HomeMy WebLinkAboutBuilding Permit 99-0784
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
1-(,,-00
'1:PO
SCHEDULED
1klilUJov~~ v&J
ADDRESS
OWNER
CONTR.
qq - 7Kf./
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING :4
o SULATION
FINAL
i'ETE INSPE TION
o PLUMBING RI
o MECH RI
IJ 0 WATER HOOKUP
o SEWER HOOKUP
LUMBING FINAL
~ECH FINAL
o EXIGRADfFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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AM
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/
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ORY. PROCEED
NO PROCEED
L FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C
THE NEXT INSPECTION 24 HOURS IN ADVANCE,
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
--------_.__._---------~_._-_._-~---,.__._-+.._._.~_.----
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~\
Q.ATI= RF=r.l=lvFQ.
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DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS <I Y
1&09/ NcrrT"'-woOb
"104D
3. LEGAL DESCRIPTION
LOT 9 2. BLOCK
A/",,'H; LvC/C1i)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No,
qq-784-
1. DATE
IeISD
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ZS-/4/- oM-O
13. TYPE OF CONSTRUCTION
ADDITION
\4.0WNER .
Ch~tS
15. ARCHITECT
6. BUILDER
(Address)
/(,0Cf1
(Address)
(Name)
De..,<W::V I (..
(Name)
JVc.,~~
(Tel. No.)
(../{(o- fo62L(
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
I-/tl! w 51
L(5&
(Tel. No.)
g9S- 7"'-7
~(~ L.4te
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
(Address)
fhl-US']::NL
Fireplace 0
Alterations 0
fO' fs'ot
Septic 0
Addition 0
Re-roofing 0 Porch CJ
Re-siding 0 Finish Basement ~
SEATS
16. PROJECT COSTNALUE
Deck ("I
Finish Attic LI
7. TYPE OF WORK
New Construction LI
Chimney 0 Misc.
18. PROPERTY AREA rfRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. ( I Width Depth Yes No
I hereby certitvf.h I hav~ furnish Information~n '. is a. cation hich is t? t.he best of my knowledge true ~nd. correct: I also certify th~t I am the owner or authorized agent for
the above mentl ed pj6perty~1 constru 10 II conform all eXisting state and local laws and WIll proceed In accordance With submined plans. I arn aware that the
building official n revoke t . . r just cau . urthermore, I he y agree that the city~icial o~ a designee T' enter upon the property to pert~ ~es;Ujd)ry;~~~S.
X ~. ..<00 3&S'f'1 V' ?,. 7
\...-./" Signature . License No. Date
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. or
Park Support Fee ........................... $
SAC .........................................!t.
Collective Street Fee ....................... $
Sewer Tap ...................................4'
.
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
By Other ......................................... $
Total Due .............................. L.LW_'!',J,<;
Paid /69.2 r ReceiptNo.3S~'1S-
Issued
Date 7// /~! By ~
T!;1is i ertify that the ~~n the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~r~uested. This document when
sig by ~ner ~utes a temporary Certili te 0 Zonin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
, 'C' 'PI _~O/f . C .. .
Ity annar ata Special ondlllons any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
4,"""",t<Y'"::>
,
USEOFBUILDING _te6S AJe
TYPE OF CONSTRUCllON, I II III 1\I(j:lP
Occupancy Group A B E F H I M~ S U
Division 1 2~ 7-
Permit Fee ................................... $ S :2<:.
City:
~~
~
Plan Check Fee ............................. $
State Surcharge ............................. $
GPO
Penalty ....................................... $
Plumbing Permit Fee ....................... $
q(),oO
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... $;
24 hour notice for all inspections 447-9850
Side
MATERIAL FILED WITH APPUCA nON
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY Ll
SETS
COPIES
PLOT PLAN
Ll
_"'.-'-,.....::'-r..'" ~ ." T ,,-..-
.~.-.,.'"
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~~
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlrror lhr Lib Counlry
~UILDING 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:
./ ,," ,
f
,
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r/ / /Z-.-' ,
Accepted
v
Accepted With Corrections
Comments:
Denied _
Reviewed By: [J-. tJJ- ~ ,
~~DA.
v
A,o ~ ~ f7Y1 .PtA(Jr5~.
Date:
(or ~q!77
, ;2N1 ti~
"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,"
~1
Q1-1'8'-1
The ('tnltrof lhr Llkr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT AffLICATION DEeARTMENT CHECKlJSI
NAME OF APPLICANT
APPLICATION RECEIVED
)-//I--L- CeEST H0l165
(p124/QQ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(POCf / /!/O,e77-lNOOD ICOAO
Accepted Y
Accepted With Corrections
Denied / ')
Reviewed By:~[;JI~~
Comments:
Date:
G, ,'21- '17
f.~~~~~L:~~, L~
~
"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,"
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crrv OF PRIOR LAKE MC ',' j
16200 Eagle Creek Al(,S.E. Permit No;t!tJ-7f3't'
Prior Lake, MH 55372 '
. .. .
HEATING APPUCATION I PERMIT
Date'11,l-'W 'PID#Z5-/t/-/- 0411-0
SkeAddress Iln09! AfMrt-luJdOD RD 1e/5D
Lo,qz.. ,BloCk Add~iDn jVoR7llNooO
Ownefs Name j/r'I/av(,$t 6Ion1.RY
AddreSS 14!:;.;) LOUiS l J4N A Ave: s
Heating ContractOr ~IM""'TH~_ a A-t2-flG,,,,,IIl-d ~ fir-elJ{c,/utI
. .. I .
Address ' q~/O WUI1Wt'wu, ~ A-ue. 1\J '
, " " " ". II
Telephone# ,In ('J- -3/s- - 7 SO ()
Furn' ~~~ 1"-." "'del ' '" no~, "'..-
. _ ...."'fu....,..l.. ...."".......r.......
, ' Ov, (,,-CrYH.JJ '
, Model Size
Conn, Load
Fuel 1J A- r ' Flue Size
,supply Openings
RllIum Openings
Input ;;l1, 000 Output
Edr, '
, TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condkioning
Vent System
HEATING OR POWER PLANT
Steam
Hol Water
Radiation
Speciel Devices
Other ,Devices
Cfm,
TYPEOFWORI(
Alterations
Replacement
NewConslruction ,X'!
. ~;
Repair
Est. O:Jst $
Est Comp. Date ,
· J~ n (1: 6 () Building PermU qq-78tf
, ,,' ~m~=~:'
.-ct.
~I
, TOTAL PERMIT FEES
":'~ '
./
/50'
r/
/
,HEATING PERMrrFEE ~
STATE SURCHAFlGE ~
Receipt'
',.
JYPE OF STRUCTURE
I_JIld:'
'-0.-
3. Yellow
0
..,
"-
0
f-
"-
'"
'"
0
00
'"
'"
"'l
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'"
f-
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'"
f- ,
en I
0 !
..,
0
'"
File
Cily
Co.tractor
Single Family x: , Two'Farnily
Commercial ,'Industrial
Mult~Farnily ,
Public . Olller '
Fee Schedule
\
. h\duSlrial, Commercial & Multi-Family'
Residimtial, Heilting & AC
. Residential, Heating Only
, Residential, Gas Fireplace
Residentiel, Additions & Alterations
,Residential, ACOnly
1 % of job cost ($39,50 miriimumj'
$99.50' .
$64,59
$39,SO.
~9.50
. $39:50
Remember to add the State Surcharge onthe bottom 01 this application"
Th. ...Pi.... ... .~....... h........'n.g pe"m',t 'nc"''''os ",".a plI'\t;"h.in , an' d "n- flnel Insp' actiO"
- "I t"~'~ ':'" ~~.., ....... '.' '. .....~_ ~"... ,....~ti'.... .. "f . .,.
Additional inspeCtlonswil1 be billed at $35:00 each,
,.
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House Heating Test Record must be submitted w~h 1llIiIlliog,Im!I!ii numhA' bellire ,build-
ingcer1~icate of occupancy will be issued, '
. '
HEAT r.AI r.11I ATlnlil!; REQUIRFD. with number of s~JlIlly and riltutn openi..g. lISted per
, room w~h CFM~s per opening, New Stiuctures or additions send flDor pllinwtth suPPlY
and retum locatio,ns shown, HEAT LOSS CALCULATIONS. PAYMENT AND "
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEKAVES,E PRIOR L'lKE, MN 55372, '
City Hall business hours are 8 e,m, - 4:30 p,m,
~
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, '
ALL WORK MUST BE INSPECTED (ROUGH-IN AND 'FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechariical syslemspenniliirid fac~nowhjil!le~lhaYtM
information above is complete and accurate; that the work will be in conlormsnce
with the ordinances and codes 01 the city and with, the slate building/mechanical,
c,odes; thaHhis form, does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be ,in accordance withOlh\l approyed plan in the
case of allwork, which ~e 'es review and approval of plans, .
r :iii' ~ ''1
' ." ~ '_~f
,t"'X:_LL!:::::d .-'~'__ '_.' {
~. ' Date
'r/~7/ /lqq
,Building OIflcal's Signature . DIIte
[
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I
"
,.
... "-~'~-_._~---:..'~~_., ..._h.. .._ ~_.._ _~___,_,._ "'__".'__'..___,_.'__ ~__.._..___..~._ ._.. _ .. ...___._.__ ._ _.__.. _. .
PRIOR LAKE DEPARTMENT OF
' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /(nOcrl ~lH\LL\~~ ~Qd
NATURE OF WORK ~ .f.:0A."~~
USE OF BUILDING 5 F T)
PERMIT NO. CJ7'.. '78'-/ DATE ISSUED (,r29-91
CONTRACTOR Jj,'(( c~~, .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~~~~ I
I FOU~A":: III"''' '- a"~kfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
i-C::F' L' "'.i.TE:FI , ..L-PTIC I _ I
I FRAMING W, i ~ /7-z-91
INSULATION~ ~ / ..,_ 2 -'7}
ELECTRICAL~~..v;"v1r /
I PLUMBING o...\f~~ Q,~'1..1:'1'I I
I HEATING (if required)~\tA'\.T)-7.-"f\ I
I FIREPLACE e.. (, d/v ~I I X'-I d - U
I GAS LINE AIR TEST ~ PF /7-/J'fI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
,
., .. ~f1
.If
-AD
, roC' "'-u . - T- ~- .1JiJlQ)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I
,
I
,
I
I
UNTIL ABO
NOTICE
INSPECTOR
DATE
I
1
1
I _ r_
11IIDbtl
I U ~
I , I c. -/llI
III ~ UV
BEEN l SIGNED
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 INSPE=CTION~ (F;1?\ lIA7_aSH:n -------r-