HomeMy WebLinkAboutBuilding Permit 01-0439
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . I"l J
AND UTILITY CONNECTION PERMIT f)- J-vy
(Please type or print and si2l1 at bottom)
ADDRESS
5436" r-~u..:>() fill I nrfnu.."J f!..LLnu
LEGAL DESCRIPTION (office use only)
LO~~ llLOCK;) ADDITION
~ \ c:t<6'- g
D.o P r c.', l,-.j
OWNER
(Name)
(Address)
BUILDEll.
(Name) ~"') Q
H(")~ . TnC-.
(Address) :Jc::JK/,,/) IU-r\bnd~ Ok.
TYPE OF WORK ~ew Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
J. White File
2. Pink City
). Yellow AppliCllJIt
I PERMIT NO. 0 l-ot.f3!/J
~t=.
ZONING (office use)
R~
v-.r-i+ yo
;;;;,...d
PID::i5-.3 13-0/S-0
(Phone)
(Phone) fA&)J -c'J5r/> - 0..l3..fL>
<:.Jp. /Ill)
.
Lfl.1Lt?_ V tI J {7 _ yY\ kJ
55bL/4
OPorch
OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
PROJECT COST/VALUE (excluding land) $//7 Sf. LfZ;>l)
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 y.~t'''''.J and that all construction will conform to all existing state and local laws and wi11 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
;ter7;i:::::,:rfO~~m;~ctions dODO 6IP 5 r; l' -,:;) - 6 J
{/. signature Contractor's License No. Date
$-5: t/-L//.f.oq
. .
I RecefP' d 7 t.r77
B'V"': /'
I.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and miY 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
issu/~^
~'",....-a-.
, Planning ofrecto;--
(, e, C>c9<9 .C!!n)
fIli3 f oCt.. r./U I'
t:;(')() . 3<.( 1
3c{.06 1
1
1
1
1
I
1 Permit Fee 7(./1.'] S- $
1 Plan Check Fee $
I State Surcharge 1 $
1 Penalty $
1 Plumbing Permit Fee $ I DO . t9 0
1 Mechanical Permit Fee $ /00 .0 i!J
1 Sewer & Water Permit Fee $ ..fir (;) _
, If)~f:~_~;~~
~~Official Date
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
1 Builder's Deposit
1 Other
I TOTAL DUE
#
#
1$ A S'c?001
1$ 1.150.C!)o I
1 $ ., I
$ --- I
$ /.?.oo. CO I
$ ., 7a::>.Od 1
$ ~ I
$ 1
I
Size S/8"; 1";
#
#
I Paid Sl/4..!:f. 0 '1
I Date \-/V-.O I
sl ~l /61l
~_~~ r~k..~~
Date _ - '- 'pecial Conditions, if any Jt _ __ _, ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ \. 1IOv\s
Th.. C..nlero( th.. L.k.. Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLlCM!ON DEPARTM.ENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
Jj F< j.J t) r I-o/J If-(:..,
<.~-- ~-ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
S '/35 ;:aWAI Iflfl4!OtU ~~r ut:' "'~ f
Accepted
....----
Accepted With Corrections
Denied '1
Reviewed By: G ~ ~~
v ~
Date:
, -r //O(c; (
Comments:
~ ~ H~ 6't.fJ 5' ~tUVv\
&l!e- ~ ~!ll~~ ~ -~f(iYZ'
1
f
"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."
Tht Ctnltf of Iht Lakt Counl..,.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
b 1< IJ tJ rlolJIjvG,
S-2-o/
. The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S'I3S FaWN lJ1f'cdoa..) &rue .s f _
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
AIIl- fi
5( e... IYIc,/~ [::,'f(
Date:
S--if-CJI
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."
Th~ C~nlu of Ih~ Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION OEeARTM.E.NT CHECKLIST
NAME OF APPLICANT
DR lJorlo/J Iu."
S-~-ol
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SL/3S FaWN IY/f~1U ~rue s;;.
Accepted ><
Accepted With Corrections
Denied /) /}/f( J..
Reviewed By: C~v~
cozs:~ (YI~ ht
II
Date: _ S - 9 - '2so/
"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."
MaY.14.2001 2:10PM
GENZ RYAN PLUMBING AND HEATING
No.3810 p. 10/13
Date Rec'd
CITY O:~:r.JJAn l'LUMBFNG P~~T
.:.; '.. .
~=- E- r'ERMITNO.O/_ 1/3.1 I
.
-~~.~:-
l1'la.c """'- ..._004 'iF a< boar>m)
ADDRESS . ". ~,;,
e;U9-F> r::~: ~ t... \ '" ~ 0 .cW;~~'1A 'I C' U 1(' \(7. ~
- , -
ZONING <oft5<n..)
1--;;z.
LEGAL DESCRIPTION (oma:... only)
Lor 5 ~BrOCK -d-. ADDmON ~q O~{1 0 l1 ~ \.Ii \ \a.. "-
OWNE~ _
(Naxnel-L,Y/. ~~
. (Addxess).~ \. A.J~" ~, ~ 2c:J...!.
PID95-373-Q/S- 0
(Phone) ~ ~ l.J&'-U.-11\ ~"::2.,,
C::f1~ ~r7~7,
APPUCANT
(Name) (,-.yo J()Z:- f?&!!? Y' (Phone) _1.....&;; - l.f'2:r-.- /Iltu.
(Aadress) 1 U..,U~ Sh ~ '\Y1 1. {I O';Q.lfY"'t')t J Y"rr'"' ~~ ~
- (Address) (City) (Zip Cock)
(Contact pasoo.) U\. ). MJ ".~ (') l~ " (1'hoo.e)
APPUCANT SIGNA11.lRE \ ~ _ fu ~ - DATE A \ I W In\
. APPLI~E COMPLETE BELOW
I Type ofFixture I Quautity I
Bath Tub with or without shower , Rough-ins
I Dishwasher I I I Water Heater
I Floor Drain I tZ../ , I Water Softner
1 Lavatmy (Bll1broom Sink) I /' I Stand Pipe (Wuhing ~hine)
I Lauudry Tray (lor 2 c_~......;"'ent sink I I sewage Ejec:1Dr '
I Shower Stall. I'" Ba.:kflcw Assembly
I Sinks , llacIdlcw Assembly Test
I Bar Sink I I Lawn Sprinlder
2- I Water Closet (Toilet) I I Other
Quantity
,
t
I
2.
I
i
I
Type ofYuture
I
I
'1
I
I
FEES~u....E
lndllStriaJ, Commc:rcial &: Mulll-fauljJy I" of job coot wlth & $39, $0 minimum RostdlO1Ual, New One &. Two-Family $99.$0
Jl.osjdontial, Add/Ii_ &. A1tetaUoas $39.'0
Estimated Cost $
Buildinll Permit II
SU" "!-'D WITH
'- ~/NG PEr- "
n,Vllj
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.so
(Ollleo V.. Qaly)
[ ThJs Applicatioll Beeo.... Your BulIdlng PermIt WhlOll Appro"ed
II...
IPaid -
I Dahl L; -IS -I
Receipt :No.
-
B.uJdias Ollla..!
'B~r _
24 hour Dolice fur .n ID'Poctlons (M2) 447-98SO, fa (!ISZ) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGiFl'RtPLACE PERMIt
Date Rec'd
(Please.!rOe ororin:t andsiltD at bottom)
ADDRESS
'54~ rllWYl fN>MDW 0lLVVfJ
; ~ ~:~ I PERMIT NO. (- 1139 I
J. Yellow Applu:U1t ..
ZONING(offi""use) ,
f!-~
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ~DDITION
r 0 P/J AMcf/ .~ r-+-
u
PIta, C;--3 7.3 --0/5"- Q
g,':~R l)~ HDYM
(Address) . 3~ Wit 9iuhfJfm1, Avt-
~;~;~4ttl'lD# Y'r'ltcJnaJ'LlctU
(Address) ~D j(/J1Ylf,b.eu'l)r SuH'fi \
, r. (Address) .
(Contact Person) Jtl'r~ . C--' ~
APPLICANT SIGNATURE . .
(phone)
.\Wk 1JJd Ei1.MJ1 Mf0 55/ ~ 'L
J
(Phone) 1tf31 45Z.~ l1"6'
(City) (Zip Code)
(PhOne) --.US I 451-- Z1'76
LoJAD)OATE . tJ-/Z3!OI
."~-
'IV U
. APPLICANT PLEASE COMPLETE BELOW
, ~WCONSTRUCTION DREPLACEMEN'T o ALTERATIONS
FURNACE MAKE AND MODEL gr~J.- 2>8?JIUWD2J~b1D FUEL NtJ-u..raJ
FLUE SIZE L\l\ do.. ss e, RETURN OPENINGS 4- INPut "1D..DQD OUTPUT 510, bDD
TYPE OF SYSTEM HEATING OR POWER PLANT
OWatm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical , 0 Radiation
~ir Conditioning 0 Special Devices
[jJlI"enl. System 0 Other Devices
PLEASE NOtE:
Air Conditioner Units
Cannot Encroach iIlto
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 Residentiltl, AC Only
$39.50
$39.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penttit #
IffiATING PERMIT FEE
STATE SURCHARGE
TOtAL PERMIT FtE
$
$
$
.50
B(j/~j~~WI"'H
PCFiMrr
(Office Use Only)
This Application Becomes Your BUilding Permit When A., .' ,]
Date
24 hour notice for all inspections (952) 441-9850, f~x (95~ 441-4145
I Paid
I D'kf,;;j It) (
---
Rn~;t'H'IO.
Buildinc OfficiAl
By g-v
14:13 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR Cul\u,ITlONINGIFIREPLACE PERMIT
#2584 P.OO2l005
Uare KeC'O
IP_lme or Drill< md.1ri...at.......D1l
ADDRESS
5'Ms .:3P....J), m~&~-~ ~ S;;-
~:::.:. ~:~ n;.ERl\...... ,~O.
1. .,1IIt- "",,1nIIC: I ~
l/qq
(-lI/9Cf I
Z01il_....J
LEGAL DESCRIPTION (olli", We OlllY)
WI' .t; BLOCK t?i ADDITION ~~ d2...
P~Y- 37=1-615-1/
,
OWNER
(Name)
--J::f7 ~.
(PIlonc:)
(Addressl
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _ 651-633-2561
(AddrCS$l..A700 N_ F.\\.IRV:IEW AVENllE
(Add....)
(C .. P ) BRmDA IIllS'rON
on....ct erson .
APPLICANT SIONA11JRE --&~j,__4t'~
~!r::lO!Q'T".1'.J/! lP-'
(CIly)
(Phon~ 651-633-2561
s." ~
(Zip Code)
DATE
~""/Ol
APPLICANT PLEASE COMPLETE BELOW
iBl"EW CONSTllucnON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODaL FUI!L
F1.UE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF sYSTEM HEATING OR POWER PLANT
JWIlIII Air PllUl15 ~ Sloam
:JOmvlll' HOI Wow:
J MOCIbilllical \lJldllltlDn
JA;r Condit;on;., Sp..,jol De\'lces
JVont SYlllllm 0 OIher De\'ictS
FIR.EPLACE MAKE AND MODEL _~Q./- 6.l r;;(n Sf. 1...;"1> ~
PLEASE NOTE:
Ait Conditioner Unlrs
Cannot 'E... _ "'V.~L into
~quired Side Yard
Setbacks
lnduwlol. CDmme",lJ.1 &. M~lli-F"",ily
Residential, Healing &. AlC (lIIew ConSDllction)
Re,idential, Hewng Only (lIIcw Cnnotru<:lion)
FEE SCHEDULE
I%ofjob co'l ResldonU.~ 0115 Firepl"'"
539.50 minimum
$99.50 Re,idonU.I. Additions'" Alterations
$64.50 Re,idattial. AC Only
539.5C
539.50
539.50
Estimated Cost $
Build.inl Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER.Ml'l' FEE
$
$
S
.so .~
" elll~;j7'
Dale Cf-X-I I By ~
Paid
lom<< Us< Only)
This Application Be<.m.. Your BJlUdlnl: Permit Wben Approved
Bolldl.. omel.,
D"11:
~ hOD' lIollce rD' aJlln'pecllonl (95J) 447_. ra. (l1n) 447-4%45
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 31/'"?c.,- &,LA M_ead.az;(( IiIt'L'
NATURE OF WORK' ~
USE OF BUILDING <'~A-.
PERMIT NO. t\1- rILf:J..I DATE ISSUED S-7-?-/
CONTRACTOR p~ (.p/ - Zs-(P- 7/7(",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. INSPECTO~ / / ,. DATE
I FOOTING ~ m. qWdl'f>:t.711~/o/,ej>J-1 ~III-;"I I
I FOUNDATION (Prior to Backfill) I fR, t/rl~/ t1.d: a &,. hIIT/O/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER J SEPTIC ,(J
FRAMING FA- /o!t5/tJ/
INSULATION~. UJ ~. 1\{(.,101 t;;., /fJ//c,!fJ I
ELECTRICAL' . .
PLUMBING ~ ~(i. ~ (,111~.'~, rJ...&. tH. ?/~/ol 6:r loltf/tJ1
HEATING (if required) -r~ . -r.t..c I~ 11<110/ 15>>-, /rJ/ I 'SIc I
FIREPLACE i~. /b/lt;;"/b/
GAS LINE AIR TEST ~~, r:1~' ~. . 1~115!O /
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~_ ~ I~. /~~;"/~_~_ J1jS-As/
FINALS
~L ~i;'
tfr ///';'71/
4 .I'l/~/
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
, -NCiiICE
GRADING (Prior to Sodding)
BUILDING-(.C..O. (LQ a( dDl- ftq., I~~ '4 (
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. card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Ild~firau of QDcrupanry
C.l.l'i OF PRIOR LAKE
J)epaftment of lIuilbing Jn~pedion
"Final Permitted 0 Conditional C.O. Expires
ThU Certificale issrwl purnuznl 10 lire requirements of Section 307 of lire Uniform Building Coth
certifying IhDl alllre time of isSllQ1lCe lhis slructure ...... in compliance wilh the various ordi1lQ1lCes of lire
City of Prior Lake regulating building colUll'Uclion or use. For lire following:
SINGLE FAMILY
Use C1usi_
BId.. Permit No
01-0439
Occupon<y Type
LeplL'.. ',:...
R3 Type Conslnlclion . VN Fire Zone JI A
L 5&6, B2, DEERFIELD THIRD ADDITION
~itcAddress 5435 FAWN MEADOW CURVE SE
Zonin8 DisIric:l
R2
Owner of Bui1di..
C~"NIIlIOa:Address_D_R. ~-
ROBERT D. HUTCHINS ~
- , otilCw (
~~hz...
. I....
20860 KENBRTnm, r.'l' _ _ gllT'l'E 100. LAKEVTT.LE
City_
Dote:
DON RYE
Dote:
POST IN A CONSPICUOUS PLACE
~
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED /1.' ?O
ADDRESS Scfs> 5 &r..- "'J'VlJ ,
OWNER CONTR.
PHONE NO. PERMIT NO. 6( -"139
o FOOTING 0 PLUMBING RI
o FOUNDA nON 0 MECH R1
o FRAMING ~ WATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION MECH FINAL
COMMENTS: 6) ~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~0~
_~T:~, {~, - ~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOn
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IZ-}".O t
Z. \ olJ
ADDRESS
54-35 fflWrJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(- tf3 Cj
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP ~ FIREPLACE RI
o INSULATION ~ 0 SEWER HOOKUP \LJI~ FIREPLACE FINAL
)l( FINAL Ill\ 0 PLUMBING FINAL 0 GASLINE AIR TST
(D-SITEINSPECTlON ~)lI MECHFINAL 0
COMMENTS(l) ~ ~ ~ ~
~~~ ~~
-'t"""""''''''Vlli,l"
,-;c..,Ot ~ R! \ I o'i.:>:~
~~.
o WORK SATISFACTORY, PROCEED
)tJJ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector:
Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
"""""
..
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor A~ ,n&#'
Name of Tester ~-. R
Date ~?~/
"
Job Address ~ifl5' F~8Jt1""i..
" Heating Contractor MAIld: -""""'.#"
Name of Tester 1;;1;
Date
Percent 0. ~
Percent CO
Percent Co. ~1I-'3~
Stack Temp 31sdP
Combustion air is adequately supplied per
UMCS~.~ ~4'[
input ,it~