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Home My WebLink AboutBuilding Permit 95-0202 A \...... \ ) \ ..1 - ' '\' DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE PERMIT NO. q 5. J.. 0 ;;1- CALLED-IN SCHEDULED 1. II ~.., 3:<.t~ ADDRESS OWNER ~ TELEPHONE NO. lU D FOOTING u.. D FRAMING ~ D INSULATION o D WALL Bo. _ ~ / ~INAL~ 'C( D FOUNDATION :::r: D DEMOL. ~ D FIRE PREVo <l( ~ COMMENTS: ..... ~ o CI) a: ~ a: ;:) ~ a: f2 lU a: 'C( ~ as ::E ___ ~ ~ 2~ ~ ~ SATISFACTORY:PROCEED o D CORRECT WORK AND PROCEED o C CORRECT WORK. CALL FOR P.EINSPECTION BEFORE COVERING () 0 CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. C STOP ORDER POSTED. CALL INSPECTOR. D INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. . ~ :J.XI/J COMPLETED VI'. o. '" V~ Urc...ClI ./ CONTR. DPLUMBING RI D MECHANICAL D WATER HOOKUP o METER SETITURN ON o SEWER HOOKUP o SEPTIC INSTALL. o SEPTIC MAl NT. o PLUMBING FINAL DSITE INSPECTION D EXCAV.lGRADINGlFILLlNG D LAKESHOREJWETLANDS D COMPLAINT D FOLLOW-UP D SEPTIC FINAL D FIREPLACE D r-... , . \ P ~ cJ;.... ~ Ie G 0.- -.r - ~ - "'- 5r-.. ~~tA.. ~d'C~ drn J~ ,- -L ~( U La.- u..... ? \ '\-^ \ -- l~ C'lSr==- r I -\..J'/~ l - D PHOTO TAKEN Owner/C Inspector 447-4230 Yellow CcpylSile Nofic:e _ Ccpylln.".:tor.. File 1. While 2. Pink 3. Yellow File City Applicant CITY OF PRIOR LAKE . 11. ,i.." BUILDING PERMIT, TEMPORARY ~SRTIFICATE OF ZONING COMPLIANCE ANsl\:ifLlTY CONNECTION PERMIT 9S lA~ Permit No. - ~~ 1. DATE 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 ~t1b t!~L6 3. LEGAL DESCRIPTION q 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK Fireplace 0 Septic 0 Heating 0 Plumbing 0 Reroofing 0 porc~ SEATS New Construction 0 'J Alterations 0 Addition 0 Finish Attic 0 n Residing Of ",,~inish~asement 0 ~ ES~A TED VALUE Chimneyo Misc. :t:.~'- ~ \kc..-\L ~. ..l \~~~\.-.~~ p:-_/4.j-rr / 5::>\ (:)~~ 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS ' 10. CULVERT SIZE -' 17. COMPCETION DATE Sq. Ft. Width Depth Yes No A ~ I hereby certify that I hav~rniShed 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 a~~iOned pro rty 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 ~u1~ t~~:evok : lis r;::it,fOr ~st.~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. - \-- - - S1\inaiu;e - '"' License No. Date LOT BLOCK ADDITION If AlfiL 4. OWNER (Na~e) pf1AJ+M~ JCJ-d'-(91AJ~ 5. ARCHITECT (Name) ':)~G 6. BUILDER (Name) ~6 SETBACKS: Required Actual Front PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING ~r ~',\:-e.-ck TYPE OF CONSTRUCTION: I II III IV ~' Occupancy Group A BEl ~M Divlslon1~ Permit Fee ................................... $ Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ Subtotal............................... $ ;5"-,+- q'S" Pr-hJt~ ~ PID 11)':-" 1- IJ U 11- 0 ell ~~) / (Address) 3.;).~ (" lJ~L.eC-tJ- .s<.v (Address) (Tel. No.) 44-i-77:, {i1,f (Tel. No.) (Address) (Tel. No.) BUILDING INFORMATION 11. SIZE OF STRUCTURE (H~~t) <j~ ( /4)' 12. NO. IF STORIES 13. TYPE OF CONSTRUCTION r("")4Wt F;- 14. FLOOR AREA APPORTIONMENT USE FOR ADMINISTRATIVE USE / .3J~ . ~ 0 PLOT PLAN 0 City: Amount Brought Forward .................. $ ~ ~. ()~ Park Support Fee ........................... $ SAC ......................................... $ CollectiveStreetFee ....................... $ Sewer Tap ................................... $ License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Hom.... ......... ......... ............. $ Water Meter ................................. $ o Sewer & Water Connection Fee ........... $ o Water Tower Fee ........................... $ Baek Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION - IQ4.i':> 12,.el/ /q . S() Check if 33(P .CI1 Deferred MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS ~ SETS ~ SURVEY o COPIES Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Paid Jjlto f............... ~:~;~; ~o~ Date S/JJ/'1( ur B iIdlng Permit When Approved. _ ~ Date Z;:2.~-'1"l:5 Issued By 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 s~the City ~stilutes a temporary CertifICate of Zonin~ co~ allows construction to commence. Before occupancy, a Certificate 0 +A..-? - t:;:- 23-1.5 i F'Ianner Date ' Special Conditions n any 24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m. 9J- -liL Th, C,nl.. of lh, Lob Counlry White - Building Canary - Engineering Pink - Planning BUII.DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT --; ,...-' i.-) ad. <-Ii' Qb L . APPLICATION RECEIVED 'i / /7/fj The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 0,l.Jt 7lJLJ ~,t~ Accepted Accepted With Corrections x Denied Reviewed By:9a.--2~ tJ Comments: l,~~\, ~Q ~JL -Z, gu~",,^,\ ~"""Cl ~",,~L....... ~ o (r Date: 5-23-q-S- -J.h~ O:~ (!)t\ .\..k S~c.:t:-t ~ (J 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." White - Building ,,',' Canary - Engineering Pink - Planning Tho Conlo' 01 Iho blto Counlry BUll-DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT &J a"/L"'1L~ . APPLICATION RECEIVED S /17/ IS' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .J-Lt~ 7/,11-/ ~~ ,/ Accepted Accepted With Corrections Denied Reviewed By: Y RC({l'~ Comments: rJlPll /' Date: ~q;; "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 Thr Cf'nter of the Lake Country IWILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,-. / NAME OF APPLlCANT/' j j I I APPLICATION RECEIVED I; /1// i(' ( . /1 j I. 1.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " ' , I ....j ..;' i fr / /: (' .'. ! L./ ({ 1. L .0 Accepted V"'" Accepted With Corrections Denied Reviewed By: J2. ty:1ILHAEL- LE.EJL Date: -5/19/\9qs- Comments: 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 !Ii CITY OF PRIOR LAKE 1 2.l99ff62OO Eagle Creek Av. S.E. Permit No. Pripr Lake, MN 55372 HEATING 'APPLICATION I PERMIT tJ~=- .' t;).=<t;;;:::_. PID # JS - III - (JIJ 9-0 Site Address. "3z.Rb VlflJ:5 c..., S<<-v Lot ,. Block I Addition 1/t+L...tL Owner's'Name Dh.Jt J(J~Lft ?.L. ~ Date Address Heating Contractor . Address Telephone # Furnace Make & Model 16'-2'1-3 U 1/1-LS5 CJ ..r Self) Sc.v 1/I,L7- 738/ fleW- tL (}AI/W V; () 00 ~'''ioO I"1C...,,_ TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices, Model Size (, ()o'() 5 f,.. D \J ) Conn. Load Fuel ~A '") Flue Size Supply Openings Return Openings Input Edr. Output Cfm. Alterations Other Devices .&o..t:S .J:il-4L ~/'I~ 0_ TYPE OF WORK Replacement New Construction Repair Est. Comp. Date Est. Cost $ I , ~oo .t)O Building Permit # <;.s'" -~ . HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ 2S./~ .50 ? ~ , ,2 S' Receipt # . .) l,LL i' 1. Pink - File 2. Green - City TYPF OF STRllCTIJRF 3. Yellow . Contractor Single Family x . , Two-Family Multi-Family Commercial Industrial Public Other JOB VALUATION $0 - $1 ,000 $1,001 - $10,000 FEE $10,001 - $50,000 2% of job value, min. $20.00 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000. $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $25.00 each. House Heating Test Record must be submitted with buildina oermit number before build- ing certificate of occupancy will be issued. HFAT CALCllLATIONS REOLJIRFn with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with sup- ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St. 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 mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordi- nances 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. "UAI\ k~ QfJe~"u~ -, Buil~g Official's Signature I). -; J---f'~ Date (2-/3-(6 Date CITY Of PRIOR LAKE 16200 Eagle Creek Av. S.E. Permit No. Ul:i_ I 2 j.,r Lake, MN 55372 HEATING APPLICATION I PERMIT Date IcJJJt!q5"" PID# ,15-111- t}~/-O Site Address 3.;i8f, Vr. C~ ~D Lot q ,Block Addition 1!oJ.u tLU .J Owner's Name ~ ~~ D/~ Address, 3;>i(p V~ e<9fr[) ~~ Heating Contractor _ ~A I (:f-D Address. ICj~lLJ f1,1., "A o{.~ ill ~~JJ,o Telephone # lfl.fO -37 79 Furnace Make & Model Model Size 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 1JI G v Flue Size Supply Openings /; Return Openings .3 Input Output Edr. Other Devices Cfm. TYPE OF WORK Alterations )( Repair Replacement New Construction Est. Comp. Date ,I q b '-'~ 00,0 l"J Building perm/# q..!J- - .1JJ.L Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ :23.7;;- .50 ;; 4- ' J..5 Receipt # .17 '/-6 I qs-~I2(n Single Family Commercial JOB VALUATION $0 - $1,000 $1,001 - $10,000 $10,001 - $50,000 S5~7~ SS37;; . $50,001 and over TYPF OF STRLJCTURF 1. Pink File 2. Green - City u. "....~ _ Contractor x Two-Family _ Multi-Family Other Industrial Public FEE 2% of job value, min. $20.00 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000. $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $25.00 each. House Heating Test Record must be submitted with buildina Dermit number before build- ing certificate of occupancy will be issued. HFAT CALCULATIONS RFOUIRFD with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with sup- ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota 5t. 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 mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordi- nances 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 approva~ (!JDo~" Q (;)./UJqD i) ;,1~lbnt's SYFa~ · ohte (/i;/~ /2-(3-fcS , - Building6fficial's Signature Date