HomeMy WebLinkAboutBuilding Permit 99-1086
DATE
CITY OF PRIOR LAKE ~( "...I an.
INSPECTION NOTICE SCHEDULED ~
ADDRESS \ '0 I ",q Wood 1Jw..k, C-n...
TIME
/0:00
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-&'1- {.,,~ 'f}-lCZfp
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
~WATERHOOKUP
SEWER HOOKUP
~~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: 4w,(},.~ 40 4 " 7'd- (
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
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16200 Bagle Creek Av. S.E., Prior Lake, Minnesota 55372/~h!t~~2) 447~230 /~Ai(612)~7.4z.i~\~<
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Sewer and water permits issued foi:r.e~ .constructlon/ :must';, be
recorded on the b\lilding permit card at th. time 'of.:i:.' l1il6uance
to insure that no d\lplicate sewer' <lnd water pllirmits are
issued. '. " .' H' ~ '
'. " > ..":~\\~; N-\"t
~?V.~T PAID ~ ~~'.' . .
REC'O BY e\l " '.
REC},;l P'l' #
OATE PAID
. ~,1..,;,1
plus
Fee for either sewer or water
$ .50 surcharge. --
$20.00
"
'J.S
individually
~"I'
, '~;
Sewe.rand
Surcharge
TOTAL
$
$
$
35.00
.50
35.50
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water' 11ne connectlorf'permit.
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'I'hi."
ur permit when, ap. prove~:.:.. YV9
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BY
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Cle,ul out
structure.
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Sew'. nd .':~ \:eZ!t
.C!ont.~^.tor~ ';lill.~~
. be. K. eqi&t;.~e~'!.
1"ltl'l\ ..he""C~,~y~y~
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.PHONE, . . . "', ;1.;':;$)"""
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"BLDG.!PE~;t:r# ,,-'iI '>j/
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- --- _n ...- _LAN,~s;lltl',:~~/;,,:i':"';:~i>:'J}";"";~C:I~t;;t:,,)
1,0' Estimated length of wator service,- q-r:-reet:,\ ;i~>i~/';:;.'"
'",\,~ ' ',ii l' ''',' '. ,..' '.il. .~:o ',~x:, . ",'il.
.:1; ','" S+.ze of water service. incbt~s).,,:,;: ..'{J'l\:::, '. '(~.::,,;;Ep\~~j:
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:.!!.',....~. :.-i' L~c:ation of any cO\lplin~Js trom st."..t~""'\AI'~1'1 .... ~
':'i'..',: Type of sewer pipe. ABS~ PVC.~ Cast Iron ".' ':. ... ~.
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5: Estimated length of seWElr line ''1~S'--- reet....f..~\,;"D.~MIT'
. . BUILD ,'oj'" c'" '.p
(1 C requ1r.,d). located at 'feet from .
. SIGNATURE:
SITE ADDRESS'~
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ADDRESS:
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APl'LICANT:
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From : JECHEEXC
Sep.231999 2:53PM P02
612 8926396
PHONE No.
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16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
,ections 24 hours in advance.
Call for all
This permit is granted upon the express condition that said
contractor, shall comply ill all respects with the ordinances
of the State Plumbing loIelffi'YJt ameytnfis .l!!ereof.
. I"Z, u 97 DATE
ATIEST
:rr\
GRAND TOTAL , $")),\\.1 <i'rE.RMli'
\..5U\\..OIN
.50
$
$
$
$
$99.50
$39.50
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
FEE SCHEDULE
Quantity Type of Fixture Quantity Type of Fixture
J. Bath Tub with or without shower -3 Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Softner
'--- Lavatory (bathroom sink) I Stand Pipe (washing machine)
Laundry Tray (lor 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (toilet) Other
FIXTURE UNITS
Applicant: ~ ~
~~d::t::~: I . ,~~- ~ VlC) lail ~ 5/,"
Legal Description: Lot .3 ~ Block / Sub WILO S 3f!?O
Site Address:_1 z:;-llPlJ \A ')00\\ OU.LiL TIe L PU..o
Building Permit # 99-/68& PID#2S-3"??- {)3f-cJ
NOTE: This permit will not be processed without complete information.
Phone:
l>Vl (") y- lail ~-5/A-
Th~ Ctnlrr of tht' Lab Counlry
C{t?-I08CtJ
#
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. Blue File
2. Gold City
3. Yellow Applicant
----_.._-.~_.__.-
"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."
Date:
i)~~ ~
Comments:
q-C} --7/
Reviewed By:
Denied
Accepted With Corrections
/
Accepted
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"7 I '~....
,/ -.
.-)..--
NAME OF APPLICANT
APPLICATION RECEIVED
!
/
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink . Planning
Tht Ctnltr of lht Lib Counlry
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8~1
qq-IOfb
Thr Crnltr of Ihr Llkr Counlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-r c. c.-ONSTR.Uc..."T70N
q / z / qCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/hC}
WOOD OUC-~ ~
Accepted
Accepted With Corrections Z
Denied ~ ~
Reviewed BV-4 - fi
Comments:
~Jt~~~~
Date: '1- ? -7"C;
,
"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."
I r
/
e~1
qCJ-/CY0
White - Building
Canary . Engineering
Pink . Planning
Th~ Ornlrt 0' lh" t.h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
-r c. C (A '::T7<c. c.. T7 ()fV
?/Z/V?
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/~9 ii/CeO U(;C~ T~
Accepted
./
Accepted With Corrections
Denied
Revievved By: ~Ac.:r'E:ft E:~ fl E.."iMAN~
Daie:
J I
VI5/~'
Comments: ((VNtJF"': Mvr;:7"' HE t"-ol\JtJl!'r'Eb
10 A,JO A(...ON{~
DaAINi'lr.F: ~ U77(.f ry'
E:MfNTS
ttE .-\1.\JST
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SIDE.
Lor t..INf-S To
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InA IAlAe. f:
.oN ArL1'""~1-1r
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5!€. INFol1."""~Tl0N ON 11i!:: R€oJf-AsE
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SEt ATTAc....h\1.F.:,..jT'S. ". I. FCNAl.- (;IlAOE IJI,.JSPEc'-/OrJ 1..JF"oltMAT"J6A' Z. 'r,I?At)IA,)~ Pc...AN
'3. EROSION COA.,)Trt~L- r11EAsoJllE..S
i./. E~t')S'()N Co"Jrn.-l.- Pt.-AN
"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."
II
PR10R LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /c:;/ (oCJ ~ [)(}(;Jc ;;.. /
NATURE OF WORK Np If') ('OTY-.^~.
USE OF BUILDING ~PD
PERMIT NO. c;"1-lnPlo DATE ISSUED 9-7 -'1 '7
CONTRACTO,R
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INS C IONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT 0 t1 ~TE
FOOTING - ~ -7'J
FOUNDATION (Prior to Backfill) - /Jr?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~n I I
FINALS
"1-
\'L
GRADING (Prior to Sodding) G(! 7- Z/. 7z
BUILDING ') ~ /3- l-ftr
ELECTRICAL . I
PLUMBING v
HEATING
DO NOT 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
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS IS I (. Of Wood ~-r;.,
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
PEWER HOOKUP
LUMBING FINAL
ECH FINAL
COMMENTS:
W~ COLI.AMN
Ok.,../
()
~+
M5
Vw..Q
~
TIME
10 :tJ:)
CjCj-IOKb
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
elk..-
~
-Vl.t..c.~f\l'-l' ~
ors~
R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~;;).' (J()
ADDRESS J..5J (,,<:1 W ~ c1 Gv c-Jc T r(1/ I
PHONE NO.
OWNER CONTR.
PERMIT NO.
q C( -I n }{ b
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT1l0
FINAL
j(SITE INS ION
COMMENTS:
(fb
Inspector:
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 GAS LINE AIR TST
o
r~tztd
. ROCEED
ND ROCEED
FOR REINSPECTION BEFORE COVERING
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
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I _ T ~
Clrertificalt of ~(rupanry
CITY OF PRIOR LAKE
~ Department of JSuilbing J n~pection
I Final Permitted o Conditional C,O. Expires
This Certificate issued pursuant to the requiremLnts of Section 307 of the Uniform Building Code
certifying rhot at the timL of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
UseOassificatioR- Single Family Bldg. Permit No. 99-1086
R3 _ Type Construction VN Fire Zone N/A Zoning District PUD
Occupancy Type _
Legal Description L34 B1, Wilds Third
-
Owner of Building - _Site Address 15169 Wo Duck Trail
Contractor's C on, 1608 W, Highway 13 Burnsville, MN
City Planner _ Jenni Tovar
Date:
Date:
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
9/ z/'19
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq- / 08~
1. DATE
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
- /-77
PUD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(8~t)( (Width)
12. NO. OF STORIES
SI ~ 9
(.,.Jool
l) lA<..k
'Tf""
3. LEGAL DESCRIPTlON
3':;
ADDITION WI LDS
PID zS-337- 634--0
/
BLOCK
"$ I'e.
LOT
13. TYPE OF CONSTRUCTION
t..--'oO~
14. FLOOR AREA APPORTIONMENT USE
4. OWNER (Name) (Address)
CK tA-> .....t LJ
5. ARCHITECT (Name) (Address) Bvv"'" vi \ ... (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~.c
SEATS
16. PROJECT COSTNALUE
Re-roofing CI Porch 0
Re-siding CI Finish Basement 0
Deck 0
Finish Attic CI
Fireplace 0
Alterations 0
Septic 0
Addition 0
7. TYPE OF WORK
New construction)(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
I 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 menti ned property and that all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. 1 am aware that the
building official is p~'9'I fc(i'l!st qiuse. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to perform needed insp~ons.
X ../V ..:::AJ\ )) '7 (, f - 1- 7 7-
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Raquired
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Side
Back
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SFD
USE OF BUILDING
/t4CCO' Cl7
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A _ B E ~ I M
Division 1 2~
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
City:
S U
850.=
/.O~.ClO
1187,'"2-C;
nt,7/
60-00
Plan Check Fee ............................. $
State Surcharge .....:....................... $
penany ....................................... $
Plumbing Pennit Fee ..9.f::.f (? f?.~... $
Mechanical Pennit Fee '!.(r::f.f?.~.~... $
/ "19-1 C8/P
Sewer & Water Permit ...................... $
.. $
Pressure Reducer ...1....................... $
Meter Hom ............................ ....... $
L"
Water Meter ...... ......................... $
Sewer & Water Connection Fee ........... $
WalerTower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid Receipt No.
70.~
1 00 . c:xS
{OO ' DO
Sb'SO
~J//f~
~,
~Q),Od
1.2 ('xJ. O:J
'700.Q-\
1~...M
Gas Fireplace Permit ....................... $
/ . 'f>C>O ,00
.
s Your Building Permit When ~roVed.
Date "f-7 .,
eoo
Certificate of Occupancy
Issued
Dale
SpecialConditions~any
24 hour notice for all inspections 447.9850
~
._---._-------~------------
.
Job Address
Heating Contractor
Name of Tester
Date
.
Percent O2
Percent CO
~
2/ Z -CO
o c
'/. i) /6
"7 Of r--..
/ 'C;;{
/ df;:;
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
. I
"
"
11
....
o
Q.
Q.
\0
N
..
N
o
0\
0\
I
I'
o
I
U
QI
o
STATE SURCHARGE
TOTAl. PERMIT FEe=S
AblIIiom
Repair
EtL Cast s 8__ eel)
IEATWG PERMIT FEE $
$
S
,
Edr.
C1m.
Address
Healing CoIIl1ac1or j
Address / if' )tAO j
Telep/lon., . lJ '--11- ~-q
Furnace Mallo & Model .~
Model Size J'/ ~ 0% .
Conn. Load _
Fuel r..J~ft.{&fu. Size t:;//
Su~ Openings -'
~n~
Input 14 (';W _ Output
:4E"J0.
t::T~ .1."\<('-,
IUt .. \~~
\'~r:
~
Date / )
TYPE OF WORK
Replacemenl
Esl. Compo Date
c.zu
, Building Penn~ ,
CITY OF PRIOR LAKE Me
16200 Elgie Creek Av. S,E. Perm~ Net,
Prior Lake, MN 55372
HEATING APPUCATION I P
,50
-/ 6~
/",-p~\O YJ\i\-\
\ BU\\..O\NG PERM\i
Receipt ,
Other Devices
HEATING OR POWEll
Steam _
Hot Watet _
Radiation _
Special Devices
TYPE OF SYSTEM
Warm Air Plants
Gravily_
Mechanical _
Air Cond~ioning
Vent, System
New CorlStM:1ion )<}
,
PLANT
qQ-/OBfo
PlJD
I hereby apply 'or a mechanical systems permit and I acknowledge Ihat th B e
information above is complele and accurale; fhalthe wot wiU be in c~,"'ormB"" c; ",'
with the ordinances and cooes of Ihe city and Wilh Ihe l'ale buHdinglmech a"';::: (30
codes; that Ihis form does not become a permit until ~aned by Ihe BUILD I
OFFICII',L; thet the work will be in aCCOrdance with th. approved plan in 1;n e>
case of. I work Which ruires review and approval 0: plans.
l:lfllI REOUIRED with number of SUpply and ret"," ctpenin9s listed per
room With CFM's per opening. New strllC/uI8S Or addilions oend IIoOt plan with supplY
and return locations sh<>wn. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS 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 {ROUGIf.IN
147-91lSG
HOUSe Haating Tesl Record must be sublllmed Wiln ~ Ilm!li! ~ belore build-
ing cerliticale of OCCupancy will be ",sued.
The price ot your heating permil includes one rougn-in and one final in!peclion.
Additional inspections will be bffled at $35.00 each.
Remember
Fee Schedule
Industrial, Commereial & Muffi-Family
Residential, Healing & AC
Residential, Heeling Only
Residential, Gas Fireplace
Residential, Additions & Anerations
Residential. AC Only
Single Family >C Two-Family Multi-F~ _
Commercial Industrial Puciic _ 0Vi0r_
10
add the Stale Surcharge On tile bonom of this application.
AND F1NALj
1':'. at job C<>st
$99.50
$64.50
$39.50
$39.50
$39.50
. CALL CITY HAL L.
($3&.50 IT1inilmM"J
I.
2.
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