HomeMy WebLinkAboutBuilding Permit 99-1069
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DATE TIME
i/1IS-/tf9 It,S
44/0 pOtJOV/C/ IV 772- .
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
-e.-INSULATION 0
,P-- FINAL L-. L--.
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
99-IO(PQ
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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Inspector:
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owner/Contr:
CODE REQ
EXT INSPECTION 24 HOURS IN ADVANCE.
ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
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. CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QAIf Cll:::r.~I"f.Q
8 /2-7 /11
1 White
2. Pink
3. Yellow
File
City
Applicant
qq. /O(oq_
Permit No.
1_ DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
L.. '"' \~ ~"'-.\ I...~'- ~'--" '"
3. LEGAL DESCRIPTION
~~\9lo... '"
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) {Width} (Depth)
12. NO. OF STORIES
PID 4S-~~"'- ()C\.- 0
\
\ BLOCK
\....s'-~'I..\...."
LOT
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
'""' '-\.0 So" . '"
(Tel, No,)
\"'5. \. - '-<..<::>\0 - '-<.. ~O
(Tel. No.)
(Address)
Q.,,--~~ \I'""- ~
(Address)
4, OWNER (Name)
'\J....)'-""""-~"'---.............-.. ""~""--~
Is. ARCHITECT (Name) 1
6. BUILDER (Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Tel. No,)
(Address)
SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement}(
Fireplace ,..
Alterations 0
Deck (]
Finish Attic 0
Septic 0
Addition 0
7, TYPE OF WORK
16. PROJECT COSTNALUE
\~ ,<.:><..>0
19, PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Width Depth Ves No ,~,,__ '- ::.\ I .. ..
.......'t'r"IIt(,).... '-J'-' '- ,
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 submitled plans. I am aware that the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pet10rm needed inspections.
X \.\..., "'- ~"-'-""'''-''-''-''~' \'"''''~ 'l::ld\o / "'-"\
Signature License No. Dale
New Construction 0
Chimney 0 Misc.
6. PROPERTY AREA OR ACRES
Sq.Ft.
r
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
o ENERGY DATA
I'l
SOIL TESTS
Side
Side
Back
Front
PILING LOGS LI PERCOLATION TESTS [)
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2/1"J~ ('~
PLANS & SPECS [)
SURVEY [)
SETS
COPIES
Res /f/~
USE OF BUILDING
PLOT PLAN
D
TYPE OF CONSTRUCTtON: I 11 111 IV V
Occupancy Group A 8 E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ & 7. '2C::--
Plan Check Fee ............................. <t
Amount Brought Forward ..................!I:
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ...........,........... $
Sewer Tap ................................... $
$
City:
I. f)O
State Surcharge ............................. of:
Penalty ....................................... $
Plumbing Permit Fee ....................... $
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q;f
Pressure Reducer .......................... $
Meter Hom ............ .... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builders Deposit ............................ '1',
Mechanical Permit Fee ..................... $
Sewer & Water Permit ................~$
Gas Fir ac Permit ......1. ...1....... of: 4d. ."..
og ~:";~:.-~~7J
Other ......................................... $
Total Due .............................. $
Paid / I Q 3, L -) Receipt No.
Dale 'flt1 ('f~ By
This Is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni^g OrdinanC~ and may proceed as requested. This document when
signed C' ner stitutes a temporary Cernfiea of Zonin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
/(')3.25
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Issued
Special Conditioos W any
24 hour notice for all inspections 447.9850
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Thf Cfntff of lhf Llkf Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
...j"
.
A.
, -
Accepted
v
Accepted With Corrections
Denied
()~jwevV
Date:
/8) 3J)}'1<J
Reviewed By:
Comments:
"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;
ordindiiceS of the jurisdiction shall not be valid." .
..
~~
99'- /007
ThtC''''nltroflht 1,lktCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D~PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(IV E- N5f'1 R IV tV ffo t1 ES
6/27/qq
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-4-/0 PONOVISvJ ~.
Accepted
Accepted With Corrections ~
Denied /) 1f;fJ )
Reviewed By: VA ~/- '\ Date: & ~~ ? ?
Comments: -
I, ~J) ~ ~~~ 1- j::;'~e-~ U o-c. it
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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."
_..~--'-.-
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. P8/mit No. C7Q- / DC:,9'
,- -'._--Prior"tllke,MN-55a-12-
HEATING APPLICATION I PERMIT
Dale /()J~jqCJ PID. 25-33&'- 001- 0
Sile Addres~ (/(/10 ~11J,.)/JJu...,~ Ie..
I . Add);l>n WINDStAJe. /lDON.
I.J.~_~.~~ .t,(~~
Lot ~ Block
Ownor's Namo
Address
Healing Cl>nt,aclm ALL 11lD FIRES IDE dba FIRESIDE CORNER
Add,ess 2700 N. FAIRVIEW,
Telephone' . 651-633-2561
) fIREPLACE
IMmI'!> Make & Model LI.J' ~G;c.
ROSEVILLE. MN 55113
Model Size.
.5L. "1 ~
TYPE OF SYSTEM
Walm Air Plants
Gravity .
Mechanical
Air Condition I "g
Vont. System
HEATING OR POWER PLANT
Sleam
Hot Wale'
Rad iallon
Special Device s
COM. Load
I"uol ~
Flue Size
Supply Openings
Relum Openlf"lls
Inpu! OUlpUI_.,),~=
Edr.
Olhe r Oovices
Clm..
TYPE OF WORK
Allo ralions
Roplacemonl
New Cl>nstruclion
X7
Repair
Est Comp. Oato
If>{ah"
Est. Cosl $ /lcnC1:l
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
qq~ /0&9
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. e\.l\\.O\NG fle.P.~\'t \
Building Porma #
.50
Ree eipl #
TYPE OF STRUCTURIi
I f'jfll
1. dllU'I
1. Yt:llow-
File
01,
Cullllettol'
P.
I
p.
I
(!)
(!)
lTl
Single FamUr
Commercial
Two-FamUy
lnduf>trial
Fee Schedule
Induslrlal, Commercial & Multi.Family
Residential, Healing & AC
Residential, Heating Only
Residenlial, Gas Fireplace
Residenlial, AddiUons & Alleralions
Residential, AC Only
Pllblie
Mulll.Family
Olher
IS)
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1% 0' job cost (139.50 minimum)
$99.50
$64.50
$39.5Q
$39.50
$39.50
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Remember to add the Slale Surcharge Ol1lhe bottom 01 Ihis application.
The price 01 yollr healing permit fncllldes one rough-in and one Iinal inspec1ion.
Mdilional Inspaellons will be bile<! at $35.00 each.
House Heating Test Record mus' be submitted wilh lll!iI!Iil!ll ~ ~,.......". belme bulk!-
ing cerlilieale 01 occupancy wm be '""ued,
HEAT CAICUtATIONS. REQUIREO wah number 01 supply and ,eturn operrings lisled pe
room wllh CFM's per opening. New structures or additions send Iioor plan with supply
and relurn 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.
CUy Hall business hou", are 6 a.m. - 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH-IN AND RNAL) . CALL CITY HALL
447-4230
I hereby apply lor a mechanicai systems permi! and I acknowledge !hat the
inlormalion above is complele and accurate; Ihallhe work will be in conlormance
will, the ordinances and codes ollhe eily and with Ihe slale building/mechanical
cl>des; Ihat this lo,m does nol become a permit until signed by the BUILDING
OFFICIAL; lhat Ihe work will be in accordance wilh the approved plan in the
case of all work which requires review and approval of plans.
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~ 011 leal's Signalure
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, Dale
/0/&/99
Date
:u
PRIOR LAKE
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L/ LJ I 0 ~&u/e.L-) ~,
NATURE OF WORK ~,,~ F""""",J..
USE OF BUILDING -Sf::{f)
PERMIT NO. '11 - 1 0 ~ 7 DATE ISSUED ?, - ~
CONTRACTOR w-e LA '>IAA."- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATIO~) I'llt!.-,
ELECTRICAL
PLUMBING
HEATING (if r~Uired)
FIREPLACE \ 'to .
GAS LINE AIR TEST
thtl
,
ID -11'-19
(jJ)
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- &-1-..
ID- 11-99
/(J - I ., - 9'7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1
.)
/1-1 s-qq
j
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 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
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