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Home My WebLink AboutBuilding Permit 00-0771 t@~ QATl= PI=(":l=."l=1") CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant tP /cp /00 Permit No.---'20. O-rI1.- DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS 14t...., '~7 ~ JrrO I RI$.D BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) ~ hi'wl/j &,(11'.h BLOCK IO'^t \1 HAl/) Trt-~ I (Depth) 3. LEGAL DESCRIPTION LOTIt. ~ I ~ P- il~ ADDITIO~ C 0 ~ Rot{ .5 12. NO. OF STORIES ~ 13. TYPE OF CO..N,STRUCTI~ \t-:l~ rR~rY\c 14. FLOOR AREA APPORTIONMENT USE ~~- IlL.! - ()Qoh~ PID 14. OWNER _ (Name) -Sl:>~oj:) \ v.~ -m- 15. ARCHITECT 6. BUILDER (Address) St\~'( &Pc\\. 1R (Tel. No.) lJ4S-'17'13 /'1/31 (Name) (Address) (Tel. No.) (Name) (Address) <2.0 (Tel. No.) Ill'" - /6</';; 757- 65(,3 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS OfF:cc: CCL-L 'i5'd Ow~ Sv.~Co~a-co SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re.roofing 0 Porch 0 New Construction 0 Alterations 0 Addition)( Finish Attic 0 Re-siding 0 Finish Basement 0 ChimneyD Misc. I ~Ort-V ~..J MM/f! 'f'...,...-c. 8. PROPERTY AREA OR ACRES 19. PROPiRlY DIMENSIONS 1'0. CULVERT SIZE Sq.Ft. ~b<t SF Width't~*}DePth Yes No I hereby carti t I have furnished infonnation 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 entione. pro~ and that all construction will conform 10 all existing stale and local laws and will proceed in accordance with submitted plans. I am aware thaI the building fficial can~e. k.lttis Denn~ for jUS~~rthennore, I hereby agree that the city official or a designee may enter upon the property to perf~ ne~ed inspections. X - . --. (""~b~Ot) i Signature License No. Date 16{ROJECT COSTNALUE d-S,OQO,OO 17'IJ~L/TI~~ATE I 1/ I SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ;;;>~n-'r).,-:),...., PLANS & SPECS 0 SURVEY 0 SETS COPIES PES A/I<. USE OF BUILDING _ PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV (S:) Occupancy Group A B E F HIM ~ S U permitFee...........~~~~~...l...~.~... $ ? cL.7.. 7<:; 2')7.~<'( I 2. . ~L:> Amount Brought Forward .................. $ Park Support Fee .... ....................... $ SAC ......................................... $ Collective Street Fee ....................... ot Sewer Tap ................................... $ City: t~ Plan Check Fee ............................. $ State Surcharge ............................. $ $ Penalty ....................................... $ Plumbing PennitFee ....................... $ Mechanical Pennit Fee ..................... $ Pressure Reducer .......................... $ MeIer Horn ................................... !l:: Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... Ci:: Water Tap ................................... $ Builder's Deposit ............................ 4' liD. 00 (/0.00 Sewer & WaterPennit ...................... $ Gas Fireplace Pennit ....................... $ This ~tion Becomes Your Building Penni! When Approved. By .:.... -d, JJ..r- Date (" / / ~/ () 0 Other ......................................... $ Paid T~::~....0...........~~~~i;;~o$ (,(~~~~7 Date , IN / tV By 12IJ1.J. , .. This is to certify that the requesl in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when s~~ciGn;;c;n~satemporaryCertl7.,:/~comPlian~~a::~:or~~~rtifc:~,~be issued. City Planner Date Special Condllions if any Certificate of Occupancy Issued 24 hour notice for all inspections (952) 447-9850 .~~ (fD '611 ( I"h~ {'.,nlt" nr lhr I.akr ("ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,--""-'"" f / l I--! /, "'.../ \, ;' I'. /, ,/ ,_ f" /'-'. APPLICATION RECEIVED //. '( I . I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /' A-/ ./ ~/ .'-:>/////(/' ,/ ("//11// I i/ q' -' I .,' / - . '/~- . Accepted Accepted With Corrections ~ Denied ~ t1r ~~~~ Date: ~/2fb/~.7 Reviewed By: Comments: ~_ P&Y ~ .4MRUW7 ('JWv- ~~~~4 h9L\;N@,. No ~d\LVoP~ M ,T~t9z2( ~~.t-".o-;~ "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." ~~ White - Building Canary - Engineering Pink - Planning Th~ C.nlu of lhr Lalor <:ount.,.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED JOHN IlJ12N612- (0/&/00 ( I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4/37 SI#lO V 6'Olefl 77C. , Accepted Accepted With Corrections Denied tHIE ~ '=1~~ ;f~ M-t.. 71fe- APf'~Jeo fLAfJs. Date: t, ( I 2/ CXJ / l'iAI?- "^IVY ~ <J~ Reviewed By: Comments: "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." CITY OF PRIOR LAKE MC IJ- N<>lo.3 16200 Eagle Creek Av. S.E. Permit No. t!JO - 011/ Prior Lake, MN 55372 . HEATING APPLICATION I PERMIT Date /6/.U/OO PID' -:25- II Lf- OO:~....- d. ( . SlleAddress /tI1,J7 cS~/ .tle'd/A C1/-4:/~ Lot Ii, &II Block AddUlon t/ ------- Owner's Name~ ~/J47//u 77L Address ~~ ~ 'lSDGWICK HEATING & AIR COHDITIONlNG 00. lIffJO ~._bouoV\ :v.... fJOUIh Address P.I.. ,,~,', ~ ~~_.lIN !IlWm Telephone' _t:1.5J- ~4o/)D . ~ J ~ ,tfL-.I" /A /,- ,'; ff-1?fll CPGI/ ............- _;'tIVC- Furnace Make & Model /lJ.MIC. jJ A-L- TYf11! OF SYSTEM 1 .r Warm..,.ir Plants V Model Size J' HkJt.. J '" 3 Gravily Mechanical v Air Condlllonlng j/ Venl. Syslem Healing Contractor ,Conn. Load II I (L +a:n Fuel ~Flue Size Supply 66enlngs HEATING OR POWER PLANT Steam Hol Water Rad'.alion Spedal Devices Return Openings Input Edr. ~ Output Othl,r Devices Clm. Mcilh.m Alleratlons TYPE OF WORK Repair Esl. Cost $ .t41..J..1 - Replacement New Construcllon Esl. Comp. Dale Building Permll , J4.So .50 -<kJ 00. Recelpl' HEATING PERMIT FEE $. STATE SURCHARGE $. TOTAL PERMIT FEES $. PAID WITH BUILDING PERMIT .....,,(0:.. '-", eoner_c1Ot" TYPE OF STRUCTURE 3. Vellow Single Family v Two-Family Industrial Commercial Fee Schedule Induslrlal, Commercial & Mulli.Famlly Residential, Healing & AC Residential, Hea'.ing Only Resldenllal, Gas Fireplace Residential, Addilions & Alleralions Resldenlial, AC Only Public MulU-Famlly Other 1% of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 -- $39.50 Remember to aod lhe Slale Surcharge on the bollom 01 this BpplicallDn. The price of your healing permillncludes one rough.ln and one finallnspeclion. AddlliDnallnspecllons will be billed at $35.00 each. House Healing Tesl Record must be submllled wilh buildlnv RllUDiI 0llIIIIlm before build. ing certillcate 01 occupancy will be Issued. I:!fM CALCULAll<2NS ill'QUIRI;l2 wllh number 01 supply Lnd relurn openings IIsled per room wilh CFM's per opening. New structures or additions rend floor plan wilh supply and relurn localions 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. Clly Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)- CALL CITY HALL 447-4230 1 hereby apply for a mechanical systems permll and I acknowledge lhallhe Information abcve Is complele and accurale; Ihat the work will be In 90nlormance with the ordinances and codes 01 the city and wllh lhlt slale building/mechanical codes; thallhls lorm does not become e permit unll\ signed by the BUILDING OFFICIAL; ths: the work will be In accordance with ihe approved plan In the case of all wo,'k which requires review and approval of plans. ~AA ~ -i' Appllean Slgnalure ~ t1c.-.- fi!!lIIJlng Oftieal's Slgnaturs Iojl.'//~ r Date 10-.:;17-00 DaIs SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH . MINNEAPOLIS, MN 55420 . ADDRESS 1~/37 ;-L~ L;t"d,~1 Tt. CCUPANT -S-cnlJ r' -~ OLD BY ).,;kv.-,j k AKEJlrrr/-Jrdllt1 (1/4j; ( ERIAL NO. Y. LjtJO f: Lj 71/ q ERMOSTAT L V X LVE 11/ JIf MIT It l,Y,^,l , "/1 IT SETTING I ~ 0 N SETTIN""-'" ) n l' j OT TYPE !:: L I' (' J r j' (" ~k\ ') k ji2AL, meN MODEl J PILOT TIMIN" L II 1 f"",f PRESSURE~ /. 