HomeMy WebLinkAboutBuilding Permit #03-1251
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
\ 'l/uiJJJ
---L.52~ {A~('\LKJcvL
SCHEDULED
3 P "'"
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 - IZ-Sl
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.4' FINAL
1"0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ lo~ \?~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
41<
Inspector:
Owner!Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
/NSNOTl
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11- A "" ~
ADDRESS (S;L<)~ W~ ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
/ - 17~-/
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 EXIGRADIFILLING
o COMPLAINT
;a""FIREPLACE RI
o FIREPLACE FINAL
$GASLlNE AIR TST
o
COMMENTS:
/'
~RK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
'7' CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CAL 4 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE iEQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_n
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ty[)e or print and sign at bottom)
ADDRESS
J ~t9 55
(.J ) iJOd.d.u c.i:.
;r;. Cl-I '/
I. White File
2, Pink City
3 , Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT ~LOCK Lf ADDITION Wd{!t; ~
OWNER
(Name)
l\av€J Sa-Ie;
/5',:2 S5
/IJ
BUILDER A Ii /l . L
(Name) C/O//ef.~ C~"'r
,,-,q:re~
(Address)
(Contact Name)
(Address) 7 c;~O
TYPE OF WORK
o Misc.
W /Jaol~",,~
/:.J /1? ~ S
/-Iu..$ s t c.I.
.
, 0
LaJt'.y~/1e /J/v/.
o New Construction
~Lower Level finish
(Phone)
~/
/ /'dl
Date Rec' d
y'-- /?-v3
PERMIT NO. 03 - / d.-.5/
ZONING (office use)
PlOdS - 3 gd-( 07-{)
(Phone) 95,;( w ~(l9-~ 9(JcJ
(Phone) h
~'()'I/) /'4
h1.A!
h
I,
ORe-Siding
PROJECTCOST/VALUE (excluding land) $ t5l~ t1tJcJ
OUtility Connection
DDeck
~ Fireplace
DPorch
ORe-Roofing
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
enter upo e property to perform ne ed inspe . OIlS.
Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
':3tJtJt'J, OV
7"'~ 75;
1,~O
Jj CJ, 00
'-/{) ,t)O
This Application Becomes Your Building Permit When Approved
~~~
Building Official
9;/~3
/ - Da(e
OAddition
o Alteration
9-/7 "'03
Date
# $
# $
$
$
# $
# $
$
$
$/5(P~5
\
Receipt~o, qs- ~3'f
,do ~ "j", ~-n LJ
By to..f"'_.~- L. ~
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
LJ~ - Jt9. () 9
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter Size5/S"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
.1\~O~1
ewti.\t
I Paid
I Date
1f;~io~C;;
Date 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
GENZ RVAN PLUMBING AND HEATING No.3925 P. 3/3
Cll i OF PRIOR LAKE Date Rec'd .
HEATING/Am CONDITI0NlNG/1f.lliEPLACE PERMIT
~,=n~!:. . PERMIT NO. 2_/ '5/
3 V.llow AppliRnt J c7
(Please cvee or pnnt and. s1l!J1 at bOlIl:lm)
ADDRESS
\ 5:2-9:) Wf}(}{ l?JIA0JL T IV .
. ZONlNG (officc:wt)
LEGAL DESCRIPTION (oBlce we owy)
LOT BLOCK
ADDITION
PID
~~~~Dll.eqt (A 11A ~.S
(Address) 7C1dD l.dJaVll [t
g/(vd,
f
(phone) qfl1- ~0qJf!lAn
I a )())/) J ({. VVl ill 0Z;TJLf L[ -
- .!.-
(phone) t..ol7JI-LJ2~{ /44
r J)~VJ.1rnAYLf- ()1 JI) ~~l'4?~
. (city)' (~p ?o~)
(:phone) (J07 -{-!2-3-1 (Ljl/
DATE ~ -I", IJ'b
~;;~~ANT 8-eb1 ~- ,Q,ua J;v
(Address) 1~7j-i6 5~. ,2J)fQe;c)- 'T}2) .
(Contact Person) r~ nJe (s~~ddre~ lis /l
(11 A A ~..---tZ; 0 f./'?
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT JK AL TI:RA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA11N'G OR POWER PLANT
OWann Air Plants
o Gravity
o Mechanical
DAir Conditioning
aVent, System
PLEAS:E NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
R fr\') p n "n ! c: '\
. :2!r~\~\!\~!\C~
-. lii)~ U-'-, ~ -- \1
FEE SCHEDULE Ii c", \ I
l%ofJobcos! Residcntlal.GasFireplace l,\JI'\ OCT 0 8 20~9.~
$39 50 mmimum -
$9950 Residential, AddlttOns &. Alreri..tlons $3950
$64,50 Residential, AC Only By ---;--------~
{., fa
jj as VI. VUL.
~~? la.<l-e-
-- ~t~dt1 v1~ ~
0od-D
o Steam
o Hot Water
o Radiation
o Special Dev1ces
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multt-FamtJy
ResidentIal, Heatmg &. NC (New Com;tructJon)
Residcntial, Heating Only (New Construction)
E9timated Cost $
BUIlding Permit #
REA mTG PERMIT FEE
STATE SURCHARGE
TOTAL PERlVfiT FEE
$
$
$
.50
Inmce Use Only)
.tis Application Becomes Your Building Permit When Approved
Paid
Receipt No
PAID VitTi; -
d:P1suILDING PE8MIT
V
Date
Building Official
D de
24 hOLlf notice for 9.illn.spcctioD.$ (952) 447~9850. fax (952) 447-4245
SEP.30'2003 06:28 651 633 8884
PI RES IDE CORNER
#3598 P.OOl/OOS
CITY OF PRIOR LAKE
H.EATING/Am CONDITIONING/FIREPLACE PERMIT
Date Rcc'd
I. Pillk File PERMIT NO. -3 -/ J t:"" "
1. GtmI Ci,~ 0"-- J
~, y <:ll~", AF'PlieMlI.
(PI case T'VVt! or llrint ,1nd siJr;J111l: bottom)
ADDRESS ZONING (offir.e IlSC)
15255 WQODDUCK TRAIT..
LEGAL DESC~TION (office use: only)
LOT
BLOCK
ADDITION
PI.D
OWNER
(Name COLLEGE CIIY FfOME5
(Phone)
(Address)
APPLICANT.
(Name) ALL1fJUl.MSlPE D~i..&..HOMr::
(Phone)
(l51-fi33-25~ t
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
ROSEvItLE
(City)
5511 3
(Zi p O:lde)
(Conract Person)
BRENDA HUSTON
(Phone)
6S 1-633-2561
APPLICANT SIGNATURE
BRfNDA HUSTON
DATE
9/~O/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
mE OF SYSTEM HEATJNG OR. POWER PT...ANT
OWQnn Air Plan~
DGravily
o MechllniC31
DAir Conditioning
OVenr. Sy!:tem
o Steam
o Hol WorCl'
o RlIdiotion
o Special Devices
o OrJlcr Devices
Pl..EASE NOTE:
Air Conditioner Unit.':!
Cannot Encroacb into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEt
HEAT N GLO SL-7S0TR.C
Indul'triaJ. Commr.:rci91 & Multi-Family
FEESCHEDUI..E
l % I)fjob cost Residenri:lI. GllS Fireplnce
$39,50 minimum
$99,50 Re~idential, Additions & Altcr::lt.iOM
$64.50 Rc.,idenriol. AC Only
$39.50
R~ident.i:1J. Heating & NC (New Con9tructjon)
Residential. Heating Only (New ConstrUction)
~tim3ted Cost $
I-lEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUilding Permit #
$
$
$
$3950
$.39.50
.50
..ot~.A
~'1~ .r
<,).
1,1).
<,~'lh "
..". Iy
. .:::z.?t
";~!'.,."
, .
(Of'fh:l! u~ Only)
Tbi~ Applicatlon Becomes Your Building PermIt When Approved
Date
DC
I Receipt No.
i'" "",IBy (V
\J t) iJOJ I /1
Iv Ij
v
I
",' J
Paid
Building Officllll
DAt(!
24 hour O/)~icc for AlllnllpectJon9 (952) 447-9851), fll~ (952) 447-4245
, l'
,or 1
2003 2:33PM
GENZ RVAN PLUMBING AND HEATING
No.3925 p. 2/3
Date Rec'd
CITY OF PRIOR LAKE PLIJMBING PE~l1T
(;,ll!~ tYll~ or print and 'Utn a.t bottOm)
ADDRESS
\6G(~'5 \~ TYlA{!;k::- W.
~.:I: ~~y I PERMIT NO. B --- }:J'b ./ J
;, Yel\I>w Appl.oant
ZONlNG (ollia: use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
Pill
~~~~~ANT 8eilYZ- Y<Maw
(Address) ILfl ~6 \, \. - Jljflotd W.
/'0 (Address)
(Contact Person) . ~V1 \R j S~ m.l LS ')
APPLICANT SIGNATURE ( ~( ~~.2J/)
&~R r/dl.~~ ritu '.,Mf~ .'
(AddIeSs)1tt;}() I (J_b~ 17/ ft- '01 vJ. -- LaW/Ire -- }IY1 V) Pj'J[)tjq
(Phone) I QlIJ1- !..J2r3--lJ LlLJ.
.. /2J) ~ VlI11JU01 ( VYl J7) VJ5[)(ajJ
(City) (Zip Code)
(Phone) lo~)- ~2-3--11-L/L1 __~
DATE IJ /~/-1lO
(phone) Pl vi2-'-1 tot/f -1t;t{(J!}
APPLICAt'JT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I Type ofFi.'l:ture
I Bath Tub with or without shower I Rough-ins
, Dishwasher I Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I I Water Closet (Toilet) I I Other
f, hi 't> 'h 'kJw~ LtuQ,{ L?tl th -4- IhS-la! I 19tt W ~1 n k.
. FEE SCHEDUrJt
Industnal, Commerclal & Mu]t\-f3ouly 1% of job (;ost \\Ijth a $3950 minimum Residential, New One & Two-Family $9950
Re::1dential, Additions & Alterations $39.50
EstImated Cost $
BUIlding PermIt #
~R(i0\Sn
-'L~ lr; O~T : ~ Z003
...---~~
'.. ~
Il
"
1\
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTALP~YUTFEE $
50
comet Use Only)
Thill Application Bec.omes Your Building Permit When Approved
Paid
By
Receipt No
--------~J
Date
-
By ( l-
V
PAID WITH
BUILOING PERMIT -
Building Official
n :l,[e
24 bour notice for all inspections (95~) 447-9850, fax (95'2) 447-4245
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~~ Date: 9-/1-()d
Building Permit #
Site Address
Pill:
Zoning:
I 5" ;Z 5 C {Lbt;d OCvttu;;;J1-J
Subdivision: ~ ~
Legal: L,;;L- B
i
E:risting Structure: YES or NO
CONFORlvIS TO ZONJNG
o RD IN' AJ.'{ CE
TIS
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
~o
Is the property located within the flood plain?
Refer to Planning
(0D
NO
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances othel" than patio doors?
Refer to Planning
tJo
Is the proposed use of the finished space or
alteration for anything othel" than a normal single
family home (office, group home, day care, e!c,)?
Refer to Planning
t-lo
THIS CHECKLIST MUST BE COMl'LETED A.l'fD INCLUDED IN THE BtnLDING PERlvllT FILE TO
MAlNT.-\lN A RECORD OF THE REVIEW,
T '\T1=~,~T ,~TF\ALTCriC(,DOC
PRIOR LAKE
.
INSP,ECTION RECORD
SITE ADDRESS ~5'S'" WOO/)/JIA.cJ;:, T..
NATURE OF WORK ~ '- C1- 1!.p
USE OF BUILDING ..5 F
PERMIT NO. M - '- ~ ' .P.r-Tf JSSUED c'i - 18-03
CONTRACTOR (~ ~~ -<!!-I r\.L PHONE ~,--t;. ~t;I'J(j
~OTE: THIS IS NOT A PERfliT FOR ANY O~ THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING. AND INSPECTION
INSPECTOR
DATE
~
J
I
Bilc:~ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING Ph' ,~
INSULATION ,
ELECTRICAL I \
PLUMBING I
HEATING (if required) ( J
FIREPLACE ~ /tJ~ t<:,
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
{,l/~V1~
r/VL-
lh/ut03
/A; P JAcM
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
-r 1