HomeMy WebLinkAboutBuilding Permit 00-0479
~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Address) (Tel. No.)
\~~~ ~;~:o~ ~~ ~40-'1~oo
, RQD 701- ~2..
Deck LJ Re-roofing LJ Porch LJ
Finish Attic LJ Re-sidlng LJ Finish Basement LJ
16. PROJECT COSTNALUE
I~l 1DO
17. d5MPL~TION DATE
~. \~, JA)()D
I hereby certify that I have furnished 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 wJth submitted plans. I am aware that the
:uildin~ 1rS{;"~ke q~~ ~e. Furthermore, I hereby agree that the city officialc~~~e may enter upon the property to perf4' I\O;~'
Signature License No. Date
;j;;J;~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE Anm:u::~s ~L~
~. E:K\J G~{2.E..- '~\L.-
3. LEGAL DESCRIPTION
LOT 4- BLOCK \
ADDITION (;(~\~\NOOD \1e.\tr ~\ <;
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Address)
(Name)
6. BUILDER
(Name)
\Le'{ U\No \'U-A~s
7. TYPE OF WORK
New Construction)(
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. C1VJOJ
Fireplace LJ
Alterations LJ
Septic LJ
Addition LJ
9. PROPERTY DIMENSIONS
Width C\ ~ Depth \ OJ
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
1. DATE
41 \Q , ~ooo
R~S.o
PID z6-tJ6/- Ot'J4.-~
(Tel. No.)
(Tel. No.)
10. CULVERT SIZE
Yes
No
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
SPD
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 18"l,0t90. D..O
Water Tower Fee .. .. .. .. .. .... .. . .. . .. .. ... $
Water Tap ....... ......... .... .... ........... $
Builder's Deposit ............................ $-4S()t:) ~
Other...................... ................... $
Total Due .............................. $ ~ D70. 7 /
Paid ~(;. -V R.. eceipt 78':::J'1
Date '7. 7.,0 O~y
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr requested. This document when
sig~' ner constitutes a temporary Certificate of Zoning ...........llan~aIIOWs con~on to comme~. Be~ occupancy, a . te~~be issued.
~l::r~~ ~ ~ b~ ~~. ~<-
ity Planner Date , Special Conditions if a
24 hour notice for aU inspections 447-9850
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee............ ....................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
L3~;t.2S
85'f. '1~
q'J . ~
Sewer & Water Permit ...................... $
Issued
Amount Brought Forward .. .. ... .. .. .. ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. .. .. . .. .. .. .... $
Sewer Tap ................................... $
, . $
Pressure Reducer ...~.................. $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
City:
~
I. White
2. Pink
3. Yellow
File
City
Applicaat
Permit No.
OO-.otl7Q
.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(HZ~ ' fil]I (~?-I
12. NO. OF STORIES
,\NO
13. TYPE OF CONSTRUCTION
l'\e'I'J
14. FLOOR AREA APPORTIONMENT USE
'2-\~'? ~G. fl.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS Cl
SURVEY LJ
SETS
COPIES
PLOT PLAN
LJ
S~-o. otS
/-,-I bD · eo
-1
,,~ i!30
I 2~. CJ l:)
I ~ 200 .OCL
7Jo · 0Y3
i
4f
d:PRI~
'~
White - Building
Canary - Engineering
Pink - Planning
00-0411
The Cenler of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ie E-- V L_ ,11. /'vL) 1/ t/l./ C'~
I t I
4// /4/ICL/
II /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4 I acI &r~) &1 C,-_.I-/ I )<I~ / K /) I L.-.,
"
Accepted
Accepted With Corrections
v
Denied
~~~
, -
Date: ~ - ~~~
Reviewed By:
Comments:
-.2-~ \-, ~ l/j~ttM ~ W~_ tJ_ (vev2t
~DfW\~ tA~ 4-\!l41U a~O,W fO Cuv-0,
iO'%. IV ~lMJ.AM (''W~('t,_ S;~_ ~ W~ I
A/C-' ~ (~ ~u.-e ~9vif1~- .
~~ J.-k,<t -~~ ~1..w~0Y" ~dA ~js.
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
,~,,',
I I I I .........' ,'" '"
~
00 .OL19
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!(6V II9ND HtJI1E3S
/4//4-/00
II
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/~ t5'At/ UI7/I€G /JZrJ/ L-
Accepted
Accepted With Corrections <
Denied /J ()
Reviewed By: k12 U.) ~
Comments:
Date: G, · /2 - ~o
I. r~""'n J..t""'" ~f ....... ~l.~ ~. oJ F4.cll'1- T wo.p
~.~ a..ll ~ Cl.~_ ~
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."
Thf ('fnlfr or lhf l.akf Country
00.0411
White :. Building "
.". Canary.... Engineering J
.. Pink - "tanning' ,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J/ r . I L) /vI /") L..1/) ,'- ....--
j,,- C. V Lr/ LJ /lU/c...j ~:~
/4/J4/{)0
/' /
. ....
, ' .
, .
. The Building, Engineering, and Plannilig Departments have reviewed the building permit '
application for construction activity,which is proposed. at:' .
. 4 / ao ' ~ A r/ Cl-I-l'/ J{2 t;; TR 17 / r--
Accepted.
./
Accepted With Corrections
Denied,
Revi~wed By: MAL.-rEA E":l!1ES*""r4NAI
Date: -5.1, /DO
1 ,
Comments:' .s-ro'4t'o\ '.wMtR. nUAlorF f'ltUS1" BL, .Cou.JEVED 1""0 A,.:.I~L.~. 11:IE'
. fuApGitTV LI~E.< ~ ....t.lt-H.~ ,. PttAc.Tie~,-.. _~~E JAJFOIL"'~AJ 0,.) 7,i€.'
RF-tlF.ll.SE Sro~ _
;t1"lX1t!1.v"" fbw.,EwA'I c.V'llru' 1.$ 24-' Ar TI{€ 'M<J,n" ~oHJtTY
l-,,.JE. .,
~e AmtHM&rrS: L htJAc.. GIt~OE. ~C1"~OIJ 1.lJ.FoAotfftU]otJ t. (;1t~O'U'. PiA.., i. unr..,T"'I
As- 6u,~ l/. &,OSIOAJ r.".nio~ r41F-I'\S""A.E:S 'S: &.SJ~~ C.AJTI10L f:.AftJ
"The 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#
*JobAddr... 4/~ ~ ClaJa
,
*He8ting Connctor Me I RO AIR
~k
'<i.
*T esters/Signature
*Gas Line
Pressurized
Inspected
O.te
Pounds
Pressure
Time
PERFORMANCE TEST
*Percent C~ <? I :3 .Percent CO tJ
(/,9 · Slack Temp.R94
.Percent ~
Finallnapection
-
,.~
Date
/
.;\
'"
07/11/00 TUE 08:38 FAX 8128902753
STO~~ EXCAVATING
III 001
-- . ....
w.u.ow . -.-~
... . cry.,
PRIOR LAKE NO. 00 -()4 71
WATER PERMIT
NOTE: Seyer and Water
contractors lDust
be reqistered
with the City.
APPLICAN'l': _J)t..Jlachanical/Stocker E~eavating ,PHONE: 890-4241
ADDRESS: 55378 DATE: 7/6/00
SIGNATURE:
SITE ADDRESS:
BLDG. PERMIT #120" 0'/79
PlOt Q5- titCf-oOif-O
FILL IN THE BLANRS~
1. Estimated 1.n9~h of water service
feet".
2. size of water service
inch ( as) .
J. Location of any cQuplings from struc~ure
feet.
4. Type of sewer pipe. ABS
PVC y
Cast Iron
5. Estimated length ot sever line
Jteet.
6. Clean out (it required), located at
structure.
,feet
froln
.----__________ ___,.. ,__._______===___.......---===----."'......--------.c
~ecome~ y~permit vhen ap~~~
. , ) . DATE: . 7)
\ "
____awlW______________-r ___, .. ,--- ------=- -=--==-
$
$
$
35.00
.50
35.50
Sever and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
. Sewer and wa~.r permits issued tor new construction must be
recorded on the bu11din9 permit card at the time of issuance
to insure that no .dup11cata sewer and water permits are
issued. / '. /
DATE PAID AMOUNT PAID
RECEIPT' ./ 9t-\~..,.a~~",,~ REC'O BY ./
. / fI.l~~ B /.
16200 Eqle Creek Av. S.E.,. Prior Lake" Minnesota 5S372/ Ph. (612) 447-4230/ FAX (612) 447-4245
All Equal Opp., ".LUnily Employer
Ih.~f PII~ CITY OF pmOR LAKE Me
r(.~~~) 16200 Eagle CreekAv. S.E. P8rmitNo.OO~()4.-,q
\~ ) Prior Lake, MN 55372 .
'-=/ HEATING APPLICATION I PERMIT
Dale ifd3/ao. r~ PIO lki:?S~q-()()C/-('j
F / ~'1 C /JA' ~ -
Site Address ~ ~ (.....#' /1~", L, ,/ /J~
Lot LI BIoclc ~. Addkion k ~ r'll AJ., -,rVJ... . :1- ~
Own8f"sNamo ~/#...Il ~
Address .
HeatingConlradorALLIED FIRESIDE dba fIRESIDE CORNEl.
Addles& 2700 N. FAIRVIEW I ROSEVILLE. MN 55l1.3
Telephoo9 . 65 1- 63 J - 2 5 61
PIREPLACE I J
IMJ1Itp Make & Mod.1 ~ u/ P r; t.
Model Sil~ (;o:>;)f'h-
~
---
-
CD
Ol
to
a..
::E
a..
---
N
N
o
o
I
('f)
N
I
Ol
:J
c(
''It
CD
CD
CD
('f)
('f)
co
Conn. Load
Fuel, .fir
SuppI, Oponings
Relam Openirgs
FrUQ Sizo
---
LI)
co
Input
Ed,.
Output
Cfrr..
L
CD
C
L
o
o
CD
"'0
."
UJ
CD
L
."
I.L
TYPE OF STRUCTURE
I. Pi,. . Hie
1. ann . Or}
l T~ . c.....
Single Famify
Commercial
Two-Famify
Industrial
Fee Schedule
Industrial. Commercial & Multt-Farniry
Hesidential, Hestfng & AC
Residentiat, Heating Only
Residetll1al, Gas Fireplace
ResidenUal, Addlions & Alterations
Residential. AC Only
Multi-Family
Pubic Olller
1% ~~I~: ~~ '~,"39.50 nWMnum)
199. '. :g@[g.]'Wf2[.-.....1
S6~. v/ ~ " . ~l5
$39-
139 ~ .IJ~ .
S, . )
Remember to add the Slale SurcNrge on Ole bottom 01 this application.
TYPE OF SYSTEM
Warm Air prams
Gravity
MBChanical
Air Cond.loning .
Venl. Sysllm ,
HEA llNG OR POWER PlANT
Steam
Hot Water
Radiation
SpGCial Devices .
T he price 01 your heatjng permillncJudes one rough-in and one final inspeclior1.
Addirional fnspections wit be biled at 135.00 each.
House Healilg Tesl Record must be submiUed with bu~tIna RIUIiI ,...~ beta. buid.
ing certificate of occupancy wi be issued.
HEAT CAlCULATIONS RFflI nRI=O wlh number of supply and return operingals'ect pI
room with CFM's per opening. New slructure$ or additions send IIoor plan will supply
and rllum locations shown.. HEAT LOSS CALCULJmONS. PAYMENT AND
APPUCATJONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S_E. PRIOR LAKE, MN 55372.
C iCy Hall busine$. houlS a,. 8 8.m. - 4:30 p. m.
Other Devices
t
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CAlL CITY HALL
447-4230
After atia ns
, Replacement
TYPE OF WORK
N BW Constructtoll
~
P1d-'f /4)
-/ I
Bulding Permit" (50 -0479
/ .
/. ,,~\O 'II~tA"
// .50 eU\\.O\NG pE
. Es l. Camp. Date
Repair
Est Cost $ JJt5rld)
7 '
HEArING PERMIT FEE S
. .
>-
a::a
+-'
c
CD
CJJ
STATE SURCHARGE $
TOTAL PERMIT FEES $
I hereb)' app~y for a mechanical syslems permit and J acknowledge that the
ill.ormalion above is comptete and accurale; that the work wilt be in eon(GnnanC8
'Nllh 'he ordinances and codes or lhe cUy and with the stale buUdI"9/mechanice'
codes; thaI (his rorm does not become a permi1 until aigned by the BUfLDlNG
OFFICIAL; lhat the work win be in accordance with the approved plan In thtt
case ,,?Ii wOfk whieh requires review and approva1 01 plans.
~~ Qi",k; I!J1Iu,
( M J/iZ~can~r~~, "-') ;4;/11'
if Building OJf~'5 Signature /
Rocolpl " -
\
'@~ CITY OF PRIOR LAKE
;- r &. ~ 1ft 1&200 !aga Creek Av. So!. Pe1::lil ~ ..(Jf\ -(, 4. '1q
~ Prior Lake. UN 55372
~.~ HaAilNG APPUCAilON I P5RMIi
:ae -, -. \ ,- {5t) \ ~\'l\) 1'10#. ~S... ()~'l" OQ4- 0
'~ 'oJ \ \' ---r . ,
i. AlIdrns ,'-' -t= .~, ~ ~ \ .... \.. 'f' t.< \ \.,
~ '" as=:k \ AOci~bn . C. n... : ~W ~ t\ \\ \: \. '^ \;..~
~vn.~ Neme. k.t. ~ ......1.- ;
o ~ n \ 0 \- LJ \r ,1.. t f ( '"
~dreSs \ \,,;:). \ " , ..) ~ IJ, \ -. \T, \ v ~... l_.<;. ~'4.. .
. .~ \ ~\ , .
':1&i.1in; Cona a=r ,\ \ \ ~ r, \ .- ~ Y"\,
A:idms \\~~~~ ~\..\lOr" \~t V{,: IT'\~~,
j"..~' ,~~,-~\~~
\.
::. - ... lllbdlli (, o,,""t>. """ 'iYi'E 0;: SY5T511 rile ".;_ al _. h........ pennil irclUOI:S OM "'o;;:Hn and one mal ins;>e:ti~n.
· "-, Wann Air PIara:s )t' r.- 3- - ~ _
M:ldoI Sib , , 'Pr" - ()I\ Q GrawiIy " AI!:liIional ir:s;l--.... will ~ bil'."j at ~,uo w""
Sa \ 'l ~ Mecr.a."';-- H'. _. . . .. ..... ~ . _ . "-_' .. 7
l:l.:l - \ . J co( " . ~ . 0",", H.--'g I os. H=rd ITII::.~ ~ ='0'" --I ..r.n '" """"" r>"'''''' !)) =, =10," _'l_
Com. '........ S II Air Ccmd~, ^ irg ::el'liii::e of O=;>;L'l:"; v.jI be issued..
?1M! \\I J\ \ Fha Siu . VlIIlL SysI.m . H=CTt'M t':1 ft lCM~ll=rw n;;=n with number 0: ""7.lIv and rnIm, cr,>o."'lin;;s o.ted pot
........ i J "\ H5A.11Nll 01\ POWER PLANj _ ... Ci'M's-per apening. I\lew str......_ or ............ send Il!lor plan willl'''''r''''
· , Iy e;..nn;s , SIeam . 1IlCl......1oc:;dj.... shllW!L IEI\T LOSS CALC\JlJ\ilOIl!s, PAVI.0li AND
~ O;leain;s I H:I\ w.. , ~ YAY 3" WI ='1 TO ilE CITY ~ ?illOR LAK:, 11i2OO :AGe.::
\J ' ,;-, Racr~ ' . . ~~ AVE. S.a ;aRlon ~ MN ~12.
