HomeMy WebLinkAboutBuilding Permit #00-0270
47/7i~DO
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
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
Lf42t'1
1. DATE
Permit No. 00-02-70
,
,
?r2-l0 t2.. W OOt)
3. LEGAL DESCRIPTION
U IJ I f #2.., BLOCK PID z.5 - 321- Q2J - 0
~~:: fiA~ ~ (~!.'::F\~~~~~)
.Sc.a:rr '121!llJ~"E? 12-LSCCb~ "Oi~44D,,2-~O~
5. ARCHITECT (Name)
S~
~
4, 1. 00
2'2..
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen;)(
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
fl2.6S A LR--
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
t/:a:r:> .00
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ................................... $
9'l.1S"
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee PAf aW.~~
Mechanical Permit Fee ..................... $
z..o ()
4-0 00
~
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
12,.. Cf. Z-5"
7~
24 hour notice for all inspections 447-9850
(f1) -OZ}O
White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R SC5:>A-.L,
4/1 1/ 00
,
5~ I I CL
D\O~Ne::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.-4-? q
I
PR-l OR. V\l ODD 5 I _
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Accepted
Accepted With Corrections ~
Denied 2r2
' I
Reviewed By:
Date: II - (q...~t!J
Comments:
I. ~~ ~"'Q'...k t:.tl~ ~
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."
, .'... 4i
oo-oqo
White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
f<~ l~, K E L~ ,L\ t-- L I
1
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\ () {\j F;:.,
APPLICATION RECEIVED
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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
Accepted With Corrections
Denied
Reviewed By:
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f -
Date:
J-f-~1- OD
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.1I
i~~~ ~"~~~ CITY OF PRIOR LAKE f^1L f(t(7(,4()'
__ "1". Me
u Cr\ 16200 Eagle Creek Av. S.E. Permtl No. 00- C970
~ Prior Lake. MN 55312 - ----
_. _/ HEATING APPLICATION I PERMIT Sing1e Family
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TYPE OF STRUCTURE
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Il.
lL
,'_ Two-Farnily.
~ndostriaf ___. _ _ . .u .__
MuI1i-FamiIy
oth.
Pubaic
Cornme{cial
Oat.
Fee SchedukJ
Site Addfess
Industrial. Commercial & MUC....Fam~y
Residentiat, ~leating & AC
Residential. Heating Only
Residential. Gas Fireplace
Residential. Additions & ""erations
Residential. AC Only
1 % ot job cost ($39.50 ninirrun)
.$99.50
$64.50
139.50
$39.50
$39.50
Addilion
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LaI
BkJck
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Owner', Nam.
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Ct:
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....
i
a-
MA~
Addr&SS
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Heating Contractor, f71.L, _~ 1/ S Ii. ..'to'!(
. . - / -
Mkess ~ll))tf L=' (~AV /~
Telephone I 7 ~ i! ;!../ '3 J
F.-naco Make &~;.... ,LL
Mude1 Size /~~~/
Coon. Load
Fuel Alu- F. Size S Y'"
j
Supply Openings./ II
Return Openingsl S'
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W
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1), 1.
A emember 10 add the Slale Surcharge on lhe botlom of lhis application.
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"PE OF SYSTEM
Warm Air Plants
Gfavity _~._...' _ ____
MechaNcaI
A. Cottdi1ioniog
Vent System _
The price 01 )'OUr heating perni' includes one rough-i1 and one final inspection.
Addittonal inspections wit be baled at $35.00 each.
House Healing Test Record rnust be submitted wil" ~1j~t~(I ~~~., J:IIUIuH befof, buid-
ing cer1iUcate of occupancy wi. be issued.
tiE_AI CALCULATIONS nEOU I RED, with ntlmber of suppfy and relum operings listed per
room wih CfM's per opening. New structures Of additions send Roar plan witt supply
And re'um locations shown, HEAT lOSS C^lCULATKlNS, PAYMENT AND
APPLICATIONS M^Y BE M^llEO TO THE CITY OF PAIOR LAKE. 16200 EAGlE
CREEK AVE. S.E. PRK>R LAKE, MN 55372.
HEATING OR POWER PLANT
Stearn
Hot Wal..
Radiation
Special Devic4ts
inpu1. ./( /JP/) Output. (lJ~c,'
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~
CD
'it
'it
(T)
(T)
~ Clm.
: kv:.':m fwd- tt:~~OF~;:8W't~ ~
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Building Permit. (JlJ - (\ 870
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City Hat business hOOfS Bfe 8 a.m. - 4:30 p.m.
Ed,.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CAlL em HALL
Other ()evic9s
441-4230
, hereby apply for a mecharical systems permit and I acknowledge thallhe
mlormation above is comp4&te and accurate; that the work wlU be In conformance
with the ord~nances and code, of the eft, and with U\e slale buiklint/mechanical
codes; that this lorm does not become a permit until signed by the BUilDING
OFFICIAL: thai the work will be in accordance wilh lne approved ptan m Ihe
case of an work whjch ,equires review and apploval 0' plans,
/>7<H~? /<-;(;~
- /AppHcaZZ'. ure ~
Un ,"i.htL._ ,'('J., .h~~
/1' 8ulding ~ Slgneue
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. .
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Est. Comp. Date .
Repair
~
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.......
'it
~
.......
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Est. Cost S
HEAlING PERMIT FEE $
DlIe
S-/O<Ik7
OI(e ~
.50
STATE SURCHARGE $
\
TOTAL PERMIT FEES S
,.
,:
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
B~ILDING AND INSPECTION
SITE ADDRESS -1JlZ' f?-Iafw~
NATURE OF WORK JJ; ~ .];cc,.y") ~
USE OF BUILDING ~FA
PERMIT NO. Qf) - 0270 DATE ISSUED 4-l'l-~CQ:)
CONTRACTOR -:K.\cs~.p d..a.kt-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
("~ ~I
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~WI
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IIldeJD
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,
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
t/&p
'5,U 0
-
;N/
'f/l/Y/
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have bftcn CilPproved. On buildings and additions
. where no service cabinet is available, card shall be placed near main entrance.
ya --- C/'::J
5/UJ-CJ?
BEEN SIGNED
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
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
11 FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
~-
44z,1
P rrUl- &.vt(1 J.
CONTR.
PERMIT NO.
(XJ-J.t7tJ
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
r6 MECH FINAL
L,L. hH4 1(1/)
"--"""
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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......- _ J
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"
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O", CALL FOR REINSPECTION BEFORE COVERING
Inspector: '/1(' '5 - 2G.-6?OwnerICOntr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJtSNOT1