HomeMy WebLinkAboutBuilding Permit 08-0993
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1(013 \ (-j c..0 ~ l %
OWNER 011t'\SlM. 1;-~ C"lCONTR.
PHONE NO.
PERMIT NO.
o FOOTING
fI JOUNDA TION
AFRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
J1f- MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
() /1 f). A
1.. 1{a../1(~1J _ ( ti~ (~te~
~ ll~M VAl'\'
DATE TIME
t*
7Cj~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r\,
l.~Wg
t
, l/1,
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o coiWORK' CALL FOR REINSPECTION BEFORE COVERING
Inspect 1':' h Owner/Contr:
, 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNOTl
~TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE. SCHE~U D t. / ,. 31?Of2
ADDRESS I ~131} I,~.~
.. . ~ ' r
OWNER CONTR. ~ ... q~ lit
aa-f~~ p
~ dcfJDh:ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS..LINF AIR T~ST
rK. ~NJ(;I
'-'" .,,~
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA W"J
"'fJl FINAL W"
OSITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING F.~I~.i
~ECH FINA~
COMMENTS:
1Y/tIA'S ~/I1J'~
~ ~d:5
Owner/Contr:
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/ D eRec'd
lZ /3 0 0
I PERMITNO'oe.o9QJj
# '
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sij1;n at bottom)
ADDRESS
~7:?/
While
Pink
Yellow
File
City
Applicant
Ifvy I? S.
5'(/# '-k /O<6P 'libr/~~,IYW s"S":?7.:2.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
$4rJ
/J? (/ e/.t:<."
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Jd!J2- ~e-'r~~ ~.5P"'c-Tn>7
.leU S~~~
t.//q J<,t.h~ 1J.e
(Phone)
(Phone)
PID
ZONING (ollice use)
C/:J.- 6/b- ~S3
'c1.2 - ..cti'.s--2.syy
IVG-C-V ~_~,v .>~..rY'
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdd]tion OAlteration OUtility Connectlon
CODE: DI.R.C. ~I.B.C.
Type of Constmction:
Occupancy Group:
Division:
I
A c.J) E
o Mise
II Aif)IV V
FLi?'I M
1 2 3 4
AdL)
R S U
5
PROJECT COST IV ALUE $
(excluding land)
'-/~ CJCJO
,;
Permit Valuation 40.at)o.~
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE('~ IZ/S/08
, I
I Paid
I Date
Contractor's License No.
$
$
$
$
$
$
$
$
-~;,~
5'17.00
375.05
2.0, -
Gas Fireplace Permit Fee
/1. r1 ^
fi '{l~~;n,p=;:~i;%;"
Hliilding Ofticial -- ~ Dllte
c,1':r~. oS
ILl 51b~
, ,
#
#
#
#
$
$
$
$
$
$
$
$
$
912 .05
Receipt Nfl. ~-tLS3
By 5L:~ ~~
I
T...hIS ]S;i1J1'fyh lh.e request In the abuvo.applicat]un and accompanY1l1g documents ]S 111 accordance with the City Zoning Ordinance and may proceed a~ requested. TillS document
;:::,~;~ 'I~ c", "ill"" ~' "m,,,,,,, C"",,,,, ,,' ~': 7:7:;" ,",," n"'.~""S;:::\S=:';~ ' ~:':~::" m,,, be
, . ~lanningl'7l~ I I bate Special Conditions, if any
~ ~ 24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
4646 Dakota Street Prior Lake, MN 55372
[lATE RECEIVED
CITY OF PRIOPl LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
/z, /7. 6tJ
Permit No. BP '0 -I 0 /7
I
. 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
~ 1 '61 +twv \ ~~ it I D ~ ,{{I vV' UttlL
3. LEGAL DESCRIPTION
1. DATE
/J-I/2-/o~
ZONING
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
f
LOT
ADDITION
BLOCK
PID
tf,il~V1L M6tM--YV\,~ II
5. ARCHITEtT (Name)
(Address)
L SC\f)'\,V
(Address)
...;13, TYPE OF CONSTRUCTI9N _
',- \ Vt.. S~ VlrllC-LU ~
1/\1.1:,. Nt ~ _ IS 41 14. FLOOR AR~A APPORTIONMENT USE
(Tel. No.)
~. 9UILqER~. (Name) (Address) () . (Tel. No,) 15. NUMBER OF OCCUPANTS OR SEATS
YIIt:-1Vl (jn~I41?212LL'DVlln.f-~, ,St.r'AJI, M,v.t;S~':5I.-c;C;Y-?;D > OCCUPANTS
7. TYPE OF OR Fireplace 0 Septic 0 ' Deck 0 Re-roofing 0 Porch 0 SEATS
New Construction 0 Alterations~ AdditionO Finish Attic 0 Re.sidingO Finish Basement 0 16. \RA,O~Eg.COOSOTNALUE
Chimney 0 Misc. } ..,~./
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft Width Depth Yes No 12/-;/ J D V-
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 l}7al can revoke this permi!.fOj,iust caJ~ore, I hereby agree that th~city official or a designee may enter upon the property to perform nej~llJ1-ns.
X LAAA,d ___ "Y-Y ~~ C/Ob? I Z/ /
~ignature License No. . ( Oa
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
re 26. DO
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I
III IV V
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collector Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn.................,................. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ..................... ...... $
Occupancy Group A B E F HIM R S U
Division 1 2 .3 4
Z8.2~
/6.:3&
.50
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ........................ ....... $
Other ......................................... $
:.l,;~:i:;'~. 7 fm~d ::;:~::::::::::::::::::::: :
By ~ Date Il.. ('f. ,Pj Other ......................................... $
'''''' 10=, ~ :::: ~~;;::~.....r ~:J I
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~ as requested. This document when
signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ce~e of Occupancy must be issued.
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-4230
Dee 04 08 06:29a
p.2
(Please type or prim and !Am at bottom)
ADDRESS
~ ~ 0~ll~~ -
LIlY OF PRIOR LAKE Date Rec'd
HEA1 uiG/AIR CONDITIONINGfFlREPLACE PERMIT /Z~ 4-1 Or'
rtll6 /;J( W..of[Q3
~. ~=w ~1~,=< I PERMIT NO. () B~ ()9q 4-.
1(.. n \ [-\.,,1.......'( IS s. .;k tl: 1"'2:> - ~~~ lili;~ 1;-1- ZONING (""~~)
LEGAL DESCR1r .liON (office use only)
, LOT
BLOCK
ADDITION
PID
~= ~lAV1-frk
(Address)
. (phone)
APPUCANT'V, I
(Name) \\~ (t1v..t<W1C\pillJ\(t)
(Address) 4/3 elcL~J ~.
(Add=)
(Contact Person) A ( :n ~ J I flI. A
APPLICANTSIGNATURE ~ ~;
(phone) CoiZ '-<;3(7 ' 84~c::'
,~ ~1Ib+ :5-sn5tJ
(City) (Zip Code)
(phone) (PI?, PJ17~ t018~
DATE / zlt/(j5
f
-...
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT "'1Z'/.~T~TIONS
FURNACE MAKE AND MODEL ~ctlU.. 12o;f.b Uwt Ytfu., g31A 3 E ,-f,1 OD2.fL FUEL A k f. &..5
FLUE SIZE IJ}A RETURN OPEN~GS ~. INPUT nCJ / bD OUTPUT q(;.,/4'~
/ I
TYPEOFSY~.Lr..J.'\II HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
o Grav ity 0 Hot Water
liSt MechanicaJ 0 Radiation
[3Air Conditioning 0 Special Devices
DVent. System 0 Other Devices
PLEASE NOTE: Air Conditioner
Uaits and Fireplaces Cannot Encroach
into Required Side Yard Setback8.
Fireplaces with Box AdditioDs or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE S~u.J!,uULE
l % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & AlteTations
$64.50 Residential, AC Only
$49.50
Residential. Heating & Ale (New COllStnlction)
Residential, Healing Only (New Construction)
$49.50
$49.50
Estimated Cost $ "1-. q 5' () .{)O Building Permit #.
-. ,
HEATING PERMIT FEE
STATE SURCHARGE
/ TOTAL PERMIT FEE
(Oftiee U:J'JJ ~.
N, fJ)1~ ~rBUild;ng ~~k1troved
Blilldilll! 0 'I --" Oati
$
$
$
4--9,50
.50
60.00_
\.I{.Ob..R. .
~.' .0
Paid30... ~
I Date /z-. /..5'. elf;
Receipt No~//~ C;
(J /
B~.
tJ
24 hour notice for.U iDllpections (952) 447-9850, flU (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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dlTfbFPRIOR tA{E ---- ~ ~
BUILDING PERMIT PLAN REVIEW (J / I
INSPECTOR f' ~ -- n r ~ ty,' i i
DATE PERMIT NO. 8. 99< ) ()Iv. ~ 0 vi ~
c . _ R & SUBMIT / I :; m
T1l1;;~ wrnmems ~re for youJ; infonnation. All worX shall be done /
in 4Jfi>~plianca wittnl!l 'Pp/icable building & zoning code re- ~.
quirements including items not spet~fically noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
HVAC UNIT SCHEDULE
NO. COOUNG
TONS
RT-1 3
CFM CFM
SA OA
1200 136
I
HEATING
MBH IN/OUT
115/92
* MINIMUM OUIDOOR AIR REQUIREMENT PER ASHRAE 62
B PEOPLE x , 7 ~ '36 cF"M O.A.
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS l~{ ~ I ~l..v1 I~ S
NATURE OF WORK 1-~ NA~ FINIS~ CA~~.,J '-C.fAc..oNl...lr Itz,olveL..
USE OF BUILDING \ I c.. 100/ J2. . , .
PERMIT NO. n8. 0 9'13 DATE ISSUED t-z,/s/ ~
CONTRACTOR ~~F- ~.,~ ~,s.ra.. PHONE w 1~"'bes.'Z. s+~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ 1NSPE'''''wn
....(p:lor to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
,
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FRAMING
INSULATION
ELECTRICAL
...,
HEATING (if required)
~ Avc\eJ.-e-- p.\JL.Y~ ,
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEFN SI9N,ED
I St>t1-(,vIL.L~ ~lNAL- 1 12-1<+:1 l/f~//)9
FINALS
or to Sodding}
fl. ~.
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BEEN SIGNED
t r
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f r
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
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.
FOR ALL INSPECTIONS (952) 447-9850
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INSPECTUR I'-M'_r:~ )Str,IJe-r~
DATE_. _~ ~MIIN6. ) .~........
D t'.CCPTED AS SU[~MjTTED #-(2 ~ft;rp ~~r/U;jJt.
~ AC1._PTED ~'~~T , :;:ORRECTIONS AS NOTEi9/t/ f.;C/~ tJj(
o NO ~ 5\CCEP IlD-L. URRECT & RESUBMIT A/~ ~#r"~r-: MY ~ ~G:' ,,'
Tr.ese co. r;Gflts are for YO:H inforrnation. All work shall b<c, d6ne. '.-4 -"""~.. _
.;-) full COPi ""'nee with b!l ;y, iicat~e building & zoning code ~/~ ~ -6 65:-. ~ .....0/---
julremenl: :nducJ;ng i';:lir~,)t spf,,-ifically noted in this review.
KEEP THiS ,'LAN ~3:'T ON Si;-E AT ALL TIMES.
-