HomeMy WebLinkAboutBuilding Permit 99-0391
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1
.JRIOR LAKE
. cCTION NOTICE
SCHEDULED
DATE TIME
~ Z:50p,y
ADDRESS '-I5'5<!J I/UIlfll.M ftJf.{JIRp "'-;AIl
OWNER CONTR. Y.JIAlIWJD~t) H81'1f.<:
PHONE NO. PERMIT NO. 9 f .-. ..31/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jl{. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b1d 1111 E. /5 ACU77*dLL
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VI( ~'qJ y:
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X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ O1"Aar'Cowr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-'-.'-.---..,......- r
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
117.-1/'7 .2..:00
4Ssv !fV"",M III/e,SI RrO
SCHEDULED
OWNER
CONTR.
PERMIT NO.
99,341
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT1~
~FINAL f"I- I
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
A 0 PLUMBING FINAL 0 GASLlNE AIR TST
-'&i'MECH FINAL 0
" Ouot'l--- .~ I~ 0 }-G
Inspector:
RE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
----~------~-->"-_.~----.~.~,-_.~-".._--~_...-
, --~~"."'---,.-----_.".,..._-----~...,....
DATE TIME
~ /.'/~
4550 .If(//'7M / /IJ Glt5/,eL:)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
*UMBING RI
CHRI
o WATER HOOKUP
11 0 SEWER HOOKUP
11 )5" PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
?\Lt)
\J0:A-
~
fS1i~Q}~ {J ~ lli
~.-/
99- 39/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
JluJ.~ \1.{(e,M~o.
oV's;.o...1-
-\-<s+
SPECTION BEFORE COVERING
Inspector:
Owner/Contr:
EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
---'-'... '-C'.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~ 2:00
1/-550 Ii (/ 1'1 fVll N@i {j ( IZ...O
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
91-:Jfl
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
i 0 MECHANICAL
ATER HOOKUP
EWER HOOKUP
~~PTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: ~
~1(
l1;~
40
~-
~
'(life- ~
N(; __
~~
~OF \- ~ Ce.vv6
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00p<
1u
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
'T' T.".
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
\APR , 9 1999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
--...
I
2. SITE ADDRESS
A-~$" l}
3. LEGAL DESCRIPTION
'l
KNoB
~1 fl..6
L...
LOT
.3
3-1ti)
PID '2 ~ - '54&t - oz..4--0
12. NO. OF STORIES
ADDITION
5. ARCHITECT
(Name)
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK
New C6i1s1ruction ~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
Permit No.
1. DATE
1. White
2. Pink
3. Yellow
File
City
Applicant
4-
91-39 I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
16. PROJECT COSTNALUE
/50 tJA?
17. COMPLE ION DATE
9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width ~ Depth Yes No
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
ve tio d property an at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
'cial n r ke t . it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needefid' IP69"ons.
. ~~ ~~,
ature License No. ibate
'" L:!" I (/I ...J. (iel. No.)
fVL- V~ '-4~~
(Tel. No.)
x
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
SFD
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F H I M~ S U
, Division 1 2 ~ \ -z. c:
Permit Fee ................................... $ 103'1 .
r
&IQ.-z..7-
~S-. 00
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
100 . a:;
l be? .(00
35. C:;-O
j;~
/ /J
Yj
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ // C)CJ(;J . t3D
Other......................................... $
Total Due .............................. $
Paid I .41
PLANS & SPECS 0
SURVEY 0
"
PLOT PLAN
o
SETS
COPIES
!1C;O. ()('j
/ (') S'l') .<:) rJ
ql).oC
j-;).5.otJ
I. ;( 00 . 00
t '100 . eM
)L-jf/. 9 I
3550 1.-
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordinance and may proceed equested. This document when
signe~~=~mporary ce~~2.!!n~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
C~y Planner Date Special Conditions ij any
24 hour notice for all inspections 447-9850
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .... .1~~!.~:............. :
Meter Horn ........... ..t(.................... $
Water Meter ....~........................ $
Sewer & Water Connection Fee ........... $
~
'Permit # _
'Job Address I./~ HuH11'h ,'.,I:,,'~J ?t!l
'Heating Contractor :J"UI 0": I'\~ tl~
.Testers/Signature -c.z. ....0,
..
.Gas Line
Pressurized
Inspected
.Percent C02
.Percent 02
Final Inspection
0sl1e
Pounds
~
~
PERFORMANCE TEST
'&'.1
ls,.y
'Percent co t!!:T-
.Stack Temp. 33, 0
Date
"
.
1><1
-<
~
co
~
o
'"
(l)
(l)
"-
C":l
.-l
"-
t-
O
TOTAl PEFJ.IT FEES
Repair
Est.
""eratlon.
HEATING PERMIT FEE'
STATE SURCHARGE
CosU
. 50
. I ()(J, OJL
ElL
Replacement
Comp.
HuHlno Permi ,
, r-T\
,..:..; U
Dill
~PAIDWmt
""BUILDING p~Ir
Reca pt.
New ConsllUdlon ~
I hereby apply lor a mechanical 'Yltem. pe'mlllnd I acknowlectgelhlt I'"
In'ormatlon above I. compf.t. and accurat.; that the wo'" wU1 b, In conlennll1c,
with thl ordln.nclI and cod.. ollhe elly Ind wllh the .'.11 bulldlnglm.ch.nlcll
codes; 'hal 'hi. 'olm do.. not blcornl I p.rml' unlit .laned br Ihl BUILD1NO
Of '\= Ih., Ihe work will b. In Iccordance with tha approved plan In &he
ai' walk whtch" If" rBvlew and approval 01 plana.
7hh~
Oil'
-7~3j?1
1:'-
elm.
R,Iurll
JfJO.MD
.
Input
Edr.
Supply Openll1Q1
Oplnl~1
TYPE OF WORK
/
')
Othe,Oevlces
HEATlNG OR POWER PLAHT
Slum _
HoI Waler _
Radiation _
Special Devfces
H.EAI BEQUIRED with rNmbe. 01 s\lPPv and relum oplring. Ilsled p.
room with CFM'. plt.openin9- New struclurll or additions send "oar plsn wilh supply
and relurn toealions ..hown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 11200 EAGlE
CREEK AVE. S.E. PRIOR lAKE, MN 55372.
City Hall buslnel1 hours art 8 I.m. . 4;30 p.1I\
ALL WORK MUST BE INSPECTED (ROUGH-1M AND fiNAl). CALL CITY HALL
441....230
FUll
Conn. Load
NaJ- Cd) Flu. Sin
Model Slz.
51{
'6'/mE OF SYSTEM
Warm Air Plant.
Gravity _
M9ChanicaJ Ii.
Air Condillonlng
V ttlIL Sy item
The prlee 01
Additional
healing permit include_ one rough-in and one linallnS9ecUon.
inspections w~t be billed at J35.00 each.
House Heating Tesl Record musl be submilled with buiJsIlng IWIDil 0WIlIlII
ing ce.tlflcale of occupancy will be Issued.. .
before build-
Furnace Ma1te 81
TlPlephcne'
)'1JU'
I
~
~
Add/est
Owner's
Sile AddreSI
lot ~
DaCI
HEAn~G APPLlCATlON
PID .
I
PERMIT
Remembe, to add the State Surtharge on the bonom 01 lhll application.
klduslrial, Commercial 8. Multi-FamilV
Residenlial, Healing'& AC
Residential. Healing Only
Residi!ntial. Gas FireplCKe
Residential, Additions & Altslalions
Residential, AC Only
Singr. F amity
Commercial
F' ee Sct~dul.
r-No- Family
Indusltial
1'.01100 cost (U9.50 minirmJm)
$99.50
564.50
139.50
IJ9.50
lJ9.5O
Public
Muft.. Famn,
Olher
.-l
o
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.--.--..
'-II f ur rn.uu Loft"&,, Me
'6200 ElgIe Cre.kAv. S.E. p.,mlND. QQ-3C/ I
Prlar Like, MN 55372
/
"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."
Comments:
L-l - 2- 3 - t:7:1
Date:
~~
Reviewed By:
Denied
Accepted With Corrections
v
Accepted
f i i\! L..-........-
: '"",.
't -' .
i /, "-1
:' f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I : l
,
". ;' (
'/" 1
NAME OF APPLICANT
APPLICATION RECEIVED
~..'
. "
~> .-' t r'
" /[ ~ l'
~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
Th. C.n.., or th. L.k. Country
qq. 3Cf /
,;:' ,,"':..""~ ',r_~;~:' ,"-;
_,,,,,,,:,":,_,,,,/,V"'"
H.'._ '.,.".\.._....,...?...:..,...,.~ ~:'. ":~,'~"'<'.~..,~~..,,;:..'"'"'
,
-
qq - ~ C{ J
Thr Crntrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W ( N D V'J eJO D tj 0 M ES
APPLICATION RECEIVED 4-/ ( q / qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-550
/-ft) n t1 , tJ9E-L--RO 17<A'1 L--
Accepted
Accepted With Corrections<
Denied 7rJD t2---
Reviewed By: t~~ _
Comments:
/, I2uuJ ~ I4J ~/
r
Date:
t/-28~79
"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."
c___.__,_._,__________c.__.. ._'_~.._.._. .,...... .___.,"___,_. ..,..,.._._c.,.
CITY OF PRIOR LAKE
PLUMB/, G PERMIT
/
1. Blue
2. Gold
3. Yellow
File
City
Applicant
JUL 1 5 1999
Applicant:
Address:
Signature: (l ~/7-,,h
Legal Description: 3 eo
Site Address: A '..,e/
Building Permit # PID # 25 -3l.fi1- 02.4 -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th. C.nter of Ih. Lake Country
Quantity Type of Fixture Quantity Type of Fixture
Z Bath Tub with or without shower ~ Rough-ins
/ Dishwasher / Water Heater
/ Floor Drain Water Softner
.'~ Lavatory (bathroom sink) / Stand Pipe (washing machine)
/ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
J Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
) Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (toilet) Other
'-
FEE SCHEDULE
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
$
$
$
$ .50
\i'J , ' . ~
pp..\O ' f\::.'\;'-'S,\
a\,)\\J.\\~G
,
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing and t amendme ts thereof.
- S; 9'1 DATE
ATfEST
Call for all .
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
. ....,... -r
qq, '31 I
TIM Ctnlt, 0( .... Lakt Connl.,.
White - Building
Canary - Engineering
Pink ' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ' ~ \j i ~,j D V\J 60 C) H 0 ,..../ t.::'~
APPLICATION RECEIVED 4-/ ( q / qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-550 J-Iu rl r'J I tJft f~' KO ---r]2 f\ f L--
Accepted
v
Accepted With Corrections
Denied
Reviewed By: /.J",.dEIJ... C"IIU::St11,q/\J1!l
Date:
'5 J s J 1'1
I .
Comments: 'R"'/oJo~F MuST BE t!.ONIIEyE./) ,
7G AAlO 1'1 LoI<J&, ORillA/Me.. ~
.
u-r 11.../ "TY E AsEME1.JT'S A~ MUC.H AS ?n ACnc"'l...
,
S(E I'" r: D tl'" A"T\OI\J 0"" RE l1EI<SE: SlOE".
~~ ArrAO"""-f:...rTS: I. P,-"'AL ~/Mor. IJ'JSfF'cnoN lNf~""IIT/O,J 2. a.aAO,i\S6 R~kJ
3. E~os\o.u CoAJTft..Ol- MEA~III1.ES
tf. F:ItO~IOo.....l CCf\J'I"r't::lf- ?w:lkJ
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. II
I
GREEN . FILE
YELLOW . APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. C/CJ-3Cf /
'5
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: OafSI-IM 6-'1...(.
ADDRESS: I~ III .:rO"L-~ v...fflr'i Lie (/t...
SIGNATURE: U+ f)~
SITE ADDRESS: 'Is-SO 1I",-I'IIf""x.....Jc, C~p T~,
FILL IN THE BLANKS
1. Estimated length of water service ~~
PHONE: J 'J-, (.. f "6
DATE: S/f/9'
.
BLDG. PERMIT # qq ,3'1 /
PID#d~- 3'/9- {);J,/-tJ
feet.
I (
2. Size of water service
)
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC~ Cast Iron
5. Estimated length of sewer line
lis-
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
BY
~c~~?n[~ijour permit when approved.
'i/g;)YJ I'r,..~>'~ DATE: c;,/lo/t91
F
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
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 2erm~ts are
issued. pAID wiTH
l BUILDING PERMIT.
DATE PAID
AMOUNT PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. 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 15'5"0 !1UIM.tM. t'-'-~ bl'I---PQ +r- \
NATURE OF WORK JJ€.~ ~.
USE OF BUILDING SF-D
PERMIT NO. <=['r - 3'7 l DATE ISSUED t/-::s-Cf<t
CONTRACTOR LJt'~oo~ tJn--.fJ-I>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ~7'. ,"30~ .1-, oP-
GAS LINE AIR TEST~. ~ dfv e&. ..'!P-fI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
GRADING (Prior to Sodding) W
BUILDING lLe, <k (1-\-i ~ ,5. ~-Z.f-'7~
ELECTRICAL
PLUMBING
HEATING
DO NOT
8.c,(-'fq
-Z-?7
~"dJr~
/9,
OCCUpy UNTIL ABOV
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 (612) 447-9850
I .--~._.-_._-_.-