HomeMy WebLinkAboutBuilding Permit 01-0395
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5~\
Cll,TJ: ClI::::r.J:nlEQ.
111&-
.......
DIRECTIONS
SPACES NUMBERED 1 THRU 17 m....Qi. o:r.:. .-........:... 'IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESll2/no
<oJ I .5h(J ~ c,O V'L .pD;IL1-
3. LEGAL DESCRIPTION Ut6
J.4 -C-,~ J
ADDITION AbrJ..I-./JJ6/Jd~ D:J.k.s )J::il
4.07niKt.. Ktf;~ Kal'jJ (Address)
5. ARC~CT (Name) ~J J' I, J" (Addressl
f.:J1 anr;o ..-"135 JIJ(,.lg./iy;f1'il\ iJr, I..fJJIaA
6. BUILDER (Name) (1It'ddress)' '"
LOT
1. DATE
4-llrOI
R tSl)
PID25-'b~
(Tel. No.)
(Tel. No.)
-ta5J t<jj.~
(Tel. No.)
[Y'Qlj
1.
2.
3.
ING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13.~C~ION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
l.fY1wlIUA &-Dihers &N;+. 4/10 t~ Dr.
k SEATS
7. TYPE OF WOR Fireplace LJ Septic LI Deck LJ Rs-roofing LJ Porch CJ
Newconstructlo~ AlterationS~t10nCJ Finish Attic LI Re-sidingCl Finish Basement 0 16. PR9rECTCOSTNAlUE
Chlmneyc:J Misc. 1>ar.j.,'a.t Ul/ J:inish 4;(tJ,ODO
8. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS /1 O. CULVERT SIZE 17. COMPLETIOf( DATE
sq.FI.c51IJIIJ Width Depth Yes No 15D0::4I<;,~blo..Oo:Je.
I hereby certtiy that I have furnished in:. .....:..._,. on this application which Is to the best of my knowledge true and correct I also certify that I am the owner or authoni&d agent for
the above mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building o~can revo~thls permit for just cause. Furthermore, r hereby agree that the city official or a designee may enter upon the property to perform naiJed Inspections.
X -ry.m:'- u t11 t1>, au L :J.OOtji.l ::J,:::n i.I!f.ttJD..,
Signature U License No. Date
~SI-<J~il-4q33
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Frnn'
Bed<
BUILDING DEPARTMENT VALUATION
Side
Side
USE OF BUILDING
<":"'[dj-
OFF STREET PARKING
SPACES REO
SPACES ON PLAN
PERMiTVALUATlON4~1 ,"V'>O. I>> C)
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
1;/ $
Pressure Reducer .....lft............... $
MeterHom................................... $
Wate,Mete, ................................. $----12.~ ~
Sewer & Water Connection Fee ........... $ ',~""". t.::n
Wate<Towe,F.. ........................... $ '7CJO.(JL
Water Tap ................................... $
Builder's Deposit ............................ $ II'~ ..t9t'!J
::r;;~~~~i:~i~;~:jr~.li
Dete ~'~.{)I By ~
the request in the above application and .............., '....... ./lng documents Is In accordance with the City Zoning Ordinance and may proceed requested. This document when
. n"'~mporeryCe'll.1uprplie';:7~ows~ctIontooo nee. reoccupen ,aCertlflce ot
cItY Planner Date 'C.- 'V-J 1
24 hour notice for all inspections (952) 447-9850
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 234 ?
PennitFee ................................... $ ~ I (, '1~. s--
PlenChackF.. ............................. $--1, ~:~'1 . ,1
Stete SU!1:herge ............................. . QI!l 0 . DO
Penalty ....................................... $-
I (!)() . 00
/00 .00
05 .50
Sewer & Water Permit ...................... $-
Gas Fireplace Pennh ....................... $ 4tJ . 0 i) -
This II mas yl~ Building Permit Wh,n ~proved.
By ~ Dete -..1.f~.l!. - ~
Plumbing Permit Fee ....................... CI'
Mechanical Permit Fee ..................... $
Issued
This Is
s4g
City:
OCCUPANTI'
MATERIAL FILED WITH APPLICA nON
SOIL TESTS a ENERGV DATA c:J
PiUNG LOGS c:J PERCOLATION TESTS c:J
PLANS & SPECS c:J
SURVEY ["'J
PLOT PLAN ["'J
SETS
COPIES
? ~~:;g
'{S'.OC
//
651 633 8884
FIRESIDE CORNER
.........A. ".... "'......._...._......._
HEATING/AIR C-...'A..l'..n,iJ'.\J..mIFIREPLACE PERMIT
#7963 P.001/o01
~:~ S_I"'-'lITNO'I--c 39) I
(l'lcue l'J1I!. or_ oa4.... ot-'l
ADDRESS
3110
ZONING~IIOI)
RISD
SJ,t:A.J.... (lA... P....:.#-
(J
LEGAL OBSCR.~ .._.. (aftl.._'""" pi _
LOT.:2LtBLOCX I ADDm~()1yJr/g r-roLroak:t ~...J PlOdS -~7-().;2.l..f"O
OWNER
(Name)
(Phone)
(Addzas)
APPLICANT
(Name) ALLIED l"IllESIIlE DBa P'IRBSID!: __.....
(phone) 651-F;~~-"~
(Adllnlss) 2700 N. l"AIK\/l:P.W AV!IIIJE 'lOSEVTP."'.. toI'"
lit .. I (Cky)
(ContaaPersOl1) BRENDA BD~~ I (Phone) 651-633-2561
APPLICANT SIGNATURE ~IL '\ kI....~ DAn;
APPUCANT PLEASE COMPLETE BELOW
~WUJ,.,s....oJtTION OIW'LACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL.
FLUE SIZE ltE1t1RN OPE)(J]lIGS JNPlJT OUTPUT
TYPB OF ,s.....:.J HEATING OR POWER PLANT
~W~.^~~b ~s=m
~~. ~~,~=
vA.....'t C ~,.. " , J Special Devices
w,._u JOIhot Devl...
. FlllEPLACE MAKE AND MODEL tJ.., JJ (;6. ~1L-
--.----
nE ...........u..JLlt
InduslrioJ, CammoreJol ok Mu!li.l'llIIIlly .,,, otift cat! Raldlll\llol, 0.. Firepfll<O
"9.$0 ":".d.,,
kaid.nllol, HtaIlna" Ale (Ill"" CGnstIucrian) S99.SO Il.c.ldontlol, AddltJOIIslt. A1!on1l1Dn1
aaiclcnllol. HtaIlna Only (N.. CIlIIsIruc:tlom) S64.SO Resid,,"liol. AC Only
13.:'".,..ICeII$ Building PlmlIit /I
HEATING PERMIT FiB $
STATB SURCHARGE S .SO
TarAL PERMIT n:J: $
(om.. v.. 0ld71
This AppIlCJI*">1I B... " - YlIDr..IldIIIJ....IIWl1et1 A".,
.1
l~d
I OatIl P-l~/
Balldl.. omd.1
""It
Z4 ..... ...Ibr ai, [, . .,', -1'52) 447-9150, ro. (952) 4l7..t24S
-=.C.1'?
(Zip Code)
PLEASE NOTE:
Air Canclitioner thrill
CarmaI EI\cnIBdI inIo
RooqPincI Sid. VlIIlI
SeIbacb
S39~
SlUI
$39.'"
~U/~.<//D
liNG ~]'f..t
~.)>4:/1"
. -1JlPIe:->
BYac-
1/
,-----_..
.. .
\..& & , OF PRIOR LAKE PLUMBING PERMIT
Dite Rec'd
\\'0.\\ \~ ~\O~.
(P~IV" '1"--.. or-Ill
I ADDRESS "3 \ '10 'S\\ad~ Qo\lQ.. ?~ .
~:: ~ Il.L.....,.JTNO.OI___39~
I. "...... ........
I z'Ri5D.-"J I
LEGAL DESCRIPnON <_ _lNllyj . ~
Lo.p;2l./BLOCK I ADDmoNGf1(rilij_'u~d (ij;~ 5s-+~ PIC :Jc-3f71-0J..l/-b.
I OWNER.
(NalllC).
I (AcIcln:uJ
I ~:~~ANT Sc..ne.\e, \J\umoi~
(AcIdren)\..\'tCC ,-,dr\Q(\ c..\\c.\~ ~L
I (A "..fI.)
I (ContaetPenon) ~~ ~if
APPlICANTSIGNAttnlE
Qu.ntity
'.{
I'
J
\ .
I
. I
-,
(Pho"e)
(phone) <:\'5 d' ~L1l. ~7 3q
Plio\" ~ S'S,3r'J2.
(City)
1
I
\
(pbone)
(Zip Code)
LoI2-747-3083
~/31/DI
DATE
APPLICANT PLEASE COMPLETE BELOW
av.....~
-
TyPe of I'Ixture
8aU1 TUb witb or without alIower
15. . ,
tl '" I , , ~, ".,
"Icior 0rUI
I.A... (IsadIroom Sink)
L&lII1dry fray (I r:sr i computmelll .ink
shower stall
~ink.
I. Si"k
wnir Closet (Toil.)
'\
Type of Fbture
QuontilY
'? .
J
Rou~h.ins
Water Heater
Water Softi,er
Stand Pipe (Washing Mac:hine)
Sewaae Ejector
Bac:kflow Al$embly
llac:kt1ow Assembly Toll
!.aWl! Sorinkler
Other
I
RE SClDDIJU
Ind.".iaJ, Commetci.. 01; Mulll.r.mily 1% of job COJI willla S31UCI minllllUlll Relident,", :'Iew One" Two-Family 599.'0
. . ~aI. Addi'i..... '" "II....ioft. 539.'0
......... eDIt s ~ldina Petmil ~ 13 P.II
~ ~ fEE . . ~/"'/~'!. "'r"
STA UkCHAkOE S .SO Pf2r;,; ',.,. (
AI. PDMI'I' RI: S 'J I
(om.. Il.. 000'"
Thil ",pp'leattOIl ....... Your "lid'" .......11 W.... Approvlld
U _r...... ... aI' .
PIlG
~."'iDl No.
D . .
ole ~ -Iro f
8~
v
, (ftI) .,.,., III. (9511"'''2.
~~
White . Building
Canary . Engineering
Pink . Planning
Th~ Cnl~r ot lh. L.kr Counlry
.!ru.ILDING PERNllLAPPLlCATION DfPARTMENT CHECKLIST
NAME OF APPLICANT Cn7~&<D ~t:;;;
APPLICATION RECEIVED ~// hi tJ/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity WhiCh~~~OSjd at: /J _ . ~ /J .
:3./7()--~ ('lVG--~ovn;t; .
(/'
Accepted K
Accepted With Corrections
Denied f --Vi!? #'
Reviewed B~~
/
Date: t../- Z '3'-2.00/
Comments:
r2eJ a12 aJ!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,"
/-"",..~O.1( PR/O-\, <'.,.
_ l'
U en
'"
Th., ('.,nl.,r of lh. L.b Country
White - Building
Canary - Engineering
Pink - Planning
B.UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,}
NAME OF APPLICANT
APPLICATION RECEIVED
" /J/,) /J
'-/Y /' /:~/~'r11</-
, ,.""",,-, '., ,,(;..A;
,.
/ \
I' i /\ .
Ie/' I())
. Jr;) (/2,
'-/'/ (,/IJ/
/
'-'
The Building, Engineering, and Planning Departments have reviewed the bu!lding permit
application for construction activity which is proposed at: :
r, ../ .-1-
<~~ /7 () ......) Ill. t/9- ' ,'7;( / )1C
Accepted
Accepted With Corrections L-/'
Denied
~/. /11
~.t;~ ~ ..-?../~
Date:
L/ ~'-I /tM
Reviewed By:
Comments:
~~~.. . :2-L/ M- ~1J2gn)z;--,.A tAI~
,Ap> -F-~ ~W~ 1~4-~J uQlD4J
~ 0 (\>rVL (
}A~
to ~ ~~ fr--I'J ~"
"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 <>ther 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."
'-
Th..e..nft. Df Ih..l...k.. Counlry
01- S~)
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION Dep~RTMeNT CHECKLIST
NAME OF APPLICANT ln7~V/?<1) ~7A--
APPLICATION RECEIVED L/I/ hi tJ) ·
The Building, Engineering, and Planning Departments have reviewed the bujlding permit
application for construction. activity which is PfPosjd at: //. ,/'L A -+-
317()-~~ (~/J~
(/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
II"fJi3
Date: s:.Z2-cJ1
Comments:
See Reverse Side for Additional 'Information I
See AttaChments:
-
1) Grading Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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, Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Thursday, June 28,2001 3:17 PM
Lofgren Htg & Ale 651-4601208
p.03
....
,.
PRIOR LAKE
INSPECTION RECORD
.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 31'70 S~ ~ Q.\~
NATUREOFWORK N~ SFb
USE OF BUILDING ~ F"J")
PERMIT NO. Ol.::12.3QS DATE ISSUED '-/-'23 '~f
CONTRACTOR ~_~~ Q.........)-. (,,51- 469-<t<JB
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I <~:~~ I "-4-01
, FOUNDATION (Prior to Backfill) I ~ \lOAM (, I~O{ I 1,U ~-;;lO\D\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH .- INS \
SEWER/WATER/SEPTIC ~~t'Wfl.\ t'l\~lrt
FRAMING . '1:.~\J f;1~cf
INSOLATION 1S \'.""""( . ~ '~{bll 01
ELECTRICAL . l J
PLUMBING ~60~ ~L, O.
HEATING (if required) ~'l ~~ .J!
FIREPLACE ~'\ 0f?JD I
I GAS LINE AIR TEST "t. \i~ t31.;dof
\ \ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/1115 J 7.1 r/~,-- J ~
~'\~ ~~ ID~IO/~
\\:'=
OCCUPY UNTIL ABOVE HAS ~EN SIGNED
NOTICE
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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, caa;l shall be placed near main entrance.
. ?
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
lertifirau .. of ~crupanty
C.l.l ~ OF PRIOR LAKE
J)tpattmtnt of .uilbing )n.ptttion
~Final Pennitted 0 Conditional C,O. Expires
This Certificate issued purnlQ1ll to 1M requinmellt. of Sectioll 307 of the Ulliform Building Code
certifyillg tlrGt Ql the time of iUUD1lCe this .tnu:tun ..... ill compliDnce with the WJriOIlS ord/nonce. of the
City of Prior 1..oIu regtdDlillg buildillg COllStnlctiOIl or IISe. For the followillg:
SINGLE FAMILY
UseClusi_
Bldg. Ponnil No
01-0395
Owner ofBuildi..
R3 TypeCOIlIlnICtion _ VN .FireZone N/A ZoniDgDiSlrict R1SD
L24. B1. NORTHWOOD OAKS ESTATES SECOND ADDITION
'liteAddress 3170 SHADY COVE POINT
C<euponcy Type
Leplt_,,',:..
c."
"..'.N......tAddress.MANLEY BROS.. 4179 ETHAN DR.
ROBER~ D. HUTCHINS ~ City"""';
IluiIdini Otfic:ia1 .
/t'H()- Ol- Dote: -
EAGAN 55122
DON RYE
o.te:
POST IN A CONSPICUOUS PLACE
DATE TIllE
CITY OF PRIOR LAKE to,O
INSPECTION NOTICE SCHEDULED
ADDRESS 3l?O S~ (Ok ~t"l(
(
OWNER CONTR.
PHONE NO. PERMIT NO. t)( -O~qS-
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
5r1d /1';"t"'C'5
COMMENTS:
i ,.......
U6)"c\-,k
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~TJ
I(.Y
)if WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: !If? (D -{O-OJ- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
IHSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
//),;).51-/ d- ;0-0
~/"10- s:~trCJJue/
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
(- 3QS-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
AJJ SEWER HOOKUP
t\~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: I'
v1:io.u D \Akp .}ert).t:'
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTIO AND PROCEED
o CORRECT . ALL FOR REINSPECTION BEFORE COVERING
Inspector: _ ~ Owner/Contr:
.......L../
CALL 447-9850 FOR THE EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
11WWT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
la-&J-/ 3:~
3!7d -JIz.~ ~h7~
{I'
DATE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(- 39S-
o FOOTING
o FOUNDATION
o FRAMING
/\ 0 91SULA TION
tr P'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
i,o .wp_ (~,O~/AAi\t-.:t /' ~.Ql.o7....
1mfu'\AIl' C~1-.~
. l
TheM,
~l W\l +~f~A'- ckueflJfW-,QJA+-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKI CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ ~ Owner/Contr:
CALL "7.9850 FO~ THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
JNSNOTI
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
II/a rc-
TIME
DATE
ADDRESS
~t70
'7 - ~ ~ q....,
Shadlf CJD u~Pt-
I
SCHEDULED
OWNER
CONTR.
PHONE NO.
1- ~~::i
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI ~GRAD1FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
taf-z..
(JLI/l- 7133
, v --
COMMENTS:
I<(pj If r
(
6.Nv/,~ r>r
Cu/h &i<-cY~
.5rfT
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ - -...cl.wner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
lliSIWTJ
Job AddnlIa
';k
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