HomeMy WebLinkAboutBuilding Permit 03-0880
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
6- /0'&3
: ~j~:' ~::, I PERMIT NO_6.? Jl12aO
3. Yellow Applicant ---J..- ~VflCl
~lease ~e or mint and sign at bottom)
ADDRESS
'2M;).. ~~'1-CL\ \ W 'Yn'OiL \.A-k
I ZO;fcoffiCeUSeJ
, LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK \
ADDITION
\he..
\tJ \ ~S <';\>..\1-\
PID~- :3f(J.~003-q
OWNER r-\) ()"
(Name) - ~Ll7JItTt.
(Address) ~I
BUILDER S) f'r.. f \ I
(Name) tt;\'A?Jr.+r -H()~ ~-
(Contact Name) rff)-\~ \ 12...0.'17J4.f(' (G.~
(Address) ~.l),~ \BS d!i13D ~O\~ ~
ft6l\^.9o.Jk. .
(Phone)
(PhonJ~)~S-~Sg
(PhOne)~<:l) Q"l5-41/1)
~\ \\a. M ~ S5Dlf'-!
TYPE OF WORK
~w Construction
DLower Level Finish
DDeck
DPorch
DAddition
ORe-Roofing
ORe-Siding
o Fireplace
DAlteration
DUtiliry Connection
DMisc.
PROJECT COST IV ALUE (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 that the building officIal can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty officra1 or a deSIgnee may
;terurJeQ;;t~rfQ;t~~ ~\b~3D' ~!4}63
f SIgnature Contractor's LIcense No Dlte
I Permit Valuation /'i?dJXlJ. - I Park Support Fee # $ ~50,-
I Permit Fee ""5~,q5 $ ,t..i/UJ.., 16' I SAC # $ /d- 75"". -
I Plan Check Fee $ - 9lftl, tlriJ I Water Meter Size 5/8'~ $ 3 C"X'J.-
I State Surcharge $ ClI. O() I I Pressure Reducer $ /](!), -
I Penalty $ I I City SAC and WAC # $ J~OO.-
I Plumbing Permit Fee $ 100,- I I Water Tower Fee # $ 700.-
I Mechanical Permit Fee $ /0('). .- I Builder's Deposit $ /5'06.- I
I Sewer & Water Permit Fee $ 35,,50 I Other $ I
I Gas Fireplace Permit Fee $ i..f () , 00 I TOTAL DUE tJIiuf1:J 7. '1.-. O:J $ .8"bS-R.~r/1
/ J
This Application Becomes Your Building Permit When Approved I Paid J'~So./' I ReceipWo. "r"fY'tf
~ -7Jr-- ~/.7~/O7 I Date 1. 7.0< By // _.
U
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 I
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
~ ?~.;;~ 6/30~:J /2-.d2d..of..( ~
Planning" Director ; Date Special CondititCffs. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
cWhite - BuildinQ:)
Canary - I::.nglOeering
Pink - Planning
TIl.. ("..nIO'. or Ill.. I..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~t.h.J~ ~
APPLICATION RECEIVED ~ - C/O - ~ ~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio;c;~:;~ is ~e;;r ~ .
Accepted
Accepted With Corrections
../
Denied
Reviewed By:
~ +-".(;p
R~ aLf
Date: h/'JtJ/o~
, ,
~-~~
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
White . Building
Canary - EnQineering
- 3..k - PI~~~~~
The (fnlfr of lhf L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I <
1
.-/
,
,
/)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I I.
e,.:
.C.j
Accepted
Accepted With Corrections
~
Denied
~
F
~~ ~f-..
Ai.e. ~
A1.d-~ .
Date:
{,/YO/O 3'
Reviewed By:
Comments:
~ ~A-->>-~i...
A : ~O"''''''
"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' ('..nln of lh.. I..kr ('OI.nlry .
White - Building
~~!I~~Y - cn9mode. ;II~::>
Pini<' - t'lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
APPLICATION RECEIVED
r/ ,;<-'-,J' I. fi
, ;, ",~i J/.-:i /.
! j,l, <!_-~ ,t.'-,-~/)'
"f f I
j,'"
_ . / I ..
