HomeMy WebLinkAboutPrch/FP Prmt 99-408 & 99-1045
DATE TIME
CITY OF PRIOR LAKE ~/zsl 00
INSPECTION NOTICE SCHEDULED I () I. eJC)
ADDRESS ,~L.{ 3 2- l..t..ll L L C u.J 13 ~_H \~.
OWNER CONTR.
PHONE NO. PERMIT NO. 99 - 4CJg
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
FINAL
I} SITE INSPECT
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKU~ 0 FIREPLACE RI
o SEWER HOOKUP 1 ~ FIREPLACE FINAL
o PLUMBING FINA 10 GASLlNE AIR TST
It MECH FINAL 0
COMMENTS: 7o~ / D~ct<-
I
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: R. ,
,
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
Chimney 0 Misc,
8, PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq, Ft. Width 11 0 Depth 1 ~ j Yes No
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 m ntioned property 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
:uilding off ia an vo i for just ~urthermore, I hereby agree that the;1 ~~ oZ way enter upon the property to perform ~ ~i5J'
19na" Licens'e No. 0'" /
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
APR I 9gm ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SIT~ADI;>RESS d'
;5 (/3::2 /--l.illtJOJ t:Jf.tLck 7J(.
3, LEGAL DESCRIPTION K L S :33
LOT S I If) ().f TJruct LJBLOCK
l'yl;>V/9~
,</ /
PID ;<~--If';;' -cJ{Jt,-/
ADDITION
4, OWNER ^ I (Name) (Address) . /I J 1. ~irer. tfrif. ' ~ -di i;
1)1J..16- ~~:r-- $ 'fJ. 2 JIi/dluJ /)U~~ 7r ...5' WiI.<fY7 fht J Y
5, ARCHITECT (Name) J, ^ (Address) ,.. L. . (Tel. NO,). /. (.. ( 1-.
M\"",v-c.-~~ Ll~-L~ KD.uJ 7& t J'-r fu ,k .7 II) &;JY,>Vro
6. BUILDER (Name), (Addressff'. kA..~ /rK..t/ 'eTel. N'o,) .. f 2-
e-~v( IJ~ Cd~, ''f'-)7 fiy-~~ ~b)
/Ft1-v'LlJ.y......--lv/9LI- fJ.;,'+u?J< 9(. ~~
7, TYPE OF WORK 7~~ Septic 0 J Deck}( Re-roofing 0 Porch)t
New Construction 0 Alterations 0 Additio~ Finish Attic 0 Re-siding 0 Finish Basen(imt 0
~-SE~D^, p~UI
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
KaS 4 n~
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION '2.0.0d(1). C) 0
USE OF BUILDING
TYPE OF CONSTRUCTION: I II Itl IV V
Occupancy Group A B E F HIM R
Division -1 2 3 4
Permit Fee ................................... $
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit No.
qq-~
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO, OF STORIES
13, TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
17, COMPLETION DATE
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 ............................. $
2?4./~
J78.~
l. 0, DO.
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
S U
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Ov~
~~U
~-y
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
MeChanical Permit Fee ..................... $
Sewer. & Water perm, it .........\........... $ W t T F $
aer ower ee ...........................
qo .00
Gas Fireplace Permit ....................... $ Water Tap ................................... $
This ~li~t:COmJvnllr Building Permit W. hen t-PProvedC Builder's Deposit ............................ $
By rr~: /' ~ Date 1.[ - S CJ r q / Other....................... 'h'7"',3"ar P ....J...Itti. -. ..U
Total Due .............\J,..).....:~ c~~
Certificate of Occupancy ~
Paid 50:3 ,3 4- Receipt No, 2."" I ~ ---
~ I ~
Date 4/:x; /e, 1. By IL1L.. ~ -
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 'Ordinlnce and may proceed a/';u~st~, This document when
signed b~ \,I; itv PI r constitutes a temporary Certificate o!]onin}l~mpliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued,
~ ~ -J4 '" :?-3'v"l
ner Date Special Conditions n any
24 hour notice for all inspections 447-9850
HEATING APPLICATION I PERMIT
Date !8/Z0/C?Q PIO# 2..'5 -/OfA - O(Q~- /J
. K./
Site Address. 3 4-32 W I L-l- 0 /;\I BE: fl e.rI 77:2/4 ( L-Svu. Fee Schedule
Addition 1If67'J;..S /1/1/0 L3(JVN OS Industrial, Commercial & Multi-Family
D/1 f.- b 77J Ie (5 e. Ii!!:.. .s 0 A.J Residential, Heating & AC
/ / / Residential, Heating Only
~ Y3 2- / AJ //1 (JIAJ ;SC~ 71...--~ Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Lot
Owner's Name
Address
Heating Contractor ,
Address
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Supply Openings
Return Openings
Input
Edr.
Cfm.
Alterations
Repair
Est. Cost $
,q(~~/~))
1"1' 7cT:!'-r:~_
?9-lo~ TYPE OF STRUCTURE
)(
( \
Industrial
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Block
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
~al Devices ~'lO. r.):'
I\c;~ -35"3 0 ell~
OtJter D!,!vices ~~ C:rv. ~ lA. 0'J0-..
~ _ ().. \ -\v/L- (t.c...{:.
~<kl3;-
New Construction )<
'7' /;~/ C:;9
91~6 8'
TYPE OF WORK
Replacement
Est. Comp. Date
Building Permit #
HEATING PERMIT FEE $. .39. 5'0
STATE SURCHARGE $. .50
TOTAL PERMIT FEES $, 40.00 Receipt # .3 G2 014-
fAj ,-P-h ~A- fu-\-J... J\..s~~{-~s-e.~
L Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Two-Family
Multi-Family
Commercial
Public
Other
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 $35.00 each.
House Heating Test Record must be submitted with puildino Q.ermit numbe[ before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION$. REOUIRED 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
447-9850
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,.rlhat the work will be in accordance with the approved plan in the
case of all ~ork which requires review and approval of plans.
U(/ HI , ,d} --1 / I
f /~ h-tk2:..~~ X ~/~//7~
X(// l/ AI?p1ic~gn~~/. ' hate A'
\/'A; ", .' . . ,(7 '! tI!'2-o9
V t/'// ,F/,~;.~___ D 2-0 7
Building Offical's Signature ' Oat6
I
The Cenler of Ihe toke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.;. \, ! -' ~._~
! ':'.~
, .
" f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t.. (v
'-1
\
!,/, ,-\, l___
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
~
(.../
t~
'I
Date:
Lf - 2- 3 -Cj'7
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."
--
qq- 408
Th. C.n.., or lh. lIk. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DA lE ioeq 5 t<.SON
4-/lO,/QQ
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34- 3 2 W l u..,Q vJ BEA eM T\<.A l L--
---L-
Accepted
Accepted With Corrections
Denied
Reviewed By:
c2aZ~~-
/'
Date: C(-- 2& -c; c;
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."
P,RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3437- L<.l;\ l~ ~12.cvc:L < \. r-a.i l
NATURE OF WORK D-eck ~ ~o-c.k A~~,
USE OF BUILDING SFD
PERMIT NO. q 7 -4 cRJ DATE ISSUED L( - Zc;,-97
CONTRACTOR -5"~ ~ { Ds C CA.....-d-.
NOT&-: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING -:-\.U IS-~-~"1
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
\
,0
~,
\
FRAMING
INSULATION ~)
ELECTRICAL '(t,\./~vJ&O'\A" \b1.... ~-.rl''1'7
. ,
~..l1-qq
~- ~~~ q9
HEATING (if required) /1
I -
FIREPLACE .'1hl/11 (' d/ Ar\
GAS LINE AIR TEST (/ II' J ~ - ~~qq
COVER NO WORK UNTIL ABOV~ HAS BEEN SIGNED
I~ It, I
FINALS V
. )
"
. .-
l/~~
I '
BUILDING
ELECTRICAL
~
HEATING
DO NOT
~~
r,p, I #Pr. ?I?-<;(/~
I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850