HomeMy WebLinkAboutBuilding Permit 99-0167
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QLtrlifiCQU of OOccupanry
L CITY OF PRIOR LAI<"F.
J;\epartment of _uUbing 3Jnspection
Final 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:
Occupancy Type
SINGLE FAMILY
R3
Bldg. Permit N-
99-167
Use Classificatior
Type Construction
VN
Fire Zone
N/A
Zoning District
R1SD
Legal Description T.?n^ R1 'WTT.m".RNF~~ pnNn~
Owner of Building .
SiteAddress16624 BLIND LAKE "l?AIl, SE
Contractor'sN-"T" P.' ,.....LJ HENNEN -*ONST. 16658 BLIND I.AKE TR, PRIOR LAKE MN 55372
m, City Planner .
ROBERT D. HUTCHINS
Bu%ling O.fficial Q.
7-rJj--91
JENNI TOVAR
Date:
11..... US z ",,= ....=... OJ) 7- I~~ ~ '.-"iiiu~ I ~
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00 w 0:: z "\ ' ~ c(
w 0:: w w ~i ...J!1!ol1. UJ- ~- ~~ ..J ~
~3; 0 Z Z o~iilc(:J~w :E \ V) '" U)uU ;..: ..J ~
~ 0 ~1L~~~l!l~ :E~~ ~ lI:: W W 0 c(
-z 0 J: ""'-' a: a: a: '0 0
0_ c( 8 - ~a: \.l
11. 0000000 o 0 Ql
I UU lit-
O 0 E
DATE TIME
CITY OF PRIOR LAKE <0-30-"1') lo..~
INSPECTION NOTICE SCHEDULED
ADDRESS ~~ 24- ~d U T~
OWNER CONTR.
PHONE NO. PERMIT NO. qq- 1<07
o PLUMBING RI 0 EXCIGRADIFILLING
o MECHANICAL 0 LKSHOREIWETLAND
o WATER HOOKUP 0 COMPLAINT
~ 0 SEWER HOOKUP 0 SEPTIC FINAL
L D..;aEPTIC INSTALL 0 FIREPLACE
:per_PLUMBING FINAL 1_. 0
)("SITE INSPECTION - ~E.
~ME~4 V~
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
----CU
---
~7)
N~\\M
l~
/l
~<L
1....~<3>
/
/
~ WORK SATISF~CT
o CORRECT AC rlo D PROCE D
o CORRECT we rf. CA L FOR INSPECTION BEFORE COVERING
Inspector: r \ Owner/Contr:
CALL ~7-4230 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~ EN1S ARE FOR YOUR PERSONAL HEALTH & SAFET;'
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 4:00
,
ADDRESS
<
/(P(PZ4- BLIND LJc:::- T1<
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-/fo 7
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
AD PLUMBING RI
~MECHANICAL F/N~L-
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL Ll
o SITE INSPECTION (~\
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
]I( qt+!:'-'Ne- A.T.
CO~: ~S~
o~
('
(l ) -\1o-\-Ld ,3. V~ ty~
,- ;~ 6 0,
GJL-<~ ~~
JLf}LO~ r~ k+
C-~
c:s-Y'""\
Af~'
o CORRECT'
Inspector: Owner/Contr:
CALL t7-423~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ./IJJLf
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
~ / :S(J ,p,.,
k~^ ~~ 7i_
CONTR. L.J7 J/eAJUCIJ ('~
PERMIT NO. 1? -It, 1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
t?rU~ 1$ d6f!Ari<!)f.J~
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~M _~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
. - .. .-...-.--... - '1-- .------- -.-..-- -
DATE TIME
CITY OF PRIOR LAKE M
INSPECTION NOTICE SCHEDULED /I.T..
ADDRESS /6(,Z4- t5'-/.NP (,fC- 7'7Z.
OWNER CONTR.
PHONE NO. PERMIT NO. t?9-/(P1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE; AIR TST
(i[.S6D/~
~~
~ ~_- ~ JJtA ~~-
cE ~ ~~ ~ 11--h. I~ '
~--: -..~
/' /J ~_ ':?J'1", - - "
( /f~ ~J~ K'F~' J
"'--
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ ~ .JAJ"o
-,
.--.....," --
/
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR[! CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 'fJ'f. ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
~ --~-~~~---'------
.Permit..
.Job Address /6 {,;;. 'I E / ,'NJO L..ri Iu T IL .
"Heating Contractor ~~ A, IlLfJl.
. .Testers/Signature ~
Date
Ii!!!!
Pounds
Pressure
...
.Gas Una
Pressurized
Inspected
,.
. Percent 02
PERFORMANCE TEST
~7 .
&.0 .Percent CO
~07D
d'k
~2...>O
.Percent CO2
.Stack Temp.
F inallnspection
Date
/
.f.
.",
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
NAR I ?
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
llolod.<<.f
~ I ",J ~k... t'O.: ,
'S. f..
3. LEGAL DESCRIPTION
LOT :1(,..., . Bl?CK ~
ADDITION 1JJe ~&...~ p8".uis
~WNER ~ (Name) . (Address~..
jOe.. ,o.\Je.'iC~ l'J"L#5 l.y~.uk\t- tN'-- So.
5. ARCHITECT (Name) (Address)
1. DATE
'S- Il- q9
t< i, C;tJ
PID
').-s-- 3. ~B 0 LI s;- - 0
(Address) , \ r _ k-"1 ~ L~ I ,(Tel. No.)
_~b~ &tl~ ~ C'o.. 447-Cxn.1
fl()r ~.ICLJ ),fAJ ID1l...
Deck 0 Re-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
6. BUILDER (Name)
L~ HeJJ,....t.N Ce~.stftJd-liO~
7. TYPE OF WORK
New constructio?(.
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. J '$ )14
Fireplace 0
Alterations 0
SeptiC 0
Addition 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes
(Tel. No.)
bt~-A(,.\- 'SS', I
(Tel. No.)
No
1. White
2. Pink
3. Yellow
File
City
Applic.
Permit No.
Y?-/h 7
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE ~RUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
~. PROJECT COSTNALUE
., l;)..O \ 000.
17. COMPLETION DATE
1"J\.~9
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 ntioned p( erty 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
buildin Ifi I can rev e this permit for just cause. Furthermore, I hereby agree that the city official or a desilBee may enter upon the property to perform needed in5J?ections.
X ...- ~Cf77 3-Il-ct"
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION _11'S.~.(SX)
USE OF BUILDING
:=iFf)
TYPE OF CONSTRUCTION: I II III IV l\t...J
Occupancy Group A B E F ~ I M~ S U
Division 1 2 (,) 4 __
Permit Fee ................................... $ I D~ "2. - '<.. 'S .
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Co5l .4,
&,I.sn
Plumbing Permit Fee ....................... $
1 DO-CO
~S' .00
"35.50 .
'Il~
\\LJ ~[\..
.V" ""
. \l;,. vV / '
~Dv '-':>
'l~
n
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This~come&our Building Permit Whet 7pr'?t~.
By. ..>~ Date .<:""- - f
Certificate of Occupancy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $ BSt) . on:-
SAC ......................................... $-L() c;-n .C:y'),
Collective Street Fee ....................... $
Sewer Tap ................................... $
~c $
Pressure Reducer .......................... $
Meter Horn ................................... $
~/I.
Water Meter ..78............................ $
Sewer & Water Connection Fee ........... $
LJ~. 06,'
l ?..s. 0 cJ ,-
1,200 ~C){J /'
,"?OO.~6/
Water Tower Fee ........................... $
WaterTap ...................................~,
Builder's Deposit ............................ $ l: ~ dd . dd./
Other ......................................... $
Total Due .............................. $-;~ '/{j v '-/"L
Paid 7 3~t.:). /1- Receipt No. 3 (/r;o 7
Date 3.')s- C;-? By ~
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 rJq~ested. This document when
signed by the City p~an e~stitutes a temporary Certificate of Zoninjl ~mpliance and allows construction to com ence. Before occupancy, a Certificate of Occu~~y must be issued.
< ~ ~ .3-\~~c-r, ~ t""~~ _' ~ ~-iK-'-'M,b
.a City lanner Date Special nditions ff any
Issued
24 hour notice for all inspections 447-9850
r.
99-/~7
TIM (' ...., of 11M Lakt COlI_I'7
White . Building
Canary - Engineering.
Pink . Planning
BUILDING PERMIT APPUCATlON DEPARTMENT CHECKLIST
NAME OF APPLICANT L. 1_ Ik It H..! t-e- (/61(<;1
APPLICATION RECEIVED 3-/:J - c;q
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at: .
/??;JL.( 6/iJd J6fe:, 1faj
Accepted
./
Accepted With Corrections
Denied
Reviewed By: tJl4l.. -rEA. ~.../t~.srt1I4Al~
Date: */9'!
Comments: W ~Aan'/ON I.J~ (!fJNSTtllJCf10tJ Ac.T"tu..,v 0CGuR.S ~ ..,...~
Krrll....~ ~ A~ -To ~ 1A1M"'(iF. cr RJAJoFF' flfIsr ~/'.IoJtIE~
:Ib A,JCL-BI..4V(p
,
I,)'rIL',.y L J>a.A1AJfllc.f: OsfMEAJT3 ilL""Ul..~AS &l4cTIC~.
~ IN~oR.M.errIG^, C!),J ~c~ SIO€
~~ ~ LEJoJAL. (Jlf.tPAJ~ I",SPEr;I.lO^-' lAJFoIl~ ~,:~OIN6...B.A^"
~. ~ ~ ~~fS
'1-. E~,tJAJ ~'T1tOC- ~.v
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit 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."
99-/~'7
Tho Con tor of tho Lib Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
L.(/. /J.
NAME OF APPLICANT "r Nt'Ufl.Lt--L- L&us-l:
APPLICATION RECEIVED 3-(.::;-99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/??dLj Xhrl/:'I J.att; /fr2d
Accepted
Accepted With Corrections X
Denied () ~
Reviewed By: {r,f_ (J ~7Lc:-
Date:
'5-/ 7--97
Comments:
L S'o"Q d) --IlZee.s ~ d1'J~~ J- ai"--"
(. Mo.lV\~\V\. o-ocs f~t ~h..-: 0...
:5, ~J- ~ CLtko~.t !4 -Q. a:ef /1
"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."
... .... ..._-_.._..~_._.._._..._-_._.._.._...-._..- .
'>i'/ // - ,
.' , Ir.. I
The ('"nler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
'//'/' " I '~/'
"'J'( l! / If '-~
, 1/ .-/-.
! ''1/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.. _.' / < i
l"...."; ~c "~~I /' / / /' l~/'I' ' ./
/r/'r ( /
Accepted
~..
Accepted With Corrections.
Denied
~,~ ;j.~ Date: 5 "10lC?~
......
Comments: A,rr:~Q ~ \Ip~) ~ ~J:r-~l,
~~ ~Q ~-I ~- qq "
Reviewed By:
"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."
.-I
o
o
~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq -I b 7
Prior Lake, MN 55372
_ HEATING APPLICATION I PERMIT
Date 5-Co - 99 PIO, ,25-33'0- o4S-0
Site AddresS, it. bJ. 4 B I ~ ~ t _14-~ rJr!~ t , I<.I.sO
Lot Z-(, Block:3 Addition WII.,Oe1?NeSS PaNOS z..f;}g AOON.
-
Owner's Name j 0 oQ. P A-u-t. \, '" h
Heating Contrac:1Or, AVl VJc as 0 ~ A.. ~Y\ ~ V\.. c...
Address _~~ J A-d ~\.I I..{..L~~ iJ It d f.1ultw~ud\e'
Telephone # . f f:.. I.ot) 9ttq - -773' 55377
Furnace Make & Model~V~ r TYPE OF SYSTEM
".,~ 3 ' _Ii 0 ' Warm Air Plants
Model Size- ")1 L., rn 0 3bO I () Gravity.
Mechanical .
Air Conditioning
. Vent..Sy$tem .
Address
u
Z
......
~
......
<:
z
o
en
~
~
o
z
<:
Conn. Load
FU811J4~(
Cl
C':l
Cl
r:--
~
Cl
CIO
Supply OSnings
":.-:.;.. .
Retorn Openings
Input .ll." 000
t
Edr.
Cfm.
l><l
<:
~
A~erations
o
.-I
Repair
Est. Cost $
..
CIO
o
Cl
Cl
"-
~
o
"-
lfl
o
, Flue Size
~
If
.""f
~L'
-.if:"
HEAnNGOR POWER PUUff
Steam ,
Hot Water
Radiation .'
Special Devices
,Output ~i)J/<Zao
OIher Devices
TYPE Of WORK
Replacement
Est Comp. Date
BuildingPermii# qq--/~7
?(
New Construdion
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
PAID.wrTH ~'-
.50 BUILDING PERMIT 1
Receipt'
TYPE OF STRUCTURE
1. Pink
2. o.een
3. YeUow
P'lIe
City
ContracllK
MAY , 0 003 t/
Single Family
Commercial
Public
Multi-Family .
Other
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Healing & 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
Remember to add the State Surcharge on \he bottom of this application.
, The price or your heating permit includes one. rough-in and one final inspection.
Additional inspectionswiH be billed at $35.00 each.
House Heating Test Record must be submitted with buildino oermit number before build-
ing certificate of occupancy will be issued.
'-I-fFATCALCULATIONSREOUIRED with number of supply aoo return openings'listed-per
room with CFM's per opening. New structures or additions send lIoat: 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 areB a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN ANDFlNA~) - CALL CITY HALL
447-:423g,~.. ,,'
I hereby apply for a mechanical systems:per!l1it and I acknowledge that the
informalionabove is complete and accurate; that the work will be in conformance
with Ihe ordinances and codes of the city and with the state building/mechanical
codes; that this form does not be.come a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of: all work which r~quires review and approval of plans.
'1)~ Al
, ~A -pli~"" Sign
~
, - uilding- Olficsrs
.......----..,'~"'.......'-
/'
f"
s--" " 9?
Date
5'/h~ /qq
Date
......
P'RIOR LAKE
INSPECTION RECORD
SITE ADDRESS I Ceto24 JSI,'V\d., LQ~ ~_
NATURE OF WORK /}J-ew l~ ~ t . .
USE OF BUILDING 3 r::n
PERMIT NO. cri-/(,,7 DATEISSUED "3-/7-17
CONTRACTOR L .1'. t-(~~<../,--- (\^^_s;~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I 1NSPrrv I; . t ;A~E ~~
I FOUNDATION (Prior to BaCkfill);V 1'4,.2- 'I' \ :T,s, H -?'-1i
PLACE NO CONCRET~NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
i /1J (: /~ !
~(J I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
FINALS
J61
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING ~ f!..D.
ELECTRICAL
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUILDING AND INSPECTION
\~
, '.
;r, \~.
S" 12, if9
S-)7~,}
A,
(~#
5. /2 ~ 99
t;... IZ, f ~
~/ .
v.{
~ -I.:S ,''1
9 -/,1- 99
-r-r> 0 '.or (, 1f1~
J.'-' .::JJ" 1'"
'---' ~ &//.3:/11
0) 1//~/11
OCCUPVC{,NTIL ABOVE
NOTICE
HAS BEEN SIGNED
. This 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.
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850