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HomeMy WebLinkAboutBuilding 00-1010 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS fL/f.fj? ~_~J Re... OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING _0 JNSULA TION )iUlNAL c.. t. t.~ o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: r~e ~E ()o-la/tJ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o (~t~se. +le. Ct. r./Oe.. Ln ~~o.cA~v;'v o o WORK SATISFACTORY, PROCEED o COR~CT ACTION AND PROCEED o COR ~?RK, CALL FOR REINSPECTION BEFORE COVERING Inspect : to Owner/Contr: ,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d NOV 2 , 200) I PERMIT NO. D,)~::lD 10 1. White File 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) 9~-1 02 ADDRESS /4-fp63 ,eOS~WOOO ZQNING (office use) Ie ISO RO/JD Ne LEGAL DESCRIPTION (office use only) PID 25"'3/0- 035-0 LOT/5BLOCK 3 ADDITION K.NOB I-//L,L cj- /J1.a.. L{ .5+cvv+h rd- , OWNER (Name) Gt-e4 I (Phone) (Address) ~c r Tt 6/J. -tj/c(-f(3~ ( Fa /"ff1 f /14' ~ /l /It // S. ~ t:J ,;2.. c/ v -- BUILDER ,~ jg~~ Bu I f..,.O 5JeS (;,/11!Jf V H..f l o New Construction ORe-Siding ORe-Roofing o Porch ODeck TYPE OF WORK )6Lower Level Finish OUtility Connection o Alteration OAddition o Fireplace PROJECT COST /V ALUE (excluding land) $ o Misc. I hereby certifY that I have furnished 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 submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;t<<upon""~~7"tiOM '/0:</8 t/3G 1/ IAp/OO ___ Contractor's License No. _ :kc:e.oo 7'1 ./) 1$ 1$ $ $ $ $ $ $ I Park Support Fee # I SAC # I Water Meter Size 5/8"; I"; I Pressure Reducer I Sewer/Water Connection Fee # I Water Tower Fee # I Builder's Deposit I Other I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee $ $ $ $ $ $ $ I(O . ()i) $ 1< J.c;O '10 . 00 UjU--6D 1/. U;.OD $/5~. z5" TOTAL DUE r Building Permit When Approved ~ Date Receipt :tio. 38~ I By 7fK( Paid /610. z..S- Date /'2 . J. 0 0 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 requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Planning Director CITY OF PRIOR LAKE ~ ~::w EUcaDl PLUMBING PERMIT PPNo. 00-1010 APPlicant:)h"'m~~~. C~. Phone:qf5~-q~~-7?1? Address: ~\ 0't-J ~--AQj--=RA..\ rY\t.~:tll~ ~ Signature: ~/h" _ Legal Description: Lot Block Sub SiteAddress:~~~%~hY'~~. Nt. ISo.~.-z\+?e<;-\k.r{R) Building Permit # 0 0 - f 0 ( PID # NOTE: This permit will not be processed without complete information. FIXTURE UNITS ne Cftller of '11, Lakt Counlry Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain / Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) I; I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other J J 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 $ $ $ 39,S) $ .50 :"\\ o ~\ ~~\,;;. \ $ '-/{). ~~~O ~ \ GRAND TOTAL This permit is granted upon the express condition that said contractor. shall com I): i"n respects with the ordinances of the State Plumbi d the amendments thereof. - . c>> DATE ATTEST Call for all i pections 24 hours in advance. 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer N -.. Ql Cl ro a.. ::E a.. -- 111 .. N o o I o (fJ , > o z -:t CIl CIl CIl (fJ (fJ CO -- 111 CO a: - ~I a: , o u ~I H. CJJ W a:. HI I.L, .. ~I +' c !~ ~ CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. PllImit No. 00---01010 Prior Lake, MN 55372 . HEATING APPLICATION I PERMIT Dale //30-00 PIO" Zl5"-3l0 - f}36 -0 Sit9Add~ess /W3 ~OJ4Wa"~ /2Ja..J - , . . Lol Block Addition. Owner's Ibme JVJ"".... J. C:tu.~~ .....\tv- .}k,f'/ I i-ku..r:,t, NJ,-w") -. 0 () - U -- 0 " Address HealingContracloJ ALLIED FIRESIDE dba FIRESIDE CORNER Address. 2700 N. FAIRVIEW. ROSEVILLE. MN 5511.3 Telephone' . 651~633-2561 FIREPLACE U ~ Make & Model 'f( Olu.- I.k~~ q'l.J 0 Model Size. _ TYPE OF SYSTEM W3rm Air Plants Gravity. Mechanical Air Condiionlng Venl. Sy&tem HEA llKG OR POWER PLANT Steam Hot Water Radialion Special Oevlces Conn. load Fu91 ~,H" FkJe Siz~ Supply Ope nings Return Openings Input ~ Edr. Output 3'1 D~ OIoltr Devices elm.. TYPE OF WORK Alterations x Replacemenl New Construclion Repair. Est Cosl $ Est. Comp. Oat9 / ~I :r Ii)':> / InD./)-;:) Building Permit fl..' , 01 - ( 0 lO HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ PAlO WITH BUu.D\NG PERMlT .50 Receipt # . TYPE OF STRUCTURE; I. !"int . Ale 1. 0_11 . al1 1. Ycll_ - o.-tGr Single Family Commercial Two-Famlly Industrial , Mu111.Fami~ Public Diller, Fee Schedule lnduslrial, Commercial & MulU-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential. Additions & Allerations Residential, AC Only 1 % of Job casl (139.50 minlmlm) $99.50 $64.50 $39.50 $39.60 $39.50 Remember 10 add lhe Stale Surcharge on the bottom 01 this application. The price 01 y~r heating permil includes one rough-in and on. final inspecUon. Mdilionallnspeclions will be billed at $35.00 each. House Healing Test Record musl be submitled with ."tiIrl~~ .,p.~~1I ~I~~ before Wid iog certifieale 01 occupancy wi. be issued. HEAT CALClJlATtONS REQUIRED MIh number of supply Bnd retufn openlflQS listed p room with CFM's peT opening. NBW structures Of additions send tloor plan wih supply and rillum localioos shown. HEAT lOSS CAlCULATIONS, PAVMENT AND APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE. 16200 EAGlE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hen business hOUfS are B a.m. - 4:30 p.m. , ALL WORK MUST BE INSPECTED (ROUGH.IN AND FiNAL). CALL.. crrv HALL 447-4230 I hereby apply lor a mechanical systems permit and I acknowledge that the inlormation above Is complele and accurate; that the work will be in conlormanc1 with the ordinances and codes 01 'he ci\y and wilh the stale building/mechanic codes: that Ihis lorm does not become a permit unUI signed by the BUllDINI OFFICIAL; Ihat the work will be in accordance with tile approved plan In the case of all work which requires revIew and approval o' plans. ISJI~ /j,..nL ApPlicaiir~)~l",IUre 'l.. I'~!J- Buildng otficaJ's Signaluf8 /I/.J./(}~ , r Date t'2,,-/-OO Dale Residential Building Pel. J.J.J..it Checklist Basement Finish or Interior Alteration to Single Family Homes B<;b ~ Date: 11- 'l..~ - ~ Building Permit # /"'('B '3 PID: Site Address ~.--.(. ~ Zoning: Legal: L B Subdivision: Existing Structure: YES or NO CONFORlVlS TO ZONING ORDINANCE YES NO Is this an exp~sion of the existing footprint or building height? YES NO Refer to Planning (....---- Refer to Planning Refer to Planning ~ Refer to Planning ---- Refer to Planning ~ Is the property located within the flood plain? Does the alteration include any additional kitchens? Does the proposed alteration include any outside entrances other than patio doors? Is the proposed use of the finished space or alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS L.t1l!;CKLlST MUST BE COMPLETED AND INCLUDED IN 1.t1l!; BUlLDING PERMIT FILE TO MAINTA1N A RECORD OF THE REVIEW. L\TEMPLA TE\AL TCHCK.DOC 00' 0 0 The Center or the Like Country White - Building Canary - Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT NoLLCiO , I APPLICATION RECEIVED 1/- ;:2-(- O() JSilv'~' , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: n ) /L(bg'~ P()<;PA~)/)ad Kef, .;;... Accepted Accepted With Corrections '/.... Denied rJ() Il.. 0 Reviewed By: ~~ Comments: Date: 11-2.T7-~a \. Rew& ~t- {1~\"!>~ H~cn.uls.- "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." ( '. 1 ~ v (,I () The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /-(01.170 /? kI J.r S- APPLICATION RECEIVED 1/-:.;:2-/-' 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Fib&'3 jJo<;p/')(hd l?J Accepted Accepted With Corrections / Denied ,.....-,,.,\ ~ /1 t._- ./ Date: it ,~ Ii' Reviewed By: (J ./ ( ; Comments: \ . t\ +, Ii ._-\ liThe 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. II '" . PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~~ ~e.Woo!) e.J( NATURE OF WORK ~<Wo~ h'IA'~ USE OF BUILDING Sf'D . PERMIT NO. 00 - 1010 DATE ISSUED , I -:l t-? -:;J..c::c:cJ " CONTRACTOR \-\r'I\)Cf" J:Sili1:9Q~ ~'2 - (//~ - 430/ ) NOTE: THIS IS NOT A--PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 4. I I ~/?/ tJ7) INSULATION i9:r. JiI7//)?) ELECTRICAL I I I PLUMBING Ji,. ~ .fIA~' &:r. I I Z/ 'JIb?> HEATING (if required) ~ , /;/i7/r FIREPLACE %-~ I $t ~ 0\ GAS LINE AIR TEST r::f, '- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I 1.1 FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical s~eryice ,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