HomeMy WebLinkAboutBuilding 02-0197
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oz-- r 17
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\\)SN S IV/ F\ N N nG/v/E)
Z,- /3-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5304- :JEFF'EkS Pf\'S_~ {\JVV
Accepted
x
"'
Accepted With Corrections
Denied
Reviewed By:
M9i3
5 (; c. /Ylttl ~
Date:
z.. -/7 -O""L
Comments:
F;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."
,
,
\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
JD'-), 1-0 l
ADDRESS /53C!JO :Se-ttvJ fJ~.0
PHONE NO.
CONTR. l1Ill7$MMI"\ HO""tJ
PERMIT NO. (') :l -I ~ 1)
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1~LLlNG
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
153<,6 - Oft.....
1 S- 30 L - (J f(
,
\~ ~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ ;:;f-~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I!1S!lOTl
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
,A.I
,
ADDRESS i 5300 302 304- \JEFFEJ25 PA:..IS
I I
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SOG!
I
CONTR.
PERMIT NO. () 2 .,q~ /q (;;..//7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
PHONE NO.
COMMENTS:
TrlEE(f)
~ ( F/6
(. ~ OSC--
,
\",
)i! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;1t1! (-7-~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
l s~ ~ ~iL\\' t',.le
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/5:..1(1 y'
I'a fJ
ft-:J '
2-/3-02-
White File
Pink City
Yellow Applicant
I PERMIT NO. OZ-O/Q71
.IV t..)
ZONING (office use)
e/
LEGAL DESCRIPTION (office use only)
LOTI..;... BLOCK '$I ADDITION
t f1ee/
">oJ
(rl'I ;""
PID c2~:>- J 1ft - 065'- 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
JJ (J in t7-J"
.5 () h IV StlA.r
( .5~ i t~ ,;J (., lJ
(Phone) t~l- yo ,. Y~'o 0
(Phone) t/.;2. -J ,; 9 - 7? / ~
TYPE OF WORK
o Misc.
New Construction
ODeck
....-.
(#. ~ IV /11/V .5->/.) 2
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr perty to perform needed i7ctions.
X ~"'>- /'Y5-er ;2.-/J-()~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
es Your Building Permit When Approved
~ -fCf-C>'Z-
Date
DAddition
DAlteration
Date
$
$
$
$
$ I
$
$ '=-
$
$5
-
Contractor's License No.
Park Support Fee
SAC
#
#
I ~~f!~5lJ
Water Meter Siz 5/ ; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
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
:~:d...S.l./l.g. ned by the C~i~ j"OOff m'''''",~ , ,,-., Ccrtifi~" of ZOO", mmplimcr md '"- ct==ct'oo "'l~_ "'fA' ~Ir'" ';;~" '/:'G ,m"" be
-/-w ~A'L/7 t/Jjt/OJ- ~ ~~ (~5
t..- /' PI mg Dlrec~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
The Center of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ " .; '1\ , I ,. I 1\ 1\./ 1\/ {i-I / I" ,r /
, , . " ,,\) i _ I L I Iv' j
Z.. 1=- 0?-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I r- (4-'T ,'- -'. " .,~
l ~/ --j .' '--..J C ~' r' t f~~.-) !
l/
Accepted t/ Accepted With Corrections
Denied ~
Reviewed By: ~4;;:; &!l~-<,,-U
Date:
:J- /;2~ (D '2-
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."
The- Ce-nre-r or rhe- L.ke- Counrr}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WSNSMANrV HOM65
~-13-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5304- J8P(6~ PASS N vJ
AccepteK
Accepted With Corrections
Denied W ~
Reviewed B . &
Date: 2 -( q - CJ '--
Comments:
<;'0 ~ ~ ('~l-Q
"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."
10/24/01 WED 11:22 FAX 6124474245
CITY OF PRIOR LAKE
~001
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
MAR - 0 2002
I 81uo 'iI,
I. Gold Cill'
J. Yo.""" ApphcUlI
[~~D~~jt~D:r~~s ~o&S ~ 'W
I PERMITNO'O~_lq11
I
ZONING (ol!ce 1Ue)
LEGA.L DESCRIPTION (cffi~ use only)
LOT \ ~BLOCK ADDITION
OWNER
(Name)
lAJeA'\S~~
\
PID;)5- 3&'G,;- 0 to S--e
CPhone)t:S/-'IO&-L/-%O
( Address)
APPLICANT SIGNATURE
(Phone) ((S)-'fs;;.-ISbS
~l C&R!2-
City) (Zip Code)
(phone) b5/-'IS~-IS-f:,~
3 {];2.-
DATE
(Address)
(Contact Person)
PLICANT PLEASE COMPLETE BELOW
Ty of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Quantity
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercllll &; Multi.family 1% ot job cost with a $39.50 minimum R.esidential, Nc:w One &. Two-Family $99.50
Residential, Additions &. Alterations $39.50
Estimated Cost S
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
,..'
PAIDV.'l"-',
~ILD.JNG p~~.,.
____ a-, 101\;.. ,
(Office Use Only)
This Application Becomes Your Buildine Permit When Approved
Paid
Receipt No.
Bulldlnc Omtial
Date
Date 3~'-Ce.
::4 hou,' l10tice for.1I inlpediolll (9S%,....i.905V, flilll. \951) <.4~....245
, .. . .
, '.,.J . ' I 71" ~ I
, '\.
a.ea. - ,....
yeu.o- : ~
l:Q\.g . crrr,
CI'l'~ OF' PRIOR U:I<Z
SEWER AND WA'l'ER PSFUiIT
NO. OZ-0I1'7, ,"
NOTE:
Sewe~ and ,Water'
contractc:r~ 'm'-1S'oC-:-
be regis~~red:
with the C:lty.,
PHONE:~I~~;L-/~~
DATE: 3/I'JO~ ,," '.' :
,~ .
S !G~~. '!'t:'~ ~ :
5~~G.
P~~~!T .:l
,., I'
A.'P:!?LICAN'I':
AOPRESS:
" ~ ",
"" "
'I " ,f' , .'
, . ': ;' ~,,:"
F!LL IN TnE BL~~~S
4.
5.
EL
Est:.i!I1ated length of water service 30 feet".
Si%e of ~ater service~inC~{es). 1\ r~
Loca~ion of any cou~lin~s fram s~~uct:.ure~feet_
T~pe of ~ewer pipe. ABS____ PVC~ Cast Iron____
~O
~s~i~ated length of se~er line
1.
:2.
-,',
.':3 _
,
. , ,
Cleen out
S-:'::-".J.c~u=e-
(if
rec;:uirec) ,
loc<:t.ec
fe~;1~
a.t ~feet
frOn! " , ..
" I,
=;~==~=;==~======~==~~=~=======~~~==~======.__;~~~~~~~===m~~~~~
=~~===~~~~==~=~ ~=~==~===~~~====~~~==~=~~=~~~~~~=~~~~~~~~~=~=====
, .' ,-
This a;:plication
, ,
BY
'FE:::::S:
S
$
5
35.00
.50
35.50
Seyer and wa -:.er 1 ine connection pe=m.i 1: ~", ,.
SurCharge
TOTAL
, '
, ~
*
~ee fo= eithe= se~er or water individually is
$ .Sa surc:harge.
520.00 pl\1$'
, I r I
, "
* Se.....er and we.ter pt!!:-:nits i~sued for new c:ons"t:ruc:tion must,: 'k:l'~,
rec:o=ded on the building permit ca~c a1: the time of 'is$uance'
~o i~sure that:. no dupl ic:a te s e.....e:=- and Y'a tar pe~i i:.s, ~t"e "
issuee. " 6,"'" ,
0""'''' PAIC Al10UNT PAID ~~;J.'. -;r!1
.IlEG:!?T . RoC' D BY ~f3vv,-ell-/L./. . ,
,. ;,:" I,'.
,.f \,
~ 7~~r ~:!;:-,1.r: ~=-~~.-: .\e/, S E. 1?--=.r:""" ~~,,~ '.Iri.":~~'":.~t~ ':=::-,..0.. ' """1
,.:,~, .!..!.--.!.::=() 'E~:X ((1;11" .:U~..;J.:d~'"
, "
d gLSlg8l9gS 'ON/g2:80 '18/92:80 20 ,6l 'SO (~n1)
WOBd
#4693 p.0071007
Date Rcc' d
FIRESIDE CORNER
CITY OF PRIOR J..AKE
HEATING/AIR CONDITIONINGIF1PLACE PERMIT
l~ ~. I PERMITNO.O;2-/<7i
,von_ ....pp1_, _
25
I
I ZONINO('-~ I
LEGAL DESCRlYI10N (offi,;E ltst on.ly)
LOT
BLOCK
ADDITION
PIO
O\VNER.
(Nam.e)
w~
(pbone)
(AddIess)
APPLXCANT.
~ame) AJ~LIED FIRESIDE DBA FIRESIDE CORNER
(A4d.ress) 2 700 N. ~AIRVIEW (}'VEl8'OE
(Add.m5s)
(C P BRENDA b'USTON
on,r..a.ct ,erson)
APPLICANT SIGNA TIIRE
("hone) 651-633-2561
I
ROS!;i,; MN
(Cl!:y)
) 651-633-2561
_ "one
5<;1 , ';\
(Zip Co6e)
DATE
I
APPJ...ICANT PLEASE COMPLETE BELOW
QtlEW CONSTRUCTION
FURNACE MAKE AND MODEI~
FLUE SIZE RE'TURN OPENINGS
TYPE OF SYSTEM
OWIll'In Air PIBJ:Its
gGraVity
Mechanical
Air Condltlenlu,g
OVent. System
o REPLACEME,N1lj' 0 AtTERATJONS
__ FUEL
rNP T OUTPUT
HF..A TINO OR ~OWER PLANT
o Steam
o Hot Wlltr;r
o RadilLtion
o Special Devices
o Other Devices i
/J; "", --nz....:.-- I
PLEASE NOTE:
Air Conditioner Units
Cannot En.croach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
4J ~C:.
Jndustrllll. Commercial &. Multi-Family
FEE SCHEDULE
1% of job CO$t Resldenthll. lIS Fircpfsce
539.~O minimum
599.S0
564.:50
$39.50
Esdmated Cost $
Resfdenti~l, ~dditlons It. AI1Crations
Resldentlll,l. IA.c Only
BlJ.j1djng pelit #
$39.50
539.50
Residentfll.!. l'feaT-jog IJL Ale (New ConstrUction)
Resident.laJ. ['feating Only (New Construction)
HEATING PERMIT FEE $
STATE SURCHARGE .$
TOTAL PEJlM1'r nE. .$
.50
,,,",
~!.p ~'"
,', ,1.
<),~.~ ,~
, \/.-.. vz,7
J~eceipt No~ i'-"
",
(omen U,e Only)
This AppHeatfo" Becomes Your Buildh'& Permit WheD Approved Pal
Date
By
Bllildlng omeill'
Plitt:
2.4 hl)ur "0111:8 for 11/1 Inlpections (!J51) 4'7-'850. 'tx (9~2J 44'7-4%45
PRIOR LAKE
INSPECTION RECORD
L ~ ft.,e. f{o. f lA '+-t L..Jl.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK AJ.haJ
USE OF BUILDING ~~
PERMIT NO. ~~: DATE ISSUED ~..t)~
CONTRACTOR ,,~ fI,.. ..a, PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING :3 ('3 a"2-
FOUNDATION (Prior to Backfill) p. t). . 8', 0 z... . 3 ;) 110 "(,;
PLACE NO CONCRETE UNTIL ~BOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING 1-'- l\
INSULATION l\ ;;L
ELECTRICAL
PLUMBING ~
HEATING (if required) v\ ~ 0 ~
AREPLACE o~
GAS LINE AIR TEST ~ ~ 01
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 0 ()(\ H"7~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
(J?-
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 (952) 447-9850