HomeMy WebLinkAboutBuilding Permit 99-0486
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
..
ADDRESS
/10353
'sCHEDULED C}-3tJ-J7 ~ :jo
U I r!.-7ZJ t!...[/~ CLt /L)e-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-1g>~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
)it FINAL ( (!5J 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~O i T ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ LA>
~~.-I
~
~
~
,
.~,
/
,"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
lNSNOTl
CITY OF PRIOR LAKE
, .
INSPECTION NOTICE
DATE TIME
SCHEDULED
~ f~
ADDRESS I~s'? {)";T"SftlA r:\.JIl.J/E..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"J(FINAL
o SITE INSPECTION
COMMENTS:
(! u~g~ ~ J,.S
(l-w'M1)f:
r111JWfWW
CONTR. ~ CtUt:K H~
PERMIT NO. .JJ - ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CJP~-riL>>. rAI
l5
4L&r'J4dt L..
SUo'" F'~
V,J7'1e- S#llOG
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ f'J... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t-ZD-99 /I~ 00
ADDRESS /10 35; 3 1~(-'J7>(L/ f>... C"-ME:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
k) 0 MECH RI
W ?( WATER HOOKUP
~ ' ~ SEWER HOOKUP
~ ] PLUMBING FINAL
o MECH FINAL
qc; - L/Ftc
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: JI' f~ 5~/~-
~J._~ ~ ~- /2'~._
< -j'-l' - ~A 1./0 .# If
'-:? !-f-t' .c:.,.r r:;o~ c-"..-
cD fJ~;--;;t:;~ ~~
4:::t-i"lt0L ~ .
.(~ ~---: I~
(J.udj A ~;...,;; ).-..J
- J
~
~
. . f_. Q'
~~
) r~~~
d~t~~.
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'"specloc ~'~. Qwne,/Co"'c
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
.....-'-r--...--........................-_
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9//~h9 4:00
ADDRESS
/&,353 VI c / ute fA (!..U,e.u6'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99- 'i8~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION AlA
)( FINAL :gLbt:;.
o SITE INSPECTldN
o PLUMBING RI
o MECH RI
o WATER HOOKUP
^ 0 SEWER HOOKUP
ItX PLUMBING FINAL
MJl. MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
f ~l:I&~24~
~~ ,..,,~ ~4 ~ ~
~l~&,~~<- U)
S:~~:J~~ ~rL: ~
- tLr ~ 1- \u-( S-'fq
,~, C..a, ",,-
~ U........ 6f'- l'tl.. 6Ii.-- /' . - - - .-
~v~ o~ I~~v
o WORK SATISFACTORY, PROCEED
~RRECT C ...... }o\3PROCEED
J7 CORREC K, CAL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAll J7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
MAY 51999
LOT
0~r~~/~ CN~YL
~
BLOCK
(!"AAeOINrJt-. !e.fOG6
1;il//9~
P{$:)
2-5- $35- 038-()
.L2. - .
PID~ .~-
sn+ /tOON.
(Tel. No.)
~/~.~~,. 2.-'97
1. White
2. Pink
3. Yellow
File
City
Applicant
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
/~~~~
3. LEGAL DESCRIPTION
~
"-L. -
ADDITION ~ -
4. OWNER (N.amey ~~)
~~ r-/~~ ~
5.ARCH;;{JI/?U.$7.l P~/""; (Address) ~/Z. ?,'I~'~
6. BUILDER (Name) '31~yr~ 4,A&.. ~.N.... 3 ~
~~ ~tHL ~$ ~r:r-;;;~ -e.;)~, 2-
7. TYPE OF WORK / Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New ConstructionV' Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
Permit No.
9q-#0
BUILDING INFORMATION
11. SIZE OF ~TRUCTURE
(HeighlttD (Width~ ~DePth)52. (t'
12. NO. OF STORIES 2-
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. P...R~ECT COSTNALUE
/d~~ -
8. PROPE~l)' AREA OR ACRES 9. PROPER' DIMENSION1~/ 10. CULVERT SIZE 17. C~~TI~N ~TE
Sq. Ft. / ~ vt?~ SF . Widt~ "'t> DePth/~ ..If) Yes No ey'.3 ~ 4}?
I hereby certify that I have fumished infonnation his application which is to the best of my knowledge true and correct. I also certify that I am t" owner or authorized agent for
II ruction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
cause FU~erebY agree:it;e ;Z2:3r~ di:nee may enter upon the property to perfGN~9ons.
/ .. License No. ~ /Date or
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
)
~~D
Side
Side
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I 80: () () 0
TYPE OF CONSTRUCTION: I II III IV (JI)
Occupancy Group A B E F HIM (B> S U
. Division 1 2 e!> 'h "Z S
Perrmt Fee ................................... $ I. '28" . .
A 3t" .J "2.-
C(o.C>5
Plan Check Fee ............................. $
State Surcharge ............................. $.
Penalty ....................................... $
Plumbing Permit Fee ....................... $
100 .00
Mechanical Pennit Fee ..................... $ t 00 .f.:) D
Sewer & Water Pennit ...................... $ '55". S' 0
. ~~ $ 40 .00
Gas~lre e ...... ..............
This . acom I ing Penn~ When App.roved.
By Date S--(7-~t
Certificate of Occupancy
City:
\~~\
~~
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
SOIL TESTS 0 ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
e e;-O. oe
l 0 S6 ~~
L.l E;:. ere:>
I ~6. o-C:>
It '20"Cl . 00
~ .A"O
Water Tap ................................... $
Builder's D~ .........^.~.~..~.:.-;rrJ I/SCJ7:!) . &0
Other ....~.{.~:~. $ . \~'S:Q""
:: T~~S;~~~.....~:i~~: ~lt
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 requesteJ.'This document when
signed ~~ary Certificatez~~mPliance ~~mrn~ Certificate of Occupancy must be issued.
City Planner &- Dale - . -- Special Conditions ~ any
Issued
24 hour notice for all inspections 447-9850
~
~ --- --. - - - "'-- - - -- - - -' -
.Permit#
"JobAddr_ I"se'i~ V\.~~"";I.I.. C.......~
"Heating Contractor METRO AIR
.Testers/Signature ~
/
,.
Date
Ii!!!!
.Gas Une
Pressu,ize<!
Inspected
.Percent C02
PERFORMANCE TEST
to.5 10
5~
.Pe,cent co
.Percent 02
"Stack Temp.
Final Inspection
Pounds
Pressure
0%
~\~..
Date
t. ... . Pik
1, GreeD - City
J. Yellow - Coa_1Or
CITY OF PRIOR LAKE
16200 Eagle CreekAv. S.E. Permit No. QQ-t./8(P
Prior I "'18, MN 55372
TYPE OF STRUCT..D~
Single Family, oX
C<<nmerclal
Two-Family
Industrial
Multi-family
Public Other
HEAllNG APPLlCAnON I PERMIT
~ Date S"- ')\0 -l"1. ~ PID. 2.5- 335 - 038-0
Sn. Address 'l..n ~ S") \1 ~ \.-\rr ," If\" (\1\ ~\J ~
(T\
ffi Lot q Block. 4L _ Addition t!APtUNAL- )!!!'/O#llb" S!!f
2 Owner'a Name, l\.. 0 I.i\.{ f' "'- \l, ~UVh.R~
Address ~ '10"'\ \'(~~~\ S\. pr,'Cl- \j,\ \u-.
Heaal"9Contractor ~~~r-(') ~ ~ r . -l oJ (.
Address, \\o'-\~(\ \N \\-~.OP\.L 1\VL ~"o("'llj(l~j
Telephone it '" ~ 1- C6 \ d \.\
Furnace Make & Model .(€A. rr " \'~
Model Size ~ 'f\ {-c::J "\ 'tl
Conn. Load S C ~ \11
FuelN q ~ Flue SIz8 S II
SupplV Openings \'1
, ...
~m Openl~1 , 1
~ Input,~ "b ~....o ~ 0UIpuI \ \ . OID
IT - .,
o
~
I-
W
E
Fee Schedule
IndustriaJ, Commercial & Mulrt-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addilions & Alterations
Residential, AC Only
1% ot job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50 MAY -2 11999
$39.50
Remember to add the Slale Surcharge on the bottom of this application.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical . p
Air Conditioning X.
Vent System
HEAnNGORPO~RPuurr
Steam
Hol Water
Radiation
Special Devk:es
The price of your heeling permit includes one rough-ln and one fin.a1 Jnsp8Cllon.
Addltlonal inspections will be bl1led at $35.00 each.
House He8tingTest Record musl be submitted with "111~IM Dltl'll'li\ numbst:before build-
ing cerlifi~ of occupancy wID be IssuM1.
. -
HEAT CALCULATIONS qF(\1 m:~Fn with number of 81,Ipply and return. openings listed per
~m wfth CFM's per openIng. New structures or addlfions send floor plan with supply
and l'9\um loc:aIlons shown. HEAT lOSS CALCULATIONS, PAYMENT AN[)
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR tAKE. 16200 EAGLE
CREEK AVE.. 8.E. 'PRIOR LAKE, MN 65372.
Clty Hall Wstness hours are B a.m. - 4:30 p.m.
Edr.
Other DIVas
\"'1~Q
Ctm. ..
TYPE OF WORK . V
HepJ~e~ New cOnsiruction /\
':.' . -. 0 . :--:::.. . . .
'Est. Comp. ~ile ''':;....;, .. -. .:'.
E _
~ . ~1l.ndIons
If) ,.':- ,"
GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. c?Cj--48b
.- 7 :999
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT:f;AlIf~ (9.f/'/l/JE :I/Vc..
ADDRESS:;1o 8ox.}0 ~~ae hl9J<E .#IAJ
SIGNATURE: ~ /~~
SITE ADDRESS: 1/J3S3 ~...eJl1 CO~1)p" PIDt~, 335 - o.3e-C)
PUSD
FILL IN THE BLANKS
PHONE:vl,R- ~~"/6J? I
DATE: b/7'/99
/ /
BLDG. PERMIT #
1. Estimated length of water service
e?6-/
feet.
2. Size of water service
J
inch(es) .
3 .
Location of any couplings from structure 2) feet.
Type of sewer pipe. ABS PVC v/ Cast Iron
L. -I
Estimated length of sewer line :J6 feet.
4 .
5.
6. Clean out (if required), located at
structure.
feet
from
::::~::~:~~::::::~::::~::::::;~~~~~::~~~~~~
------------------------------------------------------------------
------------------------------------------------------------------
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
RECEIPT #
AMOUNT p~ t$\O~"^tT
REC'D BY \ t\U\\.O\N\.:l
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
To.
III 001
White - Building
Canary - Engineering
Pink - Planning
Tho Conto, or 'ho lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Y f"Y:' 1L- C' N?~ \:::. ~J}-t~ o})
..--
APPLICATION RECEIVED ~- c;-- ~,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ t:, ~ C:;'3 U ,'t.. +c,t l~ C\JhJ-e
Accepted
Accepted With Corrections
~
'--
Denied /I
Reviewed BY:~ ~ Date: s-f?--91
Comments:
\. ~J. c......&. ~ ~ ~(&-yJ p{~_
"2. ~(A.W V'- ih,~~ ~
3. ~ JJ... ev~cl.ct.A ~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
qq-t/fJfc
n. C..It, of .1It Lak. COMB'ry
White - Building
Canary - Engineering
Pink - Planning
.
BUII.DING P~MIT APPLlC,ATION OEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k () C;:::: Ck:! t/ E t::- /-10/'-'/ E S
5/5/09
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0353 k'tC! OK Ir/ CUi-::: vC
".
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~I.TEIl. ~"'IWN
Date: S/21/9'
I I
Comments: ''<uNoFF I'ItClsr 8&:. {!~,.JIICY&O To /Wi} J4l..JO~(UI/I'J~C. ~
uru.ITV ~"'&n".s ,q,s. M~-; P~A:.T~6.L.._
-2fE. I^"F<)r\~ArION ON REllE:lt5E SIOl:.
~~ ATT~C.H~: I. Mj'lJr(f,- (J"lftJC JAJ:!IkCTIf"JAI JAlF'eAttfA-r1<JAJ
z" GIlAO,,,,#- f Etto$,o^-l c.oiJrlt:>I.... f{,ct,u
3. CIt.DSlolV ~TIlD'- ~A~I<~S
"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 provjsiohs 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 ;.~'t;;;~?';;,~'~~";'~-!;I;:4$'i',~_:'~ ~'.-'~~"""--
Tht ('tntrr of thr Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUll IJING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~/J.~
Date:
.~---/8 ~~
.......
'..
Comments:
S~~\A~ ~~Ve.e.-~ ~~<; "._<)~ ~
-1\-!;~u2W- ~(~(2-(%J -,,?q L(
- i~w~ ~~ fYf'_~~l 1 L'l"
~~~l~ ,,~tc> c6 ~oZ}~ {'./~I-V
Mt'~ y~_ /~ c-~~L{ ~'rLr~~
~ ~W~d~~ N~
(JN~ ~ /U~~ ~ {Ye..~rH~ '\{?e.o <.
"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 Ilc"3 53 ~Hc.t'"t-,'r.. Cur-~
NATURE OF WORK tJ~h') ~cvlh..1r\-.'-\
USE OF BUILDING SF D
PERMIT NO. 'M. <-It;')LP DATE ISSUED '1)-/7-7 I
CONTRACTOR f2.0c \c (lr-.e<~Jc- ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~ IN~CTO" I b-.3 - q~
I FOUNDATION (Prior to Backfill) I ~ 4Ur'1'/ I
PLACE NO CONCRETE UNTI BOV~E HAS BEEN SIGNED
. ROUGH - ~NS^ I
SEWER I WATER I SEPTI& Kftl ~m
FRAMING _ · f \)
INSULATION ~~#-v
ELECTRICAL \ )
PLUMBING '/ID ~
HEATING (if required) \) I;n
FIREPLACE ~1": ~ .~. C;-/D-?? L.
GAS LINE AIR TEST ~ ~~I o1v ~I r-([~~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) lJJ.1Z. q,&b--Cf}
BUILDING r .Q.o. ~ 11)-\I5~' if.<S. q-f4-OA fb--, t.O. q-,~" '7~
, /
ELECTRICAL .
PLUMBING Y01A VJ N ~
HEATING _ l f\') f1 /f{ \ qq
DO NOT OCCUpy UNTIL ABO* 'HAS BEEN1 SllGNED
NOTICE J
~ :: .--:C.IIJ '" U
1-1/0-49
'6'L-{-qq
~-'1:'q9
~, t..qq
.
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.
.J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850