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Home My WebLink AboutBuilding Permit 99-1326 ",..-;;:.wor'~'. ',"'."'f:'~ 'c,.,-.,;,.",+"".-,,~?;:~\".5.~....,,~_,... 'i~,){::i;~).:';"" '.....,l... "'. ,__~~'.,. ~!...", ....., ,_~f.'l!'I"I" ';"'~'~'.,,,,\'- . ,.i;I.:",,,,, , ""~~~,~~",?''::-'"'''''''' '~'.',",. ,,~"'I';:';';"_, CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 10'?LtO OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED 5 \\~Ip6' \-.CfD ~y- k- AJ~__ CONTR~ ~ PER~ 'f1-L2,~.(, ~ o PLUMBING RI ~;:RI ATER HOOKUP R HOOKUP o PLUMBING FINAL o MEcH FINAL o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 11 \1 (7: rVl/ ~.oNru.,j, k6 rH- \ ~L- LA 'rH~ \ ~. \~T). - \.C S "v ~ tv~ ~ Nu A, )1 l~~ 'lML 0MvvtLe% ~ . / / ~KSATI o 'CORRECT TI o CORRECT W >"S t-rcn-..:r-- I I n 1v~ Owner/Contr: R THE NEXT INSPECTION 24 HOURS IN ADVANCE. 'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl BVftN~ .vILLE Heating & Air Conditioning, Inc. 12481 RJaod< /,/Qnd Av.. So., Savog.. MN 55378 . 894.Q()()5 Orslat Test Report for Job# ,., nj./\ ~dress ; (~f )"'f l.) fIi. ~/,!' \ .....p-Jp Occupant ?Idi c"'-;;,' //h,-o Date 011ns13l1 .i! -,) u - fn.; Type 01 HT. F/A Other HW Make Model Serial Input /1 }.j.- ;)/ "-#(1/",, en\.,' I.. .. City !, I . ,J' I c" J.-,J SpaceHT UnitHT - 3$ $ RlftJ[)r",OQ80 '3""0oAO/~ 4S go, DUO t ~, PilotType. !I"I ~,,( k Pressure J <j' Input CFH B 0 Stack Te,mp 100 " ,. D teTested /1- J 0 . 6<;, Companv {l. f ,v,;:"J/ ~ NameofTester ~-r . . ;-/ /(,-., / "'^'J"<: C02 rs,7, 02 (~, "5 CO 0 / //'!k , j I 1 ,j " CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED II-~-O C)/dD ADDRESS If", 3 LI 0 PrL vii.- ft-u-e- OWNER CONTR. PHONE NO. PERMIT NO. 99- /30l6 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 rs<:PLUMBING FINAL VO N1ECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: t. ~""fIlJ.S) kJ?~ r '2.. L..):... Q,.......Q. o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED /COR~K. CALL FOR REINSPECTION BEFORE COVERING Inspeelf: -K/~ Owner/Conlr: CAtf~O ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IlVSNOTl ADDRESS /(D3,40 DATE riME SCHEDULED e ~l'l-t.d Qcu k AVe. CONTR. PERMIT NO. 71'- 13 Cl~ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREV. o PLUMBING RI o MECHANICAL o WATER HOOKUP o seWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ~X~FlI..LING o LK~IWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: C.u/b f3{).,. - a r &r<tJ,''''o,~ - r.:J Ie.. ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECT ION BEFORE COVERING Inspector#~ner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI DATE TIME CITY OF PRIOR LAKE 1/<5(01 q:co INSPECTION NOTICE SCHEDULED ADDRESS J (p 3'-/ tJ ~ A-r_I"f- ' OWNER CONTR. PHONE NO. PERMIT NO. qq-13~~ o FOOTING 0 PLUMBING RI 0 E)(/GRAD/FILLlNG o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE Rl o INSULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL ~ FINAL l.t:.:...J 0 PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION (!R) ~ MECH FINAL 0 . . COMMENTS:(1\) r'Pn~"". ~ ~ ?i)~. ~ --b-~ ~~ ~.,- .-t"~ J~ ~~ t-<- -I";~ .::tY:-~. . <@ ~ ..A~ A-::;j;;:;/,-,_~r. 7ffi AI _, v ~~ ~b~O_ ~ . - T('.~JI &/1/(11 ~.:...... }-.I'D..a ~ - NOT L.L, _M~~ o WORK SATISFACTORY. PROCEED 1- CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPEcTION BEFORE COVERING Inspector: ~r -/ c::....,tL ....7-9850 FOR THE NEXT INSPECTION 24 HOURSI~DVANCE. owner/Conlr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl -~_....__..~""- --',.'- --.-......-..---.-.- ____.________m. ~~ 'l\. &~ ~~ CE.. CITY OF PRIOR LAKE . ..0__... ..... BUILDING PERMIT '.' , \ NOV I 0 1999 ~EMPORARY CERTIFICATE OF " ZONING COMPLIANCE \ ., ___._h . . AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDREllS-... .I_ I (P3'/() t-'A~\L FJJ.R.. $'. E. 3. LEGAL DESCRIPTION --[ BLOCK ADDITION IA;:,~ il).e.- ----:pA~ Il. 14.OwH'RJ/. (Name) // . (Address) E+(t(C.7~~ ~~ ~C, ~~TECT (Name).. (Address) >"CIU C/4S'!;{ c S- 6. BUILDER (Name) --;-:, 0 .". ~ddref>') ll.u III C-ufl r, '_ ,",,0 '('S ~ 'i:\e~~ .r.v ~ ~I(h LAv.e. LOT 1. White 2. Pink 3. Yellow File City Applicant Permit No. 99-i..!?2. (p I "DATE BUILDING INFORMATION 1,. SIZE OF STRUCTURE (Height) (Width) (Depth) Ie/SO PID 2!5-09t.- rJrJ3-j 12. NO. OF STORIES "2.. (Tel. No.) 13." TYPE OF C~CTION c::; i AH::; (.t ~A.t II Y 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) C?j2.-~2' 7"7'10 (.:Jlge! ~8-7"(P3 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction ~ Alterations 0 Addition 0 Finish Attic 0 Ae-siding Cl Finish Basement 0 16. PROJECT CQ~TNALUE Chimney 0 Misc. '2CV fL.. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110 CULVERT SIZE 17. COMPLETION DATE Sq.Ft 1I, ?t.fl / Widtl5O.28 Depth "ZlfZ Yes No ;;:PU.je, '00 I hereby carti th~t hav umished info ,fon 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 ntio d perty an th 11 co truction will conform to all existing state and local laws and will proceed in accordance witb submitted plans. I am aware that the :uilding 0 cial c r ok is p for just u:. Furthermore, I hereby agree th~W}~~ t./ai{esignee may enter upon the property 10 pe1or_n;1~ ~ions. (Signature License No. Dale SETBACKS: Required Actual Back Front - BUILDING DEPARTMENT VALUATION FOR ADMINISTRATIVE USE Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA a PILING LOGS 0 PERCOLATION TESTS 0 USE OF BUILDING 5FD OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION JCO .~Q'"') ...., f") PLANS & SPECS 0 SURVEY 0 SETS COPIES Water Tap ................................... $ Builders Deposit ............................ $~J I c;-oO . C!)O Other ......................................... $ Total Due .............................. $ S, I~. 4b Paid ~ /~.~ R.ceiPt4'lJl.....s7:s~~ Issued >::4t-~ ~ Th~ is to certify that the request in the above application and accompanying docum.nts is in accordance with the c~:;oni~rd'"an~d may pr~s requested. Th~ document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cer1ifi~re 'of Occupancy must be issued. TYPE OF CONSlRUCTlON: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 P.rmit Fe. ................................... $ 1.38'7 .Le::- Plan Check Fee ............................. $ 'tol..l State Surcharge ............................. ~ tOO.{)O Penahy ....................................... $ Plumbing P.rmtt F.e .'7..fJ.:-:.ez.C?.. $ M.chanical P.rmit F..1..'1..:/a~.0... $ S.wer & Water p.rmit9.{J..~/???/R... $ Gas Fireplace P.rmit '!.9..:.f.?l.Z//?.. $ too.oo lOo.OO .~5.SO t./O.CC This By m Your Building Permit When ~p~. _ Date ~-77 City Planner Date 24 hour notice lor all inspections 447.9850 Special Conditions it any PLOT PLAN o City: Amount Brought Forward .................. ~ Park Support Fee .... .... ................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ~.co ~11~.OO < ~~v 00 tY'i1\ 45~ Pressure Reducer .......................... $ Meter Horn .................... .... ........... ~ Wa1.rMete< ................................. < J 25 "'2 Sewer & Water Connection Fee ........... $-1- ~tJCJ.~ WaterTowerFee ............................ . JOO.~ ~~ Or 0 'Uf6 Tht (:..n'tr of Ih.. L.k.. Counll')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=;T NAME OF APPLICANT H/&L ~/ fflMSS 3- 2-U - 0 j APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ~4-1'J p/leK- /ft/F;NU6 Accep~ Accepted With Corrections Denied ~ Reviewe~ /"" Date: 3-27-'@if , Comments: ~+L '" /' f~ ~_ -C"'~tL ~~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." 03/1B/2001 22:03 952B947972 LAKESIDE PLBG PAGE 01 ',. r , . ..' . . .. CITYOI=.PRIOR LAkE . . "PLllMS/HG PERMIT I. BIUG 2. Gold 3. YGllbw FlI. a~ AppliC&ll1 # qq-/~'<,z.~ aft;, ;> G 0'-' Th,C."IItDClllrL..hCoVIIII')' A~p"c"nt:Lr.1/,,;'<I' ~l~~;:' ~~~;::~:IAt:~{~j;;; ,N'. . 18gal De$crlpllon: . Lot. Block ,.Slte Addre.a:.;Lt.3VU P,y:..l(fI'~~ . 'SUlldlngPermlllt .Qq-13Vo PIP.J ZS. 09(0 -003- '. NPlE: TI1lspermll will nolbe pro~essed wlthoutc:omphlle Information. . . '.FIXTUREUNITS 1. L. I 31 ~ . . ., ~{-' "",~ . 'ILl . J__.j , . . -~.- ':auanlit)l.. . . Typ of Fixlure Ph',"e:l"~-:o. . Sub ~_II/A. . /-Ilib,IW: fI.~ Ouanllty " Tyee. ofFIXlure 8ath Tubwlthorwllho~tahower Dishwasher . ,. Floor !;irain . Sinks Bar Sink . WaterGlosel.(lollel).. .' ,. I .. ..'1 .... :,..: <.-~.~ I ." I '1 '. · R.i-,. f.l;)f '"'C~ 8~:.(.l& Rough-his Willer Heater' ". Water Soft~er Slan.d Pipe (\'lashing machine) I Sew\llle Ejector I Bacl<1low AS:"ernbly (RPZ, Double Check, PVE I Backflow Assembly Tesl I Lawn Sprinkler I Olher .4.J~ ~4l:"~;6j.,rl7 I Lavatory (balhroprm.lnk) Laundry Tray n or2.l:ornpllrtmei\l,slnk) .... Shower Stall', \ ",., , FEE SCHEDUl.E. , ~ . .' . . . " . InduSlrlal,bomm~iclat,& Mhlll-Famlty (10;. of job oosl.$39::S0.mlnlmum)' . " ., . . . . ' , . . , . ' . " , ., ResidenUal, New on~ &~.o Farrdly .. Aesidenljar, Additions &AII!lrlltlons , .r .. . .'. $S9.S0 $39:50 " . $ '$ $ $ 9:9.$'" .. G~.ANO TOTAL '. .50 . . . 1'",,0 \N\:oieAIt' O\N,G ~Eru" . ~ . '.:..:t).\\L '. $ /i1n(J<.~ State Surcharge' . " . ,'. . '," Th.!-permilla Jf'II,od u~onlh. ~xp.... colldluon thai said :cilftltaclor, .hallcomply i . l& wlrh rl)e ordinances'. . .~(ih. Slate Plumbing" . amendments thereof. . . .... c -----\.lUl '3"2.7..--0, DATI!' . . . . ATlllST C~lfoi ~lin~;tliO~S 24 hours in ~dvall<:e, . 16200 Eagle CreekAy,S.5,j P.rior:l;.ake, MipnesoIliS5372/ Ph. (612) 447-4230/ FAx (612) 447-4245 . .,," An Equ~I..c:)pp~.ltUnitY.Employ,;r .... . ~~ .~~~ (7\ CITY OF PRIOR LAKE MC ~!::: 'F 16200 Eagle Creek Av. S.E. Permit No. qq - 13Z& . Prior Lake, MN 55372 .. o ~ HEATING APPLICATION / PERMIT Oate O~I'2~bl PIO' ZS-oq&;- Q03-1 She Address j 1o~4D 1/AIi'.1( _ A";~ loi '7 Block Add~ion LRK ~S / /.? r:; p~ P.K.. Owne(SName",lL!l..I2J~ rt-" \-bl~ Address llo34b ~~ /\.JoG Heating Contractor AUT OM A TIC GARAGE ODOR & FIREPLACES ... ~ Address 9210 WYOMING AVE N. BROOKLYN PARK. MN 55445 '" ~ Telephone' 763-315-7500 ~ :;1 Furnace Make & Model '" < " u ~ E- < '" o E- ;:J < TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~ioning Venl System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices ~ Other Devices J, FIREPLACE .) Model Size Conn, Load Fuel Flue Size Supply Openings Return Openings Input. Output .. Edr. c r- ~ elm. ... '" .. ... '" .. Alterations < tz. .. Repair ... .:.; Est. Cosl $ ... Replacement New Construction }. Est. Comp. Date Building Perm~ . QQ-(3Zia PAID WITH BUIlDING pERMlT . - ... HEATING PERMIT FEE $ c "- ~ STATE SURCHARGE $ "- '" c TOTAL PERM'T cEES $ .50 Receipt # TYPE OF STRUCTURE I. Pink l.CrreEn J. Yellow File Cdy ConD'aclDl Single Family Commercial Multi.Family Other Two.Famuy Industrial Public Fee Schedule Industrial, Commercial & Multi.Family Residential. Heating & AC Residential, HealinQ Only C Residential, Ga'l Fjreplac~ Residential. Additions & Alterations Residential. AC Only t'l'o 01 job cost ($39.50 minimum) $99.50 $64.50 $39.50 ) $39.50 $39.50 Remember to add the State Surcharge on the bottom ollhis application. The price of your heating permit includes one rough.;n and one linal inspection. Additional inspections wilt be billed at $35.00 each. House Healing Test Record must be submitted wilh bIIUni"~ gmniJ!ll!!!!llIr before build. ing certilicaie of occupancy will be issued. HFAT CALCUlATIONS RFOIJIREIJ with number of supply and return openings listed per room with CFM's per opening. New structures or additions send 1I00r plan wdh supply and return 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 e 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 inlormation above is complete and accurate: that the work wiM be in conformance with the ordinances and codes of the cily and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING o,,~""..... ~..~"..; .<O....^"."'.. ...'~., .,,^ '^.. ciV~~ark P/;%J~re ;es r view and approval 01 PI?A12ft;!n / , lI"ppl;9'li -"j")"e Oate . ..~//A.--' 3-23-01 Bujlding Mica!'s SignaTure Date '" '" '" "- '" '" '" ~ .:'C~"~'> ...... "7 '::'el ~ ..,.1 ,..: ~, / " ; , , ~ HEATING APPLICATION I PERMIT Dale Dq \OIE,!.eo PID # 25 -09& - {J()3 - / S~e Address \~4o 7A;tL (.We;;, Rz Idt-L~ ( Lot 7 Block Addition. L-PK6S/0C,P~ Owner's Name ~~ ~ I-kH6 Address'1"D~ 4Sb.Rl.ta{l..Uw.-'= ^-IN 5s~J . CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S,E. Permil No. Prior Lake, MN 55372 99-/320 ,.. '" ,..., '" "" '" ~ '" '-' .., '" .., '-' u "" Eo< .., :ol o !; .., Yeating Contraclor AUTOMATIC GARAGE ODOR & FIREPLACES Address 9210 WYOMING AVE N , BROOKLYN PARK, MN 55445 Telephone # 763-315-7500 Furnace Make & Mode~lJha'Il'Jl. Drnn')JC1vPE OF SYSTEM I Warm Air Plants Gravity Mechanical Air Conditioning Vent. System Model Size Conn. Lead Fuel Flue Size Supply Openings HEATING OR POWER PLANT Sleam Hol Waler Radiation Special Devices Return Openings '" '" .... '" on ... '" '" ... '" Input Edr, OutputZ1 ~ COC) Other Devices GAS FIREPLACE Clm, TYPE OF WORK .. .., ~ Alleralions Replacemen! New Construclion 00 ... on ... Repair Est. Cost $ Est. Compo Date Building Permil # 99 -/3Z0 '" '" "- ... '" "- '" '" HEATING PERMIT FEE $ STATE SURCHARGE $ .50 PAID WITH BUILDING PERMIT TOTAL PERM'T "EES $ Receipl :: TYPE OF STRUCTURE I "ink ~. Green J. Yellow Hit- (II)' ConUIClOr Single Family Commercial Two-Family Industrial Public Mulli-Family Other Fee Schedule Industrial, Commercial & Mulli-Family Residential, Heating & AC Residential, Heating Only ~ential, Gas Fireol;::t(:p..-> Residenlial, Addilions & Alleralions Residenlial, AC Only 1% of job cosl ( $99.50 ~~c511m'nim. um).. $~(c;~;:: ,.. \.... C"~.'lII ,'"~I' :~\ "" - \"" \)j Remember 10 add the Slate Surcharge on the bottom 0 The price 01 your healing permit includes one rough-in and one final inspeclion. Additional inspections will be billed al $35,00 each. House Heating Test Record musl be submitted wilh bl!iIWn!l W!!li! number belore build- ing certificale of occupancy will be issued, HEAT CALCULATIONS RFOlJIRFr). with number of supply and return openings listed per room wilh CFM's per opening, New slructures or add~ions send 1I0or plan with supply and relurn localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRtOR LAKE, 16200 EAGLE CRE"K 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 lhalthe informalion above is complete and accurate; thai the work will be in conformance with Ihe ordinances and codes of Ihe cily and with the state building/mechanical codes: that Ihis form does not become a permil unlil signed by the BUILDING OFFICI'\J.,: that the work will be in accordance with the approved plan in Ihe case ollall work ~:ir review nd approval ot P;h~ Ap~~lure - Dale /f/~ f. b -00 B~g OfficaJ's Signalure Dale HEATING APPLICATION I PERMIT "'1 Ill/on PID# Ml5-0q~-(\(,,).3-1 I I D S~e Address \ {.., "6 4 () I I'l k"').... .AAre N k , Add~ion I {"Q t () . ~\(i. <L P l".LrL ~O^ a@~ Date Lot :2- Block Owne(s Name CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. ~- /3Q6 Prior Lake, MN 55372 \+1 II C'..l'U>-t- V (') ~("'])( LI~b Address HeatingContractor~' ~lLL ~Oj'kr\o^ i A1/f' - ~ . Address \ ~ 4 9( I r Jr\ O'lfL. Ld Q1\nJ A,...,N _ S. ?sq 4 - oon~ Telephone # Furnace Make & Model~T"'(jQU'"\,}- <. . Model Size 3. 'i7'l (\'"'.{Lv ()<, I.. fl'x t) 'Xt j, 0-0-0 Conn. Load Fuel ~ Supply Openings Return Openings Input ~O ~ ODD Edr. Cfm. A~erations Repair Flue Size AIR CONDITIONER UNITS CANNOT ENCROACH INTO SIDEYARD SETBACKS. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning t<, (1 J.(l,(\l- Vent. System () HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices TYPE OF STRUCTURE I. Pink 2. GreeD 3. Yellow File City Contractor Single Family Two-Family Industrial Multi-Family Other. Commercir Public Fee Schedule c.crn1. Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1% of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 dll ,'i_ Remember to add the State Surcharge on the bottom of this applic:ation. 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 with huilninn JlmIIlil numh..r before build- ing certificate of occupancy will be issued. i5< q <::;J. I (.1X()3(, HEAT CALCULATIONS RFOIJlRFD w~h number of supply and return openings listed per , - room with CFM's per opening. New structures or additions send floor plan w~h supply and return 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. Output TYPE OF WORK Replacement New Construction Est. Comp. Date Building Perm~ # /' STATE SURCHARGE $ /50 TOTAL PERMIT FEES $./ /' '19 - /3/)(" c ~'t&~~ ReceiPt' Est, Cost $ HEATING PERMIT FEE $ C~y Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL Phone: (952) 447-9850 Fax: (952) 447-4245 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 cas~or~ which req'jfs review and approval of plans. JI.kJJ,,_I':.II~.7 .. 7-11-00 ~~~IU Da}" (AOJ~ J /",',.,j.j~~~,) 7/;//(J{) a Building Offical'y.>ignature I "oate , f I I 01/09/199& 23:20 &12-8947972 LAKESIDE PLBG PAGE 01 , ' , ' . ,,".,: . '.'.... ':. "CITy OF'. PRIOR LAKE , ., .,', PLUMBING PERMIT APPlloant:~_~ If. '5Y~ Phone:-.W-;>;'1"'-7(;"O'O , Addres.: ~.1 ~ ~,~.- ' " ,-V~,_., ~-- ,,,S,37? slgnatu~:.&;;/~"" -...t/,. J ", , Legal o..cirl~l~nl Lol '1 Block sUb..l...a..h.<:'lrtL "P~ ,Site AddrtlP: /~i'~;-./JP-A ~"J , BUlldlngPemilUl, ,'79-1'01, ,PIO' SS-Q.q{,- ()03-L , NOTE:Thla pi~lt Will nOt be processed without complete Information. "-' FIXTURE UNITS Th~ e,IIII" .' ...", r,..k.. COll.l" JUL 10 2000 auantlty d I / <.."5 / / d .3 Type of FIXtuI'* ., Bath Tub with ~r wllhoui."owar Dishwasher' ' Floor Drain, Lavatory (bathroom IIn~), . Laundry Tray (1 or icpmp.rtJ1lllnl.sinl\) Shower Stall ' ." Sinks Quantity RI, Cil\' ......- # -.29- /3~~ I. Slue 1" lloId 3. ylllID.... Type of Fixture Rough-ins Water Heater Water Sollner Stand Pipe (washing machine) Sewaga Ejector Backflow Assembly (RPZ, Double Check. PVB) Baekllow Assembly Test Lawn Sprinkler Other j);,JPeif.t1L) ece p,,~e $ .2:? ~"'/ w : - / 'q~ U .~~ . I'"",,~ '0' $//PO J .. , . ..:/~'A.:." ..:.:.)i....':. .:~:A;~ . 16200 Eagle Creek Av. S.E,. " qr Uk,e;Minnesota ~S3721 Ph. (612) 447-4230 I FAX (612) 447-4245 .', '"All Eql,lalOppcin\llljly, Employer ;3 / / / Bar Sink . .' Water Closet (tQllet) , 12 FEE SCHEDULE. . '," . ", . . Industrial, commerclal& M!:IJti-F,",IIY (1 % of job Clost, $39.50 mlrihnuil)) " Residential, NiiwOne&TWO F~l1'lny Residential, Additions &. Al!era~on8 $99;50 $39;50 State Surcharge " , .' GRAND TOTAL , ..,...~.)I1' > ~ "'t"'v ' .,\, elJ\~'\)\'Y ,--", , ' " ~~ 99-/320 White - Building Canary - Engineering Pink - Planning Thr Ci!'nlrr of lhr L.b Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /-II C--C-- ~ 6ST /ltJH 6.S APPLICATION RECEIVED // /I01/9Q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /h340 PRK.t:::::. A-V'6 S,~ Accepted Accepted With Corrections -;/.., Denied Reviewed By:(JJ) ~r Comments: Date: 11-//-91 I. ~a.ll ~e So;l A~c::, 2. MGl,\,lI:-~"A ?h-J"...: avt G.ccJ ~ s. ~o,.,~ 1')([ af-6c~ed HJcn...ls "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." , t. l/ Th.. e..n'.., or Iht La... Counlry White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J / ( / (. APPLICATION RECEIVED // ' . ,I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -'~ .. ~" /<--__' l.'.'- - /:')l, ('__~ - '. t:::- Accepted ~ Accepted With Corrections Denied Reviewed By: ~ lA#... ~ Date: L/- i '-f ~~ - ' , Comments: hie u(lit C',aJj{JIJt P,I{lCYU4Jz.h -;::,dnla.rd\' \~.A'1Ml~ <, ''=tJ e.U 'lo (' ..AVL.Afriic'rVI ( (<).t- ,1w1tvt14<> l~e-5-Dt.>'{fl91A (!)[)-c0fp{JL (S~ .4'N~.'L - " ~v"t90~ WL90\JTL- <;;'w.l1 ~t'.. fixc./1tu /.A . - L vv~ 1.J~~vd_ (~ C ~~T~~ s....v~ h1 (' ~l>Y'\ ~ C.wl~ ,.G-L. I ~~ J'<:ev,;~6c;jz ~l)-~ l/.w/~.' {ONf:- ~\ ~~vw..l-VI. ~/~~_ "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." .".._" .._.,.-..-,-..----..-.__.---'.........-.,.-..-... ..,.. .,..~.. .h___....; _____ ___..... ..~,...._ _~.._.. ."..", _....,........,.._..,..0,,_... '-"____."_.'.' .,.,_.;,., .~, '.-'_-'-""."_'~""_ ''-W'' -' // 'l.@~~PR/OR{ !::: ~ u '" Q() - 132 cC White - Building Canary - Engineering Pink - Planning Thr rrlllfr of lhr L.h COQnl'1' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,/-1/ L L C/<::' C ..:::., ( ,//(}/'/~ APPLICATION RECEIVED // /IC/C/q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&34() I./Ak~ - c- - /9-V/ {-:/ 0. t:::- Accepted ./ Accepted With Corrections Denied Reviewed By: W'ALTfn' F....U1C"''''''I1AlN Date: - 1117.I.r Comments: c;'f"hnM WATER r!\l..JoFr- Mu<.- aF.:. rLJN\Jf_-IE:^ 10 AND AI oNr.. 1..1...1.-1.' fh..,PfJtT'f LINE S A, r"1.l.Jr~ As Pt1,Cic..,IC.AL. RE.TAI..J'IJ(~ kJ,qt...LS CtlN,.,J.,,... (:yc'rrf\ 14 F"F'"F,... 1,.J }.H:It::~T_ s~~ tlT'TA(..totMEJJ,s ~ I. hAJAI_ ~QA^F_ 'NS'F'(I:T"tt'l"I 'A.lF'.anMd.,-......"'J z.. SC~>1EJt ~.,..u~ c....e:.T€/f ~ En 0:<;"..... \ ('_d"--O..., vt1Go.'tllttF" '<;. tJ-_ FJ2.DS,oA.i f.ON-rtlOL- RA........ "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." GREEN - Fill! YElLOW - APPLICAN' GOLD - CITY 1'r- /3~b CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.w. No. i.IAY _ 8 2000 NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: ~Gf;l. ADDRESS: /tJ Ii / - ,: tYl....-~~. SIGNATURE:~. 0_ SITE ADDR~ /63Lj() fP~~ PHONE: 8F"'9- ~ /'17' DATE: -5~-F-OO BLDG. PERMIT # PID# 1. FILL IN THE BLANKS Estimated length of water service :7L? . . J;I. Slze of water serVlce lnch(es). feet. 2. 3 . Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC ~ Cast Iron 5. Estimated length of sewer line ~t? feet. 6. Clean out (if required), located at structure. feet from --------~~~~~~---------------------------=--=============== ::~:~:::~~:::~~:::~::::~:~::;:~:~~~ , . -L ~~ =======;====================================-===;================= FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $j~.~ 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 'PC v.--; P6UV\ ~ i\ AMOUNT PAID / RECEIPT # REC'D BY 16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE INSPECTION RECORD SITE ADDRESS 112ltiO ?~ A~. SE. NATURE OF WORK ~""""" Oovt<;~, USE OF BUILDING S j-T, PERMIT NO. '19. - 1:,::lID CONTRACTOR \-\.'llcl€St \1cJ\1..1p<=, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATliDO;~ ~T . . . I FOOTING I)1)ffjli}JT)"P I 515)D , FOUNDATION (Prior to Backfill) r I \ . I ., PLACE NO CONCRETE UNTIL ABOVE liAS BEEN SIGNED ROUGH~I SEWER I WATER I SEPTIC / ( ~rJj J' ft7 I FRAMING /' , <f -vV! (J/.) INSULATION VM.-,\\W w#"'V ~. Pi; ~ ELECTRICAL ' V PLUMBING _ / b/ 'k bJIl ^ HEATING (ifrequired) /K;'~'.~~; ;- / IIJ FIREPLACE ." 71;, 9'~ v I GASLlNEAIR-<<ST ' I 4;(~7/0/ Ih COVER NO WORK UNTIL ABO'VE HAS BEEN SIGNED I I FINALS . I l~sr7 . DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED \1-\7-'1'1 ~I~p' JIlf I I 'NAi&L ii If'K.I J GRADING (Prior to Sodding) BUILDINGi.t.o, -I.Jt ~II/DI va.. -1/~;llJI ELECTRICAL L v PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE 9~ :1-'b-1 ~ !I /2.); 0 {glfl , 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 and additions where no service cabinet is available, ca;d shali be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850