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Home My WebLink AboutBldg Permit 01-1071 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE 9//4JOI Do UL QDLl..A-r ~ \ 3. LEGAL DESCRIPTION <9 BLOCK' _ PID;lt;' ~faj/ Q{f1-D Vnob UUb~~. 2. SITE ADDRESS I '-I3DIfJ LOT ADDITION 4. OWNER (Name) (Address) (Tel. No.) 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER NCNaM.I!f8CK, me. (Tel. No.) .., ZIIIand Ave. N. ....-.8IrI(, UN Sli. S ~ Re.roofing 0 Porch 0 . Addition ~ Re.siding 0 Finish Basement ~ (Name) 7. TYPE OF WORK New Construction 0 Fireplace ., Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City ^pplicant Permit No./'JI- /QI ( BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSJUCTION . ."'Fn~ f1.r;c,t entw J 14. FLOOR AREA ApPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE IDJ /5/01 (e6t,') 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 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 :uildin offjcial can re ke this permit or just cau e. Furthermor I hereby agree that the {5 Eo J i ;e~r may enter upon the property to pertoVl n;:;dJoJections. License No. ~ 'Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN ~oc::>O PERMITVALUATIO~/"~ rf}{J - USE OF BUILDING TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R rl Di~02-~i.. L.i Permit Fee ....L'q/.:I,;r.~.......~~ $ !y' -rf Plan Check Fee ..................f.:........ $ State Surcharge ............./tfiP...... $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o COPIES o S U ~~.t.S- "'I-5.or -.I 00- Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ~.......... ....';0),;.... $ Other .................. . ...~......... $ . !.::>_ Total Due.. . ......4t'............... $ 15 b / ;;; Paid 1St,. -z"S- Receip Date /0.3-0 I B~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificat City: LlO.D'tJ Mechanical Permit Fee ..................... $ clo,oCJ uilding permirh?J~proved7 Date - -0 Issued Crty Planner Date Special Conditions rt any 24 hour notice for all inspections (952) 447.9850 ~ CITY OF PRIOR LAKE . HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~: =. ~~~. I PERMIT NO/'l/_ 1/'17,/ 3. Yellow Applicant U I V I j (Please type or print and silm at bottom) . ADDRESS \i-\'"AOU DC) t,)e Ot- Uf.., ZONING (office use) .t> t LEGAL DESCRIPTION (office use only) q I // ~."C/t- LOT BLOCK ADDITION "~/}/1/'d MU ~ ,. - PID;;25' ?b 8 - Gl:? 9-{> OWNER... '\ L... . (Name) ''-..)Q)t., )CX\r \ - 1==- \ P (' h (Phone) (Address) APPLlCAN(j " /") (Name) n \ 0 (\ 0-( l_ (') V ~ (Phone) Ii o~~ 16 C1 ~ LI 00 0 (Address) d3~11 (lommetci'n) ttll, 1(lJ am~)( Jf/ Y illJJJ r:=),F)?(Jl1 . (Address) (City) (Zip Code) (Contact Person) lA r I ~ -\- ()... (Phone) ;;::?.ri YY1--e.... APPLICANT SIGNATU~~A ~ DATE - q J 'd L{ ) 0 } ~LICAN~ASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT ~L TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT . J_.-Q... &(f\ A- TYPE OF SYSTEM HEATING OR POWER PLANT 1f 1...J X\. OWarm Air Plants 0 Steam PLEASE NOTE: 9( DG' 0 H W Air Conditioner Units f) (\ \ '-.) _ 0 ~~~~:ical 0 R~iat::r Cannot Encroach into DAir Conditioning 0 Special Devices Required Side Yard DVent. System 0 Other Devices Setbacks --- FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ '\ 0 0 Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~q'l~ .50 t-fO.~ /"'" .~/ f~ ) ~' ~'\'\ /"~':.<:>'0 <( < "('1"., . \ ..... , \" l~~eipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Building Official Date Date 9- ~.-O 1 By g.G/ (J 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ LJ J r OF PRIOR LAKE' ! HEATING/AIR CONDITIONING/.JfJ1<EPLACE PE~.lT I . I I. Pink File PIi'.RMIT NO. 2. c;r.,. City j' 1. Yellow Appllcall. I Date Rec'd /-/071 (Please twe or DMt and sUqa at botIDml ADDRESS ' ZONING Comce use) I Ll30( C1 Dove... ~ *-. RI LEGAL DESCR..u- uON (office use only) LOT q BLOCK J ADDITION ~(/Jb 41jft ~O- PID~5- 3G~ - () '33-(:: OWNER (Name) h)C1\~-"FO~ (Address) ~511 ?OL"'i ~ (phone) IJ (03 -~dL/ -L/ QS5- C'l..uf.. tV "efu..Jv~ mn 'OSC/4~ AWUCMIT .' (Name)Q.h~_~ ~ ..\- F>>"pO_~EVJ (Phone) ~tD3-31'5-70uu (Address) Q";::)\n 1.J~~~r\.J.Jf.,_J~) ~'l~ R~~fh .p~ SSl...{L./~ ;. s) ~ - V - - (City) (Zip Code) .~ (Contact Person) K('-,~ -\Je.n~~ (Phone) ~:1,~'S-"l~JlP APPLICANT SIGNATURE DATE /O//;;;J/O I APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ,. OWann Air Plants DGravity o Mcchanical . OAir Conditioning DVent. System o Stcam D Hot Water o Radiation o Special Dcvices o Other Devices PLEASE NOTE: Air Conditionet Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL m.:::r 33BD"~ IU FEE SCHEDULE 1% orjob cost Residential, Oas Fireplace $39.50 minimum 599.50 Residential, Additions &: Alterations $64.50 Residential. AC Only Industrial, Commercial & Multi-Family $39.50 $]9.50 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ "....-- .50 E:U1~~D..'0~"i4 '-1 I" "_., (Office: Ule: Only) This Application Becomes Your Building Permit When Approved ".I ;; Paid Receipt No. Building Omcial Date: Date """l_ I I ()/J (T- BY~ U ZOO/ZOO ~ 24 hour notice for alllnspectlonll (952) 447-9850, rax (952) 447....245 XH1UIHd H~VHV~ 3I~VWOLaV ZOLOSTtZT9 XVd TS:OT TO/ZT/OT CITY OF PRIOR LAKE PLUMBING PERMIT 1. Blue file 2. Gold Ciry 3. Yellow AppliCllDI 0/- 101/ TM eftlrr 0' .Ilr Lakt Counl,.,. PPNo. Applicant.\ 'N--.N'\~""-' ~\\-X~ ~ Phone:qS~-~ Address: LS~~\ ~~ \ \\\~-t.N'\kar~< Signature: ~~ ~~p, 1\. Legal Description: Lot q Block J SUb~ \:l: OJ) S~ ~ Site Address: 1~~ --r::J~\{g" C'c..,,~+ l-.J f. Building Permit # PID # NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain I Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) I Shower Stall Sinks I Bar Sink J Water Closet (toilet) b/LI 'B~ b(CtJvf\~ ~ ~. FEE SCHEDULE Rough-ins Water Heater Water Sottner Stand Pipe (washing machine) Sewage Ejedor Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other bOrt.... 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 $X $ X $69.. 57'). $ .50 GRAND TOTAL $ L/../J I 8t) ~ r\.~ 6~\' ~~~\~ ""d th d" . ~.~ s~~Q Ie u~n e express c.on HlOn u:al saId .. <~.~'.' \ . ,I comply In all respects Wtth the ordinances 0' ~ 0 ale Plumbing Code and the amendments thereof. d~ ..0 <I. RECEIPT NO. DATE I)~,~~: 'T-T"r' co""" ~, ' A. J J r:..:v- ,'. / ,. . '- Call for all inspections 24 hours in advance. <' 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / E<\..'X (612) 447-4245 An Equal Opportunity Employer White - Building Canary - Engineering Pink - Planning The ('("nIN or Ihe takr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT !UOUl Ie F leL..JC APPLICATION RECEIVED C/-/7-(J) , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction act.~i 'ty which is proposed at: /'-1 ~rJh lJotJG~-r- Accepted With Corrections Denied //)7# tf Reviewed By: f4/ ~r- jZ:~~~ \ Accepted Date: 7' . '2(, -o( r---. , 4-(,-~ ~~ < liThe 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~ ~ O. NATURE OF WORK ~M.eAf)+ .(?~~ USE OF BUILDIN~. S~ PERMIT NO. -UJ-- DATE ISSUED <=t - 21&-0 I CONTRACTOR ~Pr- - F_pdc. PHONE ~~! - 42JiI-'I:150- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS #f. I " ~ . FRAMING $4. I~/'I/~/ INSULATION ~ 1t1/~;'oJ , I ELECTRICAL PLUMBING ~ j 4 t ..IO/'i(PI HEATING (if required) Af /tVt//t;/ FIREPLACE ~/ JtJ/~ GAS LINE AIR rEST ~ ~ ~ - ~ /O/~/()J COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~. ,t/ --! 4-.4- Ytr 17.--1/-/ BUILDING ELECTRICAL PLUMBING HEATING DO NOT /1 ~ If) /.;;~ It> f tL I [) (-. Jill J/1 / /c/l?/UI , OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE 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 (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS / -'I so~ ~o-I OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATER HOOKUP o INSULATION @j SEWER HOOKUP ~ FINAL PLUMBING FINAL o SITE INSPECTION ' MECH FINAL COMMENTS: L.. I L... I ",<;'~'~".~."" (1~ ,. --~ ,>11 WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED DATE TIME Ldbt,;f)f 1/): 3d , . tJl-ltJ71 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~, I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: Owner/Contr: /NSNOT/ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS / Lj3o~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: ~~:r DATE TIME SCHEDULED I o-/;(II~! /,'/5 n()//'e~C+-- CONTR. PERMIT NO. 0/- (071 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL --ff'MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI q fiREPLACE FINAL .l1\ GASLlNE AIR TST o /.....L ()~ -I.~/ cYr--- ~- lvdfJ O~~ ..e~t-e~~ O~~ ry<t-- L. L-( ~. J:) ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~AL~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 & SAFETYl INSNOTl