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Home My WebLink AboutBuilding Permit #00-0121 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant . 6 2000 00-012 / Permit No. I 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 4/~? Poy-\-Y--~dQe.. CC')U~-\- 1. DATE ~-~-oO BUILDING INFORMATION 11. SIZE S2f ,,2IRUCTURE 2... (Height) ol I (Widt~ (Depth) j <0 12. NO. OF STORIES ~ 13. TYPE OF CONSTRUCTION SF \4 14. FLOOR AREA APPORTIONMENT USE ,e Isn 3. LEGAL DESCRIPTION 4- ADDITION K no b BLOCK' PID 2.5-3lO2-QD4--Q M--h Add 14-\ 0 n (Address) l-'b45 -:run,oeY'T'~ (Address) LOT H-\\\ (Tel. No.) eqd.-'l,~O 4. OWNER (Name) N\ W ::fQhn50n 5. ARCHITECT (Name) ~~ (Tel. No.) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS (Name) 6. BUILDER 'SQ.me SEATS 16. PROJECT COSTNALUE I \ 8 ~ 000 17. COMPLETION DATE 1- \ .00 Re-roofing Ll Porch Ll Re-siding 0 Finish Basement 0 Septic Ll Addition 0 Deck Ll Finish Attic 0 7. TYPE OF WORK New ConstructiO~ Chimney Ll Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. Fireplace Ll Alterations 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No I hereby certify that I have furnished infonnation 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 bUilJi~ official can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. X Cl./Yl"\...., ~ ~~O~icenseNo. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS Ll ENERGY DATA 0 PILING LOGS Ll PERCOLATION TESTS Ll Side Side Back Front BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY Ll SETS COPIES ..5FD USE OF BUILDING , H?lO?l);, 00 , PLOT PLAN Ll TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Pennit Fee ............................... .... $ 9!1!J . 7~ Plan Check Fee ............................. $ --'P 3 S- . '2.1 5'1 . o:s Amount Brought Forward .................. $ Park Support Fee .... ................. ...... $ eSt) .00 SAC .................................... ..... $--'+1 00 · 0 ..". Collective Street Fee ....................... $ Sewer Tap ................................... $ ~r. $ Pressure Reducer .......................... $ Meter Horn........ ..-g..................... $ Water Meter........ 7.,..................... $ Sewer & Water Connection Fee ........... $ City: State Surcharge ............................. $ i{.t::; .00 Penalty ....................................... $ Plumbing Pennit Fee ....................... $ L 00 . 00 vS- Of:) :JS'.SO I 2S.ot1 ',:2(x} .00 '). 00 . ()(J ..v ~\\..t-Db Mechanical Pennit Fee ..................... $ Sewer & Water Pennit ...................... $ Water Tower Fee ........................... $ Water Tap ........... ........................ $ , ~~.""A_ Builder's Deposit ............................ $-1, -=.J~ '-K 1 Other ......................................... $ Total Due.............................. $ ~ ;?II. q &, Paid 13--'11 . 1; ~ Receipt No. ' 3(" q 1 ~ . Date '3>/tC/::JI&O By f2.-() #. . -, 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 ~i b the " anner constitutes a temporary CertiWfite of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. . . i A ~~-l1 -Ct> --- anner .' Date Special Conditions if any 24 hour notice for all inspections 447-4230 uilding Pennit~hen Appro~ed. Date -5-1-~~ Issued /' ORSAT TE~T r i Job Ad Heating Contractor .5;Q.8r f(; rf Y At: .1 . ~ 'D'ate~/ :Z/OO pressure'''' ;I:'> , Percent 02 $ percentCO' ~ ~ ~IO . Percent C02 7 Stock Temp 97 -.......---.- - _' - - ~ ... . ~~ 1. ' - ~'it' - ,. 6 I,,"~ ~...' <'.,."'.....-, "-'~~ ,.~~" ~"., " " .r. A "",..".",>;:ilJ:il;" '<, 'ORsA:l1,~rESr ' :'".', - , '&QJS'" ..I ~~'. ~ . .. __ _' . , ',' ,I 1 ~(; .'. ;', Job Addre$S ;'. . . l r . . ".' . .' f. ".~~. .' . ~. ... . , · O Heatingco~a~:~-1I3:~ ,r. ~,~ V~~ . Gate '-L/J ((;IVh Pressure 'Y r? ~\.'. ~;., "~ 'J ~ '7 ....l ' Percent C02 Percent,CO rt' , . Stock Temp q 7 > ' .~I ._..':;,1............ ......,._ _ ,.~. ... h.' -tfl ".....4....,... ..... ........ _ _.J Percent 02' -ti:' _'l~~ ~... .-I' '_.... ........_~.- ..... -~, 06 -Oil ( The Cenler of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1111/ J bHAfSOrJ 3/t%() APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 47b5 ?/1k, I K.,ID C7 E; eo UR- I Accepted Accepted With Corrections~ " Denied r~ Reviewed By: ~1~ Comments: Date: 3- 7 - 2a::-o I. Pe4aQ Ct (( affarW- tt~& ~ liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ,. .' . v 4PRI~ .~~~.~J~~ \~ U~. rn ~~ DO - J l.l The Center of the tab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED !1 vV :J OHNSON 3/&,/()() I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 470,5 ?/-7k. (KID q 6 C,OUR-/ Accepted ./ Accepted With Corrections Denied Reviewed By: JJA,.:r~ E"H~"""AtN Comments: ~N~ntU(.TlO~ \JEH lCL..ES Date: J!JtJ!IJ(J _."'~ ""uS" I4l:C:f:'ss 7U 1$ L tJl ~1l.()1f1 PAA:rlt,ME: Covtt"- t!)NL Y. Sa I.JFolttt1I4"",.,,,,, ~~ 'TJ.4~ R(,,~t:. Slbf. Su:. 14"fT~~M~:J. h NA&.. GttAQE. l~P~c.n.,.J J..mc'e4MltLlOAJ Z. (;llrtlJlIJJ(' Po:tt\l .$ ~SIO"'" COt.JT(\.O c- r"tEAsu,u:.s C/: E;t.os IDAl f'ANitl.OC" RAN 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." O(]-D/~{ The Cenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning NAME OFAPPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,~r-C/ I-f /'v S () I\J / ( () I /~'/ i. \ / . \; APPLICATION RECEIVED ~"../ / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ....1 1"/-; / j...-:':""" i<./.. i 1)-'/ ).....,) IL" ) r:-j t=: <:'-1':...;-:;. :.-; I ill"--. I '* ./..- () l<- I Accepted ~ Accepted With Corrections Denied Reviewed By: r".k-~ Comments: 2-i 1-, ~\AM)AA ~l~ 1~~d1t: {{t-V~- (JvG9fM I ~ 4:- <::f'Av'l) IR ~ C) I W I 0 (' ~ e> Date: 5 ..{ ~-c5l: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." ~ ~4 Y ~ , j i II ,f ,~ ,i ~ f , ~ ,f , J f I~' If' ! f : ; J~ ~ ,~III: ~II' ~..J ~ ~ ,~~~ .A) 1 8 ~ I ~ C) ~ ~ ~ c\ ~- " ill i <3~1 g SI;~<-i t"' ~cl . ~ -.... Jf 1 , I\J~""'<E-' ~ g ,~ '" - I ' ;\:l ~ r~ ~ ~ ~. tJ, ~ c I i1 ~ g ~ ~~. ~ ~ ~'~ ? ~ ',.0 ' ~ J r J ~ '\ --J " l\ ') .~ )<;. (\' ... o 19 I ~ I I~ ~ ~~: ~'~ ~. I' . I, Jr, ,1.1 I '; i 'r t : k I i o x ~ ~ ~ m .~ ~. I , ~ ~ i! ~ g ~ J ~ ~ ~ ,( I fl........ I a 2 9J r. .. ~ ~~~ III"; i; "f I il f f Ilfllll f If' J~ ~'Iifl!t ! f 151' if f I j Jfflfl . k . ~ "ff!I I f ~II!I ~! iJ I I f J i J j ,~ ISf'I' a A lii,,111 J ! Q '~ I .Ii J g 8 I , ) tl,fl j I 1 ; III ~ i I iff.l; I jilt I I J 3:: I I ~ ~ 'I$[~. & I ft' If' ~ ! f J iii t~r ~ " If 9 ii, (. ~ I. . I . ~ ~ ; i '! I: J I f ~ . _ 'i' 'I ill "'""-'PT "Tn" U .J 3t'l T ? t" Ot:tltt~rQ YV~ LC:Zl aH1 18/tO)01 CITY OF PRIOR LAKE Applicant: _~~~:Z: f:~MIT Address: l.)(J 5<;c-J:.{ .llc\;/ l~t.l' Signature: ~:Syf.'{!tf. /'f;Io..o:.l (j L/ .'.../ Legal Description: Lot 4- Site Address: Building Permit # no - 0 1'7 / PID # 25 --50 L-(XYf-O NOTE: This permit will not be processed without complete information. The Cenler of Ihe Lake Counlry Quantity ,2 / ~ ? I.f I l LI FIXTURE UNITS Type of Fixture Quantity 1. Blue 2. Gold 3. Yellow File City Applicant Bath Tub with or without shower J / PPNo. 00- D !z"j Phone: ?/.;r- {..~(Ji(- ir( ':~ -;> Block / Sub 4vop /#d ~77'4 Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks I 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 $ $ $ $ Bar Sink 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 GRAND TOTAL $ A 1 fEST 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer This permit is granted upon the express condition that said contractor, shall comply 'n all respects with the ordinances of the State Plumbin e ameIyime,?ts thereof. -- . S'/q/dV DATE / / Call for all' spections 24 hours in advance. .... '. . 1'1 ,I' _ -J .~"'I.,,.~I,.I~~.~.,, If 1 ,\ (1,'JI..-'I"I~ ii" " ,,;:,I\'\,t,~ . - -- ... .-..e "D..&.e. . ~ GIIIILa - CSI'. J . -J ~ . \".. f CITY OF PRIOR LAKE NO. DO.. 01 Z- ( SEWER AND WATER PERMIT NOTE: Seyer and water contractors must be registered uith the City_ APPLI CANT: .iLJi/ll# e /llp~~.lf-1 ADDRESS: /? <-I) f ~lutd1ZLL-,t;L / - - SIGNATURE: ~ tJ./lfl./f7 X:.J J ~)..t.LuUJ.d7V SITE ADDRESS: ",/7t.5 r:;",~.J (!,;J... F1LL IN THE BLANKS PHONE: 1P.5/~~S'd - JS'-,$ DATE: _,:?...pj 0 ... 00 BLDG. PERMIT # 00 -0/2-1 PIDj Z5-3~Z- 004--0 1. Estimated length of ~ater service 2 . 3. Size of water service /il inch(es) . feet. Wi 2. 0 m Location of any couplings from structure feet. 4. Type ot sewer pipe. ASS pvc "K Cast Iron s. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from _==3==~=:~====~~===:~~_===E~=~=~=~==~~=____~==~_~_===_.=======~~=_ BY es your permit when approvrd'j DATE: 3/ 2 I 01} I I This applicatic f ~=~=~_~:~=~==~ ~_=2~S=~=~~~=~==S~__~=~~~~~~==~~~~=3=_~=~~=_~=~===~ FEES: $ $ $ 35.00 .50 35.50 Sewer ana water line connection permit. Surcharqe TOTAL * Fee for either sewer or yater individually is st'.~o plus $ .50 surcharge. * Sewer ana water permits issued for ne~ construction must be recorded on the builainq permit card a~ the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID AMOUNT PAID REC'O BY RECEIPT # 4629 Dakota St S.E., Prior Lake. Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 447-4245 III d l6Sl9Sl998 'ON/v9:S0 'lS/v9:S0 00 lOG '80 (NOW) L980-G9V-Gl9 lVOINVH03W 13ZN3M WOHd PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS g!l(n~Jhr+t\dtP_ <2..,-\-. NATURE OF WORK New Q.<n\s~ ~ USE OF BUILDING ~f"D PERMIT NO. OO~-OIZI DATE ISSUED ~<-C}"~ooo CONTRACTOR J1W'Jn~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I~MCTOR FOOTING .<)) 3-20-2~O . FOUNDATION (Prior to Backfill) \. XJl } ~ 1 )pTl PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SlfS-NED ROUGH-)NS \ . 15l/f v DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS liNE AIR TEST mrrfN ~ jJ. 5~ ~a COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ q/lo1(f() . I 1S'/I'iltJo Jv f7;.13//~ ;2!/. 0/ /?Jc /1 U sf/I Jc/tl ~. ' I 5//1/0t!J GRADING (Prior to Sodding) BUILDING ,\.C,.O, -Wi ~"?/t'Ib ~, 7f'bf6{gf) . . ELECTRICAL PLUMBING HEATING DO NOT FINALS ~~ q-s. IV ~ ( ~ I )1 fro ;1 J ) ) 7 I I DO . , - OCCUpy UNTIL OVE HAS NO CE 9/;1(, I f/ZJ , . 7/~/tv ~. BEEN SIGNED 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 1)u,!1JI A" ~ PIWLTI2.J P6t:; c;r-; CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS "17fD5 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ ;g FINAL \..fi) o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: S'"i . (' -uw.. 4~~ ,... ~~ ~ DATE TIME "-/"'i ~, 0-(0"'9 A.c. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o A WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~L FOR REINSPECTION BEFORE COVERING Inspector: L- U- t Owner/Contr: - 1 CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! I CITY OF PRIOR LAKE INSPECTION NOTICE DATE SCHEDULED ~ lirlnk ~lrI- CO~ ;f!/1/1 . /A~d,",- PERMIT NO. ---t::1J -Iegl ~RAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o TIME ADDRESS L/ 2/,6 OWNER PHONE NO. o FOOTING o FOUNDA TIO DFRAM DILATION INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: G,"A~ . /5 /)~- ........ 'j ,\C .... C, ./" ~/-( c- j I ING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl DATE TIME CITY OF PRIOR LAKE ' INSPECTION NOTICE SCHEDULED JP~/gJJ 61.' sO ADDRESS LfJh~ Pa..d-ri~ (,(''rr rrl- OWNER CONTR. PHONE NO. PERMIT NO. --'cxl- 0 \ ~ \ o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION eJ 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSUL\IJON 0 SEWER HOOKUP 0 FIREPLACE FINAL "a"FINAL lSL r:x::, ~ 0 PLUMBING FINAL 0 GASLlNE AIR TST vf}SITE INSPECTION \.~XMECH FINAL~.. \'(\)f 0 COMMENTS@ ~ ~ en--- ~ cj... ~~'-i.~-~ u v (lrJ' . f ~'I~~~ tfijJ bC2 ~ ~ ~~ (ffi ~ r ) ~ ~ ~ l:i;:.{ 1: ~~I ~......., ~C,{). ~" ijJJJ 9//5/tm ~,- (5i- Uj ~ f;?(H, o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: A { Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OAf ~ 11/]16 r 3=-lD TIME ADDRESS 47", 5 ?&-h-.~ Cr COMMENTS: f\~ ~ (;j~~UJt~I~~O"-r~~ St~[f~~~~B>rd~u.:t~-./~b r-\wf- 4J ,!.u1. \rlrllh rP It a~ . ~ ~ U' (Y \~ ~ ~V~ (zJ 'SpJ) /)f1'1^ j)V9\:f/ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION CONTR. PERMIT NO. 6 - 12-./ o PLUMBING RI o MECH RI o WATER HOOKUP f\ ~EWER HOOKUP A PLUMBING FINAL MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ Vt~~+ zco~ 1/ fA,J/ . - rr . (JU ~ SATISFACTORY, PROCEED RECT ~C ION AND PROCEED L FOR REINSPECTION BEFORE COVERING Owner/Contr: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI \