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Home My WebLink AboutBuilding Permit 99-0010 ~ ~o ~l.~'6 ~t . ,,( t Q (jJA~ SV~- gMlJ)f/L ~- ( ~. ~1f; ~ ~/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS Ie 5 z '2. \4afhov (Jl~ OWNER CONTR. PHONE NO. PERMIT NO. Pr 0 PLUMBING RI f=Nl- ~ECHANICAL o WATER HOOKUP o SEWER HOOKUP A D~EPTIC INSTALL .....-cr PLUMBING FINAL o SITE INSPECTION o FOOTING o FRAMING AINSULATION ^ FINAL f1 o FOUNDATION o DEMOLITION o FIRE PREVo COMMENTS: ()1A-- OlA- / o ~SAT~: ~~::ECT tCTION o CORRECT WO . C FOR REINSPECTION BEFORE COVERING DATE TIME 3-30~ (6 :6b '1t::t- tv o EXC/GRAD/FILLING o LKSHORElWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o 6..-vc( -----, ) Inspector: . Owner/Contr: CALL ~7-4231 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DEC28 \998 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 1. DATE )2.-J4-Cjf( UJ:zp 3. LEGAL DESCRIPTION LOT J f.) '3....La.P L.8..JL1..... J..J A A (3 () J1 1J 1 ).l (' ;.- ADDITION BLOCK I .. J-.1J.., Ii. b A ~./ HAll~ok' 1I,,1..IlL..,..,. PI 0.33- ,-jtj 0 - () 4...1- 0 "-!v..Jr" 1. White 2. Pink 3. Yellow File City Applicant 9f-()O/O /JO ~ -r-- -- Permit No..-?'<t' l 'J L5 / BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 4. OWNER (Name) l::::J..A I) ~ ^/ 5. ARCHITECT ( (Name) (Address) V A..J..,.J....r 7" G..1:z.~ (Address) (Tel. No.)? 14. FLOOR AREA APPORTIONMENT USE ~ I-uL-H A.'I Pi_ I-J ..'~", ~., (Tel. No.) 6. BUILDER (Name) J< t.L -= c.. JO~ I;' ;J J.( C s . --I;tJA'iC'r 1:/U1 7. TYPE OF WORK 7,jO - ?O~~ (Tel. No.) J.;.,..r - H n I.J S e. ";4 L "- /1../ ~J~"" .....L~./-- Septic LI D'eck LI Addition LI Finish Attic LI (Address) jGB'I6 New Construction LI Fireplace LI Alterations LI c,!, .-" Re-roofing LI Porch LI Re-siding LI Finish Basement I\V"'" 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE r-t' Chimney LI Misc. It I (:. (' 0 -" 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq Ft Width Depth Yes No <) . . c:.. -It'. .- (,~ 9 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 all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building Offy' ial cal!..revoke this permit t,9r just cause. Furthermore,.1 hereby agree that the c~ty official or a designee may enter upon the property to perform needed inspections. X .~ ~ t, _ -; _ _ ./ :. ..,; (" -. ..." /:'" ? 0 () .Iv r. ~ ) Z. - J C) - c;.. 1i' Signature License No. Date Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 4:000. C> 0 USE OF BUILDING ~9. It li- I TYPE OF CONSTRUCTION: I II III IV W Occupancy Group A B E F HIM -0 S U Division 1 2 (1'4 8r1 2r' Permit Fee ................................... $ . t. "') City: Plan Check Fee ............................. $ State Surcharge ..........................::;-/D Penalty.................. ..1f.~ t:ZIlI .... .::. '.~.1 $ 2.o~ MATERIAL FILED WITH APPLICATION SOIL TESTS LI ENERGY DATA LI PILING LOGS LI PERCOLATION TESTS LI PLANS & SPECS LI SETS SURVEY PLOT PLAN LI COPIES LI Plumbing Pe . Pressure Reducer .......................... $ Meter Hom ................ ................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Mechanical Permit Fee .... . . .... Sewer & Water Permit .........9.'r.~(?$ Gas Fireplace Permit 1!1.. .'lI:::JJ;J.?. $ J/ b . fJ 0 ThiS~i i eco~" Vn... "uilding Permit W~e~. By , ~ Date I ~-~ - I - . Cer@cate of Occupancy Water Tap ................................... $ Builder's Deposit ............................ $ Other .........................~............ $ Total Due .............................. $ ~ /' Paid t Co .'2) Date dip qq 10Q.V;; Receipt No. 34'<.q By (U'J/k ~h' . to . a th~~~~~.~~ ~~ve application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when n . . p~an~"mporary Certifir! .fl18 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. City Planner Date Special Conditions n any 24 hour notice for all inspections 447-9850 Issued fIf-lb J 0 f-t7 i1-J 7 6" I..J CITY OF PRIOR LAKE Me 91- (0 16200 Eagle Creek Av. S.E. Permit N~ Prior Lake, MN 55372 Single Family HEATING APPLICATION I PERMIT Date ~ r A}St- ''l? PID# ~-~? ..l.f"t>~~3-0 Site Address 0;;- ~1 ffnv ~lJV' & ~ Lot '3 Block ~ Addition H~- s-,;q Owner's Name ,Yha r It J] V! Vet ) 1"'2- Address 0S~':1 tfaY'h"y f)/O{ e Heating Contractor 5rv"p f:.l'rl" t..1J'/'JIl{JY' / 41/ ,'Rd et:,'Y'eSide Address 3fS.9"0 ~), Ifll/y I? /JurY/fur ~I/e- CRt ~ - frc/(Y- f'J?5'(;( !ftA+-Jt)-~ - " Furnace Make & Model ~ fJoo!:/ff TYPE OF SYSTEM Y;2 ,rI. Warm Air Plants Model Size . (f)O() 'X/. (I ~rtJ&ravity _ -'t1echanical .' Ir r Air Conditioning Flue Size R. ~ Vent. System , !7'U2d.t. HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Telephone # Conn. Load Fuel-lll-G, Supply Openings Return Openings Input~ Edr. Cfm. ! tOfJI Output. Other Devices TYPE OF WORK Alterations Replacement New Construction . Est. Comp. Date F~h. {sf- I & :J..Qf:)rJ .-- Building Permit # I qtj... to - l' . ~ _A , '/u. Repair Est. Cost $ HEATING PERMIT FEE $ ~ PAID WITH ! BUILDING PERMIT STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 ~ Receipt # TYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Contractor i Two-Family Industrial Public Multi-Family Other , I Commercial 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 bottom 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 submitted with buildinq permit 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 447-9850 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 case of all work which requires review and approval of plans. rl7A ~ fL.' I2J.~ ~st~ r~~. tpB7~ ~f"" Z./ ~ ( 'Z-<,p{fer DAt~ CITY OF PRIOR LAKE MC ~ 16200 Eagle Creek Av. S.E. Permit No. ~ Prior Lake, MN 55372 q //-10 HEATING APPLICATION I PERMIT Date v1/.J/ f9 PID # Site Address -.V 5CJ..:) /I.4i<~/''' /1.:1-tE Lot Addition Block Owner's Name /I~ /? / / /V- .rzJ t/4-/l~ Z- , &"5N- I-/~ko/\ ;P/ri-c..F Heating Contractor 5c:~-/7'h J4-uh1O //J-f4PL; .Ii /I~ .~ /lJt;l &t:?C?4'hJu-<-/ . .- Telephone # ~ 7"9;) -3377' ' Furnace Make & Model .z.x ; <;7.).'- 1'k:1. I Address Address &0 Model Size TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System Conn. Load Fuel Flue Size Supply Openings Return Openings Input _ Output Edr. Cfm. HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices TYPE OF WORK Alterations / Replacement. New Construction Repair Est. Comp. Date Est. Cost ~ /'500,00 Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ 31. 0=> .50 ~O~ ~IT Receipt # '3 '/ 3 ~ 2- TYPE OF STRUCTURE L Pink 2. Green 3. Yellow File City Conttactor Single Family Commercial ~ Two-Family Industrial . Public Multi-Family Other 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 bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with buildinq permit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-9850 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case o~ workWhi~h r;1Uires review and approval of plans. . ~j~dA"7 w~/~ . - /" /Applfcant's Signature . , , Date ./",.4 ~/~- l--Z-?'1 Building Offical's Signature Date Th~ ('~nl~r of th~ L.k~ Counlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLlCAN-r.{ u>r.J P'J ~tiL/I-^-" ~L I ~ /" APPLICATION RECEIVED /r;{l; 1/"/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J S J.1- ~ hl"fJV ~ A-/ L./ Accepted Accepted With Corrections ~ Denied _ Reviewed BY( a~~ y Date: Comments: ~.eo.& +~ '$~~ 0",-\'~ ~~ "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." White - Building Canary - Engineering Pink - Planning The ('enter of the Like Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j , i ,/ ( ~ J/ , APPLICATION RECEIVED I I 1-:1) ; l) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . " ' ,.(.. ,// , oj' /, 1../ / I ,t. f ... _/ Accepted V'" Accepted With Corrections Denied _ Reviewed By: 9 (?(J~. Date: J k:hf? Comments: ~ ~ - OK. ;Uot ccnsl~d ~ kifchMl Ol~J ~ ~~O ~ ~ ~ stD~/df$h~\~. '4rrd~ ~ ~/G -Ole:... < "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." Ih P RIO R, lAKE . ~~itD~~~~NNTD~~SPECTION ". ~,:,~>'<' . ~>~""\1'~'" ;~_ lNSPE'CTION RECORD . 'Slt~"ADDRESS-""':nGS;(~ \. ~orlOor- ~l~ . NAT~RE OF WORK~e\M~lAt .Q,^\s~ ., USE ()F7.;BU I LDI NGS' F \) PERMITNO.i,'r~9-00.l() DATEISSUED I-S-G}~ CONTRAcTOR..Kue.c..k \" . ~. ~c;\-. Tvv-. NOTE::JHIS~,IS NOT. APERMIT FOR ANY OF THE INSPECTIONS,Bf:LQW,I:~ ,~::,,"'TH E:f. PE R MITIS' BY .SE PARATE'DOCU M E NT:',;::~~'::~~!114~~~;$;?~:~;,;;~;;:;; INSPECTOR DATE" . ; I FRAMING......... 'INSUt:Al'ION'.:!~!::::;:WAlr..i":Cz.~:~-',-,7'? ELECTRICAl":")(j" ....,.;. . :~~:~~~~Ui~~;- 9t<"~ <1 - <t q '. FIREPLACE '.YV ;.--J~z(,.- C?9 . I . GAs tiNE" AIR'.,T~T /"C!i;:~:":';~>:~:.CO "cE'R"N O'W 0 R K UNTIL A B OV EHAS','BE' ENS IG N E{~';'" ." . ".' ,~' .' . .' '-.~ J;, ,; .' :' _ ". - , , ',"', ..' I I FINALS ':..;' ;,/~ :/-'-;':'>::':';.'''l (~:t . '. , . , B'U., .I.[.....O.I.N. G c'.i';,:, .YC'. ;;$,::':"''';'''-'''''., . ,. , '''.':i::c:~:-,--,.;:.,,~r::_ ,,>~,_',;j -. ",'- - .~;. .. . ,~ ,~:;;,~,.t:" E[''"ECTRICA' 'I'".f;:.>:,p.'.<:,:". '. . '_'. L'".;~,",-,,:::'t.:"'.,,',,: .....PlUMBINGf,,>;., HEATING ''00 'NOT OCC.UPY UNTIL ABOVE. HAS BEE'N ." .... . . "N,OTICE . . '..-'.", . < ,This cardmustbe posted near' an electrical service cabinet prior to rough-in inspectiO.,' '.i: d>and:maintairied ~ritirall: inspections have, beeriapprovect.;:.On . buildings and additto v '" "''',F:;where_rlo:'$imiice,:c:ablnef Isavailable;'.cards'hall be'placed. near"majnentrance;:~~\{:;D;';fii~~ '. . Call between 'S:OOind 9:00 A.M. for all inspections ':':2';::. FOR ALL INSPECTIONS 447-4230 '-~ --;.,.-. . .. ,~-,"'" 7~~~L<<;:.l;>.:;~.;'~:2.e :.:..:;.':~:t"::i'Y':"\ ..:~::. ,:: '.-, ...: :._...,,:~..,-!;:~~ ' 'W'J'