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Home My WebLink AboutBuilding Permit 99-0038 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT L White 2. Pink 3. Yellow File City Applicant 1120. Permit No. 9;-cc~ 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 3~6,3 1. DATE /-~rJ- f 9 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) LJ~v 3. LEGAL DESCRIPTION / LOT tv ~ 107 Y BLOCK Gi.YN IAJ/Atfr- j- NtJI/f ;)r NtJ 12, NO. OF STORIES ADDITION / I.rT PID .;15-- J.5tJ - 06 Y-I a #//l;()/v 13. TYPE OF CONSTRUCTION 4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) tJ fAlf ",aNN IJO/ft fr 7. TYPE OF WORK New Construction ~ (Address) I iff' /Iaz.~ Dr St.(,1fJ ;;Joe> Cd/AN /11N Fireplace 0 Septic 0 Df{!. 0 Re-roofing 0 Porch 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 1 o. CULVERT SIZE Yes No SEATS 16. PROJECT COSTNALUE lIS: QL!O 17. COMPlETION DATE 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 I 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 buildin\!. <1icia. I can revoke ~e;Zit r just ~se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X AJ dAH' ~ ~ /Y.rcr /-~o- 9 ~ d - ~ ature license No. Date v FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I ~",. 606 SURVEY PLOT PLAN o COPIES o USE OF BUILDING "3 FA TYPE OF CONSTRUCTION: I II III IV % Occupancy Group A B E F HIM 161 S U Division 1 2 @ 4 Permit Fee ....,.............................. $ City: Amount Brought Forward ................,. $ Park Support Fee ........................,.. $ SAC ........,........................,....... $ Collective Street Fee ,...................... $ Sewer Tap ................................... $ $ A S"D ~ 00... I D ,C:;-i"l . eO Plan Check Fee ............,................ $ /O(Y7.A5 f05'1./ ! ~ ? . 00 State Surcharge ....................,........ $ Penalty .................................,..... $ Plumbing Permit Fee ......, ..1~.~ $ Mechanical Permit Fee ......~~,::?P. 3f) $ ~r & Water Permit ................':.... $ Gas Fire ace Permit ......,'fI:,~3e. $ 4-e? Do Thi A I . Be~~ur Building Permit Whe!0Epr~~, By .~ Date J - J. t::::::1J 100 - 00 \dJ . tJO +- Pressure Reducer .......................... $ Meter Horn ......,........,...,.......,....... $ Water Meter '.....,.......................,.. $ Sewer & Water Connection Fee ,........,. $M 0(5 .01'f Water Tower Fee ........................... $ l7t1c. eD Water Tap ................................... $ Builder's Deposit ....,....................... $ Other ...........,............................. $ Total Due ......................,....... $ Paid S 1~?> .'I~ Receipt No. Date L- r f) /'i C3 o 57/; :s ik-- '34- 31..;- ('L()~ Certificate of Occupancy Issued By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when s~~a~~ a temporary Certi~~~1mPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. U City Planner Da e Special Conditions K any 24 hour notice for all inspections 447-9850 T..,.... ~:- {~~.~~d_~7'_ r- . \~ '-" " \, \ - ~' ''-, ~ .'- CITY OF FRlOR LAKE PL Ui1JBh'/G PEJ~j~JJT );UC ~;t: ~"id Crv .?i?-3(j[ ,.If:clicant: GDiZ-:tY.\L'T ,.lccrsss: 1~7'::'5 So Re}er'::. Trl. Rosemcl:I1t !!:T ~~~~aI~re: ?)/1:~7t dC/J/}lfliU/~ , ~~:c~;der:~'~~3&B ~I/ Y;f);;}~ ;!;A. 2uiicing ?=r~lr :f t(q -?/i, P~cre: '............. .....".' -+.:-":-.!..l.~~ fhf' ; ','ntt'f 'Ii 'hf' L.l.kC' . lunln 5 =Ct(~ Cuanrit'l ;A I / 5 I I / ~ ~,5:!:C 3Ij:,{!;1!J Il tl.itlkr J:;r ='C :;;S -350. ootf-/ ;,\JCT::: T;,is ::errT.it ;vlil-:ct oe .JrCC2SSec 'Nitr.CLt::cmc:e!s rrcrrT.a::cn. FiXTURE UNITS I'/I=e cf Fixture :uar.rirr 'J':8 :r .=~x:!...;ra 2ath Td:: 'Nith::r vlthct.;t s~c'Ner / I NaIsr-ea:sr -.CI..;;r:-.ns C isr:'Nasr:er F:ccr Crain {'/2.12:r 3c~~e: L3.'/atcrj (carhrccr:1 sir-::<:) / I .::tarc ,=;c~ ",vasr;r~ ~aC~Ir;e} Lat.;ndrj Tray (lor 2 ccr.,car:rT.ert 3ink; Sewar;e =:ec::r Si-:cwer Stail 3ac:<ilo'N ,~S22r7',CI~/ :=.?:. ':cLcje C:~ec:<. ,:'/2) Sinks =2C:<7~C\NJ.SScr:i'i ~=.s~ car Sir:k _2'Nr:~cr:r:<::sr 'Nater C:cset (:cliet~ ;:t~er r== SCHEI:UL2 industrial, Ccmmerc:al 3. :Vldti-r:::r:Ii;i (1 %, of jcb ccst, $39.50 minimur-:, -~ ._v / ) Resicential. ;,\Jew One & TNC F3.mli:/ 3 Resicential. ,;l,cditicns & Alteraticr:s 329.5C 3 State Surcharge 3 3 , PA~ "TH . BUILDII~G~RMIT . This pem:lt :5 if:J.meu Jccn '_he::;~ress::JnJi[Ion :hal ;~i1d conlfJcor,inall :omoiv in.lil rcscc::t:i .Vilh :he l)rGinance~: elf the StJte ?'umDtn~ C1Je :ll1J [he JmcnJments thereof. R;CEIPT'iC 3 17 -V;; c.\;:: (JjGu J \T:'::S; r CJ.l1 :"cr lil .n~Le:..:::cns .:-.+ ~lcurs in :ldvJ.nc~. ':'~2~c ,- , -' :-:e ~( ~--~,.... -1,': ?:-:cr :"J.:":'::. :"[::::-_C~'~C;.: 55:-:.. :::1.. , .. -, I i- - - . -.-: ':':'''::'. ~ :-:,-~:'::1::~' ':'::;::h:~ ~:- r-I o , D.. CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permil No, 99-38 . Prior Lake, MN 55372 If lXl lXl lXl l"I l"I ID N r-I ID HEATING APPLICATION I PERMIT Dale l../IdQ / qq PID, 2S - .350. 004-1 . ; . , Site Address 3<<1" 3 ~~ h.(~.t,~ '7'>J.L;.J(.. I( 2..50 - i)"- lol tf Block / Addilion '(jJ..YNW,ejre.e. 1S'r ~OC>N. U)~t2AAAl" ~ Own or's Name Address Healing Conlraclor Alied Fireside Ui)a F1tes!m, CUmill License "20090911 2166 N. rail"ilew AYa. Telephone II Roseville, MN 55113 Sli1/63a 2i&~ Furnace Make & Model &.1 AJ GCo Address Model Size :s.t.. TSD ~ TYPE OF SYSTEM Warm Air Planls Gravity. Mechanical Air Condilioning Vent Syslem Conn. load ~ QI c: ~ o U QI 1:1 or- ell QI ~ or- U. c:( r-I If " ID o m m I m N I ~ a. c:( F~;' ~\ Flue Size Supply Openings Relurn Openings Inpul OulpUI ~ 3, cXO Edr, BfA TING OR POWER PLANT Sleam Hal Waler Radialion . Special Devices. C/m. Olher Devices TYPE OF WORK Alleralions New Conslruclion Xl Rep/acemenl Repair Est Comp. Dale _ If/~/%J I , . Est Cosl $ ) JtJ{),Ci:) Building Perm~ II , 9<1-3B HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 ( PAID WITH l BUILDING PERMIT Receipt /I . ,TYPE OF STRUCTURE I. "Ill J. (:.un ). Velluw Filr Cil, CO".CI.. Single Family Two-Family Indus/rial Mu/li-Family Olher Commercial Public Fee Schedule Industrial, Commercial & Multi-Family Residenlial. Healing & AC Residenlia/. Healing Only Residenlial, Gas Fireplace Residential, Addilions & Alleralions Residenlial. AC Only 1 % 01 job cosl ($39,50 minimum) $99.50 $64.50 $39.50 $39.50 $39,50 Remember 10 add Ihe Slale Surcharge on Ihe bollom o/lhis application. .... The price 01 your healing permil includes one lough.jn and one linal inspeclion, Adtlilional inspeclions will be billed al $35.00 each. House I lea ling Tesl Record musllJc submillcd wilh "uilding ~ numher be'ore build. ing cerli/icale 01 occupancy will be issued. HEAT GALCULATlONSREOUIRED wilh number 0' supply and rclum openings Iisled po room with CFM's per opening. New slruc/ures or addilions send Iloor plan with supply and relurn lacalions 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 hereby apply ror a mechanical syslems permil and I acknowledge Ihallhe in/ormalion above is complele and accurale; Ihal Ihe work will be in con'ormancs with Ihe ordinances and codes or the cily and wilh Ihe 51 ale building/mechanical codes; lha/lhis rorm does nOI become a permil unlil signed by the BUILDING OFFICIAL; Ihal Ihe work will be in accordance wilh Ihe approved plan in Ihe case or all work which requires review and approval 01 plans, YJ; li/ t?19 r I Dale 4-/z.Q/99 Oafs - BuiltJing Ollicars Signalure CITY OF PRIOR LAKE 16200 Eagle Creek Av. S.E. Permit No, Prior Lake, MN 55372 9'q -37 Heating Contractor GENZ-RYAN Address 14745 So Robert Trl, Rosemowlt NN 55068 Telephone # . 