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Home My WebLink AboutBuilding Permit 00-0517 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS {b /85 SCHEDULED ~.O I 3.. ~ R..t DcSE HotJ' ( OWNER CONTR. PHONE NO. PERMIT NO. I)/)- 5(7 o FOOTING o FOUNDATION o FRAMING ILS INSULATION _.. '\ n ~FINAL P<Dvrv o SITE INSPECTION · o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: C-- OSe \ )-,. ) \ ~ ()K ~ ~RK SATISFACTORY, PROCEED o CORRECT ACTION \ND PROCEED o CORREC~51 ALL FOR REINSPECTION BEFORE COVERING Inspector: ~. Owner/Contr: CALL 447-9850 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSN071 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE A~O UTILITY CONNECTION PERMIT DIRECTIONS ...._ SPACES NUMBERED 1 TtiRU fiMUSTBE"1=tlbliD.W. '. J ~~~QF;tF, ~F~MI"TI~ ISSUED (Please Print or Type and sign at bottom) ::7!t~s- ~.. rnlmJ- Av-~ L/<- d. LOT~e~ ~~ BLOCK TWf> -1\5 PID ~5"" q 56- 0\ r....o LNb-{)d.':l Q'.Cf4' 0+ N a.~~W &!1~" (Address) (Tel. No.) : L~ 1~ Q.:d~~lVl'\(Y\""~' -H 4"t"">I~ (Address) (Tel. No.""'- '2..U . 'i'U( . ~~,~, -"OP"- . New Construction LJ Chimney a Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. . 4~ P\t..f'~~ Width Depth Yes No 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 :UiklOlg r'- Ul~.:.nn: for i:cause. Furthenno.., I hereby agree that Ule aty oIf~~ or a doS912:a:onter upon \he property to per: j"!J~ ~ DATE RECEIVED JlM-2am ADDITION 4;"~: . f (Name) illM ~I ~l~r (Name) 5. ARCHITECT ....... (Name) (Address) ... \ Du~ _-<-7 Fireplace a Alterations LJ Septic a Addition~ Deck a Finish Attic 0 Re-roofing a Porch a Re-siding LJ Finish Basement LJ 16. PROJECT COSTNALUE 1. White 2. Pink 3. Yellow File "cant Permit No. . OQ;l'5(7 BUILDING I_ATION 11. SIZE OF STRUC~ (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE Pressure Reducer .......................... $ Meter Hom .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee . .. .. .. .. .. .. .. .. .. . .. .. ... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ..... ............................. ....... $ Total Due .............................. $~ Z. U ed Paid ~. 8'1- ReceipttJjo. .37&5'1 Issu Date 0 By ~ Th~ ~ \0 cortify lhat \he request in \he abcNe _lion and accompanying documents is ~ acoonlanco wIlh \he City Zooi 0 nonce and ""y ~....-. This -......_ signed.Jw)he yity PI r constitutes a temporary Certifi~te o~z. 0 . g compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. -L/"~ ~ t~:2+. ~ C' Planner ate Special Conditions if any Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -11} aO(). 00 USE OF BUe; A JIl- TYPE OF CONSTRUCTION: I 1/ III IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ 2'1e.{. ?~ L1'5 ~S~ q.~O Penalty....................................... $ Plumbing Permit Fee ....................... $ ~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Side MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA 0 PILING LOGS LJ PERCOLATION TESTS LJ PLANS & SPECS a SETS SURVEY PLOT PLAN LJ COPIES a Amount Brought Forward ... .. .. .. .. .. .. ... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee .. .. .. . .. . .. . .. .. ... ... $ Sewer Tap ................................... $ $ 24 hour notice for all inspections (952) 447-9850 OV.O~IA The Cenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J\ (Yl \ ~0 ~ APPLICATION RECEIVED :s \)f'\L, 0 yh) ~(5{)0 ., The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1~7r/s 1{t~0V0t' fwU1lJ-r... Accepted Accepted With Corrections ~ Denied Reviewed Date: {'-'23-~ Comments: I. Up~ SIM-oLc.ca ~-\-ec..{c)-C:; _.~ od-~~ 2. S~t,.. l:-~ \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 6\).~(~ The Center of the I.akr Country White -Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT JI (Y\ \ (')0 ':c\ e. 'f,.. APPLICATION RECEIVED .::\\ \f'\L. Sr-h) ;;)000 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IS 7 ~ 'S 1< \ dry iY\/'d\\l /1 r A\S nUL Accepted c/ Accepted With Corrections Denied Reviewed By: ~~/4/frh Date: ~1/t9? ( Comments: /~1eAA. ~ T7~,\~ ~ 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. II / / ~ Date Site Address Lot Owner's Name Address Conn. Load Fuel~ Supply Openings Return Openings Input Edr. Cfm. Alterations Repair CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 Flue Size l l1 Output AIR CONDmONER' UNITS CANNOT ENCROACH INTO SIDEYARD Sc I DACKS. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices ~ TYPE OF WORK New Construction - Replacement , Est. Comp. Date a; -~7 Est. Cost $ ~ ' Building Permit # HEATING PERMIT FEE $-.3 C\ ~O STATE SURCHARGE $, .50 TOTAL PERMIT FEES $, 40 ,,00 Receipt # ?:Clf1# 7 TYPE OF STRUCTURE 1. Pink - File 2. Green - City 3. Yellow - Contractor Single Family Commercial ~ _ Two-Family Industrial HEATING APPLICATION I PERMIT = 7/'~PID# ~4.'1f,-oIYl~ ",j~., \ ~ 7 ~ ct<: ('\~R.- ~()rv +- ~ .- v . B~k Addition 'J~~ I~IGY \~7~ 9,:o~~.o~ Av~ Heating Contractor Ow Y\~. ('. Address ~-e....,.., Telephone # \.!4.0 - !)\ )<\_ Furnace Make & Model ''''~~ ~r ModelSize '7lcoo B1U Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only Public Multi-Family Other 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 buildino permit number before build- ing certificate of occupancy will be issued. J::iEAI CALCULATIONS BEQUIRe.D 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 WQl:k.~hich requires review and approval of plans. """ ~ z.~o ,.,/ ;ardo f...f ba'te PRIOR LAKE DEPARTMENTOF -'f- ' BUILDING AND INSPECTION .." INSPECTION RECORD SITE ADDRESS J5.28e:; (2.,..J.ta..Mtrl" J- NATUREOFWORK ::l~ ~u ~ USE OF BUILDING ~f::"y) 0 PERMIT NO. 00. OS/7 DATE ISSUED (P-25-~C CONTRACTOR ~_l :IM. ~vq. ~ y>HcfJE- ()). ~';l\ - '-12 <.ta a NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPE" I vR DATE FOOTING ~~\"'~ <S~~,t- .~~I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSULATION ELECTRICAL ~d;, I'C~ 1f,lP; I~/; ~ HEATING ,(if required) /~ ~6 ) ~/7/~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL -g~'1 4 \";J..' r Ol ' HEATING 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 ,pproved. 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