HomeMy WebLinkAboutBldg Permit 01-1292
~ ~ f'1aJV\ h'~
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O~ PR. 10...
... !'
.. ~
- "
<.) '"
+'l\'IYES01.'"
-01
L White File
2_ Pink City
3. Yellow Applicant
I PERMIT NO.
~I~
(Please .!VDe or Print and sign at bottom)
ADDRESS
/53b4- jc-~e:a-s "YO)Ss,
,
ZONING (office use)
(Zl
,'Iii
_ t
PID t5~ 3~fo- 0% ~1)
LEGAL DESCRIPTION (office use only)
LOT4-BLOCK 3 ADDITION 12~'i>>L. Ca-GS~
OWNER
(Name)
(Phone)
(Address)
BUILDER F\ n , \
(Name) ~(\\'-ea/,,_ L ~\~ -+-1t)Y~<S
(Contact Name) s::: -C\ck, _ ~,,,,^or ~
(Address) '-:1-1:)20 L a 01 \
-. -, Clolt eVlI\-<<..- rv\v . ,.;;;JlL-~v1Yl<--
(Phone) Cf52J' UIoDi. In qO~
(Phone) ~\ L. ~. ~2J)Cl
m T'I 5'50\-l Y
fNew Construction
DLower Level Finish
TYPE OF WORK
ODeck
OPorch
OAddition
ORe.Roofing
ORe.Siding
o Fireplace
OUtility Connection
\0(00JOO.. -
DAlteration
o Misc.
PROJECfCOST/VALUE (excluding land) $
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 agen e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
rm Ian 1 a a~at the budding offiCial can revoke thiS permit for Just cause Furthermore, I hereby agree that the Clty 0 uClal or a designee may
( ~terupon ~ ~ \e-:1~neede~ons \~oq 10 24/01
~ Contractor's LIcense No Date .
I
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $ /"0. CJ 6
I Mechanical Permit Fee $ /L)(). eO
I Sewer & Water Permit Fee $ ~.-,-n
I Gas Fireplace Permit Fee $ /' r I\ t:::iJ
/'j-\ n '-I1h
'741r"E-Y-'Jr'~~~;j
Bui ~cial Date
I Park Support Fee
I SAC
oF>
I Water Meter Siz~; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid 1/")'1<; i:J,: x1 =s
I Date //~ -:+.:.r:-O /
, .
850. cr6 I
/ I~.Q::) I
. i'AC::.O{] I
$ 4~ao
$ I. '2~').{')O
$ 't(!)t).~
$ -0""'---
$
$
$
$
$
#
#
I ~ (,"13OC>.(X I
I. Llis.'!>")
q~ .1f)
q~.~
#
#
~/&72.9J3
;015~
I Receipt No.,
Bv c.t".
(j -
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 si ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
,..u, ~ler;;;:~~ bl/~{OL- ~oo ~bn~ifD~~~Mw'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,r~~
ThC' ("ntrr of lht 1..hCollnrry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CLLLF:CSE (I,ITV H()l'--H;S
10- 25-0',
Accepted
v
L-~ B3
Accepted With Jorrections
Denied
Reviewed By: 4~ t~~.
Date:
l(/7/&t
Comments:
~xJ. ~~\eLY- ~ ~ ~~it9Vt5
&\'~ t2-dJ,~. ~ lDut-~~/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 jurisdi9tiof'1. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
While - Building
Canary - Engineering
Pink - Planning
Tht (-tnltr of tht L.kt Counlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
60Gl5G6 ~1l\J ~OME5
J 0 - 2t:J -n I (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~) t:-FF="eR.S PASS
L- 4- I 83 eeqAG~ I
::::::d By~~;rWith Corroct;o", D"~ II-a-d
~~f f/
Comments:
Yf?+!h
M 111'-~ t-Jk
. '
"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 5077445555
10/12/" 1l~ 11:" PAl .11..T....
El.ADGER EXC
PAGE 02
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p'u"Q "zN 'rite al.l>Nltl
\. !.ti~ated len,th of watec .."vlea ~() feat.
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3. Locatio" of any c~~pl1n,a fraft .t,,~ct~re t..t.
4. Typ. oC .ava" pipa. A.S____ pvc~ Caa~ Jro"____
5. l.t1~ata~ lanqth 01 .ewar l1ne ~~ r..~.
6. C.ean oyl (1f r.q~iradl, locatad at
.~ructuce,
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.................... ..s.z........................................
Tttb
at
ur perMit when approvad.
01.'1'1; /7... -{p -0 I
s.......a~=*~. .._....w=~._.......__........._..w.................
nSSI
$
I
S
a.CD
.1_0
35.1"0
S.wer oft4 water lin. ~~nne~t1~n ,.~lt,
'\Il'c:lIorg.
T01'tot.
.
'a. t9r .1~h.r aewer 2l Watar i~lv1d~ally 1a '''..0 plu.
$ .50 ."rcha~9..
a.war a~d water ~r~it. i.eued for new ~onatr~gtion .vat b.
raeor4ed on t~a bYildln9 perMit ear4 at the t1~a or la.uance
to l"aul'a that ng duplicate ..wel' a~d water ..r.l~. are
1..u.4. _~
DA'I'I 'AI D MOUNT p"t D .......-~ ~~~~~-
RECEIPT' Rle'O 8t ~~~~///
\:
.
*' 0.1041' $1. S.l., P,a 14... '..11.."....1. ~372 I Ph, 16121 44"'230 F.. (612/ 447.&.d$
"'" EQl~\I.llIM.IIlTUNlTT UlPI.tM~
Dee, 1 8. 2001
t~:
". --"""'.IIJi;so,,\r-
8: HAM
GENZ RVAN PLUMBING AND HEATING
No,8699
p. 5/9
Date Rec'd
(Pl~e typ~ or DDnt and.rum o\l.[ bottOm)
AJ)D~SS
15~U '}o-lif fl.c....., PASS ~V-.)
LEGAL DESCRlPTION'(ollicc uk oaIy)
LOT L\ BLOCK ?J ADDmON a 0 r -<1\.0 C'rvs...1
OWNER ( ,
(Name) r ~llpp;.Q .J rrY ~ os'
(Address) '~n I tJl.; ,\I i lit! J ~ vf)
, APPUCANT IJ
(Name) eiVl1- vZf Y\
(Address) 1 U\ \.), S ~ ~ I'/L,L-
(Address)
(Contact Person)
CITY OF PRIOR LAKE PLUMBING PERMIT
" ,.
APPLICANT SIGNATURR
I Quantity
I I
It'
I I
I _~
I I
I r
I I
I
I 2-
1 BhM:: l"1l11t /l'ED1UT'T' NO
2. Gold Cl" """.... ~ . (j { _ f l.()'7. I
J. YII',IQW App\k:anl Li 1- ~.
ZONING (om.:. ox)
PID
(Phone) 9..b.2 - I..JLd7-lo0(fJ
"!Jl j ULilJ~ vV1 AJ r;;::;miJ
(phone) (f)~{ -L.0'.;'0-1IL/ Li
fLD~ S-50Lo8:'
(City) (Zip Code)
(Phone) --W.Sl:.Y.2~-1 rJd U
DATE _ i2J~ol
PLEASE COMPLETE BELOW
AP
I Type ofFixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
I Warer Closet (Toilet)
QUlIDtity
"'5
,
R{ r
i
I Type of Fixture
Rough-ins
Warer Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Baclctlow Assembly
I Baclctlow Assembly Test
Lawn Sprinkler
I Other
I
I
I
I
I
I
I
I
I
I
FEE S....J;U!,J.I~E
Industrial, Comm.",,,' & !Vlulu.fan1l1y 1% nf job cost with a $3950 minimum Rosidenllal, New One & Two-Family $99.50
Romdential, Additions & Alterlllions $39,50
(Office lJ,E Only)
Estimated Cost $
Building Pern'll! /I
PLUMBING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Appr.oved
/IoUd;ng Ollicial
Il...
~4 !lour noti.. for aU in.p.ction. (95~) <147-9350, flU; (95~) 447-4245
"
, Paid
I Date
'",'''1\\1
. ~"".' ,....-
'.'........,." 0".'.
~" ...~ ~~6
5P.\ I,' .r)i~''''''
~\3U~.;.;P
Receipt No,
By
8:45AM GENZ RVAN PLUMBING AND HEATING No,8699 P, 8/9
CITY OF PRIOR LAKE Date Rec'd
HEATING/~ CONDITIONING/FIREPLACE PERMIT
".;:,','
t?lease ~ or olUt! anc1 sllm at Oot1mllJ
ADDRESS
;,~ JE.- fPER1\nTNO'OI-/ZQz..1
In?ioL(
.1r~ ff1 ,Q.." YDF-.<:... ~'~ \ )
~~ _ ,Cr6r
ZONING (~~.)
LEGAL DESOuPnON (ofiice we ooly)
LOT ct BLOCK I ADDtIlON
PID
OWNER
(Name)
(Address)
rC\\ \tX...(7 ,
1!l2n
r i~ Lk".,...." fl '-
-. -'- ---+-
I /lb ,\d1.lL P--JID
(Phone)
J f) .b)./; lIe..J
C'{::) 2. - LU.cH- /.t;9r:Jv
. Al'PL!CANT , JJ
(Name) (e>f 1Il7_- VL1}(I--II1
(AddressU Li'1\1- C- ~, cp 'fC:1Q' yz r -nfI J
(Address)
(Contact Person) II~JfY n\~~ (phone)
APPLICANTSIGNATUIU: J/~ _~~ 0 _, ~ DATE 1/__1/5 hi
AP PLEASE COMPLETE BELOW
!].NEW CONSTRUCTj:ON 0 REPLACEMENT 0 ALTERAuu""
FURNACE MAKE AND MaPEL l O-"'-.If\..:0-! c,2.inC\ U \ c-17C FUEL li.,. {.:..,] S,
FLUE SIZE RETURNOPlmnms 'INPUT (2 'S;', 1SLO OUTPUT II '-.o,C'l-o-U
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Waler
o RBdiation
o Sp""ial DevIces
o {)t!u:r D~icC3
(phone) (061 - L.o_ ""3 - u.wJ
1/Z..o~\..LY) C' <;::<::::.rvr!R
(CitY) (Zip Code) -
W'1lrln Air Plan'"
OOro."ity
:J Mech.meal
gAit Conditioning
JVent. System
PLEASE NOTE:
Air Conditioner Units
Caon.ot Encroach into
Required Side Y Ol'd
Setbacks
FIREPLACE MAKE AND MODEL
-"-
Industn.l, Connnerci.l 8< Multi-Fa.nlJly
FEE SCHEDULE
1 % of job cost Rl:sidcnthu, Gas FlrepJ~
$39.50 minimum
$99,50 :Residentlsl, Additions It Alt....tions
$64.50 Residential, AC Otdy
$39.50
RcstdenlJal, HeatIng ol Ale (New Construction)
Residential, Heating Only (New Coll3truotion)
$39. SO
$3950
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'~l\"rr\_ "
, ...,~O"'-'"'
\ '" .;....0 pI'
.50 ",~\\'lll"".,.'
~Jd,l: ;Jdi
'"
IOm<eU,cQnJy)
,lis ApplicatioD Becom.. Your BllildiDg Permit When Approved
1htildiDg Official
V,te
I Paid
I Date
I Receipt 10:10, ."
IBY _'. "
.
,4 hour noti.. for -II inspections (952) 447,9850, fa> (952) 447-4245
- _._---_..._.._,.__.._-~,---_.._--_..,,~
07:50 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR lAKE
REA TlNG/AIR CONDITIONlNGIFIREPLACE PERMIT
#7876 P.OD2/0D3
Date Rec'd
(PI..... !YI1" '" oriOI .nd. .1... at """"on)
ADDRESS
/5$t. ~ f} i~ ./b] All)
LEGAT. DESc::RIPTION (olll"; ,... orllY)
!S:. ~""..I ru~illTNO.OI_IZ.qz..
ZONJNG (ofIi.. ...1
LOT
BT~OCK
ADDmON
PID
OWNER
(Name)
(Address)
~O'
/1.'
~
<1-
(Phone)
APPT.ICANT
(Name) ALLIED FIRESID& DBA FIRESIOE CORNER
(Pho"e) 651-633-256J
(Address) 2700 N. FAJ:RVl:EW ~
(Addr<'"
(Contact Persall) BRENDA HlJ5T.ON....., , I
APPLICANT SIGNATURE .Dt1lA'.JJ_ ~
J;ln~F1;lTT.T.'P. ~N'
(City)
(Phone) 65l-633-256l.
5~11,
(Zip Code)
DATE
I-If--r!1._
,
APPLICANT PLEASE COMPLETE BEIJOW
c:;Yl9EW CONSTRUCTION 0 REPLACEMENT 0 AI. reM TlONS
FURNACE MAKE AND MODEL FUEL
FWE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWorm Air Plllnts
OG",vlly
o Mech...lclll
OAi' CondllloninS
DVenL Sysr"",
FIREPLACE MAKE AND MODEL ~r.:I JJ 6~
o Steom
o Hot WOler
o Radiation
o Spc<:iol Devices
o Other D..ice,
Ja-Lfr/' 4' ~7!'-,~
PLEASE NOTE:
Air Ccmditioner Units
Cannot Encroach Into
ReqJJ.ired Side Yard
SeTh.eks
Industrhd. CommercieJ & M.ulti-Family
FEE SCHEDULE
I%ofjob eO'1 Residential, 0" Fi",!>lac.
$.39,50 minimum
599,50 Re,ldential, Additions Iii. Alrcration,
$64,50 Re,ide..i.I, AC Only
$39,51)
Residentl,l. Hellllng Iii. NC (New Con.ln.lctlon)
Resldentilll. Heating Onl.y (New Conslr1Iction)
$39,50
$39.50
Estimated Co,t $
Building Permit II tJ / - /;).1.;;2...
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
:Ii
S
$
.50
(Offi" !Jse Only)
This AppllcRtion BeCQmcs You~ Building Permit Whell App~oved Pllid
"undine Orncl.1
bate
Date ~ 2 4 2002
ReceIpt No.
B'~
%4 bour nnlice for 1I111..pe.lion.(9S%)C47-911SO, r.. (951) 447-4%'5
PRIOR LAKE
INSPECTION RECORD
J~~"1. 14-1\~-~~M
L<::>~~ M4.<,,^- ,,-i-le
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15"3&4-
NATURE OF WORKJ.,.)~~
USE OF BUILDING C:::t:A-
PERMIT NO. ~-/- '/~_9t7- DATE ISSUED ,{- f?; -cY
CONTRACTOR (J,lIii . ~ PHONE ~/'?-(4!/)-,\?6i
NOTE: THIS IS NOT A ERMI~ Fo'R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I tiPTIC
FRAMING L.1- It o~
INSULATION t:.t.-, ~Oa..-
ELECTRICAL .
PLUMBING 'R ~~ ,1 ~tf2-
HEATING (if required) 't;~ ~ I . ISft);;2
FIREPLACE "0\ ~ t' I~O;J
GAS LINE AIR TEST I~)IM~\P\P, 1;\,"1. , ,II~O~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Ie /" I I
FINALS tP~tv~
~ ~Ual}tl ~t~lo~
I
~~JfW' ~p.ql{)t9-
1?~\ld~ 31'd-~O~
OCCUpy UNTIL ABOVE HAS B~EN SIGNED
NOTICE
i)U,~
~J
\\~O~
I i3~lo~
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, card shall be p'aced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'~l~':i;r"",y. , "', "", ""', '" , ,..~....-.:,~ ' ~,........., ~.~. ~...,. , ...."'. ~ ~ (
_ . . .---. 'Co ...... . ---~.. ...... I _----: ....", . ~ ....-._.~,;~;"..-............~_ . ~ ""'"
;'._~ r _ -------- ____._ _,.... --'~~~~
;~.; Qrertiftcau at ~cmpancy ': :
-~ ~
~~-~i CITY OF PRIOR LAKE : ~'~;
iJ.~1 _L' 1Btpartmtnt of .uilbing Jnsptction 7' -
~~, j.6Final Permitted 0 Conditional C.O. Expires
(- ,I This Certificate isslUd pursuant to the requirements of Section 307 of the Uniform Building Code
:.;;. i certifying that althe time of issuance this structure was in compliance with the various ordi1lilllces of the
t;a';l i City of Prior Lalce regu14ting building construction or use. For the following:
i."
.;-
:.;-
I~
'):-
;"
tt~
\ ".
~-:
~.'~ - -:'," ',....., ,'-
{'-: ., "'J" -.-t...
~~~
Use Classificatior
SINGLE FAMILY
Bldg, Permit No,
N/A
R1
01-1292
R3
VN
OccuponcyType
Type Construction
_ Fire Zone
Zoning District _
Legal Description L4, B3, REGAL CREST
Owner of Building
COLLEGE CI~Y HOMES,
Contractor's Name" Address , '/A
ROBERT.D, .HUTCHINS, / '/1 '~ilyP\anDcr
t.-.' L -. jBuiJding Official V / /
DaIC: .1...f-L --s./6 <;""" DaIC:
/ /
15364 JEFFERS PASS
Site Address
1720 LAKEVILLE BLVD,. LAKEVILLE 55044
DON RYE
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS )S"30.U~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
trFINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
} / ;;1
~t fI-.11 f' ,-n
DATE
9-+
TIME
ol-/'2.'1L
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORR~CTlON AND PROCEED
o CORriC~~' CALL FOR REINSPECTION BEFORE COVERING
Inspecte ': \ Owner/Contr:
CAW 44 .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODJREQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IHSNOfl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
3-;zq-o~ l'-'/S-
ADDRESS
15"3L.:.4
~e~e..c& -:p~
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A/2f"FINAL
~ 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
COMMENTS:
ISSlAe.. TLO.
V\-n eAC~ ,{'alto,^,
y\,p.ed< N~Je-. v<Ja.-i~.
(,)-K ~.-- WI aieJ
() lit Lvi
\
o I - I Dl..ti;;t
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
ck+~
~\WI
L I
-+{~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ (, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 'f. \cu..v. Owner/Contr:
CALL 447-9850 FOR rHE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOrJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!