HomeMy WebLinkAboutBuilding Permit 00-0548
DATE RECEIVED CITY OF PRIOR LAKE
I f BUILDING PERMIT,
~ J 5 ao TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I rs4~!!ua:: ~ (,g:~ ~ '1t/{fJ
Septic a Deck a Re-roofing a Porch a
Addition a Finish Attic a Re-siding 0 Finish Basement 0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
:.E::~::~~j;;;;P]~;;~~ [II
3. LEGAL DESCRIPTION
d~ BL09K~
ADDITION ~/l/nu.J() >j-fr-
(Name)
LOT
4. OWNER
(Address)
5. ARCHITECT
(Name)
(Address)
6.BUllD~~n
7. TYPE OF WORK /' Fireplace a
New ConstructionV' Alterations 0
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft
9. PROPERTY DIMENSIONS
Width Depth
1. White
2. Pink
3. Yellow
Pile
Qty
Applicant
Permit No.
o 0,"'098
· 1.DATE
~- /~Ol)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
Yes
1 O. CULVERT SIZE
No
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 al nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uildi~=voke th~ermit fo st cause. Furthermore, I hereby agree that the city oJqg-~gnee may enter upon the property to p~ :i~~;'
, / /1 .:; Signature License No. Date
I J FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING ~
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA a
PILING LOGS a PERCOLATION TESTS 0
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
o COPIES
a
~~C!CD . 00
Amount Brought Forward ... . .. .. ..... ..... $
Park Support Fee ........................... $ f:JS:) . CJO
SAC ......................................... $~ I 00 . 00
Collective Street Fee ....................... $
Sewer Tap ............... ...... ......... ..... $
Pressure Reducer ... ..~Ie.~.............. :
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ S; 7.55. 4:a
, -
Paid <:'1 ,r- " '{/ Receipt
Issued . . Co--(
Date ~ /'. J tfl/ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~~J:e and may proceed requested. This document when
sign11~ the qt tlann_er constitutes a temporary Certi~cate_of ~oni~~mplian~d al~s ~struction to commence. Bator. e occupancy, a Certificate of Occupancy must be issued.
..~ -1IJ~~/~ ~,~(Jl~~'~~~~~..
~~ ~ V ~~~~ - -
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
City:
Plan Check Fee ............................. $
SSG,. 00
55~ . l./o
47 . sO
State Su rcharge ............................. $
Penalty......... .............................. $
Plumbing Permit Fee ....................... $
/ t:JO . oe
100 .00
35.56
Mechanical Permit Fee ..................... $
L{aoo
, 25".00
, t"2. 00 ..C)e
..,~ .QO
o
24 hour notice for all inspections (952) 447-9850
DO ~os4B
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT W'.K\h~y\ >~
APPLICATION RECEIVED .... ) .I..N'\J.-- \ ,':) . t'h.l ;::7--f>T7rD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5S'L] ~~L ~ Nw
Accepted X.
Accepted With Corrections
Denied ~ t..
Reviewed Bi~o.. f-2-'
7
Date: ~ -1~ 2..oer"1S"
Comments:
s..p ISc;?1 'BtcO\r;sr'd.R. L"" ro'l- ~\~....'\ ~u~, c..k
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."
--- ,~.........~.:;~.,"-
~-----:;:;---~-~--
The Center of the Lake Country
DD-o<;4B
7
White ..- Building
Canary -. Engineering
Pink - Planning
<~~:~\"-f' \<~< "'~,:\. ';.,~:::";:"'i,~,:,:,'4t"~~~.~~i:~{r
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
. i
NAME OF APPLICANT t0o..f\~fY'a..nf\ U\'\.o..i
APPLICATION RECEIVED ~ -5 -+1\, ~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is ,proposed at: .. \
\55t"J'I> ~\ cie.., ~. tJ IN
V
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
&-U-C9-0
~
I
,
COEents:
~ .' ~'r ~O ~ ('-'~rWMsft ~
,U,J). t:r ~~- PiSS ~ (~~
y&. ~\tl~o
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,lI
It . .
, ......
()1) '- () ~ ~e
Tht ("tntrr 01 tht L.kt Country
White - Building
Canary - Engineering'
Pink' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l)JOAs"'fY1t)j"f\.. --UY\..lLQ
APPLICATION RECEIVED" ~ {~ ( S' '+1\' , 6ltJ?)fJ
, ,,) , ---
:; ;
, '
. . ., .
, The Building, Engineering, and Plan~ing Departments have'reviewed the building permit
application for construction activity which is proposed at: . '
~. --\55'7't~"'~ LPJA'-~ /OVv
,"
."
Accepted
/
, Accepted With Corrections,
Denied
Reviewed By: (..;"4" t . (!().('/$()Y1
. Comments: 5'~ inEorm../ion pn -/-J..-t
Date: (,/~//tX)
rll.vt.t"S t:... 5 i J..,
, '
... '. _._._ __0. __ .. M..... __.____,._._:"'~.H____ ._. __..._____ ....::.:_.____ __ ._.:............... ,,___... _______....._____... __A .____...._........._._ ___..._____~....- ___._.n ~." ..-.'
'~~, ~~,,+s: I. bit .1 C;raJ~ :L~Sf~~ht.~ ~~r,"4f"al1 ". ~,.111;~ PIV/
3. Ero$I"e:Jn Cotllro I ,Mea.~(Jr~s 'if. Er# SiD'" flJ"f-,./I! Plit."
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
pr~surning to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid"II
~~p
JUN. 30.2000 8: 36AM
GENZ RYAN 6513226147
NO. ':;I ( (
P.9/9
~PR~
.-17~~
~NE~--- SA~~~ ~: ~T
I , c. ~ 3 2000 NOTE:
1.
2.
3.
.\ 4.
s.
fie
.,. ,/
_....
~.~
.... . at,
NO.QO-(~~
Sewer and. Water
contractors must
be reqistered
with ~e city.
APPLICANT: ~.r\~- ~lJLf'" Pt~, ~ &Jptln.ot'~ PHONE: .JG>>..->'- "4-+..~- , , ~
ADDRESS: 141l.1~ ~~....r <<'ClIJl.DATE:...J IJ I ~ ! (S11
SIGNATURE: lJ -"* BLDG. PERMIT ,6D-&-5QV
SITE ADDRESS: rS~/~k:.s.1 C!t" L.bJ PID'AS- :)b"~ ~~b
FILL IN THE BLANICS
~,
Estimated lan9~h of water ..rvi08 ~
I ,r
Size of water service inch(e.).
teet.
Location af any couplinqs tram s~ructure feet.
Type ot sewer pipe. ABS I'Ve: X Cast Iron
EstiDated length of sewer lin~ ~I feet.
Clean cut (if required), located at feet tram
struct.ure.
""
-- ~~---_..... ---
-.--=..
_.....lr ________--
Thi~!kl~i:ation
BY ^
~~~ $& -:5.00 -~
$ . SO
$ 35.50
yourperm1t vhen approv,d.
I .. -:J ~TE: t"J Ifi ~ hiJ
I I
-.E___ _ -L A. _"b.
-..-.:._..... ",. _. .1,,---
11III.
Sewer and water line connec~ion permit.
Surcharge
TOTAL
'*
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
Sewer and water permits issued tor new construction must be
recoraed on th. buildin~ permit card at the time ot issuance
~o insure that no dup11cate sewer and water permits are
1ssued. ~
DA'l'E PAID / \1\'\ AKOtJN'l' PAID ./
RECEIPT t / ~\O~p~f\tA\"'Uc'o BY /
/ ~\~ I
.
. 4629 Dakota St 5.E., Prior Lake. MInnesota 55372 I Ph. (612) 447-4230 J Fax (612) 447-4245
AN E~ OPPORnJN'N D4PLOI'!It
PID. Q3'" - :~ C-.. '1- O~Q) - (J
~(lN'-~ \ '\::;)(... ( to..- "\
C'~ l.l ~ r\1 ~ ,cl.ok.f' ,5("(1 ~
OWnefsName.1 A.-....~.iA~ Af\.f'\ ~~
Addless, 1<rPr ~ vi A- 'NA. 'lM._ ~ 2N."'"\ Ell AAN ~ r 1. L.
Healll\9 Contractol r-,PYl7_ - ~'-(1..Y1
Addte", 141~6 So R~t-~ -rll-L- ~n I VIr ')q.r,~
Telephone' , lv~ ~ 4L~"I' uLl-
FurAace Make & ModeJ Le.~um~ TYPE OF SYSTEM
"_'J I _"" '2..' . . Walm Air Plants X
Moder Size \.?~Ul'.J ~ - lOO Gravity
Mechanical
Ar, Condlllonlng)l 4'ro N
Vent. System
HEAllNG OR POWER PLANT
Steam
Hot Wall'
Radhltlon
Special Dnlc8.
uate
Conn. Load
r--
~ Fuel lJM r -Ii ~ Flue Size
IJ)
N ~~
8=f Supply Openings
...-4
~ Relurn Openings 10
z q"ouD
~ InpU1' 001 O"DO Output
0::
N Edr.
Z '
W
l!) elm.,
Other Device. ~WlO1f!- Z.O
TYPE OF WORK
E
~ Aler8l1ons Reptacement New Construclion \f..
~ Repair . Esl Comp. Dale ,
~ ESI.Cost$ · BUltd7ng ermlll' Of) - D,~ ~~
CSl .
~ HEATING P~RMITFEE$ . ,,- PAID WITH
~ STATE SURCHARGE $ /'50 BUILDING PEF~,
~ . /
([ TOTAL PERMIT FEES . Rec8rpl " . -
TVPE OF STRUCTURE
1. Pi..
2. On:
3. Vetl..
FIle
Ct,
ClllnlrKttlIt
Sing's Family
Commercral,
\(
Two-Fam1v
Induslrral ,
Mulli-Famlly
PubDc Other '
Fee Schedufe
Indua'riat, Commercla1 "MullI-Famlly
Rea1denOaf, Heatrng & AC
Resrdenliaf, Heating OnlV
Resldent'sl, Gas Fileplace
Ru1den1ialr Adrtitions & ArtslalfoIls
Reside nti at, AC On ry
1 % of Job COlt ($3'.50 m1n1nun)
$99 60............. -;:::3,"-" r;::-' r
. )' -, i.~ L5c
~ .\-"""':t I
184.60 . -:::J,~ u
$39.50 ~ U 28 IJftM
$39.50 CUUU
$39. 50.
.)
Remember to~.""'1he Slale Surcharge on II. bottom 01 hl.8pplcallan.
The.plice 01 your heatrng permit JnckJdes one rough.rn and one rJnal inspecUon.
Additional inspections will be. blled aI $35.00 each.
House HaaUng Test Record mu~1 be submhted wlth"'..~n'I\~,.~rt number belore build-
klg certfffcale of occupancy wll be issued.
HEAT CAlCULATrONS rll=O' fI.RFO wrth number 01 luppty and relwn openk1gs Hsted per
room wfth CFM's per opening. New Ilrucluros or 8ddItrons send tloorplan wlh suppJy
and return lacaDons shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE Cny OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKEt MN 55372.
CRy Hall busrness hours 81e 8 a.m. . 4:30 pm.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL
447-4230
I hereby appty for a mechanJcal Iv_lems permfl and I acknowredge Ihallhe
Inrormaljon aboye is compl.llt and accurate: thallhe work will be In con'ormsoc&
wUI'\ the ordinances and code. of lhe cllV end wUh lhe state building/mechanical
codss; thst this form doe. nol become 8 permit until aloned bV the BUILDING
OFFICrAL; thai Ihe work will be In accordance wl1h Ihe approyed plan In the
case 01 all trk which raqul,... review end approval 01 plans.
11 .^~~ · ~\2::J rro _
-: leanl's a - Date
( ) r-U/l . ':1)../A'd.M ~ y /t9 vktf)
o 1luJrllng Ollical'. SlgilsJIIre - jOalll .~
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant:. .&.r12 - ~
Address; ll.\ .., 4? ~ (li5 v;.u1.:f' "T"n". L-
Signature: ~ '
Legal Descrfptlon: lot '--' ~a Block 1 Sub (~V _
Site Address: 1!:;c:J77 ~CC~'OC ~ ~~n~
BUilding Permit # an - r)(~ ~S( PIC # a:s - (\f:] - 0;6) -0
NOTE: This permit w)1I not be processed wtthout complete information.
FIXTURE UNITS
AUG. 25. 2000 10:36AM
GENZ RYAN 6513226147
n. (rn'cr ., eI.t' lalit Call"''''
rn(~~Q~lli .
~28m Ii
- j)!
NO. 136
P.3/12
r. Btqc
1. Ciald
3. Y dJO\lf
file:
0.,
AFPIiQD4
# ..oO-~lIV
_Phone:.J.oSI .. U 2 ~- J /4-\..1
Quantity Type of Fixture Quantity Type at Fixture
r Bath Tub with or without shower Rough-ins
\ Dishwasher , Water Heater
\ Floor Drain el J Water Softner
Ll Lavatory (bathroom sink) / Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
~ Shower Stall Backflow AssemblY (RP7, Double Check, PVB)
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
?; Water Closet (toilet) 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
GRANO TOTAL.
'lto
'This r ",....,;t is smnted upon Ulc expres.s condition thQt s;ud
CCntrilctofy shall comply in nil respceu with me ordinances
af the: Sm~e Plumbing Code and the QI11 me thereat.
...'"
.,; ~. RE N .~ DATE
J~ . df
C 1 for all inspecti~ 24 hours in adviUlce.
s
$
s
$
/
.50
~,.
~~0~
~~
16200 Eagle Creek Av. S.E., Prior L:1ke, Minnesota 55372/ Ph. (612) 4474230 I F~X (612) 447-42~S
An EqWl.l Opportunity Employer
PRIOR LAKE DEPARTMENTOF .....
. .' BUILDING AND INSPECTION
'<I
INSPECTION RECORD
SITE ADDRESS 'S~, '" (~~k c;,'cia. LV\,
NATURE OF WORK tJ~
USE OF BUILDING SPA.
PERMIT NO. no -r) 5.4?J DATE ISSUED fs, -2~-Goo tS'
CONTRACTOR LJ~....i~IA.~ ~... ?\\oNe.... lP'Sl- ':ItX.t -L/t./(Jo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~INSPECTOR 1!/~;
FOUNDATION (Prior to Backfill)~ "4. 7 / I'll bD ~ ~ 7lW
- ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/$EPTIC ..II?/~ ~.
FRAMING u~ ~t~~ cf..hl6-
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AiR TEST "...~ I
?/JZ/IJ{}
,
\
~.~
~ 1/cJ., 7j70
qI~ j::J-Z~)
. ~., '/~II""
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-~
GRADING (Prior to Sodding)
BUILDING1t.D~ cz\\I.\ ~ ID/?-'l(11
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
t~ ~
I ,
I~' )~"D \
~ J-!-- - to-"? d.~dJO
f( J} ;0/ :u, -00
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 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
(I"n~ TlMIi
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,t4I;~Ja, II) ..:5d
ADDRESS
1~7 ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ -5~ tf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~~
~~~
D
EINSPECTION BEFORE COVERING
Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATIS
TIM I
~IW e, ~.I~A &.AK~
INSPECnON NOTICE
...
-
SCHEDULED
Io/ci). ~/C/'f
~ tR..t>a tC- rl Die
113tJ
ADDRESS /557?
OWNER
CONTR.
PHONE NO.
WA". '--'- t:J-ep~1
PERMIT NO. ~U, ~'- - CJ -Slf?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
1ZlFINAL
o SITE INSPE
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.. IIU:JMBltJQ FINAL
,. MCal1 FINJ.:" --
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:(i) ~~ l':.Ar'-.rIl~.
~.~ ~ ~ UrJ (J---
(tf ~.f'. ~'~~
"" .C.Or
o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L;Zr;}, 1lIIE
OWNER
15577 BROOKSIDE LANE
PERMIT #00-548
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
g, INSULATION
/l4 FINAL
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 GASLlNE AIR TST
o
COMMENTS:
" I ..sS u.. ~ L--.O c.
ct t;> s. pC,.... ~:- Ie..,
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WeeK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.... ~O^A(J Owner/Contr:
CALL 447-9850 FO.:t THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
-.-
.......--.A~E..
PERFORMANCE TEST
Locate near thefumace m;~o~~'1
LP Gas Natural Gas X
Job Address ./~'/7 I,gy~k$/d(.. I 0
Heating ContractorC~& a'y~A' - .
Name of Tester ;7 v ( ..
Date /t? - / b - e;e;
Pe~cent O2 7
Percent co ~
~
3:50
Percent cO2
Stack Temp.
Q r"
Pressure J l oJ {A.I .; ( ,.
White - City Copy Tag - Site Copy
.~.
rl