HomeMy WebLinkAboutBldg Permits #00-0225 & 00-0572
DATE RECEIVED
APR-42Wl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
33~/ C I Y N 1.;4.1,,- 1rtt; I /1/ tJ
3. LEGAL DESCRIPTION
LOT r BLOCK
ADDITION G Iy /V t..J I1f 1 f r
4. OWNER (Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
WfNJm q/V#
)J617'(.f
7. TYPE OF WORK Fireplace 0
New Constructiont;J..--' Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
3
~Nt!
Permit No.
1. DATE
i-J-~oo D
1. White
2. Pink
3. Yellow
File
City
Applicant
(j1J-o ZZ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ~S-.3fJ>-O~$- 0
q t!/t' T; ON
9. PROPERTY DIMENSIONS
Width
Depth
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
&'SI- "t'D6 'Y'IO 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
Yes
10. CULVERT SIZE
No
I hereby certify that I have fumished 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 const ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building officia~n revoke this permitj>r just c se. Furthermore, I hereby agree that the city official or a desig~ee may enter upon the property to perform needed inspections.
X _~J~ _//- . - J."YS-r Y-l-;:J..oDO
./ I ~nature License No. Date
v
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~A-
(Address)
(Address)
(Addr~s)
/ i f} rlA~ Ii-- /)r
{(,{ rtl/V /llN
Sep~
Addition 0
Deck 0
Finish Attic 0
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION IOO~~ .cI>O PLOT PLAN 0
Division 1 2 3 4
Permit Fee. ................. ................. $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
IOO.t!JD
I ~O .00
,]5".~
Gas~'r a ~"~/~"'" .......... $ 40.00
This ja es Y I ding Permit VJrpn 1ijPro~d.
By . '- _ Date ~ ... /..J2OC>
Certificate of Occupancy
Plan Check Fee............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
86!2 · 7..'EJ
5'2 (,....11
50 .00
City:
rJ!&
~V?\
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . .. . .. .. . .. . . .. .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
1:/'" $
Pressure Reducer .. .1eJ................... $
Meter Horn....... ......... .... ............... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Br::;?) J!) 0
I,IOO.C:O
46.-00
1'2&.60
It 2t>>~ .DO
"UXJ ..90
()
Paid ~(I D~~..q6...~~~~i~;~:
Issued ~ '
Date ~ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdina ce and may procee as rested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifi te of 0 cupancy must be issued.
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions if any
Thr ('rnlrr of tht lib Country
,/
()lJ-O~&')
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1
~\~ SI~S ~'l A r~ \J
4/4-IO()
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J
332 I GLv'N t'Jf\ ~~ (lc; , N i
I
Accepted
Denied
Reviewed By: JJ&IEA. E... AL~I4""~
./
Accepted With Corrections
Date: ",IJI'}OD
I '
Comments: ~ itlE: 8~c..ol.uGt ~"""" fOa. 331S ~YAlWl4TtS1l NiA,L.
I
~ n.. Co f'IlM~1'5 J WF"'Of1..IMr4T,,,AJ ~ 4TrA~u"1~ .
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
The ('enter of the Lake Country
/
fJ '00Z~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\\ t__1 \, ,~- !--I f 1'1
I A;i /"\
l 14~ ('~/
/
1\ J
I'..)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'.",.,r .--'1"'"--''-'''
-,;~:' J ('~1 L \";'." ',. f I t./ f--.-- ! l(
I
t! ! \/
Accepted
v-
Accepted With Corrections
Denied
~J!A~
Date:
Lj'!t,6C)
Reviewed By:
Comments:
...
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 ot, any violation of
any of the provisions of this code or of arty 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
t~?
Thl' ('l'ntl'r of thl' t.kl' Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
ol\fSI\S PI A f\ ~
4-/4-(00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reVieWedjhe uilding permit
application for construction activity which is proposed at:
332 f GiLYN vJA.It::~ f rc fJ
~
Accepted
Accepted With Corrections
Reviewed By:
(;21 & .j
V . ~
Date: <I - / ( .". 2~
Denied
Comments:
~.A~~ ~. ~.~ ~'" ~G-.-"5" <::l ~~'C~, ?:1:z
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 Address 33.1.1 CkHw.I..t./'
Heating Contraclo~~ ~
~'{"t
~- ~/,. ~
./
e;
is
ge;-d
Name of Tester
"Ii
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
/
''\
APR. 17.2000 6:50AM
GENZ RYAN 6513226147
NO. 90S
P.2/5
- -1'ILIl
....... ~
.....,.. .
CITY OF PRIOR LAKE NO. m-C)~s-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contrac~ors must
be reqistered
with the city.
2.
3.
(~ 4.
'. I 5.
6.
APPLICANT: ~fl2- ~ PHONE:1t>lCl--4'l..'';.-W:lU
ADDRESS: LLl1'-:IC ~ f2>~~'l~ ~ATE: L.f., ,,., f~
SIGNATURE: ~~ 0 _ BLDG. PERMIT t..00-Qd;;;S '
SITE ADDRESS:_ . 3~7A E!st.~1 .l~~1t' _""~ID' 8,,<:; -;,~~ OrlJ-O
FILL~N THE BLANKS .
40,
1. Estimated length of water service
, ,(
Slze of water service incb(es).
feet.
APR I 7 3IIl
Location of any couplings from s~ructure
Type of sewer pipe. ABS PVC X Cast Iron
Estimated lenqth of sew~r lin~ ~' feet.
Clean out (if required), located at feet from
structure.
feet..
:"'~_=Iiii=..;;a==.....-.......ililliIiiii..__ .""1 ",,,.....- _
Thi~ ?~lication b~79m~s yo~r(~.t when appr~7:7) .
B~ V . _ --f; ,i....J,( ~ 1/1 ~ d Il D.P ~ D~TE : . 0-0
=====- -~--------~ --=-----------------
FEES: $ 35.00 Sewer and water line connection permit.
S .50 Su~charge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ ..50 surcharqe.
* Sewer and water pGrmits issued for new construction must be
recorded on the buildini permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued.
t,
.
DATE PAID .
AMOUNT PAID
.....:-)
fl' . .
~,..,~
RECEIPT f
REC'D BY
. 4629 Dakota St. ::: s: Prior L.ake, MInnesota 55372' I Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL O~II'\. ~ 9!PI.DiER
* CITY OF PRIOR LAKE
~ ~ Me
{'} y J~ ' ~ 16200 Eagle CreekAv. S~E. Palmit No. (1)-(Q)~Q>S-
\ .. / Prior Lake, MN 55372
~ HEATING APPLICATION I ~ERMIT
Date, 7- ),)-00 PID'~"",~ ~..S-.. oas-()
Si. AddtllSS 33.:l J (;:~1'IIl I, 1li:h. ~J
Lot 9 ~ '-? Md.'tli C=,{I5.IAJlL:kr &~MnJ\')
Owner's Name L ~.-1o-.I"...JvI ~~;
~. , '
Address,
Healiog Contrac1or ALLIED F IRES IDE d ba 'FIllES IUE CORNEl
Address. 2700 'N. FAIR VIEvl.
Telephofi8" . 6 51- 6 3 J - 2561
FI'R.E'PLACE I
tlCltlP Make & Model jJ, d jJ C; l:tJ
Model Siz~ . 4L I S1) '1)?
ROSEVILLE, MN 55113
Conn. load
fuel -6GJJ
Supply Openlngs
Flue 511&
TYPE OF SYSTEM
Warm /\if Plants
Gravity,
Mechanical
Air Condltlo nlog
Vent. System
HEAnNG OR POWER PLANT
Steam
Hal Waler
Radiation
Speciat Devices,
R e'Ufn Op enings
lfllut .
Edr.
Output ..1. f;1:))
Other Devices
Ctm.,
TYPE OF WORK
Ahere1ions
Fleplacemenl
New Construction
)a
Repair, 'Est Comp. Date . 1-!7-c~
Est Cost $ J / (O.L\j Building Permit' (Jb,- 0 d~
, . .
HEA lJNG PERMIT FEE $ ./
STATESUACHARGE $ ~
TOTAl. PERMIT FE~
~~\O 'tJ"'" It
R8C~,:-O\NG ~E.f\"
TYPE OF STRUCTURE
t pj..k . File ~
1. (kuft - 01, ::J
). Yellow . Conhc- r+
to
'<
Single Family
CommerWiI
Two-FamilV
industrial
Multi-Famly .
. Pubic Other
"
.....
-,
CD
en
.....
a.
CD
o
o
-,
::J
CD
-,
Fee Schedule
Industria!, Commercia' & Multi.Family
ResidenUal, Healing & N;
Residential, Heatiog Only
Resk:J9ntial, Gas FlIeplace
AesidenCial, Additions & AIIeraftons
Residential, AC Only
1% 0( Job cost ($39.50 mi~J
S99.50
\
164_50 !
$39.50
139.50 JUL I a. 2000
$39- 50
--~-.... '-..
nemember to add the Stale Surcharge on the bottom o' this app1ication.
CD
U1
The price or your hea1ing permil includes one rough-tn and one Dnallnspection.
CD
Additiooal inspections wi be billed at $35.00 ~ach. ~
House Heating Test Record must be submitted with buikinll. 'lP.""it n~"~Mr belore bund. :
iog certificale of occupancy wi. be issued. - ..;
HEAT CALCULATIONS REQUIRED. wiUl number of supply and re1urn openingsllsled pc
room with CFM's pet opening_ New stnJCturs& or addilions send 11001 plan with supply
and return locations shown. HEAT lOSS CALGUlAT10NS, PAYMENT AND
APPUCAT'ONS MAY 5E MAilED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 5537~.
L
c
.....
City Hall oosfness hours are 8 e.m.. 4:30 p.m.
I
......
N
I
All WORK MUST BE jNSPECTED (ROUGH-lN AND FINAL) . CALL COY HALL
447-42.30
I
o
o
N
I hereby apply for a mechanical systems permit and l acknowledge lhat Ihe ~
intormallon above is cmnplele and accurate; lha' the werk wUI be in con(orman<:e ~
wilh the ordinances and codes 01 lhe city and with lhe slate buiJding/mechanice...
codes; Ihat lhtfi form does not become a permit unlll $tgned by the BUILDING
OFFICIAL: that lhe work wiU be in accordance-with the approved p~an ~n the
case /:)11 work. which requires review and approval of plans.
--/J10~f).. / L . --;/I>!",
1 - ~~I JfiMI'. ure .~ ~ I D~t.
J ~ '--f h ~, "'ALL., .--J . / F/rm
o IIUJding OlliclllYignaIuro . I Datil
."
Q)
(Q
m
-
......
MRY. 24. 2000 6: 59RM
GENZ RYRN 6513226147
NO. 348
P.3/11
r
CITY OF PRIOR LAKE
. PLUMBING PERM"
Applicant & rn ~ - () ~
Address: JU.1U<:" S> ~~ t&L-
Sig".ature: 'k A.n.. ~O ___
. legal Description: Lot Q 4 Block :"2; _Sub ('~ \ ~ ~ ~rJ
Site Address: ~2 \ (~, ~ .ty1 J I ~A-T-f're.-- '-ILL-
Bunding Penn~t# () () - ()~d.~ PIO 41 ~,~.- ,~~&-- 6 df>-O
NOTE: This PQrmit ~lr not be processed without complete information.
FIXTURE UNITS
-
..... C<<tI.... ., .... Laa. c-.U7
Quantity
t
\
\
2-."
[
\
\
. .;":..-::-"
-.. '~..'
t.J '"
.)= ,
2-
IIi.'
.....,
."
Type at FIXture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (tonet)
Quantity
~.
\
t
I. .... File
2.Ga14 c:a,
s. Y'" Appl_
# ...u(~ -~a~-
Phcne: CDS" '-4"Z..~- " 4t...J
~~ ~'\ ~~~~a..
Type of FIXture
Rough-tns
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector.
BaddIow A!sembIy (API, Double Check, PVB)
Baclcftow Assembly Test
Lawn Sprinkler
Other
~i.. .
~ ,.. ~ ,
.,,~ . ~ 'c w .
.; . -;1 ._::"..' 11 '~
r ~. :r .....
/
/
./
S/.so
~
$
$
$
't:~
~/)'
. .
nis permit is ..........,..J UJ'DIl me expmss coadidoD Ihat said
co1Unlctor. shall comply in 11I.'_............ with me ordinlnca
*"" Srare P1~lriDI ~ rh& ~_.I.
Q. _:;Sr .INO, DATE
~ tL~ ~~rj. A41.c.,)1
&r all iDspec~ 24, houn in ad'IIDCl:.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612)' 4474230 I FAX (612) 447-4~5
- AD Equal Oppomlllity Employer
(9'1".
-.-!...:- .
1........._ ..
~
rcc SCHEDULE
. ~~~~ .
. ..
,". "
50 Industrial. Commercial & Multi-Family
(1 % of job cast, $39.50 minimum)
Residential, New One & Two Family
Residential, Addmens & Alterations
State Surcharge
..7
. ..
$99.50
$39.50
-".-
GRAND TOTAL
. CITY OF PRIOR LAKE - , ~
- 18200 Eagr. C....kAv. S.E. P.rmIlNo.. CfZ),.-Oor1S
Prlo, uk., MN 65372
~EAnNG APPLICAnON' PERMIT
Date t=l.?_L\ ntJ PD.2,\'.... ~~~- ()~l\'-C'\
I, .
SI.Mci,&u ~?->2\ (;\ lJAn\uPr\E' ~ TLL.
.~ lat' q Block ~ Addillon C)~\ )./t\\A ~r ~r.al ~
2 Ownef. Nam. \~~.V'""'\ I ~
Adda_ ~~6 'Q\F\~Pr \vL ye ZOD . EnAI\-~
. H.~lJng Conlractar. f!;:I JIl9- - q J \A V)
'A:r.... , U1uc; ~ ~Sh- ..,-~'-
Tar.phon.. loS\ -l.\'L~- \ \ L\ U
IF~rn~ Make & Modll' \.R I1\. ~ \ n'E OF SYSTEM
. f'l ~ ~, } Warm Air Plants X.
Madel 81ze ,=,~2 ~ -1~ Oravttv
Med1anlcaJ
A' \ NI ConditionIng ')( 2. \ 1"'2.. ~ r
-. fNU'lT Vent. SYllem .
a
'. HEATING OR POWER PLANT
Steam
Hol Waler
Rldfallon
Spedal Devices
--'
--'
"
\.D
p-
TYPE OF STRUCTURE
1. P11IIilt9~. PIJe
2. ~~:~ OIJ
J. Yel . c.......
Single FamllV
K'
MlItl-FamUy
Other
. lWo-Famlty
Industrial
Pubio
Cornl1lerc'al
Fe. ScI1edu1.
Industrial, Commerclal & Mull-Family 1% of Job ~0It (t39.60 minimum)
nealdenlal. Heatfna a AC .99.&0
ResldenUaL Hea&g On~ tMJiO
Resldenllat, au FIreplace - 139.60
RNkfemlll. Addltlons.& Alterations 13&,,,0' . i.A\
~.. R~lIIlIIa~ An Only $38.50 _" ~
_. ." 'Remember to IKId the State Suroharge on the bottom 0' this eppllca~on.
The,pftce 01 your heeling permit Includes one rough-In IIld Oftl Onel 'nlpecUon. .
I- : ~ . Addlllonal Jnlpadlons will be billed .t $36.00 each.
, '
~ ~. HOUH HeatJngTes1 Record mull be IUbndned with buHdq, DILtDlDlllDllll before build-
Ing cerUlJcale 0' occupancv wi be luued.
~I=." ~.I ~I ~I .....IflMQ ~~'" "AJ:" wrth nwnber of supply and return opentngs lilted per
-'ioom wtth CRA.. PSI opentng. New Itnscturee or additions BInd 'Ioor plan wJth .uP"
end relUm loc:aUons ehown. HEAT LOSS CALCULATIONS. PAYMENT ANO
APPUCAT10NS MAY BE MAilED TO THE CJTY OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. H.E. PRIOR lAKE, MN 65372.
Conn. Load
Fuel1\. \A1"". ~u. Size
\\
Relum Openrngs 4 .
J~PU1= 1~~ tU) Ou1pu1 'IJ~ lW
~ A..ratlona
en
If)
~ R.pal~
,. .
Eat. Cost S
CSl
~ HEATING ~EflMrr FE~_'
~ STAle SURCHARGE .
~ To~KpE~ITFEES . /
,~~;r _ . . . ./
~
'li;f
--'
~ Supptv Openings
N
(T)
--'
If)
\.D
z:
cr
)- ,
Il:: . Edr.
N
z:
~ C1m.
OJher Devices
.9' ,
TYPE OF WORK
New Construc1lon
x
Rep~'n1
. EaL Comp. Dale
I '
· B/PeI"" rm-()d;:;l~
/.50
, I
R~~~~-
~~ '
City Hall buslnasa hOUri are 8 8.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
.1 447-4230
I hereby apply for a l110ehanfcal ay..eme permfl and J acknowledge Ihat the
Informa11on aboye r. complete and acculat.; that Ihe work wUl be IA cenformanoe
with the or~rn.ncl. and aode. of the city and wllh the 8111e buHd'nglrnechanloll -
code.~ Ih.' thl. form do.. not become a permit untIl atuned by the BUrLDJNG
OFFICIAL; that the work will be In aooordanoe with the approved plan In the
cs.e of tu.=rk Whl~~ require. review and approval of pranl.
\\..J..l~ 0- · . S- 2.~ /W
( . (A.,."nI,SIgnatUl. , --A - Oa., .
(j.,;^hr. '1 ).if tA,..h: ~). <S / d Lt jW
. (j 8IAldln1011l0fe Slgn.lur. . Ollie .
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
33.2/
3. LEGAL DESCRIPTION
LOT 9 BLOCK
'4# IJ/AI.fr
(Name)
t;>OA/ tJ~
5. ARCHITECT (Name)
ADDITION
4. OWNER
6. BUILDER (Name)
tJ(I#J'"17' ~k^,
/J(j mpJ'
7. TYPE OF WORK
New Construction 0
QATE R~IVED
CITY OF PRIOR LAKE , "'-'
BUILDING PERMIT, ~
TEMPORARY CERTIFICATE OF ~O
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMI Permit No.
ODO~ /~
1. White
2. Pink
3. Yellow
File
City
Applicant
(0 JabJ00
1. DATE
G IYN bJ 4.1'(Jr
/
J
~ /V;
~ -;l6-ei2() 0 oJ
NuJ
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Tra 1'/
12. NO. OF STORIES
PID . :25 -J" S- - ();1..5 - I)
a-d /i i /" (JlV'
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
Fireplace 0
Alterations 0
(Addres~
/89> r/42~
r6. f'(iN
~ticO
Addition 0
Re-roofing 0 Porcho..--;:-
Re-siding 0 Finish Basement d
SEATS
16. PROJECT COSTNALUE
(Tel. No.)
65/- 'YO h .- ~y() D
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Or
Deck 0
Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 abov13me ioned 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 th,a. t the
building offi' can revoke this pe.rrrj/for jU~,a auussee.. F Furthermore, I hereby agree that the city official or a designee m~enter upon the property to perform ne~ed insp'ections.
X rzv ~ IY S6 b-~t~f.rO
../ /J'nature License No. Date
SETBACKS: Required
Actual
v
FOR ADMINISTRATIVE USE
BUILDING DEPARTMENT VALUATION
Front
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUIL~
Side
A-Jf-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION f~ (J{){J f.) C)
o COPIES
o
SURVEY
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
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. . .. . .. . .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
~c.{' · 71:\
t::t7..Sq
q · ~,-O
Permit Fee ................................... $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn........... ..... .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $~~ J.~
Paid z,<1 "~J Recei ~o. ~
Date 7./1,. f1/) By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce as requested. This document when
sr~~n;~ c,::~.: a temporary Certificate of Zoning comPlian~n~o commence. 'ief~~ a Certificate of Occupancy must be issued.
. :J~6"&V _ C~~ ~~'K'~~.
P City Planner Date Special Conditions if any
Thi
By
Issued
. "~'~/';I~i'''''' $ tt~~~..,. .-,b,
~ -/U~
24 hour notice for all inspections (952) 447-9850
ei
~~
~o~
o D-Ot5l~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l)J 0 ,u.;, (y\ (). f\" ~
APPLICATION RECEIVED :Jl /(\,.J1 ~ a C0} ~ Cl () ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-< :z....., \ r' t ....,
--)...) ~ , \._-' \ ~. .\ Y"~ \.k )(1 't4:' r Tv d.-J
\
v
Accepted V
Accepted With Corrections
Denied
Reviewed By: r;~ Ii.~
Date:
7-(,-C9D
Comments:
~ ~eL'6 ~O Tke- &rv~,~~ ~
{2,()J:i ! tw1J +-~ .tit3: r?'Y ~
~~~, .
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
~o~
)0 -0072,-
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l~,h~ft'f..)..f\~ ~
APPLICATION RECEIVED <~ a (0) ~ () l) ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
\~)
~
05Ql
Q,~zr'\_1 ~ +e r
Reviewed By:
~-Y;t& , /# ---Date:
t~t< /__
C:,-!t:\-~~
Denied
Comments:
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUilDING AND INSPECTION
SITEADDRESS ~, ~I~,^"~~- \~
NATURE OF WORK ~~ ~.
USE OF BUILDING Sf'~
PERMIT NO. ()()-(}Zz.s- DATEISSUED 1.I-11~~
CONTRACTOR W~.,. AI ~+-.. 'r (~c-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/J INSPECTOR DATE
FOOTING ~ -flf?QjtJJ),/:? . fh:.,. !ib/tftJ
FOUNDATION (Prior to 'Ba~ill) ~ i~)f1 I;;)
PLACE NO CONCRETE UNTILvABOVE"iiiAS BEEN SIGNED
ROUGH - INS
--
SEWER I WATER I SEPTIC \ LLfabltiJ;
FRAMING L.L. ~. f'/,jDD j 7/'z..~/tru ·
INSULATION l.L,~, ~h!6'D .' 7/;}-r,,/H ~f./~ r3v tdl'l~
ELECTRICAL ((
PLUMBING L. L. PA.. <t/~!h4 . . (J ) ! l7!cIb _ ;,
HEATING {if required)L,'-' ~. 'l/~/bt> (J .{1 ~. _ _7/ l;'5(I'P
FIREPLACE ',,~ 7/ Z 57"(' D
GAS LINE AIR TEST ~F.Pr fiiy. 7~~'y/t:H
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~J~J~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
;V f3 .$- cr- (5 J
~
t,~
( .')
T.
OCCUpy UNTIL ABOVE IHAS BEEN
NOTICE .
~ -02'7 -O-a
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 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
ADDRESS
33~1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ,)NSULA TION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~ -t:J<, t--l9;)"
&tp1-~ Ir_
CONTR.
PERMIT NO.
00 - O~~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"Lss U-e/ C~ 0,
C- 6>~ - -\-~ e-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ - V ~ Owner/Contc
CALL 447-9850 FOJ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
INSNOTI
DA TE TIME
CITY Of PRIOR LAKE
INSPECTION NOTICE
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
)/ktlOd I,' 36
f
r
-33/ "'5/' / ~ /1. Z I G I tlttl 'c~1 t;;lf-
/ J -
::::~~~ z / 2~. z~
o PLUMBING RI ~. U t:NuttAulFttttNG
,A 0 MECH RI 0 COMPLAINT
^ ~WATER HOOKUP 0 FIREPLACE RI
(-:} ~ SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
SCHEDULED
ADDRESS
OWNER
PHONE NO.
Crt~
40 PI/('/
o~
(lJ~.d- \r,+e ~ LAJ~
~ ~~- (<1J
r- I
~'cf f~ ~
..01-
st#--
f.) ,~
,
~s
~
W-a{Jt' ,
./
/
/
60RK SAT FACTORY, PROCEED
o CORRE T ON AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
INSlVOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
532./
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
KfINAL
o SITE INSPECTION
COMMENTS:
6rGrd/~ - Cge
Cvr b -I3G'K - (PI<I
DATE TIME
SCHEDULED
5 -9-0/
(;{Vr1 lNq}(Y' Tr.
,
CONTR. W{~S P1C;rn HrJY'1()
PERMIT NO. 0(;;- 22.5
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..r&:... EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
7r~tVo wi
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto# ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE ~2A~
INSPECTION NOTICE SCHEDULED '1'-. cro
ADDRESS 332..1 ~"'~
u
OWNER CONTR.
PHONE NO. PERMIT NO. 0-22.5
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATI]f\ o SEWER HOOKUP o FIREPLACE FINAL
INAL ~LUMBING FINAL A o GASLlNE AIR TST
~ITE INSP CTION MECH FINAL A 0
COMMENTS:
GJ (~r~v-v:.J.. ~ F\roJ ~ A
/-...1j ~JJ -'- lj~ )? .n! - ~l ~ ~~
(3) t.K~(ur- ~ U
~~o 'Ur ~C:lJAP~/~ ~
~) 0/)(,. Cw-tJ -h-lj/c; FA U r~ f 11-'\ e-:r
'~ c (). -/7; 10 - 31-~
~ ~ -~
~ v.\c,
o y~d o~
(J ~ fr~ c.,tv
r
tJcA ~
~
U
~~~, o~
'~4 r&rJ ~
o WORK SATISFACTORY, PROCEEJJ
,..~
o CORRECT A I AND PROCEED
~CTW R L7-0K INSPECTIONBEFORECOVERING
Inspector: Owner/Contr:
CALL J7-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~UIREMEJ.S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTI