HomeMy WebLinkAboutBuilding Permit 01-0171
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!VD!: or orint and sim at bottom)
ADDRESS
.3!dJ ~ Fe, "- 76...' I l'~lk; I
Date Rec'd
2-- 6-0 I
;~i~i:. ~:;y I PERMIT NO. 0/-017/1
J. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK I ADDITION W ~ ~
g.V::~R /hefJ,,,c.ld C<.>rS-J(
(Address) ?bO I Ii...( S- r- "- ~j- c..J
I ZONIN; tffice use) I
PID 2.5- 3(10-003-0
(Phone)9n- tl,?:J- )&7/
A;JP)u- Uc.J1..er.. Ih~ . :'-r;...... , ~ l{
"{' (01'/- 701- ~(.qq;
(Phone) ~-t{S~ -I fa 0'
41Ji]Jot.- cJu-/~ U.... S-S-I &,l(
BUILDER f\ l ) n 'j
(Name) IJ1 II!. f...kv' '" r/ l ~ 0_ ., ,
(Address) ?bOI I LtS- F~ &: l' CJ~ s'T
TYPE OF WORK
OONew Construction
ODeck
~Lower Level Finish
Ill:! Fireplace
o Misc.
~rtion romes Your Building Permit When Approved
1:1 ./lLA. B '(1-'2Dcl
'- BUildi/g Official Date
OPorch
ORe-Roofing
ORe-Siding
OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $J/~d'a/:JO
#
$ s:? 50 ,c:f) I
$/ I 50 . ()o I
$ ; I 9.5' . d) I
$ 4f\ .~
$ 1.2.0D. C:>~
$r-'JO(!) .or) I
$ I. .C:j(JD . ()i) I
$ I I
I
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
;ter ur.n;rr;:::: r: needed inspections If. gJ b J- - 8"- V (
~I Signature I Contractor's License No. Date
V' Sl=o :P ~ c.. ~, ooc..cro
I Permit Fee $ I . <1 N~' .55 I Park Support Fee
I Plan Check Fee $ I: a3cLa(g I SAC _
I State Surcharge $ '13\.5(') I I Water Meter Siz~;l";
I Penalty $ I I Pressure Reducer
I Plumbing Permit Fee $ I 00 .Oc) I I Sewer/WaterConnectionFee
I Mechanical Permit Fee $ I ()('), (')(') I I Water Tower Fee
I Sewer & Water Permit Fee $ , 3,t; . si) I Builder's Deposit
I Gas Fireplace Permit Fee $ q 0 ' ~D lather
I TOTAL DUE
#
#
#
-
~
.3 -li/-~I
$ 9. /22.. f3 I
.
I Paid
I Date
9. /22-.t3/
'?4$"rOI
I ~~CjJtl3'1d9b
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
::z;?k~~::::t"a"mpOC~C~ifica;:1~/;~ceandill&:~~ffi~Zf~;:~
- nning Director Date. . Special Conditions, if any
24 hour notice for all in.peetion. (952) 447-9850, fax (952) 447-4245
/
,~"
~~
o I JO tit
Th" C"nt", of Ih" Lak" Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APpLiB,ATlbNbEEARTMENT CHECKLIST
NAME OF APPLICANT
~ I c. U C '" f-\ L U L C l\j ~ I 72-
2-'2--(, I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
::::425 ~CXT7-\ I L -Tlq.\ I L
Accepted
Accepted With Corrections
~
Denied
Reviewed By: @A.4...14-
'. ...
Date:
'~Acf/~
Comments:
~~-~ fVo{l~/1. ~JdWe... ~ ~
30.21 ~b "fO ~~/.-I" b4t~
___ /A)~ I~ ~ q2-i,~. "iLn
\~\IT~ cJd. ~'''l"~9-/P ~
~.~~ ~ Ip.<.~<;J~ Jt9a
~~ .~Jy /':y:.L.-'-<~ ~,p \jh.~
~} ~~'ibM~#1
"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."
.I
~~
DI,,0/1/
Th. C.nl.r or lh. L.k.. Counll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Hc..-DO NAL-O t.oNb ( f2-
Z-~-Ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3425 T="OX --rA1 L.. TRA( L
Accepted
Accepted With Corrections-<'
Denied ~ ,'//1 r1
Reviewed By~ vtJ-f-...... "",-' ./
/
t:Z:;,n::fl ~ ~09:;-
Date: ~ - / ~ - ~ I
"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."
~<;,
u~~
U/ - /7/
Thlf ernl!'r 0' Ihe Lakl!' Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING pERMIT ~tiONia~PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/VIe.. Do NALO eON5TI2-
Z-~-Ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3425 r::-oX TAl L. TRA( L
v/
Accepted
Accepted With Corrections
Denied
Reviewed By: L L L
Date: 2 - J 2 -D J
'I"....
Comments:
See Reverse Side for Additional Information!
..
See Attachments: 1) Grading Plan, 2) Erosion Control ~sures'
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."
~ ~ S- I ~ .!...!...UT NO. (:){- /111
ZONING !....-l
JLI
I ~'j;~~_""h!...at_1 10-\ \-
3Cf..:).,)' ~ /f'/lilJ
LEGAL DESClUPTION (081", U" anly)
LOTaBLOCK \ ADDmoJJJ~
(5+ PIDac;-~7t,-6(),3-.()
OWNER
(Name)
. (Address)
APPJ..ICANT
(Name' ALLIEO FIRESIDE DBA FIRESIDE CORNER
OJ.. WcS'IIt'lPtl ~.
(Phone)
> .~
(Pholle) 651-633-2561
(Address) ...l.7on N. FAIRIIIl!:W AVENUE
(A4<Imn)
BRENOA HUSTON
(Conract Person)
APPLICANT SIGNATURE ~O~dl 1J~-
~SRVTT.T.R Ml\I
(CIly)
(I;'I1one) 651-633-2561
DATE ~/.$VOl
5-~' '':1
(Zip Cado)
;;
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AL TERA. ,"','...
FURNACE MAKE AND MODEL FUBL
FLUE SIZE RE'I'lJRN OPENINGS INPUT OUTPUT
TYPE OF .. .... ",,",, HEATING OR. POWER PLANT
JWBtlIl Air PIIII)t$
. ~~':~~Ical .
Air Conditioning
Vent Sy_
FIREPLACE MAKE AND MODEL tJld .J r;, lr, /"rrnlll - . .is
3 SIe....
Kat Wa"'r
3 1WI11tlon
Spacll! DevtCllS
Oihor Dcv_
PLEASE NOTE:
Air CDnclltlcmOl' Units
CUllol EnoroadllnlO
Ilequlred Side Yard
Setbadcs
()( ri.)
.I'. _'
FEE S'~<>......ILI
JnduSlriIl, Cammorclli &. Multl-FMlny I % of Joll "'"t Rosldonlil!. au Flropl_
539.$0 minlmuln
Jl.aidondal. H....ng" AIC (Now ConSll'llclian) $99.50 Rooidonlill. Additions" Alterlllon.
a....idcntllll. H....ns Only (New ConSll\lCdon) $64.50 lUolida1ti.I. AC Only
539.50
$39.50
539.50
Estimllled Cost S
Sulldinll Permit II
HEATING PBRMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
PAID WITH
.BUILDING PEfo'''11
(Qm~. VI. OnI,I
This Applkatioll BecomCll Your Balld... PllI'IIllt Whell Appn",,:Jd
DolO
I Pald
I Oate.5/(JO/
KccciJlt NO.
lIulldl.. om"'l
By q.e....-.
:M .".r _"'I..llIr .1l1.lpectloa. (95~) 441-9150, f.. (9S~) 441-4Z45
.v
r::' '.;-. ~ ,"'-' ....~
,~ .:: i.;~;,~ ~ .-: .~. . :'
,_....____~.. '....M...._...~..'............,.. """ .,......"_.".""_..'.~
.............
..... . .....
YI"". -'-"
..... . CI1'-
CIT1 OF PRIOR LAKE
SEWP.R ~ND WATER PBRMIT
S.W.No. O/~ 0 J7 J
NOT!::.
Sever and Water
contractors "'last
bo rogistorad
with t.he City_
APPLICANT: ---1,.\ -='-,:, ~J~')C Q..J:.ll 11ft,' IIi
ADDR'S"~~'.'
SIGNATURE: a ~
SITE ADDRESS: .. &l...J:iu.../
J'-\.H-
PHONE:~
DATE:
~"~1:: \;
FII.r, TN Tl-m nLANI(S
BLOC. PIi:Ii\MIT II OJ-c)t'71
T ou.L-.PIDII 25- ?:7to-003-0
,:,:>:,,,',:.:.t.;.:t,.
1. Estimat.ed lcnqt.h of water ..rvice
.3^
fe.t.
2. Size of water service
inch(es),
"
4.
Type of .ewor pipe.
ADS
from structure
pvc.I Cast Iron
~D
o
test.
:) ,
'Location of any couplin98
",' .
is.
Estimated length of sewer line
reet:.
6. Cloan out (if required), located at
structure.
teet
trom
~~~___~______o====~=~.z~._*.__.*.....=__.__~__=___._..___...._*_..
This QPplicat.ion~8 your per-mit when approved.
B'l (fJ.ff.fl..- DATE: 3-22'0/
.=~=_______~___~==:======a_____________~_~__~___~..~~_____.___~~_~
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
:;urchllrge
TOTAL
* Fac for either Gower or water individ~ally i. $IV.40 plUG
$ .!SO surcharge.
* Sewer and wQter ~ermits iS5~eQ for new ~onstruction m~.t be
recorded on the building permit card at the time of ieeuance
to insure that no duplicate .ewer end water permit. ora
issued. ~
UATE PAID AMOUNT PAID ?~~~~~~~-
RECEIPT # REC'D BY ~~\P~
"
16200 Eagle Creek Av. S.B., l'rior Lake, Minnesota 553721 Ph. (612) 447-42301 P^X (612) 441 4245
An fl'lu.1 opponunllY BllIployo,
G0d ~:9 1002: 0G''''eW
96~9G68 G19
'ON 3NOHd
JX33H:l3f : we".;!
FROM WENZEL MECHANICAL 612-452-0367
(FRI) 04. 20' 01 13: 58/8T. 13: 57/NO. 3561851937 P 1/1
t. ~ Fl.
1...... co.,.
PP No. '!Ji:(J j:;7 .
Phone:_ ~- 4SZ-Isr:.s:-
r......,.. MtI&J
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant \J';AI'Z:a.. Nt€C.IIA1oJltJ.I'I.I-
AddreGs: ~ ~A~St: Ill&' ,
signature~,40 ...
Lege.! Description: Lot 3 gloek I Sub IaJoNillllIMllU IF'
SiteAddres.:~2S"' Fe", ""-ML T'L .
BuildingPermil# 01- 01?1 PID,~-:::"I"" -OO~-U
NOTE: This permit will not be prae_ed witheut complete Information_
n.. e. It.... .( I" r...III.. c...,,.,
Q~B ,tlly
1-.
II
II
~
I
I~
II
II
IS-
Type or Filltutll
FIXTURE UNITS
Quantity
Type of F'tJtUnI
Bath Tub with or-withoul shower
Dishwasher
-
Rough-Ins
Water Heater
Water Soltner
Sland Pipe (washing machine)
Sewage Ejector
BackIIow Assembly (RPZ. OlllJble Check, PVS)
Backflow Assembly Test
Lawn Sprinkler
Olher
I
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Waler Closet (to.lat)
I
-
-
PEE SCHEDULE
'.
Industrial, Commercial & Multi-Family
(1"(. or job cost, 5311.50 minimum)
Residemlal, Ne.... One & Two Firmly
Residential, Additions & Alreralions
Slate Surcharge
S99.50
5
S
5
S
539.50
.50
GRANO TOTAL 5
PAID WITH
BUILDING PER;." .
.
Thl. pennil i. JnIl\Od upon thl ..pras c""dinon that $lId
COnlrKIOE'. shall comply In all ruplCCU lIrid\ the ordinances
o( lh. Stat.. Plumblnl CCIlllI. IIId l.ha Im~~~'crcof.
~c PTNO.l./-P) DATE
ATTE5T
Call for all ins ctions 24 hours in advlUIc:e.
16200 Eagle Creek Av. S.E., Prior Lake:, Minncsota 55372/ Ph. (612) 447-4230 I FAX (612) 441-4245
AD Equal Oppommi<y Employer
OMe. . FILE
'fILlOW . APPUCA.T
OOLD _ CIT.,
CITY OF PRIOR LAKE S.w.No.6\;o/1(
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with ,the City.
ih (\. -:-j
APPLI 'ANT:/.!1.i.d Jo....~JJ (jcr 5 .
ADORE s: J:~ I Lr J -p., :s-r4l. ;}jl)/'C-vc/k ,
/J I _ tJ'
SIGN'" 'URE- ~~
SITE. DDRESt: ,?4f}t{" I-C)~ ~'IIf).a./ (
,
PHONE /; 5;I-Lt..Jf) -- :i!oI
DATE: J-- f-e> (
BLDG, PERMIT #
PID#k'tgg/~ /CU~ fj'/;
FILL IN T!lE BLANKS
1. E' timated length of water se'rvice
feet.
2. S ze of water service
i inch(es).
3. L cation of any couplings from structure
feet.
4. I pe of sewer pipe. ABS PVC____ Cast Iron____
5. E timated length of sewer line
feet.
6. C' ean out (if required). located at
s ructure.
feet
from
=~=~= =========~~========:==::=-==================================
This, pplication b~comes your permit when approved.
B'i__. DATE:
==~==i =======================~==~=================================
FEES:
$
$
$'
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* F e for either sewer or water individually is $)1.JJD plus
~ .50 surcharge.
*
S wer and water permits issued for new construction must be
r corded on the buildin~ permit card at the time of 'issuance
t , insure that no dupllcate sewer and water permits are
i sued. -
DATE 'AID
AMOUNT PAID
REC/D BY
RECEI 'T #
16200 Eagl , Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 1 FAX (612) 447-4245
, An Equal OpportunilY Employe,
TIll -?1=.-?tiUlPl 1C:;:?Cl
1=.1?t1t1?t1?t11:.':;
q?%
P ""
PRIOR LAKE DEPARTMENT OF
. .' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 312~ & /;", /;edl
NATURE OF WORK JJw
USE OF BUILDING -SPfJ
PERMIT NO. 01- () r1/ DATE ISSUED 2 - I ~ -'2Do (
CONTRACTOR ,Mr-. Cb",,,,,,, 1L2.l~. PHONE3S.? - ":~:1-7G,D1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I "&_~ 2./~!OI I
, FOUNDATION (Prior to Backfill) I ~ \fa...,' ~IOI~ 01 I ~ .It,..., ~::{ )t2b Df
PLACE NO CONCRETE UNTIL ABOVE HMS BEEN SIGNED'
ROUGH - INS
'B,VH
~b,
1S~)h
~~~ .
\if L I?/'i.
~ ~vl~1{ ~,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FIN~
/' NB
\.. ~ UrlH...
. -_ ::.c-,
\b
OCCUpy UNTIL ABOVE t-\AS
NOTICE
SEWER I WATER I SEPTIC
FRAMING L-i- bf.,.:, I~(
INSULATION J--L. G/;;2JgV
ELECTRICAL . ·
PLUMBING t-/.,.. ~ /}4')Ol .
HEATING (if required) i/...'8I~I~v
FIREPLACE
GAS LINE AIR TEST
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
INSPECTOR
DATE
~t:.:, 01
,,) I
t; (f c'(
,
5'~. .l)(
f)' 0-[
~ (J).
~,. Sl,,"\fW
~o'.v
fA oJ..ln J
,=~.~ \"
~~: \~l
BEEN SIGNED
This card must be posted near an electrical "",Ice cabinet prior to rough-In inspections
and maintained until all Inspections haVlll,~e!!n ,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
-"""
..\...,,,...." ".
...l1." ,,' .;c.,-,
....,.'.;"...,
'.:;I~.,. ,.".... ,'C
DATE nME
. CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7 :J -,rz- IhT",
ADDRESS
3?-~~ HJX7?'t-{L ~
OWNER CONTR.
PHONE NO. PERMIT NO. 6(-OI7(
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: SOD J~
(
""'""\"" <:.. <:; U. ~ C.rJ.
~, 1-~\.o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR.' CALL FOR REINSPECTION BEFORE COVERING
Inspector:6 - \l ~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE ) 3 ' ~
INSPECTION NOTICE SCHEDULErY g'-!-O .,. d 0
0L/C)0~~O/l /'
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
!- /7 J
D FOOTING
D FOUNDATION
D FRAMING
f\v'DJNSULATION
t1 .(J FINAL
D SITE INSPECTION
D PLUMelNG RI
D MECH RI
D WATER HOOKUP
~~RHOOKUP
n 1l!fT>LUMBING FINAL
JiU,lECH FINAL
o EXIGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ (, D /lAA,-h;)
~Jl>.1r:rc.;
~a:L cwd- +(ee~ fer-- cke19~V-
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEEO
o CORRECT WO K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSIiOTI
DATE nile
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED ,~l..
ADDRESS 3'-12.5" hnr 7C..;1 Trt,,'1
OWNER _ CONTR. ~~!eI r~Ad.
PHONE NO. PERMIT NO. 0 ( - D {.., I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ANAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~"I"KAQ!!ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~t/--" y-
., ,
L!IJ'I6~)l: ,,~
~~/~
aSfJ-T
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ (~:Jwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETYI
lNSNOTI