HomeMy WebLinkAboutBuilding 02-1580
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~Z'-o 'I
ADDRESS
J (01 16
l~ j(-JLe
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7 -/~-~
-
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o TE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D.
COMMENTS:
~WORK SATISFACTORY, PROCEED
o CORRECT~~ ~ND PROCEED
o CORRErhwoVcALL FOR REINSPECTION BEFORE COVERING
Inspecto~ ,-LV Owner/Contr: .
.CA J<</9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
jhj 7') L,f.,sl4Av<.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
A/I tJ!.
I
-?
DATE TIME
l(~()<<,
6 "l-ISfd
~~ILLlNG
o COIiPl:JoNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.
It.,~i
, IV
'_ \ V
t\\) ~
o
v
~RK 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.
/NS/iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/"/7-.::J - L/!)~:aE" ~?,C:
Date Rec' d
II- }S--07Y
PERMIT NO. (rl '//;00
1. White File
2 Pink City
3 Yellow Applicant
P~C"L ~/9KE
ZONING (office use)
k ISO
LEGA:RZ:)CRIPTION (office use only)
Lo1'6-I~LOCK ~1 ADDITION HLI'd?M.ck {}adt~
1/
CJO~- t13ll-D
pm..:} 5- ~:, :)(c.-79
OWNER
(Name) .::5rEVE,.. Do./l/.5 A:5A/~ (Phone) c:;t:)Z- ~~O -77';;{~
Aa!E'
(Address) /~/ 7~- .L4KE.."'S/~ ~.: ;DR/eu? L.ACE, A?/V '~""\.J7~
.
BUILDER C:t:J;V~L7'c - ~E.:5 m-~N~
(Name) ""~.JVrc;e - L>4/_NLJ ~ ~~~r"c~RJ(/
~_~~ '. t~ ,
(Contact Name) 'T7~I~ ~aJA/EP ~K '
(Address) .d~~ __..
,....J-.> 7 - C-...O.LC-RAL>'\ ;:jr Vo c--
TYPE OF WORK
o New Construction
OLower Level Finish
tJ/f1/ I f/
(Phone) -.2;.;>Z- 447-82c:2.-r'
"
(Phone) ~,
~.
o
ODeck
o Porch
ORe-Roofing
4--1'~..- 77dl~
ORe-Siding
o Misc.
o Fireplace ~Addition OAlteration OUtility Connection
If.
PROJECTCOST/VALUE (excluding land) $ ~ 000
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
rit fOI;-.tlre abo - . tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
,?"am a 'lkthe building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e perform neededi!J,SJle(;tions. ,
-----;.2 (' \-.. _./ '
:~tu~ --L-.)yt';'~"'/1
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
x
'A"
------
,
I Permit Valuation
I Permit Fee
I Plan Check Fee
I
I
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
"3ShOD, f)D
$
$
$
$
$
$
$
$
4'1 Z. z..~
S/9.9&,
/7, So
State Surcharge
Penalty
This Application Becomes Your Building Permit When Approved
~ :4-JJI-J
/~Moz.--
f
Building Official
Date
Contractor's License No.
// k...,~z-
Date
$
$
$
$
$
$
$
$
tA+1A.61J I~ --/1, 07/1. $ f3z~. 7 {
Receipt N o. '-l~ l/ :3 J
By ~
U
)( J..-"] J 7 I
I::T - I N- -() ri-
#
#
#
#
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 Dire~
y \
~Atcv s
\.,,',. _ ,......! f.;. :.". '~'.;./ """.\. ~_...::;"~~_"..tj.,,, ..,-';<4;,., ,(>i..-7~!,,,,.: __.'''?Al~,~}~-}:'~H~,,,,,~",,V'.!/kl<'.':-~'''''''''''''''~\"'';':;''''"~~~''O -"".. ,".~.,...-~. ',' .,. . '0-'; "
White - Building
Canary - Engineering
Pink - Planning
Thf' ("ftlrr BI Ihe I.ak, Count"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ... .c;.;.;o( 61f)o yS J(rAO"
APPLICATION RECEIVED IJ -.2 .:, -0 d--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~/7> iok.:;=S)'(';/8/ Av~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
M4~
. Date:
1:{-3-02:-
Comments: See Reverse Side for Adrlition:::lllnfnrm~tionl
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
." ... \
"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."
y
White - Building
Canary - Engineering
Pink - Planning
Th... ("('nfef of the l.lIkr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,~~i:L)or;S- /(/~
APPLICATION RECEIVED /J --r::2~-:..-o d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.I t, 17 5' M~Ic("c, /n/8/ A- };e-.--/
Accepted
Accepted With Corrections )U
Denied
Reviewed By: ~..~ ~
Comments: ~ aLl
_2/~~
'-/6 tY'A'rJ'
,.
~~ ,..J
~- ~ ~ a.Ll ~~~
,
.z ~ ~ o.__~ ~~
- ,
Date: 1~~1a z--
, ,
/
"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."
Tht' ('t'n't'r nf Iht' L.kt Counlrl
White - Building
Canary - Engineering
Pink - Planning
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
)0
I
Denied
Reviewed By: ~JfAV.J Ii;;
Comments: t+Mv ~U I< FACE DfUuStUAy R..~u'lIU::l:;) '(3 p~,
FT,vA-L- I ~ sAEc.r-;o~ I~I? ~otV /0 c:.LrlS;N"\ RLE.
I - -..J
A-ef .4(2,AveL- :Dn.(;b~Ay w; LC ;(/;fVG 1a be ~JdL
..J
At-J 0 S; D () €'D . Iv1. A )( I' /rVe:1J A,u;.7+ Q P- b te,;I/~ Wk ~
J
4,()r
Date: /Z-/.,;).~"1-
,
'-JtD3 ..,. fl. ~ Uhv', ErC!eerJ.
"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."
!J
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERM - -
Date Rec'd
. dse type Or print and sign at bottom)
AljDRESS
I. Pink
2. Gt-een
3. Yellow
I & ! 15 ~
6,Lep 5;d-iL
-)
~
ii
ZONINQ'(office use)
1~(5D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIWY" ~0- 03'1-{)
OWNER
(Niime)
(Phone)
(Al1dress)
AFPLICANT .['(\.L. ~ \ \
(Name) \. \~ ,t'\.:) ,,-.. -..\-- Y\ (.
(AVdrcss) \~~~Cj \j ,\ L(j.~ A'v "-
(Address)
(Cu,ntact Person) t\ G\ V\ L-\/ S L~" II( '- \ \..
ABPLICANTSIGNATURE ~~1 L~10,,^-
(Phone) ~ S ~),. ~ \\ l- ~ \ J, \{
~ c\ ()- \..'-.\~ \'~ Ss ~ I'd.
(City) (Zip Code)
(Phone) <=1 ~ ~ - \;\ ~ {- ~ \ \.l >-\
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FU~NACE MAKE AND MODEL FUEL
FLVE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
. OWarm Air Plants .
B~:~~~nical ~2"A
OAir Conditioning { i?
OVent. System
FII1.EPLACE MAKE AND MODEL L'JaO '. -/.1 t-
'-1
./
PLEASE NOTE:
Air Conditioner Ul1its
Cannot Encroach into
/)VL J Sp ial De.vices Required Side Yard
::J 0 er DeVices Setbacks
r P cf t~l RiCh q fief/A) cyucfu/Jn~
Re~idential. Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
U
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
lndllstrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(OI~ice Use Only)
'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ff I/O ---
Date :J-:Jt:; 3'
ReceiPt273 .rl q,+
By (?rc/
(j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /0/75 LAKE5liJt7 Aile.
NATURE OF WORK NEb-J GA-t<-A-GE"" MJJ,'i-(o;:J / ~~ A6ove-
I
USE OF BUILDING :S~F D..
PERMIT NO. ()Z -- /~80 DATE ISSUED /~/o"'Z--
CONTRACTOR ~Jf{/IO L. reEj;:&/Z-}A.J PHONE2Sz - ~Y7-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING t//.Ir ] J- -I ~
FOUNDATION (Prior to Backfill) I ~ I t J.-.- pO
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 5'
INSULATION
ELECTRICAL
vvr,.;
V1/(J
).-Iq
]..-/ bl
HEATING (if required) VVJV
v,/( duLt U1/' ? - j- ~ -(/3
(J'iJ.';, t~ 2 -z,0 -() J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
/:;} f
v I
I
HEATING --V
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.
5-2/
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application) .
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in30 Percent.
~'t~~
~o if rUt o/rfL-
#
Property Address \l.Q \1&7 ~O\\<e~ \l~.f ~OO\ve1'
Lot Area C\ \ lQ ~q Sq. Feet x 30% = .............. -Ze>9'2.
************************************************************************
ATTACHED GARAGE
LENGTH WIDTH SQ. FEET
3e x Ze, = \ D {g L\ d.
t..c...V\-t- -z..., x \ '-\ ="'Z...~
Rec...,.. C>~""'\"""'~t 3' x ~~ = \ \ ,,\
f"~cw\- O\K'r l.J/r:.y:3 -J.... \ , 33
TOT A 'l{,flNCIPLE STRUCTURE......................
\2~9
HOUSE
DETACHED BLDGS
(Garag~
~x<o
\ t::> x.. \ '""2-
lc ..~
\-2.. n
N{\.t.) ~fO~
DRIVEW A YIP A VED AREAS
.-"
~Dnveway-paved Of not)
I (Sidewalk/Parking Areas)
TOTAL DETACHED BUILDINGS.......................
\ <6 '-t
x
L\ L,o
x
x
=
=
TOTAL PAVED AREAS..................,...................... Y ~O
PATIOS/PORCHES/DECKS
e)o\
x
=
~, L\ \
...... ..p
(Open Decks y,." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
x
=
TOTAL DECKS........................................................
3L\\.p
OTHERO ...... f\ /'
c_~eAJ o.lI.-Y'a~,p. _
. t;o'W~Q t,..~
't 1- x -z.. -i-
a x. "2-"2-
=
4~\..{
\1\..0
=
TOTAL OTHER................................................."""
l,l..o
TOTAL IMPERVIOUS SURFACE I 1,.~2><1 I
~OVER \\ . I "3 I
Prepared By DIWe.Q~~ol Date I'Ll,,! 0"1.- *~~~'t;I:~...
N"~c~L~~\ ~~t,~~i ~-~.~~~~().vr,-~~::~'<~~~ .~o/I:~!bk~__.... _...._