Ia;lut 'i) b. ~ Oul;l:a. \. m:x:> Spe:8I 0.,:..- , CIIy HalIr""'- homs 1ft . LII\, _ ~:30 IUI\.
~ :dr. . \ Ott.. 0evic:81 ALl. WORK IlUST BE INSI'!CmllROUGK-lN AND ~ ...." CITY HALL
a: . _
o CIm., n \.\ O. '-. , 4G-c:z3Il
a:: , .
~ ~TYPE Of WORK \.1 I '**Y apply far ~ meco!wlicll S}'SI- pwznIl and I ~. 1Ild",
'. ~ . o~ u.-. -..-. MIl -"..... ..__.. tie IIIlll11l1w-. .
~ ' BIt... ClnIr-,. '. . . wllb ... ~ IIIlI __ dllle c:IIy IIIllI WIIlllle ... ~
1: ;.-'- 0 ""' ......,. ~ ". . 0 --.;.... fI!m ... JID\ becom.. I*IJIIJ unIII ~ by "a BUIUlIWll
Ill. -- 0 '. -... , 0 A .' ~ 1IIIIt.. "IiIDItl... _ 1ft ---. ....... .,.....,.d ... 1ft ...
~ o~ r-::- s. c:;~ d:>........ ~ Pallll" :u(\. 0"\, C\ eu, 11". ~'f": r ~ MIl ~.a1"'" , '00.: .
,J:EA~PERMrrfi:S. /" · PAlDWITH ~ ~~ '. o~__\I_.P .
~..... . /.50 MlIIIN'NBPERMt t. ~ .. t3IlII.... .
!5 0 SToGE SURCHAP'-'c: 5 /' .l .' - 0 0 au-" '-:.' , ~ "l; ;: _;.' ,,-:..-..., .. 0/ . ~h,....,. .
ro: ,.'<.. · o' , / - .- 'II'"^IL,, I N;~ . '7 II R'= /~ /T."'='!
.....: TCJrAL 1'EfMTr;-> $, Rec:IipI. , ......~ ___ . I' .. . .
...... ~..., " , .... '. . "
:5~ . , . " . _ . . 0 ,_" ,_,. ". ' . . ..... '
' -~., ..' . ,: 0 '. . . -. , . '. 0.,. .." '. . ...... .' ":_..:. .'.., .
.... .. · -... ..~.-. · .. .:,.:"-." ... - ,.... - .'. .- .p ..\......~....-...... .-.!.....!K .__-. _..~..I ~..~~ ~~~
" i.I" '0' "". ._~~;.- c,,:,.,.,,~.~.~ "-.- .,.-., ., ~,.;.<o::I'~ ",0; H' ..~ ' '_'...-
· . Y..~~~; ": ~.: "'}~T;:~~~...&-~~,-!,-:;;~~. ;-;:.!:.: ~~.~":0'3'~~i.- _---:-\lo... ;~!\! .' 2 .~it.;' . . ',.
~.... ...." . .... ." .'" - -" .' '. ,,: .-' - .. - - ,- .....':, .
.. J - . 0 . .... .. . ~"-'~'~'._~.~""3l~~""'-."~.l' '~"""_' ~l',.. 'Ir' .r.._...",__~.._u
...... - ..' ," -., .. " ,- , '_ C ,-'_',: _, ~'_"__"'~"-"-...... ., ~"'""-~__. "'.'_~_' ,
. _. . . . 1:0- ~ ~ - ~-$if'J'w(,-::- ,..,.-;:: -,..:r:-_ L&;l,'I~:......--~~-~'t-'_,(!r: ~_ .-:.~..t .. _
:;:.:,~i/'o.~ ~~, .~_~~': . ,:~, .'< -, '.. : -:~~J-;-. ':7.~~ . .:.,. ,,'. ..: o~~;:-'" -[ ~ ".-- .''; - .::t..- ..... ....~ -. _ v.... .
,TYPE OF b I P'fucruRE,
....
2. GI-.
3...... .
~-
ii1&
Car
Si:1gIe FamIy ,X
Two-ramay
. Uu5-~ _____
CommeTdal
_ lndusVial
~~i:,
~T,
::* 5_~t-~~~u]e
lj\:~ Cornmer=..aJ &. MIoI~;:a,Thri
~esi~nti2l, ;.;~a.ting 6. A(.,
~o..s[j~mt~ HeatmQ .)-rj
, ~~ o~ job ~st (S3~.5-D !?~!}l-,D-[=)
~~~~~~~~,~ f'r~ l' " .,
.....
=1~d~~'., (;2.5 ~r .~;,....;~
~=.50 L//:
JUL , 1 2000
:i~~~ntiel. Aj-.jrtio:":~ &. ,\.~e.,'~C':.,
~..;~u
r1!Si~ntial. AC Only
$32..50
~ It) add the S:zt:I Sur.:harge on the b~m a; thiS ~~
FILE No.378 07/19 '60 PM.03:~4 ID:D & D MECHANICAL
FAX:6128904650
PAGE 1
I ,'.
AIL 2 0 2000
CITY OF PRIOA LAICE t i. =-
PLUM_INti "'''MIT ## .OD - 04251
ApPlloant:_J)~b . rn~. ~. ~~ ~lIhona:_~' ~ 6~
Add~..: '1~;f#".' "4, .L~~~~.SsVY
Signature: = ~ _ =:.. .",
LAGaI DelClIfpIIon: Lot ~ Blook '- 8ub..Jl~~ "J - ~{'l IN.~..
&.. Add.....: ~ e~ (!., N''''. .",c - .
BulldlngPermlt... ('J()- tJ't:Z!l _ . PID,~(....~O~q-(x)lf-o
NOTE: Thl. permit will not be proca...d without aomJ let. Information.
PIXTUR. UNITS
~~c.t." 0' !~~.!!otIn'"
<~. .~.,
.-
Quantity Typ. of Fixture
~ lath Tub with or without ,hower
I Dlahw..her
I Floor Drain
~ Lavatory (bathroom link)
I Laundry Tray (1 or 2 compartment "nk)
~ Shower Stall
~ Sink.
...
Bar link
.J Water Olo.et (toilet)
Quantity
Ty!2. of Fixture
I
"0 Igh..lnl
W. ter Heater
WI t.r Softn.r
It. nd Pipe (wa."k'tg In.ohln.)
let ".g. Ejector
.Iac IcIIoW AMemb1r .("PZI ~ 0hI0k, PW)
Ba. lleflow' A...nlbty TI.
La, ;" Sprlnlder
Ott.r
-
,
..-
"I'OHIDU~
Induatrlal, Commerol" . Multi-Family
(1'" of Job oostl tse.so minimum)
"..ltMntlal, New One & Two Family
Fle.ldentlel, Acldltlon. . Alteration.
St.te Surcharge
S88.50
$31.80
. j
:~~
. .60
~o~
! n\~G
~\"
ORAND TOTAL
16200 Balle Creek
lion. 24 houri in adVaftoe.
rior Lw, innclota ~.53721 Ph. (612) 4474230 I FA): (612) 447-4245
An Equal Opportunity Bmployer
0- L"l C
July 12, 2000
Mr. Rod Just
Keyland Homes
17021 Fish Point Road
Prior Lake, MN 55372
~--. -
. \\ ~) :ET.ASCA. E:NG:lN' .t:..-:.R:lN'G, :lDC.
/ .~ MARSCHALL ROAD BUSINESS CENTER
327 MARSCHALL ROAD SOUTH, SUITE 200
SHAKOPEE, MN 55379
612-445-7993
~
Re: Single Family Residence, Charles & Simone Bossier, 41~ Eau Claire
Trail, Prior Lake, MN.
\.
Dear Mr. Just:
-)
Yesterday afternoon, I visited the above site. This letter is to confirm our discussion yesterday
morning about the footings and walls that were to be constructed at the rear and both sides of the
attached garage where 13 to 14 courses of concrete block were to be used with single side back-fill. I
recommended and indicated that the walls and footings were to be constructed as follows.
. Footings were to be 24" x 8" with two #4 reinforcing bars placed longitudinally in the footings and
that they be continuous around the comers of the footings.
. #4 "L" bars were to be placed in the footings with one leg extending up and into the block walls.
The spacing of these bars should be 3'-0" on center.
. Reinforcement of the walls should be core fills with 1 - #4 bar at 3'-0" o.C. to coincide with the L
bars from the footings. These bars should extend from the footing up to and into the top course of
block.
This will properly reinforce the wall understanding that there will be an unbalanced fill against the wall.
Care should be taken to back-fill with the existing sand and to compact the sand with water rather than
use heavy equipment near or against the wall. You should complete the framing of the garage roof and
use braces on the wall before beginning the back-fill to insure against any minor cracks that might
occur.
------~-
I hereby certify that this letter report has been prepared by me and that I am a duly registered
Professional Civil Engineer under the laws of the State of Minnesota. If you have any further
questions or if I can be of any further assistance, please do not hesitate to phone or write.
Sincerely,
IT ASCA ENGINEERING, Inc.
b~r. /bIeeer, Minn. Reg. No. 6220
Enc!.: Brief Resume
BRIEF RESUME:
as of
7/7/2CXX>
LAWRENCE E. SAMSTAD, PROFESSIONAL ENGINEER
(Reg. No. 6220, State of Minnesota)
(Reg. No. 8449, State of Wisconsin)
ITASCA EKGIlfEERlKG
Suite 200
327 Marschall Road South Phone No. 612/445-7993
Shakopee, MN 55379
Consulting Civll Engineer
Registered Civil Engineer since 1959 (State of Minnesota)
also have been registered 6 other states as necessary.
Work Experience:
1960 to Fa ",.tent
Owner and Chief Engineer for Itasca Engineering a Civil Engineering Consulting Business.
Supervised and headed firm for 40 years.
Consulting Engineer for the Lower Minnesota River Watershed District for the past 39+
years.
Categories of Work: Watershed and Water Management Engineering
Drainage, Water Control, Siltation Control, and Project Landscaping
Structural Designs
Soil and Foundation Analyses and Designs
Project Development
Mapping .. Aerial Photo Interpretations - Surveys .. Reports
Designs for Water Mains, Sanitary and St"'a~.. Sewers, Roads and
Streets
Contract Documents
Permit Handling
Construction Inspection of all types
Fo,. :."" sic Drainage, Soils and Structural Consultation
Envi. "..mental Real Estate Investigations
Jurisdictional Delineation of Wetlands in Minnesota
Litigation Consultation - Trial work as expert witness.
Work with Federal, State and Local Agencies as required.
1952 to 1959.. Worked full and part time for the University of Minnesota Physical Plant as Engineer
on new construction, new designs, drafted plans, wrote specifications on new work and also on
maintenance and repair of buildings and infrastructure of the U of M.
cuUCATION:
1953 Univ.of~
1955 Univ.ofMinn.
Degree .. B.C.E. with Distinction
B.S.C.E. (Honorary) with Distinction
Degree - M.S.C.E. Major: Structural Engineering
Minors: Soil Mechanics & Aeronautics
3 Years Post-grad Major: Civil Engineering Soil Mechanics
.work on PhD Minor: Geology
Course work completed but not thesis and languages.
1955-59 Univ. of Minn.
1953-1955 Taught Structural Engineering (3rd yr.) at theUniversity of Minnesota.
Life Member in Chi Epsilon (Honorary Civil Engineering Fraternity).
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS . ~ ~ ~ 1;:~ \
NATURE OF WORK' ~ '
USE OF BUILDING ~~t:)
PERMIT NO. eO..t'J419 DA,~E ISSUED ~.e,-:-,4:)OO
CONTRACTOR \<'~ \...~.( ~~~. ~ ,Pt\D~E 4.fl 0.. Cft{tJt:) )
NOTE: THIS IS NOT "A PERMIT FOR ANY OF THE INSPECTIONS BELOW
FD'" '1:. T,tiE PERMIT IS BY SEP~RATE DOCUMENT
~ I ~\I\.". t?&& -g<<:ta~ ~ J.."'~~; --:;)} INSPECTOR DATE
L--f>t' FOOTING W 7./1-00
FOUNDATION (Prior to Backfill) V /!Jr, 7 /~/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
."
- f]f 1/ bl6/tJ(}
vJ/! J t
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING PP 'f:,/.a}
HEATING (if required) ~. f/~JI)tJ
FIREPLACE · tJ:r. ~/1'Jh)
GAS LINE AiR TEST ~ fr+ ~ 31J~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1/11i(,>>
rZ;p
.-- L~I!-RD
.... .
GRADING (Prior to Sodding)
BUILDING~vo'~ '1hIDI br. IcHl1It>
ELECTRICAL
PLUMBING
HEATING
DO NOT
/0118/61
ItJl>~/~ --__,
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
FINALS
(ft
W{f.; t;
4.1'f.O/
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
ADDRESS
41LO
DATE TIME
SCHEDULED ;f;:hO /o:'3()
CAt.,( CI-AI e~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0- q 79
o PLUMBING RI
o MECH RI
o WATER HOOKUP
(M 0 SEWER HOOKUP
, &":PLUMBING FINAL
/'D~MECH FINAL
jMMENTS:(fJJ..~ h, /AJ~
~+ ~~ o-r-- ~~,
~ ~ I4rrj ~'.. .
~ 'ii,.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~-~
uJ1.;ti;;- ~ ~,'
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
f
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IJlfSNOTJ
CITY OF PRIOR LAKE
INSPECnON NOTICE ~
ADDRESS ~/~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMME~TS:
DATE TIME
SCHEDULED ~~~D
z='Au. ~/A~~
1(:f!kJ
CONTR.
PERMIT NO.
~D -() '/7'1
o PLUMBING RI
o MECH RI
Jl{ WATER HOOKUP
,I:f SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-\ <J1
( ();f- J ~
71
1 /
t /
"'- ~, ... /
'"
i
I ~/
-... /
pJ
M /
~~
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~/LL FOR REINSPECTION BEFORE COVERING
Inspector: U~ Owner/Contr:
. v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
ADDRESS
. L/ I~(j
DATE TIME
SCHEDULED /0" (;1..5'..()O ;2 ; oD
Gak C /a,J' re
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ-L/77
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ;@ 0 WATER HOOKUP
o INSULAT~N 0 SEWER HOOKUP
~ FINAL L-- 0 PLUMBING FIN~
"1J SITE INSP CTION )a MECH FINAL ~.
.Al:'~~ENTS: (j) ~ ;g..,.., ~ ~
(~ A ;"1; . '"Do J \ u..S €" LA...rr 11..- P 1'5$ go; J
~~ tr>^-r-~
,~ ~ J}~", ~ WL *S),~ -LL,
~ ~1 ~ ~.t ::ff~-;
~ D.JJv-~ ~ ~-dA~LJ) g~~~ .
~ ~~' r~~rJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
tMAYI- ~ ~
~-.
o WORK SA TIS FACT
o CORRECT ACTI PROCEED
~ CORRECT W ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
,
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl