HomeMy WebLinkAboutBuilding Permit #92-0044
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This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances afthe
City of Prior lAke regulating building construction or use, For the following:
Use Classification SingU F.....41 y
92-44
Bldg. Permit No
Occupancy Type R3
Type Construction V
Fire Zone N I A
Zoning District R
'_:'-:'" n"4'f"ri,.tj"'n
Lot 1, Block 2, Sunset Hills
Ed Berens
17007 Sunset Trail SW
I.
I
Owner of Building
Site Address
l~.:.,f.. contractor'sNarne&.AddrCSs/illl"'nnP_n r:nn..,~ ",,?#; T.o~t: Horizon Prior Lake. MN
(ii:' J L - 4- /)~
(f:~~". _ Gary Staber City Planner rr~ vr/~
'.- ": Building Offict1l . to ;.. J (i i~_ q 2.-
~ _ J ... ?O _u.., _ Date. "
lP Date:. ~ J 7~ .
(t ":; t _...... , T PO~T :N A CONSPICUOUS PLACE ' ............... " ~{
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CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO. q2.- 4+
ADDRESS \ .., 007
OWNER
E TELEPHONE NO.
l.u 0 FOOTING
u.: 0 FRAMING
~ 0 INSULATION
Q 0 WALL BD,
:z: 0 FINAL
'Ii( 0 PROGRESS
;x: 0 DEMOL.
~ 0 FIRE PREV.
:C(
~ COMMENTS:
-'
~
I
~
~
~
Il..
Au
a:
'Ii(
~
~
~
9:
! ~ SATlSFACTORY,PROCEED
Q t ~RRECT WORK AND PROCEED
o 0 CORRECT WORK. CALL FOR AEINSPECTION BEFORE COVERING
o 0 CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
o INSPECTION REQUIRED, CALL TO ARRANGE ACCESS.
call for the ~ection 24 hours in advance.
Owner/cotr ~7st
=,/
lA~
f.J[~
V
CALLED-IN
SCHEDULED
COMPLETED
~
DPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETfTURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
rLUMBING FINAL
c. 0 ,~_
~
-
r ,~U
DATE
TIME
" -2J1~Z
s;oc
~
CONTR.
DSITE INSPECTION
o EXCAV.lGRADINGlFILLING
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
o
~
o PHOTO TAKEN
447-4230
WlrlfeCopyJl'",. '" 'sFIIe
DATE TIME
CITY OF PRIOR LAKE
INSPECTION MA..lICE
PERMIT NO. ~i. -.(./- V
CALLED-IN
SCHEDULED
COMPLc I cu '-11-9z
II: ?o
~
~
ADDRESS 17007
OWNER
~ TELEPHONE NO.
IJJ 0 FOOTING
La.: 0 FRAMING
~~D INSULATION
Q 0 LL BD.
~ FINAL
'IIi( 0 PROGRESS
;x: 0 DEMOL.
~ 0 FIRE PREV,
~ CqlfMENTS:
-.I ~ iPf1.o PO'Z) It--
~
o
CI)
~
~
~
~
Ll.
I.U
a:
'IIi(
~
a1
~
~ ~K SATlSFACTORYPROCEED
Q 2~RRECT WORK AND PROCEED
o 0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
(,) 0 CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR,
o INSPECTION REQUIRED. ALL TO ARRANGE ACCESS,
CONTR.
DPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETrrURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o PLUMBING FINAL
DSITE INSPECTION
o EXCAV.lGRADINGlFILLlNG
o LAKESHORE/WETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
o
r ~ t~)c:.. k..
Ok:
~ln-J
~t dV0\
~ \.\ \} ~
~
/-
-
~~C\~~/t
o PHOTO TAKEN
call for the next' ec ion 24 hours in advance.
Owner/Contr, ( n \
Inspector Y
\.
--- \;
447-4230
WIlIhICOP)h ",. .. ',File
-?01jC;
ODO ...:> (
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE C
AND UTILITY CONNECTION PERMIT Permit No. i J -); -4
- DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom <: ~ II - c:P 'd-
2. SITE ADDRESS C-' , \ C I ""\
/7or-/J ~U~~\ (j2~\ ""... ~..
3. LEGAL DESCRIPTION
LOT / BLOCK d PID) .:;:~ /F;> ;) --o~,J ~~
ADDmON __ c.:. "\_~~~'"'\ 1--\ i \ \ '1.
4. OWN(ER? _ ,. (Name) lAddress)
r..r4" ~R.E. ~ /(...,~;J. 3. 1_ \""1, H... j", It:'__
5, ARCHITECT (Name) (Address)
(Tel. No,)
.1/4'7- 1<",:.:)-;:
(Tel, No.)
6, BU!JJ2ER J J . (Name) (Addre~ (Tel. No,)
L-J..... /~(/1 n c...r-J (',....,...... ~ / .L\,..,,(-<:Lr:>.I/z.. 4..1.; 7-4f-1<:
7, TYPE OF WORK Flreplaceo Septlco Heatingo Plumbingo Rerooflngo Porcho
New Construction Ff- Alterations 0 Addition 0 Finish Attic 0 Residing 0 Finish Basement 0
Chlmneyo Misc,
8. PROPERTY AREA OR ACRES
SQ. Ft, /4 l ,;) ;;: G
9, PROPERTY DIMENSIONS
Width C; ~ Depth I .;: ~
10. CULVERT SIZE
Yes
No
\, White - City
2, Yellow - Assessor
3, Pink - Applicant
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
12, NO, OF STORIES
-Snl/-t ku~1
13. TYPE 6F" CO~UCTION
l-....:xl<.'i~ ~
14, FLOOR AREA APPORTIONMENT
USE
15, NUMBER OF OCCUPANTS OR
SEATS
OCCUPANTS
SEATS
161STIMATED VALUE
<('~ \.O~(~
17, COMPLETION DATE
'/- 1-9 'd-
I he,eby certlly Ihall ha.e lurnished inlormallon on lhis appllcallon which iSIO Ihe beal 01 my knowledgelrue and correcl, I also certily Ihall am lhe owner or aulhorlzed agenl
10' Ihe abo.e mentioned property and Ihal all conslrucllon will conlo,m 10 alle.lsllng atale and local laws and will proc..d In accordance with submitted plans_ I am awa,elhal
Ihe bUild6!'ng IIlclal can re.okelhis permillor jusI cause, Furthermore, I he,eby ag,..lhall"e cl1y olllcla' 0' a designee may enle, upon '''e property 10 pe,lorm needed inspec-
lions, - ~ f...! -t< 1 /)
X ' _ f.J~ ______ -/ -9~
Slgnalure Oa'e
PLOT PLAN 0
c; ~
Amount Brought Forward 0 , , , , , , , 0 , , " $ 1/:::,., _ ;..)")....
Park Oed ' , , , , , , , , , , , , 0 , , . . , , , 0 , , , , , 0' $<- ::;~. c:-:.:",
Sac, .. .. .. .. .. .. .. , .. , .. .. .. .. .. .. .., $ '7<':>"",, ~
Plumbing , , , , , , , , , , , , , , , , , , , , , , , , , , " S
Sewer Tap, 0 , , , , , , , , , , , , , , , , , , , , , , , '0 S
Sewer Hook.up , , , , , , , , , , , , , , , . , , , , , " S
Water Hook.up , , , , , , , , , _ , , , , , , , , , , , " S
Meter Horn, , , , , , , , , , , . , , , , , , , , , , , . , " $
Water Meter, , 0 , , , , , , , , , , , , , , , , , , , , 0 " S
~
Check if MSewer & Water Connection Fee, "" "S r ~u. ''-'',"-,
Deferred ')iWater Tower Fee 0 . . , . , , . . , , , , . , . . . , .' S~- ~- ~ ~
Water Tap, , , , 0 , , , , , , 0 , , , . , , , , , , , , , , 0 , S
City Feq 'c' '~. , , ;; , , , -/: \ ' , , , s:- ' , , S L J _
Other,rf1,~"'J,,,'C.k~,~-:-,o,,,, S \'~
-::>> .........c... .
Total DU~~"".""",."", S~"1 U-d--,!,,'
pal~~, y;- Receipt no. !ljo;J:~
Date o~-J '1-9,.t2 By ~ & c:
I In lhe abOYe eppllcsllon and sccompanylng doeumoonla lain sccordsncs with lhe Cl1y Zoning O'dlnan~e a~d may p,oceed ~.)."ai;;rn;IS docu-
P1an_ conalll~ a temporary Certlflcat. of Zon11lO compliance and allowa conatrucllon 10 commence, Belore occupancy, a Cerlllllcate 01 Occupency
FOR ADMINISTRATIVE USE
SETBACKS: ReQuired
Actual
Front
Side
Sack
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET C" \-
USE OF BUILDING ~ ~rT"~ (' 1"-,1
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATlON....2t.. ~ 1 '\.. <":::.:L
~
TYPE OF CONSTRUCTION; I II III I~
Occupancy Group A BEl H!J.M
OI.lslon I ""j"\o ,
'tV' ~ '<-.
Permit Fee, , , , , , , , , , , 0 , , , , , , , , , , , , 0 "S . I _ C (::)
Plan Checking Fee, .. .. , .. .. .. .. .. .. .. S 3-~';: - .4 7
State Surcharge, , , , , , , , , , , , , , , , 0 , , , 0' S~, J"";::-
Penalty , , , , , . . , , , , , , . , , , , , , , , , , , , , , " S
Septic System, . , , . , , . , , , . . , , , , , , , , , 0 , S
Other, . , , , , , , , . , . . , , . , . , , , , , , . , , . . . " S
Subtotal. . 0 . , . , . 0 , , . 0 . , , . . , , . . , sCJ I .;:, J +-
City:
comes Your Building Permit When
Date~. ( (,....,.--q:~
~-l6~
Oa'e
Spec'al Condl1ions iI any
,
24 Hour notice lor allln.pecllons 447-4230 9:00 aom, ' 10:00 a,m,
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA--b
PILING LOGS
o PERCOLATION
TEST
PLANS & SPECS.p-- SETS
~ COPIES ::L
o
SURVEY
S(~-~
Date
Site Address
Lot ..1- Block
Addition, s...........~~
Owner's Name
8UENs
Address ,
Heating Contractor. m~ TrLo .4,"1l . Lne..
Address IIJ) riD W €...1-e.o I'h L JClc.J c... . 5. E .
Telephone #, 'I t..f 7 - '8'1,).. <I
Furnace Make & Model &.u,~
Model Size
5'3- S)C-ObO
Ivt~H€.e ~ TYPE OF SYSTEM
rn"'~tZ Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
..,.,
../
Conn. Load
v
Fuel
AfA-"r.
Flue Size
Supply Openings (;,
Return Openings 'I
Input {. t.. 0 60 Output
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
{,/,060
Other Devices
Cfm,
/3 tfo
TYPE OF WORK
Alterations
New Construction
V'
, Replacement
Repair
Est. Cost $
b /1 Jq~ '1 d- _ -4 l.j
, Est. Camp, Date
.:l 5 S (). c~ Building Permit # ,
'-/a,oCJ
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
L/tl,56
Receipt # .
/ Fe; c;.:z.
TYPE OF STRUCTURE
1, Pink File
2. Green - City
3, Yellow Contractor
Single Family
,/
, Multi-Family
Other
Two-Family
Commercial
Industrial
Public
JOB VALUATION
$0 - $1,000
$1,001 - $10,000
FEE
2% of job value, min, $20,00
$20,00 for the first $1,000 plus $1,25 for each additional
$100.00 or fraction thereof to and including $10,000,
$10,001 - $50,000
$132,50 for the first $10,000 plus $1,00 for each addi-
tional $100,00 or fraction thereof, to and including
$50,000.
$50,001 and over
$532.50 for the first $50,000 plus $7,50 for each addi-
tional $1,000 or fraction thereof.
The price of your heating permit includes one rough-in and one final inspection,
Additional inspections will be billed at $25.00 each,
House Heating Test Record must be submitted with buildina oermit number before build-
ing certificate of occupancy will be issued,
HEAT CALCULATIONS REQUIRED, with number of supply and return openings listed
per room with CFM's per opening, New structures or additions send floor plan with sup-
ply and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
S.E. Prior Lake, MN, 55372.
City Hall business hours are 8 a,m, - 4:30 p,m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230.
I hereby apply for mechanical systems permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes of the city and with the state building/mechanical codes; that this form
does not become a permit until signed by the BUILDING OFFICIAL; that the'work will be
~~~~;;;7a~;;the AJroved plan in the case of all work which requires review and
'~-~~.1l~ 'lId- 7/'9d--
~ ;:J$~S ~~n.Jur.
/ \I /RllilQirl~ficial's Signature
Date
~ ----'=-~ S\=)~
Date
/
Quantity
I
J
J
I
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4.3-
'/
CITY OF PRIOR LAKE
PLUMBING PERMIT
Lo
s1... ,~,>f.
No, 9.:J -::s. <?
Phone: 4 '1 )" - '1 (.. q -z '
<;~/--.R ...u...L. .
i
Applicant: i31/t"",&</" Pt....l'-b,l
Address: d- Co( J ~ I.J yd-
Signature:---T1-- J tl..L..
/ 1/
Legal descPI?tion of premises to be plumbed: Lot ~
Sub: ~ ,"-'",~~ /A...\ \;:0".
Address: 6 ~...r, 7 -.:s ,~~;:?r ~ \.
Building Permit# (..,) -~ iJ
NOTE: This permit will not be processed without complete information.
Block :J-
d5- /1c:J - oO;L-D
FIXTURE UNITS
Type of Fixture
Bath Tub with or without Shower
Umt
Amount
$4,00
$4.00
$4,00
$4,00
$4,00
$4,00
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
SINKS:
Combination Sink and Tray
with or without disposal
$4,00
$4.00
$4,00
$4.00
$4.00
$4.00
$4.00
$4,00
$4,00
$20,00
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing mach)
Sewage Ejector
Other
Lawn Sprinkler
TOTAL
Total
4.o~
Lt - c"-":",.
4 ,<.:>~
l1... 0~
h.- ~
.4,~
1l-~
.t IZ,~o
LJ. . ~~
~ _ 0<....---.
45t: e~
SURCHARGE .50
GRAND TOTAL J.r:?, ~
This permit is granted upon the express conditions that said contractor, shall comply in all
respects with the ordinances of the state Plumbing Code and the amendments there of,
l;~~'~ Date
~ Allest
Cal~;nspectl.n a 00":' In advnnce.
(612) 447-4230 . 4629 Dakota Street S,E, . Prior Lake. Minnesota 55372
A
CITY OF PRIOR LAKE
SEWER AND WATER r'ERMll' NO. Id ~/b
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: Kkaka rf:r:~-fJ~c
~ 91 CJ
ADDRESS : /~ I
" SIGNATURE: cff/IL t;)~ l-;/! ~ "'-
SITE ADDRESS: /7 ()O '1 ~j/V1..<Li.-'Y-\1/)CuY
PHONE: ~rL7-~,S-:-.5-- 7
DATE: /-I'-/7-7?
BLDG. PERMIT # ~~-)l~
PID#~~;5"- /72 -cOd--o
FILL IN THE BLANKS
l. 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 ~fPlicat~ becomes your permit when approved.
BY ....L1o--l-vVJ ~ Lv, /1/J1'LL7 DATE: 'l-- / 7 - i 2-
=======~======================================================
$
$
$
FEES:
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 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
-4 -/ 7 -(/':2-
/
/ f<57) 7
---
AMOUNT PAID J3~_5Z)
REC' 0 BY /51J.-S.;./
. /
RECEIPT #
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / Fax (612) 447-4245
"BPAPCK"
BUILDING PERMIT APPLICATION CHECKLIST
NAME OF APPLICANT ref ~AP_-r1/~./
APPLICATION RECEIVED c-3 - // -,? ~.
Approved with Corrections
PLANNING
Approved Denied Approved with Corrections ~
Reviewed by: /.IUJ G Date: 3-(6-~?
~ -
::::::s: 7(g~ .~~. - .w~ ~ ~~.
/s J>S' r ~luAJ'! I-A~~.
BUILDING
Approved
Reviewed by:
Denied
Approved with Corrections
Date:
Square Footaqe:
comments:p(--el~<a p/.-20Cj'.J.~ r'--'r~, u~ I'wI1.,.('t, \.L..~
f I\~, C'~. ) r
/':.:::.. ~ _C .- ~ .... (.=.'E -M--, ~ ~~ _"""- c c'-, \ \. ______ _
PERMIT ISSUED
4629 Dakota St. SE., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I Fax (612) 447.4245
.i
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WAfER SEtt.VltE 5ru.~ M ~;tON
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i THE en Y OF PRiOR L4K[ DOES :
1 NOT GU,\Rf\NTEE THE ft.ctURACY :
:OF THi~ PLAN Ol~ MAP. !iCTUAL ~
'CONDITIONS SHOULD BE ~IERimD
. BY "FIEro INSPECTION & "SU1NEY:
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THE G \TY OF PRiOR U~KE DOES
NOT l"'u~pr,~IT'T l'!'[ f,r'-.: !f)~ r'v
\) 1.11,11\ tL ilL !-.utJU ,\1"'\'\,: I
OF lUl'S Pl':\N- O'R f}:W rJ'TliAL
fl t 1\. I. ,..1,11. 1\\;lu
CONDI TIONS SHOULD DE VERiFieD
BY FIr; 0 'I'I,IC',:+T(I[J x, ~Uf{\j~Y
. 11-.-'- l'~l...v' ,y,i \.,Y, u - 1\, l.o. -'