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HomeMy WebLinkAboutBuilding Permit 98-0020 CITY OF PRIOR LAKE INSPEcnON NonCE SCHEDULED ADDRESS 5' g g 3 t!I1 /UJ/,v /1 (...; OWNER CONTR. PHONE NO. PERMIT NO. C FOOTING . C FOUNDATION C FRAMING C INSULATION C FINAL C SITE INSPEcTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DAre nME .2.;13,0/ ',€4066 ~. qr.ozO C EXlGRAD/fIWNG o COMPLAINT C FIREPLACE RI C FIREPLACE FINAL .0 GASUNE AIR TST C ~,-oS6 7716 PIU6 . DIJH I() j/V/1e;rIVlrV I. . C WORK SATISFACTORY, PROCEED C CORRECT ACTION AND PROCEED C CORRECT WORK, CA'f FOR REINSPECTION BEFORE COVERING Inspector: r L7IIf'/Wt _ Owner/Contr: I / .CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH cI: SAFETYI ~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~6f,3. OWNER PHONE NO. o FOOTING ~ ~RAMING r ;;;('INSULATION t\- O FINAL o FOUNDATION o DEMOLITION o FIRE PREVo ~OMMENTS: tJ;k, 0 t^- V Fr~ W OrfA.Ji . t}J u--U..s m. ~,Y\A~ 2-(' .~Ci J SCHEDULED c w.. dJ.- J CONTR. PERMIT NO. ^ 0 PLUMBING RI l~ 91'MECHANICAL /[j WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION n~r~ V ~M1J\ U ~K Y"'w~Y \J 0"'- ~ 0/1--- DATE TIME J-S - 1" 1;/)' fl;. &. c.. G 91-20 o EXC/GRAD/FILLlNG o LKSHOREANETLAND o COMPLAINT o SEPTIC FINAL A-~~ s: ~ DYIAW~ V Inspector: Owner/Contr: CALL 447~230 =OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQ'dmIMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 17/,,":':.~ .,-__/'.-J l.;~ OWNER PHONE NO. (\CJ~OOTING ~ I P- I "FRAMING ro v::J NSULA TION o FINAL o FOUNDATION o DEMOLITION o FIRE PREVo COMMENTS: ?\~,/ V ~ {W JlJ\),,\~ j)' ~11 r ty~ oY-r.( :H--- ~ hJ YI hY~~ U ~~- ~~~ 1:~'/)~ J~ ~ SCHEDULED DATE TIME '7 '/":~ j-! -/'/ c.3). SO cb l(ialc-<-.(kIC:I.tjz- / Ie \j ?P-f!X'J o EXC/GRAD/FILLlNG o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o tvr Ok- - I' ~ ~("" ~JCtJ.... A <:.. + r \ tCMvtIt tu ~L v(v~ , +- A)ol~ \J U /If Y d Llt\ u , {- fGet9 1Cd..e, \I CONTR. PERMIT NO. ~ ~ PLUMBING RI rJ" ~ECHANICAL ~ o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION evv.-rJ r~ ,ksulch ~ o WORK SATISFACTORY, PROCEED o CORRECT ACTIONn;PROC ED j CORRECT WORK, L R INSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-4~O FJR THE NEXT INSPECTION 24 HOURS IN ADVANCE. V CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! A ~ ~Uv\ -, ., ~s~ J7n-s ~ 4V1 r DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1',DAJE I ft / L' h- i5 "-::-, \ j'!. ,1 DIRECTIONS - "'_ :_ SPACES NU"1BERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please I-'nm UI r'ype-~ at bottom) 2. SITE ADDRESS (1 \ _ .:J-1{ X:\ ,-c."L,~ c..\' ~ c'- \ If.. i A c) ~ 3. LEGAL DESCRIPTION f} \CC~\ \ " c .~ "[, PID 06 . d91f'O;)R () LOT BLOCK ~ (L/I C;p / yt , I. ~AddreSS) tr- \ Ie k e u... \ '-.e...,! (Address) CSG< ,V\ e ') v (.....11./1 ..A ADDITION 4. OWNER (Name) t<! 0 r1 c,-I ~'\. 5. ARCHITECT (Name) (Tel. No.) )/Ya -- 7 Ys-S- (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) . 7. TYPE OF WORK Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement~ New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No L White 2, Pink 3, Yellow File City Applicant a()_I'~{) Permit No. -t-O ' ' L 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 (,PI 'J, <XJ, uti 17. CO~PLETION DATE I hereby Ce;ify 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 ention~d property anel that all con~ruction will conform to all existing state and local laws and will proceed In accordance with submitted plans. I am aware that the buildlng offi ial ca~ revoke this per nit,-r just c se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform 19edei'nsp~ons. X I : LX (JJ-f\ ,I. OA..l l I L. 9 ~ . \"1,gnature - license No. . Date - Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ ,. Aff ~. ressure Reducer .......................... $ Ar), ar pAID h:;r t/l.J,--I eterHorn................................... $ j.~r), a; I?AI If k, 4f:Ir:0?f aterMeter ................................. $ rI' Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ j( f. .l..3- Paid r:; q . ). ,~ Receipt No. ~ ~ \.) 31 Date I. 1(, . q ~ By _-I that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requa:d. as document when Plan er const~utes a temporary Ce~'~ te ' g compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. , I I L'1\'9' lanner Date Special Conditions rt any FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front 8ack Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN U~OF BUILDI~G '. . 6 ~ /....... 'V"'t t..J . (')00 PERMIT 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 ................................... $ R'7.7.. S- Plan Check Fee ............................. $ State Surcharge ............................. $ 2.C)c> =~~~:::L;;;:;:;~;.;':.WhM ~'" By ~~U1 CL Date I - ., -qB Certificate of occ'ncy Issued 24 hour notice for all inspections 447-4230 MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS ,J:l----SETS SURVEY 0 COPIES PLOT PLAN 0 f'1) 5- ty- () LO ~5 -377 CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 q'l -' ()~ 0 fUD HEATING APPLICATION / PERMIT Date / ',.) - 9 t PID # .;. s.~ .} v}0 JJ.6'. 6 Site Address..'5" g R ~ C' ~ (' cl/~ ( /(1 de; ~ 1./ Lot 7 Block ~ Addition (~. 1U:Ly..-" I V Owner's Name, koy\. k!{)r\.-!-- LIllo ... Address S't; (ss ~ (fc;.rcl"Ace! !(,'c/q e' , Heating Contractor. t11 +C'~ l l TV Address. / 9 d- (p 6 /1/} v~tL i 0 u ) V"' t.lel () - ?779 ...., ? /"" c:: / ?-i'""'\ -: I .; .......". "-' oJ /-J I2LE, C.J;. '0 ,r- ~i'/<: l<2 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 Flue Size Supply Openings 5 ;2 Return Openings Input Output Edr. JYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Contractor \A.l\I 5'C) 'i . Single Family Commercial Two-Family Industrial Public Multi-Family Other ~~.,-, 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 $39.50 $39.50 $39.50 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 puildina oermit lli!mber 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. Cfm. Other Devices 6' c.i <;' /,' A ~e ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL '~Dr h....-fJ/'~ 1: r":-(J/~'e e 447-4230 Atteiations .; A f TYPE OF WORK n__I_______.. n~placemem New Construction Repair Est. Compo Date Building Permit # :> C C /~ ~ (. ) u .50 . A 1"0 Q( -.J Receipt # ~/ <,), (,../,7-' .tS "----- J '-' Est. Cost $ q/? 0 {)\O HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ '[);..AJ '1 5 ' !?y P'-,?5'15:7 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work wili 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 ~~I/ork which r"es review and approval of plans. fh ti. /.1/;/ (;).ffc~<- / 1_ .? - 9~ 'an~ . Date ~ r) ~~~ rid V)!: Building Offical's Signature Date 1- rklTY OF PRIOR LAKE ~~~ PLUMBING PERMIT \pl Applicant: .HII~. L rD . ! f7,Phone: Address: / f J(Pc) )11 t-L..'\/l f6-4..J/f... /c:P, V'r. 'd( . /~ rJ !) ,- --:--j Signature: Legal Description: Lot Block Sub ; Site Address: 5.><R ~ C. c<.'t^c!, VI,:;" ( ;(, V C( 'E'. Building Permit # q G. () ,.~\ () ~ID # ~ . d~) 0 0 0., X . c) I {) ~ ~ NOTE: This permit will not be processed without complete information. FIXTURE UNITS 1. Blue File 2. Gold City f P 3. Yellow Applicant . f # q 9 . 0 (J\ 0 ijo/tJ 3777 LCLt-,c. )Mv<-/ . Thr ernlr' or Ihr Lob Counlry , ~,-...,J Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Floor Drain / I Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) / 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 $ $ $ ~9. S"Cl $ .50 GRAND TOTAL $ Y'd d C) This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of ~ State Plumbing Code and the amendments,.t1lereof. ..:5 /.~'1:5 RECEIPT NO. --! . I ~ ! "6 DATE >:11/.'/'\ ATTEST Call for all inspecti6rls 24 h~urs in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer White . Building Canary . Engineering Pink . Planning Thr Crn.., of Ihr Lib Country BUILDING PERMIT APPLICATION D.EfARTMeNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ /~ @J /. (p J! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " /7 ) l5ER3 0AA>/'~ /Ct'c(w -t;~ {:/V Accepted ~. Accepted With Corrections ::::::ed BY(} ~~~ Comments: I. {(t>a.J. ./...~,{t loQ_c::...QIM~IA\- .Duic:. k t-Lc...Jout- L. U r dCL\~ 3Mok.e.. of~-kc.to~'5 p"'r 19'1"-\ U~ Date: /- /-9~ "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 Th. C.nl.. of th. La" Counlr:r BUILDING PERMIT APPL.ICATION OEe,ARTMENT CHI;.CKlJSI NAME OF APPLICANT APPLICATION RECEIVED -f.. ,:/1'1 ! , " ::/ <. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( /' I , c.. Accepted l/ Accepted With Corrections Denied 1 A Reviewed By: (/){/)4- ~~ '-V . Comments: /' /JAA) -{;1 ,()(j:.( /h.~i) Date: I/Q!7X , r ~ -()c.-L~~}-O v "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." P.RIOR lAKE , . ..;,~;U~SPEC""ION RECORO,.GG :' "'.. "',, ""',.':: ,-.' .'l';,~.',:':.'.c.,J"",." ..,....~ ,':..,.r'~," . .. ',' " . :,' :;:. ,.~,,"", .. "., ..,','..,,', DEPARTMENT OF BUILDING AND INSPECTION .. ':l>G/!~~T~~~~~~k~..l- cr::~~d.\ .~~.....\ "-. USE'O'F BUILDING ~:""e.& t.....~. tla.."-a.f'lLJ PERMIT NO. <18 -OJ-/)- DATE ISSUED 1-,-48 CONTRACTOR'. ~~'tIatl(~ ~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~~ ;.,'-".. ---- - - ~ - I I I ;t.i'~:~PLACENO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I J FRAMING .INSULATION ELECTRICAL . PLUMBING HEATING if required) f\ l/('J (\ r ~,..<;. A:i I {JJ v 3kl"l' ~ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS )/ 'I I I sf r ~q I I 'j' . . BUILDING .....;'.J " ....... ELECTRICAL PLUMBING HEATING '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 have been approved. On buildings and additions .' ':,where no service cabinet Is avallable,cardshaU be placed near main entrance: . Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-4230