HomeMy WebLinkAboutBuilding Permit 01-0325
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!)'De or print and sign at bottom)
ADDRESS
-.f-V~ 9
I. While
2 Pink
3. Yellow
File
City
Applicant
;rJCUc//V Ct?C/"'f r ~
LEGAL DESCRIPTION (office use only)
~<J~ 3 ~/V/r 9
~ HT flr'l(.
L/J-I- ~,
OWNER '
(Name)
/
Date Rec'd
')jl
ZONING (officeu,,)
1<. -1-.
ADDITION
KL.-- \
..q~~<J
-f)Ppx+ Ie .i:J
..;-
~~c
_ I
c5 r- a.
PID d5 - ?:f)3-nO'?)'-i.)
(Address)
BUILDER
(Name)
v?.-(?. ~~ ~
TYPE OF WORK
OLower Level Finish
o Fireplace
o Mise.
x
/2._
t7
Signature
Permit Fee $ 797. ')C)
Plan Check Fee $ S I ~ ..s-<?
State Surcharge $ 3{.. .00
Penalty $
I Plumbing Permit Fee $ I~ .00
I Mechanical Permit Fee $ 100.00
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $ fu.oo
plic tion Beco(J' Your Building Permit When Approved
, /'=- f- y- ?n-->(
fficial Date
,
o Deck
(Phone)
(Phone)
6S7-~S7:-?/5;;'
~
OPorch
ORe-Roofing
(Address) \.3'Y~ ~~ ~ ~~"",.".
/
}XI New Construction
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
=-?~.5Z;S7
Contractor's License No.
7~ax> .0(3)
I I Park Support Fee
I I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Size 5/8"; 1 ";
Paid
Date
~'IfZ. Z,7
~~!J: ,J I
S5>"..:? ~
ORe.Siding
#
#
#
#
7d? /.?o
-.f'-<~-CP/
Date
$
$
$
$
$
$
$
$
/~fSb .l':i:C~ I
I. ( SO on
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 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.
~~
I ~~ceiP~J\,J 9 ':)() "
tfV
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mal proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
.iS~'~g~;r:t~ LI/UeL~( ~ecC~h:;~~rr-~~
24 hour uotice for all inspections (952) 447-9850. fax (952) 447-4245
J . ?~() -0(2)1
. 7M .00 I
-0 -I
I
$5. 4-9Z. zq I
......
~\
White - Building
Canary . Engineering
Pink - Planning
Thr Crnlrr of lhr Lab Counlry
aUllDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U 1<' cW 0 rl-t) D ~-L'~
APPLICATION RECEIVED' ll_ .~- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~. '--/09 +fj.w;1) (~f ,<; E:
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
MM
Date:
Lj-b"-Ol
~e.-(.. tv/c,/',.. ~/(~
"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."
ThtCtnttroflht 1..ktCounlry
White - Building
Canary - Engineering
Pink - Planning
WILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D 7< #0 rfrJ 0 Il'vC-
APPLICATION RECEIVED' 4 _ ,~- 0 /
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ ,-/09 ::r (buJ/I) (2f- .5 E
Acceptea<
Accepted With Corrections
Denied --; /1;;) ~
Reviewed By: (JE! /2YJ-}-T .
Comments:
-'
Date:
'-f-'1-Caof
s~ ~ J.{c4"" 0 La
"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
Tht' Center of lhl' L.b Country
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C)
I
!
i
.or,' ,/\
,~.-_.,.
"> f
\ '
APPLICATION RECEIVED
11_
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I -,
/. II
J
-"
> ^)
" "
/ i.J/
If
1~
) t_..",
Accepted
V"
Accepted With Corrections
Denied I'
Reviewed BY:~~~":? ~ ._-
Date:
l//lsto{
>.
