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HomeMy WebLinkAboutBuilding Permit 00-0915 6~~ DATF RFr.FIVFn / ()~ ~-oo 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