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Home My WebLink AboutBldg Permits 00-0943 & 01-23 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1'1/11N pe.eI'1IT (Please typ~ or print and sign at bottom) r:Jt 60 - 0 q43 ADDRESS 1. White 2. Pink. J. Yellow File City Applicant I PERMIT NO. 01- ODZ31 /441:/7 teftVE;N CT LEGAL DESCRIPTION (office use only) LOT3 BLOCK 4- ADDITION KN08 HIf..."L- 61!! Date Rec'd '/1z-(o I ZONING (office use) Je./SD PID 25-308 -f"'>'{-()-(.I OWNER (Name) W'AGEHA-J (Phone) 4(,1-32.52- (Address) BUILDER (Name) WAGE:MflN (Phone) (Address) TYPE OF WORK o New Construction ORe-Roofmg OAlteration ODeck OPorch OLower Level Finish o Fireplace OAddition o Misc. 1=llIIrSf-I "2- I1Df)'L- R.t1S _PROJECT COST/VALUE (excluding land) $ ORe-Siding OUtility Connection \: I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or a orized 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 subm ed plans. I am aw e that the . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ~p the property to p form needed 1 ections. I Rece1flJl .3 r)({" 4- By l.--- l 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 as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / ~e.u\ Signature "--./ 1 ' I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee Contractor's License No. $ $ $ $ $ $ $ $ Park Support Fee SAC # # Co2.?S- Water Meter Size 5/8"; 1"; I.DO Pressure Reducer Sewer/Water Connection Fee 40.00 I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE '~cation~gpermitWhenAPproved ~ ./1 ~ __ 1-/(,- Of Buildi~fficial- - Date ~ /-/(,.01 I Paid I Date /n,~ ?_~_ /... i~-rtu Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 \ /1 I.../D \ Date # # $ $ $ $ $ $ $ $ I {1 '2 .,~ $~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~~ pATF RFr.FIVFQ IO.b'OO 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 14<+ q -, Ra,v't'fI r"'oIJ..Yt ",J E 3. LEGAL DESCRIPTION 1. DATE ib-[J)'o6 I<,,W LOT 3 K.nelo ,C; Tn lf PIO ? e::;~ 3GA - () t./{) - 0 AM ih {JYl . (Tel. No.) 4NO - 5 '3 A IaJ::xu'nCl /l1,c. Vi ) (Tel. No.) . (j"l:,) <'(62- - () '7l- c.j (Address) ... (Tel. No.) '8(.,2-5 z;ntJ-, st. f. (</5"2) ~t'\:,"li!". MILt 55044 4~/';ZSZ. Fireplace tl Septic 0 Deck 0 As-roofing 0 Porch 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16'fRO~CT CQSTNALUE ChimneyLl Misc. P~"'DbO ,00 -rLc+- 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE Sq. Ft Width Depth Yes @) a J () \ I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also canify that I am the owner or authorized agent for lbe ~ mentioned prope,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 buil ng fficial can rev~ke thi permit for just cause. Furthermore, I hereby agree that the city official or a design.ee may enter upon the property to perform needed inspections. X ~\A ~~ 7~()1I8'OI ID-~_-O" II V M Sig'\ture License No. Date OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ! 'I.'-,O/!)t"J . t'n Meter Horn ................................... $----t Water Meter ................................. $ Sewer & Water Connection Fee ........... $~ e. " . (!J~ WaterTowerFee ........................... $~fJa 1'\'2- Water Tap ................................... $ Builders Deposit ............................ $ ',500 .(!)f':J Other ......................................... $ Paid ;'~;~.~.......~~~~i~;~: 'j!)t34;: Date /". Z.l' ()7) BY.~ t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed!. requested. This document when Planner constitutes a temporary Certificate ~ Zoni complia?and allOW~ constructionclo commen". Before occu~, a CertiJirate of Occupancy m. ust be issued. _ /h ~"'-Jl.~~ _'Jh..p-",,~ ~~ (~JA-~_ City Planner D e Special Conditions ff any BLOCK t-htl ADDITION 4. OWNER (Name) La."'I'U t Beth 5. ARRHITECT (Name) J-' 1M LO 6. BUILDER (Name) JL W~cmtU'\ Ho7CS (Address) i378& Sh:rrnlLl'1 (Address) 7. TYPE OF WORK New Construction ~ SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION USE OF BUILDING 5FrJ TYPE OF CONSTllUCTION, I II III IV V Occupancy Group A B E F HIM R S U I. 3 ~'l .;25"""' e'?S".'?L 'U..OC> Division 1 2 3 4 Permit Fee. ............. ..................... $ Plan Check Fee ............................. $ State SUlcharge ............................. $ Penalty ....................................... <t Plumbing Permit Fee ....................... $ I CO .00 1M .00 5.60 l/.() .00 Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... t Gas Fireplace Permit ....................... <t ThiS~com~Uildlng Permit roentf;roved. By 1-'-- Date - - 7-~ot:J r Certificate of Occupancy Issued Amount Brought Forward .................. $ Pal1<SupportFee ........................... $ ASo..('}C SAC ......................................... $--4-' (')(t)."O Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer ..3'8................. : FOR ADMINISTRATIVE USE Side Side City: ~D . 24 hour notice for all inspections (952) 447-9850 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00.OQ4-3 BUILDING INFORMATION 11 . SIZE OF STRUCTURE (Hr~t) (~dt8 (Depth) <;0 12. NO. OF STORIES 2/p 1''',1 13. TYPE OF CONSTRUCTION 1V~ w tai FrJ./llL 14. FLOOR AREA APPORTIONMENT USE r e. S ,.d,...1h a.. I 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS MATERIAL FILED WITH APPLICATION SOIL TESTS LI ENERGY DATA LI PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN LI I.K.DO 1;15.00 .-. 'Job_J 'T1J~rr.o.\J4>,^ c+-. ,A,.,d~("<:~,",( . .T"I~MIu'. .AJ~ .~ng.... .Permlt" .__ 1</-447 lAcJoJ cr. .Heating ConIroctot ~J J'J~. .T..t"';Signalur~ !1!!! ~ Pou_ f!!!!!!!! 2!!! !!m! Pou_ Pressure '_Uno P,tuurized '_Uno P_ad 1..- lnopoetod PERFORMANCE rES! /d .Percenl c~ ...0.:: ~ ...., 0/ *Percent C7 ~.:", '"Stack Terrip. 07~ .\ '2.0" PERFORMANCE T~~-r .P.rcent CC7 ..il.f'n .p~~ CO .Percent C7 f'J% .Stack Temp. D% 97cl . .Percent CO Floallnapectlon Oat. Finallnspection Oat. ---- 00 'O~4 3 Tilt C"nltr of lht l.lu: Counl!')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . J L APPLICATION RECEIVED J Ii" ,. fA /UCI'- f f ,dl , /j 1!(1)ttd /()- t, ou The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I Lj L/ 9'i t:? /t IA/ JU ~ f- jtJ E--' Accepted / Accepted With Corrections Denied Reviewed By: Granl: a//~.d1 Comments: !PJe:J'eny /lyertltal jpf ~. Lie al fl3".f Date: ~~ $"'d! i?1' 4e- iJl'(lJtR' / pn -/?fe heh/'e 110//1, /je J+h ~ee aJl-CleAmenJ: /, ni!1/ C'lflh "14$)?ft1J-'-f/H'];hn>1ofuVl Cl. (;rn~Jl 3 El'o5ib1t &10/ ;J!t1t/:>l//Cf f. ~$Idh 1L1r-./ fl..n "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." - , OD -OQkJ Th~ (~..nt..r of thO' Lak.. Count..,.. While . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j L APPLICATION RECEIVED /i 'i I' , , I , /' , ], ,: f )<. " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " / , / I -I '/ I (j It.' - IvF-' T I' -- Accepted / Accepted With Corrections Denied ~~ ~ Date: LEY2 'i/.ot'J Reviewed By: Comments: ~ ~_( rAVY~~wBzt~ JJ.~~;~ ~tJJ~~ ~~ !~WA~ ~\A.O "l", (t'~',.~ ~ ~aJ/"' 4- .;;~ l~d ~_<- k~~ _2~ MM.kI\AAAM_ ~w~AJwM d- ~fv'~ ~. ~\D1~v f.J..<Dlh) v;;- M.. "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." 00.oQ4--3 Thc-CpnlerOrlhc- l..kpCounlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~I L APPLICATION RECEIVED !jJQCte m((;) NOJ11:e:..S , / ()- t, -00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / Lf L/ '17 t< // .L/t"jU c::..:j- IV E' Accepted Accepted With Corrections /<. Denied Reviewed By: V1i2.~y, Comments: Date: 10 -llo - cOr.Jo ~EQJ o..\l ct\kc4cl ,^~m.+~ "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." GREEN. fl.E YELLOW . APPLICANT GOLD. CIT., CITY OF PRIOR LAKE SEWER AND WATER PERMIT s.w. No. 00 0 '14- 3 NOTE: Sewer and Water contractors must be registered with the city. APPLICANT:f),,2.fiHbL. E;t:c. ADDRESS: 1I./I.fJ"u.r,I.-J w/l'/ Ulvl. ,S'-'I'/ SIGNATURE: 0-L4- {J~ SITE ADDRESS: /<1'1'17 A.9vEc >V ('T. PHONE:r'}J-(~tt DATE: I///-r/O(.) BLDG. P~RM'IT # 1)0 -014;3 PID# 25 -3"B -lvfO-O FILL IN THE BLANKS 1. Estimated length of water service 'i 0 feet. " 2. Size of water service I inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC )( cast Iron 5. Estimated length of sewer line ~c feet. 6. Clean out (if required), located at structure. feet from BY r}E;-~= =========================================== ~ 0 es your permit when approved. DATE: 1/-/5' cru --------------- -------------- This applicat' ------------ ----------------------------------------------------- ----------- ----------------------------------------------------- FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $j.7..JStV plus $ .50 surcharge. * Sewer and water permits recorded on the building permit card to insure that no duplicate sewer issued. RECEIPT # REC'O BY DATE PAID AMOUNT PAID 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer ~~ CITY OF PRIOR LAKE PLUMBING PERMIT PP No. 00. ~ Applicant: OL.<:; 1..-.../ P LlJ VI') P r J.d. Phone: l.J.J J. -<1 b I q Address: b I.) try I.~ I s -r <"1-,,&i-fl L-f: \I A /...1.+ Y rn r.Jc;S J,U) Signature: . h.o.. 1.1 Legal Description: Lot Block Site Address: J 4. 4. C{", Q A V (" "" 0 ~ Building Permit # .. tJO - oq+3 PID # NOTE: This permit will not be processed without complete information. The Cenln of Ihe Lib (:ountr)' Quantity .:\ I ~ 4- ~ \ I < FIXTURE UNITS Type of Fixture Quantity 1. Blue 2. Gold 3. Yellow File City Applicant Bath Tub with or without shower , i I I J C:ub Type of Fixture Rough-ins Water Heater Water Sollner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other ;/ Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall 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 $ $ $ $ .50 GRAND TOTAL $ ~()\j '2. 1 '21l1l This permit is granted upon the express condition that said contractor, shall compl in Il respects with the ordinances of the State Plumbing amendments thereof. 11.2~DATE , -' ATTEST Call for all ins ctions 24 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer ~ - <U '" CD 0.. :; 0.. N '" '" o o ~ N o <U o ... CIl CIl CIl '" '" '" ~ '" '" a: l.U Z a: o u l.U o H rJl l.U a: H LL .. >- <Il +' t: <U rJl HEATING APPLICATION I PERMIT Dale_/.-1/"..vW PID. 2.-'7~3(O'O ~()40 ~() Ske Add(O~ ' /YW? ~~ (! AJ.c:- leI 3 Block 4- Mdilfon k:NO IS tof (L/i..- 5 TIt - 1~ LJ~M~ ii~, OWfler"s Name Address CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permit No. . no . ~ 3 Prior Lake, MN !i5372 ' He.tingConlraclor ALLIED FIRESIDE db. FIRESIDE CORNER Addross 2700 N. FAIRVIEW. ROSEVILLE. lIN 55113 Telephone' 651- 6 33-25 61 FIREPLACE J I , IRInttlP Make & Model 'AIld .{)~~ , - Model Slz~ h()()~ mj TYPE OF SYSTEM Warm Air Planls Grav~y Machanical A~ Co odilion"g V BoL Srst.m HEAllNG OR POWER PLANT Stet\ITI Hol Waler Radialion Spoclal Devices Conn. Load F1JIl1~ Supply Openings Relurn Openings lnput_ Edr. Clm. Atteralions A.apair, Est. Cosl $ Flue Size OUIpUl4Ax> Other Devices TYPE OF WORK Replacemenl New Construction >c Est. Comp. Dale _ / ;}.(,Yl/fi) , '. !ilJP..f)) Building Permit. 0 0- 0043 PA~p~~~M\T 1U\\J)wo- flEA TING PERMIT FEE $ .50 TOTAL PERMIT FEES STATE SURCHARGE $ $ RecBipl . rVPE OF STRUCTURE 1. P1/l1\ '-"-' tYd_ .,. Cll, CHIl'le" Single Family Two-Famijy Indllslrial Munl-Femily Clhar Commen:ial Pubic Fee Sohedule lnduslrial, Commercial & Mulli-Family Residential, Healing & fie Residential, Healing Only Residantial, Gas Fireplace Residenlial, Add~ion6 & AlIerallons F1esidenliaf, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember 10 add Ihe Slale Surollarqe on Ihe bo"om ollhis applicalion. The p'lce 01 your healing pet"mil includes one roogl1-in and one Ilnal inspao::tion. Addilional inspeelions wi. be bQled al $35.00 each. House Haating Tesl Record musl be submitled wllh.ll.u!llliImlll!llll.ll!Illlb.u balere build. Ing cerliflCale 01 occupancy will be issued. l:JEAI CALCUlATIONS REQUIRED wilh ",mber 01 supply and relum oparingo lisled P' room ,.;th CFM's per opening, New slru<:tu'8S or additions ..,nd noo, plan wilh ."""Iy and ralum locatiolls shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED Tn THE CrTY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. C~y Hall business heu", are 8 a.m. - 4:30 p.m. All WORK MUST BE INSPECTED (AOUGH-lN AND FINAL)- CALL CITY HALL 447-42311 ( hereby apply for a mechanical syslems perm;1 andi acknowledge lhal tha inlormalion above is complele and accurate; lhallhe work wiN be in conformanc. wllh Iha "rdinanees and codes "f th. city and with lhe slall bulldlngfme""anlel e"des; that this form does not become a permllllntlf 51gned by the BUilDING OFFICIAL; Ihallhe work will be in acc"rdance wllh the appr"ved plan in 1I1e case ,,' .all work which lequires review and approval 01 plans. I\KB ~/'f17 , '/ Ollie 12. z...1-DO Dale lltJlIding t1fflCar. SignBlure CITY OF PRIOR LAKE. 1&200 &lie c-k Av.. S.E. t>em1illlo. Prior LaIIe. .. 55172 3. - i 'A.~ ),~.... or: ," .'1 .. ~(IJjj~,. . E:' ~ f\j _ J '!! . _ ___ / IfEAlItKi APPUCA"I1ON /PERMIT ~,ja _ _ll.-~ 1.1.: ~.____ pll), __U2~.3!oB.-:_C4.0-:D--- ~le Addt~ ...J_~ 91~v4-ifq,y\ ~'^-" f10 ~.Qi4 3 ----" [::JJt __ ___ (bIl.___ AddIion. --;_81"11"""'__'1" ,L...-, vJ..~f...W\.~'" J~"VV'f} ~ . ~ oLkV(.!S5 ~almg~-:.. _A~o-;a~o~ _.A~~-T ,;;___.____n_. oldt.... __5Q3.JJ11:L~jr:(, (,~ .fi~._B-~~5~\' ole.."" ~ ~J.-~_tj -7'tJ-1__.- : 'Jr'''''''' MaU aMadll :E.~_-"A-vI\ nPE QfSYsuw k<!eI SirB ..1S-QIMtA- U (J ~ ~ 0 K~ ~~~ n_ :;,,",,- Load ---.L I () MecIIaqjcIaI .. __ Ail Codioring ~ c .ei _ v1.kL~_--f)Ja SiD-f2l1l",_- v..... Sy!itlllft aSUJIP!Y ( " ~" __.-1.D-------.--- MEA1tIIGClftMWBlPUNT lJ.. ~ fMum.lpeftings _~ _.____ HoI-.- fladIodioII Spociall)evices __ ;'lI"'.5Q1W- f>>lrAA _J]f.!:/PO- Ed- 0I1ter IJ8Vicols .--- - --~...-._.-- efm .----.-..---" -------- _____0_____ ___~w_ .I\tt~ I ~,tonns lYI'E Of WORK _____. RAp/attlfnont ._--- __'- N.... COII6Ituclion t.----' ..--------.-..-... ''''''''''. ____.__.__. _ Est ~ DaIlI :._<1 Cnsl $ _____________ 9Ulld!l19~"lIYlft #.~}jj ,_oZf43:.- @~~.171 ReeeiflI _.n._ . ~__ _ __un'_.. ....---...---- HfATING I'f.RM/1 fEE S__ ---.----- .. S1I',1l_ <;UfU:HAAGf. $.-----.--~- E o -fOIAl Pl'RMfTHfR , IX - - ..------..--.- lJ.. l.r"lIl t.lim:lIr ) !MM..- I:,": C1rr (nIl<<l:II"U;, IYJ!i._QfJiI.8U.cnt.tre Sinfjef'onlll\l __~ Two-family ___._________ M....FaMlly --'--- .- eornme.cial _______ I .....,-.,t ._.._ ____ Public Oltoe'_ ---' Fee S<;he\tule InduSIriBI. CL. , ,. ;., I & Mul1I-f~ FWIillemal. Hulllit191 K, ResidIIn1iaI. tteeling ~ ResIdenlIIII. Om A""""" ResieIBnIial. Addilians & " .. ,,' ,'. om; Re6lden1ial. K, Only t% 01100 C09l {t39.511 mi_) ..50 $64.511 ~.60 $39,50 p!l.5O Remllfllbar III :odcI1lle stlI18 Surcharll" QII the bIlIIon\ of 1hI$ ...... ..~"'. I1le price 01 yGUr heatillg pemlil.ndudes _ ruugIl-in and CJI'" linel : .", ' ;: . n. AdllliollaI . . '" . .'- _ witI be biled at $36.00 each. H_ Hedng TllIlI tlecold.....1le ~ wiIh "'-II!I!Il!ilIY1M! beIIlIe tMOIO ..~I'I _ "',< . ........iOlUlld. HfM r.Mj;Y1JiDONS ~~Qwilh fAIlIbe1 oI.......-.w ....llIlum apefli191id8fl pet" _ will CFNrs 1M'" . .', - J. New............ 01 ........... -'II..... .... ... ...pplv and reI1Un IucdItDl\8 8IKMn- tOY LOSS CAlCUUITIONS. oouarr AND AWlIC.,., . . ,.. MAV BE MAILED TO THE cnV OF PflKlR lANE. I&WO EAGU. mEEK AVE. 8.e. PRIOR LAKE, MN 56312- City H8IIlJuslIass I\aUftlIlIe 8 a..... - .UO p.m_ AU.WORlI" __TBE _ ",u."otAOUGtUN jlNI)"'~ .CALLcrn HAlL 447~J311 I hereby apply lor a mechanical systems pe.mit and , l\Ck""IMledQP. lhall he info.mation abon is oomplete and accurate; 11101111" _rk will be .. conform en<" witk tIIa otdiMnCeS and codes olllle oily and wltII lIle stal. buillinglmec/fanler.i codes; that \tis Iorm does nol become II "",mil unill elgned by IIIe 9UllUING OFflC!AL: ltlat the Wflrk wltl be in accon'lanco willi 111& approv.d pl:on in tile rase of ,;:a.l11lf'aft. wl1lr:h requiTes review and 1. r,; .'.... at.of platls. -~~~A~.---.. \'-:)~'-d'{} --o-qlZ: ---:-- __ .11_4-: Q. I .. I}~) +- CITY OF PRIOR LAKE MC 16200 Eagle CreekAv. S.E. permilNo. D /-()023 Prior Lake, MN 55312. HEATING APPLICATION I PERMIT Dale I--ICl/D/ . Pia. 26 - .%~ -040-0 , /:: ' Site Address j(.;yr( 1 . #~ fY a -. . Lot Blod< Ad~ili?n J o.vn::me 1;1 :~ lAJv~ ./ju, h I'.ddress {/ ~loalingContractor ~LLII!D FIRESIDE dba FIRESIDE eORlIER Address_Z7OD N. FAIRVIEW, ROSEVILLE, Telephons' ~SI_633-2561 FIREPLACE ~ I:lI.ftllll Make & Model U 1.) IdCo ~[jJ)"74' -/ Mod,;1 SilO, Conn. Load FuelM Supply Open; n'ls Relurn Openlnq. Input Edr, Clm. A1leralion. .Flue Size _ Output dj ())! MN 55113 TYPE OF SYSTEM Warm A" Plants Gr avily Mechanical Air Condillonlng . Venl. Syst em HEATING OR POWER PLANT Sleam Hot Water Radialion Spudal Device. , Other aevice. TYPE OF WORK STATESUACHARGE $. TOTALPEAMITFEES $ Xl Replacement _ New Construction ) - j,cI-i)j () ( ~ 002..3 Repair . Est Comp. Dale EsI. Cosl $ --tl-on l~ Building Permk' . flEA liNG PERMIT FEE $ .50 PAID WITH R BUILDING PERMIT ecelpl' ~ TYPE OF STRUCTURE. J.rIinl 1 ('11ft.. 1. Ydklw '" AI< '(1) 0', ! ~ CoaIblCta'1 OJ "< Single Family Commerclal Two-Family Induslrial MYlIl-Famny _ Public Olller "T1 H 1:0 m '" iH '" m io o :0 z m :0 Fee Schedule Induslrial. commercial & Mulli- Family Residenlial, Hullng & I'.C Residenlilll, Healing Only Resldenlial. Gas Fireplace Residenllal, Additions & Alleralions Aesidenllal, Ae Only 1 % 01 job cost ($39.50 minimum' $99.50 $64.50 $39.50 $39.50 $39. 50 Remember 10 add Ihe Stale SUr&horge on the boUum ollhis llpIIfICelion. '" '" The price of your healing permil includes one lough-in and one IInaI irls!Jec1lon. '" '" Addilional inspections will be biled aI $35.00 each. '" lJl House Heeling Tesl Record musl be submilled wilh WIltIimlI!lflllll 0lIlIIIIm belore bull g: Ing cerl~icale 01 occupancy wi1l be issued. ... ~ yAlCULATIONS REOUIREO wnh number 01 supply 800 return openings Iisled room wilh CFM's per opening. New slrocluro. or additions "nd !loor plan wilh slIpPly end relumlocallons ..hewn. HEAT LOSS CALCULATKlNS. PAYMENT AND APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR lAKE, lUOO EAGLE CREEK AVE, S.E. PRIOR LAKE. MN 55372. L Ol ::J w , ' ALL WORK MUST BE INSPECTED {ROUGH-IN AND FINAL}- CALL CITY HALL ~ 441-4230 '" . 0 I hereby apply for a mechanical syslemS permll and I acknowledge the.t Ihe '" Inlormation above is comp'ele and eccurate; Ihallha wOIk wll be in conlorma. ;g with Ihe ordinances and codes or lhe "lly and wilh Ihe slel8 building/mochan .. codes; thallh;s Iorm does nol become a permil unlil signed by Ihe BUILDlI OFFICIAL; Ihallze w. 1< will be in accordance with Ih.. 8pproved plan in lh caseP' work whl requires review and ap","oval of plBlls. -li/ / ~ ~~~ 6W ~ I\P~IUrO ~Oal8 JiJf)JlL. I - Z.fo --01 :: BWdin! Officers Signallll8 Oal9 Cily HaD business hours are B a.m. -4:30 p.m. PRIOR LAKE INSPECTION RECORD ()~ DEPARTMENT OF BUILDING AND INSPECTION SITEADDRESS Itll./<tF7 RlllIl'JJ\ NATURE OF WORK ~, USE OF BUILDING S~[) PERMIT NO. fJ(). Oq4-_? DATE ISSUED LD -Ito -Zcc>O CONTRACTOR \dt:\.5~ IMo..,^ ~.o9... 4&1- 3::t s 2- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , FOOTING I INSPECToR )i71 10 hj:, , FOUNDATION (Prior to Backfill) I fft-. . - I 1//1) tyO PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH,t: INS I ~::~~~WATERISEPTIC 'II/~ Ph ~ 1ft5;;'l' h. IHI INSULATION flf1fe{'..j~ j;/.I~q {..,lr, ~~) 6r. (I;L~( ELECTRICAL PLUMBING M' (ft/o( ~ \JtwI i riA? ~ ruzlICJO ~~. ~ rzlz,~~ ~ ~~. V-o/"I HEATING (if required) ~ rz12-llm". L.l.. ~ I FIREPLACE f>>r. I I Iltlo, GAS LINE AIR TEST rW:l"j"", I~NL/oo '61/ F:P.'Cz..) &-. ~/t;;J/G' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS /\/jI-re... J-/J. ~J GRADING (Prior to Sodding) BUILDING 1,C.O...wJ <6/ I/o I ~, ,-. ELECTRICAL PLUMBING HEATING DO NOT g-/7-01 "~ ~ ~ q \PI 4/'3Itr/ BEEN SIGNED \ ~ \)IIM.II IfJ:1- ' \ OCCUPY UNTIL ABOVE NOTICE HAS 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. Call between 8:00 and 9:00 A.M:for all inspections FOR ALL INSPECTIONS (612) 447-9850 ~trtifirau at OOrrnpanry CI'1 t" OF PRIOR LAKE 1Department of .uilbing Jn~pettion ~inal Permitted 0 Conditional C.O. Expires This Certificate issued pursuant 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 ordinances. of the City of Prior lAke regulating building construction or use. For the following: Use CJassificatior SINGLE FAMILY , VN Type ConstructJon . Fire Zone Bldg. Permit No 00-0943 N/ A 7. D.' R1SD onmg IStrict OccupancyTypc R3 LegallJescription 1.1. R4. KNOll. HTT.!, FTFTH AnnTTTON Owner of Building Contractor', Name & Address JL WAGE~N ROBERT D., HUTC~i / ;J;n/~ffi~W ' I _ Site Address 14497 RAVEN COURT NE HOMES, 8625 237TH Date: City Planner Date: ST. E., LAKEVILLE DON RYE 55044 POST IN A CONSPICUOUS PLACE DATE TIME CITY OF PRIOR LAKE ~k3/or INSPECTION NOTICE L.JlGHEI?ULED /1:'<,0 ADDRESS /<-/ L( q '7 f AJb,J () X( OWNER CONTR. PHONE NO. PERMIT NO. t) - '7.</3 o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL ~FINAL 0 PLUMBINGFIN~ 0 GASLINEAIRTST tJ SITE INSPECTION )it MECH FINAL - 77J':{..J 9t "" - _. COMMENTS: 'tSr~a, (\) r~ JM"J ~ch!n-:... f$) ~ ';J"/'J-e-un?<-" ~ ~-f~ (dL-.-,.pl~~ ~;-L-6f1-m--- ~ II " -.~~V~~TMf ,'-0 ~1uP, 8)..4<<1 f>,~'p<:> ~ ~ (fJ +~- ~~,~e,) k~ '?~ ~U~ ~~~ Cd ~. _ ~ -...J. "'..~o.e, (!J.)~ fl.C.. ~, ~,~....-,--...a",:........:. ~ ...;,,-..> "'" ( _~(J, 'XI' /1)/ .J --'''''''".'~ l~_ ~~.~S'-,~. # o WORK S SFACTORY, PROCEED o CORRECT ACTION AND PROCEED o 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 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~-/7--ot 41"'7 ADDRESS /~L/9 7 -/?"V'''''' L( OWNER CONTR. PHONE NO. PERMIT NO. CX> -'jq3 o FOOTING o FRAMING o INSULA liON ;>t(FINAL o FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL o WA lER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ..A:lEXCJGRADfF1LLlNG ~D'tKSHORENYETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: r;ruvf.L - cJ I( X WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECT ION BEFORE COVERING Inspector~ CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, ----- Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /#q 7 KaiJ~ d-:. OWNER CONTR. PHONE NO. PERMIT 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 ~ PLUMBING FINAL o MECH FINAL COMMENTS: V\!\~MA-v1NOMrjV Y1\ €Jer ~,,,Ja ~ TIME IO~a:? OO-oq4- 3, o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o tORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT OR CALL FOR REINSPECTION BEFORE COVERING Inspector: t Owner/Contr: CALL 447-9850 FOR TH\ NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~J:I~ ADDRESS 144-&17 1<.A V 6 t.J QT OWNER CONTR. PHONE NO. PERMIT NO. o -q4-3 o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIREPREV. ~ COMMENTS: l])l o PLUMBING RI hiECHANICAL A TER HOOKUP EWER HOOKUP :; 0 -;CUMB;NG FI~~L o SITE INSPECTION ~~/ o EXC/GRAO/FILLlNG o LKSHORE~ETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o ~ ~_.. ~:i~. J..,., 4.h Pile.- - Lf ' ~ A.II -~r -. r I I /- . f;7 . ~)<?~~ I" ~ IL 35' /Y _('~..h~'. 00 r ~. u~ iJJ7>.-o ~ o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECT ION BEFORE COVERING Inspector: ~, Owner/Contr: I gALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!