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Home My WebLink AboutBuilding Permit #00-0084 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 'i!tt~ ' FEB j I 2000 1. White 2. Pink 3. Yellow File City Applicant Permit No.-f1[) .OOM- 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 1. DATE ;) - / /- :louo ,(ZSD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) -'{ 3 J "t (i / y/v fA) a.1Pr 3. LEGAL DESCRIPTION / LOT ~ BLOCK ADDITION t:; I \t N IAJ a r I' r , , (Name) rra,'/ NvJ 12. NO. OF STORIES J- d Nt! PID~f- 3t,5 -011- 0 at/tI 13. TYPE OF CONSTRUCTION 4. OWNER (Address) (Tel. No.) 5. ARCHITECT (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE (Name) (Address) 6. BUILDER (Name) WeN5m q/VN' /-JamfS 7. TYPE OF WORK Fireplace 0 New Construction ~ Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. (A9f~ss) D 18'15' rlq~4=- r E (J. q (j j'I fI1 IV I peptic 0 Deck 0 Addirfon 0 Finish Attic 0 (Tel. No.) ts 1- -,!O It, - ~y{) iJ pA~ ~fL?" ~UK Re-roofing 0 \ Porch 0 Re-siding 0 Finish Basement 0 1 O. CULVERT SIZE Yes No 17. COMPLETION DATE 9. PROPERTY DIMENSIONS Width Depth I hereby certify that I have furnished information 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 the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building ~ial can revoke7his lermitjpf just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X /~ ~ J~5'3 ,,;J-jl--2ootJ ~ ~ Signature License No. - Date I V FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 Builder's Deposit ............................ $ J I Q'r). 00 Other ................. ......... .... .... ....... $ ~ i ~ Total Due .............................. $-ft3()!f- ~ Paid Receipt No. It 'lq !> By fl!> This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when Si9~~rlanner constitutes a temporary Certificate of Zoning compliance nd allows onstruction to commence. Before..occupancy, a Certificate of Occupancy must be issued. r- - ,~ ~6ID K'll#{~/,~~~~, "Z'/ '-Jity Planner Date SpeCi~ons if any \,..000""" Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION J O~~0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 USE OF BUILDING SPA TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . . .. .. . . . .. . . . .. . . . .. . . .. . . .. . . .. . .. .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ 51 I, $ Pressure Reducer ....... J.e............... $ Meter Horn................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ............................ ....... $ Plan Check Fee ............................. $ ~~7.~~ 57t.'7 J ,Q::; .t!'lJ State Su<- 'Charg" ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ l(jo .. 6--<J I ~O ". a..b Issued Date J-2"~~ 24 hour notice for all inspections 447-9850 SETS COPIES as-c · ~ tL1:Jo" GO l.tE) l ~-6 I 25' .f5)d I. "20~ .06 I 1 (!) 0 .(J 0 Thl' ('I'nll'r of lhl' Lakl' Counlry 'r!/' w~ - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W6!\f SJ':!/N N L-/ /1 /00 I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33/4- GLV/\/WA /bt€.. ~ llef-/ i- t Accepted Accepted With Corrections < ~ Denied Reviewed By()2~~ Comments: ((e~& a%l <iH-~ ~~ Date: ~ - le~ ~ liThe 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." q/~ The Cenler of the Like Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \ t .,..-' 1\ .' .../- J \ .' .. t \ /-, I \; ,/ ~ I.L, , ~ V!." ',- _,'! ,/ / \ J " I. ' ~/ / / / .I / l / I /\ / I "..J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -, I / ___-.'. _:~ I L~!~-" -lL\,// I I 1'''' T ' { V';-' / c l~ I i f.' \. / I I /', ,-"j. I \.--- Accepted ~- Accepted With Corrections Denied Reviewed By: ('~~ Date: 'J - It::> -{9Q Comments: ~'1JV~ ~e.L\ "'i6 ~. (~h~SvIt, ~ ~ C-. (), t-) I {JAA..t'9-- ~~'> .,tJv' ~v\Wi:\ e.r 2--~ MJ-t" l'~ . R-~ ~"()L\0v~ ~ ~'-^J~~ l~ _ (~~ ~~~ AeqfW'I'" ~ -/) liThe 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 ~/ Tht ("tnttr or tht L.kt Country White - Building Canary - Engineering Pink - Planning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST I 'E- \ / ~ 'l J' , / j ,I . j\! C I .,/, L- /\ " ,'\ . I.: / \~ ~ / / / / \/ I V Y . I ' . 2/ II /00 / / APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33/4- 6Li/V:V;-: !c/'<. -/Ri/ L Accepted ./ Accepted With Corrections Denied n__.:_..._-1 n... t JA ~__ C .___~... ._., n~vl~vv~u DY. ~...&..,. fJ(. [:."'~P\'" N'U n",.",. .. I._I",,, LJOlC. &.0 " , I v- I I Comments: -5c~ ItJf"olt""ATIOiU ON"Tl1E" K~vm.sL.. Sil)C_ ~ A....tc.."'M~! I. fi~Af.- G.MPE. ~(."'''orJ I.vFcltMAllQtJ Z. ~MO"'Jt. PLAN 3. &o.s\O~ CO,.rr'I~O(" t101f'AsvltES tf. ER(JSI~A.J CONf'ttOl.. Pt.-AIJ liThe 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." ~ --------~-----------~--------------- . Job Address33I'! a/l1~ ft / Heating Contractor ~ r ~ y~ ,.. 9 . ? Name of Tester l/l ~ ( - Date 6 - ~9 .- C96 Percent 02 / Percent CO /p Stack Temp. ~ Percent C02 ~ p~ r-t ::::tiO 0 -ao FA-- ~ Site Addfe. , v cilot 8 z Ownefa Name Address - errv OF PRIOR LAKE ,,~ ) . 11200 E.... C.....Av. S.E. PennltNo O() - OOB~ PrIor Lake. UN 55372 . c TYPE OF STRUCTURE J. ".u NI 1. eM t ea, :to YeI 0aaIndar S"'g1e Fernilv Commercral x Two.FarnMy Industrial Multi-Family Public OtMr 'P? <0 Fee Schedule Industrlll. Commercial & Mu1tt.Famlly Residential. Heatlng & AC Resldentlsl, Healing On1v. Resfdentlal, p". Fireplace R eeklen11a1. Addition. & Alterations Reakten11sJ. AC Only 1 % ot Job cost ('39.50 mrn1rnum) $99.50 $84.60 ..60 $39.60 $39.50 c:> c::> N CD Address . fhffYJ ~~,~ RememlMlr 10 add Ihe Slale Surch81g8 on the bottom ollhle .pprlC8~ion. I ['- eonn. load v ". ,I If ~ Fuel AIM f -f}~ Flue Size ..., bJI,J1t- N N (T) Supplv epenfnge , \ M l:2 Retum Openings, ~ z ~ Inpul1t;: 01ID Output \ , l)~ 1mf') N . z Edr. w (.!) Clm., TYPE OF SYSTEM Warn Air Plants ~ Gravity Mechanfcal AJr CondllDnlng ~ Vent. Syalem HEAnNG OR POWER PLAH1' Steam - , HOI Watlf Radiation Spedal DewEes Othelr Devices The.price 01 your heating permft Includes 0118 lOUgh-In and one ffnallnapectlon. AddItfonallnspectlona will be billed .1$35.00 eed1. Hoose Heating Test Record must be sWntUed with tIuUdiog r~m" ~""'.,~., l:JeIor. build- Ing certificate of ocoopancy wi be Issued. t.JJ:.T ~AI n II nl(W~ RJ=nl UR,F.n wJth number or .upp~ and return openfllgllllted pel room will CFM's per opening, New atructurea 01 additlons send IIoor pan with 11JI)~ end retum Iocatlons shawn. HEAT LOSS CAlCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAlt J:n TO THE CITY OF PRIOR LAKE, 16200 EAGlE CREEK AVE. S.E. PRIOR LAKE, UN 66372. CIy Hall buUless houn are 8 a.m. . 4~30 pm. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL 447-4230 E ([ M ::' Alterations M M Repair GJ ~ Est. Cost . N ..D' HEAllNG PERMIT FEE' ~ STAlE SURCHARGE , E .'. TOTAL PERMIT FEES . TYPE OF WORK Replacement New Construction, x I hereby apply for a rnechanlcalsyslema permit and I acknowledge that the Inlolmallon above I. com pie Ie and accurale; Ihalthe wo rk will be In conformance with the ordinances IInd codes of the cll~ end with the atale buIldlng/mechanlca' code.; thallhls form does not become a permit until sIgned by the BUILDING OFFICtAL; thai the work win be In aoooldance with the approved plan In the case or all \'fork which requires review and approval of plans. ~ ",/ in ~/:;;o() I f)ste -- Eat. Comp. Oat. . BIMIg P~rrg". ((), 00 l34- : r l'~\O W\~~ -:.~ .50 h~U\\..O\NG 1".::.",.,11 Receipt" , BuI~9 Omears Signature MAR. 6.2000 11:10AM GENZ RYAN 6513226147 NO. 475 P.2/17 TIle Un,. ., tile ub c.....t" CITY OF PRIOR LAKE . PLUMBING PERMIT Applicant: ~ - e L4.f" Address: i!:fiL(~ ~0R.c1!!!LYl-"- -rt'LL- Signature: fAJ.. f'l ~ 0 . Legal Description: Lot 'p, Block Z Sub~\ () B ~ 4-nt... Site Address: '!">~ ILl ~m' ue.- Tf'-Jl I L... Building Permit ## .. B4 PIC # 26- ~ 5 - () , I - 0 NOTE: This permit ~iII not be processed without complete information. FIXTURE UNITS I. .. me 2. Gokt Cil) 3.. YclIaw AppIi... # (1.0 ..()()B4-- Phone: u,.f:)'''' 4 -Z 3 - II t/(../ ~ - ~ Quantity Type of FiXture 2- 8ath Tub with or without shower I Dishwasher \ Floor Crain ~ Lavatory (bathroom sink) \ Laundry Tray (1 or 2 compartment sink) Shower Stall \ Sinks t"I-'-.~ ) Bar Sink ~ Water Closet (toilet) ; .... Quantity Type of Fixture .3 I Rough-ins Water Heater Water Sottner Stand Pipe (washing machine) Sewage ~ector . Backflow ~mbly (RPl, Double Check, PVB) , \. Backflaw Assembly Test Lawn Sprinlder Other FEE SCHEDULE .. Industrial. Commercial & Multi-Family (1 % of job cost. $39.50 minimum) Reside. ,t;.:J. New One & Two Family Residential, Additions & Alterations State Surcharge GRANO TOTAL S $ S $ .50 ----"0' \N\1'\-\ ~ r. \1 , ,,~\ f€.\:;".\\ i~\NG . $99.50 $39.50 ,...... . ..;. ,t ) \.,-- This pentlit is granted upon the c...r,'-.IlS condition that said comractor. shall comply in all respects with the ordinances of the SEa~ Plumbiol ' ~"fclmFEI thereaf. RE ~7/00 DATE I A I 1.1::,,) 1 MAR 6? . Call for a1I insp tions 24 hours in advance. 16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~5 An EqWll Opponunir:y Employer FEB. 29. 2000 10:36RM GENZ RYRN 6513226147 NO. 289 P.5/5 __ .. fILl! ftU..OW . UPLICA.... ... . aT. CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: Sewer and Wa~er 'contractors must be reqistered vith ~he city. NO.OO"ooeA- APPLICANT: r ~ 7-- 2-J..P...f"' PHONE: (p S , - 4L~ - , 14 I..{ ADDRESS: \~14C:; ~ ~"-y?' . ~'-DATE: -U'L9 uu _ - _oSiGNATURE:~ ~ BLDG. PERMIT # 00-0064- SITE ADDRESS: . C=:)20\4 GI~ 'i," PlOt ?"')-~o- Oll-Q FILL I:N THE BLANKS 40, 1. Estimated lQnqth of water service feet. \r Size of water service' inch(es). 2. 3. Y. 4. . .-" 5. Looation of any couplings from s~ructure Type of sewer pipe. ABS . PVC -X Cast Iron Estimated lenqth of sewer lin..~J feet. 6. Clean out (if required), foea~ed at feet fro~ _ s.truct.ure . feet. .: 00 ". FEES: - .,...- _......,._..__....____~--............I - _.._______-__-'"~ apPlicatiilh~s. your pe~it.wn~n approved. /. x!M~ - ~TE: 3/7/nn -j'-~~-- =====----- ~---~--=--===~---=-- $ 35.00 Sewer and water line connection permit. S .50 'Surcharge $ 35.50 TOTAL _of, This BY * Fee for either sewer or ~ater individually is $20.00 plus $ .50 ~urchar1~; * Se~er and water permits issued for new construction must be recorded on..the bUildini permit card. at the time of issuance to insurer that no dupl cate sewer and water permits are issued. . ''''"" (- 'Ow '. 'I .~ DATE PAID c RECEIPT..# AMOUN'I' PAID REC'D BY ., -un \N\1'r\_ ~ ~\,.. . (eu\rr;\~G p\:;:."'" . 4629 Dakota SL 5.E., Prior Lake, MInnesota 55372 J Ph. (612) 4474230 I Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 33li GI~V\lA)a1-et- ll=o.\\ NATURE OF WORK Ne.lkJ Qd)l(;:JtllLb~t USE OF BUILDING ~~~ PERMIT NO. DATE ISSUED ~-/'7,.~ooo CONTRACTOR WeM&~~, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUME~T ," ( ^ ~\ , I INSPECTOR/ \ I DATE FOOTING Uuiv \.--f' 9,/3of1> 110 "f.>~'~ FOUNDATION {Prior to ~~kfill~! ClD'3fr ( (fVJ AJo/lv" PLACE NO CONCRETE UNTILl..ABOVE H'tS BEEN SIGNED R 0 U G Hj;" -I, /I)~..~~ SEWER I WATER I SEPTIC v ->/ ~ FRAMING S/3()/trt> INSULATION~~, &/~/tJ() ~f ~1!,1j(J1J ELECTRICAL PLUMBING (~ \)!I1b HEATING (if required) (7 ~,~ I - I FIREPLACE ___ GAS LINE AIR TEST !l~"- '. {.p- (()) ~/(/~ COVER NO WORK UNTIL A~VE HAS BEEN SIGNED .L_K:Hl~ 5/'$0/ tf7) I I GRADING (Prior to Sodding) BUILDING -{(!,o-ro If. />. dO ELECTRICAL ~ PLUMBING t HEATING DO NOT OCCUpy UNTIL AB E HAS FINALS t B 'Ii/- OD /~/$J/1I7) I . 7-/3 "q7J 7" 1'$- o1J BEEN SIGNED 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 shalJ b~ pl~ced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 'i><,;~ :~f;:, ,t:i~~~',~~~.,',~f'\' <"",:~~lj,' ~~. ," \" " ',"' ~ '~: ,~;; .,'1;i',~(.. ~;;., f.lr~~i': CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3'3 )'1 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME . SCjiEDULED _ / ~ tJ{) It / ~~ -jr L/ U CONTR. PERMIT NO. 0-8> tJ- 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: S +- T ~ .....~,-;~~ ~ WORK SATISFACTORY, PROCEED (~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~,- , Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME t/~ d)~l ADDRESS .3 31 LJ <'.:2 ~r\l U('&J.q- OWNER CONTR. PHONE NO. o FOOTING o FOUNDATION ~~ o FRAMING ar:/SU~ FINAL. ) , 0 SITE INS ECTI~ PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP ~SEWER HOOKUP P, UMBING FINAL , ECH FINAL UO r- Cfj ~~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~OMMENTS: ~) f\~ per. ~.~ ~.'^C- Atl'"l~ ~ eM +reM. 0'-" i1,(,ne~~ ~ e -:a..JJl. a-R.Q 4'1~~ ~ -~.11es. & -- ..- '" \_~X> Cf-\~-tx:5~ / "----Jl "'--- r ~,(' " ) / /' ( ) /' ~~ (,) o~tt- tJ~ ~ ~ B,- V~ ok-- CJ0- RK SA TISF C RRECT ACT CORRECT 0 COVERING Inspector:! \ '- uwlltWl"on r: CALL 447-98~O-';; THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO&MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl C~TV OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE djj{p , / TIME ADDRESS 33/1/ c;IY4Mlbr ~/ , CONTR. JJe/15h#/1/L/ PERMIT NO. ,/(J-?JJ?'~ ~RAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL OWNER PHONE NO. o FOOTING o FOUNDA OF G o ULA TION FINAL o SITE INSPECTION COMMENTS: -.r;~ i~ ~7 I!urJplJx Y c:J~_ tJ~ ~ / ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1;/2.'& 9; ~() OWNER $3JLf /' CONTR. ADDRESS PHONE NO. PERMIT NO. 01 -./3'f,? o FOOTING o FOUNDATION o FRAMING /L, ] INSULATION 11 (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 GASLlNE AIR TST o COMMENTS: L, L; /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR:\ CALL FOR REINSPECTION BEFORE COVERING Inspector: $.. VQ#..O.. Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTI