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HomeMy WebLinkAboutBuilding Permit #00-0025 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant JAN t 8 2000 Permit No. 00.0025 . 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 34C},o ( J ;"'OV /J(J ~/) (kL : v-<'" 1. DATE /... /~-r;p pun BUILDING INFORMATION 11. SIZE OF STRUCTURE .!~) / ~~ 12. NO. OF ;TORIES 13. TYPE OF CONSTRUCTION Sl.~i 1.::-:1<. 1.....-_ 14. FLOOR AREA APPORTlcffiMENT USE (Depth) ~ <"'~ 3. LEGAL DESCRIPTION .L9 Lu~'lcJ> LOT BLOCK J/2r/ PID.Z5r~- O~ ADDITION 4. OWNER (Name) (Address) (Tel. No.) 5. ARCHITECT (Name) (Address) (Tel. No.) AAddress) f. /jfJf41 Ve,t.-( d- n.... fYle (j,'kVld C:f!!J--oi-, 1!.,.O( Il.{S0.s1'lt) (.,Ij..-Lr:J9r?wl 7. TYPE OF WORK Fireplace~ Septic 0 Deck ~ Re-roofing 0 Porch 0 New constructionJel Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basemen~ 16. P&JECT COSTNALUE Chimney 0 Misc. . ~ t ? Lf 9 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. C . MPL~ON DATE Sq. Ft. !J f!){) Lf ~ Width I '-!S-- Depth I'J:'" Yes @ 5"= (!) () I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner ~thOrized 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 plan~. ware that the '";.;~" "'9l" '''''I''~;'''' i'" ~~. '"rtho~~,' h.reby "'00 "'" "" city ""0" '" _. m,y MO' _ '" pro"", to _~ """" '" .~. X {'........fi-- e;b0 ;l.j 1 (/) {... /8- Signature License No. Date . FOR ADMINISTRATIVE USE (Name) '(Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS 6. BUILDER OCCUPANTS SEATS ./ /' SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES 2,,'5'1/c?cn . OJ PLOT PLAN 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING bFO OFF STREET PARKING SPACES REO. 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 ................................... $ I ~ loe:l. 2~~ Plan Check Fee ............................. $-1-. oCJ"'?...._1./.: I?:? .~ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SSO .O~ SAC ......................................... $ /,.1 t')(') -01'"'1 Collective Street Fee ....................... $ Sewer Tap ................................... $ State Surcharge............................. $'. ~~b .. $ Pressure Reducer .......1................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ 10. CJ~ Penalty ....................................... $ Plumbing Permit Fee ..Q.Q:..Z~. $ 100 . 00 Mechanical Permit Fee P.9.:..zfi.. $ U:w _ ~7\ Sewer & Water Permit ..00:..26.. go _<~.st:> Gas Fireplace Permn ..QQ.:.."'h5:.. S'. 40 . (Y) This 'J'f!j)i9'frfisecom~~ur Building Permit When Approved. BY~~' Date I':;J,G,-~OOO Certificate of Occupancy ;;t 6:0 . eta I. ::J... CJ C) . I'fO...... , ')tJO . ~/'L I, S~() . t!rtl Total Due .............................. $ Paid a, C7J. "7 I Receipt )fCl. Issued ..' Date 5./ t5V By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City zorling ~inance and may proceed requested. This document when s~ Planner constitutes a temporary ce1fi~2:.