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Home My WebLink AboutBuilding Permit 99-0668 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3/95 SCHEDULED 3/ ?Ior K~ Jf. 9:3d OWNER CONTR. PHONE NO. PERMIT NO. ,,~ '1'1- 00f ' o FOOTING o FOUNDATION o FRAMING o INSULATION ~ ,... FINAL D SITE INSPECTI o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: L, L. hrJG/+- .~'rr-v f1.A-H,t L -",:; d ') ~ Jll WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING ~, I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl II T CITY OF PRIOR LAKE MC 91-043 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Date 0 -6)-99 PID # ,;Jy /33 -/1:)0 -() StteAddress . 311C) &11.f- 51 Lot 1 Block. 3 Add~ion. \ )/) rlno iLzk'e.. Owne(sName ;(Yh ..;7cm '(Cd1/"J/ , , Address, uo.f1'/.R. as a.btJve... 3~-, "'\ Healing Contractor , Address Telephone # Furnace Make & Model Model Size Conn. Load Fuel Supply Openings Return Openings Flue Size Input Edr. Output Cfm., (tA~' CC<YWL \ S, 1 iA.1 ~ TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~ioning Vent. System HEA TlNG OR POWER PLANT Steam Hot Water Radiation Special Devices OtheJ-Pevices h/lL) tirrorJlO{t':- A~erations Replacement TYPE OF WORK New Construction Repair Est. Comp. Date c;q-("t,A Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ Building Perm~ # 39. ')-0 .50 1() ,00 rr PAID WITH I BUILDING PERMIT Receipt # TYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Contractor Single Family Commercial oX" Two-Family Industrial Public Multi-Family Other Fee Schedule 110 'i' Industrial, Commercial & Multi-Family Residential, Heating & AC R_8$iWlrti~1 5-I",,~tinn Onlv (!lesidential, Gas Fireplace ") f1esident,al, Aailffions & 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 buildinn oermit !!l.lIIl!lJlI before build- ing certificate of occupancy will be issued. HFAT CAI CLJLATIO!l\S. RFOLJIRFD with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan w~h 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 447-9850 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 case of all work which requires review and approval of plans. ~ (AJu..:-u Qi f;SilQnafll'C!t . /i/l.' 1.'1J, , , I dIn OItcafd $ignald"r~ to .qA1 ..v Date I 6 ?3-~9c? Dale ~1 DA TF RFr.I=LVFO ~/Z/97 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE AD~~Sq 5 ..K?' n T 'S,\, 1. DATE 4- /z../9'1 KJ.s..o 3. LEGAL DESCRIPTION LOT 4. BLOCK 5-'" ..e//V dij ADDITION 3 LJ1 ,lC:e; PID 2.5 -/.~ - tJ2./,,;-O 14. OWNER \J . \ \ (Nam~ <{\ \ t-\'1 ,10m 15. ARCHITECT (Name) 6. BUILDER (Name) /J (Address) {!:"hll -~ (Tel. No.) 440 ~ Z. 15' z.- (Tel. No.) (Address) (Address) (Tel. No.) 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq-(p~a BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTP SEATS 7. TYPE OF WORK Fireplace;r Septic 0 Deck 0 As-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Rs-sldlng 0 Finish Basement 0 ChimneyLl Misc. ~~..... kJr..dr-....../ AI"",,, l!L1Ir-r> 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110, CULVERT SIZE Sq. Ft. Width Depth Yes No 1 hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above mentioned property and that all construction will conform to all existing state and locallaw$ and will proceed in accordance with submined plans. I am aware that the building offi~19an cevoke this pe~for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~+h: {/I- k-L.O (". ..:J . C7.!J- \ Signature License No. Date Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Side Side Baok BUILDING DEPARTMENT VALUATION RES 11'~ OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING ~ PERMIT VALUATION ;:{ 5CC) . e)("') TYPE OF CONSTRUCTION: I II lit IV~ Occupancy Group A B E F ~__l~ S U . ~~'2~4 7~7~ PerrmtFee ................................... $ . Plan Check Fee ............................. $ City: State Surcharge ............................. $ Penalty............................... ........ $ I.ZS 16. PROJj;CT COSTNALUE ~ ;:) 5 (X) . ('X) 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS LI ENERGY DATA LI PILING LOGS LI PERCOLATION TESTS LI ~LANS & SPECS LI SETS SURVEY LI COPIES PLOT PLAN LI Plumbing Permit Fee ....................... $' Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ MeterHom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Issued ::::2 J~...........:;;~i~;~:Jf:!J This is to certify that the request in the above application and accompanying documents is in accordance with the City zo~ing Ordinance and may proceed as req~d. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be Issued. Sewer & Water Permit ...................... $ ~ 40.00 ur Building Permit When~pr~, . Date fn- r~ -'[-'( 24 hour notice for all inspections 447.9850 Spec~1 Conditions if any C~y Planner Date C1' /( Z<.. tlt.:~J.e'J.) \>~ ~\ qq-~~ & Thr rrnlrr of lhr Liar Counlry White . Building Canary - Engineering Pink . Planning .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~/rry /70/'1 C!/l#/?L/ APPLICATION RECEIVED fR/ z- /99 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: s/q~ KE~ 0/~~~/ Accepted Accepted With Corrections I-- Denied () () Reviewed By: (;{.J! Date: &-8-7/ Comments: I. L",-"ttiA ~"~\:ltJ-Xl/!lJ.. ,",'-'~..Q........* -to C?,.ec<...J~ fN> r\C.GL. ~~ .\-", .p.x'~~'J -S-\ uJ..3 "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." . . .._.....~_u.._<"....___........_~ __, - ,--,-- '--''--.' PRIOR LAKE INSPECTION RECORD Sf- c+- F:I'€- ~, , DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -S It'S"" ke\/\..+ NATURE OF WORK ltJ ,'^-ctau..J " USE OF BUILDING SCb PERMIT NO. '7 9-(d%9~ CONTRACTOR 0."I..-l ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED C. -,$3 -'?-3 L--. I 1 ) I I J PLACE NO CONCRETE UNTIL ABOVE HAS BE::EN SIGNED ROUGH - INS I I, I~f Z7~0T - f-h eifel 5 INSPECTOR DATE FRAMING INSULATION ELECTRICAL / I U. 1// Y FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I ) I FINALS I ~ I a-. I ' .1 .1 UNTIL ABOVE NOTICE I I ~/ '7/ (J I I I ( I I BEEN SIGNED BUILDING ~ DO NOT OCCUpy HAS 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 II