4....,.... (, PERCENT CO2 )q' STACK TEMP. :J I J INPUT CFH PERCENT O2 r- I-PERCENT CO FORM 235 (REV. 11189) (612) 881-9000 J. CITY / r lluY' OWNER - --,vV' 11 T'r INSTALLED ~Y~~h .' r r / .. t MODEL 3'6f/wC Il3A--:J,4 '7 ry 2""-:) INPUT -' /) / Wo {) l () ~("J . f VENT SIZF ./ f 1\--( (" "" ./ ..\. 7 z,. ".. <,,;;f' ) N. -- HEATING TEST RECORD l;i "^ TYPE OF LINER V t~~~ SIZE Cem~ 817" I ( )( -2 ') J( I WI~G TE"T TAG ----LIGATING INST. DATE TESTED // II/- 00 5J. ./Oilv21' r; J j, If Uh/ " ;J{ COMPANY TESTING NAME OF TESTER " FORM DISTRIBUTION WHITE COPY. JOB FILE JOl?.o 70;)0 '/ I i I I ,. NUMBER I YELLOW COPY - CITY ~~ 1. Blue 2. Gold 3. Yellow File City Applicant CITY OF PRIOR LAKE PLUMBING PERMIT Applicant. tuf:?:l'r,MtJ,tV )! r# Address: JJ e ,r 1'>.",,; 'J tV' kif!':/,., IY\~ ;('.?If'J / Signature: ,,~d'd~ / ,(/,,/ tf Legal Description: Lot I/' tf.-I YJ c.x.(...~ck uD' . Sub Site Address: /1{ J 31 .J J,. ~ iJ'1 fjru..~ 11l.;/L- Building Permit # no - 7/ I PID # ~5 - f1L~- OOd-1. ....... NOTE: This permit will not be processed without complete information. t ly"i Tht'Ct'nlt'ror lht' tabC-ount!')' Quantity I I I I FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Sinks Bar Sink Water Closet (toilet) Other 13 CA...+ft 1tdd.N. FEE SCHEDULE Industrial, Commercial & Multi-Family (1% of job cost, $39.50 minimum) Residentiai, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ jj' at $ .50 GRAND TOTAL $ 10 (" . ~D WITH .DING PERMIT This permit is granted upon the express condition that said contractor, shall campI i 11 respects with the ordinances of the State Plumbing t amendments thereof. R . /o.Z5.0f) DATE ArrEST Call for all i~ections 24 hours in advance. 16200 Eagle Creek Av. S.E, Prior Lake, MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION BGAeH 7i<..A/~ ~y Ae.cJe GA:1e..~E:: SITE ADDRESS 1'-/137 SHItDV NATURE OF WORK ,fe~. J)/K'. USE OF BUILDING Rt=<:::.. AI tZ. , , PERMIT NO. () O. 077 1 . DATE ISSUED "/12 / () 0 CONTRACTOR ,-1611'-.) Tu/'2.,Jl;f2- .!IL PHotJe;--OFF. ~'7o ~ '''Lie:: c.II-i'S'7-bSG,3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT . INSPECTOR DATE I I I I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .;~ ~ I AT. ~'16 ~~, )o/~7 /()Tj COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS 'R.u~ -g_\)rl/~ , OCCUPY UNTIL ABOVE HAS 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. FRAMING INSULATION ELECTRICAL PLUMBING -e., tJ-> ~ EATING lif rea'uired) BUILDING ELECTRICAL PLUMBING HEATING DO NOT J) k1:f . f1o. // /j~) ///7/ ~ , I 1&/;)..7/""0 lD{2..,Joo rh~)o, f I J ) ~CJ )111 I r' BEEN SIGNED Call between 8:CO.and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /4/37 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATXN FINAL ~SITE INS CTION SCHEDULED 1)/:;101 ~~ bead I;: TIME /.0 stJlJ CONTR. PERMIT NO. 00 - 771 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKU~ 1ii.J ,g'PLUMBING FINA'{?' o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: t" ("" -i9rfe_diMS () k rJos.e C>l e..- ~RK SATISFACTORY, PROCEED o CORRECT ACTION ND PROCEED o CORREC~K, LL FOR REINSPECTION BEFORE COVERING Inspector: '.n_ Owner/Contr: EXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~1-lf"OI 2.~OD ADDRESS ''-113'1 '3.~ ~a.ck \;.... U .~ OWNER CONTR. PHONE NO. PERMIT NO. 0- 6ft r o PLUMBING RI o MECH RI o WATER HOOKUP ~ SEWER HOOKUP ~PLUMBING FINALIii\) ~ MECH FINAL ~ COMMENTS:1'I:1 f?~ ~ W~ l:~~~. ~-~)~_. /~~~ OSil ~. ~ _. :::t:i-u ~ 07-- ~ ~/f1L / 'm ~ ~t;--fO~ ,~~ Lh.u.Q(-~J o FOOTING o FOUNDATION o FRAMING o INSULATIO~ ~FINAL o SITE INSPE ION o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~:t-~~ fJ WORK SATISFACTORY, PROCEED ~, o CORRECT ACTION AND PROCEED 'flJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl