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HomeMy WebLinkAboutBuilding Permit 99-0002 ,...-'~ , mATE', RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 6 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 3J.F3 S P/",/'/\/I; C/e/v C / re/f' 3. LEGAL DESCRIPTrON / LOT 1. DATE /1-..2.- 7? ADDITION 4. OWNER PID ~y- 35/- olJ"-O I~ I/o o ...fl 0...170'/ 7 ~,. C)\J / f/ BLOCK.l( J- C. . J:::lr '-VA/ tJa rfr .....~L , , (Name) (Address) (Tel. No.) 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) t0ei15MAl.:U ~ llD.l (AddJ;2.~) ~. o~~ <P\II\.ZJ\- u/~ ~\Ub ~M..L.) Septic 0 Deck 0 Addition 0 Finish Attic 0 (Tel. No.) L(Cf.r; -4L(0t) 7. TYPE OF WORK Fireplace 0 New Construction ~ Alterations 0 Chimney 0 Misc. Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Width Depth Yes No 1. While 2. Pink 3. Yellow File City Applicant qq -00 0 J-. permitNO.~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE ~! DOO 17. COMPLETION DATE 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 building 0 ic' I can revoke this ~it 'PUSI~. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp~ns. X ??'.. ~ /(/<;e 11- S-Cj,r - / SIQnature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING SPA 12.c:>00 .On PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV W Occupancy Group A B E F HIM (ID S U Division 1 2 'D 4 Permit Fee ................................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o o COPIES City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ 8..~ .OQ iJIJ..Or'l ~ 0 /~~.G'c COllective Street Fee ....................... $ Sewer Tap ................................... $ t:;l.!' $ Pressure Reducer . 7'Jfl.................... $ MeterHom................................... $ 12-':::- """" rg"/!!Ja)/ Water Meter ................................. $ -105.00 19..(')0~ Sewer & Water Connection Fee ........... $~(!)(") .C)~ r-az> WaterTowerFee ........................... $ 700.0 0 Water Tap ................................... $ Builder's Deposit ............................ $ f Other;~;~;.~~~.:~l.t:~q7:::.:.a S ~ ~ .. L". ...:- Paid . ~ C; ra 32 . 'rt!eceipt No. Date 1/-1-7/99 By /l-IJII- T~iS . ce~at the uest in the above application and accompanying documents is in accordance with the City Zoning Ordina~le and may proceed as requested. This document when sig . tCfj Pia r con 0 ul s temporary certi'r\'lOi 01~rPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. , . city Planner Oat Special Conditions" any Plan Check Fee ............................. $ 83'1. ~~ s 4 '-I . ~a 4Co. Q:) 1;> :::~:~'~~~;:~~~'::::ff!"""::{:~":{;: . i Do - '19~1 Mechanical Permit Fee .{.... .o.b$ L Q) Q9,/l5b1. ;.{r c Sewer & Water Permit .... ....1... .. $ '\If?0 D'I'l'~ Gas Fireplace Permit .............::-:::..... $ ..",..-- This A~~~mes Y~ur Building Permit WhenAp.ll~El9. By ~}_;r:=::::::- Date / ( - ( ;} ~ (/ - Certificate of Occupancy State Surcharge................. ............ $ Issued 24 hour notice for all inspections 447-9850 q-oe> t:..- .'1-7 343f;,g- GREEN - fill! YELLOW - APPLICAIIT GOLD - CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT NO. fYi~ NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: G~-RYAN ADDRESS: 14745 So Robert ,Trl, RosemO'lmt SIGNATURE:C:~}~ ~~#,(a'~ SITE ADDRESS:~ 5,orJy 0/1'17 0r FILL IN THE BLANKS 110'\ I 1. Estimated length of water service ~( PHONE: L:.23-1l44 ~lN 55068 DATE:3//I/qq I , BLCG. PERr'lIT # 19 -2 /VtJPID# ;)5 -fSs-/-O/y-Q feet. 2. Size of water service / II inch(es) . J . Locaticn of any couplings 4 . Type of sewer pipe. ABS from structure PVC / Cast Iran J II) ) ~U feet. feet. 5. Estimated length of sewer line 6. Clean out (if required) I located at structure. feet from ::::~::~~~::::::=::::~::::::::~~~~~~=~~~===~~~ BY DATE: 5 -11-'i9 \ ------------------------------------------------------------------ ------------------------------------------------------------------ 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 water permits are issued. / PAIDWITH " BUILDING PERMIT AMOUNT PAID DATE PAID RECEIPT # REC'D BY (1(u! V 4629 Dakota St. S.E.. Prior Lake, :vlinnesota 55372 Ph. (612) 447-4230 :-~x 612: 4-47.4245 ~:,: :::::L.~,- :DD(:K'~'::;-:-' ::::\IPL:.:;VE? ------, <( ?R:C,$ :~'-" :'\";\ /c/ ~'7_' /;-,t -:..::, \ '-' ~' , \~' '" "~ The ('l'nft'r {If 'he 1,.Ikr ('\lunlf' Cuantit'; I I / ,;{ I I / ;;{ CITY OF PRlOR LAKE Pi UiylBJ/'/G PER}A1T J;~~ _. :l)id C:t'l ., ~:low ApPlic:lIH Cfy - Z. '* Apclicant: GTh"Z-RY...~'J Accress: 141.fr5 So JOb~.rt Trl, Rosemc1.:TIt yIN 55CE,3 Signature: gJJAJjf /fIlM ttdVU. ;. . . Legal CeSCitptlc;n: (at C' 6Icc:< qsu~t3(!J/l/d..k:l~r 1Ak~ Site Address~t?~ '_ )pr/~ Ale/) ejt"'" 1'/tA...J 8uilding Permit '* C)t; - 2-:=10 '* dO - 3S-j-C)IR-D f\JCTE: This permit 'Niil not be proc8ssed Nit~cLt :::mplete information. Tjpe of Fixture 8at~ Tub with or without shower Cisnwasher F:oor Crain La'lator; (bathroom sink) Laundr; Tray (1 or 2 ccmcar.ment sink) Shower Stall Sinks Bar Sink '1'later C:cset (tcilet) F:: SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, f\Jew One & Two Family Residential, Additions & Alterations State Surcharge Fhone: l f""!..... ..". I -1.....:;-1.1.-1.-1. FiXTURE UNITS Cuantity iype of i=ixn..:re .~ I :::ouc;n-;ns 'NaIer '~ea;e: 'Nater Sc~ner I Stand ,::;;pe !wasnlnC; ;T.aC:ilne) Sewage -:::;ec:cr 3ac:<ilc'N .-'<sse!T.c:'/ ;-P:. :cucle C:1ec:<, ,::'/c', 2ac:<flc1N ,;l.S32!'TCI'/ --:-~s~ !_3wn Scrink:er Cther 3 ,3 .3 s -'" .:::u s ~. PAID WITH . BUILDING PERMIT This permit is granted upon the express conditIon [hat ,Jid contractor. shaH comply in all respects with the 'Jrdinances of the State Plumbing Code and lh~e.~ments thereof. RECEIPT :\0. '7 --<f/, S'\ "';'2 <JV/" / ~ T""''''<:~ r~"'-L- . .. '.........- I C:Ill for Jll inspec:ions 2.1 ;1Curs in ld';;lnc~. 162CO Eagle Ciee:( Av. S.E.. P:-:or LaKe. .\rir.nescLl :::-: i 2::. ~ ~2 , i'- ;....... -- I~ -__...:t./ - .. . - .-.. -..." j ,- ,..- I~ - -- - .":",:1 ~-':L:2.1 !=r:'C'=r:..:::::~. .:.::;::'-:C',:,~:- , , ~0'i{iO~ ~~ HEATING APPLICATION I PERMIT Date 3/II/qq PID # 25"-35/ - 0 (f'-CJ t '/2' t2 /2..~" '1 (> . II 1 Site Address 3,av.v ,]/JrIlJt( (Glen If /Vl/V Lot {q Block ;;{ Ad~ition !/;I'Jntoaff /A.L~r Owner's Name !AJlf6f1}ann - 71rJtne~ Address / fJtJ.6" fJII1M Or., Y./ :JIJO, /baa!) , /}/j/y1,;( , '~ CITY OF PRIOR lAKE 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 qq'-7- Ileating Contractor GENZ-RYAN Address . 14745 So Rober t Tr 1, RosemolU1 t NN 55068 Telephone # . !~23-1144 Furnace Make & Model JJnm..x ModelSize a2.g&;?3-'io TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Stearn Hot Water Radiation Special Devices Conn. Load Fuel tV at" Flue Size 4" Supply Openings II, 1 Output !.t~ 000 Return Openings Input 717 lJiN) , Edr. . Other Devices efm. TYPE OF WORK x Alterations Replacement New Construction Repair Est. Comp. Date Building Permit # ct'9 -)- Est. Cost $ HEATiNG PERMIT FEE $, ./" STATE SURCHARGE $" "\./ .50 TOTAL ~ERMIT FEES $^, PAID WITH lBUILDING PERMIT Receipt # TYPE OF STRUCTURE I. Pink 2. Green 3. Yellow File Cily Contr:lctnr Single Family . x Two-Family Industrial Public Multi-Family Other Commercial 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 blJildino nermil nlJmbe[ before build- ing certificate of occupancy will be issued. !::!fAT 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 cae];;;; ~:: and approval of ~'~III /eN C {l Applicant's Slg~".. ~re, I ' I Date - 11 ~ ,lJ/lCI1' 3-/7 -?? Date ';':;o!~.a{~i!:;~r~lri-~'~~~~~~:"~:'>"~'~~'~.~~')1:,j~~.~~',,~~.iit:.rt:~~~,l;t~;...: ~;, CITY OF PRIOR lAKE MC 16200 Eagle Creek Av. S.E. Permil No. C/t{--()2... Prior Lake, MN 55372 Date HEATING APPLICATION I PERMIT (,,"3-QC; PID' ~5-3S1- o/f!,-O .3.J f3 Sile Address ~~ C~ ~. Addili~n UGL-YNWAn-...e.. 1J.I.MbM.OJJ.h ~ we-s, Lot Block Owner's Name Address HeatingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER Addn!ss 2700 N. FAIRVIEW, ROSEVILLE, MN 55113 Telephone # 65 1- 6 3 3 - 2 5 61 FIREPLACE 1MJw" Make & Model . .tJpn ,j tal,. Model Size. S'e- 7~c) 71/ Conn. Load Fuel AJ. Gx...s TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. Syslem Flue Size Supply Openings Return Openings HEATING OR POWER PLANT Steam Hot Waler Radialion Special Devices Input. Edr. Oulpul /).-s.o::o Other Devices Clm. TYPE OF WORK Akeralions Replacement X' New Conslruction Repair Est. Cost $ Esl. Comp. Date . l/ i / CU , ( Building PermiU qq- tJ2- J IOo.m HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 PAID WITH BUILDING PERMIT ~ Receipt" ~-SIS) r. rink 1. Grcrn l. 'Yell_ w c: Filt :J aI, I ConIne," 0 W I \D \D o 0\ .. N 0\ )> ." TYPE OF STRUCTURE Single Family Commercial Two-Family Industrial Muhi-Family Public. Olher Fee Schedule Industrial, Commercial & Multi.Family Residenlial, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential. Additions & Alterations Residenlial, AC Only 1 % 01 lob cost ($39.50 minimum) $99.50 $64.50 $39.50 S39.50 $39.50 .... ~ fD VI .... a. fD n o ~ :J fD ~ Remember 10 add Ihe Stale Surcharge on Ihe bollom ollhis applicalion. The price 01 your healing permit includes one rough-in and one linal inspeclion. Addilional inspections will be billed at $35.00 each. House Heating Test Record must be submitled with J>uildina "p.u,,~ "'&roMr belole buil( ing cerlificale or occupancy will be issued. HEAT CALCULATIONS REOUIRED with number 01 supply and return openings tisted ~ room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND 0\ APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE I-l CREEK AVE. S.E. PRIOR LAKE. MN 55372. N Cily Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 0\ W W OJ 447-4230 OJ OJ I hereby apply for a mechanical systems permit and I acknowledge that the ~ inlormalion above is complete and accurate; Ihatlhe work will be in conformance with Ihe ordinances and codes of Ihe city and with the stale building/mechanlc8 codes; Ihat this form does not become a permit until signed by the BUilDING OFFICIAL; thai the work will be in accordance with the approved plan in the case 01 all work which requires review and approval of plans. Building Oltica!'s Signature t,/ .iJqq ~ . Date 6,/3 /qq Date - \l I o ~ 9%6W 2---- Th~ ('f'nlrr or Ihr L.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (LI~~ f( / l.t I ~ r I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 3 <(3 L~ r Ij ~I f)/V- G r~ Denied () Reviewed By: ~A~ Comments: (. ~ $r l..L q?) -/ (!O~ for ?(r,,--~ S~~, 5.;!~ ~-k. Date: (/-1"5-?6 Accepted X Accepted With Corrections "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,~" ,:' . 1%&rJ 2- Thr C'rnlrr of Ihr Lakr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J ~.'~) /"~ " :,. '. 1(;;, l::1 )::/ i '-"'! ~ ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .~.);, t ) /.; ') ( ) ......, : I" ,. ( ,,( I.L--' Denied ; I I 1 \/ Accepted With Corrections (l~.j~ -~ 9X-/'fO:;- ,. , " Date: {fpt ko/~'''' Accepted Reviewed By: 11 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." .', ' .' : > . -, "-.' '~',~~~~~B~~~~~"~ DEPARTMENT';OF:;f~'i'::. ;',.',. SEWER [WATER I SEPTIC t=:FlAMING' iJNSYfATIc)N ::~':; fl!,I!~1TAI'~'I,.(.)it~~%ir*~iibi;~;"~'; , " ',_"~' , "''''''''~ '.' '_'. .. I ; ......i\"U" 'M'''' 'S'(ILIG" '\';~''"''''';';' ".. .,;,; . ~~,~: c::".:.., -';' , ~ '; ~7::::...'~'~~i#~rt;.':'~i'\~ ;A':A.];'N~;'(if:r~qulred),i,~;:'" ,.", ...."F. "I~'p":.'l;l~iC:E'''''.''('J'....",.,<..,>...;,..",. :"';';' :: Me; L.K ' ' '!,r:\/.:":.!~ J,~':'_:-:'_:'~;~ ~~''';;,-,''~'' :.: ,. . ;~~~!fINE:AIR. TEST :s- . ~ '. q~'~ '.-" " .:~ihO'V'ERj~NO:'WOR K ,.U NTIL ABOVE HAS 'Bi{EN'SIG'tJ"l:f ,~~~~" .- " I I ...r~F'1 N At'S.,. ~ tlbi/'I1 \ "~.'<:' ,'." '" ).J. tGFO\DING"(Prior to Sodding) .~ ,i,t: l:eUII:[)ING~?;4~;~::"? .. " . t.EL~TAfCADh;'~,:;:;:~,~,<" " ' " ! 'iPr:.UMBING~~:'('::".',.r/fJ '11CJ.~JCj 9 'H.... EAt..lN.. G.. :::;;!:i;it",,~:;,>/,';,l/. . . ,~ij;(J:;' } ;i,~;iTi;:'1 ,...;;~~::;;;~~Ii: " ~~"':',""I"; i" '::--"-'., <, ~" ..~;..,,,:.~';,\.~ ,...:" > . ",--"; ",,:.~,..: - ' . ,"I .' ",~'.~"i",'<'" r ~"<~;i>--ti..-<',:;,~~; ;.;';. 'j'f'~;~'i/":"'.'~i tlOT~O"C elj pV~fro 'N TI'ij:":>J(a:o\te' ,""",;,.......)):':,,:,:'...;,""~. " '," ",' NOTIC' E"". , " ", .... .',^' ". "'.J.' 1 '. ".',: ',' ',' <,' '",-,,:-.,; ':. .', ' < , .., . . ~.... '}1; l N ' '. ".,"t " ",.j;",".....: ".'. .... '.; " i '":'~..,<,.,~,'"..": "'This card .must be posted near an electrical service cabinet prior, to rough-:ln:Jnspec :~rid; maintained :untll:an,Jnspectlons' have been' approveCl~~ On'); bUlldl"'~s:.ri"It~;,d Whe...,:'hb"servICi',Cabinet Is'avallablej~ c:ardshall be placed'h'arjmah"ent~n . ,t ,v",:~7~~.~;"~:'~,l,,,~~~';~.--,<;._..:~,: ,?" ~.~:^~ ~~,\?:~.<t~>>,-'/c~-- ;~. ~ ,I ;',~,:!,(: ;. .:~~ ' , "': ':,:'::,i;; . ':' '. '..' , .':..''', .~: ~." ";" -' :~~~fi~f..;)::~,"<, ~(f~"-'~~':^';'~;,~ :.1:~!.t,~~~~~:r'1'~ ': . ", .'.;1,t:~'::~f;,;;>;ca~t,~etweerl;8;~0 an~ .9:00 ,~~'~~ f~f~l,I. ~n~~~!i~.~~r;~;F., ,q "', . FOA,'ALL INSPECTIONS447-4230.'!",,'~>~.,