HomeMy WebLinkAboutBuilding Permit 99-1102
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, ~/ SUBURB
HOUSE HEATING TEST RECORD
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ADDRESS ~/'!J!~!/!(ctt1{/-r:!J;' /"'//?Jv ~. APT.
OCCUPANT' I /'/://///.r;(:,~~ nWNER,
HEAT LOSS ~ DAE G. IHST. Jf ~./"'~ / ~
SOLO BY , ;::::: />.J~ INSTALLED BY T};J/ A/J
, -.,. ""\L-.-~ - -/. v
Electrical Work By . Gas Line By / /
TYPE OF HEAT GA FA '/'HW STEAM SPACE HTR. UN(THTR.
FLOOR
CITY
OTHER
MAKE
Model
Serial
IHPUT
GASj}E~19N
~.A"'f /7..../ -
t}?; jJ/71 /.-A/ ft"!
v v / '-:/~PP'./?'I W X c;,P~'
5?"::717T/?j: /' ? V /
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CONVERSIOH
MAKE OF BURNER,
Mod.1
MOll. BTU Roting
MAKE OF FURNACE,
Model,
/
;/
/(
~7' ~~ONTROLS
THERMOSTAT, r- A -:? ~ Plug
Va Ive "::-:7........./../t""
//7 -' ./ , -
Limit Y' ) ./
I 1/ '-" / // e:--
Limit Settirfll //:4.. /' /
/rrv ~
Fan Setting - . -r /
Pilot Type t:::E.?.d ~ '-:.-
Pilot Make C..-~/::~P!::
Pilot Model / / Smoke Bomb
Pilot Timing ..:::: J / c--rPb7 Draft '
,'r/'"'L-
L. W. Cut Off . ,- Door Pressure
"J .,-_/1 / 'v;'--/ /7......
Pressure ,J" / ~~. . Percent CO 0/'//. P-- '-, Dale Testllltl
lnputCFH ..?,,,?,/ -, Percent 02 //'r~h Company Testing
-?1 -7/'JI tV 2 ~ - ,.-
Stack Temp. _ ./'--,./'-14 Percent CO /Y' Name of Tester
- 'V -"
Form 235
/', .---
7'/~'
t/ N
KIND OF L1NEP . SIZE /' .~liO~~" i- .-c,..,
Draft Hood .. I -7 {/p gUlafor41>t..(,/ ,/~;r-;?
Fi Iters Size / gy ./' ,). I ~umber ?' /
;''' / "1 ",,'.. / ,/
Chimney Location' Inside' Outside
Chimney Construction r ~ <,;-',.
( 'f ..~ .
1
~
Vent Size
.\, Wiring
//1, Test Tog
:_ /~Li9hti~g Inst.
f; ~.c.r -~/- ".)/;/ 'j/ .-
,/ 1---:-' -~.. .-
~;; ~ / /_ _I
/ . v-y /d; 'P~-01-/
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~-:~ CITY OF PRIOR LAKE \ ,(~q;
-~~j 1Jgepartment of Jluilbinll Jn~pedion \ ~:
l)~~ )QFinal Pennitted D Conditional C.O. Expires _ _ _ I:
Il":~' This Certificate Issued pursuant to the requirements of Section 307 of the Uniform BUlldzng Code ';~. 1
~ \.1 certifying that at the time of issuance this structure was in compliance with the various ordinances of the ",N:".:." J
City of Prior Lake regulating building construction or use. For the following:;: )
Single Family ,99-1102 N J
Use C1assificatiol' Bldg. Penmt No ~ '
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Occupancy Type
R3
Zoning District
Rl
N/A
VN
Type Construction
Fire Zone
Legal Description
L7, B2, Carriage Hills Fourth Addition
Owner of Building
4498 Chestnut Lane
c;ile Address
Conlractor'sName&AddressC.R. Partridge Homes. 14696 Landau Lane, Prior Lake, 55372
~, f'ily Planner
Dale:
Robert D. Hutchins
/ I i/~iio ~ftiCial
Dale:
Jenni Tovar
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
, SCHEDULED
DATE TIME
11/'J3!/Jd
A-I;
ADDRESS
<!L/9P ~:f~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
)iVFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~ ci ~
_,k/ ~ ro2 ~ c?~ If
~--'-_ 0-' ;;1:.. n_,
I"'
~d-
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,
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I,,,,.,,,,..~...'h...,l._
'19-/ID2:-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
61~
,
.__...1:1
~.
fOWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~(
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
.,.,___.__._.....M.._.....__...._._._~.'_m _ _."._'_~___.,..,_.....>"~...,_.._'.......,_~.___
DATE TIME
CITY OF PRIOR LAKE ~.'R 9:30
INSPECTION NOTICE SCHEDULED
ADDRESS 4c..t~f) (' .1 ,~.J.n,uj- LJJ
OWNER CONTR.
PHONE NO. PERMIT NO. <19 - Itoz..
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION ~ECH RI o COMPLAINT
o FRAMING A A TER HOOKUP o FIREPLACE RI
o INSULATION p... SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMEN1S: :l .
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('I I~ tL ~~_
c; J::t- A ~ 'r\. 0 k..
fAf) f ~ 'pop
Wr~ Jr'~1'
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CEED
'.L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-9850 FO ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
jJ-/4--a...J
ADDRESS
449~
c),RST/1/>,-1- .Leu}p
OWNER
- -
CONTR. c.;e - ~f.f:.r,?Li e
v
PERMIT NO. 99 -1/ t/Z-
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
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
COMMENTS:
"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~)14ff ~wner/Contr:
CA~447-9850 FO;-TH~NSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~
TIME
~
ADDRESS LJL/ OJ t CktS ~ ____
SCHEDULED
1ICJ5
Ar
I L
~
)
::::::::::::::: ----
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
Jl1 ~WER HOOKUP
11 PLUMBING FINAL
MECH FINAL
COMMENTS:
t>w.o A~ I ~'P
(V (~Li OJ{, Yl- :>~~
j,,~^
v ~
cl. UA.\"
ClA---'
/
/
Inspecto .:
Owner/Contr:
CALL 447-9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REQU)REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
J- INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'-11~ ~ IU.4
OWNER
DATE TIME
tS/;c;/co 3:CJo
PHONE NO.
CONTR.
PERMIT NO. q '7 - / / () z...-.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION .... \ ?--
~ FINAL \"'1.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ 0 PLUMBING FINAL
cd Jil> MECH FINAL
COMMENTS: (f) ~ ~~ ~~ ~ ~
0~~~.ff)~~~~,
~)" ~ ):f.,~ ~ ~ ~(., ~
~ ~,f5-J) ~ U~~ ~
~ tAAT~ ~~ jJ~ ~ ~
~~.m'~J~~~,
~~ - I~~ l.~
?fJJ:k., IJ~<-'O ~ j?~d- .
7.C,lJ, TiP g-/-ov
6J;5 ~ A((r
J)rL4UL - 2. F: PI
-r: C.o .
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLlNE AIR TST
tJI---
- WAc. M'T~ I - 1VlF\1 r4 '
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~l
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE Rfr.~lVEQ
9 /3/91
. 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
44q~~~ ~'e-
3, LEGAL DESCRIPTION
LOT I BLOCK
ADDITION~. ;. \ ~ ~
1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No.
99-//() 2-
1, DATE
" '"- '3.qq
R-/
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width)
(Depth)
PID
Lit:=:
25 -3/4- - 0/9- 0
12, NO, OF STORIES 'Z-
2-
~\\$
(Tel. No,)
13, TYPE OF CpNSTRUCTION l
~~~q\~~\ ~
14, FLOOR AAEA APPORTIONMENT USE\
4, OWNER (Name) (Address)
S~~ ;- . "'- ~ ~l ^-'-- \ '" or-
5. ARCHITECT (Name) (Address)
~\\\D.? ?fA-z.tI\.\~
6. BUILDER (~a~e) r _ (~ddreSS) . (Tel. No,) ,. 15, NUMBER OF OCCUPANTS OR SEATS
6-, P-...?~ -\"F'\dS( L ~~n f: 4Lf1-lC04b OCCUPANTS
\t.\6ct~ ~ ~/ ~~ 1~V\.,~72-SEATS
7, TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New constructiOr}l' Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basemelllu '" 16.~OJECT COSTNALU~
Chimney 0 Misc, <0( \ ~.r~ ,..--
8, PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10, CUL VE~E 17. COMPLETION DATE
Sq.Ft. 'o..Og~ - Widtht3D Depth \-z..b Yes U!Y' ~_Lt. f\I'-O"
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
:Ui~, FU~hermore. I hereby agree that thtL~~ a designee may enter upon the property to ~o.:"~~~~ections,
-'" ~.::::;-~~ License No. Date'
(Tel. No.)
4"-'32:<- 2L:> if Lf
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
SFD
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO, PLANS & SPECS 0 SETS
SPACES ON PLAN 1'10 , 000 . &0 SURVEY 0 COPIES
PERMIT VALUATION I~.OC}O.'::; el PLOT PLAN 0
Meter Horn ........5Js;.f..................... :t,
Water Meter ........t:>....................... $ I '"15.00
Sewer & Water Connection Fee ........... $/, ").C>O .6>0
WaterTowerFee ........................... $ , 700 ~c:>tJ
Water Tap ................................... $
Builder's Deposit ..'1)'....:.................. $...1...5L2i'l- O~
Other ...:rr.~..r:m.................. $~ ,cO
Total Due .............................. :t B/09. 41-0
Paid 81 oq. (.If:; ReceipW~, 3& tI- 7 t/.-
Date 0 /f~ By
Tho tJs to rti,fy that the request in the aba, ve application and accompanying documents is in a ccordance with the City Zoning Ordinan ea,nd ~ay proceed requested, This document when
sign y ~~nner.Ao_n~utes a temporary Certificate of ning compliance and allows construction to commence, Before occupa~cy, a Certificate of Occupa?cy must be issued,
-',/J~ . - ~UZJfO/J ~~ ildd~J .:1sJ .0
. ity Planner ate Special Conditions ; ~ -,- -. v---"
24 hour notice for all inspections 447.9850
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
'10 P3'1. ?_C)
lO~./1
?O.Oc
Plan Check Fee ............................. :t
State Su rcharge ............................. $
Penalty ....................................... :to
Plumbing Permit Fee .r.'!.::.!.!..t?.~. $ / 00 .06
Mechanical Permit Fee .??~!!..~.? $ (0(') . 00
Sewer & Water Permit .r1.-:!(q,."?:. $ '65 .~-o
Gas Fireplace Permit 99..::/.((?~.. $ (JU . DO
This ~~#ecomJ(fur Building Permit Whe9 ~p~ved,
BY~, Date 9-tD-'(' if
Certificate of Oc~cy
4~~~
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
5;" $
Pressure Reducer ..~..................... ~
~S'-O .0-CJ
I b ~C) ....&0_
l./S. fJ/J
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. CJ'l-/ }02-
Prior Lake, MN 55372
PID" 2-5-314 - 0 Iq- 0
t\'\tS~ \ l+ l~ ~. ;e I
1-111.,(..,6 4- TH
S6~l~
SSltd1
CabS [..'JIl v
ptfP-
Model Size
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hal Water
Radiation
Special Devices
Conn. Load
r\'
Fuel \J.ut. bls Flue Size '0
Supply Openings /3
10
Return Openings
Input ~: 000 Output I ( : WJ
Edr.
Other Devices
Clm.
TYPE OF WORK
Alterations
Replacement
New Construction
)(
Repair Est. Camp. Date
Est. Cost $ 5(900.~ Building Permit"
HEATING PERMIT FEE $ w.-t50
99-/102-
~--'
~ p~\O '/'J\1'H
aU\\.O\NG pEI'\\.\I\
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
105- 00
Receipt #
"
qCfld/3D ftltE. O~YPE OF STRUCTURE
1. UIN'n
J. Yellow
Lily
Contractor
Single Family
Commercial
y
Two-Family
Industrial
Public
Mulli-Famlly
Other
Fee Schedule
1% 01 jo~_~ost($39.50 minimum)
$ .
,\
$6,.
,; l
$3~. , \ OEC 2. 1 \999
$3~.5 \ \ ' .
Residential, AC Only $39. \, __.." .. ,./
----~--
~- "'~
Remember to add the Stale Surcharge on Ihe bottom ~--
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alterations
The price of your heating permit includes one rough-In and one final inspeclion.
Additional inspections will be billed at $35.00 each.
HOl/se Heating Test Record must be submilled with buildina oermil number before build-
ing cerlilicate of occupancy will be issued.
HEAr ~-Al~J.Lll\TIONS REOUlal;.Q wilh number of supply and relum openings listed per
room with CFM's per opening. New slructures 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
447-4230
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; Ihat this form does not become a permit until signed by the BUILDING
OFFICIAL; thaI the work will be In accordance with the approved plan In the
case of all work which requires review and approval of plans.
~~
AP~~~
B
1rJ.-d.d.-qq
Date
12-/Z 7/99
Oat'
FILE No.410 12/22 '99 AM 11:11 ID:D & D MECHANICAL
~6rPH/()/j;'~
;::~j/ ~~'-;J
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......-_M._-.....
FAX:6128904650
PAGE 1
ITY OF lOR KE I 11IIle I'll.
e ,p R LA ~: ~::;~.. ~~~Ucalll
PLUMBING PERMIT PPNII,..__~9-I/OZ-
Appl;e"nt D + /) ill E(!.J-I-. ('AJ,+ ~ ('1& ::;' _ 3 '/ ~;."ff...~ ';l 8'__~
Addre:,iS: _:1'11 w .n...fe- t:;r. .JJJ.-.E- . . S.s.:~2' __
Signaluro: ~ '~~~..' ~_' ..,,__ ~
Legnl I)escriplion: Lr)l _..,..___ 7 __,_Block~, 2. _.Suu __,(/(1@.e./.tJ9EjiJ.u.s ~J1I
Sila Address; -3..!I.!1.-H..,~ (iJ;:;i;ii:':;A ~I' t_.~~.",....,._._,___!?:(_____
Building Permill# ~ 9 - II (/J .;a... .__"..,~PID ff,,~_.;s.(c./-- OIef.::O
NOTE; This pannil will nal be processed wilhout complete informcJlion,
FIXTURE UNITS
t ftt r:'"lu I" lh, L.... Co",.,"
Quantity
r::J
J
I
t(
,
,;l
02-
J
I'ypa L" Filllure
Quanllly
Type 01 Fixlure
Oath Tub with or willloul shower
Dishwasher
['=1C'l1r (')r:,it I
.3
I
ROIJgh.ins
Walar Healer
Wi\lor :~,\1I1 \111
Stand Pipe (washing mactline)
Sew aye EjfJClor
Lavalory (balhroon I si"k)
LauntJry Tray ('1 Or 2 compartmenl sink)
Shower Stall
I
Backflow Assembly (APZ, Double Check, PVBJ
Backllow Assembly Tesl
lawn Sprinkler
Otht)( SCA.'"'f + Ie, m,.,K~..L
Sinks
Bar SInk
Waler Closet (toilel)
~
FEE SCHEDULE
Induslrial. Commercial!:', Multi-Family
('I % at job cost. $39.50 "Iinimum)
Residential. New One 8. rwo Family
Residential. A~dlllcn$ & !\lteralialls
Slalo Surch<1,.gl~
$ .~,.
$ ~2..2)..,~ ()
$
$ .50
1'/. ~
Ijltl ~ ~
$99.50
$~9.50
GRANO TOTAL
$ I tlc1.~;"O '1J\~ ~\\ '
r "''"'' G pe.~
vaU\\.O\~
'I lis permit is ira,IIC<! upon Ihe c,'prclu CQIIJiliulI lhat said
l ,lIlnl\;lor, shall cUlllply i~l all respectS with the onJinallcl!s
I Ihe SHlle f'tumbin II.! the alllcnl.!rnen)$ lhereof,
-'u.".__ 12.foz. ~/t?tf b^"~
,..~_.. ATrEST
',:::all fOl' all ' IspcctiuII,'1 24 hours in udvam:c.
16200 Eagle Crct:.k. Av, S.E.. PI I)!' Lake, Minnesota. 55372/ Ph. (612) 447 -.~2JO / FAX ((j 12) 447 -.L:'15
An Equal OpportunilY E,"pluy.:1'
99-//02-
Th. C.nl.r of Ih. Lak. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
c. /2, PAR /~/De3Je;
q/3/99
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4,"'798 C#EST/V(/"/ LA!
Accepted
Accepted With Corrections ;;<
Denied .2
Reviewed By: ~_,JJ~ 4-
I
Date: q -/() ~ if !
Comments:
/.~J aJ:kcU U ~
"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."
~7'7- // C Z-
Thr Crnlrr of Ihr L.kr Co..,"
White - Building
Canary ~ Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
C /:::.:' J~//k:'7;C I.O~lL
1/_=3/10"/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4498 C.'/Ic:':' / /t/c/r- L N1
Accepted
/
Accepted With Corrections
Denied
Reviewed By: .bi.a.u:,:-tt ~:SM(/N'v
Date:
, I
, //'5 /99
I ,
Comments: J<\JNflFF
,
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l),/LrrY ~.s. AS
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3. f:ltoSIO.u C.ONTnOL- MEAsutt..E:S
4. Ln.c.s'o....... Ce ~T7t.oc- R.A^-.l
"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."
:.,';~;f'"""i'.~:?';o';" .t'r"'v-~:"""'.onY":F~~1>-'ti'T,.., ~,:"I'":~~",,: ,'V'~'
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Thr Crntrr of Ihr L.kr Country
White - Building
Canary - Engineering
Pink ~ Planning
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED,
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I.:
V
r-- -
Denied /) /J/ A ~
Reviewed By: (.j/~" ~ Date:
Comments: A-( t (),., rl- Ct!L-f'mrrt ~CI1JcuA
Accepted With Corrections
r-dO ~7
/0' :SItU Jurds
f
"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."
'~**~
,* PIONEER
~ engineering
*~**
September 3, 1999
Civil Engineers · Land Planners. Land Surveyors · Landscape Architects
Ms. Jenni Tovar
City of Prior Lake
16200 Eagle Creek Ave. S.E.
, Prior Lake, Minnesota 55372
) [g@[g[]'0@:i '
SEP1E&
RE: Preliminary Tree Certification
Lot '7, Biock 2, Carriage Hill 4th Additiun
4499 Chestnut Lane
Prior Lake, MN (Scott County)
For: C.R. Partridge Homes
Dear Ms. Tovar:
This letter isto verify that C.R. Partridge Homes has abided by the City of Prior Lake's Tree
Preservation Ordinance on Lot 7, Block 2, Carriage Hill 4th Addition.
During a site visit on September 2nd, 1999, all the significant trees designated to be saved were
observed on the lot, and appear to be in good health, except tree # 8 (18" Basswood dbl) which
has sustained major storm damage to both leaders and should be removed. It was also observed
on the site, several smaller, non-significant trees that would be worth saving.
The proposed house has been staked. Tree fencing will need to be placed outside the dripline of
all trees to be saved. It is not anticipated that future grading or construction will affect the
remaining trees on this lot.
If you have any questions, please call me at (651) 681-1914.
Sincerely,
cc: Homes by Chase
John Larson, Pioneer Engineering, P.A.
2422 Enterprise Drive. Mendota Heights. Minnesota 55120 · (612) 681-1914 . Fax 681-9488
625 Highway 10 N.E. · Blaine. Minnesota 55434 · (612) 783-1880 . Fax 783-1883
~~
~~
CITY OF PAIOR LAKE Me
16200 Eagle CreekAv. S.E. Permit No.,
Prior Lake, MN 55372
qq., (102-
HEATING APPLICATION I PERMIT
J.../:J-/loJ PlOt 25-314-01'1-0
t.!.!&f (I~ 1-11.61- ,t~ IZ-/
Block 2- Addition. tA UJ A6 e HILLS +7H
&,1ad;'UdgL/
Dale
Sile Address
lot 7
Owner"s Name
Address
HealingConlrac1or ALLIED FIRESIDR dba FIRESIDE CORNER
Address 2700 N, FAIRVIEW. ROSEVILLE. MN 55113
Tfliephone' 6.51-633 - 2 5 61
FIREPLACE
~ Make & MQdlll AIa.r AJ ('; ~
M<ldel Size ..s:L <..g;vrx. / Si.JSbl)yT
I
Conn. Load
FUeJ~
Flue Size
Supply Openings
Relurn Openings
IAptll
Edr.
Output~.CbJ Iu.OD'J
, .
Clm.
TYPE OF WORK
Alteralio.1s
Aeplacemenl
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
, Air Condililning
Vanl. System
HEATING OR POWER PLANT
S!eam
Hot Waler
Radialion
Special Devices
OIher Devices
New Co nstruct100
J1
,
Repair Est. Comp. Date k~1 ci)
Est. Cosl $ ~;)OO.~ BuUding Pe'm~ II qq-Il 02.
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT fEES $
.50
rPAtOWrt'H
R . \ BUn.OlNG PERMIT
QCSlpl ft.
TYPE OF STRUCTURE,
1. Pi".
1. Grern
), Y<I'-
en
!D
. Ale ~
. el'J r+
C..Illr8CIO !II
'<
S ilg Ie Family
Commercial
'TI
1-"
,
!D
Ul
1-'-
a.
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o
,
~
!D
,
Two-Family
Industrial
Mutri--Famlly
Public Other
Fee Schedul&
Induslrlal, Commercial 8. Multi-Family
Residenlial, Heating & AC
Residenlial, Healing Only
Residential, Gas Fireplace
Residential, Additions &. A1lerations
Residential. AC Only
1 % or job cost {S39.50 minimum)
$99.50
$64,50
$39.50
$39.50 : FEB 2 2 am
539.50
~.)
-.......
Remember 10 add the Slale Surcharge on the bottom 6nfiiS-8pprq~on: -"
~-"-'-..- --.. --~
The price or your heating permit includes ono rough-in and one ftnal inspection.
CD
U1
.....
Additional inspecUO!1S will be billed at $35,00 each.
CD
Co)
Co)
OIl
OIl
House Healing Tesl Record must be submitted with buiIliir:Ig ~ IlImIImr belore buid, ~
iog certificate or occupancy will be issued.
l::lfAI ~CJJJ.ATIOf'iS REQUIRED with number of supplV and return openings listed pI
room with CFM's per opening. New struclures or additions send noor plan whh supply
and relurn 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.
'TI
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,
N
.....
,
o
o
City Hall business hours are 8 a.m. . 4:30 p.m.
,
ALL WORK MUST BE INSPECTED ~ROUGH.rN AND FINAL}. CALL CITY HALL
447-4230
.....
.....
..
U1
r hereby apply for a mechanical syst&ms permft and I acknowledge tnal the ~
InformaHoll above Is c~mplete and accurate; thai Ihe work wtu be in conformance y~
with th& ordinances and codes or the cUy and wilh the slale building(mechanlcal
codes; thai this form ckJes not become a permH until signed by the BUILDING
OFFICIAL; Ihal lhe work will be In accordance wilh Ihe approved plan In the
case of .all work which requires review and approval of plans.
, j ,
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to
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, , Da},
Z./2-3/00
Dale
--
.....
PRIOR LAKE
..
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4418 C-~0\- 't\A.
NATURE OF WORK' d\J-f'LA\ ~,..u..l\'t./'--1
USE OF BUILDING S\='D
PERMIT NO. crl-11 n 2 DATE ISSUED q-IO-'j I
CONTRACTOR ('. R.. PoSt f~ .
NOTE: THIS IS NOT A PER'MIToFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I "'rD" IlJ. /;~
FOUNDATION (Prior to Backfill) ,q;v.e+tu~liz/I'i DI"A~IV77(l>{ f8 1I(/-rfJ'
PLACE NO CONCRETE UNTIL NBOVE HAS BEEN SI!3NED
ROUGH - INS
SEWER I WATER I SEPTIC ~. /11'z./f~
FRAMING ~
INSULATION (~ 2k-.r/cv
ELECTRICAL ~
PLUMBING (/J) ~/-zlofl
HEATING {if required) V /rJ- l!..;)/ac
FIREPLACE ~ ~/d s(oo
GAS LINE AIR TEST I b:r I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ ~ hv-, I qu, ?jZ<1I~1
FINALS
GRADING (Prior to Sodding) . L-. L... L I
BUILDING 1/!;.8i (J"/"/tt) I?fi {~/I!/ ~ ~i
ELECTRICAL
PLUMBING iJa/;/ d>
HEATING cifff
" I
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~/8
l bl,c;jcJb
I (lIt/lib
jJ j,'fltn
, I
6//9/trtJ
BEEN SIGNED
_ 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850