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Home My WebLink AboutBuilding Permit 99-1203 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 155/1 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~SULATION~ ~~~NAL o SITE INSPECTION COM~NT :;: YO? ( V SCHEDULED ~G;. CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL r _ A n UJ(f11Jr) --- ~ I /}' '-..-.J / k~?, _ I_OATr _ TIME ~ H:30 <=i<1- 11.03 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o -- ~ t,-[, ') iI~ ORY, PROCEED N NO PROCEED ALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAL. 447-9SJ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,. CODE~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl I I .---r-~-~.__.'--"------~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /)"0/ S f~{'A" OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 6/10'/"'- ot DATE nile ~/~hot (,1' !YI~}'/] it:; -/203 ~..,....~LING o COllllt:AiNT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o \J ~~.. /" /' o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ~ Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. 1"""," CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~\ nA TF RFr&.!.YEQ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant OCT - I I!8J Permit No, 99 ~lM:<, 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 ADDRESS I c; 5 II <;;fe-f In C I ,,( I Q., 1. DATE s~_ {(l sf) BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 12. NO. OF STORIES LOT '/ BLOCK 4/ PIO .;26 -()qj- 02.2.- 0 140~ln 6 15. ARCHITECT 6. BUILDER (Name) i\<: h...1 '14...- (Name) J (Address) (Tel. No.) 13. TYPE OF CONSTRUCTION ~~, 14. FLOOR AREA APPORTIONMENT USE ADDITION eJ/ln:;W/J1j 5#O-ee:s (Address) (Tel. No.) (Name) (Address) (Tel. No.) \M""" <:'\)0 ~~'" IJ,'..... '-1010 t:n~ d:.o L/'-{""l-G,.,Ojo 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction 0 Fireplace Cl Alterations 0 Septic 0 AdditioM( DeckCl Finish Attic 0 Re-roofing 0 Porch 0 Rs-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width Depth Yes No Z. 0 0 0 I hereby certify that I have furnished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official Cf revoke this pennit for ~e. Furthennore, I hereby agree that the city official or a d3g~e m~enter upon the property to perfonn n"eeded inspections. X r ... """" .f 5" ('nt .:L. Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required , Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA " BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION :< ~JJIJt"J . 00 PILING LOGS 0 PERCOLATION TESTS 0 USEOFBUILDING ~S ,4/~ , PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN " TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U City: Amount Brought Forward .................. $ Park Support Fee .... .... ................... <t SAC .........................................~, Collective Street Fee .......................~, Sewer Tap ................................... '1', $ Division 1 2 .3 4 Permit Fee ................................... $ 403,7e; 2~? .<lq l?<;'h Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Pennit Fee ....................... $ ~ Pressure Reducer .......................... ~, Meter Horn ................................... .<t. Water Meter ................................. <to Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Mechanical Permit Fee ..................... $ Sewer & Water Pennlt ...................... $ . ..9.9~. .~~$ 10.00 mes ur Building Permit When ~pr~. By ~ Date If) -uP ~ (/ Certificate of Occupancy Issued Other ......................................... $ , PaId T07;>..(;..9.......~~~~I~;~oL~: I~~ Date /ok</#q By '.itii) /. that the re..quest In he above application and accompanYing documents IS In accordance With the City Zoning Ordinance anar;,ay proceed~:est-:. ThiS document when cons' les r Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Dale Special Conditions n any V 24 hour notice for all inspections 447-9850 ".~-~ , ."'T .',,~,.,.. _. ~,":';'~:~ <..- .~ .*-, :.~---~~~..- ''''~<- '....:. '-. '7;1'" ~ -- ........".--..- -.~. ~_..,.,"'~ ~,,,,,-,,,,,,,,,,,,,",..:^...,::.,-,,,,.,,........~..~~. . ,. Tht Ctnltr of lht Like Counlry White - Building Canary . Engineering Pink - Planning .BUILDlNG 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: I -~"- Accepted / Accepted With Corrections Denied Q,~~ SdbaJ0- OL Date: /0-7 -17 ~4~fiN? .LlIAHfeeQ' -Ole -. v - v 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 ordinances of the jurisdiction shall not be valid." ~1 99-/Z-03 Tht Crnltr of lht L.kt Count!'}' White - Building Canary - Engineering Pink - Planning B.UlLPING PERMIT APPLICATION DI;EARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /l1 'f /l1 r:~A.I.s77<-. /0// /9q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /55/ J 0/ cl---/lN (!.I/<- Accepted Y- Accepted With Corrections "-..( Denied ;;( L Reviewed By: ~ rf! ~<..:::. Date: Ir) -L., - 't.- '( Comments: J, U 0 JJc.-b.. g~€- DJce~" ~/v ~1"---~ "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 16200 Eagle Creek Av. S.E. Permn No. qq -14-00 Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Date \ d. - ~-~ L\, PID# 25- oq/- 022-0 Sne Address \ 'S" S \ \ S-\ '<:. ~("'''' U r L.\.Q.. > Lot L Block 4- Add~ion Gh7EwA V S!toe6S Owne(s Name M.... ~ ("",,\.\- Address '--\\:11. ~ ~C"A C\"-\<"'- 1....:i'W (?r"I\~ \1o.\U Heating Contractor ,"\. {,.~ \\, r- -l Y\ \. Address '\ \n ~ ~ C', '\..{ '- \ lQ,'l-,^ ~ v' l V {'; IT' ~ 4 IlL Telephone # "-\ \.fl - ~ Y::>. "-\ Furnace Make & Model Cu.V"' r" \.V- Model Size f '\1 \J - CJ ~ \:J Conn. Load S '-1.\ I \ Fuel N u \' R/SD Flue Size <:. II TYPE OF SYSTEM Warm Air Plants Gravity Mechanical ,>( Air Condnioning Vent. System Supply Openings Retum Openings Input 'i,'I, ,I%~ -, '3 HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Output "\ \ ,,\\1:"\ Edr. elm,. \"\ \.1 \\ Other Devices TYPE OF WORK Aherations >< _ Replacement. /(' ~--""'''''-'lien Repair . Est. Comp. Date ~ Est. Cost $ BUildi.!"ermn # 0, ~ - \). C)~ -D '~ ~^TING PERMIT FEE~) q ~ /' " "MIT FEES .50 ~ "1(J ~ Receipt # 3b573 <;lJRCHARGE ~ ~ OF STRI,JCTURE 1. Pink 2. <men 3. Yellow Hie City Co_ Single Family X Commercial Public MuKi-Family Other Two-Family Industrial Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only R~ ~sidential, Addnions & AKerations Residentiai,AC unly 1% of job cost ($39.50 minimum) $99.50 $64.50 ~9.50 $",,<;n) $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 wnh !",ilrli"" ~ number before build- ing certificate of occupancy will be issued. HFAT r.AI r.11I ATIONS RFOlJlREQ with number of supply and return openings listed per room with CFM's per opening. New structures or addnions send floor plan wnh'supply and retum 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 447-4230 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. .~ lA b\\,\&~ J . 'P~ifeP~ I\?6IAI1J (.. fI · i . Buildi..y Ollieo. '. n~ ... -=.. , \ d.-d. -q q Date /2 /~/qq , Dale PRIOR LAKE INSPECTION RECORD G. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS kSS- 1-\ S't-p\='Dv\. NATURE OF WORK Uj,-j.,'tJ-,. USE OF BUILDING S F.D PEl=lMIT NO. crl-I'2D3 CONTRACTOR NI~M ('~, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I INSPE{.~ I Dm I FOOTING /dJ ~ 40 I FOUNDATION (Prior to Backfill) ---r- 1/ I I J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ~) [);) \ \ 1-111\ 0Pl INSULATION, I, (/V 1~/~v 1 J1 I" f ELECTRICAL V ~eqUired)1 I ~I::~~:~~IR TEST : Q) /~Jr/~ : ~ER NO WORK UNTIL &OVE HAS BEEN SIGNED ~ I I FINALS (' V,) ()J DATE ISSUED ID -1-'7 q I J BUILDING ELECTRICAL ~ I: ~J !m -I ~ I I HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE HAS BEEN SIGNED 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 ahd a'dditions 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 I I _.._-.,.__._-_......,.~..._'----.-_._-_..__._-----_._-_."---~"-~._-" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I c;-o I S I e.rAY1 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 6/,/",1,",- - oJ:' DATE nME ~J~bot D~ Jr!;f-J/! jC; -/20] ~~LING o COItJ5[XlNT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o n "LrA ~~. /" ./ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: ~ ~- Owner/Conlr: CALL 447-9850 FC:>I> T"E NEXT INSPECTION 24 HOURS IN ADVANCE. ".."on CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!