HomeMy WebLinkAboutBuilding Permit 01-0441
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvQ~ or print and silW at bottom)
ADDRESS
:5 L-/ 3q
c: n . q lY\
LEGAL DESCRIPTION (office use only)
t{o
LOT':S . BLOCK a ADDITION
OWNER
(Name)
(Address)
BUILDER,... R
(Name)-D
~
o Misc.
I Permit Fee '1(p'.~51 $
I Plan Check Fee I $
I State Surcharge I $
I Penalty I $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Date Rec' d
l"-~ ~Ol
I PERMIT NO. OI~D ~4 J I
I. White
2 Pink
3. Yellow
File
City
Applicant
>..F,
l'0JJ 0 ckJUJ CJ- L f"_ k q_
'6\ol~.q LA.f'.I+ 39
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o
C(o, ex.)
s Your Building Permit When Approved
~, 9-?~,...~ /
.
Date
ZONING (office u,")
R~
PIDZ -373-015-0
(0 -5) - d ~f"p - 7/"7:l, 1.A
- -
I a tR 1/ /J/ 17, M AJ 5.5b '-1'1
.
(Phone)
(Phone)
~
ILV.
.
(Address) fJ () ~{"'" Iu r\ \r.. -; ("\1 ('; () "- .
'6J.L- 0 -
TYPE OF WORK ~ew Construction oDeck
oLower Level Finish 0 Fireplace
oPorch
ORe-Roofing
oAlteration
oAddition
ORe-Siding
PROJECT COST/VALUE (excluding land) $ '1;:J J oD
oUtility Connection
I Park Support Fee
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"; I";
I Paid~4ofcJ. D t;
I Date ~~/J. . () I
#
. $ I
~.~
$ /, I ~?3.~ I
$ , I
$ . I
$ I/@.a;> I
$ ')~t1."'A
$ 0
$
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 confonn to all existing state and local laws and will proceed in accordance with
submitted pia s. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon property ro p;rform nee~nspecti_ons.
X ~ ~..I1?1 ~dOC;J(~xf/-?'5t") ,&) -d -(;)1
Signature Contractor's License No. Date
f98, er;JO. 0
~.l.A.J
.~OC>. 3tf
31. ttJCj. I
I
I
I
I
I
I
$ >; 41./4- d9 I
,
I ~~~~;"7 ,.
, . , "f;'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and rrf-ly 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
/d~'L..-~e~L'e'~ 6'ILL!81 ~~~~~~
Planning Director Date Special Conditions, if any I
24 hour notice tor all inspeCtions (;51) 447-;~;O, fax (952) 4474245
#
#
#
Th. C.nlu of th. L.k. COUllltl')'
White - Building
Canary - Engineering
Pink - Planning
. .
aUILDING PERMIT APPLI~TION DEPARTNlENT C"1.E.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
D N AJ /l1h7L- "h-e--
5- ;;{-Ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.6 Lf3? '"::Jljij)7'J /7J.RcKk--tu (~ S' t-.
Accepted
~
Accepted With Corrections
Denied ,
Reviewed By: ~~~
Date: ~ /I.D /(9 (
- -
Comments:
~ ~ \Rk. 5C/g3 ~IA J~~
C~V~ ~.~"(~ ~ ~~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,"
Th. Ctnltr or Iht LIIkt Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D!? ,jJm-:lffi- ~
.!)- ~-O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5'13? 7-0-v>>7 /Jlf~ ~.S~
Accepted
Denied
K
Accepted With Corrections
Reviewed By:
1I11ff>
5! e /Y1e, //1 F; I f
Date: 5 - L/-tJ /
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall notbe 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."
~~
White - Building
Canary - Engineering
Pink - Planning
Thf Cfnl... of thO' Lab Country
BUILDING PERMIT APPLICATION DEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DR~~
5- ~-o /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5Lf3? ~~ ~gF.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
14:13 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR C......I...ITIONlNGIFIREPLACE PERMIT
#2584 P.003/005
!Jare J.UC'Q
/ - qq I
:~ ~~, [PERMlTNO., ,.J
J. Y.JI_ .ppl~ ~ #, z.;..;I........
(PI.... nope or_and pOll at-...1
ADDRESS
.;;)'13 7 ~ In "tJ&l f!.wwc ,.[ t;.
ZONING (ollkc_l
;2..~
LEGAL DESCRIPTION (olIi<:t UIC OIlty)
LOT ~OCI< J ADDITION ilpV;;//ri{;3 t<1
PID~S"-3 73-ols-?)
OWNER
eN am.e)
(Address)
<J;J7 ~
(Phone)
APPUCANT
(Name: ALLIED FIRESIDE OBA FIRESIOE CORNER
(phone) ....sa.J -633~~61
(Address) 2 ?OO N _ ]; AI:RVTEW AVElNtn'
(Addr<M)
BRENDA mrz:.
(Contact Person)
APPLICANT SIGNATURE liMA..
LLL.~"'_
~'TT_"_T.l" """J
(Cily)
(Phone) 651-633-2561
'5~~' 1-
(ZIp Co4e)
DATE
~JOJ
FIREPLACE MAKE AND MODEL
t1#~
PLEASE NOTE:
Air COIIditioncr Unit$
CrumDl !Dl:t'D8Qh mID
RequIred Side Yard
Setbacks
~(z,
.5L. 7~
l"duSlrioJ, Ccmlltorci.1 It Multi-Family
FEE S...n"'uULE
Jon of Job coot JlosidCl\llal, O. Plropll.;.
$39.'0 minimum
$99.50 !l.osjd...tiaJ, AdllltlQlJs It AltenIli"".
$64,'0 Rosidelllial. AC Only
$39.'0
Rosidelllial. Heoll"8 It Ale (New ConsInJc:tion)
Rosfdl:l1tlal, Hcatl"8 Only (New ConstruC!ion)
539.50
$39.50
EsIim~d Co.t $
Building Permit 1#
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
.
I,Omce v.. 0_17)
Thi, AppllCllttoD BecOIIICII Your BDlldlna Permit When Approved PBid
EJll. PA.ID .
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aolldllli Ofrod.1
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24 hour DotiC1l ror alllospoclloJP (!152) 447-9850. r.s (lIg) 441-4245
MaY.14. 2001 2:11PM
GENZ RVAN PLUMBING AND HEATING
No.3810 p. 12/13
Date Rec'd
cuy Q:,~~J.AKE PLUMBING P~RMIT
.....:.-4. .
1.::::. -
q'lcuc~ gt~""" ~ ~ botlDm)
ADDRBSS . " ~<' _
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-
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. '-
Hi.. ~ I PERMIT NOo/- o~tf/I
I ZONING (aI6c<_l
1< - d-..
LEGAL DESCRIPTION (gf6al use aa1y)
LOT iiB!OCK.. -rl... ADDmON bu (l~P 0 D
~~.~~
.(Adclr=),~ lA.}~\L~""'~, ~
?ten \.Ii \ \a..."'-.
p~-3'73- 0/5- 0
(Phcme) ~ ~ y.c::-.u.- LlI ""o-~
C:-Il(--d.f"'l ~[?7.
APPLICANT
(Nrmre)----1'.-.(? 11I2..- t? t:f JI\ (Phone) .J.R~I- 4'2 ~- 114U.
(Address) lU'1U~ :;:r; ~fCJ 1\1 I _ (l r~ J.....rv~ ~ C::;-~ ~
- (Addz=) (City) (Zip Code) -
(Contact Person) \A J... MJ )-( ("") t~ ~ (Phon<:)
APPLICANT SIGNATURE ~~._'_ . .~1--.6- DATE A \ I DIN
, . APPLI~ASE COMPLETE BELOW
Qwlutity I Type of Ftrture I Qu.atity I
I Bath Tub with or without shower I Rough-ins
t I Dishwasher I f I W..terHester
J I Floor Drain I t2..( , , Wmrr Soflner
;2.. 1 Lavatory (Batluoam Sink) I J I Sllu1d Pipe (Washing Macltinc)
I I Laundry Tray (1 ar 2 C~~-"'" _ent sink I I Sewage .Ejcctor
; .1 Showw SraIl I I Bilckflow.Asse,mbly
, I Sinks I I Baclcflow Assembly Test
I Bar Sink I I LaWII Sprinkler
2- i Water Closet (Toilet) I , Other
Type ofF'JXture.
FE:&: S~.tULuULE
lndustnal. COlllUlGr<IrJ ok Multi-lillnily 1 % of job .ClOt With a $39.50 miJlimw:a
'.-
Rzsidcntiol, New On. 8t T...o-Fomily S99.50
Rosidmaol. Additicms &; AI_em. $39.50
, EstiInattd Cost $
Buildiug Permlt #
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMlT FEE S
,50
I3lJIL61~~ WItH
PE2A."virr
(Olllca Vie OaIy)
I This App;~ ~,:,' '" ~mes Your BulldlD& permit When Approved
!hdI,n"l Olllcial
D...
jPaid
I Dale 5-/:;-/
Receipt No,
14 haQr notice far olIlupocllons ~) 447-!I8SlI. fax ~) 447-4~
By ff-'--
CITY OF PRIOR. LAKE
HEATING/AIR. CONDITIONtNGIFIREPLACE PERMIT
Date Rec'd
; ~ ~~~ I PERMIT NO. 1- / J/ / I
3. YelloW Applicant '-:-f Vf
(Please!V.E.e or orint and siRli at bottom)
ADDRESS
6Lt31 H1WYl ffil>MDW UtJvt;
\ Zt!~ffi<<U")
LEGAL DESCRIPTION (office use only) ,
LOT ~LOCK d-ADDmOl"{ I 0 q c #cf) ~ rct
g.'::e~R -pfZ \1rxM (phone)
(Address) 3L(5q WOIS{ij"L~hm~ AvL ..~-k 1J)d ~ MI0 551~1-
~;;~~ANtHIILtnf Yl'kUltu1JcaJ (phone) liJ31 4'52..-lT6'
(Address) 3ftfJD W1nt.bfu .'Dr Su'I-k \
(Address) .
(Contact Person) ~frt0 . ~~
APPLICANT SIGNATURE .
PID d (i"-313-(J! ~ t
(City) (Zip Code)
(phone) ~5 I 45Z- 2.,76
UtJiJf))DATE t./-IZ3/DI
. V
. APPLICANT PLEASE COMPLETE BELOW
~W CONStRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL g/'~-I- '2l8?JkJ\-V Dz.,t./01 0 FUEL ~tt..R
FLUE SIZE l..\'\ tAo.ss & RETURN OPENINGS 4- INPUT1D,DDD OUTPUT 510, bb()
TYPE OF SYSTEM
DWatm Air Plants
DGravity
o Mechanical
Wir Conditioning
EiJ'l'ent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Altel'iltions
$64.50 ReSidential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Perniit #
HEATING PERMIt FEE
stAtE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(omce Use Only)
This Application BecoJlles Your BUilding Permit When Atr .' ,d
Paid
BuIlding OfficIal
Date Datet/;?1!61
24 bour notice for an in.pection. (952) 447-9850, fax 652) J.,-424S
PLEASE NO't11::
Air Conditioner Uoits
Canllot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
tJ!, P-'!l'D
, u/l.tjl. VJ.'lr;
'^'G p "It
'€F{'V:tr
_I ReceiDt No.
B~
U
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.
.
INSPECTION RECORD'
SITE ADDRESS :)(/37 F;.. ltA M....AJ~ ) JI.A.o~ f G.uJv...4 .
NATURE OF WORK JJ~
USE OF BUILDING ,<:;FA
PERMIT NO. Q I, Otl-Y- I DATE ISSUED5"-tf- 2<<:)(
CONTRACTOR D~~ G.S~- 2,S2p ~ 7/Jfc
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR / / O"TE
I FOOTING ~ JJr. .5,/lr/P1 ij;;t7itzl~tCN-1 5'/2 ~J )
I FOUNDATION (Prior to Backfill) I ff>>, Il",lfJJ!c) 8cf-. ~ ~ (,/(8/41
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I~~
"
SEWER I WATER I SEPTIC
FRAMING r:.i, ,IV--.J/l'-q
INSULATION ~. ~ ~. J~lhl e\J!. 10\\ ~ 01 -I
ELECTRICAL ~- , (l
PLUMBING ~ U.G-, ~(It!J//)J ,~t Ilt8t. h, 7,{~fc,1 [;:};-, 1~/fbA
HEATING (ifrequiredrrAltW'~ ~. ~(/q~~ 'fib. /o-tl'
FIREPLACE ~J:/, JI1-)i7v&
GAS LINE AIR TEST 'MA~~~/Q, ~. loJ,~I~1
" '
COVER NO WORK UNTIL ABOVE HAS BEEN SIG.NED
l(;;& /,,/c,?~/~ ~ !!/s-,krl
.. ,
FINALS
.
GRADING (Prior to Sodding)
BUILDING T.t.,O, .Wi. sll II)?,..
ELECTRICAL .
PLUMBING
HEATING
DO NOT OCCUpy
~. II.., f;!o/ ~..t ..
I~,
~-
UNTIL ABOVE HAS
NOT~CE -
r,r,&/,o?/
~
JJI t{!~ 1
I'lls/6 J
,
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all inspections have been approved. On buildings .and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
lertiftcau uf .cmpaJtcy
CII r OF. PRIOR LAKE
Iltpartmtnt of' .uilbing Jn~ptdion
i)\Final Permitted 0 Conditional C.O, Expires
This CenifictJle issued pU1'$IIIIII1 10 1M reqWnmefllS of Section 307 of 1M Uniform Building Code
cenifyillg lhal attire IiIrU! ofisSllil1lCe litis SIruc/lln was in compliDnce wilh tire variO/lS orrJi1lQ1lCes of 1M
City of Prior LaIce ngu/ating building corutrvction or use. For 1M following:
SINGLE FAMILY
Use Clwificalioo
IlIdg.PormitNo
01-0441
.""""Type R3 Typec.......:.. VN _FiAeZone ....!itA
LepI Descriplioo L 5 & 6. B 2. DEERFIELD THIRD ADDITION
Zonin& District R2
Owner ofBuildi..
Site Addms
5437 FAWN MEADOW CURVE SE
c. ... ....'.NamectAddmsD.R. HOR~. 20R60 Kl':NBRlnm: CTJ!.!l.Tl': 100. r..4J::EVILLE
ROBERT D. HUTCHINS ~ CityPlanner DON RYE
~r;() ;:;.
Date:
Date:
POST IN A CONSPICUOUS PLACE
ADDRESS. 5"1..\"]"7
OCCUPANT
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY _
Electrical Work 8y Go. Line By
TYPE OF HEAT GA_FA~HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER.
n GAS DESIGN CONVERSION
MAK~ ')"'"'V~~~ .MAKE OF BURNER
Mod.1 _ j r"). It' A'-!. O.::>.'-t 0'0 Mod.1
Seo-'ol _ '1,"0' A. 5.)." b 0 Mo.. BTU Rotlng
INPUT ~ t.. <:>00 C\ V MAKE OF FURNACE.
Model
HOUSE
rc..v_ ~o..J"....
CONTROLS
THERMOSTAT '''_.7....,,\\ H.ot Plug
Valve _
Limit _
Limit Setting
Fan Setting.
Pilot Type _
Pi lot Ma.lc. _
Pilot Model _
Pilot Timing
L.W. Cut Off
Pressure ") , r
Input CFH
Stock T .m.. ~c...---<>
_Percent CO2 ~. ~
Percent O2--'-''
Percent CO - c. ~
Form 235
,
HEATING TEST RECORD
J06#.
(....rv"L- APT. _FLOOR _CITY _
'~WNER
SUBURB
Vent SiZl'
L.t.. O~ V--\-
KIND OF LINER SIZE NONF
Draft Hood PeguloTor
Filters Size \~'t.. ~'t' _Number \
Chimney Location Inside_ Outside
Chimney Construction
Smoke Bomb
Droft
. Door Pressure
Wiring
.Test To'"
Lighting Inst.
Dot. Testerl ,~.........- C) \
Company Testing
Name of Tester
Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122
K.~;\.'-
DATE TIME
CITY OF PRIOR LAKE IZ-';'Ol
INSPECTION NOTICE SCHEDULED Z.:2l)
ADDRESS 5 "1-3;
OWNER CONTR.
PHONE NO. PERMIT NO. 1-c.l-lJ-1
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP I"'A) 0 FIREPLACE RI
~D INSULATIO ...1 0 SEWER HOOKUP \...!Y)iS FIREPLACE FINAL
FINAL \" 0 PLUMBING FINAL 0 GASLINE AIR TST
SITE INSPECTION (!Y I' MECH FINAL 0
COMMENT~ ~6A tJ?- rJ.:. '.~'":::J
n)) !~ ~r ~ -- 1"".Ic.;
~ -PzrI" ,("tu.... /IJAA ell: ~ , .1)" . j~"'"
., .
.Ail.._J1'~
. ~2j,
T L.. 0, -i---~ Sf \ I 0 L
~~
o WORK SATISFACTORY, PROCEED
)( 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/
"""""