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Home My WebLink AboutBuilding Permit 00-0529 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE 0 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1';713/00 , l:J /r3/dD File { ~f- ; " t Permit No. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDREJS e:'A 7 /I J (\ f,;JV ..lyboy- Y J~c..~ I ' PID 25-35+ - ~oz,-o #~J\ i~~ Ptlso ',:'::~1f~:':~'i~~ :,i"';~~^ BUILDING I~.MATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) :~~EGAL DESCR:j: BLOCK ADDITION ~-.r bl!Jy- i'$. 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 4. OWNER (Name) W,> (; -r 4i2. ~"'-" 5. ARCHITECT (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 6. BUILDER (Address) f rl7 ' {Tel. No.) 671S- ~ '''-~~7~__ 7~~ It1d/~,---Ol~,- 111~ :>~U~ At 11\ >~?/ 7. TYPE OF WOR~ Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Constructid"nb-- Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA R ACRES Sq. Ft. tJ C> (Name) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 1 O. CULVERT SIZE Yes No 17. COMPLETION DATE x plication which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the nnore, I hareby agrea that \ha city offici.. or a deslg a ay ....r upon \ha properly to P6r1O.rIi ~' l:/~ 20~..) License No. I te FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING .s;c:,t:}- OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 19},~. (!lOt PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o 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 ................................... $ City: Amount Brought Forward ... .. .. .. ... ...... $ Park Support Fee ........................... $ em.. t!J <<' SAC ......................................... $ 1,1 fJ A . tP I'J Collective Street Fee .. .. ... . .. .. . .. .. . .. ... $ Sewer Tap ................. .... ..... ......... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee .... .. .. .. .. ... .. .. .... $ J lJ 0 .. f) 0 Mechanical Permit Fee ..................... $ I (J 0 . ~ t:J Sewer & Water Permit ............."........ $ l' ~. S"" 0 t( 0.00 ',,-:n ."2-';- 7 ~f ,,21 "'&.00 $ Pressure Reducer .......................... $ Meter Hom ................................... $ "~.~fJ This By g Permit wp;n.. nv~ Date .. t!> 0 o Certificate of Occupancy Issued Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinance and may proceed as ed. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. City Planner Date Special Conditions if any 24 hour notice for all inspections (952) 447-9850 Ol) -o5Q White - Building Canary - Engineering Pink - Planning The ('enter of the bkf Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED nGt!:; o~~50rJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: {o507 I#iRf501C. PLACE Accepted Accepted With Corrections ~ Denied ~ Reviewed BY' . Date: (p -I ~-2oc:)o Comments: See.11A1~~1.\~ ~c C,SD'1 ~I.:w~ PtUA t,r ~,S"...t'~1 Sz~ eh:., 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." -~-------------- Ob -0; vtj ""WIlite"'''~''8uilding Canary - Engineering Pink - Planning Th~ ("~nl~r of th~ Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /if; ~t:~( hL S G 1\) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ft: .0 () 7 f!rU< 8 OR P lJ) r2C Accepted Accepted With Corrections /' Denied Reviewed By: ~~~ Date: & ../ L( ~ c:t:) Comments: L \}kc. JI+r~I~,~-~~'~~4 4J~\~~.~ PI ~l~A~t~~ ~~~ C.!..'~ ......... liThe issuance or granting ofa 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.1I . '!, ! :~;~ ~. A.", .. " " " ^' ',(}1).() ~~ J : ' '. '~-~WI1ire-'~=-1)uilding . , Canary, ~ Engineering Pink :,.. Planning' , , 'T,hr ('rnlrr cif thr Laler Counlry BUILQING' PEB"'ITA~PLlCAnQN DEPARtMENTCHfCIS.LIST NAME OF APPLICANT ' APPLICATION RECEIVED' ,,?/6t):1Q~LSON ' , , ", "" , The Building,Engineering, and Planning Departments have reviewed the QUildingpeirriit , application ~orconstructiqn acti~ity whic~ i~ proposeda.t: ' '. , . .,' , · '651.0 7 HA/~ 130f2 P L/-1C-fZ' Accepted :?, Accepted, \tVith Corrections ~ , " , Denied' T .... . , , , , " bro"f a~~<11L ' , Date:tj ~/o, . ... .. ',. ., Comments:, " S ~e;. , " '''- -hI- Iff g-h (,,,. M ,"-IJ~""e V'-&:s e:c !j I.t:k..;.> Reviewed By; -. .'.~ .~. ';~;~~::~~5h;'Z~;~7l~~cf~-::/~J~P~ . ." .'. '. " -. . , "'. .:. ", "The issuance ", or granting of."a permit, or approval of plans; ,specifications and ' computations shall nQt be cotistruedto be, a permit for; otan approv~1 of, 'any violation of " any of the provisions of this GOde oraf any other ordinance of the jurisdiction. Pennits presumihgto give authority to violate or cancel the provisions of this code or other ordinance~ of, the jUrisdiction,~han not be valid." , , , .. -./. .. Job Address Heating Contractor Name of Tester Date Percent O2 Percent CO 79C!J 7^,~~ r~ 1:>-15 -~o ~,?,~.l% 0% 7, '% / ~?J 0 Percent CO2 Stack Temp. Combustion air ;s adequately supplied per UMC Sec. 606 W 64. Input 109 ()o(J '~ / .' .1;' " Ronald Joseph Schlink 612-440-8618 p.2 05~~~~1 FA.\: 612H7"~-l5 CITV OF PRIOR LAKE ~0Ul _r",',"', 1..,. C "..... n' 'A. 1..... I......" CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: ( ~ LA +L h7~~. k .&1:.,~ec....('Phone: _.-" Ack1ress: ~/~5 ~~~~_d ~ ~ 4~ ~~, Signature: ...n~ ' ::::c~~ }J---' - -- erfL Legal DeSCription: Lot ' - B/ock__ I SUb_~~,I.J~o v- Site Address. t:, 5e> 7 ~ ,,-k,.... L-tJlL..,.-...L' , _ Bui'ding permil " ~ID ff~35Y1-Q,q ~- n NOTE: This perml' will not be processed without complete information. f;l" ~ Blue Uo'" l'!1 ) T CIlQ" I\ppuCII" e; -5d-~ II FaXTURE UNaTS _k Quantity Type 01 Fixture auan\i\y Type of Fix'ure ~ I - Ba\h Tub w,'h or without shower Rough-Ins / OishwaSf\er .1- Water Heater I Floor Drain Water Sot1ner ..=;- Lavatory (bathroom sink) / Stand Pipe (washing machine) / .. Laundry Tray (1 or 2 compartment sink) Sewage Ejector -.. ~.. e:L Shower Stall Backtlow Assembly (RPl, Double Check, PVR) ..--- / Sinks Backflow Assembly Tesl Bar Sink lawn Sprinkler -. ,- --- 3 Water Closet (toilt:!l) Other - FEe SCHEDULE -," 'ndustrial. Commercial & Multi-Family (' % of jub CO$l. $39.50 minimum) Aesiden\ial, New One & Two Family Reslden\ial, Addlhon$ & Alterations Slate Surcharge $99.50 $39.~O s s s s .50 r PAID WITt: BUILDING PERlVu I '--- GRAND TOTAl s ll\l~ pcrmll i~ .ranlcd upon 'hc caprc)\,. cunl1.I.OIl .hil uid cnnlfaelOl, ~hgll eomr'y in "II rC<f'ecn wilh Ihe I'f'din.mcc~ 01 Ihe SIille Plumblllg Code .n~ IhC}lInc~dmCnl~~~ -." JU:CI:.IPT ,NO (0 ~() ~ ",,,,_ ATTT;ST rr:::-~~;~=~. '. -~ " -- ~r~~ J ~ moo -~----I ~L-. Call for is -.J _',e 16200 Eagle Creek Av. S.E.. Prior Lake, Minncl\nla 55)72/ Ph. (612) 447-4'~JO I FAX (612) 447A2lJ) An Equal OI"f'or1uni\y Employer ~ HEATING pERM\T FEE '--_. S .50 $ SlATE SURCHARGE PERMIT fEES '70T At Receipl f f PAID WIT! BUILDING PER1VI la.- ~/t- t'd ignatu re I /{).-/9- ~ - Dale -' (.D -;;;D -L)::) Date '" ~ t C t / Alteratior'lS Repair E 51. Cost S ~ C .pt P"'4 J: U en J: A. II fI o ..., " P"'4 IU C o D! Replace",-", Est Gomp Oil' - Bui\di('lg Pelml . TYPE OF WORK New Construction I hereby apply lor a mechanIcal systems per~lt and I ackl'\owledge that the inlormation above IS complele and accurate; that the Viork wll tie in conlormanee with the ordinances and codes 01 the city and WIth the state bUildif\g/mechanical codes; Ihat this 101m does I'\ot become a permit until signed ~y the BUILDING OFFICIAL; Ihat Ihe work wilt be h accordarce wl'h Ihe approved plan in Ihe case 01 all work which reql,llre~ review and approval 01 plans, Ctrr Input - Edro_ Cor1n. LoaC FUll /J ..~. Aue Size Supply Oplnings 'Aetu,1'\ Openings OUlp~1 01 her Devie es HEA'1'\NG OR POWER PLANT Steam _ Hot VI".r _ Radiation _ Special O.vices t1EA1 ~I CU~lIONS REau'~EQ with number 01 supply anc return oper.l~gs listed per room With C=M's pel opening. New SlNClures or 2dOilions senO lloor plan wllh supplY and relum loc.alions shawr. ~EAT \.OS5 CAlCU~TIONS. PAVMENT AND APPLICATIONS ~AY BE MAILED TO THE CIN CF PRIOR LAKE. '6~O() EAGLE CREEK AVE SoE PRIOR LAKE. MN 55312. . City Hal' business hoUI5 are 6 a.m. . 430 p,rn. AL.L WORI< MUST BE INSPECTED tROUGH-IN AND FtNAL} - CALL CITY HALL. ...7-9150 ex) .... to ex) I o ~ ~ I N .... to Modll T el.phone . AddreSS Size The prilce 01 your AddltlonaJ insped.,.... ing permtllncl\Jde5 one roug'\.in and O~I final ,...,.... will be til\ed a~ 535.00 each. House Healing TesI Record MUsl be 5ubn1lfted Wl\h I"g cerlificate 01 occupancy will be Issued. ~ ~ n!,lmber InspediOn be lore build- n ..... ..-: o .,., .." :0 o :0 r- , ,.. IT! Helling Conlra:::\Of Remember '0 add the Slale Surchafge on ttle ('l') . A. ~ /t:' - Dale Addr.~ HEATING APPLICATION 19- ov Site Address f' 50 7 ~ Lot ~lod\ i Addition ~ Own'''s Natfll m~.ri ~ .- 0- , '% 01 job cosl (~39.50 rnintmum) - -' --. ~ ~__ _' J \ S '" {Or 0 \ ~ S ,'SO, ,. .::...-::::---. ~ \;.0: $39050 = IJ9,~~' QCl' 9. \ ~~ S39i~Q\ I -I :J ul ., boftom\ollhis \.."-- t::)/.s~ InduSlIial, Commercial & Uuli.Family Residental, Healing a. AC Residential. Heating On'" Residential. Gas Fireplace Residential. Additions & Alterations Residen'iaJ. AC Only i='ee Schedule PERMIT CI1Y OF PRIOR LAKE 16200 Eag Ie Creek A'V. S. E Prior Lake, MN 55372 P::il Not),5a-,r TYPE OF STRUCTURE Si"9'e Family ><.. lwo-Fernily Mull',.Famlly -- Comtnercia' Indus:tial :;)ubhc Other 1- J ..- Cifu: . Yell 0lI' C.) l) CUO~lDf o 1..' o ~ II) CIl) -i :z: .-: &llEE. - filE YELLOW - APPLICA.T GOLD - CIT~ CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.W.No. 6 0 -o~aor B282000 NOTE: Sewer and Water contractors must be registered with the city. ADDRESS: SIGNATURE: PHONE:/P~ TJO 7LfJ~ DATE: b J';d.-Ct !UlJ I , BLDG. PERMIT # on "'ox-aq PID# as-- 3s-'t - 00 d-O SITE ADDRESS: FILL IN THE BLANKS 1. Estimated length of water service feet. 2. Size of water service inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ BY when approved. '/riq /f/(J I / DATE: =========-===============~================================ FE $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is ~V.~ 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'O BY / 1IIiiW~ 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer '-" &'" PRIOR LAKE INSPECTIG,N RECORD DEPARTMENT OF BUILDING AND INSPECTION' SITE ADDRESS ~67 ~ ~n('"...tL NATURE QF WORK USE OF BUILDING PERMIT NO. DATE ISSUED l--I-:S"'2J:)oo CONTRACTOR r1~,..l "()tJ~.... 7S1-7~ 1~ NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT . FOOTING FOUNDATION (Prior to Backfill) ~ PLACE NO CONCRETE UNTIL ABO ROUG - INS SEWER I WATER I SEPTIC FRAMING \J INSULATION ELECTRICAL PLUMBING 6 HEATING (if required) I" - z., Y-en::> FIREPLACE . 'tJ - Ol.L{--OQ GAS LINE AIR TEST 1l)r-~L//'-t7U COVER NO WORK UNTil ABOVE HAS BEEN SIGNED I ~ ~ ~-i.f ~ (z#6!:n1 FINALS GRADING (Prior to Sodding) *' BUILDING .0. ~ IT' ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTil ABOVE HAS BEEN SIGNED 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:'0(1 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 * DATE TIME - CITY OF PRIOR LAKE ", ~ - INSPECTION NOTICE SCH~l1!-ED,.9 'J/ l,cr \ /(/a-~' " &5D9 tfayi:JOr? L ' ADDRESS, ...,--:~~ OWNER 4 CONTR. "'HONE NO. PERMIT NO. () - S d ~Of5J--9 o FOOTING o fOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION ~GRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ()!t- (!;>~ --- Solr f40 l" Owner/Contr: CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ IN$NOTl ? f DATE TIME CITY OF PRIOR LAKE /z,# f/olJ INSPECTION NOTICE SCHEDULED II : tJt) ADDRESS t,5tJ7 J/;4-r2-&/2.. PL, OWNER CONTR. PHONE NO. PERMIT NO. ()-SZ9 o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING o FOUNDATION ~ ~ 0 COMPLAINT o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI o INSULATIO ~t+< 0 SEWER HOOKU~. 0 FIREPLACE FINAL "FINAL ft Y ~ PLUMBING FINA 0 GASLINE AIR TST o SITE INSPECTION J{ MECH FINAL 0 i~~1li(!iE;~- ~ ~(2) (!~ (~fi-, ,~, ~/ I - ~<:~4-d 8M3 I Inspector: Owne rICo ntr: CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! /NSNOTl ciTY OF PolRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS &5'07 ~O~ OWNER CONTR. DATE TIME /r~o 11;:$0 ~t~, PHONE NO. PERMIT NO. [) - 5Z~ o FOOTING o FOUNDATION o FRAMING o INSULATION ~.... ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP ~ SEWER HOOKUP PLUMBING FINAL MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o CTORY, PROCEED ,JItJ COR CTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~. Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!