HomeMy WebLinkAboutPermits 00-0805,04-891 & 892
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1';7'0/00
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Ae-roofing 0 Porch ~Ll
New Construction D Alterations 0 Addition 0 Finish Attic 0 Re-siding D Finish Basement
ChimneyLl Mise ;l ILoMS . NO J.tz.. (~ )
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished infonnation 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 abo 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
buildin fli iar c revokJ?, thi~ ~rit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X "60'- ICJ -~ -.4..""
SignaIure License No. DItIiI
DATC" ~l=r.I::IVED.
r.~'OO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
"2,,'2., ~ ~
3. LEGAL DESCRIPTION
\'1
~pnKjL.. LA r-C (, _
'3
\+t II ~
LOT
BLOCK
~ ~s..R *-
PID (Q~ -
ActtLi ti C/f\
ADDITION
.. olt ~-"\
5. ARCHITECT
(Address)
~ e"".J.,
(Address)
(Name)
~.M..r.K
(Name)
~_tJ
~
~~K
6. BlJILOER
(Address)
(Name)
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
/)0 . 0 ~o5'
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
\7(}-034-0
13. TYPE OF CONSTRUCTION
(Tel. No.)
rSl- Ylb -/..rl::
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Ter. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
WalerMeter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $_
Total Due .............................. $. (;'6.2S
Paid ~3. 2.-5 ReeeIPtN;r.3~cOl96
Issued
Oat. 4.7-pr/ By IA
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 a/~uested 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 ISSUed.
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2~n ~
.
USE OF BUILDING
\2u, WI 12.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
~2.2~
Plan Check Fee ............................. It
State Surcharge ............................. $
Penalty .......................... ..... ........ $
( .~rJ
Plumbing Permit Fee ....................... $
~
~,1'UU
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City Planner
Date
24 hour notice for all inspections (952) 447-9850
Special Condrtions if any
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS. Lf
SURVEY Lf
PLOT PLAN Lf
SETS
COPIES
Amount Brought Forward .................. $
Pari< Support Fee ........................... ~
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... ~
$
Pressure Reducer .......................... ,4:
Meter Hom ... .... ......... .... ........ ....... ,4:
€@\
.'<\'NE10't"
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT 'I. Z.I4-
#-Rt-6 e-J /,J! 00 .ai'a5'
~';;;,'.. ~:;y IPERMITNO....;" oJ"1
J. Yellow Applicant U r-..
,YPLICAN11J,! D .1"/ ... / I~
!(Name) r.. F,fil/ltI"",;r- (Phone) QIf7), y'i/CV/o>L
(Address) '<;~.~ 5" 5hO'....e. CYch 5,0 A w La4t
(1I.ddress) (City)
plJr Rcm/dI. (Phone) _
fJu/J .c:::::- - rATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Please tvP~ orotint and sien at bottom)
ADDRESS ,-
33J>~
.s P ItA/ e6
(j7ZA... .
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Phone)
(Address)
(Contact Person)
>:APPLICANT SIGNATURE
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
~DVent.System
~PLACE M~ AND MODEL
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
r;.AI/1lV~
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & Aie (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :r~. ro
$ ,50
$ -10. t/O
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
Paid tfa. rID
Date ? l.~ t r
Building Official
Date
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (office use)
PID z,r. 17 z.. OJ~. 0
A ~37d
(Zip Code)
SM6 _Z:- - cb//
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
':J:
4'7'1.151
I
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
9. ~..-c4-
Jf6ve w/ OO.O~S-
], Blue File I PERMIT NO 4-
2 Gold C;~ : () ""', aft;
3. Yellow Applicant ~
5$]5"' C)jJ/,;I~ l.vct( 5: t.J
(A,fdress)
f)1lT R ~/M'tk.
(APPLICANT SIGNAT~RE fl/J L-- '>DATE
r .
APPLICANT PLEASE COMPLETE 'ELOW
I Type of Fixture I Quantity
I Bath Tub with or without shower I
Dishwasher
I Floor Drain I
I Lavatory (Bathroom Sink) I
I Laundry Tray (1 or 2 compartment sink I
I Shower Stall I
I Sinks I
I Bar Sink I
Water Closet (Toilet) I
(Please ~e or orint and sign at bottom)
ADDRESS
3)) r JI'hA/~ ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
&~PLICAl'ff/l-,-
~ame\ oftfl
I? o",'d:-
(Address)
(Contact Person)
Quantity
I
I
I
I ZONING (office use) I
PIDzr. 17I..b1~~.J
(Phone)
~one)
,
/J .. .
'r:,'i4~
(City)
Yrd-Id.:>e;
Q5)'
IA.4
~0? ,;J-
(Zip Code)
(Phone)
52$'" ~
~{/'
Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
.31f~
.50
HJ~ vV
I Paid 4-t;. C/V
I Date 1!1 "--
7, z..~(J1
B~04-"tlf~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: Date: 'i'~"~,,,
Building Permit # PID: Zoning:
Site Address 333 5" S~C1-
Legal: L
B
Subdivision:
Existing Structure: ~ or NO
CONFORMS TO ZONING
ORDINANCE
YES
~
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
x
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the pToposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Refer to Planning
""'<"
~
Refer to Planning
x...
::><
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to P17g
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PEAAIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
~~
00-0 (o(
The- C..nle, of th.. L.h Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ReM / ~k. I Pit / /~/ ~IC.
q . (;; : (JO
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3335 5P,eUeE CJ,e(!A./b
x::
Accepted With Corrections
Accepted
Denied _
Reviewed By:\d.OL ).
/ -
Comments:
Date: q-Cs,-~
~ ~ifV'Ulb fuk~~ J..lro+ ~ ~ ha<J~
I2a.c1 ~ &.~ ~....~ ~
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ]'~~ S; Sp--vC-f' C-,
NATURE OF WORK Ba..,,~ S'oAi'>.l- (21 ~c::;
USE OF BUILDING SJ;D
PERMIT NO. OO.08o~ DATE ISSUED '1- fc-;J.ooo
CONTRACTOR 'i=?,:\-t\c\;; RelMic.k
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l __ ___
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
FRAMING
INSULATION
ELECTRICAL
"
L-i:I
tf - J.. -u()
- /
~~.....J/'.-,/
HEATING (if required) .
/r-!' ~C~
~~
?/A/tIJL/
~
:?'h/of/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
IM/
flrN-rfl1
( (-(f1.--(/l1
BEEN SIGNED
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, car>d shall be placed near main entrance. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3335'- Sd7,-v~ <..,-'y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION L.." L.
,lil"'FINAL t
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
~ C ( D~<
----
-.
~
)
r.- /1
r ~
----
DATE TIMe
/1-lit~1
(X)*5fO~
[J EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
[J
I'wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO;:\ C~FOR REINSPECTION BEFORE COVERING
Inspector: ( V Y- Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
U<SNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
'N9.oD 3:z..o
ADDRESS 33:5(;; SP K:.AJ(!,E 7"K-
OWNER
CONTR.
L.e-. oo.oeos
PERMIT NO. POOl- 99- 88D
PHONE NO.
o FOOTING 0 PLUMBING RJ
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION . 0 SEWER HOOKUP
'lit' FINAL J.... '-. ~ 0 PLUMBING FINAL
/0 SITE INSPECTION PoDL.n MECH FINAL
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: L.I . m ~"-<"~ /~7'bf h---
.)1. rd A;.(i~. 1 ~1ti~ '_, I
(JJ tUi:.r<Uv~.~ ~,,-f .J-t, cU'tL-Q; ~ (~
~
(,gJ tJ.L'\-~ fm
(~ 11 ~~
- .
~ --1/7 ~~ ./?..R~J) ,
l) ., U'.J._ fI f1
(0 &,~j/~~~ ~I
-~
~~~~~9~&
( ~~J- '-<,
")
~J L/-cr.pf-.k(\~~
I / U Y -
5 tiJ..(I
'-t-.
A-::r. CJ7L. ~ f!.~ -- 1..-5"= 6.K. ,
~ WORK SATISFACTORY, PROCEED ~~ f'"
Ji CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVER/NG
Inspector: ~ .
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!