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HomeMy WebLinkAbout Building Permit 99-0001 QAT~ R~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF 61998 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White File 2. Pink City 3. YelIow Applicant q9- 000 I ~~W Permit No. 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 33il S#r/~f C/P/v Circl-( 3. LEGAL DESCRIPTioN (/ LOT /7 GLvlv ! (Name) BLOCK ~ . ,c,~ _ PID ;l~-- 3.r1- () I) - () wa..tr r\ \ ~ ~tl add/ 7; o/v v - (Address) (Tel. No.) ADDITION 4. OWNER 5. ARCHITECT (Name) 6. BUILDER (Name) ~~ 7. TYPE OF WORK Fireplace 0 New Construction V--;Iterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. (Address) 12As (~~~ -or~ ~UO 2Ari~ Deck 0 Finish Attic 0 Septic 0 Addition 0 1. DATE /1-,2- 9JY (Tel. No.) (Tel. No.) \.lOt. -<.l"tOC Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE ~{aeo 17. COMPLETION DATE 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 mentioned property and that~1I construction '11 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building 0 'c' I can revoke this pe . r ju use. ermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ ?eeded ins?~ons. X . ;q~ /I'-~~~C . t"Sign'8ture \... '_. _. License No Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING :)b"/\ Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 9:2 , DCJCJ . C::)(3 , TYPE OF CONSTRUCTION: I II III IV (0 Occupancy Group A B E F HIM @ S U Division 1 2(i) 4 Permit Fee ................................... $ R ~ 'l.~c;- SC(<{.2'2 l{ Co. 0() Plan Check Fee ............................. $ State Surcharge............................. $ Penalty .................l-IJ~.I.L... $ I I 'as.: Plumbing permi'fee ... :...I../. of} $ Mech~rlif,~'!mi' Fee .f!:.1.'(.t:r.I. $ q1.4J Db tfI.() I ~ot Sewer~ water Permit ... 4...!.. .... ... $ )()D-- /JO "- ~S. .<:D Gas Fireplace Permit ....................... $ ThiS~~e~SYQ .. Permit When Approved. By . Date ~J.2. - ~ Certificate of Occupan Water Tap ................................... $ Builder's Deposit ............................ $ I. <Inn. rrn , Other ......................................... $ Total Due .......:J..I..~:?:.::).J... $~ J ... 1+= Paid 1 I ~ 1. 11 Receipt No. --:s 4 5 ~ · Date ,/Ll 1"11 By (LOU . uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when . a Ie porary ~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Date Special Conditions ff any Issued t). is ~~atthe n f.!l'r Pia City Planner City: S-e-e ~ cr 0 f$/lI. {", 9 (J 7 crf' 11"flZ'z ~ 11J'JfJ(r~ ..-HoviJ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ S/. .. $ Pressure Reducer ..le.................... $ Meter Hom ...........,....................... $ Water Meter ..?ia............f..~.<?..~... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 24 hour notice for all inspections 447-9850 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 ~ ~f!.(Y') , - - -.. ,"",,--,,"\ .\~~ 1060.oc> i.ff:;. <'l 0 ~,.,~ ~ ..+e~~-o I r 20n . c::J:J 7 Cc::::> . ClQ 1)'-' \11 \O~.{o fJOO\ ; S1J .~ 99- 001 Tht' Ct'nler or the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 0v e./'/\-a r'Y1 (V~ APPLICATION RECEIVED III (p I Of i' f I' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3~f'1 5 ~ (I /~ . C; ( I. ~ G / L.-~ Reviewed By: ~ I A C/E;IL EI-I-RE..<\Jlo1AAI.J Date: 'In/,'? 5::.u JS6 crt ,/<;O&; . Il{v 7 '1 Yo} Accepted / Accepted With Corrections Denied Comments: SIt:i F"E:'A..Ic..e: fJN ll-l~ REA-R., Pol'rIOi\.J 6~ TH~ L.d1 SJ./avL..b ~E:: FfSffr'-TEl'\ A-r THE ~E: df=" D,s-ru/{,'YOt> Snli... ,:t EAsE AJ~""'E THE: EM~RG~~GY ovE~f=LOv.J E t..:.E'u'AT,o rJ t...oc/=trlQ) NEftR. mF- ^ lo/{iH.E"K'.L.Lj' CofJ..r-JEI2... of LoT n. CAllE SHOVL..D BE a, vEtJ WifE,,) ~/UH)ltJr;, 7J.IE ~Me:.R.C.EJJC-,Y OvE/{FLolAl 10 E"to..\Su~t:: tHe:.. C!..f!)M~cr E"LEum-ioAl. $~E: 11'1 Pol(, MAnol\J 0"-1 ((!.vEil..'b~ '$,CiE. 5.E IE: A-rn:K...H t'Iof f::NIS : J. hNr'tl.. 6'ftA~INL~ II\J$p~('_IIOAJ J/VFO~YlUlrUMI Z. Etto.s 10:) A.) (;Om-IlOt.. ?... A lV '3. ~ 1(;:1 i) , I\J r. R.. .4 ^ I / "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." " ~,,, " f' ~ ~"'f.$ofK;,'-" -"''''~''-1'q'(\:~'.......~~'~~ f1'~ ~I, .'81. ,r~..Jr,,_~"'~.i'Y'!""!II\: ~,~\:""!'J" ,ill~I""",~:"",~~- '.:.lI>I"..I,....~I,luo_;::.'l.~,,,,.,"\;,,,.t"',.. '" ,,,. . ~: .. "~,, .,\.- ..,' Thr ("rnlrr of Ihr Lakr Counlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT ~ / NAME OF APPLICANT APPLICATION RECEIVED CA~ /'.t ' .J '"1-' (;") 'v',J c; tj v&<9&1 1// (~ I 0( (' I I .' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3?:) ? I <:::,0(, "f ~(" _ c,: (c( -,. J ---,~., Denied ." (;ta?- ,tpOrl. " , ./---r:;-- /' r/~ 'I), .1- t:" ;~,i' J v V 0(,);;) [",_ ( ..___ Accepted With Corrections ;,.I,));. '/.?-'-'-(rl J! (:C J' Q-~ ~ Date: 111':/;( .:~~; (/O()" FnfY\t;f- ~ frvm Q-o-w -ole do' 6vdd't1J ~cA7?n-OI<.. 30' ~ad'- ~ Pond -&:- ,,pq pl?t5f' · t Accepted Reviewed By: Comments: "The issuance or granting of a permit or approval of plan~, 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." ..1 The ('enter of the L.ke Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 0J VV'-o (Y1 ~ 11/ (0/0// I f I'> Cjq/OEeJ / I I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3'??/ ("" Jfnj . ~(~A_ Ctr ~ Accepted X Accepted With Corrections s::.e..e a.J2d"-{) --11~e&/!? f -; vo fL,--' t/oo Z. ---rcro 7 I C'OD a? (- 1-'-rn1 / - (3 - CZc.J -r 7 v I 6"CV4 Denied ;?tJ;%~;;i , -.. / Date: Reviewed By: Comments: (.. Socf2 C<.-...~ +r--~s. ~~r:u,-.-..A- rA-~ "2.. l1o.."~~~l'-"L 7'H4<:z,,(~ Q~ ~ J, ~o..eQ J( ~ tf-c. c l.u-J I-(~o~ "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." 98 -I ~5 Th~ Crnfu of Ihr L.kf Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Lv e./l,"--::;} f'Y'I n./~ APPLICATION RECEIVED III (# / 0( I ( I'';' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3~? J --- J/On ro.." ~ J . C;'I,__ G/ c-~ Reviewed By: ~ I AC'//;(l E'HRtsfo1AN^-, Date: Jdn /''if t . 5:-e..~ J.f 6 Cff . J V 0 &> . IVJ 7 ./ YOl Accepted ./ Accepted With Corrections Denied Comments: Sll.'/ F'E:"A.lGE: ON THE f<.EA-R.. Pot.rl ON ~~ 1HtE. l..dT SHOVLf) .Dc (&Er.TE 1'\ A-r 1l:if' E IY.. e: Cl F DIS'U~i~b 5)0IL.. REAsE Aj<J-re- THE: E""e-M.E.~(N ovER..~LOW E L:E\lPoT/O rJ LOCl'trO) Nf:.AR. THe: ^ loR.THE'K'~lj' C~~ER... of L.oT n. CA/tE SHOVL.t) ErE a, vEtJ WifE'" ,~/UH)IAJt; -mE ~MER..q.~ OvE./(FL.olI\.J 10 E"A,)$vR l': TH€. c.ott..J?~cr E:L.EUItIIO/IJ. S~e: 'I'IF",I(, MA,lOtU ON R.!.tJE.IL'ii~ :SIDE. SEE: AT"nk-l../I'Iof~^,,<;: I. hNr'tJ... e~ACIN<"~ JJ\/~Pt= ('.1' ON I/VFo~rul:J""u,^ I Z. Elto.s f.:l "\2 CONlItOL- f?... A "-' '3. QltAi)tNr. P~FI ^, "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 - FILE YELLOW. APPLICANT GOLI) . CIT Y CITY OF PRIOR LAKE SEWER AND WATER PERMIT NO. ~-I NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: G~-RYAN ADDRESS: 1474r So Robert ,Trl, Rosemount ~w 55068 SIGNATURE:~~JA~ ~~~aI~ SITE ADDRE~~1 5prJy 0/rfl (;,,- FILL IN THE BLANKS I/O I 1. Estimated length of water service ~ PHONE : ~.23-1l44 DATE::!)/// /qq I , BLCG. PERIlIT # qC;-1 IVtJpID#;X;-' ,;;S-(-() 17-(J feet. 2. Size of water service / II inch(es) . ..., ..J . Location of any couplings 4 . Type or sewer pipe. ABS from structure PVC / Cast Iron /1'0 I 'Ii feet. feet. 5. Estimated length of sewer line 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ This apPlicationA~'.~ '~ur permit when approved. BY ~ _ _ -fI".- DATE: 3-17-"i9 I ./H..-* " ---- . ------------------------------------------------------------------ ------------------------------------------------------------------ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection pernit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. ~ PAID WITH DATE PAID r BUILDING PERMIT AMOUNT PAID _ I REC'O BY ~ v RECEIPT # 4629 Dakota S1. S.E.. Prior Lake. ivlinnescta 55372 Ph. (6121 447-4220 leX 6~2; ~-;-"";2-t~ -\i"; ::.:r~'...:.l.. '~?~(:r:_-~.<;_:_.:. =-\1P!..cYE.~ /DR!;- ,/~~~~:( PR~'(,!i-< /7'.~', \C,","~/ ..~ )~1 , , I \ / "" / -'------ ./ rhr Ct"nlt"f O( thr LJ.kr CI)Unln Cuantity I I / ~~ I I / ~ ;~' .- ~t~.' ~~. ~, ;;: i ''''' ~:. ~' ;;~ r.: 0:;. CITY OF PRIOR LAKE PLU1~IBII"G PERj~llT 3:u~ ::!;e ~old Ctv . '( ~Uow Applic~m :; qQ-( Applicant: G~""Z-RY...~\T Fhcne: ~23-11~~ ,'l,c:c:ress: 141fr5 So ~obE1rt Tr1, Rosemcunt :Y1N 55068 Sicnature: I JJ11LH /fel}) ttt:!l/Ll Le~al cesc~ot- - Blcc:<_ ,.-;;? .su~t2J!I/7"tblcr IAY~ SiteAC:dress:,?3a81 - ~Orl/}j Glen C/r NtU . Builc:ing Permit it 7~ -{PiC:; ;;J:>-35/ -0/ 7 ~tJ NCT~: This permit 'Niil r1et be precessed 'Nit~eut:cmplete infermatien. Tjpe cf Fixture Bath Tub with or without shower Cisilwasr.er Fieer Drain LalJator; (bathrcom sink) Laundr; Tray (lor 2 compartment sir.k) S;lcwer Stail Sinks Bar Sink Water C:cset (teilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge FiXTURE UNITS C l1artity Type Gi Fixture ,.3 / ;::cu~n-;r.s Wc.ter :"';eC.l=r 'Nater Scf:ner I .Stane P;l=e'N2Shtr<;T.2C:llne) Sewa<;e ::;ec:cr 3ac:<ilcw ),sscrrC;'1:=:FZ. :cut:!e C:lec:<, F'15: Bac:<ticw A.sSe!T.CI;1 725: lawn Scrink:er ether s $ ,~ $ .50 s (' ~ PAID WITH , . BUILDING PERMIT, This permit is gr:mtd upon the ~.~prcss condition thJt said contractor. shall comply in :Ill respects with the ordinances of the State Plumbing Code and th~mendments thereof. RECEIPT ~O. :5~t.7-.97 ,DATE j,"""""""''1::;''''''' . &1 1l......>..J 1 V Call for :lll inspec:ions 2~ ;1curs in Jd'/anc:=. 162CC E:J.gle Cree:<: _~'/ S.E.. P:-:or L:J.ke. :'vfinnesQ[;l 55~-: / P!1. :5 :2' 1 t- jl""'!,......f'. -.' --_~\.J ~-_..l'- J.~ :-- -...;..~ '.... ..l..:1 :::~ll.:.l i-=C~Cr:'..:::.:t~. :::1D:()~/:~:- CITY OF PRIOR LAKE 16200 Eagle Creek Av. S.E. Permit No. Prior Lake, MN 55372 qq-{ HEATING APPLICATION I PERMIT PID' dS-3S-r-Oli-O , ~;JrIM aIm (!If I'IW Lot / '1 Block ;;{ Addition 7dIJnIAJ*/ tU!.~r Owner's Name IAJf./Y5fYJ1 nn tmfY}l;~ Address / ~tjl) fJl/lM [)r. /5J'/ :MO, /baa/) ,/)6};]";;) J oate3//llqQ , '4/2 Site Address .2d8/ , Heating Contractor GENZ-RYAN Address 14745 So Robert Trl, Rosemount MN 55068 Telephone # 423-1144 Furnace Make & Model Llnmx ModelSize a2g~;g~7J) TYPE OF SYSTEM Warm Air Plants. Gravity Mechanical Air Conditioning . Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices . Conn. Load Fuel tV a:r Flue Size 4" Supply Openings II. If Output &(! ()oO Return Openings Input 70- ~tJ () , Edr. Other Devices Cfm. TYPE OF WORK x Alterations Replacement New Construction Repair Est. Cost $ Est. Comp. Date Building Permit . 77-; HEATING PERMIT FEE $.... /' STATE SURCHARGE $ '\./ .50 TOTAi. PERMIT FEES $ ^ . " ( PAIOWlTH l BUILDlNG PERMlT Receipt # . TYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Conb'actor Single Family Commercial x Multi-Family Public Other Two-Family Industrial Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the botlom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitled with buildinq oermit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. 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 a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances 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 ca:y;;; ;;;;" r.VI~ and approval of ~'~i/ I /CJt1 C Jt!/l 7p1~" 51 u. · I Date !Y>(~J 3-r7-C?9r . - Building Offical's Date