C~ents:
~ (.bnbV~S ~ ~t91HJ) ~ ~
s:tlp AJbJ;..< d! -,-)4.t2p. fiuM vVlf>b/~ Cvvve. #
"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
HEATING/AIR CONDITIONINGfFlREPLACE PERMIT
Date Rec'd
(Please typ~ or orint and sign at bottom)
ADDRESS
54-D1 H1Wn ffiPMDW tUXVfJ
; ~::" ~:~y I PERMIT NO.O/- :") -, rl
3_ Yellow Apphcant Oc;t<.....J ,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT q BLOCK 3 ADDITION
pm
~::e~R 'l)f( \-iny-fDrl
(Address) '?;J~ W{l~ Prv(,
~;;~~ANntLam- mecJ10v/ll/ttU
(AddressL 3tIJD VlYWlfbff-,,'l)( _\lllfe, \
r. (Address) . (City) (ZiP Code)
(Contact Person) Jftnt0A _~ ,~. (Phone) Ii/S I '-152--2--776
APPLICANT SIGNATURE ~h f/ LJfYI1n1Ytr/tlI1 (/YlM) DATE tJ/Z3/0 I
'IJ V
> APPLICANT PLEASE COMPLETE BELOW
[Bi'ffiW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL g,.~J.- 2,g~kJWD2Jlbl D FUEL tJ::thu-J
FLUE SIZE L-\l\ t.IQ '33 B RETURN OPENINGS LJ- INPUT 1D, DDD OUTPUT 51.01 bDD
SJuk 2nd
(Phone)
~ Mf0 55/l2-
(Phone) lit51 452--l1-75'
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
@ir Conditioning
GJXi:nt. 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pettt1it #
REA TING PERMIT FEE
ST A TB SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
13UI&'O WITH
. ING PERMI;
(OfficetJseOnly)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Building Omchil
Date
Date I
C; -l/-6
BY?t-
{/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
GENZ RVAN PLUMBING AND HEATING
p. 1 9/41
An, 2, 2001 10:12AM
1-
2.
3 .
. . 4.
5_
6.
No.0911
....1!.EII-PIi..E"
ye....ow - .......CAIrr
c;OLD - aT"
CITY OF PRIOR LAKE NO.Oj- 3~C:;
SEWER AND WATER PEllMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:"&n.;.- ~f)l'tuvnb'..:.c__ ~Alf'_ PHONE:j.;,5i-42:&-,,4l.l
ADDRESS: 14,UE,SQ ~.,._r ""7'"" (?,..<.tKlolJlrlr "'-'o/di DATE: Ld210J
SIGNATURE: IA. h~\l 0__ _ BLDG. PERMIT 11
- - fL<;"e
SITE ADDRESS:F. ~u.:>"-) ~ CV/ft5#
Estimated length
FILL IN THE BLANKS
- 40'
ot water service
II
feet.
size of water service
inch (es) .
Location of any couplings from s~ructure
feet.
Type ~f sewer pipe. ABS PVC ~
/ IT". I
Estimated length of sewer lin~~_J
Clean out (if required), loc\ted
structure.
Cast Iron
feet.
at feet
from
=~=============~-=~~~==:~----======---~~~====--====~====----======
This application becomes your permit when approved.
BY
Dl\.TE:
FEES:
-==~-=~=~~======--~----~======----------====----==-----==========
$
S
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 building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. PAID WITH
DATE PAID ;:; - Lf -0 I AMOUNT PAID ~'LD'NG PER:';;:T
RECEIPT # RECtD BY ~
,
. 4629 Dakota St SE., Prior Lake, Minnesota 55372 / Ph. (612) 4474230 / Fax (612) 4474245
AN P:OlJA1, ()ppC)R'TlINTrV FMPHiVFR
Apr. 2, 2001 10: 13AM
GENZ RVAN PLUMBING AND HEATING
No.D911
P 1:1141
T1Io: c-~ ..{ dN- I.M c...lllry
PLUMBING PERMIT
Applicant ~2.- f.2trn PI ~ ~~
Address: 1!J::ll L<==.., ~ ~ VI T '\VLl_
Signature: \A.. 1 ~ _
Legal Description: Lot~ Block Sub
Site Address: 5-irA En..uu lA./V.. ~
Building Permit # PID #
NOTE: This permit wjll not be p,w~~->..d without complete information.
FIXTURE UNITS
'#
Phone: I nF-j - W 7 ~ -111../-0
Il,,::<..t \if'b1-..LVlT ~.J.dl.
(, Blue fU..
:l. llulol G<y
3. YillIIcJw AppliCUlc
/)/ - .302-S
CITY OF PRIOR LAKE
'0e-b;f;' aD ?,-u')
C I ~ 1 tf? ,/(1 <::1..F':
- -=
....')'
.-
Quantity Type etFudure Quantity Type of Fixture
I 8ath Tub with or without shower Rough-ins
\ I Dishwasher Water Heater
1 I Aoor Drain Water Saflner
3'Qp. I Lavatory (bathroom sink) I Stand Pipe (washing machine)
\ I Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
\ I Shower Stall I 8addIow Assembly (RPl, Double Check, PVB)
I I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
~ I Water Closet (toilet) I Other
FEE SCHEDULE
> Industrial, CommercIal & Multi-Family
(1 'Yo of job cost, $39.50 minimum)
Residential, New One & Two Famiiy
Residential, Additions & Alterations
Slate Surcharge
$99_50
$39.50
$
$
$
$
.50
GRAND TOTAL
$
This pemut is gnnted. upon the express condition that slUd
cortrnctCf. shall comply in aU ~tS with the ordinanc:.e:s
fJ~ the ~Qtc Plumbing Code and the araendmerttsr=f-
, RECEl'PTNO. t) - 4-0 PATE
()-f/ '-;Tl'EST
Call for all iD~tioDs 24 hour.; m advance:
. BUI~:SG ~TH
ERMIT
16200 Eagle CreekAv. S.E., Pnor Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
. AJJ. Equal OppOrtUnIty Employer
10:47 651 633 BBB4
FIRESIDE CORNER
CITY OF PRiUR LAKI!:
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
#0796 P.005/008
LlI....C J:'CI,;. "I
1. rill"
~ """"
'."f""_
~:; I PERMIT NO. _:L d 5""
Appl~ I J
(Pleos.~ '" o,-in' oml8l... albollom)
ADDRESS
:540 q ~-=\a....n. CJt. .5E
ZONING {.mee"""j
11<J....
LEGAL DESCRJPTION (om", II.. omly) I r
LOT 3 BLOCK ( ADDITION D! j J jA~(Q
. -,-- IJ .-
Pro,?) -?/1=5-/)j 3 -()
OWNER
(N' B,me)
~~h..
(Phone)
(Add,ress)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(PhaD,e) _ F.;51-633-256J.
(Address) 2700
No FAI~W AVENY~
(Address)
6RENDA HUSTON
~""TT,T.F _
(City)
651-633-2561
~C;J '3
(Zip Code)
(Contact Persoll)
&n..I1.
~~
(Phone)
DATE _,r;~/""
APPT.ICANT SIGNATURE
APPLICANT PLEASE COMPUTE BELOW
!l;a~EW cONsiRixliuN U REPLACEMENJ 0 AL '''M "ONS
FURNACE MAKE AND MODEL FUEL
FLUB SIZE RETURN OPENIJIlGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWBrm Air Plants J 51."'"
DOlllvlly J flo, Waror
o M.ehBlliCllI J R.diB1i,on
OAi, ConditionJng J Speciol Dovi...
OVent. 5YSte:Ill J ,D,her Dc:vices
FIREPLACE MAKE AND MODEl. 0 J:..LAI JJ c; ec. .sL'7 /JlJ77L.
PLEASE NOTE:
Air Conditioner IJnits
CllIlnol Encroach into
Required Side Yard
Selb~ks
lodu",l"J, Commercial Ill. MulrI.Fwnily
FEE SCHEPfJLE
J% of job cost Residl:ntlal. OlUl Fircpla,ce
539.S0 minimum
$99.50 )l..sid"'liaJ, Additions ill. AIIZI'll,tlons
564.50 Residential, AC Only
539.50
Rosidenri.l. Healing &. NC (N".., Cunsln,etioD)
ResidenTJ.I, H.,..,ing Only (New Cun'trued.n)
539,50
539.50
ESI;mat..d Cost $
Building Permil #
HEA TINO PERMIT FEE
STATESURCHAROE
TOTAL PERMIT FEE
$
$
is
,50
,,<)
"/ '"Y/.
o,?k () It"
Q,o~
~~.
I Rec:~o. lt~;-
IB~
U
[orne. u,. O.ly)
TIlls Applltotton Detomes Your Building Permit When Approved
BJljldil1C omdJlI
D.t~
I Pai"d -
I Dale<;;>:
()-- d-I~ (
24, bou. notl.. ru, alll.nspectlo.. (95.) 447-'llS\I. rax (952) 4<17-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~L/^q ~~ ~) c.J-.
NATU RE OF WORK Ii ') dl...)
USE OF BUILDING S FA
PERMIT NO. n 1- tJ325 DATE ISSUED t.f- q -~ (
CONTRACTOR 7)}{ ~.~ PHONE ~'l/-'7~~M~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I'Ano er.... (" r %/I)( I INSPECTOR t:!-; I 5"1z,( ~ /ATE
, FOUNDATION (Prior to Backfill) I r (, ~I~ I sJ Is/. 0 (
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION 4--.t~ ~ 1/V/lll
ELECTRICAL
PLUMBING SlvJ.o, tJA. ~ f.?!"5"!~1 iti, 9A/-g/
HEATING (ifrequired)r(lh1""':t-&... Idr. .::.7r?/or ~-r"""':'. ~. ~/(JI tR, '1(~ (ot
. FIREPLACE t;r..r. '1/7/01
.GASLlNEAIRTEST M..-l,P,P, fIA.. ,1h/~)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'~/_<J ~ ?f.,,)IfY~1 I
" FINALS
GRADING (Prior to Sodding) IJ f:J
BUILDING 1.C..Ol 1i1.f )1/01 /o~ Ifr. /o/clrJ-/o/
ELECTRICAL I
PLUMBING
HEATING
DO NOT
~/
m-,
CPf'7(a,
1/10/')J
P0
/I-b-O'
C)- p-J-
~
J$' /o-/?
6-. _ /{)/./d}~/
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 placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
HOUSE
ADDRESS -Sll(')Y -J;WVl (t"I,.lrl- ~, I':' ,
OCCUPANT _
HEAT LOSS
SOLD BY
Electrical Work By _
TYPE OF HEA T
DATE HTG. INST. ~hl
HEATING TEST RECORD
JOB #
APT. _FLOOR
"WNER
CITY
.SUBURB
.INSTALLED BY l=" ,r-od;::,c,-,!<-t,,~
Ga" \' \\ ~
_ s Line By
GA _ FA -X-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
CONVERSION
li \- GAS DESIGN
MAK E __
Model r,t\)C8-~OI~
Se,'.I,"1;n,\ (n'-~
INPUT .c.-( nf-f..-{'--, _ \-\
CO!'i;rROLS
THERMOSTAT 1-ID,'~'i0)ii.\-t~~t- Plug_
Valve \ _iVl,~ "":f,,'K
Limit
Limit Setting _
Fan Setting
Pilot Type ./
Pilot Make S \ .
Pilot Model '\"\. _ y
Pilot Timing _
L.W. Cut Off
Pressure .~ ,..c;-
Input CFH
Stack Temp,1S-3'1'
Form 235
- Percent CO2
_ Percent 0,
_ Percent CO
'?s, Z
L..4
()
MAKE OF BURNER.
Model
Max. BTU Rating
MAKE OF FURNACE
Model
Vent Size L\ \ '
KIND OF LiNER
Draft Hood
Fi lters Size
Chimney Location
Chimney Construction
_ SIZE
_NON~
Regulator
_Number
Inside ..><:::1 _ Outside
Smoke Bomb
Draft
_Wiring
_Test Tag
Lighting Inst
Door Pressure_
Dote Te.ted In-\\-u\
Company Testin9"AI!iRnt Mec~~n.ic(1l, 3650 Kennebec Dr., Eagan, MN 55122
Name of Tester ~ l ....J, \ '.
10-/7- f
r~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
6t!cC;-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
COMMENTS:
IANf~~ ~ J)
~~ ~'~
DATE
TIME
;:30
1- 3 d.-,)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORR T ACTION AND PROCEED
o COR EC' )WORK, CALL FOR REINSPECTION BEFORE COVERING
'7
Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE DATE TIMt /")
INSPECTION NOTICE SCHEDULED c? - 0;; - ;)., ! ~ I crO-:J
SJ/O?- 10 -:;''21-077 rn_J'i(rj,;J;uF
ADDRESS K L/09 - / J 'ff.bU J77 (I r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O!-03d.l/-3;;S-
..5~<D - ::JeJ-7
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,SI- /
(//(
(j Ie Sf?
f(\ ! J
'~ /
f i "---""""
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
I) I~
I ,-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
OwnerlContr.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_n