HomeMy WebLinkAboutBuilding 02-1292
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t zit )...{tJ3
,,-
ADDRESS
/4-/1/- 6/
FoUtJ1Yf1 tJ HIt ~~ c:;;:
OWNER
CONTR.
PHONE NO.
PERMIT NO, (JZ-/ZJjO - 95
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(
COMMENTS:
FI06
twS[
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/J'iSNOTJ
\
~e. ~ (V\o.,i V\. -h' lL
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
cl/ /~
_('-- "l......; r_/~~~"':"\ ! .r,)
LEGAL DESCRIPTION (office use only)
/"-
LOT ~BLOCK/- ADDITION
OWNER ;I
I ^ f ". ~ " , \
(Name) , ,I ///'.I~/1".(;::\i\jf'.j
,
(Address) I
?/
i -."
, .?4 /-.....
BUILDER 1/
(Name)
(Contact Name)
(Address)
;A-, '.. :; f ~/',
/.. .
TYPE OF WORK
I j' I
'I . f
! '",,\'.. ! (~.
) ('Jf\,/ -;-:L" 1/,)
/ / .
, ;'() Ilf e ."5
'\
./ ;2..
,-f- '/ /-. / ;.;.
/ -t- /..--t' -" ~-
./j'~ .'j:
, I '-'..>) ~' /.J ;,/"(j I
I )
ew Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
o Alteration
Date Rec' d
q-c;-()~
I PERMIT NO. oz- -I ~ 9 Z- I
White File
Pink City
Yellow Applicant
/"
~ ..
~..
!
./ ""'-/' /" /. /, ./
(Phone) v~', -, .. j(;.?
ZONING (office use)
;<t-,
, 1
:"'d//-(, ,
.,.--; ~-
~ __C.} 1'/'
PID 2 5- ~;'VT L' - (J (7 ~ .(~
Park Support Fee
SAC
#
#
(' ..,; f"".!:...'r:' (t ,,/t,)
12/./\)
/"-f-.-- '-','" ~,)
.J'.) / .7""/
// / ' /'
'I ( //' '..../
F.
I
f_.-.;:
.I';
(Phone)
"}.,-
(Phone) 7..\ .;71
. .;: ,\ }.. J/J'61l
Water Meter Siz 5/8'; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
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 !h.~. prope . ,/""needed inspections. . . } /'7 -, -
~1 ~. / ,/ /.....--- "').- L-
X /Y ..---:. ' -7:> " / ../ -:...-------
ignature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
$
$
$
$
$
$
$
$
$
1- J~("C1G
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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. t
~~p.
Planning Director
/~h/rJz- ~ ~ A
, , Date ' SpeCial Condlttons, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thf' Cf'nlf'r or Ih~ tab ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.w~o~,~/[/
9-tj-()c;*.,
J/~Q/
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It/In fO~;;v 1J;/ls Of
Accepted
)<
Accepted With Corrections
Denied \
Reviewed By:
~ Date: "1fwfOL
See ~verse;e for Additional Informationl
Comments:
SfJE: rY\A10 (tf~
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
ordinances of the jurisdiction shall not be valid,"
,
k~~
White - Building
Canary - Engineering
Pink - Planning
Tht' ('("nler of .ht' Lakf Country
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:
",.,-.
,.' ~.,
/'
, /
. (
j-..."~-
Accepted With Corrections
V"
Accepted
Denied
Reviewed~ '-I-~I-'
Comments: _4-u- '11A. ~
Date:
/6,/7fr-v
~
"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
Th(' Ct'nlf'r or the l,.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W~IL/}A/[/
9-q-()J-
/~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/illn fOwJct,' tV f/; / Is OJ
Accepted
~
Accepted With Corrections
Denied
Gl
Date:
9-lt..Q'L
Reviewed By:
Comments:
~ ~ vYtaJV\ G~
"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."
FILE No.938 12/18 '02 10:56
ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 4/ 7
/..; r R I-O"';;'~
~~~
~....~.I";'I: $ 01 ~,.,-
----
Date Rt\(.,u
CIT)' OF PRIOR LAKE PLUMBING PERMIT
I t\j".II:
~ Gold
.:i Ydlo\v
1~:~;li"all' ~ERMIT NO, &- l:ii?r
. . .----"l
..-_..___1
-'-1
ZONING (ufflce u.\el I
n_"_ ._u_.__.. I
.IPleasC' !Y~~n..!....il..~..:t~allll.lllnnlL._____
I ADDRESS
\J!=LL1.S f-.-'UJ-1'\,-l~.~. ~ \ \ ~
I' OWNER
, (Namt:)_~ ~~~_(~ ~.~,,' ~~V'^-.Q~_,
1 -
I (Addrm)
(Phone) _.__.__..
J
I
I
.____._.1
1- LEGAL DESCR1PTION~~ti;~" ~t;i~)--
\ LOT BLOCK ADDITION
L__m .... ..-...--..,'
pJ'D
. -.-..- -"- ' .-~,~,,-~_.'-"--" -...- -----...[
A.PPLICANT n I ' .....1 I) I \ /.- J C" ' --. I'
(N'm'L ..1::_.1 'jl!l!>n b'....ll~L y u '" .') , '" r- (phon,) v,- ~? .J :-:':?--Lrb~ -~
(Addre~s) {Q-q O't .W.II" vd + !c ~ ^_l,..fr-.f. k: ~rC:,Dk \ JIA. +~dc___, . r")~L~d',y.)",,!
(.~ddrl:ss) (City} (Zip Codt::)
(ContactPer,on) S'~ ~\. '....e \ _"'_ (PI10ne/~U.~/'Y)~:>-Li ,3~~--.-.
.'1 "
~fl.Vl,U JQ:~--I DATI; ~.J. '. I 'f) - C";:). ....... _...
APl'UCANT PLEASE COMPLETE BELOW
- Quanti~;"'''r-=='''-'-''(yr;C of Fi:ll:turc ---'-1 Quantity I Typt:(){FiiX.:ir;-'-'-"
.=~_~!~:~Llb \~~-Wltho~~~_Sh(IWel r~ -3"'''--, Rougii:ins
=':r== I DI::Jhwasht:r
"'~=~.:~:~--- floL1rT5raii1-
=:l:::L.~-_._, Lavllt()j-~:'(l~aiim:~~,~~ Sink)
.."....=1..- ..... L:lL~.f~9I'~.Tray (I or ~.l.:(Illlpa
S 1)('\ we r S lilli
[:~_- \ --.'--[~).~1k~.
APPliCANT S1GNATUR~E
1 W;ter Hi~lt;\r
......... \ Water Softner ..---.,-.-..... -
-........ -----, Stand Pipe (Wash,~~g\~ri;chii~~
nment sink ---' Sewage: Ejtc:~or
.. Backflow ..\;;~mbly
.,- ._- Bac:ktlow Assem b-I)~' T tiS"l--- .-.
----....-.,- . -
I
---=]
I
"
i
I
I
.----.....1
- .. .., .....__..__-..J
L_....._ ~._._-"
I .....lool.. II -' I #1 .,.... .......
i Other .'"
l j UUJ ,_'UII'
r--- .~ "-~;;:'("io~;<;' (T(.~J.:~L
FEE SCHEl)ULE
Indll:Hrial. Comll1<;:I'~iul &. Ivlll\\l,j'amiil' I'!,'i, of.il\h t,:ll~l wilh II )"39.50 minimum
R~~iut:nlilll. N.;w (.lnt: & Two-Family $Q9.:'iO
Rl::sidllmiul. ^ddiliun;; &, 1\Ii~mljlln~ :h:l':J.511
E>illm:~ltd eM!' $ _J.0'7':3.t:J{)
Building Pern1j( # _,_.._..__
:;;
~-,
/6:11 (; IP~ fl
,'l:3i!J/!II "'\/0
'-..., '...J!J".."
