HomeMy WebLinkAboutBuilding Permit 01-0298
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
), Yellow
[PERMIT
File
City
Applicanl
(Please .!VDe or Drint and sign at bottom)
ADDRES~
.5 ~ 5 ~ YY)n. ~t;L1
<if
".JcJ
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION ISL..l'ltllO V/~N 1ST
PID 25-/(,0- 001-0
OWNER
(Name)
(Address)
BUILDER~ .I
(Name) tjfJP i
(Address)
TYPE OF WORK
o Misc.
(Phone)
I tll1yke,n. /
Date Rec' d
4- 3 - 0 I
I
ZONING (office use)
,If! I SO
~I-LLr> (Phone) 1s).,. 1../'10 - /534-
o New Construction
ODeck
OPorch
[}!1\ddition
ORe-Roofing
ORe-Siding
OUtility Connection
OLower Level Finish
o 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-m ianed 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 th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:nter upon ~pez to pe ded in tions. 0 11 hI <.,P t-} . 4- . 0
Contractor's LICense No. ." Date
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 Gas Fireplace Permit Fee
'/ThiS
L
OAlteration
PROJECT COST /V ALUE (excluding land) $
$
$
$
$
$
$
$
$
51,000,001
<e.50.7~ I I Park Support Fee
4~ I SAC
'It::::: ..r:;;n I Water Meter
I Pressure Reducer
Size 5/8"; 1";
#
#
4t>. {)()
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
'to. "0
$
$
$
$
$
$
$
$
I
I
I
I
I
I
I
I
/, /39.24-1
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
5-ZJ-O/
L Pink
2. Green
3. Yellow
~::y I PERMIT NO'O(_QI'"'\O()J
Applicant '" 1')
/
I Z~~~;;fficeuse) I
(Please type or vrint and sim at bottom)
ADDRESS 6i..
.3 V5Z-.
/'1fiR.~H ST
NW
LEGAL DESCRIPTION (office use only)
LOT / BLOCK I ADDITION !SLI'JiJD t/t E::l-J (.f"r
PID 2S' - /t,O-of)/-()
. OWNER
(Name)
(Phone)
(Address)
~\Q)11 lIectt-}nr: ~ 'Il/7-c:'f~2-
(Address) ~ <?::-<7 4r-5A / J., d) A/orAofr.p 1M/\. 553)2-
(Addre\,) ~J. (CIty) (ZIp Code) ~-
~<"n) 4nJ A-f?i'\. . ' (Phone) '1))..- lIl/)- G/f:2-
<: ~PPLICANTSIGNAT~1J.A~t~ ~~/ c:> (
-- - APPLI(~NT PLEASE COMPLETE BELOW
~EW CONSTRI,!CTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL iie# / r-; /lJ/r OS () FUEL /L)d'f Ii" 5;.
FLUE SIZE;), /'/OU!> _ RETURN OPENINGS"/ INPUT So OOo~ OUTPUT L(). Ocr) ~,...,
TYPE OF SYSTEM
I19-Wann Air Plants
OGravity
!2l. Mechanical
Q,gAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required 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
$
$
$
~\O WliH
eU\:1\NG PER:J.rr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
'pai~
~ate /v/
5-;; -
Receipt~
---Vllh
By /yP
f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
--,".-:"" ,.--
Th~ C~nl~r of lh~ L.ke COun11'}'
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L/-)N0HO/~S~ e;JNDV
4--3-{)/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~5 Z. /VJA J~CJI :::, I )V tV
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M4/~
Date: Zf -$ - C) I
Comments: See 8.evPr~p Side for Addition::lllnformation!
-
;;:,ee Auacnmems: 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,"
\,
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ ('~nlC'T of Ih~ I,.k~ Country
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LANqHOR.ST,
. ,
4--3-6/
Jf3fJNoL/
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~5Z.
I'1flJe6H- S I
NY\!
Accepted
Accepted With Corrections ~
Denied (JnIR_ 1___
Reviewed By: ~ ~...(~
Comments:
Date:
q-1-~(
~,,~..L ~ I+ta.H.u--<;'
()./lr I 't'7 V)
I
up L
"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
Thr (:rnlfr of Ih.. La.." Counlry
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
4.,-~-()/
t...fINUY
NAME OF APPLICANT
APPLICATION RECEIVED
L/-I Iv 17 }-! c !~'.....;,T
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-~ 7" ~: L / 'j 1/ k :~ Ii '=~I IV I J
Accepted
Accepted With Corrections
~
Denied i. ~
RevieWedBy:~4 ~......~
(../
Date:
t--/ /q /&:; I
com~ts:
P>>I~ 'tr-~:-, ~ 4U'<~ ~ ~~~~
. :=~_ h~~~ \)., qpJJ11M7~
~~J ,~ IV\~ t2uL~~
K"~~ '\-zt.L,h"D'p<~ 0~ ~~
_Cw~ ~ t?1)tty-'~< M ..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,"
PRIOR LAKE
INSPECTIO.N RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J8S'J... l1.oJ<. "- 3\..
NATURE OF WORK ~eM:l,..-",,--,,--
USE OF BUILDING Sf'D
PERMIT NO. ()\-(rLqP;J DATE ISSUED 4-Q-2..,t
CONTRACTOR R~i1 tA.Ao\",L.ml'k ~ q5'2.-c(<{(J-I53'j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
'FOOTING 11)-\\l I "\- hD\CI\
I FOUNDATION (Prior to Backfill) I 't. .\)/t<.4 15 It IN
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
, .
~~a........I IL.L YvP
~\t/J'( L.L, ~
'} ,
~/~6. (II ! J.l)- 13
'<)..24.e~i ].1'-(- I~
-EI:E...., hn...l-\.:'"
PlYMBINO -
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
tlL~ /I/P
?,,t<..{-o3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, WALLBOARD I I
FINALS
/1///
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
4~ zjv
~#f'Atf
/ 2ftf" ~/
1\ VIkuJ II ~"l"ot
OCCUPY UNTIL ABOVE HAS 'sEEN' SIGNED
NOTICE
\
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 'arid 9':00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE , /- '../
INSPECTION NOTICE SCHEDULED 6./S'~7'
ADDRESS ,.( rf's---z ,,$/04' S/
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
~ULATION
~~~AL
o SITE INSPECTION
CONTR,
PERMIT NO,
C5 ./ ~9?"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT,: _ /.' , ~
~/" T"Lc; I r~ / /Af,..e /2//7~/
/ /
< 'v--L. n.Jt:.cR'/ .s6,L
....
A / ,/
.d/t;$Tf! -' . //'? 5
+0/ d...../r-
",,- f /
r/ J.4:.. [
,
.----. ..'
(;:;{-;-€
6'''''-..;P9...--A ~--/";L
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--------
~RK SATISFACTORY, PROCEED
4'~RRECT ACTION AND PROCEED
o CORRECT WORK, ~A':;.~O~EINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
//~~/- ( y,'cT(j
~~L-;-
DATE
ADDRESS
c3y5;)..
OWNER
CONTR,
PHONE NO,
PERMIT NO,
(- d.-9Y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
~~LUMBINGFINA:L/. ./0 GASLlNEAIRTST
~,ECH FINAL /TOf"f-/v 0
COMMENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR:\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \\~ OWner/Conlr:
CALL ~~9850 FOR THk NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L{-J.2-0';?:.
ADDRESS
~~5<.../i?~r5t., S/
OWNER
CONTR,
PHONE NO,
PERMIT NO,
.of -:J~ rs
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
om::e.NAL
o SITIE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
{.d'c.r/-t - () V
~ORK 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,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
YGNO"