HomeMy WebLinkAboutBuilding 02-0688
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r- _ ~ r ,GAS DESIGN
MAKE '-{'~ \K.. "
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INPUT-=- R'Q, oou !
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- HOUSE HEATING TEST RECORD
AOoRESS IS 4(,)) , t()co&cA,J, ~ /lJ1tJ {> L _APT. _ FLOOR _ CITY
OCOJPANT = -OWNER
HEAT lOSS - ~OATf HTC. INST.
SOlO BY INSTALLEO By
E'._,.., W.l Br - Co. U.. ... _
TYPE OF HEA T GA - FA _HW -STEAN _ SPACE HTR. _ ""'T HTll. ~OTHER
CONVERSION
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.3 - d3-O'Y'
TYPE OF WORK
t, White File [ PERMIT NO
2. Pink City '02 -0 & aa
3. Yellow Applicant _ V U
(Phone)
BUILDER /:, l
(Name) -?"tJtJ/fcJ /?v?fpIJCTfOP r;. ,fJC.
(Contact Name) --.1AJfkj~ ~ein~6
(Address) 30 10 tft.~r -fh fie-
79
(Phone)
(Phone)
New Construction
.
ODeck
OPorch
ORe-Roofing
o Misc.
OLower Level Finish
ZONING (office use)
1<1
PID
972- 403-9{~
171- - #:j, (ltoo
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
a::-
PROJECTCOST/VALUE (exc1udingland) $ 88 OW -
7J~1
Contractor's License No.
$
$
$
$
$
$
$
$
Water Meter Size 5/8'"
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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
,"bnri"" pI"" I m .w'"' <h <h, buil"",, 0!lk;,J = re,oIre .." !"nnit fo, jm, more, F_"", I h=by ._ <h" <h, dly offid~ "' . ..,;go., ~y
enter upon the p. op rty to pertl nee ed inspections.
x
Pennit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pennit Fee
Mechanical Pennit Fee
Sewer & Water Pennit Fee
Gas Fireplace Pennit Fee
Park Support Fee
SAC
#
#
/00. 00
IDo .00
3S.~o
40.00
TOTAL DUE
our Building Permit When Approved
S-30-0L-
I ~:it~ fl; ~ .~t. d~
~~z,
I te
$
$
$
$
$
$
$
$
$
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 Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"'no' t C I ~ trYL ~ J1KN) ~{ C (!1ALO~S
Date f'1i;eCial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
fd~/ 8 "02-
I. Green File I PERMIT NO I
2. Vellow City. '(JZ- 0 (p tJ.fJ
J. Gold Applicant C/
/ 5 ~/)J WOOf) OtA Ck. 11 J L N uJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ~~LOCK:l ADDITION
~
I _
/'V/t...~.r .s .
PID'ZS - 38z.- I~-O
OWNER
(Name) S-fJNOllfA ('1)A)S77'-lUC'r/O/fJ
(Address) 30/0 Eflsr J-jlf/ /JV6/VtI E
(Address)
Co
-IIV G (Phone)
Sf/IlKlJ/lEE
(City)
APPLICANT
(Name) FJlJ 11J.... G;k'fltJE .:z:/t}G
.
(Address) J 3/6 ;1}/1ICI}c; 5TI<E$r =# J
(Address)
96;( -;;;;M
(Zip Code)
(Phone) :~'p-,;U.3 -:I~LJO
6ff~k~ 6 15379
(City) (Zip Code)
(Contact Person)
(Phone) 9'5-tl-~3.3-./~8c,
~-:? DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ----1- inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. 0 ABC., !SZI PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at --=- feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family
Sewer connection only $ I 7.50 Water connection only
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ fJ ..-1 e 'Ot-
~
Date
...,/a...,OV
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRlOR LAM PLTJlYIBI~G PER'IIT
D:lte Rec'd
(P~c:~se tvne or orinr md Sllm ,It bottom I
: ADDRESS
/S'Ciu1Z !JA1/tl1f \D!/(~t .r;;
I. Slue Fiie:
:. wid C;,.,
J. Y,:Uow .\.COIICJn[
PER'rUT NO. d- - 03"'81
---1
LEGAL DESCRiPTION (<.Jt:ic~ use :mlv)
I ZO :j-[';C ((nf:c: u.:;e~
. , I
--.J
... ',,.,-.
:....U,
BLOCK
ADD(TION
I n...,,'1;o) ~ ~
v 'IV. ~ J...~
! (~I'<l;;:e; a /Lt I:{ !{
i
pm
L1J JLlf
(P~one)
i (.-\.~c: :-e~~)
,
I A~PLIC~'""iT Va //t?
I (0.J.r.1e) ,I, I.
I
I (.-\dd:o::;s) P' {/ {J
(.-\ddre:;s)
(?r.one)
07s~'7. C/?/0 j J;' aZ I
~/~/~
(Zip C:c:e)
(Cir:!)
i (Cont.1c: ?e:son)
I
I APPUCA:'-iT SrG~iA TT.lRE
(?;~cr.e)
d
DATE
r Quantity I Type 0 f Fixtu re I Quantity T Type of Fixture
I J___ I Bath Tub with or without shower I .7 I Rough-ins
I 7 I Dishwasher I I I Water Heater
APPLICANT PLEASE COMPLETE BELOW
I
I Floor Dram
I Lavator/ (Bathroom Sink)
I Laundf'': Trav (I or ~ ~omp;lrtm<:nt SInk
I \Vater Sofmer
I Stand Pi~~ (\Vashing \tfJchir.e)
I S<:wage Ejector
"..,
-:)
I
. - -
I I i Shower Stall I I Backtlow Assembly
7 I Sinks I T Backtlow Assembly Test
T Bar Sink I I Lawn Sprinkler --
---< I Water Closet (Toilet) , 1 Other
.FEE SCHEDliLE
Industrial, Commercial & Multi-family 1% of job cost with a 539.50 minimum
Estimated Cost :s
Residential, New One & Two-Family 599.50
Residc:mial, Additions & Alterations 539.50
BuilJing Permit ;;.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
PLUMBfNG PE}U.;fn FEE $
STATESURCR~RGE $
TOTAL PERJ.\IIT FEE $
.50
'" I' __
Paid
Receipt No.
Building Official
Date
Date
By
Z~ hour no[ice for ail inspections (95Z) ~i-98S0. fax (95:) ~4i-4Z~5
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
{).}-fo ~Y
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMITNO~
ZONIl'{G (office use)
PI
6'10~ UhOddt<-L
LEGAL DESCRIPTION (office use only)
LO BLOCK \1 ADDITION
PIDd 5 -
J-.... 103 ()
OWNER
(Name) SG-u-H.... D~e .D~e. F{OL~"'-':;
(Phone)
(Address)
APPLICANT.
(N ame)
(~::>
b/.;J- 50g "- if );16,
.553'?'1
(Zip Code)
6/J -'50<:).. -'i';:) '76 .
? lit-loa
-
(Address)
r,zot' Dr.
(Address)
r~b~r
(Contact Person)
APPLICANT SIGNATURE
,; APP ICANT P EASE COMPLETE BELOW
FURNACE MAKE t ~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
~ MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
DGravity 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
L
L
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
~tJ
r is )dAJ
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .50
$==--a=-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
~
Dol, Date _ ' .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 f7 ~ ~
/ ,r /l, -- 0----:1
..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
ISYa
,
i~ $,_, ~PERMITNO.d-&~&-- J
ZONING (offie. Use)
LEGAL DESCRIPnON (oll'ice We only)
LOT
PID
(Phone) 95;;) -403 -9100
(Contact Person) ~ / S
APPLICANT SIGNATURE
~-l-- F" P. - (Pho..) _ . '7 (n~ __ 3-<.'1- 7U'/ c.. _
~w CONSTRUCTION
FURNACE MAKE AND MODEL _
FLUE SIZE RETtJRN OPENINGS
TYPE OF SYSTEM
'. OWann Air Plants
OGnavity
o Mechanical
OAir Conditioning
OVent. System
'rREPLACE MAKE AND MODEL Yll
APPUCANT PLEASE COMPLETE BELOW
o REPLACEMENT
:JUslrial. Commercial & Multi-Family
_ INPUT _
HEATING OR POWER PLANT i
I
OS~~ i
o HOI Water I
o RadIatIon I
o Special Devices _ 1_
o Other Devices _
o ALTERATIONS
- F,uEL _
,
, OUTPUT
OR.,\,)
PLEASE NOTE:
Air Conditionet Units
Cahnot Encroach into
Rl!quired Side Yard
Setbacks
~
I
Estimated Cost oS
FEE SCHEDULE
I % of jOb cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, Ae Only
$39.50
Sidential, Heating & Ale (Ncw Construction)
;idential, Heating Only (New Construction)
Building Permit #_
S39.50
$39.50
~ Use Only)
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'Appli"ij.. Be...... Y.ur Buildlu, P.....I' W.'U App"",..
$-
$-
$
f'
.~
@L~ I{"f,! ..",
~_ '-....,u
DUlldlng Offid.,
Paid
Dare
Date j' II
. 0,...
Receipt No.
1:'Oo~
24 h.., ...... r.'./I ,......... (952) 441-0'$0, ro< (952) 447"245
J
XH1aIHd H~VHV~ JI~VWo~nv
GOLOST~GT9 XVd 6~:OT
"n ...n-r ..
White - Building
Canary - Engineering
Pink - Planning
The ('f'nlt'r of fht' Lllkt Coun.')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ~
Accepted With Corrections
Denied
Reviewed BY:~/L.. W~~ Date: C:,/") /02-.
Comments:
Ac~ lAPcJ~ ~~~AT ~ ~
~- ~~~~~~~Pr
5'0 ~&a fV~- L _ ~
~
"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."
White - Building
Canary - Engineering
Pink - Planning
The Ct'nrrf nr fhf' La"... CoUnlf)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~.A? ~,.U'~ a/xd /L/
/
APPLICATION RECEIVED 6 - d 3-;;;L....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~!jOd-. {.D{)dcLcltzlc Tv
Accepted
Accepted With Corrections
Denied AtJ Ilk
Reviewed By: VJ~
Comments:
(lJ.. JQ ~~
\
Date: 5:70 ~~
w~
"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."
~~ -:~~~
Canary - Engineering
Pink - Planning
The Cf'nru nf fh(' I,ah Counl'1'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i
- '-?2 /7, // '_~"_{~
;><,';y-~;;-{!=~"
APPLICATION RECEIVED
/':'.'. .-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments: See Reverse Side for Additional Information!
Damaged Concrete Walk Panels '
wiD he Kpla~ 1:1)' tIll: Builder nnveway Must Have Concrete Apron
prior to '-,..nee of Final C. of O.
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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
ordina~sof the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 16q ()? 4 ~Q Dul--'-, ~,
NATURE OF WORK -A}oI"'J
USE OF BUILDING / SEe)
PERMIT NO. ~-OU>~ DATEISSU.ED h'.. ~-oc..
CONTRACTOR S _all C - PHONE '75:2-YI)3-1100
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
[ FOOTING (.,1'1/ J ~ ./,r-d z~
( FOUNDATION (Prior to Backfill) to
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1
r
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
J
GRADING (Prior to Sodding)
BUILDING 14>' ~ /6
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 sba-ll be .iJlaced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850