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Home My WebLink AboutBuilding Permit 01-0153 &~~ DATE RFCFIVFD CITY OF PRIOR LAKE 12--/'3-00 BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ;~71d-jOJ R.2SD DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 1/31,1 3. LEGAL DESCRIPTION 6vnro...v C" rele S PID e'5.~S 7!='i-Z3Q- nr-z:1) . LOT J BLOCK (Jj~Vi-e.cu ADDITION 4mw ~(NameCrOhn~O~ess) \/04b :3t)l;;o~Df>XPqtl 5 ARCHITECT (Name) L.c.t t2_ V i (ti~. M)) (Tel. No.) 6. BUILDER (Name) (Address) . (Tel. No.) q IOd-~<1d-- J::::'O I. White 2. Pink 3. Yellow File City Applicant 01-0(53 BUILDING INFORMATION 11. SIZE OF STRUCTURE (He~h1) d-4- (Width) ;J, :;;l...(D'Pth) 12. NO. OF STORIES ~ I 13. TYPE OF CONSTRUCTIONS t=: I-t 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New constructio~ Alterations Ll Addition Ll Finish Attic Ll Re-siding Ll Finish Basement Ll 16. PROJEC~. OS!A:::~LU()E. ~ Chimney 0 Misc. U \...A) 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE Sq.Ft d-,Cl\ll Width~DePthI7d--- Yes ~ 6-~D--OO 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 tocal taws 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.:::J/'lAYvm I/o~('O AO , ~ " _ .', .... ':J..;u::D 1:;)./ I~ / ()(") JSignature V 'License No. I DatI FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REa. SPACES ON PLAN PERMIT VALUATION ~~.a:!'? USE OF BUILDING ----"c:., r:; Ar TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $~~ .;S:- Plan Check Fee ............................. $ ~. 'f.L State Surcharge ............................. $--.!!O ,OL Penalty ...................... ................. $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS Ll PERCOLATION TESTS Ll PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN Ll Amount Brought Forward .................. $ Park Support Fee ........................... $ ~.t'J(') SAC ......................................... $_'1 \ cn~ Collective Street Fee ....................... $ Sewer Tap ................................... (': $ Pressure Reducer .......................... t Meter Horn ................................... It: Water Meter ................................. It: Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... (': Builder's Deposit ............................ $: City: '''''''dq~ Plumbing Permit Fee ....................... ~ Mechanical Permit Fee ..................... $_' t"Y"J......a-- ~.SO Sewer & Water Permit ...................... ~ 46.00 l2<;.ClO I , '), Oil .elO . 70n .1'1 /') o Other;~~;'~~~'::::::::s.7.5VJ1::: ~ ~$((J Paid :':;75"4-./1 Receiptl)lp._..:3-4,,?4-- Issued A) R/ Dme By I'~/l ~ T~~at the request in the above applica'o~ and 'ccomp'nying documents is in accordance. with the City Zoning Ordinance and may proceeds requested. This document when sig bY the C" _'Il)tner constitutes a temporary Certlficat~f ?01)1l9 compliance a ws cons co enca. fo e upan. a Certihcale~of Occupancy must be 155 ed. .~/A47 .:V7/t9L C~y Planner Dale peelal Conditions ff an ~ 24 hour notice for all inspections 447-9850 01 -OiS) ",nlrrofthrukrCounlry White - Building Canary - Engineering Pink - Planning mrn,.DING PERMIT APPLICATION DEPABJ]AENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED tv! W ::JOH NSON I 2. - \"5 - (jO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \(?)~l 5tJ N RA V c/\ RLU~:::- . I Accepted Denied /' Accepted With Corrections Reviewed By: LL-L Date: 3 -8-0/ Oomments: .:7t:::2 mil/A) F/LC "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." ~% 0;. 6( () Thr ("fntn of Ih" Lab Country White . Building Canary. Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED tv1 W ::r OH N SON 12- I'~ - (JO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted \/~~I ?< '5lJNRAV CAR(L6 I Accepted With Corrections Denied Reviewed By: (~ ~ ~ Date: J L - <:'0-700= Comments: ~E"P If[:~l S'.-Naw. -0,.., o }::-"r Q:yo....~ Uc:.. "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." The ("enlerof lhe L.ke Count!')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED H V'J :::r 0+-1 N SON 12.- 17.;.0 - (JO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted \I?)~l / 'Sl) N RA V C"I RLU:::; I Accepted With Corrections Denied Reviewed By: LL-L Date: 3 -8-0/ Comments: 3t::/~ /lJ1l/N F/LC "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." ---- , QIn!UO . ..... y.u.a. . ~c:.a.-r GiIDlUI ~cn. CITY or PHlOR LAKE NO.O;- O(~3 SEWER AND WATER PERMIT NOTE: Sewer and Water con~ractors must be registered with the City. APPLICAl1T: fA./~.....JZ>L. J:JI.L.,I,""71'""Jt.., . /I'.A"};/I_.)(. PHONE: ((.".) ..., <;,' -, ',1-.', ADDRESS: I'h'; SIGN>.'l'URF: SITE ADDRESS: .'}.);t)j~7t' ' ...... 'j . - ~ '- ,.'~'~", :~~,';('J ~)II,..JI,-'rJY' /13[)'i l{..,j'.} DATE: ~/,-"riIOI ..,. :aLDG. PER"!lT -II I?ID#,?/5 - d 30 - (J(/}- 0 ,'" It. I t FILL IN THE BLANKS 1. Es~ipatec length of water servic~ : , L) feet. 2 . siz~ of vater service inch(es) . 3. Location of any co~plings from structure feet_ / 4. Type of sewer pi?e. ABS PVC v' C..st Iron 5. Esti~a~eci length af se~e~ line '-yC., feet. 6. Clean ou't: s~ruc'!:.ure. (if required), located at feet from ==~===:::::!======:====::::;==:;;;;;;==-==-==::::=====:::;====.=======:o;;===~!I:.=:C:::C=::::::;:::::::;..::======: ~::::; This application becomes ~our permit when approved. E-: DATE: =====~~~===~====~~=========~~~======~~=~==========~-====~=======~- F:::~S: s $ s 35.00 .50 35.50 Se~er and wa~er line connection permit. Surcharge TOTAL * Fee tor either se~er o~ ~ater individually lS 520.00 plus S .50 surcharge. * Se~er and ~ater permi~s iSSUQd for ne~ construction must te recorded on the building permit card ct the time of issuance to insure that no duplicate se~e= an:i vater permits a~.e issued. . PAID WITH DA'!'E ?A!D Lf -;2 - / AMOUNT PAID BUILDING r-;'::;-;;'ilT ~ R~C'D BY' RECE!?T # 16200 Eagle Creek M. S.E.. Prior Lake. MinneSOta 55372/ Ph. (612) 447-4230/ FAX (612) 447 41245 An Equal Opportunil)' Employer d 9S91 98199S 'ON/v9: LO '18/99: LO 10 ,GO 'VO (NOW) L9S0-G9V-GI9 1V81NVH8aW 1aZNaM WOHI' FIRESIDE CORNER . .......,. .. ur rn.J.UK LA.I.\..I!,; HEATING/AIR CONDITIONINGIFIREPLACE PERMIT #6405 p.oOl/OOl Date Rec'd ~ - ;28-01 i~. E:- I PERMIT NO.O /-01.531 (P,....~ "".rilI. amI.i... a.bollnml ADDlWSS ZONlNG (om.. ,""l 1?3~7~A.'" ,1,eLu /J . ~ LEGAL DESClUPTION (olllce u.. only) J~OT BLOCK ADDITIoN PID2.5' - 230 -011-0 OWNER (Nam.e) ff//J ~IJ" V (Phone) (Add.ress) APPLICANT (Na.me) ALLIED FlRESUiE: DBA FIRESIDE: COllNER (Phone) 651-633-2551 (Address) 270D l'L FAIlWIEN AVENt"" (Ad-'J BRENDA HUS't'ON (Contact Pertlon) ~ .APPLICANT SIGNATURE ~/",i'l.. "1/"."", .. R()~mtTT T.P- MN' [CI<y) 651-633-2561 (Pllone) 501;'_' ~ (ZI.p Code) DATE ldJ-f/DI , APPLICANT PLEASE COMPJ.,ETE BEJJOW jglNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLlJE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWonn Air PIMl:i OOra.U)' o Mechsnlclll Oi\.ir Conditioning OVenl Syotem iJ"rJ ;..J &t.. OSlellIl1 o Hot Wa.ter 8 a_diollon Speclill Devi..,. o Other Devlcos PLEASE NOTE; Air Conditioner Unit. Cannot Eneroa<:h inlo RequIred Side Yon:! Setbacks FIREPLACE MAKE A1'ID MODEL {,ax>HL. Jndu'lrioJ. Commen:iAI 11 M~lli.F.mlly FEE SCHEDULE 1 % of job oost R..;den~_1. o.s Flrcplw;e 539.50 minimum $99.50 Rcsidontllll. Additi""s.& AlleraIlons $64.50 ResidentiaJ, AC Only $39.50 R<<idonlisl. Hosting &. Ale (Now Con.tructlOll) Rc.idcnr.lsl, Healing Only (Ne.. ConSUVellon) $39.50 539.50 HEATING PBRMIT FEE STATESURCHA1tGE / TOTAJ. PERMIT FEE (om.. Use o~nY) l /l: ~ Thl. Appll (~';IJ.j,j... YQur B..ildlng Permit When Approved . /~ &'~~rOJ ~.jl ng omcio' - II,,. / $ $ $ (J/-0IS3 PAlO wmiurr ~~'"'' Estimated CoSI $ Buildln.g Permit # IJ'~ I Dale tr 2-9 '0 I :~r! -, 24 1100. nolleo for'" Inop,,'lon. [9$1) 447-98S1J, rn. (95~) 447-4~45 FROM : SABER Heating and A/C PHONE NO. : 5124738555 Jun. 04 2001 11:31AM P4 ,l,U, tJOf "'. .lr.Jl.U i.~,'1 I rA~ DJ..c;....'........ ."....... ..... . .,.......... .......... ....... ~\ .? i II 1 HI! - .41.l ~i !t I f ~ i I'IIJ~II i II flii i It) ~ fl ,I lie, f'!IIlI,1 i I ~ ~lil!iii 1,.11 ~."l-' .. I :~ I J ~~ J ~ !! Jill J 1 11..11 :: ~ didi ~. ~ ..~ . ~ ~ ., . . ~ {if ... ~ ~I ~j ~ I ~a. I I~ ~ ~ "1 ~ (' II I I 1/ !:l1 _~ ~l~; ~l ~ilN- ~~ "'jll; IjJ I iiJ" .~ 'I.: \:Z\)1~"""~c .I!!I JII' J') J .. BJI i ~~: ~. ,,' ~ .~ ~ r:.'. ~ _ I 8. I . j' I E,f { ~ ~~. ',. .'~ I\: ~ . a I". a, J V\, .1..2.j ~ ~~ )- '\ I! I !if 611:1 I ;~~~~ ~ ~. ~~, ~ t.rl~ \.<-' ~ ~ ~ ~ ~ I" I ~ .Ii . \... 't . /" ~ ~ - ~' l \l'-. -.)~ ! - .. .. ~~ I I~ I~ !\\ '< I II ~JI~llfijlll,lft~~ IJ!III ,-,--,-,,-~,,-,,~--,-"'-'-'---' -~..."-~-""~"- --,-,----~.._.~_._.__.....__. ... --" _..._._-~- PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I '13~ 1 'S;\A..r-~ 0- NATURE OF WORK &.. t<Q.A....J USE OF BUILDING .SF A PERMIT NO. ()/~ 0153 DATE ISSUED (7. - .L~-?ooQ CONTRACTOR M!.tJ,.1..\~'u>"-'<> PHONE~-//2o NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE - , FOOTING I~) 3/3o/~1 I I FOUNDATION (Prior to Backfill) 't.l/t!.l f2r, 4/n/tJ} I PLACE NO CONCRETE UNTIL ABOV"E'iliAS BEEN SIGNED ROUGH - INS " '\ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING vJlc. ~ t,//9!tJ) HEATING (if required) wk. ti::;. . 711 rio, FIREPLACE I." ~ "7/:;0 101 GAS LINE AIR TEST Wqt>1 ~;j. . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED /'-'-.. _e. ~ ~ 7/3//nJ I ~ "FINALS" p, .~( ~. - I'"~ vI~ . 1t1ol . f/?I ~' ?,4,~ ( . GRADING (Prior to SOdding) BUILDING ,co U/Ylv wit,!., fJrl ELECTRICAL PLUMBING HEATING DO NOT 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 shOll!. be placed near main entrance. f/1/bV Mit&!b V , t/+ , I 8/3/0 I d>z/"rJt /"/1 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED JJPh./o 2- _A :1'--, ADDRESS /73Jl7 ~ c..:., CONT~) L./...or--q:n PERMIT NO. t!) /- 1S:-.'5 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION '\a FINAL 1]' SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLiNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: flfh.# ~ "!WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO'ZfALL FOR REINSPECTION BEFORE COVERING Inspector: b':f; Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ CITY OF PRIOR LAKE /I ) INSPECTION NOTICE SCHEDULED 3' ' d. -V /73/7 ~~ CONTR. ADDRESS OWNER PHONE NO. PERMIT NO. DATE TIME l~ 3() /-/53 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP --r:JFINAl --B1>lUMBING FINAL o SITE INSP~CTI . A'r MECH' FINAL ,,_ MMENT: I I/rfp 57Z>"'L. ''?.. ~ . > -I#~ 8~, I .V ~ ~~ /~ ~Z~ ~ ~ z#- ~1..> L1N6' /~~6Z> ' . ~~...) ~pb- ~. ~eAU~~ '" "{7.),j~j2.. POL.t . INe~,- s,o~ ' ~~.; !f:~ ml- "('q .)"~ '~ "\, --...- jt?, ,....... .r". ~r""'A J cJ4:.-. ~ o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o -PtJb'IJf362-f~ ~ ~'1Ce )[:~ - , PL.....-.1 t3 INCP Fllv fJrI,/ o WORK SATISFACTORY, PROCEED o CORRECT ACTION \ND PROCEED If-o~'''f;' f'V""~' ,~,,-"" Inspector: 10 Owner/Contr: CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ORSAT TEST Job Addrpoo O Heating Contractor -S~b-te., Oat" "3'-2 -0 ( . Pressure "3,5 w c.. Percent 02 _7 '70 PercentCO )j '70 Percent C02 00-;0 Stock Temr' ~()S -----"<'>l!li' - -~--_."'---~'- ! i , i ~~~'.W