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HomeMy WebLinkAboutBuilding Permit 01-0301 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 Pink 3. Yellow File City Applicant PERMIT NO. 01-0301 (Please tyP~ or Drint and sign at bottom) ADDRESS / /7.??66- ~~CJ ~/~.se: ZONING (office use) R -I LEGAL DESCRIPTION (office use only) // ,< LOT BLOCK ADDITION ~~ -<'~ PID ~ , - :31:2 - 051.:.-6 OWNER (Name) (Phone) (Address) BUILDER (Name) 0.P. ~.....~/l/ ~ (Phone) .6''57 -,,;rSlf;' 7/& (Address) d.y# ~~ ~ ~~o-y ~- U!J'" -'\/ $67':<;2. TYPE OF WORK ~New Construction ODeck OLower Level Finish 0 Fireplace OPorch ORe.Roofing ORe.Siding OAddition OAlteration OUtility Connection cff3:9t::JS- -' o Mise. PROJECT COST /V ALUE (excluding land) $ I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. r also certify that I aqJ. 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. ,>u"'~~ L2... P' =<~$S7 ~..:?d-O/ x Signature Contractor's License No. Date 8' tf, cx:::t::J. CJ 0 Permit Fee $ ~ I Park Support Fee # $ eso.Oc> Plan Check Fee $ c;'J\ . I <J I SAC # $ I.I~.OO State Surcharge $ 4-? .(!)O I I Water Meter Siz~; I". $ I ~S'.CCl , Penalty $ I I Pressure Reducer $ 4<;. eJ,""J_ Plumbing Permit Fee $ LCV.o~1 I Sewer/Water Connection Fee # $ 1.200.00 I Mechanical Permit Fee $ 100 . ()O I I Water Tower Fee # $ 7a-J . dO I I Sewer & Water Permit Fee $ 3S. ~-o I I Builder's Deposit $- 0 - I I Gas Fireplace Permit Fee $ 40.w I I Other S",-!,.,) t:Q, rw..p $ 3S'.~ I ~jC-~'~f:~i:(" I TOTAL DUE $ ~ 817. 89 I Paid 5 gr;'/. '6'1 Receip!.No3'1,) ~ Buildin fficial Date Date C;~ ;:J -iJ i By tr .7 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 si ned by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issu Ll/V2..1 /9'( ~~I~s~~L~vJ;(( Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~~ ~.,."...:';;; White - Building Canary - Engineering Pink - Planning Th~ C..nl..r of thO' L.k.. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~iJ '! I i U j + 0 I,) APPLICATION RECEIVED </ ~ ;J. - () / . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ...:; ~ c. .f- I ..- frJ 1\ i/ /1.2 LS I 1". ,_ ) ~ 5 f::: Accepted Accepted With Corrections t/ Denied ~/ Reviewed By: / -#- . Date: t,f /f{/ 6 ( Comments: ~ ,~. ~(p- L~\h _4~~ ~ ---L72h1 vl:\ee:A~ ~rN': ~ 6-vJt'r~< "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." ..:::~--- -t:: White - Building Canary - Engineering Pink - Planning Th~ C~nl~r of Ih~ L.Il~ Country mllI.DING PERMIT APPLICATION DE:PARTMENT CH~CKLlSI NAME OF APPLICANT 1Jp - '- q-Jot-+o;J l./- :;;/--c?-/I . APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the builc;ling permit application for construction activity which is proposed at: / '7 ~~5 np~~Y (',' ~ tel /) V . 51:::: Accepted x Accepted With Corrections Denied Reviewed By: Comments: N/I-.B f,~e melt'" t=,'k Date: ~-06-o I "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." 6~~ White - Building Canary . Engineering Pink - Planning Thr(:..nluof Ih.. LabCounlry BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST NAME OF APPLICANT 1) It iJor+o0 APPLICATION RECEIVED '-1- ~ - CJ I . The Building, Engineering, and Planning Departments have reviewed the buileji/lg permit application for construction activity which is proposed at: 11U5 ne~Y-P"e/IJ /)v.5~ Accepted Y Accepted With Corrections Denied &4~ )/VO / Reviewed By: ~A-- Date: '- I - '/7-~( Comments: (2~J) oJXLa~cW ~ ~ fJla.l~ {.r( R ,~ - - ~'t----- I-k-JL~- "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." CITY OF PRIOR LAKE HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ; ~;~, ~:~ I PERMIT NO.O - ~,' /. ). Yellow Apphcant I 3 V (Please type or Print and siJm at bottom) ADDRESS 1l'liP5 Dur-Add Dr- SE ZONING (office use) 1(1 LEGAL DESCRIPTION (uffice use only) , LOT II BLOCK L ADDITION I Q 0 Q.A) .I 0 jl eJJ ;) fLCi /J~-\' ~":e~R l)(Z \-\Dv--hi! (Address) '3~ Wlt9Vt,~~/1;n Avi, ~;;~~ANlitl'I(ln+ vYlUJlttfUCtU (Address)3ft:0D k~LYmfber/'T.)( ..<;ttl+ec \ (Address) . (Contact Person) -.Jp_tttfJj _ (" ~. APPLICANT SIGNATURE ~'h f.l 7JtYlJJUYtnaI1 'IV tJ . APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDMODEL B/'1jtnf- 2>g?JltA-VDl-4blD FUEL f\W-uxaY FLUE SIZE L-\l\ tALlS';, P, RETURN OPENINGS L/- INPUT 1D. DDD OUTPUT 5/0, bbD TYPE OF SYSTEM HEATING OR POWER PLANT PID ;;/tJ- 3 7;;:r 650 ~ .\JAi-k znd (Phone) .~ M/U 55/21- (Phone) 1tf51 4'52.-2175 (City) (Zip Code) (Phone) wS I t./5Z - 2--/76 f1Y11))DATE t/-/Z3/0 / DWarm Air Plants DGravity o Mechanical , l0f\ir Conditioning ijJXOnt 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 I 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Penrtit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ 50 SUI PAID WP" LDING Pc (Office Use Only) This Application Becomes Your Building Permit When Approved Building OfficiAl Date I Paid I Date C;-/I-OI Receipt No. 24 hour notice fnr all inspeetions (952) 447-9850, fax (952) 4474245 By g c- 14:25 651 633 8884 FIRESIDE CORNER CITY OF PRlUK LAJU; HEATING/AIRCONDnnONING"mEPLACEPERNUt #2055 P.003f004 , .,nlJe~'u SEP I 1 2001 I.Pirlk 2."""" 3. YIlIICJII' ~:~ I PERMlTNO._ -----.1 ....;.." Ii30J__ _ {Pleas.; type or t:lrlat iUJd rd~, at bouoml ADDRF..5S II~s fb~~~. .fE. LEGAJ. DESCRIPTION (olliee use only) LOT I( BLOCK .A.nDITJ.ON I o~;~rO ;;;zd ZONING (offi.. .,.) ~I prD d.S-- 75 7.;l- ()~6 -0 OWNER (Name) ~ dv.~ (Phone) (Address) APPl.J.CANT (Name' Ar..LIED FIRESIDE DBA FIRESIDE CORNER (AdM"'s) 2700 (Phone) 651-633-2561 (Contact Person) APPUCANT SIGNATURE I' t;:$'/jn..fl (.,.l~ N. F~IRVIEW AVENU~ (Add_) BRENDA HUSTON DJ.)[::;EVi'l"_T.,;;; """1 (City) 651-633-2561 (phono) ~1;,11: (Zip Code) DATE q..J7~J ~ APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUC1'10N 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEr. FUEl.. FLUE SIZE RE'T1JRN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWann Ai, PlllJ1ls 0 SleMl OOravflY 0 Hot Woter o Meenbnlcal 0 lWIiallon OAit Condil;oninll 0 Special D.vl.., OVent.. Sy5tml 0 Other Devices FIREPLACE MAKE AND MODEL ~ ;.J (0", ~ 1Sb1l<<- PLEASE NOTE: Air Conditioner Un ilil ClIllDot En~roach !Ilto Required Side Yard S.lba.cks Industrial. Comm.rclal &. Mullj-F"",iIy FEE SCHEDULE 1 % of job coSI Rc,ldenllal. 0... Firepl_ U9.50 minimum $99.50 Resldenliel. Addition. &. Alleral;on, $64.50 Resldenual. AI:. Only 539. SO Residential. Hcalj.ng &. Ale (New Consuvotlon) Residential. Heoting Only (New Con,truetion) $39.5Q $39.5Q EBlimllted CI)Bt $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ 5 .50 'L_ PAfDiA;;;,., ~----.., p, III r"\'~ r_vrl I,., ~ . tom" 11.. Only) Thill Appfll:lltlon Beeo..... Your Building Per...lt When Approved Paid ____ Receipt No. lJalldl... omel.' Do" D~"_(R' -/ By Q:: ~ Ii 14 hnur nntlee for RUln.peellon. (951) 447-9850, fRX ('J5Z) 0147-"'145 Apr. 2. 2001 10:18AM 1- :2 . ) . .,... 4. 5. 6. .' GENZ RVAN PLUMBING AND HEATING No. 0911 p. 39/41 _...... TElLO.. ~IIT taoLD - ClT", CIT'! OF PRIOR LAKE NoOI- ~/ SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: r-,,;.n:i!..::.J?P#J r"I Ph.--vn'ol~ ~Al('~ PHONE:~1-47-'3-"L.\L.l ADDRESS: 14~ 1l::::s;r ....-...,' t?~..,"I">Q, ~r !!>~~ DATE: L/ /2 Ib J SIGNATURE: . .D}l 't 0 -.... BLDG. PERMIT if SITE ADDRESS:~ ~.vhi&.o~PID# c;(~~ 37;;;"- ()Sb-() FILL IN THE BLANKS 40' Estimated length of water service " feet. siZQ of water service inch (es) . Location of any couplings from s~ructure feet. Type ~f sewer pipe. ABS PVC X Estimated length of sewer lin~ ~' Cast Iron feet. Clean out (if required), located at structure. feet from ===----=====::~~==;=========:::II:::r._-_._.,-_-,- _ --------------- <-------- -------- This application beco~es your permit wnen approved. BY D1';TE: ~==;==~=~=====-----=~~===----====-~-=---=~= ==~ -------~--- -------- FEES: $ $ $ Sewer and water line connection permit. Surcharge TOTAL 35.00 .50 35.50 * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge, Sewer and water permits issued for new construction must be recordea on the builainq permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. . r DATE PAID 1-1- If? -0/ AMOUNT PAID , ....E1(JIL~~~1tV17:4 :REC'O BY We......- t::>l2r," v * RECEIPT 11 . 4629 Dakota SI. S-E., Prtor Lake, MInnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245 APr. 2. 2001 10:17AM GENZ RVAN PLUMBING AND HEATING No. 0911 P, 36/41 .,.--. CITY OF PRIOR LAKE PLUMBING PERMIT L 111_ .Al.. 1.. GQlcl Oty 3" '"t.ellow AJlpliQlal r:?/-n 30 I nl!' C~mct "f .Ill!' L...Iui: C_ln # ~ Applicant; (-!....>JfI7_-(.2U n_PI~ Un=--Phone' (nf'--<-U7"'--II4-11 Address: lU-,Llc::... ~ ~ lilT -.-vLl ~ {2,n~I~:L1Jr\T ~-lr& Signature: vLJ.. ~ ~ .J\~ I~ Legal Description: Lot~ II Block 7-- Sub 1Y"'-^tciLD ~ Site Address: 112lo'::::::> ~Qr..Q" 'LM - s.,E Building Permit It . PID iI' ;;( c;- -:S'/ ~ rx;(, 0 NOTE; This permit wjll not be processed wnhout complete information. FIXTURE UNITS . > -" Quantity Type orFfxh,re I Bath Tub with or without shower I 1 Dishwasher I Floor Drain 2.. Lavatory (bathroom sink) \ Laundry Tray (1 or 2 compartment Sink) \ Shower Stall I Sinks - I Bar Sink 2-- I Water Closet (toilet) Quantity Type of Fixture Rough-ins r Water Heater 1<../1 Water Softner r Stand Pipe (washing machine) Sewage Ejector 8ackllow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE > Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Anerations State Surcharge $99.50 $3950 $ $ $ $ .50 GRAND TOTAL $ r Thli permIt 15 grant=d upon the express condition that .satd contractor, shall comply in &.11 respects with the. ordinBJIces o~ the. State Plumbing Code and the amendments jeteaf. . REcriJPTNO. j,J- /2-0 _DATE Q- ./" A 1 u"" Call for all inspections ~ ;ours in advance. ,I3LJlitilf WliH GP€R'fl". 'VII i 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opponunlty Employcr PRIOR LAKE' DEPARTMENTOF ~, " BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1'7Q (oc;- ~,.. C~\ol 'D..r--. NATURE OF WORK iJe.-.J USE OF BUILDING, SFA PERMIT NO. -Or-0301 DATE ISSUED <I.9~4:s:0( CONTRACTOR DjL. ~~ PHONE (;.5l-2.,t-,-j/?(? NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I I , FOUNDATION (Prior to Backfill) I 'K .llo-w., 5'!;:z.~ II ( I If?:;. , 5/.;1 j1)1 PLACE NO CONCRETE UNTIL ABbvE HAS BEEN SIGNED ROUGH - INS -tik~o~?/~~~1 , I SEWER I WATER I SEPTIC I FRAMING fir, I INSULATION J~ ELECTRICAL PLUMBING I t~ .~, (I) (g/DJ fh-, Ijel/ t /67" . HEATING (if required>1~, U 'br "iJl:f(or -(',.\#11"" r1}--, Millo/ P=J-./of$1 I FIREPLACE /?r 161M It> I /" /, I f.... ' I ~ /". I VI /'/ ~, GAS LINE AIR TEST ~. f, OJ. ~ ~ f7t--, /0;' ~!'tJ, " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED l~ ~. J6//,NOt I I , U I FINALS I GRADING (Prior to Sodding) ] I I BUILDINGf.~o.-t:;1 'tft!o1. fd;,.. \<'/"6/ " ELECTRICAL ' . 2! I PLUMBING ry/ I HEATING IiJ::i. , DO NOT OCCUpy UNTIL ABOVE HAS NOTICE /04r1n / /~/.1'0) IUIo{o ( I~,jtf( BEE~ 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 'shalll:.e placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ADDRESS \ 7J..r.:. ., OCCUPANT _ HEAT LOSS _ SOLD BY Electrical Work By TYPE OF HEAT O..,r.\\ dJ. DA TE HTG. INST. . HOUSE \)r'\~ "-- HEATING TEST RECORD APT. _ FLOOR OWNER JOB # CITY ~UBURB INSTALLED BY Go s Line By GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN MAKE Model Serial ()ry._~ -, 7""\ L-A,' D.3 L D ") 0 -:Loo \ A ('~ /, t..9ooc> ~",\J INPUT. CONTROLS THERMOSTAT \\....,-'-"\ _ Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type Pi lot Make Pilot Model Pilot Timing. L. W. Cut Off Q-:;lO'" \A<;"", Pressure \,r Percent CO2 _ Percent 0 L _ Percent CO Input CFH Stack Temp. -J-7 q 0- Form 235 2('. :l 7.0 - 0_ MAKE OF BURNER Model Mox. BTU Rating MAKE OF FURNAce Model Vent Size '-4" 6-v<---'t KIND OF LINER D,aft Haad <,- " Fi Iters Size _ I ("..x;;a.())I.. , Chimney Location Chimney Construction Inside Smoke Bomb Draft Door Pressure CONVERSION SIZE _NONE RegulaTor tt\.~.l-\-'" 3' Number Outside Wiring Test Tag Lighting Inst. Date Tested \:l-S--()\ Company Testing Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122 Nome of Tester \l.'t'\..,,",-- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 12./;9/0 I 9:3'd ADDRESS I 7 d-.fo c:: ~?,[} !JAJ' CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~ 0 WATER HOOKUP o INSULATIO N'" 0 SEWER HOOKUP I/DFINAL ~ PLUMBING FINAL fO SITE INSPECTlO ~ MECH FINAL ~OMMENTS: f}J.Jo, , ~~,~ ~:r:~ I. c.,o. -t..gJ B( \ lo'Z..- A-1MJ- t&.~ {j I - ~C I o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o '. +-. o WORK SATISFACTORY, PROCEED )1U 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. lNSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESs 1'1~('5 ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING (iJ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL }I( PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS@ ~ (i, . ~-~ lAM.li-v ~ ~ DATE TIME I~h/ /1: c-o {Jt-3o/ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o WORK SATISFACTORY, PROCEED )r CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447.9850 F;; fE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl II'ISNQTI