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Home My WebLink AboutBuilding Permit 00-0841 7. TYPE OF WORK New Constructioj)( Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that 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 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 ~~aJ~r\~k) :hiS ~~~ !~.rurthermore, I hereby agree that the city official or a .i~e~ enter upon the property to perfO~:1i ~!2.o~" S~~re - License No. Date .QA n= R~r.I="lVFn CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~I~~ 00 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 1. DATE '8-.1~-.7~ 0 1U5() I <:;'2-"1 (0 ~I-'N T tz..c:> ~.e... 3. LEGAL DESCRIPTION LOT l-t.- f'4A. \J&s BLOCK PID !sJ;. ~ A017 '2 ~ ~D3"1.oI3~O ADDITION (Tel No.) r$lt-(s,'?31 (Tel. No.) CfC{ 7--f{9~1 ('lI.s~-414- 6. BUILDER (Name) (Address) " . I. \.. (TeW(o.) ,I ifl.{1{ 'i ~ 1~30"t ~(\CTbl\"~\'SI\JC'\' <5tV"~~.r',t~SOC.'J)N(.,. \J..)A..v.?to.~ l1\~N-"h 5S~.Q1 Septic 0 ~eck 0 Ae-roofing 0 Porch- 2li Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 4. OWNER (Address) FR.Er> (Name) 5. ARCHITECT (Address) (Name) Fireplace 0 Alterations 0 FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side I. White 2. Pink 3. Yellow File City Applicant 11.SIZEOF (Height) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS ~1~/ROJECT COSTNALUE ",:1 "'''~I9{')t:;> \)JID 17. CONlPLETION DATE . t.,J. MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 USE OF BUILDING ....-S~ fJ OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 ,-COPIES PERMIT VALUATION ~tll'J. ~ .C!r"\ PLOT PLAN 0 BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 .3 4 ::2 'h Permit Fee .moooooooo....oo....oo..oooooom $ .38 .f. :2.~ Plan Check Fee .......oooooo..oomoo..oom $.J.l f:S'I. 7l 2. O~ .6>f!Y City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC oooooooooomoo..oooom.oo.oo........... $ - -0 C> State Surcharge ............................. $ Collective Street Fee ....................... )I; Sewer Tap ................................... $ $ Penalty ....................................... $ ~ Pressure Reducer .......................... $ Meter Horn ................ .... .... .... ....... $ Water Meter ................................. $_ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $--- .2 SO . die!) -0 Water Tap ................................... $ ~ Builder's Deposit ............................ $ I, .t!Jt!J Other ......................................... $ Paid T{,az.;'14'oooooo..~~~~I;~ c;~~Jl(,t 'PP Dale '1. t~ ' #'V By 11Vl--- that the request in the above application and accompanying documents is in accordance with the City Zoni~g Ordinance and may proceds requested. This document when Pla.nner constitutes a temporary Ce97r~ ~,!ing complian~nd _all~s ctio~ to c mance. aef.ore occu. pancy. ,a Ce~' -~f Occupancy must be issued. ..v1. ~ 71P.e " ,A.. City Planner - Date SpeC18 Co IlIons if an I OO.(!) 6 tOO. c!lG k.~ ..~s.~.~~.~.e:.t ~e~:r::d 0 Date 7....(8- ?-<<.to Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Issued Thisistoce. Si~ 24 hour notice for all inspections (952) 447-9850 '20.<!)o 0- ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM \TT~NT10N: ~s~ at this ~ertificate does not provide a w~iver of .the flo~d insurance pu~chase req~irement. This form is used only to Jrovlde elevation Information necessary to ensure comphance with apphcable community floodplain management ordinances. to determine the proper insurance premium rate. and/or to sup~ort a request for a Letter of Map Amendment or Revision (LaMA or LOMR). Instructions for completing thIs form can be found on the following pages. O.M.S. No 3067.0077 ExpIres May 31, 199] SECTION A PROPERTY INFORMATION I FOFllNSURANce COMPANY use i POLICY NUMBER SUlL.DING OWNER'S NAME fiT? 4( .JA';/~'1 ftl-'lIP/??AI STRE=T~OFlESS (lnctucu,:!g Apt.. UMl1. SUIte an?,or Bldg. Number) OFl P.O. ROUTE AND BOX NUMBEi=I 1:7z,7i.P r-t"I)./r RtJ4p OTHER DESCRIPTION (Lot and eJoC}Numbe~, etc.) I, kJ'f' 12... 4.- At '?J7 J-IJ r /"?7, ";YJ.Ave~ rl,< -;--r LAJ<C App. .?C.o'rr CO, CITY .A" STATE If<j 01<.. L AKi:.. /1'J/J SECTION B FLOOO INSURANCE RATE MAP (FIRM) INFORMATION I COMPANY NAIC NUMBER ZIP CODe ~53/Z- Provide the following from the proper FIRM (See Instructions): S. FIRM ZONE 6. SASE FLOOD ELEVATION A ~ (in ,2,0 Zones. use deotl'll )/t'i!.I)/ /9'11 If~ 9/)Q.Q 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):$ NGVO '29 : Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM. and the community has established a BFE for this building site, indicate the community's BFE: .'_ feet NGVO (or other FIRM datum-see Section B. Item 7l. 1. CCMMt.:NITY NUMBE:=l 2. ?cA.NE:.. ,'lUMBER 3. SUFFIX 4. CATE OF FlAM INDEX '2-,ott'f'z, tI&O'Z- c SECTION C BUILOING ELEVATION INFORMATION , . USing the Elevation Certificate Instructions. indica~ the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level . ~(a). FIRM Zones A' -A30, AE. AH. and A (with BFE). The top 01 the reference level flocr from the selected diagram is at an elevation 01 ~I 0 .ELl.ieet NGVO (or other FIRM datum-see Section B. Item 7). (b). FIRM Zones V1 -V30. VE. and V (with BFE). The bottom of the lowest horizontai structural member of the refere~ce level from the selected diagram. is at an elevation of ,:':.:.J feet NGVO (or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ~...J feet above = or below = (check one) the highest grade adjacent to the building. (d). FIRM Zone AO The floor used as the reference level from the selected diagram is ~.--' feet above: ! or below r (check one) the hlgr.est grade adjacent to the building. If no flood depth number is available. is the building's lowest floor (relerence level) elevated in accordance with the community's floodplain management ordinance? .- Yes = No: i Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: X NGVO '29 ' Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section 8, Item 7], then convert the slevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: 0 Yes ~ No (See Instructions on Page 4) 5. The reference level elevation is based on: "'5t actual construction n construction drawings (NOTE: Use 01 construction drawings is or;;; valid il the building does not yet have the relerence level floor in piace, in which case this certifioate will only oe valid lor the building during the course 01 construction. A post-construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:' ,tf 0 T.i feet NGVO (or other FIRM datum-see Section B, Item 7). SECTION 0 COMMUNITY INFORMATION If the community official responsible for verifying building elevations specifies that the reference level indicatsd in Section C, Item' is ~ot the "lowest noor" as defined in the community's floodplain management ordinance. the elevation of the building's "lowest floor" as defined by the ordinance is: ' ! i i.LJ feet NGVO (or other FIRM datum-see Section B. Item 7). 2. Date of the start of construction or substantial improvement seE REVERse SlOE FOR CONTtNUAT1CN FEMA Form 81-31J MAY gO REPLACES ALL PREVIOUS EDITlON$ SEC1l0N E CERTIFICATION ThiS certification is to be signed by a land surveyor. engineer. or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1-A30. AE. AH. A (with BFE).V1-V30,VE. and V (with BFE) is required. .Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE). a building officiai. a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6. 7 and 8 .. Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wan. enclosure size, location of servicing equipment. area use. wan openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C. Item 1, must stin be entered. / certify that the in/ormation in Sections B and C on this certificate represents my best efforts to interpret the data available. f understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. UceNse l'uMeeR (or 1,I1ix. Seal) .~ ~'} ~~ ~ ' ~~ _ "';;".- 6Vt(vf)),< :tt{f!f't.~ COMPANY NAMe f,{t't15IPA.J&:{)'~VvY.t (;vt- CITY 'P1Y;1JOVr# COMMENTS' ON SLAB wrT>f ......- A ZONES v ZONES A ~ - ,..-, j '=~ ~1 .",.,,,,';).il!) r"'''''''.''1 ~ . LI1<""1 LFm 1"''''''HC'f-\ lltr LEl/IL , \ IN ~"..~ .... -.000 ~ L r"~~'" / """'1 ,... .t.' '''',', ?:{::..':(/::.~ 1"_"""'\ .",..."N' 1..E'V8. ~ ON PILES. PIERS. OR COLUMNS A V ZONES Z:J!NES AEI'!Al!NCE l""lL~.~I""~~'1 ~r-r' , - \\ , \\ \ 0ZU~';'''-'''""",,,;.,,,,,,,:,,, '. ,....,...;." .... "..'.. -{>-s,".... '1't~;~;i:',:.M,:i,;\l?!;;i~i/;~:, t .... """'. ~ The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level 1I00r. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 .~~ t2J-d'fI/ Th~ ern.... of Ih.. L...... Counlry White - Building Canary - Engineering Pink - Planning WILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT :5 /KeETe~ ... )-If'; vC- . P 26.00 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /527(f FLINT?O Accepted / Accepted With Corrections Denied Reviewed By: CrOAt fJrk/1 Comments: C:;,o.P. -fAe revpr'<:,:J. 5/dA Date: ~m' JJ~ 4~4o"d/ i/lI1'/1?~/iM. 5f"r'_ 3. a.J.fO('hMi'fifc;.: I ;;01 Cr~ ErlJ~/lJn /1nfn/ Pivt Zi-y:'P~ltb" .1;l},y""..!-,--""" QJ1r()sj,-tt:,/;./ ~tffnJ "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." 5~~ (JlJ' 0811 Th,. ("enl... of Ihe L.kiP Counlry White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=;T , NAME OF APPLICANT S7Jf!!.J3t:::- /t;:;e. ~ A:Ss O~ . APPLICATION RECEIVED p;. z,e .00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / '5270 FL.j AfT'" J?,O Accepted Accepted With Corrections 'x Denied ? Date: ,-(.,-'2c~o Reviewed By. Comments: l,gJ cUI Q.tkcla..J.. ~ ~. Mc..i"'-\-.:u~ ~. Gr.1,.,.~ 3. SoJ. cJ.l ~p <,;.,..t A~ L(. FD~ ~\-.U.14.cL V.e.t\~~ l~~hll tt'lt,l ~p. Iou a s:~ 5. ~/~ "'!uLD.::t,'b-._ C~'D-~.rt.b.A_ ~!!;. V1~"'lL t'Jrr-.Jt~~r "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." 6D.o~41 Th Ctnl..r nflh.. t".k.. COun11')' While - Building Canary - Engineering Pink - Planning ,BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ::;71c: E E 71':;:::' ': j-l ~.. Dc.:- . APPLICATION RECEIVED ? . 2: ~i . (.0 The Building, Engineering, and Planning Departments have reviewed the bUilding permit application for construction activity which is proposed at: /5 Z 7(( {c / /vT ~/~ Accepted Accepted With Corrections 1/ Denied RevieWedBY:~~~ Comments: ~~1.~tf~1-&v1 ~~urk5wl +2~ weJ ~ f7-9V L'191 ~~ ;J::!r qtO... l. ~ .1~v~ ~ (~b~~ 4 ~~otb Date: 1//8/6)0 -,. ~~;C-~ (l~1ttu.~~ Lge - t)f)C, k-.- /v~ .4~~q)" . '- - - ~~W\ t1t- ~ tJ/o ~ 6e.- ~ _. -L~A<. ~) INA~~ YLt ~~L~.4--No ~.3Dil~~,*~ ~ "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 60rdinance::the jurisdiction shall nO~be valid." . ~ J7Lj Sco- W-€<-~: ~~~ L{3 -'\{-e-e.- T~ f.V~~ l0l \,;11 Y Of-!PRIOR LAKE _ Ot-f/ 16200 Eagle Creek Av. S.E. Permil No. 0 D Prior L8ke, MN 55372 HEAllNG APPLICATION I PERMIT I Q - ;1C9-0C PIDII _ _}~- ()39- 013-0 ShAddress 15 'Ohto R\r'\!. OGf ., 1/ uo-'./'d.J~~-c n .... -'C_C.C:.O ~c-c,:'~cl.mAt~nl~j;t-~. ... I 1.611 _ I.HIoI'\oofl. ...........~......'I ,~ ~_. "~I .II .....,-r:JLJIV Ow~efs Name 5c... r.t.~. ~ 'Ota . - . . Dale Address . Healing CoI1tractor VOliT HEATING ~ AIR CONDmONllIG ..._....... ...ftftlla.. A''''' . ~,uu gUn1 U"\111 n..... AddI8.. ST Ui UlS PARK, MN 55426 SAllS Y:'!Il-llfUf !iI;HVII,;I; lI~JjUll Telepilone /I . Fur~aC8 Make & Model TYPE OF SYSTEM Warm 1>Jr PlanIs Gravity. Machanlcal . Air CondiUonl1lll Venl. Syalam HEAllNG OR POWER PLANT 5t_am HOlWai.., \, f~urV\'t\u.vY'\ RlIlIlation S ~ ~ no. Dc) 0 Special D..vicu ~f' VJDTI~'(" Olhal o..vices Model Slu Conn. Load FUllI Supply Openings RelUln Openings Inplll Edr. Flu..Slz.. . Outpul Cfm. TYPE OF WORK Allerllions New Construclion x . Raplacil1lent Repair Est. Cost $ . Esl. CoIllP. Date 1\ SAO. - . Bunding P..rmn. _00.,.. OX,", \ HEATING PERMIT FEE $ STATE SURCHARGE $ $ .50 PAID WITH BUILDING PERMIT TOTAL PERMIT FEES R..c....llI. I TYPE OF STRUCTURE I.. UrclClJ \..~l1 J. Yellow CoctnJ:mr "" """ :-' Single Family Commercial Two-Family IndllS1rial Multi.Family Olher , '" 0-< Public = = --3 = = Fee Schedule ~.n_ _..._ __ - OiN-""",,iUl~,VVI....iTt..7....iii"'f..T...ii.P'i:iii:;iij- -- = ..rn;;;;i'"........; i NO;. ivw-.......i., = en ., $99.50 $64,50 $.1!l.5O $39.50 $89.50 -< "" C> --3 = --3 C> "" =- ~ """ R881d8nliel~ Heating II AC R88ldlilJlial, I Heating Only ".. I..' 11' I R8S~p'~.~. FirePlace Resldaiitial AdditionS & AIlerations '.-1"'-- "t"-I-' . R8S~~ Only . ..t"7t1'~llf.l'~ --'&.1...+ .. ,.oW"' 1 ,i:" t:r+".;: I Rem ., "';1: edcIlhe Stale Surchllllle on 1he bottom of lIis appllcsllon. .j t. :~ :~.: . or.-' The priCe of YOU' heating pennit includes one rough-In BrIll one final inspection. Addidonallnepectlons will be billed al $35.00 each. House HeaqTesl Record mus1 be submilled wilh lilliIIliIg RIlIIliI DlIIIlI!II: before buill- Ing certilii:81e 01 oc;cupancy will be iasuell. l:IEAI CALCUlMlONS REQUIRED wlh number 01 supply and return openings lisIad per room wltb CFM's per opening. New slrucbJl8s 0' IIlId~ions send noor plan w~h su~p1y and ratum locations shown. HEAT LOSS CAlCUlATIONS, F'l\YMENT AND APpucArlONS MAY BE MAILED TO THE CllY OF PRIOR lAKE, 16200 EAGLE CREEK. 'AVF;, S.E. PRIOR LAKE, MN 55372. City Hill buailllSS hours are 8 a.m. .4:30 p.m. AU. WD"~:~ BE INSPECTED (ROUGH-IN AND FINALI- CALL CIlY HALL . . . : ; .. 441-4230 --3 "" c- o-< '" '" '" '" I he('.bi~fp.PJY fo, ~ mechanical sYstems permll and I acknowledge lhatlhe Infor'!'~t~l.p,o~ ISlcomplete and accurate; lhellhe work wnl be In conformance with !~~~~i.l!ces jBIld codes 0/ tile city and wtth the stale building/mechanical OOde~.': l<!s 101'f1l does not be.come a pBnnU untO signed by the BUILDING OR;~.. " ~llhe ~olk will bB in. accordance with lI\e approved plen in lhe easel .'. rk which qulr" review and approval of plans. '4__ otr- . ; ...Ii~ 1Ji../ DK59 All . n '. Signal.... ~ BUUdl101flcal'S Signa1UrB --.0 0-< .... IOJ~ /l?0- Date If) ";:;1-0U . Date -0 = = TYPE OF SYSTEM Warm AI, Plants Gravily Acldilionallnspecllons will be biled at $35.do each. ~echanical . - _ ~ouse Healing Tell Recon! must be submitted wilh lllIillInll B!!IIil ~ before build. Air Condlkllllng ~ A\'Y\ut'Il.. 1((( -3 a; 3 109 certi/lt&te of occupancv wi. be issued. Ven\. Sylrtem . h t<1<h 17m ~. ~UlKwr 6 l 0"1 ~ It" . Jjf& CALCULATIONS REauIREDw~h number otsupply and reIIA'lI operings listed per H llN.G OR POWER PLANT I~ roam wiIh CRA's per opening. NlIW stmclures or addlions send floor plan w~h supply , . ~tJlL4{12 , ~ and relUm locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND lIot w..~ {[~ r~PPUCATlONS MAY !lE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE Radiation 0 CREEK AVE. S.E. PRIOR LAKE, MN 55372. . Special Devices City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL)- CALL CITY HALL 447-42.30 CITY OF PRIOR LAKE 162.00 Eagle Creek Av. S.E. Pe,ml No. Prior Lake, MN 55372. HEATING APPLICATION I PERMIT Date i) d 7-00 PID. Sla Address /53761 r=/;t7~ f{ d lot 1i. !lloek _ Addlion I Ownefs Name 5l.J( tUrAD~ rrz~1 Address -Is -a 7 en F/- J- . VUu) HEATING & AlR QllNOmONIN6 Heating Conlrac1or ~lll6 eBRlIAM AU::. 51 lOUIS PARK, MN 55426 SALES 929-0(5/ litHVIUl: \li/W"lUll Address T el&phone >> Furnace Malat &. Model A UY1~ Model Size ~ ucA- Q()7>S 13 CoM. Load Fuel ~FIU8 Size Supply Openings Relum Openings InpUIEOV)') OUlpul EdT. 00 -084-1 ctm. OIherDevlces I \ I (nXi!S[!K, n \wn~\Iu.t'j( I-\:i01c.oL \VJrrI1 .Ii F->-i.1("' Aleralions TYPE OF WORK Replacement New Construclion X Repair . Esl Comp. Date \ Uq ~ 5. - Building PermiU ''X)-n~L\ I Est CosI $ HEATING PERMIT FEE $ STAle SURCHARGE $ TOTAL PERMIT FEES $ .50 PAID WITH BUILDING PERMIT RscelplT - TYPE OF STRUCTURE \ ....' >' 2. <heED J. Ycllollo- z "" -<: Ciff COll1B.ctOr Singla Family Commercial )( , "-' ~ Mulli-Family Other Two-Fam,y Industrial = = Public "" "" :2 Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating &. AC Reeidential, Haating Only Residential. Gas Fireplace Residential. Additions & Alterations Residential, AC OnlY 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 -<: "" C> --3 = --3 C> "" :>- -- " = Remember 10 add 1IIe Stale Surcharge on Ihe bottom ollhis eppficalion. The price of your healing permillncludes one rough-in and one final inspection. --3 "" c- '" "-' <.0 "-' <.0 I hereby apply for a mechanical syslems permit and I acknowledge thai the information above Is complete and accurate; Ihallhe work will be in conformance w~h the ordinances and codes of the clly and with Ihe stale building/mechanical codes; Ihat this form does not bet'ome a permil until signed by the BUILDING OFFICIAL; that the work will be In accordance wilh the epproved plan in the caSe o';lrk whic requires review and approval of Plan;/ /27/c.r) - AjjpU Date - II. Zq,oo Date ~ '" .... --0 = = "-' BUU7"iJf11cars Signature CITY OF PRIOR LAKE 4629 DAKOTA STREET S.E. Permit No. 00 -oM! PRIOR LAKE, MN 55372 Date HEATING APPLICATION I PERMIT ~/~/O I PID# ZS-()3Cf-OI,7,-O 15d.. 7 /P "'lLI tJT i?5l S~e Address Lot Block Addition. .;;:s W ht:> l) ~ S /J,~ Heating Contractor 1J/~ '::Jticf'tAr:.E: {~rrT-f;7CJ Address Id </ (00 I) JiJk..Jzi:!:- 61/!f). /l&~h. , Telephone # Sf,;) - S I/-J ~ 37'77 Furnace Make & Model t1\AT. DIJ BK3bRJ TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~ioning Venl. System. Owne(s Name Address. Single Family ~ TVPF Of' STRI J(':TIIR~ Two-Family 1. Pink File 2. Green City 3. Yellow Contractor Commercial Industrial Public Mu~i.Family Other JOB VALUATION $0 - $1 ,000 $1,001 - $10,000 FEE 2% of job value, min. $20.00 $10,001 - $50,000 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000. $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. ~^ 0J3~$50,001 and over Model Size 310 .( Conn. Load Fuel ~'.~ \ Supply Openings Flue Size 7" Return Openings HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Input Output. Edr. Other Devices Clm. TYPE OF WORK Merations ~ Replacement New Construction Repair Esl. Comp. Date v-., Esl. Cost $ /900. ----- Building Perm~ # , HEATING PERMIT FEE $ o () - ()f34-l PAID WITH BU\\.D\NG PERMiT STATE SURCHARGE $ .50 TOTAL PERMIT FEES $ Receipt # ..:5e:r- f I/erri 0/ {!LErnV-~ ~ ?/I".-er'LAq=- $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price of your heating permit includes one rough-in and one final inspection. Add~ional inspections will be billed at $25.00 each. House Heating Test Record must be submitted with buildino oerm~ nlJmhA~ before build- ing certificate of occupancy will be issued. /::!EAT CAt CUI ATIONS REOUIRED w~h number of supply and return openings listed per room with CFM's per opening. New structures or add~ions send floor plan with sup- ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota 51. 