HomeMy WebLinkAboutBuilding Permit 00-0769
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11-.------ . BUILDING PERMIT
,~)I .11 .I'.~PORARY CERTIFICATE OF
i ) . ONING COMPLIANCE
U l,J ltlLlTY CONNECTION PERMIT
CITY OF PRIOR LAKE
}. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
~:'1~
I DIRECTIONS L, -'
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE,D&S ~
1. DATE
~)9,${)UO
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width)
(Depth)
\4.0Wm g/If"r
() t'Y'\2~ T I'?'l. I \
3. LEGAL DESCRIPTION
LOT ~~rT' .?"C" BLOCK AJP II.C PID 61S-~L- A47-0
ADDITION Y? 1\1 G, : 00l d. ( 1\,.. -><.Gri i/J-t{ on
, .,
/ Y /;--)j"J35
; (Address)
~r:
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
15. ARCHITECT
6. BUILDER
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(Name)
(T,.~ ~ _ . '" 14. FLOOR AREA APPORTIONMENT USE
~O -4Jy /- J~5?"'/
, (reI. No.1
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck D Rs-roofing D Porch D
New Construction 0 Alter~~ons D Additipn.Q.,..... Finish Attic 0 Re-sid~ng 0 Finish Basement 0
Chimney CJ Mise.:::fY\~.. . _~ t:::; 1'1, \ /"1 ^ 'Ie A~ lI':W Nt (;A/~
lB. PROPERTY AREA OR ACRES '-.)9. PROPERTY DIMENSIONS 1','(1. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft K€€:o YB2.!C. vt1'r.,kJidth ~ Depth tf C6e.~.~ ~7Z9'::'
I hereby certify that I have fumished information 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~ffin. e property and that all construction will co.nform to all existing state and local laws and will proceed in accordance with submitted plans. I am~t the
building ~i~e ~~QI" j t ca~he_~.:.:e, I hereby agree that the city official or a designee may enter upon the property to perf, 0 In 'ons.
X ///-. /11' AV ~ ~~ tJ-O
""" S re License No. - .,/t>Ite
SEATS
16. PROJECT COSTNALUE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
CJ
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS CJ SETS
USE OF BUILDING
SURVEY
PLOT PLAN
o COPIES
CJ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ................... Cl:
Sewer Tap ................................... Cl:
$
Division 1 2 3 4
Permit Fee ................................... $
1- t lJo
/3.1:.,,5
.0'
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ............................... ........ $:
Plumbing Permit Fee ....................... $
Certificate of Occupancy
Issued
.. ...~.;e~nWhe~.;;8k
I
Pressure Reducer .......................... Cl:
Meter Horn ... .... .... ........................ <t
Water Meter ................................. $
Sewer & Water Connection Fee ........... <t
Water Tower Fee ........................... Cl:
Mechanical Permit Fee ..................... $
Date
This is to certify that the request in the above application and accompanying documents is in ao::ordance with the City Zoning 6rdinante 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.
Water Tap ................................... Cl:
Builder's Deposit ............................ t
Other ..... .... ............. ........ ........... $
Total Due .............................. $
Paid ~ ')_ I)' . Receipt No.
B/Z.5/vo
3':;. 15>.-
38z..,!:>
By t:.tJ if
City Planner
Date
Special Conditions ilany
24 hour notice for all inspections (952) 447-9850
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MINNESOTA DEPARTMENT OF PUBLIC SAFETY
State Fire Marshal Division
STATEMENT OF POLICY
I Policy #:
INS 1999-39
I Developed By:
Jon Nisia
I Reviewed and Approved By:
ThDmas R. Brace
I Subject of Policy:
Abandonment ofUnder~ound Storage Tanks
Title:
Bureau Chief - Inspections
Title:
State Fire Marshal
Date:
11/1/1999
Effective Date:
11/1/1999
APPLIES TO:
All Inspection Personnel, Inspection Supervisors, Code/Plans Specialists.
PURPOSE:
To provide for uniform application of provisions relating to abandonment versus removal of
underground storage tanks as covered in MUFC (98) Section 7902.1.7.
POLICY:
SECTION I - ABANDONMENT OF TANKS
Underground tanks containing flammable or combustible liquids that have been removed
from service for one year are considered abandoned. For the purposes of this policy, heating
oil tanks are included [MUFC (98) Section 6102]. All underground tanks that are abandoned
must be removed from the ground or abandoned in place in accordance with this policy.
Code requirements can be found in the MUFC (98) Section 7902.1.7.
Tank installations that are already equipped with an operational electronic leak detection
monitoring system are considered to still be in service for up to 5 years since the tank was last
used. Even with electronic leak detection, tanks that have been removed from service (last
used) for a period greater than 5 years will require abandonment in place or removal according
to this policy.
1.1 Removing tanks from the ground
It is the policy of the State Fire Marshal to encourage the removal,of underground tanks that
are no longer in service. Removal of underground tanks shall be in accordance with the
following [MUFC (98) Section 7902.1.7.4]:
I. Flammable and combustible liquids shall be removed from the tank and connected
piping. When piping at tank openings is not to be used further, it shall be disconnected:
2. Piping shall be removed from the ground except when the piping is abandoned in
place upon determination by the chief that removal is not practical. Abandoned piping
shall be capped and safeguarded as required by the chief.
3. Tank openings shall be capped or plugged, leaving a 1/8" to 114" diameter opening
for pressure equalization.
4. Tanks shall be purged of vapor and inected prior to removal.
5. Tanks shall be disposed of in accordance with federal, state and local regulations.
Page I of2
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/
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POLICY # INS 1999-39
November I, 1999
Page 2 of2
"
1:2 Abandonment in place ,"
Tanks abandoned in place shall be safeguarded in the following manner [MUFC (98) Section
7902.1.7.2.4]:
I. All flammable or combustible liquids shall be removed from the tank and connected
piping.
2. All tank openings, vents and pump connections shall be capped, plugged or otherwise
secured to prevent vandalism and release of contents. Remaining underground piping
shall be capped or plugged.
3. The tank shall be filled completely with an inert material that is designed to displace
the contents and vapors. Acceptable materials include cement slurry and polyurethane;/'
foam'(sand or water are not satisfactory materials).
4. The site shall be restored in a manner approved by the authority having jurisdiction.
5. The property owner is responsible for retaining a record of the tank size,location and
date of abandonment. In addition, the property owner is also responsible for notifying
the Minnesota Pollution Control Agency and local officials (when required) as to the
presence of the abandoned tank.
1.3 Additional information
The State Fire Marshal Division does not maintain records of installed, removed or
abandoned tanks in the state of Minnesota.. It is not necessary to apply for a permit or report
tank removal or abandonment to the State Fire Marshal Division.
The local fire official (fire marshal or fire chief) must, however, be notified before a tank
removal or abandonment is started. As stated above in Section 1.1, the State Fire Marshal
encourages tank removal, although abandonment is permitted. It is not necessary to receive
approval from the State Fire Marshal Division to abandon a tank in place. Once approval
from the local fire chief for tank removal or abandonment is received, it is not necessary to
contact or receive approval from the State Fire Marshal Division.
The State Fire Marshal Division does not :license or certify underground tank contractors.
Contact the Minn~sota Pollution Control Agency at (651) 297-8679 for a listing of certified/,
underground storage tank contractor~l1~rmitted to conduct tank removal~i State Fire Marshal
Division Inspectors do not witness or inspect underground tank removal or abandonment
work.
Minnesota Pollution Control Agency (MPCA) rules may apply to some abandoned tanks.
Contact MPCA underground storage tank registration at (651) 297-8664 for additional
information.
This policy replaces and supercedes previous policies related to this issue. Any questions
related to this policy should be directed to one of the CodelPlans Specialists with the State
Fire Marshal Division at (651) 215-0500.
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CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTiNG
o FOUNDATION
o FRAMING
o INSULATION
}II FINAL
I 0 SITE INSPECTION
o PLLIMBING RI
o MEC:H RI
o WA'TER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC:H FINAL
COMMENTS:
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L SATISFACTO
o CORRECT AC
o CORRECT
Inspector:
Owner/Contr:
CALL "7.9850 FOR THE NEx'r INSPECTION 24 HOURS IN ADVANCE.
TIME
o .. 1(09
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
r/u
,
ROCEEI)
P PROCEED
LL FOR REINSPECTION BEFORE COVERING
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE ,A:JP?h-"
INSPECTIOIll NOTICE SCHEDULED J f.' bO
I ,
ADDRESS /55&5 CJ Mea A ;Ie.,
J
OWNER CONTR.
PHONE NO. PERMIT NO. () - 76, '1
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ;:JmPeJe.- u..~,,-
F;;~_ U TkrJIL
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.t-^",cL rt'JN~~' ~~ O'f~
.d-- ~,..,: I -I-~J-
,
o jiORK SATISFACTORY, PROCEEO
Jlf CORRECT ACTION AND PROCEED
o CORRU1c /7" CALL FOR REINSPECTION BEFORE COVERING
Inspecto. 7ft!---, Owner/Conlr:
CA J~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE rOR YOUR PERSONAL HEALTH & SArETY/
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
1,<\C::;-Z")"- Ol""\~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PI.UMBING FINAL
o MECH FINAL
. Dr/
~
T f2.A.I.....
TIME
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: c~) ,I2oR~ !..ePr
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl