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Home My WebLink AboutBuilding Permit #00-0192 Q.ATE RI;CEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant .23311) Permit No. 00-0 ~z, 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 /l,QJi) 1l0:>Q msn 3. LEGAL DESCRIPTION I LOT 1-- BLOC~. J PID '7~-:?>4-Z-()07-0 ADDITION - --no..O h:-r~ R I'd&::: ~.v \1~:': 11- I OQ Wr-'ER ~- C (Addr s~) '. ~ (Tel. No.) qSa. ' {N\nh.~. Jr. ft~ /.81~ 5. ~ITECT (Nam ~1 '. (Address) ..l. _ 1 "'\'\ _ ~(Tel. N!ti~j 1-" anc;o AD~.I) \'\:nC,",,-~Q' ur . oIlf;}. -o7a IJ 6. BUILDER (Name) (Address) \.. (Tel. Nq 'Q (CD> ~ ,-' ~bn ~ Wrrc J~q~ Mm~M. ~Ia~ 't~7-YfltJ 1. DATE niL\ NL 3-d~-(Y) ~/${) BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height~ J ~ m I I' (DJJtJf I 12. NO. OF .RIT 13. TYPE OFaONSTRUCTION ~ "frll NVO--> 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction )(' Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. /, J 5/1 Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS Width 8te Depth 137 1 O. CULVERT SIZE Yes ~ 17. COMPLETION DATE rt- 9-00 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 officj~ r7k~ .P~At~s~~hermo,e, I hereby agree that the city official or a designee may enter upon the property to perform needed insp~t!Srs, X JY'~~<--~J ~ \\~O S-a3-u:J , - Signature -' License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA o .s~D OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 132,000 .~~ PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer ...~................... : Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ ASO.~ I, I O~ .00 Permit Fee ................................... $ IIOl./!]. ~s=- (,50 .11 eoc"f)" Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Water Tap ................................... $ Builder's Deposit ............................ $~.~ . (g;? Other......................................... $ Total Due .............................. $~ 55'1-. '1-" Issued Paid ~t>4.. 4& ReceiP~0'1111 Date ~; ~I ~ By "- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~ a~d may proceed a equested. This document when Sign~' .PI. n r constitutes a temporary ce1fijite Of. Zoning compliance a..!W allows constru tion to commence. Before occupanc~a CertITica~aCW:d~~. ~ ~-~"'&D ~~ . ~ .f~ c:: nner Date ~ - pecial Conditions?i ny - ., 24 hour notice for all inspections 447-9850 100. 50 Gs, (PjO .3s.~ lUJ -n1!J ~6 Water Tower Fee ........................... $ 45 .. ot'3 L26"'c. dB I ~ 2 t9 e> ....-:? , to() ~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ermit W.nen ~proved. Date q. - .J .. L..Q:::20- , .. "" .... Job Address \ SO \S.llefaloosot,. Heating Contractor Ouitft,.. /. Name of Tester 'R cf2.. 1 Date 6 - 22 - 0 =-.> Percent 0 7,. '2... 'l,. Percent CO2 b # q /'.r Percent CO 4~ !,", Stack Temp. ~ 4 7 ... / " ..' White - Building Canary - Engineering Pink - Planning The Center of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~';;{~136/2-' / C L~//12~-'K- . . ~?/" ~~.;> I(f 0 ...~ 2 ....:-) / l) , I ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~ (/ / 5' // /!~~ /-/ i l~.'(~ ..:::/")-77<:::" At'tE: Accepted v- Accepted With Corrections Denied Reviewed By: ~ IJ~ Date: :5 ,., Sv' eo Comments: f^M~tAuM. ~_ ~ I. ~ ~ Gw~ ~~4p A /L ~ ~ W .ev""~ >lt9J1AM . ~ ~~ \7-Y\LV~ rJ'41~ ~~~J' 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." The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT e08~/ (!L/J/2/:::::- APPLICATION RECEIVED . ..3/ 23/() 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /60/5 /1P~/lL-OOsr7 //Z. NG: Accepted Accepted With Corrections ~. Denied Reviewed By: {J11R~ ~ y Date: 1-"3'~~ Comments: _ I. ~ ~ ~cU- ~~ ~c:; 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." ~.~.~~..\ ~ White - Building Canary - Engineering Pink - Planning Thr ("rntrr or thr L.kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT K()/3t:/Z- / eL/-l /2 f::::.- APPLICATION RECEIVED . 3/ 231M 0 The Building, Engineering, and Planning Departrnents have reviewed the building permit application for construction activity which is proposed at: /6015 /?1.:?p/jL005/9 ./72- /Vb Accepted ./ Accepted With Corrections Denied Reviewed By: JJtll..TEn. E'.U~E:.$MANtJ Date: 3/51 IDa Comments: $~~t p~p MuS"- p(;: CO~#JE<:.r/d:) "'-0 IHl:. C~SllA.J<:> DIlAlN "I. c.. e:. L-t,Jf. SE.E" INFcll.~A'-'O,j 0"; RE...I.B'l sf:. SIDE Sf:E: AmKHl'1fNfS} /. hl\lAL. Ba."o~ IMSPE~"n aN ~ArI.!JN 'Z. (;ItA(.) I,J(. 'R..t!JA.J 3. . Ea<)~ ~tJ Cl)NTltoL. yt.\QlsUf\.~5 t/-. &.o~ COJJTtl.DL- RfitV "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.1I ~ CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: _ . (') 1-- S ~ \ a "Ai J~aJ t Phone: (, I J, 4-J,)~ q '0 J9 Address: l'ttrD 13 )~I ~ 1 (:T ~i) cJ2-l '- VJ1Jd.i-~). llu) ~5J..J, 4- Signature: A 2A- (~ Legal Descri;;;ion: Lot . "7 Block I Sub t:,rd Afl~N ~'P~ Site Address: S DJ.S A rw ()17 ~ T~J l"J f, Building Permit # (1 () - {) \ q a PID # S S - 3 'la- 007-() NOTE: This permit will not be processed without complete information. The Center of the Lab Country Quantity \ \ I 3 1 } , ~ FIXTURE UNITS Type of Fixture Quantity Bath Tub with or without shower 3 1 J \ Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL _22m 1. Blue 2. Gold 3. Yellow File City Applicant # 00- 0\q~ Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other / / /50 $/ / $ $ $ $ ~~ ~11" 16200 Eagle Creek A v. S .E., Pri ake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer ;- PR~O ~ ~ €1.\E ~NE~ GREEM - FI.E YELLOW - APPLICANT GOLD - CIT., .... t." ... CITY OF PRIOR LAKE SEWER AND WATER PERMIT s.w. No.1J.{J -QJ!jZ- NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: U1fke1 ((~Jtt- ~{L, ADDRESS: I 'to.!'lJ CO,.......""..~L 'C\ !r:'-c SIGNATURE: \l.~ ,0 ()~ _ SITE ADDRE(j"/510IS /J'P.,PALOasA /e r PHONE: ifif7 - S'J81 DATE: 21~~/oo~ , I BLDG. PERMIT # 00-0J.32- PID# 25-34z- f.X:L/-D FILL IN THE BLANKS 1. 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 ------------------------------------------------------------------ ------------------------------------------------------------------ BY s your permit when approved. I DATE: 5/3/00 I I This applicati ------------ ----------------------------------------------------- ------------ ----------------------------------------------------- FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $t7~ plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance ~o insure that no duplicate sewer a~d water permits Ware lssued. DATE PAID AMOUNT PAID fI, '1~ RECEIPT # REC'O BY -V V~ {; 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer CITY OF PRIOR LAKE 16200 Eagle Creek Av. S.E. Permit No. () () - () \q ~ Prior Lake, MN 55372 HEATING APPLICATION I PERMIT DateS.Qf3.D) PID# ~(C;-.~LJ~- 0717,-0 sne Ad:ess ---S[J,C::: Cl0rnl!. I l_.f$l_ IYY) IL . lot '1 Block I Addnion ~rd ApON +-0 ~ 'eic~ Owner's Name -Ro~ f$-- ~ ~ n n_ /y ~ ~ 1YI !lfrl ) cilnn Address HeatingContractor ~YVnl/' fl 1;1/ 0+Ov t-At -(J'- 0 - AddressCM()l 9~V~ . Lr LO, ) AI-I , Telephone # LoS\- USl). ~ lililo. - Furnace Make & Model I t.Vl n~ r TYPE OF SYSTEM ~./ .R '['; . Warm Air Plants Model Sizetl) , C ltIVf}('l j . Gravity I/O V Mechanical Conn. Load. A' Co d" . I I' Ir n itloOlng Fuel It! d- ,Flue Size S Vent. System Y' ,-~Cj)J J Supply Openings It{) . ~ Return Openings 5 Input ,? 5'. () tJ 0 Output to.. tJ eJ 0 , HEAnNG OR POWER PLANT Steam Hot Water Radiation Special Devices Edr. Cfm. J~O() Other Devices TYPE OF WORK Alterations , Replacement , New Construction K "'\ Repair Est. Cost $ , Est. Comp. Date HEATING PERMIT FEE $ Building Permit # (~cry.1 - 0\ Cc a ~t) \f'l~t~~\\ ~\\..t)\~G Receipt # . / STATE SURCHARGE $ ./ .50 TOTAL PERMIT F~ TYPE OF STRUCTURE I. Pink File 2. Green - City 3. Yellow Contractor Single Family Commercial ~ Two-Family Industrial Public Multi-Family Other Fee Schedule 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 .S03Jl) Remember to add the State Surcharge on the bottom of this application. 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 ." lil~ino 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 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 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 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 ~7Znw and approval of PI:;: P6'/ de!) /. Kpplic1!n'tYS~~re ' Date ( )(1 l7-vh~~~ / I ~,/l'A h~ (\~i:dI(J() o BuWdlng Offit!'al's rgnaTLi~ - · · I Dafe PRIOR LAKE' D5PARTMENTOF J BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS JSDIS A~p,^lcC')s.~ . Ir~,' { NATUREOFWORK ~\ ~c.J~UC.~I~ USE OF BUILDING SED PERMIT NO. ()O - O/t:J2-- DATE ISSUED 4-3-;;{oO CONTRACTOR R~ \ Qw-l,,-- 0~+ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT () INSPESTOR I tfl" 7' II YI tJ1} 1 FOUNDATION (Prior to Backfill) ~. ' ," .' 6/P./p fl" ~,~/~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH -(1)NS J I U51Q/dJ ~ {#.~ . 6/3/~ I I ~ tjJ, ~/~tfllJlJ & ( ~hd/&D tJ 'I FOOTING SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST DATE .. 5I~~ , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED WALLBOARD FINALS GRADING (Prior to Sodding) ", ~ f. 1(410(\_1 BUILDING r A 0, f11 'I/(/tD J IV ELECTRICAL ' I PLUMBING # 6/a1. itrl "vt 1 V HEATING (,rJ,#~ DO NOT OCCUpy UNTI~BOVE UAS NOTICE \ This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have ber-n approved. On buildings and additions where no service cabinet is available, ca;d shall be placed near main entrance. f { ft, U,~\.t.O. t' .-- v/ /' BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ~- -.~. -. -..~=""=-="..... -.~....~....~~.....~'~. ~'....~.. ..- -...-,.... ... -...~.. ~. .. ~. -...~. . -.. ~ (MlJ!"'~\~'~:iurl."'*iilid' ., ......':jl. '. "~ .a 11II'_ r........,~ ... T' ~i~~ " :.;.J '~.~. ',1. .., tl;~'. . ',,; .'" t ~;,:~,. t . .;..;~.: .:~. :~'. ,.. Z Llti.~. ;.~ ~...;~..~ ;~. :'~ .~,.:..~/.,~ t.~~ .~t.:.~:' .~. t.~ a; :. /..... ~r.. .;A~ .A~ t~~ ,A~ t~ f A~., ~~ .~.~..~.....~..:~_.:~.,.Ir~:..~....~~.~.t.~...;~~ .~~; ~.':.) ~, ~.: . - . r ----=~ ~ -- 1_. - - . . . .. . . " < K ~.~~~ : QLtrtiJrate at (Oem. tanry ;~. i ~ -~ 1Dtpartmtnt of _nUlling Jn~ptttton ~.f-~ ~;2: t ~ina1 Permitted 0 Conditional C.O. Expires .:.., (.~'. : This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code ~ ~ .......: t' certifying that at the time of issuance this structure lfas in compliance with the various ordinances of the t . ~.':.' . _ City of Prior Lake regulating building construction or use. For the following: , .~. .~ ~ . UseClassitication SINGLE FAMILY Bldg. Permit No. 00-0192 ~.. ~ Occupancy Type R3 Type Construction VN Fire Zone NIA Zoning District Rl SD Legal Description T.7 '81 _ liAC;'P"R~VV~ UDGF 'l'RIVD Ann>> Owner of Bui1d~qt ~. Con~~. Name "'. A. ddreSs ROBERT CLARK, [/"'1 . ROB~T D. au J.CHINS \ puildfg Official '?/ /?/ 00 r Site Address ~ APPALOOSA TRAIL BE 14906 MANITOU RD. ~ PRIOR LAKE~ MN 55372 Date: City Planner _ Date: J u'1,1 TOVAR POST IN A CONS~ICUOUS PLACE --~,~ SCHEDULED DATE W~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE A,r;' ADDRESS /5 (J 15 AfJPd-..!oaS A l/L , OWNER CONTR. PHONE NO. PERMIT NO. -DO - D I 9 2- o FOOTING o FOUNDATION o FRAMING o INSULATION ~ 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: S&?O I~ tr/.-- ~ L K WORK SATISFACTORY, PROCEED ) ~ CORRECT ACTION AND PROCEED o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ / Owner/Contr: , 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 " J _ },,,.. n INSPECTION NOTICE SCHEDULED ~ab/1lJ 0(;.f.Q ADDRESS \~O\ ~ Ar'PlAjo{j~C TraJ J OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WA TE;R HOOKUP ~,~EWER HOOKUP ~LUMBING FINAL o MECH FINAL A COMMENTS: l )fl .1J- ~~,'~ r~ ,n-f." r ,./1 U~ _'3A.O~ ~ on - o,qa o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o CJlA- ~/ I //" / / ~~ '\ KS ISF Y, R~D o RRE T ON AND ~OCE D RK, CALL Fe R INSPECTION BEFORE COVERING Inspector: A Owner/Contr: CALal447 -986~R I..tE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE kQUIREMEJS ARE FOR YOUR PERSONAL HEALTH & SAFETYI -~. - INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED <. l.!> _~ ~:~ ADDRESS I So , 5" A?tx~~ I" OWNER" CONTR. PHONE NO. PERMIT NO. o -- ICJ 2.. 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 o PLUMBING FINA~ V MECH FINAL ,-- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: \2e...c e.,.{V ~ d uV- s d ~ \4-C 0 Vl/ / / / ~ ~RK S~ CTORY, PROCEED o CORRECT ACTI OCEED o CORRECT K, ALL F R REINSPECTION BEFORE COVERING Inspecto . Owner/Contr: C LL 447-9850 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. C~E REQUIJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI ~ INSNOTI