HomeMy WebLinkAboutBuilding Permit 03-1412
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date ReI
9./0.03
l. White File I PERMIT NO
2 Pi"k Ci,y " ()3-.J. 111l-
3. Yellow Applicaot .,.,
(Please type or print and sign at bottom)
ADDRESS
25'30
CC\l'\~ ".?....+it
~.LJ
I I
ZONING (office",,)
fG Up
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 3> ADDITION j,t, ILiJ)
fi & L..'ltJ
PIDJ~t;Ao4-' ()4-0,O
OWNER Ou b' ,,-.
(Name)' Cf 1.\;jL'L
(Address) 103 'fU 1J\K.~,Ju
c. ,",l'l
3:f.<<..
(Phone)
912. "tfl.t~l{'-I8D
II1/( /1111
)> ~."-L
lZPw
F~l\\ i'\
\')~vf/
BUILDER
(Name)
(Contact Name)
(Address)
~
-tt- Cll L '1
(Phone)
(Phone)
TYPE OF WORK
~ Construction
~Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ ~ 1'5", 00 0 . 0 0
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 upon the 1'.....1'....) perform needed inspections.
x .- . Duo C'in't. '7~.t'C>
Signature Contractor's License No. Date
I Permit Valuation "'.:lfil!f I146,Od I Park Support Fee # $
I Permit Fee $ I ~5f5,75 SAC # $ 12-7~,0()
I Plan Check Fee $ I :~ c;-S; 7</ , I Water Meter Size 5/F(M) $ :~.OeJ
I State Surcharge $ /47. t::o I Pressure Reducer $ 70.00
I Penalty $ I I City SAC and WAC # $ 17-00.D 0
I Plumbing Permit Fee $ )Oa,(JO I I Water Tower Fee # $ --'00.00
I Mechanical Permit Fee $ (00. 0 0 I I Builder's Deposit $ ISoo,DO I
\ Sewer & Water Permit Fee $ 3's-, S- <' I I Other $ I
1 Gas Fireplace Permit Fee $ 'fO.OO I I TOTAL DUE ,~ ~O,jV",O? $~ q{)Cj. MI
I /
This Application Becomes Your Building Permit When Approved
~~
Building Official
~/d.
Date
Paid
Date
I ReceiPt No.
Bv
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
~ 0~ /()/~!tJ:J &~aJ!.f' ~
Planning Director I Ddte Special ConditioKs. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..- .. ~...:...
THC't.ftrofllF.t "'111'('0..1"
Whlte_. - ~ulldlng
~ - FI'!G'n_n.....
PI~ - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPI"ICANT
APPLICATION RECEIVED
[) l=~-f;, f? 8 JZ,DO iLe
q If}' 1(2
. . . I "J
O)fJ5TE___ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I
2-03 () tJ.J I) 0 AIL PA 11-+ t\) ~V
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J/J413
Date:
/0-/-63
Comments: -E""Rp.verse Side for Adr;litionallnformation!
-
See Attachment~. 1) Gr::lcling Pl::ln. 1) Fro~ion rontTnl Mp'lSl1rp~-
"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 jyrisdiction shall not be valid." ~
&~
<::.J!lUI.itp - E1uildTiUr:>
Canary - Engineering
Pink - Planning
rhr ('..nltr of th.. t..k.. ('ouolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DFER15JWO({h
q./O.O'3
.
C1)~.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application ~030tion ~iU 6MLoPop~ TI+ tJ vJ
t
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
'Z. . '-'2- -::J~.[) a... Date: /a/~/d '3
7(,,~ a.U ..,.A IJ~~
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 - F-n{l'ineering
""--Pink ~ - Plannin!!,
ThO' (-..ntO'. of IhO' I..k.. ("ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f){- tk't'//-tC(Cf/
c (vjTL .
, 1'-'
/. i { . (j /)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z0~3() (' CU6!11,-- I-AT1-t-
I
\-J
~) (,
Accepted
Accepted With Corrections /'
Denied
(lDvU
~ ~/-J Date: 1~4~?
A./J ~ ',#,,. tn, _ ~ _ A.0 A .C .
,
a-,... ';'.rP. '1:e-1J ~~.
d
I~
Reviewed By:
Comments:
" . \,.D
..4
'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."
€~:
./JI;'NESO'\'"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
/0. JO.O/
(Please tvDe or orint and sign. at bottom)
I ADDRESS Z @:so CtJU9/t~ p/t 77i
l. G,,~ FH, I PERMIT NO
2 y,lIow my '03-/4-/2-
3_ Gold Apphcant
ZONING (office",,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID:zs. 441--, tJ4<). 0
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
- APPLICA,WT....... \
(Name)--LV f f \ 1\) S-P~ Pr-- A-,^,~
(Address) $" 0'6<1 ~\. 11 \' c. \ 1\-0 \1.-
(Address)
(Contact Person) Loll\. C .~I)
APPLICANT SIGNATUREd-I~__
Vh--o
(Phone)
q r:; J. 47l....1-5 1 \,
~S?G+
- (Zip Code)
q 5:1 cn 1...,:1-3> t t...
I 0 - ~() 0 3
(Phone)
(Y) (11 A fu )
- (City)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC D PVC
Estimated length of sewer line feet
Clean out (if required) located at feet from structure.
feet
D Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'] & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
()J,/ f'/Z-
<<' 0 ~~
f gvDf/.
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .5lV"
$ ~
/'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
IPaid~
I Dt~, sO. D3
Recei~
By A~
r
.--
I
I
-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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FEE. ~('cEDliLE
{l'l~~~,:-:=!. Ccr::r~~:.ll J:. :,'("lltia(:mily (~'1. ot;oo Q:,it' .....ic~ 1 S::i9..50 minimu~
Rc::sicc:u:i::J. NC"'." One: J:. Two-F:.."t1il:' S;9,.:a
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PAID WITh
BiJiLDING P!=RM!T
PU.J1vCl3LNG PE~"aT fEE S
STATE StJRCH.-'l.RG!:: S
TOTAL PER."!IT FEE S
50
(i.)m-:t't.',cOnl:'l
Ta0::,-\.ppllr.:;!rdon BC1:om'=$ Your Br1ildin:; Per:J:li:: Wbc:n Approved
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IN I OJ~N I E1Wnldi,3ll,,()
m :0, m0C:-,C:-()ON
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
D:llte R<c'd
1_ P,~k
2 """"
] Yc!I_
~; I PERMIT NO."" ILl.,
A.ppl'UllI ~
ZONING (olli" ",,)
(Please: tv12.e or Drint and silm Jot bottom)
ADDRESS
'cr6::D ~ ~..\-h
ow,
LEGAL DESCRIPTION (officeu", only)
LOT
BLOCK
ADDITION
PID
OWNER.-.. n - 1_ .
(Name) ~ C~
,
(Address) 10340 V~ Do-- )::b IOS .
o
APPLICANT .
(Name:( .I: :"'. t:n'2lr>.~~.;:;' I-~,n. rl0,QO fl::::Q:,..;:, + S-'."_i:J',O~ (Phone) II 03.,3 i 5, 75CC
(Address)~IO \...)<.f:ml n} COlf.0; D'\rt*QC)' R-",0~,!2:lO ~<'l.iL/c::,
,., ("( ddres>l ~ (City)
(Contact Person) k' ,',,,)J . . (Phone) 'lG:3-315-75/("
-1./ _ 1/ ~
APPLICANT SIGNATURE 7L,1..<",.,./ -up/;,~.noQ'~ DATE ..-
~'PA~ /'nn
I
(Phone) qs;;) ~ '&:)q -'1'\ 1\
SS3YLJ
(Zip Codl:)
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE Af-rD MODEL . ~EL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA TrnG OR POWER PLANT
.. OWIlmI Air PI.""
OGravi<y
o Mechanic.1
OAie Conditioning
OVenL System
o Sleam
o Hel W.ter
o Radi.llon
o Special DC'iees
o Other Devi=
PLEASE NOTE:
Air Conditionet Units
Cannot Encroach into
Required Side Yard
Setb.cks
FIREPLACE MAKE AND MODEL '\'(\.0 l-on~ - D-l3{,;(\ R 0.
Ii
Residential. Hea'in~ & NC (New Construction)
Residentiai, Heating Only (New Construction)
FEE SCHEDULE
10/. ofjcb cost Residenlial. Ga3 Fireplace:
S39,50 minimum
599.50
564.50
539.50
Industrial. Commercial & Myhi-FiUTlily
Residential. Additions k Alterations
Rcsidenti.l. AC Only
539,50
539.50
Estimated Cost S
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERrofiT FEE
$
$
$
PAID Wi..,
,snJILDING PERMiT
(ome< U.e Only)
This Application Becomes Your Building Permit When Approved
(\uildin-g omclAl
J
24 hour notice for .11 inspection. (952) <147-9850, rax (952) 4474245
D.'"
\ Paid
60re 1 Ll nA
Receipt No.
By
~001lJ
---
A31GIHd 3~VHV~ JI1VNOlnv
~oLonC019 XVd 91':n 1'0/80/10
CITY OF PRIOR LAKE
HEATING/AIR GU!I....mONINGIFIREPLACE PERMIT
Date Rec'd
fPl<ue!.'l!'! orDrillt R' Iim atbotlDm)
ADDRESS (k;i,lAtl r
.J.l<?-o -~ p(1.f"h.
/~/~
i a J:.- I PERMIT NO-3 ~ i~ J 'J I
Ov,'/y \ II 1(1 .J
ZONING (ol!I<ous.) I
LEGAL DESCRIPTION (olllce u.. oaly)
LOT BLOCK
Av.."uON
PID
OWNERr..~ .
(Name). Lrf, j G::-h DI'I
(AddressUD3!::iO \/1 ~.~ D(i iff_I ~l j-\-e
{Phone)~11
\rh. J::rlPn..Qrlljrif...Mb.\. ~
APPUC
(Name) (Phone)"I06-~ 01
(Address).~lo). 'Ql1l't.h\Aew \J"l. VliAwu...+b ffiL-jlA"'\
(Addteu) I (City) (Zip Code)
(Contact Person) St" Vi. \-\11M\6Y j (phone) '1113.- 412..- ..}~I
APPUCANTSIGNATURE lJt6~Q,h; ~ n~~ . td1.~.~
APPLICANT PLEASE COMPLETE BELOW
J2Q.NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL .UV P Inn. ( 11 VYi f'Y FUEL ~ '>
FLUE SIZE .) " RETURN OPENINGS INPUT J.OO. 000 OUTPUT g} I otO
TIPE OF SYSTEM HEATING OR POWER PLANT
~Wann Air Plonts 0 Steam
OGravity ] Hot Water
o MechonioaJ ] Radiation
OAir Conditioning ] Special Devices
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, C......_ .:a1 &; Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.'0 minimum
$99.S0
$64.S0
Residential, AdditiOl1s &; Alterations
Residential, AC Only
(0IIke v.. 0aIy)
This Application Becomes Your Building Permit When Approved
Paid
$39.S0
~~~:~J
ity
~~
fl.,1J
~:eceiPt No.
Residential, Heating &; A1C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~L5~
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ qq .SO
$ .50
S 1m. {)()
BoI...l.. om,",1
Dale
0at1;}' tl ~:?
By (-1'
24 hour nollce lor aD laapeedons (952) 44M8S0.lu (952) 447-4245
16200 Eqlo Creek Avenue, PrIor Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS o?8~o &,(,,\<&Atl.. PA."'rtt N. tJ .
NATURE OF WORK NE aU ~r..)T.:loI 1C.Llc:r-,(U~
USE OF BUILDING ~.F; D .
PERMIT NO. {)3-.j41L.- DATE ISSUED 0
CONTRACTOR ~ CA'.'~.LJt.X.. PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN'E~OR
I FOOTING 117
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~lfh
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
1
I
SEWER I WATER J SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) v
FIREPLACE I (J.~
GAS LINE AIR TEST I ('j~'/ _
COVER NO WORK UNTIL ABOVE HAs BEEN SIGNE~~I2.~
lLk"'f\E Jd.Lu.Td.ft:O S1mNC' I I I
.
FINALS ~
tI!r
~t"Z ?e0
{
/2- -I? __
GRADING (Prior to Sodding)
BUILDING T~ -I-. 8- 1-0 V
ELECTRICAL
PLUMBING
HEATING
DO NOT
7, IJ.O +-
7-2'7-01
fA Ie.
~
1~/ t ~ f-&-!
I
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2~~O C~./ pG-M-t
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(:.,0. ,// - /) K.
DATE TIME
)-Ir
[)u".~'"
O~I"11Z.
Jl4x.l&:o:.1It,'ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
J6 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: #i?,~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
''-T1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-27 -01
\
ADDRESS ~ <(") (lOJr
OWNER CONTR.
PHONE NO.
PERMIT NO.
:5 -I'll?
o FOOTING
o FOUNDATION
o FRAMING
91 ~NSULA TION
_INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
+r:;.~. 9-~- 'i1Ac:.puf-.'l-YY1 ~
(l-;i 00 ~"'2. - </1./"'1 -qe '3.'"7
. ~1- ~ f\t~ .
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f) t:::...
,-.,.." If
~t!~ +.'I.....-clAVA
o WORK SATISFACTORY, PROCEED
XCORRECT ION AND PROCEED
o CORRE . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
c
Ii
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~O.f9Il_ THO: NgX,T IN~PECTION 24 HOURS IN ADVANCE.
lNSNOTJ
2j1'bt~
U30 r iJu(,~ {> /,a:h;-
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
Jt. PLUMBING FINAL
o MECH FINAL
COMMENTS: .
-1" ~~ .W~CVYJ!tW'
~
DATE
TIME
"7-\ J 6)
~ ' GY t1-
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-\- ~D e' Vl-t'V"
-1-- VJ..f)y-,rdJO-~'t?.-., (A~'~~l~
l~f.Lk~,
Ii
').v~
,II L un., ,:-:t- JLI 1)., ~ ~.
-..... - ~ .~ J
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!