HomeMy WebLinkAboutPermits 00-0685 & 00-0742
DATE RECEIVED CITY OF PRIOR LAKE
7 . 3 I .. 00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFOR~,~ RMIT' ,l,~ UED (Please Print or Type and sign at bottom)
7- 3/-(1()
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3. lEGAL DESCRIPTION
lOT ~ C" d BlOCKfi,vP
... ~PQJQ~,; l YI j;:.> ~
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5. ARCHIT~1 (;!:!, E'~
\iLl
PID c5(~- 90!) -096 -()
(Address)
(Tel. No.)
(Address)
(Tel. No.)
_t..
(Address) (Tel. No.)
, , 9'~~- .1#7-
~/~j:.~ 1::Jl-~~~~~/:~:~C] po;~z6
~ Alterations a Addition a F nish Attic a Re-siding a Finish Basement a
Chimney a Misc. T ~ rv1r h (\ lb "\
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
(Name)
1 O. CULVERT SIZE
Yes
No
1. White ...... '. ....._
2. Pink ., ~
3. Yell~' tAppJicant
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Permit No.
65
(Depth)
12. NO, OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~.~
17, COMPLETION DATE
I hereby certify that I 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 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
bul~lng )~.... . '.f .,u,...,.s..,t.cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe.,jiiii. rfo rm .. .need ed i. ecti............on..,s.
x/{ "', ' ..f'~ , ',., ..,".',:--
--(" . ' ,;'~., . License No. ". .'. .' "'. '.' /"
Amount Brought Forward ... ..... .. .. ...... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. . .. .. .. .. .. .. . ..... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. .. .. . .. .. .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due... ........................... $
Paid ~7. e~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Back
Side
BUilDING DEPARTMENT VALUATION
OFF STREET PARKING
--. Jrjg SPACES REO,
USE OF BUilDING J:/c
SPACES ON PLAN
PERMIT VALUATION
'/000 .0&1
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F H I @ R S U
Division 1 2 3 4
Permit Fee................................... $
City:
Plan Check Fee ............. ............ .... $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee .. ... ... .. .. .. ... .. .... $
Mechanical Permit Fee ..................... $
~l/.7~
22.~ ·
· S-o ·
Sewer & Water Permit ...................... $
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JU" IY' c\l>
9;"'
ng Permit When ~roVed.
Date -0 .. -e~
Issued
MATERIAL FILED WITH APPLICATION
SOil TESTS a ENERGY DATA a
PILING lOGS a PERCOLATION TESTS a
PLANS & SPECS a
SURVEY a
PLOT PLAN a
SETS
COPIES
Date .,. 7. 10 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 s requested. This document when
~ the City Plan con' ~rary Certifica 0 nin compli~nd allows cons :orn to ~ ~ occ~ ~ Certificate of ~pa~u~lr~~ ,." :. .
I ate ~ _Cood__'~ ~ .~
24 hour notice for all inspections (952) 447-9850
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. OD,.1 ~2-
Prior Lake, MN 55372 fl~1 ~o - ~ 65
PIO# a,)-9D~- C9t:.-()
PC\..X\.Q.n\.Cl ~ vo-t.._
Lot
Block
Addition
8M,w....
c;.~1l.1 (/"~ eLP
Address
R g7~/' (;~ 19 / ~ JIUC..
~o 7 /1 ozt ft. E. AJcL~t:=/~'~
507- tJ:.::1- /,;J..op
/3') I.E 1fI~~ AIR CONDITIONER'UNITS CANNOT
Furnace Make & ~ -i"'~ hI;:;'j; ~S- ENCROACH INTO SIDEYARD SETBACKS.
Model SiZ~ - 7S; eJDo TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical .
Air Conditioning
Vent. System
HEAnNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
~. Other Devices
Jf~..'.......
...~
. . ,.
..
Conn. Load
Fuel
N ",..1-.
Flue Size
6f4--
Supply Openings
.4
~
Out~ ~? 000
"".-
~ Openings
Input 7J; 000
Edr.
Cfm. aJ
-.-"
/ ,;JOO c;2..
TYPE OF WORK
OO~95
Alterations
Replacement New Construction
Repair
Est. Comp. Date
Est. Cost $ tCfOOO.
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Wro/}5
C-u> e/1.I' Dc,
Building Permit #
ero . C)C:)
.50
qO. ~Receipt#
1.. va__
TYPE OF STRUCTURE
3. Yellow
- Contractor
Single Family
Commercial
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 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
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 buildinQ Dermit number before build.
ing certificate of occupancy will be issued.
HEAT 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
Phone: (952) 447.9850
Fax:(952)447~245
I 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
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.
F)~/~
, "ate
8-21-2cx:r)
Date
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The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLIGATION DEPARTMENT CHECKLIST
\
NAME OF APPLICANT ~b 5\ tll ~n ~ _11. fY'\
APPLICATION RECEIVED J\ \ ) \ , \ 3 II . ,::) () /) lJ
, (j ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
G'" C\ C7...... "~---" (1
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Accepted
Denied
/
Accepted With Corrections
Reviewed By:
caMd Q.~
b.... ~-y ifl&-
~~~
Date: -%f.3) 6'D
Comments:
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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.1I
.-~
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Th~ C~nt~r of th~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ l~ ~
APPLICATION RECEIVED 0~ 31 I &oj () 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, Co q t:>D 70 ^o. fY\Cl ~ bJ.1.J_-/
Accepted
Denied
Accepted With Correctio~s ..><-
Reviewed By.
Comments:
Date: @- l..f - ?l!)C!)C)
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
INSPECTION NOTICE
ADDRESS
lfG,CfSD
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONa-
FINAL
~ SITE INSPEC ION
COMftIlEN\fS:
r)h -1
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/
/
/
,,-.....
( '\
Inspector:
CALL
CODE
DATE TIME
SCHEDULED ~/t)o /:30
PAN ~A. AJe~
CONTR.
PERMIT NO. t) - k?5
o PLUMBING RI o EXIGRADIFILLING
o MECH RI o COMPLAINT
o WATER HOOKUP o FIREPLACE RI
o SEWER HOOKUP o FIREPLACE FINAL
o PLUMBING FINAL o GASLlNE AIR TST
o MECH FINAL 0
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~
/ CL<y?
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REINSPECTION BEFORE COVERING
Owner/Contr:
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ^
X1=INAL rJr
/0 ~SITE INSPECTION
COMMENTS:
(\) ~~
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~-
(~\4;0+ ~il
tJY ?c:. ~~
SCHEDULED
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
6 J PLUMBING FINAL
rlr ~MECH FINAL
,
DATE TIME
~'I' 00 1:30
ff~ -'7Jfz
07J -CkGS-
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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C LL 447-9850 FOR Ti1E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
ARE FOR YOUR PERSONAL HEALTH &: SAFETY!