HomeMy WebLinkAboutPermits #00-0269 & 00-0353
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
N-'K '3. 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
i 4'10
1. DATE
LI_ \~- CO
3. LEGAL DESCRIPTION
~r\e.-
\ r \.
-1 BLOCK
(J~lJ...I~~& ~~~_ 4 ~~
4. OWNER (Name)
\O,,~ ~ ~r'4-
5. ARCHITECT (Name)
"liD ~5-J38'-(f07-0
~~l~o~
LOT
ADDITION
il f\. . ~Ad~reSS) (Tel. No.)
~61R..., 1"'170~NtLj&l7 - <e>>34'1
(Address) (Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
/I... LiLlO -'SItae
~ re....~c.,... ~qq.O - 110ll
:r~ R.~~ ~1'6~-
4d-'l )"
7. TYPE OF WORK
New Construction 0
Fireplace" Septic 0
Alterations 0 AdditiO~
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OO-OZJ.pq
f
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~~~
17. COMPLETION DATE
<0 - 3;-00
I hereby certify that I have fumished infonnation 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 OffiCp' can vok~is pe"}\t for j~t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfol11! needed inspections.
X \~ '-feS-l '1-/3-00
- Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2 s;.t)nel . ea e.
USE OF BUI~G_ ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 3'" 7
Pennit Fee ................................... $ , . s-
Plan Check Fee ............................. $-.2..,uq
State Surcharge ............................. $ , 2. $"'0
Penalty ....................................... $
Plumbing Pennit Fee ... .. .. .. .. .. .. .. .. .... $
Mechanical Pennit Fee ..................... $
MA TERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
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 ............................ $
Other......................................... $
To~Due .............................. $ 5~q. 59
Issued Paid S _ ~q.s<1 Receipt No. _~7(?/,q
Th' . i99fy . h bo I" d . d . . d .th th c~atze Lf@o d' ~/O-Od By d ~)d Th' doc h
IS~S _ rti t e requ st In tea ve app Ication an accompan.Yln9 ocuments IS In accor ance WI e Ity omng r Inance an may procee a req este. IS ument w en
sign by t . nor' utes a _lOry Ce'Y7i 1l.r3t~ COIIlJliance and allows cons1nJC1jon to commence. Before occl.!l8ncy, a CertilJcate 0 cupancy must be Issued.
- A / /
/ -. City Planner ate Special Conditions if any
l/ 24 hour notice for all inspections 447-9850
City:
~~
Sewer & Water Pennit ...................... $
~
2wc;
Tht' ("t'ntt'r of tht' Lakt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J{) h n Co, ~CA f\ (') V cA
APPLICATION RECEIVED AD0. \ \ 2:>\ ~ O() 0
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4770 fV,up:e
"-
I Ct\ .
Accepted
Accepted With Corrections
~
Denied /"J /J /J g
Reviewed By: ~ /I ~
7
Date: 4-1? ... 2000
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."
-ZG /
Thr Crntrr of thr Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT JC) ~ n C (l ~,,(\ (\(} \/ CA.
- -
APPLICATION RECEIVED A Oi i \ \ ~\ ,;). on 0
\
.,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I L-j' --/ -7- r" (r"j (",.i '''-~'.',\, t"'.;; '. /', '-
J I -' v', J ,I _ _ \( t>\. \
f-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
C)aJ~
f
Date:
'1/B/oo
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 ot 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
0&1
The Cenler of lhe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~Hf'J
r1
C A~A,Jo"A
tjP(7..\L 13
z.. ocb
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 7 7 0 I'1IJPLE 77<41 <-
Accepted
if'
Accepted With Corrections
Denied
Reviewed By: -bM~'T'F-'l ~S~f1tt.J~
Date: 'flzs /DO
Comments:
SIC.:r F~c.E. S,",OcJt..A 8E. }14S7Jttt..J...E..l)
A.s AJ~
ARou~O .,~ fRDP,,~U Ao.olT'"IDt\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.1I
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. ()O -0353
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
5'/()/ou PID# ZS--/3e- 007- 0
/4-770 I1,qP~f:::;:, IK.AIL-
1 Addition 0111<:' L,flND Jj~ +TJ.I-
R:.BlJ~.sL-!
Date
Site Address
Lot '7 Block
Owner's Name
Address
Heating Contractor 04.4.c.1L h,,-f..,oI..4CJZ
Address /6/~(,tVrl-JA.J Av'r... . fJlLl(/!.. ~
Telephone # LjCfO -~~
Furnace Make & Model )/(;lresr)L
. v
Model Size -1j)V37 K
Conn. Load
Fuel Jl},A16Y1LFlue Size
Supply Openings
Return Openings
Input. Output
Edr.
Cfm.
TYPE OF WORK
Alterations
. Replacement
Repair
Est. Comp. Date
Building Permit #
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39. b 0
,
.50
+0 . 0-0
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
H~TlNG OR POWER PLANT
Steam
Hot 'Water
Radiation
Special Devices
Other Devices
New Construction X
?J()- (j 2ro Cj
.
Receipt #
3743~
TYPE OF STRUCTURE
1. Pink - File
2. Green - City
3. Yellow - Contractor
Single Family
Commercial
Two-Family
Industrial
. Multi-Family
Public 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
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 building Q.ermit number before build-
ing certificate of occupancy will be issued.
f:ifAI CALCULATION,S .BfQUIRED 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
case2n which reqUires:ew and approval of Pia; )IS / cil
. {~re '/Da~
--- $;/~ (JO
o te
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
I
SITE ADDRESS J!fl!JD M^'l>b~.
NATURE OF WORK ~.
USE OF BUILDING SFf.:)
PERMIT NO. 00 -o-zroq DATE ISSUED 4-r'l-"2.coo.
CONTRACTOR (\~o.,^~ (l~~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS/ .$ELOW
THE PERM. IT IS BY SEPARATE D. ~~~~oENT ~O , \~~!( QO .
FOOTING ~ - ~\ 6/1t5/p. ) <S/JJw ~ V. t;. 3 ~1If'
FOUNDATION (Prior to Backfill) v c;J. { '\ 5" ~.J'~
PLACE NO CONCRETE UNTIL 'ABOV~ UAS BEEN SIGNED
ROUGH - INS V
FRAMING
INSULATION
ELECTRICAL
6,.
~.
I/tI!J >/~t7b .
51;;-;2/tJo
I I
HEATING (if required)
FIREPLACE ·
GAS LINE AIR TEST
/&r.
/~I
,/ tfq-, 5/2;1./ tJb
.~ g ZZ---/,r)4
6/~~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD
FINALS
HEATING
~,
~( ~/IJ/~
'/fJ:t, (,(/3/~
DO NOT OCCUpy UNTIL ABOVE HAS 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 tJlaced near main entrance.
~(13/CTl)
BUILDIN~t;a.) ~, ~Z/~
ELECTRICAL · I
~ ~ S1w~
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
\4/70
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~F MING
o SULA TION t:'\
FINAL \..t))
o SITE INSPECTION
COMMENTS:
SCHEDULED
J;l~
(6 : 50
TIME
^^Cfk 7It-
CONTR.
.. '" . , . . ',:: -._~t~-:-~"r',\_ .
PERMIT NO.
(J)- Z-~ Cf
() - 353
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
~IREPLACE RI
FIREPLACE FINAL
. 0 GASLlNE AIR TST
o
J~ ~~~
----
~
~ 'fIh-, ~ ~
^'
---
~
-~ ~
~ -)
~
-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI