HomeMy WebLinkAboutBldg Permit 00-0562,Plg 00-0669
DATE RECEIVED CITY OF PRIOR LAKE
r I-l...o BUILDING PERMIT,
\0 0 ,on TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2.SITEADDRESS 152..33 NIL-DS
PK. Y'J Y
b J-S()/ (/lJ
PflO
3. LEGAL DESCRIPTION
II
WILDS
I
21'0
LOT
BLOCK
PID ~-.3Z3 - 01/- ()
AOON.
, .. \ ADDITION
~ 4. OWNER
~ 5. ARCHI1ECT
(Address)
(Tel. No.)
(Name)
(Name)
(Name)
(Address)
'l 6. BUILDER
'U MeOONI1/.,O
~ 7. TYPE OF WORK
~ New Construction (]
~ Chimney (] Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(!,/)IJ ~ I ~...
Fireplace (]
Alterations (]
Septic (]
Addition (]
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Appli'*l
Permit No.
(X). 05(, Z--
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdIl) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
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 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 officlaJ can ~ke ~.... ....' rm. i.t. fo..r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 71~/7~... . 6-3()-~
~~<""" License No. DIIIJ
~UI
Amount Brought Forward . .. .. ... .. .. ... ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. .. ... .. .. . .. ... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN I:
PERMIT VALUATION 4. hlJ, lit)
USE OF BUILDING ~ ~
TYPE OF CONSTRUCTION: I II III IV fSj)
Occupancy Group A B E F HIM (J!) S U
Division 1 2 (!)4 2.,
Permit Fee ..... .............................. $ 87..s;-
Plan Check Fee ............................. $
City:
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Z.oo
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS (] ENERGY DATA (]
PILING LOGS (] PERCOLATION TESTS (]
PLANS & SPECS (] SETS
SURVEY
PLOT PLAN
(] COPIES
(]
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ e:!.: 25
Paid fJq ~ r Receipt No. ~8 OZJf
~ I
Date '/. yf-... (f?) By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ested. This document when
s~ the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
l;. t .
- City Planner Date Special Conditions if any
Sewer & Water Permit ...................... $
1 I I.~
'? . O(
(&,1
1
Gas Fireplace Permit ....................... $
This ~tion Becfomes ~r~~lding Permit o/iJ;proVed.
By ......... y ""4 c.. I- Date b ()
Certificate of Occupancy
24 hour notice for all inspections (952) 447-9850
~"""...e
) ".::10""'Ori->
"ire.,,</' ij,:,t~:r ";> ,
Pt.,.......,.,..,
ApJllicant~O ~ 'f~L . . . flttOM:
=~~:~ l71.~ lq...l.tb
I ;,1 ~~~M7/W=t~.. I ~&.b$a_,
BulIding Pennlt # ~~ PID # iitl. ~.!lt,. - 611"0
NOTE: This permit will1tl. p~~ complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
,
Bath Tub with or without shower
__ ~Djshwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, DoubtS Check, PW)
Backflow Assembly Test
Lawn Sprinkler
Other
/'i
/
.,,{
~
/
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
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C and the am ndme ts thereof.
-Z ~ 0 b~ RE I NO. ~ ::2 DATE
~~ .)'\.J~~.' .~llbST
Call for all inspect. ns 24 hours in advance.
16200 Eagle Creek Av. S.E. rior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
l#';).~L\1-~~~
00
1. ft". . fill: ~
1. Gw. - 0" r+
3. Yellllw . CanIne... OJ
'<
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Paffl\il No. CJQ - asc~
Prior uke, MN 55372
TYPE OF STRUCTURE
HEATING APPUCATlON J PERM'T
Oat. t'JJ~on PIO.. QS -<~0!3- 011-0-
ShAddress t5d.O~ t~\ \c\'\..... .Kvt.~
Lot \\ Block I Addllb1 t ^-' ~ \~, dNJ.. ~ ..\
Owne'sName l'1t.~l)c:\ Q..(Jn~ lTu.. "F"1>nu.JJ
Addnm .
H.atingContfactor ALLIED FIRESIDE dba PIRESIDE CORNEll
AddrtSl. 2700 N. PAIRVI Ell. ROSEVILLE 1 MN 55113
Telephone' . 6 S 1- 633- 2 5 61
PIREPLACE I L
Ii4IHt Make & Mod.1 l-PtA ~~O
Model Si.z~ /Dr:x::J"", C. \ ·
Building "fmk. ~
STATESURCHAAGE $././ -p~
TOTAl PERMfTfEEV.50 SU\\.I)\NG pEf\tA\l
Conn. Load
Fuel
Flu8 Sfz,
. Supply Openings
Return Openings
Input
Output ~)llnJD
Edr.
Cfm.
TYPE OF WORK
AJt8fariD n~
Replacemenl
,
,EaL Comp. Date
Repair
EsL ~s1 $ .
HEATING PERMIT FEE I
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning _
Vtnl Sylt8m
HEAllNQ OR POWER PLANT
Staam
Hot Water
Rad"aWon .
Special Devices
OIha, Devices
New Cons1ruction
Receipt J ,
--
"
Single Family _
COfTlfMrcial
"TI
H
:0
m
'00
H
o
m
o
o
:0
z
m
:0
Two~FamUy
Industrial
Mukl~FamiIy
Public .
Other
Fee Schedule
Industrial. Commerdal & Multi-Family
ResidenUal. Heating & AC
Residfntial, Healing Only
Residential, Gas Fireplace
RIsidenRat. Additions &: Altera1tons
Ae..1,rllianUal, AC 0nJy
1 % of Job cost (131.50 mIn~um)
S99.50"F:,,\ ~".' ,rr:\ R O. \\/1 y~~.\
$64.50 r r '; , ~:'~ .~ lS \:.J 15, ;
::~W(I. Jl.lla_
139.51 _ ~ · ..J;
Remember lo add lhe SlBle Surcharge on the bottom 0111I' IIWJI\;IIuun. -, ~
CD
U1
....
The prJce or your heating permft i1ctudes one .ough-in and one ,Nt insoe&lon.
CD
Co.)
Co.)
Additionaj fnspections wi be bled at 135.00 ~ach. em
em
House Helting Test Record must be sWmil1ed wUh buiIdfng IlIDDil nwdlel belDre build. ~
ing certifrcate of occupancy will be eaued. .
HEAT ~At ~I II ATIONR RFn'MRFn wIh oomber of supplv MCf return openings "led pi
room with CFM'. per opening. New *uctures or addiUons send 1I00r plan wIh auppty
and relurn localionslhown. HEAT lOSS CAlCULATI~ PAYMENT AND
APPLICATIONS MAY 8E MAflED 10 THE CtTy OF PRIOR lAKE. 11200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
L
t:
.....
Cily HeN businasa hours Ilf8 8 8.m. - 4~30 p.m. I' ..
. .
AlL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl) · CALL CITY HALL
447-423U
I
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I
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.....
t71
I hereby apply for a mechanfeal eystems permit and I Icknowted98 thal th. ~
information above fs complete and accura1e; that lhe work wtH b. in conformance ...
wUh he ordinances and codes of the cUy and with the slate buldinglmechanical
co s; at wn' form does not become a permit until signed by Ihe BUILDING
o FICIA .: lh I e work wJn be In accordance with the approved plan In 1he
~. 6eo,:,1w W ~t..;~.ndir:)DrPI~~{dlX)
. · ^'^f\'1I1~~~) 17/Q.(~ 1m;
lIuiIdiiv / SIgiiature . . , u..
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(I)
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00' o~lo Z----
Thr Crntrr of thr lib Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Mcllono.ld C~n~tru.ct\on
APPLICATION RECEIVED \Jun~ ~~ \ a()DC
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J~ \tJ\\rts 'PK~
Accepted
Accepted With Corrections )\
Denied
.~N 0 ALL
.N'PIU:J cJ€:()
Reviewed By: ~ ;J~I- Date: 7 /..31,,~
Comments: ~ 1<~P ... ~A5€lN'- C'l\f\ Fl N L S-~ K-~NO -ou:r-
I '1~ l~Ft)~~\10N 01\\ \~6
. ~L~s
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."
~rr'~r.n;';'tf.':._;: ,-_. ~.......... ,or- ~r-:
Thf C.II..r of .... Lak; Co....ry
White ,- Bu....
Carun ..<E.........,1ng
Pink .. ~ Planning
BUILDING PmMlTAPPUC,ATION DEPART~NT CHECKLIST
--' '
NAME OF APPLICANT Mc...D.o.no..-d Ccn ,* ruc..t\ on
APPLICATION RECEIVED ~f\e :5Qi+\,\ 3.6DQ
The, Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
I~ \tJ',\c\s ~~\Arf
Accepted
Accepted With Corrections
;~' "'"'"
Denied
(fl?
Date:
Reviewed By:
Comments:
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
PRIO'R LAKE
..,
INSPECTION RECORD
SITE ADDRESS 152.$3 WlJ..f)S #AIl/Lwltr
NATURE OF WORK BASEJ".EnJ'r ' J:!;";.J'S-H
USE OF BUILDING R.es- A/J2.
PE'RMIT NO. ()()-O~(PZ-- · DATE ISSUED '713/~1J
CONTRACTOR yt{Q,f)~JJ~Lb ~1J>"../W.cr/fJ~ PHoNe tL" I ~ -L(3~ .. 7'~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF -...
BUILDING AND INSPECTION
INSPECTOR
DATE
PLAC.E. NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
. ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE ·
GAS LINE AIR TEST
y)) r'7.80
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~~~~ /6 j~ {Jf
~\. ~..J ~ ~~O(
~ \'fluy. 10 jJrtb IOJ
UNTIL ABOVE HAS ~EEN 'SIG'NED
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, p~aced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /0.:d6-1- d J~
/7~ 33 tu~ p,ecu!.J-
, v
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-56cr--
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION I L-
A' ~NAL t-
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:
r,_
~)I'C>~e,. . \ ( ~
/'
I WORK SATISFACTORY, PROCEED
o CORRECT ACTIOf\ AND PROCEED
D CORRECT W01ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THl NEXT INSPECTION 24 HOURS IN ADVANCE.
\
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fl.... II....