HomeMy WebLinkAboutBuilding Permit 99-0150
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QLtrtifirau of (@rcupanry
CITY OF PRIOR LA}(l?
/ Jilepartment of ~uilbing .3Jn~pection
IliFinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatiol! e - :3 Bldg. Permit No CY~I - (S ()
,') ~2
Occupancy Type K.....)
:ri
-bL~
Zoning District N A
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C:it.. Address 53 ') f' fl",)\d) ( I:: lljOq'j DR....
\, ( t.. '_;, , tc& \ to f<.
City PlannerD eN 12.. ,,\ C
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Fire Zone
NA
Type Construction
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LDT :5
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Owner of Building
Contractor's p'r. ,. · ........ -tJ. t\ 1'-; '"::; (it J
-f [1-
-:tJ,A!.
+.1 (,\ t ( ~ ,,-1:::
9..;1 ~:ng Official
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp,
..-
S-J'?e JmJ/e..,udb- I
tOllfrcl4J IJ/r
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;;y /II; 99
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Of! - /50
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
5- 2L(...Cfl
D;-('vG,
rl. :- Ju
SCHEDULED
ADDRESS 5"375 Ah.J, kwo cd
COMMENTS: _
'1s' ~
llt I \Jy,\' P
tr~(). ~
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OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
CONTR.
PERMIT NO.
,~ - ISO
o PLUMBING RI
A- 0 MECHANICAL
r<1 ~ATERHooKUP
/), ~EWER HOOKUP
r--> 0 SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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o ~K SATISFACTORY, PROCEED
~ORRECT ACTIO~PROCEED
o CORRECT WOR./.. CALL \oR REINSPECTION BEFORE COVERING
Inspector: j ~ Owner/Contr:
CALL 447~O~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
d'." .j..... . I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t;-'l7 -'1t1
10:30
ADDRESS 5.37 B ~ bl~wood
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9 ~ -150
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
~EPTIC INSTALL
~ ~LUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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Inspector: Owner/Contr:
CALi~7-4230 FOI' THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COD REQUIREME TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
\-
"j"".'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
#EJ
ADDRESS ~37 8 /J;t1StLWDnI\ [Xl.
OWNER CONTR. ~E.N e()I.J.5i..
PHONE NO. PERMIT NO. 9'1-/50
o FOOTING
o FRAMING
o INSULATION
}( FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
)(EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: ~^'(, IS lh:.EPr74i3.l €
Aa.J,~E:b 7'"H~ J.lGM~
1,.1 ~, 14t..~ D. ftr T'o
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vGE:.
SL.DPe:.
-nut, WHEA.l
C4.JntJ N 70
8121AJitlAJO
/JrtJr
}/(,WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~~
'')wner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
--rom T'
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1115!&)
w; -j
, 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 ;;tt
5:378 A-~t3L~Wc9-p"p D ~ ' ;p;;
1. DATE
3 - ~ - 91
ZONING uJ ^
1~/5u
3. LEGAL DESCRIPTION
LOT .,..g BLOCK I
ADDITION..~' ~v~1"'" Hr ~ /Ill!> /.;1" JJ- S )Joe-€,..
PID 25-3 LfO- IYJ:S-Q
o A- k...5
4. OWNER (Name) (Address)
I/lrd.:$ 6J ~~.l.S' T. (: p r
5. ARCHITECT (Name) (Address) (Tel. No.)
,A-Ji'O.Lf",(p S~U WiE..1 p~ 13~1 - gJJd2 .4-06 # ,tJ~
6. BUILDER (Name) (Address) (Tel. No.)
HA-~.s6:-J C~,JSr" l't::J, !.12J7Aflf-c..Jltf.. ./.J), ~:J..,<j43'~".5..5
7. TYPE OF WORK Fireplace LI Septic LI Deck LI
New Construction f,,/ Alterations LI Addition LI Finish Attic LI
Chimney LI Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. ~3 ~l.. I I
(Tel. No.)
Re-roofing LI Porch LI
Re-siding LI Finish Basement LI
9_ PROPERTY DIMENSIONS
Width 8..3 Depth /33..5 9
10. CULVERT SIZE
Yes
No
1. White
2. Pink
3. YelIow
File
City
Applicant
Permit No. BP 1f-/5O
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height)/,t;' (Width) I ,,/ (Depth)
7 $" ~.s .3.3
12. NO. OF STORIES
Lda'
13. TYPE OF CONSTRUCTION
rt. ~1J\,fE-
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
I i} 1~ .t>~ d
17. COMPLETION DATE
..5- ~! - rt1
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 constructi n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bulld~fficial ~JJlYon this p.e, it for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed 4nspections.
X JY~ /tl- ' 9'.t.fA.3 .:J ~ 5 - ~ i
Signature License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ....................1..~5a....p.O..... $
Collector Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ..J:Y.,.................. $
Pressure Reducer .. .Ia................... $
Meter Hom .....~.l"......................... $
Water Meter ... 7.9.......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
loq, 00(5". (')~
USE OF BUILDING
-:)FD
TYPE OF CONSTRUCTION: I II III IV (j)
Occupancy Group A B E F).. H I M@
Division 1 2 (3) 4
City:
S U
Perm~ Fee ................................... $
~~"). .IX S-
loO'5". ;7
Sy . SQ
I ~ 0 .c-l:
s.~ .5"'6
tJ, '5 .OD
~J) 1, j'~l~q
Plan Checking Fee ......................... $
State Surcharge............................. $
P. P. '1"1 - 6'0
Penalty ....................................... $
Seplic i,etem ..~~................... $
Other ........M~~h.................. $
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS LI
SURVEY LI
SETS
COPIES
PLOT PLAN
LI
<?J ~('). ~
",O,f;'O ~a:)
q6""'~ ex
I AS": $tJ
IJ :2 {j~ .cnJ
~~
Water Tap ................................... $
Builder's Deposit ............................ $ 4 (;tb . ~
Other ......................................... $~. ._
Total Due .............................. $.'~ I.?~;< d-J--
Paid '7d.b,. 22 Receipt NQ_' 34 '77~
Issued Date ) -- r;; - q:; Bv (.1 \0 b J
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance :nd may proceed as r~~sted. This document when
signed b~ c~e~;:{~~ary Certi~~e_otJ~~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
\)"" City Planne Date Special Conditions ~ any
24 hour notice for all inspections 447-4230
,. "'-or-"".
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant Yl;tiJ..n.lj J1.-4-;;/;J .~/?,. Phone: (~)~"-0"'/(qD
Address: /S.q3IJ ~.{.XJ.f.1- 'vr---t2.LL. c.~...LLAf. '----I7LK.J &JZ)thI?
Signature: ~./)-f J \.fJ!. C-V" k A..I./)..../I/'..4.....---. I
1_ ~^f" /.
Legal De~CriPtion: Lot '3 Blo~ ( Sub 7/.:!1Addt.1 ~ ./fUf]HJ .
Site Address: '5) 7~ /fJu.~Yld Of( ~ f{7Sl) CkJ-1O -
Building Permit:l QCt -/~ PID :I~--3l/0-(x)3 ()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
n. Cm.... o( 11M LH. Counlry
Quantity Type of Fixture Quantity
/ Bath Tub with or without shower -J
/ Dishwasher I
/ Floor Drain
/ Lavatory (bathroom sink) /
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
/ Sinks
Bar Sink
/ Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
$99.50
$39.50
State Surcharge
GRAND TOTAL
PPNo.
1. Blue Fllo
2. Gold City
J. Yellow Applicw
qC; -Is)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8acl<flow Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ 99- .!J-;J
$
$ .50
$~k.
(i
( PAID WITH
i BUILDING PERMIT
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendmentS ~reof.
- RE'-(j1/]' -<;--(74'/ DATE
r 1 ) ATIEST
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
&~
~NE~
GREEN . FILE
YELLOW - APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE NO {{q '" / SO
SEWER AND WATER PERMIT .~ ~
APPLICANT: f)R-iS f./i./t. f}LC .
ADDRESS: tCo II k :r 0 (' L:z;..v I..A.J A 't LH_ (j L .
SIGNATURE: t-4-- t>~.
SITE ADDRESS: r 37 9 /J,Yll3eL W 000 tJ/L-'
FILL IN THE BLANKS
1. Estimated length of water service
/ .
2. Size of water service
J
inch(es) .
3. Location of any couplings from structure
4. Type of sewer pipe. ABS
PVC )(
5. Estimated length of sewer line
ro
6. Clean out (if required), located at
structure.
NOTE: Sewer and Water
contractors must
be registered
with the City.
PHONE: ~12- t. '} ~ t
DATE: j' /; "/9 ~
, I
BLDG. PERMIT #
PID#
.s-o
feet.
feet.
Cast Iron
feet.
feet
from
::::~:::~~~ -~~::::~::::::~::::~::::~~::;;,;;~~~~~~~~~~
. - -- I
====================================================== ===========
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.
RECEIPT #
REC'D BY
AMOUNT PAID
PtJ~ \_~
BUILDING PERMIT
DATE PAID
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
T
9f -/5r)
Th~ ('f'nlrr or the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe:CKLlST
NAME OF APPLICANT
iJrLl1Sft1 (!eusf,
3/~ Iqc;
I .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
531g A/~1-0/~tJcJd (Jf( .
Accepted
Accepted With Corrections
Denied () vD /
Reviewed By: L~-~
/
Date: 3 -((-'{?
Comments:
/ s",e "---rQ + rv2 lL S qw- ~ 9''''' Q "f ~ P Q... \
2-.~ M,\,^-k~~ r~I~M Q~l~
). ~ a.J\ CL-Et-q c:~ ~CY1.-Al:..~,
"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."
The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
_BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I I
--
,
. ~l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'
I -.:
I '
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~ ^l'e_J.4r.)V'~
Date:
~- to-en
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."
9f-/50
n, C 'nlff of III, lalit CO..lry
White - Building
. Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DWRTMI;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,j ~ I
{/(j ll'lll Ct.9tISf~
3'/c; !C;c;
I .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0:;3-;8' /.1zLl h1t'o)Cod (J/(.
Accepted . ../
Accepted With Corrections
Denied
Reviewed By: l..J~t.:rE.~ E" w~ESNJlW^"
Date:
:1 /I'L ;"
# ,
Comments: j?\JAJtJFF ~ k e.~":vG:J:> 'To ANO' ,qLO^,I"_ .r<<.""AJI4i:.~
~ IJ-t:u..I-rr' E'~SEJ"ofE".A.I'T<. .4<. r"ot.u:,d ~ 82.,q~ncA'-.
5EE.. IAlHA.W\o\ATID N
O..J Jl.~uEA..SE. SIt.E.
RtJJ.~r:" ON -ru~ REAR.
_P....:''ie~ D~ ~
LITT
M,.J.s.,.. B IS
(!of'J/lCt/~ '1b 7H-E ,-or
L,,.se. ~I(HI'-'C.HTR) c!)N flU: c:.IU10(~ R "",J
SE.e. AT-r4C.H""f'~ : J. frNAL ()A.t4~,itJt. JAJ!:.PECT,oiJ IAJFOlli'4A'rllW Z. ~Nl. 8.MJ
:1. EA.~I.^, (!o,Jrta.Ol- ,A1EA-~.JAEC; 4. EIho$/~.A1 ~A..... +t.",,,",
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."
. BUIi..DING PERMIT APPLICATION DEPARTMENT 'Ll1J!,CKLIST (CON'l1' .
. .
. . ENGINEERING COMMENTS
. . - . . . '. . .
SurfacestoilIiwater dmnage flowing. to the perimeter of this lot to and from adjoining properties
must be' conveyed to the roadway and/or to the fear of the lot in' drainage swaleS withiri the
drairiasze easements. All' bare soil . areas . must he' protected from erOding into neighboring.
properties ~otighthe installation 'of Dror>erlv installed silt fence or bales. The silt fence required .
by theerosioncontr91 plail mUst be installed prior.to anye&thwork being started. .'The rock.
'. construction entrance must be installed at the time ofb~ckfillIDgof the foundation." .
.,.; ~ .... < .
. ....~
~.
. " .
f.aOS1ON .DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION ;
SITE ADDRESS 53'7e AIMIo\~ \LIe.cO Dr,
NATURE OF WORK New ~S~tuct'l:1'\^
USE OF BUILDING SF.{)
PERMIT NO. Q9.. 1'::>-0 DATE ISSUED S -(\-19-
CONTRACTOR -L.Lo...^~ Cm."~/'LJJj'crYl
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I INSPEC l I ., . '"1_ ~~
FOUNDATION (Prior to BaCkfill);t 3rZJ,9'1 .S I
PLACE NO CONCRET~UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
C SEWER I WATER I SEPTIC;P 3-eL(- 9.7
FRAMING v ~~ S.
INSULATION ~. 1-+.
ELECTRICAL
PLUMBING ~Jp '(-IJ-"/
HEATING (if required) !JTVJ -J S" q 9
FIREPLACE ,yp v 4.../5 - l'
GAS LINE AiR TE"ST
'I -d J - ~ ~
<f- ~k-'ic;
V'V.,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ (,/<~/??
~ S-dJ7-9J )bJL~ eflt ~-}q-"
u
~".HD
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.:rhis card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance. '
1t14: (;/5}7-11
j
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850