HomeMy WebLinkAboutBuilding Permit 01-0287
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3--2-8--01
I. White
2. Pink
3. Yellow
file
City
Applicant
I PERMITNO'O/-Oz..~7
(Please type or mint and sign at bottom)
ADDRESS
J"'-Y~ .c-~...v..-?7~ />J,dV~ 5,.;0-
ZONING (office use)
J2z.....
LEGAL DESCRIPTION (office use only)
~/tJ ~/r~
.f,ffi' ~ -BLOC]{ 2 ADDITION ~.&4._,.~<J ~eJ
OWNER
(Name)
PID2l5-373-01K'-O
(Phone)
(Address)
BUILDER
(Name) >/1.~. ~~n:YV~.
(Phone)
~y -..76l>- ;:>/.:?b
(Address) . '??E~ .a--)t;U.\;q~ ~ ~-2?-5&
~. .v.J-
6!S7'~.z
TYPE OF WORK
~New Construction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
o Fireplace
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $ ~j~
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.
x ~~ e:::><'~ .:5Z5.s-?'" -.:?=,;:--- 0/
V Signature Contractor's License No. Date
) Permit Fee $ )/,,9 . '1~l Park Support Fee # $ BsrJ.QQ.
I Plan Check Fee $ SOt:) . ~ L{ I SAC # $ 1./ y,.o8
I State Surcharge $ 3'-l.oO I Water Meter Size 5/8"; I'" $
,
I Penalty $ I Pressure Reducer $ I
I Plumbing Permit Fee $ , ()O . ~D I Sewer/Water Connection Fee # $ I. Lot) . c:o
I Mechanical Permit Fee $ ~ I 60-;&EJ I I Water Tower Fee # $ , '7cO - d5'1
I Sewer & Water Permit Fee $ -I) I I Builder's Deposit $ - 0- I
I Gas Fireplace Permit Fee $ 8 I 1 Other $ 1
-
~ ~;f: I TOTAL DUE $ 5;+04-. 01 I
(hIS APp~ornes ur BUlldmg:r1 ~~p;ved
,
Paid 5, 4fJ4-. ?f{ I RecfJ(:;..3r3&/
1 dmg O~al Date Date . 4-..4:< .IJ By!
y I ,- F
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ri.ay proceed as requested. This document
~~e:: 'he c,~ P!annoreonst"utes a tempor~ cert>f"~A:g;;~ance and all~::"'on '0 eom~~ rkk~:3~;
1 Date ~ ~peCJaI COnd't'~ns, ,fany ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~\
White - Building
Canary . Engineering
Pink - Planning
Th. C.nl.-ror Ih. L.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J:) tz. /ftJ,2=Tt} tJ
:5 - 2--&J- 0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Pfirt/N /'1D91/OW M,w6
~44-(p
~
Accepted With Corrections
Accepted
Denied
Date:
(- 1-Zec1
Reviewed By
~
Comments:
~ +t..o f'\Q.: k Q.:- \--Q
"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."
~\
The Cenler or lhe Lake CoOn11')'
o!-:?g7
White - Building
Canary . Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v fZ. jl-{J,.e:::-rtJ /0
:5-28-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,r;44~ F/NI;;1/ /'1 D-J 00 (1/ (!1J /Z-1/ E:-
Accepted
Denied
?\
Accepted With Corrections
Reviewed By:
Comments:
.~ra
S<r (V/c,;", f:,'f{
Date:
3--2..9 -01
"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."
',ff
~;:
&~~
White - Building
Canary - Engineering
Pink - Planning
The C..nlp. of lhe L.k.. Counl!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J~/. (.-
1/" i --,,"-7 /
/~. / I
L (_.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.f 4/] /~ / / / I i lei .' / t_ / /1./0 I j . i (/1- c- C
Accepted
Accepted With Corrections
~
Denied -:7. '-/1 _
ReviewedB~./~ Date: LfAe/.e(
C?;;: I~~ (h~lP _ ~e.-S~ nG \.~-YL/3
t;;.LLAV\ ~l ~~ ~. ~L~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."
Apr, 2, 2001 10:08AM
GENZ RVAN PLUMBING AND HEATING
No.0911
p. 5/41
n. c.1I'\a: of IDe Lu.,. C.1I.lry
CITY OF PRIOR LAKE i ~ ~
3. y..... AppUcw
PLUMBING PERMIT # cr ~ ,7 [/7
Applicant: (-!.p.Jfl7_- ~f'\ PI v-,..... Lb-r~Phone: I ,,~7~ -I I 4..Y-
Address: ILJ-1l L.c::..., ~ ~l/IT -TIz l .. Iln.~ vv-o-u.-V\.T ~
Signature: I.A. 1 ~. '"
Legal Description: Lat~ Slock Sub ~e41'aD '3rz.iJ
Site Address: SWto _mEn..,,,-) vv\..,Q.~ (I.L( ~:r; - ~~
Bulidlng Permit It . PID if!) S-
NOTE: This permit w}1i not be precessed without complete Information.
-.., FIXTURE UNITS
j
Quantity Type e>fFiXture Quantity
I 8am Tub with or without shower
1 Dishwasher I
1 I Roor Drain I
3~ I Lavatory (bathroom sink) I
\ I Laundry Tray (1 or 2 compartment sink) I
-
\ I Shower Stali I
I I Sinks I
I I3ar Sink . '
..~ I Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
I BackIIow Assembly (RPZ, Double Check, PVS)
I Backflow Assembly Test
I Lawn Sprinkler
J Other
FEE SCHEDULE
> Industrial; Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential. New One & TWo Family
Residential. Additions & Alterations
Stats Surcharge
$99_50
$39.50
$
$
$
$
.50
GRAND TOTAL
$
nus pem:ut IS g:r'anted UPOIJ the mxpres.s condItion rba[ satli
eontractor, sh.all comply in all .-'1:"......... with the ordi.n.ilnce:.s
of the StoIC Plwnb~ Code and the y,dxnJonn .thereof.
. RECEIPT NO. U Ift-C? / PATE
;; ,I
:;./ / ATTEST
Call for all inspection;d4 holUS in advance.
,
;
. E3UJLti~(lvlrH
PERtv,'/i
16200 Eagle Creek Av S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opponwllty Employer
~
€~~
+/.\I.\'uo't"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
; ~;~" ~:~ I PERMIT NO.O'/_ .,o/J I
3. Ydlow Applicant , C7"O. I
(Please !YDe or orint and sim at bottom)
ADDRESS ZONING
5~4lP H1WYl ffifMDW tlLYVtJ (office use>
LEGAL. DESCRIPT.ION (office use only) . /\ .
LOTS( BLOCK ~ ADDITION K.Y.4~ cf) 3 rd
g.':e~Rl)(( \1DY'-hi1
(Address) .)~ V\fDL9kt~lhJ{ Av~
~;;~~ANt\lIlaM VY\aJllLfllctU
(Address) .~tfjD ~lYmfbeul)( Su'I+c \
(Address) . (City) (Zip Code)
(Contact Person) Jftttt0A n~ ::lAmJ?1fJ'~ (Phone) &5 I '-I5Z- 2.,70
APPLICANT SIGNATURE ~~h f/ 21mmenn/l./1 (I!JIlf))DATE L/-IZ3fDI
III U
_ APPLICANT PLEASE COMPLETE BELOW
[Bl<l!W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL gl'~f- '2>g~lt..A-VD2J4bID FUEL ~ra.l
FLUE SIZE L.\I\ t-In. ss P> RETURN OPENINGS 4- INPUT 1D, DDD OUTPUT 510, bbD
TYPE OF SYSTEM HEATING OR POWER PLANT
PIDO
SW.k 2D~
(Phone)
Etwtih MfJ 55/7-1.-
J
(Phone) 1d31 452-- 2-T15'
OWarm Air Plants
OGravity
o Mechanical
lB'Air Conditioning
G:J.l<'ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOtE:
Air Conditioner Units
Cannot Encroach into
Requited Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERrV;IT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
I Paid
I DateLl_;?5 -() J
Receipt No.
Building Official
BY~
24 hour notiee for all inspections (952) 447~9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S4 4' h..wv.... rM.~) (rlrv--Q
NATURE OF WORK AJ~
USE OF BUILDING SF4
PERMIT NO. (')/- O~/ DATE ISSUED If. '7-&cJ(
CONTRACTOR DJ( J-{,,~ PHONE~ - 2c;-f-.- 7flb
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING ~~. J.j!(9/()I{~'~.I//~/o I
, FOUNDATION (Prior to Backfill) ni-p13- rin, ~ RfI 51,1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSOLATION ~-: ~ flp.cf; OJ
ELECTRICAL .
, PLUMBING U6-.- b IJ 's1 ~\
HEATING (if required) I ,;' ~I \ ~ II
FIREPLACE (
GAS LINE AIR TEST
?/(6/{)(
td:r , ~j,f)~ I
J)ecp UJ'PB~r') ~.R 12.\1 )q\! ll>,A.."J)
~, WId/uf
f3:r.
.
-
~.
!f/(O/Ol
. .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
I ."II~:., ~. )/:?~I I ~ Dr- Y/a-~I
''/ FINALS .
GRADING (Prior to Sodding)
BUILDING I. U>-W ! &/31 /0 1 6::r.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
nl PJ
/~~k " i?6
11- &"'0\
~- (J. ()-.
/?
~./j'
f0r,
~/Gz( 119 J
/o/zj/j }
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rougl1-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shallj:l~ pla~ed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS bL{Lj C,,\'c..,.)(\.
OCCUPANT.
HEAT LOSS.
SOlD BY
Electrical Work By
TYPE OF HEAT
HOUSE HEATING TEST RECORD JOB #
fVtr;,,qcP~ C.V~D~APT._FLOOR_CITY
'1WNER
SUBURB
DA TE HTG. INST.
INSTALL.ED BY
Gas Line By
GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
CONVERSION
r.1.. .L GAS DESIGN
MAKE _ ))...!,rU c..(\ ,
Modol ~~ VALE.
S",;al_l..;:)t[\!-4.- (,,6~
INPUT(C{O,OC>O IIH-l
THERMOSTAT
Valvl"
Limit
Limit Setting
Fan Setting _
Pilot Type
Pi lot Make
Pilot Model _
Pilot Timing
L.W. Cu. Off
Pressure 3\ 5
Input CFH
Stack Temp.
Farm 235
'rl.L. \ "'"
CONTROLS
Hea. Plug
MAKE OF BURNER
Model
MoJ(. BTU Roting
MAKE OF FURNACE
Mod.1
Vent Size L.\ \ \
KIND OF LINER
NONE
SIZE
Draft Hood
Filters
. ReguloTor
.Number
s;zols _--c Jl:D
Chimney Location
Chimney Construction
Outside
Insid.
Smoke Bomb _
Draft
Wirin'"
Test Tag_
Lighting Inst
Percent CO2 ~1.3
Percent 0 ~ f J
2
Percent CO _c:::,
Door Pressure
Da.. T es.od _9 -l <:5" - 0 I
Company Tes.lnn ~rlck~~ng &A/C, 3650 Kennebec Dr., Eagan, MN 55122
Name of Test.r f-+4?.J..-lA- l.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5~l(ro
SCHEDULED ,~y/al
~~
}/: 00
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f} f ~ ~f?r7
D FOOTING D PLUMBING RI
D FOUNDATION D MECH RI
D FRAMING D WATER HOOKUP
D INSULATION ~ D SEWER HOOKUP
D FINAL K.U ~ PLUMBING FINAL
D SITE INSPECTION D MECH FINAL
COMMENTS:(j) ~~
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GAS LINE AIR TST
D
w~~,
~"] <L^> - dL.,
D WORK SATISFACTORY. PROCEED
):$ CORRECT ACTION AND PROCEED
D 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 HEALTH & SAFETYI
INSJVOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
.5 l/Ljf."
SCHEDULED It)- ~- J
tzuA./Y} /1;1
.:J; 36
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- /-S"7
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (ff3 0 WATER HOOKUP
o INSULATION. 0 SEWER HOOKUP
$FINAL tf; PLUMBING FINAL
o SITE INSPEC MECH FINAL
COMMENTS(1J '--"'i/ ^' , .-/ JI9 iJv--Jff
('2)) ~ ~ ~ . V
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
7 ~ C, Of -t::Jl...f foist! 01
I~ f!e".~
o WORK SATISFACTORY, PROCEED
)(jCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
fh.- {
Inspector:
Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- /?-~
~ At
nua.d cnu r..::t.v,~
~ ~~3 - </'1- '-I5-L./b
ADDRESS 5L/L/; - '-f R - t../q- 50
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?~dg1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
a MECH RI
a WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.:S V- -r
(
/)t-
'It i./"fl.
I II /U7C-
LY'
(\ I 1.0
-i---- ) I-c.....
f
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE;l'T RK:~ALL FOR REINSPECTION BEFORE COVERING
Inspeetor:'. 'h Owner/Contt:
r
CAU 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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