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Home My WebLink AboutBuilding Permit 00-0410 & 0640 DATE RECEIVED l I 2000 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. 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 , /L/bY'1 3. LEGAL DESCRIPTION 7 Permit NO..JjJ} -0$0 1. DATE ~) t " J. f Vi . v. ". " '.f? i..V' S-'-/J- 0 c; PUp BUILDING INFORMATION 11. SIZE OF STRUCTURE / (Height) (Width) (Depth) 12. NO. OF STORIES LOT BLOCK I~. ." (; \A...Jildt PID 25;,297-057--a 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER f\ (Name) (Addressy . (Tel. No.) , ~ ~\ I SIV't> yYi (.~.l~ (,. t I ~1/Y1 ~~ 75- $;2- 'Ie 5. ARCHITECT '_.-::- (Name), /) (Address) t. lTel.. No.) __ , Jr1k V\ J3v a~/~.'1 ~.,7 0/ -? / )2- 6. BUILDER (Name) vi (Address)J\ I . l . (Tel. No.) Vi PiC Z,75. - 15. NUMBER OF OCCUPANTS OR SEATS 'I '7 L/!5 t;() l.A,... L1 (,..~, -, ~a ji\ j.- C. ~1le. (Jv~-f :--m"5'S3/~ -, -_0.., t:;/-," OCCUPANTS J Co\.II~ \ ..x I V c),/t-. {,; """ (! a VI/ (' 1 J V\. r ,./::> p pL / b 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 SEATS New ConstructiO~'" Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16....EBOJECT COSTNALUE ChimneyO Misc. ~Ot~O 8. PROPERTY AREA OR ACRES . 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width Depth Yes No 14. FLOOR AREA APPORTIONMENT USE 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can .r.~evo~his.pe ~.~ 1=, ~ore. I hereby agree that the city official or a designee may enter upon the property to perform. n.. eeded inspections. x~~~ . ~ .~. . ~ l/ ~/~ ~ -;//-0 C . / l. ~ignature ' License No.- Date / SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA o BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 0~"'~'()O PILING LOGS LI PERCOLATION TESTS LI USE OF BUILDING SFD PLANS & SPECS 0 SURVEY 0 PLOT PLAN LI SETS COPIES TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Wt Permit Fee ................................... $ ~l.!! 1.. S" Plan Check Fee ............................. $ " W 0 ~{ I '15. 00- City: Amount Brought Forward .. .. . .. . .. .. .. .... $ Park Support Fee ........................... $ SAC . .. .. . .. . .. .. .. .. .. .. . . .. . .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ t;A, .' $ Pressure Reducer ....lJf.......I......... $ Meter Hom ................................... $ 8St:L. 00 ',loa. coO '2 , "S'l. ~5"" State Surcharge ............................. $ Sewer & Water Permit ...................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ............................ ....... $ Builder's Deposit ............................ $ II SCJO .Ot> Other......................................... $ Total Due... ...................... ..... $ Paid II" ~.. 9 (, Receipt No ~ ~ DateG/~/PV By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni.(g Ordina~ce and may proceed a equested. This document when sign~,l)he C' Planner constitutes a temporary Certificat~ of ,Zoning complian~nd allows ~o commenTe. BefoW ~cupancy. a Certificate of Occupancy must be issued. ~~ S--2io~ _ ~. " r--,\~~ ~~r-ov1$c. City Planner ~ Date Special Conditions if any ~a ~SO.OCL It 200 .oCl 'UJO .()IJ Penalty ....................................... $ lDO.Ol> I 00. 00 3S.SO ................. $ I..{O. DO ;;" pp~ 0 YOui>Jing~:t";~q~~ .....' 'T/ Certificate of Occupancy' Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 24 hour notice for all inspections 447-9850 ...~.~.. Thr ("rnlu or Ihr l.kr Counlry White - Building '., Canary !iI,Englneerin9 Pink -Planning." . . . , . BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST -~ . NAMEOFAPPL-'CANT~kh\s1-rC1m. c..OmpClYli("~ ,nc... APPLICATION RECEIVED ..'" fU...{ t-n.) ~ 000 . . .' , ,. . . . . . . . . '., . . . .." '. ". ',. . '" . . '. '.. ,The Buiiding, Engineering; and Planning'Departments have reviewed the buii'ding permit applicatioll tor construction activity which is proposed at: . . . . . . 14(,%9 . Wi/c,ls-Vie..W Accepted . X' Denied Accepted With Corrections Reviewed' By: . _ '1~u.<:D~--i+ . - ---- '. Comments: _ '~E;:;: It--JFo12fV\A-nON ON Date:5/q 00 . ... fLt,'"'\J 2R. S ~ ..:"j ('D~ . . -:SEE A rrACH:'J'^~S: 1) 'F/NAl- G-1'2..l\Qf.. 1'\)""5PE~:nON . il0F""cYlMA-nD1V i} G- fiA 0 , N 6 \/ LAf'.J '-3) .ercos I 6AJ G,~-n2.o L, ~"'5 U I?--ES L\ ')€126CSt G ,.-J CJ:./ N',1Y2...o L. (/ c... A tJ . "The'. issuance' or granting . ota permit or approval. of plans, specifications and computations shall not be. construed to bea permit for, or an approval of, any violation of any of the provisions of this codeo'r 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 thejurisdictions,hall n9t be valid.1I 00 ~Ol.) 0 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAMEOFAPPLlCANT :b. \\\c::...,\-rom COmpot\ie.-~ I .('Ie... APPLICATION RECEIVED _vt ~ \ -t-h) -a OOD The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4~:tq \Ni ('l~ V;~ w Accepted C><'" ',-. Accepted With Corrections Denied ~ Reviewed ~~ Comments: teacl allll:ffacha& .As Date: 5-21-~ ~oP~ 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." House Heating Test Record Address: Permit No. 1.L{b~(o\ kJ:\~S V,e ~'V Installed by: D.F f-. 0 _ Gas Designed Unit Serial: (~; h<;'(Q-^.. ~ {-rb J2. C /2 a- 20 (;rb R~q J 25/zodf /z..o ~~ tt? Make: Model: Rated Input: Test Pilot Timing: cO ~C <- Limit Setting: I q~o F S I S II w_ ~ I Pressure: Percent co: :>2 Input CFM: {If;O Percent 02: S1, Stack Temp: ta'E Percent CO2: 76% Heat Anticipator Setting: ,) Name of Tester: q - 7..l;:; - 00 O~~ Date Tested: Larson Plumbing Inc. 3095 162nd Ln. NW Andover, Mn 55444 \~ ~ ,,~\ r- vJ ~$ ~J~~ Ci\. +- 1,0 b c.f f"\. \ 1"\ (I w .L., CI\ - ~ 1-00 CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: LA~'O,) fJ/..." WI hi fI/~ Address: 3o'!:t J~,.JlJ ."'N. A/.a/. Signature: ~ Legal Description: Lot Block (P Site Address: I LI~ 8 tJ W, L DJ I) Ie 1//- Building Permit # PID # NOTE: This permit will not be processed without complete information. 1. Blue 2. Gold 3. Yellow File City Applicant PPNo. ~- 4\0 Phont!}j,1 J ,,). ) - 718' ~ IJ "'41111 e R Tht' Ct'nlt'r of lht' Lakt' Counlry Quantity 7- , 7- If , 1- I I 3 Sub I t-te- W , LOS FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower 7.. I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) 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 $ .-""" This permit is granted upon the express condition that aid ......" contractor, shall comply in all respects with the 0 din ces ~.. of the State Plumbing Code and the amendnents er of. RECEIPT NO~. '. ~ ~ I T n:'~ST 1;'- ~ Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer &~ ~NE~ GREE. - fILE YELLOW - APPLICAIIT GOLD . CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT S,W. No, av. 041 0 NOTE: Sewer and Water contractors must be registered with the city. APPLI CANT: W~-#O ..f... ~ d-fdI<::< ~(' ,IkL ADDRESS: f?SO( CO, tc:(~ ' SIGNATURE: ~ ~~ SITE ADDRESS: /4~f!39 f'VltLJSVI6J1! PHONE: @p;..>.) t.J7 .)-~ DATE: 7. z.. (p · crV BLDG. PERMIT # 0 0.. ~/O PID# z,S" ZCl7 -0 57-0 FILL IN THE BLANKS 1. Estimated length of water service feet. 2. Size of water service inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from This applicatio ~:::=::::::=::::=::::::::~=============== BY ~ DATE: "]. Z(p -w =============~================================!================== FEES: $ $ $ 35)00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $t~~ 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 permit~~~ DATEi::::d. AMOUNT PAID ~!.;j9 bVV/ RECEIPT # REC'O BY '1;1~/L--. 16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer Dale SIe Address I..DI~BIocI< Owne(s Name Address CITY OF PRIOR LAKE MC 16200 Eagle Crwk Av. a.E. Permh No. 00 .or046 Prior LaIr8. UN 55372 HEATING APPUCATlON I PERMIT 7.ZG..OO P1D. z5-zQ7. 057,0 J~Rl WIUJS III..eW (p Add~ion 71ft:: WI/.,O.5 P~H~/V1 t'.8/l1~. Helllngc........;.: 'KA"",~'\"' bSI("l\So Address ll'ltB \j1..n::lISll.a..'~ ~"'C"". ~u,) Cm..! '"R~s TelephOne' 7&3 - 4U.-'f42<>t Furn~ U!:lI"'a .ll~^1 ._KA'l:;IR~AlRCONomoNER'UNlTSCANNOT ~ . ENCROACH IN10 SlDEYARD::E:TUCKS. Model Size .. . 7 /7 I. edf-Iz. Cor.. load 00.<;. WI FlueSize _l!efm/f- 4I-OO-C/!U ~ Fuel. Supply Openings Rltum Qr.onin:" Input Edr. CIm, Attaralians Repair Est. Cost $ .-..- -1---'" Output HEJl.1lHQ OR POWIiR !>VII'"' Steam Hot Water Radiation Specl8l Devices OIher Devices TYPE OF WORK Replacement Est. Comp. Dale New Construction Building Permh . 39. 5"0 $ .50. $ 40.00 Receipt' ()(). CYHD HEATING PERMIT FEE $ STATE SURCHARGE TOTAL PERMIT FEES 38034- TYPE OF STRUCTUR,E Single Family c., ;"...),1 / Two-FamOy Industrial Muhi-Famly . Public . Other Fee Schedule I. .... 10.- 3. VeUow Rio City c- Industrial, Commercial & Multi-family Residenllal, Heating & AC Residential, Heating Only R...;"... :i~ Gas L~,"'__~ Residentiel, Additions & Alleralions Residential, AC Only 1% of job cost ($39.50 minimum) $99.50 $64.50 $39.50 _,_'.'.".e ~.7-f:.-~1IU $39.50 Remember to add the Slate Suroharge on the boIIom of this application. The price of your heating permh includes one rough~n and one final inspection. AdditioneJ: .... . .;',ns will be billed at $35.00 each. H0i.iS6 Heating Test Record must be subnlit\ed with illliilliog Il!llIIlii lllI!Ililln beiore buiid- Ing certificate of occupancy will be issufld. l:IfAI CALCULATIONS REQUIRED with number 01 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 . DD' ,.... 'TlONS "'.OX BE ~I'ILED TO THE CITY OF PRIOR LAKE. 16200 E"::~:: 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-lN AND FINAL) - CALI. CITY HALL Phone: (152) 447-111I50 I'IIlC: (1152) 447-t245 CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. 00 ~ A- , 0 Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Date SlI L 'I IlJ ,../J d ~ PIO # Site Address ,Ill/' g, W.LnJ U Ie W.. Lot ,-"1 Block & Additionc \\~ ~ \ L-V5 Owner's Name T. D If j, L.sf I' ~ W\ (J(J tJ ~ f rue 1-1' IV Address '11) f./~ ()" L It" J.~ L.AI. Mil PLe r;~IJVe Heating Contractor ~ It e SrJ I() P L u m h I N~ Address 3Dqr Ih ~ ND ~AI. AI./IJ, 1JAlJlJve~ Telephone # .( I) bJ_' LJ ~ .., - 7 (''I6 Furnace Make & Model A ,a.sn A1 AIR CONDITIONER' UNITS CANNOT kG to e ff - I")" () e - ). 0 ENCROACH INTO SIDEYARD SETBACKS. Model Size Conn. Load 11>: D r tI , Fuel SA S Flue Size TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning J,S rf)/J. Vent. System. HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices Supply Openings Return Openings Input Edr. Output Cfm. TYPE OF WORK Alterations Replacement New Construction Repair Est. Comp, Date Building Permit # ........ fr() '- () Cf1U f - MID WITH IJUILDIG PERMIT Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 Receipt # TYPE OF STRUCTURE 1. Pink File 2. Green City 3. Yellow Contractor Single Family '^ Commercial Two-Family Industrial Public Multi-Family 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 permit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED 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 Phone: (952) 447-9850 Fax: (952) 447-4245 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 case of all work which requires review and approval of plans, ~~~ -- I I ,~]J1~ 1((:]: ~ CITY OF PRtOR LAKE Me 16200 Eagle Creek Av. S.E. Permit N(}, (')0" ()LI J 0 Prior Lake, MN 55372 ~ HEATING APPLICATION I PERMIT Date _ ,-3-0) PIO , . 8\.t:::;... 8~ fJ - Ot5'7 - () She AddJ9Ss, /Y~f9 LJi/cl.J (.J~ twJ' Lot "I Block -k Add.\ion _ ~.. W ~ '0 ~ awne...Narn8. iOIiAUA.~-'" ~~~e, Address, Heating Conlraclor ALLIED FIRESIDE dba FIRESIDE CORNER Address, 2700 N.. FA III VI E,W. ROSE\' ILLE. ~N Telephone', 651- 6 33 - 2561 FIRtPLJ\Cl! IfLUiJ t,l:..o~ ~ Ma~e & "\odel ~~ I (I Model Sizll. :Sf - lU.. ) eJ.cuzr.. , -.---' r-.- ~ . ArfP Fuel t5a.{ [ ij)FluQ 5118 , ( , Supply Openmgs 55113 CaM. lDad TYPE OF SYSTEM Warm l\if Plants Gr 8vlly . Mechanical , Air Conditioning , Vent. System, Return Openlngs Input Edr. HEATING OR POWER PLANT S'eam Hol Water Radialion Sp9cial Oev~es . OUlput . O\he r Davie 9S , etm., TYPE OF WORK ~ Alterations Replacement, New Construction '7/1. ?I,'l . 'I r _ Building Permit'. C\{) - OLlllJ j 10W@ STATE SURCHARGE $ /.50 6U\ES\tlG PERtA\1 TOTAL PERMIT FEES $ / Recelpl. --- ;.7 , Repair, t Esl. Comp. Da\9 Est. Cost $ d~.Ci:. HEATING PERMIT fEE $, I. nar; - .'.... 1. Gretn . Chy ). YI:IIDlll - Con'nel.. (l) ::J .-+ OJ '< TYPE OF STRUCTURE Si119'e Family . Commercial / " ..... . ., m C/l ..... a. CD n o ., ::J CD "'] _ Multi.. Fam~1y Two-Famlly 'ndustruu . Public . Other Feg Schedule Lndus\rfa1, Commercial & Multi-Family R esidenlial, Healng & AC f\esiden~al, Heating Only Residentia'. n,"s fireplace Residential, Addlions & Alteralions Res1denlial, AC Only 1 % of Job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 JUL - 3 2000 Remember to add lhe Slale SUrcharge on 'he boltom oflhis apptica\ion. m U1 ~ Th4t price of your healing permit Includes one rough..in and one final tnspection. m Addilional illSpections witl be biSled a\ $35.00 each. ~ House Heating Test Record must be submitted wilh bllildinq f'Am. ",,'~~N before bua1d. : in9 certilicale of occupancy wil ba issued. ~ HEAT CAlCUtAT10NS REOUIRFn wilh number o( supply and relum openings lisled p. room with CFM's per opening. New structures or addlUons send lIoor p." with suppty and return localions shown. HEAT LOSS CALCULATiONS. PAYMENT AND APPlICA.TiONS MAY BE MAILED TO THE CITY OF PAIOR lAKE. 16200 EAGLE CREEK AVE. S_E. PRIOR lAKE, MN 55372. Cily Hall business hours are B a.m. .. .4:30 p.m. L c: !-J I ~ I o o I All WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) · CALL CITY HALL 447-4230 I\) ~ I hereby apply for a mechanical syslems permit and I acknowtedge that lhe 9J lntormalion above is comple\e and accurate; that 'he work will be in conformanc...~ with \he ordinances and codas of lhe ctly and wilh 'he slat. building/mechanic. codes~ that this fOlm does nol become a permit unlil signed by the BUILOIN{ OFFIClAl; tha1 the work will be 1n accordance wrth the approved ptan in the case or all wor~ which requires review and approva' 01 plans. g~/.l.1I~ '1b/.:JJ . ! A{)lA;;;11:~nelur8 hA'AJ"J r ' ~~ d BUmtngOI~bre 7/ tiff! -u Q) to CD I\) - I\) .-: ~ ..;:- PH/OI,'" ':'O~"; 'T ",'. .'~(~'""Z:., ':"'7\' ::-, ",..J e'''i \. ,.' , /' '~' HEAnNG APPLICATION / PERMIT Date 01 2...<<e\ DO PIO # ;:l) - ;::) q 7 - 05'7 -0 Site Address .\ Lf fDM W,t..."DS V l e,U ~W Lot ry Block (,-. Add~ionl \L,. k.A. ~ Owner's Name])t\aLe'rP1')t-\ Got--t.pAN, ~ J ~ Address.,-r4~ "ln~~ LN ~ea1ing Contractor. AUTOMATIC GARAGE DOOR & FIREPLACES Address ,9210 WYOMING AVE Nt BROOKLVN PARK, MN 55445 Telephone # 763-315-7500 Furnace Make & Model ~~ CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permit No. ~-()41 0 Prior Lake, MN 55372 C\I e e ~ ~ ~ ~ ~ ~ ~ ~ < ~ < ~ u ~ E-l < ~ o E: < Model Size "'1>&--r ~~ Conn. Load Fuel Flue Size Suppiy Openings Return Openings Input Output C\I e l"- e ll') ~ "" C\I ~ CD Edr. Clm. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices GAS FIREPLACE ~ < ~ Replacement TYPE OF WORK New Construction Alterations I"- C\I .. ll') ~ Est. Cost $ Est. Camp. Date Building Permit # Repair e e ...... CD N ...... l"- e / $ /.50 $/ HEATING PERMIT FEE S ST ATE SURCHARGE TOTAL PERMIT t:'EES CJJ..:) - (') '-I J () ~O \N\lH ~ pERtA\\ Receipl:: ... TYPE OF STRUCTURE I. f'ink File 2. Green . Cily 1 Vella.' COnlrJCIOf Single Family Commercial Two-Family Industrial Multi-Family Other Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Hea1ing & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 n39Y $39.50 $39.50 Remember to add the State Surcharge on the bottom of this appl,ication. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at 535.00 each. House Heating Test Record must be submitted wilh buildina oermit number before build- ing certificate of occupancy will be issued. . HEAT CALCULATIONS REQUIRED with number of supply and reiurn 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 CRE=K AVE. S.E. PRIOR LAKE. MN 55372. City Hall business hours are B 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 case orall work which req.uires ~eview and approval of plans. b1h~/~ Dale 7/Qh1ru /' ~ate · / J ~pplica~t'sJ1gnatu'e (~ l/J~ '-'f l!~\~ j, ~/) 'A-I o Building OHical's ~nalure _______~~,.~ .___ h ___ __'__'.' __'_'_"_'__''-' ___~_ _..___.~__,.'_ _, .__ _._.---,-_" -.".~_.~._____ ___ ~.-_::_".~_~___-._..-- _- .__.._ ____ -, The Center of the Like Country White . - Building Canary - Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Lh t) \ s. t-r-n m (Q m PClf'lI (" ~ I . rl c... APPLICATION RECEIVED \~ CL,-/ \ _ t-t\) d- 000 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / '-I ~') ~9 WI' (,I ~\/'I~W Accepted Accepted With Corrections ~ Denied ReVieWedBY:<~~ Comments: J-v\ ~~ ~\1Iv.>>.A VJr1vl_~ I~~'fl. tM fYcM1_\. (J-/ ~ ~ 4- 't IW() i:t < U ,4.) "17:) CuKb, A/L +-t9~ ~,.C..O ~A~ S~ ~ - ~~~ U:1\e.v1av ~d. ~~b Date: ~""-2-IP"t90 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 ',- PRIOR LAKE INSPECTIONRECORD SITE ADDRESS JLlt&?3cr NATURE OF WORK _ ~ USE OF BUILDING ~f' ~ PERMIT NO. QO-Q4J 0 DATE ISSUED S:2if-~ CONTRACTOR ~l\~ ~. S~ P~OtJEtl ;;tt,':i-8~1(P ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW ~ THE PERMIT IS BY SEPARATE DOCUMENT , tFt!(&,&)) /) INSPECTOR DATE ~ ~ - FOOTING ~,~/~/p 'fJJ"ttrf'~tv" ~. 41b/~ - FOUNDATION (Prior to Backfill){' ~~ - ~. II/tl~ rfI {j,z/w PLACE NO CONCRETE UNTIL ABOVE' HAS eiEN SIGNED . ROUGH - INS W 7/;;16~' \ . t. . . ~ ~ ~ i..I,. II~~ 1/11//)1 !)[s/04, _ JV;~ 'A 710,..-/_ U <?b ~ l~ f/#~ ,t...l-, \(Ur-...r~ ~ ~/81~ ~,LfJ fY.',/tnJ[,..L. ulJe ~, ~LJ:lI~ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST DEPARTMENT OF BUILDING AND INSPECTION lJ ,f l t!c; l1k~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ GRADING (Prior to Soddin~) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy FINALS t::,(1,/ 91~7.0() _.,.L 1- ~~ 6:" !!~1k, 1J1!~ ~ ,// 7~ . 'I UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an e'~ctrical 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 (trtifirau at ~)(mpanry CITY 01f PRIOR LAKE 1Dtpartmtnt of .uilbing 3JnSptttion ~ Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No. 00-0410 Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District PUD Legal Description ~ = 13.6 = 1'lU:.-IJT T . n ~ Owner of Building Site Address 14689 WILDS VIEW Contractor's Name & Address DAHLST~ CO., ROBEPT D ~rF1~~(r72 Building -OffiCIal \j:1J. Date: 5', ?~Q-7~ INC., 7745 POLARIS LN., MAPLE GROVE 55311 . City Planner . Date: !l<'lITtjlT '!'mrJ.~_ POST IN A CONSPICUOUS PLACE DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I LI ~ ~9 SCHEDULED Cj-~ 7-D 3 ~oO Wi JJsv /~UJ OWNER CONTR. PHONE NO. PERMIT NO. (j -Lj./ () o FOOTING o FRAMING o INSULATION ~~INAL o FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHORE~ETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: t. f\Cl;\k~I~_ ~. , ~t \~ L.ool- ,\ \< UIAJt" 1 1 d~lo(\ i~ ol ~~\ ~ ~'\~ ~ tL...~ ~~'" 1:- )12i .l~r ~ .ilj",'.'lf~: ~RKSATIS+RY. .EED o CORREC~A D MecEED o CORREC .. A L ~EINSPECTION BEFORE COVERING I nspecto: Owner/Contr: CALL ~O F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE 1/~7/0d INSPECTION NOTICE SCHEDULED j}/oa ADDRESS ILj(o?j WILf)S 1/1 €:-kJ OWNER CONTR. PHONE NO. PERMIT NO. t:)-'-/ltJ o FOOTING 0 PLUMBING RI o FOUNDATION ~ 0 MECH RI o FRAMING l leY 0 WATER HOOKUP o INSULATION (0 SEWER HOOKUP o FINAL v1 U ..8 PLUMBING FINAL o SITE INSPECTION tJllC/ Jl.. MECH FINAL f~, - /):;) , ,. COMMENTSI n; 1- T~ ~ ~~ c.+-' fY"(J' . ' - , , ~ ft&t ~' Q2L'd th- vJ~ ~ ~~ ~(j)~~~~ td3~~~ .i-:.L ~ ~. : ~ ~ I @ ~ ~ J~ ,0) M ~ P6--rc.~ tr>- ~ ' /J I o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~, ~cD ~ ~ ~~..oe.:tD ;_. -~ r ~~ ~".~~~~ i......- . ~ ~~ ~ pv.- ~u. ~~ \ vJ.~,-~, .A~. __" U r~ o WORK SATISFACTORY. PROCEED ~ ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I I Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 747h / I o FOOTING o FOUNDATION ~ING o SULA TION FINAL o SITE INSPECTION J1/ 11 M! L- t:/tI CONTR. .a ~ f51rP "" tJ,.1""Ji!~ :lite, PERMIT NO. t:/J- ~ t2 o PLUMBING RI ~GRAD/FILLlNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 ADDRESS OWNER PHONE NO. COMMENTS: /!u/6.box I~~ of( /Jid fle<) ,rc.. h",,-t huh.- f:eL1Wr/eo{ / / 1/ t. -- , ING CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI CITY OF PRIOR LAKE MC 16200 Eagle CI'lI8k Av. a.E. Penn. No. 00 .0(040 Prior lillie, UN 55372 HEAnNG APPUCAnON I PERMIT Date 7.Z~,OO PID. z5-Z97- 057,0 sa. Address /4{;,89 WI u:JS II~ vJ Lot -2- Block & Add~ion 711& WI L-O -S Owner's Name P.RHt.-.:> r ~H e4/Vsne.. Address Hullng ContracIor .KA.""-......,T' ~S I(,."'~ Address 11'118 \jN~Qo..'~ ~- t-)w. Om'" '"RN"I\S T '.' . ,. '1c.? - 422.-'142."\ Fu,l'I~ Ua"'''' J. aJ..vl^! LA/J/R Nr- AIR CONDITIONEROUNttS CANNOT - ~ - ENCFKW:HINTOSllEYARDeETBACKS. Model Size .. '"7 /7 / J I-f-h Conn. load (!,IO.) e.cl. (J.; Fuel FlueSize _l!e)rl/)It- -#--OO-C/!O ~ Supply Openings .-....-1---... "vtum Openlrg' 11.I1: &TI~ nD DnIIII:D Dl ......... Input Edr. Steam HotW_ Radiation Special Devices. Other Devices Output elm. TYPE OF WORK Atterations New Construction Replacement Est. Comp. Dale Building Permh II 39. 50 ()(). o4-1D Repair Est. Cost $ HEATING PERMIT FEE $ STAlE SURCHARGE $ .50 TOTALPERMITFEES $ 40,00 Receipt. 38034- TYPE OF STRUC11JRE 1._ 2.0.- 3. YeOow Filo a" c- Single Family CommercleJ / Two-Family Industrial Multi-Family Public Other Fee Schedule Industrial, Commercial & Multi-Family ResidenliaJ, 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 ,,-'..'''''' . ......''":.~IIU ,'-," $39.50 Remember to add the Slale Surcharge on the boIlom oIlhis application. The price of your heating permh includes one rough~n end one IlnaIlnspection. Ackitional inspecllons will be billed at $35.00 eech. House H.....ng 1m Record musi be SlJDrniliod wIIh iluiiWDg ll!lDllii ilIIOlIlIH before build- Ing certificale of occupancy will be issuli<1 I:Ifti[ CAlCULATIONS REOUIRED with number of supply and return openings listed per room wIIh CFM's per opening. New structures or additions send floor plan with supply end retum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND "PPLIC..-rIONS l'AV BE MAILED TO "]:HE CITY OF PRIOR I.Jl.KE, 16200 EAGL: CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 am. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) - CALL CITY HALL Pho..: (1152) 447-!ll15O Fa: (952) 447-4245' .1 hereby apply for a mechanical systems permit and I acknowledge that the . Information above Is complete and accurate; thattha work will ba In conformance with the ordinances nd codes of the c"y and with the slate building/mechanical codes; that this for I oas not become a permit until signed by the BUILDING OFFICIAL; thatthe'w rk will be In accordance with the approved plan In the ~a of a rk wt. c requlr review ~d approval of plans. . - L, I()O -~~. ~~c). Signature . Dale CITY OF PRIOR LAKE MC 16200 Eagle Crwk Av. S.E. P8IlII. No. 00 .o6-A(J Prior Lakll. IIN 55372 HEAnNGAPPUCAnONI PERMrr Dale 7. ZfI.OO PID. z5 -2.'17- 057,0 Sla Address /4f:,/51 WI U:J S VI€:' IAI Lot 1 Block ~ Add~ion 771& WIt..-O.5 Owne(s Namo. P.eJH~r1 {!4/VS77'?- _ Address Heeling CorrtroclorKt..'b..-.l"t" b.s llal\S- Address 11~IB UN~Qa.'~ !>T"- ~W (lmoJ '"R~s. TlIephone' 7(,3 -4"22..-'142.' . i:'llf'"'=',""ll. ..~I'n ~ I.~~ ~O/HI\I'r-AlRCONDITIOHER'UNlTSCANNOT M>d~Sae HTZj 07~~INTO;if-h.'-'~ '--"'" - -- Flue Size -7! er,n; t- -#-OO-Cf!u ~ Conn. Load Fuol Supply Openings ~-"--,-.-'" l:Iatllr'l'" r\,.,....I_.. LlIC.aTlur.!! nD ~D DI AUT Input Edr. Cfm. Steam Hot Water r'" .':"".~ 1 Special oevices Other Devices Output TYPE OF WORK A~orations Replacemont New Construction Repair Est. Cost $ Est. Comp. Dale Building Perm.' . 39. 50 ()().~() HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTALPERMITFEES $ 40.00 Receipt. 38034- --,- TYPE OF STRUCTIJRE I.PiDI< 2. an.. 3. Ydlow "" a" ~ Single Family Commercial /' Two-Family Industrial . Multi-Family Public Other. Fee Schedule Industrial, Commerolal & Multi-Family AesidenliaJ, Heating & AC Residenlial, Heating Only Residentia~ Gas FuepIace Residential, Additions & Aherations Residenti.... At; Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 ,,,":_II'lt'..... $39.50 Remember 10 add the Stale Surcharge on the bolIom of this appJicetion. The price of your '-ling perm. includes one rough~n and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted wllh " "\-,,~ JlmIlIil""- before build- Ing certificale of occupancy will be issulld "'''AT ~A1 r.1 " Anrw.C: ""'" """f"l with numbe, of supply and return openings listed per room wllh CFM's per opening. New structures or edditions send floor plan with supply and retum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND ~~'T'~"~ 'My BE M,.,ILED TO ']:HE CITY OF PRIOR LAKE, 16200 Ei'.oL: 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 PlIo..: (112) 447_ Fu: (852)447-4245' .1 hereby apply for a mechanical systems pe'mit and I acknowledge Ihalthe , Informalion above is complete and accurale; Ihallhe work will be in conformance with Ihe ordinances ,d codes of Ihe city and wllh Ihe slale building/mechanical codeo; thaI this fo, 10es nol become a permit unlil signed by the BUILDING OFFICIAL; thallhe y,~rk will b In accordance wilh the approved plan in the caV rk c i ,equi, review ~nd approval of Plan~i'r!r /.2(,'0 () 's Signature Dale CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. a.E. Pennft No. 00 .or040 Prior LlIIre, UN 55372 HEATING APPUCAnON I PERMIT Dale 7. z.~.oo PID' z5.2.'17. 057.0 ShAddress J~ WIu:JS view Lot -.:L Block ~ Add~ian 7?1& WIt...O-S Ownefs Name P"t:1Hw r ~H ~/V~. Address HH11ng c....M~~.; 'KA'b.~T' ~!.I(.."'~ Address 11"lIB U,.,)~aa.'fF ~- ~u,). (lmrJ '"R~s. TIL.. . ,. /l."3 - 422..-'i42"\ FurnGAl3l U<!:lIl.oa . l.f.vfftl A!!'!AlJ/A,vr- AIR CONomoNER"UNITS CANNOT #77!j ENCROACH INTO SIlEYARD cmAClCS. rl/o.)e.d Wff-/z ------ . FlueSize _l!exm/I- -#-oo-c/10 ~ Model Size Conn. Load Fuel Supply Openings --..- -1---'" "~tum Opening. Ul:'''''~ nD DnUII:D DI aUT Input Edr. SlIlBm Hot Water Radiation Special Devices. Other Devices Output elm. TYPE OF WORK Atterations Repair Replacement Est Comp. Dale Building Permft . 39. 50 I)(). o4-1D Now Construction Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 40,00 Receipt . 38034- TYPE OF STRUCTIJRE 1. .... Uh... 3. Ydbr File Ci1y c- Single Family Commercial /" Two-Family Industrial Multi-Family Public Other Fee Schedule Industrial, C . .;,J & Multi-Family R ....: ~. .:..J, Heating & AC Residential, Heating Only Residential, Gas Fireplace Resldenlial, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 ....-.;0"" . ..." . . V~'.,:, -- ,-' $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permft includes one rough.;n and one final inspection. Addtional inspections will be billed at $35.00 each. House H""'ing Test Roconi must be submitted with ilIliilliDllll!mIlillllllIlilm Dei"", buiid- Ing certificate of occupancy will be issuGd. I:II:.6I CALCULATIONS RFOlJlRED with numbor of supply and return openings listed par room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND 'PPLlC~IONS un BE 1~'llED TO ntE CITY OF PRIOR lI\KE, 16200 EAC~: CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall busi.-s hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL Phone; (112)447_ Fu: (952)447-4245 .1 hereby apply for a mechanical systeme permit and I acknowledge that the . Information above is complele and accurate; that the work will be in conformance with the OrdinanC~s nd codes of the cfty and with the state building/mechanical codes; that this for loes not become a permit until signed by the BUILDING OFFICIAL; that the w ,rk Willb}ln accordance with the approved plan in the cas40f alhllilrk c I re'luirjJJII review and approval of p~~ ~ /'Z-t,'Oc). - Date