HomeMy WebLinkAboutBuilding Permit 99-0123
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
G-7-9'1 ~:i<J
OWNER
tM1 Br~
CONTR.
~I
ADDRESS
PHONE NO.
PERMIT NO.
9tj,. /23
o FOOTING ~D PLUMBING RI ^"..
o FRAMING K) V'.MECHANICAL rv V'-
o INSULATION 0 WATER HOOKUP
~ ~INAL 0 SEWER HOOKUP
\-' 0 FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION Arfl( PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
COMMENTS: ~ fiJI-
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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(.t>h,,\ (k.- k
to I) Los
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1S: WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
T -.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White
2. Pink
3. Yellow
File
City
Applicant
.!'1999
Permit No. yO -0 I d. 3
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.SITEAMIr1 C3PWbMM f)LVO
. -
3. LEGAL DESCRIPTION
LOT /3 ,~LOCK /
ADDITION Cal/lU}(r~ 1ft/IS Zil.fl MeLli .
4,0~('">tWA2
5. ARCHITE~T ~J111me) f1lt+J
6. BUILDER (Name)
1. DATE
rJ-J4--91
1<.. i50
d.Ydg~ - () 13-0
BUILDING INFORMA nON
11. SIZE OF STRUCTURE
(Height) (Width)
N8:
(Depth)
12. NO. OF STORIES
PID
13. TYPE OF CONSTRUCTION
14 "}':$A'lI/r<mJ;USE
[j ft1v~1f1O.J
JWt1ress{JtJtJJfHAhl f1vV (Te41D-81?3
-+10',-N~?Jr
C!-- (Tel. No.) S~~J6~t
~'5cf;- .wL~P (It). 5S-~ ~ 'f
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
Sf~YJAJ:iJt/( ,:liI1
7. TYPE OF WORK Fireplace 0 Sept1C~ Deck 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0
SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement ~ 16. PROJEC~T ~STNALUE '"
Cl5^ ."-
_ ( Ci_
17. COMfLETI<!lN DATE
C J UNa: I - 7 i
n this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorizedagent for
ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
;~ermore, I hereby agree that the city 7c~ ~gnee may enter upon the property to perfot1--e::~~til((
License No. Date
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
10. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
No
Yes
I hereby certi~1 ih.av u.m. ished i ation
the above me Ion pro lrty and th t a con
building offici I ca, !his perm ~ r ju t
X . 'l"v\... .
I J Sign itf'v
..../
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
Side
Side
8ack
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SETS
COPIES
-
USE OF BUILDING .Ki<;
Nft.z
SURVEY 0
;:).,000.00
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IVr':)-
Occupancy Group A B E F H I ~ S U
Permit Fee ..........~~~~~~...'...~.~.~... $ 10 ~ . ~ 5'
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Plan Check Fee............. ................ $
}. 00
\\~ ~\
~~f
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
L.{o.,,~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fir aceP ~ ..~.. ................ $ 40.00
Th' I ecom r uilding Permit When ~prov~
B Date "2 - 2,(,,- '11
Water Tower Fee ........................... $
Water Tap ........ ........................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 1L/3. ~C)
Paid N3.;;Y:;; Receipt No. .~t/7~Z
Date S-IO -Y7 By OIU.tJ
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~uested. This document when
signed by ~ity Planner slitutes a temporary Certificate of Zoni~.liance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~. ~ ~ "'?---~....
- City Pia ' . Date Special Conditions ~ any
-'
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
Thf Cfnlf' or thf Lakf Country
BUILDING P~RMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. i/ (.i I
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',/ /\.. "_...~,"*,
Accepted
Denied
t./
Accepted With Corrections
Reviewed By:
~~~
Date:
;Z,- 2-f9--0Cf
Comments:
)*rN~ UY ~u~\AAk~~ l ~V\-t~ ~~~~
"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
1. Blue File
2. Gold City
# 3. Y~?-76
Phone:.b/L. - 9] 7 - / 7RD
h J:KtL ,M tV ~') ]'1]
Th. C.nl., or Ih. Llk. Counlry
Applicant l~~~rNft~:~!f,~
Address: ',i)~Cp 7 pt.I-1(N1C/;, T7~.
