HomeMy WebLinkAboutBuilding Permit 99-0265
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ADDRESS
/ L/-O ro to
DATE TIME
SCHEDULED ~ /2.P./qc; 3: '3 0
BLU6e/;e.O -rJe-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-2~5
COMMENTS:
o PLUMBING RI ~ EXC/GRAD/FILLING
~MECHANICALt='"' ~ 0 LKSHOREIWETLAND
o WATER HOOKUP 0 COMPLAINT
o SEWER HOOKUP~ 0 SEPTIC FINAL
o SEPTIC INSTALL 0 FIREPLACE
"R1>LUMBING FINA "'" 0
/0' SITE INSPECTIO
\14N" M-~ i- t.. '-'J.,
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
ION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-4230 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
..,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
JL/()(P&
SCHEDULED ~/2.sjCL1 Z::3 0
t'5Lu 6 t3 t,e.O 77Z-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq- Zfo ~
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
A ~ECHANICAL
A . ATER HOOKUP
"" EWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
C~FNTSll &,..L
\ 1\ \'kf-t. \L
fJb~
Lb PVC.A1
~
~
s ~ ~1""-
o K..-
&rCl-hv 0 ~__ ~.!)
\4;-K, +~ ~
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U
loG/Y +0 G:,-v-~
(~ S-tvak
~ ~17rr.
~
Inspector
CALL 447.4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC
COD~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFl
I.
'oi
,.
,~..
'JObAddress/<J'Obh IJlu r--b,;rrf f r
'Heating Contractor _ METRO AIR
'r esters/Signature / ..;..,...-
(1
'Permit#
. Gas Une
PressuriZed
Inspected
'Percent CO2
'Percent O2
Q!!!
I!m!
PERFORMANCE TEST
G,. 7"0 ,perc~nt co
r.1"1O
. 'Stack Teml>.
Final Inspection . Date
'It{ · ZIt/5
Pounds
pressure
c>of;;
d{30
APR2~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bollom)
2. SITE ADDRESS
140 (p ~ ~ \ C ILb1a::L -r::=rA ~ u AJE
3. LEGAL DESCRIPTION
LOT
{ 0 BLOCK;;;""
IV\. (,L./)LD~ l-t II s ~ t"\O..
ADDITION
1. DATE
4(1 /'1 '1
JZ.(
PID
,.;ts . ~4~-CX'q ~U
4.0WNAt~ IS~ (~V'D
5. ARCHITECT (Name)
(Address)
(24.1:~ -o""((V~~~/
(Address)
1 ,
6. BUILDER
(Name)
(Address)
1 .
Fireplace LI
Alterations LI
Septic LI
Addition LI
Deck LI
Finish Allic LI
7. TYPE OF WORK
New Construction ~
Chimney LI Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. 1"2-, 2J.:fCt
9. PROPERTY DIMENSIONS
Width Depth
(Tel. No.)
ffi4,188 ?>
(Tel. No.)
(Tel. No.)
Re-roofing LI Porch LI
Re-siding LI Finish Basement LI
10. CULVERT SIZE
Yes No
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q0-z~S-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
~\lt utrl.f
13. TYPE OF CONSTRUF:rI~N .
A5e.w - s v:.., k..> ~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
8'1 6C> 6
(
17. COMPLETION DATE
Y /30/t'j
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 construction will conform to all existing state and local laws and will proceed in accordance with submilled plans. I am aware that the
building official can revoke this ~.it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne851ed inspections.
X }'"') ,-.~ (-1.. ~ I o4~ 4/lA '\
~ Signature) License No. · , Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING _S~D
TYPE OF CONSTRUCTION: I II III IV ('iT)
Occupancy Group A B E F HIM '"W S U
Division 1 2(j)4
Permit Fee ................................... $ ~ ~O
~-/7.. ~~
4.1,=;0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
looc-eo
100 . 00
Jt:; .50
Sewer & Water Permit ...................... $
Side
City:
\ r.~ J\~~
~\.~~
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $~
~(t $
Pressure Reducer ......~.................. $
Meter Hom .... . "i::J;""" .................... $
Water Meter ...:tl::)......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Side
1'1, 0('")0 . (") f"'"l
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LI
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS 0
SURVEY LI
SETS
COPIES
PLOT PLAN
LI
~ ~C) .('')0
/O~Q
Lis, tJ iJ
1'd.5.oo
J. ~ 00 .00
., I')~ .06
Water Tap ................................... $
Builder's Deposit ............................ $ I, ~O . Q?
I
Other ......................................... $
Total Due .............................. $:]::J()R ,,(OS
Paid "'ZIY.06~ e,r:- Receipt No. '3(1) 1..{)
Issued "
Date 4((4(0.4 By!J{I-
T~iS . cerli that the l"!lQuest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as ~uested. This document when
s. _ ' :j~ a tempora~ cerli~i r!li~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
/ City Planner Oat Special Conditions ~ any
24 hour notice for all inspections 447-9850
Gas Fireplace Permit ....................... $
Thir2$ti Becomes '4>ur Building Permit When Approved.
By .. ~ Date t(-"-~9
/'-- -
Certificate of Occupancy
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlican~ ~f
A~dress: J~~~ Ao-<..;
SIgnature: ~.
Legal DescriPti~n: Lot 10 Block Z. Sub /'7/f'PUS h/G&S' ZA/P ,4OlJtof.
Site Address: I C/bG,~ Md..L~t;..(A# f~
Building Permit # qq- 2&5 PID# 25-3t.1-3-0/tf-O
NOTE; This permit will not be processed without complete information.
~A 14 .. ~ JJ-.~ FIXTURE UNITS
01/01/1996 13:08
612-8947972
LAKESIDE PLBG
,,"'-"j' ;.........
~~
"'~/
.......-.--.- .--".'"
rhr ('nlll:'r ul Iht J."kf (vunH~
Quantity Type of Fixture
1 Bath Tub with Or without shower
( Dishwasher ~
I I Floor Drain
I I Lavatory (bathroom sink)
I I Laundry Tray (1 or 2 compartment sink)
J I Shower Stall
J I Sinks
/ Bar Sink
I Water Closet (toilet)
Quantity
.2-1
I I
I
(/
I
I
I
/
3
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
GRAND TOTAL
This I'etmit is granted upon the c;xpress condilion thaI said
contractor, shall comply in all respects with the ordinances
of the State Plum~ing Code and the amc:nd~J~C(eOf.
RECYnNO. 4-//4 DATE
-1~ ATreST
/
Call for all inspections 24 hours in advance.
PAGE 01
I. Blu~
2. Gold
J. Yelluw
J.ilc
tily
AI'plkanl
#
qq, 2Wb
Phone: 9,?~~7~O 0
Type of Fixture
Rough-ins
Water Heater
WatsrSoftner ~I)~
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other :2.. ~ th<...~
I d..uJ/,~
$
$ ~;- 'fS<J
$
$ .50
$ 10() (j)
PAID WITH ~~
"- BUILDING PERMIT !
16200 Eagle Creek Av, S.E., Prior Lake, Mirinesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
.~--,-_.-.,_.","-_....,.,.....,..- .",-.'r--"~-. .~...,_.- ._~--_...._'"--..,.....~-~..---_. '-'-'''''''.'-'.. -'"'' ._..._._.~..--~,-~--_.._...._-- ." -,.-.....,-..-- ,. --.. -.--......... ." ..)
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Th~ Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i i: (/ I I i (., . I l( I) [';
r ,j \, _'.., '..._ L
! f . ("t"--,
\
I)'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,1,' I' II f
/ .A
. . \ ,I V
I
i l C :. . : ,I i k {\y~.
Accepted V
Accepted With Corrections
Denied _
Reviewed By: {J 01. -.:, 6'tOV}
(J
Comments:
Date:
L1lld\11
iilLe:p:;;! (i2-'/ 0-A~O ~A/1~ in t{-g~ I
"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."
"$'
It.
0(j-2CcL)
.
7/{/77
Thr Cenler or the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
A II it 1 ~ffn'vUJ S
LI- 2 -11
tDr L)'
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
III [: {o ~ 6LLLt L (f [( T J( fJC-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~t? ~.wAN.v
Date: 'J.//2./9'J
I
Comments: _KUNOFF &r BE CO....lJf'f'€~
I~ AIJO AL.o.v{~
Da.I4'AJf.I.(jC .4N~
/IT\uTY E.a<:EM~.ur5.. ~s. l'l'lou.I I4-s T1l,1u.nc""c-.
I is€. LltvnoAJ WHc.u
c.o..ss-r/tvt..TI 0-'.1 AC:Th.ll-r{ ac.c.v(.S tJ EAR.
-rH~ "lWo C ATUI ~ASI.u.s ON THE.
~
LOT"
Lr,..J e:.
So AS: To
P~JENT DAM~
. -
S€E. J...sF'ott.Y"I.ATIOA' o~ R6.Je:n.s~ SloE
.
I
SEE ATT,q(.H~e..uTS: J. F, N "''- all,qa~ J.vSP~rTi{)~ i ,lJr:.o.tlI'It'fnt!JN "7. (.{flAO,,(J6. ?1-.14f11
"'3. E'ttos ION COAJ"~o'- MCASs.l&fs; If. tflos/o.u C.,.v"~o'- ?.....,J
"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."
If!'
GREEN . FILE
YELLOW . APPLlCAIIT
GOLD. CITY
CITY OF PRIOR LAKE NO. qq- zGS
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~ S~ "'" 4/il;,
ADDRESS: Jf(9~) .J;,a", ave, S, f" &f4-
SIGNATURE: A?~~
SITE ADDRESS: -.l!Io t,c, ~ 1i1 .
FILL IN THE BLANKS
1. Estimated length of water service ~~
PHONE: Jf 77 - ~- 'I / l./
DATE: ...5-11 .... 'I?
BLDG. PERMIT # qq-~
PID#.z:;-343- 0/9-0
feet.
2. Size of water service
/
inch(es) .
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ABS PVC ~cast Iron
5. Estimated length of sewer line h(~
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
BY
ecomes your permit when apprQY~e-\N\i\-'I\h\l
_/ ! \",J "'G pE.R,,,
5j II C; '1 DATE: -.2U\LO\\"'l .r
'"
This
------------------------------------------------------------------
------------------------------------------------------------------
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.
DATE PAID
AMOUNT PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
'f
,;
f((j-20c;
.
7 It/ ? i
Tho Coni.. of tho lIko Country
;1 J
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f~ II it 1 I-tfnlllY S
LI-2 -11
tDr 1.)-
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
} Ll 0 (() ~ &cl1. L ( (rl T ~ fJ tC
Accepted
./
Accepted With Corrections
Denied
Reviewed By: Jj14/..TY"t'l ~..uAII/.u
Date: 4/rz./9'i
,
Comments: JUNOFF t!1v~r BE Co.ulJfY~~
'10 A/JO ALo^" r.
iJfl.t4,,v(.f~c A-,o.)[)
j)'TILlTY Ea<:e:t\1~ t\s. J'\iIuuJ 14:.s PnAl.nr.f4L-
I~E. C~Ur'OAJ WIiE"AJ
C.ONST/tVLT,O<\.l At'T\ul'r'" ac.c.v~ ,u~t<
""'I>l~ "IWo C ATU/ /3AS,MS 0,.; TWE.
~
Lo-r
Lr...Jr:"
.so A-~ To
PMJENT DAMAq(:
.. .
S€E. 1...st=ott.1MAT..,,^, aAJ R~uElt.S~ s,oE
t,
j
SEE ATT"'(.H~e..vTS: I. hN"''- ~ JAJ<.P~rTi.~,u IAJ~/'lit(t1Tit!1N :7. RnAOIAJ6. ?....,ql\l
3. CftOSloN Co^,r~OL.. Mt:A.sw&fs; tf. e/los,,,,,", r..OAJTR.OL.. rl..I4M
"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."
fD#\
~<.. _,~.. ~~.~r.-.,,;- ~~.:-"''''-'''''~-''''''~1'1''.----:---,_...- .-.,--~-;- r-
CITY OF PRIOR LAKE 0 ((-
16200 Eagle Creek Av. S.E. Permit No. ~I Cj ~ \oJ
Prior Lake, MN 55372
HEATING APPUCATlON I PERMIT
\ l \ c-; r ~ ~
Telephone #
Furnace Make & Model (\.........: €.....
Model Size~.~-.j (J \ \)
Conn. Load
Fuel N v.~
Flue Size
C\
S
"-\ \'
Supply Openings
Return Openings
Input \n\\l.~~\J OutPutS>,~~
Edr.
Cfm.
\~()~
TYPE OF SYSTEM. ~
Warm Air Plants /'\
Gravity
Mechanical
Air Conditioning X
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
Replacement
TYPE OF WORK
New Construction
)(
Repair Est. Comp. Date ~
Est.Cost$~~aoj.. BUildingper~ gq~~
- -)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
/~ PAID WITH
~ILDING PERMIT
Receipt #
APR2 8 ~
Single Family X
Commercial
I. l'iDlt - File
2. Green - City
3. Yellow - Contractor
TYPE OF STRUCTURE
Two-Family
Industrial
Multi-Family
Public Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Rreplace
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 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 buildinq Dermit [lumber before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOlJlRFD 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
447-4230
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
~ml a::;;h r],"e< review and approval 01 ~a_n;~ _ '\ ~
A~ ~ D~
4/2.B/QQ
Building Offical's Sit}nature · Date"
.....~,.. ../
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I L/OC,alp l)llJ~,\o\t-dt ~a.~\
NATURE OF WORK f\).ew OC\VlsJI'-U C +\~rJ'V\
USE OF BUILDING j FD
PERMIT NO. cr9 - 2(,~
CONTRACTOR . A II-€"" (-I-oJM~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE~
Y ) J
FOUNDATION (Prior to Backfill) I U~ I~,b~/ fJcJ
PLACE NO CONCRETE UNTIL ABOVE }fAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC yjd 5(~.: -
FRAMING (j
INSULATION C8 5'/'1-1
ELECTRICAL ,\ (j
PLUMBING ~ ~~ c;,.. \q..q~ (~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ J1fA.f 6~,,(f~~i ~'O ~J8..<)~
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTil ABOVE
NOTICE
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.
FOOTING'
v~.~ ~:.i-JLJ
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
c.j- 1-1'7
DATE
L-\,Il1,Lt1
1
~,cq..'f'
~l: ~ (2,1. :{-;)(j'1;
:5S
g--'/i~
'rvcA "E
~
1-(3-~~
Id-~.z j"11
I, I.
ft.# bkG~
~ /ij. 0~/~
'. I
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850