HomeMy WebLinkAboutBuilding Permit 03-1365
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please
Date Rec'd
f/. /7. 03
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 03-13~!5
LEGAL DESCRIPTION (office use only)
LOT j I BLOCK 4- ADDITION
1/....0.5 NOrl?rrl
PID 25 . 4-04-. (} 5(P, 0
OWNER
(Name)
(Address)
(Phone)
ZONING (office use)
1<.,1
(~
~
,
(Phone) tf'5:l-9S"5-C/1 70
(Phone)
(.t~ . lie IlHJ
TYPE OF WORK
ODeck
ORe-Siding
o New Construction
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
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 the property to m needed inspections. ' /1
~W I ^ 1 Ct):
o Misc.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
00.00
Do.ao
3S;. SO
lfo.Oo
~Be~ding;;;;AA:roved
Building Official Date
OPorch
ORe-Roofing
#
#
#
#
I ~;J-~O.
DUtility Connection
q-/7-tJ3
Date
$ -
$ C) 7> ,00
$ 300.00
$ 70,00
$ lZL:Jo.Oo
$ 00. ao
$ S~)(),~O
$
$ /30. Z
TOTAL DUE
?-a 4" ;J-
DAddition
DAlteration
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
I Paid ilf~ VJ
Date "(.1./'1 () I
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
"'~ ~ /(j/?(~3 _lfeJ ~ ~"6-~...:1
Planning Director ' 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
Job Address IL(/?f) I~ ('.1',
Heating Contractor Controlled Air
Percent O2
Percent CO2
Percent CO
Po
1/27jd-l
~,8~
g./~
D~
I / >?O;~
-
"
Name of Tester
Date
Stack Temp_
.
~
~'t
~ "iildinq
IV gin~t!rina -=>
Ink - anmng
Thl' Cl'nlrr of Ihr l..b Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IZrrrcL-.4 ~~ HOli5S",
,
Q 1-7 (])-Z
I. 1_ J
( ;. Vi
I" 1..:,./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/ &5 l/ijJYOrE t IIZ-LLE::
I'!V)
1\ II
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
riB
Date:
/tJ.- 1-03
Comments: SP.P. Revp.rse Side for Additionallnformationl
See Attachments: 1) 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_"
~~
White - Building
Canary - Engineering
('"Pink - Plannma;:>
The ('rnlrr of lhr l..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT N lrr:z L-fl ~ ~ lic) 1- I [,"; , I Iv Q...
-
APPLICATION RECEIVED q . /7. (D 3.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/ (( {"5" /c Y ( FE
-
C I Ie tCb
(vvJ
Accepted
Denied
".--
Accepted With Corrections
;l$~' *",;P
Date: /~~A13
Reviewed By:
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,"
5~';;
The Crnlu of IhO' I..h Counlf,'
c-::wnite - Buil~~
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fGATl;f..,A pp HoM55J ,tJQ,-.
.
APPLICATION RECEIVED q . (7. (1) 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-1 &5 (!JJYoTS CA f2-UE NW
Accepted
Accepted With Corrections V"
Denied
Reviewed By:
~~
~ a..il ~~,
Date:
/tJ/q/03
,
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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
10,14-,07
: ~;:w ~;;~~. I PERMIT NO'A? -I ? /51
3. Gold Apphcant LLJ .....) l.R
ZONING (olliceuse)
'f/~s Co'lorl Crz.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 7,Z:;"".404- . 0570,[
OWNER
(Name) r2 11 'L. C WI
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) () (L~HU
APPLICANT SIGNATURE
CD
(Phone)
L(l-UL.
(City)
(Phone)
DATE
Cj.s.l. -R9J- t.,~Ot.
,J SCll/1f
(Zip Code)
GY--c.
(Address)
Irs, lIP :ropa,...J
(Address)
at-\. ref.}
WIfY
(Contact Person)
01
APPLICANT PLEASE COMPLETE BELOW
Size of water service ---L- inches_
Location of any couplings from structure -=- 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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ f? tJt>. "c> Building Permit # 0 :) - /3 ~ \ j
SEWER AND WATER PERMIT FEE $ ~ 0 f)-,
STATE SURCHARGE $ ~ _50 f f)V
TOTAL PERMIT FEE Y tJV/
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Os
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
__ _____ _____._ __ _:-~-, r~"V" LAKE
@OOl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
:. ~Jn\:;
1, GI.~ft
), Y~Il.,..".
~:~ I PERMIT NO'3-(3' sl
Appi\culI . (,C)
(Plea:$~ cype or pr..n[ and sigo a.t bottotn)
If ADDREsS
P//(,5'
,
I LEGAL DESCRIPTION (office .,e only)
I LOT
~~o/e
C:'K:~
~
IV. to,
I ZONlNG(offio,"el
I
BLOCK
ADDiTION
PID
I O'W"NER;tZ'. P- V-
I (Name) / ,"J/-Z/LH r
(AddIess)
lI(v~;(::
(.<'bone) q~5'-5"159
APPLICANT
(Name) ( :r>A '/;'o//,q {) 0/",
(Add,oss)-Y/.;:,:J /0 e::;o,4,.) /}1J(:::,
(Addre,s)
(Phone) _ .)1'60 -- bO,:;:':;l.
.H&.f. J .
(Ci""
s-' :1:>.;:;; L(
(ZIp Cod<)
(Contact Person)
(.<'hone)
APPLICA.N'T SIGNATURE
DATE
/(') - h - O~
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION . 0 REPLACEMENT 0 AL rERA TIONS
FURNACE MAKE AND MODEL ~A0p. 7!iX/('JOC FUEL AJItI-
FLUE SIZE .~ il PU( RETU>>I OPENINGS /(', INPUT /rY\ IY'Y) OUTPUT ~%
TYPE OF SYSTEM HEATING OR POWER PlANT
~-m Air Plant< 0 Stearn
OGruvl<y 0 Hoc W.ter
.Jd1'1echankel . 0 R,di.t1on
~r ConditioJ\ing 0 Sp~cl.a.1 Dcvjces
en,r. Systl;fil 0 .Othl:f Dc:vict:s
FIREFLACEMAKEANDMODEL d,;- tJ Gk. SL-7sD
PLEASE NOTE:
Air Conditione, Units
Cannot Encroach into
RequiTed Side Vard
Setback,
Tndl4stdal. Commercia! & Mult\~?amil)'
FEE SCHEDULE
J % orjob co~t R.e:sldo:::ntie\, G~ Fi,eplac:
S.39.50 minimum
$99.50 Residential, _Adciitions &. Alterations
$~45a Residential.' AC Only
S39.50
R.::sidcrrtia.i, Hcs.nng & ;.JC (Nt:w ConstrUction)
R~sid~i\tbL Hc~t\ng Only (NeVi Construdon)
S39.50
$39 ;0
Es:irnate;d Cost S
Building Permit "#
,-
I
Iii'.','
I. OCT l 7 200J
I~
I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
(Omc~ Us.e Only)
This A~plkatiori BecotIles Your Building Permit When Approved
Building Offici,,-)
DJ.tt
24 hollr notkc for sJI il'1sp!dibfl' (.952) 447~9SS01 (~:t (.9S2) 44";'-4~45
100 Ijl]
lilY mnl01lJ,NO:J
9LZ909~199 XYd 9g:90 NOW COOZ/90/01
---------.-------.-,--
11-2HJ 1201 PM FROM FGTN LG HTG
TO 9524414245
PO 1
f~
..'.......r.o'..
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'Ikw filt
l Ckllll CM,
J Yd~ Applicalll
I PERMIT NO'3 -( 3 ("st
I
ZONING (offic<u,,)
=~ or:rinl and Slll'.' bolb>m)
l ADDRESS
\ I S c.o~e..
C: rc.1 e.,
LEGAL DESCRIPTION (ollic< us< only)
LOT BLOCK
ADDmON
PID
I ~~e~R K~+)\(1.ff tbVV\e~
(Address)J.0-7.30 1-/01 ~ ~
APPLICANT I D \
(Name) mt'"vv'\: d-tr:!~. d k"'"lb r~)., \-l~-t""1 (phone) l.S1. %3 -?g~t.t
(Address) )./03.::1 ~ l~ A~c..- ~"^,''''.i-lo", .s5D~~
(Ad ) (lCiy) (Zip Code)
(Contact Person) ,J i IV\ I nO. '^ (phone)
APPLlCANTSIGNATU~Dav.ilO l ~~ )
(Phone) q51- q BS - 5 fCSQ
DATE
11- ~Y-O-;
Quutity Type of Fixture Quaatity Type of Fixture
2- Bath Tub with or without shower -~ Rouldl-ins
I Dishwasher I Water Heater
I Floor Drain Water Soflner
"' Lavatory (Bathroom Sink) j Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
\ Shower StlIlI Backflow Assembly
[ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
-". Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
IndllSlrial, Com_eial '" Multi.family 1% or job cost wilh a $39.50 minimum Resld"'lial, New Ont '" Two-Family S99.S0
. I. Additions '" Alltl1llion. $.l9. SO
Estimated C
$
$
.so
\j\l\\':' .~"\
?p..\O"?~_'?'N
'N.G. .. .
.\:)1.
6'0\.....-
(om" u.. o.lyl
Thb AppUcatlon Be<:omtt Yoar BuUdlDI PermIt WheD ApproYed
Pal
0. .'
Date
By
BuD41.. Omelll
DI"
1-4 bour a.lI"" r.r allln.petU... (952) 44,.,'541. 1",l'51) 44'-4245
-,,~-,._,-~------'-"._--_._.--_._._------' ,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ I ~ S C()VaTE c..ifU!.,/.-E
NATURE OF WORK ~W CO~O....-
USE OF BUILDING ~~O.
PERMIT NO. - h5" DATE ISSUED ItJ!i ~~
CONTRACTOR g.,:iiAR:- H;'N, JiJ~. PHdN:f;z.,'s"S'1S'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
DATE
/0-/0- CJ
FOUNDATION (Prior to Backfill) ~O-2 r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. V-AiflE / eucraeSJ S!bJJ6 I I
, FINALS
GRADING Prior to Soddin ) f;'
BUILDING~ t... -~.o
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.
toe
/2>-
~
l L/zb /03
10 5.04--
IU-r3-ol
y ~,..
,
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J:1l( oc)
OWNER
DATE nME
SCHEDULED 'D- 1-o(
Oat:: 0h
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
XFINAL
o SITE INSPECTION
PERMIT NO.
'3-
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
~TS:
.-.L...t'.eJ'"I/Io\\~ 1Tc:Ul'l".o~
2. C?-QZ~~' ~
~-
~l'k~~~J
o WORK SATISFACTORY, PROCEED
o CORRECT N AND PROCEED
XCORREC FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
INSNOTI
DATE
CITY OF PRIOR LAKE ... } .
INSPECTION NonCE SCHEDULED '::::L l~ (ty-{
ADDRESS / Lit to ( C IOL1"'~J, 0.~
OWNER
CONTR.
TIllE
ll~
PHONE NO.
PERMIT NO.
(''\"'(~u~ &
(~,.OVIJ( ~ 6,)-P-v' -g~ 1.1
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
f MECH FINAL
V'f\P/VW~ ~
COMMENTS:
~ , n "6"'
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
Ik 1.'" t9K.,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~~...:-
L
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
<NSNOT'
CODE REQU/REMEN18 ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ (OS
OWNER
DATE TIMe
SCHEDULED ;;)..ladt
QO(j~ ~; \
CONTR.
PERMIT NO.
:s -I ~~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
3. ~u.DO
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
)!ICPLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-------
(' 0<'& ~) IA.J...~ 1foNJ~ ~
~ Do
n....!-
o WORK SATISFACTORY, PROCEED
~~~RREC CTION AND PROCEED
/0 ~RR T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
lNSNOTl
ADDRESS
ill{ {ft;S-
DATE TIllE
SCHEDULED loJ~~~~
U J.(1~T e- (;or,
CONJ
PERMIT NO. ~...t3-::o~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~WATER HOOKUP
)if SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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 <I SAFETY/
''''''''Tl
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /o-C"--o,/
ADDRESS /'t"~ 6>yok C,'rcJ(. I//w
OWNER CONTR. Kc,-I-z1U- H0Y"'6 j:",.
PHONE NO. PERMIT NO. b3 - IJ~ S-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I)!(.fJNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1!f' ~LLlNG
~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~-o~
Cvi0 Boi-(9(L
~ WORK SATISFACTORY, PROCEED
{:; CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~/..... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
U<SNOn