HomeMy WebLinkAboutBuilding Permit 99-0047
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
JAN 2 2 l~~ TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Piok
3. Yellow
File
City
Applicant
Permit No. t:{t - 00 c./ '7
1. DATE
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
~~Co C>..I~\"cx:)"- d';2-.( 1 -E
3. LEGAL DESCRIPTION
II
ADDITION w.~ \toJ.~\. ~~ C::E-
\-\ ~-il
?uD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigh'2(p' (Width)~ (Depth) -f6
12. NO. OF STORIES
2-
13. TYPE OF CONSTRUCTION
~E5Ui;)E.N '\1 p...,l ~
14. FLOOR AREA APPORTIONMENT USE
.2.>'S~.f'(
I
7:::,~~
25~ TIS -CJf 1-0
PID
BLOCK
LOT
(Tel. No.)
(Address)
(Name)
4. OWNER
(Tel. No.)
(Address)
(Name)
5. ARCHITECT
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
. (Address) (Tel. No.) !)
\ /0"2.\ R~ ~\~t"\"2...C. ~ 44~\?'l406
(Name)
6. BUILDER
Kt:( ~ \~~
SEATS
Re-roofing LI Porch LI
Re-siding LI Finish Basement LI
DeckLl
Finish Attic LI
SepticLl
Addition LI
Fireplace LI
Alterations LI
7. TYPE OF WORK
New construction)(
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq.Ft. 2orcx::c> Width \~ Depth 2(50 Yes No S-23 - 7i
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 me~ti..o..n property and th. at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official re~ ~':rit~ cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X I .:.:.." m-f.A \ S'S S \ -I ~ - r1
- Signature License No. Date
16. PROJECT COSTNALUE
$J~4 000
17. COMP~ETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS LI SETS
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
SkD
COPIES
SURVEY
PLOT PLAN
LI
LI
SPACES ON PLAN
PERMIT VALUATION _' 1..\'1 ;-.000 . C9 0
TYPE OF CONSTRUCTION: I II III IV 6..r11
Occupancy Group A B E F HIM <EV S U
Division 1 2 €) "2 2 ...--
Permit Fee ................................... $ I, 13 . s
'f) 3t::; . g &,
79 ~tL
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
Rc;r). ("fA
I D5o.(~
~
#~O\.
~
ro
Collective Street Fee ....................... $
Sewer Tap ................................... $
s~ to $
Pressure Reducer .....~................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $ , l':f. ~ ()
WaterTowerFee ........................... $~t}()
Water Tap ................................... $
BUilder'G7:it ............................ L_L_.!IryJ ~ClCL-
Other .tJ::.l .. ...~. $ . ~_ce-o
To I .............................. $ <)51'5 ~ . ZL-
Paid Receipt No. S (n) I
;
Plan Check Fee ............................. ~.
State Surcharge ............................. $
4&".(50
Penalty ....................................... ~.
Plumbing Permit Fee .11:.t?.q,t.!..... $
. . CU,,"w't1
Mechamcal Permit Fee +1................. $
Sewer & Water Permit .~-:'.?~?1]...... $ :<,c) . '50
Gas Fireplace Permit .~j .M1...... $ 4n . 00
This ~~ecome .. permiti~~~e9.. q.
~~_ D~ ~(
Certificate of occu~cy .
{oo.co
~S . () 0
I '/_6 ' [913
.' c:YO
. &0-
Issued
By
Date
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 wr
~ by. the C. anner constitutes a temporary Certifi~te?!. ZOlliQQ.liompliance and allows ~~stru~~ ~n:e~ ~. ancy. a Certificate of Occupancy must be issue(
~;trl'"" z..,-J..::LP-t"l. ~ __ r _~L
C -Planner Date . Special Conditions ~ any
24 hour notice for all inspections 447-4230
-.,..... .
~".-
Mar-30-99 09:21A DC MECHANICAL INC.
612-890-4650
P.01
I...... Fil.
2. Gold Ciry
l. Yellow ~IiCll)I
PP No. qq ~4
Applicant: D +.D mEf1 1fr+!\J '.C-A L C:e. - Phone: ~q 6 - (:f;). 8'~
:~~:~s~, 1'Ji!:!' !9r:::'4~"- ;SA~ ~ ~53~8':.
legal Description: lot II Block I Sub ~1'1AAI2." ..1J A' (/~ .s tt
SiteAddress:~.s.3~ OV'f!..Jl?...Lco/L t2.~.~ote- (/
Building Permit # &/q - 0 0 '-/7 PIO 1# /~c:; - ~5~- nf ( -0
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
la-, C,n'"" ., ,II. Lall, C.Y"I.,.
Quantity
~
I
I
'I
~
~
3
FIXTURE UNITS
Type of Fixture
Type of Fixture
Quantity
Bath Tub wilh or without shower
~
I
Rough-ins
Water Heater
Water SoNner
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (Ioilet)
I
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PI/B)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% 01 job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$
$~.5o
$
$ .50
$99.50
$39.50
cd ~
'~-
GRAND TOTAL
$ }Do_vtJ
PAID WITH
I BUILDING PERMIT I
This permit is granted upon the express condition that said
contr3ctor. shall comply i'n aU respects with the ordinances
or the StOlte ~ing Code and the an-endl"'J<!'ls thereof.
- RECE1N"J9. 3BII '1.q DATE
'tK.L.\. , A TrEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FA.."'\: (612) .w7-.t2.:.l5
An Equal Opportunity Employer
CITY OF PRIOR LAKE a~ ,.,f n
16200 Eagle Creek Av. S.E. Permil No.. l 1 '1 I
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ~- ~ -,,~ PID#po-335'-OU--o
SlleAddress S S ~ a"~-\oo\l L~ C"\~. y(JO'
Lot \ \ Block \ Addhlon L C\.r d " (\ ,,\ ~ l'o\ ~ .Q. S ~
OWner's Name ~ ,,~ a.;.. 'f'\ b.. \\ t)'(h. 0 l .
Address \\O~~ ~\:~,'ih (J1-- ~~ f('l~ \,~\~ .)
H.atlng~ador ~cr.\~ (\ ~r -1-f) L
Addrass \ \0 '-\~C\ \N \\" ~.O~ 1\v~ ~('\Of"'{~\\o.l
Telepllone' . '" \..\. ,~ ~ \ ~ ~
Furnace Make & Model lC/\,..-...; """
ModelSizefl\ \{ -G'\~-)\o
Conn. load S ":? '):, ~
Fuel \\) ~\-- ;luQ Size S)/
Supply Openings . \ '0
Return OplnineJI , C6
Input ~ 'b.~ Output '\ \ ~ r:s:JtJ
Edr.
Clm..
\ '\"\ S-
TYPE OF SV~
Warm Air Plants.. )<'
Gravity
Mechanical
Air Conditioning .
Venl. System
HEAllNG OR POWER PLANT
Steam
Hot Water
Radlallon .
Special Devices
OIhar Devices
Alterations
TYPE OF WORK
. Replacement New ConsllUctloX
Est. Comp. Dals .
Repair
Buftding Permh II
~~~ ~~~l
Est. Cost $
HEATING PERMIT FEE r
STATE SURCHARGE .
TOTAL PERMIT FEES $
PAID WITH
.50 l BUILDING PERMIT
Receipt II
:TYPE OF STRUCTURE
l.lWr
1. GRcII
3. Yell_ -
Ale
01y
Ccmlractof
3:
J)
;;0
w
IS)
Single Family
Commercial
x
Two-FamUy
Industrial
MultI-Family
Public Other
I-"
ill
ill
ill
Fee Schedule
I-"
IS)
Ul
W
J)
3:
Industrlal, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addltlons & Alterations
Residential. AC Only
1 % of job cost (sag.50 minin\um)
$99.50
$64.50
$39.60
$39.50
$39.50
3:
P1
-I
;;0
o
J)
H
;;0
Remember to add lhe Stale Surcharge on the bottom of this application.
The price of your heating pennit includes one rough-in and ons 1lnallnspeclion.
Additional inspections will be billecllll $35.00 each.
House Heating Test Record must be suhmilted with buildinq nermit numbe r before lxIild-
ing certificate oj occupancy will be iSSIJecl.
HEAT CALCULATIONS REOUIREn with number of supply and return openings listed per
room with CFM'a per opening. New structures or additions send floor plan with supply
and retum locations shown. HEAT LOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372,
Cily Halt business hours are B am. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND fiNAL) - CALL em HALL
447-4230
I hereby apply for a mechanical systems permil and I acknowledge lhat the
information above is complete !.lnd accurate; that the work will be in conformance :z
wllh Ihe ordinances and codes of the city and wilh the state buildIng/mechanical ?
codes; that this form does not become a permit until &igned by the BUILDING ffi
OFFICIAL; that lhe work will be in accordance with the approved plan in the W
case of all work which requires review and approval of plana.
~~
f/ ~ ApJ!Y/'f!P Sjs1"....... ...L ,
---J5#iAX. J rY17P__ - -
BuilcllngOffical'SSlgnatUre
~ ~\)-~~
Date
3(31/qq
- lJate -
-0
A
HEATING APPLICATION I PERMIT
.57~/qq PID II 2.5"335-011-0
5 ~ 3~ ()Ju1os*.. t3A-L~
(J,ARO/N/i(, f<l0<!i6 5711ItOOA.!.
&LJ
Dale
, ,
S~G Address
Lol
II
Owner's Name
Address
Healing Contractor
Address
Telephone II
Furnace Make & Model
Model Size
Conn. load
F~~I f l'flA.J
Block
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq... 41
Prior lake, MN 55372
I Addition.
'~A//~
"0
A1118C1 Are_
dba fireside Comer
Lbnw 120090911
2700 N. FaiMsw Ave.
Jiitoseville, PAN 66113
651/633-2561
..~J ..J 66
t, OJ:).7I1 _
- .
TYPE OF SYSTEM
Warm Air Plants
Gravity.
Mechanical
Air Conditioning _
Venl. System ,_
Flue Size
Supply Openings
Return Openings
Input OUlpUI J toO)
Edr.
t1EA TING OR POWER PLANT
Steam
Hot Water
Radialion
Special Devices
Clm.
Alleralions
Repair
Est. Cost $
Other Devices
TYPE OF WORK
Replacemenl
k?
New Construction
Est. Comp. Date . E;~ c.yer;
) f()J,a; Building PermU . qq - LJ7
HEATING PERMIT FEE $
STATE SURCHARGE $.
TOTAL PERMIT FEES $
.50
PAID WITH '-.
. BUILDING PERMIT j
Receipt II
MAY ..~.I_
t. J!tIll
2. (jmen
). Yello...
3:
file DJ
Ci.y I.(
Contracloc I
o
111
I
\0
'I')
TYPE OF STRUCTURE
Single Family
Commercial
Two-Family
Industrial
Mulli.Family
Public.
Olher
o
en
..
,f:lo
(Xl
)>
"
....
"1
ID
III
Fee Schedule
Induslrial. Commercial & Mulli.Famify
Residential, Healing & AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residenlial, Additions & Alleralions
Residenlial, AC Only
1 % 01 job cost ($39.50 minimum)
S~9_50
$64.50
$39.50
$39.50
$39.50
....
a.
ID
n
o
"1
~
ID
"1
Remember to add the Slale Surcharge on Ihe boll om 01 this applicalion.
The price 01 your healing permil includes one rough-in and one linal inspeclion.
Addilional inspections will be billed at $35.00 each.
House Healing Test Record must be submilled wilh buildinq permit number belOle build-
ing certificale 01 occupancy will be issued.
.HEAT CALClJlJ\TIONS REQUIHED with number 01 supply and relurn openings listed pe
room with CFM's per opening. New slruclures or additions send IIoor plan with supply
and relurn localions 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.
en
....
N
en
W
W
(Xl
(Xl
(Xl
,f:lo
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 herelJy apply lor a mechanical systems permil and I acknowledgE: ;'~,'Ithe
informalion above is complele and accurale; lhal the work will be in conlormance
wilh Ihe ordinances and codes 01 the city and with the state building/mechAnical
codes; that this lorm does not become a permit until signed by the BUILDING
OFFICiAL; thai lhe work will be in accordance with the approved plan in the
case 01 all work which requires review and approval 01 plans.
&~tt
pli
sf J77'1
. - Dale
O/.5/qtt
Dale
\l
,
o
N
Building Ollical"s Signature
03/18/99 THU 12:18 FAX
III 001
~PR~
..... . .....
YIlLJ,.O- . APPUCAIIT
c:oLD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT.
NOTE:
NO .04' -'1.{7
Sewer and Water
contractors must
~e registered
with the city.
APPLICANT: DC Mechanical/Stocker Excavating ,PHONE: 890-4241
ADDRESS: 824 7~t 125ch St.. Sav~.,., HN 5s.J1L DATE: 3-- \ \?; - "l '}_
SIGNATURE: .II "tfyr. //~f/ ~ --- BLDG. PERMIT #C(C{-l~ 1
;i ~. .. . "... - '
SITE A.DDRESS: 5536 overl~ok Circle PLtDPIO#1<5~::35"' b( l--(i
FILL IN THE BLANKS
1. Estimated length of water service
feet-.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ASS
PVCJ
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
=====......:;...--===.. ~,.- . .....= ========--===--========:---============
This aaJ4:cfllt 0 . Y9ur permit T.lhen approved.
BY ~ ,,~ ~.,.. DATE: 3-1'6-1C}
~~~~==~~~~=~~~==-------====#======----=:=~-=~---===~~===----~
FEES:
$
S
$
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 buildinq permit card at the time of issuance
to ins~re that no duplicate $ewer and water permits are
issued. -
PAID WITH
BUILDfNG-PeRMIT "
AMOUNT PAID
DATE PAID
RECEIPT #
REC'O BY
q1h~ )
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
-
~'f, 0&/1
Th. C.nl.. of Ih. Lob Coonlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT Kej l C\AAJ-- \- t C~ ) IQS
APPLICATION RECEIVED I -).. -;} -lei
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S~3l.9 OV€J lade Q,t c \~
Accepted
/
Accepted With Corrections
Denied
Reviewed By: /.JilL-TEll ~~'S"""~I\JN
Date: z/ t..3 /~1
. .
Comments: RUNoFF Mu~E. {!OAAJEylt!:^ 7"0 AI\J^ ALClAJI'_ rMAuuA<a1E..
AAJf\ d"1"\LI'T'I ~ASE" MfAJi'".s As ;\tvcrl AS PttAC.T1cl4c....
~~~II"; j~ #Ie
DR\\1€,wA-'r' oP~ fir """I-I~
CJ"lItR
('!14..u A~ '[!.E:
~~E,q~1t
"-
\
-rt-l.AAJ
'Zu F,.E:"'I.
SEE J.AJFotlt'flftttrlON OAJ ~E"rJ.EA.S..E .:51.M
SEf Arr~C.WME6LT'C.' l F;AJt'tt- ~A"'Q,A)f;; IAJ5.PErnoAJ J.J<JFoItrl4.!!r19.1U 2. 6hfDt..uL-
i=>a...AU-3. C~A-1 aAJT1tOL. ~u1l€5 t/. E1f.O"ttMJ ~...vT:A tJ, PLAN
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."
I/^
T
..
White . Building
Canary . Engineering
Pink . Planning
Th. C.nl.. of lh. Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1/ i \ I I
NAME OF APPLICANT nt'J U:,,'>',cr t ~':: I ,~.
APPLICATION RECEIVED j--ll-j'j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-- I II ! \ \
V-'l LCt,k:: \_\, '- '-l(
Accepted
v-
Accepted With Corrections
Denied
Reviewed By: ~A~A.~ Date: fl_-2?/tl<4
comme~s: ,
-- ls:f-cPV~O Ct~A ~1 t~vVVNe/J tAJt ~-JLe4Jl<~J
~-AJ v1~ ,.Ji:t;-.J 2 -<K -Cjq l ~J c,^.cL.3rO'2
~b-~ ~1.Mr'~y~ ~ .~~
-- ~~~ <V~rP W~~J!1 p~ yt94q;ffeJ
<:' I ~~ tv\,~ br'::1...Q.- ,~0 tI f' ~ ~~" '
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."
..- .'T.-
-T
n. e.nl., 01 Ih. Lok. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ej l~ ~O'W\~S
APPLICATION RECEIVED I-do. d.. -'19
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_ b') Sl.o Chl€:,r Lo:lc. Q.\ l"- cJ-L
Accepted
Accepted With Corrections ~
Denied ~ . L
Reviewed By: (;::() rt:-..., ~
Date:
/ - ??.. - (!5"
Comments:
I. Sj ~~ ow-~~'---.
2.. MCi; 1/1 -fa.......-:.. ~ ? ha-U~ -/ ~ >--- ^
? rka.JL aJ ~ /Iv ff~~_ f-fr, . ,& c:JS
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."
. ..._....,....""..._._~".__..__. ........-.." .
'N'flt;;.., Ii. s'Qv E;~i H";
;~i,_~>~:\! '$:t;:;~'.~(~,. .f;~,,'''~ ;,t'i>\;~~:?~:::; ,<~- ~,~:;;~:.,': :.....-tr:~1~~.,.
,.. ,;,d"N O""C E.'..' ."" ."T
;,~~~;';:)t~{~~_':,,: , '~:' ,:..~:!'/~,!:,' :;'~~ :,,' __' ".;~~,i-t.' :~':'~:;<~;',;/ , _", ~_,~ ' > "_ '
(",'OJ. ri~ii~G'71~~\..~iJ~l~~~:;:r!:p~i:pjdjrbi\'ilillilg~riiRdllI...
re rioservlcecabinet Is 'available, ca~d shall be placed near. main entrance5r';;;'~ ~;:i:
!,:" '.;-., i. :'':,':::. -;'_ . :::i".-:~, ~,':- ':"',." '. . ' , '. r _ ..r" ',;',..' -,y,_ :,: " ' .':'-,.,; .,.:'::' '_,,' .'
. 'JCaUbetween 8:00 and 9:00 A.M. for. all inspections ' "3.:5?;;?;;;f,~:;"
T: FOR'fALL INSPECTIONS447-4230:" ., ,,' ":'!''.'~./},.
-., .