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HomeMy WebLinkAboutBuilding Permit 01-0300 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd 4" z-o I I, While 2 Pinl;. ], Yellow File Cily Applicanl jPEKMIT NO. 0/- () 30 () (Please type or print and silm at bottom) ADDRESS /7,,;z63 ~U'~<:J <Ji(/V& se- ZONING (office ">0) R-l LEGAL DESCRIPTION (office use only) /~ ,? LOT. BLOCK ADDITION ~~ .;<"2& PID;)5 ~~ '7J~ DS{-t OWNER (Name) (Phone) (Address) BUILDER (Name) , -' (Phone) A.'57-"':?S'#;- ?'/~ ~;;:< j].A? ~/V'~. (Address) ,"'ij~ ~/V o/Jd ~ ~ ~'<:Vt/ TYPE OF WORK , I;lI New Construction OLower Level Finish ODeck OPorch ORe.Roofing ORe-Siding o Fireplace OAddition OAlteration OUtility Connection o Misc. PROJECT COST /V ALUE (excluding land) $ d'.:J 9.::?'~ 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 loca11aws 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, a-~ ~.XZ ~ l/ Signature d~5l5S7 ....:?-ad~/ x - .< 'ef~.OC1 Contractor's License No. Date I Permit Fee $ 8B(.7~ I Park Support Fee # $ 8SD.d61 I Plan Check Fee $ sl[g .I~ I SAC # $ I. /5L:>.O'" I I State Surcharge $ 42,~ I Water Meter Size@'. I". $ l'2c;,OD I ' , I Penalty $ I Pressure Reducer $ 1/';;, m.. I Plumbing Permit Fee $ / 00.19 0 I Sewer/Water Connection Fee # $ " .:lc11'J . a:r I Mechanical Permit Fee $ I 00 . (!)V I Water Tower Fee # $ ((JtJ .ad I I Sewer & Water Permit Fee $ s(. 56 I Builder's Deposit $- 0 I I Gas Fireplace Permit Fee $ 1.(0. CO I Other S..-W R.JL " lAo;,p . $ 3S.s-o I ~"t--'."'7i-1-;;; I TOTAL DUE $.5; &71. ~1 I I Paid $ ff/J 1 g''1 Receipt No3'15- '$J if uilding 0 cial Date I Date f:,--Q-nl By (f" 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 a1lows construction to commence. Before occupancy, a Certificate of Occupancy must be i"~~ LI/~/&i ; P~nt~ng Director ~~~.~~~~ Date . Special Conditions, if any - 24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245 ~~ White . Building Canary - Engineering Pink - Planning Th~ Cfnl~r of lhor L.kr Count!')' BUILDING PERI\IIIT APPLICATION D\:PARTMENT CHECKLIST NAME OF APPLICANT b R 1/ u r +0 ~ APPLICATION RECEIVED L/ - ?- - 0 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 11J-b~ 7):;.t"'_v-/-,"e/d })r SF. Accepted IX Accepted With Corrections Denied Reviewed By: /IIfr/3 S!.,flY1c,,\.. F,'/~. Date: L/-'-o I Comments: "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." ii~1 White . Building Canary - Engineering Pink - Planning The- (''''"lerof lh", L.kl' Counll'}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /. ; ~ , I'..J .jv APPLICATION RECEIVED l!' r- I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I <" ~ ( ~.' ,- ,- iJ ..,./ /" ,:;.. Accepted Accepted With Corrections .""'--- Denied ~ {kbr~ Date: L//tLIe1 Reviewed By: Comments: . ~ t~i,^ RI.~ /A)/ih, /J&h.<;<; ffl [72&/ ~"\~W1 ,^v. ~ (~~$- "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 Tht (~tnltr of Iht Lak" Counl!') BUILDING PERMIT APPLICATION DEPARTMENT CHJ;CKLlST NAME OF APPLICANT b 7< Ncn--to,J APPLICATION RECEIVED L/ - ?---o ) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 11u ~ 7)(7~-,1/+le)d])r S~ ~ Accepted ~ Accepted With Corrections Denied /)/1// j Reviewed B ( K1/L/)~'-'A-f./C:) 'A.:; '"' I' - Comments: .sk_ ~ \"\ (A.; \A tf \ ~ Date: I- 9~2eo1 "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 10:18AM GENZ RVAN PLUMBING AND HEATING No.D911 p. 40/41 tIIIIlU!_-fIW.I! "ELLOw ~ U~.T GOUt - crt'T CITY OF P~IOR LAKE SEWER AND WATER PERMIT NOTE: NO_ (J (- uJcO Sewer and Water contractors must be registered with the city_ ., APPLICANT: p.,..,Y"I;;'- Q~f)PtLi...,bl~ \ka;[:/Al(,~ PHONE: b61-423-1/4ll ADDRESS; 14-ru!", Sn ~.<2:r -reo ~r 5'"b"o/"'l..,DATE: 4/2 It> J SIGNATURE: IA. bti 0 _ BLDG. PERMIT # SITE ADORES'S: I~~ ~P~-e9DCk.SE-PID#Jt; - 31;)- ()LJ5-0 l. 2. FILL IN THE BLANKS 40. , Estimated length of water service ," size of water service I inch(es). feet. 3. Location of any couplings from s~ructure feet. 4. Type of 'sewer pipe_ ABS PVC X Cast Iron 5. Estimated length of sewer lin~~' feet. 6. Clean out (if required), located at feet from structure. :;:;~~=;;;;:==;:;:;;;;;;;;;,;;;;;;;:==-----"~ . ..~---===::::::===:=--==========----=====:== This application beco~es your permit when approved. BY D~TE: ------ -------------- ------ --------------------------- -------------------------.---------.....---------- FEES: $ S ~ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .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. PA / i ~(l?' _()II . SUILDIN'DGWpIE;~ '-1 U I AMOONT PAID~. '-"v.. . U..-/ U REC'D BY DATE PAID RECEIPT If . 4629 Dakota 51. 5E., Prior L.ke, MInnesota 55372 I Ph. (612) 4474230 I Fax (612) 447-4245 , ___._a..___._..__________., Apr, 2, 2001 10:16AM GENZ RVAN PLUMBING AND HEATING No, 0911 P, 35/41 ,."-,,, CITY OF PRIOR LAKE PLUMBING PERMIT 1.. llIh& 2. Go.. ). Ydlow 1'11< a., "PP~"" 0360 #0/- J"~ Ct.l", of.II,,~ LilIoI! C.qnlry Applicant: ~.J/I!.. - ~ tr n PI ~ lb-r~ Address: \ U.., l l.<=-" ~ ~ VI T \\'U Signature: \A. 1 ~,.---" Legal Description: Lot'-----.5 10 Block '2- Sub \'y",Ai-&O Site Address: I,? ln~ ~l?i'&S-:> ~_. SF _ _ Building Permil# . PIO # 8-:5" ? 7d O<;t:;""{) NOTE: This permit "':ill not be processed without complete information. FIXTURE UNITS Phone:-Lr~ - U 7 ~ -II0.U Iln.<..( ~.1Jr\T ~Jr'2-. ,::),':1 ~ ~_.... Quantity Type etFbdure I Bath Tub with or without shower , Dishwasher I Floor Drain 2- I Lal/atol)l (bathroom sink) \ I Laundry Tray (1 or 2 compartment sink) \ I Shower Stall I Sinks c.- I Bar Sink 2-- I Water Closet (toilet) . Quantity Type of Fixture Rough-ins ( Water Heater R-II Water Soflner r Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPl, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE > IndustI1al, Commercial & Multi-Family (1"10 of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations Stale Surcharge $99,50 $39.50 $ $ $ $ .50 GRAND TOTAL $ nus pe.m:ut 15 gI1U1tc;d upon the express condition that said contractor, .shall comply jl:) all ~pr:c1S witb the ordinances o( the State Plumbing Code and the aIDendments/t.he~f. . RECEIPT NO. '-1-/'1-0 DATE (").f ./ ATTEST U . Call for all inspections 24 hours in advance, r- SUILPA1D WIT'-' . DINGp 16200 Eagle Creek Av. SE, Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opponulllty Employer CITY OF PRIOR LAKE HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT Date Rec'd ; ~:" ~::y I PERMIT NO.O 1- ? 00 I 3. Yellow Appheanl . ~.~ (Please ~e or orint and sien at bottom) ADDRESS 171Jo~bfeYti~lcllJr SE ZONING (office Ole) R\ LEGAL DESCRIPTION (office use only) Q LOT I D BLOCK 2- ADDITION 1.rJ tJ Jt j ~r.f ~ Il6i. g.~e~R l)fZ \1D(fti1 \' ,(Address) '3~ WLt9k~n~.fm{ Avt- ~:~~f~ YYlu,hculIcaJ (Address) 3rhD I(LYHlfbfr..lvr ~\lil-k \ , r. (Address) . (Contact Person) Jft1'rt0' l 14.m~ ,APPLICANTSIGNATURE ~h f/ 1Jm.mlYma/I 'I'; U .' APPLICANT PLEASE COMPLETE BELOW [Bffiiw CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS . FURNACEMAKEANDMODEL g,'~f- 385kJWDZJ.UnD FUEL f\Ythu-a.1 FLUE SIZE L-\l\ dn. Ss> e, RETURN OPENINGS 4- INPUT1D.onD OUTPUT 5/0. bhD-. TYPE OF SYSTEM HEATING OR POWER PLANT PID,;:IS - ;;n;z.-075'" -C) .\jAjk 2n~ (Phone) Ea.otu1 M/0 55/2- 'L J (Phone) 1t.f.51 %2.-l1"J5' (City) (Zip Code) (Phone) &5 / 45Z- 2115 (MAD'lDATE '-I-/Z3/D/ DWarm Air Plants OGravity o Mechanical [E1\ir Conditioning [jJlI'ent System 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 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39,50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 PAID WIT' BUILDING pc. l..i, (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date I Paid I Oat'$-_ /I-V' I , Receipt ~o. 24 hour notice for an inspeetions (952) 447.9850, fax (952) 4474245 BY~ 14:25 651 633 BBB4 FIRESIDE CORNER #2055 P.004/004 CITY OF PRIOR LAKE IJllte ,lU(:'Q HEATING/AIR CONDmONINGIFIREPLACE PERMIT SEP I 7 2001 \. ;:1:'... ~ I PERMITNO.-;SO(Y..J :I. 'fellow .-.ppUe,,"1 ,-- I, ".. . (Please.!'1'c or. mint lad shm. a.t bottnml ADDRESS ZONING (._'Ie) /(r rid"'J 1)t2M.L,;,... 7"11. S?:... f) LEGAL DESCRIPTION (om... use only) Q' . toT to aLOCK ~ ADDmoN ~ ..D g J...-Jv-Q & ( '\ ~rJ.t prP.-:25:;?7.:1~ OC;5-() OWNER (Name) (j;,z ~ '/ (phon..) (Address) APPLICANT (Name) ALLIED FIRESIDE DBArIRESIDE CORNER (A~) 2700 N_ F.~~V7~W ~VF- (A4Jlre..) (C P ) BRENDA IlUSTON on.tad e"on APPLICANT SIGNATURE /";?A'~/J. JJ ~..i-- (Phone) 651-633 -2 561 R~~7TTr~ (City) 651-633-2561 (phone) DATE S~l1 'I (Zip Olde) APPLICANT PLEASE COMPLETE BELOW !29NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEl. FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM IreATING OR. POWER PLANT JWann Air PIBIllS 0 Slwn JGnvl1:y 0 Hol WIIlI:r ] M""h.nicol 0 RadIation JAir Conditioning 0 Sp""iol Devices ]Venl. Sy._ 0 Olher Devi.... FIREPLACE MAKE AND MODEL .-JJ~,J {;u. s..r ~ r . PLEASE NOTE: Air Conditioner Units Connot Encroach into ~qu.iNd Side Vard Sed,acks l~du.trl.l, Comm.erolal & Multi-Family FEESCHEDUJ.E 1 % of jOb cost Rdldontial, 0.. Fireplace $39.50 mj~imum $99,50 RC$lde~llal. AdditiD~S & All~IDn. $64.50 Reslllcntlal. AC Only $39.50 ResideRllal. H..d~g & AlC (New Construelion) Residential, Hooting Only (New ConslrUeliDn) $39.50 $39.50 Estimated CoSl $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 . B(jIL~1~~ !t1;'!l-/ Pc " lom,cU.e Only) Tbl. AppU""tiDlI Beenllle. Your BuJldillg Pe"",lt When Approved . . BoOdln, omel.1 D~uc I Paid I Daty_&'_ ! IRe~o. I By qe-- 24 hOb' noli.. for nlllnspacllo.s (952) 447-9.SO. ,.. (952) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS J~?Ct, c, ~(;>r-6'0 ~cQ 0-. NATURE OF WORK ~ l.e... J USE OF BUILDING .~~f+ ' PERMIT NO. ()/-0300 DATEISSUED q-9-'~1 CONTRACTOR nu.. Ho~ PHONE (E/-25(~-7~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING I I I , FOUNDATION (Prior to Backfill>' fr~ I ~ r/.}J/,I p'}% P ~ ;:~~J fh. l'ftl , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED f ROUGH - INS ik 6r,5"ht/dl I.~ SEWER I WATER I SEPTIC FRAMING /""> 6- ' INSULATION br ELECTRICAL /1 PLUMBING U.(1. ~, 191 ~ 10 I tJr, P /1/ ,j/ _ HEATING (ifrequired~'~ fA. ..:5(gb(F>f-1M-t""". 'fn.-/ !fJ!tt /o;tY-/,) 1);/ FIREPLACE ~. J~/' /61 GAS LINE AIR TEST ~ ~ (='.r ~, IO(1~7ol , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~. fo/n/f)/ I I FINALS / / /1 /0/ I / "Ie; ! 0 { , ( GRADING (Prior to Sodding) BUILDING -Th .8-1 - o-z.... ELECTRICAL PLUMBING HEATING DO NOT - fIr -I e."",() r._".~ J.> J2-?t,. ~. T .-.. ~ /~(/I/~ I ~t? ('2..-71,' e\ OCCUpy UNTIL ABOVE HAS BEEN 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 p!~ced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ADDRESS \ (:Lc.. "3 OCCUPANT _ HEAT lOSS_ SOLD BY Electrical Work By TYPE OF HEA T HOUSE HEATING TEST RECORD {) ~u- \:..\J.. {)r\~"'- APT. _ FLOOR OWNER DATE HTG. INST. JOB # CITY SUBURB INSTALLED BY Gas Line By GA _FA :6..-HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKF Model Serio I INPUT. ~<''I''-~ '~71 LAV O~67Q ~C)O I I... c. LL<:' '\ C,C; . n 6~ "''tv MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model CONTROLS THERMOSTAT ~_~.J' Heot Plug Valvf' Limit Limit Setting .:J..l\)' Fan Setting _ Pilot Type \-\5 ~ Pilot Make Pilot Model ~ Pilot Timing L. W. Cut Off 3.5"" Pressur'" Input CFH Stack Temp. ~"1 a Form 235 Vent Siz,- '-1" ([l-v,_~ KIND OF LINER Draft Hood ~~ Fi Itars Size \G."{;J..O")l \ Chimney Location Insid. Chimney Construction Smoke Bomb _ Draft Door Pressure Percent CO f. s--- 2 Percent 0'" J,.. 2- ~ Percent CO - <.:)- \').-S'-~ , Date Tested _ Company Testing Name of Tester Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122 I~;'\'---- SIZE NONE l"'~....1 \ Regulator Number Outside Wiring Te5.T09_ I ,ighting Inst. _ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS l22LO!} OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...erJ!iNAL o SITE INSPECTION COM.MENTS: I. VI/MAvt:-u. '" o '2... M.11:-lAt......~_ DATE TIME SCHEDULED (2.~-oI I~'/Iff) D~~Jd2 CONTR. PERMIT NO. I-::a, o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o .+- ~IQ' I'. ^ 0 ~ /lpfVlrt..,_- f...._ --- ~--~- /'~ o WORK~FACTORy,PROCEED ~RR tCT A~t)ON AND PROCEED o CORR oCT wi ~K. CALL FOR REINSPECTION BEFORE COVERING ,nspecto,i /'} Owner/Contr: CALC 447' '0 FOR THE N'S,l(T IN~PECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME Iz!{/~I II:/~ ADDRESS /'1.;2&73 ~&, Ii OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~O SEWER HOOKUP o FINAL ~ PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS:~ ~ o , ~-~ Ij~~~ o ( -300 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o WORK SATISFACTORY, PROCEED ',)( CORRECT ACTION AND PROCEED o CORRECT W/liJ~ALL FOR REINSPECTION BEFORE COVERING Inspector: ' ~ 1 OWner/Contr: ( CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PJ!RsONAL HEALTH & SAFETY! INSNOTI