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