HomeMy WebLinkAboutBuilding Permit 99-0044
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
JAN 2. I 1~99 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/=
3. YelIow
File
City
Applicant
Permit No. Cf'c1.... 0 o4l/
~
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
l'-f lV' /v^?4 'l- ..Jr'c... [,a.~<-
1. DATE
1-LI-'7<1
(gV
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
"2-1..- ct'- "1 ,.... ~
12. NO. OF STORIES
-Z-
13. TYPE OF CONSTRUCTION
~;.I'J'c,./L Fct.+l t L.. 'I
14. FL06R AREA APPORTIONMENT USE
~
3. LEGAL DESCRIPTION
""'2-.
LOT
BLOCK
"7
ADDITION
4. OWNER
OtM
11nvd,rtV")
~NOI
4-+ ~
PID 3~. 1'2. "i -O"2.I-fJ
M()
rt. .VI
5. ARCHITECT
(Name)
(Address)
~ V l '-'0.(1' } ::J:.f'J L
(Address) I..
d.-f y q AI LV ~b L':.
(Address)
(Tel. No.)
5 T rt€"()FctL()vl-1A1
(Tel. No.)
//
(Name)
HQt'I.\.-
6. BUILDER
(Name)
R SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New construction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COST N ALUE
Chimney 0 Misc. I c.( ~ 0 0 0
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE 17. COMPLt:: IluN DATE
Sq. Ft. Width I '2-- ~ Depth I ~- Y Y~.o .-r V JV'c.- 1lZ 11
I hereby certify that I have fumished 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
:uilding offic~~r just r~re. I hereby agree that the city official or a de~(eray enter upon the property to perfo/~ne~p~pecqn9
I - jlJ/'" . Signature l.f License No. I Dete
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS 0 ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUILDINSFP
TYPE OF CONSTRUCTION: I II III 1(.]
Occupancy Group A B E F HIM <::Rf" S U
Division 1(lf;l4 AS-
Permit Fee ................................... $~::J .
Plan Check Fee ............................. $ "1 ~~. '1 ~
7'). .s 0
SPACES ON PLAN
PERMIT VALUATION /t./S;oco~
SURVEY
PLOT PLAN
o
o
COPIES
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ 85() . (')"6-
SAC ......................................... $ 10 t;'O .0 0
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
State Surcharge ............................. $
c,J)
t\~~~
Penalty ....................................... $
Plumbing Permit Fee ..r11.~.~~.4:.. $
Mechanical Permit Fee .1f.~.4:?.1.f.. $
Sewer & Water Permit ...11.~tf.i!?.~:.. $
e Permit... r~.. $
11,'-.-.00
Pressure Reducer .......................... $ "r')
Meter Hom ................................... $
Water Meter ................................. $ '..J5. 00
Sewer & Water Connection Fee ........... $/,700 . <' (5
WaterTowerFee ........................... $ r Ion. 0"
Water Tap ................................... $
Builder's Deposit ............................ $~ c:; U (!). lJO
Other .....T~..-f!f6?......... $ ); 00. -
Total Due .............................. $ .., ~ I B .1.1
Paid r5 //8, .z { Receipt No. ~ (18.1--1 a.'I3(
Date 2...-/ - 99 By U~
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
signeg.jJv !be Citv Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
I f)C) . ClO
(,/5 . on
1'5".sn
C/(') -00
eco s Your Building Permit When Approved.
_ Date (- "2'2...q 9
Thi
By
Issued
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850
_ HEATING APPLICATION I PERMIT
CL Dale ~ - \) -" '\. PlO". 33'-ld4 - OJ I {)
iJi Sfte Address \ "\ \ '-\ \ N c.(\ ~ \ : \. ~ ~ N. S.
~ Lo1 ~ Block :L . Addhion b C) '-\ ~ ,\", ~ h \.'" W" 4 -A.j\ ~ ~ _
Owne(s Name C.... ~ ,.\ 1) ~ ~\A: \ ck\1l.,d
Addre&1i. ~~\ ~~X )~'"1 ~Mu~
tieatlng Conlraclor ~ '?:\ ~ .{\ ~,.. . ~ () I ,
Address \ \0 ~~\.\ \1'1 \,- ~.UN. 1\VL ~r\ Or'{J4\~j
Telephone# ~~ 1- ~ \d. \\
. .1'1\ l~ \A ~... t-
Furnace Make & Modal · ~,,' - I TYPE OF S~STE'"
"'^ ",^ _~~ Warm Air Plants "..l(
Mod II Sl.z.e . r ~ n- ~ Gravity
Conn. load S 0 ~ ~ "\ Mechanical
~ r ' I 1. Air Conditionin"
Fue' (\) ~-\ Flue 81m ~ V.:z. 'PV C Vent. System .
Supply OpenIngs \ ~ HEAnNG OR POWER PLANT
Steam
J Hot Wate1 .
0u1put1"\ ."l0(:) _ =;~~
~
Return Openings
Inpu1 ~ \) ~~
0::
H
a:
o
~ Edr.
w
E
Cfm.
-
\~~~
CITY OF PRIOR LAKE .'
16200 Eag1e CreekAv. S.E. Permtl No. qq -L(Lj
Prior Lake, MN 55372
Othe1 Devices.
TYPE OF STRUCTURE
l. .ME
z. Grsa
3. Y.ell_
- JlI&
- City
Cmdncttlr
Single Family
Commercial.
x
Two-FamUy
Industrial
Public
Mulli-Family .
Other
Fee Schedule
Industrial, Commercial &. Multi.Famny
Residentral, Heating & AC
Residential, Heating Only
Residential, Gas Fireplaee
Residential Additions & Akeratlons
Rll6idltnOaL AC Only
1 % 0' job cO&1 {$39.50 minimum}
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add Ihe Slate Surcharge on the bottom of Ihis application.
The price of your heating per mil Includes one rough-in and one final inspec1iDn.
Additional inspeclioTls will be billed at $35.00 each.
House Heating Tee' Record must be $ubmtlted with I-!I~\~ln~ nermit number before build-
ing certificafe of occupancywlll be issued,
,"*FAT r.AI r.. Ir AnnN~ RFOIIlr:lFO with number of supply and return. openings listed per
room with CFM'a pet opening. New irtf'uctures or additions .send 000. plan wlth supply
and return locations shawn. HEAT lOSS CAlCULATIONS. PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. BE. PRIOR LAKE, MN 55372.
- .
City Hall bualness hours are 8 8.m.. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN ~D FINAL) . CALL CITY HALL
447-tUO'
E
CL
l.D
~ Akeratlons
(T)
. . Repair
TYPE OF WORK
ReplacBment . New ConslNCtiOn
x-
02/02/99 TUB 16:43 FAX 6128621223
02/02/99 TUE 10:59 FAX 6124(i4245
JD EXCAVATING, INC.
CITY of PRIOR L..\I ~
141 001
141 001
o.a. - ....
.,b..L_ " ~T
CDLD . en.,
~
CITY OF PRXOR LAKE
sEWER AND WATER PERMIT
N: )TE:
NO., tiP -((:D 1'1
Sewer and Water
contractors mU5t
be reqistere.d
with the city.
APPLICANT: ~O Q.",,~\l"!.k .~;
~ u
ADDRESS: \ 1L\"1:. - \"'l., ~ '{.:\~.
-~-~-
SITe ADDRESS: \c.;\~\ \\?tt..\ ~ ~ ~
SIGNATURE:
,0: ,..
PHONE: b'~-,CO,.~~~~
DATE: 2 -~ -q~
SLOG. PERMIT t..$..&!Y44-
.._Plott
FILL IN THE BLANKS
..
. 1. Estimated length of water service
feat.
2. Size of water service
\
,inc,bces) .
3_ Location ot any co~plin9s from struc~ur~
feet.
4. Type of se~er pipe. ABS
pvc..:x. '
Cast Iron
5. Estimated length of sewer line
feet.
6.
clean out
:;struct1.U'e.
(if required), located ~t
f'
flii!f!!t
from
______-----_------== __=~~===~==~=~s-:=~~==~~~~~=~~~
~~:-::~/).j7J:; . your penit "hen .PProV.d%" ,
BY f:-a/{Ui < t~ ~ DATE: 2-- /4 'CJ
===~=========;::;:- ' ~-~~~-------=.:===""_!._-===""- -=====
FEES: S .35.00 Sauer and \rotateX' lir.e connection permit.
S .50 surcharge
S 35.50 TOTAL
*
Fee for either sElwex- or water inciivid'.Lally is $20_00 plu5
$ .50 surcharge.
Se~er and ~ater permits issued for neU construction must be
recorded. on the bu;i.J.din~ permit card a'i.: the tirne of' issuance
to insure that no QuplJ.cate $ewer and vater permits are
issued.
'*
DATE PAID
R:EC'EIPT #
AMOUN'~ PAID
I .
rAID \...ITI f
BUILDING PERMIT
REC'O BY
16200 Eagle Creek Av. S.E.. Prior La.k~. Minnesola 55372 I Ph. (( 12) 447-4230 I FAX (612) 447-4245
An equal OpponuniLy Emplo)'ro:r
T
~~,
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Sc.htl..\l...... ~h.\(n'oil"'5
Address: ~~ F=\dr ia" C. \r,-,- \lL '5 't..
Signature: ~ ~ ~N"
Legal Description: Lot L. _Block Z.
Site A.ddress: A J f./
Building Permit # PID #~:j- 114 -a z..t - (J
NOTE: This permit will not be processed without complete information.
J. BIlle Fil;
Z. Qold City
3, Y;lIow AppliClllt
# qq'-LjLf
~4 '7 -/~:/7 3 i./
,Phone:
n. (:.~... 01 ,~. lAb CDlo....,
SUb~~ V\1o.l/lOr~.
R\
FIXTURE UNITS
Quantity
l
I
I
2
I
?"
I
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejeotor
Backflow Assembly (RPZ, Double Check, PVB)
Backflow A.ssembly Test
Lawn Sprinkler
Other
1.-
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray <1 or 2 oompartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
, ~
J
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$
$-
$
.50
GRAND TOTAL $
( PAID WITH
I BUILDING PERMIT
This permit is granted upon (he e;ll;press condition thaI said
c;ontractor, shall comply in all ~spec:l$ widt the ordinances
of the Stale Plumbing Code and d1e am~dm~?. (he~f.
R~.~ [ .~~. ~'-I/A{, DATE
_~~ ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
White - Building
Canary - Engineering
Pink - Planning
The Crntrr of Ihe Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHI;:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
o. ~ 1'\ 80lMQ.~
1- '2.\ - '7 7
,.----...
\ \AC.. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'-11 L{ l t\j o..t A. L' ~ dZ.ol
Accepted
Accepted With Corrections
x
Denied / '] '//? k--
Reviewed BY(.:e:. 'J1A7 1-=:::::-' .
Comments:
Date: /-28 -9Cf
I. S C!ldl ~~'" ..... c;: ,k J ~
"2... Me... ",--~e..~,",,- ""Zros ('~ Q.~
5. P~-:-1 ~1( ~ -I+C^--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."
- T
~
//
Tht' Crnlrr of Iht Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT'
APPLICATION RECEIVED
,
i ; ,l
I ,
\,t " , ~.>
. \,
l-_~\ -- "f I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I "- i,' I' t ,i l f\ \ ..\ \
" l ;' \...j 1\
r'~'"
,
\
Accepted
/
Accepted With Corrections
Denied
~,
Reviewed By:
~sc~~~~
""'" . +-
Date:
{- ;Lg-Cj7
,'..
,y.
commjfts: _
/W~l}-lj~ 1/11~~ ~5&O"" ~ /e~ g:c,..c...v&u.':J1
I'A,~ 0~ Ve-r0~t'e.(M.P._A,\ ~ (I eu\ 0.J,~-v'""
~<, n <. p.r8(J9~ 0 ~ W /i;;AA l&ev {.}~' lJ~
~ v-eA-M-8l)-c. Q ~ ~eE-<" lA1JL4-L~e,,<'J t1-VID \
<fL0n J---~e€- (a..< ~I~..Q ~
'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. II
- '''T
DEPARTMENT OF
BUILDING AND INSPECTION
\,
,SITE,ADDRESS 1~141 Na.tal,'-e
~ . NATURE OF WORK -1kw D..(M.p~.
USE OFBUILDING SF D
PERMIT NO. 9 <) _ /)() L/ Lf
CONTRACTOR . 0. ~'t-\ ~~
NOTE: THIS IS NOTi'A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT .... ':+
INSPEG;qR\ DATE
\ \V ,I ~,t~'\
\
FOUNDATION (Prior to Backfill) I /f) 2.. ~2. crf I
'~":\>'PLAC E,; N OCO N C R ETE'UNTrVA B OV E HAS BEE N;,SIG-~E
. - 'u' \.::1, , .': .,!;,;.~t:,:,~:i,".t.::\~i?;~:~:~l",~, ,.,.\-',
R 0 UGH?I INS 'J,~:';~fj.';:;;;f,.~ .
~:::~~WAT~~ 1!j~:~~:'U<SJ, m,. 2 ~/?- /~
INSULATION ~ .'-l....t....99
ELECTRICAL'> '
,PLUMBING~q"")1-'; ,;";
HEATING (if requif~d) /1/ 3- Z y- -:; 7
,'FIREPLACE !/)IJ lLj, 1,- 99)
GAS L.INE AIR TEST ffJ 5-,ZCr- "'79' :1.5, V--3o .:.-l?'i',
OVER NOWORK UNTIL ABOVE HAS BEENSIGNEO;:',,~l.
. ...". ."I/'.\':~
I I
:,"~,FINALS
'GRADING (Prior to Sodding) . _. {i\). Eo i
BUI12'DING;'f~.f)('J'?-\-rf~ 9,; b"-G,r~~M,
. ELECTRICAL ~:~:\'
PLUMBINGct{'f
HEATING- (j \~. ;.s H.. 4f-'Q ..'. 't:~'\~":t,~~~~;i{f:';,:
O. NO T\' 0 C C U. P Y<:'lJN T I L ABOVE:,;, HAS BEE N:'~S'I GNEig~il~~!~1:~~i::;).i~;"&
NOTICE'":'" ."-
. ~ .... ..:Jr
DATE ISSUED
J -dd.. - '19
I FOOTING
('
/J
t)
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 entrar.coa.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230