HomeMy WebLinkAboutBuilding Permit 01-0024
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silUl at bottom)
ADDRESS
3~ /'7
,
I. White File rPERMIT NO
2 P;"k Co<, .
l Yellow Applicant
~ Tai \ ~t-eU\
LEGAL DESCRIPTION (office use only)
LOT 1- BLOCK / ADDITION WI" JdJ
OWNER;;J II
(Name) /!,,~.h //"7<-;(; CFf/A/<v
(Address) rCJ. do)'. 3~i
sU-
Date Rec'd
/Z-/frOO
PID
(Phone) (6/"J ) 3 J- 7,So t
/
S ..5-'::>7"<(
LAKeVII/-y
/17)./.
BUILDER?' /) r.1
(Name) /7<,J,cLr Yld.Jr:H.L,I/'(VCJTo/'1 /10'1 ('/ (Phone) \...(;/J, } gb- 1) ~ 1\
I
(Address) /t:?, /fox 3 c:; c. {JI!kvr'I/-(, //1;/,// ...> .r~<(~
~ ./
TYPE OF WORK ,>.g New Construction ODeck OPorch ORe-Roofing ORe-S ding
o Misc.
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtili.y Connection
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 cert fy that I am the owner or
authorized agent for the above-mentioned property and that all construction wiIl conform to all existing state and locallaw5 and will p Deeed 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 )fficial or a designee may
:tell:27n:;a::~ ~ 1t '/V "?/J (/0 (
Signature b/ Contractor's License No. Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
VI) fUG
$ 1351. 75" I
$ 0~2 .t:>4- I
1$ 91750 I
$ 1
$ ~m..,oQ I
$ too.a:'") I
$ 35.50 I
$ 40.00 I
j'1iS A7fcatio~Uilding Permit When Approved
\1{j)1J)~~ ('2'"2.o-~
Building!>fficial Date
/(pS;~ .C:C
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
Other
TOTAL DUE
Mtr~U
;-Ie-Of
85(") . Of.)
1150.0C
I <Js.od>
4S. (')0
IJ~DO.6a
'700.C't)
'.,"')(')0 .C:C
;'8.1&fJ. zq
,
I ReceipfM :3 9(4''''
IBy~
4
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m;[y proceed IS requested. This document
~:Y21i=e~:::" '~'mpm~C,rtifi";/lo:n~~p;iance and"::::~;:;m;~, ~:'Z:;: ~":~'.
. ~anning DIrector Date SpeCial Condltlons, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Paid B ,.f.k11 z. "!
Date t-"" / t/- 0/
1 :53PM GENZ RVAN PLUMBING AND HEATING No.1932 p. 8/9
\....1..1 i OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. ,ink
~-
,. Yal.IGw
B._ ~PERl\i~u ""-.)1)/_ {)[);).'! ,
Z )NINO (olll<a 1Ue)
~!'!Pe ""mint lIllIioi... ...b=l
ADDRESS
3sr7 ~+PrlL.
'7,e-L-
LEGAL DESCRu- uv..,c (olli<>:.... 0JIiy)
PID,.n37j OOJ-{)
I
(Phone) lolZ-msq-sJ,4Q
I
I
APPLICANT /' I
(Name' (rV Xl '7 - i1 ~ r n (Phone) _I ~I- l.J 2'":1 - I ~ L/ lj
(Address)_f41LlP, ~ enlrtYif '77LL ~s,~tIYlf.'i. I V1I .~
(Contact Person) \^ Jo.Jf~dd:<sSh~") (Phone) (City) I ZipCodo)
APPLICANT SIGNATURE \\ ~- () "-- PATE &Jill //j II
~. APpLc~pk~E COMPLE~ BELOW . 1 I
'?'(._WCONSTRUC~ OREPLACEMENT OALlERATlONS I
FURNACE MAXE AND MODEL (b \f"':'" 0 ~mX r:+ 121) - 12 (') FUEL
, FLUE SIZE RETURN OPENINGS I (J INPUT /2,.-1 ti7rr J OUI'PUT . C!..!., rdJrl
TYPE OF SYSTEM HEATING OR POWER PLANT
oo.Warm P& rlants 0 Stoaln
OGravity 0 Hot Wara
o Mechanlcal 0 JWiiarion
I!lAir Conqitiollini 0 Special nevicco
OVent. System Ii3Othernovices 'IJ',^wn..>' L ''<-
LOTZ :BLOCK I Au!.lJ.uON [J,..); ID".::. S~
OWNER
(Name) I2dn fl 'I bUc.. (\..Dt:lI(J..:g,Y 0,~"^
(Address) Vr, ~:N, ,~lo\Q / nJi....Q..\l11\p,
~n~
F, f..[)11 tJ
;
PLEAS]: NOTE:
Air Con! itioner Units
Cannot I nCtDach into
Rcquireo Side Yard
Setbacks
FIREI'I-ACE MAKE AND MODEL
Industrial, Commercial &. Multi-family
FEE SCHEDULE
t % of job cost Residential, Gas Firq>lacc
$39.50 minimum
$99.50 Resideonal, Additions &. Allocations
$64.50 Resldeotial, AC Only
$39.~lO
ResIdential, Heating &. Ale (/'/OW Constl'Uction)
Residential, Hea!ing Only (New Con""'ction)
$39..50
$3950
Estixnated Cost $
Building POl'IIIit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$.
$
.50
PAID \i1 'ITH
BUILDING ;)ER,\iii,
10m,. Use 9n1y)
BuildiJIe: OftidaJ
I Paid
I Di}/117/0/
. if f i
24 hour notl.. for all inspections (95:1) 447-9850, ra. (951) 447-4245
})at.
I ~eiptNo'l
IBY~
V
. hi. AppUoatlon Becomu Your BlIilding Permit WIlen App"",,*d
- r-
JUN-16-2001 08:44 PM
STAR PLUMBING & EXC.
952 884 7468
p.el
.... a ....
Wlll_. ~
.... - IIIYf
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NoTE:
lo. /-dJj
,
Sewer and Water
contractors Must
be registered
with the city.
PHONE: 9.:5:11- ~8~-</1'Y7'
OATEl-.t:t/3-a /
BLOG. PEl !HIT ~
PIDt J 5 - 3 7 c;- -LJj,}.. --()
Jt.P--v,
SITE
v-~/f! 7"'.0
,
1.
2.
FILL IN THE BLANKS
Estimated length of water ~ervice ~~
/ ,/
Size of water service inch(es).
Location of any couplings from structure
feet,
Iror!_
feet.
3 .
4 .
5.
6.
PVC X.
L~LJ
Type of sewer pipe.
ABS
Cast
Estimated length of sewer line
feet.
~J.
., .
at '
(if
required),
located
Clean out
structure.
feet
frol1\
=~~========~===~~=~==~~=~~=====~~===~======~s======:==B========~===
This application becomes your permit when approved.
BY
DATE:
~===~====~===============~~======~====~====~=======~=========-====
FEES:
$
$
$
35.00
.50
35,50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually i: $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new construftion must be
recorded on the buildin? permit card at the ti e of issuance
to insure that no dupllcate sewer and wate ~8ermits are
issued. BUll 0.' WITH
/ 1/./ / / .NG PEg'
DA'rE PI\ID -L.7 -~!. {i AMOUNT PAID ,,:;:iT
RECEIPT * REC'O BY ~
'"
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-42 m / FAX (612) 447-42
An Equal Opponunily Employer
-------~.__.-....-
___n____
The Cenler of the Lake Country
White - !Uilding
Canary - ngineering
Pink - lanning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'8013 I'1e--NE/JR.NE.Y
/2- If? - 00
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the buildir,lg permit
application for construction activity which is proposed at:
LZ/ B /, WILDS 5f!1
Accepted With Corrections .~
Accepted
Denied /)//.
Reviewed By: ~~. ~
Comments:
~ a II cclkc.W frJa.......nL6CJk
Date: 1"2 ~ 2.n-~.
I
I
I
I
I
I
I
I
I
I
"The issuance or granting of a permit or approval of plans, specificati )ns and
computations shall not be construed to be a permit for, or an approval of, any vi )Iation 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."
I
C/ - 24
Thf C..nlu of th.. Lak.. Country
White . I :uilding
Canary . I ngineering
Pink . I 'Ianning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Bee /VJe-NUJkNE-Y
12- /8- 00
APPLICATION RECEIVED
The Buil~'ing, t:n~jneering, and Planning Departments have reviewed the buildir g permit
application for construction activity which is proposed at:
33/1 fox ~(I ~i1\\
LZ/ 73 I, WILDS 5TJ;J
..j
Accepted With Corrections
Accepted
Reviewed By:
, 'OJ::' ,. <-<l"Cf
,,.. ~ ,~ ! rf - /: -~l;i,'~'-
LL'.:/..... ..',". ",.""
" ." " ,'-"'~ --'. .
-...........
Date:
11/7 101
. .
Denied
,~'. ',.--7
Comments: ~EE REVER56" $iOE" RJR Aoo/77Il1J/k.- ~m/7lE:V7$_
x'
"
I
.Pa- 1l717J7l1lJ.BJ/fl: 1)Ge;gOIAJh fbJAJ ZJER/15IfJJJ ~/J,-lI7etsdRB
.3) ERo5v/J;'/ tlv.n7?/JI... !tA/1/
"The issuance or granting of a permit or approval of plans, specificati ms and
computations shall not be construed to be a permit for, or an approval of, any vi, >Iation 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 . Iluilding
Canary - I :ngineering
Pink - 1 'Ianning
Th", C",nlr. of lhll' L.kr COUnl1')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
l.:C t;; / 'I r.!- /v [--Ii K /v t:.-y
/Z'-/~-C0
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the buildir Ig permit
application for construction activity which is proposed at:
,~3 / 7 ~K "'TA-lL ~l L
L 2/ D / I tVIL-V::- ~(jj
Accepted 1. / Accepted With Corrections
Denied I 11
Reviewed By: ~A.l~ Date: 1/2/ pt;;
Comments: I
A/C ~()~ I~{) iZ~~JJ~
9d-~~ t?JA_~~\I\~'-<~1N-' $1~&<4'
.?vLPl ~1MA. ~1)'p..h~'~
~ ~~~~ UvtP ~Gl;1vu ~t94tJ
~ ~1~~h.. I. . - I
I
I
I
"The issuance or granting of a permit or approval of plans, specificati :ms and
computations shall not be construed to be a permit for, or an approval of, any vi )Iation 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
SITE ADDRESS 33/7 Fox 771IG 7K-
NATURE OF WORK 'tJe.u
USE OF BUILDING St=D
PERMIT NO. 0/ - 0024- DATE ISSUED 12.~ - 2o:l>Q'
CONTRACTOR ~ M,..~)e~~h~.../ PHONE (P/2- j9l.-'7805
NOTE: THIS IS NOT A PERMIT FOR AN) OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR OAr
I FOOTING 11>> .:0~ 1 '3. ()~!C>\
I FOUNDATION (Prior to Backfill) 1 fp,., 1 '2,/9/ /J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1J.~~
"6 ,\J'tL.wi
'\3.()~
t,~
'B .U--JA.tI 4:- \ :'01/))
I I .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEr'
1 I
FINALS
n,i;f.,
~~\\~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS L1N'E AIR TEST
4)~"'lo,
41:lo) 0/
4-1l6)OI
41/&lO~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/() ~-9'
/0 -),[(-0/
e-\~ ~~ 6/eJ!OJ
-g.\\ \
OCCUPY UNTIL ABOV~AS BEEN SIGN ED
NOTICE
,
This card must be posted near an electrical service cabinet prior to rough-in inspel tions
and maintained until all inspections have beel1l!pproved. On buildings and add~tions
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
-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/CJ-.:{] - o( f ;Yl
ADDRESS 33/7 f; x: Tc" '/ 1(:", I
OWNER CONTR. Bob /YlL.IiI~'i"()~Y
PHONE NO. PERMIT NO. () 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
o MECH FINAL
rx( EX/GRAD/FilLING
"'i]'tOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
4~ -&/(
~ORK 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 & SAFETY/
INSNOTI
o FOOTING
o FOUNDATION
o FRAMING
^)'I.,...JNSULATION
t1~FINAL
. 0 SITE INSPECTION
COMMENTS: <12, {) l 0 (
\l..... l
~,fl- ~ pf-ro vel k 1 (-l~
-Ap.M.
'\." , ,
s J L +ree..s. 0eJ
[
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~~3/7
hK
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP.
o PLUMBING
o MECH
DATE TIME
pc?7-{)/_,~ : c1J
(Or 1
) ".J...C(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
deJelif~_eMt-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~R~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THi NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
ro.~1
AT
ADDRESS
3311 Fox Ilfl G tEArL---'
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
~LUMBING FINAL
-rv M~ FINAL}
Ilk - fVJ1'J.
t
COMMENTS:
t--~\1-c) \(
{)/-oocA-
t
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION ~ND PROCEED
o CORRE4K" :ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ (] jJJJ Owner/Contr:
CALL 447-9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
33/'7
CATE
t, ~:}/-{; )
h)( ,;)aJ
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
;?;6"":!J
OWNER
CONTR.
COMMENTS:
J~aJ
I
o PLUMBING RI 0 EX/GRAD/FilLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKU~ MJ 0 FIREPLACE FINAL
...Q-Pt:tIMBING F1NA"e:t7 0 GASLlNE AIR T:ST
o MECH FINAL 0
P1~I11.~ o. IL-
t--
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
;rLW~-
~ c9fL..~~
PLu~
.---
o~ C-- ~ :;.
i t::::fS-
,
~ORK SATISFACTORY, PROCEED
o CORRECT: AC~TO AND PROCEED
o CORREC~ t, fAll FOR REINSPECT:lON BEFORE COVERING
Inspector:~....l-vr- Owner/Contr:
. ~
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl