HomeMy WebLinkAboutBuilding Permit 00-0526
DATE RECEIVED
~/9/o0
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
...
'i1.,
Permit No.
. DIRECnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1~Zd-
3. LEGAL DESCRIPTION
pl./
l<;;:i
S~f~}{,,!
BUllDili~ORMAnON
11. SIZE OF STRUCTURE
(Height) (Width)
1. DATE
~ -R"--o~
leI
~~L~Uk/
(Depth)
12. NO. OF STOR~
13. TYPE ~NSTRUCTION
.r-#te~
14. FL'OOR AREA APPORTIONMENT USE
BLOCK I
~d?6 M4
1 -
PID 2tS-3~- dZ/-O
r~1
LOT
ADDITION
4. OWNER tI~ ~ ~s,-
5. ARCHITECT (Name) , ,0 (Agd,,") /. L ~ /
/~;p ~. C?A.?(TT /r~
(Name) /&,1// ~ / '" (Address) ~ J;J ? (Te.. No.)
Pl(S-~337
Deck c:J Re-roofing c:J Porch c:J
Finish Attic c:J Re.slding c:J Finish Basement c:J
(Tel. No.)
(Tel. No.)
6. BUILDER
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK Fireplace c:J
New constructio~ Alterations c:J
Chimney c:J Misc.
8. PROPE~EA OR ACRES
Sq. Ft. ./ ~~
I hereby certify that f have fumi
the above mentioned property
building official can revoke
Septic c:J
Addition c:J
9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
(Width Depth Yes No K q;P &J p~~
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
that all construction will conform all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
it for just u Furt~r ereby agree that the city official or a deslg? J".:. aYlfnter pon the property to perform ~ i~.
~ - ~/ ~f-(;p
License N . Date
x
/
/ f
MATERIAL FILED WITH APPLlCAnON
SOIL TESTS c:J ENERGY DATA
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
c:J
Front
Back
Side
Side
PILING LOGS c:J PERCOLATION TESTS c:J
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS c:J
SURVEY 0
SETS
COPIES
~~D
USE OF BUILDING
133~M:). 00
PLOT PLAN
c:J
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $~.:2 .25:
Plan Check Fee ............................. $ trIo 3. 'i {,
(g.V .~LL
Amount Brought Forward .... .... . ... .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . ... . .. .. ..... ... . .. ... $
Sewer Tap ................................... $
-; L It $
Pressure Reducer ...~................... $
Meter Horn........................ ........... $
Water Meter ............................. .... $
Sewer & Water Connection Fee ........... $
City:
~.oo
': I OJ:).C!'f'l
State Surcharge ............................. $
'15.0(:)
"' I ~C;,,~
I l '200 .oS
'loo ..00
Penalty .... ................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
U!>o .. ~O
(d" .(!)6
55 · ~ l)
:f~ ~
:1 ilfi
?-'
(1. .
Water Tower Fee . .. . .. .. .. ...... .... . .. .... $
Water Tap .................... ............... $
Builder's Deposit ............................ $-1 t ~ao ~ ~
Other ......................................... $
Total Due .............................. $ ~ 5"~" Z. /
,
Paid '1S'"s-eI.z,( Rece~P fl. ~1
Date r (}l) By -
I the request in the.- application and aa:omponying documents is in acconfence willi the City Zr1rWlg ~~ and may rxor-J' Rlquesled. This -.....nt wilen
Planner constitutes a te..~w.dYCet;e~~~,~~ C01 ~ Issued.
City Planner Date"- ~ Special Conditions if any
24 hour notice for all inspections 447-4230
Issued
~
) j 'OSuP
The eenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HoI16S ?o/ (!Ifll ~.
fo/q/OO
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4424 JeAVF;N ~OUK-/
Accepted
Accepted With Corrections ~
,
Denied /:;;{J/fJ /
Reviewed By: ~~ .A Date: -f.. 2~
7
Comments:
J. ~ oLl Dw:k~ ~
2. t:"\~f P\~ ~~ \A-e\.. '^~
liThe 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."
)""f.'~; 11
";. ,; ,.,..~. ->..-..,.,....,-~,:-,..~"'.',...
.,----------. ,--~-.
OD- D5~(P
The Center of the Lake Country
White - Building
Canary-engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)-/{)/'vl e 5 t3 t/ t?!lfi ~6-
. 0/C;/(/0
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4.424 f:!1} l//~I\J C () c//C, I
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~~
/
Date:
~- L~-GO
Comments:
,2t.{ pr }J ~~ ty~ ~ t::A. .~. ~~ .
"/}~'1 L1vte J- ~_ fl. D -LJ \{ c ~ w6 ~
~:I"
liThe 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 tQ . give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
GllEEN - Pa.E
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE S.W. No...an - Os:....~b
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: :r l2- i ~ PHONE:
ADDRESS: "1150 f)c:J.. i~. ~ ST \JJ Nclri.hhpJd.DATE: "Lj I 't! (J()
SIGNATURE: "- ~ ~ .!. _" _ 5505'1- BLDG. PERMIT # 0-0 -OS&6
SITE ADDRES~4.Q ~nrr-~ PID#
FILL IN THE BLANKS
1. Estimated length of water service
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
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application ~es your,permit when approved.
BY (J Q~ '-f /~ DATE: '1 /1 ct/cJV
==~===========~===============================================
FE~ $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $}9.~ 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 insure that no duplicate sewer and water permits are
DATE PAID
/
/
/
REC'O
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~ Of-
)O'05I~
Thf ('fnlfr. of lhf Lakf Counlry
White - BUilding
Canary - Engineering
Pink " - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
H{)jv/6.S t3l/ (JIIII~.
. j j.. / -
. "ro q 00 ' '
I. . I
'The Building, Engineering, and Planning ,Departments have reviewed the building permit
application for construction activity which is proposed at: ..
/4424 ./fAt,;/f:,N C.o U/cl
Accepted '~ . Accepted With Corrections
5P.. Aim~/l1e,,6: I. 17;,./ ~tIe .z;,s;;~e~;H ~6noutf,;'" ~. 6~; /1_
cJ. Ea,/~lfaltff,,1 JlkAJlirt'f, ~ GrH-'dII 6~1n/ /tr"
, .
liThe 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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0\1 r.: ., .
..
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..
o RSAT. TEST,
Job Address / ~ fbtJJ;N, t'-'r
;# if )"..
Heating Contractor ~1=!f fl-J;-fTlN;-- ~ :
pate q-/~-oo Pressure ~,..$"
t'
Percent 02 7 %
Percent C02
19~
PercentCO, ~I "
. ." . t
SiockTemp 1l)~:':~J '
. . . _ . _. '...JooL... -._.._.
'.
. ~
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11111' , J ~II ~i ,I. f f fll t ~I' .1 ~~'
III :^ .::, f . 't-. . " .. -I ~~ rOo'
\ ~ 011. S) ,...~..t. . 1--....
D o. ~ ~I ~..t..o(]
i . ~ __ $) _ Ln tn .; ~ ' :t:! ~. .
- .. ?.. f i 06", - '0 ~.C\i ~ ~ ~ 9. . - ~ C I
o ~ . ~ C ,t, . y ". i ..c. 0 a
o ? "i:: 0 ~ ~ ~ ) ~ 0'" ~
· J II! g I ~ L .' ~ ~ ~ ~~f ,JIi
-I J If'.' III. .'Jl ~~.. ~~~II.'
i~ ? . II 'IJ 'F ~ 'ryJ. jrl ~ l-
ei) ~ ;J ~ ~~ ~ ~
rl\=4 11 ~ I ~ ,~:}.. IJ
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'-i 1!,I!11 ~ I~ir :!! I, J J. I J
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r' It II I i Ii , J t ! IIIII ~ I.
p ~~ 111111. _ illl I I I r, ~ !
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.{~-;O ,f 1st.! ,IIJ I' f . ~~~
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__ _.... ~ ...~ . \.......n.~' I~... "'.. ...,.....
~d W~0~:90 000c 60 '6n~
S9S8~LVct9 : 'oN 3NoHd
J/~ pue 6ul+e~H ~3a~S : Wo~~
10/21/99 THU 13:14 FAX 6124474245
CITY OF PRIOR LAKE
141 001
$~ Lln 7 CITY OF PRIOR. LAKE ~ ~l ~l;-
{) ~ ~ II ~ \ t5D PLUM ING PERMIT # 60 - oSZkJ
~ APP6cant:~ Phone: 47;:)-a I;:) /
... ,"",.. .. .... ,... c_" Address:~) b ./
Signature:
,Legal Description: Lot Block Sub
Site Address:. \UU2L. ~(J)/U\ Qk;
Building Permit # 00 --O~ PIO# zr;,~- O'2..f-~
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity ..'
Type of Fixture Quantity
B- Bath Tub with or without shower 3
I Dishwasher f
/ Floor Drain
3 Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
r Sinks
Bar Sink
3 Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing maChine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
IJ n:'l @: !c~\ I
0'..'.
$
$
$
$ .50
This permit is granted upon the express condition that said
contractor. shall com I i I rC5pccts with the ordin41nces
or the St:atc Plum nd the amendments thereof.
-' o. j.i.DO DATE
^ I l a::.ST
I
Call for all '
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447~4245
An Equal Opportunity Employer
PRIOR LAKE ...[)EPARTMENTOF -.~
... BUILDING AND INSPECTION
~
INSPECTION RECORD
SITE ADDRESS J!:JLl~t./ ((o.V~ ~-
NATURE OF WORK W.eu.J
USE OF BUILDING 5~D
PERMIT NO. Of). QSZ(p DATE ISSUED ~ -'23~2tx:>o
CONTRACTOR ~~ ~ C~ct.Q_ PflotJf& Bt::tS-.<;33j .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THEfl,N1SPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMEN <,-j
FOOTING Iir~CfOR 7/11;;;
.-'II" ., /'
FOUNDATION (Prior to Backfill) h, -1//94'd
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ 7.~. 1
FRAMING ..j; yYi;1Po
INSULATION ~~ ~ WtzJOd c9 ~Lz3'# ~. V.&l f/m~ ~
ELECTRICAL l v ·
PLUMBING ?p lr(;;Jp
HEATING. (if required) l.r:d.f);/Sr~J
FIREPLACE · ~ ~
GAS LINE AI.R TEST ~ J ~a4J)
COVER NO WORK UNTI~ ABOVE HAS BEEN SIGNED
-
GRADING (Prior to Sodding)
BUILDING l~bU-'-~
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
-~~~
/0-2 g-tJO
9/.-1d7~
; 4t -z'. --zt, 0 t!)
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 apprQved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 ~:P& for all inspections
FOR ALL INSPECTIONS (612) 447-9850
l2f'
ItrtiftC8U of <Occupanry
CITY O~' PRIOR LAKE
lDepartment of .uilbing Jnsptttion
jJ!Final P"...litted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issU/Ulce this structure was in compliance with the various ordinances. of the
City of Prior We regulating building construction or use. For the following:
Bldg. Permit No. 00-0526
NI A _ Zoning District Rl
Use Classification SINGLE FAMILY
Occupancy Type R3 Type Construction VB Fire Zone
L21, 11, DOl BILL ~.a..t ~t'1 ADDITION
Legal Description
Owner of Building . Site Address 14424 B.b.' &f COURT
;
Contractor'sName&AddressBOMES BY CHASE, 1668 E. CLIFF RD., BUD.)t.a.LLE, HlI 55337
. City Plan...." .
Date:
Date: .
POST IN A CONSPICUOUS PLACE
DON J.\.l~
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
/J -
SCHEDULED /O-~S...a> II .. I
/Lttp,1.f fl(~ue./V(1T
DATE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o-s-~~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ ~ I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~
~J-
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREwR ,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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED '/Z-~ 9r~3(j
~J~ 0,
ADDRESS J 4 '-I 2... c...{
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ-sz-~
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL "W' PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTIO /0 MECH FINAL 0
COMMENTS:(D ~ Rcrr ~ J
~~ \ t( tJ. c.-Q., ~
LQcd-. t.J. ~
~ ~ A.~()~~-
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
.. :S::ECT~~ FOR REINS::::n::FORE COVEmNG
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 14:121
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
rY FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
ItJ-Z3-t(}
Rail'&! ~4-c
CONTR. ~S ~ C),ttfe.
r
PERMIT NO. ..1V- t;Z 6
~ EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: AJrzt1;. ~
~'ettled1PA'J-t ~~ t:J,~ ~V1dq;t7dv, of tIze
hOlY/41, ,}"N, fp IJ)4*~ I?~ S?d. B.bll.Q 7drJ
)., fm? L. fi'~./YJer tJ,d rIJf ~.JIJ1fLJ bAr k,.(J-I/ in
tbt- J2d1J'
~
i; ].I
~
i WORJ< SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspec\~ Owner/Conlr.
CALL 447.9850 FOR~NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
::J IDA TEJ _
jjz~~
., <4- z. t 4\.GIJ Cr
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
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
,-~LUMBING FINAL
;s..MECH FINAL
COMMENTS:
-\""l) ..
_r" 'L)..v.~
~ ~~J-,~~. C. ?K
TIME
2~00
(5 ~~.s2-Ca
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~.
~
~ORK SATISFACTORY, PROCEED
A60RREC T AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~.152~~41-q2
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE
TIME
~7~
CITY OF PRIOR LAKE
INSPECTION NOTICE
9' ,Jf/{/
I~ 2/~ Lj.. ;<evue)J d
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-- ~d-Io
o FOOTING
o FRAMING
o INSULATION D:J/dt-
;Jl(ElNAL p
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
\. ~~\ ~~Th.<;(pA\tlA \aU \1.\O~~\;g .~\~~~
Z.~ ()~k~ ~_ ". U
-r. ~.()-;- , ............ ~""c:!J, fR.o C;.
, .e,""''r
(l.~ 0
k -/~ ~~
II-I-~
-~
y
Owner/Contr:
230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl