HomeMy WebLinkAboutBuilding Permit 03-0378
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CITY OF PRIOR LAKE
INSPECTION NonCE
DATE Tille
ADDRESS
) r;C/07
SCHEDULED q -S'-05
bltirCc ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Ilk
v
CONTR.
PERMIT NO.
tJ)- 37g
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-\t?
\ ( . (
V~01~ t< If_
tJUl0 ~^^ \~f-----
)(WORK SATISFACTORY, PROCEED
/0 doRRECT A ION AND PROCEED
o CORRE , CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
CA~ 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CONTR. JrJr:r/uVJ 6/t;o..-.
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
I S- L.J L/ ;)..
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cliL.EINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FtNAL
COMMENTS:
0/'Cf//...t - ht.
Gu/h j-!'/~.j / bL
DATE nilE
6~-<7f{
~~LUNG
o COMP T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
i(WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ Owner/Conlr: _
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 151./ l/ 7. -
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'21 FI~(
, O1;ITE INSPECTION
DATE TIME
SCHEDULED 8.2 q -c>7, } n :00
~ Ia.c.~ ~ OJ..r
CONTR.
PERMIT NO.
tr{ _ ~ '19-
, '-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)II MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
\. fn",J ~ tlAP:.P lru>~hJ S=O,
7. ~ . 'f'r"",,-~""^- ~..,,1
~ ~/.,. ~ e,c.,",,~<> C'..:l:/,
Y. p_< ~~&D _14<-.........0;, -h". w.u..~1 \J0Il1 ~
fl'71 l~"",~'~ oc...
UlI\'k'~\~ .. ~~.;---- ~.{/)/oJL 't).,p",t". I~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X.CORR1K. CALL FOR REINSPECT/ON BEFORE COVERING
Inspectol . Owner/Contr:
CA 'L 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFEr:/
,"""""
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, T'"
CIA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~JrJ~
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
jit'MECH FINAL J!'\{./
~~Q..( f:=J",
COMME~ ~ -
-1. ~ "JJ:f!:!:; .~
1 ~I '.A/ ~ 't.
'2.. ~;~' [)v4R 'P -- ~
~.fV~='" J '
~_ ~1\~7JQ (A k~O~\ '=flJ~
-Q: --CPt I'tPQ~. V'~ ~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0,U-- Owner/Conlr:
v .
fi",LL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 ~ 5 ~ 03
l. While File I PERMIT NO I
2 P;,k Ci<y 'Q3-037o.
). Yellow Applicant V
(Please type or print and siJro at bottom)
ADDRESS
/ -u'/."
_5 -/;,1.;-
/Uei &4/
{7 '
,/' ,
ZONING (office u"j
tel
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK / ADDITION /111/.,05 SO/J-nf
PID 25-382.' otJPJ- tJ
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
,$,,1/1, {JAN'
(Contact Name) //...~/~1 nr(:f;l~'L/
/h;,rs
(Phone)
(Phone)
t:7, {I", {h./ <-./.:,2'
,; _yI~-/17
., j,' / In (') . _,', '(
L~-/I (.j'---- .,'.;.-" ~"J'#___'
(Address) /<,</;,;'
//... /--~
Of7{l ,1{ ~,./
TYPE OF WORK
Bew Construction
DLower Level Finish
ODeck
DPorch
DRe.Roofing
ORe-Siding
OUtility Connection
o Fireplace
OAddition
OAlteration
o Misc.
PROJECTCOST/VALUE (excluding land) $
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 ~th,e b. ilding, ,Official can revoke this permit for just cause. Furthermore, I hereby agree that the city official qr a designee may
enter upon the pr7pertY. perform n d insp~ctions. j;'j
-;1" /;" ..;;r _______ "'1 ,-----/;.?
X '- /'5/ ~..,.". ;.-- - ./ r.,...
/ g1gnature Contractor's License No. Date
I Permit Valuation I/llZ J. Ot) 0, oa I Park Support Fee # $ 95().()() I
I Permit Fee $ r4.52.~C;~ I SAC # $ /2.75'.00 I
I Plan Check Fee $ Cfl.{t..f. 2, I Water Meter Size 5/8't~:J $ 300.00 I
I State Surcharge $ "U.OO f I Pressure Reducer $ 70.00 1
I Penalty $ I I City SAC and WAC # $ IZO<f),OO 1
I Plumbing Permit Fee $ 100.00 I I Water Tower Fee # $ 700. 00 I
I Mechanical Permit Fee $ Ion. Of) I I Builder's Deposit $ / ,C)Ot). 0 () I
I Sewer & Water Permit Fee $ ,<: 0;;-. So I lather $ I
I Gas Fireplace Permit Fee $ "-10. dO 1 I TOTAL DUE ~ 4-1A3 $ B.1B6B. e7 ]
~;07 ,
, - '"'-
This Application Becomes Your Building Permit When Approved I Paid ,~ X't:?_~ ~ / " ( I Receipt No. kijO.:ftS.
~- ./dt-- SA-I/6:! I Date Li-:j-fX~ By m ./
PI!
Building Official 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
~'~ ?'dP 3P//IJ3 ,(ltLJ aLl' ~
Planning Director Date Special Condiftons, fr any
24 hour notice for all inspections (952) 447.9850, fa. (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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White - Building
ClInAry - Enaineering
~nk - Plan~
Thr(-f'nltrnrlh"I.8bCounlry
BUILDft.lG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/" 'i' j/ L/ I ' /{ (- (-/J 1/' /, [' c
/ C" c. .' l / \"" -...:.0 .' - C.,' j L" ....;.;
APPLICATION RECEIVED
--:? '.";
'-.~-- ~
/ 'c'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ '-, q q- L ['{ 1/('1'.._ ;' (, t / ~
-'
(I If.:' (! Lt::.--
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
~~
-:f~
aL{l I~
Date: 3/:; ( k,:1
-2J.^~ "M"',,.;
5' J. A
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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."
CWhite - BuildinCi")
Clmllry - Engineering
Pink - Planning
Thr (rnl,. of lht L.kt <.'ounlry
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /16 Ie L Ii N 0 LS 0 tJ H ofVl6S
APPLICATION RECEIVED ..3 - 4 - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~44Z-
.l5'LJ7 u:..... CEll f:....
(! / E-C!-L&'
Accepted
Accepted With Corrections
/
Denied
~~
R~ ~ AttA"~LjJ
Date:
311-1/63
. ,
~-~
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."
.--------....---.1---.
TMC.....'..rolll'..I...rCou"'1'J
~- - lhlldlng
C . - Enqineerlnq ")
nk - Planning .
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!1Elc. L. L/ IV' OL501') /-/olvI6c.:,
..:5-4- 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ :"j 4-4 Z. 15L H [i)'':'_ f/ EfJ t::.. (I / t:. (!, r.--e"
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
/lfr13
Date:
3-/f-OJ
Comments: See Rever~.. ~iciF! fnr Aciciitinn",1 Infnrm",tinpl
See Attachments' 1) Grading Phm ?) Rrm:inn rnntrnl Mp~~l.'''P~
"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."
.
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A r 16 03 10:58a Jim Llo~d
p Ual/J.4/UU 'Hill lZ:U6 }o'AX 6124.474245
952'440'3036
CITY OF PRIOR LAKE
p.l
<lIOOl
....III e ~
"RU.Ow . a\flIlIt.K:.\1IfT
GOI.D . CITy
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W,NO,~ ~ -518
NOTE:
Sewer and Water
contractors must
be registered
Wit.h the City.
APPI~: CANT: L.:o 7d 2..1<C <<VA 'fir/) fr
ADDI!:' ss: .p 1/. 11,-,( 5"7 11';01'- L:.-f(e
sIGm rURI!:: ().:;.... .~jC
5 ITE \DDRESS; 0' / <, 9tj J. tL,,1/ f'~~ C:..;~,
.PHONE: 95./''I'1'O]~)_U
DATE: <f -/{; . 63
BLDG. PERMIT #
PID,_
FILL IN TUE BLANR~
dr,'1
1. I: ;timated length of water service ~( ,
2. ~I ~Ze of water service.
I
_feet.
inCh(es) .
3. I, >cation of any COUplings from structure A} A feet.
4. l' 'pe of Sewer pipe. ABS_ PVC / Cast Iron_
" d 1',1
5. f: ;t"1mab.d longth of "~"~L line n... feet.
6. C ean out (if required), lOcated at
!; .ructul:'"e.
>>4 feet
from
~-===, ~-==================-- ----======~==~====~~======~====--~~==-~
Thi~ " PPlicat.i~comes your permit when approved.
~:_~~~~~-~========--====== .~::::~--~~:=~::::=====-=====-
FEES:
s
S
$
35.00
.SO
35.50
Sewer and water line connection pprmit.
Surcharge
TOTAL
.. ~'" e for either sewer or Io<ater individually is $.tV'.~ plus
$ .50 surcharge. --
* S':~er and water permits issued tor new construction must be
lC( oorded on th.. buildin'1 permit card at the time ot: ~ssuance
to: insure that no dupl~cate sewer and water permits are
i!; :;ued.. I
DATE l' UD
1\MoUNT PAID
RECElT r #
~4JD
f l"'e ~
, 'I::~
16200 Eagle: Creek Av, S.E" Prior Lake, Minnesola 55372/ Ph. (612) 0 /FAX (612) 447-4245 ~"..
An Equal Opportunity Employer 1(5) f1 @ f1 D [V C€ m
VlJ APR 1 6 Z003 ib
REC'D By
By_
---=--.
'T""" T'..--
FROM : SOUTH MECHA~, I CAL
FAX ~n : 952 492 2446
Ma~, 30 2003 10:26AM P1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
; ~.:;:; ~::; II'F.RMIT NO. '.::l --3-70 I'
J. YrlllJw ^IlI"IlCllnl L :::; 0
(Pkit.se tv:pe or print and 1.l2n at bOltom)
ADDRESS
/ 5 4/~,;z- '8/~ ~K. & ~ ..-
ZONING (0"""") i
LOT
LEGAL DESCRIPTION (office u.e only)
OVv'NER
(Name)
, (I\ddress)
BLOCK
ADDITION
PlD
A-1..e 1-;"+_6 4"('/l.o- 4~
~ 7 /!? ~ "-'~,-.s -4-....... ,O}.~ '..--<.
, (Phone) d-,;;J., t- -c:..C;';;",.;L
APPLICANT
(NameL L.5C'.:-<-r-L /'??e.e::;../,~,,-,'c......e' ~-/_ (Phone) 9;::;;P-9"7'..,;;l-e:?-:Y~O
(Address) 2/005.4:>. ""'o;;""::;;-~d ~ l../&>~c/__ ~,'-- ~:>".i;'G'..:>-
(Address) (Cily) (Zip Code)
(ConraetPerson) ~r7~ <L (Phone) b/Z.-2-Z-/-~9:9.s-
APPLICANT SIGNATURE ~a /'7<:::.<-,.00 .5;,4:..."c;;...-e.. DATE F...&::J -03
Quantity
.;L
I
/
.e,t
/
I
/
.:3
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
Bath Tub with or without shower I Rough-ins
I Dishwn.qher / I Water Heater
I Floor Drain I Water Softner
Lavatory (Bathroom Sink) I Sland Pipe (Washing Machine)
I Laundry Tray (lor 2 compartmenl sink Sewage Ejector
Shower Stall Backtlow Assembly
Sinks l3aekflow Assembly 1'e51
Bar Sink I Lawn Sprinkler
I Water Closel (Toilet) I Other
Type of Fixture
FEE SCHEDULE
Indu'trial, Commercial &. Multi.family 1% of job enSl wilh a $39.50 minimum R..identiul, New One &. Two.Pamily $99.50
Resident!.!, Additions & ,.,lteration" $39,50
(OrfiCf'lI"t'Only)
Estimated Cost $
Building Permit U
8lJ/~~/D &1n.....
1tva A' , Ii
'l:11A,frr
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,5Q
This AppllcRlion a.eom.. Your Building Permit When Approved I I Paid .
'~~I' ~t~ 0 ill ~ ]
DR It U 1 \
24 h&ur nntice for all fnt:pectlons (952 -94Ut-4-"P(~2?Q~-4~ fj)l
Receipt No,
J
/112 I
VI
Dulldlne Official
By
By _-------~
-T"--."."---r---
FROM : SOUTH MECHAt1I CAL
FAX NO. :952 492 2446
Ma~. 30 2003 10:27AM P2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
DOle Rec'd
(Please Me or print and ,i2l'llt bottom)
ADDRESS
/5'//~,,?- ~~ ~..... ~
:, ~~ 2:~ I PERMIT NO. '-::1..::;<"'10"1
), y,IIO\1l' "'p~IiCMI L ". J <...J.J /6
ZONING (olli" u,,)
LEGAL DESCRIPTION (office UIe only)
LOT
BLOCK
ADDITION
PlD
OWNER
(Name)
~~"- ois........... ~/:M- <'
(Address)
\
k7~ ~~~ ~"--<.
(Phone) ,;?--.;;)c, -{,o;;r~
APPLICANT
(Namel <...$?<.':/-:L /Pv..._~t<,~,....--<.. ~~~~(Phone) ~-9'-;p.,.:z-.~{/cj
(Address) 2./005 C:,;<C"'~p~c/ ~ ~~_ ~ SS3S-~
(Add,e",) (City) (Zip Co<le)
(COntaetPerson) ~/?~o/ . (Phone) c,/.z. --Z:Z../-5?~
APPLICANT SIGNATURE O~~"",!",~..cL:~ DATE .:::r"-.,:?t:?-e:J.3
APPLICANT PLEASE COMPLETE BELOW
,
l3WEw CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL A~ 1'/-/ ?", /04daJ6"'77-t.(.FUEL ,It.4.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OW.nn Air PI.nts
OGraviry
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices:
o Other Devices:
PLEASE NOTE:
Air Conditioner Units
Cannot Eneroach into
Roquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL __
Industrial. Commercial & Multi.family
FF;E SCHEDULE
I % or job cost Residential. Gas fireplace
$39.50 minimum
$99,50
$64,50
$39.50
Residential. Heating &. AlC (New Construction)
Residential, Heating Only (New Construction)
Estimaled COSt $
Building Permit #
Residential, Additions & Alterations S39.50
R<<idential, AC Only ~ ,o,q'D $39.50
~'J\tG Wtrlj
, ,o~l1tftr
(om,e tI.e Only)
$
$
$
r
This Application Becomes Your Building Permil When Approved ' IVild'(0 [E u lV U; ~l Receipt No,
Bulldln~ omelol DOl' W)D~fJN 0 2 2003 ,U II By
24 hour notice ror.n ;n'p<ctfons (951) 44' ~~~O, rox ~:~~-<l24~ "--' J
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
rtr/
iJ~
'm.'_. m~'_""'-r
t'RIOR LAKE
INSPECTION RECORD
SITE ADDRESS I s..y &.( ~
NATURE OF WORK ~~"'-S
USE OF BUILDING ~ .
PERMIT NO. 03 - Q'?t'?J DATU~~~D ~
CONTRACTOR ~roN ~ PH6NEIfI"~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARAT~~o~NT " DATE
, FOOTING I /f!i---' I \d:;!j',/
I FOUNDATION (Prior to Backfill) I FR Y':.~::::. I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1't
DEPARTMENT OF
BUILDING AND INSPECTION
CiMJ..
,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL I _
PLUMBING ~$ - Go 47
HEATING (if required) I fYff ~ --;7
FIREPLACE I PI? \>
GAS LINE AIR TEST \M.~ Ff I (IJ[) (ft-'1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~ I I
FINALS
1/ Po,
flIP
l)L
vf ItI6 CD3
LP-'f
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~&<~t~J..4:
HEATING rY/ l,
0/ 3.0 S
't-S-f:J '\ '
~11
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.
FOR ALL INSPECTIONS (952) 447-9850