HomeMy WebLinkAboutBuilding Permit 99-0439
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Job Address"'~ (.~1q 13~U>1 ItD
Heating Contractor 'JtVMOI!'l;~~'
Name of Tester ~I'J S'Toi1L.o'~.
Date 8... 3D -qq
Percent 0 K "70
7.5'7Jt.
0'1(>
3l.5 0
Percent C02
Percent CO
Stack Temp.
~~91 /:~
/4-07C? BLUE/3/IC.D-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~MECH RI
WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
99- 4-39
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"
COMMENTS: ~/ ~ / II ~\j~/ ~
fI' . ~
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Ili'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WrJ~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: I7'fl Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 9/3/97;3;(}1J
/ I
ADDRESS 1407Q ALU6l3/,eO
DATE TIME
OWNER
. C,ONTR.
PHONE NO. PERMIT NO. 9 9- Z/39
~ ~
o FOQTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~. fL,/ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION I-/f ~SEWER HOOKUP 0 FIREPLACE FINAL
~FINAL PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION MECH FINAL 0
. )<OMMENTS: ?~W ~ \!J2oJ <> 0/"-
K~ ~ U~ ~...Q
K '~ in Sirli ~(a CvOSib/\
~. ~ E....-..C::;',JY\ ISL-r ~ ~"AJ .
4S'otD Le.t tv-~~ PtAv ~ ~.
D< ~ ~() ~ 'T/.A(fv((01 .
~ _~/uJ ITo ~ -rl~ ,
(f,..) fJ'x a1~ . - l?u ~ ~
1\(1J ~ WZ~ LtYte
r)!~ t ~-Y~ G~
~{ GO. -;< 10- BD
Inspector:
LL FOR REINSPECTION BEFORE COVERING
o WORK SA TI
o CORRECT
~T
Owner/Contr:
CALL~-985) FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE Ul EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
APR211a
qq-4?!l-
Permit No.
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 \
14D'7qf)\Uf"~:~r! \ ra~
1. DATE
~715-qq
1<-1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
5
ADDITION m o..f' \~.
12. NO. OF STORIES
~\~ \
13. TYPE OF CON~TRUCTION
WO()rb
14. FLOOR AREA APPORTIONMENT USE
f
~\\\ .2V\A
(Address)
Cn~'
(Address)
PID ;2.5- 34-3- 005 - 6
LOT
BLOCK
~/rl)GI"~'1/4
(;L?J~) xf!b:olJ'd./J}-
(Tel. No.)
4. OWNER . (Name)
--5'^ n.c.,?\- \\,.., 1V\.p '\
5. ARCHITECT ~ame)
~; <If' L i\4' _ J )1'-~~Q0
6. BUILDER (Name) ~'
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7.~~~tK ~m~~re~0 "~~~cv:;}JltJe ~~Of~~' -22!tf
New construction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
16. PR.9r~T COSTNALUE ~
Vf;f ~ ()OO .-
17. COMPLETION DATE
'1-30-QQ
... -
I hereby certify that I have fumished infonnation 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~en' ...: ..._~ flY and tha~al struction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off' can re~is,;,nnJV J,ust use. Furthennore. I hereby agree that the city official or a detnee may enter upon the property to p~nn need~riOnS-
X Cu.J/ '//, I _ _ Ift-' J Cl! rJ tz5
'-.../" ~nature / License No. Date
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes
No
I
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
5FD
USE OF BUILDING
1\~.o~.OO
PLOT PLAN
o
TYPE OF CONSTRUCTION: I " III IV ~
Occupancy Group A. B E F J;;l. I M '-R'" S U
. DIVISion 1 2 C!.A l' ~ ~~.
Pennlt Fee ................................... $ ~. J
Amount Brought Forward .................. $
Park Support Fee ........................... $ A~(). C>C)
SAC ......................................... $-1-1"\ S1) .no
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .%::................... : 4 r:;), 00
Meter Hom ........'1'........................ $
Water Meter ..~Jt).:........................ $
Sewer & Water Connection Fee ........... $
City:
~'2~. '/~
,c;'1 .50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
N \~ ~~
~~
loo.{)o
100-00
S 5' .5'()
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
I 25"L OD
I. ?rJO . tJD
( 17 t')t'"J . eo
,;,
Sewer & Water Pennit ...................... $
Water Tower Fee ........................... $
Gas Fireplace Pennit ....................... $
Water Tap ........................ ........... $
Builder's Deposit ............................ $ I. c:;- 00 . ro
, -
Other ......................................... $ _ _
Total Due .............................. $ I ;"55U . / oL--
Paid "7.j,.sL) . jJ.-. Receipt No. 551 ~ 3 -
Issued .- (1 & I
This is to certify that the request in the above application and accompanying documents is in accordance with the c~:~on~ :r~~nc~?maY pr:: as reqJlsted. T~iS document when
signed the ity Plan constitutes a temporary Certificate of Zonin~c~mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Y~-3t.O~
City Plan r Date Special Conditions n any
ecomes~i1g Pennit When Approved.
~. Date ~rn--9$
This
By
24 hour notice for all inspections 447-4230
Sent By: PLYMOUTH PLUMBING AND HEATING;
612 5331121;
Jul-B-99 1:49PM;
Page 2
CITY OF PRIOR LAKE ~ ~~w . EIQUt
PLUMBING PERMIT PPNo. q~-~~'q
Applicant: PI.~~<U. 4)(umb;' h Phone; 53.~-~~7
Address: .!!~i l'\1I\Q,+K~ flark: W ~5LP--~ :3l~
. Sigl'latureQ1 0 \. _ '
Legal Descri~~: Lot S ._Block I SlJbJ"'lAP.us /f./L(., 2M~
Site Address: lLtQ:79 ~ T~ ( /<.1
Building Permit # t?9- ~..39 PID # 2.5'-34.3.- 00::5'-0_
NOTE: This permit will not be processed without complete information.
Tbf' Ceoll.,., nt '''.l.lIIIk.. Cou...".
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
\ r Bath Tub ~ith or without shower I Rough-ins \
\ I Dishwasher t Water Heater
, J Floor Drain Water Softner
1 I Lavatory (bathroom sink) Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 compartmenl sink) Sewage Ejector
\ Shower Stall Backflow Assembly (RPZ, Double Chec (, PV~)
l Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) R Other ~i {1c-ocJc.s
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New ,?ne & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
S
$
$
$ .50_
~~)
~~/
GRAND TOTAL
This permit is granted upon the express condition (hat slIid
contractor, shall comply in all respects with the ordinanccs
or the State Plumbing Cod nd the alTlen~~~[s [hereof.
R "'7' /~/l9 t... DA Tn
,
A'ITSST
Call for all j ecrions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesola 55.372/ Ph. (612) 447-4230/ FAX (612) 447-4245.
. An Equal Opportunity Employer
(f)
CITY OF PRIOR LAKE Me ,
16200 EagleCree1c Av. S.E. Permll No. ~- 0/ ~
Prior Like, MN 55372
~~= :)FSTRUCTUR!;.
I PI'" _ 1'1"
I. GnnI - City
). Yellow . c.tnd17
HEATING APPUCATlON I PERMIT
l-~-C(q PID. t5-3~3-00S-()
She Address 1 L\ (),q ~ ((I 0 L?; ~ !!,""-ai ( ,e I
Lot 5"" Block / Addition ""'A~?e H/{,{... ::2/1/0 Induslrial, Commercial &. Mufti-Family
L c.....J)t. f ( = , A I " ", . ResidBnlial, Heatlng So AG
Owflefs Name \"'i J V\ r\'--' l\V v \AU ,~ R 'de Ciat H .' Onl
-- td '- . est n 1, 8a,Il!J Y
Adchss Q fD~'Jdl?> -~ . ~~.Q {rmt;e ~.l )h..C)~lnq Residenlial, Gas Fireplace
- -.. tA I " ' J '-. (. .J.~ I" Residenlial, AddlIions & Alteralions
Healing Contractor . ,l1wVUJV -lA_, u.~ I _ q., . n~ Residen1ial, AC Only
Mdr...{O~m. \~i"'rH4to. ~~(IIA. mt-~c,~
Talophone" ~ ~ ~- 4 ~C:Jt7 J I Remember to add Ihe Slate Surcharge on the bottom of !his application.
-l...<..V\~ I
FUfnace Make & Model c:, ~ "'~ ':l ~,7~
I
Model Size ~C:S, (J(")("') 0... -n \
, --
CIl
OJ
al
a..
l>a.te
::E
a..
m
~
m
m
CXl
...-i
::I
J
.....
N
.....
.....
(f)
(f)
LI'l
Com. load
Fuel ,Ua-t.~~Flu8 Size
N
.....
co
Supply Openings
Return Openings
Input J...'Ci ~Output le() rY'1(')
, ,
Edr.
Cl
Z
H
l-
e:{
UJ
:J:
o
Z
e:{
Cl
Z
H
CD
::E
::::l
...J
a..
:J:
I-
::::l
o
::E.
>-
...J
a..
Clm.
TYPE OF WORK
Aherations
Replacemllfl1
~
Single Family
t<
Two-Family
Multi-Family
Other
Commercial
Industrial
Pubfic
Fee Schedule
1% of job cost ($39.50 minlml.lJl)
$99.50
$64.50
$39.50
139,50
'39,50
TYPE OF SYSTEM
Warm Alf Plants
Gravily
Mechanical ,(
Aif Condilloning . )<.,
V9nt. System X
HEATING OR POWER PLANT
Steam
Hol Water
Radlalion
Special Devices
The price or your healir\9 permit includes ooe rough-in and one final inspeclion.
Additionallnspec1ions wm be billed at $35.00 each.
House Heating Test Record roost be submitted with 1-,,;'''i",(1 ~~!I1it 11f...,h,,~ belore bu~d-
iog certificate of OCCUPlIJlCY wiD be issued. .
HEAT r,~1 r,I IlllTlnN.~ ~F"! llflFn with number 01 supply and retum openings IIsled pef
room will CFM's per opening. New s1ruclUres or additions send floor plan with ~pty
and ralum locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR IJ\KE, 16100 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.fN AND RNAL) - CAll CITY HALL
441...230
I hereby apply for a mech.nicai systems pemd1.lndtadlnowledgethaUhe .
information above is complete and accurst.; that the wor}( wiU be in conformance
with the ordinances and codes of the cily and with the stale building/mechanical
codes; that this form does not become I pefmit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requir&6 feview and approval of plans.
0I118r Devices
New Construclion
)(
RepaIr Est Comp. Oal.
EsI. Cosl$ ~?, ~O. fX;Building Perm."
HEATING PERMIT FEE $
..
>.
CD
.50
+-'
C
CIl
CJJ
STATE SURCHARGE $
TOTAl PERMIT FEES $
9q-43q
..... . ... -.-. ... ..
~
'7-~-'?9
Oat. \
'7/e/QQ
I [1,te
C{
Rece~l "
/~{ n 4-~~
! .,', - . 5l/
Th. C.nl.r 01 rh. Lak. Coun.ry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DWRTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
/-.( ('.;i':---- t- I
_____' '.,j t '{ ,--,,' ./
I ,_, ___
HC.I'-IE~
4-/27/C)CJ
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '.~
I ire 70 f~(\/l f~1 r2-t.;, (kAt L-
Accepted ./
Accepted With Corrections
Denied
Reviewed By: klALTEA.. CHRf!.SMAIIIN
Date: sJ"hr
.
Comments: &llJaF="F M.lJsr
~ C.OAJrI~'r"E:^ "70 ANC) A~OAI(, DtU'tNA'.E
4 (.IT/(.., TV EAsE.tf1~AffS
Jf-s. t\1(JU.( As ?.(I'fc.nc.~_ ~A6~ ('.g""LltC~
W~t..K. .p"AJE'-.S (.ylu.... RF
RE.P~o B..... Tw(. BcJ'~1l.. P;(.IOI(. 72> F,.....At..
'...$tl;.N ~~~ :
~~I"EIoJ"Y WIL-L .voT"
Ey.CEE;{) z.y "'T me P~oP.!:.R.TY LIA.JL..
....sg .lUf:"oA.M AnoN OA.J ~ Euf!A.!.E :51J}E.
SeE. ,qTT,qc.Hr'lEAJ'fS: ~"'.I., ~R.AQE. JI\SSPELTw~ 1t.Jf"OflM..-nol\J Z. all.401~G. ,PL.AtJ
3;. EAOS,lON C~",""I'l.OL- r4~~...tB.E:.
'I, 6t.~tot..J COi'WTIt..OL. R.~",
"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
/
The Ceonlrf or the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~--\ C i'! t:= (~=~.
. ,
.' ,",:,,-. / I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_, I
, j j
./\ j
j
\_;/'
~.~ ; ./
I \ \ i,___.
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~.~.
Comments:
Date:
L{ - ,fO-t:ic,
"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-439
h~ C~n.er or the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
5UN50 f HOME:S
4-/2-7/Of0
iI'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-07Q F)1_UEBlR-D lKAlL-
Accepted
Accepted With Corrections -<
Denied ') (,{. J
Reviewed By: (t: Q ~ .>,
Comments:
t. e~ evU c.J-bcleeR l~
Date: 5-~ -C( C).
"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."
~~
~Iq- 4'27
?"'"'-
,.; f' r (\<
White - Building
Canary - Engineering
Pink .. Planning
Th. e.n... 01 lh. Llk. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
--(\1"---[:' I IICI\-.-ICC
______" J ( \ I ---../. 1".../ r\ I. c....-.........)
4/27/c;c)
I ( I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I4-C7CJ
Fsi .l) L (~l r~L~)
I kJ-\ l L-
Accepted ./
A~cepted With Corrections
Denied
Reviewed By: W~=lL..T'EA.. CHRe:SM,qIll..v
Date: 5}"/ff
. ,
Comments: KJlJol="F M.1J$r
'Be: C.tJAJIlf:~~
-,0 ANO Ac..o,..J(, D~r'ltN~E
~ U'fU...I ry EAsE. MeNTS
if~ "'tc.JC.H AS ?"t",c..nc.AL . DAMt'I6~ r...JLR..CTE:.
W"\-LK. -P"NE.LS WIt..L.. BE:
RE:.P4AC.~D B~ T"fE:. BcJI~1l.. Pt<.1D1l.. 'Teo F,,uA,-
....sl t:. N of ~ .
DA..'''EIt.J'''''' WIL-l.. .\)0,-
EY..cE6.D, 2.'+ AT 7J.IC P~DP~1l.T'r' I..IAJt..
<::f5E: J.U~0j(MAT10N 0,,", ~e.",E.4..~E: SI.oE.
~~E. I-hTAC.t-IlI4E)UTIO: /. hAJJ'lL- a./lAQE. J/IoSSPEl:-TJd..J /NrOflMATloN Z. allo<lOlI\lG. p<..J+,J
3. EAos. 'ON CDA.J'TIl.OL- M€A~..HI$'"
tj EIt.D'.itoAJ CO,.."T(t.Ol- R."" tJ
"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 Ilf()'l~ ~P~\~ ~r-.
NATURE OF WORK Ne.w C\GIV\~~t-vr.~lrhA
USE OF BUILDING S-r-_\)
PERMIT NO. 11 - d 31 DATE ISSUED D - {,., - 99
CONTRACTOR ~L~\^~..I:- \-k~.Q ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~~. INSPECTOR f2;\\ I I ~ hi6 b~
f , ~. I
FOUNDATION (Prior to Backfill) 11 S. I ~ ~ 10' C} '1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
crIt-- ~. ?-{3^9~
(fj
\
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST W ~~. ~ ~-J1-'i'1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL~
\~ q I
'"
rlJ} ti/zl71
(/
fJ/7/~s/,h1
1,U, -l1~
....
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
(;3)
V
\\\w\ ~
· \:J/f1
o Jl.. l
9,# 1'f1
BEEN fiG NED
This card must be posted near an electrical service cabinet prior to rough-in inspections
an~ 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