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Home My WebLink AboutBuilding Permit 04-0557 CITY OF PRIOR LAKE INSPECTION NC!tlCE PERMIT NO. V?' -.sS7 COMPLETED / S cyOO ~". ;.,.- ~~-.... CALLED-IN SCHEDULED DATE TIME - / rJo#'9r ~ , ADDRESS OWNER ~ TELEPHONE NO. !.U 0 FOOTING LL: 0 FRAMING ~ 0 INSULATION Q D. WAll BD. .A ~ ~NAl /-I ~D FOUNDATION ;z: 0 DEMOL. ~ 0 FIRE PREV. ~ ~OMMENTS: ...., ~ ~ ffi Cl.. ~ ~ ~ ~ 'l( ~ ~ ~ ~/ / /' ~ /" ~ c::-/ecf,,'Cey / hjy~ / 6Y~ fa ~ 4RK SATISFACTORY:PROCEED 0 PHOTO TAKEN ~ CORRECT WORK AND PROCEED o 0 CORRECT WORK. CAll FOR REINSPECTION BEFORE COVERING (,) 0 CORRECT UNSAFE CONDITION WITHIN I-IOURS. INSPECTOR Will RETURN. o STOP ORDER POSTED. CAll INSPECTOR. o INSPECTION REQUIRED. CAll TO ARRANGE ACCESS. ~~~ ?;- CONTR. DPlUMBING RI DSITE INSPECTION o MECHANICAL-RI 0 EXCAV./GRADINGlFllLlNG o WATER HOOKUP 0 LAKESHORElWETLANDS o METER SETrrURN ON 0 COMPLAINT o SEWER HOOKUP 0 GAS LINE AIR TEST o SEPTIC INSTALl. 0 SEPTIC FINAL o SEPTIC MAl NT. 0 FIREPLACE ~. PlUM"G ~Al ,..---,0 ME9'"ANICAL FINAL /CC#U>cLe / /-,1nq/ / ~ ~ I ~ ..- ~) ~~.r , };4*"{ #~~/ ~,-,/cI /A\. // ~L nL- ke-~__ / /~ r='4 cL .t,.-:d /'1)~~ / _/ (-Y65f' rl I ( / I....... ~.i/C call for the next inspection 24 hours in advance. Owner/Contr. oI).JiJ'. / Inspector -'7"'ck... / Ylll1low CclpyIS/N Notice 447-4230 WMlJ CclpyRnIpeC/O('s File rJ. Wi f5l -~>\ I \:'.J 1..5 I I ; i, 3 OIlM ! i I: CITY OF PRIOR LAKE Wl) BUILDING PERMIT, TEMPO flV CERTIFICATE OF ZONING COMPLIANCE AND UTILITY COt-JNECTION PERMIT Q4 557 Permit No. - 1. While 2. Pink 3. Yellow File City Applicanl 2,S~4bEO 1Jla/J~,~P~ 7~J b:~r~gEscRIPTI2~N Fd -\ 'f I ":a\U ~ Sl--e,cc....s.::,,"\ C' -2 /. J tOT 7.....v - BLOCK PID ..t. -::> - 0 '-::> f-L.JO -(u ADDITION mi ....Itt~~ ,n ShorG.S 4. ?~o~R (Address) L K. ( . s- .(tJ F ~t (" ~o..V 5. ~CHITECT . (Name). . (Address) U:? Hoe.,,'- ~o~s7 'I( \.A <"- t 6. BUILDER (Name) Me.,,1 '1 ""- CJf5P/~ 7. TYPE OF WORK Fireplace 0 New Construction 0 AJterationsll( Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Fl. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and si~n at bottom) 1. DATE /1 / '?t1 j; C/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 44 7-?lt.l I 7'f~. \ 12. NO. OF ST~S 13. TYPE OF CONSTRUCTION fZe.'toAMe I.- '"""\ ~ Ex t-e.\r ; cr 14. FLOOR AREA APPORTIONMENT USE I C """- (Address) (reI. No.) .J4)'::>':,' El ~~'''''e (!-1 . C::;~Io>'~~ Septic 0 Heating 0 Plumbing 0 Reroofin~ Porch 0 Additio~ Finish Attic 0 Residin~ Finish Basement 0 9. PROPERTY DIMENSIONS Width Depth Yes 10. CULVERT SIZE No K x SETBACKS: Required Actual FOR ADMiNiSTRATIVE USE MATERIAL FILED WITH APPLICATION Front Back Side PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET tD USE OF BUILDING U IlL Ihrou. _ TYPE OF CONSTRU~~ION:" II III IV @ Occupancy Group A BEl H ~ Division 1 2!)4 OFF STREET PARKING SPACES REO. ~ SPACES ON PLAN PERMIT VALUATION Jqo.~.oo City: Permit Fee................................... $ S-qq. (JO 3 e9, 35"" J./ 5'". 00 Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ Check if Deferred Subtotal............................... $ J()J~. 3~ Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS ~SETS Z SURVEY c:v"'COPIES PLOT PLAN 0 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ o Sewer & Water Connection Fee ........... $ o WaterTowerFee ........................... $ Water Tap ................................... $ 1033. 35" Yourff'jng permit1h pproved. .,1 Builder's Deposit ............................ $ By 'V"--Date' 1..,",~..q1 Other ......................................... $ Ce Total Due .............................. $ ID33. "3S Paid 1. 6 JJ f.Jr- Receipt No. :2r../ '1'1 ~ ',I V' Date 14...1L1.$../' Bv ~ --r. /"'" f./ 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 r uested. This document when signed By the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of cupancy must be issued. City Planner Date 24 Hour notice for all inspections 447-42309:00 a.m. '10:00 a.m. q '/-- ,5,~"7 Special Conditions if any Quantity J Applicant: kuu ~ .11')[ ~A.~ t~ Address: J.) 'I t ~. 2.uY fiA tJ .41rY' <.. L" Signature: 111.';. ~_ -. j _ _ Legal DescriPti~n!Lot ,1, i -PIn J Block Sub: YA< fJA.li~-.I~~ Site Address: J-'" l'l; ./;'/ItJ..A~..J ':;11tJA-~.i .rA .J. f . ~ ~ L~:"':J,[ J... Building Permit # 9'1 -115S7 PID # ,J. _') . 1J3J-IJO J - D NOTE: This permit will not be processed without complete information. $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $ 6.00 $25.00 $10.00 $25.00 $ 6.00 $25.00 SURCHARGE .50 GRAND TOTAL $ ;;l ~.~{) ell v OF PRIOR LAKE PLUMBING PERMIT 1#4 Phone: FIXTURE UNITS Type of Fixture Unit Amount Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks: Bar Sink Water Closet (toilet) Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other ~ / Minimum Fee 1. Blue 2. Gold 3. Yellow File City Applicant # 1s--tJ f f'~y -7"~v Total t t.v /,J.. ,~, i.i';> This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the amendments thereof. J,Di/L II. RECEIPT NO. J}J1jf.~- DATE ~d~ , . ATTEST d Call for all inspec 0 24 hours in advance. 4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -5460 .p~r/UAJIl..,. S'I~( 1 r,.;JJ NATURE OF WORK (.(I","oW \.. USE OF BUILDING S.(D PERMIT NO. '!'-!. SS7 DATE ISSUED T2../~' ~y CONTRACTOR wr''-{-- r)~c7'r. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR .. DATE ". "'\ I FOOTING I-,{"'A --1-'-. ~ Iii q; \. \..\ "Is \'1 1~' \ '0 I FOUNDATION (Prior to Backfill) I f13 (0 1,2 3<J "It; i~r)"nv\ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I If! /' e0 I A ~ I ~ ':;' I~ SEWER I WATER I SEPTIC FRAMING Clt 1,;1 t INSULATION .-g '}.:6cI) ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST I _ I ,,-> 0.5 ,0',) J-.d I -;;.,-;. I \,10 1- I) - "d rv ' ' I~ I b ~b 1-1~ I fB I h." ")> COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED , WALLBOARD 1(8 1;1.5 ")5 FINALS I I I I I DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING M r;p~~ 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 447-4230 ~ r2/-3/q~ .~~ The Cenler or the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '-j, " NAME OF APPLICANT 1/ u ,,; . APPLICATION RECEIVED I; i// ~ t .,' '/ /I-~ . / "~. r, , !I' ,-' J /' -. ./ ,,:1 >!i t . . ,;/>~..,,///? :-l I , i ( I The Building, Engineering, and Planrying Departments have reviewed the building permit application!or ~onstruction activit~ w,hieh is proposed at: "I ' .'.{ ". j j I, i, I' . ,I, / ;' , ,I 't .' /" /1, " I If U'. /'-'.!-. j I' .I., I i< {I. . Accepted Accepted With Corrections V-VH'iq) oP ~~r 12~c.-q<f rf ~~S,z;~. '}l-Z - a<.( 0 ~Gf (fl Date: r ~ I \i! ~ . '(Y"- r:ft-. Denied ~ Reviewed By: t~ Comments: .~ :<)Ur{JlMnp J n') -It: 1}iJ AfLI )I'~ flY.-tfj/} D/IU&- it/{ 0 CjDl- ~jMW -m ()~(,\{b~~ lob-J1w~u\<w S-e;fr'oc{ 1;6 -lS' ~ 104 .- ~ d1d~& ltJ0h iirff/lf'j7-ft1 .9fm,/ure ~ rLwMf,lYw t'leXI fl'lrtWt IJWJI I~~ 'In ~fl .$'pJn(jAt/ aj)MCffjL -~& (] 7/)-( :5LI6~c~' 0 _~~ f" a //t2/tIlUW!-~-J/IiIf;JJ k iZt;-U/1b.l, Mv - "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." -..... ,.- -.----.---~--,----.-.~.---..-,. -...... .-...-~-~.- - ,'.. -_. -.."-..". -'-.'.-.--" ~"i' -,---_. - .__...._._.-":"_.:_._.~_o._._________--:-_._..-.__ .._~.~,~ ... .., _ _,_..,,_,_..=_':L.-~",,~~=e=.."'.~"t_--... ~.. Th. C.nl.r of lh. Lok. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1JLn /" J /tlJ{j, ../jj.,,;J APPLICATION RECEIVE6 ,.6-0) . t.J'l /'.LC1'~' ~jjifrAIJ J!htu~l ///3&/r?'/ I The BUildin. g, Engineering, and p~an in g Departments have reviewed the building permit application for construction activit w. ';.h is proposed at: /' , ' .EtJ66 ,-11111~/AI""j --J:J,JI'; J... irJ -' . / Accepted With Corrections Accepted Denied . Reviewed By: -'(~141 Comments: ~ Date: J2/~/~ "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." Tht ('tnln or Iht Lakt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1tu~1;~/ ~J 1!.~~ I . -. . ../ APPLICATION RECEIVED -- '. ~'fI/J1L'-rL/ .--~.:~0J't.,d i/!Jm'i The Building, Engineering, and p~an ing Departments have reviewed the building permit application for construction activit w;lie)1 is proposed at: ((. ,1 If . St.J.fJb '- !.ja..."II~."~ ~JI0{) ~/\. };,/J j . Accepted Denied 1 ~ Reviewed By: {(Jv M. ~ Date: IL-9-'f1/ Comments: ,V ~ r!~M.~ !l>t-tuoi ..l..t.. ~ ~~ ~.0R2~ ~ ~ 1<. ~'.,o .10 tL. ~j\ ~~~ ~ ~~ ~;c u ' () (S~~ ~ Plu.Jo'hl" kJuh. c.-J. //wi I r~r~ss J, I ~ 0+ ~ ~ cJ-<:-.) ROlocA.L .fruss srus fr~br +0 tr~ ~ w~/ k.- 4 ~ <;;';US t\}oh~ oJ.1 f ~ reA) i t.w CoVh~S "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." CITY OF PRIOR LAKE __). 4629 DAKOTA STREET S.E. Permit No. q ~ - ~~ PRIOR LAKE, MN 55372 Furnace Make & Model TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Model Size Conn. Load Fuel Flue Size Supply Openings Return Openings Input Edr. Output Other Devices~.;""5 P,'OOL n7:'r:.:.... J /.IL. q"'~ Cfm. TYPE OF WORK Alterations Replacement New Construction Repair irC),~ ,- Est. Cost $ ~) (" ) HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ Est. Comp. Date Building Permit # Cflf- S-..5"7 '20. Dc .50 2. 0 .-SO Receipt # 1..5 j L( 0 Single Family :/ 1. Pink File 2. Green - City TYPE OF STRUCTURE; 3. Yellow Contractor Two-Family Multi-Family Commercial Industrial Public Other JOB VALUATION $0 - $1,000 $1,001 - $10,000 FEE 2% of job value, min. $20.00 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000. $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. $10,001 - $50,000 $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $25.00 each. House Heating Test Record must be submitted with puildina oermit number before build- ing certificate of occupancy will be issued. tlfAT CAI.QJ.!LATIONS RI;9UIRI;Q with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with sup- ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St. S.E. Prior Lake, MN. 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 447-4230. I hereby apply for mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordi- nances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires review and appro~1 of Planw/r /1(;) /J ~- U / ?;~ ~(//;v~/v'tfs:- " Ap~nt's Signature ' ( Date '. ;:)/(4 / q.s;: ~OIn"1 .:..ffieial's Signature Date