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Home My WebLink AboutBuilding Permit #00-0205 \ I' I CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE j J 3/2-8/ ~ .. 1. White 2. Pink 3. Yellow File City Applicant Permit No. () 0 -- ozo5 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 ,el SO BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT J CD BLOCK (l'joK-lJ I LL ADDITION 4. OWNER (Name) 5. ARCHITECT (Name) (Name) W ir\J 0 Woo [) r-P M€C; 6. BUILDER Fireplace 0 Alterations 0 x SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING ::;pp 12. NO. OF STORIES .3 PID 25-3/0 -030-0 (Address) (Tel. No.) 13. TYPE OF CONSTRUCTION N.6'W 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS (Address) 1 Lf3 \ ( -BN 'A/6 ft-U~ ~ gOfl5-~Y~\? ButNS\ll fVlN -=:S:3olo Septic 0 Deck 0 Addition 0 Finish Attic 0 SEATS 7. TYPE OF WORK New constructio~ ehimney 0 Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. I J. 400 Width (P 1./ 8 Depth Yes No 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 0 . a can revok this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. . '. ,z/97 . 3/:29/110 SlQnature License No. Date Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE tS:-O , 000 17. COMPLETION DATE FOR ADMINISTRATIVE USE Back Side SOIL TESTS MATERIAL FILED WITH APPLICATION o o ENERGY DATA Side PILING LOGS 0 PERCOLATION TESTS 0 OFF STREET PARKING SPACES REO. SPACES ON PLAN PLANS & SPECS 0 SURVEY 0 PERMIT VALUATION I SO 1000 , o PLOT PLAN 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 ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ City: Amount Brought Forward . .. . .. .. .. .. . .. ... $ Park Support Fee ........................... $ SAC . .. .. . .. . .. .. . .. . .. .. . .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer .....~................ : Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ , I t 3t"f. '25 7 31 . 2. \ 75.06 I 00 . 0'0 (06-00 "lS -5"0 lit; .co ~ i1ding ;:t,;it ~~~~~ Issued Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin ce and may proceed as r sign Y. the C' anner constitutes a temporary Certi~'1te of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of c =tt-' /,., -&t.O C Planner . Y1ate Special Conditions if any l 24 hour notice for all inspections 447-9850 SETS COPIES S91~ ~(~O .e1~ q5. ()O I ;;'15, c;c; 112~O ..~ , ?L>(') .tX) ()1) cJ VJ)' The Centef of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED jNINDf/\JOOD HOMSS 3/30/0(1 / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /2056- rv () 00 ,eL) /459/ ,. Accepted Accepted With Corrections X Denied ~ / _____ Reviewed B~r Date: t{-S-~ Comments: L~J ~fj)(If~ ~ 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." " ~ ',j:'> - -: ~ ,. . . /' // GO ~ (JZ6( Tht' Crnlrr of Iht' L.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Vi/NL~ ~,\J C) C)o (..{ el/"} ES I .. 3/30100 I .. I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j/2~{) ..'; E J V (j c~ D 1:::0 /45 9/ I Accepted ./ Accepted With Corrections Denied Reviewed By: ~l-1tJl EHItESM,q tJlJ Date: 'f-r~ 100 , , . Comments: SEE:. IIIIF.n..MA-r,o,J t),J RE\JE.A..s/f:; SOE.. Sl~ A1TACtit'1UJrS: I. h~^L bA.At>r. IAJSPf-CT'D,.] 'IJF.cttt1"no.v Z. ~QAO'N b PVVJ 3. Ca..S,IO,,",. CON,fl-.\. M€A~v(\'~5 l/-. . EIt. OSro....> ~tt.Ol- A..A"& 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.1I ---......_-~-"._---,~'".__.._-~---"...~_.,,-,-_............._."'----_.-._.<.,.........---~-~-......_-~.,~-__".w... C". au -O~6D Tht' Ct'ntt'r of tht' Lakt' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT I fr / '. l ~ \.~ r \ . "'->>......t APPLICATION RECEIVED "J /,.~> /', / /. / : ;., If. l'f'l __) ........__." '-__-~ I '-' '.....,.. / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;1 ';/~I/./" / J> (_".........".:/-l ,j / I' I I.. j.i "..j,'.~.',.'.,'., I ) _ .-_'~ .' ..' . . (. )-t...= j \: c'.' t -.- ;._~, , Accepted v' Accepted With Corrections Denied Reviewed By: ~.AAJ~:a..U.~..~, Date: '-'I - .s-Q) Comments: AIL- <\-- {9~~ ~~~ _~ V..,v\6l~ rJv'\- ~~ ~~ i{cv&{, 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." .Permit# "Job Address /~~. CJI R o~~wood N "Heating Contractor METRO AIR "Testers/Signature ~.-" -.i Date "Gas Une Pressurized Inspected Time Pounds Pressure "Percent CO2 "Percent 02 PERFORMANCE TEST 01110 h '() .Percent co (5) ~ .Stack Temp. c9';> 70 Final Inspection .. Date / .{ -'" Conn. lnad Full ~ -"\"'\ ,Flue Siz. S IJ Supply ~nin;s \ --, "etum e;.ningl C6 tnpu; 'B~ 1 O(D 0UlpUl "\ \ J()(1:) 0::: crEdr. _ \ ~Cfm. 1"\ ~ . LJ .~ E ". TYPEDFWORK Re_~.. Est. Co~:'Qaaa ~ ~LlIcrlnG Perml' . E AbnItians . a: . ., ~ Rapair .. ;:.. ..... ( - o' ~ E:sL Cost I V .- .. '.- --- ~ ..~~G PERMrrFEE ~" . . - ~ STAlE SuRCHARGE ffi':. ..~. . -' . . : nn:AL PEmIrT FEES s: ~~ .:. .-. . . _.;~~.' . t~ "";~~.=;~' '... r~~.~;-' :...-. . - - \...."... ... . . ...........~'\.. . . . .: -.... . .... . I $, S ~ . - ...~. . '. . :. ... : . . '- .,. . ..~~:'~"..a~:...~:~ ;..::....~J..~~~.~ ~;,. '':~::' = ~':_ ':. ~._.;:: ~~..:. . ..:.~..\.~::..t~YJ;;:\~~'~-k.~.~'-r..~i.~~" ._ .".:,~ . _~..I {'f'!"":= ~ .......~ .. .. .....J . _'.,""",... .: '.' _,~ : .. . . . NtIw ConslnIcIian ''A. ~ o ::06'C6 TYPE OF SYSTeM Warm IW Aants .....} GnMty MecbanicaI _ AirCondilDn;a;.d, V.I1.. Syslern _ HEAilNG OR POWER PlAHT Steam _ ~ Water _ fWfidon _ Spe:DI Oavioes 0Che. Devi::8s v-"' ~ ~ ~o I, .. - iik ~ r...a - Cb7 ]. 'YcDIIW . c:.:.::. TYPE OF STRUCTURE Singll Family X _ 1'wo-Family Mull;"Fa~ __ _'..~ Commercial lndustrial ?u:ai: O'J'J&r ree S:hedule lndus1rial. Commercial ,. MuIti.FamiIy , ~~ oS job cxt lS32..50 minimum) Resid!ntiaI. Heating & AC S~.50 r, ~=~ Healing Only 364..50 1 .' i\.si~nl2.l. Gu F~:e S39..50 i APR 2. 8 2Ull Residential. Adcrttions & AhlTations s..~_SO ~esidmtial. AC Only 539.50 MI:nembar CO Idd !he State Surcha~e on Ite bott:ma of INs a;rt*ation. The pri..-e of your hearing pImit Includes one fOUgh-in and ana inaJ inspedion. Ad~ InspectiDnS wi be blhd at $35.00 8IId\. Hoo.'Se Hsating Test Fle::ord IIaISt be submllted will ~ a:ml.mmmm beIore buicS- ing :er1i6cate ai DC:Upan:y wi bt lssuecl He "I CM..CUl ~ R~OlJIR:;O wilt numbeJ of s~1y 81d rR3um. 'Operings istBO per room wiIh er-va- per openinp.. New sweues or 2cidl6ons lend Aoar plan wiItt supply and Iet1n kalions mWIrL HEI\T' LOSS CN..CUlAnONS. PAYMSO' AND APPUOOlONS MAY i!E MAILED TO "THE crrv or PRIOR LAKE. 11200 EAGI-E CiEEI( AVE... s..E. PFUOn LAKE. MN 55371. City Hal ~ess hccn are . iiUL - 4:3D p.m. AU..WORK MUST BE INSPECTED (ROUGH-IN AND F1NAL.}. CALL cnv HALL W-423D J hereby apply tor a mechanical systems permlt and I ackruwdadge that the .lnfDnnalion above is complet. Bftd a=mde.; tbII the ~rk wII" in eordDnMncl . ~ tht oninancas and codes DlIh. city ud wttb the ~e bulldinClimICtnlnbJ ~e.s: thai. thiI ~rm doea not becal'fte a ~1I until Signe~ by the BUILDING . . ~ClAL; 1ha1 1hI work w!l1 bit in accordanae wfth 1h. approved plan In the at all _tic Which ..qui,. r.view and app1DVlll at piaL . . . :: ," ~""'",. . . .". "~~ . . ~ . " ~. . .' . - . ~.. ". . ~'~_:. ..~.' ..'~' ~ Ie . . ....~~ ~.:I ~ ~~~ - ....-..0 . ~ _ . lUI21/99 THU 13:14 FAX 6124474245 CITY OF PRIOR UUCE I4l 001 "" ('''"t'r Itt ,'" J ..II, Coun"" CITY OF PRIOR LAKE PLUMBING PERMIT APPlicant:~ ~ &:3 Address: -' 0/ Ji.J Signature: Legal Description: Lot I tJ Block ~ Sub K (\IJ b \ti Jl Site Address: / ..i-/...~91 AL/1~ / ~ t/) I"',r-/ Ad Building Permit # era - OdOS PIO# 6)S--~~J(J-t53U-O NOTE: This permit will not be processed without complete information. I. Blue- file 2. Cold City 3. Yellow ArrliCMI # cm- ()~60- Phone: FIXTURE UNITS Quantity ... Type of Fixture Quantity Type of Fixture 2 Bath Tub with or without shower ~ Rough-ins ) Dishwasher 1 Water Heater I Floor Drain Water Softner q Lavatory (bathroom sink) -7 Stand Pipe (washing machine) ! Laundry Tray (1 or 2 compartment sink) , Sewage Ejector / Shower Stall Backffow Assembly (RPZ, Double Check, PVB) ) Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ~ Water Closet (toilet) Other FEE SCHEDULE Jndustrial. Commercial & MUlti-Family (1 % 01 job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL $ . -1J~~ rr ~co- ~\V 16200 Eagle Creek Av. S.E., P' r Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opportunity Employer MAY 5 2000 ons 24 hours in advance. . taL( GREEN - FILE YELLOW - APPLICANT GOLD - CIT., CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.w. No. OJ -OdO~, NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: (j RE!'I-flj(, c- KC- · ADDRESS: J "1/ g J D f>l-7:-.J W A-~I SIGNATURE: ~ D~ SITE ADDRESS: ) Y r CJ I (<.. oS ~ v...J 0 OJ f..1). FILL IN THE BLANKS 1. Estimated length of water service ~ PHONE: &> ?;l-C- ~ () '" DATE: .5//"!~ '" BLDG. PERMIT # 00 - (jdOS PID# d~ - 31 () -030 -6 feet. I , 2. Size of water service J inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC~ Cast Iron I 5. Estimated length of sewer line ~O feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ ermit when approve~ DATE: ;:;/7 on I BY ------------------------------------------------- ------------------------------------------------- $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $~.~ 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. n~~~~ ~~~ PAID ~n\~ ~'J\\Y REC' D BY DATE PAID RECEIPT # 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer ~~- PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~~~ NATURE OF WORK t\Jew Urne.~t-uc:..\,'CJY\.. USE OF BUILDING ~fn PERMIT NO. (Jl) -,0 z-05 DATE ISSUED 4-7-2odcJ CONTRACTOR Wc\~ ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT /fIb () re- COVER NO WORK UNTIL lU~L1W..1HJ INSPECTOR FOOTING ,i0)(7 '-- It FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNT ROU SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ IC./(J fJ FINALS GRADING (Prior to Sodding) BUILDING .C.O.iJ1 ~ r; & ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE /O'-".DI SIGNED This card must be posted near an elQctri~aL 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 shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /'-/57/ t'05{_ ~t!}t!JcI OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 6rcu(~ -0 K iJCU/b BOf-- Dl( DATE TIME 12,(~,.v , ffYl w, ~w{J}tfI/ (96- 2& r ..::s::ExIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o ~KSATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector:~~ - uwnerfContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSl'iOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl gl~~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE 11:&J SCHEDULED ~ew~ 2c\ ADDRESS \4 Sq J OWNER CONTR. tJ-2tJS PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI I1~CH RI r' 14. TER HOOKUP SEWER HOOKUP A 0 PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENT~ S~r ~ 4D ~VC f It ~ lL ~ l' \ G-;;;:;;;{ I~ _~<S ~-f ~ {:G~hjr~ j ~~AL A {'f 61A--- ~ loo" h -~~ {- ~~ G..J, ~,^-d.L -~evcX dx NU.t! l'''~ o ORK SATISFACTORY, PROCEED CORREC If. TION AND PROCEED LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl 7 /;'J~ ~M; (j 0 J4S9J ~~ ~ CONTR. 0.J -~ k- PERMITN~ - ~~~ 7\ o PLUMBING RI eN - _ -I.:~ o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI A-~EWER HOOKUP 0 FIREPLACE FINAL A PLUMBING FINAL 0 GASLlNE AIR TST '-<1 f>l.. ECH FINAL 0 -SCHEDULED CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FO NDATION o t; MING NSU4M'~ INALr '4 ~ o SITE INSPECTION l4k -57 0 r COVERING Inspector: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lNSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE IO-?b-(p{ ;4JV1 SCHEDULED ADDRESS litS'l1 fib5{ J.,/t!)r!;o( Pol OWNER CONTR. PHONE NO. PERMIT NO. 0;;-20) o FOOTING o FOUNDATION o FRAMING o INSULATION :;;er FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~LLING o ~iNT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: Ar( CJ/~ ry/-woRK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector~~ _ lNmer/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTJ - DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 14ft/It) I tt-:r-; ~~, ADDRESS /~ 59 / OWNER CONTR. PHONE NO. 00 - ~os PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING e 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP . FINAL 0 PLUMBING FINAL b - SITE INSPEC ON 0 MECH FINAL c:::.' ~.~ r- COMMENTS: ../ ~ \ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ., WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, 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! INSNOTI -