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
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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
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The ('l'nft'r {If 'he 1,.Ikr ('\lunlf'
Cuantit';
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CITY OF PRlOR LAKE
Pi UiylBJ/'/G PER}A1T
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., ~:low ApPlic:lIH
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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
-'"
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~. 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
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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
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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
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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"
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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
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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\
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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
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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."
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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 )::/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~.);, t
) /.; ')
(
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Denied
;
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1
\/ Accepted With Corrections
(l~.j~
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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
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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.'!",,'~>~.,