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Home My WebLink AboutBuilding Permit 99-0233 ;& TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ..~?A l~~ ADDRESS _FY:33 ~~ah~ sr OWNER CONTR. PHONE NO. PERMIT NO. tjq -Z$ J o FOOTING ~NGRI o EX/GRAD/FILLING o FOUNDATION o WA TER ~OOKUP o COMPLAINT o FRAMING o FIREPLACE RI ~SULATION o SEWER HOOKUP o FIREPLACE FINAL NAL o PLUMBING FINAL o GASLINE AIR TST o SITE INSPEltlON o MECH FINAL 0 COMMENTS: / { \/1/7 Y i/ I 'vI Inspector: 1\ IJ ,1 ~ I "(), ?vA 0 r;(' j \A)rYV(/ v-./v--1 V ~- -- ,.,- r'J~ /l I "",-f J <J J ---- ~ ~ R REINSPECTION BEFORE COVERING Owner/Contr: CALL 7-9850 FOR THt: NEXT INSPECTION 24 HOURS IN ADVANCE., CODE INSNOTl DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT .2911J) I. White 2. Pink 3. Yellow File City Applicant 1, DATE Permit No. qq - 2,3.3 M~~ ~\-, ~7o 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition y{.. Finish Attic 0 Re-siding 0 Finish Basement 0 16. P'lfJ1J:;T, CO~~~LUE Chimney 0 Misc. !I ,.7 )""-' B. PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10. CULVERT.S~E 17. COMPLETlbN DATE Sq. Ft. (0 I 1).0 Width 80 Depth (34 Yes rx ~ -1- Cjq 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 aut~orized agent for the above m ntioned pro~rty and that all co truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building I n r!lVJke lis permit for j cause. Furthermore, I hereby agree that the city official or a designe!l,ray enter upon the property to perform needed inspections. X ,.- /33 Jd' :J- ~'1-'1S (I Signature License No. Date DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 3-- d'l- '19 2'5~~3ESS (I~ 3. LEGAL DESCRIPTION LOT I f ADDITION ~~ \u,J1~ 4. OWNER (Na,e)_ ';\C-c... OOr~ 5. ARCHITECT (Name) , f ~'\ (") \(.e.<..k 6, BUILDER (Name) ~, t<\ BLOCK. ;). ~ ~~ PID 2~ -~()7t....7) jOr J.J . ....__- (Tel. No,) CN)S~l~ QC/7-c;1 Z-~ (Tel. No.) (Address) 5'433 (Address) (Address) f L (Tel. No,) . _ &..u Ct1,r<. ~~ 4 "t7 - 83 d- J BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) J I, I f 12. NO. OF STORI~S (Depth) ! J ' :J..- 13. TYPE OF CON~TrUCTION /lrt~. . 14. FLOOR AREA APPORTIONMENT USE 15, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION f'. ft' I /1 USE OF BUILDING Kf S K OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 31.~oo . ~ TYPE OF CONSTRUCTION: I II III IV I~_ Occupancy Group A B E F H I M""'(i S U Division 1 U:> 4 Permit Fee ................................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PERCOLATION TESTS 0 SETS COPIES PLOT PLAN o Plan Check Fee ............................. $ q ()~ .le; 2 {/l.l./ t.( tp., .SO 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 ......................................... $ _ _ I / ,. Total Due .............................. $ 1:J4. (p 1 Paid '7-z.-':f. G , Receipt No."3 ~ (.) U 9 . Issued (/ , ;.; /-/ #,' . Date 'itd/ff 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 adequested. This document when signed ~ttr City PI er constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued. L..;'. -!t:1~~ ity ner Date Special Conditions d any City: State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 4." .00 Sewer & Water Permit ...................... $ Thi By Beco s Your Building Permit When Approved. Date 3-Su" / ~ Certificate of Occupancy 24 hour notice for all inspections 447-9850 ..-i CITY OF PRIOR LAKE 16200 Eagle Creek Av. S.E, Permit No. q'l ~ 2-.33 Prior Lake, MN 55372 t. "* - JIDll 1 GnlU - City 3. V.UlJll/ . Ooalral:tlll :TYPE OF STRUCTUR~ x Two-Family Industrial Multl.Famlly Public Other, Single Family Commercial Il.. Da\e. HEATING APPLICATION' PERMlT S' ~ -'\ ~ PIDII Z.5-/~7- Oz.5-0 5l\: ~ ~ l('\n~ ~""' ~r{,\ ~ t.. ;:D SIle Address (TJ o Lot 1/ Block Z Addition Bti!.OO/C. >' (/ ILl.- e;- /11(,,(, J to 7f/ z: OWner's Name, :\ (") It. ~ ~ y- 4" 'iv~ Address. 5 ~") ~ l. V""'\')j.s 4 ~ ~ ("'tI\ Heating Contractor '" q:\ ~ ., ~,... - -.l 01 ( . Add~ltSS \ \0 ~~\.\ \N \ \ ~.OP\L -AVL . ~('\ Of"'LJ4\\Q.l Talephanell . '" ~,. ~ \ ~ \.\ Furnace Make . Mod.' Model Size . Conn. Load. Fuel Supply Openi~... . .. I RCum Op,eqLngs 0:: H . a: Input: - o ' g: Ed" w E Cfm.... E a: (\j ..-i AIle'raiSons CD Fee Schedule Industrial. Commercial &. Multi-Family Resid&ntlal, Heating &. AC Resldenttal, Heating Only Residential, GIS Fi replace Residential, Additions &. Allerations Resldenlial, AC Only 1% of Job cost ($39.50 minimum) $99.50 $64.50 $39..50 '39.50 $39.50 Remember to add the Slate Surcharge on the bottom of this applicalion. Flue Size 5 ~ TYPE Of SYstEM Warm Air PIin1a . Gravity . MlChamcal AI, Conditioning , Vent.. Sya1em HEAnNG OR POWER PLANT Steam Hot Won' Radiation Spedal Devlces The price of your heating permillnclllOes OM rough-in and one final Inspection. Additional inspections will bB billed at $35.00 each. House Heating Test Record must be submitted with "'lilfti~(' nArmil "'.I~r before build- Ing certificate of occupancy wll be Issued. ~C::AT r,., r,I " UlnN~ ~.l=nl IIRl=n with number of supply and relUrn. openings listed lHt' room with CFM'. per openlng. .Nsw slnJcWres or additlons send floor plan wiIh supply and relUm locallcms 8hown. 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 Hal business hours ire B a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 447..QJO I hereby apply lor .a mecha~ical.ayalema permit and! acknowledge that the information above i~ ~mplele and accurale;. that 1he w~rk will be i~ c.onformance with Ihit ordinances and code.I.of I~e city and with.t~e ~at.J)uildlng/mechanicet.. . -. . codes: 1hat.fhla form does ,!ot.become a :permit untiL s19n~d by t~8_BUILDJNG {,~._:,-'. ....,. " OFE::I~IAL; that1he ~l?rk ~I~ ~e .I~ '8cco~ance- Wl(h .Ih~ 8:PP~OV~d)Ja" 1~ ~8 . _::'. OUtput OIher Devices x (-'0' ..- j' I __'_~' The Cfnlt'r or thr Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \ 1'-f : i~ I ; t .,.J . II 'i /~ : ' I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , I' ; ~ ~ r ( r~..._~-,F( I ,/1 ( (~i ~._' Accepted v Accepted With Corrections Denied Reviewed By: Q-~\l\. ~~ Comments: Date: Lf - 2-- '70 "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 ordina-nces of the jurisdiction shall not be valid." qq - ~33 The Crnler or the L.kt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED m~ (0/l ~S+. 3/?V {qq The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5433 6-osscu~UY( s-l-. Accepted K Accepted With Corrections Denied r--J. /'V?-~ ReVieWedBY:\v<~~ ~ Comments: Date: L//7/tiq . , "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." ) . . PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 5LI33 Cros~q 5'1- NATURE OF WORK Add,-f-,,-,,,,- USE OF BUILDING S1=D PERMIT NO. '} ~ ", '233 DATE ISSUED '3-7/- <7 7 . CONTRACTOR 1'1 \- M ~* NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INfflTOR 111 / I J FOUNDATION (Prior to Backfill) I t 11 ~" I l{... ;)t,.."" PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE J FOOTING I 4- 14-or 0, FRAMING INSULATION ELECTRICAL ctp ~,~,k, ~\ \ , 1 ~ 1~ or q I ;:}l ,c: P. eJ.. ~ "P~9~ - l/ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I FINALS !Ql 'I I I J- - ~ 1..- (ro I GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE v 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