HomeMy WebLinkAboutBuilding Permit 99-0415
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QLertifics1e of (lDccupanry
CITY OF PRIOR LA}(F.
I.~ ~tpartmtnt of _uilbing 3Jn~ptttion
/., Final Permitted 0 Conditional C.O. Expires
I '
Iv.'
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatiol1
SINGLE FAMILY
Bldg. Pennit No 99-415
Occupancy Type
ll3
Type Construction VN
Fire Zone:
N/A
Zoning District
al
Legal Description. L2, B2, KNOB HILL 3RD
4559 HUMMINGBIRD TRAIL
Owner of Building
r,
Site Address
Contractor's Name &,. . .,....
WINDWO(>D\~S, PO BOX 24329, APPLE VALLEY, MN
, \ ,
JENNI TOVAR
Date:
\..-L.
Date: ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS L../ 55 '=j
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
fa pc., O. {c.
"'L, L1? ff113
'}. ~tAt.uV
CALL 447-9850 FOR T
DATE TIME
· SCHEDULED ,;tJ-2"2-9' ~,'at!)
~ ~ 7/e,
CONTR.
PERMIT NO. 9 q - '-I / S-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FIN
J' MECH FIN
114:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
4-ilL
M~re.
J Afro tJo u S5
~ ~/45
=XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
12-c~i +- ~~
'==va...~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ltSSq
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:!,') " ~
33' ~
fie l!iJ:J::
~
5~ p..~
~Yc...-- ~
/'
/"
DATE TIME
SCHEDULED
; , I -Cj9
9~ 30
!-L..~ 'D L..J.
CONTR.
TC'L
/ I Ie::;- .I:{. ~J
qq-~~
PERMIT NO.
o PLUMBING RI
~D CHANICAL
M WATER HOOKUP
SEWER HOOKUP
(g1~PTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
4t:J P r/ C-
o mu-
1/
I
Al,
/1 /7
~.
o~
~V
......... ~
~
f
~K
....'0
CA L 447-4230 I :OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COD. \:7ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4S5Q
l-h\Av\""'~ "J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~SULATION& 0 SEWERHOOKUP
INAL 0 PLUMBING FINAL
o ITE INSPEC ION<: 0 MECH F~NAL
COMMENTS:~~ lv' - I ~"S
~ ~
I~~~
I .~. \-ilL-
V;wtu1V\ ,')~l~ ctwo51t
~ \AeJL- r-V
- /----
~~~
/
/
/
~S
DATE TIME
fer? ~
AI
'1"l - 4\ 5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,1\
-fo~
---
r- ')
--\1.,6/
/
o CORREC
FACTORY, PROCEED
ION AND PROCEED
R REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CALL
INSNOTl
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1.DA;jl)h~
16. PROJECT COSTNALUE
l~otO
9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMP~~: D!,:
Width {,;,I Depth..S3 Yes No //!Jv /ItJ,
ormation 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
and t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awa e that the
it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neede ins ions.
______ '21 ct 7 41
nature License No. . Oat
DATE RECEIVED
APR %. ~
, 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
~'}
i llMftAMt-i31 M
3. LEGAL DESCRIPTION
2-
\.e-;
2-
~
BLOCK
U~ tkiA-
4. W'~Wca1)amCl-la...u~
5. ARCHITECT (Name)
LOT
ADDITION
("\ (Address)
ro&x ~
(Address)
6. BUILDER
(Name)
(Address)
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
7. TYPE OF WOR~ '
New constructiO~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. 11--,881
x
--
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit NO.-9.9 -41S
el
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
:?5 -344- 008-0
13. TYPE OF CONSTRUCTION
K~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
8't1-4wi
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Side
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
)pt~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV Ut>~
Occupancy Group A B E F I"~ I M \..PI S U
Division 1 2 U.I 4
Permit Fee ................................... $-1: o~n .. '--<_
Pian Check Fee ............................. $ 7"~ . 7 ?~
State Surcharge .....,.,..................... $ ?(J .. 00
Penalty ............,........,........,........ $
Plumbing Permit Fee ,...................... $
(60.c9(5
~~. c0
3o~ E;O
Mechanical Permit Fee ......,.............. $
Sewer & Water Permit ..,................... $
PLANS & SPECS 0
SURVEY 0
Il./O,ooo.OO
PLOT PLAN
o
City:
Amount Brought Forward ......,........... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ...........,..."...... $
Sewer Tap ............,...............,...... $
$
Pressure Reducer .....~............... $
Meter Horn ................................... $
Water Meter .......,......................." $
Sewer & Water Connection Fee ........... $
Water Tower Fee ..'.....,.................. $
\
J 25:\0-0
I; 26(') . (') CL
"1~b . ~ (".)
~,~..o .. C)t"J
/ O~-o. rJd"'
~~\
(\I')
ck;. ()f")
Water Tap ................................... $
Builder's Deposit ............................ $ I , 6'00 . &--l)
t
Other .....,...............................,... $ .
Total Due ...............,.............. $ 707'1. Lj/,
Paid t57t/. t.ff ReceiptN(;j. 35"'f'""d 'Z.-
Issued ~
Dare Gt By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning brdinance a d may proceed as uested. This document when
Signe~t~ Cel1cat~n~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. "--.
City Planner Y Date Special Conditions n any
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 9?- q,/ ~
Prior Lake, MN 55372
PID # 25-.3c./-9 - Ot) f3 - 0
Jtv\ mfl1;llc, 15,'r d 1""'rc:,;' V Dr
,Kitloe; ;t/ t..-(.... .3 leD
r-bvn-S
Lot
Owner's Name
Address /J I
Heating Contractor (,efh ,'<I/" /rI~< J- Lo,A "/IS J:;tC..
Address (2J6() W ,) I d\-~' CV1. t!,h~s )c.~
tjl(r--/O~ Y
~ ~JV()~
gv90
Teiephone #
Furnace Make & Model %,,<..
Model Size /Oo.otJol5TVI
,
Conn, Load 7 2., () 0 0
Fuel jvq/- 'Flue Size
l')"
Supply Openings
Return Openings
Input J()OjtJO~ Output
Edr.
Cfm. /2-00
pr<:.fl't c.e.
c;,d, ()O()
,
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning 'J
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
~..,.s
~~ooo ~~
TYPE OF WORK
x
Alterations
Replacement
New Construction
Repair
Est. Cost $
Est. Comp, Date
'100/ cJ U Building Permit #
q~- q/5"
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
( PAlO WITH
.50 I BU\LD\NG PEI';;\;1IT
Receipt #
TYPE OF STRUCTURE,
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Other
Public
,e I 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 buildina Dermi~ 11umber before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOUIRED 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
~se f all worklfiCh re~Uires review and ap=al of plans.
,J2-~! 1
/Z/ ~( ~1ant'~f'~~ ' Date
~ ff:_o:~f>~L",,- f!?/;3/qq
Building Officars Signature ' Date I
CITY OF PRIOR LAKE
I. Blue
2. Gold
3. Yellow
File
City
Applicant
Tht Ct'nlrr of Iht Like Country
1 PLUMBING P~RMIT PPNo. .99-4/5"
APPlicant:~~/~4/-???/yA'Y~ ,4() Phon.: .J-P2.,;?/rZI
Address: a/) _ '//1/#4 'Y?/~ I ~/2/h~./J1/J :5535.;2
Signature: _ /1...# /7;A) ~/? /'?.lA /
Legal Description: Lot ~ Block 2- Sub I<NOf!5 HILL ..31<.0
Site Address: #~_'JY /dL/~./~~ ;hod _ ,e/
Building Permit # q9- 4/5 PID # 20-3"9-00l3 -0
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
r4
/
I
.~
/
)
Bath Tub with or without shower
~,
I
i
I
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bar Sink
-.3
Water Closet (toilet)
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
-
GRAND TOTAL $ -
(~,. PA\~:~';RM\"
'l6\J\\.Oh"
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin de and the amlJ1dmethereof.
. 7Po;rt DATE
./J . - ATTEST
/
Call for a . spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
\~ '
,;
APPLI CANT: D Q. f 51/~ .t x: ( .
ADDRESS: lto /I g J 6(' L:i;-J .../lIf'1 L e ill .
SIGNATURE: ~~> D~
SITE ADDRESS: l.f SJ ? II t.{ IV) ,,,.p:,.J C (J:u. ~ 'TIC.
FILL IN THE BLANKS
1. Estimated length of water service
( (
2. Size of water service
inch(es) .
J
3. Location of any couplings from structure
4. Type of sewer pipe. ABS
PVC Y
5. Estimated length of sewer line if 0
GREEN . FILE
YELLOW . APPLICANT
GOLD . CIT.,
NO. q{( -q/~
NOTE: Sewer and Water
contractors must
be registered
with the city.
PHONE: 2?J- -(, 7~ t.
DATE: t/~/91
BLDG. P~RM~T # 9C;---L/I~
PID# d:;~34q -!)(}9-o
(
LjD
feet.
feet.
Cast Iron
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
^
This ~j;caMj:~n,}j~,~~~f .your permit when approved. ~I
BY ~~ 'ry~~~ ,DATE: (P/15/99
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 permits are
issued. f PA10WITH
l BUILDING PERMIT
*
DATE PAID
~-
AMOUNT PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
QC1-4-15
Thr Crntrr of tht' L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSl:
NAME OF APPLICANT
APPLICATION RECEIVED
\j\j( NDWOOD HOM6S
4-/23/qq
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-559 I-lUHMtNgBU2J:> I RA\ L-
Accepted Accepted With Corrections ~
Denied
Reviewed By: 2-1; il..", k-
v L /
Date: c(-2f ~?7
Comments:
/,~ ale ~.~
"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."
r, (~/ I c::-
'~.I') - --r { :::J
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKllSI
NAME OF APPLICANT
APPLICATION RECEIVED
\;'0 ( Nt) ,,0 COL). He tvl tA~~'
1 / 23/CjQ
I f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-55 q I-{ () t--I ~l i r06 B/ I<J..) I \<1-\ I L-
I I
Accepted
Denied
./
Accepted With Corrections
Reviewed By: WALTEJ( E#REs/1fAN-v
Date: sl 5 / 'JCI
. I
Comments: .J<lJtJcFF JIlo\\J$T"' 'BE. ~vE.l{E.o 1<1 A/\/O AL.~_ OQ.....tNAt;.!: ~
lh'iLJT'r' E,q:l&&"'~II./I< A~ ~uul AS .PlfA(.T/c.AL ~ '~ O,.j ;s,oG.. L.o-r L/l\J~S.
EII~J.J WIT'" THE' FI(O"'f .:>F T'HL a...,c..o,J"Jr.
CA""
BE.
i< A 1'5.e: 0 /4f'PtC.O)t..
ONE
F(J()-r
70 EU';/~TL ~LO~ Dt:F
~~ t;; AIt~ AAJCi HOIJS€.'
.s~r: Jt.I~OJ(M~no.u Ol\J RElIE.ltsE: SlOe:.
.,SE"E: ...." ...l.H ~E~ ~ I. h,.!""- (JtfAbE Jt.I~CTl<2lU JI\1 FoiL"'ll4T1n.<l , Z. f..1l1i0/.AJ1... PLA ^"'
3. E:"~OSIO~ C.o,uTI\.a\.. MfUiSoIlt.E')
4. f./l.aoIDN Co"'-'T.eCL. P....AN
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~"
,''''~-'''-'-,"' '. '-(':'-',~""'- i;;,'l;;~,;:?~: ::"""-~':;':~:f.-')~~'i'l,;.\i~'~i>;l''r'''-, -.:,.... '(':':"''''!':'' '-:)"~'~-':"'">1fr"'. "~1;;J,-;;;~.,t~'''''. '<1;';" ,,'- _",,,"~L,--r-'c-;;::v:.~.-'C.':;~::Y' -
~".-.~,",,,,.<,,,.~",,
Th~ C~nl~r or Ih~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H>"""
;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! .
, ,
-~,..,
'-...c \ L..-
Accepted
t/
Accepted With Corrections
Denied
~.~
,
Date:
Lf~74
Reviewed By:
Comments:
"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."
.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L/S.S4 l-IulMW\i"'~\ott.A \""' .
NATURE OF WORK Ne\".\ ~~,,"\.1d-~
USE OF BUILDING S'FD
PERMIT NO. '1'7 -LII'5' DATE ISSUED C/-2Cj-'19
CONTRACTOR fA \~JwoqJ... ~c,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN,
DATE
I .1 ''xl ., '1~
I
HAS BEEN SIGNED
"lOW ~~1A' ~D
---
I
FOUNDATION (Prior to Backfill) I
PLACE NO CONCRETE UNTIL ABO
ROUGH - INS
SEWER I WATER I SEPTIC ( 2717/11 97 ~l'"
FRAMING C;: -Ill
INSULATION U) 4: VGf1
ELECTRICAL (/
PLUMBING (/J )8'h If1
HEATING (if required) V
FIREPLACE (p 91z/~1~
GAS LINE AIR TEST <<j) /o/.f"# f
COVER NO WORK UNTI~BOVE HAS BEEN SIGNED
I I
FINALS
W6
~ ..1,~.~"
FOOTING
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
H,'VIt( /", '
(, 11 l%
. (
d/=1r11J,,,, ,,~
BEEN S,GN!D
This card must be posted near an electrical service cabine ior 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