~~Plian~low~nst~n 0 cr~cupancy, a Ce~cate of Occupancy must be ~SSUed. - City Planner Date - ~ - specialcon~ ~ 24 hour notice for all inspections 447-4230 ~ PJE:lJ. '7 J } - , .:$07~7 ~ Job Address J (,l(J C400J {}(LLf< Heating Contractor Controlled Air ,. Name of Tester Date Percent O2 Percent C02 Percent CO Stack Temp. Pti '-:/- /I-Cn 7 o ~ 3s:o o~ \ ~ 00 -(;()2-b Tht Cfnltr or Ihr t.kt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J16DOAlI1 LD CONs I R / / /8/ ZOO[) f I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3420 vV OOD DUGK Df2... Accepted Accepted With Corrections 1-- Denied ') Reviewed BY(,.dJ@'"j- 0 Comments: Date: (- 2G:, - 2CJOcf J. ((J cJL at-{ c..c~ U~~ols... "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." ,.,. ,( /' '~-""l: ! f I -' i. / - 1.., \'" ',G-- n. C.nl<r of lh. Lok. Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / 'L/( I-I L-Jj: (I (i v i f----- J! _ / / I';: /),,;/ (/, /\ /) /- I '--.' L. '--,j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -;; /-', <'--- . -,/ " '.. \ 'lI " \,' "" L.. ( :: ; ('!:::'" L' \ J..,) .J_-" \,./ '...~, ,--............. "I ,'-_.. .. Accepted ~ Accepted With Corrections Denied Reviewed By: ~~~ Comments: ~y ~~ ~~ <V~ W~&.~ fJv~'\ 'I Gw.... +- <::JTMrV A...C).u/ io Date: I - 2-K'-ex:!:) ~~~- r Jy.r~ " "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." OQ-002-b Tht Ctnltr of Iht l.kt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /16DOAfI1 LD CONSlf2-. . J / /8/ ZOOt) I I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3420 WOOD DL)GK Df2... Accepted Accepted With Corrections "'F- Denied /) Reviewed By~$"I-0 Comments: Date: 1- 2G, - 2(!J{Jd- I. ~Q. c:Jt a.H c<.c::~ U~~~ 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." CITY OF PRIOR LAKE t ~~L ~:licant . PLUMBING PERMIT_ PPNo 00-002b ApPlicand~,ve :S-&i' PI"", J,; n" JhC Phone: 6q- 'IsJ- ~ /<f() Address: 1aq~ ~wpl ~,_SrJ.V;C:;;;;aje Gt"O~'P / Mn .,s-ro;c, Signature: Af~ -rfZ.- .JJ~. I Legal Description: Lot ~q BloCk_Q).II ~ubJlj, kif 31ld .Add;1ibh Site Address: .3 '-I ryf) IJ/tM~;:;K IJr, Ve Pl/O Building Permit # 00 -()~ PID# 2.5- 337- OZq- 0 I NOTE: This permit will not be processed without complete information. FIXTURE UNITS $ $ $ $ GRAND TOTAL $ Pd 1Jt/ h"', /Jihj ff:rllJJ- /. .... '0 W\1"\-\_, "\'1" (~\}\rO\NG pS'\".',;. \ Tht Ctnttr of Iht Lakt Country Quantity Type of Fixture Quantity ,--3 Bath Tub with or without shower I Dishwasher ~ a Floor Drain S Lavatory (bathroom sink) I I Laundry Tray (1 or 2 compartment sink) / Shower Stall 1/ Sinks Bar Sink LJ 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 Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other ,> .50 This permit is granted upon the express condition that said contractor. shall comply in all respects with the ordinances of the State Plumbing C and the amitints thereof. R I ..3 t.3 00 DATE , , .13m ATIEST Call for all i pections 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 ..-t c:;) C!l CITY OF PRIOR LAKE Me 18200 Eegle CreekAv. I.E, Petml, No. 00 -0026 P,lor Lake, MN 5&372 UJ ~ (j\ d z 'HEAlING APPUCATJON I PERMJT Da,.;? - _ '( _ tV+\ PID' 2-5- :337 - 0 L CJ ,.. 0 SIl. Addrell r) l/ ~ t.. ~Q 1:), ,,,..1/ to1 Z q Block I Addillon. W f t.,06 31€.O OwntfINam.. ~n;() r ~h Add,... . A b J e (//I/k (4- HeatlngOon',1ICIol -, GdJ"lr\/k R) t1: I" AddtellrO/~/(,) &>AAJ A, \ P. r ffi1;;". ~I\.'J. TII.phone' ( G 51 ) ...y'"" - (:;r'\~.Q 0 ...... ./ FurnaCl Mike" Model ~,""D. <=:A tClas1'YPE OF SYSTEM / . I~.--/ Warm Air Planls f ModeJ S~e 01".:), QO:) GIIVI1y Mechanlall Air C>>ndllionlna ~. Vent S~8m '-""" HEAnNO OR POWER PLANT Stlam Hol W.t" Aadiation Spedal Dlvices III ~ N ~ ['- ~ ~ N ..-t I.J) t U I 0: o Z 0: (!l Z - .... 0: UJ I a: - 0: o UJ ...J ...J a a: .... z a u Conn. Load Fuel.A!A .;- AUI Size ~ /1 Suppl, Op.nings :/c, 7 ntlUln Openlngs InpuV~iW' Edr. OUIpv1, /C"ta ~r\r'\ I Othet Device. elm. nPE OF WORK v/. N ..-t Me,ationl . RlplKlfllent, New Conslruclicm (j\ c:;) &\. Comp. Dill c:;) c:;) "- lD c:;) "- 1"1 c:;) Repalr Ell Cast . HEATING PERMIT FEE S r PAlO W\i\-\ t aU\LO\NG PEF.:.).\T Reel" . . Buldlng Plwi. . CJO -00z..5 STATE SURCHARGE $ TOTAl PERMIT FEES . .50 'I.... . ... 1.. . ...... 51ngll Fmnlly Commerdal TYPE OF STRUCTURE c/ Two-Family MulU.~, Industrial Pubic __ Fee Schedule Indus'rill, Cammen:l81 & MlIIll.F8mll, 1% 0' Job coat (1318 .. - J RealdeRtlal, Hlallng & AC '98.&0 Residential. He.lI", Only '64.50 Relkl~la~ Gal FlleptlCI '39.60 . WI 8 DIl Relkftnlla~ Addlllonl & Attera'lonI S39,fiO ~~~ntJ, AC Onl, 139.50 ~m8mblT 10 add Ih. Sla'e SUICharge an the bottom of Ihl. .,pIiCllllla Ttle price of JOUr h.ltlnt Pflmlllncludes one raugh-M and one fln" ....w1lr AddUionallnspecllons wI be titled III 136.00 each. Hous. Healing Tlst Record mUlt be submtUed with JmlIdfDg amDIl............~ Ing C8,liliCll, 01 ClCCUpancy wll be i88U1d. HEAT CAlGUl ATlONS IRFn' IlqFn wllh number at tllppl, and 'elum"..4_A__1iIIed per room with CFM's per opening. New .Iruclurea or Idcflllons lend n-,..,....., end retllm Iocalonsllhown. HEAT LOSS CALCULATIONS. PAYMENJIlm A'PUCATlONS MAY BE MAltED 10 THE CITY OF PRIOR LAkE. ,.. EIRE CReeK AVE. S.E.. PRIOR LAKE, MN 55372- Cfty Hall bustness houl' Ir. . l.m. . 4:30 p.m. ALL WORK MUST IE INSPECTED (ROUGH-IN AND fiNAL) - CAI1.CIIT~ 447-41aO 'hereb, Ippl, for a meahanic.' .y.tema permit and I ack",~ ......lIhe Inlormallon lIbov. I, cDmple'e and accurate: lhlt tha wInk wll"lI-.. - ...ce . with 'hi o,din_neB' and cod.. o' 'hi elly end wHh Ihe .'.lll --."t - .".eal . codes; 'hi' Ihls form doe. no' become 8 permU unUl 81gne. ".. .-DING OFFICIAL: Ihll 'he work wHI be In accoldlneB wilt the .p"........... ,thl . CISI ~~ work wt~h requite. revlew;:;tpproVII of pi.... >fpn-),~.J J $-~CC'\ 75/8/crtJ ... GREEN - FILE YELLOW - APPLICANT GOlD - CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.w. No. ~O -ODz5 NOTE: Sewer and Water contractors must be registered with the city. ADDRESS: ::r6~ exLJAv; ~ . Y I &Mr~vt k1w PHONE: T]J6 7LfS~ 2/11/00 APPLICANT: DATE: SITE ADDRESS: DUC-K BLDG. PERMIT # OO-Q02!S PID# .?~- 337 - OLq-O ./ FILL IN THE BLANKS 1. Estimated length of water service 3D feet. 2. Size of water service} 3. Location of any couplings Type of sewer pipe. ABS Estimated length of sewer inch(es) . from structure ~ PVC ~ Cast Iron line .7{) feet. feet. 4 . 5. 6. Clean out (if required), located at structure. feet from ::::~::::::::~~::::~::::::~::::~:::::~:~~~;f~~~~~~~~~= ~~=~=~~~~~~~~~~~~~=~~~~~~~=~~~~~~~~~~~~=~==~=~~~~~~~~~~~~~~~~~~ FEES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $J?~ 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. DATE PAID AMOUNT PAID RECEIPT # REC'D BY Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer PRlOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3 'i ~O tJ()~ t)uc.'... ~. NATURE OF WORK _~e.\A.\ ~e!,~_ USE OF BUILDING ~FD PERMIT NO. 00 -O~ DATE ISSUED J - ~l.- :ZOOO CONTRACTOR 11~ t)1M~.w_ ~A NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUME "T , I FOOTING I 'NsPEcTOR1\ I 'V\ '" ~TE I FOUNDATION (Prior to Backfill) ',~~ f.;P 4.l'/.. :} ( ;b "l"lb ~ 'w.r- A PLACE NO CONCRETE UNTILLABOVE H.AS ~EEN s(GNED ROUGH -~S SEWER I WATER I SEPTIC . Vf{ ) / 2/1~\ 'din I \ FRAMING f\ I (\) w v s 110 INSULATION ' '(~. I k '-Il:r 1rJ() I J ELECTRICAL /\ V . VI /I PLUMBING ~ 3f17/tP {P blr/ro HEATING (if required) ') 3/'dtJ/ /l) v ,/ FIREPLACE' l GAS LINE AIR TEST ~ 3 ft;/oU COVER NO WORK UNTIL ~OVE ~AS BEEN SIGNED I I FINALS ~fl " \Y) ---..------- ,. -=-~_.-.. -- -.. _ . - -,. .. .. - . .... GRADING (Prior to Soddi,ng) BUILDING 'fUJ -rv i/;/((D ELECTRICAL PLUMBING HEATING ~.I"'%-{)z,-, .. ...... /m. 1.,1/ / tJD BEEN 'SIGNED DO NOT OCCUpy 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 shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 if:.t;;;,..:',.' f L I I I I J DATE TIME CITY OF PRIOR LAKE Cf:hQ INSPECTION NOTICE SCHEDULED <: -/ -00 ADDRESS 3 L/ 20 t))ood ~ OWNER CONTR. PHONE NO. PERMIT NO. O~Z.5 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o ...fLUMBING FINAL ~ MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ COMMENTS:({J ~~ J.dhA./ 1'J_ .. '(/ r--- (.5) ~ UVk---c~. - V ~) :;-tA..c.. <L:?~__n .d:(~ - ~, (3') (l!) Jd- 'A. ~ ~ · ~ f\ iJ~'~1 WRv.- ~ ~ ~ ~o*- t~. ~t '"(~~ ~ ~Uvz. ~, ~~ o WORK SATISFACTORY, PROCEED ,.)l( CORRECT ACTION AND PROCEED ::~CT~~L FOR REINS:::,:::EFORE COVEmNG CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7-8't7Z.- ADDRESS 3~ W~ /)Vc,/<. OWNER CONTR. PHONE NO. PERMIT NO. 60 -(!)Z~ o FOOTING o FOUNDA nON o FRAMING _ 0 ~NSULA TION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~p..ij__ru IY~ING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: Cvr6 &~ ,. c;/:- S+, ;S:::WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspect ~ ',.:::---....... Owner/Contr: Of""/~~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI ADDRESS 34 ';Lo _ )~AT_. SCHEDULED ~Z tiJ~ 1)Ll~ 1Jr. TIME CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o )NSULA TION , FINAL 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 GAS LINE AIR TST o COMMENTS: /.~e +~\e , ~SU ~ ~./I().. pORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK~ ~ALL FOR REINSPECTION BEFOR.E COVERING Inspector: ~.. \j (J.,Aj.(J Owner/Contr: \ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI SCHEDULED 2J~~~ ~ -rL. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3'420 Wocrl OWNER CONTR. PERMIT NO. /J ()- 2S PHONE NO. o FOOTING 0 PLUMBING RI o FOUNDATION ~MECH RI o FRAMING ATER HOOKUP o INSULATION EWER HOOKUP o FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL TIME Ie : !(:) o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENt ~&c,.1 4:J (Jv'C. 1 \~ 11 \C- ~ - f'Jo tJl) - ..... j Q .. (r1 (~_ alA.- 'S ~ OK- '~~t- ~ ~ L<-c...k> , /a;t(. , -h (jv~dJL ~ ~w SA FACTORY, PROCEED ORRECT A ON AND PROCEED o CORRECT WOR L FU~EINSPECTION BEFORE COVERING Inspector: / Owner/Contr: CALL ~7-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE INSNOTl