HomeMy WebLinkAboutBuilding Permit 01-1293
q>lease type or print and sisro at bottom)
ADDRESS
~\4.~'^- ~'\c
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
153t.t; (,.,
Je(=Ft:;Y:2.-G 'PQ~~
I. White File
2_ Pink City
3. Yellow Applicant
I
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK '6 ADDITION '\2.e;:G\.OlL Cn..-lSS-r-
OWNER
(Name)
(Address)
(Phone)
BUILDER /\ C
(Name) L-o\\-<,&"",- \-~ Worn<: S
(Contact Name) __Edch'~ ~"tY'\h\- 2-
(Address)~2.0 LC:>\L...eVl).L-- \6\\Jd I
TYPE OF WORK
o Misc.
'New Construction
DLower Level Finish
DDeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
OAlteration
Date Rec' d
-01
PID ;>.C; "O~X'(A- 047:::1l.
(Phone) ~- l1~/Y)
(Phone) -..In\ '2.. - 1",<t:lS. ~2..CCl
~~\L.L\.Alt~ '('(\h SS04L\
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
~'~~,ca).
-
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 lans. 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
:ter on uYltt:t;~:::pections \aoG\ IOf2..d 0 \
- ~~iJre Contractor's License No. Date
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 Fireplace Permit Fee
$
$
$
$
$
$
$
$
;;2 ?O.OCJo.CYi
//1t./~'?S- .
l. ':2 {A . 7c{. I
I?S __ (<)n I
I
I
I
I
I
100. ~ 0
100 .CJ 0
35.$0
lltJ . Cl c.>
rP:~ti01ecomes Your Building Permit When Approved
~~ ,Stt- Lf ~PJ- QJ
I Ul g OffiCial Date
I Park Support Fee
JSAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
lather
I TOTAL DUE
'll,-ju ,7'1
/1/;;.'/- iJ I
I Paid
I Date
IJ'SJ. W I
1./50.60 I
. -1'iht2. at)
. l.ff) .f'm
1. 2ltJ ~rW
. '7tt? ,(J rJ
@
$ /-
$ lldqa qr I
. ~ ,......
I ReceiPt No. t-j'lj 1.j cr, I
Bv if'~ I
#
$
$
$
$
$
$
$
#
#
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,
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
~~ ML~l ~~~o\i-1~i~'
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447-4245
>
~~
White - Building
Canary - Engineering
Pink - Planning
Tilt Crnll'r of till' l..kf (..ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
I
I i-' I-
e; - L-..~..J
. I-r\!
- c II
H(jr~IE5
NAME OF APPLICANT
1(' r;:r
\.j 'u LL. L t:ll./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" C F F- t..- /" ~ Il~ ~~ ~
L- I L - I re(IAL- let.':::""
Accepted With Corrections
V""
Accepted
Denied '~
? -
Reviewed By: PI/"'h--
..
Date:
iC/7(CH,
Comments:
~.lv~cd-~ ~ &Jy1Al{;&/l--<
~>IY:'t:('-' tJ. I~ 'o\.;PDf- fuv I~V
"The issuance or granting of a peFlTlit .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."
~~
White - Building
Canary - Engineering
Pink - Planning
Thr(-fntrrofthrl.abCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~Ollliqb ('/I;:'i H()M5S
10 - 25 -0 I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
T8FrbRS PA~S
1-3183 I RtqAL.. ~I
Accepted --L Accepted With Corrections
:::::edBY (2P~r / pale II-B--d
Comments:
io~o QQ a~~ ,I-Ic,... ~~ 07A *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."
12/05/2001 12:38 5077445565
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BADGER EXC
PAGE 03
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to l~aur. ~ft.t no ~Iol,lLc.t. ..w.r a"d w.t.r p.r.lC. .t.
1..tI.d.
rll$1
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... QUetA 51 5.1" P,... Yiloc, ...._.. un:! I '" 1.12'."'330 I F.. 1112,"7."'.
I'fIlla\o\l.. .. ...n_~
Dec.i8. 2001 8:44AM
GENZ RVAN PLUMBING AND HEATING
No.8m p. 4/g
Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue Fil.
1.~d City
:J. Yall_ Applll3Jll
, PERMIT NO. 0 LJ2.13 I
CFlca.se ~~ or'Drint and. SllitD ilC bottom)
ADD~SS
_~~Le.Lo -W~ ~ f2Es.~ ~l A )
ZONlNG (0""''''')
LEGAL DESCRIPTION (office use only)
LOT,~ BLOCK.~ ADDmON f? O~
Cre..~) PID
~=~\\(7(..{J, rrrY l-bML<:..
(Address) 4Q2f) La.l.vAlIf, ((j \Ii)
(phone) Eh2 -LflLf1-lrPlaO
wJ..t V III e..., tAJ iJ SSlJ L}(j
APPLICANT r f)
(Name) I'lP Yl7 - ~.Y'
(Address) I Wl U c::;~.-, \ry yrl"" ~
~ fA~ddress)
(Contact Person) -1,k _ J.W
(phone) r'{;J-LJZ~-114Lt
. /Li) <<..WI/}] Ln, ~<:1'{~
(City) (Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE
121/~ I D 1
AP ICANT P EASE COMPLETE BELOW
I Quantity I Type ofFixtu~ I Quantity , Rough-ins Type of Fixture I
I I I Bath Tub with or without shower I .~ I
I I .. I Dishwasher I , I WaterHellter ,
I
I f I Floor Drain I LI, I Water Soflner I
I ,~ 1 Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine) I
I I I Laundry Tray (1 or 2 compartment sink I I Sewage Ejector I
I I I Shower Stall I I Backflow Assembly I
I \ I Sinks I I Backflow Assembly Test I
I I Bar Sink I I Lawn Sprinkler
I 2.... Water Closet (Toilet) I Other I
FEES...l1J!,J.JULE
Industrial, Conunetclal &. Multi-fanuIy 1% of Job cost with a $3950 minimum Residential, Noow One &. Two-Family $99..50
Residential, Additions &. Alterations $39..50
Estimated co.t $
Building Permit #
1"\ ~\\\'\. r;i
~"~VG ~~.c"".
.s(l;3;jJ)ijiJ)'c~.
~
,-
PL~~GPERN.UTFEE $
STATE SURCHARGE $
TOTALPERMlTFEE $
(Offic:c On Only)
Thi. Application Becomes Your BuUdin!: Permit When App~ovod
Paid
I Receipt No
I By
Date
Building OBiclaJ
Date:
14 hour notice {or all Inspectioos (951) 447-9850, fax (951) 447-4145
',.
8:45AM GENZ RVAN PLUMBING AND HEATING No.8699 p. 9/9
CITY OF PRIOR LAKE Date Rec'd
HEATING/~ CONDmONlNGIFIREPLACE PERMIT
, 'I ~.
. f?1ease ~ or _ and 5iJm II! bQ~",)
ADDRESS
15~l~() .1.~a7c,.., (V~ t-... '\\ L J
i~ S,..., ~PE.tU~Ul NO.() 1-IZ.Q31
.
ZONING (a_use)
LEGAL DESCRIPTION (ollia "'" Duly)
Lm:.3 BLOCK I ADDITION
~ (}~~-r
.---....
PID
OWNER
(Name)
(Address)
rot \PC-Q .
-rCl '"LD
r l~ ~'IY' Q .<....
l.rili~(/i.l1 po , ~ \ Ii'
(phone)
L.a.b->J; (\ e ..>
~Z.~U<.oq-to9dD
APPLICANT _/J .
(Name) (c->11I"'\'7_- VU..J(1..f'\
(Address) 1Lt1\1~ ~ '1l~ --nru
-- (Addlio..)
(p'hone) (p61- l-O_ ~- I (UU
{Lo~'-/YY:J1...l..Y r C;_$L
(CltY) (ZIp Cod.) -
(Contactper.on) -1Un...ry ()\~~ (Phone).
APPLICANT SIGNATURE tl blL).\t 0 ~ DATE i'/JleJol
AP&C.AJ PLEASE COMPLETE BELOW
(]NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAI<E AND MODEL {~ c,~ U \ C-l LC FUEL ~ ~~
FLDE SIZE RETURN U,<lI"",'GS INPUT (ZS,C5tO OUTPUT Ill..o,C>t."ru
TYPE OF SYSTEM
~snn AIr Plants
OO",-vity
o Moch.."caJ
$!1TAir Conditioning
OVcnt. System
FIREPLACE MAKE AND MODEL
HEATXNG OR POWER PLANT
OSte.",
o HotWaUr
o IUdlll!ion
o Special Pe.ices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
ClUUlot Encroach into
Required Side Y.:rd
Setbacks
Industrial, Commetelal &. Multi-hllllly
FEE S,-o",...ULE
I % of Job CO<t Resi~ential, Gas Firepl_
$39.~O minJmlllll
S99.~0 Residential. Additions &; AI_on..
S64.50 RosidClttioJ. AC Only
$3950
Res1dentla1, HeatIng &:. Ale (New Construction)
Residential, Heating Only (N~w Con~ruc-tiQn)
$3950
S3950
&timated Cost $ Building Peonit #
REA UNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
r\' ',I \~ . .,:\
, X 'J . ~~r..J,'/_
S ' n',t*,G .-::.-----
.o~__
lntfice.~lic. .Only)
..is App1i<atioD Becomes You~ BuildiDll Pe~mjt When App~ov.d
Bldlding OWdal
))'k
I Paid
I Date
I. Re<:eipt No. .
I By -
'-
~ "',
24 hour not;~ for all insper.t\ons (952) 447'9850, fax (952) 447-4245
651 633 8884
FIRESIDE CORNER
#6706 P.002l002
Dab: Rec'd
l...11 {OF PRIOR LAKE
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
12-~ z..(p -0/
t =. ~;"", I PERMIT NO. 0 J- /213 J
(Please!y?; or orUlt an~ III... o.t _)
ADDRESS ZONING {olll",.O</
/53(p(, 9:-*"", P= NL.)
LEGAL DESCRIFl.10N (offia u.. only)
LOT
ADDITION
BLOCK
OWNER
(Name)
tL.J
(!ofu;y
fJdr
o
(Address)
APPLICANT
(Nam() ALLIED FIRESIDE OBA FIRESIDE CORNEll
(Address) 2700 N. FAIR'JIE:W A~
(Addn..)
BI.lF.NDA h"USTON
(Contact Ponon)
APPLICANT SIGNATURE
PID
(Phone)
(Phon~ 651-633-2561
'o/"c::r;'UTTTI;'1 Mr.J
(Cir;y)
(Phone) 651-633-2561
DATE
;;r;q '?
(ZipC*)
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTTON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAJ<E AND MODEL FlJEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PI.ANT
JWorm ...irP'anl.
JGl'llvily
J Mechanicol
JAIr Conditioning
]Vent. Sysr.em
FIREPLACE MAKE AND MODEL NptJ,.j (;(...
o 51eam
o HOI Water
o lWIietio"
o Special Devlc..
o Other Pevlc""
PLEASE NOTE:
Air Condilioncr Unilll
Cannol EncrOllt;b Inlo
Required Side Yard
SeI:bllCks
'" cX:P.-re.. y.L
FEESC8EDULE
1% of job COSt Ilesidendlll, G.. Firepl.ce
$39.50 minimum
$99.50 Rcsidcntilll. AdditiOll' & AJtenWons
$64.50 Reoidcntiel, AC Only
,~ ReC~
DaJe1--.U'V!..- BY IiUJ_
Z4 hour nollee for nil in.poetln.. (951) 441-9850. f.. (95Z) 441-4245 roo ~
[ndustriel. Commercial &. Multi-Family
~.idcnli.l. He",ing & AlC (New Construction)
~.id<lJti.l. H'OIJ1ing Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omce V.e Ooly)
ur BlIlldlng Perllltt When Approved
J 7/ ~(, --0 I
DAle
$39_50
$39.50
$39.50
Building Permit #
$
$
$
r PAlO WIi\-:'_. .. ..
,Sb)\\.D\NG pE.; ,....,
"-
PRIOR LAKE
INSPECTION RECORD
l:.~~t:~s. L s- rs~ ~~
N~
USE OF BUILDING ,Sr::-If
PERMIT NO. ()/-/~9..~ DATE ISSUED ([-8-01
CONTRACTOR ~. o:-~ ~ PHONE~I2.-~<:-~'7
NOTE: THIS IS NOT A fJERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
D~PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS \
~~~ . .
'"f>".../ f>. ~ IAxJ l2f3//a I
~~\
5i1f ~ lie I D2.1J'm
~\~ 14{~
FIREPLACE t, {lP{} I:L l ::J<
GAS LINE AIR TEST ~~ (
. COVER NO WORK UNTIL ABOVE HAS~EN SIGNED
, I I
FINALS
SEWER I WATER 1 SEPTIC
FRAMINGl..-(.... ...
INSULATION
ELECTRICAL
- ,
PLUMBING \A..l'r- ~C''l..\ \1.\1\\""
HEATING (if required)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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.
1\ '}/.W.II ~ - ~O -0 ~
I
'b~(}Y4 l\bq
~ \)nI~ '?+~\"l..
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
2i:CL it -
CONTR.
ADDRESS
J)~&~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
,.I
f/^< 0
V""' ~
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
I V f}
r V(" \ f
/-/7_'<'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1
/
/ /)
LL-/
'--
/
~RKSATlSFACTORY. PROCEED
o CORREC79AC N AND PROCEED
o CORRECT "')"7 ~AnOR REINSPECTION BEFORE COVERING
Inspector: ~ V } Owner/Contr:
CALf.Y~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
z- 2.0-02.. /:/5""
ADDRESS
/'5...'3(",(", ::JEFF612S i//j.s-J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-/2.. 93
o FOOTING
o FOUNDATION
o FRAMING
^ .~INSULATION
tr )'l FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER'HOOKUP
o PLUMillNG FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
,
,Q;t{e {,pAMJO
. 6
YlA,JJ OrA)u__
(
-
L,-.() J
~n ~-f' ~\-e"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: / V / Owner/Contr:
CALL 44708860 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
<Go
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~1
2-(;~ (/2,..
ADDRESS
/53(;0 ~F6l2-S /'//JJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'1d' FINAL
('0- SITE INSPECTION
o PLUMBING RI
\;I MECH RI
o WATER HOOKUP
o SEWER HOOKUP
6LUMBING FINAL
{_ ECH FINAL
COMMENTS:
(- (Z--<f~
o EXlGRADIFILLING
o COMPLAINT
-l::ff~~ ~~TL
at: ~) ~~r-~
M.I~'" r~ cboAe 40r ~f
. ,
c.tJ. !-91 ?-!lb,t)C)...
,
"":.~
.40RK SATISFACTORY, PROCEED
;:;; ~ORREcT ACTlrN AND PROCEED
o cORRE~DfI" CALL FOR REINSPECTlON BEFORE COVERING
Inspector: b.. \ ~ OwnerlContr:
CALL 447-98~O FOR JHr: 1>l,=~T INSPF.CTION 24 HC)URS IN ADVANCE_
ll'iSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_.~_..,.._~.-..-
. -"-......
DATE
(l~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
tl~w
I~~ -:\~~~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATlON
)/I!':'I~AL
o SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
)? PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, ~ALL FOR RElNSPEcTlON BEFORE COVERING
Inspector: ':K~VfLu..tl OWner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/IISNOTl