HomeMy WebLinkAboutBuilding Permit 00-0901
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATi: RF~E1YEQ.
/0. 3. 00
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
/t.~72 p~t!;,e.I/IIr; C!4.e-
3. LEGAL DESCRIPTION
1. DATE
1. White
2. Pink
3. Yellow
/0.3.00
BUILDI
11.SIZEOFS
(Height)
"'"
,::./
(De""1
12. NO. OF STORIES
LOT
ADDITION
4. OWNER
'7 BLOCK
/.<:;T /'1~LJN 7V
5' PID 7E-308'()~5-0
11ft:; S775fJe...!
13. TYPE OF CONSTRUCTION
~:~.). ~- ~~L
7, TYPE OF WORK Fireplace a Septic LI Dee! 0
New Construction 0 Alterations D Addition a Finish Attic a
Chlmney LJ Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby cenlly that I have furnished InfollTlatlon 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 confonn to all existing state and Iocallaw$ and will proceed in accordance with submitted plans. I am aware that the
:Uilding official can rthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed Inspections.
. ___. -ci . LloMoeNo. ~
(N.m.)
(Address)
j
5. ARCHITECT
(Name)
(Address)
~.
(T.1. No.)
14. FLOOR AREA APPORTlONME\E
15. NUMBER OF OCCUPANTS OR SEAT~
OCCUPANT~ ,
(T.1. No.)
(T.1. No.)
tJS;) -.?7'f-/~rJ"
SEATS
\-
Re-rooflng 0 Porc~
Re-sldlng 0 Finish Bas~entb
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Water Tap ................................... $
urBuilding PennltWhen ~proved. Builder's Deposit ............................ $
By 0.,. .t?-q;.;.. 2*:>0 Oth.r ......................................... $
C.nWk:eI.ofOecu ncy P.kJ T3DJ.~.:.'ii:......~:i~;~o$l'i:/q ;Jb
Issued
~/I-Ob By ~ ro..l~
, '~~ ~at the request In the.bove .ppllcetion and .ccompan~ng documents ~ in accordanee with the City Zoning Ordinanee and may proceed~. -~~ document when
~~!~~atemporaryCet~cai"o/~~ia~nd~OWS~ction~oo~ 11~~rtHr~~ISS~. .
City Planner Dale ~ Special~ -
Fronl
BUILDING DEPARTMENT VALUATION
..ok
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I'Z.~__.~
USE OF BUILDING
R.&S /if JZ...
TYPE OF ""u..<IIII,...lJCTION: I II III IV V
Oeeupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... !t
S U
City:
Plan Check Fee .............................!t
I ~~. 2':;-
17.1 .1l
bor)
StateSurehe1g. ............................. $
Penalty ....................................... ~
Plumbing Permit Fee ....................... $
Mechanical Pennlt Fee ..................... $
~,O.Ol)
\0'
Sewer & Water Pennit ...................... $
Gas FI
~. t!>r}
S~e
MATERIAL FILED WITH APPUCA nON
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ
SURVEY LJ
SETS
COPIES
PLOT PLAN
LJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all Inspections (952) 447.9850
CITY OF PRIOR LAKE Me
16200 Eugle CreekAv. S.E. Pormit No. 00 -OCIOt
Prior Lake, MN 55372
HEATING APPLlCAll0N I PERMIT
0.10 .3I~'1J(\J PIO, 25-306- 023-0
Silehldr~ . fl",K]J .an;,A;;', !3/J;'./L
{/
lol
Block
McIIion
()JIJA~ ~L ("
Ownots Namo.
Addross.
Ho~~gConndorALLIED FIIRSIDE doe FIRESIDE CORBER
Adekess 2700 II'. FAIRVIEW. ROSEVILLE. MN 55113
ToIephono', 651-633-2561
FIREl' LkCH a
IMmIl!l M1ll\o & Modo' M"'-l '7"b)(/I_
Model Sill!. 1"'1\/ ~,7D
Conn. load
F\MlI~
TYPE OF SYSTEM
Wann Air Plants
G1avily
Mochanical
Air Cond~ioning
Vont. S~om
HEATlflG OR POWER PLAUT
Steam
HoI Vlalsr
Radialion
SplKial Dovicss .
Flu. 8118
Supply ap,mings
RRlUln Op<mings
'npul
Oulpul 30000
Edr..
CIm..
Other Devices
TYPE OF WORK
Alloralons
Rsp!acemenl
New Conslruclion
y
RIIJI'-
Est. Cost $
EsL Camp. Oal8 .
J /i/'ln n,") Bulding Pend'
HEATING PERMIT FEE $,
STATE SURCHARGE .
TOTAL PERMIT FEES $
PAID WITH
.50 BUILDING pERMIT
RIlcolp\ .
TYPE OF STRUCnmg
1.1look
1._
J._
ftk
CIy ~
""" :;D'
'"
--J
SingIII Family
Com IlIOrdaI
Two-hnily
Incmlrlal
~1IIIIr
Public Other
-
'"
<>
<>
....
....
-
Fee Schedule
..
'"
..,
'"
'"
....
InduoItlo~ Commen:ial & Muhi-Family
ResldenIlaI, Healing & AC
ResidBnlial, Healing Only
RlI$IdonIlaI. Gas Fll1lplacu
HesidontiBl. Addl....... & Allellllions
Residenlia~ AC Only
1% 01 Job cost \139-50 lltimInl
$99.50
$64.50
$39.50
$39_50
$39..50
m
m
m
..
'"
w
w
Romamber 10 addlhe SlaIa SumhaIg'o on lho boIIom ollhis 1tJ'.' ',..<...,1.
'"
H
'"
'"
'"
Addilionallr'-'''''-no wi! be billed 01 $35.00 each. ::;
. '"
House HeaUng Tesl Reconll11ll&l be submilted wilh b"ilrina 1IIUIIil- bt!lore buIoo
my eerlilicate 01 occupancy wiI be Iuued. ~
'"
~ CAlCUI Al::!!Jmi.I\t.OlIlRFIl wilh number 01 supply end _ ..,..,... .".lIsted I'"
room ",1h CFM" per opening. New s1n.R;lures Dr "ddilivns nnd Aoorpkm wiIh wppIy
and relurn localions shown. HEAT lOSS CALCUlATIONS, PfIYMetT Nfl)
APPllCATIONS MAY BE MAIlED 10 THE CITY OF PRIOR lAKE, 16200 EAGLE
CHEEK AVE. S.E PRIOR lAKE, MN 55372.
The prit:& of your healing penn~ lnc:Iudlls DfIll mugl>-in and one Ihd !r', "-"'1.
Cily Hall buolnMs hOIml ""' 8 a.m. . 4:30 p.m.
,
All WORK MUST BE INSPECTED (ROUGH-IN ANI) FtNAl) - CALL CITY HALL
447-4~O
I hereby apply lor II meehanh:al systems pennil and I aclmowledgelhat th8 ~
informalion abaw is eumple18 ami 8CCUTale; Ihallhe work wlll be In eonlonnam~
wid. Ihe ordinances and codes ollhe elly and with Ih.. sial. buildlnghnechanit'"
codes; !halthls lorm don nol becoma a parmil unlU sIgned by Ihe BUllDlN:O
OFACIAL; that the work will be In aecordance wIth \he eppruwd ptan In Ihe~
Ca&8 pll work whl"h require. ,evlew and approval 01 pi"".. ~
~""./)_ ~~/7 _ .1I.J.-Jlc)J....
A . '.. miL ~'~7':'
~ SfVnabn o.ae
~~
DO' 010 I
White . Building
Canary . Engineering
Pink - Planning
Th~ Cenlu of the Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
/'
NAME OF APPLICANT
A/A/5/V J/(J1'465
/O.3.()O
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/hY) 72 ;:::'e726~/116 ('j L
Accepted Accepted With Corrections --<
Denied CI o -'-Ec:Jo
Reviewed By: Date:
Comments:
~'" o..~ ~ ~~
"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."
~~
00-0101
WHite - Building
C8!1ary - ErI0",",lng
Pink - Planning
I'M CHIft' of t1w.lAke Coo.11')'
BUILDING PERMIT APPI.ICATION DI5~RTMENT CHECKLtSI
NAME OF APPLICANT
AL(,.5N f/(JMf55
/0.3'00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/h~ 72 .P'~G.e..I/II6 (lj L
Accepted
Accepted With Corrections
/
Denied
Reviewed By: $- ~
Comments:
~~ov- ~k~. ~tL_ ~l~~
~1r~/6l-Mtv 91AJt Sr<A.A ~~j <:.AA4 \,
kl fk-p ~W1~.~ ~ ~ .rv\t1~,.. {~/.'-P ~..
Date:
If}/~ /6JcJ
"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."
PRIOR LAKE
\
INSPECTION RECORD
DEPARTMENT OF
,BUILDING AND INSPECTION
SITE ADDRESS /(..8 "17_ G1r"".1'"r.-..ll _ Cr-,
NATURE OF WORK AM'^- ~ D~ lc-
USE OF BUILDING c;:::;: ~ "
PERMIT NO. Or;, 0 9 () / DATE ISSUED 10 - '7 - 'ZoCJr)
CONTRACTOR A \ \ ~ w..n.-....,.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I If:+. J bll .':1'./M
J
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) . I
FIREPLACE (;r;rJ 14/t/IM
GAS LINE AIR TEST ~P. ~ </I/?/~I I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
f1.V~ ~
IJr~4~ ~~ ~; .'<./z.:10 I
3/z 'Z It) (
't7~ ~ (L ~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Iff-#
7//~/;1
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
- 'NOTICE
This card must be posted near an electrjcal 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATe ~~,
SCHEDULED ?~~/ .
~~O.r/h_ C;....
V
CONTR.
ADDRESS
/6/7 .,z
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
Jf:SULATION
INAL
SITE INSPECTION
COMMENTS:
_/
(_/4.5 e
PERMIT NO.
~CJ- ~/
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EXIGRADlFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
/
(5)/
-
,/"'1 /
~/~
4RK SATISFACTORY, PROCEED
."t;; ~ORRECT ACTION AND PROCEED
D CORRECT WO~';~7 ~ REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
CALL ~7 .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMEN'lS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,