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Home My WebLink AboutBldg Permit 99-0676 &99-0677 , , CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS '1/5-;;< ~ ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~INSULATI~ ."'I FINAL o SITE INSP CTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUif ")i:;.PLUMBING FIN '^11 MECH FINAL COMMENTS: il .(2--IL~ f~/ - Off A'\-o7~" j6-e'h/7 - Ok ~- O/f A ,...JA:2Y.l.l!:f DATE TIME J-)i.QD , ;;':00 Y'X-.'j{;6 ( 0 EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST \ 0 ~ \ ~ 97-;';7f ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: /?~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! II ~\ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT JUN - 3 1999 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESSC l d 415;2 . cora cst. SE 3. LEGAL DESCRIP~ON LOT rn p f4 ~ BLOCK a ADDITION L D k t" 0;; i rt ,c ncur:! 1'.1/) <: 4. OWNER (Nam.) 12 n h r.-:TO" eo 5. ARCHITECT (Name) 1. White 2. Pink 3. Yellow File City Applicanl Permit No. crt? ~ ~ 7 ~ '~7.;21 qq BUILDING INFORMATION ". SIZE OF STRUCTURE (Height) (Width) (Depth) 1<./50 12. NO. OF STORIES PID R .J .'JOO12..n ';?~1 13. TYPE OF CONSTRUCTION (Address) ~M/">pl <{I.'I--:} ~(AddreSS) (Tel. No.) {:o/ nm,{n <./t{7~t~ (Tel. No.) 6. BUILDER (Name) (Address) SClY"l e 7. TYPE OF WORK New Construction LJ Fireplace 0 Septic [j Alterations ('] Addition 0 8"'7H Deckn Finish Attic 0 Rs-roofing 0 Porch 0 Rs-siding CI Finish Basement ~ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildi 'cial can revoke ~ permit for justjd)Jse. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform nejded J15yections. X (' /1.01 ~ q V (,,/ -2.E1 q SirJr)'/ure License No. I 'pate 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE FOR ADMINISTRATIVE USE Pressure Reducer .......................... $ Meter Ham ................ .... .... ........... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ '"g ~:t~it&.~ 1-Pr77 :~:~:~.~~~~~i:.:::::::::::::::::::::::::::: : Total Du. .............................. $ /').20 Paid 75". 2S- Receipt No. 3 S 4-3 I Oat. ,/to/ti'" By 4:1/~ at lhe1;uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~;uested. This document when lann constitutes a temporary Certificaterf Zoni~compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. . I"t/QA./ (d _ J{? /J. &J C~y Planner , Date Special Conditions if any SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING A!.65 4j-e.. PERMIT VALUATION I "r<lC:> . (")-(:: TYPE OF CONSTRUCTION: I II III IV~ OccupancyGroup A B E F /\1\ I M '11 S U Division 1 (;/4 t/ [, ~ Permit Fee ................................... $ ~. City: :tr ~\ ~,: ~ ~~ \() Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ so Lj{')j';') Mechanical Permit Fee ..................... $ C Issued v 24 hour notice for all inspections 447-9850 I J Side MATERIAL FILED WITH APPLICATION SOIL TESTS [1 ENERGY DATA 0 PILING LOGS (] PERCOLATION TESTS (] PLANS & SPECS [1 SURVEY [1 SETS COPIES PLOT PLAN (] Amount Brought Forward .................. $ Par1< Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ . , "'~"~'<-'" ~,....,---., ..l. ~, - .~.. ,-. "'- ...... ~_~'-'-",,' . "~"""~ u~~"otr"",,_"''''''''''''- ~--,_ . .. _~.. ._....:.>"....-.,..J.J,"~,-,', '.".' ~~ Thr C..nttr of Ihl! Lab Country White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION QJ;PARTMI;NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f2..D" ',J Ct.>! e. ~ Yl ~ 1.9 -'9 -'17 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: L/f:5'd. (~ 5t-. Accepted V Accepted With Corrections Denied rj .07. jV7JOAJ Date: Reviewed By: Comments: (0/ I D /99 , - "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." -'"-,c,','\ ....~-~ CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. 7'7.? 77 Date '!-\"[;,ifP Address . <:;0 rH If' . Heating Contractor Address Telephone # l/'/7 - ~(){) 3 J..Jecrf. N .&10 Furnace Make & Model ~T.......dlll"'tJlO~..A 1 TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~ioning Vent. System HEA T1NG ~R' POWER PLANT Steam , Hot Water Radiation Special Devices Model Size Conn. Load Fuel not. r,~Flue Size. v Supply Openings Return Openings Input Edr. Output;Z () ()I),) {J TU 'f Other Devices ~ Cfm. \ TYPE OF WORK Aherations Replacement New Construction Repair Est. Comp. Date Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $. TOTAL PERMIT FEES $. . Building Perm~ # ?, '1 '::"0 .50 d ".:.> .. O. Receipt # " . "- ~ - -.-- -,' ''''_~-,,.;...-'",- ~,...,~;y,'1'-'_;'-<f< .,,:t.z:;c- I ,v....:".. l.Pink 2. Green 3. Yellow 'Pile C;ty Contractor '.......-~ TYPE OF STRUCTURE Single Family Commercial v/ Two-Family Industrial Public Multi-Family Other Fee Schedule I I ~ i I I i I I Industrial, Commercial & Multi.Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Addilions & 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. j 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 hllildino oermit number before build- ing certificate of occupancy will be issued. HEAT ~tATIONS RFOIJlRED 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. 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 reQui7) review and approval of plans. . ' \. /n A (f2 f'l,A'1 ,C!l [/ t,h /99 / - Applicant'~ignature . . / I Dale [ r I , , BuildingOffical's Signature Date ~~O~j< PRIO/;'; 'f-,. ." U ~ . / HEATING APPLICATION I PERMIT Date hi:; /q9 PID# RJ.&jf)/)c,O."'J::u - . ... . - StteAddress <:{/c';.;; CD!/')r<Jdo Sf-.C;;:: Lot ill7BIock .-=? Addttion / n k t<>. <; /rl f' ('-yp rrl p J/) C. OwnefsName !?I'"'lh 'f-....-r;.,./P EJ1r,p I . V Address ~ M,o_ Healing Contractor CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permtt No. Prior Lake, MN 55372 99 - ~ 7 7 Address Telephone # t/ '17 - L./O(,) 3 fie.ctf -N -&(0 Furnace Make & Model 't'",wn SA'.,{ I Model Size Conn. Load Fuel ndt_ o,(J.~ Flue Size v Supply Openings Return Openings TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~ioning Vent System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Output '2 f) 1)1)0 nru tf Input Edr. Cfm. Atterations Repair Est Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $. TOTAL PERMIT FEES ~. Other Devices TYPE OF WORK Replacement New Construction Est Comp. Date Building Perm~ # '3, a -(:) \.'> .50 d 00 TO. Receipt # TYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Contractor Single Family /' Multi-Family Other Two.Family Industrial Commerci~1 Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Rreplace Residential, Addttions & 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 hllildinn oermit nllmhAr 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. 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 requi/j review and approval of plans. aM Q ('"lAlLc~1/ "J_ /99 I - Applicant'~ignature ~ Dafe t Building Offical's Signature Date PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITEADDRESS Y15;;( G\OTc...J.c St. NATURE OF WORK tJf'\J.\ (f\\A.Ji. USE OF BUILDING SF'D PERMIT NO. '\''1 - (r:l (" DATE ISSUED ~ - 7 - ? '1 CONTRACTOR ?V1~ ~ f NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I j ill) I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~~ ffJ~ (,,-c?5-'7J FRAMING -) Vt7 <rl: in f INSULATION V 1 ELECTRICAL _~ I PLUMBING ~ 1"7/1'1/9'1 HEATING (if required) "YJ'f" I I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE 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. .~ l-rll-oO rt-..a h^,"-o 0 {'N;?. I 1-'3,1-0-Q HAS BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 II