HomeMy WebLinkAboutBuilding Permit 01-0242
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2-7-01
; ';:;~;:' ~:;y I PERMIT NO. 0(- A? Ar'J I
J_ Yellow Applicant VL-"r"~
(Please tvoe or orint and slen at bottom)
ADDRESS ZONING (officeu,,)
/7~o"Y" ~~ \O'I(;I'~ ~E"" I< I
LEGAL DESCRIPTION (office use only)
p / "" -. "I'--'ez..O .?l~
LOT BLOCK ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name) v?~. ~~.
PID 25-372--00(,-0
(Phone)
(Phone)
~5"-.,,;<~ - 7/:$,(;
(Address) .~-V:~ ~~ ~ ~-u;.,c
.
TYPE OF WORK ~ New Construction ODeck
OLower Level Finish 0 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 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
enter upon the property to perform needed inspections.
~ ~-<5~-~~
o Misc.
x
Signature
~,~
,~~.2
OPorch
OAddition
ORe-Roofmg
ORe-Siding
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $ 9-Y. 6.55'
~~SlGS7'
,,<-15-0/
Contractor's License No.
Date
9S;a::o.oi!J
q~ . '7-=;-1 Park Support Fee
(~~. \q I
~~.~
100.<90 I
,loo .60 I
ZS.sO I
I Gas Fireplace Permit Fee $ 40 ,00 I
~ {J
is .. BecO~ding Permit When Approved
~ '. 2 - (>-2001
Building Officfal Dale-
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
I
I
$ 4~.<!JO I
$ 11 ';2c!)(') . t9(Y I
$ t"JOtJ -00 I
$ -0 ~ I
$ 35.SZ) I
$'.%.4il-1
I Rec~ -~1,l] (, .
BVr
#
$ 8So .Ql;)
$ 1.150.00
$ I '2..~ .a:;l
SAC
#
I Water Meter
Pressure Reducer
""
Siz~';l";
Sewer/Water Connection Fee
#
I Water Tower Fee
I Builder's Depos~
I Other ~tl) I::'ei,^-~.
I TOTAL DUE
#
I Paid
I Date
ftJ. 01 () .1I"tJ-
J.J .dl ,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and diay proceed as requested. This document
when signed by the City Planner constitutes a h....I-'IJ.....) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i"u~ -"---/& r. /
~ "f?-' .........A:..or.... ,1?../2J't/U1
. ~ Plan g Director Date Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
The Cnllff or lite lAk, Co.nlF)'
!
OI.,6~
White . - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12-. HDRT" 0 rJ
L-~-O \
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
'"7754 lJrER.1='IEAD Dl::IVE 5E.
I
Accepted
Denied
Reviewed By:
Comments:
x.
Accepted With Corrections
AII/-/l.
Date:
s-3o-r9/
"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~< ((1",\ r:,'(t
.~~
6ColA'v
Th~ CtlUu of lhe L.k, COllnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPUCATION DEPARTMENT C\:IECKUST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. Hr l<'-T C f\-.J
7~ -,-Q I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
[]]S4 [Jt-EI<..I='"ISLD Dk.IVE 5E
I
Accepted
v-
Accepted With Corrections
Denied ~
RevieWedBY:~~ --.~~
Com
Date:
S/::l-7/&(
"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."
~1
DI- OZfr~
The- Ctnltr of Ihe- lAke- COllnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12... HDt<:rorJ
2..-,-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-I1754 f),....ER.~IElD D~IVE 5E.
I ~
Accepted
Accepted With Corrections _ ~
Denied
.~
Date: _?-N-'2Do/
Reviewed
Comments:
~. I 'l?.52. ~9c& OJ'. ~r- <:4?{c.-.g tic..
"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."
FEB. 15.2001 12:3BPM
GENZ RYAN 6513226147
NO, 773
P.17
. ,
--. ....
-.....-
....CIl'.
"
CI'l'Y OP PRIOR LAD
SEWER AND WA'l'D PERMI'l'
NOTE:
NO. 0 l-() l.4- 2...
Sewer anlS Wat.er
'contractor. must
be reqhtered
with the city.
