HomeMy WebLinkAboutBuilding Permit 01-0684
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(please ~ or orint and sUm at bottom)
ADDRESS
'i'tI.{O ~mlAt14w ~st
Date Rec'd
(r'l!-O/
1, White File
2. Pink City
3. Yellow Applicant
LEGALDESCRlPTION (ollice use only) ~Db.tt ~ Un ~1 2.-7.-
LOT ~ BLOCK I ADDITION Di;~/2.F"II;LO ~eL
OWNER
(Name)
(Address)
BUILDER II ,
(Name) i), (2... t'fJI'"-lo""r\
,
(Contact Name) 111/ /l.t f~_
We.(gO ~IoYl . Sf~. ((()
(Address) l.atte..1I1 t U . YV1 n: t;7;l)!.#1.-f
TYPE OF WORK
l&LNew Consttuction
o Misc.
OLower Level Finish
PROJECTCOSTIVALUE (exc1udingland) S '~/VD
(phone)
(Phone)
(Phone)
ODeck
o Fireplace
OPorch
ORe-Roofing
ZONING (0_ use)
/<-2-
PID Z5~ ..173 -()O" ~ 0
q~-,e{J7
q5~ -z;z.J..p 4J1~'l..
ORe-Siding
OUti1ity Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 buil. official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enteruponther'~r" to perform ne d' . ns.
x
Signat'" I -7
/1"
7:<. . fJt';O . c::n
.tJ9f>. ryS
"ile.~
3(".C'o
I Pennit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
f ()O .c>O
(OO.()O
-0-
4(').00
(
OAc1dition
OAlteration
$
$
$
$
$ I? CJa.1'n
$ . ')flI" _ C'}"'I I
$.--0 --r
$ -0- I
$54t:J2.ZQ I
1 (
I R,eceitlt No. ( ./ /J J t?'1
By ~-- -
#
#
#
#
~2/J '1) I
Date
~'RJ .06
J.t ~.o"
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 .
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consuuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
flt.;tJO ~" 5 "7
- Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8/Y; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid 5 L( 't'::J.. ::t"1
I Date '7-,~-'1b
Date Special Conditions, if any
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
4J~
White - Building
Canary . Engineering
Pink - Planning
Th' (",n'trat lilt 1...,Cou"_".
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT VR ~k:h/~
APPLICATION RECEIVED /,,- d.-/ -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
, l:ipplication for construction activity which is proposed at:
. '.. '~4;;;3--~~;'l2eadnU(l~
Accepted
x:
Accepted With Corrections
Denied
Reviewed By:
AM
Date:
,/-{;' -0/
Comments:
~<: ~ /(k./'v, ,:,'/ (
'..;.'.,.......;IW,....J.
"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."
,j
Th~ C"t.lfu of lh~ t..k~ {'Qllnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
,
,;.;..~
NAME OF APPLICANT
APPLICATION RECEIVED
J__/
I ,/ -I-:,,--,,,
(/_- .- ./ ./-;/
~ . ->" '-../ ,
.
The'Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
") .ljt../O -.p2C-'J_ /')-]::J(y-Ifr?lj ///-t/2'tJ
Accepted
I~
Accepted With Corrections
Denied
, I
es-
~(/l
qA~~~
1000f.4~~ GYtANH.
t:J;J~ {'). cr- {i;i~sr ~ '
N}~
Date:
?/L/C) I
Reviewed By:
.;::
"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
White . Building
Canary - Engineering
Pink - Planning
Thf Crnltr of lh. t.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I) t€ IJ6vl.(i"l1'---/ ,
APPLICATION RECEIVED /,- ;:)..j -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_-")L/t/tJ ~/./"YUa.d~ll~
.x...
Accepted
Accepted With Corrections
Denied / /} /JI? . I
Reviewed By:(J yca,~
Comments:
~~ K~"'""-t:(-f'
Date:
G:,-2'7-~
,
"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."
JUn.28.2001 2:01PM
GENZ RVAN PLUMBING AND HEATING
No.6964 P.3/11
Date Rec'd
~.l.l i OF PRIOR LAKE PLUMBlNG PERMIT
,
q>~!(po at~-:'" ubollDml
ADDRESS ",:"':'-'.,' -' -:.-.
Fill ~f) :FA\..OO' tA 1 0 ~1 \ r 11R\.R
I. B.Iu Pu.
1<.... """
J. 1'.... ~
~r-
I PERMIT NO. I-6ft! )
, .
I ZONING~_JUC.lA
1- C::.8L( ~~
U:GAL DESCRIPTION (odic>:.... onlr) _
LOT baLOcx. ( ADDmON h p" He.O [) <.~rLO
PID...)S--'37:::3-Wf,-.l)
OWNER
(N~~ DR ao~ton Custom Homes
(Phone) 651-454-466.3
(Acldxe:JlS) 3459 Wash:Lngton Dr 9u 204 Eagan, MN 55122
APPUCANT
(Name) r-D.n:iI iy.2f' 'D~_.__l..':_~ ~. u..',.....",,-=-i
(Phone) ... 1_/,?"'_1l!.t.
(Addzess) 14745 50 Robert! Trail
(Address)
Ros..mount
(City)
MN
55068
(Zip Cede)
l .
(Conta.d::P~on) Mary Olson (Phone) 651-423-1144
~~GNATt>REr A U2:1;C--O - om ,01 wl~1
(.,. AP - ~ PLEASE COMPLETE BELOW
Q1\a.ntity I TyPe ofFinure I Q1IaDtity I Type of Fixture
I I Bath Tub with or without shower I Rough-ins
I I Dishwasher I l- I Water Heater
I I Floor Drain I I? / / I Water Softner
z.. 1 Lavatory (Bathroom Sink) I I I Stand PiP'< (Washing :Ma<;binc)
( I LanndIy Tray (lor 2 c_r_:""ent sink I I Sc;wage Ejector
t I Shower Stall I I BackflQ'IIlr Assembly ,
I I Sinks I Backflow Assembly Test
Bar Si:IJk I I Lawn Sprinkler
-:r I Water Closet (Toilet) I - I Other
FEE S~.JLE
IndustnaJ. CommCRlal &: Mulll.f~dy 1% of job QOst witli. $39.."0 minm..1tD Resldonllal, New On. &. Two-Family $99.50
Resldcnliol, Additi.ns It A1taroli_ $39_50
Estimaled Cost $
Buildin& Permrt #
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL.PERMIT FEE $
.50
. SUII ~"'/O I.I.;~ ' '
"'4JIIVG r:1'/-f
~Fi41rr
)fJIQC Uac 0uJy)
Tbis ApplicatiClllllecomes Your BuJldlDg peruUt Whea Approved I Pa,id I}". - .;,. "'u.
h;!dl..otIlc;.1 Dote I Dare -1// ~/OJ r By Cj)-/
L I f cf-
24 holU" eolice for all ie.pcdlOllS ~) 447..g11511, fu (9&) 447-4245
,,-~O~f\',RIOol' <
!::: ~
u '"
+'I\'HEfOott-
CITY OF PlUORLAKE
HEATING/AIR CONDITION1NGIFJ.1tll:PLAC.ltP.ltRMIT
Date Rec'd
(Please,!We or Dribt and sUm at bottom)
ADDRESS r:
. 5lWD rl1Wn C:t
;~ S"""I PERMIT NO. 1~6f'ij I
,
I ZO;~(O__)
LEGAL DESCRIPTION (ollice use only) "-
LOT2Z.~LOCK lit ADDITION 1 ~fl~ ;;]Y?-i pw,;g--373---Q06-C
~~e~R l)~ \4Ddl'f\ ~ (phone)
. (Address) -3L(5q Wll9tu~fm1_ AvL ~~ ~,M.tJ 5512-Z-
~;~~~ANnlll{)11f Y'ntthWlcaJ (phone) jffj /, 4'52- ~ 2T15'
(Address) ?,tf6D /(mneJXf/ \2( ,\{il-k/ \
I r.. (Address) .. (City) (ZijlCode)
(Contact Person) -.Jet1'r.p~ . C ~.' ,(phone) --.1;5 1451.-2-j76
APPLICANT SIGNATURE ..JI1PJJJ,OI4,.- f/7.JmmlY/J1tJ/1JmIIf))JJATIl ~rll() I
~
, APPLICANT PLEASE CoM1>LETEBELOW
[BNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL BI'JjWl- 'b851L1W Dt401 DFliEL ",.Jill:tJLrU
FLUE SIZE 1.-\1\ da. ss e, RETURN OPENINGS 4- ,INPUT"'1P,ODD OUTPUT51.o,DtJD
TYPE OF SystEM BEATING ORPOW'ER PLANT
OWarm Air Plants
OGravity
o M""hanical .
l0'Air Conditioning
CiJ'f'ent. System
FIREPLACE M},\.I<EAND MODEL
o Stem
o Hot Water
o Radilltion
o Special DeVices
o Other Deliices
'-,
i I
PLEASE NOTE:
Air C6t1diti6fierUoits
Catlllot Bncroacll illt"
Required SidclYilrd
Setbacks
~.
FEE SCIlEl>tJLE
Induslrial. Commercial & Multi-Family 1 % "fjob cost Residential,O...l'ite]lh",e
$39.50 minimiiitl /1
Residential, Heating & NC (New Consti'1Jcliun) $99.50 ReSidential, Additions & Alttiatious
Residential, Heatihg Only (New Cousti'1Jctioh) $64.50 Residentilll,AC Qhly
$39.50 '
, $39.50
$39.50
Estitnaterl Cost $
IMlding Perillit #
HEA'tl:NG PERMIT FEE
STATE SURCHARGE
totAL I'ERM:IT FEE
$
$
$
· ~u,i6:!9GW', 7"H
.50 'Y PI:FiMrt
(Office Use Only)
This Applicati<ln Becomes Your Building Permit When Approved
Paid
I Receipt No..-
Bullding.OfficlRI
Date
Dllte 7~J-J-CJt I.~
v
24 hour notice for 811 inspection. (952) 447.9850, f.,,(952) 441....24~
FIRESIDE CORNER #3556 P.004/006
J,JRte lUC'Q
~~ $;_1 PJi........,U NO. 1~0 B'4- \
~_IW! Otllrilrtand,q" oibi:illiiiiiT
. ADDRESS ZONING c_...j
~O ~~.') I!w.~.\p.,
LEGAL DESClUl"TION (omoo use only) '" fl
LOT b BLOCK I ADDmON 100; if( .~J!..t!>L
p~5 -31~-o?b-2j
, OWNBR
(Name)
f{) 'i2. ~
(Phone)
I (Address)
APPLICANT
(Name) ALLIED nllESIDE DBA FIRESIDE C,,""......
(Phone) 651-633-25/;1
(Addl'eQ) 2700 N. FAmlTIEW AVF.IIltlR
(Addms)
(C P ) BRENDA 1lLlS'I'~
ontad: er.;on
APPLICANT SIGNAnIRE
,
Dl"\o'"'.,."r.... 'J.,fll.t
""UIi . ... ~
(Clly)
651-633-2561
5C."~
(ZIp Code)
d~
(phone)
__ DATE _..-.Lf)/jll..a
APPLICANT PLEASE COMPLETE BELOW
I:;>>'EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE ANb MODEL FUEL
FLUE SIZE RE1'lJRN OPENINGS INPUT OUTl'UT
TYPE OF SYSTEM HEATING OR POWER PLANT
]Wann AIr Plallts
]OravtlY
J M..hallb:1l1
]Air Conditioning
]Venl. SySlom
, FlREPLACE MAKE AND MODEL ~ AJ r::;(:1J
~ Hot Willer
::tion
Special D..I...
J Olh.r omcca
.Jt:. '117>
PLEASE NOTE:
Air Conditionlt Units
ClI!IIlot BnCl'llaclt mta
Required Side Yard.
SetbICk$
FEE SCHEDULE
Industria!. Commarola! '" Multi-Family 1% of job .0.1 ROIIidendal, Gu FI~I_
$39.$0 minimum
R..sldendaJ, HeaI!n. '" AIC (New CanStnlClian) $99.50 ll...idCtllla/, Additions It Alqrolian.
Re,idential. IUwllJ Only (New Con5lnlc:lion) $64.50 1,,",ldona", AC Only
$39.50
$39.$0
$39.$0
Estimated Cost S
Buildillll Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
rA
eUILO~W '4"11-(
Gp;.:.
Receipt NO. ""'1
com.. Vie Obly)
Tbls AppUellticln B..,omel YDur a.IJdlnl Permit Mell Approved
Balldl.. ornol.'
I PraId
I DIIte
D.,. ~J
~ honr notf... for allln,poodona (95l) 4oI7~1I80. fu J",) U.~~5
6y ~
PRIOR LAKE DEPARTMENT OF
' BUILDING AND IN
INSPECTION RECORD
SEE MAIN FILE
#.Q1. - CXo~3
SITE ADDRESS St../c.{j) -h.u.JV\IfIA.e.c...cL...., O<.l~
NATURE OF WORK .. ).Q.o...j
USE OF BUILDING SFA
PERMIT NO. () J- ()CnPA- DATE ISSUED c. - ~') - _206/
CONTRACTOR 'i), ~, ~ PHONE~& - '1'732-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
JNSPECTOR DATE
I FOOTING ~ ~ If /~lttl I e:r 17//7 /IJ(
I FOUNDATION (Prior to Backfill) 1 t/;:r, 7b { II/I 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~
FRAMING t?:r
INSULATION ~
ELECTRICAL
PLUMBING h /~(X/pl
HEATING(ifrequiredYr~. fh. 'iY/t//OI ~. (f!t.fD(
FIREPLACE . . ~ ) ('J 19 / () 1
GAS LINE AIR TEST ~~. c=: p. ~ I U 1./01
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~ IA~ /<1/85/01 I
V FINALS '
/I / Ie/'I
i rJ 7';" I
. 1
GRADING (Prior to Sodding)
BUILDING 1.('.1)..fJJ BIll/) /- djq
ELECTRICAL .
PLUMBING
HEATING
DO NOT
1/ ~~t-
~
~.
#:In
I
OCCUpy UNTIL ABOVE HAS
NOTICE
/Z/2(J j(!/
I j,/6'z-
. '
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
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 an89:00-A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~\
,JWIiiI
~,;"""...'J.';"""'.;;'-::'''.';''''';:''''''''_'T'_:['
';'''':.",
.".' '.-C ~..... ,'. ,:'~., _....,'. ...'..... ,';.iJ,,:t'. ,.,'''... ~'-, .... '., i..^,
\' "~i '
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~(,{l{ 0
hw..IIYk~MJ
OWNER
cONTR.
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
o PLUMBING FINAL
o MECH FINAL
S;;..1 / ~'f:5
COMMENTS:
/
I..--"
I
( fic;:..,...
DATE TIME
(.,f-).{
r..l~
()/-6cn
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(2)
'1---1 ~ ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Jt'l/ l-( r / zr --if?,. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lI<$NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
54/ 'i ()
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OA TE TIME
1/1f!k- M!! ()
() I ~6r'l
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MEcH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATIO tJ 0 SEWER HOOKUP
)I!I. FINAL 0 PLUMBING FINAL
'0 SITE INSPECTION '@'P' MECH FINAL
COMMENTS(?iJ W-J ~?- ~
IZ,)) ~~t" . ~ -'0 d]\-1r'~9~J -
~ ~ () '(7- 'fj;;;; - :a.e.. ~ t:J~_.. f2.~ ~ lL.. ~
~,I " 1J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
aM FIREPLACE FINAL
''-U.06 GASLlNE AIR TST
o
r;~/at 1:lfJJ 81//or-
. .
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
CALL 447~8IoFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
...,.",
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY!
1z/I1/D/
5L/'-ItJ ~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~. 0 WATER HOOKUP
SEWER HOOKUP
'1!t.PLUMBING FINAL
ro -MECH FINAL
COMMENT~ (l~ .
~'-~
DATE TIlle
//;00
CJ ( - 11 Y'i
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
)4 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr.
. ) '
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO'tl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY/
..
.'-../
----
APPLIANCE
PERFORMANCE TEST
. Attach to gas line adjacent to regulator
r
Heating Contractor .#~A?1YA"
Name of Tesler La. Z.
Date ~~
.'
Job Address '~ Nt.)
" Heating Contra'ctor 4'/~AV~
Name of Tester ~~
Date
Percent 0. 9. 0 '70
Percent CO ~~
Percent Co. for7~
Stack Temp -:S33 'F
Combustion air is adequat~ullPlied per
UMC Sec. 606 'tt'J'
input b'V nm