HomeMy WebLinkAboutBuilding Permit 04-0361
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please ~e or orint and sign at bottom)
ADDRESS
See M. FOIl Whi"
aIl1 1 e~;;I~W
tj- f -()tj
I PERMIT NO. 04-. o~
File
City
Applicant
~f38'"
$l/Lff hh/MrS '/ 1lA-1L-
ZONING (office use)
PuJ)
LEGAL DESCRIPTION (office use Duly)
LOT3$"BLOCK J ADDITION
1:mB!n I'Jw.r kl(
PID.::; 5 -LjoJ..- 034-0
OWNER /J J /
(Name) ruJ.,"TIE- _HDn1~ S
(Address) &i~ AkJ2d11i1lrI !3r/2f( 11//4/ _
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(Phone) ,t;~J -#5';?--SZ-OO
,t:;VITL J4V.
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fflh
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BUILDER
(Name)
(Contact Name)
(Address)
cAmE-
~ ZJ...f-SL#H.P.)
(Phone)
(Phone)
~J.7 - ZZ-J - t/~,;-s-
, TYPE OF WORK
/
[B"'New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
I~, e.
DLower Level Finish
~"')
o Fireplace
DAddition
DAlteration
Dutility Connection
PROJECTCOSTIVALUE (excluding laud) $
9~. t'W
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 upon the operty.to pc;!g,rm ;:!Jt'ded inspe~. ~~
)( A,u./-u/ ~~~ Bc..-/37/ Y; V7t? Y
,. ,/ Signature Contractor's License No. Date
I Permit Valuation ,q~lJt7tJ.IH) I Park Support Fee # $ -
I Permit Fee $ 16'z '7.:"!JtJ I SAC # $ /.~~O. tJ 0
I Plan Check Fee $ 111ft? 7. flr I Water Meter (Site5i.J,JI"; $ ~!)q. aO
I State Surcharge $ L/ /1. tJb I Pressure Reducer $ 4)'.00
I Penalty $ I City SAC and WAC # $ /ZO(). {)()
I Plumbing Permit Fee $ Ida. 0" I Water Tower Fee # $ 7ocJ. 00
\ Mechanical Permit Fee $ IOt).otJ I Builder's Deposit $
I Sewer & Water Permit Fee $ 3 >. 5'~ I Other $
I Gas Fireplace Permit Fee $ i/o.oo I TOTAL DUE $ S; 5'-'3. e-~
>
This Application Becomes Your Building Permit When Approved I Paid ,~S~J_ J?Il" I~O ~(,r;l
:8~' #~ #~P'~.y l Date ~,~.t1~
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance w~gr .&nin~d~.Aa:~r'C,~uested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consDCCmelUUllI" rlleccupancy must be
USU~~ ~ f/e2/0,/
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Aveuue Prior Lake, MN 55372
See Main File
White .. Building
...--vanarv - EnQlneerlnq :>
Pink .. Planning -
Tht' ("rnft'fof lht' I...... Country
BUILDING PERMIT APPLICATION DEPARTMENT CI"U;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
fYtffJ
5tL
Date:
4' 27 '0,/
Comments:
rYh/^ r/lL
"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 shalt not be valid."
@~
See Main File
White . Building
~nory _ F=nnineering
.Ak . ""on"W
Thr ('rnl.., nllh..I.8kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
APPLICATION RECEIVED
/,/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/ .. ,'_ ) t,o,- "
i /(/ .~ ;
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~.
Mv
Date: 7"'/.9 ~ t//
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."
~1
See Main File
~ - Buildi"iig>
ana..y - Engineering
Pink - Planning
T"~ ("tnlPr Ilf Ihp l.a". Count.,
NAME OF APPLICANT
eUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
~~ ;.I~
0'- f?-Otj
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop ed at:
Cjq3P ~ ~I
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
#~../
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,"
Apr 08 04 09:46a
METRO GENERAL SERVICES
763-428-2968
p.4
GAUl. fLf
YELLOW . APPLICANT
GOLD. en,
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: j)1.ffA~? ~ fJeriJNJJ Simit&WNE; lk~-ll1X/ A]")~'
ADDRESS'_ 5'74b (JIM!1L-I1tn_ hf DATE:
SIGNATURE: l)g if. !1v1.1~",'
SITE ADOFESS: 4Cf3r: f2J()Jf:' I:!uf/lf\'~ PIDi!
.FILLeIN THE BLANKS
/5(J
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FA'/.. CJ5~ 'I'I7-,/-z,l/./(" NOTE:
S.w. N~tI-~ I
BLDG. PERMIT 1/
1.
Estillated length of water service
/' 'I
Size of water service inch(es).
feet.
2.
3.
4.
Type of ~ewer pipe.
ADS
from structure ~>>
PVC~" Cast Iron
")lJ
feet,
Loca':;ion of any couplings
'----
5.
Estinated length of sewer line
feet.
.
j
6. Clea1 out (if required), located at feet from
stru~ture. liAn .
===~==~=~==-=~==~=======~======~=======~======~=============~~=~=
This ap~lication becomes your permit when approved.
BY
DATE:
i
============7=.==-==============================================~==
P/.<J;!e<i {J't1t
FEES: f] id,j P"--",,;7- ., Sewer and water 1 ine connection permit.
. , ' Surcharge
IJtJ Pee.- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$.!iO surcharge. .. .
*
SeWI~r and water permits issued, for new construction must be
recprded on the building permit card at the time of issuance
to lnsure;' that no duplicate sewer and water permits are
iss led.
:; ";;r.-,:ghi - -
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..Di'rE';;,I1A &0
RECEIPT 'J!
'HV
1\ ~ }004
1\MOUNT PAID
REC'DB'l
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;.:.?:~~i~:'Si}.. " .
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'16200 Eagle,'~rcek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (..,,2) 447.4230 I FAX (9112) 447-4245
I An Borial OpponunilY Employer
-- --_._-~-----
.. ___'HAY-01-2004 FR! 04:06 PH VALLEY PLUHBING JORDAN
FAX NO, 9524922617
P. 03
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Plasc l'~e or tlMr and ~iPJ\ at bottom)
ADDRESS
YQ32 ~\l\~\- ~e\~hr-S \rQ'\ I
!.Or
LEGAL DESCRIPTION (omce Ule only)
ADDITION
I OWNER
(Name)
(Address)
BLOCK
Pu, \ te
APPLICANT h'
(Name) \io, )If'Y PI Ll '(Y) lnS
(Address) ~ In [) (i) ~lD..-lli JA.-\Jfl.
(Address)
S\'\ 01 rw r1 n
I
APPLICANT SIGNATURE (' ~ Aj/l 'lYl/Q/)/l}...j)
(Contact Person)
, I
I
Quantity
cl
,
I
3
,
\
I
.1'\
1- Diu F\1. I PERMIT NO J
1. r~" ct., "D4-, () ~/~J
J v.llo..... A,Jll"lj~lI~ ;...) ""'
ZONING [Dffice,;;;)'
PID
(Phone)
(Phone) ..Q...5.d. . qq ~..:.d.l;J )
1'(1\'0\0..1\ 653@
(City) (Zip Code)
(Phone) q sa - '-1C1 N - 1 ao~
DATE 5-;-tYt_
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture \ Quantity I
Bath Tub with or without shower ~ Rough-ins
Dishwasher I i Water Heater
Floor Drain I I Water Solmer
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage !;jeetor
/' Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
Type or Fixture
FEE SCHEDULE
Industrin,l. Commcrci:l.1 &..Multi-f'amily 1% of job cost with a $39.50 minimum
Estimated Cost $
Residen,ial. New On, & Two-Family $99.50
Residential. Additions &. Alterations $39.50
Building Permit # _
1---EAin WI I'll
: iIDILDING
I
This Application Becomes Your Building Permit When Approved 1).~ ~a~ L~ il\ ill ~'W ;U~Rll'
Bu;ldiag Official D... ~ iIA'Y 1t 2004 11 By
(Oltic~ 'U.t Only)
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
24 hour notice ror olllnspeclion, (952) 4. 7-9850, fal (?52) 447-4245
16100 Eae1e Creek Ave., S.E.. Prior ~e. ~nI ~~n,..1"J:"':
6-11-04; 2:37PM;
€~1
At'NIiU01'"
;952 894 0925
# 6/ 9
_""'''1:; Jl'-C.... U
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
:1
ii;
; ~:~. ~:,~ I PERMIT NO. ~ ~_ "';2 ~ I
), Yellow Applu:alll "" . tiitiI' Jf
!I
I
q?Iease np~ or tlrint and sien at bottom)
ADDRESS ZONING (off"....)
lrl?'X
biller I-\t' iSh+--::- T((~Q
I LEGAL DESCRIPTION (office use ouly)
LOT BLOCK ADDITION
PID
j
.~
~W
I
OWNER'\) r. ^ 00 L\ '
(Name) ~- ~~~
(Address) )<\S iNci'l-llwlfl'tLJluJ (dr~JJi if=- Jurl
, J
(Phone)' oS\' \..6'2 -S?OO
FT,Q(dl. thf7. SSI('.J
(Address)
Bumsville Heating & NC. LLC
1?4R1 Rhode Island Ave. So.
sevege, MN ~~122
(Phone) C'l<) - ~Q U-OCO'::-:::.
~,f
APPLICANT
(Name)
m\~
~'~0
(City)
(Zip Cod.)
(Contact Person) 0 (phone)
APPLICANT SIGNATURE (jjyL ~11l O/lfYJl7a /I DATE (0 - / ) -( J(/
APPLICANT PLEASE COMPLETE BELOW
(6lNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL (0' J1r7(t,t GS\ M(?-..7Y 13 -(::J--tS FUEL -40 I: qrlLJ _
'LUESIZE RETURN OPENINGS :::> INPUT Lj~r(--'OO OUTPUT l:1~Jao
TYPE OF SYSTEM
OWann Air Plauls
OGravity
o Mechauical
~ir Conditioning
OVen.. System
HEATING OR POWER PLANT
o Steam .
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
IREPLACE MAKE AND MODEL
Estimated Cost $
4).:
:::::: B
:;",., ~~9'50j ""~.
\{~~l~ :
~t. , (r:h~~ ~
;X ,50 ~ V~-G::,::;'
'~m ~ L~ ~ 0 \fl ~ ~eiPtNo.
Date 'L~m JUN 1 5 ZOO~ ~~Jl
24 hour notice for all inspections (952) 447.9850, ~ax (952) 447-4245
16200 Eagle Creek A.euue, Prior Lake, m 55372
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50
$64.50
ResidentW, Additions & Alte~tions
Residcntial. AC Only
Idustrial. Commercial & Multi-Family
osidentiaJ, Heating & AlC (New Construction)
osidentiaJ. Heating Only (New Construction)
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
Building Omcial
- ./
!J I
(Iy
()
fl'ice Use Only)
rbis Application Becomes Your Building Permit When Approved
PRIOR LAKE DEPART~..~~TOrSee Main File
BUILDING AND INSPECTiolt
INSPECTION RECORD
SITE ADDRESS U 9 .3 ~ 13 / u... r P I-I-k T...-
NATURE OF WORK /1/ ~)\,)
USE OF BUILDING ~F
PERMIT NO. oq=:- 030/ DATE ISSUED IJU"
CONTRACTOR - PHONfc!/ a . ~~(. "..".- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING M$ ~ .7//00/"/; i
INSULATION ;/ W./ /-It...rJI./
ELECTRICAL ?/rfl&/'
PLUMBING #~ 7//~~-7.
HEATING (if required) ~ t //"//0/
FIREPLACE ,. /
GAS LINE AIR TES~~, ArE l' %/ JA'f 3'/s.yoy
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
See .#f4.,.Jt f;/e / '
~ 7#/o(
_ YIJ;/w
~ ?b;/rl'
fta ?p%y'
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
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.
FOR ALL INSPECTIONS (952) 447-9850
.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~9.?f/ LfiJil' #Ir
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.e.INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C-AMM~TS: ___' /l
;:Z~e{ft~c;-lhJ.t:/I/ ~
N.y/ of
~;(
Ir(
TIME
~Y-S6/
o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r?h//:y
// ' / /. _/ /) / ~
~Tf',' At-v ?t'v-e ( 0 0t -f;-;:'<SA~rf
---
.-
--
~
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ESATISFACTORV. PR~
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.
'N<NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIllE
ij!rr
t/9JF Xt.,.f1,C ff;{ -#/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
o PLUMBING FINAL
~ECH FINAL
C>~_ ?c:/
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
//:?~"p-, c ~r ';rL;'s /-/- ~- e.--// //
~S~.o? ,.. 1 ~~;... a'A/ /' ./ />"'"
~ //'" /
c::...//c
./
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/1 /1 c;
0/
~ORK SATISFACTORY. PROCEED
a ~ORRECT ACTION AND PROCEED
o CORRECT WORK'~)l; 7 REINSPECTION BEFORE COVERING
Inspector: /&1__ Owner/Contr:
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
I/'1SNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
;-(J<i TIME
4?Srf7 /1~1P //Jf ~//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
o MECH FINAL
COMMENTS:
#'";;~O~ t!-..,{." f<!".J-/
{5/ r//~J ~-r-U
~/
///c
--- ,
_/ /
( u~ck ~
~ij_.?t:::/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
O/C
"ko~//J'
A;/;/~g fl://
-/
~w RK SATISFACTORY, PROCEED ,,~ /' L
CORRECT ACTION AND PROCEED [ (.
o CORRECT WORK. CALL FOR R INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!