HomeMy WebLinkAboutBuilding 02-1294
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DATE TIME
I.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t 2/[ J-{tJ3
ADDRESS /4-/1/- 6/ Po Uf\.l1f1' i N HIL ~~ c:;;:
OWNER
CONTR.
PHONE NO.
PERMIT NO. OZ-/Zrfo - 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:
tL05~
(/06
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"
Il'/Sl'/OTl
-
\
Se.E. the... mo.\'V\. ~t..e
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. ./ "
7
r~<.:.J Iv<;/\ :.0
'~J-- I! ..'. -.
'I I /! l <~~
Date Rec' d
c; -y -(j,~
I PERMITNO.Oz,_/zC;4-1
I. White File
2 Pink City
J. Yellow Applicant
/7_
\. .# ,J
ZONING (office use)
PJj
LEGAL DESCRIPTION (office use only)
LOT -} BLOCK_~ ADDITION J;Uur j -:-,,)
( ONWNE) R I 1 / -'I 1 ~.. },-'/I /.. / /;, /
ame ",i\'/ L-/ -.< ,,- J , Ft. ..~ ,'.,
(Address)/J'(':;:S-... "J<41 2:~
BUILDER
(Name)
(Contact Name)
(Address)
t {
/f~ ~.7.-
~
1-/ (') ~j f:;~$
! l I
(1'7 <
--:
~ "'.
PID Z') - ,PIC>' o<.);g "0
(Phone)
/' (- /-<'/0/ <~/<//7/7
<:~../. ,. L/ k.? 7~/'~. /' ...."
. : /1.... ;/ C.J(j
~.~ r
I / ~I<) C ..~ (1./,
/ ,,'
TYPE OF WORK
\
\
r}-New Construction
o Lower Level Finish
o Misc.
DDeck
o Fireplace
/<.4 C::;, /\/\J
/'
(Phone)
(Phone)
;:) ---i. "'::".1 .1"
'10 <./--
X 2 ~f/
DPorch
ORe-Roofing
DAddition
DAlteration
/1,
"';)
,)
".,- --, r; '"'\
~,) / qI'-
PROJECT COST IV ALUE (excluding land) $
/-.
A
ORe-Siding
DUtility 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
:nter upo~~e ~:~!~eded inspections. / {/ \ } ;: ~ 5 . _ L
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
0,
0,60
35~SO
4D&W
our Building Permit When Approved
~
Date
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$
$
$
$
$
$
$
$
$
Water Meter Siz 5/8 ; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Paid
Date
f()~ r;:;,!!
g
I~No:-nY77
(
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
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
''"~ ~ .-*e ~ M
Plannin DIrector
Tht Ctnln of tht I..kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
tI~A?!~ .1.( ~
Iii;? 79-9-~~ ~ @r
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
q- 0.-6;)-
Accepted X
Accepted With Corrections
Denied,
Reviewed 'By: ~4- Date; c,/1)) 101.-
Comments: See Reverse Side for Additional Information!
::L~ t1\ ~ f'1J~f:.
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."
White - Building
Canary - Engineering
Pink - Planning
Tht" Cenlt"r n( the Lakr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t.I~Ao/a~ ,i(~
ILI:?7C} ~~~ ~@r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
q- q -0;)-
Accepted
LX.
Accepted With Corrections
Denied
vA
Date: !tJS-LJZ-
Reviewed By:
Comments:
k ~ VYla.1M jU
"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."
-dv- ~ ~
White - Building
Canary - Engineering
Pink - Planning
Tht' ('tntt'f of thE' LakE' Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/,,.//,,
...-,.,..
APPLICATION RECEIVED
"'7
/
.f
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:
~
k
-1 ( A /,
~.IlA..4. f-' Date:
~--' cJ:jL
1()/7107/
/ f
Comments:
"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 10:57
ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 6/ 7
.",-.--.......
@~)
\'.....~/IrNJ !lOC'I"\_~.",/'
..~~
Ibte Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\lIT
1 51",/;;
: Gold
J Ytllo",
Fill:
ellY
,\pplll.lnl
E~~~i-N~.~~ r~.[\-I
I I'ZONING ,~ffi;:~~
._~ ____...1
(I')~ase typo llr pfiJlI ano si~! bonnm \ .
:. ADDRESS .
l-lL:\ \ l~
~ u ~,Y\--l~..~ \ \ ~ --..
I LEGAl. DESCRlPT10N (utTiCt ~~:.a'lll') 0'---'"
I LOT BLOCK ADDIT10N
I. ..___ ----.-..?.--.......
j..'OWNER . - ... ... ,-_...
i (Name) \.J... 1.Q..V\..~ V\I\ 'OII,"V\
I (Address)_
I
PID
~Y'^-..Q ~_.__._._
(Phone) ._..... ..
, -' -.'.
I APPLICANT ,/), .
! (N,mo) ~ lIy\D L'i h \::-1 ~lf ",\,~ I '" J-- (Phone) b i<> jY2::'?,-L1 05 (
IIAddmS) (Qq 6 q .._~}l (Ud 1- ~ ~ A.lH, k p..)rOL\k. \:,Y'l .{~c\L f"")~L[d,1S
(Addn::~;:;) (Ciry (Zip Code)
(CO"',,,, p"sonl S; t'- S c:,\{) ~= lliL- rPhc,"ollu \'53::> ~ Ie:') ~ 1,-
'PPLlC,~NT slO"!~'!URE:'1QI)<:::,,{',,\~l:'Q..e.~ ,DATE .~.I i) ,Q......- -',_
APIILlCANT PLEASE COMPLETE BELOW
~m .Q..nti"l----ryj,.- or Fi"." -__ ______.. Typo of FiXfU~~...:::=._.1
.-~:.~~ ~:I:=- Bj;'~h Tub witll or WTtE(,I~ll shrwer Rough-ins I
--~t -I ~(~:;b';~~,;-- ..' ~::~;{~~~::~r-~==- -jl
~L::L~~'~~ Lavatory (B~llf;~~~(l1il Sink) ...-' _.___~.. -Stand Pip!;: (~a~hing Machill~Y-u---~~,
1- Laundry Tray (1 or::' cnll1partl1lenl sink Sewage E.i~cwr ... ......_.____._..[
~=-.t.._'-I S.ho~~r.:?mll .---.. Backnll\-V A:,semblv -..1
! \ -!...~Jt)k~.. Backflow A~S~lTI_~!2~.esl ..........--J
f-- 1 '-',,, '-'II'" .1._.-. ~'-------1 O~h~; .."., ......-'.. ..,...--.-
1_._._.~_J:Val~I.'EILI~(::' (T(~~:1J. _ --.J'.. -~~~\
FEE SCHEDULE
IndllSlnal, Commercial &. 1vI\1ll1..lamil~' I".;, "f.inh L:llsl wilh a $39.50 Illinilllun'\
Rc~iucnljal. New ClrlL: ('\; T\yu.F;;mily $99.50
Rl;':~iden\iol. A<Jdi\illnS &. ..'\Il~.mli()n.~ ~.I')..~11
ESlill1;)led CO~1 $1073s':..c::t)
Building Pcm,il Ii
\ILUMBINC; PERMlT FEE
STATESURCHARCiE
TOTAL PERMIT FEE
$
$
$
/Oflk,: \;.r Oil)\, I
r This '\PPlic~'lj()n I~eton.le.~.-Y(lur Building J'crmil When .'\ppru\'cd
I .
I
,:~iiYtr:itJ
'-J b'c' ..:.J
"::;"'i'.,' l~,,,-
IP.:i.r;r---' '~--T"R,'c,~;j)i..N~.\'. ... '",o::r;?,-"--'...
I i I
fDBEC2 --..--.. ..TF\~. \ --..--..-.--....1
L___JJ.2002_.....J....... .. g),
2~ hUllr nllli",' fur all ill~r<!c!illn~ ('JS:!) 447-\lH511. r,,~ ('15:2) .1,n...j!.:lS .
