HomeMy WebLinkAboutBuilding Permit 01-0249
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZON,NG COMPLIANCE
1~:U~~T~~~~CTION PERMIT
. I '
1__ I I While File
I l , III 2 Pink City
'1\ j - t I 3 Yellow Apphcant
(Please~orDrinlandsi""albottom) , . Ij
ADDRESS .~ \.... ......_. -.----'......
/J../4Ql{ '])QIIS Owe-I tJ;C,-.
Date Rec'd
3- 2. 2.. .-01
I PERMIT NO. 01-02114
t
I ZONING (office use)
Je../
LEGAL DESCRIPTION (office use only)
LOT j BLOCK::l ADDITION I<.t-X:l~ 41li- S-~ ~ I \1 ON PID Z5-3fo B - 0'31- 0
OWNER '"" -' I \ ~ . . .-I- ( ("\ r-.... ) ~'\ 1-
(Name) .~E::.ljQc>.&.-A.) ~V\P" I~L (Phone)~ ~'/'J0
(Address)
~;~)~.\~ ~5~c..,. (Phone(q~)_QKd.-/~(Y7
(Address) 15-1 W. Rl}Oti')VIL,15 ~1.AJl{ I \Vl-1"d ,:)11~"\JI~; (~\l) ,cr''37
TYPE OF WORK ~New Construction ODeck
OLower Level Finish 0 Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding'
OAlteration
OUtility Connection
o Misc. PROJECT COST IV ALUE (excluding land) $
./' ')
. bed info ation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized a t r the a e entio property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted ans. I am aw e t th uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter UP. the operty p. 0 eled inspections.
Signature
J30~
Contractor's LiCense No.
J1J/y).I Q..Q I b (
Date
J> ri::lo,c:oo
I Permit Fee' $ I.';;) tzg .'Ic.:.- I Park Support Fee # $
I Plan Check Fee $ ~a'7 .~ c.{ I SAC ~ # $
I State Surcharge $ 75".00 I I Water Meter Size~'; I"; $
I Penalty $ I I Pressure Reducer $
I Plumbing Permit Fee $ J 00.(9 c> I SewerlWaterConnectionFee # $
I Mechanical Permit Fee $ (OO. (!) (!) I Water Tower Fee # $
I Sewer & Water Permit Fee $ :?S-. SO I Builder's Deposit $
I Gas Fireplace Permit Fee $ lio . 06 I Other _ A $
I(~ . . BeCO~YOUrBuildin~~::I.;:.A/pproved I TOTAL DUE ~ ,$ B,DZZ./7
j1- ;) )0 I Paid 8, 02-Z,1 q I RBVec'l~eft 't'~o. ;s'''3~
u din~cia1 Date' I Date # -/(J - 01 T-
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: :'::tu~es: :.......-' cmi~e;;:;I;tnce and allows construction to comm",,,. Before occupancy, a Cmifica" of Occupancy must be
Planning Director Date Special Conditions, if any
24 hour uotice for an inspections (952) 447.9850, fax (952) 447-4245
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0\ ~6z44
White .B~i1~lng
Canary . Engineering
Pink . Planning
The Cenl... of the Lake Count!')'
BUILDING PERMIT APPLICATION DEEARTMENT CHECKLIST
"
NAME OF APPLICANT
APPLICATION RECEIVED
S EJ F., k::'{~',~~-",
~. 2)- (I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 44 qp~ I j \; t:. (' ()lJl~ f\1F:'
I
Accepted
Denied
Accepted With Corrections
v
A
Reviewed By: ./
Date:
~/3~4 (
Comments:
2t{F'Mu-~ULUM. W~" IAJtz!)zi.. .~R~
~~ f~ d-~J i~.hl~_) "{O- r',;./h,
"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."