APPLICANT: (.).,~9- ~~UJm'oI~"'- u,/'Jrl.Otl. PHONE: t..!)1-1.j.'2.~-/I~
ADDRBSS: I&.I~'T""" "_...,.-..",r "IOIWt.DATE:
SIGNATURE: ~ BLDG. PERMIT *
"" All......,. __. . ,,,a~PID' Z5-~'1Z -""~-O
FILL IN THE BLAND
1. Estimated len9th of water .ervice. 40 I feet.
\1
2. S1ze of water serv1ce I inchee.).
3. Location of any couplinq. from 8t,ructure feet.
- 4. Type of sewer pipe. ASS PVC)( Cast Iron
'.. , 1 in,..iJT' I
...-;. 5. Estimated lenqth of sewer feet.
II. Clean out eif required) , located at feet from
structure.
._.-ell!
,.",'... -.-
.,- ..------.---
This application become. your permit when approved.
BY
DATE:
.
===---.
-----
.. ._ ,..'_, -----=I
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
TOTAL
"
'. ~
. Fee fer either sewer or water individually is $20.00 plus
$ .50 surcharqe.
.. Sewer and water permits i.sued for new construction must be
recorded on the buildini permit card at the time of is.uance
to inaur. that no dupl cat. .ewer anlS water permit. are
bsue4. ~
DATE PAID 1.(- ("J -0 I AMOUNT PAID~ pp..\~t~e.~l'A\\
RECEIPT if REC'O BY ~\\JJj<
, 4629 Dakota 51. 5.E., Prier Uik., Minndota 55372' I Ph. (612) 4474230 I Fax (612) 447-4245
AN 1lQUAl. OI'POlmJNlT"IlMPlD'I'IlIl
FEB. 15.2001 12:39PM
GENZ RYRN 6513226147
NO. 773
P.22
I
. CITY OF PRIOR LAKE
,PLUMBING PERM"
AppUcaI1t: t:~ '-~
Add~~:, 11.1___ ~ '1:J!A-
Signatura: ~ -^ .
Lellal C8Icr1pllon: La! Ip IlIlock f Sub~f'"'l Z"'~
Sill Addra..: '''1'2.~L.4- 'TY fI.r{!y..D...D"D.t.. 5E:-
Building P.rmIt. PIC It /_E:) - 377.,- mea -C.
NOTE: TIll. p.rmlt v.:IlI not btI p~d wtthout complete Information.
FIXTURE UNITS
.1llr c.."., .. LI.. ~lIIlir
Quantity
I
\
I
1-
L.
. .,.
'.') 2-
,.",rl
" '
Typ. of FIXture
Bath Tub with or without .hower
DI.hwuher
Floor Drain
Lavatory (bathroom link)
Laundry Tray (1 or Z compartment sink)
ShoWllr Stall
Sinlcl
BIII'Slnk
Wa1er Clo.e! (toil.l)
Quantity
1
ILl I
I
I, I1aI RIo
1._ CiIr
,. - ....-
, OI-O.?4-1-
Phone: I ,,~, - L.I'l.;~ - IJ!:i!::!
'7>.u.nv..1.nr- ~
Type of FIxture
Rough-In.
Wat.r Heater
Water Softnlr
StancI Pipe (Wuhlng machin.)
Sewage EjllOlor ,
BIckIIow ,....~ (RPt, Double Check, pVB
Bacldlow A...mblY T.1t
Lawn Sprinkl.r
Other
$
S
$
$ .50
. r !~~:~-r:RiV\\i
s &U'--' .
~.
Thil permit illfIIIIod upan tile Illprlll oonclillan tha, laid
canlmtDr, .hlll comply in 111 "r" with die ordlneeec
a( the II&Ie PlllmblllJ Coda ond the unondmollll ~(.
~ RECElPTNJt-l. -OI..DATS
. ./ ATTBIT
Cell for all inspcc:tion. ours In adVUlCltl.
16200 Bille Creek Av. S.E.. Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-42~S
AA Equal Op,orIUnity Employer
I'!E SCHEDULE .
_ Induatrili. Comm.rcIl11 & MultI-Family
(1% of jGb colt, sauo minimum)
A..ldenttal, N.w One l Two Family
R..id.ntll.l. Addlllonl l A1t.ratlon.
State Surcharg.
$98.50
$38.50
GRAND TOTAL
~~' - -~<~ CITY OF PRJOR LAKE Me
iu ~ 16200EagleCreekAv.s.e. Permit No. 01- 02.4z..
Prior Lake, MN 5_5372
. HEATING APPLICATION I PERIeT
Date 3!ltlol PIDII-2F'- 372--COre,-O
SileAddI'llSS. \125~ ""Deek-+;e-1d b.- SE
Lot -.k Block --1- AddItion
Own8r'sNarne DR. H-O.....ton
Addr8SS~ 'br Su.i-l-t.ZbtJ,
Heating ConIradIll' t\llio...nt' Mtr..ho..n. eu..J
Address 31a5b K.e.Mf.bec.. by- ~ [ E.1M..n Mw- ~z.
<oJ
TeJephone' us! lJ'Sz - 2,'5
Furnace Make & Model "i>rv4.n+
.
MadeISiz. ~g~J(P.V0z.4D1""
Conn. load 2.1. ~l.\l=i
Fuel t\I M- .FIue SIze I{'tdtus"
~
4-
Supply Optnings
Return Openings
Inpul'D. DOe...... 0utput.5lJ.. bO 0
Edr.
C1m.
~Ob
TYPE OFWORK
A~&ralions
TYPE OF STRUCTURE
J.JliItk
~ "'-
3.V..
,
.
....
Cty
eo.......,
Single Family
Commercial
V"
,
.
.
.
Two-Farnily
Industria)
MtJIti-Famiy .
Public
. Other
..
c
"
Fee Schedule
..
..
1ndus1rial, C,.,...._.....;.J & Uulli-Family
Residential, He&mg & AC
R&sidenlial, He&mg Only
€~ 1lAN551Z:1.. R;.,:~.. .uf, Gas FnpIace
.; ResidenliaJ, Additions & Alttrations
A _;.~;,. ,::,J, AC; Only
..
c
l.,r..oI job cost CS39.50 minirlllm)
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Carml c
$39.50 Encroach Into Required Side:
$39.5C Yard Setbacks, ~
$39,5C ~
.
.
Remember to add the StBle Surcharge on Ihe bollom 01 this a......._n.
TYPE OF SVSTEIII Tbe price of your heating permit includes one rough-in and one final inspection.
Warm Air Plants
Gravity Additional inspectjons will be billed aI $35.00 eacI1.
Mechanical _ House Healing TesI AecOld mUS1 be submilled with bIIilllimlllmlIlil ~ befo... build-
Air Concltianing jSr IlI1..1\-t Z;t7lnf' ing cer1iIicaIe of OCCUPBnCy will be issued.
V..... System ,)..-5'Ol'h.....blli1\"'-AnS
1:!W CALCULATION!,; REOUIRED with number of supply and return openings nsted per
HEATIiIG OR POWEfI PLANT room wlh CFVs per opening, New SlruclUres Dr addiIions send fIoDr plan with supply
Slaam and nlIUm localions shown. HEAT LOSS CALCULATIOfIlS, PAYMENT AND
Hot Waier APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372. .
SpeclaI Dtvices
~
~
~
"
c
.,
.,
:.
~
c
:.
r-
..
~
City HaJJ business hours are 8 a.m. - 4:30 pm.
Other Devicts
All WORK MUST BE INSPECTED (ROllGH-IN AND FINAL) . CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowJedge that the
information above is complete and accurate: that the work. wJlI be i~ conformance
with the ordinances and codes of the city and wilh the state buBdinglmechanical
codes; thai this form does not become a permit until signed by the BUILD I NG
OFACIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
iI/ew Construction
~
Repair
Est. Cost $
Replac&menl
Est Camp, Date
. Buiding Permn ft
HEATING PEflldlT FEE $.
STATE SURCHARGE $.
TOTAL PERUIT FEES $
.50
~o '-N\i\-\
eu\\J)\tlG pe.p.tA\i
d"Jl... IL 7.LM.a.u.Y~ l~)
l~rSSig~
Builcing Olfical's ~ure
IE;
c:::
c:::
....
.$/ulol
Dale
~/?,/
Receipl #
PL, FAy: 447- 4248"
PRIOR LAKe DEPARTMENT OF
~ . 'BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS . l'l? ~ ~,J~ Dt-.
NATURE OF WORK ~l OC..",
USE OF BUILDING SI=='A-
PERMIT NO. () 1- 07A- Z- DATE ISSUED ~ ~ I~. ')t'Y"'/
CONTRACTOR ~ PHONE &51_~ -71 '?~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR OATE
I FOOTING I 1,-jJtJAIotI . I I 0/01101 I
I FOUNDATION (Prior to Backfill) ~t-IL.. ~/1t;;i(}( r:M. I ~'.,.. /01 J
: . I -
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
I~
SEWER I WATER I SEPTIC /J
FRAMING /:2r., ?1r9'f (/J./
INSULATION K. 7/t:?0 '(,q-.J
ELECTRICAL
PLUMBING {/6,,IiIII ~./?o( ~ 7/.Q ~;:,/
HEATING (if required) -J/j;, 7j::>- i./,/lJ/
FIREPLACE
GAS LINE AIR TEST ~ t:t-" 7ho//o/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ 7//1/0/ I I
FINALS
GRADING (Prior to Sodding) ~, ~,
BUILDINGT I CD I f;Jj {bit s1~/ ~. 9f (fill
. ,
ELECTRICAL
PLUMBING
HEATING
16/r/l))
DO NOT
tit0
4.
OCCUPY. UNTIL ABOVE HAS
NOTICE
'J Jo)JJ .
;//,pMI
.. ,
BEEN SIGNED
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
wh'ere no service cabinet is available, card sh.IUn placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
",'1Il
,........."
.........,;.,--... '.'
~1"1I.,I"'''II.,~
,,,:" '-,<.,.,,~..
~.." ~'...'....,\
;.'~;,;,. ;.;-'~\!.
.": ,; >.,"'_':...... ~~",.:.....;; ... .,.
. .~:",..:...< ,"j}
....."..~""'- It..""",, I ,
ADDRESS \(;)'S'1
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
HOUSE HEATING TEST RECORD
JOB #
O<?~rlt,~I~
Dr;.."e-
~UBURB
_APT. _FLOOR
'~WNER
CITY
'ATE HTG. INST.
INSTALLED BY
Gas Line By
GA _ FA ..:ll-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE ~~~ ...-'1'
Mod.1 31i"::!. J:AVO'i~Cl"l \
Serial. \!::"c::.'''i S--t .C:;:?O
INPUT ~ . eoc>O o-rV
CONTROLS
THERMOSTAT P- . .--.\ I H.at Plug
Valve
Limit
Limit S.ttlng 1'"1 ~.
Fan Setting
Pilat Type \A.s ~
Pilot Mak.
Pilat Madal
Pilot Timing
L. W. Cut Off
J.:>
Pr...ur....
Input CFH_
Stack Tamp.
Form 235
,''''''I
MAKE OF BURNEP
Mad.1
Mox. BTU Rating _
MAKE OF FURNACF
Mad.1
Vent Size
KIND OF LINER
L-t"
SIZE NONF
~..'''''It_ ;...-~,
\
Draft Hood Regulator
Filte,. Siz.~w.~e \<t Humb.r
o.lmney Location Insid.
Chimney Construction
Outside
Smole. Bomb _
Dralt
Door Pres sur.
Wiring
Test Tar'
I ightinSl Ins.
Percent CO2. ~ . .::l...
P....nt 0 c... r
2 - Cl
Percent CO -
o.te Tnt.d. '9. ~ (';l. - 0\
Campany T nti"9 FredOjickson Heating & Ale, 3650 Kennebec Dr., Eagon, MN 55122
Name of T...er 1<-1It.., ~"'---
--
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
1'7 d. c:;;t.../
SCHEDULED '-IU(! 0 I / / : '3 (J
i.J~~JG,,-. -0.4 j'~. /,{jyl
?
OWNER
CONTR,
PHONE NO.
PERMIT NO,
O/-d)'/,;L
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING~ 0 WATER HOOKUP
o INSULATI 0 SEWER HOOKUP
)II: FINAL ~D PLUMBING FINAL
o SITE INSPE ION ~ MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
':..:.;u~_....~
. 0 GAS LINE AIR TST
o
COMMENTS:(ffi I!~ ~ ~ 1~h'..D..t..JJ ~
~~ ~..... 4.<-,d, ~--_-:~~-,
(jJ ~.~ ~ --rr/,t/ (:"... or- ~ V
~~')~--:(.:::c p':/ ~
-r.--c.D r
~;:";:'~''''-'+''"'
/0/ /6/01
.
f
~~
o WORK SATISFACTORY, PROCEED
)lI CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''''
SCHEDULED 7;1~~1
~~
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/1) d s-L/
OWNER
PHONE NO.
PERMIT NO.
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
)r PLUMBING FINAL
o MECH FINAL
COMMENTS: @ &,Av.-mr{
W1
~
~~~~,
~1"w.C.-
DATE TIME
1:30
~ I ~ ';;>l(":;;J..-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(i,IU) I
/
...~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I OWner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/