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
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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"',..
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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~
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rhr Ct"nlt"f O( thr LJ.kr CI)Unln
Cuantity
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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'.
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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