HomeMy WebLinkAboutBuilding Permit 01-0288
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3~zr-o J
1. While
2 Pink
J. Yellow
File
City
Applicant
I PERMIT NO. 01-0 Zf3B
(Please t'(I?e or orint and sign at bottom)
ADDRESS
....,oy.-y7 >q<:;v<~ n ~...;~ ~,~ ~
I I
ZONING (office u,,)
1!-"2-
~EGAL DESCRIPTION (office use only)
/~ t:A;Vrr ~
.l.G'!'- BLOCK ADDITION ~K~ ..,f-(<!J
PID26~313-()n-()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) V'?..JIt'.~?z::ll"V:~.
(Phone)
.6":~-~:5i!>- /- ;S~
(Address) .-?-sr.5Y 6~~ ~ ~~ ~
..557'-<' ~
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $ .54';~
I hereby certity 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 ~ '><;-'K::L~ ~it..-'v'v....;7~"" d.,.z,;----<1'/
~ -
v Signature Contractor's License No. Date
Permit Fee $ 1l.D~ .'1<)1 I Park Support Fee # $ 8S0,O'01
Plan Check Fee $ soo.51 1 I SAC # $ 11 SO. o'l) 1
State Surcharge $ 3q .f)O 1 I Water Meter Size 5/8"; I". $ . 1
, -0 -
Penalty $ I I Pressure Reducer $ 0 - 1
-
Plumbing Permit Fee $ 100.01) I 1 Sewer/Water Connection Fee # $ t. 2190. <9{} 1
Mechanical Permit Fee $ /OO.OC) I 1 Water Tower Fee # $ . ~OO.QQ I
Sewer & Water Permit Fee $ -(9- I I Builder's Deposit $ 0 - I
$ qo.OV I I Other $ I
mg Permit When Approved I TOTAL DUE $6; 44Lf.oq I
q- ?- '20::9/ .
Paid 5: t;t rYf I ~~cj1tJ-3 '13 (, /
Date Date
4-~ ~(J
.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m~ proceed as requested. This document
:7;L7 y Pbnn"oon,"M", tempo'oryCm,ficateofZ m~/~d'~">ontocomme:~\~r~:l~
la Date - ~;,"lcondnlOns"fanY ,
24 hour notice lir all inspections (952) 447-9850, fax (952) 447-4245
..~
Th.. c-..nln of th.. L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/. -./!
D. F. .-ttk /0 \j
3- 2 (- (/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~q47 rlilv/J lit fif)Gi~J~(jl-vC
Accepted
Accepted With Corrections
~
Denied I
Reviewed By: ~ ~
Date:
{{/t6}/e (
co~ I!vvJlA^HI~ ~~< ~ 1~t-fL/:$
~.-J~ Vv\e;~) rGYlJ-{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."
Thf Cnlfr of Ihf Lakf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2-. !f012-7lJJV
3- Z8'~o I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5*1-7 FkWA! MFA-OOW wrt-AJ6
Accepted K.
Accepted With Corrections
Comments:
Denied n f? ~
Reviewed By: tdY l~ ---..".
~. ~):Lf_
Date: l(- '1 ~o.o I
f....~c.JJO
~o
"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 - ~ 82
White - Building
Canary - Engineering
Pink - Planning
Th. C"tnltr of lht Lakt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. i2.. f/Ol2./Z);J
3-25'-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f544-7 PAvVtJ /"/CROOvJ wt6Vc;
Accepted X
Denied
Reviewed By:
,
Comments:
Accepted With Corrections
NM
Date:
3 -29-&'
See 1Y)c"',,, 1=;,/.,
"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. 6/41
n. c-I~.( the J..1.c C......'17
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~z.-f2.L,l(1_n Ol~ Lb-r~
Address: \ Lh 4~c=... ';:p ..~ V1 T-I'YlJ
Signature: v.... 1. ~
Legal Description: Lot~ 'I' Block ~ Sub Pe.-b4i aD ?t-z-O
Site Address: ,~U"7 hl,"k' II\.;lQJ\-'~ ('~ j v2 \.'~ qp._
Building Permit # PID # ;Zr.::;-
NOTE: This permit w.1II not be proceSlled without complete Information.
FIXTURE UNITS
Fn.
U'l'
Aj>~U"""
# Ol-d-. ~ :?
I. BlllD
~ Gold
3. YdlDW
Phone: I nF-l- U 7 ~ ~II '-LtJ
1t~<:...t~T ~l~
::;-;.
QuantitY I Type etFiXiure Quantity Type of Fixture
\ I Sath Tub wilh or without shower Rough-ins
\ I Dishwasher , Water Heater
1 I Roor Drain I Waler Softner
3~ I Lavatory (bathroom sink) I Stand Pipe (washing machine)
\ I Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
\ I Shower Stall I Backflow Assembly (RPl, Double Check, PVB)
I I Sinks Back/low Assembly Test
I Bar Sink Lawn Sprinkler
'. z..:: I Water Closet (toilet) Other
FEE SCHEDULE
. Industrial, Commercial & Mulll-Family
(1 % of job cost, $39.50 minimum)
Residentiai, New One & Two Family
Residential, Additions & Alterations
Slale Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
,
ThIS. perIDJ,t is granted upon the c""press condition that Said
conrr...r:.tor, shall comply. in all respcd$ with dle ordinances
o(tl:Ie State PJ~mbiDi Code and the amendments thereof.
l(-j5(-cJl RECElfTNO. DATE
r; ~ ATTEST
Call for all inspectiQ 24 hOlml iD advance.
I3lJ. PA./D
, '1I.D/tv, VI!-:-,
G Pc:'
Ij"
16200 Eagle CreekAv. S.E., Pnor Lake, Minnesota 55372/ Ph. (612) 447-4230 /FAX (612) 447-42~5
AJ1 Equal Opponuoity Employer
FIRESIDE CORNER #7298 P.003/D06
L:1Tl' UJ!' l"KlUR LAKE Dale Rec:'d
BEATING/AIR CONDITIONING/FIREPLACE PERMIT
lP.,.,. ""'" o,tnlntmd slm atbollrrml
I A~~S-=+ ~Clu.0 rr-.tA.cio w Cuut. St.
; =. ~ I CI!,J.'uyUT NO.g-t7
,..... ...,,_ l-d 0
ZONING (olli.. use)
12d-..
LEGAL DESCRlPTION (otHoe lIJ< onJy)
l' d
LOT/lBLOCK d-ADDmON I1o(JA LeiPcQ jr
I) ~
OVlNER'D. I \ ,. 1\. ,
(Name) . ~ _':It''I'\to.J
(AddJ:ess)
p~5--373-D/'1~()
(phone)
APPUCANT
~am.e) AT.LIED FIRESIDE DBA FIRESIDE CORNER
(phone) 651-633-2561
(Address) 2700 N_ FA'J".RV:q:W AVENl11" "QS"'r~""~ '.~T ..",
(Addn:IS) (elt'l) (ZIp Code)
(Contact Person) BRENDA ~ON l' (Phone) 651-633-2561
APPLlCANTSIGNATIJRE ~ \D(J..A'"tb.- \. 0 >>1 n \ ~ DArE +-t q-c,,\ \
AP~LICANT PLE~COMPLETE BELOW
:JSj)lEWCONS R.UCTION 0 REPLACEMENT 0 ALTERATIONS II. \
FURNACE MAKE AND MODEL FUEl. I '-l19f-ls.-.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT..:P:,. . N '\1"'\
=.
'tYPE OF "'" "'. r:.."f.
OWonn Air PII'Us
DGrav;1)'
o M<<:honjcnJ
DAi' Conditioning
oVent. SySlel1l
HEATING OR. POWER PLANT
o Steam PLEASE NOTE:
o Hot War.er Air Conditioner Units
o Rldilllion CannQt EnctQ.eh mID
o Special Devices Required Side y.,d
, \ . 0 Other Devie.. SetbllCks
Uf~ N ~ . ~\..-l~,r'ltJ~L
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
ln~u.'triol. Commer~iol & Multi-Family 1% .fJob eo51 Residential. GI8 Firepl~e.
$39.50 minimum
Residtnli.I. Heating & NC (New Consln.lcti.n) $99.50 Resfdenliol. Aclditl.ns & AJr.erodono
Residtnliol, Heating Only (New Con9lnl<:lion) $154.50 Resldentl",. AC Only
Estimll%ed Cost $ lli) I 00 Building Permit #
539.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERM1I' FEE
$
$
$
.50
r
BUlitiWG WITH
... PEF.' hiT
!lVI
(Olliee Voc O.Iyl
This ApplicatIon Becomes YDur Bllildlng Permll WIlen Approved
B.lldl~ omolol
Dll<
I Paid
I DBle
7 -;).. j -0 I
Receipt ]\In
:z4I,ou. ..lIce for nllln"Jl"cllons (9S~) 447-9850, r.. ('5%) 447-4%45
BYt-
€~~
A,'\'NES01."
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
(Please tvue ornrint aild sim at bottom)
; ~,::" ~::y I PERMIT NO'/J/~ .,0('/
J. Yellow Applicant VI' ,"7'1) 7)
ADDRESS
f5441
K1wn ffiP.MO\AJ 0/ux lit;
ZONING (office use)
LEGAL DESCRIPTION (office use ollly)
Lo,'1 JLOCK d- 'DDlTION
f)~d
3rd--
PID
~~:e~Rl) Q. \-\uy1t{\
(Address) ~ij5q Wl\<ikLh~iw1 Aw /
1~;;~~ANU/lI(ln+ YYl~c'hi{~J tal
(Address) .~lnD k..mnrbft/'l)( ,.C)ttl-k \
, (Address) . (City) (Zip Code)
(Contact Person) J-tfttGJA o~ "~Y~1J?1f~1'YliU1r (Pho?e) [125 I 45Z- 2/76
APPLICANT SIGNATURE ~ 1/ 1JtnfJUYma/1 (AWD)DATE tf-!Z3!D/
't~ U
APPLICANT PLEASE COMPLETE BELOW
[9l<ffiW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKEAND MODEL BI'~..n I-- '6\?' ?;luw D2JI b"1 D FUEL tillfuxa.J
FLUE SIZE l-\l\ class l!J RETURN OPENINGS 4- iNpUT 1D, DDD OUTPUT 51.0, btJ~
TYPE OF SYSTEM lIEATING OR POWER PLANT
.Sw1r~J
(Phone)
[a.M)!) M{Ij 55/2-2-
~
(Phone) list 4-52--l1'75,
DWarm Air Plants
DGravity
o Mechanical
lB'Air Conditioning
i:iJ-Yellt. Syslem
o Steam
o Hal Water
o Radiation
o Special Devices
o Olher Devices
PLEASE NOTE:
Air Conditioner lJnits
Cannot EncrMch iilt"
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 mihimum
$99.50 Residential, Additions & AlterationS
$64.50 Re'idenlial, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pemit #
flEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office LJseOnly)
Building Officiitl
Dilte
I Paid
I Date <; ~ J. 5 -() I
. Receipt No.
14 hour notice ror all inspections (952) 447~98S0, fax (952) 447-4245
Btic.....--
CJ
I
I
This Application Becomes Your Building Permit When Approved
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPEC5r,ON RECORD
SITEADDRESS l)~ ~WIA M~, ceJr-cN<
NATURE OF WORK u......... .
USE OF BUILDING ~F#
PERMIT NO. nJ...:...Q.Z-6B DATE ISSUED 4- 9-?a;;(
CONTRACTOR DIL fh~V\. PHONE (,.'sl-2:!Z-71.?(p
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING r~~ 1/(1/()/~'~. 4/~/o(
I FOUNDATION (Prior to Backfill)pr.P/3 r-1~>I e;; 7<11 s~1l! I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/1 .
/)Jt".. a. ~7/ 5//0;
VI? '-C?-I-~/
/
Ii. 7i~JJo(
SJ..: 7/3J!oJ
"I 7/.iiA7: / tJl
?;;I?lltI I ~
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. - "
I~ ~, 7/.97~.\' ~ h. ~Y">,;)..~J
U FINALS
GRADING (Prior to Sodding) /II f!J
BUILDING 1. c.o. tcti I DIM/o I fA., q /UM )
ELECTRICAL . . .
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~.~~ .~(11(CL
ELECTRICAL
PLUMBING t/6-' ~~ I~ ((
HEATING (if required) /16-- ?'u ~\(
FIREPLACE
GAS LINE AIR TEST
n f.e.p II J?J7t) 1i1o,
((?i:Pd A
I V _ O::r-.
~i ~(~ ~-' .
~/
~.
Pfl
11- (.,-01
q- (;)-..()--
Cf!"7/1
9)~~,
,
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 shaii t J placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
SCHEDULED q-"7-1
~n0
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
51jL/7
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
@) 0 SEWER HOOKUP
..eI'1>LUMBING FINAL
o MECH FINAL
I~~
COMMENTS:
Jil M\Jn,,~ ~';/u
"f WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE
TIME
p;oO
i
/ -CJ-r- a;
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
o CORRECT WORK, CAll FOR REINSPECTlON BEFORE COVERING
~I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE n 3 ~
INSPECTION NOTICE SCHEDULED /~ ::2t, 0/ ; u U
ADDRESS --.S..!i fjij? ~.J7V M r
OWNER CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~~.LUMBING FINAL
~ECH FINAL
COMMENTS{/') ~ err-- ~
.0u-1 ',U
~J :t' . _J A ,__.
~~~-11
. =?l ~U l' -tx<>-L-- '. rJ
o FOOTING
o FOUNDATION
o FRAMING
DJNSULA~
...-crFINAl
o SITE INS ION
{ r (!.J)
!'.
!
JO/5Q/OI
I r
J
"t
~ /:!L':"~
/- d-.J8:
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
M.Ji-.... &, I tr'\--ff>-
o WORK SATISFACTORY, PROCEED
In CORRECT ACTION AND PROCEED
:S::~O:ECT W~R REINS~:~::::::FORE COVERING
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOfl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- 1?-.2,.
Fr:uu7U /ft. ,? .
/lJUa.dow r.;:u,,/,-,,-/
ff" 4/~3 - </'1- '-I5-~{;
ADDRESS 5t/Llj - t.t f - t../9- 50
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-o--6P-
o FOOTING
o FOUNDA nON
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
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
..::S Y- (
I
/)t-
/l: il.'"},
I /1 / u "7 c-
LY'
(\ i I /)
J-.- J I--c......
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~'lK, CALL FOR REINSPECTION BEFORE COVERING
InspedO~\:Y j;r/ . Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
W'
..-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~ \ \ \c... --- ~
AeL- L.,:).
'1-\~Q \
Name of Tester
Date
Job Address
.5t..{,..(')~,-""
Heating Contractor ~ \. \ '- ~...... "\
Name of Tester ~ L:::>.
q-\'6-a\
7{. '""\.
..P
G. ~
?-~""
Date
Percent (),
Percent CO
Percent CO,
Stack Temp
Combustion air is adeqUat~ 8"Ypplied per
UMC Sec. 606 t.-.C--::>
c..L.re::<~ ~ \4~-t
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