HomeMy WebLinkAboutBuilding 02-0423
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CITY OF PRIOR LAKE
i ~tJlathutut llf 'uilhiug 2lUl>jltriillU
't Final Permitted [J Conditional e.O. Expires
Thi' c,rtifitate i.,.,a,d pa"uunt to th' "qa,,,m,nt' uls"tion 307 of'h' uoifMm BuMing Cod' t"tifying
that at th' tim' ofi,.mana thi' "meta" wa> in tompliana with th' va"oa, Mdinana' ofth, City of P"M
Lak' "galating bailding tOO,aaction 0' a". FM th, following;
u~ CI>,''''''''oo 5 1 rGl~f. FA}' n. y Bid,. p"m" No. ._.-o~~042L----
,3 V" N/A'" ,1
0"0"'" 1yl" ~~ "'" Co",,,,,"oo .__-'----- "'" 'I"" .--,---- Z,mm, 0""'" ----..----.
Lo,'" ""~ri,,ioo L 15. B4. REGA1~ GRES1
owner of Building
Contractor's Name & Address \~EN;';l'1ANN
15296 JEvF~RS PASS N~
__ Site Address
titWES, 1895 pU"^ ",.. ellne '~00. EA'lAN. ,'.' SS P'L
DON RYE
p.Ol)E?'I D. H'/rChT~S
/' .1/') Building Official
:/llj '\'01/'/
City planner
Date:
Date:
---------------. -' -- .'- - ." .-' .-.... - .-- . ~_.-' ..-- -' .-.-.. .--,,-- .
.- _.---~---
~
.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
J(J- ~f-o 'L. 1'H s"
SCHEDULED
ADDRESS
/6J9!l ::r~f((~ PCt55
CONTR. IN-et1SfY1~'1'1 f/()~.J
PERMIT NO. DQ-41/
OWNER
PHONE NO.
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
_ EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I~Z9L
{}(
/'
1 5 ;), 7L/ - (J (
-,
------
IL
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
tnspector:B ~ ~Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IHSHOTI
-li\i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Lj-0--0Y
1. White File \ PERMIT NO a
2 Pink City '0', ') - 0 tj,'1. i
3, Yellow Applicant , 0'- r~
ZONING (office use)
md ': "bottom)
? J ~;::(I,rj
ESCRIPTION (office use only)
/-BLOCK
ADDITION
ER
Ie)
Jdress)
.oUILDER
(Name) tJf'/YJ'/114'~
(Contact Name) (;4 r-
(Address) I1r 2?-
TYPE OF WORK
~fJ'
,Atw'
)J (iJ'n~f
(.f ,r
PIDtJ,5-YJ'6. ,oC,f-O
(Phone)
ew Construction
ODeck
o Misc,
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Addition
o Alteration
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 property to perfo nee ed inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
{-1?-oL-
Date
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 signed by the ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
dwe. . l{/1A/~Z-- ~ INr7. ,.t......1
Date ~tions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
# $
# $
$
$
# $
# $
$
$
$ 'lA, 7
1 Receipt No,. t(/IJI-1t(
] By 9f
~l ~
,
/~SK'
Contractor's License No,
Park Support Fee
SAC
Water Meter Size /8" 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid '7 'lq-. i~
Date - ll:!:.~ t1 ~ 7d--
Date
J
tlJN'~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. F.~:w ~l~icant \ PERMIT NO. ~- If;)- 3 \
ADDRESS ZONING (office use)
15296 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/30/02
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK X 2
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Res
$39.50
Industrial, Commercial & Multi-Family
$39.50
Date
idential, AC Only '1\19.50
ing Permit # PAID WITH
.soBUlLDING
PERMIT
Paid Receipt No.
Date By
Estimated Cost $ Build
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
24 hour notice for a\1 inspections (952) 447-9850, fax (952) 447-4245
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10/24/01 WED 11'22 FAX 6124414Z45
CITY OF PR10R LAKE
~OOl
DAte Ret'd
CITY OF PRlOR LAKE PLUMBING PERMIT
(pkase type or l'riroE IDd .iga ;J.f bot'II::Im)
[ ADDRESS ~ nJ) ~
/ 5'J.. "1 (p :S-~>"...s!:.
~. ~~ ~:~ I PERMIT NO./).... }f'). J..]
1 101'-' "p'I""e.... . cr 1 C/\J _
I 1 zotmJG '--'1
LEGAL DESCRlPTlON (alfic:e uae anly)
LOT IS'BLOCK 1- ADDITIoN ~ ...\. ~Cl."t
PID
OWNER
(Name)
(Addn:5S)
DATB
PLICA-NT PLEASE COMPLETE BELOW
pe ofJ'i:lture Q1IlIDtity Type of Fbturc
or withoUt shaWI:J'
est
SEE SCHEDULE
Induslrilll, Cpmm~c;lJlI I: /Vtulti-faIT'uly I % of j"b c;",t with II 539.50 minimum R,c.jidci1tial, 1'-/c:.... One: Ii. T....o.FarnilJ S99,~C
R.esidenlial. Additions a A IWlIlions 539.SD
Estimated COSf S
Building Permit '#
,50
"'-iA" P r'" .
I fSt~~8 r;:;"7}i(flT.'-!
, "--_;c:.,.. ";~'" r';,~~. .
PLUMBING PERMIT FEE $
ST An: SURCHARGE $
TOTAL pERMlT FEE $
(omu 'lI.. Ollbl)
Tlus AppliclItion Be!;o"'cS Your Building Permit Wh... ....pPl'oved
\
D'I~
\ P,ld
bate
ru~ No
B)' . 7U
BlJlIdlnc orne..'
~~ h,..i" "'n'lirlo '1';,... ..II lnJ.l_Jl,.e:Ns 1QCi1~ ~'/_.::l;:'..:i.i. r~,. :9g~ .:.ti,-,-oI1J5
WOHd
d 8901981998 'ON/\ 9: 90 'is/19: 90 GO ,91 'LO (3Dl)
.,..-'
a.aU.1i - nu.
Tf.l.J..C- . "~U(""""T
CO\.<> . en"
C!~Y OF P~IOR LAKE
S~W'ER AND ~ATER ?::~'''nT
NO. ;2- L/;f3
NOT!::
Sever and Water
contractors mus~
be. rec;istered
\.lith the city.
~ -= (;~r~:\.r:''':~~ ~
_PHONE ;~S)-'i9ri~
DATE: 711'7/0;2-
APPLICANT:
ADDR:SSS:
'3T-~~ -
?==?~'!.::!:T ~
- -----------....----
._ ___ __0- _ .... .-- _..- .._- .--
_____. _. ___ ._.n ._
J -
F!LL IN TE~ BL~~^S
Estin2!.ted. length of water se::"V'ice 30 feet-.
size of ~ater se=vic~ I inc~(es). ~
,
Location of any co~?lin~5 from s~~~c~ure ~ ~eet-
Type of sat.Jer pip.;!. ABS_ PVc.x Cas-c:. I~on_
3C)
~5~i~e~ed lenq~h
of
seT...er 1 ine
feel ~ lUl-
at ~f12Et
from
l.
2.
4 .
5 -
==========~~===~==;==~======~~~======~=~~~~=~~====================
C!.eel'"1 out
s-::'=-..:.ci:.u=e.
(if
requirec.) J
loca~ec.
6 .
T~~s e?~1ication beCome$ vo~= pe~~t ~hen a?provec.
B'!
~===================~~=======~===============~====-=======~~===;=~
DAT::::
F-:"":"C:'
~
S
S
35.00
.50
35_50
Sever and ~a~er line connection pe~~it.
Surcharge
TO,-;\L
*
ree'fa= eit~er sever or ~eter
$ .50 5'-l:='c:-tarse.
I
Seve~ anc vate= pe~its iS5uec for ne~ cons~rJction rn~s~ be
~eco=cec on the building pe~it card at the time of issuence
to i~sure ~ha~ no d.~?lica~e se~e= and ~ater p12~i~s are
iSS-..1ec.
i!"Jc.ivicually
15
520.00
plus
*
1
1, .
~.!i!oUN'!' PA! D
D). '!''Z ?~.:::)
RZC' 0 S"!
~
--=
R~C~!?~ ~
-r:":l-: -... T
,r'd~"'--""
'-:'1.
_~..- __1---:=0 l -:= ~ Y (~,.-.~
.L ~.- _..~ ~ .l. ~
, . - - r _
3 d S90 l gSl9gS 'oN/l g: 90 'lS/3g: 90 30 ,9 \ 'LO (3[11)
WOB~
/.
I
',I ~
/
, ,
i
White - Building
Canary - Engineering
Pink - Planning
The C"entrf of Ihe take Counlf'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
->.,.~'~
NAME OF APPLICANT
APPLICATION RECEIVED /
,I
.'./'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"
""",,,
,I
Accepted t /'
Denied ~
Reviewed By: '--:tf~.A.~.r"~
Accepted With Corrections
, .
Date:
L-f I iCz 11)2-
"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."
,py/vm:tdt tJ'z-OL;J-3
White - Building
Canary - Engineering
Pink - Planning
The Cenler of lhl" I.ake Counll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W t:l/r~~~~
i/-9-()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5'9-90 ~~M1 p~
Accepted
~
Accepted With Corrections
Denied
Reviewed By: f2f di; k
Comments:
Spe ~ MaMA G l fL
Date:
q-f 7-07-
"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."
L '::><e. ~ ~'^-4--, l..(
PRIOR LAKE ilEPARTMENTOF --
... BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS is;)... q(, ~~~ \pA.-SS-
NATURE OF WORK ~~
USE OF BUILDING S>F;A.
PERMIT NO. ~LI J. 3 DATE ISSUED tf- (7--02
CONTRACTOR 5~ ~"5 PHONE ~(2- "3to9--7{,.f2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO C.ONCRETE UNTIL ABOVE
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING C
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Vi
GRADING (Prior to Sodding)
BUILDING Q (J 0
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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.
to'l ,,~u
,{1o'Ov
SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850