HomeMy WebLinkAboutBuilding Permit 00-0570
DATE RECEIVED CITY OF PRIOR LAKE
I I BUILDING PERMIT,
(r; ,q ([D TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTIONe.ERMIT
::::;;:;E=fs~:~~~~eMp~~To~;;L~~~~~ at bottom) . ~ iX)
~ e~AJoJ 61.
3. LEGAL DESCRIPTION
LOT 2- ~LopK. I, PID 6\.5- 253-~-o
ADDITION~r}Jft 6~4-ks 4~ /JJJ.
4.~ .'&i:m:t>lili!U" /m,M;;;:'IrII*-. $...--J~ (;;).~~
5. ARCHITECT (Name) (Address) (Tel. No.)
1. White
2. Pink
3. Yellow
File
City
AppIic:aDt
Permit No. -.DO .05:/D
BUILDIN811PORMA nON
11. SIZE OF SllIICTURE
(Height) (WIdIh) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
Q~4 -tf '<-r:;.t)
.
6'~hZJi It;;}, :h,L.
15. NUMBER OF OCCUPANTS OR SEATS
OCCU~~NTS
SEATS "
16. PROJECT COSTNALUE
{{,);,l. ;rS
7/~ (7;'71> 51~ e
f/I',r kiL
1.",.~.
N~~nstruction Dl
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Re-roofing a Porch a
Re-siding a Finish Basement a
Deck a
Finish Attic a
Septic a
Addition a
Fireplace a
Alterations a
17. COMPLETION DATE
1 O. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
I Jtereby 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
ttfelWo., va ~ and t all construction will conform to aI existing state and local laws and will procaed In acconlance with submitted plans. I am awa.. that 1I1e
building official 0 thi for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perto,!" J'E}eded inspections.
X "'PI" · -Lrp~ lit)
, r ... re License No. _ ....
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ SETS
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION II ~/~O. ~c:)
~
USE OF BUILDING
a COPIES
a
SURVEY
PLOT PLAN
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .. .. .. . .. .. .. .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. .. .. .. . .. ... ... $
City:
~.t!JQ...
J . It:)(). c!)O
r
95;2. -:<s-
~.~
Sk · s-o
Plan Check Fee ............................. $
Sewer Tap ................................... $
Pressure Reducer ... fa. ~............... :
Meter Hom ... .. .. .. .. .. .. . .. .. .. .. .. .. . .. . ... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ....... .. . .. . .. .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $~(;O ~ ..n~J
Other......................................... $
Total Due .............................. $ ~.3 a3.... z..1
Paid ~I'~~'~ ;),1 Receipt No. ,,~;\ q
Issued . Date ~ 1~1J (llJ BY')-
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZOnin~rdinance and may proceed s
~~..Ian.. ner constituteS a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica 0
'0~~&.Cd. ry,."..d)4 ~ -~-('~ ~
City Planner 'Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
State Surcharge............................. $
4t,~oQ
Penalty....................................... $
].11>
1.1-
loo.Q1
100.,00
3S'.~
Plumbing Permit Fee ....................... $
125 .C1O
" 2. C)O .d)6'
~t:)O.~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
...
Iding Permit when~~~ _ .......
Date ~ -;,1:1 "4X:XJ
./
.
""
...
~Ob Address lir8~/,;'tlltolJ pi
Heating Contractor J, r ~ s'..4r /
Name of Tester ~rf Ii ·
Date f/J S:-h 0
Percent 0 t', /">
'percent CO2 f, 2. A
Percent co () /et
Stack Temp. /33 '
"
f,
. .'
..
_ J
/
White - Building
Canary - Engineering
Pink - Planning
Thr erntrr of thr L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT %n, ~ h ~ ,'~c..,~
APPLICATION RECEIVED ~ \. ~\ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~S-
~~lv-Bf r_J'nN+
Accepted With Corrections >(
Accepted
::::::ed B{2fl a
Comments:
Date: t. -2~-a.......o
,~
I. Rnr~&cJr ~~natJ ~
- - , -
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
, .
- ...
· .. 00. 0670
. Thor ("~nl~r .of lht Lake Counl~.
White - Building .
. Canary - Engineering. .'
Pink - Planning ...
BUILDING PERMIT APPi.JCATION' DI:PARTMENTCHECKLIST
. . .
. . . . .
.' . .
> NAME OF APPLICANT Wl..X\I~ h \4r~ ,'nc. ... ... ,
... A~PUCAtIOf\JRECEIVED ..,...<\OY\L,,\~ 1000CJtr().
. .. ~ . .'
. .' . . .' . . . .
'. . .. .'... . .
.:Ths. Building, Engineering; 'and PlannhlgDepartrnent$ have' reviewed.thebuildingpermit .'
'. appUcationfor const~uctionactiyitywhich is proposed at . ... .
..... " . . . :
.. ... .., 11'S~~ 0t~)(Ld0,,('-,cn;r\-.
Accep!ed.". .
'./
~ .
. Accepted With CQrrections .
. Denied '. .' '.' .
ReViewedBy:_G~IJ--I1.d.<'OJ1. .. Date: ~/R6'/~
Comments:.. Slotd. ftUJ.tf ~'1.'1.. tln~ p 4
LutHaI(~. .. .... '. .... ..'.
..See-fb. ;it~;'flio:l:"dn. art...?Jt!r~c:. .5/~.
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.. ...The issuance or .granting of a .permit. or approval. of plans,. specifications' and ....
...computation.s shall not be.construed.to be a permitfbr, or an approval of; any violation of
any of the provisions of this.code or of. any other ordinance of the jurisdiction. Permits'
:. . pr.esuming to give authority.' to vi~lateor 'cancel the provisions of this code or. other .
'. ordina.nces of the jurisdiction shan nolba valid." . .
.~
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~~ CITY OF PRIOR LAKE IIC
~ ~ 1GOD E.... ere.kAy. S.E PenniNo. em -~'lO
PIlot' ~ IIN S5372
... tEAnNG APPUCA110N J PEAIIfT
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Addr..
~ConDdal A}r Ju,('f;"~1iIJ ~II__
...... Jrf??ilE~ ~Aw f.b. />I,
TeIIptw\l' r~A ?~1 2..7:1'7
fur.... MI. ...... U;/J l _
UDd.r Sit. Jl ( ""j/: ~ i.
Conn.lMd
Full -flJ ~ ... _F_ Size .1 '~.-:tO _
Suppt, ap.nnga J IJ
f
nPE OF SYS1EM
W81", Ail ,.....
GnMlr
Med\atWal ~
M ~iliDnilg"
V.. s,,,..
HfABIG OR POM:R PlMJ
~.aam
"-,...t,, ()pIninp
Hot WaIiw
RadiaIioft
$pedal o.vas
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of
lnput .j,.D~_ Output ~.s':ZA!J
Edr.
ctm.
Ottwr DMices
TYPE OF WORK
~
A"'afiDns
. Rliplla!JtIlnt New CollllrUdion
-.
.,.
~
co
"tt ....
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IS)
Repeit EJI. Comp. Date
rst r-.,.- S ..,- - .. D..._~, ~ ~ r- ~C::.'\
~"'''''''I'~ . '"". ..L_ (..J()..-" \...-J ___"-.. .. I ... J
~TINGPERNrTFU;' / PA\OwrrH
STATESURCtWlGE I /.50 . BUILDING peRMIT
TOTAl PBlMITl'EE5 Y -.---. Recetll' -- .
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IS) .
IS)Cl
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COO
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TYPE OF STRUCTUAEr
~ F8niIy '-I--
Twe-Fanily .
"'rilll
~
P1.bic .
CommlfC_t . .
Fee Schedute
IndusIrial Commen:. A ML4Ii.F-.niy
Relidential, ~ & AC
Reside~ Heating O~
AesidenW. G-. Firep*e
Res identiat. Addiaionl & Alreraoons
Res_nt.. At; Only
1% 01 ioh r..~~ '. fi:? ~ "2 ] \\ n r.~-i..'.. '. _ .~
199 50 .(,s ~..5 \3 ~') i
SM~50 f' ' I
139.50 ~ C . 28m
S39.5<<! I
m.M \
R.",embef 10 .ad the State Surcharge Gf\ .. botlam oI1hn1pp
;..: ~..J;
The price of your Mdng pesmil indudes one rauglHn and one f
Additio.. .....c:IiDM wit be Oiled at 135.00 ..Il
'fouse Haating Tal Record must be s&Atmilted with tUtIDD 11M!
ing cettrale at occupancy wit be -..ct
tlFKt r.AI ~, "..-nrw~ p6:""t~~ wIh ,..".. at supptv IDd n
100m with CFU's perGpet'ing. New shUClUfe 01 adfMions send
and return IlatiDn8 MOWIl. HEAT lOSS CAlCULATtONS, PAV1
A....UCATlONS MAY BE MMED TO THE CITY OF PRIOR LAII
CREEK AVE. S.E. PRIOR LUE. MN 5&172.
c~ ~ l'"AJsiness hour. ..8 8.nI. - 4:3G p.m.
ALL WORK MUST BE INS..ECTtD (ROUGH-" AND FINAL) .
..,-,aso FA)("
I ....reby' apply tor a mechanic.. .Vat8ln$ Jlermit and I ad
jnformabon .bcwe 1a com,.... and IlCCUlale~ that 1M WOf'k ~
wit" the ordinances ~nd cod.s of 'hit city and wtth tt\e stat
codes~ "'at ~is fo'm dOM 001 become a permilLIRIl1 ~gfl
Of FtC tAL: tl1.. the WOfk wi.. b. if't ac:corda n ce with the 81
;,-;:;;; 0":: ;:-. ':7'*':::-;- ::-:-::-_-:.." -:~;:..::~-== : =--~- -:. ': '..i.~.- ..---.. -
~
() . ro. L ^ 7JUA ('1., -hll>.
B~~..S~ure .--. .--
-
Pi..".",.. < >"'i" ...Pelllil;
~ IIchlf > .P/~, .....,... . ,'......".".JIJlI>I1e:~,.....
Addr8s8: ~~ '.
~:- . " .. . ,. .'..>'<~>L."...........' ..'X .'...'..'. ,. '... :'...\... ,..-......./. ""i':"J~4;:;J....'.....".......... .~ .......-.11
Legal De~.~;on: e ;l-. BIock-l . .. . ...JPUI.iU'~" .... ......~
Site AddreSs: JIJ~ 9'., 11 J,#&WFJ,dl-"""'- . ..' .. ... " ... . '
Building Permit ;" PIC ,~.".- ~.~...(/J) ....e:,).J.,
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
I .~.,'":,.,, ~~,~. .l'.~.'(~<~'~~'
"~::~j~~.'~;~';~;\:,',. ~;;if~ ~';~_~;~'~::,'~;':_"::i:,.J;it~
i ~";
TIlt Cnttr.,..... ~
Quantity Type of Fixture Quantity
~ Bath Tub with or without.shower I
t Dishwasher I
I Floor Drain
~ Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
Shower Stall
I Sinks
Bar Sink
;;.". Water Closet (toilet)
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
GRAND TOTAL
ti-:,.f,-;'.,',,:'i
~":rr_l<,j\::';",',i
Type of Fixture
Rough-ins"
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
$
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
. --.' p. RECEIPT NO. lP J ~ J DO DATE
(] ~' , AllhST
c;;{ for all inspections 24 hours in advance.
JJ"l:I3d E>NIC1Ina
H.LIM CIVd
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
; : y: "<~::'.?'j,:::,:" ;--','::"t'~~;:-:~.;':;
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..<t#iMitClFAPPlilSj\NT ..~l"h _~Jn c;.
.......l...~.......... ~ .....'^-........................ \'l ,~/~'
~lW .,\ VV ~
,. .
, .
. ....~e:.~~ildjn9f...En9ineeringi .and.PI~nnblg ..Departments..have.....reviewett.the.building ..permit
.aPPUQation<forconstruclian activity which is proposed at: .
,1 'S~S'" ~ ~w r-tK> ct (. (n r(' \.
~
~~
Accepted
Accepted. With Corrections
Denied.
Reviewed By: . .
Date:
2-t, · .6)r) .
Comments:
/trv~ .~
t-l3.t9{),
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
PRIOR LAKE
..,
INSPECTION RECORD
R.,&v Wn... ~ _ OJ.
DEPARTMENT OF -....
BUILDING AND INSPECTION
SITE ADDRESS 11S 85""
NATURE OF WORK ~
USE OF BUILDING ~~r)
PERMIT NO. (2{J- 0570 DATE ISSUED u -"29-Z000
CONTRACTOR ~ i"c)~ ~." IT~,.;,{ t't\o~~~ (-/'l-,:!c.Io.. XJt-er-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/ INSPECTOR DAT~
FOOTING 14I~ f;tr/ 71 ~ 71t/P
FOUNDATION (Prior to Backfill) ~. iiz./ In)
J . .
PLACE, NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - ~
SEWER/WATER/SEPTIC ~y. "f"1 ~~
FRAMING ~. l.I\} '1 I ~
INSULATION ~ if -# /8<'
ELECTRICAL ~. \
PLUMBING 'V ~, ~ ( ~
HEATING (if required) \ t\, ~ : 1 Jm
FIREPLACE · \ I .
..,
GAS LINE AiR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WM.J 11 D
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS I
N'6
jP/J
/)
I~J
of;:>>
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.
/ () · If. 0 I
It) · [; · a I
tj/;; 7/bI.
'tJ/d 7/'"
I /
HAS BEEN SIGNED
Call between 8:00 and 9:00 'A:M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
":~
.
-.. ..' -v.;a
\
\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /O"'l-O(
ADDRESS 1'758S- f(,,&.~C)ol c..\.
OWNER CONTR.
PHONE NO. PERMIT NO. OO,.a
o FOOTING o PLUMBING RI ~GRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
ck ~ur~
Lv J b 130 ~ - () 1<...
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT vRfCOVERING
Inspector. ~ '0# OwnerlContr.
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DA T~ riM.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-21-~ -Z:OG>
ADDRESS ~~. ~f~ I.,jO~ c...{-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C>- ~7o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~TER ':lOOKUP
~SEWER HOOKUP
1::J "PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
l447~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED t;-A"!f-DO . ~'. 0 ()
ADDRESS /1a~S-~ 1?,.~C 'v-JOOc::J G+.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00-570
D FOOTING @ D PLUMBING RI t'::::. ... II...lA I 0 EXC/GRADIFILLlNG
o FRAMING ~MECHANIC"L r I , - 0 LKSHORElWETLAND
D INSULATION D WATER HOOKUP 0 COMPLAINT
II II. '- 0 SEWER HOOKUP 0 SEPTIC FINAL
D FOUNDATION ~ 0 SEPTIC INSTA. LL 0 FIREPLACE
o DEMOLITION .J(pLUMBING "F~AL 0
o FIRE PREVo .-.~ _ _ 7J 0 SITE INSPECTION
COMMENTS: ~ 1:l.st. A /YJ ~ fiJ~
(jJJ~~~~ ~
~~~~'
. J
~~~~.<h;J~
.",
~~
P~~I
o WORK SATISFACTORY. PROCEED
f(CORRECT ACTION AND PROCEED
:S::~CA~INSPEcnON::::~NG
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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