423-1144 Furnace Make & Model UnnJ)( Model Size PJ()rrtb~g,75 TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. Syslem HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Conn, Load Fuel. N u:f 1J1 Flue Size /0 7 Output /;0. /)/)O , Supply Openings Return Openings Input 76/J/J1J , Edr. Other Devices Cfm, TYPE OF WORK x Alteralions Replacement New Construction Repair Est. Comp, Date Est. Cost $ ere; -j<( Building Permit # \ /' X .50 I ~ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ ~ PAID WITH I BUILDING PEFH\,1IT Receipt # . TYPE OF STRUCTURE L Pink 2. Green J. Yellow File Cily Contrn('fnr Single Family )( Multi-Family Other Two-Family Industrial Commercial Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39,50 minimum) $99.50 $64,50 $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 .buildina permit numb.m: before build- ing certificate of occupancy will be issued. ~EAT CALCULATIONS REQUIRED 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 447-4230 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 ~. o' a:;; 7th";;;;;;nd approval of :,a6/; I / q 9 ~ .. (j ApplI"nI'."n'ture ~ Oale- -/? ~ t.&J J//;..1 I, 3/7-'77 ~rJg?~~al~ture Date ... . 97 -{)3g The' ("rnler of Ihe Lakr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 0J~\J\~,Y\/'Cq^V\ ~1Cf)1 \-+>,..~ APPLICATION RECEIVED - Jc.l'\. d-O. Jr;i/ . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: s q (f) ~ '~ I I tJo-J ~< 1",1:; / DJ-- , ~)lJJ Accepted Accepted With Corrections Denied Reviewed By: AlJ4L"r~n E J..II?t:SMI1AJIl1 Date: I/Zf'/9? I I # tOMTH~^J"rS KNOI..'-S Dt<.) ;,. OAJ Comments: SEe... .4 'T'TA<'.&-f Mt:A.J-rc::. ~ILD,.o6. 'tk.U\.t_fl # 9't - 037 J N F'"o<!..M tfI'-'n^ J ( 3'f~ I '- B,qy "The issuance or granting of a permit or aPRroval 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 '-'''""~''''~'''''---''''~""'"'--_.._..-...-..-........_~-",_._,--.,,",,,,",- --..---..........."'- White - Building Canary - Engineering Pink - Planning The- Crnteor or Ihr lakr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i ; r'f i !.... APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f\. i -j Accepted ~ Accepted With Corrections ;.f Denied (l~.J~ Date: )/ d- s-I cr7 . . Reviewed By: 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 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 Thr ("rnlrr of Ihr Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHI:CKLlST NAME OF APPLICANT l.~)..e. \AS VV\~V\ t-ll1'Wl~ <; APPLICATION RECEIVED I,^ . d. 0 . I 9 7 7 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 54 (~s 15~ KL-\.O/ls Dr-. ~) LU Accepted ~ Accepted With Corrections Denied Reviewed By: (2 fdti....A Comments: -,. 5?...P ~J)-I:k. 99 - 0 C:51[ ~r PII1J.A<; J Date: / - '21 -99 ~a.a.c. 'i., . . , Su t-\J~V\_ o (L~ L rt-c . "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""'~~---"---~'-'-"'-"'''''-'----'''''-''--''- ..-....... -_.. -_...._..- ... .., ei~i;IB~11!.'A K E' DEPARTMENT OF', ' ,,:,(i!;E;~2';;>, "~,~~1Jit:(l};s~,;:~~;:,::,;"t~t~:~~ ' : ,; ,'c . BUILDINGANDI~NSPECT,lo,~r:~;;': . ' . ,It#lSe,B,GffiION REC0R9"", .. .~':~~;~../::..~ .;':1t~;~J::!:~:f~~~t.~:..)~;,;~;~:~j::~~:t,:i~:~'~;(~;:~;r:J~",/"": "',':>, \, /~ .. "':~-.:~", . ,.' '. '1,.:' \" ~", '.:"", s"rE::~~~P9~~,pSt2;~~;~S~~"3 ~ ~~Ll~s h<' ,.. .... NATURE OEWQ~K" ~ec.u ~S~K)c:..~'O'\A ' .,>' U~E;OF BUILDI~G SFA- , :.PERMIT,~O..'..':c::r1 ~t'\~~ DATE ISSUED 1-27-9? , .~q()N-r.~AqJgf1'~if0.e~~ {~ .'.~... ..: ,:.' ",,~:~~;;;~'~f:;~;;'<:;f" NofE~""'THISIS:tNOT'APERMIT FOR ANY OF THE INSPECTIONS'BELOW'..'.. HE.' ERMIT..IS BY, SEPARATE DOCUMENT. ~J:~':L~S}:.",":~f::~(',i~', . ,:"INSPECTOR . '; . II I