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Home My WebLink AboutBldg Permit 99-0060 & 99-0030 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~"'3-Cfq 4.., ADDRESS I~O 12. \(~\J~ OWNER CONTR. PHONE NO. PERMIT NO. 9q -~O o FOOTING o FRAMING fX ..D....JtlSULATION I ~~INAL o FOUNDATION o DEMOLITION o FIRE PREV. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: , . I lot C.Pv'Yj ptt/--f- --- ---- /' ^ (/1 ' ~ v \ I / ~ , \ L\ Dv,-f\v J \ 1( /1 '" / ~ --------- ./ ~ WORK SATISFACTORY, PROCEED . o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: -:-1 \~. Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! r CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT .l:!ATE R~ .28. 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 L/ t J I I (PO -';J n ~ ~eY' ~a \1~ 3. LEGAL DESCRIPTION LOT I BLOCK / ADDITION ~ 0.. Y' ~; VI "- ~ ~ ~ CO'" cJ 4.):,WNER I (Name) I . . . -, J (Address) ..DYE>"'cr~ ~\\.J C v~c...-h Slvi\ )\.l'/1'l- 5. ARCHITECT (Name) (Address) 1. DATE 1-;;), J-91f 'PuO PID ~ -;SnZ - Dol - 0 6. BUILDER (Name) c; IS r I!o~tos :[V1C--- (Address) ~ I ~ c..ht"si"''''-1 tv t>. $c>~ '& -:l.- I Gn~ ~ Ie "--'. "" ~ Ss 3. y Septic 0 Deck 0 Addition 0 Finish Attic 0 7. TYPE OF WORK New Construction 0 Fireplaclj.l!( Alterations 0 Re-roofing 0 Porch 0 Re-siding D Finish BasementJ:1l( '-Icf,y - 5 5 ~--< Chimney D Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No t)Tt;~~ S 3..L. fa (Tel. No.) (Tel. No.) 1. White 2. Pink 3. Yellow File City Applicant s ~. aObO Permit No. BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES S ~I~ + e ",+'1\/ 13. TYPE OF CONSTRU6TION r. 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE :!500, 17. COMPLETION DATE ap~ 1,11~ 7 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 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 ~al can rev9J<e JIlis permit for jU~jfuse.Aurthe.rmore, I hereby agree that the city official or a designee may enter upon the property to perform/eeded inspections. X ~6/~ .Q..OOfoli'..3./K ~J-9q Signature \ License No. Dete . I SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS D ENERGY DATA D USE OF BUILDING ftES5 , A Ii<. t . OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS D SETS SPACES ON PLAN SURVEY D COPIES PERMIT VALUATION q,C:C:O .CJO PLOT PLAN D BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Oivision 1 2 3 4 Permit Fee ................................... $ S U City: P-.,.2t!? Plan Check Fee ............................. $ State Surcharge ............................. $ '2.60 ~1--'\\"'\ Penalty ....................................... $ Plumbing Permit Fee .'ffJ(CXJpO.... $ Mechanical Permit Fee ..................... $ 40. - Sewer & Water Permit ...................... $ G"~' ..!::r..-:;(ltx.../J. $ 41J . This eco~ Your Building Permit w~e::~~p~d.c;<;' By -~ Date-{ -j. (- (L Certificate of Occ.!:ncy v . Issued Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ............................ ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid J h 9. ;.(.> Receipt No. Date 1- 'J.. ?.!l.' By lloq .25 "3 'I ?, ,~ f/ rh.- requ in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when ~er ~u.",ry Certificar rd~r"liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. City Planner ' Oate Special Conditions ff any 24 hour notice for all inspections 447-9B5O v White - Building Canary - Engineering Pink - Planning Thf' ('t'nlrr or the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST APPLICATION RECEIVED GP-,J: ~IY'~ . 1/ tJ,I"" (q Q l ~~. l ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: NAME OF APPLICANT {N~ Accepted Accepted With Corrections ~ Denied ~ / Reviewed BY:W h^ Comments: Date: / - 2 7-77 t. t?eu& ~ ~ F~"~ ~~J. 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' Cenler of the Lake- Country White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L t ~~./ .~,s \ 1 ' 1(1 '/~(>;") f:-1 (1 I I I i , 11>'-'c__ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Date: ) / d-~ /11 . I' Comments: 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." '" Dale I-//-qq Owner's Name Address Healing Contractor Address. Telephone 1# Model Size Conn. Load Fuel Supply Openings CITY OF PRIOR LAKE MC 16200 Eagle Creek Av, S.E. Permit No.q?-.O~D Prior Lake, MN 55372 -- Flue Size Return Openings Inpul Oulpul ,11 /VY1 Edr. HEATING APPLICATION I PERMIT PIO f P<'~ -\3~ L - ()()/ - () S~e Address /G:,07.J .1I.ifrf.u. 51tL1\J Lot -I- Block I Addition tl,jJ~ d. Lv j.....tL oil ~ , '~J~ Allied fireside dba Fireside Corner Contmtors license "20090911 2700 N. Fairview Ave. Roseville. MN 55113 "t 71f:1'U5fi 1 Furnace Make & Model J.1,J 1) fri ()J SL ')50 7r1. Clm. Alterations Repair Est. Cosl $ TYPE OF SYSTEM Warm Air Plants Gravily Mechanical Air Condilioning . Ven\. System HEA TlNG OR POWER PLANT Sleam Hot Waler Radialion . Special Devices . Other Devices Replacement TYPE OF WORK New Construction Est. Comp. Dale b /- IJ~q q Building Perm~ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 Receipt" J t/33S' I. Pink 2. lircrn ]. Yellow rile L City lU ConlUClot :J I I-' I-' I \C \C o N TYPE OF STRUCTURE Single Famity Commercial Two. Family Industrial Multi-Family Other Public Fee Schedule I-' W iJ ." ..I. ~ ID III Industrial, Commercial & Mulli-Family Residential, Heating & AC Residential, ~ieating Only Residential, Gas Fireplace Residenlial, Additions & Alterations Residential, AC Only 1 % 01 job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 0- lD n o ~ :J ID ~ ..I, Remember to add Ihe State Surcharge on the bollom 01 this application. The price 01 your heating permit includes one rough-in and one linal inspection. Addilional inspections will be billed at $35.00 each. House Healing Test Record musl be submillcd with bl.!.ili!ing oermit number belore built ing certilicate 01 occupancy will be issued. HFAT CALCULATION& REOUIRED with number of supply and relurn openings listed J room with CFM's per opening. New struclures or additions send 1I00r 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. en I-' N Cily Hall business hours are B a.m. . 4:30 p.m. en ' W W ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HAll 447-4230 co I hereby apply lor a mechanical systems permit and I acknowledge that the ~ information above is complete and accurate; thai the work will be in conlormanct~ with the ordinances and codes 01 the city and with lhe slate building/mec~anic: codes; that this lorm does not become a permit until signed by the BUILDIN( OFFICIAL; that the work will be in accordance with the approved plan in the case 01 all work which requires review and approval 01 plans. ~ ~#j:lfk:h. I-II --1"00'. ~) i/~,<;;o/t~l.L, 1IJ2/?? Building Ollical'sSignature - v o w Date