HomeMy WebLinkAboutBuilding Permit 97-0349 AT TIME
CITY OF PRlOR LAKE
INSPECTION NOTICE SCHEDULED Q y A�(`
ADDRESS � S 2Z� �61 �� �'
OWNER CONTR.
PHONE NO. PERMIT NO. 9? — 3�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� ❑ i SULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
-�NNAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
��C_____� c..t • v�� -�-�Z-�U
WORK SA I F RY, PROCEED
❑ CORRECT ION A D PROCEED
❑ CORRECT O K, CA L FOR REINSPECTION BEFORE COVERING
I nspector: Owner/Contr:
CALL 44 -98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ MENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
rNSNOr,
��F PRIp � �
CITY OF PRIOR LAKE �. w��e File
� , BUILDING PERMIT 2. P'°'` c"
U � 3. Yellow Applicant
�UL I� i��� � TEMPORARY CERTIFICATE OF �
ZONING COMPLIANCE
D UTILITY CONNECTION PERMIT Permit No 7� 3 y
DIRECTIONS 1. DATE
SPACES NUMB RED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) �� �� BUILDING INFORMATION
2. SITE ADDRESS 11. SIZE OF STRUCTURE
Sz 2 ��! �'R. Q�9 � �, 2 r sro c►,a��, cw�� 1 c� ,
3. LEGAL DESCRIPTION 12. NO.OF STORIES
LOT � BLOCK �� PID � 5 � ��fo ` w� '� f
13. NPE OF CONSTRUCTION
ADDITION �' 2�M �
. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
1�''NAJ� i1 �CI��21�tC S22 r'�2t3�9tUKs' 2 �f�{v—Y�l��{ 8��t' 7%p �
5. ARCHITECT (Name) (Address) (Tel. No.)
SA ►'� C
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
^ � � OCCUPA�'fS T
7. TYPE OF WORK Fireplace O Septic O Deck O Re-roofing O Porch O SEATS
New Construction O AlterationS� Addit(on#' Finis Attic O Re•� ing 0 F ish Basement O 16. PR()JECT COSTNALUE
Chimney O Misc. � ���� ��� � n
8. PROPERTY AREA OR ACRES 9. PROPERTY DI NSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished infortnation on this application which is to the best of my knowledge true and corred. I also certify that I am the owner or authorized agent for
the above mentloned property and that all construcbon will confortn to aU ebsting state and local laws and will proceed in a�orciance with submitted plans. I am aware �at the
building o(fidal can revoke this / pertnit for ju t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the properly to perform needed inspections.
X �._o+..-�G[ /.Q.�n
Si�ature License No. Dete
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FlLED WITH APPLICA710N
ACtual SOIL TESTS O ENERGY DATA O
Front Badc Side Side
BUILDING DEPARTMENT VALUA710N OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
SPACES REQ. PWNS & SPECS �[J" SETS
USE OF BUILDING SURVEY -�— COPIES
� , � SPACES ON PLAN
PERMIT VALUATION .�( JI�J. O C� PLOT PLAN O
TYPE OF CONSTRUCTION: I II III IV Amount Brought Forvvard .................. $
Occupancy Group A B E F H I M S U C ��'
oi vbion i 2 3�a Park Support Fee ........................... $
Permd L � , ' °S �C SAC ......................................... $
Fee ................................... $ I
Plan Chedc Fee $ '/� �j. ��/ `� Coilective Street Fee ....................... $
............................. �•--�
s v � SewerTap .s
.................................. $
s,e,e s�►�ne�� ............................. s_�
nalty ....................................... $ 9� �.7 n Pressure Reducer $
Pl umbing Pertnit Fse ....................... $ Meter Hom ................................... $
Mechanical Permit Fee $ Water Meter ................................. $
..................... Sewer & Water Connection Fee ........... $
Sewer & Water Pertnit ...................... $ Water Tower Fee $
GesFireplace P ...... ........... $ , / Water Tap .................................. $
Th' A e ing Permit hen p ✓'�" Builder's Deposit ........................... $
gyDate '� �yn � Other ......................................... $
<
Certificate of Occupancy �� I� (� I Total DUe .............................. $ n r, �
i � u � �.'� Paid �. a Receipt No.3 �� Ji
�� � �ate 7 1 By .
This is to request in the above applicadon and accompanying docume ts is in accordance with the Ciry Zoning Ordinance and may proceed as uested. This document when
constitutes a temporary Cer�j cate of Zonin compliance and allows c�nstruction to commence. Before occupancy, a CertfFFicate of Occupancy must be issued.
Cily Planner Date Special CondHians d any
24 hour notice for all inspections 447-4230 ��. 3� q
/
� � � � a � ` 1 • Pink - File
'� O F PR/OR 15 2. Green - City
� /�,
9 CITY OF PRIOR LAKE �G v TYPE OF STRUCTURE 3. Yellow - ConVacror
u: , r�'„ 4629 DAKOTA STREET S.E. permit No.7 7�� �IQFarri�. Two-Family Multi-Family
t
PRIOR LAKE, MN 55372 '' � �"� � `'
/Q.t S�7 J Commercial Industrial Public Other
HEATING APPLICATION / PERMIT
ATIO FEE � � � � =
Date 7/16/97 PID # c1..>• �3� ° O� `� S' --' - �0 � �� .
Site Address 15229 Fairbanks Tr3i1 $� "$ �000 2% of job value, min: $20.00
Lot� Block Addition ,it��Q.2 �-�-' S�or� l�.ti✓`��$' $1.001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional
$100.00 or fraction thereof to and including $10,000.
Owner's Name Kenneth Weirick $10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address 15229 Fairbanks Trail tional $100.00 or fraction thereof, to and including
Air One Heatin & Air Conditionin �50,000.
Heating Contractor g g
Address 6317 Welcome Ave. No. Suite #6 Brooklyn Pa rk, $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
Telephone # 535
MN 55429 tional $1,000 or fraction thereof.
� The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model ����1 TYPE OF SYSTEM Additional inspections will be billed at $25.00 each.
Warm Air Plants XX
Model Size 75, 000 B'I�J Gravity House Heating Test Record must be submitted with buildinqRermit number before build-
Conn. Load Mechanical ing certificate of occupancy will be issued.
Air Conditioning
Fuel Nat Gas Flue Size PVC SIde Walldent. System LiEAT CALCULATIONS REQUIRED wfth number of supply and return openings listed
HEI4TING OR POWER PLANT per room with CFM's per opening. New structures or additions send floor plan with sup-
Supply Openings � ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Steam
Return Openings � Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
Radiation 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 mechanical systems permit and I acknowledge that the information
Afterations Replacement XX New Construction above is complete and accurate; that the work w+ll be in conformance with ihe ordi-
nances and codes of the city and with the state building/mechanical codes; that this form
Repair Est. Comp. Date does not become a permit until signed by the BUILDING OFFICIAL; that the°work will be
9 � � c� 9, in accordance with the approved plan in the case of all work which requires review and
Est. Cost $ 7300 . 00 Building Permit # roval of p ans.
HEATING PERMIT FEE $ I �p , �d p��Or'� � � rr-, � � � �� Q�
_�
STATE SURCHARGE $ .50 Applicant Signature Date
( Z� '
TOTAL PERMIT FEES $_ Receipt # 3 ��/�/ �"
��` � Building Official's Signat Date
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White - Building
Canary - Engineering
Pink - Planning
The Cenur ot �he Loke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _��.,�. . sK.... l,t��� �, t�
APPLICATION RECEIVED ��. qy
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
� �a� �
Accepted Accepted With Corrections �
Denied
Reviewed By: �«�C Date: � "' � � ° R �
Comments:
I • Qro� ►�d�. (� 3 8 w�; ,� A�-(( �� �' �,�� ( � r�,,. , R ao �.; � kk.l t�►- ��
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wna�(�— ��b�,J� c�rs � �.c�:,�,,�.a� —
2� �c��p�.Q. �J�.�(. �oaPriJ c`w 1 oc'StZ �— Ci u�
3, vQr i t— 2,Xi ST �� T�O '� �
. � � 9 y� G�/g� 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."
�� I�� L� K� BUP DRNG ANDONSPECTION
� �� ���
� � �
IN PE�T �
S
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SITE ADDRESS .
NATURE OF WORK �
USE OF BUILDING
PERMIT NO. �-��q DATE ISSUED 7/zl��l7
CONTRACTOR o !
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING // /y7
FOUNDATION (Prior to Backfiil)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING ,.�.. 9/
INSULATION ' z.
ELECTRICAL
PLUMBlNG
HEATiNG (if required) � i
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD
. FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HE�4TING
D4 NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
, NOTICE
� This card must be posted near an electrical service cabinet prior to rougfi-in inspectiq
' and maintained until ail inspections have been approved. On buildings and additii
�. where no service cabinet is available, card shall be piaced near main entrance.
� Cail between 8:00 and 9:00 A.M. for ail inspections
FQR ALL INSPECTIONS 447-4230