,c?' (j j
\
I
\ ' I
f\, -: )l:)~/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr~posed at: '
"/1) ,-1 /,1
j ,> /1 j - .0'/" ,\ j, ,. l' ., /,
.-.......,..' '>~ ,',," .-../ \V 'i /r" (j( .,:~,.L-"L.L(,(_.~{._"-___I
t ....', (~, '-'"- ~../ '.. ". - _
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
Comments:
~lrlL..J\ l Date:
,. \-
Drivewav Must Have A Concrete Approach
CQ{I?;{6\
See Reverse Side for Additional Information!
See Attachments: 1) Gradina Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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."
Job Address ~?{f/2Prkrd--IdJM
Heating Contractor Controlled Air
.. Name of Tester r:b
Date ~ioS,h, ~
Percent O2 h.g
Percent CO2 '6.7
Percent co ()
Stack Temp. pl":P
.
....
- -- -- -~.-._- ._- -- -- -
.____ _ ___._. __--~~ ....... ~l\.l.'-Jrt
L.;l.~KE
4iJ 00)
CITY OF PRIOR LAKE
REA TING/AlR CONDITIONING/FlREPLACE PER-MIT
Date Re.c: d
l. ~I"..
2, Gt..~
). Y~IIO'<'
~:~ ! PERMIT NO. ;:) -yrlo.
".1'?1\;~:' 1..) U 1
(?!e~se C'r-ve or :rr..ot 1L: n~ acbc:-..oiT..~
, ADDRESS
I
i ,~t;,>4-Q ;l?'r,hr:n f
~//
I ZONING 10",,"',,)
I
I
LeGAL DESCRIPTION (office u~c: 0-;-.1)')
LOT
BLOCK
ADDITION
P!D
OViNER ,p . () ()
(Na:n<)^4f-:2'/,Q J!.I':'
dlne_\'
(pbone) q~5'''- ~:t;S'q
(Ad<i.!ess)
i APPLlC~'iT
: (Name) (';"',.,f/,Cl/lrcr0 (///1
I
(AddTCSS)..,'?/;J/1i r:nln~~l!~ .
(.a.c.d:e!~)
(Phon<)
-slt:(') - hO;.;1::>.
<c:r,.;)Lj
(Zip Co"-'l
rr~
() (City)
CCOflUC( Pcrsor:)
~'r:h
--;Z:Z::rtJ$
(Phone)
DATE
R - h - (\'<
APPLlCA..NT SIGNATURE
./ APPLICANT PLEASE COMPLETE BELOW
pw CONSTRUCTION n REPLACEMENT 0 AL TERfl_TlONS
. "liR"f.CE MAKE AND MODEL 7/171..)(' ~;(o20 FUEL A{,q!-
I If ~. -
FLlJE SIZE .\ RETURN OPENINGS g INPUT go r/X"') OUTPUT? ,) h()(')
TYPE OF SYSTEM
HE....TING ORPOWERPLA.NT
os,,=
o Hot Wal.e;
o Rndie.tkm
o Special Dcvices
o OLl)cr Deyic.~s
OW~1:).AtrP\n...,ts
nGn:.yirv
~ech~!c::.l
~ Ccnditic:'.irig
---;==;;"";-:;;r ,V<,.~
~T"''''_~'>l.''''''
rTH..EPi...,ACE ~-1.';'KE ANT) MO!JEI.. ~r]o;l
/V
0k,
SL -756~...
PLEASE NOT)" I
,A.ir Conditione: Units 1
Car.not Encreach intc I
Reguired Side Yaio l
Setbacks 1 i
HE SCHEDULE
inous:rial. Commcrcie.l & Multl-ramil)'
J % 0[100 CO~~
S39.50 min:murr.
599.5')
~6"'. 50
?e~ldc;'"Ltiel, G~ ~i,epb.c~
S39.50
!,"'.<:~:c::..,t"'..~. ~-:::;,t~ng & f-jC ~:-,'c'.v C(::r:.s'.,~<.::i:Jn;
':),,;:.':::~'):.~.~:~~.;r.~ 0,-,1:. ,'--.!-:.;.' (".C):~~"Jr::':Q'.':
ReSlc.:::::it.L Additlo;:S &. ;'.Itcra~ions
R!j.~-i.:!,;,..;\i':.L AC Oil!]'
S~9.:50
~1,~ 5r.
Es:~r::at.d Cost S
BJii2i"g rcrmi'L ~
HEArING PER..'v1lT FEE
STATE S1:RCHARGE
TOTAL PERYUT FEE
s
.
.
50
S
I
L
Building: Omc.iAI
D~te
i Paid
I
I ['?L~
I --
11 .~}j~
Jft41/ i ".<e,p' "0
'C/.;//-0313Y
(C!!:c.: Us/; Only;
Th:s Applic.:1;:{on Bo!comes Your Building Permit \\-.hen Approved
1.4 hour notke for all inspeciihn.s (952) 44i~9S50J ru (.952) 447-4145
TOO~
lilY mITIOlILNO:J
9LZ909~TS9 XVd ot:SO craM tOOZI90/S0
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1z-/. OJ
~. ~;:w ~\:;. I PERMIT NO. A? -0.' pI,f 0
3. QQtd Applicant U..J (:Jc
(Please ~ or orint and sien at bottom)
ADDRESS ZONING (officeu,,)
19'-l.2 ~O~ C/f7 TIL
. LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm 7_~ 3~?.. . 001 ()
OWNER
(Name) i( A- T z.. Lo f~
(Phone)
(Address)
(Address)
(City) (Zip Code)
(P"'=) 9,01 -R 92 -.!
'-It:-t./L - ,Cio 4l{
(City) (Zip Code)
APPLICANT
(Name) Ol/..tSN-i..tt... E)LC
(Address) I Co. II ~ r 6 p L.:L.,...; vV'I+'-f
(Address)
tl "'- TC. I.J
APPLICANT SIGNATURE ~L t). ...JJ._
u l
APPLICANT PLEASEJOMPLETE BELOW
Size of water service I inches:
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC I ~ PVC 0 Cast Iron
Estimated length of sewer line 35 feet.
Clean out (if required) located at..... feet from structure.
(Contact Person)
(Phone)
DATE
7/1 1 loJ.
Estimated Cost $
$35.50
$17.50
~o
&-00 .
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
Residential sewer and water line connection
Sewer connection only
SEWER AND WATER PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ~
-"
I % of job cost with a $39.50 minimum
$17.50
Os--ol'rO 06Y/
-'" ofi I r:-- (
~50 r e I/O
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I
Building Official
Date
~
~~J. 0:;
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
09-03-03 03:59 PM FRO~ FG:N ?LG RIG
Ie 9524474245
Date}
CITY OF PRIOR LAKE PLUMBING PERMIT
l Bille Ide
1 Gold (:I')
J Yclll).- .4.ppliClfilI
r--EkNifiNO'3 -B~O I
(Plc.a.sc: ~ or orint and lim It bonom)
r ADDRESS
}''l54J.. Bobc.a.\
ZONING (0";", ,,,)
LEGAL DESCRIPTION (olflC< u"' only)
LOT BLOCK
APPLICANT
(Name) F<l.rllV\''''J--h,o/\ rid rL_'O
(Address) d-I ('),~ Lj C h; '1' 90A Jo..\ e..
(Addn:Ss'
(Contact Person) :1\:. V\
APPLICANT SIGNATURE ~~ 1-
OWNER
(Name)
(Address)
Quantity
:.l-.
I
)
4
1
I
I
.':>
ADDmON
pm
KA.~~14ff
\.+0 VV\ 0
(phone)
........
4k~v,lle...-
~~
4,,1'"
(phone) U:' I . Y <...3 - ?8?.4
rr..rlV1l"'~f.o.-'\ ~:sO~ 4
(City) '.J (Zip Code)
_ (Phone)
~
DATE
C\-?'-02.,
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stali
I Sinks - 4,;-\.,,-I,,~.....
I Bar Sink
I Water Closet (Toilet)
Quantity
:3
,
I
I Type DC FlIture
Rough-ins
I Water Heater
I Water Softn.r
I Stand Pipe (Washing Machine)
I Sewage Ejector
!BiCkflow Assembly
I Backflow Assembly Test
I Lawn SlIrinkler
Other
FEE SCHEDULE
Industrial. Co~ &: Mulli.fomily 1% of job cost wiIh. $39.S0 minimum
(Orne. v.. 001)')
.--
- --~idmliaJ. Now One" Twc>-Family S99.S0
R..idmtiol. AddlliOlU "" A1lenlllon, S39.S0
Estimated Cost $ Building Permit #
~ING PERMIT FEE $
~ ST~~SURCHARGE S
TOTAL PERMIT FEE $
:5 ~ tf1~()
.so
PAID WITH
UILDING PERMIT
~.. -. ~.
This AppU..Uon Becom.. Your Bulldlnc PUlIIIl When Approved
'.
Bulldl.. omclal
r )~~~j lr' 1,'1
I P 04
Uu
1.4 hour notlcz ror oUln'p<<IIO" (952) <<79850. rn (951) <<7-41.45
By__ ___c.
Dltt
i ,; ;1 .\Recelpt. N.D. t..
L:o 11- ,
2003 t !fY .
~]
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS :;. fl{ ~.. '8 (J I:U:A1- T.,..
NATURE OF WOR~
USE OF BUILDING .~ P. 0
PERMIT NO. Q:3- 0960 _ DATE ISSUED - .
CONTRACTOR 1?+z.!4fj-- 't:ItJ""eS PHONE 'fK'~- '1/70
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING IN71l I 7 - J ~ATE~<J>
I FOUNDATION (Prior to Backfill) In':;/";3"<<7 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGI:L--~S
... 'J'\ .
/1/ p~~
dZ5 9-/.5"'
I SEWER I WATER I SEPTIC
I FRAMING
I INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I FIREPLACE_
I GAS LINE AIR TEST FJ&' It(......tr2'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS /1
JIj'
~1-o'1 JI}'7
GRADING (Prior to Sodding)
BUILDING rr",,.,p --Ii I
ELECTRICAL
PLUMBING
HEATING
DO NOT
/'~ ,9C
t~~"/5
-;\
rg 2' 'e.,
'1. rr .o-r-
/-2"1
-
r'P //- ('p
f1~ Ii.-- g-,tT,/
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
4
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS JBU? _ ~L.c..t..-l
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
~F MING
o SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
\.
K~
f2:,n, r/L~-
; lA--}I
DATE TIME
-EL
""? - -'Sl.~
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
?$1-!TST
o WORK SATISFACTORY, PROCEED
YCORRECT ACTION AND PROCEED
/ d CORREllCALL FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Conlr:
CALL - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;2.~'fL &hr_Q-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
., FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
9' PLUMBING FINAL
f!J MECH FINAL
DATE TlME
/2-f?-6J
3~l?s-o
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CQMMENTS:
(t? i==,...U ( ?r~d.e- a/.Jl7roviJll
f'2; ~~~...__-+- rJ""'H l-vJo .
_ -:1 <;~)_ J.-. 1" """,,- t :)Hi- rJ,..~Af..#1";-
'-'
r!-"A_O +.,
~ '''r 1111,
t'J~..r tlt/_
$S"-I-t)Gf
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~R~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: tv)t/ Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"'SHUT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7 -Zf t?i/
ADDRESS
ZiiifL [SkI- Tr I
CONTR. ~,,17'tf' /-tJ~J
OWNER
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
o PLUMBING FINAL
o MECH FINAL
~ EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;"/V/p- r"') /~
- . { .-
(_,,/b
(507'- &f'
')(WORK SATISFACTORY, PROCEED
/0 'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnSpector~ __ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"'''''>n
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 11- (.,-0'3 _'0:'56"
ADDRESS 28 Y? R<">~ t-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
? - 81'0
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
p.:' PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CO~ENTS: _
I. (I,. OJ) ~.- MTU
2,. ~~ C2f<
~, C L:n/o-"\fD.t: tkt~(').
Owner/Contr:
CA 985 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Y
CO.,,,, d\tUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