~\
w~L;~ 7!ing
Canary . Engineering
Pink - Planning
Th.. C..nll"' of thl" Lakf Country
BUILDING PERMIT APPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S5V 5~SO~t1r=;~
:3 - 27_- (")/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-4-qp; [X)V5 (' J)l1tC..t 1\Ir;
I
Accepted ~ Accepted With Corrections
Denied /J /J ),
Reviewed BY(dJ.,~/ '- Date:
pt., oJJJ aJhdu0)
'S- ~.at
"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."
-
Th~ Ctnltf of IblP 1.1I11I Counlry
Ol~ alA'?
White ~~
Canary - . g
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S EV E I2..Sn~~l [.:;5
3- 27_- (-)/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
144qp~ rxV5 t JlUk::.. ( Nt;
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
N!l-fJ
Date:
3- ~,- l'I
Comments: See Reverse Side for Additional Information!
OI""W'(W"'Y riD 1..,.".,
"'" r 'IIILf1.1J" lAIN-I,
H.... 'l'l'...+ ,..e.riy
dr.',,~.....y &4- l~D
/,'",,.
:see Attachments: 1) Grading Plan, 2) 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."
FIRESIDE CORNER #4880P.OOlioOl 'i
CITY OF PRIOR LAKE' "':c.-'DiItitiii~
HEATING/AIR CO~J.JIuJ.ONlNGIFIREPLACE PERMIT. MAY 24 2001 i'
I......
~-
:I. v.n-
"'_'. l.>'j
/1'1-!'E! or _1....1i.....~1
ADDRESS
IftV~ ~ (2j--
S-I PERMlTNO, t-~t
ZONING (oIIk".1
fC/
LEGALDESCRu: ..u'" (__aaJy)
LOT; 8LOCK;)., Auuu.DN l<!iJob Hilt ~
OWNER
(N~)
(Adbep)
.,s:;;~ i.L. r
(Phone)
APPUCANT
(Name' ALLIBD FIRP:SmE DBA PIRESIDE _......."'"
pWd5- 3a-03J-O
. ,
(Phone) 651-6:3 3 -:> ~''','
'~~TTT.1I! ~
(Cloy)
CPbDne) 651-633-2561
DATI!. S/,).wo
(Ad.dJ:eu) 2700 N' --F.I.~..." ~.i AVENt'l'
(Ad4l:m)
(Contact Person) BlmIIlA HUSTaq
APPUCANT SIGNATURE _~.
J
U_
S~l' ~
(Zil' Code)
, ,
APPLICANT PLEASE COMPLETE BELOW
i!JIqEW CONSTRUCTION 0 REPLACEMENT 0 AL TE1lA ,.""",)
FURNACE MAKE AND MODBL FUEiL
FLUE SIZE REnJRN,...,..,...<OS INPUT OUTPUT
TYPE OF,) ...."'uf HEATING OR POWBR PLANT
DWum Air PiIIIIS ] SIalm
Dcm.vl~ - HIll Willer
6'M....lIIlc1U , = RIdladon
DAlr Coodllloninl : Sped" om-
OVCllt. Syll\llll J Other Delli...
FllUlPLACE MAKE AND MODBL ~ I.:> f;u. Ie,. ,,__ _A
Jl'EE SCHEDULE
[nduma!. CalIImorciol A: Muld-PlIIIllly 1.,. of Jab cmI R..,. '" ;,1, QqFlropl_
$39.-'0 minl_
Ralidentllll. HeaIlDl&: AIC (New Conllllll;lillll) $99.-'0 IIakIorttlal, Addillon. &: Alta'IRloIl.
RaldonllaJ,l!eatlq Only (\'I_C. ..""..\ I) $64.50 Ralldenda!. ACOnly
Eetimared CI)!JI: S
Blli16i11g Pemlft #
HEATING PBRMIT FEE
STATE SURCHARGE
TOTAL PERMIT DE
S
$
$
.50
(0IIIet v.. Only)
Thll Application Becomet Yo.r Bulldln. P_1t Wilen A.pproved
Patel
0IIfa
;t;<Jf -01
1110..... OIIId.f
Dolo
Jo4 hoar natlce far all'lltpeetl... (951)..7.... fl. ('9) 447~J045
PLEASE NOTE:
Air Conditioner Un/IS
C_ Encl'ooch inlD
Requited Side YI1'lI
Setbacks
539.-'0
$39.50
539.'0
PAID WITH
BUILDING PERMIT
Receipt NO.
By~
V
10'12/8e ruE 11:22 f~ .124474:45
C I TV 01' 1'.10Il !.AU
W04l4
-,...
'n~. __
..-.''''
.~. r"'-
CITY or Plt191t LAICB
SSWERAN~. WA1ER P~IT
N01'I:I
aot}I-681..{.9
Sew... an<< Water
cont~'cto~e .uet
berlff ietered
with the City.
APPL1CAllT: l5c.d~ Ei<U~u~
ADDRtsS: ~ 375' W 70 tA Jft-~
SIGNA'1'UR!: ~rL,( ~~
81'1'1: AOORBSS: I Lflf q i( Y:::,ovR ('burl-
PHONI: .{;d7-7yy-S.c:,(;S'"
DATE: ~-13-of
ILDG. 'IRMIT .
d}r; Plo..:J5-Jt,f- 03/-0
FILL IN '1'KI BLAMICS
1. E.tilllated len9th of water aervlc:a 51)
4. Sic. of water ..rvice 1nc:h(ee).
3. Locat ion of any couplin,s fro" structure _ feet.
-4. 1'ype of sewer pipe. ABS_ pvc-4" .:'Ca$t. Iron_
S. EsUlllated length ote.we~l ltntl .s-v. reet.
fe.t.
--,. !!.'...,":
6. c~nn out (it requIred). "'locat.ed at
etruot'.lu.
feet
frCllll
....__....c=....._.....:====.................a....~#=.~:====a:=...
This application becom.. your per~lt whan approved.
BY
DATI:
:.D...~.a:==~........u~::z~.......__.............s~..=..~..&..~....
FUS:
$
$
$
J5.00
):>J8
Sewer and water line connection ?erNit.
SuX'c:harq'
TOTAL
. r.a tor e:/.t'.har sewer S!.r "".ter incl1vidu.Hy 1e $t'J.6o plus
$ .50 surcharq~.
.
sewer and water permits i..ued for new construction muet be
recorded on the buildini p.r~it c.r~ at the time of i..uanee
to insure that no duplicate sewer and ~ate~A'~~ ate
i..ued. I f_. p? _ /II BUILDING PERMIT
DATE PAro ~~I vr AMOUNT PAID
RECEIPT' RIC'O BY ~
4629 Dakota 51 S.E" Priof ~Kc. M_t, 5&372 I Ph (612) 4474230 I F.. (6121 /147.4245
/'fI tQlW.llfIIaIT\.Nn IMr\.lMll
CITY OF PRIOR LAKE Me
16200 Eagle CrI!ek Av. S.E. PIf"~ No. ,O/-IX) c{j
PrIor L...... MN 55372
HEATlNG APPLICATION I PERMIT
Dai.4JG.-o\ PlOlflE(- 3hg-O;;:SI-O
S..AdcIr... Mfti (k". c.l- IJ E.
lot llllodl 1.. Addaion IL...." lot: L \ C 1'""
Owntt'sNMI.~v~~,].v ~,:)-...~ "T-L.
MdnulS.1 t.v &,HIV~h'\.\ _ \Pkwv1
HoIlilgC, . '" .Lk.I.~~" ~L I
AdIIraI5 2. I \ W C2J;. ~ <; 0\-
T"'-""-' ~ PiC) -+)0'
Fum_ MIlIa & Madel k....ao.. '=7f;,
Moll.. Size i~J 0 e u
Conn.load c:\.f 14
Fuel .A.Jll ~
Puc...
Ale SiD
'3
RaIuut Oplllingl C.
.. 'k,,~ OuIpu1~bOO
Ed/.
ClIIL lOOP
S"FPIr C . ,.
TYPE OFWQRK
Ale. ......s
TYPE OF SYSTEM
W_ Ail PIonls
Grnity
MochMIcaI
N1 CDndiIion01g
Villi. S'sI....
HEA11NOOR. .
S1a....
Hal WaI..
Radlalion
Sptdal D..ns
Othe, DIvas
R I'" .. .... New CGnslllldon
fIIpgIr
Est Cost $
Ell Camp. 0... .
9u1d1ng P_l ,
HEIITING PERMIT FEE $
STllTE SUIlCHARGE $
TOTAlPERMITFEES $
.50
(-
')c"
)r-
y
0' PLANT
,/
PAID WITH
BUILDING PERMIT
/1ec:e"I..
TYPE OF STRUCTURE
1. ....."
J. leU-
:D
11
:ll
I
Gl
171
I
Gl
~
"'-01,
S... Family
><
Muili-FlII1Iiy
Two-FORIiIy
Indus1ll81
C.......IlCi..
Public
OllIe,
Fee ScheoMe
Gl
to
..
to
m
11
:1
hlusllial, Cammerr:ial .. MYli-F_iIJ
Rosilfenial, Healing" AI:;
ResidenIiaI, Heaing Only
ResidenIiaI, Gas rlleplace
Re,.t .... IIdci1ions.. AIl8nIUane
Residenllol. AI:; Only
I'" or jab cosl 1$39_50 minimum)
$99..50
$&4.50
139.50 .
$39.50
139.50
<
:D
r
r
111
-<
:D
M
:ll
111
R , . _ ',,' 10 add ... SIale SIIIdIaIge on .. bollom oIlI1i.lIpplicaliDn.
The price 01 ,.... hNIftg permillncWa _ ........ and _ Iinol" ". ' . :" ..
Addionol" .', ..'. . toil be blIIed al$35_oo eedl.
Hous. ....1Ing Tesl "-" .....1 be suboniIled willi IDIiIIIoa 1IIIDlil1lllldlll...... _...
ing cet1iica1e 01 accupancy...be Issued. .
tffAI CALCUlATIONS REOuIRFD.... ",.,.., 01 supplr and ........IIIIM*'P Isled pel
roo.. willi CRA:' per opening. ..... sfndures 0' addino.. .......100' plan will suppIJ
and..1IIm '. ...", . shown. HEJIr lOSS CALCUlATlONS, ~ AND
IIPPUCATIONS M1\Y BE M1\ILm 10 THE CITY OF PRIOR lAKE, 162llO EAGLE
CREEK AVE- S,E. PRIOR lAKE. hW 55372.
CiIy .... business ....... ve I lUll. - 4:30 p.m.
IIU. WORK MUST BE INSPECTED (ROUGK-IN AND flNAl,J. CIIU. CITY HALL
447-4230
IlIereby .ppl, lor. mechanical syslllms pennit and I a. . .dlJII lIIallhll
lnIo,malion .bcmI is complele and HelRete: Ih.1 'lie work wil Ita .. conlormlll1Ce
willi Ihe ordimlnclI4 IInd co" 01 lItll dl, end wilh lite .'ale lIuIldinglmeehllnlcal
codes; "'alWs Iorm does not become a p.rmil unlll signed by the BUILDING
OFF~II\l; 11181111e wo,k wm b... 8cco,danc:e wilh III. app,oved plan In IIIe
case 0'..... _,k whldJ require, _law and app,oval 0' pl.ns.
>D
(.II
to
m
>D
Gl
III
III
(.II
~
Build.., ~Slgnelur'
4 -l.-O{
" Del.
(j-y -0 I
Oal.
11
.
Gl
..
PRIOR LAKE DEPARTMENT OF
. 'BUILDING AND INSPECTION
6
INSPECTION RECORD
C-t.
