HomeMy WebLinkAboutBuilding 02-1298
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
ADDRESS /4---/ B Z) - 91 H;U/'l/77rI;vl /17l--C5 c;r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OZ-/29~ - oZ'/Z7j'
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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,
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6UJSC
AG6
o WORK 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!
lNSNOTl
//
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~62.. ~ ~ ,R{e
~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
G.)i./ N ~i.^", 'IJ
LEGAL DESCRIPTION (office use only)
LOT /! BLOCK .2
ADDITION
OWNER I -, ) \
(Name) i.lI, (" /,-,(. JI1/i,.t:..l\.... 1\)
......., I') r ' '
(Address) "~~" / (A -;7..f..\
BUILDEIY I
(Name)
(Contact Name)
(Address)
t:5 0 If.',
TYPE OF WORK
/-Jl'ff<
.-'
f'-DU f\-/ j)~, " )
t .... -
/ --{('>} 1/7 f:-:~:
"'
! )2-..
--I-A <:.. ('
1/
".
.C/l.i
ew Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
Date Rec' d
t; C; I' ;)-.
White File I PERMIT NO Y I
Pink City 'f)'" -t '1 a .
3 Yellow Applicant t.-- _ ~
( ) -;---.
\.. " I
ZONING (office use)
f<-'-)
.( r (
l /
/'7
/.:...P
PITJ-?~-:?c){) -0/2-C/
(Phone)
~ /J
/" 1---/
~ ') ';'
r--r' ; ,-~ --
(~-_I ,/ (?d
~/~)6 .' ~/{./(/>) (J
1'7
(Phone)
(Phone)
11
'J/"- '. '.-? r~,._ V .f~ 6# -~
f - ~~ (~ ("'/< ),} r1'
Park Support Fee
#
#
),
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 1 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
SUbmitte.d Plan. .s.l am. aware that the building official can revoke this permit for just cause. FU). ermore, 1 hereby agree that the ci..ty. official o. r a designee may
enter upon~the rope~-p.erform needed inspections, . ..._- . -,
/ ;'-/-1 I / 1 " - .-
/ . .' i~~ I I_I' \ \: ~ <'- /
X . --f (., , I " i ,,-' ," : ~' ..-
/ ,,/ I. ' Signature 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
$
$
$
$
$
$
$
$
SAC
Water Meter Siz 5/8' 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
$
$
$
$
$
$
$
$
$
. W.hen Approved
Date
-
II
~~
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.
~
~
~
Planning Director
~
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
lo/7~2--
k~1~
Tht Cf'nlrr of Iht' l..kf' Counlr)<
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tL/~~1-'1l~ /Jonu~
9-7~Oc3-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
IIJlf9 F~-rcU/l/ ~(3!
J.. '. . ",,'. ..,' . .
Accepted... )<
Accepted With Corrections
Denied ,
ReVieWed'Sy: ~~- 4"-- Dale: lf~j) ( ere
Comments: See Revers~ Side for Additional Information!
s~ rl\t(u.-') ~i-L.E.
See Attachments: 1) Grading Plan.. ?) 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 ,
The ("{'nfer of 1ht' Lakr Countr)'
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
~ -f~~
~~~
Date:
/CJh/b1---
,
Reviewed By:
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."
rhe ("entef of .he I.akt ('ount')
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tL/~~~
9-Cf-{Jd-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'11 f9 rtW;[f;U/1l' ~ {!f
Accepted
X
'-,
Accepted With Corrections
Denied
(2~ ~p
Date:
r-(cf-()z-
Reviewed By:
comments:~ 4 (J1 J~ I~
"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."
FROM :RLLIED EXCRVRTING
O~:16/o2 TUB OQ~t~ FAX 81~4474Z~5
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I. ~ Volo [PEbflT NO"1 -
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OWNER i '-', \ '- c:.. '- y--O' - L/ dO' 1_ 1
(N.mc)...... W,~Y'\n._.nPYY\~ (PhOl1C) ~ _ lD '1 "" I
r--1 J B'l~ . ~ ~l ~Ile. ~doO ~lC' m 1.0 S'::> ~C*) J
Il~~~~\\\-ld~~~-:-a.i'~. (Pho...)Qs.)-5W-'O.3'iO! 1
(.AJJdJes) l~O \l~ ~\o~ ~C?e..+ ~vc,.~e '('f\\A.J sS~15 ,
i i~)" (CSIWl, (ZIpCo*I I
'\(Conta~_OO)~~PbaaO) Sr;A ~ JI
.APPLICANTSIO~~',U -==-=__~ DATE _-~:l ---
i
J APPLICANT PLEASE COMPLET~ BELOW
~iU of wale!' service ...L- inches. ~
~...tion of my QOuplillgs from structure ~ feet.
'type of ..wer pi~. 0 ~<;. "(J PVC 0 Cast [ren
stim.ted length of sewer line ~ feet.
lean out (ifr<<=quired) located at...l:L-. ~ frDm strucNrC.
,
.
I
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Ras!4ential sewer and. line CQMCCuon $3~.50
S~wer c;onneetion only I $17.50
,stlrn.red Cc:>>st $. '
f--'
FRX NO. :952-895-9~ 4
'_1'''' \.'. ....-
Oct. 29 2002 12:44PM P3
Date ll.et:d
CITY OF PRIOR LA.KE
SEWER. AND WATER PERMIT
q~
liP!
FEE SCHEDlJLE
lnchiiarial. Com"It Muhi.flrDlly .~ ofjoD casI: 91tm. S39.SC =icimum
WI*' ecmuw;tiatl DIlly $11,50
8ulldina Pennit #,.. .....,.
SiWEJ.AND WATER PBaMlT PE8
STATESUkCHARGE
TOTAL PE1lMIT RJ:
s
s
s
:50
~.......
,
,
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(Office \;itC 0-") i
r Thi, AllPUntltin ~.. Yc".r ."ldtIlC per;h"W"bu A.pp.....ed
I -Wi;;' 0llI...! -
I
tel
DaM 001
~ Jlowr "or.. for .11 h'l.,laiol'll ("2) "'.'110. ... (J5l) &6'?.QU
~?:/O
fl~icant I PERMIT NO.CZ..../ z 1B \
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1. Pink
2. Green
J. Yellow
Date Rec'd
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER /' ;
(N ame) / l. /e.,/?.c::;/:N?2 ",,~;1' /'C
/; 2>y;It.A;', 5'
(Phone)
/2
// /,..,
~',
'/.A/'Y!
/*"".~.. _"'~. c__.,,,c...___.~''''
..__" I
C::::'c:-J< /C/ r? /'
---.'- ~,. 'Z;J~ " '~.-' .~,
(Address)
""'~'/'
~ &:' ?c,c,
<' ..~-/.-
~_.,. "
,~'.:",'A:' /
(City)
-7 ./...;:-/1 _
;;.. n.;74>:.,.;y..I'':;/~'q......(ehone) ~_/
.,.-;;:::Jj!iii '.,.,..,
e. ~~..~i
APPLICANT ? /' . /7-;" "
(Name) /~. / //"[~..~: /fl,<;;c:4Z//;/~.<--e' (Phone)
</.? ,;:7, /-/,'..... .,' .'.. .1, "
(Address) _---<._,,, >,,<....-. ,/Z--e -//>...L .e2~ e__.
(Address)
(Contact Person),- /-;:' //;":;'-C:::L.-;/,'
/
APPLICANT SIGNATURE
DATE
/:/j:.-<.
-:;::2>./ d' ,
.c~./;,'.." _/ - ...2 .-, 7...c"
.//_?" " .. ,/.-',~
,~--,-~-"
2-e, ;7 '/<);~"C
(Zip Code) ..",- ......) i. z..
, .,j ,../ / -, ,;.
,4 / -" 7 .... -,. ,--
ie-/'::;?.;7> -?'(' / ~;'?/.7
APPLICANT PLEASE COMPLETE BELOW
~EW ~ONS . UCTION 0 REPLACEMENT 0 AL TERA TIONS
~ J' ;",7~-'?'? .. , ,,-', ,""'" '." - -...... ".' ...-'.. "
FURNACE MA~ AND MO~E ,_ ~/YY2,,(:-/. "5/5/C.'//t/C.t:?q/C:,' ?!~':; ..' . FUEL /' l/a'/C ,../<,C(
FLUE SIZE ~//?~:.c;:5/3 RETURN OPENINGS ~/J INPUT 2)/rL~,) OUTPUT /)2:~ /:i:'~(.')
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
OGravity
o Mechanical
01Jr Conditioning
ja-'\1'e'nt. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
UILDING
IT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
D':JAN '), 4 7001
Building Official
Date
24 hour notice for all inspections (952) 44
By
FILE ~.jo. 937 01/30 . 03 14: 07 I D : PL'./f10UTH PLUf'1B I ~.JG
~/~
~~~<~1
" ~ ..}
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FAX:7635.331121
PAGE 3/ 8
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t'PI~as~ tvP~ Ofl'nnt and Sl?n ilt bortNn) _
I' ADDRES5. _
l_ ~ ~ t~q \--.OtJV\{~ V\ ~ (lS
~ ~~~ ~:;,. I PERMIT NO., /') ;'"" /J-?T1.__
J YtHo..... ^'ppll'lht . .::;t:..:: __1
_] LONlliG ",,,,,,,]
(Phon<:) _____
J
-j
I LEGAL DESCRIPTION (i)ffic~ use only)
I LOT BLOCK ADDn~ON
PID
.
OWNER ..--... \_
(Name) l)JOA/\ S YII\ ~ VtV1 't\lJ\M..P~
IAddress)
I APPLICANT .n I . L . '
(NameL., .El tjVV\.DU--t~'\ .y u.n:uo~ (Phone) {:l(.oJ)~J?)~-l.ro~(.._
(Addres,) ~qOq \1\11{\V\r+t~ AiM, kI hr(l[)I<-~V\. fuk f)SL.~_
(Addr~ss) (Cit (Zlp Code)
(Contac!person)~~ L ~ ~ (Phont) -0.foY 0'),~'-lf.3S 7 _
I APPLiCANT SIGNATUR DATE - I ~ 37) ....0.3_
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture Quantity Type of Fixture -=1
I I Bath TLlb with or without shower -.. .3 Rough-ins
r-- , Dishwasher a._. I Water Heater
~" Floor Drain ".. ',.~"- Watl:r Sofmer - --
d ,
Lavatory (Bathroom Sink) i Stand Pipe (Washing 1\1achine)
Laundry Tray (lor 2 compartl11~nt sink Sewage Ejector -..-
'- -.---'
I I Shower SC311 BackfloVv A:;:;ei11 bly
~ Sinks ~- I
I \ Backflow Assembly T~Sl
- . . - ~ . .
I
L 3
I u... ..J....,
Water C~OStt (Toilet)
I o~;~; ~IJO ......-.
'-I
... I
FEE SCHEDULE
IOCll/WI.il. CommcrclJI &. tvlulli-l"illl1i1y 1 % of IDb ~"$t with ~I $3950 minimum
R::~IJcntial, N.::", One & 1.wl.J-F:lmlly $99..5(1
R.:~identlal. Addi,IOl'S &. All::raLlons $39.s0
Estimated Cost 5; la.~ ~D, DD Building Permit # _
liuild ,":': Orii"l:"
D;oI<
$
$ .50
$
~%R-n.
WoJ~!=O (}.4 2903
I
.......,.~..
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~,~
~' ^, .........
IUflic~ VIr Only)
"',
This Applicntion Becomes Your Building Pt:rmit When Approvell
R-~celpl NQ
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By
::01 huur n"tjc~ for all insp"ctiun. 1952) ..047
1621HI f..'gk (.rcck .\ve., 'i,L. l'n..r lal:f, MN S5372.171J
'03 10: 56 I D : PL\'r10UTH PLUf'lB I ~\JG
F A:< : 7635.331121
PAGE 26/ 47
BREI!. - FILE
TIELLOW - AP~ICAIfT
GOLD. elT"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S,w, No, cJ - /2- C;g
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: .r~'(lI'~V\ P\c).~' ~
(ADDRESS: -:01 . f O~)l'\t Cl' '^ _ - \ \ "> eo"\-
~ I G N A TU m:: ~ (JJl.:::;t:~'/"~-fY'YI\J..l._&Q! A,
S I'l'E ADORES :
PHONE :t!I.9~)S?i!:rW '057
DATE: rl-~\L\-O~
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
i
AD
feet.
2. Size of water service
\ "
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 ~(C)
feet.
6. Clean out (if required), located at
structure.
feet
from
=======~===;======================;;;;===~=;-=;=====;-=====;=;~;=;
This application becomes your permit when approved.
BY
DATE:
~=-=;===~==~===;=;========~~~~====~=~========~====================
FEES:
S
$
$
35.00
.50
35.50
Sewer and water line connection permlt,
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insur no duplicate sewer and water p~rrits are
issued. D [t @ [~ 0 ~J ~wn ~~Y8~~~~~':'
DATE PAID II AMOUNT PAID
RECEIPT # 182003 U REC'O BY
*
~~
By
=
--
16200 Eagle Creek Av, S.E,. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equll Opponunit)' Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~~"w Ji~icant I PERMIT NO. .;(- /..J--c; S I
ZONING (office use)
14189 FOUNTAIN HILLS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(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
2/12/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
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:
DGravity D 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 HEATN GLO SL750TR
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
Estimated Cost $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
Building Official
Date
8
,
This Application Becomes Your Building Permit When Approved
'rE
~ 1 8 200
Date
''!
(Office llse Only)
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-
PRIOR LAKE
INSPECTION RECORD
~ ~~'^ ~te..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Jjjf31 .f2,u'^-'tatVC tfc:( [<;
NATURE OF WORK KJ~~lJ
USE OF BUILDING SF~
PERMIT NO. (7?/-/Z.1-~ DATE ISSUED C!-lt..{ -CJZ-
CONTRACTOR LU~~ PHONE q52 - 23?-!J8~r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J FOOTING I vt-tt? [ (;) t ~t03
I FOUNDATION (Prior to Backfill) I V'I'v {\ I ~ I ~ ?63
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING lU ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
'Z/l;2.-t
I '2-1"),-1 I D"3
vl.la-ltJ3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS <\'
GRADING (Prior to Sodding)
BUILDING
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850