HomeMy WebLinkAboutBuilding 02-1299
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CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
SCHEDULED
ADDRESS /tf-/Bl)- 9/ HJ{)N779/N I7lC/C5C'/
OWNER
CONTR.
PHONE NO.
OZ,-12'1'" --- C;Z"/Z1j'
PERMIT 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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(/UJ5C
Al6
o WORK 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!
INSNOTJ
-
S:e..J.12L ~ ~k
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,.
Ifill! (
r'_ ' I
'i,,<":,,;1 i....J Iv . "A } .Iv
l/. //<
I ( /
LEGAL DESCRIPTION (office use only)
. ,"']'
LOT / ./BLOCK A ADDITION c)(j I\-,' .J:.,! Ai
~V:e~Rtt {")~' I:tA,.:.,I'-,j\)
(Address) /
/-I'l;'V1 /?<;
,.' --- "--'"
,rr;/,<-~c:;;
Date Rec' d
9~C;'/ ~
1. White File I PERMIT NO I
2 P;nk C;ty . 0 Z- -/7 a a
3. Yellow Applicant , l-~~
/" r.---
-/-/
ZONING (office use)
'12~ tf
. i //
/e.tl /.5
-7
// /(/
3'90 -ot 3" L>
PID ;ls- .
/ "r (;0'/) " _,/ //,v'\
(Phone) 0"7" !./ ,,'/ /(.) . 7/(j{./
c5' A.~/~..-,A.
I
/1Al-j
(- s:---
'''-'J ' ')
c.7' ----
BUILDER1 )
(Name)
(Contact Name)
(Address)
, I
(Phone)
(Phone)
~ /1
..' -~ /
v'- ,- -, ,,>. ~~7 '..I
:" > ,y(' /:-, ,5.}" ~ A"<",," .--';1
//'> .'-'
.< I) Z 7
.' " > L
-----;-;, (-.-- (- /\ . ", -- ".
/ /""0, "'-- , "-\ {.. ,. /
TYPE OF WORK
ORe-Siding
New Construction
o Misc,
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
ODeck
OPorch
ORe-Roofing
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 th~ the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon tjle. o~~ fO!1Jl needed inspections, , ", ,/--: _ -c"., 'J
/J, ' / ,..;,.--\; .,. '; /"
X / /~ / ( ') p ,/ ~./ k-
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 $
mes Your Building Permit When Approved
q-Ic(-C/L
Date
o Fireplace
OAddition
OAlteration
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Io;~z-
Water Meter Siz / ; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
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
is~~
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
~ tvC~ ~
White - Building
Canary - Engineering
Pink - Planning
Thr {'f'nlrr of thr t.kr Country
BUILDING PERMIT APpLICATION-DEPARTMENT CHECKLIST
NAME OF APPLICANT 11~11JJ'1/~ 4~
APPLJQATION. RECEIVED 9- 9-0 d-"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is..proposed at:
/L//~/ - ~ IJU;U/Q J';V ~ (br-
Accepted
x
Accepted With Corrections
Reviewed By:
Comments:
Denied
Date: ~ 1)1...
Side for Additional Information!
~f: yY\~ ~~
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
Th... Crnft>r fir Ihe t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
""_.....,J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I .
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~ Y~/-J
~~
Date:
ItJ/7/o-z...-
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."
White - Building
Canary - Engineering
Pink - Planning
The ('tnlef of the Lakt' Count.."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT iL~IIM~ '{/071~
APPLICATION RECEIVED 9 - 9 -() ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILflql-~()udQ/>1/ ~ (b---
X'
Accepted
Accepted With Corrections
Denied
9A
~ ~ f2t~
Date: 1-1 t/r-(j/
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."
FROM :RLLIED EXCRVRTING FRX NO, :952-895-9394
UV t6 ,'1)2 TliE 1)8; 04 f'Al 812U 74 2H
Oct, 29 2002 12:44PM P4
CITY CFPRIOR LAKE
~OOl
CITY or PlUOR LAKE
SEWER AND WATER PERMIT
D... Rec'd
CJ'Lf"Mlfor~r"'''MIlaIroIa) :: ~ :. [P~T~O. ::J-I;}-c, q 1
jAODRESs _
~V\\;c;. ~ ~ WI \ \l> C~. Pt ;0'1' Lc. G2 I I ZONING_j
I LEOAL DBSCJUP1l0N (o&c: '-~) 1
L ~ B~ ADDmoJ~."'.\c. ~ ""' \-\ i \ h PID
OWNER
CN.me)::.l.10Q.. Y'\ ~"'" ~ V\ Y"\ \JoVV\ ~
(11_) lffi S P ~~ 't>t. lie.. '*~QQ
I APPUCANr ~, , ',,.. ,../ >' __ .. \ .
I CN....)-Lll.i..\g,L~ -y~p4l\(\
(AddmI) 7401 L:) \~~ ~~;+
I (~~
(Conu,c;t Pf:rlon)
CPhane) ~5.\ - Yoto"'l1 ~OtoIJ
~~c..'(l VY\~ ~~';;) .
. (P_lq~: Pf'ttj- 93<lo
~Vq~~ ~ \;U ss:~/i;
te1ly)J. (ztJ ColMJ
(Phone) ~ Pr A
J)AT2 'D- -o~
A1PLICANT SIGNA'I'U
APPLICANT PLEASE COMPLETE BELOW
Size ot*.~ service L inchcI,
. LoGation of allY GDupliftS!l frDm .truC~.&.. (eM.
Typo of aewof pipe. 0 MC ~ PVC 0 CUI Iron
Estimated lenath otsewer 1in, qO feet
Clean OLlt (if'requirecl) located at feet ffom I~rure. .
II'EE SCHEDULE
R.!'II~'ntl,l Sfwer Uld w.tGt line CibRllKtiOIl 13.5.)0 l~.Ial, Com 'I. MuJti-1ian11y 1% of job CC8 _11I2 . S39..5C miaiIruD
Silwer cONlection ~Jy $1'.50 W.... COIlnectbJ OJll~ 117,50
Esdmatld ~ $ ___ Builclinl Permit j.. ---..'
SIWIk AND W A1'BJl PIaMIT PEE S '
STAT! SURCIlAROB S ~
TOTAL ftaMIT rEE S
(Q~" \JIK o..~,
T'" ....- _..,,- ...........;;---1 :..
hUen.. 0... bale
~ ~.., .... lit, ... '''$'''- ('52) "'-'ISO. f.a (MZ) ..,~
'.
~~. ,I'."', . ,.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#br5/'o
~J~icant I PERMIT NO. 02-/217 I
I. Pink
2. Green
3. Yellow
M?~hu~
ZONING (office use)
e~.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.~ )
(N ) L'c:'4 -- ./)/~.'./ .. .'
ame ./ l. /' .' / .~7"/ ~C<.:"'-;:;;>'C
(Address)
./ 2-::.~;.1t,~."i, 5'
/'/).
L_4< ~.. :2'::.('-=)
(Phone)
c.=;:;"~C';;;r<~..-;:,1
:::~::::~~'./ ~< -
APPLICANT // /.' . /~;-;';; . . """ / ,.
(Name) "./ /. ,.aL'/'- /fi..e c:~?<///ceC/ (Phone)
-, .
(Address) ,_:S:::-~2:" /~;>;;;/..:.-<~ A~-cY ':'~.
(Address)
(Contact Person)\.. /~;' ///,.-c::..:...,/"
APPLICANT SIGNATURE . /2,/
/-'. l e:;~ /./..'-:'."_/ _. '?:;' ,,/<.,
(-f"~~"~j../ --. L/'..,;."fII'! .~~,... ,,". ~,'
~'A' /
-, ?--c::, 'C'
(City)
~-;i'4'>'~%?;-.;;f...(ehone) ~~5/i ..
..,oIIl......
t!!. .~~~~..1
//'2
4.,
. /)'! .
C''''')' / / /1' (
(Zip Code) /' -",,': ,-
i...J..:; /- cO""":
L.~/.i=--7.. , -:;, /.?.....';'-
-z...:;.-~, .":>'\ /' -" L
DATE
APPLICANT PLEASE COMPLETE BELOW
EW~ONS UCTION 0 REPLACEMENT 0 ALTERATIONS
// , . .,.
~, ,,' .......7~~?~' ,.,", ."'" r-'I' .....- .~'" ...., /'
FURNACE MA~ AND MODE ~ ~,y r..2;J!':./. :5 /'{:5/~'4 t/C.J.;?/C:,/ ;:;t:.~) . . FUEL .,/ L-u'../C'.: .<cc .' f
FLUE SIZE ~~?? ~~:5/3 RETURN OPENfNGS ~/J fNPUT 2) ,?i<Z.:) OUTPUT /)2~~ /<:~Z')
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o ~echanical
0Air Conditioning
~nt. System
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
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 $ Building Permit #
Building Official
Date
Did.N 2 4 2003
By
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 44 ~~50, fax (952) 447-4245
FILE ~,Jo, 937 01/30 . 0:3 14: 07 ID: PL"f'l10UTH PLUf18 WG
FA)<: 7635331121
PAGE 2/ 8
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~
eIT):- OF PRIOR LAKE PLUMBING PERl\lIT
Date Rec'd
at botTCIffi)
I 81..
~ v:lli
;, VelIO",,'
Fl\~
Cil)
APP/l....IOI
_/~ qq
~
I PERMJ~: I
l
ZONING 'O""_:':J
ADDRESS
lL\\q\
-r 9U V\. +cA V'- \-+1 Us
I LEGAL DESCRIPTION (oftic~ L15r. only)
I LOT BLOCK ADDITJO:'\)
]
3
-.
OWNER ~+n~
(Name) (lJ e I6.S VV1 o\^ LI\, S
PID
(Phone)
(Addn:~~)
I APPLlCANT--~ () , ,
(N,m,) eL~j,^^{)C-+~:L I u''VIVI, J
(Address) C9QO<i \^i~ AtM,
I (Address)
I (Contact Person) ~.\.\.- ~\
~PPLICANT SIGNA l~~
__ (Phone) ('l (0 .~") S 3?->--(fo5 (
6r()Q]<- ~v1AIc 554,;< '6
(eir> (Zlp COde)
(Phone) -0 lfty '5 .~3 .-4 .~<S I
DATE_,l-30,02:> ,
! Quantity Type of Fixture Quan tity Type ~f Fixture
! J B::lth Ttibwith Or without shower -~ - Rough-ins -
,-- Dishwasher Water Heater ..,... ..
j I
I Il. '-. Floor Drain .- f -
Water Sonner
! M , LW<ltory (Barhroom Sink I . ,.... Stand Pipe:: (W~hing Machine)
I
L__i Laundry Tray ( 1 ot" 2 compartmc:nt sink Sewage Ejecror -.
I Shov..'cr SL111 Backflow As:>embly
:---', Sinks ... -.-
8ackflow Asscm bly Te;t
f--_. - . . '" ......,-. - - " ,
PPLICANT PLEASE COMPLETE BELOW
I -~" II ~...,," HIi"'......
.._ i Other "._
..~~I
=J
-"-~
:==J
-,=J
.=
j---
_ 3
r .....""1 -.lIlU....
Water Closet (Toilet)
I
FEE SCHEDULE
Ind1l5ll'i~L Cllmmt:rcl;JI Ii: Hulll-t'al1l:ly 1'\'., ofjuh c"'$1 Will) a ~39 50 1n1l1lli1UIT\ R'::>Idcntlal. N:Vi One &. Two-F~mily $'>950
RC,lJentlill. Addl,lons & A.llefQ!I()n~ $3951)
E"rlrnaltd Cost $ __r l~ (f) < fJO Building ?ennir I: _ _
lome.:: l!~c (111) I
PLUMBING PERMIT fEE
ST.ATESURCHARGE
TOTAL PERMTT FEE
$
It'
oJ)
$
50
1', ,
r1
24 litHlr nulict [Clr .llllnspecliun~ 195Z)-t
16200 L,;;k ('red, <\\'c'" :-,Y.. I'l'wr
Receipt t..Jo
This Arplic~(lOn (kcome:; YOUI' Building PermiT When Approved
I
~
l'lullLlill:': (HJi('.I.d Dart
By
"-'-n,~ L~
. -bfj'__-.J
'03 10: 56 I D : PL"/110UTH PLUf18 I ~,JG
FA~\ :7635331121
PAGE 27/ 47
liRll!. . FILE
TELL6w - APPLICAIlT
GOI.P . C:tT.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
d I CO
S,w. No. - d- f 1
NOTE:
Sewer and Water
contractors must
be registered
with the City_
~.PPLI CANT: ; ~'r l "tV- Pie,:, ;~
QDDRESS:-t \ \="OCH'\t-aIV'\ \\" O"\-,
5 I GNATU::t Qn.1M\.Q. *,'Y\\ld.QlII ~
ITE ADORES :
PHONE :t!IS?J)S?;J:J-'W ,'JS7
DATE: ;).. ~ \ L\ - 0 ~
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
I
AD
feet.
\ II
inch(es) .
2. Size of water service
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVC Y. Cast Iron
5. Estimated length of sewer line ~I[) feet.
6, Clean out (if required) 1 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.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to ins that no duplicate sewer and water permits are
DATEi::~:d D [} @ [~ D ~ [} AMOUNT PAID"""" :."
RECEIPT ~ FEe 1 8 2003 REC' D BY ~-
BY~ ()
16200 Eagle Creek Av. S.E,. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An equal Opportunity Employer
*
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS N I ~ l 4f r&.w1 !fd15 (!;f.
NATURE OF WORK () fJ
USE OF BUILDING ' ~<}f 4-
PERMIT NO. 1)2 -- / ?-tl1 DATE ISSUED 1-1t/~
CONTRACTOR LU~tA~A ~J PHONE cr62-257-ga~t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~A ~;;~
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING /1\/\ f I /)9 ! )-R, to 1-
I FOUNDATION (Prior to Backfill) I M.p I 1/ t; t03
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING W Ccrv<..&T~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-0}
itc3
2-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING vV
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850