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Home My WebLink AboutBuilding Permit 98-0043 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �.� 0 I O ADDRESS �p?' �x �'�"�,(V�� , OWNER CONTR. PHONE NO. PERMIT NO. q��' � ❑ FOOTING ❑ PLUMBING RI ❑ EX�GRAD/FiLLiNG ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑)NSULATI ❑ SEWER HOOKUP ❑ FIREPLACE FINAL J� FINAL � ❑ PLUMBING FINAL ASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL COMMENTS: � � l � �WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WOR , CALL FOR REINSPECTION BEFORE COVERING Inspector: � . OwnedCoMr: CALL 447-9850 FOR HE NEXT INSRECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.► lNSNQTI � �� . y�� - ��t c� � ��pF P � DATERECEIVED �' CITY OF PRIOR LAKE �� , 1. White Fik �` • ` •V � ,,,, � 2. Piak Ciry � , m BUILDING PERMIT 3. Yellow Applicant TEMPORARY CERTIFICATE OF �'� 3 � ZONING COMPLIANCE , AND UTILITY CONN�CTION PERMIT Permit No. BP q�: -�� DIRECTIONS ATE SPACES NUM��RED-I-THRtt 77 MUST BE FILLED IN ` a Z :1 j .�� EFORE PERMIT iS ISSUED (Please Print or Type and sign at bottom) , BUILDING INFORMATION . SITE ADDRESS ZONING � (H OF STR��T�URE ( �� h � �� Zl '��X \�`�9 �•l T `�,�pcJC�-T �.1 �- � 3 EGAL DESCRIPTION L 12. NO.OF STORIES LOT Q BLOCK � PtD � ' 3 � • �a 3 • � � 13. TYPE OF CONSTRUCTION DDITION � OW (Name) (Address) (Tel. No.) ( � 1 14. FLOOR AREA APPORTIONMENT USE '�� I � ��i r/ ��0• �-J , 5. ARCHITECT (Name) (Address) (Tel. No.) 6. ILDER (Name) �� (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK Flreplace O Septic O Deck O Re-roofing O Poroh O SEATS New Const►uction O Alterations D Additlon O Finish Attic O Re-siding O Finish Basement O 16. PROJECT COSTNALUE Chimney O Misc. � , L � � 8. PROPERTY ARE4 OR ACRES 9. PROPERTY DIMENS NS 10. CULVERT SIZE 17. OMP I N DA Sq. Ft. Width Depth Yes No I hereby cerUfy ihat I have fumished informatbn on this applicatfon which (s to the best of my knovvledge true and conect. I also certHy that 1 am fhe owner a authorized ageM for the above mentbned property and that all constructlon will confortn to all ebsting state and local laws and will proceed in aocordance wRh submitted plans. I am aware that the ui can revoke ' pe for' st cause. Furthermore, I hereby agree that the city offiGal or a designee may enter upon the property to perform needed i �ns. X . 2 3- re lkense No. Date FOR ADMINISTRATIVE USE SETHACK3: Required MATERIAL FILED WITH APPLICATION A�ua SOIL TESTS O ENERGY DATA O Front Back Side Side BU�LDING DEPARTMENT VALUATION OFF STREET PARKING PILINCi LOGS O PERCOLATION TESTS O SPACES REQ. PLANS 8 SPECS� SETS USE OF BU DING �eS R SPACES ON PLAN SURVEY O COPIES PERMIT VALUATION �I 4 0�D . � d PLOT PLAN O TYPE OF CONSTRUCTION: I II III IV V C �. Amount BrougM Forvvard .................. $ �� o�s Occupency Group A B E F H I M�` S U Park Support Fee ........................... $ Divlsbn 1 2� a SAC ......................................... $ P ertnR Fee ................................... $ O(. 2 5 Collector Street Fee ...................... $ . Sewer Tap ................................... S Plan Chedcing Fee ......................... $ (� SfBte SulChafge ............................ $ 2. 00 ��V�c-�°� License Check Fee ........................ $ k p PresSUre Reducef . .. .. .. .... $ Penalty .......... ............... n � ev • Meter Hom ................................... $ SePticSystem ./.�%�..(.,�� .............. $ �D � !lb WaterMeter ................................. $ Other......................................... $ Sewer & Water Connection Fee .......... $ � I 3 Water Tower Fee ........................... S 5�� ............................... $�9� WaterTap ................................... $ This ' mes Yo r Building Pertnft When Approved. Builders Deposit ............................ S By Date I- 2� —'R' � Other ........................................ $ Certificate of Occupancy Tofal Due .............................. $ fL� Paid Receipt No. Issued Date By Triis i to certi(y that ihe request in the above applicatlon and axompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documeM when f Plan er consMitutes a temporary CeN� of Zo ing compliance and allows c cUon to commence. Before occupancy, a Cer�fiCate of Occupancy m be issug�. c � N�� TN o�tn � i-�n-c Oc.�t'�� , r�4,v%��s c� m� C�c�p � Plann� Date Speciel Conditions ff eny rfi r � 24 hour notics fa all inspections 447-4230 �� -�� F PRfp f �� v , m White - Building Canary - Engineering Pink - Planning TAe Cenier of (he Lake Country BUILDING PERMIT APPLICATlON DEPARTMENT CHECKLIST NAME OF APPUCANT ,7�...p.c.e� �Rf9-r,� r� APPLICATION RECEIVED � � �� ' 9� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity w ich is proposed at: '�T aZ Accepted . Accepted With Corrections � Denied Reviewed By: Date: � ' 2?—�Q Comments: I. U� c� S 1M o�cP c� � kgc �t � ��.� I 4�j ' U i� (` . Z• �ea� - I - �i laa.s2v��.� �:�,.� s� Ina..�� "The issuance or granting of a permit or approva! 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." e ! �F PR/p� " �� U r*t White - Building Canary - Engineering Pink � R� The Cenler of the L�ke Country BUILDING PERMIT APPLICAT{ON DEPARTMENT CHECKLfST NAME OF APPLICANT �.�.�.rf,+� f�t�s f� �-, APPLICATION RECEIVED � � �� ' `� � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity w ich is proposed at: -�/� � � Y t.� �-� �;�` � , Accepted . Accepted With Corrections Denied Reviewed By: - Date: --� ��g� y , ' Comments: �Z�3h9p� (�-+I , � r ,/Llt��-f� = � �hrfw,� ,oluv� � , ��--F o-FF;�� . i��c� -�v� bvs;,-� s s - � �c�v�, � �i��f � 5 rP� �/+ r�e C� `�'l'1 �UuE� �� n � T ��--� :� .. � "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 cance! the provisions of this code or other ordinances of the jurisdiction shall not be valid." � �� CITY OF PRIOR LAKE 2:�°ld �ty �.� � 3. Yellow Applicant � ,� PL UMB/NG PERMI T PP No. Qf' � v� Appiicant: � �K ", � �� Phone: �Q �O - �-�a � TAe Cen�er of the Lalce Country Address: �� X � � �-T N � Signature: d Legal Description: Lot � Block Sub �AM-t4v�P �1�� v� Site Address: �� 1 �.�� Building Permit # 9� " B�3 PID # a�J � L8• d r Z� NOTE: This permit will not be processed w►ithout complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (bathroom sink) Stand Pipe (washing machine) Laundry Tray (1 or 2 compartment sink) Sewage Ejector Shower Stall Bacldlow Assembly (RPZ, Double Check, PVBj Sinks Backflow Assembiy Test Bar Sink Lawn Sprinkler Water Closet (toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) $ Residential, New One & Two Family $99.50 $ Residential, Additions & Alterations $39.50 $ 3°�S� State Surcharge $ .50 GRAND TOTAL $ �d' °� This permit is granted upon the express condition that said contractor, shall comply in all resp ts with the ordinances PAI �f u bin e and me ments thereof. p B�1�1�1_�� ` DATE �� 0 " AITEST �,° _ .., ,,�° � Call for all inspections 24 hours in a vance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer � �� .:�; � >a . PR/p � 2. Green - C�ty .�� R �,� CITY OF PRIOR LAKE � 3. Yellow - Contractor � �, 16200 Eagle Creek Av S.E permk No � TYPE OF STRUCTURE Prior Lake, MN 55372 HEATING APPLICATION / PERMIT Single Family Two-Family Multi-Family �� ` +� a _ Commercial Industrial Public Other Date • � ` PID # 1.��T Site Address �� X� � Fee Schedule Lot �' Block � Addition �fi1M,i �� 0 .��' Industrial, Commercial & Multi-Family 1% of job cost ($39.50 minimum) Residential, Heating & AC $99.50 Owner's Name � �� Resid ntial, Heating Only 64.50 Address �.�.P � Resi en i as $39.50 Residential, Additions & Alterations $39.50 Heating Contractor Residential, AC Only $39.50 Address Remember to add the State Surcharge on the bottom of this application. Telephone # Furnace Make & Mode{ TYPE OF SYSTEM The price of your heating permit includes one rough-in and one final inspection. Warm Air Plants Model Size Gravity Additional inspections will be billed at $35.00 each. Conn. Load Mechanical House Heating Test Record must be submitted with ' in rmi number before build- Air Conditioning ing certificate of occupancy will be issued. Fuel Flue Size Vent. System HEATING OR POWER PLANT �I CALCULATIONS RE�UIRED with number of supply and return openings listed per Supply Openings room with CFM's per opening. New structures or additions send floor plan with supply 5team and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND Return Openings Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372. Input Output Special Devices City Hall business hours are 8 a.m. - 4:30 p.m. Edr. Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL Cfm. 447-4230 TYPE OF WORK I hereby apply for a mechanical systems permit and I acknowledge that the Alterations Replacemerrt New Construction 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 Repai� Est. Comp. Date 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 Est. Cost $ Buiiding Permit # �I ' 'i� ' i '� �� c of a work ' h requires review and approval of plans. HEATING PERMIT FEE $ � , ,� � STATE SURCHARGE $ .5� App icant Sig ure ate TOTAL PERMIT FEES $ �i Recei # �� / Pt Building Offical s Signature at , . . � p DEPARTMENT OF � �. � � I Q R LA BUILDING AND INSPECTION KE � '_ . b ' . ' d!, +'t +� � ' , .� • � Y •, � � � ' ' , _ _ . ' N . P TI . N . D � ' SITE'ADDRESS 4y 2l +� y,� e� � � � � NATURE OF WORK �,se„�.,�.k �;�,,,� ' � . , � USE:OF BUILD{NG _S;�. -�,,,r.;1.� Y��.,<<..dc�,. s _, � ; j��: PERMIT NO: :�r �) �.3 DATE� iSSUED t ��– t� � .. .. ',°° . � ° � � �� , ,� CO.NTRACTOR �L�t �k. }�c�r� � � . , � : , - � � �N;;�=;;�� N07E:`;THIS�� rS NOT A PERMIT FOR ANY OF THE 1NSPECTIONS BELOW � -. " '� `'�.�. �;��;,:: PEF�MIT IS BY SEPARATE DOCUMENT . � :a.; . �,, . . . ,. . , ` � INSPECTOR bATE ' , FOOTING , . � „' - .. �: � . _ � ��-:� FOUNDATION (Prior to Backfill) - . � � " .>�'�'` PL'ACE NO.CONCRETE UNTIL ABOVE HAS BEEN SIGNED=.. �. � . , .�,.' .. . � � , . .. ; ,- . . , .. :.�:; . R O U G H - I N S . :y�. � . � << � : . - .. , `� SEWER / WATER / SEPTIG � ' '� � . ' `. FRAMING . � G �..-� � � j� �. .: . ;,{��"t� �� ;:. . ... � . ��: . . , ,.-,,,;�,,.., � , �.;�;, , � ��; . ��~; _:�� _ . , , ,.�:�s �{;�:;�;. . ,� . : �`�:"' �L�GTRICAL` , . � . . , - ��. �. , `� _ ��' z PLUM�ING �� . � . . .. ,� q_�:_ 1 � _ °:�,: � �� ?�� . : HEAtING if requirec�) �-� s, � S'� � -�� FIREPLACE ` � � - .;; GAS�LiI�E AIR TEST � - �`� 54 ��.��` ;.,.� _ : . ,- . � -��,, .. :��„ . , .. - . . . ;. � � �� ' °-'��'��'`' =,��'COVER NO�WORK UNTIL ABOVE HAS BEEN StGNED�f'�'V�::�; , ;�t .��., WALLBOARD ' , . , . � t .. . , , ;_,.;,. � . . ,;,-.., � . � � � � � � � - � � F I N A L S . � . `: �.�. .:z�,,-:�... '-� � � GRADING Prior to Soddin - � � � , � � � � � . . = k�=� - BUILDiNG : ,�: . .. �- � .. .`, ^, : . : � ., ;� ...:: ; r :�:-,� � ,, .,. �. �'i r � s � ;��'er� .ELECTRICA�. � =� , " . r��-.. , ,{- PLUMBiNG � � . � . � p� �� .�..� _. � r , �'�`�'; �HEA IN �r�� .. .. ` , . .. � . � � . ;.;... T G-�.,.,�,, . :•- ,�. �._��:: r�,�: .� ' . x'"� �=. ""°s�a•. -�.:.' ' � : , i!?r'. �` �DO � NOT OCCUPY UNTIL ABOVE HAS BEEN r � ��#,�� . , SIGNED� �<f� .. :. - `. NOTICE - �., �,.- . ��'� .This�card'tnust be, posted near an .electrtcai service cabinet prior to rough-in-in�pections =.� '. "'`� `7 maintained untif ail lnsp��tions hav� been approved. ; On, buildings'and� �dditiohs =� � � iere no servfce cabinet is available, card shall be placed near main entrance. . ` ,,. � . Call between B:OO.and 9:00 A.M. for afl inspections , � FOR aLL lNSPECTIONS 447-4230 