Ih:./1I1 1'::".:1.. Ir,'d, .\vn.. ~.F.. """.. 1.,,\'1:. VII" ;;:;;:,-:~-171J
,50
._~"..__.._. .__. ....__..____....~._..__M..'_ .------.-...----"......
HlIillhu~ (lrnClal
II" Ie
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~~c!o 7
i ~~~:w ~l~icanl I PERMIT NOOd'- /.9 1'(/1
,
ZONING (office use)
L//79
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
~ I
--~~.
(/ ,
/'0/J 6:;5/d
(Address)
APPLICANT ./7 , / /"'U'./ -
(Name) ./7///a~ //U,c~/c~ (phone) &5/-6/5/-277'5--
(Address) 3Z~ZJ /~~~ e:...- 0, , ~/ * / ~-?d~~ /??A
(Address) (City) J (Zip Code)66~
(Co.laetEersoo), 7e /(~=y' ;?J#~~ne) ~ - L/~- d 77t7
APPLICANT SIGNATURE I tI."~. DATE
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
AirConditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
OWann Air Plants
OGravity
o ~echanical .
~Conditioning
~vent. System
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (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 Permit #
,.....
i
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
/' .50
e;
,
(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
~. ~;e:n ~:~y I PERMIT NO/L.. ('1 9~ I
3 Yellow Applicant c7' 0- '1
ZONING (office use)
14179 FOUNTAIN HILLS
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 FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/13/03
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
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
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL750TR
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% 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
Buildinl! Official
Date
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
By
24 hour notice for all inspections (952) 4
FILE ~,Io. 303 02,/14 '03 10: 55 I D : PL\T10UTH PLUf'lB I ~,jG
FA>~: : 7635331121
PAGE 16/ 47
WIfe. . FilE
YI!LLOW - "PPLICANT
GOLD - CIH
CITY OF PRIOR LAKE S.w. No, .:.:2 ~ I d-- 'i L f
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
A PP LI CANT: .p 1:11 DP-l-1tI r IlAV'VI ~~~ PHONE :(:7 If'l)S~ - l\ 057
(.h,.DDRESS:~__ F"UL)V\t-a\A__:J\~ t'\--, DATE: d--\L\-O~
\SIGNATu~.LO&~vV\.Q.f~Yr'N.A.QfQc ~ BLDG. PERMIT #
,.... SITE AODRES~: PID#
FILL IN THE BLANKS
1. Estimated length of water service
I
A()
feet.
2. Size of water service
\ 1\
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ASS PVC~ Cast Iron
5. Estimated length of sewer 1 ine ,t.{ 0
feet.
6. Clean out (if required), located at
structure.
feet
from
==~~~===~===;;================~=~=:~~~=~~~~~===~==============~===
This 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
$ .50 surcharge.
*
construction must be
at the time of issuance
and water permits are
"ISUIl.':fi'D lV/T' ,
AMOUNT PAl D NG PEr, ,
cr
REC'D BY
RECEIPT #
16100 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
...).e. E:. ~ I "\Q,flI\ )- \ WL
PRIOR LAKE
INSPECTION RECORD
DEt'AR1'MENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~?. '1 'L-fOoVl-\-Ai ~ bkU s C+ ~
NATURE OF WORK ~-e.u:)
USE OF BUILDING SEll:
PERMIT NO. 02-,- /2- Cf4- DATE ISSUED -3-lY -07
CONTRACTOR L.J.f>,~ WlCJvV\lI"\. PHONE 't-sa -~33 -88~cf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I vt'\P te I i~/Dt-
I FOUNDATION (Prior to Backfill) I VV\~) I LO(2-C;;-)oL-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION l~ ~
ELECTRICAL
PLUMBING LAJ ~~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~IJ\'^ F r),y~ ~ <- CO .0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'-.'"
........
GRADING (Prior to Sodding)
BUILDING cPA H (
ELECTRICAL
PLUMBING
HEATING
DO NOT
C(;;/-(j)
J. ,. )...(Y fJ3
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE .--.
r---
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