HomeMy WebLinkAboutBuilding Permit 00-0915
6~~
DATF RFr.FIVFn
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
loy ~q. ~.
1Y
Permit No.
White
Pink
Yellow
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUEO (Please Print or Type and sign at bottom)
2. SITE ADDRESS
J..1fi/Vr'
/u-J-oo
1<-,) S D
(Depth)
BUILDING
11. SIZE OF STR URE
(Height) (Width)
/557:L
/.fro/) k s; t:l1'
12. NO. OF STORIES
6. BUILDER (Name)
VJI!NSh>4/V,v
)Jom (Jf'
7. TYPE OF WORK Fireplace (]
New Construction V-- Alterations (J
Chimney (] Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above mentioned prope~an that all co struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building oHal can revoke this it for ju use. Furthermore, I hereby agree that the city official or a designee may.eDter upon the property to perform needed inspections.
X /. J a......; /Y Sa /U-J- 00
d / / Signature license No. Dale
3. LEGAL DESCRIPTION
/
ADDITION e / V /V
BLOCK
/.J.,7~,...
LOT
4. OWNER
(Name)
5. ARCHITECT
(Name)
V
SETBACKS: Required
Actual
Fronl
BUILDING DEPARTMENT VALUATION
USE OF BUILDING.s FA
/
J
PID ';'5-.3/' 7- 01-(;
rO'
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Tel. No.)
~5/--7/0(, . 'Ira.
15. NUMBER OF OCCUPANTS OR SEATS
(Address)
/8/5 I'/~ 2...&- l:> r
E C 9a>Y IJJ/l/JS/;;u-
J1lttptic 0 Deck 0 Re.roofing 0 Porch 0
Addltfon 0 Finish Attic 0 Re-siding 0 Finish Basement 0
OCCUPANT~
SEAT~
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLlCA nON
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I i'J 0, rr\r')
Division 1 2 3 4
Permit Fee .............. ..................... $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
85'0.00
{, I rlI"l.t"JQ
" ....................... $
Thl oomesAnur..ArltlAiilg Permit When Approved
By ~-- Oat. {O - (I- 7l'lOO
Certificate of Occupat
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty .......................... ............. $
Plumbing Permit Fee .. ..................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
A~t? .2"'-
c; '1(0 . 71
t;o .00
Collective Street Fee ....................... $
Sewer Tap ................................... $
%" $
Pressure Reducer .......................... $
Meter Hom ....... ...... ...................... $
Water Meter ................................. $~ ..:J.. ~ . OQ
Sewer & Water Connection Fee ........... $ J. '? (!;)" .f'C)~
......
WaterTowerFee ........................... $ .,Of} .l9-~
c::
L[~
100.00
/00.00
35.'5'0
l/O.oo
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Du. .............................. $ 4 e09. 'fb
Paid 5;f1J09.<lb . .:3S&IS"
,
Oat. I(). {fA. oU 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 requested. This document when
s~~the CfY ~ner constitutes a temporary cerlitz;? ~on,"~ compliance ~ allows constwction to com9rnce. Be!ijr~ occupan~. ,~rtifica~f OccuPI~_ust ~ issued.
_ ",(~1UA-> ~ ~_ \1V.p;. L~"uli!jr<X /ilJLr{ AwUJ~
cny Planner Dale - Special Conditions d any
Issued
24 hour notice for all inspections (952) 447-9850
~~
00/09 (:;
ThE' Cpnl",rof Ih.. L.keCounlry
White - Building
Canary - Engineering
Pink - Planning
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT UJ ~< /YltVVJI) 11 [) meJ;
APPLICATION RECEIVED t{}- ~ -OeJ
. -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/55/d- Broo~$/'ole LaM:::-
Accepted
~
Accepted With Corrections
Denied ----; /J/J (J
Reviewed B ( At-f/j/),:;r-
~ ..../
Date: 10 -{( ~'2.0 eJo
Comments:
~n.a.t (A QJ Iv~.k~.c~ /1..-Jl.~
~p I c;5-lfn ~~k<3.~ ~. ~\ ~ev.-..'S . S{2QC':> .
Su~;~.
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
()! "'0 1/ S-
Th~ Ornl!'r of rho: L.kr C."ntry
White - Building
. Canary "Engineering
Pink - Planning
B~ILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT UJ ,~:)//<, int<JI/A./
APPLICATION RECEIVED /1)- ~ -00
. -
I I .-
t) UJ1j('!::,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
155-;d- R}-oo,t"s/:~e LaA.Je-
.
Accepted
Denied
./
Accepted With Corrections
Reviewed By:
Gra"t cJr&1t
Date:
/O/9/(J'}
, I
Comments: Ai/Will"" r~ /" lie bt,,,k 0/' .Ih,- /.../... At",.,.?
J'u'l ~"",j -t/r, (.!~<';"
5ef.. -I-/,~ .. rN~r<;p .;/rlp. +::..- ,u/q-;I/nl1"/ i"/!,'-""4.f/'!L:'
it
5ee a ftat'I,J!t~""+S: I F"#~/ c.;......t'.t': -r;,1~-..&" 7:..fi,_..-I,,- ,;>CJ-/'5P1IW....
3. &6<1:- ~MI.rn/.$'.e.t..G""""" 1 Fro~''''A (1",,1'4/ ;?k~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, oran 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."
.~~
oo.oq/:;-
TheC..nl..roflhel..k..Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'/1
/1 L/
J
APPLICATION RECEIVED /()- -~ -0<:)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ') 512 1-; h,})l~= / ,i':::!.. L' Ii\.:..-
Accepted f /
Accepted With Corrections
Denied
Reviewed By: 0 A..-<....LAr-()/~
&,,/' - --
Comments:
-k'kl 5~..-r-\J2 fb4~ ~ ~
_fY >>.A. 14wJ.. ~~~p ~~~ G.r ~uk~
~v.J A&,~t~ ..
Date:
W/Q/&\0
p~ ~L9~__ ~DO_ f!->e l-Jr11A-'1A.~Y-
~vJ,.vtco~ 'f-.lN\e.pr ~TI/.v~_ ~"AV~,
"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."
OCT. 19.2000 3:02PM
GENZ RYAN 6513226147
NO.415
P.3/15
CITY OF PRIOR LAKE
PLUMBING PERMIT #
Applicant (:.""/''1'2.- _ ~ 'f! ,,~ Phone:J.a..,c:...I. u,~ - \I4L4
Address: ,~"\~~r:-.. ~ ""'!'Z.L ~"T" t;;.~a&
Signat1Jre: \t. ,n _, J'" l. - ~ d.
LegalOescription: Lot ~ 810ck I Sub ~M~r d- r
Site Address:...J..,l;o"1"2- ~_e~'- L
Building Permit ~ .PIO # }.tJ - .~ L r"f - 00 1- 0
NOTE: This permit w)1I not be pICcessed Without CQmplele information.
r......uJRE UNITS
I. lIDo Fil.
2. Cold Qty
3. YAw Applillllli
f)-9ft:(
-- -n".cl'II\'ll"l' 011_ l..Oe C..nl",
I QuaJltity TypB of Filmlre Quantity Type at Filrture
I ~~ \ Bath Tub with or Without shower .3 Rough-ins
I l Dishwasher 1 Water Heater
I , Floor Orain ~Il Water Soflner
I '2- Lavatory (bathroom sink) I Stand Pipe (washing machine)
-to , Laundry Tray (lor 2 compartment sink) Sewage Ejector
I \ Shower Stall Backftow Assembly (RPZ. Double Checl<, PVB)
\ Sinlcs Back1low ASSembly Test
Bar Sink Lawn Sprinkler
2- Water CIOSBt (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
$
$
$
$
.50
GRANO TOTAL $
f PAID WITH
BUILDING PERMIT
~.
Thi, plll'lllit is granted upan the express condi~on .hOt .ald
c:tlnll'll<'lOr. .hall comply In all respects with the ordinanc:..
of the Slalo Plumbins Code and the ~e'~t5 ~~.
- '~CEIPTNO. /t(d~V~iE
/~ ___' A.I'''''''
Call f~1 inspections 24 hours ir1 advnnce.
OCT I 9 2000
16200 Eagle Creek Av. S.E., PriQr Lake, Minnesota 5537'21 Ph. (612) 447-4230 1 FA.."{ (612) +l-7-42~5
An Equal Opportunity Employer
CITY OF PRIOR LAKE' .
16200 Eagla Creek Av. a.E. Pelmll No. V-QI.5"
If) ~ Prior Lakl, MN 55372
~ HEATING APPLICATION I PERMIT
tL Dale-\.,", , ,q \ OC' PID.a.cr - '7;(,/7- co/-o
~ SHe Addtess ~""\ "2- ~[:C)" ~ I be. l...l
~ LoI -t- Block (- Add.lon ~1J )LCttfp~ ~ yd
Ownel'aName W~VV"\~'" I-Int"VlLs'
Ad<!teas I'~o "P\o..~ '"1'),- ~ 2..00 eA~
Healing Conllaclor'" ~'2.- e..~
Addr.ss "U,"", u.~ ,e.,.... f2.bLJe....~ rL~ ~r
Telephon" J.tt:>\ - ~ 2.:~ - tll.l ~
tYPE OF SYSTEM
Werm Ail Planls'
Gralllty
Macl1anlcal
Air Condftlonll1ll .~ 2.' I-z. "TO..,)
~'t"Vant. Sylllem
HEATING on POWER PLANT
SI....m
Hal Walet
RadlaUon
Special Devices
Furnlll:8 Make I. Modell,,1N'\.t"\1;) ...
Model Size ~"2...~ Q2.I~-"~
Conn.Loed
~ .\
~ Fuel ~'(' 6D.'!Jlue Size 4
N
85 Supply Opening. , \
....
12 Relum Openl.... y
z
~ Inpul :I~ tmO OUIPUI..ltA me)
~Edr.
w
t!)Clm.
OIh.r Devices
E
tL
~ Aberallons
(T)
RepaIr
~ Esl. Cosl $
~
N
en HEATING PERMIT FEE $
.... .
...:: STATE SURCHARGE $
u .
o
TOTAlPERMITFEES $
tYPE OF WORK
x
Replacemenl NIIW Conslrucllon
Eat. Comp. Dale
Building Pormh'
.50
PAID WITH
BUILDING PERMIT
~. .
Recolpt .
TYPE OF STRUCTURE
L Pillk
l.Gft
,. Y~II.
Fll.
City
CD""""
Single Faml~
Commerolal
'I.
Two-FemMy
Induslrlal
Mulll.Family
.
Publkl OIhor
,
fe.. Schedula
Industrial, Commercial & Mufti-family
Realdllnlial, HeBllng & AC
Ruld<lntial, Healing Only.
Resldenllal, Gae Flreplece
Resldenlial, Adrlillons & Allerallons
ResklenHal, AC Only
1% 01100 coal ($39.50 minimum)
$99.50
$84.50
$39.60
$39.60
139.60 OCT I 9 2001
Ramember to add Ihe Slale Surcllarge on Iha bollom 01 lhis application:
The. price 01 your healing permU Includes one rough-In IIl1d ana Hnallllllpocllon.
Addilionllln tpec1lons will be bl.ed el $35.00 each.
House Healing Tesl Racord mUll be submltled wOh I!IllI!IlllII!IIIIliIIII!IIIl!Il belola wild-
Ing certificale 01 occupancy wi! be I&sued.
I:iEAI CALCULATIONS REQUIRED willi numbar 01 supply and ,elmn openlnllS Ilsled per
room wllh CFM's per opening. New .Iruclu.... or addilions send lloor plan wllh supply
end ralum IOCaUDns shown. HEAT lOSS CALCULATIONS, PAYMENT ANO
APPLICATIONS MAV BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E, PRIOR LAKE, MN 55372.
ClIy Hall busfnass houn are 6a.m.' 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
4.7-4230
I hereby apply lor a maehanleal evslems psrmfl and I acknowladge Ihal the
Inlormellon above Ie complele and accural.; Ihal tll. wOlk will be In conformance
wllh the ordinences and codes or Iha clly and wllh Ihe slals bulldlnglmechanlcsl
codes; thel tills lorm does nol become a palmil unlil 81gned by the BUILDING
OFFICIAL; Ihallhe work will be In accordance wilh Iha approved plan In Ih..
case 01 All work which ,"quires review end approval 01 plens.
Q...
'igOalure
-101,q tTL
, Oah
/C/CtO/();J
(. ttSale
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ISSf12 1S,....J.~\c9.P e""
NATURE OF WORK b1..e1.'
USE OF BUILDING S~..4
PERMIT NO. 00. o4/s- DATE ISSUED Ie -L l-'Zooo
CONTRACTOR ~eV\~a,^-,^- ~'S"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I ~ lIP /;;-t/(71' 0
I FOUNDATION (Prior to Backfill) I t<--\t- I lo<3..f)~C5D Z1- lit I/O
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~.
~~
l
~v
~V
I FOOTING "Pea. (l/17/rY-V
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST /l1I/-rN r !r~hJ20 '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS r:
. / n(;
J..)13 )'6/ -g~
I (
-gA~
'R - Vl1M4
OCCUPY UNTIL ABOVE "'AS
NOTICE
/4/Z{}/trD
Wt..11
;r;;:r;, (
, I
I i ;)..JO(
l{')~fol
~ 1
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
JD'o~'()1
~) 11, 101
-,j Ii 01
BEEN SIGNED
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, catd sh(lll be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ }~~1 H TIME
SCHEDULED ~, 2... 0()
~L4
ADDRESS
/55"7'2
COMMENTS: h
I J
\. \
J \ E'l^O~li\P_~
-; (
~p -"l
Clbt ~~ +reLS!Pe.,.-
j
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'FINAL
o SITE INSPECTION
<9--')
I
CONTR.
PERMIT NO.
~-416
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
EtLUMBING F..IN
}if MECH FINAL_
RAD/FILLING
OMPLAINT
FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
i 0\
1.(" f
fQ IkJ &- qlf ccl.e-
~A)do(JL<<~ 1-
j
l-C,'-r 1 e- -kAAA r (
-
f) ,
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'ftLL FOR REINSPECTION BEFORE COVERING
Inspector: _1) , V~ Owner/Contr:
CALL 447-9850 FOR THJNEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS AkE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
._I:T~ L
~lJt
TIME
ADDRESS
15572 BROOKSIDE LANE
PERMIT #00-915
OWNER
PHONE NO.
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
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I~s~ C.Q.
c..tOs.P_ ~le
J(.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORf' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ .\JrLU.1 Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