~.j ;', ....""'b
w\;..;.')'
PU JMBIN(i PERMlT FEF.
:..;1"'; TE SURC]-L.;.RGE
1'01'A L 'PERMIT FEE
$
-..---.--'.
$ ..~........___,~...50
I( lflj"I\ ti,< 01\11'1
This Application I~e(:(lmc~ Your RlIilcling J'~~l'lnil When Arpru"e::u P~ljd --,'-'---" ......-.1 Rct:~ifll No. -..'.---\
.. ___H--- ____ _---- i-nmOE!; 202ffii-tFlf-----.------....1
1\1Ii11JIII~ l)j'fll'l:i1 I h. It. , : I I
....' ------. ....... ...--~.~~llin'~~.';:;~~;~~'lilll'~ (9S~14~7-!)~~;Il. ra:;~~~'l'~~~~~~~.~'~ . .....- .... .... '
J(1~(I(1 E:q,:,h' ('II".': .\\1('.. :--'.E. 'J,-illr l itJ,t'. Mf" ~3:;7~-I:l""
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
~~JJ7
t ~~~;w ~l~icanl \ PERMIT NOc) - /~ 9 ~ I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Addr~ss)
(Phone)
FLUE SIZE
OWarm Air Plants
o Gravity
o ~echanical .
~Conditioning
~vent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach intO
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99,50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39,50
_$39.50
Estimated Cost $ Building Pennit #
~,
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
C/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1_ Pink
2. Green
3_ Yellow
El~icant I PERMIT NO. J'" I ,?- q 0-1
ZONING (office use)
14175 FOUNTAIN COURT
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)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/3/03
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
L
~~!
~
j
Buildinl!: Official
Date
~,J
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
ceipt No.
24 hour notice for all inspections (952) 447-98
FILE ~,jo. 303 02/14 '03 10: 55 I D : PL\'l10UTH PLUr18 I ~,JG
FA><: 7635331121
PAGE 14/ 47
GMII!.. FILl:
Tl:LLOW . APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. NO;;}/ I?-q J--
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: .p(1S0\ ~'" P\LAVb ;~ -
(~'DDRESS: I L\ t f OUV\t. C\; \1'\ \ \ ~
SIGNA TU~0.t ),V\"J.f'\J'l'l\J""..Q,H I ,
SITE ADORES :
PHONE :tJ~1)S?:b-LJ. '657
0'-\- ~DATE: 8-: \ LX - 0 ~
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
I
AC)
feet.
2. Size of water service
\ Il
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC~ Cast Iron
5. Estimated length of sewer line ~([)
feet.
6. Clean out (if required) I located at
structure.
feet
from
===============~::~=~~=~~~=~===~~===;=;;~========;;==;=:::~~~~=~~=
ThlS application becomes your permit when approved.
BY
DATE:
===~=~==========;===========~===~=~~====~=~:=====~~~~=~==~========
fEES:
$
$
$
35,00
,50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
S .50 surcharge.
""
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insu at no duplicate sewer and water pe'.i'fO."V"$;", are
issued, ~ ~ @ ~ 0 D7 ~ IDUiLD:\!G f"-'" .,~
DATE PAID ~ AMOUNT PAID
P.ECEI PT # EB I 8 2003 ~ REC' D B'1
~
By
16200 Eagle Creek Av. S,E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 J FAX (612) 447-4245
An Equal Oppol1unity Employe!'
See ~ f\{a llA ii't..e
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~75 rWhta.\V\ t\,\\S ~+-~
NATURE OF WORK jJ e.~
USE OF BUILDING Sf-A
PERMIT NO. D7- /z.92- DATE ISSUED '1-I<l-~ ,1
CONTRACTOR \A/eJI\sb M.o.!AV\ ~...~ PHONE q_';2-;)33-~~(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING v1/l. ~ ~ L () t {;frt63
I FOUNDATION (Prior to Backfill) I VvtVJ I I;ofU;'"/153
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING W
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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,
INSPECTOR
DATE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850