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 447-4230. I hereby apply for mechanical systems perm~ and I acknowledge that the information above is complete and accurate; that the work will be in conformance w~h the ordi- nances and codes of the c~y and w~h the state building/mechanical codes; that this form does not become a perm~ until signed by the BUILDING OFFICIAL; that the.work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. d avJ6. (J:;;~ I~\ ., APPI~e BuildinJl"bificial's Signature v ~~f.p/()I I Date ::3 -/-0/ Date JUN. -06' 01 (WEDI 14:41 VOGT HTG & Ale TEL:612929 1764 P 002 CITY OFPRIOR LAKE /r:lLUMBING PERMIT Applicant: tJ~'Ij PL-'-"""~ ~~ Address: ~'2Jo .. 4R' Signature: ~ : < Legal Description: Lot I. IV 7<9.; ~'. Bloc; .. J \~ Sub Mtlll > i15-r- Site Address:-l51. ^' 'F~r-- en'" ~~ :LA0. f'-1,..) Building Permit <1:;. (j I PID #~!; -1);3<:;- /'J/?>-0 NOTE: This permit will not be processed without complete information. ~. ~~~~ ~'; 0'" 'I J I 3. Yelle;.. ^~PliCi1Ill~~ PP No. .0 "f~~ ','/ Phona:Cf12 -Ctl9 ..l..c.7~7 ,. ThC('l"Illrfllrlh, lII"rn"nlry , , , , , ij ,. FIXTURE UNITS I Quantity Type of Fixture Quantity Type of Fixture Ii 1 " 'I :' Bath Tub with or without shower Rough-ins -, I' 4 , . Dishwasher \ Water Heater I" . , "I Floor Drain \ Water Sottnsr I C) Lavatory (bathroom sink) \ Stand Pipe (washing machine) I \ Laundry Tray (1 or 2 compartment sink) Sewage Ejector I '7- Shower Stall Backflow Assembly (RPZ, Double Check, PVB) ". .-.. OY I \ Sinks Backflow Assembly Test I - Bar Sink \ Lawn Sprinkler ~. ~ I ~ Watsr Closet (loilet) Other FEE SCHEDULE .Industrial, Commercial & Multi-Family (1"10 of job cost, $39.50 minimum) Residential, New One & Two Family Residsnlial, Additions & Alteralions State Sur<:harge 599.50 $39.50 $--- $-~ $ $. .50 )' , ./ -' GRAND TOTAL $ \ ro r- PAID\":-, .. J3!#lDIA'G [_ "';~~'.;~'-'~::~:. \ ~" \ ,;= ,- ,c',:, \f:.l(jj.\ st'V \ \"'1 \ __.l..... s:~? ... : b -;>->-,..P \," Thi:; pcnnil i,; ~";:LrlLt:cllJpf.l" Ihe c)(rre~~ GOncJiliOn llmt ,~ai"\ l.:nnlr;ic;:llIf. shL\ll comply in <:111 "C~pCI;IS with the ordin:llll.'e~ M dlC' SLale Plumhing ende ond the aY'c:ndrncnl!. tlj'rCnr .'._-~--'-"kF.C:I:':IP'I'NO. (0-7-6' (i""TE . . f . --~. ,.- , .' /,. .I./"! " . " ^Trti~T '.~:;JlII\lr ~111 inspC'Ction: 2~;:'~"', i~ advallct.~,.' ..- ,-- ----' .\..-. '..'.PAlO-WtTH .BlJIU5ING PERM',I '- 16~.oO Eugi<: Cn:.c:k Av. S.E. Priur Lo,ke, MN 55372/ Ph (612) 447-9850/ FAX (~i .1'17-'1245 A 1 Equal Opportunity Employer ?~2 02/14/01 WED 10:25 FAX 6124474245 CITY OF PRIOR LAKE 1aJ001 ...." . .... YeLLOW . ~ICAII7 GOLD . aT' CITY OF PRIOR LAn SEWER AND WATER PERMIT NOTE: S.w. No. DD' B tkf Sewer and Water contractors .must be registered with the city. APPL::CANT: NEU fLUHBJtJl::.t L.L,'P. ADDR . SS: ~(,p6 (". OR\A t.. 1-4' 14 \J~ SIGN,',rURE: ~./d, K.I-~ , SITE l\.DDRESS: /527('; FUN! RI). I fILL IN THE BLANKS. I 1. li stimated length of water service ~ feet. I 2. i! lze of water service / inCh(es). 3. ]1 )cation of any couplings from structure /{J feet. 4. 11 'pe of sewer pipe. AB~ PVC Cast Iron 5. ELUmated length of SQwer line {~O feet. 6. C .ean out (if required), located at A/~ feet s.:ructure. .PHONE: '1[;2..- '1Zi-~ It'd? DATE: 2- / 4-0 I .BLDG. PERMIT 1/ (jO"OK4-'1 PIbt.:ll5---(&1- () (:i.:O r from =-..:= " :=-..-==--_cs_.c: ==.=-._~.--~~~~3_~_=-.==_~=&~==_m=__a~==_~ This. . pplicatio your permit when approved. t't-\O '\N~ . BY DATE: "7- 2-/ ri}.\p\~G 2_:::'.=-_~.__2~=_=_2__C___c___=___:___2____=___==._=___-=---=--2c FEES: $ 35.00 Sewer and water line connection permit. $ ~ Surcharge $C 35:-~ TOTAL .. F',e for either sewer or water individually isEiotV'..- plus $' .50 SUrcharge. -- .. S'l'f{er and water permits issued for.new construction must be r'!' ~orded on the buildinCJ permit card at the time of issuance tl'!' insure that no dupl.lcate sewer and water permits are ii' 3ued. ...~ ' ... 'f'l'\\ ~~'\ \ AMOUNT PAiD 'fl~~ ~~ -' \\'J)'i REC'D BY' "'" DATE I~ \IO RECEIII r # i I ! 16200 Eaglt! CreekAv. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 1 PAX (612) 447-4245 i An Equal Opportunity Employer l~~ CITY OFPhvn1.I(I(E PLUMBING PERMIT Applicant: t-,JE\J PL.v-M~ .....t, Address: :~'lln . I- I+J;;::= Signature: , Legal Description: Lot Block r ~ Sub;!' ,1. I!:f- {(, t'\:: 1'.'13, Site Address: \.5'2.. Fl...JI".!"" eo../ Vf4nZ ~ ~ Building Permit #1_ /) >,( .l/l PID # i~ ').. 0:;)//. _' I ::r pO NOTE: This permit will not be processed without complete information. 1. Blue Pile 2. Gold City 3. Yellow Applicant I PPNo. f)~ '6''1 Phone:9:52 -'11-~-to~b7 Thr ern'.... of lh.. L.kt Counlr) Quantity l- c,~ \ rz.. \ - .~ FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Rough-ins Water Heater Water Sollner \ \ \ Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink ~-p-J \ 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 $ $ ~5:J $ $ .50 .... GRAND TOTAL $ \ro .-, ~ ~-~-"'_\ ~'] f<.., I' f' ,'\~ h-:; " r? ~~ \~~~/'~ '. '--:--..\'2- J7 <- This permit is granted upon the express condition that said." \. ' . t'Cp \ &. ~ contractor, shall comply in all respects with the ordinances ~ Ofthe~Sta:e PIU,~~~;;~:~ c; '4r d: /L. AITEST Cir I or all inspections 24 hours in advance. ...'!:!!L WrrH ~PEAMJT 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850 / FAX (612) 447-4245 An Equal Opportunity Employer GRADING (Prior to Sodding) BUILDING ELECTRICAL '<",)"""yY . o.,{I, O_\<Y'~\.\'-(t.r C l PLUMBING \)J\./ ~ r"D<" <\' I{ .. V" , . HEATING 09 . DO NOT OCCUpy UNTIL ABOVE HAS FE MA tl~d C1r+i-/l:...~I"t>.-... ~. ~~ O:c.v E This card must be posted near an electr al 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 shalt Ire j!1laced near main entrance. PRIOR LAKE INSPECTION RECORD. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS IS;Jl'-n"J n:,^~ ~ NATURE OF WORK lkw. (',,,,,.c.~. USE OF BUILDING ~ I='D . PERMIT NO. 00 -"0841 DATE ISSUED Y- &-'aa<; CONTRACTOR ~~r-..~u- ~ A~_~. /'IWZ _ '1S:::I- t{l('/ # qq'r./~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW f"[)~ ~I THE PERMIT IS BY SEPARATE DOCUMENT tl\lo..\(Q.... bySrJ~.'to,.- ~ :t"'Sfl. INSPECTOR . DATE I FOOTING Ccn,.y~ ~ ~ I fa, I IQIf/bP , FOUNDATION (Prior to Backfill) I ~ I fol, f 1M PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC ~. /0 /1 !/I?~ FRAMING t:7J. _ ci/C)'r,llJ' INSULATION . fh, ,~/tJo) ELECTRICAL I ' , PLUMBING \.\.t:A. r71-. Ji>I;;5/~ '!? A.f, _~ ~J.(I()J HEATING(ifrequired)~ I!k, /6/rJ.l/ad_ tPr. 1,W,i~~1 FIREPLACE w/~ fCr;:r 0.( d~ /Ot I I GAS LINE AIR TEST ~~ ~i~'''P I &:t. JJIta10f I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~ I I FINALS i.b_ I _MrJ I ((' ~ . , . /1-/:>1/0 I ~. :AI (b/7~u ~-u ~ ( ~I 0 I BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 QLtrtifuau of (Jcmpanry CITY OF PRIOR LAKE ~tpartmtnt of .uUbinlJ )n~ptttion ~inal Permitted 0 Conditional C.O. Expires This Certificate issued pursUQ1l/ to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinonces of the ' City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY Use Classification Bldg. Permit Nr, N/A Zoning District R1SD R3 VN Occupancy Type Type Construction _ Fire Zone Legal Description L12, MAVES FIRST LAKE ADDITION 00-0841 Owner of Building Site Address 15276 FLINT ROAD SOUTHEAST STREETER & ASSOC., 18304 MINNETONKA BLVD., WAYZATA 55391 Contractor's Name &. Address Date: ROBERT D. HUTCHINIf~.~. CityPlaMer DON RYE \'J._'l_O,OJOflicial tEl Date: f) -7-01 POST IN A CONSPICUOUS PLACE -.0 /" ( 01 ~:- DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED e--;l.:;2-2oo' ADDRESS 15::2.'1 G. FI"IA'\- R-J.. OWNER CONTR. PHONE NO. PERMIT NO. 00 - Df!Jl/ I o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL ~SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: I. 1="1\110.\ Q.,.c.c9.-L c..QP~ ~. 14cu-& Q."t"~c..tL lOtN~ ~ ... wJ(':'c:.. 3. ~,",d ",ll ~ ScI~\ 6.~ T -e.1M(1 Q rX D f.o ~ \~, / 5' . ;<'iX)1 -..J M6.',^+GUIA ~srrn., c,rllA-\"'..,l urll.~d \ +urf i-e. "sblJ,~ o WORK SATISFACTORY, PROCEED o CORRECT N AND PROCEED )( CORR T . CALL FOR REINSPECTION BEFORE COVERING Inspecto : Owner/Contr: -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1'2 -'1-01 ADDRESS 15':1 '1 (p FI i 11\ ~ 12J.. OWNER CONTR. PHONE NO. PERMIT NO. OO-D~(1/ o FOOTING o FOUNDATION o FRAMING o INSULATION )!I:. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: )lll r,.,ore<.tltN\. "- C........ t9 [.Q. 1:,. ,.1 ~ SATISFACTORY, PROCEED o CORRECT nON AND PROCEED o CORR K, CALL FOR REINSPECTION BEFORE COVERING Inspecte : --,. OWner/Centr: CA L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTJ - - - --------~-_.._- .- -.--.-.".-.---.---^-- -----~.._-- -...- DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 11-,2' -of o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL FII'IA~ ~d CONTR. 5+,e.d.u- +- It SSCL. PERMIT NO. ty') -a8:1/ ~. Fo......L ~E RA ILLlNG o CO INT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ADDRESS 15') f1 ( ~ ., .. ~ - OWNER PHONE NO. COMMENTS: Curb Bo~ -- o~ &r.,M -0 t:: .... Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY! INSNOTl .~_.__m_~__"'.'_____ -'-'~"-"-"-'--""--" DATE TIME SCHEDULED 0/:J-,)/0/ 1/" /~ 15;?, 10 ~+ ?ei o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ;;:rtINAL If2 0 PLUMBING FINAL o SITE INSPECTION . fl. MECH FINAL COMMENTS: 0'./JfJ.-;: @)~~.~(j~~kW @JW ~ (J.e ~ ~ ;vJ:o..' , ~ &U. ~ (]-e." ~~ 04\'S;~OOI J <1> t~J 0-1 13z.;t;'. /. ~ ~ '-" fVlti~~~ ~~ JT,C(J, (!1 - /~ '-I-c u.... 13(' en ~ fu~ ~, ~r d'1 ~ ~ 11 :4 ~ GM ~ 1,Jt- ~ ~) ~-<J~V-< 6..;L)I (C\ €..,....,; ... , ~~ -d'77 ~ ~, i.J v' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. {)-f'L/J o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o <'!{ui)... o i~~ -.J JA WORK SATISFACTORY, PROCEED ~ ~ o CORRECT ACTION AND PROCEED ;f.. CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~( OWner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ADDRESS /SZ7C:- DATE TIME SCHEDULED I bl; pi tkJ 10 ; 30 I ' FLINI (2d, CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. D FOOTING @ 1il FOUNDATION /D'FRAMING D INSULATION D FINAL D SITE INSPECTION PERMIT NO. 0- ?~/ D PLUMBING RI D MECH RI ~WATER HOOKUP SEWER HOOKUP D PLUMBING FINAL D MECH FINAL D EX/GRAD/FILLING D COMPLAINT D FIREPLACE RI D FIREPLACE FINAL D GASLlNE AIR TST D ;;:;:;;~;:::- ~ ~ ~. ~. fl.~ -hV':': ~ trI 42/1 u-- ho~ ~ r~ fL.. Ii. (:!) <J V ;~ Y .reD ~~ ~~..~D I~ I l ~. ~ -; : ~ ~ W7J-o ..itr.-. b~ ,\ .;,~,! ~ AfS5 .A-d.-, 40 ~ 8"'.11,/ <Tk- "''''' 1-~~ (.uP-LV tV<.4" I~{" Ij'-Sf-'~~-m... c!-,M~~~~~~ f'Z-ID~ ~ -f-"'.' ~ "5L J y' ,.,."... '0.1) ~ (~ ~~ - m.J- ~ "'~' - D WORK SATISFACTORY, PROCEED ! CORRECT ACTION AND PROCEED D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING &:r; Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl ADDRESS /5",;2.71:, DATE TIME SCHEDULED 0-/3-0/ II.LJZJ 7/J~f- .R~ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. () ~ iil! o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~UMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: 1, r""l\~ ~,...{ut-e. <;: Z, 'I:",,,:.,t,,, \ l.. 'D i,,>lA ~, l..r- S, ~~ ~t' 0c..r<:: o WORK SATISFACTORY, PROCEED )!!.cORRECT ACTION AND PROCEED o CORR T W ALL FOR REINSPECTION BEFORE COVERING Inspect r: Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTJ