HomeMy WebLinkAboutBuilding Permit 03-1228
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7 Z. I 03
. .
1. White
2 Pink
J. Yellow
File
City
Applicant
I PERMIT NO. O'5-IZZtJ
ADDRESS
1~~lD
I
~
LOT
LEGAL DESCRIPTION (office use only)
PID
ADDITION
BUILDER
(Name)
(Address)
TYPE OF WORK
ZONING (alike "50)
(!I
.4-04-.053.0
(Phone) ~,1- Y,-~S-IA')/
(Phone)
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
o Misc.
OLower Level Finish
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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
;ter upon the pr2perty to perf,rm needed' specti ns. I ~ I J "7 I /} / I/:).3
Signa r Contractor,1Llcent'No. ~ate
VALue
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
701 000.'
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter
Siz 5/8", 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
,\fJb1
$
$
$
$
$
$
$
$
~-
30().OO
70,00
-U:O.-
100......
co-
?/it( ~ /
, ~ Date
$ q
I Receipt No. ~S 3t!
By 9
This Application Becomes Your Building Permit When Approved
~ ~~~..J
Building Official
TOTAL DUE
I Paid
Date
'796/3. q!)
10- d- <.!::)
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
~s~ .~ $'1/03 ~bd7~~~ .
Planning Director Date S clal CondItIOns, II any
24 hour notice for all in'peelion, (952) 447-9850, fax (952) 447-4245
~~
White . Building
Canary . Engineering
(pink - PlannJna~
rhr ern In of th. l.....(.oun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/ .
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. It IJ LJ )
/
/
~.
NAME OF APPLICANT
APPLICATION RECEIVED
/
--../ i A; i i (1(( -Z'(-{. i L
I
-7 2 I. (-?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I - //1 .
((.-/./'-( I (((lA'le ./
j
/ 4;, c;:) Ie
~
~
v-
Accepted
Accepted With Corrections
Denied
~o/4"
I ' ."'\(\} .",
Date:
gh~~
,
Reviewed By:~~c
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."
~~
Thr('t'nlrrof tht' I..b('ounlry
~ White - Building:)
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~ "<5--j;/;/J1L/J./
APPLICATION RECEIVED 7. :2 r 0..5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4--2--10 ~/ ~~ ---I
fiY
Accepted
Accepted With Corrections
~.
Denied
Reviewed By: ~ ~ ~ T07'/,v'5
Comments: "S--?6 r' '--Af'-J S
/
Date: fl/</A3
"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
ana
Pink
Tht Ctnltrof Ih" l.a.rCounl'1'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/rn
/:* . ..... .
",,/,./U/)
-
2v,:; J:(~iLc- ~{)7:-d...--
I
72103
!
~.,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 ? . /1 -'- /j . /
-.....' 10' c.t;? lC-'[/ / (.<:-!/L-Ct....<: j
{/
Accepted X
Accepted With Corrections
Denied
Date: -:1.f?-1..-- ( 0)
ide for Additional Information!
Reviewed By:
Comments:
~o sLof',;. 'j "'~ '\0 I2.xc..t.e.1) ~', \. (Z,(.-'(.bdJ...J).l<)(,. LvA.t-L-')
'r1't...C-( ~c=.(<.t.Ad~ ~H~Uf) ,?::>~.J ~A,\.-.L.
See Attachments: I) Grading Plan, 2) Erosion Control Measures
"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,"
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~;;:':w ~ii~. I PERMIT NO. 3~ fa'd--o I
3_ Gold Apphcant ~D
ZONING (office use)
41jo CO,/or-[.. Ca..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) W~Owc)OL> 1-\0"",6 f
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) Dflt.Sffbf,. [X(,
(Address) }G, II;' TOf'I..'LJ W A'I
(Address)
(Contact Person) ~ l..\. 7 c N
(Phone) 95;;2- !i-'''12 ~(.,'itJ6
LJl..I/L... . S JOi.fl.f
(City) (Zip Code)
APPLICANT SIGNATURE
\)~
(Phone)
DATE
10/1/03
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches,
Location of any couplings from structure ,,,J.- feet,
Type of sewer pipe, 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at --. feet from structure,
Estimated Cost $
$35.50
$17.50
"J
1$00..
FEE SCHEDULE
Industrial, Com'l & Multi..family
Water connection only
I % of job cost with a $39.50 minimum
$17.50
Residential sewer and water line connection
Sewer connection only
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Official
Date
\VJ
Paid Receipt No.
Date 0';).'03 By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10: 53AM
MATTHEIJ DAN I ELS, I t.1C.
423 3017 P.01
Uate Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Bl.... ..~k I PEn.. 0
,Co," Ci~ .....~IIT N ,,_~(.''''''O-I
I. y.;lLQ.... Ap~"='...l , ,.::d:: c:::r-~.
rPIQSt: or' t i1nO S\ at bottOm)
ADDRESS
;-//),,/0
ZONING (Offi" \U<)
~
I LEGAL DESCR.I:PTION (office use only)
i LOT g BLOCK"; ADDITION
.}~ '-i '
-
PlD
(Phone) 9--s;-:;,-N.../l- R~
.5.
APPLICANT./ ~
(NameL~TtlOJ?l fJ"lJ/hJ ,'-.4l/fl
(Address) J~~ {lAUAJilt:ld!. .J0lh
(Address) q
(Phone) ('sJ, 4"-.",.
qJ.lJ' rilll' r. \..t;(;)
(City)
~'1.:l,(')
DATE
..s:s-068
(Zip Code)
.j,j,3 , ,g'1..:vJ
~/;'1h~
APPLICANT SIGNATURE
(Phone). b!:i"J.
(Contact Person)
Quan tity Type of Fixture I Quantity Type of Fixture
A Bath Tub with or without shower ! '-.3 Rough-ins
/ Dishwasher I Water Heater
~ Floor DraiJl / Water Softner
4 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
/ Laundry Tray (1 or 2 compartment sink Sewage Ejector
/ Shower Stall Backflow Assembly
i Sinks , Backflow Assembly Test
J A.1 Bar Sink I I),) Lawn Sprinkler
,<? Water Closet (Toilet) I Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial &. Multi-family I % of job co:!t with a S39.50 minimum
Residential. New One'" Two-Family $99.S0
Residential, Additions'" Alterations $39.SO
Estimated Cost S
Building Permit #
PAID W
94,.:sz; 8' 'II 1'\, ITH
so '-"_J ~.,..., ~-
/tJo-t;(,) ~ M' ".;., '~':":"'.'T
PLUMBING PERMIT FEE $
I ST A IE SURCHARGE $
TOTAL PERMIT FEE $
(Orne. lJ.. Only1
This AppliC2.tion Becomes Your Building Permit Wben Approved
Dale
~
Receipt No.
Bulldlllll Oroot.1
By
24 hour notice for an inspecti.,," (~S1) 447
, '
o. rax (952) 447-4245 i.j~
By 1 i
._^'._ _______~_.~__~.:._-.:J
TOTAL P,01
OCT. 31. 2003 2:28PM
/'
~~ CITY OF rRlOR LAKE
;. ~ HEATING/AIR CONDITIONING/FIREPLACE PERMIT
v, III
~(N"..01.,,"
METRO AIR 952-447-8126
NO. 132
P 1
"'He Rec' d
!.rink
2.Qn;",
J. '(tile,,",
~:~ rrERMIT NO. 3- 1).. 'LC1
^PFIl~~M L ~
~ \ ZONIN~")
1'1 IS' cor rilltandsJ
At} RESS
\,v,? \ Q
atboltolll
.-,
~
c~~~\~
~.
LI\O{l.L DESCRIPTION (omee UIe only)
to' ~ BLOCK'" ADDITION ~, \ ~ ~ \'\J '-Ir--\
PlD
oWJilER
(NfllljC)
\.A I, ,,~v-\ Cll\~ \\~IY\,),,~
"\ ~ \. {,.~,,"\~ ~~ '::>
. ~
0\A~'I'\!>\.\I \\1
~.O~) 'IS "- 'i! %- -~ "" ~ I
'5 S ~ ~ 10....
AllPJ,.JCANl" of\ \ '-,'
(l'{a~e) ~"L~""'\.) '1"\, roo --\_ n ("
(Mdl"SS) \ ~ <{ "6~'J \J <:..\ ltJ~ f\ \I .....
. (Addr",)
(C~n\aet Person) N l.,\ VI <--\1 S l.'- ~ "- \ \.
APP\,ICANT SIGNATURE Jf\1;/\M\,.1 J-..\)._~
, .:
(Phone) C\ S ;),. '-\ '\ l- ~ d. l(
(l.\()- \.I.,\\.l... ~~ SO,7J....,.d,
(CiIY) (Zip Code)
(Phone) 9';),- "\1..\,. ~ \l)~
DATE \ \\- ~ \ - ~
APPLICANT PLEASE COMl'LETE BELOW
~
~EiW CONSTRUCTION 0 REPLACEiMENT 0 AI.. TERATlON8,-. \
rUf-ljACE MAKE AND MODEL .b.:J r -\~-clO FUEL \'\!I:.\I'
FL\JiiSJZE we RETURNOI'ENINOS "\ lNPUT\:::"~.:~G:l OUTPUT\\~ .~')
TYPE OF SYSTEM HEATING OR POWER PLANT
PLIlASE NOTE:
Air ConditiOllel" Units
Cnllnot Encroach intu
Required Sid. V.,'d
Sethae kg
. '5aWun~ Air Phillis
"'L]13nmlY
o Mechanical
:sI.^ir Couditionillg
~cnt, System
o Sica'"
o HOI Wnler
o Radialloll
o Special Devices
o Olher Deyi.,"
FI~E ILM:E M^KE AND MODEL
FilE SCHEDULE
Jndl,!!,ial, Commercial &. Multi-Family 1% u! job 00,1 Reslden'ial, Gns Fileplace
$39.50 min;!num
RClld,I'tial, Belling &. AIC (New Conslruellon) $99,50 Rc,idellli.l, Addilions &. Alternliuns
Re\id~p\i.J, f1Cftling Only (Now Conslruetion) $64,S0 Residential, AC Gilly
Eslim.ted Cost $ \~, ~~~ BuildillgPermil II
$.19,50
$39.50
m,50
-.~
nuIl~lng ornelal
$
$
S
,so
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL l'ERMl'l' FEE
(Oll,l" U.. Ollly)
1'1111 Alllllle.lIon DeCOllle. Your Dulldlng Perlllit When Approved
.-,
Dille
14 hour nolke ror nIlln'l,eetlon, (952) 447.tSs'O, rnx (952) 447-4145
, "-,
011 1<11(1.1 08: 45 FAX 7635530887 GUYERS BUILDERS SUPPLY
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONlNGlFlREPLACE PERMIT
~001
Date Rec'd
i:;;:' ~~ [ PERMlT NO.~
).YeJlowAppl;Q&Ilt. ~
I ~,;~~:;s;ebo;f1~/()te
,
LEGAL DESCRlPTION (office use only)
(:{~c/ 1'"
I ZONING(olli<elU.) I
LOT
BLOCK
ADDITION
PID
I &,~ (,J', '" <l uJ"" A
(Address)
(Phone)
APPLICANT (J
(Name) hV'it"~r- ~
(Addre.<s) I 7> ~ 0 5' / 5"'-
(Acld=s)
(Contact Porson) b () ^'- 111':<, \"
APPLiCANT SIGNATURE "\:>~. ~
I2>l;'dJ~!'- ~c...>~~"1
I
.t9 Ue f\ U-C,
(phone) 7 ~ 3> - t/N - "f t (,:3
p(~ Jl>\Out h
(Ci<y) (Zip Code)
L
(phone)
DATE
F - fl!4.C. lfSNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
tr-C e. .
RfthAL.E MAKE AND MODEL J-c."1 n.o)(. ~ t:d '-{ 0 ?0 FUEL lJc.-t Gis
FLUE SIZE 41; RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Enctoach into
OAir Conditioning o Special De;.....ices RequUed Side Yard
DY<nt. System o Other Devices Setbacb
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercial &. Multi~Fa.mily
FEE SCHEDULE
l % of job cost Residential, Gas Fireplace
S39.50 minimum
$99.50 Residential. Additions &. Alterations
$64.50 Residential, AC Only
$39.50
Rcsidential. Heating & Ale (New ConstrUction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennie #
PAID WITH
AI 'lI.\OrNG PERMIT
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERM1T FEE
$
$
$
(Office Use Only)
Thi~ Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Offici:\!
Dare
Da~e 'I~
\: J.l " L;. {
By
24 hour notice tor:aU inspection! (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
,
INSPECTION RECORD
.
SITE ADDRESS '&./11 D
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR ~ PHONE ~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill) "<?$' -" ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH .'1 S
DATE
L
L'(J- /
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ;1_
/2 ~"2.
/-
.............-.:;
/<'/~ "q
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~.fall.1 yvyY I ;J..~'(cJ-ozt
FINALS IS......~ {),^s;-..,,~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
SCHEDULED
7- /LI
OWNER
/If~/o C()vok C,'rd~
CONTR, _w/~,j Wt9tx/ ~
PERMIT NO. O~ - 1~!I
ADDRESS
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXIjitRXDJFILLlNG
o CO~NT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6~- (()t:
GU.lb~~-r9Y ~
JfWORK SATISFACTORY, PROCEED
'd. CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d.~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
fNSNOTl
DATE TIllE
CITY OF PRIOR LAKE '1~
INSPECTION NOTICE SCHEDULED
ADDRESS J4LIC ~-'""'}C;\::. ()~-
OWNER CONTR,
PHONE NO. PERMIT NO, -S -122~
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~LATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
o(z .b Cl~<L ~l2
./
~RK SATISFACTORY, PROCEED
o CO T ACTION AND PROCEED
o C RRE RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!
lNS/'iOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIMe
SCHEDULED
ADDRESS ~L\O r DJO-t. c.' (
OWNER CONTR,
PHONE NO,
PERMIT NO.
5-1~?!5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
J' MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I~:~~ ~~~"- ~"fn1 O.a>1fJ,~
S. &Clll::Vl. T~I" S..~ u..~~.' .
~~c..tJ\t:"J D,..,.'v..t ~ &~~r.lt~~
-. ~{-~-
~. ~el'~ ~ +;1- ~ ~ck-
Kf: ~ C9~ ~ 4a~
1. C-~ JD"'~
/,~? I- tI-I-di
'pe'i'. A ~ lJv'\~'\''^'~o,~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
X CORRE RK CALL FOR REINSPECTION BEFORE COVERING
Inspedo Owner/Contr:
.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
Ifal<<JTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
3-\-oY
ADDRESS
Ill2.\o C',,~.)t G-h
OWNER
CONTR,
PERMIT NO.
-.3::J 'Me>
PHONE NO.
o FOOTING
~ATION
o INSUJI;'ON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;:I!(PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: q
IJ~~ ~ (1~
)... - t3b c;!;,O" ,. c:n.!k-~
t~-'~~~~9~~~:'~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORR :r WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspedo Owner/Contr:
CAt; 7 9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
UlREMENTSARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
lNSNOTl