HomeMy WebLinkAboutBuilding Permit 99-1299
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QLtrtifirau of OOrrupancy
CITY OF PRIOR LAKE
~ . Department of ~uilbing 3Jn~pettion
'f\Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursUQTIt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issUQTIce this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatioll
SINGLE FAMILY
99-1299
r "~'_'Y Type R3
Type Construction VN
Fire Zone
Bldg. Pennit No
N/A Z" Di Oct R1SD
oomg stn
Legal "......~..., ;."
L118, NORTHWOOD
Qwner of":' ,."'"'' .",
(':... " ,~~, .....
16031 NORTHWOOD ROAD
Contractor',Name8<AddressDAN REILAND, 13754 FRONTIER COURT, BURNSVILLE, MN
ROBERT D. HUTCHINS . DON RYE
r "J Planner .
55337
Dare: "
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \ loo ~ I
No~"d
OWNER
cONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 1B ~ATER HOOKUP
o INSULATION ~ ~~R HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
~ t7 _;
~
fA
TIME
Cf';<b
CfCf- IZqC;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
X COMMENTS/TJ) ~ I~ o./Y1R~ 'Iv ~
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J!!WORK SATISFACTORY. PROCEED ~
o CORRECT ACTION AND PROCEED
:S:::O~EcT WO~~R REINS::::/::~:FORE COVERING
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
II
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CATE
~30 )01
N f) f' +J.. uJf)cJ. 1< d. ,
, ,
,c PRIOR LAKE
,r'EcTION NOTICE
SCHEDULED
ADDRESS
!~osl
OWNER
cONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-,.: FINALCdd:\:::..
o SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
COMMENTS:
TIME
4:0D
qq-/;;Zqq
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
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o WORK SATISFACTORY, PROCEED
o CORRECT ACT N NO PROCEED
~ORR cT RK, ALL FOR REINSPEcTION BEFORE COVERING
Inspecto: t. ) Owner/Contr:
,
c;;;z. ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
II
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HOUSE H EA T ING
f'Jd/1'VJuW t?Q
.APT.~FLOOR
OWNER
ADDR ESS
OCCUPANT
HEAT LOSS
SOLD BY
Eledricol Work By
TYPE OF HEA T
DA TE HTG. INST.
TEST RECORD
CITY&'M UiSUBURB
INSTALLED BY
Gas Line By
GA _ FA .lL....HW ~STEAM ~SPACE HTR. ~UNIT HTR. _OTHER
GAS DESIGN
MAKE
Model
Seriol
INPUT
~,.~
--r()c.o"i~ C.CfI.f'l87
AnJIJ LI ~ ., 6-
~,,)
I
-;
THERMOSTAT
Valve
Limit
Limit Setting
Fan Settin""
Pilot Type
Pilot Mok..
Pilot Model
Pilot Timing
L.W. Cut Off
CONTROLS
Heat Plug
\
\
\
\
--\
\
\
117-
Percent CO ~I
2
Percent 0 ----Y"~ (;>
2
Percent CO CJ
Pressure
Input C FH
~ck Temp.
'" 235
MAKE OF BURNER
Model
Mox. BTU Roti n9
MAKE OF FURNACF
Model
Vent Size
KIND OF LINER
Draft Hood
Filters
Size
Chimney Location
Chimney Construction
Smoke Bomb _
Draft
Door Pressure
Dote T esto"
Company Testing
Namo of Tester
ItJ!z<{/,t)
we').JUL
CONVERSION
SIZF
Regularor
Number
Inside
Outside
_Wiring
Test To",
ighting Inst.
NON~
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" PRIOR LAKE
.-EcTION NOTICE
SCHEDULED
ADDRESS
} L,0.31
1}.Jo~ vJC>o .Ii
OWNER
cONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULA liON
o FINAL
o FOUNDA liON
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WA lER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTAll
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
at
/" J, B/9lC t91L.
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
.-? ~~~ ,#
Inspector: t?/ iv ~A/t_ Owner:/Conlr::
DATE TIME
!tJ-l(~ -0(
V2.cX
Cfe; - 129~
~ EXC~JLLtNG
-D"b.s:S~"'o~ETLAND
o COMPLAINT
o SEPTIC FINAL
~~P't';~,1o ~X
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
--..--['.-.--
_'___4~_.__._.__.,
, ,
DATE TIME
..IF PRIOR LAKE
...PEcTION NOTICE
SCHEDULED
77.0D Z:on
ADDRESS
Ifc031 /lJae77ff1l(jOO
OWNER
cONTR.
PHONE NO.
PERMIT NO.
99-12..99
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
K\\ 0 MEcH RI
lEY )l:WATER HOOKU
~"1st:Wt::t( HuuK
o PLUMBING FINA
o MEcH FINAL
o EX/GRAD/FILLING
COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:O} ~ ~ ~ u... 0.,
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n wn""'iAT'''CACTn"v ""nCEED ~ ~t t..p,
;:& .cORRECT ACTION AND PROcEEDI
"'CORRECT WORK, CALL FOR REINSPEcTION BEFORE cOVERING~
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
, ,
II
ADDRESS
DATE TIME
(O-;;t(p/V 1/>>(,
lroo 3. / ;(J 0 rtltcuo(1:} Rd IV b
..JF PRIOR LAKE
,6PEcTION NOTICE
SCHEDULED
OWNER
cONTR.
PHONE NO.
<jQ-!;J--9CJ
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
I'
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
-fM'LUMBING FINAL
o MEcH FINAL
R-ou1
o
(frr/k>
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS(() ~f{'
~ -d.-
~ M.~ 9cQo~_
o WORK SATISFACTORY, PROCEED
'fd 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
, ,
DATE TIME
JF PRIOR LAKE
...PEcTION NOTICE
SCHEDULED
(1'2-~ //:Dr>
ADDRESS f( nO S \
)-.J[)\-"~ \.J..)~ ~,..,D
OWNER
cONTR.
PHONE NO.
PERMIT NO.
7i - t2crc:;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!I FINAL
o SITE INSPECTION
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
COMMENTS:
t. IVJa "'A{,../"" ';S='....,::,,-.,.,..,... (l"",,.,{.l-o~
'? ~,{I q,l( f:c.~~ ~;I A~c;
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4. Fo.... Plb '" St-....+ '..lIP
5. :i::"'5\oJ.l {!. . /k;.,. o\.~<;. .
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10-.. 1;/ k"
v '
o WORK SATISFACTORY, PROCEED
o CORRECT TION AND PROCEED
J( cORR; T W K, CALL FOR REINSPEcTION BEFORE COVERING
~'
Inspecldr: / Owner/Contr:
c~ L -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTJ
II
Om_ ------.--. -,.-.---- -..---- .1
, ,
II
.' PRIOR LAKE
,...EcTION NOTICE
DATE TIME
3-iS-act
ADDRESS J IoD~' Nort\A WO~~ _Rc:0c9--
a~ AM.
SCHEDULED
OWNER cONTR.
PHONE NO.
99 _ \7'1'l
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
\. Sed 0.\\ ~o.I-e. St>il tU-ea.."'-
2. tJI",...k,,^" frfl';....,... O_h..\ ",^\;IL+u~r 1'\ ed"'\D'I~
3. t'\",....~'" c.." Lo.looc9. 't:",,~ ~~
4. t:"j;......,,__:""~ n;?,......".......1 o~ ~~ Io~~,.... ;"'c~..~
~ Q_.J
~) A...."d.. \,,..J -ho ~ n.""","t..,~ "lA .J..l.a rl"'r~ -
......
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)l4:0RR~RK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector\t-:n r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-"'._-'-'~_.-r---_._-'-----'~'--~---
16. PROJECT COSTNALUE
I fJo..lJ<oe>
9. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Width Depth Yes No"- 2--- 4I!I!L 20 - dO
tion 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
a construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
2<i3(., /tJ-Ll-ff
s~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DA T~ R~r.I=IVFn
/0/2/-1/91
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
/~ (}31
3. LEGAL DE'SCRIPTION
1. DATE
10 lz-q /99
1J1lfl.-I-) WcH f,
q
JC./S/::)
LOT
//f?
PID 2...&:;-14,1- op,f-O
BLOCK
No.emwooo
14. OWNER ~Nam.) I), ) J' (Addr.ss) /C (T.L N~ /
~ 1/ JJ N .t'2/L1! J,/ 1.776""</ rklLW!;t: Je r.:r
15. ARCHITECT - -4Name) .'- (Address) (Tel. No.)
.)JfI/n 1,("
6. BUILDER---J) (Nam.) /J j (Addr.ss) </7/" j2..ot; (T.I No) ~Jf")
t/~tJ re J Urv /77S'I ,f}efh./f/f!< Cf. ~RAJ4'/k
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction ~ Alterations Cl Addition 0
Chimney 0 Misc.
ADDITION
.b
DeckLJ
Finish Attic 0
As-meting 0 Porch 0
Rs-siding 0 Finish Basement 0
8. PROPERTY AREA OR ACRES
Sq. Ft.
I herebyc
the abov
building
X
UcenseNo.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Side
Front
B,ok
- BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION I ~.A(",\M. l"~"O
USE OF BUILDING
5FO
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 ~_
PBnnit F.. ................................... LL:2Ff? ~
'P,3to.~
ql'J.~O
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. CJ-t?- /2..<:11
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(HejghY (Width)
1& .3"
12. NO. OF STORIES
'l-
(~th)
.~
13. TYPE OF CO~TRUCTION
~ 1)(1 D ~. f'-M':~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~
SEATS
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $~t:;~
SAC .....................//00.....00$ J "'::,,",>
Collective Street Fee ....................... .'t,
Sewer Tap ...................................!I:
!;L ,. $
Pressure Reducer .1.6..................... $
MeterHom ......!;[."...................... $
WalerMeter ....1/!?;......................... $
Sewer & WalerConnection Fee ........... $
WaterTowerFee ........................... $
100 -60
100 .e>6
:S" . SO
GaS~Fi ,. _ ~: ........................ "" . ~ -'" ....................................
This I Be~BUlldlngp.nnit1?~'t!ro~'lr BUlld.rsD~sit ..-&...................... $ ItEf:;t'Jf').t9A
By Date - Other .......I.Ca......'.S................... $ . .W. () I?
~::~eofOccupancy ::~: T~j~l;;~...:~~~i~;::~~;r r
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed a(requested. This document when
s~ b~_City ~.~~ner constitutes a temporary Certificate 01 Zo~1!2.. compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
\..\ '!17' ",JI.:-u:v! I - Lf.-GV
~ ~ City Planner Date Special Conditions if any
24 hour notice for all inspections 447-9850
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... :t
Plumbing Permit Fee ....................... $
Mechanical Pannit Fee ..................... !l:
Sewer & Water Pennlt ...................... ,It
, ,
.0>-8
.~
45 .0'6
1;;?5,OO_
J.20Cl .06
. 1) C)(') . t>-6
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Pormij No. '1'1- /;;qq
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
/-I1.rD PIO' a~-14}- ()Y/-{J
/ 1 ,
5"e Addro.. tf"O. f i A../ iJ'!;C.I. y,JoJ.v ,z.J;
l.ol ~ Block Add"dion 1\\ ( 1V'W1 A.A'iT)-FA
,/>, r-;).,.
t M^ n(L - _~Jr...40 .J/
(J .
Dato
Owl\8(S Namo
Address.
Hoaling Conlraclor ALL lED FIRES IDE dba FIRES IDE CORNER
Addtess. 2700 N. PArRVIEW, ROSRVILLE. Mil 55113
Teh?phono' 651- 6 33- 2561
PIREPLACE II
~.. Msk. &. l.1odel flu:! A J Cr.,
, -
ModelSiz. SL.7:Q)fl?
Com. Load
Fuel h6-.f
Fllle Size
Supply Opening.
Relum Openings
i<lput
Edr.
Output ,)..11"'->
Cftr..
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mochanic.11
Ai! Condllolling
Vont. System.
HEATING OR POWER PLANT
Sleam
Hot Waler
Radialk>n
SpeclalOovicos
Olhet Dt'lices
Alleraoo,.,.
A<>placemonl .
TYPE Of WORK
New Construc!ion
x
Repair
,
.Esl. Comp. Dale
. Building Permk .
EsI. Cosl$ flOC.m
Ii EATING PERMIT FEE $
5TATE5URCHARGE $
TOTAL PERMiT FEES $
/'
/50
/
7-/R-{)r)
qq- !:;:;lqq
\'~o#~
Recelpl" _,\~\~G. ~ ~
~
TYPE OF STRUCTUR~
1. PJnl
1.Gtfto..
l. Yellow
rn
lD
'"
Ci1y r+
c.-..:"" '"
'<
F""
Single Family
./
."
.....
,
lD
..
.....
a.
lD
T~lIJl1l1y
MultI- FatriIy .
Public Clher
Commercial
InduslrieJ
Fee Schedule
industrial, Comrnen:lal &. Multi. Family
Residenliat, Healing &. AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residenlial, Addtions & Alletallons
Residenlial, AC Only
o
o
,
'"
lD
,
1% 01 job cost (539.SO mrinum)
599.50
$64.50 \ .
539.50
539.50 JUL I a m
$39.50
L__
namembet 10 add Ih. Slale S",ehs'g. on 1M bottom ollhis appllcalkln: .
m
'"
Tho price of your healing permil includes"",, rough-In and one IlnaI insl'ecIion.
m
OJ
OJ
III
III
House liealing Tesl Record musl be submitted wilh l!liiIlIimIllCIIIliI ~,,"'h..' belore build. ~
Ing cermicale 01 occupancy will be Issued. ..
Addi~onaJ fnsJ>ections will be billed al $35.00 each.
HEAT CoAl a II AT10NS RFOIIIRFQ wilh numbet of ouWly and relurn openings Holed pI
toam wiU1 CFM's per openWlg. Hew sltlK:lures l1f eddilions &end 1IoOf plan w~h supply
and telurn 1ocetion. ahlMn HEAT LOSS CALCULATIONS, PAYMENT AND
APPlICATIONS MAY BE MAILED TO THE CITY Of PAIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 5537Z.
L
c
~
,
~
Clly Hal business hours are 8 a.m. . 4:30 p.m.
OJ
o
o
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). tALL CITY HALL
447-4230
...
I hereby apply for a mechanical systems permil and I acknowledge that lhe ~ i
Inlormation above is coml'lole and accu,ale; Ihallhe work will bo in conlormance .~
wllll the ordinences and codes of Ihe city and wilh Ihe slale building/mechanic..
codes; Ilia! IlIis lorm does nol become a petmil un!il signed by lhe BUILDING
OFFICIAl; Ihal the work will be in accordanc. willi Ihe approved plan in Ihe
case 01 all wotk which tequires review and apptoval of plans.
kJ .
1-"J1L.,t.~ d_;.7A~ 7/1 1/~
. / . A"p1icenl'~luro . , . Oala
(JJ('J.i~. ~ U,,',..,hAj/~ 7~3b)
d Building Offic~Signel1lte / 'Oslo
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-.__.._~-,--, - .-~~.....-..".__._--_._.-. -'-'--_."
GREEN - FN.E
YELLOW - APPLtCANT
QOLD . CIT1
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. 99- /;)99
JUN 2 6 :mJ
NOTE: Sewer and Water
contractors must
be registered
with the city.
SIGNATURE:
~c,f'><..t' 1.. l-t"'^\^\t)~'1 fu...
llo7j.. ~er-l. Wt:A.N
~ ().L>~ /
(Coo 3' rV>ll.:/l-rw=::>)Q...D.
PHONE: ("iJ. -Llu 7 -39. '?JLJ
DATE: (~-;).( 4 -00
BLDG. PERMIT # qo,-ll.'1C)
PID# :;J,e:; - i4/ .- M/- tJ
APPLICANT:
ADDRESS:
SITE ADDRESS:
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
==================================================================
This application ~mes your permit when approved.
BY (ACU~o. '-I f, Mj./AjU,~~ DATE: ro/cu')cm
==~=======~=~==L============~==============~====~==============
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $)7.~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
, DATE PAID
Co k,;n / (ft)
-,
I
-.tft V4\1~
~pep.tAf\MOUNT PAID
REC'D BY
RECEIPT #
Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447,4230 / FAX (612) 447,4245
An Equal Opportunity Employer
Th..C..nl..rof Ih~I,.bCounl,.,
9r;' I,Z(/t!
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
)::'E Ie FIA'L-}
It /2 " /--::1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
jt; (...2, I /v{ ;,'--nl//c C-u /;:0
Accepted
Denied
,/
Accepted With Corrections
Reviewed By: ~rttL-rI~1l t:unF"'i~,qAlN Date: l2i/~/ "
Comments: Ru,J oFF AL.ClN(. '''E SloES oF 'THE. FQ"'Po.~E () BoJ/r.CINU M,,"" at:
c.o./vEYo> '-0 ,-..E. LAKE. A {'..uTTER. ~ ~v.JN.sPO'Jl -:;"';STLM. h.llL..c.... wEd'
ArtJ,E'tlf"_ ~f'\ .o,.j n-lE I'A<T" ",nE.. .oF ,>IE. S'ltol'..,;,r::.D BV1~l>I"''' THE. J)llll1f::,.,~V
Mv~'" aE PAl Ell /lJ '" ;\\AiVNER "'0 r.OAJtJ!'t' iI."Noff' F'nOM nl~ Fll.o,vr
.oF ,wE. Pll.oP"'E"O BV1L..1),,o..)l.. To No/hl.J,..lo"l\. ROAn o<lAli'> ,JoT INrO flo.rllcflUT
1....0'- II'.
_C)EE IAlF'olt.f'1AnoN 0"" rHE. (?EuF-R..SE.. '(,De:
,
s.~ ~n-Al.MMt::.JT'"""t;... I. hAlAc.... ~I1.AOF L'J~PF_C.7""A-1 '^-'~Dft""Ann...\ 2.. .5EvJEA. '( t...JAT'fj?
,
a<,- ~\I,-r<l:: ~ GllaoIAlf... 4' &osu...., f:OIJi7tOL B.AA'
0/-. EAo~'o^, CO"'n"t.>l.. t<1r:;u"fl..E.S
"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."
, ,
~~
9'1-/2-99
Tht' ('t'n'..rof lh.. L.k.. Counll'}'
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CIifCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
)eE/L.I7A!D
/0/2'9/91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ 0..3 / No.eTHNooo /GO
Accepted
Accepted With Corrections A
Denied
Reviewed By(J f' ~~ Date: / (- c..(-q'7
Comments:
I. KccllA.k..i<A.. 7"~,'Q"v. ~
2. , S"'~ a. \ \ DC>.N> 'So...; l ON.D.
"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
1. Blue FiJc
2. 0014 City
J. Ydlow AppIiClDf.
PP No.99-1;) cr '1
Applicant: hfa#hpul 7'.Jt,nj~/.s. Inti. Phone:~S/) ..J.2.'l- ."f'7..'!/>
Address: .L."?->-"W (J t7 pr"l.l-"'~! >Vt:, y, .RA,.-wrnou.nf. MN SSat.!?
Signature: "1" If' I '-nI.~.f'A/"l
Legal Description. Lot , \Y Block (J SUb~IAJ01"'r-/
Site Address:jt.1l8/ ~Jd'i J1LUAl I!.tu:&L N. W.
BuildingPermit# 99- /;;)99 PID# 61S"-/t.fI-OY!-O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
CITY OF PRIOR LAKE
PLUMBING PERMIT
n. Cnol.... of 1M Lake C_..t",
'"
JUN - 6 2lXXl
Quantity Type of Fixture Quantity
z.., Bath Tub with or without shower .J
I Dishwasher /
2-- Floor Drain
Jj Lavatory (bathroom sink) /
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stail
/ Sinks
Bat Sink
-.3 Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
D~~~~~~
~,~G ~e
f>>'"
GRAND TOTAL
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Checl<, P'IE
Backflow Assembly Test
Lawn Sprinkler
Other
.50
$/~tJ.tJo1J~'
This pcnnit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbing Code and the amcndme~ thereof.
/ I _ RE NO.j-::/c;/1O-DATE
L/L '<;iI.' ) ATIEST
&or all insp 'ons 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal OpportUnity Employer
II
,DriVeWay: NOT APPLICABLE Requirement Proposed
:~l);TS coi>b
I . Maximum Width at property line 24' IK'
. Required Setback 5' from side lot line
30' from R,O-W on s- 'of-
corner lots
. Maximum Slope 10% II) In
. All parking areas to be paved including R, V or /VI ;f-
spaces adjacent to the garage
I. Location to match Subdivision grading plan tJ/lf
-- --
I Building Height: r' MEETS CODE) 35' Maximum jO' ,
- ,., .-
. Shoreland District: ~LE Requirement Proposed
sro~
Minimum Lot area (square feet) 7,500 Rip, 7,999 Non,rip 1'P./1 S'
I Minimum Lot width 50' Rip, 57.3' Non,rip 55'
I Grading in Shore Impact Zone (not permitted) ..urt
i Impervious Surface 30% Maximum 2SS "it;:
I Bluff:,.NOT APPhICABL~
, ME}, fS Cum;
. Setback from Top of Bluff
/YLO
R. equirement I Proposed
,"it) f! <:;: lo~ tv '7:+ ~ w-J....""(,,,,""
25' minimum of slope less
than 18%
20' From Top of Bluff
By City Engineer
No importing/exporting
. BluffImpact Zone
I. Engineering Certification submitted/approved
I. Grading in Bluff or Bluff Impact Zone
Flood Zone: NOT AP~LICABLE
rM"'1i'T" _Q~
. 100 YearFlood Elevation
Requirement
Proposed
908.9 Prior Lake
914.4 Spring Lake
I.
I.
Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
Existing Lowest Floor Elevation
Proposed Lowest Floor Must be I foot above flood elevation for new
Elevation and existing structures. If existing structure
was constructed 9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or I
higher
907.9 for Prior Lake I
9\3.4 for Spring Lake
.
.
Elevations IS feet from structure
, Accessory Structure: ~T 'A PPT .I€7\BLF...)
MEETS CODE
Requirement
Proposed
. Size
832 Sq. Ft. Maximum or
25% of rear yard area
. Not Located in Front yard
I. Side Yard and Rear Yard Setbacks
I. Maximum Height
10'
IS'
L:\TEMPLA TEIBLDGLIST.DOC
, ,
I' -------r--
~
42/6 \
CITY OF PRIOR LAKE Me '. "
16200 Ellllle Creek Av. S.E. Perm~ No. qq - I ~ C\
PrIor Lake. IIN 55372 '
....
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c
ISjI
HEATING APPUCATION I PERMIT
PIO, ~S-14Hlxl-6
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Nr~
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t.l
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011
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Heeling ConltaclOr ..I/f~A/ ~~.AI~
Address #l.J.1 Nd ~AIN~ ' ~'I AJ.I
'-
Telephone' &61- 1ft!fIt1-'91fJ9P
Furnace Make "Madel"'A,~ . .,., II~ TYPE OF SYSTEM
Warm Ait Plants
Gnivity
Mechanical
Air Cond~ioning -'
VillI. System
HEATING OR POWER PLANT
Steam'
Hot Watet
Radiation
Special Devices
Model Size ~
Conn. Load '7'::05t.
Fuel /Ih~ Flue Size. =1/~
Supply Openings
-?D
q
Output -pJh'
Retum Openings
~)
on
on
'"
'"
...
'"
'"
....
on
co
..
..,
"-
on
'"
'"
c
Edt.
Other Devices
Clm.
TYPE OF WORK
New Construction ..;'
R/z7 .
- .
Building PetmU 9 Cf - I ~ qq
/" '.~
~o""'" PERMIT
$/
/'
AIIetalions
Replacement
Ropalt
Est. Cost $
Esl. Comp. Date
HEATING PERMIT FEE $
c
c
"-
'"
'"
"-
co
c
STATE SURCHARGE $
""'--
-
TOTAL PERMIT FEES
Receipt #
TYPE OF STRUCTURE
I.PiDlt
2. """"
3. Yellow
File
City
Colllnlclllr
Single Famly
. Commercial.
./
Two-Family-
Industrial \
Public
MuIH=ari1ily -_
Other _
Fee Schedule
Industrial, Commercial & Multi-Family .
Residential, Heamg & N:;
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions" Ahetations
Residential, AC Only
~l'. V
"'-otjob w~l ($39.110 lnil1imum)
--h. ,
$99.50 .
$84.~ PL~SE NOTE:
$39.5C,Air ConditIoner Units Cannot
$39.5(" Encroach Into ReqUired Side_
$39,S( Yard Setbacks.
Remember to add the State Surcharge on 1IIe bottom 01 this application.
The ptice 01 YOUt heating petmil includes one rough-in and one mal inspection.
Additional inspections wll be biUad at $35.00 each.
House HeatingTes! Record must be submiltedwith"' '\.',. I!IlI1IiI nlJfl'lbA. belore bin
ing certificate of occupancy will be iasuad. I (j.
"'~AT CAI.CULATIONS IIl'fll 11111'1') with number 01 supply and retum openings listed
room with CFM's pet opening. New structures or additions send floot plan With s pet
and relum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND "PpIy
. APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
. CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hal business hours ate 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY ItALL
447-9850
I hereby apply lor a mechanical systems permit and I acknowledge 1hallh
inlotmation above is complete and accutata; thallhe work will be in conform';:
with the ordinances and codes ollhe city and with the slate buildingJrnechan,ce
codes; that this form does not become a permit until signed by the BUILDI~c~'
OFFICIAL; that the wotk will be in accotdance with the approved plsn in \II
case 01 all work which requites teview and approval 01 plans. e
~I A/ie.
/ . A ApplicanrJ'S"'!Int'ure ~
UII'J;~h'-:'1 I.l,/,j~~~
o Builcing OlIICaliignllture
~
6/~~
'..,A-.
-$~O~1( PRIG-,\,\
..."U t'Tl
"
,/
Thll' Ctnlrr of lht I..kll' Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING 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:
,.,,'
Accepted
Accepted With Corrections
v
Denied p
Reviewed By: . ()Il" j~ Date: I - L..{-60
Comments:-( ~IC, unit. LUVlnIT P--Vll-rCJt<i;y, SI'Jc "(o-d~
~ JJhfib, 1(~ I - d I~ "~-W-tr~ f)v.-?'"\ c.;ti's
-I--r..{ [. Us i fD f T fa f Y-l2u1/c.JmV1 ("(.,'/4. CiU1.J2J .
Il
"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."
^_. r - .
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~31 ~Oih^ lJco& RJ.
NATUREOFWORK ~ ~\.
USE OF BUILDING St::'t)
PERMIT NO. err. ,Q'l1
CONTRACTOR n.a.", R...i\(l~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED lI.tJ-~t:t
INSPECTOR
DATE
I FOOTING
kJkl ~.
,
I
I
I 4-2/.0-MJ
I FOUNDATION (Prior to Backfill)fflY'~ (h, t//,;.7/n I
PLACE NO CONCRETE UNTIL A'BOVE HAS BEEN SIGNED
~ ROUGH - INS
SEWER/ftlAT~/sEPTIC &, "7h!.~~ SEI/IE.....~~~ ~, ~I/I/"(J
FRAMING 'i'J(t / ~. . 1////PD ~ t;;r 7/1J/t9
INSULATION V)) 11J.s-;/pp 1!:4-) . 1/17/h"D .
ELECTRICAL I V' .,. t
PLUMBING, {J. 6/A7/crl I
HEATING (ifrequired) K.)~;:;U7'j.ItJ I .
FIREPLACE {/~. r I 7/W/tJ'O
GAS LINE AIR TEST I / I . I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, WALLBOARD
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I
FINALS
?l~
/1/2;,
v.......
(J
fJ},
frr.
UNTIL ABOVE HAS
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.
/o./t~. 01
IO~/7~OJ
/('J/d-~ /flO
jOlgo1~
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II