HomeMy WebLinkAboutBuilding Permit 04-0023
(Please '!ype or vrint and Si20 at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1.5.01--
I. White
2. Pink
). Yellow
I PERMIT N(,). 04- .00 z....3
File
City
Applicant
~/Q I lolA.[jAK Pcd-h ~ vJ
I ZO;; (offi,,",,)
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK d... ADDITION ~ \jJi\d..c:, 1Icrm
PID 2~. 4-04-. 03/,0
~::~~d~~h ~ )...a.,v.rr.. ~
(Address) \?'\'14 'l~~~_ AJ~S'.
(Phone)(~~1...L~~c;.~o,
SIl...lJz.~ ~
BUILDER ().1 {'" \ I . .-..--
(Name) ~ ~ ~ .~
(Contact Name) l::.c 1\ H:r> ~TZ It< {f t/.l. ~a.u-
(Address) ~oI:).~'t)L \\~
LA"\.u..o.\\.. .u~ ~~4
,
TYPE OF WORK
DMisc.
~ew Construction
DLower Level Finish
DDeck
D Fireplace
PROJECT COST IV ALUE (excluding land) $ l../ 3 5_ !'n)'\). c.. J
DAddition
DAlteration
I JUtility Connection
DPorch
ORe-Roofing
I JRe-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 cerl fy 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 p 'oceed 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 upon the property to perform ~~e~;spections.
X C'ClI.J.J>"""q..-. Q~I{J:(ort"L,.. ~/~.~Q7 I~DbajJt)h3
U SIgnature ~ Contractor's License No.
I Permit Valuation
) Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1kf3'5" 000. av I
$ 30fn 3.5"0 I
$ I q 'u . 'Z..8 I
$ 2.17.501
$ I
$
$
$
$
!bOlon
IOD.DO
3'5.'50
Lf(J.Oo
This Application Becomes Your Building Permit When Approved
~~
Building Official
11I'i(6Lf
( Date
I Park Support Fee
I SAC ~
I Water Meter Size5/8'~
\ Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~
#
#
1'5'50.00
3oo.0l!l
70.QO
12,00.00
"UW.OO I
ISoo.ool
,
'-
#
#
I Paid
I 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 procee, I 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 Cf 1ificate of Occupancy must be
. d .
~ng~f-J I/fL{L~o/ ;(~- t!!condit~~- /~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.~
~7;
- ----'
-4Vhite . Buildiii!t>
Canary . Engmeering
Pink 'Planning
rh~ ('..ntN of lh.. 1..k.. Coun"~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ I..fi FF f/tJnES
/. 5.0 -1 -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Zh(P I UJ(/q/l~ p,q77-1
Accepted
Accepted With Corrections /
Denied
,
~
~~ ~ Date: II/s/ot(
f f
&~ ~~ .~~::J
~ cn.J2~~ ~,
lJ~,
Reviewed By:
Comments:
/-
"The issuance or granting of a permit or approval of plans, specificc tions and
computations shall not be construed to be a permil for, or an approval of, any fiolation of
any of the provisions of this code or of any other ordinance of the jurisdictiOlIl. Permits
presuming to give authority to violate or cancel the provisions of this cod 3 or other
ordinances of the jurisdiction shall not be valid."
~\
White . Building
~, . I'naineering
0ink . Planninv
lhfCrnrrrnfthrl..kr(.oun1l1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/c!IJ7-2 Cf4 F;:- !-f()/"/t-S
/. .c-. L: ,/;1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z & & / C (i (j (; rI K 1"/1 ;7-1
Accepted
Accepted With Corrections
/'
Denied
~
~ ~?-'
A,e. I~ ~
~~,
f/ -
Date: ! / /"3/6 t.{
I
~
~Ld
U
Reviewed By:
Comments:
"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 ,'iolation 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."
- ..-<
. ;:};' PR/0Jj>
ii~'t
Th~ (.~nlpr nf Ih.I..'" C..,unlry
White
~
Pink
. Building
~ ~narneerlng.>
. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPpCANT
APPLICATION RECEIVED
Rm? Lfi~' HoliES
/.5' 04 -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z0fc / C-O(jqHK- p,q77-1
Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
II/J4 13
Date:
1- /7.. -0'1
Comments: ..see Reverse Side for Additional Information I
See Attachments' 1) nr"clin~ PI"n. ?) Rrm,ion Control Measures
"The issuance or granting of a permit or approval of plans, specifica .ions and
computations shall not be construed to be a permit for, or an approval of, any \ iolation 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
; ~:;::'w ~\:; I PERMIT Nt>. / ,_ J -:z
3. Gold Applicant Lf' (7'-0
(Please !YO!: or 'Drint and si2ll at bottom)
ADDRESS
J..lt, I Co 1-\(;.412. P~"rA N.W.
ZONING (officellse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~ ,.
(Name).tl.ll.T~l ();:,L
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANI
(Name) iJ(t({;IN.IL GX.C.
(Address) Ii. II R J 0 pI.. ~ vJ kY
(Address)
(Contact Person) IS lA. C. i-l
APPLICANT SIGNATURE t.Q..., "",L \\.A.'-- \J_SL..-
o
(Phone)
L JIl./L6-i./"I. L.(..,c
(City)
.rOI.Ji./
(Zip Code)
(Phone) arSJ -1<9J...-(. '10 to
DATE .. ~ lu /0<1
." v ,
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -
Type of sewer pipe. 0 ABC, ~ PVC
Estimated length of sewer line I.J 0 feet.
Clean out (if required) located at - feet from structure.
feet.
o
Cast Iron
Estimated Cost $
$35.50
$17.50
cO
"}Oo.
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% 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
I"" /:11 f3.kJ;v' _,,<No
I oat:; ~ ;> S- - 7" BIT
24 hour uotice for all inspeetions (952) 447-9850, fax (952) 447-4245
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
_ ____,__ __ --..:-~...~. ~~.LV.r<. L..'\Kj)
@OOl
CITY OF PRIOR LAKE
REA TING/A1R CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
rn...a5C:!yo!! tlT l:Tf.:nt ~.I:u:i ID!n It bottoM~
I ADDRESS
dc'hl
~ ~ J!~\PN I PERMIT NO. !) Lf ~ Ol~
(;...{ '~nl'
. LEGAL DESCRIPTION (om: u,: o.ly)
M-Ih
'l..10 .
'1 I ZONING (o~'wcl I
LOT
BLOCK
ADDmON
Pro
g;=~~,.t"7!eR12
(AcidressJ ~~/
I APPUCANT /> _L- _ //D (
(Nllfl1el (../lA l7f'(1//P (')./1'"
(Address) rV/;;? / (') r:-n h,.. I .4, J e
(Addr.,,)
~vnt<?(;
(Phone~ ) r:t R~' - ~ <\ SC;
(phone) _ -rm - f,t1 ;:;l-::;J
r"1/-") . S':,=;( l:;J .L/
0' (Clly) '2;'1' Code)
(Contact Person) (phone)
APPLlCANTSIGNATURE _~~ _7~______ DATE--f::--!":;"_O~__
mE OF ~1"'''.M
OWIlttI1AirFllUIts
DOravi!)'
~Clchanical .
~ Conditioning
,...t:::lVc;tlt, System
~LACE V..A.KE AND MOD?L #/J/
/ APPLICANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FlJRNAC:EMAKEANp.lYH?.?EL . /rv.:;../1 ,p /(/YC$?(\ (', Q..I/.Q FUEL i 11'1--7-
FW2 SIZE r~ If 'I1L RJo-ruRNOP:EN'DlOS . In INPUT ~ ~_ ODTI'D1' 73, C-<\('\
, .
HEATING OR POWER PLANT
o Steam
o Hot Waler
o Rod;"lo.
o Spoclal Devioe,
o 01l1or Devioes
1\.Jr.:A
PLEAS ~ NOT)!::
Air Ccn iitioner Units
Cannot. ,ncroach In'"
Requi1<ll Sid. Yllrd
Setback
<:;.,L - 7,&((')
lnd\JSU"iaL Comm.ercial & Multi-ramily
FEllSCE:EDULE
J% orJob CQ~t RaidC'ntia.\, G~ Fi1'~pl3.cc.
$39.50 minimu",
S99.:S0 P.eside:irio.l. Additions &. AIt~C'a.riClM
SH,50 Rosid"'tls(AC Only
.39.50
Re:1dootial. li.atlnJ & iJC (New Con=ction)
Itesicle.u.J. Hoating Only (/Jew CQr,,,ruc,lon)
.39.50
$39,SO
Estim:rt.d Cost S Bu1!ding Petmit #-
!-lEA TING PERMIT FEE . $
STATE SURCHARGE $ .50
TOTAL PERMIl' FEE $
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""'" ~/D..
"-'.......... \t~. Vfl/'.....
..' ! '-
- .I.....~ ':. '
........', ,,~., ".",
(orner Use Only)
Tbb hl'.plicattoa aeeomes Your Buildiog- permit Whon Approved
B\lildlng OlliciJIJ
D:ltc
I P..,d
I DJ~I~
Z 1 2053
1 Rec::ipt N, .
I By
24 hour notico for ell inspectIons {.95l) 447~9S:S01 fu (.~52) .4.47-4145
,00 III
lilY 031101llNO:)
9H909HS9 XYd SC:9( I1Hl tOOZ!90;,O
03-31-04 05:40 PM FROM FGTN PLG ETG
TO 9524474245
POl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec:'d
IPIcIS<~or.rilllilndli"" .t_m)
\ ADDRESS
). t" lD. ( Co '^J Q (
LEGAL DESCRIPTION (ollk< .... only)
LOT BLOCK
(Addr.,.s)
t' 0.. 1- h.
ADDmON
J
)..D'7 -;() .
(Conract Person) <..) I ,,'" - T! ca. '"
APPLlCAm' SIGNATURE ~ QAAt'. Q
Quantity
~
I
I
<?
i
I
\
-~
; ~": ~:~ I PERMIT NOJ I/I'L fth7. ""
) y.n- ApplICMl li,.... . UV~
I ZO~ING('_ll") \
PID
(Phone)
~ (phone) -1~51 -LJJs.-1-7~J Y
~rmi~-In", ,5Sc,a.t../
(City) (Zi, Code)
(Phone)
l-. Jtl{;.QQAA ~
DATE
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
I % of job COlt wllh. $39.50 m1nlnwm Rald<ntilll, New One A Two-Pllllily
~-RaldaIUa1, AdditioN & Altl3li...
Estimakd Cost $ ./IJullding Permit .
ERMIT~
STA CHARGE $
;u. PERMIT FEE $
1fPe of Fllttan!
Balb Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
IndllSlrilll. Cocnmcralll &. Multi-
Type of l'istlll e
QlIutlty
1
i
I
Rough-ins
Wa~ Heater
Water Sotbter
Stand Pipe (Wuhing Machi.le)
Sewage Ejector
Backflow Assembly
Sackflow Assembly Test
Lawn Sprinkler
Other
199.50
tl9.5O
PAm Wdn;
--:8' ~~1 C)~"1~ fO'Ci': 'jf~
.. 14 d .,-~ , .:...." Ij'J~ ~ . :..
.,
'~ ,.'Z".1.
,.
. _.~~~.,
, ., -~~t<
(OllIe< U.. 0.'"
nil Appljtjlloa Becomes Yoar BaUdla. PO,." Whoa Approvod
.
ha.u.c Oft\dal
D...
:14 k..r ..1Ia lar .111......11... (951) 447-9llSO, f.. (951) 447"':14'
hid
--.~~~ A'.
8y
, ,
~R \I I 2004
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS -2-lDto' COU~ PA:r~ tJ.~.
NATURE OF WORK N6~ a~~,.t.u,a-j aA .
USe OF BUILDING -::).F="O ·
PERMIT NO. 04-_ 0023 DATEISSUED "'''lID''
CONTRACTOR ~ ~OMes PHONE~2..-'leS-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~1l~PECTOR
I FOOTING j/i I 2-2<..1}
~. ..~"
I FOUNDATION (Prior to Backfill) I f D '5 -7" I
PLA~7 N~,yiRETE UNTIL ABOVE HAS BEEN SIGN:D
~(f17 ROUGH -!1NS
SEWER / WATER I SEPTIC 115.. . $t' S-
FRAMING IY .tf
INSULATION /16" S/- /.t.
ELECTRICAL
PLUMBING 1!.~uJ /"'2 (:/ jJ6 Y--z.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~-~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNer,
I I
FINALS t)(A~t'~~h.l
GRADING (Prior to SOdding)
BUILDING T~ \0 "\-0"
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
~ ~~
~-
tV
"/-/
e:!r ~8
It'P. /"dfJ-I-
j/~7
(5'.:J'--o
../h">
....
u.t:.. JI!Z7 ~ - c-.r
~J 7-~-O~
UNTIL ABOVE HAS BEEN SIGNI'ED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspe, :tions
and maintained until all inspections have been approved. On buildings and add itions
where no service cabinet is available, card shall be placed near main entrance,
FOR ALL INSP- --rONS (952) 447-,...:850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1"1 Cr.1lHOtA/ Pc...f/h
v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.'It'"FINAL
~ 0 'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
c.~_(W.
(>>Jb ~.y~y.
DATE nME
lo-g-clf
/(., IZ/4t:!P 1Iu~ .rnc.
CJLI-23
:i... ~ILLlNG
IJ COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
. 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspectar:~ _ Owner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE I~~-O(
INSPECTION NOTICE SCHEDULED
ADDRESS 2'kl CkxrCQ '" ~<i.f
V
OWNER CONTR.
PHONE NO, PERMIT NO. l.[-DO~5
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)!t...FlNAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
}. M...ilA.\r:.i..... ~'o...... Q.......j;;;..<
7. e.",....t( "*, ~~
~. Fi... C:.~ \z:,..~"-.A <;'....Q.
~. Sot J-T~
s. ~x ~ Si'. ~ JU.l>,J( B' ((".JL
rl~1)
+0
or -, - 1_00 l{
. ,
~t.", D..,.( 1>I&.~.,j - ~ ~M;Ld\
o WORK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
)( CORRE ~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: r '--) Owner/Contr:
-L~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOl1
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED (p. -zt:t
ADDRESS :)fAq,J O~ (J)t..\.l\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
if - 7"2:,
/
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
..er PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~'7 l4t.ffi, V~_
~. f[, +'-''''''f'I. IZ-.- C-- C?o1 /~
S. ~~J.-f6'L{I#..r:: I' ') Clt{7-i'ScrV
q . t. ) /'" .-.fS -/-'" n\..c~...r
5 . r;, { n.; (\ l P -D--oI'!n.1;, - ?
o }"ORK SATISFACTORY. PROCEED
Jzf CORRECT ACTION AND PROCEED
o CORR" 'ftJRK. CALL FOR REINSPECTlON BEFORE COVERING
Inspector '-1(/ ~ Owner/Contr:
CA
7 850 FOR THE NEXT INSPEC'fION ~4 HOURS IN ADVANCE.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTJ