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
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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