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HomeMy WebLinkAboutBuilding Permit 01-0299 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4~;VOl AND UTILITY CONNECTION PERMIT ~ \ APt{ - 2 LuUI M (). ,'IA "" e...- ; ';:i~i:' ~:~y I PERMIT NO. O/",o..,nq I 3_ Yellow Applicant [;,J7 , I ( I I Z'fZ7 (officeu,,) (Please.!VD~ or orint and sign at bottom) ADDRESS /7":<6/ </J!:~,R'~ w!7A(/~ S"E" LEGAL DESCRIPTION (office use only) ;? p. LOT BLOCK ADDITION ~~ e>?~ PID OWNER (Name) (Address) BUILDER (Name)_.-?4'. ~,<,,~ -:~. (Phone) . Date Rec'd :)5.... 37~-Gb4~ ---- (Phone) ~57-..;?~-?'/a;;, PROJECT COST /V ALUE (excluding land) $ d~6z;5"? Contractor's License No. b''[,OCO ' CPC) BA ( . rytj 8t"Jg, I~ I 42. tJ() I I Park Support Fee I SAC I Water Meter SiZ@; I"; 1 Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other <i.HU I TOTAL DUE # (Address) ..3~59 ~/V Oil( .y;e- .;;UY/ ~ 6"S7.;?~ I TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish D Fireplace DAddition DAlteration OUtility Connection 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 t"~y';"ni and that all construction will conform to all existing state and local1aws 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. '-~~ I Permit Fee $ I Plan Check Fee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I p\6 ro I Mechanical Permit Fee $, DD I'.)C) I Sewer & Water Permit Fee $ 35.!57J I Gas Fireplace Permit Fee $ 4() _ 00 /) ( l/ftlo~ :1s~our Buililing P;~t;~;::7 ~~cial Date f/ U ~ This is .to certify that the request in the above application and .accompanyin? documents is in accordance with the City Zoning Ordinance and may proceed ~s requested. This document I when Signed by the City Planner constitutes a temporary Certificate of Zonmg comphance and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must be i"US:t.-,l~r~t;:~~~ 4Jv:!O\ ~~e~~nyfiWr~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 o Misc. x c:;.' ,. Signature R.t.i"'~h\YI -- Y>&7,,ffCJ5 0..:3 -aCJ-o/ Date # $ ~sn.ml $ '1lsn.m $ I :;) S- . t'J1} $ 4S.C1;3 I $ 'I? (')(') . rol $ ~ tJO .eX) I $ ISOfJ.QtJ I $ 3S.s.---o I $ 7.377, f6q I # # I PaidiJ"5?7, 'l[<-t I Date '5 "do ~() I Receipt No. ~q5 ,~k' By CJ-" ~ White - Building Canary . Engineering Pink - Planning Thr{"f'ntuof Ih.. L.k..Couolry BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST NAME OF APPLICANT n k> No v-I-of-J APPLICATION RECEIVED LI" ~ - 0 J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is ~roposed at: /7;).4 / /)~d /kJ) jfJAJ SF Accepted Accepted With Corrections Y Denied ~)n ~ Reviewed BY~V\p.."..,~ Comments: Date: 1- i ~2lo( ~~ cJ& ~~M ~~(A v ~ 2e)C) L"f- L'lA....Q. ~~ ~~I.'tf\...-?,> "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~ Crnlu of Ihr L.b eo"nl!')' .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ; APPLICATION RECEIVED J I r . - () / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , ".'" r- I ". / / //.. {>I / /j <!- Accepted Accepted With Corrections ~ Denied Reviewed By: UA/l-. /~ ~~--- , p- ~ Date: tj/{'l/D ( zrvrJd ~~y--~ ~ ~~"< ~.~. _~l),^. [AM{1 VJlJS ~ ~)~)~, "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, C,"", of lh, La'" COU"lry IJq,'n F,'1e.. White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ]) 12 J.J 0 v-f-ofJ APPLICATION RECEIVED LI ,. ;) - 0 J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /?:J--0 I j)~.PMA'tJ CrY JOA.) SE' (/ Accepted x Accepted With Corrections Denied Reviewed By: Nit [3 Date: '1-6-01 Comments: 'See Reverse Side for Additionallnformatinnl ::>ee Attachments: 1) Grading Plan, 2) Erosion Control Measures ::\\ Frn!'\ion r.nntrnl PI::In . "The issuance or granting of a permit or approval of plans, specific:ations 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." €~~ +'NlVESO't" CITY OF PRIOR LAKE HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd i;':" ~~i~" I PERMIT NO. o/-.;t 9 9 I _(Please .!We or orint and sign at bottom) ADDRESS ZONING (office use) 112k1 l)1n--hfJdh .~E. /7 I LEGAL DESCRIPTION (office use ouly) LOT Dr BLOCK 2- ADDITION r J. tQ_~/) AI(~tJ/~ d-~ "" PID :<5"-37.1- ()!;L{-,? ~':e~R l)~ \-\Ddt/\ (Address) -3~ W~.9~lh~kvt Ave ~~;;~~ANnIJlaJ1f vYlf'LIrlCUl/CaJ (Address) .~fhD !(fJH1f.beD'l)f ..\til~ \ , r. (Address) . (Contact Person) ,)P.t1'rt0' (J~ . APPLICANT SIGNATURE ~h f/ 1Jmtn1Y/ntU1 . Iv' U APPLICANT PLEASE COMPLETE BELOW [9I<ffiW CONSTRUCTION 0 REPLACEMENT D AL TERA nONS FURNACEMAKEANDMODEL g,'~f- 38~k.A-VD2J/D1D. FUEL f\l1fu..raJI FLUE SIZE L-\l\ G\o..Sc;, & RETURN OPENINGS t+ _ INPUT 1D, DnD ounUT 51f1, bbf) (Phone) SWtc 1JJJ .~ Ml\J 55/2-1- (Phone) 1tf5/ 45l-lT}5' (City) (ZiP Code) (Phone) ~5 / 451.- 2/76 ~DATE '-I/23/D/ TYPE OF SYSTEM HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OWann Air Plants OOravity o Mechanical . lE1\ir Conditioning [i:PfOnt. System FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (OfficellseOnly) This Application Becomes Your Building Permit When Approved I Paid ----- I DateS-_II~ 0, Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 . 13lJ. /)-41 D . lL./:),tv, WIlt. G PEr I, ~. , Receipt No. BYtf APr. 2. 2001 10:18AM GENZ RVAN PLUMBING AND HEATING No. 0 9 II P. 41/41 L 2. J. .~', 4 . 5. 6. ........ -.... Tm.r.GW .. "II'PUC"'" GOLD . ar" CITY OF PRIOR lAKE NO/)/- }Jlf SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be rasistered with the City_ APPLICANT:.r......._l("I~- I2tf.nPh...om\n'~ U>afi-uc=. PHONE;~1-4?-3-'J4L-l ADDRESS: 14,r.lE> Sr.llr-dAlll2.'f" -r"" r<~V"'r S"!O"Clla DATE: 4/2 It:, I SIGNATURE: IJ\ .~~ 0_ BLDG. PERMIT # SITE ADDRESS: fyp~~.QoDLSE:.PIDitJS- -31,;;2. -o.9{-O FILL IN THE BLANKS 40' Estimated length of water service t( feet. Size of water service inch(es). Location of any couplings from s~ructure Type ~!'sewer pipe. ABS PVC X Cast Iron Estimated length of sewer line~' feet. Clean out (if required), located at feet from structure. feet. =====:;:=----_.====~,-~-==::=.=:====:=:=.~;;;;=:;==----- -- _ _ =======:=;======.:;o;=;;;;;;~ This application beco~es your permit when approved. BY D~TE: =~=.==::::======:oo;::::;;;o;;:;;;;;;;=:;;;:======__._" _======:=!____======~=:!:!!!.=:::!!!!=~======~!;:!!!O=~:::::!:= FEES: S $ ;; Sewer and water line connection permit. Surcharge TOTAL 35.00 .50 35.50 * Fee for either sewer or water individually is $20.00 plus S .50 surcharge, Sewer and water permits issued for new construction must be recorded on the buildin~ permit card at the time of issuance to insure that no dUpl~cate sewer and water permits are issued. PAID WI'- DATE PAID Ij- Iyj-Ol AMOUNT PAID ..BUILDING p~'r~;v,'-' Qu V * RECEIPT If REC'D BY .. 4629 Dakota 51. 5E, Prior Lake, Minn,,-,ota 55372 I Ph. (612) 447-4230 I fax (612) 447-4245 AN EQUAL OPPORnlNm' EMPLOYER Apr. 2. 2001 10:16AM GENZ RVAN PLUMBING AND HEATING No, 0911 P, 34/41 Co, llIe e,,"e.... or lhl ~ko: '.11"'". QuanUty L I , I 2- \ I \ I I I 2-- I , L BI~ 2. Gold 3.. Yr.1Iaw ..,.- at)> ApptiClDl # ()/- (),l-'iy Phone: I "F--j- ~7~-114~ 1Lr-..~ 1tY"'6'cuAT ~ _ -:Jluj ~ CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: ~2.-k'tr '" Plh--+ W:n~ Address: \ U-, l V=-... ~ ~b ~ T ~ ~ Signature: IA. J.. ~. Legal Description: Lot~ q Block?.-. Sub lY..Aie.Qo Site Address: ','2l '"" 'TX>~....li'\:",Q,,'~ S-E.- Building Permit II PID # ;) 5' - ::( 7)" -Os. <j- 0 NOTE: This permit ~ill not be processed without complete information. FIXTURE UNITS ",:.:" Type otRxture , Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain ( R-/I ( Rough-ins Water Heater Water Sollner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (APZ, Double ChllCk, PVB) Backflow Assembly Test Lawn Sprinkler other Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE , Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL $ ,. This peJ:T1lJt 15 ~t~ upon [he express condition that sI1d contractor. shall comply in alll:'l:Sp<<:t5 with the ordinances of the State Plumbing Code and the am~dments Jh/reot.. RECElPTNO. ~-I'i?-(/; DATE 'A"'- ATTEST U Call for all inspe~tions 24 hours in advance. 8" PAID "" , u/LDIN vVlli' G Pc:, """ 16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opportumty Emplcyer PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 19~ (,,1 'Ueorh'elJ [')J-. NATURE OF WORK A.J.Q.,W USE OF BUILDING SFB . PERMIT NO. OI-OZ!l3.. DATE ISSUED ,/-,-?r->( CONTRACTOR J.1V. . ~ PHONE e:,S-/- 2S/. - !.l;,r? NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT lNSPIll:J"OR DATE I FOOTING I (~ I S--17-0~) I I FOUNDATION (Prior to Backfillr~ I (a, Lf/{;,!)/ OJ ,';'fJl\tJ%OJ1) I 1:J7. ~~~I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN' SIGNED I . ROUGH - INS 1iP..e- f$.r. 51'~4o, SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ~<k, ~ ~/~/D/ HEATING (if required~~. ~. '5'1'3oJ~ JM'K:ft:ACE " -/j, , , GAS LINE AIR TEST"f;f. (:. ~, tbr, /ol/z/tJ.' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED , I A/wbfJ~ ~. IrJ!/~tf7 I I , FINALS 0-k /0/1'2-1,,/ 10"/ [l/bl tb . /~I/ le)/ ""'-.M-""4' ~ -:;,.. r./II /d' GRADING (Prior to Sodding) BUILDING'CU. rJj~' I!bl,- frr 1411 /6( ELECTRICAL PLUMBING HEATING I DO NOT OCCUpy UNTIL ABOVE HAS N.QTICE k.~ , , J'/f9/01 I,!;-J IV/o! , BEEN SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 j I '- ADDRESS 172C; \ OCCUPANT _ HEAT LOSS_ SOLD BY Electrical Work By TYPE OF HEA T ~"~r(,<lJ DA TE HTG. lNST. JOB # HOUSE HEATING TEST RECORD {) r\v<L- APT. _ FLOOR OWNEP CITY ~UBURB INSTALLED BY Go s Line By GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER ~ GAS DESIGN MAKF l""y..._T- Model 37"'J....AVO)I.C)7<:> A-\3.A Serial ~b't:)IA.<c.\"l...79 INPUT _ 69 t>o<:, <<Tv CONTROLS THERMOSTAT ~,_e-,,,,-,,,"\\ Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model _ ;l.;:>.<:;," \-\.<, J>... Pilot Timing L.W. Cut Off '.),:$ Percent CO2 Percent O2 Percent CO Pressur... Input CFH Stack Temp. 3-.7 8'" ~ Form 235 ~.,-\ (...9 - 0- CONVERSION MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model Vent Sizl"' L-j" {l- V c.-~ KIND OF LINER SIZE _ NONE Draft Hood Filters RegulaTor Size \l..,c. ~ ~, Numb.r \ Chimney Location Chimney Construction Inside Outside Smoke Bomb Draft Door Pressure ~Wirinr' Test Tar' lighting Inst. Dot. Tested _ \'J.-S-tl) Company Testing Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122 Name of Tester )(.<.~\."""""-- DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE 4-1<'-03 lI:l5"O~ ADDRESS /72f#/- /72.{p7 .DeFff/6LO O.e. SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. (J/~tJ1-qq. 300,30 1.30z.. - . f o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~//l/rJ L- GtV1D~ I b "e..tU. I c9 k.. L,,/b Kd.!tl, (.9J( , XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING Inspector:.t?1~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOT1 ADDRESS 17..2-~( DATE TIME SCHEDULED ~ 9:/S I)~ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. Or -~"t9 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI @D WATER HOOKUP o SEWER HOOKUP 'p!f PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o C~MME,NTSffJ. n~~, f:..> r " '>-- 'ff"-!"T ..f.r-c; ~ .~'.-' p,...-. ;) ~h'-dCAJJ!J fD rl.o~~ '~ (',~ . ~/f' \A~ fllAAt) -~ .4-P~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED :s::~:'EC~~L FOR RElNS~::::::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIMt.. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 17.)(P/ SCHEDULED /~ 10: 'f;, I~.IJ !t.., CONTR. OWNER PHONE NO. PERMIT NO. ~(- d5J? o FOOTING 0 PLUMBING Rl o FOUNDATION 0 MECH Rl o FRAMING ~ 0 WATER HOOKUP o INSULATION l1:/ 0 SEWER HOOKUP 1ll FINAL /10) ~MBlNG FINAL o SITE INSPECTION '--J:5/ 'f5J MECH FINAL COMMENTS:dJ? ~"1~ ~~ (])-- ""M..12,., Cz.~ ~ s.. ~ J.y~~{J~---- _ ~ V-------r' o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GAS LINE AIR TST o r -r:c..o, ~ oj riot....--- ~~, o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING ~ Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY! IN$/'iOTJ