HomeMy WebLinkAboutBuilding Permit 03-1335
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
J\ND UTILITY CONNECTION PERMIT
Date Rec'd
/~/(PO
15ajr' C",,,,Je.
9--4-3
I PERMIT NO. {B - 13351
t5,1rf2)e;en-- ~
1. White File
2. Pink City
3. Yellow Applicant
(Please tyne or orint and sign at bottom)
ADDRESS
141110
XXX'I(
ZONING (office u,,)
;</
LEGAL DESCRIPTION (office use only) .
'I if f'~ /J,- /)s N"'Jl,
LOT BLOCK ADDITION
PIDdS-.'10t/ ~q9.J
.
OWNER
(Name)
(Phone)
(Address)
BUILDER . J
(Name) tyJJ)'i/i-ll Huw...<.
(Contact Name) n1i"l~Jlt' W,//,..
(Address) 7373 /t./7fA 5~1- ~I d~ JI/O
,
(Phone) ~,j ."1'1 ';;:7:i>)
(Phone) 9Sil-1I /()~ 07;;l;J
Il,~/k,,,-. ~Q.2',/
DAddition
ORe-Roofing
DAlteration
l]Re.Siding
TYPE OF WORK
~ew Construction
DLower Level Finish
DDeck
DPorch
o Fireplace
JUtility Connection
o Misc.
PROJECTCOST/VALUE (exdudingland) $ .:lSV.(NQ
-----
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also eeT ify 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 willI roceed 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~ th;, p~perty to perform needed inspections. \
X >1/h.i/~ 1t1,M' .:JOO,S'iI<l 91.7,~'3 '
Signature Contractor's License No. Date
--
Permit Valuation SlSO, 00 {) I I Park Support Fee # $ I
Permit Fee $ /9.33;,S-1 I SAC # $ 1;;L75.- j
~
Plan Check Fee $ , II q I,QLj I I Water Meter Size 5/8"Q.:;./ $ 3co-1
I State Surcharge $ /al). - I I Pressure Reducer $ 70- j
I Penalty $ 1 I City SAC and WAC # $ Jd-f){] . -- I
I Plumbing Permit Fee $ I 00.- 1 I Water Tower Fee # $ 700,- 1
\ Mechanical Permit Fee $ 100.-- I I Builder's Deposit $ /500-1
Sewer & Water Permit Fee $ 35.S-D I I Other $ j
Gas Fireplace Permit Fee $ LfIJ. - 1 I TOTAL DUE~)\vv<)~:;:l'ti"~ $ 9;4'71/)'1 I
- I
This Application Becomes Your Building Permit When Approved I Paid !(4-7l/7 I Receij)ta o. 46Z,f., (0
~ ~ JlLz/n I Date //).7.tJ? By ..:J.-. I
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 procel d as requested. This document
:::7:d2?: by the Ci;" Planner con'ti:;"es a temporary emiliCa'; ~ Zonm,;mpli,,"c, ,,"d alI0W:;;:tructi; '0 commenc,. B,ro" occup,,"cy, , C rtific'" or:ccup,,"cy mu" b,
~ 1~ 9/2-2/07 /C4O-d( a-L( ./- /P-1...r--~. I
Planning Director Date Special Conditie"ns, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"
~~
White
Canary
.....-1--mK
. Building
. En9ineering
. t'lanl1iin1:::>
lh~ ('foln of thf L.kf ("ounU"l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl5T
NAME OF APPLICANT
APPLICATION RECEIVED
. ,
Ii /
'/-
_v-.)
::.;
The Building, Engineering, and Planning Departments have reviewed the builc ing permit
application for construction activity which is proposed at:
ILj/too
j'
! !
/
.,1 <_"
Accepted
Accepted With Corrections
/
Denied
r
Reviewed By: ~ '~ ..-<---0 7~ Date: 9/Zz.h 7
/
Comments: {)J}~~ J.-1~ ~. ~ .b< ~
--. U~I {/ J
..P~.
"The issuance or granting of a permit or approval of plans, specificE tions and
computations shall not be construed to be a permit for, or an approval of, any' riolation of
any of the provisions of this code or of any other ordinance of the jurisdictior I. Permits
presuming to give authority to violate or cancel the provisions of this cod ~ or other
ordinances of the jurisdiction shall not be valid,"
ii~lc
~White
Canary
Pink
. Buildiiib
~neering
. Planning
T.h~ (-..n'f'r of lh.. I..i<.. Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=;T
NAME OF APPLICANT
APPLICATION RECEIVED
'7YI~~~
9- d-3
The Building, Engineering, and Planning Departments have reviewed the buile ing permit
aPPI;OOI;o;;; :O~ru'I;OJ':;:' Z~
Accepted
Accepted With Corrections
v/
Denied
r
kLf) A.J
Date: 9/z..Z/63
MAJ E 5'
.
/IV
Reviewed By: ~_
Comments:}itJ !jt/e;e. h7tNj / Fiid nj s /p'~-h,
PA.\'~
"The issuance or granting of a permit or approval of plans, specifica lions and
computations shall not be construed to be a permit for, or an approval of, any' riolation of
any of the provisions of this code or of any other ordinance of the jurisdictior. Permits
presuming to give authority to violate or cancel the provisions of this cod l or other
ordinances of the jurisdiction shall not be valid,"
".-1---
",-, ;
Th~ ("~nlrr of th~ I.....~ ('ounny
White . Building
r CanaN 1- cnOilneerT\
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
--'---l---j/) ,-J ' (, 7!-t-- ("'(;' .,,~.'-.
/ / .' /._u..-v1. l. /'j- /)- /c.j/.-$,,}
APPLICATION RECEIVED
/C. " -....
f.j - a( -' ::s
The Building, Engineering, and Planning Departments have reviewed the buJing permit
application for construction activity which is pr9Posed at:
II. I 1/ ;7. ..' / / r . .> r :;'
7 I (p 0 ,. ./ I./d'1 tV '.!h.'(.~ ,?--
'j
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
C;-/~~03
I
I
I
I
I
I
I
I
I
See Attachment~. 1) Gr:Jcling Pbl1. 'J) Pr-DSll:m rlmtroLMeasuresl
/n4f3
Date:
Comments: See ReversE'! ~irfe for Arlrlitinn~llnfnrm::ilionl
"The issuance or granting of a permit or approval of plans, specific itions 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 jurisdictio 1, Permits
presuming to give authority to violate or cancel the provisions of this coe Ie or other
ordinances of the jurisdiction shall not be valid."
--
,
Dec 15 03 07:40a Mike Schiltz 6516818306
Oe/l~/ul THU 14:41 fA.\ HZIHH4~ ~LH vt rXLUX LAU
p.l
19lUUl
""t~ Rc~'d
CITY OF PRIOR LAKE PLUMBING PERMIT
Cj $2--'1'1 7-'IZ~S
I..... Pttf
lo.w Cilr
,Vella_ "fPliun
I PERMIT N~:)33S
I I ZONI~G("'''''''1 I
Ip't&tt' ~ 'lr arinl Mld 'lip .t bobDml
I ADDRT4 I tt 0 ~ _ ~ ~o.-r
C\ rC. J c
I LEGAL DI!SCRlPTION (cllkr... cft1y)
LOT BLOCK AOOmON
If!:'''';/Jn i-iUI/lUlIl!I :servIces, Inc.
pn Rnv 1)')17"
)/)/1 (A~. MN 55122-11172
(ComactPenon) / ' I: W.... S <-.J... i J'~
APPLICANTS1GNATURI! /./1~ ~
OWNER
(Name)
(Addn:ss)
APPUCANT
(Name'
(AddJess)
I
I
~..
I
I
I
I
I
Qaantity
~
I
I
<;:
r
I
J
PID
M L{)-e,.- i+t--
I+tJ W1 .(. .J
(Phon<' '7 s. z'-&"Ju-g'/ ~e....
(phone) r.sl_(.fl'J- g2.SL
(City)
(Phone)
(Zip Gode)
DATE
I 2..- 15 - <J ;.,.
APPLICANT PLEASE COMPLETE BELOW
-
Type of Shtn..
Bath Tub with or , ..'... shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
LaunmyTray (1 or 2 oomparun..., sifl'"
Shower Stall
Sinks
Bar Sink
W8ler Closet (Toilet)
Type of Fixture
Quantity
.~
i
)
I
Rough-ins
Wai.r Heater
Wale!' Softner
Sbfld Pipe (Washing Machine ~
Scwagc Ejector
a""kflow Assembly
Backflow Assembly Test
I LaWll Sprinkler
I Utncr-
- ~~
I
1
FEE SCHEDULE
Indus1rial, Corrunucial" Mulli~r.nily 1% orJob cost ....itf,. 539.50 miftimum llesiden1illl, New One &. Two-FDmily S~ ~.SO
R.esidentill. Additions. Alterations 1.,,9.50
E.li",al<d Cost S
Buildinll Permit'
""AIU WITH
BI J'lDJ~ PEIWff-
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
S
$
(om~ u~ Only)
Thi> Appllcotlon IIecom.. Yonr Bulldiac hrmil When A"., . 1
PaId
Rea:ipt No.
Baildiac Official
. D~EC 1 5 2001
By
D.te-
14 h..r ._ r.. 01. i..podio.. ~ ~:9.s0. roo (951) "7.1145
"lUO Ea.1< C.... ...... 5.L, p_ ~k,t. MN mn.1714
~- .
r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
l.P;nk
2. Green
J. Yellow
~::;, I PERMIT N :l.l'):;r I~
Applicant ~
(Please tvlJe or orint and si,EtD at bottom)
ADDRESS
ZONING (office use)
I4I60 BADGER CIRCLE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDEVITT HOMES
(Phone)
(Address)
APPLICANT
(Name) AU.TED FIRESrDE DRA FTRFSTDF. HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
551I3
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _65I.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/ I Rim
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPU r
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent System
o Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
PLE.lSE NOTE:
Air Conditioner Units
Cann )1 Encroach into
Requ red Side Yard
Setb, oks
FIREPLACE MAKE AND MODEL
HEATN SL-750TR-C
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
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
:-'AID V 11TH
BUILDING PERMIT
(Office Use Only)
Buildine Official
Date
I Paid
I Drf~C 3 0 2003
Receipt INO,
(J
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 441-9~50, fax (952) 447-4245
T
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J 4/11.() ~. (J,JIM.i ~
NATURE OF WORK ~W ,~ ----r-
USE OF BUILDING 4$'.~'. ~ I
PERMIT NO. O'X -IJ./F DATE ISSUED !J/2 Uti! I
CONTRACTOR ;A.c-~",. PHONE~.ml
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTiONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~CTOR
Y'M -.
, FOUNDATION (Prior to Backfill) I J/ // r -/ I 10 - 3d' nd).
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG~ED
ROUGH. INS I
SEWER/WATER/SEPTIC ~ 1\ }3
FRAMING I.(JC P f) . I
INSULATION . 1t1;; I
ELECTRICAL I
PLUMBING fZf -J2' Il. I
HEATING (if required) Fr p 1'<.. . 2 7 I
FIREPLACE If' f/ 1 ~ - 7,01
GAS LINE AIR TEST I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEp
I I I
FINALS ~~ U(/..r:~
I
140 If)-W
I
@ ~1.3' I
{-r/~ 3-/0 I
UNTIL ABOVE HAS BEEN SIG~IED
NOTICE
DATI
I FOOTING
I /f}-2J I
GRADING (Pri9r to Sodding)
BUILDING/H--f to 9+0'1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
This card must be posted near an electrical service cabinet prior to rough-in inspl ctions
and maintained until all inspections have been approved. On buildings and ad(litions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
,
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~bo Ache/'
v
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~E INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(":) /
(YJd
---r-
-r /re~
/
-7'....s:r""?'//e d
,
/
/'il/
/- / (L.
DATE TIME
~~y
CJ.-
0.3' -~\
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ 5~R REINSPECTION BEFORE COVERING
Inspector: /,p"rr Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
uaNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1-\0,C!I'-
ADDRESS Jt.//lPl) ~
OWNER CONTR.
PHONE NO. PERMIT NO. ?~/.?.3'6
o FOOTING o PLUMBING RI o EXIGRAO/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)d"FINAL o PLUMBING FINAL ..a-C'A~ AIR TST
o SITE INSPECTION o MECH FINAL o ...... _
COMMENTS:
L&.~ ~h~'\.. (2~
2. 'C'-Q.~ ~~~ 2 L G~ ~~f. '
""3, u......p ~..Jk. DN IoU . ~. 7:.f. "A
~, ~J ~ -
,..t.:). ~~~ r- r41dTta::h.
ClU~....
. .
-~
./"
t/-" -(
+---
5-f-OV
.
().~~"u.A+ .I "
\
o WORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
'" CORR TWO ALL FOR REINSPECTION BEFORE COVERING
Inspecto OWner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY/
lNSNOTl
-----
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
--
PHONE NO.
jf/t-o &jat~ C,'/'CIC
1
CONTR. rIlt-J)r>I/,'-/-!- I-I,;}'~o
PERMIT NO. C? 3 - (?J5
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~11'5' "''''AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 1
(-,/'"r.f( - 6 tL
(.",.() I b
& X - C) Ie
o WORK SATISFACTORY, PROCEED
o 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J:lllr,r)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED '2 -~3-d(
~~.o.r Qlr
~NTR.
PERMIT NO. J-/T?~
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
:&C'PLUMBING FINAL
"'0 "MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
1.{~AM.dUR. ~ (~
"-
2.. D....tI +~
\
Z fJ~,-.,-;...,. 'Z n ~~<l'--
-tu~ 1~
____ t--\ ~lJ oC...
~RKSATISFACTORY. PROCEED
~ ~~RECT ACTION AND PROCEED
o ro'~~7ro'~'~'=o""~'",~..
Inspector: I) j Owner/Contr:
CALll44 9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
HiSNO"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED.u/ 1 te3
ADDRESS ~~Uatr) 0~ ('~
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
~ WATER HOOKUP
~EWER HOOKUP
o PLUMBING FINAL
o MECH FIHfL1
I~~
COMMENTS:
G-kP--
i-UU\..
.r
-- __J
~I
l
.'\.. I~\., ;) ,n. I.
(YIL.'~v.:' v,~ ~
- ,
.3...nu-
o EXIGRADIFILL1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\
., \
..
~.c~~~~
o .WORK SATISFACTORY, PROCEED
.~' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
/' .2...Jo--.o
Inspectoc ,/ 7 jI'
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""'"'"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!