HomeMy WebLinkAboutBuilding Permit 99-0020
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
8-'. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
1. White
2. Pink
3. YeIlow
Permit NO.jj- CO rzo
1. DATE
/ /'1 '11
{;1
PID ~;~l' ~~-o
/J.o {)
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
4511
3. LEGAL DESCRIPTION
5
'31U:>
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I (Width) I' (Depth) ""' I
o ~/_(, ...
12. NO. OF STORIES
~
13. TYPE OF CONSTRUCTION
.$/#~~ ~
14. FLOOR AREA APPORTIONMENT USE
BLOCK /
~06 /-h Lt.-.
LOT
o:.s (eo
-
ADDITION
(Address)
S- LLc.
(Address)
4. OWNER (Name)
~C~ C~~
(Name)
5. ARCHITECT
(Address)r (Tel. No.)
~,,()'I ~S; $"1../ 1,/2. t/~o..2.?s(.
'?lei (')~ 4: S-s.J72-
Septic 0 eck 0
Addition 0 c..Eioj!!h Attic 0
-----~:;,.
15. NUMBER OF OCCUPANTS OR SEATS
6. BUILDER (Name)
f&;q(. t"~~'1L
~.cS a.c.
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
/85: ()/!)fJ
17. COMPLETION DATE
~I'/f'
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
7. TYPE OF WORK Fireplace 0
New Construction Ip"" Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. /3 5'"82-
10. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width~k Depth 1t.3 t.S-
I hereby certify that I have fumished informatio on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the a all struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
Cling official ca t cause. Furthe I hereby agree that the city official or a designee may enter upon the property to perform needed iiJlPections.
~()Ot$~~tf I LK:enseNo. ~~L98
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
o ENERGY DATA
o
SOIL TESTS
Side
Side
Back
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
~F{?
USE OF BUILDING
/ 8-~ ()t'JC)
.
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM ~
Division 1 2 tJ; 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
~DO'
It/SO. ~
S U
113t'd.. :~.s-
852 .9'7
'T~ . 50
Plan Check Fee ............................. $
State Surcharge .......... ...... ............. $
45.'-
Pressure Reducer .......................... $
Meter Hom ....... ............................ $
Water Meter .................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Penalty ....................................... $
Plumbing Permit Fee ...1.r.~P.r?.~... $
4'l7. a> U"">
Mechanical Permit Fee ..t.C.............. $
Sewer & Water Permit .. 9.t1...~..... $
Gas Fireplace Pennil ...t.r.!f!?.~... $
100. -
/ t>>.-
3- -
??O
40. -
/z-s.-:l
.~ "2 ~ ~ . c:o
7 Or') . t!) er
WalerTap ................................... $
BUilder'~it ......C}!:.;..~...~......:.. $ It" 5"00 . C)O
Other ....\i\l.'~.~.~.. $ ~~
Total Due .............................. $ ~ .
Paid S SOb. "L "Z... Receipt No. ~
Date \ / l~ I'll By ~O
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
sign~ City Plann~s a temporary Certifi~t~f Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ ~ I. rqq",
City Planne ....... Date Special Conditions ~ any
Thi~~S Your 6uilding Permit When Approved.
By U Date 1-$- "t?
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
02/23/99 TUE 11:13 FAX 612 432 0636
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TYPE OF STRUCTURE
- - - -
qq -00 JD
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. P&rmil No.
. Prior lake, MN 55J72
Multi. Family
01her
% 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Public
iwo-Family
Indus\( ial
ndustrlal. Commercial & Mulli-Family
Residential. Healing &. AC
Resldenlial. Heating Only
Residential, Gas Fireplace
Residenlial, Additions & Alteralions
Fl,esidential, AC Only
Single Family
C amme rcial
Fee Schedule
o
I
I
HEATiNG APPLICATiON
Nam
Dale
Owner's
Address
S~9
Lol
Contractor
Healing
OJ
111
.....
OJ
W
(Xl
W
W
111
111
lhis applicalion.
rough-in and one tinal inspection.
each
Ihe boltom of
iocludes on'.}
Remember to add Ihe Slale Surcharge on
ling pe rmi
inspections will be billed al $35
Ilea
your
The plice 01
Additional
~ I2WIli1 D\.!lDllli belore build
00
House HeaLinq Tesl Record must be submilled wilh
jog cerlilicale 01 occupancy will be i~ued.
lifAl.QA iI.! REQUIRED wilh number of supply anti rclum openings lisled p6
room w~th CFM's pe, opening. New structures or addilions send floor plan wilh &upply
8tHI relurn locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE_ S.E. PRIOR LAKE, MN 55372.
s::
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,
(0
(0
(0
(0
111
(0
I hereby apply for a mechanical systems permil and I acknowledge ihallha ~
inlormation above is complete and accurale; Ihallhe work ""ill be in conformancB ~.
wiLh the ordinances and codes or the cily and with lhe slale building/mechanical
codes; thai 'his rorm does not become a permit unlit signed by the BUilDING
OFFICIAL; that lhe work will be in accordance wilh the approved plan in the
case 01 aH wOII< which requires review and approval 01 plans.
TYPE OF SYSTEM
Warm Air Plants _
Gr avity
MBchanical _
Air Co!\d~iofling _
Ven\. System _
HEAT1HG OR POWER PLANT
Address
Telephone"
f urnaCQ
Model Size
Steam
Hol Waler
nadialio n
Special 0 evices
COM. load
F~~I ~') Flue Size
Supply Openings
Aetum Openings
CALL CITY HALL
N AND FINAL)
4:30 p.m.
ALL WOAK MUST BE INSPECTED (ROUGH-
hours are 6 a.m.
busi ness
Hall
City
,:l
QUI pul
li\pu(
41i7-4230
xx
Devices
New Construclion
Other
T'fPE OF WORK
Replact'rnenl
Ed
C/m.
Alteralio ns
qc( -(0)0
Comp. Da\e
Es
Repai{
'U
Q)
(Q
(1)
.....
--
.....
Dale
3 - /(J rifC/
Dale
re
Sui/din 9.
PAID WITH
BUILDING PERMIT
Building Permit II
5]
Aeceiplll
c;
50
~Cl J~O
Cosl$
HEA TlNG PERMIT FEE S
i
$
Est
STATE SURCHARGE
TOTAL PERMIT FEES
GREEII - FILE
YELLOW - APPLlCAIIT
GOLD. CITY
CITY OF PRIOR LAKE NO. 7r-(){)()
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: n/VI}J... (;/!ffIJE LIVe
:~:::::::~~):~j~
SITE ADDRESS:?l517 ~~.Iw.tI~ PIDI
FIL~ THE BLANKS
5:<
DATE:
/jrtJ-15~ J
~J /0/17
I I
PERMIT # r?....CJ5l D
PHONE:
BLDG.
1.
Estimated length of water service
J II
inch(es) .
feet.
2 .
Size of water service
3. Location of any couplings from structure
(1f
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line -5 ;;{ feet.
6. Clean out (if required), located at
structure.
75' feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This ~:~O~}.;G,'?m~our permit when approve.d. .
BY . ... n~- DATE: :L!IJjCfc;
------------------------------------------------------------------
------------------------------------------------------------------
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. PAID WITH
BUILDING PERMIT
DATE PAID AMOUNT PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
E
a:
en
N
OJ
AIle.atlons.
Replacem ent
Esl COmpo Date
~ B
:~q:.. ~()
New Construetlon X
I hereby apply for a mechanic
information above Is complete"
with the ordinances and codes
codes; Ihat this form does not
OFFICIAL; that the work will b
case of all work which require:
-.. . ( ,_.
-.. .' ~..'#
. -....... -.. tit""
.~... '''4-:~.-:# . ~:~!.~'::~"'"'' ~!:.~
'"71/.... -!"
Telephone
Furnace Make & Model \. v-
Model Size ~ : _
Conn.load ~ 1 I ~S- _
Fuel N ~"'" Flu. Size S II
SURlIy Openings ---\.1-
Return Openings ~
Input~ ~ Output
Edr.
~
H
a:
o
~
I-
W
E
Cfm.
\,'\a
TYPE OF WORK
~
Other
HEAliNG OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Devices.
f:ff& REQUIRED with number of lupply and return. openings listed per
room with CFM's per opening. New structures or additions send floor plan with aupply
and retum locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CflY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE S.E. PAIOR 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 JiALL
447-423D
TYPE OF SVSTEM
Warm Air Plants X
Gravity _
Mechanical _
Ai. Condil1oning
Vent SVst.m
The price of your heating permit includes one rough.in and one final inspec1ion.
Additional inspections will be billed at $35.00 each.
Hous& Healing Tesl Record must be submitted wiIh l1uJIdiDg IWIDil nwnt!m before tNild.
lng certificate of occupancy will be issued.
Address
Remember lD add
Industrial, CommeR:iaI & Mu~.Family
Residential, Heating & AC
R9$ldential, Hedng Only
AesidltnliBl, Gas Rreplace
AesLdenllal, Additions & Alterations
Residential, AC Only
the
State Surcharge on 'hit bottom of thie applk:{ltion.
1% of job cost ($39.50 minlmum)
$99.50
$64.50
$39.50
$39.50
$39.50
Ci)
l.D
~
o
z
Lol_
HEAnN, APPUCATlON I PERMiT
/
\\
Fee Schedule
Dale
Single Farnllv X Two-Family
CommercIal Industrial
Public
Mul1i.Famlly
OUter
..--t
a...
CITY OF PRIOR LAKE
16.200 Eagle Creek Av. S.E. Permit No.qq - CDJO
Prior Laker MN 55372
1.
1.
1.
Pillk
Greeo
YelIDW
File
CI1y
CQJlllraC1llr
/
fj<t- 0020
Tho ("o..or of rho loko COU.lry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~k~
~e..
C'rze. e 1~~
!~ fer <1.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4577 HuMt11r AJ6 !3/f(b 7i4/L-
Accepted
Accepted With Corrections
/
Denied
Reviewed By: /t!.,tk TF./1 El-1IlE.~;I.(fll\J,v
Date: //1/11
Comments: A RET14''-lIAl(.. 'AIA"
l.Jll.J HI'IVF;:" 70 J5I:" 'EVIL, AL6/1k; 7Hc
Ml(nS 'SIDE. of 7iI€: ~/,.I~W14lJ 70 r'I141,v7"AIAJ A t./: / S"Lo?!;: 10 T,..,t(;
&>T LINE
.J)EVELoR:R J.lOI'l~, <'3tAZ-rR
SR:llc~
I-V ITH k>3 rim'I.//AJ')
~Nl> tt1Y56u
tI~r "THe CfJrJ(PtlIcnt>IJ of
1iiK Lcr
liE:. SntlT€o 7H11T .
('"",PIILTlDAl t.uIlS
t'-aMPu;r6!)
Ft?'''1 Lor {..../-vE 7D LoT ("'IIV~.
7iJt h.o~
I)~ THE NoIl..T;/ Ct'/J(fl/GE SllJr Wlt-L p.E .j)~.tJ 3 CO</t(SE5 To
wrFi'# 3: I SLO~_
c)~oFr !l1fJSr Ec: CrJNcJEyCJ) '/0 f/A)j) ftLON{!)
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56
, AtmR,ot JlrlC'iU
Ot..) 'Kt:uEASE" SIU. SeE. mT'"lt-otJltEis1:3; I. nNAL bRf'tj,/M~ 11IJSf'Ea/0I\J 1,J~o41tf77(JI'J
2. ~'~6> YUW
3. U.OS'OA,J CII,'JTno,- y...",,,-, If. ~SU'A.J COAJT"rtoL f11t:=A {,Ill E:S.
"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
Thr ('rnlrr of Ihr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
, I
I
,
L...r,: ~-.
;:,._-.11
. --. .~
APPLICATION RECEIVED
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...... '0"1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for co. nstruction ac ivity which is propos~d <<t:
l{~77 . ~~ ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~'t4-co~ Date: [-? -q3
Comments: 7i
#~~ LA ~Th t<c9t~~ 6(90~
l.j~ ti:<;c...rl%V ~
"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."
Th. C.nl.. of Ih. Llk. Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
~ ~ Crze-e IL..
t (<;; ('1 "
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~
Denied
Reviewed By: Rft. Ik-
Comments:
Date: J - 13 ~~
I. 'SoA. .. T r-e.tlc" p..v- ~ M-.. A- ~
:2. I-h.. ....1-:.._ ~~ t't:1x ~sJ...
S. R~ ~\\ cctkc~~ ~~ ~"
"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."
DEPARTMENTOF/' \ ','. ..
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,BUILDING:A D. ~
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----------------
.~ermit#
.JobAddress 4577 ~~rI ~
.Heating Contractor METRO AIR
g;
.T esters/Signature
. Gas Une
Pressurized
Inspected
. Percent C02
. Percent 02
Final Inspection
Q!!!
Ii!!!!
PERFORMANCE TEST
<g. d2%
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DATE
k-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULeD
.1-~~
PHONE NO.
~h,vd
-----;[JNTR.
PERMIT NO. crt-lD
ADDRESS t/S77
OWNER
o FOOTING
o FOUNDATION
o FRAMING
f!:SULATION ~
FINAL r..t:5./
SITE INSPECTION
COMMENTS: EtrJ..
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
~ freu
~ Lk? __ - :3.::t:;:u.;.) ~
j~.~ ~d;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~,
~
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/NSNOT/
DATE TIME
SCHEDULED 4/23 2...'.30
HVMMI NqB1F-D DR..
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4-511
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
..a. 0 SEPTIC INSTALL
.. LUMBING FINAL
~ITE INSPECTION
q<:q -2-0
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
.. 0 FIREPLACE
'0
oS
wJL~~
EINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-42 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Ok-
QUI EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
y
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS L/ 577
OWNER
DATE TIME
SCHEDULED 5-1.[.'19 lo:eo
f:1Wnrnk/).b ,>tl TYl.-
co R.
PERMIT NO. t:jCf -ZD
PHONE NO.
o FOOTING
o FRAMING
o INSULA TIONf:J^
INAL
~OUNDATIO
o DEMOLITION
o FIRE PREVo
AD PLUMBING RI _. l\
~HANICAL t?N V"
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~ ~RRECT
~RRECT
ALL FOR REINSPECTlON BEFORE COVERING
Owner/Contr:
Inspector:
230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S~'lS~q9 11:- tJb
ADDRESS LJ S,7 ~.... "'ff L-cl Tr
OWNER CONTR.
PHONE NO. PERMIT NO. ~? - Zc
o FOOTING o PLUMBING RI o EXC/GRAD/FILLlNG
o FRAMING o MECHANICAL o LKSHOREnNETLAND
~SULATION o WATER HOOKUP o COMPLAINT
FINAL o SEWER HOOKUP o SEPTIC FINAL
FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
1')'\ ~
./
<t Cf L.,/
L.O.
+-D
012- '-/35- tf6lff.o
EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OP PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7jry9f /~:'fo 1ft4f
ADDRESS t.k-77 ffUtf11'ft'AJf..iJIW Jill/ie-
OWNER CONTR. /?ct.1< (I~~CK. ~f:.r
PHONE NO. PERMIT NO. 71-02.0
o FOOTING
o FRAMING
o INSULATION
~FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS: 0kJ/DF-
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
X EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
J<:
-
J4c f Ffl'r1tM LC.
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tt.~.J.-.
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!