit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumb~'ng c.... and the amcylments thereof.
. .. Md _L//d3)?1 DATE
Y f~ ATTEST
Call for all intpections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal OpportUnity Employer
II
~~
99-/2,58
Thr ('rnl... of thr Lakr CI)Qfttry
White . Building
Canary . Engineering
Pink - Planning
BUILDING P~RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /'7E~C (;L/1SSIC-- /-10/"16
APPLICATION RECEIVED /C/ /f3/9q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3Z2-/ HOOD DUC-/::::- DeIVb"
Accepted
Accepted With Corrections ~
Denied /) 0
Reviewed Byl r.!/~j-\
Comments: 1/
Date: 10. '2. S - 'L9'
J. f(PMl r, II a tkrl..."d
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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."
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Thl' ('I'nlnof lhl' Lib Counlry
White - Building
Canary - Engineering
Pink - Planning
RIlILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Reviewed By:
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Accepted With Corrections
Accepted
Denied
Date:
10/;)-1 /e;!
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 oth.er 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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Tht' ('f'nltrof ltlt' L.k.. Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT /'lC37;e0 GL/1..5S I c.-. /-lonGS
APPLICATION RECEIVED /0/ /f3/9q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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5CC~~h Corrections
Denied
Reviewed By: IAI"'LT"~D E:'''',,-CSoNr04,Jr-J
Date: /oha-/n
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Comments: Sa
},.JFoaM.4'f""IOA.J ON 7WE: Rl!!:o.Jh:IL'it;:_ <;;'It'Jff....
~e:.e:. ~.HMfjJi3. ~ I. h.JJlL-QkA-flF'_ lr-lspt:c:iUJJt, r INFO" t\1A'Ilo^1 2. ~fiAIIIAJ/'.... J:r~^ I
C? .Eflo5lflAI COJ>J"T"r'lt'H_ MbA..c..,....ln ~_")
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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."
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~9. -;} \ lA 1 <'\rXCJ D\ lr k:- \:), ,
NATURE OF WORK _f\)~\L) (\,.","""tMlrL"T"Y\
USE OF BUILDING :::"r:-:.b
PERMIT NO. C}9 - 1'J c:;-y, DATE ISSUED 10 -?.s-~CJ
CONTRACTOR - H ",hC'"l - Oio..s,,'r ~ oc:....
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO UMENT
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, FOUNDATION (Prior to Backfill) I I (]) 11/S#1 Ii
PLACE NO CONCRETE UNTIL AB~E/HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC CfJ) 1'/17/'i?
FRAMING 'VI c 0 IUZ~C T ION f (/ 12/-1
INSULATION I /V Jz/~J'/'7'1
ELECTRICAL IV
PLUMBING I n/n/1 S
HEATING (if required) ~ I ) Jalll'/~'"
FIREPLACE' ,1/ ' I ( 1/~4
GAS LINE AIR TEST;;: P. ~ I/;<!/od I .I2.~ (p/' ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding) ~./ g--: 2 t/.- t.ft) "
BUILDING'\t-~'l,(d~~. z/I'5(Ob /C?1. I ! 1/~A D,
~~~~:~~~AL ' ei'il~~~(II~ (ii!Jj);~ ~/&Itv
HEATING I (!;IVa-/6/lItI
DO NOT OCCUPY UNTIL ~VE HAS BEEN SIGNED
.
NOTICE
I FOOTING
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This card must be posted near an electrical service cabinet prior to rough-in inspections
and mai!Jtained 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
II