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Home My WebLink AboutBuilding Permit 99-0638 DATE ~, rY OF PRIOR LAKE '_/'.1 k."" INSPECTION NOTICE :J SCHEDULED ~ ::; ~tJtl So 5!ttJu I ADDRESS ~ ~ ;::... ,"";,;,; i. L- I ~ If<... TIME 4:0() OWNER CONTR. PHONE NO. PERMIT NO. 99-~3A o FOOTING o FOUNDATION o FRAMING o INSULATION ^ 'Rf" FINAL f'l <'0' SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP XPLUMBING FINAL AX MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o Pye. ~~ P'r-" ""' LJ Jj..._~ /lA lYLt:J xc/ +--11 r/'Z ~~ y,u o ~ S TI F TORY. PROCEED JI'!oRRE TIO AND PROCEED o CORREC , 'ORK CALL FOR REINSPECTION BEFORE COVERING , Inspector: Owner/Contr: CALL 7 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, 'IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ CODE I/VSNOTl ----.-~._._---"._ "---'---0-' ....~_._ "-~-_.__.,.- ~AT CITY OF PRIOR LAKE INSPECTION NOTICE ::J ~ I. SCHEDULED II t~ If1 JUOel So Sh<9{CI ADDRESS f1i Iter "":L<N\ ~l -Ih. ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP ~EWER HOOKUP ~ PLUMBING FINAL o MECH FINAL ~OMMEt>i.TS:; I \'j ~-nJ\'; ~) +V(l' O/T AI1-r-~ ("~ \1 0 ~ A rU4 ~ / / / TIME IO:Jo 'tQ-038 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o k6es.~ INSPECTION BEFORE COVERING ~'-"~_"'_'_'__"""___"_'_"m_"__"",__,__ _ New Construction 0 Chimney 0 Misc. B. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have furnished ..",,,,..~..~.l 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 ~Ulldlng o~lc~n ~evoke this p~ust cause, Furthermore, I hereby agree that t';~O;~'~ q :slgnee may enter upon the property to perlorm needed Inspections. SlQfIatu~ UcenseNo. Date s~Z;:1 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or T~e and si~~ at bot!91J1) ~'SITE ADDRESS. ,L .-.) ~ l/ 0l/ I'-?#V' .7.h 7'; ~..-/ / /'bi ',:/ I 1 1. DATE rl,rJreT" S-/~;J9' . .~ . .' /2.IJ".o<; S 3 7 tj 3. LEGAL DESCRIPTION Y/ '56<=-r. \ C PtD ?5 AJ/O - t'J/S - 0 BLOCK LOT , ADDITION (Tel. No.) / 7f/tJ ~I//?f,.i':.--I- 7/Z'--, "/ (Tel. No.) 'if{7-&;>>7~ 4.: OWNER (Name) (Address) '7?J ff1 -t....LJ:!/ /' ~_lk.:'7 ~;1'7 ~ -!E+ URCHITECT (Name) ..I(Address) ~/I'l'/I (.-f-dRS~(;~, !:~ER. (Name) . (Address) !;ld .WY)..../f36 C; /t 1v5 C0t5p-vccfr-J tlJ'31' w /.)A/n..5/-,- :;;~~~ 7.'fYPE OF WORK Fireplace 0 AlterationsJl:- Septic 0 AdditiOrtp. Deck 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Finish Attic 0 1. White 2, Pink 3. Yellow File City Applicant Permit No. qq- ~2:) -, . 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 OCCUPANT~ SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION SETBACKS: Required Actual Back Side Side Front - BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. (,2.'AC- fv- >;;t. fl.. USE OF BUILDING .€F-.S A /IZ... 1 SPACES ON PLAN PERMIT VALUATION r.? rrY'J.M TYPE OF CONSTRUCTION: t " III IV V Occupancy Group A B E F HIM R S U SOIL TESTS o ENERGY DATA o PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PERCOLATION TESTS 0 SETS COPIES PLOT PLAN o Division 1 2 3 4 Permit Fee ................................... ~ i'D?I.on 4,4.2. (rJ ~ ().J> 1,\ l+ '3"Sso Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Plan Check Fee ......................... .... $= State Surcharge ............................. $ Penalty ............................... ........ $ Plumbing Permit Fee ...qq..fP.?2fJ...... $ Mechanical Permit Fee ..11~~2~... $ L./('J.OO 4(,.OD Pressure Reducer .......................... $ MeIer Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... ~ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid /2.37. I} Receipt No. .!. ..n-r Issued . Date U /z.:?!, '1 By 1J.0-- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed Cequested. This document when sign~ the City Pia n r constitutes a temporary Certifiyate of Zol}ip~compliance and.}llows construqaipn to commenc~.nBefore ~lli~n~rtificate of Occupancy must be issued. 'A-L""- '\.t""-'-"- (O-I<-I'.'''\,'"\ SoRA" . V.>>Aii:, ('~~. ., j Ci PI~ner Date '.Special Conditions ~ any Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ Thl1'P)fn ~es Yo"" .Building Perm' When Ap~ed. ByP~ r Date r. - 7- Certificate of Occupancy 24 hour notice for all inspections 447~9850 -.-.-.---.--.-----..---....,--.. _.._-_.~------ --.._._..,_._-~~ 12-~1.1'5 HEATING APPLICATION I PERMIT l 0. qn. Commerciol O-r-j- -\ PID#.2d5-QIO-OIS-O " . Add \"",,"' . ~- q,. ~ "'~l- -r~~" f) "15'''-' 3004 F Sne ress \""""\.., , "_~ _.... _ "" __u ""'- .l/"'-~ r,,,",o eeSchedule -v ......,/lV""""- Lot _ Block Add~ion M&;r~<; III/ R(Jf};'/OS D Vlndustrial, Commercial & Multi-Family Owne(s Nam.;\n\'<\..... ~ \\..vf\L':'ry;-t(Vl/r-U"O..\w ~ .ti13~Residential, Heating & AC _ Cl - Residential, Heating Only Address ~ QC) ,O\...,~ Residential, Gas Fireplace . (\ \ V' ",Go 00 (\ \' '" Ar . Residential, Add~ions & Alterations Heating Contractor ~U--\ ",-",,^,,-> Y\\ , '.A '---', R "d t" I AC 0 I I..) . eSI enla, ny ,?-A~ \?--htli 8-t, U_J. 2-,\^v')J'~G, rnf\.) lLDV1-\ l\~~ -- \o.CD Date Address CITY OF PRIOR LAKE MC (,3.Y 16200 Eagle Creek Av. S.E. Permit No. '99- ~ Prior Lake, MN 55372 -- Telephone # Furnace Make & ModJ\ffi.I1e ,"U)'l..nl\.-O Model Size Conn. Load Fuel ~ )).\ Supply Openings Return Openings Input Edr. Cfm. k0.. W:n 'f- Alterations Repair Est. Cost $ ~O \ Cf:Y:j TYPE OF SYSTEM Warm Air Plants K<J"f\~ Gravity Mechanical AirCond~ioning\Mi\Q ,\\Q.D\~ Vent. System ' HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Flue Size OutpulL\O ,CCXJ Other Devices TYPE OF WORK Replacement New Construction Est. Comp, Date ./ qq-~~ , 1- :7(i( 'ft11J..@'1 ,\.Vl1bY JtU1 Ol ~ Receipt # :3556( HEATING PERMIT FEE $. STATE SURCHARGE ~ TOTAL PERMIT FEES $ Building Perm~ # C\o,SO \.~ \~ TYPE OF STRUCTURE ;11/021 1. Pink File 2. Green City 3. Yellow Contractor Single Family X Two-Family Multi-Family Other Industrial Public . 9 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 $35.00 each, House Heating Test Record must be submitted with bllilrlinn ~ nllmhAr before build- ing certificate of occupancy will be issued, HFAT r.AI CIJI AT IONS flFOlJlRErJ with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S,E. PRIOR LAKE, MN 55372, City Hall business hours are B a,m, - 4:30 p,m, ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-9850 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the cas!J~whiCt;;i;W and approval of P;:n- q q -J.:-tJr.r l~tZL &ho#1 Building Offical's Signature 'Date' White . Building Canary . Engineering Pink - Planning Thr ('.,nl.,. of Ih" L.kI' Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . // '........._/ Accepted aoo If ~.:s 11C~7i! V/ V' Accepted With Corrections Denied Reviewed By: ~ ~A..",^ ,/ Date: 0-tO- ~J0 Comments: --=-lk~J~ Alw9-f{;-~:.~ ~ ;AV?'~ p~ dvVf'~TI-s rcn~ [4-..~ .HA~ fA )'i~ 1I\-('l (9-t ~/\\CJ./I"~ P ~^"",'f,\&v\ l1k<lo v,01{.~~e,-~"$P :It>h ,1.(" . ~ of' tK\:~ /.{l~JeA. 2- L{ /;'1A~ bl~ [/\)V~A} (A~{P~ IV\. V~ IA/ Lo~_ <-K'5X:~ ~ 1;0 ~P~~/_u.J</J A .~/;'.Lh Ctrrl~ + ~k9L(.]Dgll> ( - 71-[hj(U~~ v~.,rU{l.-~~\j'o ~ ,h '5 lS-.s't<& \t _ ~ ~IH~~ ~j;;f) I2-?",q'if 1..813 h7Nv;u.v - I~~ @V~1 ~ : ~ek\ i.> tAfisYe'>i. 0(] -b 2-f=:T~.' ~ "The issu~~ g~n~ ~r~ 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 provisio~s of this code or other ordinances of the jurisdiction shall not be valid." '. 99- tb3 r Thl!' Ctnll!'r of lhl!' L.kt Counll'} White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CIifCKLlST NAME OF APPLICANT APPLICATION RECEIVED TITUS ~It/....;, f~. S- /zt;; / Cll The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7 Lf/u .::Su/Vst:;, 7-C j l2NL..-- -3 GO 'i SQ S );t!JTP 'Tr Accepted Accepted With Corrections .;;>L Denied n / Y? (l Reviewed By:( Lvr~// Date: /'.1-'>7 Comments: I. i\a.;",k,'-L. ~t~<M L,Q.kJ~"-'-'- Llv'J S If) CcCe ~ feR Gn.,.st~()J,,,,,,, cJt> .x "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." Tbe Cenler or tbe Like Country PLUMBING PERMIT Applicant: \\:u..."" \~ t_ ~ \. u..'C Address: ~0 L\. : J~... o. .".,.) ~ Signature: ~...~ \< '-. ~ Legal Description: Lot "7 \\ Block jt? Sub Site Address:'R--"ft 0 ~ u. ""'''~ "+ l~" ~ 0 36(J 1/ ,Sc,- .!.,);O /-('" 'f,v Building Permit # qc; -~ PID #,;:/").9/0 - 0' Ii) -() NOTE: This permit will not be processed without complete information. PPNo. Phone:C. l:\ X'~ ( - { "1,'-1 1-1 \.L {. cJ...'. ,-y; ~ ...) /I.v- 1. Blue File 2. Gold City 3. Yellow Applicant qq-~ ~1 CITY OF PRIOR LAKE FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture .J Bath Tub with or without shower Dishwasher Rough-ins Water Heater Water Softner Floor Drain L .5 Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other J-. 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 $ $ $ $ .50 GRAND TOTAL $ (/ PAID WITH . l BUILDING PERMIT This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the aJPe~meIJls thereof. . 1 ,RECEIPT NO. h/30/t/t:f DATE (0 {L-0 - ATTEST Call for all inspections 24 hours in advance. 16200 Eagle Creek Av_ S_E. Prior Lake, MN 553721 Ph (612) 447-9850 1 FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE . INSPECTION RECORD c...t\AI'-b IS- OF A~,> c"' D SITE ADDRESS /t;>11{"\ ,r;LVI;;o@\- -haii' ~oo4 5:>'-"TM JH..){'l.E?- ~'I.l~ NATURE OF WORK ~prr-',J) s:--L.....O MJ'V\. USE OF BUILDING $]:'T, PERMIT NO. C?7 - uJg CONTRACTOR 1'......<; C~l'->S,.'2. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS /j)J jM1 ~.uft. er.-. ELECTRICAL II f:._ _ PLUMBING tl ~~/1/ 7J7/r~ g-~-1' HEATING (if requin(d) ~ ()~!--) (Yif.V/JY; IJ..Ql~loOi"(l..\' 6\l- ~. <€'- I \..!)1 . __________ ./ I . GAS LINE AIR TEST I FRAMING INSULATION DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED 1011/'1"'1 INSPECTOR DATE /I 'i{,/~ . I </;-)3-97 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FINALS GRADING (Prior to Sodding) BUILDING I ELECTRICAL I PLUMBING I HEATING DO NOT ~ (/V 1:4//<//f'l V ~7Y IIU'7 I . /2/tt//ff I OCCUPY UNTIL AB E HAS BEEN NOTICE 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 , .'