HomeMy WebLinkAboutBuilding Permit 01-0211
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or Drint and sim at bottom)
ADDRESS
/t/c(I7 A';ic ~h~d 77' L~
Date Rec' d
3-/9-0/
I. White File
2. Pink City
3. Yellow Applicant
/-ozUJ
I
ZONING (office use)
!e./
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK.J.. ADDITION J:A}t),b A/II
L/0
1_ h'dc/. PIDZ5-.3!EJ2.-018-0
OWNER # / j rI
(Name)~~-r n...A ~AA'J./-ef (Phone) ({,/2)7tc;-7%cTO
(Address) r~.::P' ~ y "3 c: C; LA h v / /I~. /hp S .;-e? 9'".,....
BUILDER
(Name)
c; A /7? <-
(Address)
/'
TYPE OF WORK ~w Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
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 1"'~rW'.J and that all construction will conform to all existing state and Ioca11aws 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
;teruk~e7n7:~~~_ ~ {C/'-( "),f;~~/
, Signature ' Contractor's License No.
C/' $' IS.!,(JOO. d?J
L:2<tO.SS:
A.IA . ~(,
~~ .5(L
I Permit Fee
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 Permit Fee
$
$
$
$
$
$
$
$
100 . ,,7)
If)('). 0 (:)
:r~.SlL
(lJ!:onj;;OmBull~~;:;:;ed
BuildintlffficiaI Date
I ~~c~:., 3".12.7-
F
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ~ proceed as requested. This document
when signed by the ity Planner constitutes a .......}''''....) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
mu, 1 ~2t.(~; ~ ~~i~;~~~u.k?a..
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
(Phone)
OPorch
OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
I Park Support Fee
SAC
I $ P1~C6
I $ 1./St1atJ
$ . I :)$.111)
$ I./S.~"
#
I
I
I
I
$1 2aa.o4 I
I
$ ~I'II'J.on I
$ .
I, S(J() .oCL
$ .
#
-
Water Meter Siz~'; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
~
:3 'Z,1.() J
$ 13,01/ .4-1 J
I Paid
I Date
t2.01l. ~
:J. 2.1- tJl
,
ol,oitl
Th~ Crnlrr of 1M LIllie Co....t".
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l1('j'V6RI!../JEV. ~6cJ<-I
I ,
3-jq- 0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44-/7 !3U./EellGD 7M/u
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Iv"
Date: '3-/9-0 I
Comments: See Reverse Side for Additional Information!
"
"
.,
.:>~e /-macnmems: 1) l;;radmg Plan, 2) Erosion Control Measures
3) Erosion Control PI,,"
"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/l-/I
The Cenler of the Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I1t~N 6.A:eIJ EV. R-iJ 8t;, 1<-1
I I
.3 -jq-O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44-/7 8W6B/RLJ 7i1Z~ll'-'
Accepted
Accepted With Corrections
~
Denied n
Reviewed ByWfJL .L--
./
Date: S' - 22~ ~I
Comments:
(kJ a~~ ;;-Jj;;"'-d~ ~,
"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."
Ol.n,11
Tire C...., of.1le ...... Country
White - Bulldlng
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11 t_ N 61-1 k /IJ f-Y; /<:.,() 15 E7<-I
3-jq- r; /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4417 8LtJEelI2D 7JZA1'--"
~
Accepted 4~
Accepted With Corrections
Denied
Reviewed By: ~,-.~~.....-
Date: -.3 /'~AYt
:A~ I~ C~~ ~\/'~
~~ ~ ~ev~~
. C~ ~ ~ ~D Pt- <q6 ~~_ Uf7..iMe ) ~
:2-t..( \1\ ~~ .~ ~ ..Ar ~
~~ I~, 4-~L} {)....{)~ ) CU; c,~
"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."
JUH-13-2001 08:40 PM
STAR PLUMBING & EXC.
952 eS4 7468
P.01
_.Ka
...... . .....-
....ClItf
CITY or PRIOR LAKE
SEWER AND WATER PERMIT
NOTE I
NO. j - d-/ !.
,
Sewer and Water
contraotor_ must
be reqistered
with the city.
SIGNATURE:
SITE ADORE
~TJI-v ,
PHONE: 9S;P- i8<l-</IY7
DATE:J-/3-o I
~ BLDG. PERMIT t.
/Lf'//7 ~~.4JPIDpC;.3Ld-O!'i!-q
1.
FILL IN THE BLANKS
Estimated length of water service ~~
/ ,j
Size of water service ineh(ea).
Location of any couplings from structure
feet.
2.
3 .
4 .
5.
6.
feet.
Type of sewer pipe.
ABS
PVC X
<'$'"'/J'
cast Iron
Estimated length
Clean out (if
structure.
of sewer line
required) .
located
feet.
.4
'f .
at .
feet
fronl
:==~~-=~==~~~~==--=~====~========~__~=~_~=.=~===K_O_==~_~~~___===~
This application becomes your permit when approved.
BY
DATE:
=============-=====~_:===~===~============D=__=~e====~s==_____==~=
FEES:
$
$
$
35.00
.50
]5.50
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 building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
.issued. SPAID t .
r;, / UILD ''di!'
DATE PAID _/ / 1/0.1 AMOUNT PAID fNG Pi ." I
RECEIPT . REC'O BY~_
)6200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I PAX (612) 447-4:
An P..qual Oppurtunily Employer
GENZ RYAN PLUMBING AND HEATING No.1932 P. 9/9
LU i OF PRIOR LAKE Date Rec'4
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
q'lwc't2" "'_""".. atbollDm)
AJ)PiUBSS . .-'
1t.Jl.)[-:J.- ~\Alu MbIR-J~
~;:.. .&- r"ERMITNOf)/-DdtJ
ZONlNG(oJllco_J
~
/ /f'...{ ......
LEGAL PESCllu: .~v.. (oIIoe uao 0Dly)
LOT 3BLOCK 2- &'-J.oIu.ON (,;('J(!) .fffl J _ L(f!!J..
~~~ ~r A.PCLYrl2.-Y (rU$lJlYT) ~"
. (Addtess) {b ~ ~ lp I Q..Iu ~\ lie.. ~S'r\ 4 ~
ProdS- :z,iJiKO!r"'O
. ~
(Phone) ~z - 2.~Cj '~I,JJI I
APl'UCANT
(Name) W if) z - tt.~
- -
(Adchus)-1Y1 L/~ ~ Tyf..L-
(~)
(Contaa Penon) lA.la Y' -.( N~""":::' (Phone)
. APPUCANT SIGNATURE . ~ nA-- _ . DATE _ L/ I!I /0 ,
PLEASE COMPLETE BELOW
Iii!"lr.'" CVI"I....",UCTlON 0 REPLACEMENT 0 ALTSRATIONS
FURNACE MAKE ANP MODEL (]lx1l'''t7~ F;?rnYf1LlV""J FUEL f,..JJ'\r &s.
FLUE SIZ~ RETURN OPENINGS F<, INPUT /{)('), QlJ[l OUTPUT q ~I rml~
TYPE OF SYSTEM HBATING OR POWER PLAl'tr
IXlWann Air 1'1.,,0 0 -.
OChvity 0 Hot W..
o M<chlllliool 0 btiotlon
/i!JAir Conditioniq 0 Speci~ Dovicos
DVont Systan 0 Olhor Dcvi.... \/I!u'l IIYTl1I7 _ 2 0
Co~=
(Phone) lPnl r <.f 23- / /<.14
rf O'i'n15u..frr 5::.7.X.o ~
(am (1Jp COde)
PLEASE NOTE:
Air Colldilioner Units
C8IlIIat llIIcroadl into
Required Side YIld
Setbacks
FIREPLACE MAKE AND MODEL
FEE ~"'....&
IndllSlrial, c...._....:.o.I .I: Multi-Family I~ orjob C04t kooid...lial, Qu Fi"'Placo
$39.50 minimum
Residential, Hc:tlinJ '" AlC (New Consuuctlon) 599.50 ll.osidcntial, AdditiDllll lit AI_Ions
Residential, HcaIina: Only (New Construction) 564.50 Rosidentili, AC Only
$39.50
$39.S0
$39 50
Estimated Cost $
Bulldina Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
III I"~~O WITH
. --w.iINQ PERMIT
'1lIII...Vocl;la\Yl
I
, . his ApplicatioD :Becomes Y DIU' BuUdinl Po_It WhOll Approved
. PIid
. RecoiptNo.
*"!loIiotI omcill
Da..
. ~4/!'J1 01
,
BY~V
:u bur Butt... for aU iaoptlCtlolll (lI$%) +41-t860, fu (!IS2) .u7~
lilt. fM.~""", I" (....,,,
A/1"IIr.Anl:
Addr....:
Signalure;
L.eglll Deacrtlllio . lol ~ _..~ :J
SileAd(ll'llsa; ''''IJ7 ~~l..m
Building PellTlil' ~j
NOTe: TtW permit WIl' not be p . . '.' .. wIlhout .. .. " ..
FIXTURE UNITS
CITY OF PRIOR LAKE ~ 5.. ?~
PLUAfSING PEf"'''f # o/-O:?-I/ ..
, f)? ~__ \ av i tCu/ lwc.-.;rv q~~'fJ ~~:~
$\Ill HI'rD-h Iu I U Lf'l~
/~A
~~
~~,
. PI(U AS;";-;<' d:::i). -O/?-o
, la, ~ .
~
,
1
4
,
j,)
(~u.lWl T'NiI ul Fi~1I1l1l
8dt Tub WIth or wttl10ut shower
lJisnwasner
Floor Drain
Q.-,lilv
Type Clf FlAvrt
OUMII\ilv .-
:~
,
AcNgh-Ins
wanlf I1ftter
Waler Soltner
l..tYMOIY (baaIroom alnk)
I "..mIry Tmy (1 nr p nn"""lflTlAl1f MIlk)
Shower ~aH
Cl"I.s /1 rf-Ghen .<);/It.
Bar Sink
\
Stand ~ (wuhlng machine)
a.wa.. E)edor
't- rJtiow ,'IIII.~ (FlPz, 0DIiIIe Chadc. PVB)
RulltIr.w ~Iy Toot
Lawn.,; I~I
.3
WQlar Clo",,1 (toilot)
Other
IIEI SCHl!DUlE
lnduslrla., CornlMI'Clal &. Multl-FamHy
(1"" of lob ~t, SSQ.5O mlnlmum)
Residential. New A,. &. T_ Family
R...ldIIr1ttal. AlSdlttonf &. Alteratkln.
Slale S uraharge
$98.50
''!t.to
s
$
,
S
.50
GRAND TOTAL S
PAID WITH
. SUILDING PERMIT
n.u ,....It Ie ........ ........ rho ..... '.... ..... ..lei
.. , ... ................'lnllll ,,,. .... ......_..b.._
of IbIt SI",dl"_1II ClllIlllnll "'" .."..." jIMlrcaf.
. RECEIPT NO. .l::j - ;) -01 DATI;.
~~ ATrVT
Call for 11I1 i~OIlS~ haurI in art..__
\6200 Salle Cr-k Av. S.!.. Prior Lake, MillMlOIa 5S372 / Ph. (612) 447~230 J FAX (612) 447-4245
,- ", ..... -,~.._-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~/l./4 ~'\l-rQ 1....
NATURE OF WORK ~
USE OF BUILDING SF='"J\
PERMIT NO. 01-021/ DATE ISSUED 3 ~'2'2~ ~
CONTRACTOR ~~ PHONE G,.:t- ?fU. - "'1l{J~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I ~ . \~PECTOII I A I (0 \~TE
I FOUNDATION (Prior to Backfill) 'ilk I ~ 1/ /?If, I I
PLACE NO CONCRETE UNTIL ABOVE H'AS BEEN SIGNED
ROUGH - l.~
SEWER I WATER I SEPTIC "P::Z6 (; - &--.0 (
FRAMING t):r". '5 ) ~ / !J !'
INSULATION ~ 11,/Q-/I17
ELECTRICAL
PLUMBING ~, (,(Slbl ~)J!1,t~ '5'1l\ ~
HEATING (if required) t:?::r j 5/;;--q b r
FIREPLACE
GAS LINE AIR TEST '
GRADING (Prior to Sodding)
BUILDINGf.LD. -till Ofr Irs(()/
ELECTRICAL
PLUMBING
HEATING
DO NOT
-
~. f:>:r; ff.~7!/6J~bpL/lo(
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. A::/L
fA- . 7 /~'f(I() )
- i
I
~I/~
4
OCCUpy UNTIL ABOVE HAS
NOTICE
"
1- IL
7 J ().'f/1J1
. I
7/rl<(/))
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all inspection' heveobeen approved. On buildings and additions
where no service cabinet Is available, card shall be piaced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-a~r::n
Qttrtiftrau of ~rmpanty
CITY OF PRIOR LAKE
Department of }flluflbing Jn~pettion
lit Final Permitted 0 Conditional C.O. Expires
This Certiftcau issued punutUll to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issUQ1lce this structure was in compliance with the various ordirumces of the
City of Prior Lake regulating building construction or use. For the following:
Use Clusificatiora
SINGLE FAMILY
BI --, 01-0211
_ dS. ~.uuINo.
VN _ Fin: Zone _ N / A Zonins District R 1
FOURTH ADDITION
R3
(.ww"'r"';'w, Type _
Type Construction
L3, B2, KNOB HILL
Lepl Desc:ripli<l"
Owner of BuildinS
Cnn_Ior'sNlUIIO&Addreu ROBERT MCNEARJi/EY, POST OFFICE
ROBERT D. HUTCHINS t1I(/ CityPWmer
lIUildlnS 0lIlcIal
/I-LG- Ol...
~i"Addreu )4417 BLUEBIRD TRAIL
BOX 366, LAKEVILLE, MN 55044
DON RYE
Date:
Date:
POST IN A CONSPICUOUS PLACE
,.,.,
,,/ ""
".,.,~..".;"',.;:.,. "",;;",","";,;'..~.,., ")r:..~'
,.'.,'....., ."..:.;iL.."
. "-..
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7.2-".01
Z:~
ADDRESS
1#41f tJ'tA/Gl5//ZO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J(. 07-1 J
o FOOTING 0 PLUMBING RI 0 EXIGRADlFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING (I) 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATIO 0 SEWER HOOKUP 0 FIREPLACE FINAL
\,i;( FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
Id' SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ~ - d~
UJ tJo~~ ~'''I/.... -"'~
~J ~~.,...~.
r~r ~ f'~ ~iu.I.. ~ ......-=:t:J c:lc..cL ~ ~
~-..~ ~ ;e1..:\ .
.~. ~/) ; ~ 10 :sa&.
,Jq-2 ~~ ~ _ . r'
~;.. ~ ;;!:-~~~~~rj;~::;
, v . 0 .-_. -
i\df+~ ~ ~ a-~ _ trI...
t'~'... '.'
~....~
( -r; (2. 0 I
,..*....
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEE
o CORRECT WORK, CALL FOR REI CTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL "7-98:~ ;07 THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~1~7J
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1-"11
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Jtj'll?
SCHEDULED 7- 'J.4-0 I j tJ~:3.J
\~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/.-d-Il
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
~ 0 SEWER HOOKUP
;;.iiI"'P'tUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
n~e..k ok.'
Mf>~ ~~\e1-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT we , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
E NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
,"""",
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1'1"1/7 Blueh,'ro/71c./t
, .
OWNER CONTR. /(I'litu+ J1't._/V<'CU/l<Y
PHONE NO. PERMIT NO. 0( _ zI (
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~L
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
~C't(~lIIING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
.-r~\\ ~~-rEc:... l")~ {JW
. ~i Q.'4. "&>- ~. ~""'^ ~W\
4tf/()oU~ ~, M ~~ '\
'xWORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: "~4- Owner/Contr.
CALL~B~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE ?1V'~/o/
INSPECTION NOTICE SCHEDULED I(}~o-o
ADDRESS Plo/ /'7 ~
OWNER CONTR.
PHONE NO. PERMIT NO. eJ(-;J-11
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
Jm. FINAL o PLUMBING FINA@ o GASLINE AIR TST
o SITE INSPECTION ~ MECH FINAL 0
COMMENTS: ~.
(p tJ\/fJ, ~~. ~ - ~ (f:iiv.v.-;
d'7 ~ (?~. iJ. .-(
,{)~ ~ Il~
n.l:t:.'u A.-~
~T'~1~~~
~ ~G,,- ~-~f' (~~~\
~~
~ -t,/2. - 3~b -?i5OR
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
,. 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 HBAL11l & SAFETY!
/NSNOTI
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