HomeMy WebLinkAboutBldg Permit 01-0637
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. While
2_ Pink
J. Yellow
File
City
Applicant
(Please'!vpe or I rint and sign at bottom)
ADDRESS .. /_
/$i31 !i1M'1f/ 1#4~5 t-:
LEGAL DE: ;CRIPTION (office use only)
LOT Cj Bl~OCK 4-- ADDITION
~~ /S?-
WlNDWOOD HOMES
14311 EwinqAve. So. Suite 200
Bumsville. MN 55306
PID~S-- -:31C:,-tJ39-{'
OWNER
(Name)
(Phone)
~!1- 6%. B#e
(Address)
BUILDER
(Namp\
(Phone)
(Address)
TYPE OF VI ORK ~ New Construction ODeck
OLower Level Finish 0 Fireplace
OPorch
ORe-Roofing
OAddition
OAlteration
ORe-Siding
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
/~pp~
I her y ce~ hat . d information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or '
author ed age~ : the above-mentio d property and that all construction will conform to all existing state and local laws and win proceed in accordance with
submitte lans I awe building official can revoke this permit for just cause. Furthermore, r hereby agree that the city official i a jgnee may
~terupon p' ee~ h'17 b/r.,/Pf
~re Contractor's License No. bate
l ~ Ic..O/ooo.~
1 Permit Fee $ ('3'29.{~1 1 Park Support Fee # $ AS(').nj
I Plan Check I ee $ 8Co9.3<.! I 1 SAC # $ /, 1."Jfl .del
-
I State Surchal ge $ Ai', . rY:":> I Water Meter Size~'; I". 1$ o I :;l '\'. ;Jr
,
I Penalty $ 1 Pressure Reducer 1$ . 4s. od
Plumbing Pe mit Fee $ I 0(') 0 t<) f) 1 1 Sewer/Water Connection Fee # 1 $ 1.200. Cl5'1
Mechanical] 'ermit Fee $ t Dn . f"'Y) 1 Water Tower Fee # I S' ?,..".,. ~
1 Sewer & Wa' er Permit Fee $ 35.S} 1 Builder's Deposit $ I. ~/'"Y'l.
1 Gas Fireplao: Permit Fee $ 4f) 0 rY'i 1 Other $ 'v ~
(Zr~~)~ Betes YOUrBUildmZ~7~:;: I TOTAL DUE $ B; IICf.srr I
I Paid x/fCI, f) '1 I Receipt No, tI 0 (:+-I I
Buildin! ~ial Date I Date - 7- 1 h .[, I By (%' . I
t ,- - I r;c-
This is to certify th It the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~t(cm~~con":~~a~mpomYc':~~:n:~li:nceand al1s::'~;:::~ru~CG:;:=tb'
^ Planning Director Date Special Conditions, if any
24 hour uotice for all inspectious (952) 447-9850, fax (952) 447-4245
-_.."._----,--~-~..._---,-~._-~-.._----,--'-_.._._~~._~----
~XR/OIi'
" ~<
~ ~
U t'1
White - Building
Canary - Engineering
Pink - Planning
-
Thr ('rnlr of the L.kr (.'ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NIIME OF APPLICANT /J/Ptt!ad ~
AF 'PLICATION RECEIVED
t,-7--o}
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/ 5' ~ :3 9 ~a;2-N_L2~ J 1//27;; c-r
( IV'"
Ac cspted Accepted With Corrections ><'
DE,nied
t--
Date: 0-1'Y-~1
~~
"T 1e 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
pr< lsuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
The' ('e'nle'1 of lhe' l..ke' Counlry
While . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nj,ME OF APPLICANT lIhlliaA'(J //
AF PLICATION RECEIVED h - 7 -0 I
'..L~..'
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
/ rl) " "1" '1 -L---
d.,'''' :J I .' ,/~.,U/ (2.~ ; xl",. L.:, '" -/
/
Ac eepted ~
Accepted With Corrections
De nied
~4'"""""""~ Date:
-<<-.~ "
Re viewed By:
~
M :;L~ Pr0?t~
_ v&vtT ~ (JIA.P_ ~ ~yo
\to ~p~~ ~w'" .
M~v.J.\MJ.JM . ~D F~ 0ffi,
08W\ ~ ~DrL0 ~'
"Tile issuance or granting of a permit or approva of pans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an { of the provisions of this code or of any other ordinance of the jurisdiction. Permits
prE isuming to give authority to violate or cancel the provisions of this code or other
orcltinances of the jurisdiction shall not be valid."
~ALk
t~~~
"
White - Building
Canary - Engineering
Pink - Planning
The' ("tnl 'r nf Ihe' Lib Counlry
flUILOING PERMIT APPLICATION DEPARTMENT CHECKLIST
\
N.!l.ME OF APPLICANT /J)~ ~
AI'PLlCATION RECEIVED ~- 7-0 J
Tt ,e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
15;{39 ':::f~ :IL~~+-
o ' V
x
Accepted With Corrections
Ac cepted
De nied
Re viewed By:
I'If9-I3
. Date:
(-;)5-0 I
Ccmments: See Reverse Side for Addition;:)llnformation!
-
.-:lee Auacnments: 1) Grading Plan, 2) Erpsion Control Measures
3,' ~rosion Control Plan
"Th ~ issuance or granting of a permit or approval of plans, specifications and
conlputations 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
pre! iuming to give authority to violate or cancel the provisions of this code or other
ordi nances of the jurisdiction shall not be valid."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please'!vp~ OJ mint and sign at bottom)
I ADDRESS
/SJ 3~ ~AT/2-WY'I-"f lie rS'.
~. ~~o':., ~;;~~ I PERMIT NO. 1- / 3 /7 I
3. Gold Applicant ~ ". /
,
ZONING (officeusel
--PI
LEGAL Dl !SCRIPTION (nffice use only)
LOT9 l1lLOCK J..f ADDITION /LJ//hA/rY!~ /,f,-r
PID ~-3 7' -039- ,
OWNER
(Name) kJ x.w.3w 0 00
(Address)
JJOM IE S
(Phone)
(Address)
(City)
(Zip Code)
APPLICM IT
(Name) DR- Er J./--bIL E)t c... .
(Address) '" 1/ 8 ..rOP L"j;..J l.<JA ':f'
(Address)
(Contact Pe ,son) () LA .. C J.I
APPLICMrTSIGNATURE ~.~ f).~
(Phone)(clS.2 \
Lit tJL .
(City)
(Phone)
DATE
~ 'l). -, 9 0 ,
S" ..JtJ LJ 'I
(Zip Code)
? h J{) 1
.
APPLICANT PLEASE COMPLETE BELOW
Size of water service J inches.
Location of any couplings from structure -
Type of sewer pipe. D ABC ~ PVC
Estimated length of sewer line II cl feet.
Clean out (if required) located at '- feet from structure.
feet.
D Cast Iron
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
"":>
8 00 ' Building Permit #
Residential : ewer and water line connection
Sewer connl ~ction only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
e PAl
UI(D:f'P ~'vtrl
Gp~,!
F'IJ~;rr
(Office Use Oily)
This Application Becomes Y onr Bnilding Permit When Approved
BI ilding Official
Date
I Paid
I Date
Receipt No.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ISa:sCf fa fru..J~. /-(.Q,.~ n~
NATL RE OF WORK ~J.orD (J
USEJF BUILDING ~~J) .
PERMIT NO. () f.Oc.,37 DATE ISSUED & ~ I~- Zx>/
CONuRACTOR ,-^/.'lA&lJJt'Il'')'& ~ PHONE '75::<. eqs -89'"0/<5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I DATE
I FOOTING ~"1 II OJ
I FOUNDATION (Prior to Backfill) I 'h\ ( I ~hsv
PLACE NO CONCRETE UNTIL ABO E HAS BEEN SI~NEO
ROUGH - INS ( (
SEWER I WATER I SEPTIC I E-. \j~ '7 [aft \oe
FRAMING I 1b~LIuI \ crl4-,loi
INSlILATION I (tS, ~ Cf hI '0 I
ELEGTRICAL I l I I
PLUMBING I 'b J Oov'i ~I~}ol
HEA'r1NG (if required) I t ~~ I tf!4Io!
FIRElPLACE :6 I _ \ I I
GAS LINE AIR TEST {if: M7f?( ~ I '4.., \\ I ~ 4 '0/
COVER NO WORK UNTIL ABOV~AS BEEN SIGN'EO
I I
FINALS
I
I
I
I
I
OCCUpy UNTIL ABOVE
NOTICE
"
GRA DING (Prior to Sodding)
BUILjOING
ELE<bTRICAL
PLUI nBING
HEATING
100 NOT
INSPECTOR
J
AJati- . \
~ VavlJ I () ~~f'/o(
- 7, I v
~'~~AA l() 1~a.L(
*vo-Lt ,01:.14-1 of
HAS B~EN SldNEO
i ?{-t/-O (
1 his card must be posted near an electrical service cabinet prior to rough-in inspections
llond maintained until all inspections have been approved. On buildings and additions
v ,here 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 (952) 447-9850
CITY OF PRIOR lAKE Me
16200 Eagle Creek Avo S.E. Permit No. 'Q \ . \) ~ ") l
Prior Lake, MN 55372.
HEATING APPLICATION J PERMIT
~oate \ \ - ~,~ - 6\.) PID I:
~ '
SJe Address \ S"J. ') '\ ~ L4,', '"' ~ "" '\I \\ 't.; t.. "'~ C\- .
~ . '~
~oI ~ . Block ~ Addition \.J~~ S ~ ~--. \ ~........
o ~ \ \ \ \ \1 . ..
Z>wn."s Name ~ .. f'\ \l\ v.. .~ (""" ~ ~ t, ,'-~
Address \ \..\"\ \\ c:..v'::: 0 "" \\ y.').... ~:,\...\.....-'\ ~ ~~ \\ y
Heating Contractor ~\--Y' l' A~"..- - \" l.
Address \ l..o ~ ~O ~ ~ \ l (Wht t+J l.
~ 5"~- V\ \...\ t- ~\ ~ ~
'Pr, ~U' \.1.\1<lt
Telephone #I
,
Furnace Mak& & Model C c...'I" (J t.--
Model Size"'"' \l (' - \ \) C)
Conn.load ~ I 1 \~
Fuel N (A~
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent System, ~
HEATING OR POWER PLANT
Steam
Hot W..,
Radiation
Speci II Devices .
Su~y Openings
.Flue Size
)\....
~
&VC
Return Openings
a:npUl \ ~~ . ~~
H _
<I
o:cIr.
0::
I-
w}tm.
E
Output C\ ~ . G ~
01 her DeYlces
\ '" ~S"
TYPE OF WORK
~~1t8ra\ions .
(TJ
;'_pair Est. Comp. Date
est. Cosl $ q S a ~ f5V Bulkling Permit t ~ \ ..
.-i
re-fEATING PERMJT FEE I ~
~STAJE SURCHARGE $ .50
..J .
~TOTAl PERMIT FEES $
--X
Replacement
New Construc:tion
o\o~'1
Receipt ,.
TYPE OF STRUCTURE
L Pi....
1. Ciraa
3. yen-
RIc
- Cby
01.._.._,..
Single Family
Commercial
)(
Mul\i-Famlly
Olher
Two-Family
Industrial
"
Pubic
Fee Schedule
Induslria~ Commerciel &. Multi.Family
Residentiat, Healing & AC
Residential. Heating Only
Residential, Gas Fireplace
Residential. Add"ltions & A1teralions
Residential, AC Only
1 "fa of job cost 1$39.50 minimum)
599.50 PLEASE NOTE:
S64.50 Air Conditioner Units Cannc
$39.50 Encroach Into Required Side
S39.5C Yard Setbacks.
S39.SC
Remember to acid the Stale Surcharge on the b..;:.", ot this application.
The price of )'OW healing permillncludes one rough-in and one iinal inspection.
Additional inspections wII be bfIJed at $35.00 each.
House Healing Test A4tcord must be submitted with puidinq pe~ number before build.
ing certifICate of occupancy wUI be issued.
~CAlCUlATlONS REOUIA8l with number or supply and return.l. ...ings Hsted per
room wiIh CFM's per opening. New structures or additions send lloor plan with supply
and ....um locations sbown. HEAT lOSS CALCUlAOONS. PAYMENT AND
APPUCATIONS MAV BE MAJLEO TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. s.E. PRIOR LAKE, MN 55372.. 0
City Hal business tlows are B a.m. - 4:30p.m.
AU WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL crrv HALL
447-98.50 FM Ll-4-i. "'2.~
I hereby apply for a mechanical systems permit and I acknowledge thai the
information above ia complete and accurate; that the work wll be in conformance
with Ihe ordinances.and cod.. 01 the city and with the state buldinglmecl'lanical
code.; thallhis form does not become a permit unlil signed by the BUILDING
OFFICIAL; (hat the work will be in accorda'nce wilh Ute approved plan In the
case of aU work which r&quires review and approval of plans.
'-"\\ - - - \. ."" ~ ~\~ 1- \ \- \
~~ D_.
BulIdinq,.9tfical'l S1Q.~atw.
Date
-..... .. ~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/ /-t-o{
h1
ADDRESS /5Z3? FC,;f'vt/",y H:/5tT
OWNER CONTR. w,'rJdwCJo~ H&~S
PHONE NO. PERMIT NO. () / - (g 3 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
AEXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
LV,"-, i3t9>L - c) K-
(7rPld< - n t
))\ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclo.44~ -. .""-OwrlerIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~od~
~+T -a-
')
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_ 0 )JlSULA TION
KflFlNAL
. 0 SITE INSPECTION
COMMENTS:
DATE
T1ME__
;1./ .
SCHEDULED -..S -80-~
r~ Yk;
u
/6:A 39
CONTR.
PERMIT NO.
( - {o 37
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I~ SeA <e..- C~ ()_
dose (~\P
.I
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ \ ~ Owner/Contr:
CALL 447-9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ~ FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
"'---, '-.'--- --.--... .~-,_.,._-,_...,,"-".". -.-.... -. -. - ----. ------.--.-.-
!p-IH /o/:ld
r
'::JL~-L//~ ~
U
/-~37
.;ITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5'":;< J CJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~i~~~T10N
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A-ilSEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
DATE TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: () 1 ,
V1t\ a M.,O /J A.JV\-<\.r i") K-
.::.-
IAMk- -S f_ctJ.e 1
./
fiORK SATISFACTORY, PROCEED
'0 CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENT. ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS/VOTl