HomeMy WebLinkAboutBuilding Permit 01-0703
(Please .!VP~ or mint and si~ at bottom)
ADDRESS
3437
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
..<:,,,, ("-""0 1"'(..
], White File
2. Pink City
3. Yellow AppliclUlt
irc..J
J\V
LEGAL DESCRIPTION (office use only)
LOT BLOCK e ADDITION LfJ7()LJb///tJrJ~
1
OWNER "%~'" bw-l"" T\,. lLc-k) to
(Name) 'I
(Address) J'j.J7 .s '-1.( to. MAYc.. - " .J.~
\tkl
v -
BUILDER fc.rl. DJ [rw, UI;""\.
(Namp\
(Contact Name) L.-l Dnv..'1&~~~
J
(Address) NaH R..,.t'Q/--' ~T .vE.
J
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
(Phone)
Date Rec' d
6~ozs-o/
ONING(officeuse)
f?/5D
PID $~fJit~(}I-3--D
(Phone) 9.s;< -
(Phone) ~
'-101.
<.oM.
'1!,'IS
33~1
O~'l(
c.tlI
ODeck JIlporch ORe-Rooling ORe-Siding
o Frreplace ~Additlon ~teratlon DUtility Connection
PROJECTCOST/YALUE (excluding land) $ !fJ6,c)u(j ""
x
, t'l <)tyx'>. f..?:L
$ '1'3. 15"
$ (,C{~. 'i4
$ ~.~
$
$
$
$
$
'10 nn
~Cl/).~l(r.z
Contractor's License No.
I Paid /
I Date'
"'7z9 ~q
1-/3 .: f') /
I hereby certifY that I have fumi hed 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 ve en' ned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans a ar at building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th 0 n eded ins ec .
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fi~lace Perm~ Fee
J _ I
li . In');e~CdingpennltWhenAPproved
/ 1-?~7kJl
Budding OfficltlI 1 Date'
I
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE C41ttr-JJ 7-/2.c/
#
#
#
#
t-IS.dl
Date
$
$
$
$
$
$
$
$
$/12..'1. bq
/ , J
I ~~c~4-0//4-
I
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 allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Ql4... J/L ....___~ _ ~ /c;, .kn
Planning Director Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~~
White - Building
Canary - Engineering
Pink - Planning
Thr Crolrr of thr lakr Count!')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
hA f /) I~
&-.J5'~OI
~'7M~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is .proposed at:
Jlj3'i 0~~ <fAJ
Accepted Accepted With Corrections ~
Denied
rdL
Date: 1-3-~(
Reviewed
Comments:
-Dp~ ~iM.&k ~
Arl~{~~~~~~~
"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."
5~~
White - Building
Canary - Engineering
Pink - Planning
Tht' ("..n..., of thO' l..k.. ('oUnll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,.'
,/~ .1 (:
/
Ij:}l{.l ~
APPLICATION RECEIVED /;7 - ; .5 - :' I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;.; 1/;) J/' C /
,..)1/ .:J ' "",)/r,:/J /1/r'7(;.. -.::.; .J,--,
I
Accepted
~
Accepted With Corrections
Denied J II
RevieWedByq~~ ~//__ Date:
Com nts:
? /t:/&1
ChH/9 ~ PbrC J.Il +--~ .M.,,1~~<;.
~~-s:. q---~ . .
"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
REA TlNG/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:" ~:~ I PERMIT NO.
3_ Yellow Applicant (1/- OJ 0 ~~
(Please type or Drint and sign at bottom)
I ADDRESS
3'-1 37 .<:\1 ('lorn o~
~ I
LEGAL DE~RIPTION S9ffice use only)
:So t. d-- cJ}tuf1o f (2,.
LOT LOCK ADDITION
Ir-
ZONING (office u")
1< I 5f)
PID ~S- - t!Jq~~()P?J-c
OWNER
(Name)
(Phone)
(Address)
APPLICAN'Z I
(Name) ~ I "
fJ <,cd; I.:1f/
(Address) 3'6'52... ~}-c;A'\A 0 sr Sk..-J
(Address) V
(Contact Person) fl)-fl d A to".erI
APPLICANT SIGNATURE t-{.;-?~ ~ )
--
(Phone) Cf5).. - l/ '-J 7 - c., I 'if?...
4,'01- .i_f... ~s:-.5/::z...
(City) (Zip Cocte)
(Phone) t:d;:).- 3C,? ....3~:~c;
DATE 1;/~/OJ
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT (S('ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS 2. INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation /1
o Special Devices V..- f f0 YJ
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 & Ale (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-
$
$
"u P,~'D \.-1'1""
.., ILD'N v,H
.50 'G PEF;.V.fr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date !4~ () I
By ()C/
1/
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1- /Cf-O/
(Please type or print and sUm at bottom)
ADDRESS
3~ ~"1 -::S, ~ ""'M.(),..~
sT
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
/'1#Pc,6 fVtJot)
APPLICANTr--,\ l I ~
(Name) \' \.>...",,--\6I!.)c:... "'\""~
, I ~
(Address) '3 4. t) N.......<.....V..., ""-~" 0..)
\ "\ (tddres~ ~
(Contact Person) ~\'-~~~ (Phone)
APPLICANT SIGNATURE V~ '\Z~ DATE
APPLICANT PLE~E COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
I Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
OWNER
(Name)
(Address)
Quantity
'::!:,J '--
-^ ..
j \. . .
I
I
I
I
I
I, Blue File I PERMIT NO I
2. Gold C;" . 01-07^"2
3. Yellow Applicant V--J
ZONING (oftk,",,)
,elsO
PIDZS-o'1l3- 0/3-0
(Phone)
(Phone) ~;;to - s: ~l -1 9.. ~ 0
H. \.L. -k.l\' U -;'0 .) "'" .;) -:.. ~ '\'t:>
(City) (Zip Code)
It. \~- ~C:l ~, "( ~ "( '-(
,/1.,/0\
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
.,.P
Estimated Cost $ S- ~ 9 $',-
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This 1rJII~om.es Your Building Permit When Approved
rUf/lfl~ 1-/1-01
I Buihling Official Date
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
[ PAID WITH
BUILDING PEF.iV,.f
l
$
$
$
.50
~
Date
Rece~
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
"
SITE ADDRESS -:?rXIJ ~,\r~- ,",-o~.1 r--'.
NATURE OF WORK AJ),\J'j'(.,,>AA.
USE OF BUILDING s: ED
PERMIT NO. n ( -0, 03 DATE ISSUED )-:?-2at, (
CONTRACTOR .h~/<I. n& PHONE(.I2.-t(("I-"IJ.P.L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I 1:s ~OR I 1.)~;)
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING bs~~
INSULATION
ELECTRICAL
PLUMBING e...J.1/1..tfllJl
HEATING (if required)
a~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, frMJ.. fi'l4..~. ~, ~ sf/~tb I I I
FINALS
~h~f
A
In
~
. ~lan.u;:{Brier b... 'S'.:..-Jng)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
4
~.
,
i/
I
OCCUpy UNTIL ABOVE HAS
NOTICE
.
L..'.' ~. r@, ~ ?/17ft,
?/IS'~ / .~ 9#0,
r//3/al
17/5"/0/
/,;l/~ 7/01
IzI/ b If)(
dJd-71o/
, .
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 shllll be p!aced near main entrance.
Call between 8:00 and 9:00 A,M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
l~7,41 -L/.':1o
,~L/ 37 ~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DI - (tJ3
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION Af:}) 0 SEWER HOOKUP
~ FINAL ~ ~ PLUMBING FINAL
o SITE INSPECTION (l.lJ'" '" MECH FINAL
COMMENTS:
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
GASLlNE AIR TST
o
,
~ WORK SATISFACTORY. PROCEED
o 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.30/ 37
L_
,
CONTR.
d"'lL-
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MEcH Rl
o FRAMING @) 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~ PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
, ..1m .I'l,,"___r ,
COMMENTS: UtA. J ~
)l1WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE TIME
Izkdf./
9:70
dl- 763
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
h
.
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;'-137 Sy(..c,molt Tr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
C'V"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6NU/~ - u K..
DATE TIME
'1../11-03
[or I DJ
6/- 70J
~XJ~ILLING
o cOMI'[AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY. PROCEED
o 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI