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Home My WebLink AboutPermits 00-0040 & 00-0048 File Oty Contractor 1% of job cost ($39.50 minimum) $99.50 PLEASE NOTE Q~.~ Air Conditioner Units Cann01 $39.5 . Encroach Into Required Side- $39.50 Yard Setbacks $39.50 I. Pink 2. Green 3. Yellow Multi-Family Other Public x-- Two-Family Industrial Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations , AC Only TYPE Single Family Commercial Fee Schedule 00- CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 Owner's Name Address Heating Address the State Surcharge on the bottom of this application. final inspection. permit includes one rough-in and one be billed at $35.00 each. The price of your heating Additional inspections wil House Heating Test Record must be submitted with ing certificate of occupancy will be issued. Telephone # buildim;J mmni1 JlWDbm before build- Model Size J::lEAI 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) - 447-9850 CALL CITY HALL Other Devices ,.,.,...,.,.'" I ~....,.I VUIIII. LVQU Fuel ----L1 J r; Flue Size - Supply Openings 3 Output Return Openings Input Edr 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 work which requires revie~ and approval of plans. ~ ~ TYPE OF WORK TYPE OF SYSTEM Warm Air Plants _ Gravity Mechanical _ md111il If Air Conditioning - ~r:Vent. System ~/' - HEATING OR POWER PLANT Steam Hot Water _ Radiation _ Special Devices Replacement Cfm. Alterations .:s~(~ Comp. Date Building Permit # -0 Receipt # .50 s~ $ TOTAL PERMIT FEES $ HEATING PERMIT FEE $ STATE SURCHARGE Repair Cost $ Est. Ii;;;; CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00--004:0 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 /5.300 ~ISH PT /eL). ~7'; / /00 IZ../ SD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 20-2./ BLOCK /'1AVeG (Name) H L-/ AlK... (Name) 12. NO. OF STORIES ADDITION /SI PID 2:5-03'1- 027--0 13. TYPE OF CONSTRUCTION LOT 4. OWNER (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Address) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE SrJMe 7. TYPE OF WORK New Construction 0 Fireplace 0 Alteratio;:<' Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-sicling 0 Finish Basement 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 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 mentiollE:ld. property and that all construction 'cc;>nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke' rmit for just us urthem1~e, I hereby agree that the, city official or a designee may enter upon the property to perform needed inspections. X , - /-p- iY(J Signature License No. Dale FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLlCA nON SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING /Z&S -o/.e. OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SETS SURVEY 0 COPIES 10 ,000.00 PLOT PLAN o 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 ... .. .. .. .. . .. .... $ Pari< Support Fee ........................... $ SAC . .. .. . .. . .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $ Collective Street Fee .. .. .. .. . .. .. . .. .. ..... $ Sewer Tap ................................... $ $ Permit Fee ................................... $ lu'4:2S 'OS.. c.(~ ~. tJO Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ t.fo .00 ~ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ur Building Permit When ~proved. Date ~-~-~ Issued This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin sign nner constitutes a temporary Certifjcat~f Zoning compliance and allows construction to com nce. 7"," -c90 ~~ v Planner Date Specia 24 hour notice for all inspections 447-9850 CITY OF PRIOR LAKE PLUMBING PERMIT 1. Blue File 2. Gold City 3. Yellow Applicant 00-0040 PPNo. Thr Crntrr of thr Lab Country Applicant: Wayne Burville Plumbinq Phone:612-445-4173 Address: 1118 S. Madison St. Shakopee, MN 55379 Signature: Legal Description: Lot 2:" , Block Sub MAV 55 '51 Site Address: 15300 Fish Point Rd. 1<..1 sD BuildingPermit# 00-0040 PID# 25-0311- 022-0 NOTE: This permit will not be processed without complete information. FIXTUIRE UNITS Quantity Type of Fixture Quantity Type of Fixture 1 Bath Tub with or without shower r\ Rough-ins " 1 Dishwasher 0 Water Heater Floor Drain 0 Water Softner 0 1 Lavatory (bathroom sink) 0 Stand Pipe (washing machine) 0 Laundry Tray (1 or 2 compartment sink) 0 Sewage Ejector 1 Shower Stall 0 Backflow Assembly (RPZ, Double Check, PVB) 1 Sinks 0 Backflow Assembly Test 0 Bar Sink 0 Lawn Sprinkler 1 Water Closet (toilet) 0 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 $ $ $ 39 ~50 $ .50 GRAND TOTAL $ 40.00 '~l\\'r\ ~~\O ~"pe.\;\~\\\ ( ~U\\.O\t~G This permit is granted upon the express condition that said contractor, shall com ~ res ects with the ordinances of the State Plumbi e amepdm,nts thereof. I z,./q 100 DATE I I ATfEST Call for all pections 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 (]O- 004J The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED cr / ~1 L- / AI f:::-. / /3/ IOQ / / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5300 FisH PT ~o Accepted Accepted With Corrections ~ Denied Reviewed By:r;!...2CL.., ~ )/ Comments: Go...l..,s!.'o.-... ~'r- ~. Date: 2- 2 - '2OoC) 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." ~:o.,.' ..~* 60-0040 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATIIDN DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \ .)-../ /\ /' '-, . I / t.,,_.~,.,..... 'f~ ;'./ .>' // // /' ., r ~.... , /' {./ .I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;/ :~.,',-~:~: (,,' :~~.) " / ./" /--/ /~-) .I /.. /; I "~.. ;..-" Accepted v Accepted With Corrections Denied Reviewed By: ~ ~ Date: 2 - 3 -(90 N' AlXeY~~~ ~ ~ ~Og-tJ-Ve-, \ 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." 1____....._.... PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -J.~~oc> f;.::.'^- ~,,,,* 62o.-e. NATURE OF WORK Ti...+-. A~\f-#.O~ USE OF BUILDING .3f'D - PERMIT NO. 00- 00 t/() DATE ISSUED ~-L-20d> CONTRACTOR L,'~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ I [ I [ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED [ I FINALS ,....,,---- - BUILDING r:~D ~ *' fiJlg., /.,0 ELECTRICAL PLUMBING HEATING DO NOT OCCUpy .~ UNTIL ABOVE 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. . ,.. ~ ~ ~() BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTI()NS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS J t;]dD . OWNER SCHEDULED DATE TIME 14-0... ( ?/:5h ~,~ J- r(~ CONTR. PHONE NO. PERMIT NO. q4-rlG(> o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL fk It d .04;'''11< c:J o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o A If ~-fr ~ ;'f ::> 11- (3&-ff q q - (J )7 If q - (34 3 00- 4 Y J;l'WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED Inspector: co- if 0 FOR REINSPECTION BEFORE COVERING Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl