HomeMy WebLinkAboutBldg Permit 01-0111;Mech 01-183
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!ype or print and sign at bottom)
ADDRESS
/6331 .s {!fI7et)60c;e.,
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK
I ADDITION I/III/\/nSfJAj6
OWNER
(Name)
(Address)
BUILDER
(Name)
"8. ~fZ_
(l,AlS'rt2.Uc77tfl-1
(Address)
f!tJtJ5 ~.u-f K?~~
TYPE OF WORK
o New Construction
ODeck
o Misc.
~Lower Level Finish
4- t€ I'1S
o Fireplace
2.0
uilding Permit When Approved
2 -'2 t-?00 r
I. White File
Z Pink City
3. Yellow Applicant
Date Rec'd
2- -2/-0/
I PERMIT NO. ()f,.o / / I
(!../ teet.b Ale
7@
ZONING (office use)
PtfS..o
PID 2--.c;-3/2..- 003 ~ 0
(Phone)
(Phone)
I!n--- P"1Jf--W3/
8_;1"!r/./k
MAl
5$3$7
P!'.4 l' .' -..
brt--~F~' u;1f7
ORe-Siding
OUtility Connection
Date
#
$
$
$
$
$
$
$
$
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 confonn 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 property to perform needed inspections.
X I - -~ -- ,---..,
j7.e~ Signature A1oNNEJU-:-f<...
~ - I 3a:>o.oo
I Permit Fee $ 81")215 _
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 perrrr ee $
/J / I
B 0 esY
OPorch
ORe-Roofmg
#
$
M.ZS
OAddition
OAiteration
I Paid 8'7. z.-s- I Receipt ~ 3?'tloB
101 Date I Date :3 -1- 01 Bv {'V-
ThiS IS to certify tthe request m the above apphcatlOn and accompanymg documents IS m accordance With the City Zonmg Ordinance and may proceed as requested ThiS document
when Signed by the City Planner constitutes a temporary CertIficate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlficate of Occupancy must be
issued. ....
PROJECT COST /V ALUE (excluding land) $
oG"I4 r;;-
Contractor's License No.
1 Park Support Fee
I SAC
I Water Meter
Pressure Reducer
#
Size 5/8"; I";
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
~
2-Z2---01
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I
CITY OF PRIOR LAKE Ne
16:tOO Eagle CreekAv. S.E. P8fmll No.
PrIor Like, MN 55372
HEATING APPLlCAnON I PERMIT
D.._~r./Ol PID. 7,F'-. - 3/Z - 003 -0
saeAddr- /5".?.3R ,<)!vJI'l''''A< f.iAek.
N
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lol _ 8Iack Add~
OwnllfsNa"", {5..r. i- ~A"d;;A
tI/
nl-~
Mellen
HaoUlgConlrac:tor ALLIED FIRESIDE dba FUESIDE CORJIEB.
Addross 2700 N. pAIB.VIKII. B.OSEVILLE, HII 55113
TI , '" ,. 651-633-2561
F~REPLACE II . ..
..-.. MaM & Model ....J;M/lLfiJ~
ModlllSizlt Sc.. '75bn.
""
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<>
H
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..
""
H
...
Conn. load
Fuel ~
Suwlr Openlngl
RHan 0plrnIrvs
lI>puI.
AIHISIn
0uIpvI ;)~ {kn
-
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Edr.
elm.
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'"
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TYPE 01' SYSTBt
WalOt fVr PIanIs
GrIlYily
MllchanIcaI
AIr CondtlaMtg
Vln!. S)'Slem
HEATING OR POWER PLANT
SItIam
Hot WlWlI
RadJaIIon
Special Devi:8!l
0l/rBr Dl/VIc;a
Do
'"
All8raIions
Roplacamonl
TYPE OF WORK
. No" Conslruclioo
....
'"
'"
....
"
"
N
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....
Repair Esl Comp. Oal. _ ~~/OI
Est eo"" s -J/OOw BvldingP.""U'
HEATING P8lMIT FEE S
..
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"
""
~
STAlE SURCHARGE S
10TALPERMlTFEES $
.50
~
f PAlO W\"II
eU\\..o\\~G \-,;:.r:",,\\
.
Reeo1p1 J
TYPE OF SmUCTURE
1.",*
1. linn
l~
RIo
QIy
~
S8JgIe Famlly
Convnema1
Two-FamIIy
Indu5lrIaI
. MlAl/-FomIy
P\Uc Olh8f
Fee Sc:Iledut.
IndusIdaJ, Commercial &. Mulli-FomIy
Re5idenUal, Healing &. AC
Residenlial, Healing Only
RnId&nllal, Gas Fireplace
Re&idenIioI" AddlIlont &. AIlMaIion&
ResldenUaI, AI; Only
1 % or Job IXI8l (J3t.50 "**'turn)
$99.5\1
$&4.50
$39.50
$39.50
$39.50
Remembar to add lite SIaIB Surcharge on lhe boaom oIlhis 81"'" ~.L
Tho price 01 yout healing pannIllncIudee on. 'ough-m and ona fIMl inopodlon.
AdlilionaI fnspedi_ wi! bs biIed al t:l5.1IO eech.
House HeaIl1g 111Sl. Record must be UImilled wilt IllIti!Ja IIIfIDIIIIllI!Il belorelNld-
ing cerIIlcaItt eI 0l:CUpIUII:y wi! be lssuod.
lIf6[ CAlCUL.... ,~. '" REQUIRED wih IIIlIIIbef or supply IUld J8lUrn CPIlrin!P Iis1ed PI!
raom wl\h CfM's per .. ,," .j.' N.., sInK:tunls ondcllionuend 000. plan....lIUppIy
BIId roIurn lacalions ohown. HEAT LOSS CAlCUlATIONS, MYMEHT AND
APPUCATIONS MAY BE MAIlED 10 THE CITY OF PRIOR I.AKE. 18200 EAGU::
CREEK AVE. S.E. PRIOR lAKE. MN 55372.
C.~ HaD business hO\lfS .,. 8 a.m. . 4:311 p.m.
;
AU WORK MI1ST BE INSPECTED (ROUGIf./N AND FINAlI- CALL CITY HALL.
447"'2311
I hereby appl~ lor. mechanical systems permll and I acknowlldga 1hatlhe
Inlmmel/on above is comp/ele end eccurale; lhaIlh. _,k wi. b. In conlollnWlco
with Ihe o.dinances ami cudes a/the cIty and wilh Ihe slole buUdinglmothenlcal
codes; lballhls /arm does nol become a pBtmil unt. signed by lite BUilDING
OFFICIAL; lItallhe work win be In acco'\lBnce wllIt lite approved plan In 1h8
case aun work whlcb requires review and approval 01 plans.
--{fr/q
. . Date
MAR L I 2UOI
Dale
BuIkinri r SIgnalIllV
L./
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY{jr7
Building Permit # PID: 2S-3/2.-tJ0:5-tJ Zoning: PUSD
Site Address /6338 S~aJ~ &,eeu;; A/E:-
Date: 2 . Z I . 0 )
Legal: L 3
B
/
Subdivision: WltJ0.50Il!Gj 2 "i€
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
v
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
v'
Refer to Planning
v
Refer to Planning
../
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
v
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PER.,,,,nT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIAL TCHCKDOC
CITY OF PRIOR LAKE :4
1Ul1O bile c..- Av. s.e. PIlflII'.. O. ()/... 0/63
,.,......... ..,072" - _H_
HEATING APPLICATION I PERUlT .
0aIe cJ. /4-. () I PI,. 2-5-3/2..- 003-0
$Ie AdcIMsa f 5 3.3{? (-.kh rt;fdlr C0L ,.u e
IJIl 3 lIloclc I Addilian. WIND.50NG Z/"JD
o-'.H.D. fJUA.LP_... t
AdchD ; )())'/rYl..L
HeIIilg 00nWe0Iar _f1.ue., AJ ~-k P A... ...::L::.>r . .
~ A9.fL (jo.jd.~~ Ar~ _ ..di. / ()l-f
T........ ..35;)" .1{a;.d' ,~j~
I~
'2>
F_ MIIoI6 MocleI
NadtII Si.
COtIft. LDad .
,..... Flue SiD
54M 0prilgI
AllUm Ol*'ings
.. 0..-
E<lr.
Clm.
Aller.... .
./
~,
E.lIl. Coal $
HEATING PEf\WI' FEE $
lYJIE OF S't......
w.m Nt Plan"
GrIMlyo
... . . :. 1
NtC. .::. I
Vent SystllfI\
MEAlING OR ,,~ fIUIir
SIUnI
HolW_
Rad....
Spec:ial 0....
0lIw o.wc..
~fJj,L
1YfIE Off WOllIC
.
- -+tAJr'M...e...:>
_ec_
Replar:4mWll
Eol. Camp. Dat.
IlIlIdillgPennll'
:bt\. sO
()/~OI63
STATESURQWIGE $ .50
-- ---
TOTAl PERNlT fEES $ 4(), C (") ReceipI ,
3t1/)q()
. . ~.~ Of .stRUCTURE
,-
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<'>
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,
..
..
...
...
fiIO
City
...-
Single F8I1llIy
~1IIiy
Mulli-Family
Pltiic____ Ollie,
~
t:l
<'>
00
c., ,.11____ InGuslfial_
fee SCIledullt
~ 1nIUlriaI. c,. ....1& ......FiI/Ilty
Ae3ldenIial, Healing & N;
R..ideldiBI. ~ ~
Retldemial. Gu ~
Retidlnl'.aI, AddilioM & ""'ationa
IL." aI. AC Only
~.
...
1 % of-job cost ($39.50 11Iinimwn)
$99.50
$64.50
::: : WI( I 9 LULJi
$38.50
-.1.....,
..,
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...
...
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Fl,
. III ad<! "'" 51"'" SuldIarge OIl IIHl __ af 1I1i.1IllII'~.
The price fA Y\lU'" ; .1 permit includes CIlIl ~ n _1in8I ir' '" . . :"
AIIdiliaNI i ... ~. .. wiI be biIed .. t36.00 eeah.
_ ..I. .1. Teal _ _ be ~ -lI!.aIll JIIIlIIIIIIId8: Ilebe IUIlI-
in9"'""': .., 01 GCCUfIMCY lIWI be __
tIfa[ r.... rH ~ -.... "lIB) .."lIII1IlIlIIr "'... and ....m .......lIIS listed...
_......CFVspet "1. __or, ,",. ."IMd_plln_euppIv
and _Ill [ .. . -'-t. HEAT lOSS CALCULATlOtlS. MYIilENT NiD
APPliCATIONS MAY BE MAILED TO THE CITY OF PAIOA I.AICE. 1620ll EAGLE
""""". NIE. 8.e. f'flIOR LAl<E. M" 55312,
City HIll........ hou.. .,. . a.m. . 4:30 p.m.
Al&.WORKMUSTBE f,JIl' .. ,D(IlOUGM. AHDFlNALI-CAU.ClTYIW..L
WoQIG
('l
~
..
....,
o
..,
...
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E
,.,
I h.reby apply lar a "'.challica' .~ pet'lIIit and I _.....ecIge _ the
i....ation... ie comple1e"d .-..; tfIal.. ...lIte willle in .. .'. , _
.Ilil the ardlnances and (;Cd.. ot till city &n4 wi.. lIIe _e llulldinglmecNnical
COd.a; ltlat lIII8 Iorm do... nol : . o. ,e a permit unlillligl1ed by tile BUtUlINO
OFACIAL; IIaI tIIa _ wi. be ill eo.. ". ., wi.. III. appIaved pIan.in the
9f ali JllOIk whictl requir~. .~.. U\CI ...., '. .,J af p_.
J-/4'O(
0_
3-1'1-01
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/)Jsrf
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...a-FINAL
o SITE INSPECTION
COMMENTS:
A'
/ffJ-
I /
7e.rT ~
-
/
/ ---- /
~ C {cue
DATE TIME
SCHEDULED ~k
cC-4"Y-1___'/er a
CONTR.
PERMIT NO.
C}'"- ///
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C;;:L~ ~ (2.#~r//
/
-
~
~ "
/7 /€- /
~
,t~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~ C~L~R 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!
uaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~~
/S-...n ~ Scjl/~cPecl~_r:).-
ADDRESS
OWNER
CONTR.
PERMIT NO. 0/-//./
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADfFlLLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
-=~:S:~:~I~~2:7~,( ~ ~A~{
~~e- ~~-<--I h??rJ-~ed
/,/ /' ./. - / /'
/V//~,' ~ . ,e;./V~'1 -..k .77"Sd~cfia.-...
~,/ .h-;-''''~C<e. '
,
M/k. ~~
,/- 4-, fA ~
~..-s 0)......-(
. -
~ ./ / // ~/
/ ~/ /f'-e-ed t::?' 2r;. --6fr r
- L:'-h. c-:;~~L~
,fJ,t/d dr /ktfJo/'-.
h;,,,~,, ~ (";;)
/ /'
reJ'T
_~ n ~ /
//~J-e ~cl" ~~/)cJ~c-c.P~
-
o WORK SATISFACTORY, PROCEED
~ )'PRRECT ACTION AND PROCEED
,.A1 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN""'"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 8.tq-o'i
\
ADDRESS J.S.33~ S C\...~ Q;.,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
("~O{~'3
uA dl-ClII\
o EXIGRADiFllUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
'g. GI\ALJIIIE AIR TST
o ....t"
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
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~w CALL FOR REINSPECTlON BEFORE COVERING
Inspector: " J I Owner/Conlr:
C:~, 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
",v<<>n
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS jS3~ Sc4"~o" c,...
NATURE OF WORK ~..."""'~ t'\A~...4
USE OF BUILDING ~FD
PERMIT NO. ~ DATE ISSUED ~.';l..\ -?l:J01
CONTRACTOR 6L~ ~. PHONE S'1'i-'1IJJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
II) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
JJfl
r~
~-1 t.{ - 2001"/
-Q
fp ~;: l~rr
fp AI j#OI- :'1 'f ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~~
7/;J~f
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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