HomeMy WebLinkAboutBuilding Permit 01-0031
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1/3/0(
I. White File I PERMIT NO if- I
2. Pi" Ci'y 'Q .;;;'.O()'2/
J_Yellow Appli\;ant .-._- ~
(Please!VO~ or orint and sien at bottom)
ADDRESS \'") I t (' - \,. ( I ~N,ISNGD(officeu,,) I
~L..-z.- '-......L p\........n c..._~ \~~ .....
LEGAL DESCRIPTION (olliee use only)
LOT ~\ BLOCK \ ADDITION~"'" ~ O-\... 't. ')\-~
BUILDE~I\ '-_ \)
(Name) ~/~ ~.,
(Address) ,\-z,o<\- ~J.\..... ~ ~
~
TYPE OF WORK ~ew Construction ~eck
~ow'er Level Finish ~irePlace
OWNER
(Name)
(Address)
o Misc.
~
1.......,
PID 2.5-37/- n~-()
(Phone)
(Phone) 10 t"L .8802> {::f#>~ 10
~OOMjYl4'hn 554-2.0
v
OPorch
ORe-Roofing
ORe-Siding
OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (excluding land) $ -:t'"'l8\ ~OO -
at I have furnished i rmation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
for the above-~ti' d property and that all construction will conform to all existing state and locaIlaws and will proceed in accordance with
am ", J.; e b~d.ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed mspe . 1,-. J'7
I (P ..., 1- 1-c>o
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
1 __?
I. '1~.l. IS
1. ~ II' . \ loL
1\5.00
$
$
$
$
$
$
.~
('-$ ~
III 0 . e>o
160.00
'C{r> .(')D
~5'0
B_-.....~_~ Y 01 Building Permit When Approved
~_ A:-- I ~ J 'f- "-1
Date
Contractor's License No. Date
';2 ~O,. cx:::>O ~OO
I Park Support Fee # $ P. t.;r). 00 I
SAC # $ 'II '\O.as I
Water Meter Siz(Wll' ; I". $ 1~5'.re I
,
I Pressure Reducer $ LlS n7'l I
I Sewer/Water Connection Fee # $ '. :2..OQ.l)~ I
I Water Tower Fee # $ ~O(J .O~
I Builder's Deposit $ 'f~.ro
I Other $
I TOTAL DUE ~ $ B.80I. 39
1-1'1- IJf
I Paid
I Date 1- ;J.<f- 01
I Receipt;No. J.PFY3{
Bv I~.
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 as requested. This document
~: 'i. ~~ Pbnn~ cons:: a temporuy Crnifir~t~: ~nj ;:Plimre md illo~:on to commenre. Bef; orrupm~, a C,rnmcale of orrup; ; ~
~g Director nate S eeial conditi~\40' roPy- ~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
/
~'....""_"'- o. ,
",..,............ c,..."'"'":Ilit"...../.
o \ ,,003 J
Th. C~nll'r 0' t't Llk. COU"I".
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAHlJ=/ Bk:GS
113/0 J
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3220 LAk'-E: 5LU~F C I kClE N W
./
Accepted
Accepted With Corrections
Denied
Reviewed By: LLL.
Comments: 5ce Rc-'c:~e
Date:
I/9//JO
, ,
SiO€ Fn.e !looIT/f);,/A? WJ/n/YIe7./B_
$EE 471?JCI//l?t9J-r.5: /) Ge,<:Jo//J}/? flAM 2)t;~OsJoN CJNrRrx-IJ}.E7J$,ee
3) ceDMJ/r/U/l/TROc... PLAAI
"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," .
o l ~ DO 3/
Thor ClI'nll!'r p( lhll' L.kll' COlln11')'
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEf,ARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAtlLE &05.
1/3/01
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3220 LAK.E: BLUFF CIRCL5 NW
Accepted
Accepted With Corrections .Y-
Denied ~,~ L......
Reviewed Bl..d L!:r7 -
Comments:
}. R~ oJiAfflUtrJ hlk ..I~
Date: I-/'f-~{
"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."
6l v 003 I
Th~ Ccnllef of the Lllb Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION Dl;E4RTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAHl.F CkC~
Ii;) 0 I
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3220 J_f\K.S LLlJrF C iI<CI.F:
NvJ
~
Accepted
~
Accepted With Corrections
Denied
Reviewed BY:~h1, ~~..4"'~
Comments:
2l{yr ~ Wvnit:. ~
~~ ~~ l~ d- ~ 1/J....{),tA) ~~1
Date:
Ilt~/e1
"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-02-2001 05:41 PM STAR PLUMBING & EXC.
.,"_'_","," ... . n. ....
'952 884 7468
P.01
."',r' ", ~ - ",,-..
;,,'
\
-.. . ....
.RLLOW . AJI"-ICAIIT
... . CI'"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO./J 1--- rJ()3{
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: c~~
ADDRESS:. /O/P~~.P--t.-
SIGNATUR~: ~~I~ ,
SITE ADORESS:".3.2';J.CJ~PA#&.;.
FILL IN THE BLANKS
0.d
PHONE: ttS-..2-J'8'Y- ~/lf9
DATE: , ~-50-0/
BLDG. PERMIT II
. PlolI 3S-31/- 031--0
1.
Estimated length of water service
/'/
si~e of water service inch(es).
feet.
2.
3. Location of any couplings from structure
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line ~ feet.
6, Clean out (if required), located at
structure,
feet.
feet
from
============================-;====-====-==----~=----===-===---===~
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 1s $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
~o insure that no duplicate sewer and water ~~Hare
1ssued. ...BUILDING f'ERr".rr
l/-tJ-Oj
AMOUNT PAID
DATE PAID
RECEIPT 1/
REC'O BY ~~~
()
L.
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota "3121 Ph. (6I2) 447-42301 FAX (612) 447-4245
An Equal Opportuniry Employer
~."
'" ~ CII Y OF PHIUH LAJ\t: Me
~!:: 1&200 &g" Creek A". S.E. P..... No.
Prior Uk., IIIN 553n
HEATING APPLlCAnON I PERMIT
Dal.02.- ll\-O l PD. 26-37/- 03/-0
S18Ad6r- -312..1 Lit.... Rl, fF L~Urlp
lot 3.L IIIodI \ AddiIionMDr",~ Oo..lu Es~ LIlIA
Owlllfs Ham.~ &r"~ ~
Adcnss~l L....~k ~J ~
H.'" eo,*- ~.. Alr__ ~""L_
..,
M....ss.21l\ W l ~..'" S \-
T8II/IlhoMI ~. . t(1D-.4~ t
FurllllCl/ NaM U'ad81 LelM.o,," ,".2{.
MaIIolS'1l1 ~
CoM. load ~ .,
FutI_Ul1..,.- "'" Sib -AJc-
SUAJlJOpoIings I'
RtIUIIl OpIniIgs 'f
1npuI..'15'c>>] Oulpul'b9, ~DL}
. - .
Edr.
CItn..J./xJO
TYPE OF WQJlK
TfPEOf......c.I
w.. /lOr.......
01"'"
Ntchri:aI
NrC. ::, '.J
vera. S,""m
HEA_GOO ' ,
SIHm
Hal war..
.........
Special De"
1/'
J/
.,
I,' PlANT
Q.... Dtwices
""" Con5lIad'1OlI
./
R"""r
Ell.. ODIIl
n.pJ.:___
Est. Comp. OllIe
. ...... Pemol'
Al.nlIDns
HEATIIG PERMIT FEE.
STATESllflctlARGE ,
roTALPEJIMlTFEES ,
.50
(-
01--003 /
~
PA\D wrn'"
BU\\.D\NG YEfltv\\i
.
n..,... I
TYPE OF STtl\lCTURI;,
&. ,....
J. ......
c., 11
c-_ m
III
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<D
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GI
..
Public:
."...F..nIy
OIlIer
GI
oj
Fe. ScheoAlle
..
III
oj
>>
:3
IrIoluslMI, ConwneN:ial A M06Fam1y
Residenlal, Healing A N;;
ResidenialJ, H... Only
Residenial, Gas F .,.. ...
ResIdenliaI.A. "-... AM, , ., '
A.I.. _ :. ~ AC 0nIV
1% 01 jab cosI1S39.50 rinimum)
$99.50
$64.50
S39.50 '
$39.50
$39.50
<
>>
r
r
m
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>>
..
:ll
m
R . ".'.. to add 1M 51... Sun:fIalg8 an lit. baIIom 01 ... W........
1118 plica 01 your holing 1*"': ",. I _ ftIllgh-in ..... _ IinIlI in.., ,,",
AddiIanaI itspeclions wiI be baed a1 $35.00 _h.
Hau.. HI.1ing T_I A-.I_be submiIIed wIh ...........IIIDDI JIIIIIIIII b8JoI.1Iufd-
ing -ulical. oIl1CCllPMl'r will be Iuued.
w:.M:CAlClIlATKlNSRfOlMFn", ., . . 1ll.uppIr__" ",'; ,. 1st.."",
_ wiIh CFM's P" Clplrilg. N.. IInlcM9s ar addIIIons send .... plan wJh suppy
IIId .._loc"'ans ~ HEAr lOSS CAlCUlJInONS.I'WYMEHT AND
APPllCAJIONS MAY BE MAIlED101HE CITY OF PRlOFIlAKE. 1li2GD EAGLE
CREEK Ave, s'E. PRIOR lAKE, we 5li312.
CIlr Hal busIneu h..... .. I am, .4:30 p.lIL
AlL WORK MUST BE INSPECTED IROUGH-lN AND FINAL) , CAlL CITY HALL
44J-t230
I brebr apply lar a mltChanlcal .,slema p.rmil .nd I acknClWt.. Chal'"
lnI__ ..._ Ie cCllllpll/l. ..... ~: lhal .b wa.' ... ... '" C8IlIa",w.."
with Ihe onIInl/llc" and cod.. of lb. cll)' and whh Ihe alal. ............cIlenic.1
cades; that lhil larm da.. nol 11ft..... . p_1I unlil signed .., .... BUILOI'tG
OFFK:IAl; lb.1 ... wo'" wit be In .ccordance wIlIIlbe applI",.d plan In the
case ~_ relf(ll...JW1ew and llppfoval ar plan..
~12 tpt. In-lli-O'
/ ( Ill" I ". IlsIa
/) Z-ZI-OI
011ooI. S......... '1lsIa
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CITY OF PRIOR LAKE MC
16200EagItlCreekAv.S.E. PermllNo. 01-003j
Prior Lake, MN 55372
Dale
HEAnNG APPUCAnON I PERMIT
-3/V'V
3~
'"
'"
'"
'"
....
..
sa. Address
Lot
BIodI
Qwnw's "'"'"'
PD.
[rJiL. &~
AddIion
~-
~ ,u.(..)_
Addl....
Healing Conlrador ALLIED FIRES IDE dba FIRESIDB CORNEll
~~ 2700 N, FAIRVIEW. 1l0SBVILLE. HH 55113
TdJlhond ~51-633-2S61
~E~~~ ~ vCr...
Model Sin . ~ a:;1:l1L
'"
..
~
o
u
..
a
H
'"
..
'"
H
...
CoM. load .
FU'I~
SupplJ OpW1gl
ReUn Openlng.
InpvI
~
'"
'"
'"
Ed,.
crill.
""
""
'"
....
'"
'"
....
....
AI1mllliGnS
RI. SIzI
TYPE OF.. .... dot
War.. ,.., Plants
Gravlly
Mechanir:aJ .
Nt CondlIionIng
Venl Syalem
HEATING OR POWER PLAKT
Steam
Hal Waler
RadiIIIion
Spec:IaI Dlvices
0uIput ,;)"l.lXP
OIhlr DlIVlclllS
TYPE OF WORK
Replacmnlnt
x
New Conslruclion
....
o
o
N
r-
o
Repair
EstCoslS
-,..
HEATING PERMIT FEE $,
Est Camp, Dale -ro/D-' .
IIm/~' Bul6Ig PRfmU () I ' 0031
~
....
'"
~
STA.TE SURCHARGE $,
TOTAl PERMIT FEES S.
,50
PAID WITH
BUILDING PERMIT
,
ReceIpI'
TYPE OUIRUC'T}.lM
1.1Iol . RIo
'- ..... - Do,
1 ,_ _ ."...... .
S... FUJiIy
'TWo FWIlIJ
Industrial ,
~
.Olhw
c. , ," ;"
PItIllc
Fee Schedule
IndustrIeI, C .' ... ~. I & Multi-Famiy
r', ,,;.-, .... Healllg .. IIC
Residwlllal, Healing 0nIr
Realdenlial. GlIII fireplace
R .,; , ., ". L A.dcIlivne & AIaldons
ResicIenlieI, A.C Only
'" 01 Job coeI ($311.60"**-,,)
$99,50
$64_50
$39,50
138.50
139,50
Rllllembllr to add Ih& Sbde Sun:hllll/It on lite boltom ollhls ..,'., ,: ~lL
Thl price 0' yJlW heating permit.......... DrllI ruugh-Irund _ 1In8I: '. . " n.
Addilionallnaprlclions will be blIecIllIl35.110 each..
H0U5e Healing Test Rer:onIII'IISI be Sl. " , ,. .1 with ............1lIIIIIIi DIIilII: brtIoIe buId-
ing cerlillc81e 01 00I:lIp8I1I:)' wII be issued..
I:!EAI CAlCUUD1ON..<; REOUlRED wllh number 01 SUpply and relum ,." ". htId IX
10001 wlIh CFU's per apenIng. New slruclurllli Of addilions Mnrllaof plan wIh supply
and RIlutn '-1iona IIhown.. HEAT LOSS CALCUlATlOMS, MYNENT AIlD
APPI..ICAllONS MAY BE MAU:O 10 THE CIlY OF ......u.".lAKE, 16200 EAGLE
CREEK AVE 5.E. PRIOR I.AJ<E, MN 55312-
City H..lluslnas houri .. 8 a.m. - 4:30 p.rn,
. .
ALL WORK MUST BE INSPECTED IROUllH-INAND ANALJ -CAllCITY HAlL
441-4UO
I heleby apply lor a mechanical syalrmll permil and I Itckncnrledga lhallhe
inlormelion aboYll ~ compl.le and 8CCV1allt; IhBl the _I< will be in conlonnance
wllh the OIdinem,.s and codes 0/ \hit cnv Itnd whh lhe slale buI!dlngfmer:he.n1cal
codes; thallhls 'olm dOBll nol becvm. a pennil until sivned by Ihe BUILDING:
OFFICIAL; thalth. WOfk wII1 be In Bc:cGfdance wlUt \he approved plan In th.
cue'ol all WOII< which lequlr.. levi_ end approval 01 pIarq,
.
~
tW( - l1'~J I
Dale
rtr """..,\;' tl.yj"~trtif1raU nt .(f"1I"'tUnt
[r-,: .~ ~
:~~: ell r OF PRIOR LAKE
jt ft'..w -!.tllarl~~~~u~~!. JlJjpetlion
~;!.- '[ This Certificate issued PUTSUQllt to the requirements of Section 307 of the Uniform Building Code
~ certifying that at the time of iSSUQllCe this structure was in compliDnce with the various ordiflQllCes of the
':'t: [ City of Prior lAke reguktting building construction or use. For the following:
~C:
Use Clauiticatin..
SINGLE FAMILY
Bldl. Permit NO',
01-0031
Occupancy Type
Legal D-":r~-
R3
L31,
_ Type Construction VN Fire Zone N / A zo.... Distric:I
Bl, NORTHWOOD OAKS ESTATES SECOND ADDN.
RISD
CUte Address
3220 LAKE BLUFF CIRCLE NW
Owner of Building
ConlrlClOl"sNlIIIIC&Addrelo' DAHLE BROTHERS, 9304 LYNDALE AVE. S.. BLOOMINGTON 55420
. BOBERT D. HUTCHINS
l' / Building omc:ial
Dare: /d~.~ / t, . 7(.0/ Date:
~ I POST IN A CONSPICUOUS PLACE
Cily Planner _
DON RYE
"'iIIIiiIiiIJ'
,"', ".''''",,~, ,"';'.,,'- '.' .....u.,;.".'.;
.' . ;Co ,\ ."', "..c:~., ~... ~ ,,~ "
DATE T*e
CITY OF PRIOR LAKE
INSPECTION NOTICE Ls., t(
3ZZu is/urt
SCHEDULED
NI./-o'I
ADDRESS
C,'r
OWNER
CONTR.
PHONE NO,
PERMIT NO.
0/, ~31
[] FOOTING
[] FOUNDATION
[] FRAMING
;;=~TlON
[] Sm: INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
~IWNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASUNE AIR TST
[]
COMMENTS:
GrJ-e- (9 t-
(,,,fh ltt!?;z-c9Y_
L)(WORKSATISFACTORV, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr~ Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
-,
~,
LoJGe 1S11ot~ G'r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS :3 Dtd.o
OWNER
CONTR.
PHONE NO.
PERMIT NO,
Pr";a"'PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Y!LUMBING FINAL
17 1EC'lFINAL
COMMENTS: brA B,o[jt/{
, [ti i
kJ8AM.a vtaiA.+ ~\/e-
if
trode a.pf{VJ
o FOOTING
o FOUNDATION
o FRAMING
/L.B INSULATION
rr ~ FINAL
o SITE INSPECTION
TIME
/0 -30
6/-()031
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
war1:
f'~ir1 ~~IAee.t'
-
~
fer deJe\o~~T-
/
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
LL FOR REINSPECTION BEFORE COVERING
o CORRE~RK.
Inspector:' 1) - \
Owner/Contr:
CALL "7-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.
lli3NOfJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
PRIOR LAKE DEPARTMENT OF
. " BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ..3.~~ ;In ~~J,J+ Q-.
NATURE OF WORK ~_
USE OF BUILDING ~ F" I"')
PERMIT NO, ()I- 003/ DATE ISSUED 1- J'7-'2r:101
CONTRACTOR .J:2i:.lrt I p -.~ PHONE-kl? ~ 9fQ -t::BfD(""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I "B,V~
, FOUNDATION (Prior to Backfill) ~re, 1/~Jdl"811 I~i\ "/o,/ot-gV
PLACE NO CONCRETE UNT1L ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /'6JJ'~ . 3/ odt> (
FRAMING 1""-\:.~~ {j";~, 4 fs1 t)J' 4(1(11 It?
INSULATION II'~ u \1-""""11 . 4- J ;fgjm '. .
ELECTRICAL (, .
PLUMBING ~ \)d/aI '~ j19.~.JOI
HEATING (ifrequired) . I" I ~ . \frJ^4 4r~/) i
FIREPLACE L,L.f,f. 6v""''f{{V~~' ~ ~~,J4 4\JD(
GAS LINE AIR TEST wv.1VI. ~}(." 'BV ' I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. IVIr
~ . \\~'1
'f:>. \l~
'b-V '
OCCUPY UNTIL ABOV~AS
NOTICE
, FOOTING
deck 51lo) 01
"
GRADING (Prior to Sodding)
BUILDING'T,Q..o;-t1.t ~\ II D i-
ELECTRICAL
PLUMBING
HEATING
DO NOT
DATE
I t /B.'3)01
/vl t/, o.cf
5'" 1 8L4- /Dl
, .
$ Q.4)O(
~ Dl4-}OI
I
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, 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