Signature: .~ - '4"'7'~-
Legal Description: Lot J ~ - Block I Sub (![) t'a9t' iii/Is 2 ~l1?11dJ(.
Site Address: '-/0'-/7 BH"'-~ L."",- 0/v'- /j l~
Building Permit # QCf....103 PID # c??5- ;/tlc -013-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
i
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
I
11
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ ?ii.s-n
$ .50
GRAND TOTAL
$ </(J-(.~
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
~htf'7!Jgmbing Code and the ame~dmen~ ~ereof.
(0' RECEIPTN?) 3 fl.Jt7 DATE
'/ j(lj/ A TIEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
T
CITY OF PRIOR LAKE MC _
16200 Eagle Creek.Av. S.E. Permit No. C;Q'-/;J3
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale 2//7/qC) PIO" c25" -;;)&(::;, 1'>/=1-{)
Sile Address - t LJ!)CJ7&.D-tJ;v/,,,,,,,,,, . &j~ K.!5D
Lot /3 Block / Additio~;j/6zt1 /1It:fu '
.4J.e& d ~bA?.J
. V
Owner's Name
Address
Heating Conlractor
Address
Telephone /I
.~'ied Fireside
dba Fireside Comer
lJceAIl8 #20090911
2700 N. Faivlew Ave.
Rn~~viIlA UN 55113
651/633-2561
tJJ AJ (;,(J)
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Condilioning
Ven!. Syslem
HEAllNG OR POWER PLAtH
Sleam
Hot Waler
Radialion
Special Devices
Model Size
Furnace Make & Model
br-JDl) IV
Conn. Load
Fuel 0o..s.
Supply Openings
Relurn Openings
Inpul
Edr.
Clm.
Allerations
Repair
Est. Cost $
Flue Size
Oulput ~7 ()i''ltl
Other Devices
TYPE OF WOnK
Replacemenl .
New Construction
Xx'
Est. Comp. Dale
~/;1/Qq 91-/,),3
Building Perm~ tI
HEATING PERMIT FEE $ 31- sv
STATE SURCHARGE $ . .50
TOTAL PERMIT FEES $ 4J,.tJO
,..-/ PAID WITH ~
BUilDING PERMIT
Receipt II
I ri"~
1. C;n:rn
). y.llow
l'ilc ~
Ci'y III
Conb'oclO< ,
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TYPE OF STRUCTURE
Single Family
Commercial
Two-Family
Industrial
Mulli-Family
Olher
Public
Fee Schedule
....
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."
Industrial, Commercial & Mulli-Family
Ilesidenlial. Healing & AC
Ilesidential, Healing Only
Residential, Gas Fireplace
Residential, Addilions & Alleralions
Residenlial, AC Only
1 % ul job cosl ($39.50 rlllolirnum)
$99.50
$64.50
$39.50
$39.50
$39.50
a.
ID
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ID
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ID
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Remember 10 add Ihe State Surcharge on Ihe bollom ollhis application.
The price 01 your healing permit includes one rough-in and one Iinal inspeclion.
Addilional inspections will be billed at $35.00 each.
House Healing Tesl Record must be sub milled with hlJildinn "f'!,mil number befole build-
ing certificate 01 occupancy will be issued.
HFAT r.AI "Ut ATION~ RFOUlRFO wilh number 01 supply and return openings li51ed pf
room wilh CFM's per opening. New struclures or additions send !Ioor plan wilh supply
and return localions 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.
0'1
....
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IN
IN
Cily Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)' CALL CITY HALL
/
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I hereby apply for a mechanical systems permit and I acknowledge thaI the (Xl
ifl!ormalion above is complete and accurate; thatlhe work will be in conformance ~
with Ihe ordinances and codes of the cily and wilh the stale building/mechanica
codes; Ihatthis lorm does nol become a permit unlil signed by the BUILDING
OFFICIAL; thai the work will be in accordance with tho approved plan in the
case 01 all work which requires review and approval of plans.
&M/1, '11~
r APp(!ztjure
Builtlin!#Jllical's Signaluro
447-4230
J/}7/t1q
, Dale
3--(7~/
Dale
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