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Home My WebLink AboutBuilding Permit 99-1345 ADDRESS 59b? DATE TIME SCHEDULED S-;g-V) , ~ :;]D ~~ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. 9- / .-=?L/<) o FOOTING o FOUNDATION o FRAMING o ..JNSULA TIONLL ~ ~INAl o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ;;/11 (! !r rro rei () LO':j:::Y VI (b , / LK SA TISFACTA , PROCEED o CORRECT ACTION,.N PROCEED o CORRECT Yfrf}" C 'l FOR REINSPECTION BEFORE COVERING Inspector: V L..... " Owner/Contr: CAll 4.47-~R~n FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl r~ l~~_. '::" DATE RECEIVED NOV I 11900 CITY OF PRIOR LAKE BUILDING PERMIT, !U TEMPORARY CERTIFICATE OF 1:;/ ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq- /345" DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom) 2. SITE ADDRESS 5968 CROSSANDRA STREET Suu,nr~ST I.IlIlTE /(-/~- ?1' pusd BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 4 12. NO. OF STORIES LOT BLOCK CARDINAL RIDGE FOURTH ADDITION 4 PID 25-322-027-0 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER (Name) (Address) (Tel. No.) '1#0 - 9834 14. FLOOR AREA APPORTIONMENT USE CLIJ'N1'\l'.. TTMOTHY ANn .1m.TF 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) (Address) (TeL No.) 15. NUMBER OF OCCUPANTS OR SEATS OWNER OCCUPANTS 7. TYPE OF WORK New Construction 0 V FirePlac~f\.. Septic 0 Alterations 0 Addition 0 Deck 0 Finish Attic 0 Re.roofing 0 Porch ~. }I" Re-siding 0 Finish Basemery'\ SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8, PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110' CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that 1 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 QrpJlfl !:lat all con ruction '11 con10 to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the -y~""""" '!:l !Jlal ca~rev e this pe it fo~ s he hereby agree that the city official or a design.ee may enter upon the property to perform neecll~d)nsPections. X':-~ (.:. //-I(&>~'7 Ucense No, c.. y 17. COMPLETION DATE. Front Back Side Side MATERIAL FILED WITH APPLICA3N SOIL TESTS 0 ENERGY DATA 0 PILING LOGS LI PERCOLATION TES 0 FOR ADMINISTRATIVE USE SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING TlmLA,/Tl OFF STREET PARKING SPACES REO. SPACES ON PLAN PLANS & SPECS LI SURVEY 0 SETS COPIES PERMIT VALUATION --:l ,rjf){'I. on PLOT PLAN o TYPE OF CONSTRUcnDN: I II III IV V Occupancy Group A B E F HIM A Division 1 2 3 4 S U City: Amount Brought Forward .................. q: Part< Support Fee .... .... ................... q: SAC ......................................... q: Collective Street Fee ....................... $ Sewer Tap ................................... q: $ Permit Fee ................................... $ {o2.7J::;- Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Pennil Fee .'1.q:::l~ $ I ,() () -10.00 (I.~ V;lj/1/t11 Pressure Reducer .......................... q: Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... !I: WaterTowerFee ...........................' Water Tap ................................... $ Builder's Deposit ............................ ., Other ......................................... 't, Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Penn" .9.1:::.I~~ $ ";'0. DO This By comes ~urJ3LUlding Permit When Approved. .~ D~e~~-~~ Issued Total Due .............................. $ Paid 14&. Z ":) Date /1!tt:>I'fc, /13 z5" Re<:eipl No. :.v-_ c:: SO ~14- By T~~; a~reque Sfg by ho/in~r co ityPla sr , '0 the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when ules a temporar; certint1 {rwomPliance and allows construction to commence. Before occupancy. a Certilicale 01 Occupancy must be issued. ae Special Conditions ij any 24 hour notice for all inspections 447.9850 ~. ........:~;:.......---. .... .:.-.:......,.......- ~ -~. .~......,.... ~ ~\ '7' 7 -: / -.:; L/:'; .'. Thr ('I!'nll't of lhl!' Llkt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED --,7--/ l-~/ (;: L / j.~r (' /,:.:' L"i . I .--. r' 1/1 / '7/ .'/ '/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: <",/r, r, "--" . C c" -" /~- ( .~. ._ 1 _.../i/i" /.)/ r,t /': ! ...-..... ,:.:..-:- \/ Denied n /IJ J Reviewed By: _' !JY1> ( .Jt;to.A, _ Date: Comments: (~,,,j ~ <iG - [i Acceoted With Corrections Accepted ) " 17 )91 "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 jurisdictiorl. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid," - 99-1345 Tht'('rnll'roflh"L.hCounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED TI f1 (!..t-/ FF 0 I2-D 1/ II 7/qq / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 596'0 C-RO.sSANDR/J Q I se: Accepted Accepted With Corrections ,- ~ Denied..--.. 1_ Reviewed Bl tl_ ()(h.... . ~- /' Comments: Date: 11-17-7/ ), ~ ~ "&~ .r,;-..<.,~ ~QdtJh "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," CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. <19-1.3 'AS- Prior Lake, MN 55372 TYPE OF STRUCTURE 1. Pink 2. Green 3. Yellow File City Contractor HEATING APPLICATION' PERMIT Date \ \-11~ PID# 25-3ZZ-Cr1-0 S~e Add:ess 00r I;~ (IrnC,41 hnr fA sJ- PusO Lot ...:1:.- Block 4- APd~iO"0. ~O//IIl'h.. RIOat: Owner's Name ~ )A A f J. I IJA ...9fo ycC Address t::)(}!fOq' ( ,,( o'S<:a..n.d t ct Jr "-.A. - ( 0. . Heating Contracto~- L/I r ~ ~\ ILJ..-j/ Address ~~q) -IA!. Hvvv. I~ 1.RIA))Y'lc'v,L(~ Telephone# If' a--;<,Cm -r-)-'g:V Furnace Make & MOd~)Uf1 vd ra-f1rf ~ Model Size ):>t z./.{) <s '- Conn. Load Fuel ()VV Supply op~n~gs Flue Size Return Openings Input~, rn)J Output I Edr. Cfm. TYPE OF WORK Aherations ./ Replacement Repair Est. Comp. Date Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE ~ TOTAL PERMIT FEES ~. Building Perm~ # .50 4nf t;C,337 TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~ioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices New Construction 9q-13<1-5 Receipt # ~. p/>.IO WliH ,BUILOING PERMIT Single Family Commercial v' 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 jlJb cost ($39.50 minimum) $99.50!ri\\ f"2 0 !"2 r; 1\17 f? C $64.50.1 D Il~ ',~, -;~~;':-'..,d-2-"! $39.5'1! '/ " $39.50; 1.,\ NOV I 81!Hl II i $39.50 ., \ , " I . \..\ .t;:. Remember to add the State Surcharge on the bottom of~"" 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 huildinn oermit number before build- ing certificate of occupancy will be issued. HFAT 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 0,. FFICIA,~iJt tho . I be in accordance with the approved plan in the [C?\~l ~Ch re.~iAt~7 and approval of p;in~n4? V \. AppJiF~)~J~!1ature Date /UW~J'-- II/;q/qq B~ng Offical's Signature D"ate FROM : PRO PLUMBING FAX NO. : 612 948 1812 Dec. 01 199909:13AM P1 TIle Cetll".' Iftr LlIIl.Cotli"." CITY OF PRIOR LAKE PLUMBING PE~MIT Applicant: _e.e'~ P//.hHJ'i>; .IU&, Address: -,,,..sa L(JtPNrJ<./l?erH ~;/tP. Signature: ~hL /!~hl,fA#"":' Legal Descri~On; Lot . 4- ~Iock 4- Site Address; ...s-?~.P ~i'!',-!5SAp1utfl' $'.1 Building Permit # QQ-/3I/-S' PIO# 25-3Z2.-027-0 NOTE: This permit will not be processed wllhout complete information. FIXTURE UNITS I. able Jlll8 2. Gold at, 3.V_ ~ PPNo. qq-/34...CJ Phon.:~/;) ')Y'-/J'//~ ~- . Sub t!Reo/;v/i1.- .Ii!/DG.6 4-711 Quantity Type of Fixture Quantity Type of FIxture Bath Tub with or without shower DiShwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (lor 2 compartment sink) Shower stall Sinks Bar Sink Water Closet (toilet) I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) sewage Ejector Backtlow Assembly (RPZ, Double Check, PVB) Backllow Assembly Test Lawn Sprinkler Other W/JTI'.e ~~'p&,. F'~ 6~I'JIA~pr ~ jl/JTIf FEE SCHEDULE Industrial. Commercial & Multi-Family (1.'" of job cost. $39.50 minimum) Residential, New One & Two Family Residential. Additions & All11ra!ions State Surcharge $99.50 $39.50 $ $ $ 1'7.5(') $ .50 GRAND TOTAL This permit is granted upon the e~prI.:S$ l:ondition that said conlriClor. shall comply in all r<spec" willi the ordinances of the Stale P1u"'bi~~5rl.. ana the amon!lm9nlS thereof. "ZJ'tI1J:- .Lk/L,/99 A,~~n: Call for all m4:ctiQIIS 24 hours ill advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE INSPECTION RE.CORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ,S"'t ("R Ql-os.c;a......~ St.. NATURE OF WORK 7,o"'''~ N~'-.,J.... USE OF BUILDING 08) PERMIT NO. l)'i-l;SYC:; DATEISSUED 11-11-<1'1 CONTRACTOR Q \ \ Ho...JI NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ , I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING (;1) 12I7/f'J INSULATION I V ELECTRICAL I jPLUMBING I ~- 1z/"1"/r~ HEATING (if required) I t~J7/~ 1 FIREPLACE I ~ tVt{4f'7 GAS LINE AIR TEST I P1;q lz.hAJ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I J FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT A7i~' (~V -. - S-(fb.O( OCCUpy UNTIL ABOVE HAS BEEN SI.GNED 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 sE:rvice 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