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Home My WebLink AboutBldg Permit 00-0220 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE ~oa TIME ADDRESS ,ll.l"Ii q ~ rr- . OWNER CONTR. PHONE NO. PERMIT NO. O-o';l..")..o o FOOTING o FOUNDATION o FRAMING ~SULATION ~ ~!NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: '"." ^ (I (", Q, (.;) -UJ.... t) r t... ,4 O.f.. .Ls . , -. - ,'II.. A.~ t:h,t .1 r )( WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRETZRK. CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: ...:./ ,CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl 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 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 offi' can revoke thi e . for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ,~ . ;) - ;).3 -Ot:> License No. DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ..... '. .>,,-':' .:. ,', d -;1.5-00 /2../ FEB 2 3 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PI;RMIT IS ISSUED (Please Print or Type and sign at bottom) ,...........'.....~...........,'....~.'"..M.....i.f. ....... )'!<' ...............<.... ,.'"'' l!o'OJ./q ~/'t:u"kl/n ~I 3. LEGAL DESCRIPTION LOT BLOCK PID 25-/87-- 030- I I ADDITION M6 I t::::..::;:J /lAlL) li~. ' (Name) ., .. SCOt\ Co ).\~A- 80U~ (Address) 3~3 Na.u~K<<l~ 5.f. (Address) (Tel. No.) (t.1 J) ~oJ--9 O;J. ;;J.; (Tel. No.) 5. ARCHITECT (Name) .(~ (Name) (Address) t,.E.C.,c.,.(Tel. No.) .s-'l1--ti'-e&- H()t1S . oe q 'Z. P.L. L/l/O-7b8'g' ~ I.f /3t.f Co~.)/,Q/o s.../... s e: Fireplace 0 SeptiC 0 Deck 0 Re-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 ChimneyO Misc. ADD WALL! l.U>S6' UP D(;){)f2...W^'''h AQl) F. P. 8. PROPERTY AREA OR ACRES 9. PROP'ERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. Width Depth Yes No x FOR ADMINISTRATIVE USE SETBACKS: Required Actual Side Side Front Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION J..-lt>t'l.6t) USE OF BUILDING I J t!., , 19/~ ; TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 1. White 2. Pink 3. Yellow File City Applicant permitNO.~ 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 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES "--. Permit Fee ................................... $ 40. 'Z.S- 2(, . I t, Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... ~ Collective Street Fee .. ... ... .. .. .. ... ...... $ Sewer Tap ...................................$ $ City: Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ........'lof............................. $ Plumbing Perni~ Fee ....................... $ Mechanical Permit Fee ..................... $ . (,() \ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $-LIJ'7. 0 I Paid /IJZ- q I Rec~iP /1. t.3- tj3' Issued Date 4/ I ~/ CQ:; By This is to certify that the request in the above application and accompanying documents is in accordance with the City zOning~~ce and may proce...J:s requested. This document when sign y the C' 'PI ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certil~~-of Occupancy must be issued. t-2/iI9{) Date' Sewer & Water Permit ...................... $ "" A""'" Po"'" .fl.*" $ ~ () 0 This A~~mes. willlil ,g-Permit When ApE"oved. By ~ Date t!-I1.-?J)tTO Certificate of Occupancy ~~ Special Conditions ff any 24 hour notice for all inspections 447-9850 CITY OF PRIOR LAKE MC . ..., /) 16200 Eagle Creek Av. S.E. Permit No. tJ7.J -7) Z (.,A./ Prior Lake, MN 55372 Lot Block Addition Owner's Name S CA \-\.' t J) ~'(2...A- Address I..f.' 'J c.{ But I" ,.~'"zTdI'o.P 3..;L 3 N'14u Yh)(~ <;~. ~ k ~ Heating Contractor P .....l_. r L~ c.- 14+--410.. _ -- 0 Address . Telephone # Furnace Make & Model TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Model Size Conn. Load Fuel ~"'.f Supply Openings Flue Size Return Openings Input Edr. Output Other Devices . Cfm. TYPE OF WORK Alterations New Construction Repair Replacement Est. Comp. Date Building Permit # 110 - ()~Z,() Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 TYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Contractor Single Family Commercial Two-Family Industrial Multi-Family Other Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 PLEASE NOTE: $39.50 Air Conditioner Units Cannot $39.50 Encroach Into Required Side- $39.50 Yard Setbacks. 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 building oermit number before build- ing certificate of occupancy will be issued. HEAT ,CALCULATIONS REQUIRED 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. j/~ ppli<4:' ...t'... Q,i""atu re ~A-> B'rffical'S Signature Date l/- {2.- ~ Date White - Building Canary - Engineering Pink - Planning The ("t"fer of the Like Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D,q~e: C~O /Se.e;71 c::rv 1f1Z11-' .2../23 /00 / /' , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~ocl-q ~t::-L-lrJ 1/2-. , Accepted .!::><- ~ Accepted With Corrections Denied ~ RevieWedBY:(~ Date: t(-/2-~ 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." White - Building Canary - Engineering Pink - Planning The Center of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , , - /: , /..J./j )',~ L' J //5' C 6'77- l/}j [t __ 1"'1' r.. ./- I ' I -) j"''), /' Ii /" J ~ ~ ,,-rV C-ll/ 1-1/<: H / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / (~ c!"q , /i/vij:.:"_ ( / / v' ~/7~ Accepted V Accepted With Corrections Denied Reviewed By: & . I A ~ V -1 - .;.~/f?~r ~ Date: 2- r 2- CZ --tPj) 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Jlo.{)q 1 NATURE OF WORK WcJ..l USE OF BUILDING PERMIT NO. _' nn-:-(j2- ?-~() DATE ISSUED CONTRACTOR ~tf ~. 1-+ r~A NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~~ll'lA Ii=", ~ ~t"4.... \O~l' . - L.( - I 2- ZOOO INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL ~ s\ ~\~ I FIREPLACE' ' ~' I GAS LINE AIR TEST FP.., f lJ J:<d /rn7 COVER NO WORK UNTIL AB E H~S BEEN SIGNED WALLBOARD I I FINALS BUILDING ELECTRICAL _ Flr<; 'i>~l,^\.;l.qr (\:,,,~.,D. DO NOT 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 hal'e Qepn approved. On buildings and additions where no service cabinet is available, pard shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850