The URL can be used to link to this page

Home My WebLink AboutBldg Permit 00-0835 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS l./ f. ~(, OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~I ULATION INAL L. L . ,'A. o SITE INSPECTlf COMMENTS: SCHEDULED ~~~;Lo~ dtJlJ.IwU4l~'I~i2 ,\r-J. 1;:.. U CONTR. PERMIT NO. C) 8 ss- TIME o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o (l.L~se..\..te. C\" ,..J ()~ !n ~\A. o.c..~~V;~ U o WORK SATISFACTORY, PROCEED o CORR~T ACTION AND PROCEED o COR ~RK, CALL FOR RElNSPECTION BEFORE COVERING Inspect! : (D Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT , DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE A9.Pi.RESS JI -r '-I ~ J~ H-J"h\""I~rc{ I ~ i I- 3. LEGAL DESCRIPTION S- ~1/ 2@ Wo 3 ~(Ad1:.~ 1y-o-.f QATE RECEIVED q . / tf. 00 LOT J3 BLOCK ADDITION KNO/J f!;it{/Js It 4. OWNER ~~ 5. ARCHITECT (Name) (Address) 1. DATE '1- /(/--00 tt,.,.,.. "~Lc....i[ ,el PID ZS-:!i3'1-1J35 -0 (Tel. No.) 'tV.)" . (,7...'9'1 (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) '/~""'M~:itv (04 3'lt, wd~ J-6ctrc7_ '5 'lq,/ 7. TYPE OF WORK New Construction CJ I Fireplace CJ Alterations CJ Septic CJ Deck CJ Re-roofing CJ Porch CJ Addition CJ FiniZtliC ~ ooi1S Finish Basemen~ 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Chimney CJ Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Width Depth Yes No 1. While 2. Pink 3. Yellow File '.. City' AppIiClllll Permit No. -1)1). 0035 BUILDIfo:MlfflFORMATION 11. SIZE OF SUll:IOTURE (Height)'(lMdth) (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 17. COMPLETION DATE I '2- '!:>/-OC) I hereby certify that I have 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 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 officia~evoke th~rmi~r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X --7.."..........;:;r ~ 9 -IY-ov - Signature License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back BUILDING DEPARTMENT VALUATION Side USE OF BUILDING I 126~ ~ OFF STREET PARKING SPACES R~Q. SPACES ON PlAN PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ (,2. '-~ Plan Check Fee ............................. $ State Surcharge............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ ( . f!)c) ~o. () () Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ .4-1') 00 uilding permi"1hen J\gproved. Date -/5"'l~ Certificate of Occup ncy Issued ~,1 ctDO City: \\~OO VU" 15 . q. Side MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA LJ PILING LOGS CJ PLANS & SPECS CJ SURVEY CJ PERCOLATION TESTS CJ SETS COPIES PLOT PLAN CJ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City Planner Date 24 hour notice for all inspections 447-9850 Special Conditions ~ any Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $~' Z-5~ Paid Date Receipt No. This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the CiIy Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. By 00.0<63 (' White . Building Canary - Engineering Pink - Planning The Cenler o'lhe Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT T~ \w~Q,~ 1'-/Y - 2000 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit applicatj:n for construction activity which is proposed at: q(o :5 ~ Itu"'^-'-"'-"Q' t.o.,~ · ,\ j::. ~ Accepted Accepted With Corrections Denied /.JoJ ^ Reviewed B0J1A ~ ~ Date: ~/~-20CJ6 Comments: ~. -t4-J)~~fZjA(~_ ~ "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." Date, _. ""~, ",'MIA~ SiteAdd_;::~~ -- -.". ~ _ I lol r3 Block ~ Addition 4//iJh '1//1/ c2 /LId . ~ ~ - Owne"sNam8\.1(J~N.~ Wtf,.,~~ ,(lJI9fu4rf.l- Address, ~ 6 3~ ~fIn m I ,,1rrrlJ if p..lJ TiL. Healing Contractor ~~ h f).!i./jlJf-dw... /./Nen., P.rP\J Address /&'/57 m-""N. 1f\J,~ PLeui.. LA'fC..'-_ -r Telephone # ~/1.,.- ~l(o- ~-"J..D Furnace Make & Model t)Jt/J. 7' 10 ~ AIR CONDITIONER'UN~TS CANNOT ~; - j f) ENCROACH INTO SIOEYARD SETBACKS. Model SJZf' . ~'t.. / I \V -.. TYPE OF SYSTEM Conn, load ~ ~ Warm Air Plants . Gravity . Mecrtanical Air Conditioninf,' Vent. Systsm . HEATING OR POWER PLANT Sleam . - Hot Waler _ Radiati<ln Special Devices, Other Devices. Fuel Flue Size Supply Openil1 gs . Relurn Openings _ Input _ -, _ Output, Edr. Clm., TYPE OF WORK Alterations Replacement New COnstruction Repair, Est Comp. Date Building Permij t/. . Est. Cost $ . -I HEATING PERMIT FEE $ o _ -I f!2 STATE SURCHARGE $_ ~ TOTAL PERMIT FEES $ is) , t-> PAID WiT;., .50 BUILDING PERM/1 Receipt #, I... J, I'IIll 2. lA..." _ 3. yell..... _ File Cily CODtr~ctor ,TYPE OF STRUCTURE . TW()-Family, Industrial Fee Schedule Industrial, C{)mmercial & Mufti-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace (],AlJr. Residential, Additions & Alterations ... p........lontial, AC Only Public MllIlI-Famjly . Of her. o n -I I t-> U) I f\J is) is) is) 1 % of j~l~~o minimum) $99.50.JI~\ f2.! ".;:~ I[ I Lc'; ',~ $64501 ! fr~o' '" " . ...' L/>/ ,: $39.50! r \ : $39.5Q 1\ ! I tr:r 2 0 2lX1J $39.5QJ UL___ t-> en .r::. U) c - m ;;0 m n ^ '11 - ;;0 m ""0 r D n m Remember to add Ihe State Surcharge on the bottom of lhis application:-~--"', The price or 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 1!uilding oermit number before build- ing certificate of occupancy will be issued. HEAT CAlCULATIONSREOUIREI1 wilh number of supply and return openings listed per room with CFM's per opening. New structures or addilions send floo, plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPlICATJONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, Hl200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. AU WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL ;f hereby apply for a mechanical systems permit and I acknowledge that the . information above is complete and accurate; that the work wlJl be in contolmance with the ordinances and codes of the city atId with the state buildlnglme(:hanical codas; that this form does not become a permit until signed by the BUlLDING OFFICIAL; thai the work will be -n ac~ordance with the approvea plan in the case of all work which reqllir eview and approval of plans. 1J'~nfis;_"e ~- - Q iI)~A/UI~ UUilding'Ol1icaJ's Signature' PhDne: (952) 447-9350 fax: (952} 447-4245 0) en t-> is) .r::. U1 en I &/Phd Date Iv ~0~..1'-(JU Date ""0 is) t->! " is) t-> By:(d5 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes Date: 9-/~ - ?o. 'lI~ Building Permit # Pill: Site Address Zoning: Legal: L B Subdivision: Existing Structure: YES or NO - ....., - CONFORlVIS TO ZONING ORDINANCE ~ NO I Is this an expansion of the existing footprint or building height? Is the property located within the flood plain? YES NO Refer to Planning ~ Refer to Planning ~ Refer to Planning ~ Refer to Planning ~,X Refer to Planning )( Does the alteration include any additional kitchens? Does the proposed alteration include any outside entrances other than patio doors? Is the proposed use of the finished space or alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN il1.!!. BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L;\TEMPLA TE\AL TCHCK.DOC PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 41()3lo bj)jMM,~'v,~r-&~ {~' NATUREOFWOR~p~ R~L (2) ~2- USE OF BUILDING Sf2..D PERMIT NO. 00. O~3.S- DATE ISSUED 9-{S- -~oo CONTRACTOR ~~ ~. ()~ 4c;S,.G,.~ ( , NOTE: THIS IS NOT A PERMiT' FOIfANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ackfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST 1Aw} 11 1'dO cf) tL t\ ,/ I J~/::Jl / IftJ / ' /,,;J-/:J I/dt> I , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS /? lit ~ A BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy , I UNTIL ABOVE 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.s"'a~~ be placed near main entrance. HAS BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850