HomeMy WebLinkAboutBuilding Permit 99-0100
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CITY OF PRIOR LAKE 8~ 4T
INSPECTION NOTICE SCHEDULED
ADDRESS \,4l4 S C0
~TR.
OWNER
PHONE NO. PERMIT NO. ETq- qq
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ INSULA TION o SEWER HOOKUP o FIREPLACE FINAL
"I~L o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~fi + TI-U8 ~B
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:::O:ECT VK>t;;,LL FOR RElNS:~::I:::':FORE COVER'NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY/
INSNOTI
~;~k TIME
CITY OF PRIOR LAKE Il;~
INSPECTION NOTICE SCHEDULED
ADDRESS 114w ~G:. ..,h' -"~.',
OWNER C TR. ~'I e, I(
PHONE NO. PERMIT NO. q'l-~ /60
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION ~CHm o COMPLAINT
o FRAMING WATER HOOKUP o FIREPLACE RI
o INSULATION SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: '75' ~ 40 ~
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o wt>RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT W7!~: CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0~, I Owner/Contr:
I I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
(f,/z t/t6 3 .' 3[
3" ,,;';"'.;;>
[,',.. ( '.< '
ADDRESS
/ '1 '-1--/ c!- SUN R. R V - ..;"~ lt7w'''-:;'' ;'
/\./(. /"!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)it: FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)Q. PLUMBING FINAL
~ MECH FINAL
qcj-/O 0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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E COVERING
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
:1 -(} 41
~a50
~5 - JJ7 -O/d-{)
DATE RECEIVED
FfBr2,.
, 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
1141L/ lJVti't5 SuvHW-j r!. L
3, LEGAL 0 :SCRIPTION
LOT ).
ADDITION 1UcrY!1 J i e.uJ
B,LOC~, AddYl'
.,IA(J .
L-V~ ' .
PID
4. OWNER
(Name) fL. ,',. (Address)
~ o.-~ J3G.U' td.JV
(Name) (Address)
5. ARCHITECT
6. BUILDER ~ (Name) ( _ .L (Address)
~/,u.l u. VlitU1~ '-L"l'l't:>' JYl C.
;, 2. {Co (\11 uq11~ LcdV- {, I vd .
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
Deck 0
Finish Attic 0
1. DATE
(Tel. No.)
(Tel. No.)
(Tel. No.)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
L/47'33~D
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. C(1-o 1m
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) / D (Widthtxj (Depth) 10 b
12, NO. OF STORIES I
13. TYPE OF CONSTRUCTI~
I'\JeuJ '-\,114((' (-rUVl; (V
14. FLOOR ARE'" APPORTIONMENT USE I
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
l~PROJECT COSTNALUE
~ /'-X) trD
. t __,..
17. COMPLETION DATE
'-/-/5 -c(q
I hereby certify that I have fumished infonnation 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 roperty and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici n r oke this pennit f'f'!.Wft cause, furthennore. I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X ,I:? v~
( / Signature License No, Date
~
J
FOR ADMINISTRATIVE USE
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ .
:: Tjljt~~;n:iz~~o. ~~J:~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ordinanle');:; ~~~eq IJ~nt'when
signed by the City PI n r constitutes a temporary CertifJRlte of Zoni~ ~pliance and allows construction to commence, Before occupancy. a Certificate of . .
/'.?f;:'" . ^'''''_, 'J ...~(~~
o City PI ner Date Spec,al ConditIons ~ any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 9'1 : 000. c!) D
USE OF BUILDING
.sF~
TYPE OF CONSTRUCTION: I II III IV (V')
Occupancy Group A B E F HIM ~
Division 1 2 a 4
Pennit Fee ................................... $
S U
City:
Plan Check Fee ............................. $
8~A. 5l'
5~'-l.~~
4~. St)
State Surcharge............................. $
penal~ ........:........ql1.:..ico..... $, "' to
Plumbing Penn~ ~ee "~""ioD'." $ \ ().) . .00
Mechanical Pennlt F~e 'C\l(: ~tP"'" $ I ~
Sewer & Water Pennlt ...................... $ ~5 ~ 5()
\}~ Aq
\JY\J ~.
t;}/O
v
Gas Fireplace Pennit ....:::::::-............ $
:iS~rt..B~ Your Building ~:tr;i~h::.2.AJJ[~~.
Certificate of ~ancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... .. .. .. .. .. .. . .. .. .. $
Sewer Tap ................................... $
r;r $
Pressure Reducer ..IIi.................... $
Meter Horn .........\1........................ $
Water Meter ...1.......................... $
Sewer & Water Connection Fee ........... $
Side
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS LI
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
~ r:; (") . oa...
I OSD .CQ
tlS.on
12.<". a6
I. 'J.oo .00
, I 'Lo...o . 0 n
~
-Permit# -9-!1- /()o
-Job Addr_ II i.I~/ 1./ I ~ lJ~J1 ':a. y e.J I-
"Hellling ConlrllCtor i:~ P'Q~
-T eslera/Signature ' ,'J 'iJ.- J(J . r'.f? ,./11".;0
Pounds
Dale Ii!!!! Pressure
"Gas Une
Pressurized
Inspected
-Percenl02
PERFORMANCE TEST
<is '10
C/9d
"Percent CO <5 ;t,
.Stack Temp. ~"'\. <;'"'0
Date 11-13.~'lq
.
.Percent C02
Final Inspection
09/10/96 THU 14:20 FAX 6124474245
CITY OF PRIOR LAKE
~004
...... "'w:
V.Ll.OW . A"-'l.IC....T ,
10\:0" tii~ti
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
C1Cl- LUAL -t _, A
No.9q-l.CLLu.~ 6
NOTE: Sewer and Water
1 1 A _/,1 L7.y Pi 1,' contractors must
Vj""1'"lc '~ lNc:f bQ reqistered
V with thQ City.
APPLT.CANT ,/l'le/;tJ6e.vd.-t I ~ ~() 1c;..L.::eJN~: Jd""l-'IlI~ ZJj3g
ADDRESS' "'790 ~~ R~, ;~ IDATE: 3/23/9~_ .
SIGNATURE, /I~ _ ~ " IBLDG, PERMIT # f!- por:>qq
SITE AODRESS: /? ?lI$I A..,../3 $;i,1i~~l/eiI&IJ.S--~l-o ;)-0 f-o/tJO
,
FILL IN THE BLANKS
-5D
1.
Estimated length of water service
Size of water service I'l~inch (es) .
feet.
2.
3. Location of any couplings from structure SIt) feet.
4. Type of S.WQr pipQ. ABS PVC ~'(cast Iron
5. Estimated length of sawer line ~t) ,teet.
6. CIQan out (if required), located at --- feet
structure.
from
This ~pplication beComes your permit when approved.
=====~~~S~3m__*___====s__________m____===============~_p=__==~~~~=
BY
DATE:
=~~~---------=-=-=======-~---=---=======------~~-==============---
$~5'
$ 0
$ .~
Fee for either sewer or
$ .50 surCharge.
Sewer and water linQ connection permit.
Surcha.rge
TOTAL
FEES:
""
water
individually
is
$20.00
plUS
* Se~e:t" and water permits issued for new construction must be
recorded on the buildinq permit oa:t"d at the time of. i5Bu~nce
to insure,that no dl:1plicate sewer and water permits are
issued. , PAID WITH 2.t,/J{i Q
D,1\TE PAID l BUILDING PERMIT ~dC) If AMOUNT PAID -,' ,- i
RECEIPT # REC"D BY ~'~
V
16200 Eagle Creek: Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An BqUld Opportunity Employer
c 'd
Xljj
.
~c:tt 66. [c"JVW
White - Building
Canary - Engineering
Pink - Planning
The Crnter of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -.J;.",,,, f,. M<>-,^",^p'j-
APPLICATION RECEIVED ~-l~-'i~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 'll.j \q ~0,,^,o..(J ell"". 011\;~ IS
Accepted X
Accepted With Corrections
::::::ed By(20 ,rt-( Z
Comments:
Date: ::< - )., d- -/,1
9p~ 13 P :ti. '11 - 0 It
h,r 'PI~, l <)~C<;., ,
Suru-E."1 t e. tr ,
()"
"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,"
--_._"'-"----'"._".,-------'--~-
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. q? - /0 0
Prior Lake, MN 55372
Owner's Name
Address
Heating Contractor cL 'P //1 )./.<(;:1 n ~ ) n d'
Address 5~<2 'Ar-;hl;;~ ..4 fJhlor In Irt;!
. v I' .
Telephone # c 1{ tt) -- (; /<?z....
Furnace Make & Model ~o t1 /I"'P
Model Size ~IV F () /~~d:J
Conn. Load I/o
Fuel /lJaI- Gas Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
"
6ft
Supply Openings 1/
Return Openings 73
Input Output
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Cfm.
TYPE OF WORK
"\
Alterations
Replacement New Construction
Repair
Est. Comp. Date _
Building Permit #
c;q-/O{)
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
50 PA\D W\TH
. BU\LDING PERMiT
Receipt # ,
TYPE OF STRUCTURE
L Pink
2. Green
3, Yellow
File
City
Contractor
Single Family
Commercial
Two-Family
Industrial
Public
Multi-Family
, Other
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
i-
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 bYildina oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIREQ 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
447-9850
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
:8~;~:;;;;; and approva' of P;/i oAD Pt(
ate
6 110191
Date
, .\::n~1!::""~:.:D)!;;}ILj,~:~~:A".."K" E DEPARTMENT OF
" "~, ;~'im.. '~M 'BUllDING'AND INSPECTION2::~;i.>~j,~~:\,;,<:'c
.)i6';:~jf'I' ....^1~~e~~IO NR ECO R Dk;~m,~,;;,;".
:i?'~'''!:}2~':'/''~f'i:' ,:~!;~j,~jP~"~ii:t,>!,;;: ,':' \ ',' ''''<''i'';:'C:'f:'
:,,;'->:S!Tgj1\RPRE$9/~ . ~~ 0-. ()II\;t. ~
:'?::""~::,:~NAl1g,~'~i'df1(WORK'i':.J1iW' 0 ~~ tLL~I~!
',' 'U$E'oF.,8UILDING S~A
PE'RMtti N'O:, <' /',~ I DATE ISSUED
."', ,..' ", 0Cl
n. CONtRACTOR . ,:k.~V\ MQ~~ . Onts~' , ,:','.
',.NOTEF'THISIS NO"T. A PERMIT F~ ANY OF THE INSPECTIONS BEL.OW
,,;;,:,.~::,!i;K'trHEiPERMIT IS BY SEPARATE DOCUMENT ' ':
.. ,',!",~""." .:.-:':";~~<:;,:~r~t!;nitr1'.)'~~1't'!' ;\':,' ,.:,', INSPECTOR
.:. I FOOTING'~.;;;l.t:"!{,;",,,,> . <:'.; "',., : '.' I J, s, ' " .' 3-q':,9'1;"',:,,":
;>~>~HEOlJNDATION,(priort()'BaCkfill) J8.1 '3 -':)'2 -97 I'';
':<;:::"::"",i;'~:;~~~;.F.tLACE';,' N O:,CO N C R E T E UNTIL ABOVE HAS BEEN'S I G NE Dd;
'~i'/:';~i?:;~B'_');,;~;".;{r,,;l:'\,:,..> " .' , " . ROUGH - INS ' "
SEWER I WATER I SEPTIC b, ' '//;;-5/'1?
FRAMING I-~; ///;r,/'11'
- INSULATION IfJ ~/ 2.3(0/7
, EL.ECTi=lICAL:.I;',:\;"I<
PLUMB1NG:Jrr~';\'i{;,'t>h';;' /Y/ (7/// ~.,-j ,
:. '-'''''',,'''' ,.,~~_',.'<"'~_:,~.-_:/J~~"'::'...,"','~' Lp/- ~/7/''77
'HEATING""(it':required) '~~(j. {( \. lJi/r -' ~ I If; - 20 '/1 '
" FiREPtfAC'E:~~!~i:!;:~~;/;}:;",,:-,,!,;,: " ff'z; /Ib't A~?;
'GAsj'lillE~I'~'irEsi:':~;: : ()) ,/I/Q/Q9
:';C\ay1ERii~)NO;WORK UNTIl. ABOVE HAi BEEN SIGNED
.-:' ""_' ' f," -c. "'_ ':. . ,',;
"w' A' <'l."11,JtB"O'A'RD ,.... '''I I
II. '~'~:.: -I'
," . FINALS
.G~~:~I~G,,~~~io.!to~!d~~), ~zN) ez t.
'".'BU.'E,D .,,' I, NG:I~;1I'~, ,.,'"."',.,~,,.!.,,:,.-, ,.',' ,":f~,',.,",',".',."',' .;"~.,.:,:",'.>'~7\ "; m W.,,~/~
'EllE6TRICAL;:,':;:"'~'~'~"""~\?" , ,., (Y .
. ,
PlrLJMBING.:j:{.:~:>:; : >) ),jl/Z3/QQ I \ \\
' HE:4TING.rS.~t,\~ ,." tJ!-'l/b,:!fj, /r \ \ I ,'\ \\ \ \\,C!\(J\:-::
(:';:t]l~;~D""O>",',':'N" OT OCCUpy UNTIL' AB"OV'E \)AS BEEN\ '\~IG\N, E\ 0\
,;;~i:'i"'i(, ",J~/(:,...\ ".., ' ," If ... \~
.;/j~:',:r~~,j,~,:"::Y'i\."V ' ." , NOTICE ", \ \"t
'I .-.~. .. ..':", .,: .:.: ,~. - - .:', " , I .
' , ',,', ,'.'.;,This, Card must be posted near an electrical service cabinet prior to rough-ininspectili:1s
,,",::!i..~X.,~;:,;.'i;s:,and:'mairitained'until anJnspectlons have been approved. On buildings and additio,u;'"
';:~;'...:'3:~t?::'.whereno.servicecabinetis available, card shall be placed near main entrance. . ";'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230