HomeMy WebLinkAboutBuilding Permit #00-0246
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MID A. TEMPORARY CERTIFICATE OF
""' -v ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS :;:. OAT
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN _ j / /10
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ,-- (./
2.SITEADDRES/1/0()~ .3IuE6/~ ~a; /
3. LEGAL DESCI)lPTION 7
LOT L.P BLOCK
ADDI~ION )/Alab # L--L
4.0WNE:4i (N~dk L/
5. ARCHITE9'] (Name) . n . I
/- /2cU / / /41 iZr-- oJ
6. BUILDER (Name)
/J h/ZO {!j;.s:s/~
(Address)
7. TYPE OF WORK
New constructio~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(Addresst )
j'd; () R.-
(Address)
d/7/GJ;.5
Septic 0 Deck 0
Addition 0 Finish Attic 0
Fireplace 0
Alterations 0
9. PROPERTY DIMENSIONS
Width ; Depth
IZ/$()
PID 25-3/0 - OZf:;- ~
~k
(Tel. No.)
~7-1'OfC
(Tel. No.)
-#~~/oo
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SETBACKS: Required
Actual
FOR ADMINISlRA liVE USE
16. PROJECT COSTNALUE
/ f37(/SO
10. CULVE~E 17. COMPLETION OATE
Yes ~ mt:J y 31, ;Eoa;;
atio n 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
nd t II tructio . nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
It r j . Furth ore, I hereby agree that the city official or ~s~ee m.ay enter upon the property to perfo.T' peedJed)"spections.
/-S~ -R ~-I-OO
License No. Date
Front
Back
BUILDING DEPARTMENT VALUATION
Side
Side
USE OF BUILDING
5;;~p
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I Brzl tIi'!r'J. C!>C:>
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 ................................... $
1,32.Z. ~
8St -~~
q~~O
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ...................... . .. . . . .. . . . . . . . .. $
Lno.OQ
I of) rt) (')
65,Sr )
.....~.. .............. $ frO t ro
mes ~f.J~. ,g Permit Ift1j3n Ap~v~. _
~ _ ~~ ~-l~~
Certificate of Occupanc(
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
City:
~
1\-,
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 -0241/;
BUILDING INFORMATION
11. SIZE O~TRUCTURE
(Height) J '1 (Width) 70 (Depth) Lf 1)
12. NO. OF STORIES 2
13. TYPE OF CONSTRUC;(<)I.J " /
~,.,L~ /~ 14ml/\".//
14. FLOO~4~.5TIONMENT I1SE
15. NUMBER OF OCCUPANTS OR SEATS
3
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $ t3~V
SAC ......................................... $ I I 1')(").. lJ -0
'f
Collective Street Fee ....................... $
Sewer Tap ..................... .............. $
Pressure Reducer ....~................. : ~t20.
Meter Hom ... .... ............. .... .... ....... $
Water Meter ................................. $ I 2!;;;oD
Sewer & Water Connection Fee ... ........ L_./-r 2- ~O ;f/ ~
Water Tower Fee ........................... $ I )...tj.() _ _
Water Tap ................................... $
Builder's Deposit ............................ $ /4 5"00 ~ {sr:J
,
Other......................................... $
Total Due .............................. $ Ql 070. 7/
Paid ~ 0 J 0, 7 I Receipt No. 3735" lJ.
Date ~ -- d- tfr lJd By ~ ~tJ
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
S~y the..' lann... constitutes a te<r<><>rary Certificate ot Zon~9 comPfia~ con~m~ "';""'''':I'~rtitir:ate 0 Dccupan Y m~ be issued.
~~ ~ - L~ -~ .~ \t~, '\.' . " c:;;
ity Planner '-- Date Special C~ns if any ,
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The Center of the take Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I' /~ .I
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"-:-,-/-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i..""''' .
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Accepted
v-~
Accepted With Corrections
Denied ~
~- . If ^
Reviewed By: C~'~-
Date:
Lf..["? "GO
Comments: . .
A:/L- (~~ ~Q ~w.~~ -
/tAJ.J..l.-!.&-\ ~.v~. ~,~ c:;,l:&-C 4Pevd<L
z,,+ fit ~Vw.MA W~ r A)&,t '" ~ -<f2v4 .
\dr~,,\ ~ J.- ~u.. ~ It!), t..J \G &vlo
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."
6b'o~#
Tht' Ct'nlt'r of Iht' Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
n6i/GO aA~SIU
4/h/OO
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./4fafJ 4-
8~(/6.lSIRO /72/11["
Accepted
Accepted With Corrections X
"-...
Reviewed By:
c20rl/ --
Date:
Lf -!2r ~
Denied
Comments:
J. f2ddl ~~ u~
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
(5b ., () 'L4 ~
Th~ (-~nlu or lh~ I..k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/tc/ t; ?7Z{) (~{~/-/~~S I V
LJ-/ro/O{)
/ /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4fcO 4-
bll, [/'615//20 /Kfl / ~
Accepted
./
Accepted With Corrections
Denied
Reviewed By: t../rALTFJt.. CHRE...S~AA1AJ Date: ~/II/OO
Comments: .5E€ I NFoA.."'~rl()~ ON (We R.fvE;~5f:. SlOE.
SEE- AiTAcHME~ : I. hlJl1L. G,tAbC. /NSPf.C-r,OAJ INFMMATtON Z. ~iIlJI/J/~ PLAtV
3. EII.()$'ON COAJTRaL. Mets~
i. &..DS tol'JCD^Jrll.Pc- Pt.I-t~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.
'"
*Permit#
*Job Address I '-I ~ () r Il f ~p (I'd I r
*Heating Contractor METRO AIR
(-~
*T esters/Signature J
*Gas Une
Pressurized
Inspected
...
*Percent C02
* Percent O2
Final Inspection
Date
Pounds
Pressure
Time
PERFOR~ANCE TEST
0c D 1.1/ 0 )/->,.
1 UO · Percent co ~ (.;
7c { ~ *Stack Temp. dcJ 7t:J
Date
/
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TIM Cd.... .t I'" Lake Counl,.,.
CITY OF PRIOR LAKE ~ ~ :_
PLUMBING PERMIT PPNo. (1)-()~4('
Applicant Ma#h~uJ 'J}y,iI!..J~. Inti.. Phone:~S/) ~~-~7~"
Address: IS2dO (J EJ f'r()LLi&)e I >Va.y I .~ern()u..a.t. MN S5"(}~f
Signature: liAr I '-nI....:.~ ..
Legal Description. Lot ~ Block 0 00 Sub$~ \..Vt LD
Site Address: l%tJJf i!Jl{1 {oil ~J:) ~ ~ "G. .
Building Permit # -'.J 0 - 0 ~L{ 6 PIC # e s-- ~ J 0 -() a E> -0
NOTE: This permit will not be processed without complete information"
FIXTURE UNITS
Quantity Type of Fixture Quantity
~ 8ath Tub with or without shower ..J
/ Dishwasher I
I Floor Drain J
f Lavatory (bathroom sink) I
~ Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
8ar Sink
~ Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8acl<flow Assembly (RPZ. Double Check, P'IS
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$~.~
$
$
.50
GRAND TOTAL
$ 1M . O~ %
~~
16200 Eagle Creek Av. S.E.~ Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ F.'\X (612) 447-4245
An Equal OpportUnity Employer
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the s..tate Plumbing Cod~d the ~~d~e~ thereof.
. ./ A RE\.. l' NO. L( /C!~/OV DATE
. ''//J.'~
. IL/1/~ J./L lu:.ST
Cal for all inspe~ns 24 hours in advan~e.
APR , 1 2000
-=-----.:."...--
~ CITY QF PRIOR LAKE
u ~.. ~~" 16200 "-(:Ie Creek Av. S.E. P.mIiI No. ~. ~"" \.v
\ ,.... Prior Lake, UN 55372
'..... ~ HEATING APPUCAll0N J PERMIT
~
a:Dall C;-::)'d- (P PlO',A~-bl()-O~h-O
IS) S.Addre~ ,'~~O~ C\\,\M.,,,\1~r-A \l'CA',~
~ Lot 6 Btod(:~ Addlion ~ ~ H l
o . -
z: Owners Name, ~-\,-n \. \~.s ~ ; ( ,
Address '\ ~ t) ~ W , "\ \ It. s\-. S ~\\I ~ ~ -("
Heairvg C<Jntractar .\~ \ \ ~ ~,,.... ~ "", "
Address, \ \t\ ~ ~ {" ~ L \ lOr"" \" ~ V,~: cr ~ 1.1 ~,
TeJephone#, ~~,-~\~~
Furnace Maka &. Mod.' tc. n" ())(
Mod.1 sa. (,..~~ ~ ~~ - \ 00
Conn. Load ~ "'. '^ q A
Fuel ~) t.t -+ Rut Size <;, I
Supply Op8nings , ~
Re1Wn Openings c;
Input \ tk) ~ Ouaput ~l\. mn
~
H
a:
o
~
.-
W
E
Edr.
ctm.,
'-'~o
lYPE OF SY~ I eM
Warm Alr Plants >i
Gravity,
Mechanical _
Air Conditioning ~,
.,
Vent. Syslam .
HEA11NG OR POWER PLANT
Stltam
Hat Wat.r
Radiation L
Sp8cal Oav1ces
Other Devw.....
diems
R~""l"'lmerG
TYPE OF WORK
New Construction
.~ .
rYPE OF STAUClURE
I. Pi* ...
2.. Gn. . OW
). YcD.w . ~
Singte Family X
Cornmeal
Two-FamiLy ,
Incl' 'e+.ial
Mufti..~ _.. ,__
? ub1l.e _
Other
Fee Schedule
Industrial, Commerda fa Mufti-Family
ResiderDials Heating fa AC
Residential, Heating OnLy
Residenbl, Ga Fnp1ace
Residential, Additions & AlteratiDns
Residenlal, AC Only
1% of job cost (S39.~ m;nimum)
S99.50
564.50
S39.50
~.50
s...~.50
, c:-'
\ '
IMYZ3aDl
RBmember to add the StaIB Sl.ITdaarge on U)e bottom of this appl"ation.
ihe JJrica or your heating permit 1ncludes one rDtlgh-in and one finBl inspection.
AdcHaMJ inspedions will be bBIed at ~=.OO .~"
House Haaling Test RecoRl nust be submftted w1th hl1i1nlll" "'P.lfmit nl1mNtr before build-
ing ~.. 01 occupancy will. be issued.
H~ AT .r.A' r:J ,. mnN~pC('\J URCT} with number 01 5UPPly and return. openings IisIeQ per
room with CFM'.I. per opening. New structures or aQdilions aend floor plan dr supp~
and return \ocations shown. HEAT LOSS CALCUlATIONS. PAYMENT AND
APPUOOIONS MAY BE MA. ~ TO THE CITY OF PRlOJ\ LAKE. 16200 EAf.:1 c
CREEK A~ S.E.. PRIOR lAKE. MH 55372-
City Hili ~ hours _ 8 a.m.. . 4:30 p.m.
AlL WORK MUn BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HAU.
447..a30
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~t ~()I_'ht'Q +r- .
NATURE OF WORK -1l.eu 1 ~ ~~ ..(., ~ "-
USE OF BUILDING C::;~\J
PERMIT NO. ()() - 02470 DATE ISSUED </... (L.'7f1>o c5)
CONTRACTOR ~~ CWS,'C. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT J
FOOTING _ INS~~DR 4' l~;;
FOUNDATION (Prior to Backfill) (@) ~. 4/1b
PLACE NO CONCRETE UNTIL -ABOVJl HAS BE~N 'SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC @ ft;r · {\ ~ 6,0 0/ ~
FRAMING \ r · (, \ 11 t>>
INSULATION P #~~ ..
ELECTRICAL , .1
PLUMBING 1(,4, 5/SI/Jd
HEATING (if required) W(~ fbi, /J "It j tn:J
FIREPLACE ' fJ:t iI2Lh!IJ ~/7 /tm
GAS LINE AIR TEST N ~i" 1/../fr:-"-67311~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~...(l...D- ~{~ t~NALS
GRADING (Prior to Sodding) Ge ~/?.:s~o
BUILDING~.qo-(,1t-1.~ ~. .t;/3f/t. /
ELECTRICAL f\J
PLUMBING '{., 'W, (J6
HEATING ~ rJ 7 '1d'/'O
DO NOT OCCUpy UNTIL ABOVE IJAS 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 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 ~ 4~' of)
~ ILJGb, rd \ co)}
ADDRESS
I L{iJj L
COMMENTS:
YI~ f- (I
Luc:tb. ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING . A-
DINSU~N fV'''
~INAL <t>\('1 ~
,i 0 SITE INSPECTIeM
CONTR.
PERMIT NO. crtJ - f) a L/ ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
A.' LUMBING FINAL
MECH FINAL
, ~~o
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~~
ow.---
bt-v~
(0 ~lA.. l.vr cp fv PP.
I"~c:r ru'~H~
~~\.-.
*u1 111-- Ud 1 'J/~P-A ~r- ~ r-
r U
~
Ct- l S- -tXf ~
~
Inspector: er/Contr:
CAL {~UlJ tOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
~;~~ liMe
CITY OF PRIOR LAKE 10 :-co
INSPECTION NOTICE SCHEDULED
ADDRESS \~ 8.L ~ ~ 1, yet Tit..-
OWNER CONTR.
PHONE NO. PERMIT NO. t; .._~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION X:ECH RI o COMPLAINT
o FRAMING . .WA TER HOOKUP o FIREPLACE RI
o INSULATION ~SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: (f) t( ~
I
~o~. ~~
J
h--~ l
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~ \~11
_ d T'tf<1-" ~'I (" ('~ ~ ~
~~ ~-o 11't./
4er .I~ ~ .~.k Aft) frlG .
. . ,~/I.r ~
~/)
iWORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING
Inspector: LtY Owner/Contr:
!
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