HomeMy WebLinkAboutBuilding Permit 01-0120
QATF RFr.F'V'>Jl CITY OF PRIOR LAKE
1- / ~ -() I BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Art
~o
Permit No.
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS 5113
1. DATE
BUILDI ~RMATION
11. SIZE OF ST~~~~E
(Height) (Width) (Depth)
I ~ jo-ol
el$
Sha~ COV'( foi!lJ
BLOCK I
fulLS
3. LEGAL DESCRIPTION
1(0
!VOr-{i,\!)(l'iJd.
12. NO. OF STORIES
ex
PID 25-37/-0f(n-O
fldd.i+'&n
LOT
,.JyJJt
13, TYPE 9F, CONST.RUCTION
Ul1{J. HOWle
14. FLOOR AREA APPORTIONMENT USE
ADDITION
4. OWNER "4... (Name) . . r _ L. ;(Address)
1.)6U-iIJ ~'jej1l1,ta LttCJL
5. ARCHITEq...,1 tl<ame) . I I (Address) r
Y'r1nCO .3n?Js I1Ja<J,;n9jM IXI tjtlACvJ
6. BUILDER (Name) (MJes;) 0
r1AaJ11t'l{ fyns. L1nJl. ID178 RltWL kb:.t1.I6~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 I Re-roofing 0 Porch 0
New construction~ Alterations D Addition 0 Finish Attic 0 Re-siding LJ Finish Basementl.(:
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. ~q ,:':),5 Width Depth Yes No
I hereby certify that I have fumished 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. 1 am aware that the
:uilding OffiCi~,= tht!/iM.ust cause. Furthermore, I hereby agree th~~ oy~r; designee may enter upon the property to perform /~e/~d~~;ections.
S~nature ~ License No. Date
(Tel. No.)
(Tel. No)
i 05/- 452 -07),";
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
bSl-49-1-4Cf 3 '3
OCCUPANTS
SEATS
16'jROJECT C2:i.T~ALUE
d5tJ ,I.JJU
1;g:r~'~TOI;1 i)2 k
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
LI
Side
Front
B,ok
Side
PIliNG LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
5'PD
USE OF BUILDING
PERMIT VALUATION Q C::;Ol (f'fT') . 00 PLOT PLAN LI
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 ,..,
PermilFee ................................... $_' P, ~3 . i.fi....
Plan Check Fee ............................. $--Ll q I . 't1-
I "J5 .N)
Amount Brought FOlWard .................. $_
Pa<1<SupportFee ........................... $_f1;iF::;Q.nr-.
SAC ......................................... $-415(") . no..
Collective Street Fee ......... .... .... ...... <t
City:
Sewer Tap ................................... $
Sf. ., .
Pressure Reducer .......---:l.e............. $
Meter Hom ................................... <t
WalerMeler ................................. $~2c:;.(r)
Sewer & Water Connection Fee ........... $ " a rJ() .('!)f)
~ D'} .00
if ~O tJ.(fJ()
State Surcharge ............................. $
L(t:; . 0rL
Penalty .................. ..................... $
~
1/11
loo.m
I~.~
$5', h'()
40.&1
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid T;:'9it;:.lq.......~~~~i'1l!!:~;, Ir
Dale z..-7.-6-d! By
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 II requested. This document when
Si9~ nerconstitutesa temporary C~u~Z.i..dtComPlian~:::con truction to commence. Befor oc~, ~rtif~eC.::;a~:s;~'
City lanner Date ~ Special C ditions ~ an" --
rmit When Apllroved.
Dale L - ~'J.- OL
This
By
-'___J
Certificate of Occupancy
Issued
24 hour notice for all inspections (952) 447-9850
ii~1;
61- Qi)-D
Th,. ern..... of th.. L.k.. Counlr)'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MAN~E\I BROS.
t
1- (l/J- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3113 SHADY c,ov6
Accepted
Accepted With Corrections
PDI N' {
JZ
::::00 BY.V~- k
Comments:
Date:
(- :2.;;L ~ ;;;).CO I
/I , _
~aJ! ~({ CLll~ ~~--------
"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,"
:~~
6[~Oi~
,
Thf ("..nit'. of Ih.. L.k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:\-1 f\ 1\ I.. [ \I
I
1- 1\1
l) k.' / /"'
/' C--,.
/' , I
"-.j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-)
i
-'
r'! L\ I ,\ /
II j v
I
/' (\ i~"
\......_ V ..../
, I,' I
1/( "
l "H
.~--
i
Accepted
Denied
Accepted With Corrections ..........-
Reviewed By:
~~eJ~
Date:
.2/~/o(
Comments:
No ~<iT~ pt 5f'ytJ("'\lX"e I V\CJuA~ ~V,oA
4- 19VtV"~~ ~~.. fi,^~ ~,/~p ~
2- '1 h=r ~v~/AJt~111 ~ Wl9VN {JII~(-
} ft..N ~ThVL) ~ I tJ r?J 10 UJ.rb"
"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."
Oi-6i'd-O
Th~ C~nln of lh", Lool<", Coanll'}'
While - Building
Canary - Engineering
Pink - Planning
. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=iT
NAME OF APPLICANT
APPLICATION RECEIVED
\'Ilf\NLEV 13f<.OS.
I
I - I (( - () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activitywhich is proposed at:
3 \ ! 3 SHA DV C. ov S PD I i\J I
I
Accepted
./
Accepted With Corrections
Denied
Reviewed By: - LL~
Date:
1-29 -01-
Comments:
See Reverse Side for Additional Information!
IlJ;>>k;: BE 5uRJ::: '7lJ C?R./106 IN ()R/lIAJIV~ SWALE<:. . W/rJ/ A
fY}/!l/i/J1JU!1 2~ 3t.d'a:- I/t-LJ/rJ6 8M?' 90E.L..o'T LI/lJE5 !
"
See Attachments: 1) Grading Plan, 2t Erosion Control Measures
3) Erosion Control Plan .'
"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."
15:46 651 633 8884
FI RES IDE CORNER
CITY OF PRIOR LAKE
REA TJNG/AIR CONDITIONINGIFIREPLACE PERMIT
#3260 P.DD1/DD3
J)ate 1(CC'IJ
I!'IP.... "(pe Or .riot ...d, .1101 at bQt>"ml
ADDRESS
~f73 cM~j (1ru~ft
J.EGAL DESCRIP110N (ollie. u.. only) /?\ _ ()
LOT,h' BLOCK I ADDITI0~7m-a 1/ J? GeL ~/ ;;2vi.
&.ro. ~_
i ~~ p~....1 PElW1T NOt> 1- G /d-ZP
ZONlNO (oIl\au,.)
AI so
PIJ$J.S - 3'11 -tJl t,-t.
OWNER a;
(Name) . '4- '/
(Address)
(Phone)
APPLICANT
(Name) l\LJ'..IED FIP.ESIDE DBA FIRESIDE CORNER:
(Phone) 651-633-2561
(Address) 2700 N. FJl.III!\1IF.W AV~'Tf.
(Add",,,)
BRENDA HUSTON
. (Conr"ct Person) ; ~ J (Phone)
APPLICANTST.GNATURE ..,AAMJl, 4~ DATE ~~/ul
_ APPLICANT PLEASE COMPLETE BELOW
[]MEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FIJRNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPm/INGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PT.ANT
DWIltIl1 Air P1JlJll:l 0 SleIIm
DOnwlly 0 Hot WoW
o Mochonical 0 IUdi.t;"n
DAir CDndillonlng 0 Spoclal Oevlcos
OVonL Systolll 0 Other Dovico.
FIREPl.ACE MAJ(E AND MODEL ~ ,.u G(P ~
1'!QC;,.,\1.n.LE...Jrn
(Ci<y)
651-633-2561
~~1'"
(Zip Code)
PLEASE NOTE:
Air Condition.er Units
Cannot Encroach into
Required Side Yard
Setbacks
lndusui.l, Commercial /II. Multi-FNllily
FEE SCHEDULE
J% o(job cas! R..idCOlti.~ 0.. Flr.pl.""
$39.50 minimum
599.50 Residential, Additions /II. Alteration.
564.50 R.e"jdcndal, AC Only
$39.50
R.,sidcnti'l. H<atlng /II. AlC (N.... Construction)
Residcntlol. Keating Only (No.. Con.tI1Jction)
539.50
$39.50
Estimated Cost S
Buildillg Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
s
s
.50
r
PAID win'
BUILDING PE
(om<< u.. Oalyl
Tbis Applleatl.oll Bacorn." '" ollr Building Permit Wilen Approved
Rofldio~ omdaJ
I Paid
Dale I D~ 'lIt' /
~4 hour oo.lce for on in,p<t:lIon. (9S~) ....7-98511, f.. (9'1) 441-4145
Receipt No.
BU" /
~~J-
02/28/01 WED 12:00 FAX 6128902753
STOCKER EXCAVATING
1ilJ002
Ial!~ - .....
YElLOW . .....fIIUc,urr
GO\.D _ eaT",
CITY OF PRIOR LAICE NO. 12.1 - 0 120
SEWER AND WATER PERMIT
NOTE: Sewer and Hater
contractors must
be registered
with the city.
ADDRESS: 8Z'j W"S~ _125C:u.;;t2~ !ffl
SIGNATURE:~",(/.)- ~
- "
SITE ADDRESS: 3173 Shady Cove point
.PHONE: 890-4241
~~'1LOATE: 2~01
aLOG. PERMIT II Ol~(H20
APPLICANT: DD Mechanie:al/Scocltar Excavat.ing
PIDi
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch (es) .
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. AaS
pVC y
Cast Iron
5. Estimated length of sewer line
feat.
6. Clean out (if required), located at
structure.
feet
from
====~~~=~=======~~____s__c==______==~_____=~~___===__~____:====~5=
This apPlicatioPW~.~~s s : your permit when approved.
ay ~ _ DATE: 3~Z-OI
===_"",====::::===J__=~_"__====~=____:::I___--_C:;;;;D---=__-=--~~._--=-___==SIt_:::
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
..,
Sewer and water permits issued for new construction must be
recorded on the buildln~ permit card at the time of issuance
to insure that no dupl4cate sewer and water permits a~e
issued. .
DATE PAID
RECEIPT #
AMOUNT PAI~p.\O 'b'~\'t
!tEC . 0 B '9U)\.D\~G P ,
16200 Eagle: Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
All Equal Opponunity Employe,
I "'" 1\10
CITY OF PRIOR LAKE ~ =.. ~-
I'L..... ".""" 1'1' ~o () I ~ () 12. f)
_ _ '5~QX ~'UmDino, .~f'.: q'5~.-441-t.o'.3'1
.t:L_ & , . .' .. _ <./1;00 harJOr\, Glrde fno( .
_ __, LAU2..
- .
"- ....' .. 8uD
.. - ....J.J.:7 ~ ~Qa(i~A (i^\~. \4
_ _ _ ......... ()r;r[ 1?J.! '10 'J-"k2;lL:..Q./(n - D
~.... TIlIIt................ "'11I___. . 1.I/hmrallDtl.
..".. w- II
""'c-_...._
rf\n\l~
\' \~{OS'
c...,.
'...)
)
I
1.1
\
\
I
.~
,.... .. - -
.... .,.. ... Ai . ~
r -
I ,..., 0tII/l
... LI>.>> flll.~..__
1- __ (t.l_ _ ......
a_ r'"
..
.. ...
---- ~
OJ'-
T~ uf J:i1lllMe
q
I
lIliDullll'N
..., .....r
wat.r loflI'Iet
......'". l--'",", IftICPline)
"-All E;edor
- . - _ ..J,.AIft (lUll. o..te elWll. PIlI!
"llflow ~Iy TN'
.....n Ipflnllltl,
low.
I
,
,.. -,
... .. III L' -. Nr ~....
ct........ . u--'"
- . - ... .......,.......
- . - 1 . r _..- -_
_L~...
.10
tUt.UG TOTAL
r PAlO WITH
I tIU.....,ING PERMIT
.
'Nt... II
,.,.
.....-
-....... ., --
.. ---
--.
5-"1-0/ 1M.,.
.."....,
CIII... III......
'Z(IO..... c...._...................- 1_ '"72' PIli. (112) 4067''2JO I FAX (61:0 .w7_~:4'
..--,- J '. - .
_ _ _ .JliI
--"",----.-
N
o
ci.
co
o
N
~
o
<0
-r
Ui
<0
o
:;;>
oil
OJ
f
c
Q)
~
-'
:;;;
<<:
N
'"
~
~
o
o
N
I""
PRIOR LAKE
INSPECTION RECORD
(1 ~... ~,J
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~_~ :\lau,.O,.,
NATURE OF WORK ~ 1 (J
USE OF BUILDING 'SF 1)
PERMIT NO. 0/- 012.0 DATE ISSUED 1- .Q~- 02001
CONTRACTOR 1 Y]a-^^\~\ ~ . PHONE. tJJ5/- 4C:;l/
NOTE: THIS IS NOT A PE"MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING . I ~. ~~CTOR I '3.) O:To I
I FOUNDATION (Prior to Backfill) I1'>VlLWI :dr3lul I ~,viUv ~{(.,/Ol
PLACE NO CONCRETE UNTIL ABIOVE HAS BEEN SIG/NED'
ROUGH ~ INS
'1> ~~ .
~~~.~
~'V4
"b VtJ>>II
"E~~~ 4 ),;lJDJ
-i V~)\ ~1~b\oV
GAS LINE AIR TEST M~~ 4 1;z.,!D, (~v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
mty 1-3/-0/
~ \JCUA4 "1) Ir'J 01
"\ I · ·
1;l~ ~~JOt
-g .( hw ~ .-i/.iTO I
OCCUpy UNTIL ABOVE HAS B~EN SI~NED
NOTICE
, SEWER / WATER I SEPTIC
I FRAMING
INSULATION l-1-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
~I\ ~l~
\
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,
~/A.6i1
5/0. 'or
~/ /4/0(
>r}e)PI
. ,
This card musl be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been ~pproved. 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
ADDRESS
'3/73
DA.TE
t~
.s~rJU (J()Jp_ Y'-h
-~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o jIlSULA TION
J'!'"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~CAe (',0.
closp- -Glp_
/WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \J ~ Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSHOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
7-J.-0j ~;6(j
-/ \5'h~1 LMJe_.{J/
CONTR. C/
!-/;rO
DATE
SCHEDULED
ADDRESS 3 ! 7 .3
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..erFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Ai!( PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
fit
COMMENTS.: . _ . .
4':-'r-e..-e.s-b1Slc1 $~ \+ ~~ d:t- Cft<"b
.. I<y\f(t'\~a~V\ tA~:\-~I</"MeA/, _ L-
~1V\M.\~h~ -!=-~~ - ~r"- cJe.O.lA01A1
J::t.. b \ otk. y')t;J.to ~rOV' /
-*knh<\\('J' OI.MAJ rPfO if'- t-FR V _
1ro.\.~""l 1t'o,,J. 101 (,{~
Sf)~ t;.. +{f'_~ fOU ~e10w\eM..J.-.
\\ u ~\
.
*f~_-~~ tti&,\ ol?-,b'V
o WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
?ORRECT WO~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: --S -~ n},~ Owner/Contr:
CALL 447.9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-3{-o( PM
PHONE NO.
3/73 5ht;dy L/Jvr PT:
CONTR. 1Y/'4/1hv 13,,)',
PERMIT NO. Of- /)()
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J!KfINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.'JifE~ILLlNG
. n COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
fu",( l - C) It..
Cu/b Boy -f)(.
X WORK SATISFACTORY, PROCEED
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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl