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Home My WebLink AboutBuilding Permit 99-0045 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 J~b~ ~oot1 CITY OF PRIOR LAKE BUILDING PERMIT, .. TEMPORARY CERTIFICATE OF . ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1.DA0t3A, Permit No. f 't - ClOcts- DATE RECEIVED 1. White 2. Pink 3. Yellow File City Applicant ~. R\S9 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT I 12. NO. OF STORIES ADDITION l~ l<No~ BLOCK .3 ~ PID '2 c::;- - '3LC - Oslo -~ 13. TYPE OF CONSTRUCTION 4. OWNER (N~r1e) _ _ W'N!VJOcW ~ 5. ARCHITECT (Name) ~ (Address) ~A~;~ /t1J M~ ~~ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 8'11~ 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS x 16. PROJECT COSTNALUE /1,S, ()OO 17. COMP:;JIONjJATE 5/;'/91 ertify 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 tioned ro construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the revoke e it fo' t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needll insJ1ctions. ..... __ _ .34'17 1118/~ ~ Signat~ License No. . Datrf ~ Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 7. TYPE OF WOR~ New ConstructiO?,\ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft Ig, 31 j, 9. PROPERTY DIMENSIONS Width "'71 Depth 4'" 10. CULVERT SIZE Yes No FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICA nON SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I Ll i I (')fX'"J . 0-:'] SURVEY PLOT PLAN o o COPIES USE OF BUILDING 9-F~ TYPE OF CONSTRUCnON: I II III IV (3 Occupancy Group A B E F H I M~ S U Division 1 2 V ':t: _ Permit Fee ................................... $ II \ '5'1.. ~ t"J -:>S. Vl -7Y.~ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... !t Sewer Tap ................................... $ $ R~L:>. DG , (j c;-o . oD Plan Check Fee ............................. $ Penalty ....................................... $ Plumbing Permit Fee ..1. t:?9.t:?::.... $ Mechanical Permit Fee j ~.~~.?..... $ . qa -c.Q?4., 35" 50 Sewer & Water Permit ..l.l................. $ . Gas Fireplace Permit ..1.Q.@.5... $ 46.c?<s This ~ti'Be~ \'t.~, ~u"u" '!of r ermit When Appr;q~. By ~ Date 1- ~-17 / . Certificate of Occupancy c, vV 1/\ 1/ Pressure Reducer .......................... $ Meter Horn ................................... $ '-15.015 State Surcharge ............................. $ Issued Water Meter ................................. $ 1 ~5:. <!to Sewer & Water Connection Fee ........... $1. '2. ~ 0 . e e WaterTowerFee ........................... $ f I t')/J . (!) 0 Water Tap ................................... $ Builder's Deposit ............................ $~() (j . CJ t1 Other ......................................... $ P.< T}~Ji'mm~;~I~~: 3~ Date By ~ ' This i~ ~;~equest n the above application and accompanying documents is in accordance with the City Zoning brdinance ahd may proceed as requested. This document when signedcer~~ co ut pgrary Ce~:sllr"17mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Ir City Planner Date Special Conditions ij any ~ 24 hour notice for all inspections 447-9850 t OC> .(X) (DC) ~t9(j -.1.' GREEN . FILE YEllOW . APPLICANT GOLD - CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: NO. C(t(-(}O Lf~ Sewer and Water contractors must be registered with the city. APPLICANT: G(llrllf./t ~XC. ADDRESS: )[,119 jof'l"i-..,J W,4-/ SIGNATURE~ t ~~ SITE ADDRESS: J q (p J ~ ~ oS t WOOD ILl:). PHONE: S>~) - " ~ 6 (, DATE: 3.))0/ ~ ~ ( BLDG. PERMIT # PID# ~310. /)~ -0 FILL IN THE BLANKS 1. Estimated length of water service S-O feet. ( c 2. size of water service J inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC X 5. Estimated length of sewer line S-O Cast Iron feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ BY r icat;ipn ~#:4,' ~ ,your permit when approved. .I; ;"".4: 2. J /", Gy "$;'~~ DATE: 5/0 ---c - '" ------------------------------------------------------------------ ------------------------------------------------------------------ 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 wat~ID~BRits are issued. BUILDING PERMIT , AMOUNT PAID REC'D BY t)M 3:lfJ-tj1 DATE PAID RECEIPT # --- 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer "-r- -T CITY OF PRIOR LAKE PLUMBING PERMIT \/,,\\t', pl~, Cu j'_ <{ L'J (y",,^ r! Av.- r.-A Applicant: Address: Signature: Legal Description: Site Address: Building Permit # NOTE: This permit will not be processed without complete information. Tho Conlo' of lho Lab Counlry MARtOm3 Lot It? \ L{. I, ~q QCf-OOL6 Block 3 \? G I It L.-..,vv c. ( Sub 1(/7 /) h "iii II ~ , / J/ I~b PID # (~") -~/l) . ()<"0-D Quantity ~ , \ 3 \ \ if- FIXTURE UNITS Type of Fixture Quantity L Blue File 2. Gold City 3. Yellow Applicant pp No~2P c; ~ -f1J L6 Phone: )L(C!~_ I ,-( {1 ') -,) I ) , (VI ~ \' r ~ ,-~) Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) 3 { Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ $ $ .50 \ FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ PAID WITH --Bt1f[[)ING PERMIT GRAND TOTAL This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the a!llFndl1}l;nts thereof. RECER/J:~. f/I{)/q~ DATE ~ ATTEST Call for all inspections 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 '-". .- ...... o ~ \.11 . ur rluUII ~.".. Me / 16200 ElgIe CrnkAv. S.E. Pllm~ No..YY -~':J Prior Lake, MN 5537Z HEATING APPLICATION I PERMIT ,~- 1)2 -(1 C/ P'ID . ~5 -3 fO " D3b --D SileAddrs" iL/l/')~q Ro~~uXY11 J1.rtVt J J(ISD Fae Sched1Jle lol / & B1och_ ~ Addition, k nrA I/, J J Industrial, Commercial & Multi.F'amilw Owner's Name III )/mJJJnn71 JJt/YJ1~ ~ ( Residential. Healing"& ^C ~ ' _ _ 1/ Residen\ial, Healing Onlv Addr9$1WR1v ~ ~I VI'JIIJIA YnAJ ,'S')JJJ Residenlial, Gas Fireplace . /l J ,.j t.:I/IIl)' '{'~ f .L. A(/ ~ I Residen\lal, Ad<fitlons So. Alterations Healing Conlract-. 1-1 "1 J , I _ Nr'/J. ,- { !tf Residenlial. AC Only Address ./.?!xd' & ))/I)I/JJJ /IJ/LLI thAr..fYnIfl/I?f-l1JtJ5:iJt;t Telsphone' Jt;!=:I-1/i,Q- {J76'; 1/ /" . I Remember to add the Stale S\lrtharge on tile bottom of \his appncalion. JdnA tI)p FUlnace Make & Model 'Mt)1J~1J€-{f5l> TVPEOF SVS1EM f^ () () , , Warm Air Plant. Madel 511' U ,_ at) Gravity . Mechanical H.ivr.."d ()JA J Air ConditloninQ . ~ +r rtI .J VeAL Syttem HEATING OR POWER PLANT SI.am Hot Wattl Radiallon . Sptdal Device, . Date Conn. loall Fuel AIn'fr9ar Flue Slu /5'1 Suppty Openlnp. cJ.. / Aeturn OpenIngs ! I Input/tfJ tf:O Oulput 'lit {J[J1") , Edr. , elm., I><l ~ Olner Devlc8!J C>> C") AII.radon. TVPE OfWOAK New ConstlUCtloll ~ .. ...... N Repair EI1. Coli . 1\.p1actm.~ Est Comp. Dati . BuIldIng P,rm_ I Cjq -~ t./ 5 qq7~ C>> C>> " N ...... " C") o HEA TINO-PEf\MrT-FEe-' STATE SURCHAAGE . TOTAL. PEPJAIT FEES . ,so / /Jl) . irJ) , ~tl?~ . Rec.a~' l eqL~ERMIT '\ Sir1gle Family TWfl~ UI- SIHU'..U,"~ /. 1wo-Familw . Mun~ramlfy Industrial Public Olher Commercial I" 01 job cost {$J9.50 minimum) $99.50 !64,50 $39,50 $.)9.50 ~:l9. 50 The pr ice 01 ~UI heating permillnctudes on. rough-in and one tinal inspection. Additional inspecUons will be billed at 135.00 each. HouSct Healing Test Recold mu$'I be swmiUed with ",IiI~'l!' ~I"rmll n,~mlw before build- 1"9 certltica'e of occupancy VIIiD be Issued. HEAT CALCULATIONS AF0t IIAFn wDh Ilumbef 01 supply and ,eturn openlnlJl bled per room wi1h CFM', pe' openIng. New slrucftJrH or additions send Iloor plan wllh supply and relum locallona shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE cnv OF PRIOR LAKE. 18200 EAGLE CREEK AVE, S.E. PRIOR LAKe, MN 55372. City Hall buslnes' hOUri are 8 a.m.. 4:30p.f1L All WORK MUST BE INSPECTED {ROUGH-1M AND FINALt. CALL CITY HALL 441-4230 I hereby apply 10' a mechanical aVIllm. pl.mlt and lacknowtedge "'.1 lhe Inlorma"on ebovel, compl," and accurall; 1I1Illlhl work wll be In conlarmlllce with the ordlnancl. and cod.. 0' th, ell, and with 'he ,Iale buIIdlnWmtehlnrcal cod..; 'hat lhl. lorm doee nol become a pllmlt unlU signed by Ihe BUilDING OFF!C1AL; that the work wjQ be In accordance with thl approved plu In !he ~ of ail\work which ..eGIIf.81 .evlew and approval of plen.. ~ ~ -/2 "'7'9' Olle ~ -Is;-q 1 ('ala ~ White - Building Canary - Engineering Pink - Planning Th~ ('t'nlrr of thr L.kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT IJ;~Q 1-\01M~~ APPLICATION RECEIVED 1- ~~-~ ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14 ~ ~ q ~se...~ f-cJ.. Accepted Accepted With Corrections 'X.. Denied ~ Ii) 1.. Reviewed s(z:: (?V~ Comments: I. ~cO rt-INlQ~ ~~cQ~~~ rp~a..._ '2. ~C{('tAAo:.._ ?)-o'Stct")_ Q~~ ~. ~~JJ2 ~c~ ~~ Date: / - L~-?? liThe 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." Tht ('tnttr of Iht Llkt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ; , APPLICATION RECEIVED l - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j i \ ,:. ..; \. Accepted \/ Accepted With Corrections Reviewed By: {),tJI;. ~ Date: 11;1.//9'7 I - Denied 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." ~r--- - 97~ofS Thf' ('fnln of the' L.kf Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /. )j: 1J,.\'-n-\i 1-\ Ol! \'<! ", APPLICATION RECEIVED I --... ,... <" - "1,,,,,- I ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ . ,0 { Illlt, 2::i r-i 1'_C.I'-=-.':'::_U.Jr~ f-- c/ Accepted /' Accepted With Corrections Denied Reviewed By: JJt'tI.:TE:fZ E"rlRESM!lNN Date: 2/ z/ '17 Comments: j?VJJOFF tlfll:ir .& (!,ONVE."Eli 10 /l1V[j Ac..ONG DIl~I.~.E ANtI /}nLJry EA1f.EMcAlT,s Its MUCH As ?aAc.TICAL. ?uNoFF ~arv\ 7f-J~ ~ -PORno^" OF THl<; I.or <:::;"';0 vL..f:) 3f: CON ~r ^ 10 TilE.. A.b~1 ' CO~N ER... or: ,/"",.5 LDT". s!:~ INFo~""'I4-no,v ~N i<.cvEll.s€. S'fDe. ..r<\€.E ArrACf-lr11cNI::S: J. -hr-J"\L a~ftV& INSPeCT/au JNroll.FLfAT/olLl 2. aItAQII\1~ MA,.J '3. ERo~IDN (!(wTlttH_ M€~~ t../. CRo:'/CN CoAJTR.(),-rl"~ "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." PRiOR LAKE . ", I INSPEiCTION RECORD DEPARTMENT OF BUILDING AND INSP~CTION ..; I 'SITE ADDRESS ~c; ~O-~~c21r:O f.)\---- NATURE OF WORK ~..9Jo..) ~. USEOF BUILDING c::3l= i) fJERMIT NO. :J%S - OcJE::(" DATE ISSUED 1 - 2'2 -19 CONTRACTOR -4)I'~I.J~ ~~ I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPa:.TO~ f\iI , "l FOUNDATION (Prior to Backfill) I V,0 f \J I 3~ 2-L-:~q~,>. PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC >J/ 3-23 99 . FRAMING:~\f();'1>-1~ m-~ ~ I INSULATION r;n (1/ 'f/ q '" , ELECTRICAL V' PLUMBING lip. ,5J7-77:;;\ \\ , HEATING (if required) '1;fIu 1;;:-) {ll~' -(1/~ ~~," L.-'r FIREPLACE v(7) G j rll V1 OJ ,~" \ " GAS LINE AIR TEST f\\\\:\)v:' ~~ \\. LJ .{,-, \-\iD ,V! C\ , , ' , ..~:, \,,,.0,', 'COVER NO WORK UNTil ABOVE HAS BEEN SIGNED'.;,,;-,. I I IN'ALS IN"'b1 01 {.J'1 ~, 16- 11~;7! (}tj' i./li) \' 0, V'). tr',::'aAUi,(.";,,,,~:,,;;, ~,._) ~"L)l)'; .,:" t'~"(j:'~.1: r:--?ir!'~r:p:;.':""?'" " \ I '. ..", ' ' OCCUPY UNTil ABOVE HAS' BEEN SJGN.~D~,\,',,/'::, NOTICE- . DATE FOOTING .- "'r, !..-\":"-Vll..~ _..../ .,~' " I, GRADING (Prior to Sodding) BUILDING "f,<:;o, -WG)-{ -'1i ~,). i(-try41 ELECTRICAL. PLUMBING' REATING'" DO. NOT . ~ 'j . j . - j ~ K\~ \ 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 447-4230 - T