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 ~.
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C EXlGRAD/fIWNG
o COMPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
.0 GASUNE AIR TST
C
~,-oS6 7716 PIU6 .
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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:
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SCHEDULED
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CONTR.
PERMIT NO.
^ 0 PLUMBING RI
l~ 91'MECHANICAL
/[j WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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DATE TIME
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91-20
o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
A-~~ s:
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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:
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SCHEDULED
DATE TIME
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o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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CONTR.
PERMIT NO.
~ ~ PLUMBING RI
rJ" ~ECHANICAL ~
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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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.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1',DAJE I ft
/ L' h- i5
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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
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"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
~~
;.,'-"..
----
- -
~ -
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;t.i'~:~PLACENO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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FRAMING
.INSULATION
ELECTRICAL
. PLUMBING
HEATING if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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. 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