SITE ADDRESS It/l/qp.. Uu-f>
NATURE OF WORK k , e.AJ
USE OF BUILDING . 0,El' I
PERMIT NO. 01- QUg? DAmSSUED x~93-,?ttr1) f
CONTRACTOR S2.1te~"~~~. PHONE't$'?~~'2..-'7.!l27
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECfOR DATE
, FOOTING 113 .\Ja.Mf I ~l,o!()/
, FOUNDATION (Prior to Backfill) I @;r-; 14/ 19, i6)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~.~a..c.o
~ .~l
-~
"}..V ti.-t
HEATING (if required) b;;-. ~ 5 /:,,~/t;/
FIREPLACE . ~, tt.,,1'J !(J1
GAS LINE AIR TEST ~~1')1""t}J. "b.Va..w.' filtc>!t>I
COVER NO WORK UNTIL ABOVE ~AS BEEN SI'GNED
I b I
FINALS
ll\ I?
't - \\{W.I
~~I.
OCCUpy UNTIL A:O~~AS
NOTICE
SEWER / WATER / SEPTIC
FRAMING
INSOLATION
ELECTRICAL
PLUMBING
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
l
4'- }~It)J _
if;: Yk (
. ~/cJ-5/01
I- . '
511~OI
Jo!~'~1
~~r
"7 ;ldn I
'7 :~r
BEEN S GNED
..
~VJ!'I
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all Inspections have'beef! approved. On buildings and additions
where no service cabinet Is available, card shail be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
,'__ ".,,:,.1.
,~'
,r',~.,
'..........,,'...;,,"jjo, ;"....'"',...,,,.....
DATE
SCHEDULED ~-t141t?/
.7)Ot.r0J I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 1j,-{11
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
^ _ 0 INSULATION
1r' INAl
_ ~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENT~,
~~\ .'
~PAA
&Jt~J.~.Lt~::feA
(~O_
~t\
I~-$,S \J. (J - t&M f
Li;iJ
/ --d- c.( 'I
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r h
/ ....
t ..I ()
l
E~ cr-
{--
~RKSATISFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. fALL FOR REINSPECTION BEFORE COVERING
Inspector: ':6 - \ J tuJ..lJ Owner/Contr:
CALL "7-9850 FOR JE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREME~ ARE FOR YOUR PERSONAL HEIlLTH & SAFETY!
Ml'lce
IfaNOTI
~ {(). - ? OLD - 7.3 9.3
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/0',;1.-'
AT
ADDRESS Itfcf 98 De>v.e.. C-/-..
OWNER CONTR. ~....... I
PHONE NO. PERMIT NO. 01- 0 7...<17
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLI~IR TST
..;:e: S ~-C
1I1"""""'''''-h .'
';"~~"'~")~1a,il;;.,;;"~t"'1."'~
"', - ':-.._ ""4r:..
.""~1_-,>{~\:_:~
~ A
tkJ~~ r
)i WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
:S:O~ECT WO~R REINS::::/:n::FORE COVE~NG
CALL -647-11850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
IN1NOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-r 2/0 r
7.!"ll
ADDRESS
J 4498 O(Ji/6 cr
OWNER
CONTR.
PHONE NO. PERMIT NO. 0 /. 02./
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~EWER HOOKUP 0 FIREPLACE FINAL
o FINAL PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: \'/I7\LI'
!LIA/UA I) V\A..~ ::t-e.r ~
/
CRK SATISFACTORY, PROCEED
o CORRECT ACTION .-,.0 PROCEED
o CORREC~:' f ILL FOR REINSPECTION BEFORE COVERING
Inspector: J. fL Nt Owner/Contr:
-I .
CALL "7.9850 FOR THE EXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ~ FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOfl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ilf'lCY~ DC>II( c. r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
bd'"FINAL
O'alTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
brlfdt -c.JIK
CvA., gO"'f-- 0 I( _
DATE TIME
IO-ZoO( I,."
5Gv(r~",
I"'~ -ZI{'
YEXlGRADIFILUNG
- 0 'cOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
)!( 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.
IN$NOT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/