HomeMy WebLinkAboutBldg Permit 01-0656
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS G41D ~ ~fL. ~ tlJ. uJ.
f,f~ l....~D~ I m/J) sc:;-~ 7tl
LEGAL DESCR1.t'110N (office use only)
LOT 7 BLOCK ~ ADDITION, JIJ~~~ / ~
j
OWNER
(Name)
WINDWOOD HOMES
14311 Ewing Ave. S., Suite 200
Burnsvill~, MN 5530€
I (Address)
BUILDER
(Name)
(Address)
TYPE OF WORK ~New Construction
OLower Level Finish
ODeck
o Fireplace
o Misc.
I hereby
authorize
submitted p s.
enter upon the
x
I Permit Fee I $ I'll, 000
I Plan Check Fee $ f <<='"7'"'\? ? ~
,,")v~.~~
I State Surcharge \ $ '17 7. , ~
I ~ .+:t $ 9.~ SO
I Plumbing Permit Fee $ II) (; .t:1-()
I Mechanical Permit Fee $ I t:Jt) . ~ ()
I Sewer & Water Permit Fee $ '~.1, ~
I Gas Fireplace Permit Fee $ 4 0 ,acJ
~ A ~
flJ!t;;.r--:~~::;<d
BUllmng Offit Date
7Si~
I
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
OAlteration
~-J~-O I
PERMIT NO. OI"'O(g5b
. ZONING (office use)
~J
PID:;2S -97' .-> f) f? q-?)
~ .
~~-$9S-e~
ORe-Siding
DUtility Connection
PROJECT COST IV ALUE (excluding land) $ / f~ ppO
#
#
$yJ.oo I
I, 1$O.o{j I
, 2<;,,00
$ · Lk; ()()
$ !~20o. qj I
$ 7tfJ" .. (!) (i) I
$ -
1,.1)02 r{7>
$ ..
v97
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter SiZe 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I Paid
I Date
CA-UA:;:;V
?-Z--Ol
f6l{~J- 6\:5
-1-11,., -() I
,. I
$
$
$
#
#
$ SJ4-2 I. 53
Receipt No.Lf() /::.;.1
By 1ft- ~
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
issue ~!~ffi- ~~ _~ (~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
TOTAL DUE
If ",
r..'i
~ >,
'" .<If;.
,~'
White - Building
Canary - Engineering
Pink - Planning
Th. elll'" of 'h. lilt. Coun'ry
BUILDING PERMIT APPb.lOMf,fO'NIlEPARTM~NT CI-{ECKLlST
.
NAME OF APPLICANT
APPLICATION RECEIVED
Id~w/~
t/l5jiJ/
DunuJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(-.:~ 11/0 J-:::'(JX Tad. ~
Accepted ~
Accepted With Corrections
~
>'''4_~~~"..".
Denied
Reviewed By: *~
Comments:
Date: ~~~
. .".
\~~1
?-W ~.~~ k ~
lAMLJ J - ~ 1!\/J ~tc9~W qg, &~
liThe 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. II
........._,... H
Thf ('fn'f' nf lh. take Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
t5~
lL/~ckL
t/ /~/()/
1'/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 '110 ~tJX T~ ch./
Accepted
Accepted With Corrections
.x...
Denied
Reviewed By: (2p,'b-- ~ ~ Date: (p - 2 ~- 200 I
I
Comments:
~ aJ( a~(.~~cL k~
"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."
Date Rec'd
ell r OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS
~. =w ~\~ PERMIT NO. '" _ I L"" J
3. Gold Applicant ~ ;::) Co
31//0
F o'1l r IlX,-
T~
ZONING (office use)
R}
LEGAL DESCR1.t'uON (office use only)
LOT7 BLOCK ~ADDITION /~)~ is-+--
PID;;6-37'-cY5-{)
OWNER
(Name) Wx NOlO 0010
(Address)
u OW\ 6~
(Phone)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)J2a- ~JI~ 6. \Lc.
(Address) I ~ Jl ~ ..:r 0 f L ~ tV A- "I
(Address)
(Contact Person) (5 l.\ ~ C- IJ
APPLICANT SIGNATURE ~ ~..... t ..-.D~ ~
.
(Phone{~) J>9j.. -, ? {J &,
Lit. tit. . S-S-~ ljl,(
(City) (Zip Code)
(Phone)
DATE -.:z.h /0 J
,
APPLICANT PLEASE COMPLETE BELOW
Size of water service -L inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line '-/ () feet.
Clean out (if required) located at '- feet from structure.
Estimated Cost $
$35.50
$17.50
C>b
8eo #
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Residential sewer and water line connection
Sewer connection only
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
/!J{jll.~,ql() l1,
VJ\1G '1l"J-1
t:>~'7
~~/"t'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MATTHEW DANIELS,INC.
423 31317 P.131
Date Rec:td
CITY OF PRIOR LAKE PLUMBING PERMIT
1.81... Fij"
1, 0uW Citp
). Y dlow Applican&
PEnnT NO.
l-to5(, l
(Please ~ or Clrint and si.lll1 at bottom)
. ADDRESS
d.J'fJ ~~~L ~ "-Il*
ZONING (ollL;. \1ft) -
R(
LEGAL DI-SCRJr uON (office use only)
LOT 7 E LOCK " ADDITION ...:>Y~ /41'*" ~L.
OWNER .), . . 61 I. )
(Name) --J,U,.." A1JI ~! J) '--~JJn
. (Address) 14UJ b:u;-. lJ jll . \4lI")
APPLIC~ I -'--"- L - .~
(Name)~ !JA~.nJA..J. ..JL.o_. (phone) ~/. ;./;..;J....:l~(J
(Address) _ I~() (J... 11), .LI J ~ 1_ *~. ~L1-! rv ~ 11.1 ~. \..rL,y ~
(Address) (City) (Zip Code)
(Can_Poeson) ~A;'J. t. ~~'t:t~':J- J . (Pbane) e..t.€1. -I~~.~
APPLICA~TSlGNATURE b~j .u....~ DATE ~. /4, ouol
APPLICANT PLEASE COMPLETE BELOW
".1ype of Fixture Quantity I
Bath Tub with or without shower i Rough-ins
Dishwasher I Water Heater
Floor .Draip . J ~ Watcr Softner
Lavatory (Bathroom Sink) {Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink . Sewase Ejector
Shower Stall Backflow Assemb~
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) I Other
Quantit)
.J-
I
I
.s-
I
I
I
I~
-4
pm9.t- 31(P - 0 g3-o
,
(phone) q5~. B95- R!/:!:Ji'
ylulk1tA~1'~J';).~ ~~?
Type of Fixture
FEE SCHEDULE
Industrial. I :ommen:laI &. Multi.famlly 1% of job cost with a $39.50 minimum Resic:lmtial. New One &: TlIlI.o-Family $99.50
Residential, Additions &: Alterations $39.50
.
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE S
I ST A 1E SURCHARGE S
TOTAL PERMIT FEE $
qq.6?J ~/iA."
.50 I fJl' ..'~'11,1 .
/~IJ-,!J~ . ~ . G p /'!-f
. or ~r;'h
"v, r,..
(Omee u.. Oily)
This Applcation Becomes Your Building }ermit Wbea Approved
Paid
ReceiDt No.
BUoildlna omcial
0...
Date l} - / ~ -(){
,BYfy
.'.
14 hour noti" for all inspections (951) "7-9150, fal (95%) 447-4Z45
..
TOTAL P.131
12: 18PM METRO tlRCY OF PRIOR LAKE NO. 693
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
P.l
Date Rec'd
~: ~:" ~~ I PERMIT NO. 1- /5/ I
,. YoIlnw """Ilanl ~ b
~~~;rs~ print IUld Jilll1 at buLlom)
'. ~'4 \ a ~ \)x -t-Y""''-\: l \' ~~: l
_Of'
La~'AL DESCRIPTION (offic:e use only)
L~'ff) BLOCK"" ADDITION
OW:~BR
(Nil.f'C)
,
(A~~"e$s) ,'\ '""?, '\ '-
~/s+-
ZONING (C/ffit'Clllft)
Rt
PIDd.s-- ~ It, -6f3-tb
-~ ~ t'\~ ~ rv~'\ ,,~~~
~~') "''' ~ ~~ ~
(Phone)
C\~J- ~t\~._~,-~\.\ ~
"',^.-"" ~ \j \ \ \t
s S")() \p
APl't..lCAN r ._~ \
(~~~le) \f\~~~ "~,,.... ~- ~'\ <..
(A~~fCSS) \~q ~lJ \j ~\ l(J~~ t\v "-
(Addl'eSJ)
(CI,/IHac:t Person) N L\ V\ t.-\} S L-,", ~ '- \ '-.
~fl~PC^NTSIGNA'fURE '-^C\~ .1c.^uk.
\,1
(!>hone) '~ S ~. \4 \\ l - ~ \ ~ \.{
(-' r, Co.' - \.1.,\ u.. {\~
(CllY)
(Phone) 9~' A. - "\ ~ -,. ~ \ f) \..\
..- . ~
..) So ~ -, ~
(Zip t;odc:)
DATE
Al)PLICANT PLEASE COMPLETE BELOW
"1 ~BW CONSTRUCTION 0 REPJ..^CEMENT 0 AL TEI~'1'I0NS J i
FU~NACE MAKE AND MODEL '\""\ \J 'P - \ ~ C) r:UEL ,l\ ~ r'
FLi~~ SIZE rv <......, RETURN OJ)ENINOS ~ INPUT ,~~, ~ OUTPUT ~ \. UlL)
lYPE OF SYSTEM HEATING OR POWBR PLANT
'. NAvarm Air l)tanL.~ 0 Stelln
~ravity B Hot Water
o Mc:chanic:al . R.adlRllon
'jdAir COUdltlordng 0 Special Devices
5lVcnt. System 0 Other Oe...ic:es
))LEASE NOTE:
Air Conditionet' Units
Cnnnot Enc;lvac;h int\)
Re'luired Side YSl'd
Selbacks
FI~ljVLACE MAKE AND MODEL
.. ~'
lnd\I:ijlial. Commercill It MulLi.Family
~
FI!:E SCIIEDULE
I % of job cost Rc:sidc:nlilll, GIIS Fireplace
$39.50 minimum
S99.50 Rc:sidc:nlilll, Atldition$ & Alteralions
~61J.50 Rcsidcnlial, AC Only
5J9.50
R.e!ilclp.~lial. Healing &. Ale (New Construction)
Re~j~fllial. llealing Only (New ConslnJclion)
',.
$J9,.sO
SJIJ.SO
Estimated l,;osl oS Building Pel'mit II
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
~
111 ,.l!~'ID
.50 ~/tvG W'"!11 "
f,)1:~'
::.!.I
(or,i~ LIse ~nly)
./....
1'1~h AI'pJicatlon Bccolnes Your Duilding Permit When Approved I Paid
Receipt No_
DulJdlnl omchll
Dice
Dllte~, 30 -() I
By (j0
':
Z4 hour nollte for nil in~p.ctionr ('51) 441-9850, nu (951) 441..4145
15~39 FAX 7635530887 GUYER'S BUILDERS EXPRESS
Cll i OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIF1REPLACE PERMIT
IaJ 001
Date Rec'd
I, .i.k
2. 0.-
" VoIlo-
=-1 PERMIT NO. (t; 1- c.. s-k
(Plcue rn:x: or Drint and ,il!Jl at bottOm)
ADDRESS
3cf1o ~,(r;f!L ~/t-
ZONING (olllce use)
R(
LEGAL DESCRIPTION (orne<: use only)
LOT'! BLOCK (p ADDITION ~,~ l5-r
OWNER
(Name) WI N(/~~,o
PID ~'S- 37,,-0i?3J-()
(phone)
. (Address)
MPUC~T r
(Name) {? I/'r/t&. 5 I3v/I D~/2~ t;W~4
(Addre5s)/3n>~ /5"7~ HYdE' N~,
(Addrcss)
(Contact Person)7) "-' ~,~ -- -
APPLICANT SIGNATURE (d.1-J( (! /L. ~
(Phone) 7t. 3 t',,7'e/ ~tt.t:.;5
~ ~,:1? a::&.J r.r-..w..
(City)
<:"~~~)
r,
t .
(phone)
DATE
-
/~/~
r
f APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWann Air Plants
OOravlry
o Mcc:h.nic:al
OAir COllditlollllli
OVmt. System
FIREPLACE MAKE AND MODEL&......E~'~
HEATING OR POWER PLANT
o Sleam
o Hot Water
o Radiation
o Special Devices
o Other Devices
}).e. 6oe> C kJiV
PLEASE NOTE:
Air Conditioner Units
Cannot Enc;roach into
Required Side Yard
Sctbsc:ks
TYPE OF SYSTEM
FEE SCHEDULE
Tndl1m'ial. Comml!irciaJ &. Multi-Family l~o ofjnb cost Residential. Gu Fireplace
$39.50 minimum
Residential. Heating &. AIC (New Construction) $99.50 Residential, Additions IL Alterations
Residentjal. Heating Only (New Constt\lction) $64.50 Residential, AC Only
, ~G
Estimated Cost $ / ~ - Building Permit #
539.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s
s
Dale
.51"""'---_
8 PAID~ '-~
, U/LO/Na p
Recci~MJ!
to- '1..0 I B~
(OmCl! lIu Only)
This Application Becomes You.. Building Permit When Approved
Paid
Building Onici.1
DaCI
z~ hour notice for 211 inspections (952) "'.9850. rall (952) "7-4145
PRIOR LAKE DEPARTMENT OF
~ SlJILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS -X110 F<<+CH} +r-Cl" I
NATURE OF WORK J1:.,J
USE OF BUILDING s;'f:"V>
PERMIT NO. QJ. ()f.o5f.o DATE ISSUED (p-2.~.2tz,g(
CONTRACTOR Wfl"J~ PHONE 8t?- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\ INSPECTOR DATE
I FOOTING I ~ I ij.:z.~f)1
, FOUNDATION (Prior to Backfill) I '6-~ 16" I <B 0 ~ ~w
\ ~
PLACE NO CONCRETE UNTIL ABO E HAS BEEN SIGNED
ROUGH - INS
1~~
~'t ~"'1
~~
,.
GRADING (Prior to SOddin~_
BUILDING /C717
ELECTRICAL
PLUMBING
I HEATING
DO NOT
.
~ (, {'f
f1 t I ~ J (;)/
'( ,'oi
~ ~.~l,
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 ..all be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
----- '
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
II-Jq-ol t()~ 3Q
ADDRESS 34/ 0 Fo)C-t~~I1r~
OWNER CONTR.
PHONE NO.
PERMIT NO.
/ -I, S-l.o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
It 0 SEWER HOOKUP
PPLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/
IWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 1/ .1\ lnAJ~ Owner/Contr:
CA,I)", 447."~() FOR. THJ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN9NOTI
o PLUMBING RI
'[] MECH RI
o WATER HOOKUP
o SEWER HOOKUP
^- 0 PLUMBING FINAL
1T ~ MECH FINAL
COMMENTS: ~ '
!ll- &ItJ(~
~'1 CA~JJ l4~t ('A~
-~
~"d ~ ~~
CITY OF PRIOR LAKE
INSPc~ ..ON NOTICE
SCHEDULED
ADDRESS
. qo//IJ
~
/
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
fti INSULATION
FINAL
~ SITE INSPECTION
DATE TIME
'@/J:l.I"
Wne,
q ~ e1f)
o{-~ S-"
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~.
.,.
~RK SATISFACTORY, PROCEED
o CORRECT ACTION At'D PROCEED
o CORRECT WORK, cAL FOR REINSPECTION BEFORE COVERING
'",peel'>r. $ taa.. Qwne'lComc
CALL 447-9850 ;;;;;;JE NEXT INSPECTION 24 HOURS IN ADVANCE.
_OT!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-~/--<JZ-
PHONE NO.
3''1/ CJ If;;<.~,' I Tr J
CONTR. ~I Ho/10
PERMIT NO. ..d-! 4(<'6
ADDRESS
OWNER
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
~ ~1i&nB!I.LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
LV I' bZo..~ - Ot:..
Gro. c/ -(, ({) {(
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ -'Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED fl..:..J'1- A /'1..7:
~tI/O ~c4tmo;u,
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
.. FINAL 0 PLUMBING FINAL
ti SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ i- ~ aM.
_.....
:r
- ,
.d ('~ -.~,
~~~
I
'\
:;~
o j- ~Sb
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
L...".-I
,.
~,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"
-
.Permit#
.JobAddr8$li 5' *0' Fox-in, 'l /r-
.Healing c.. ,.. .lor METRO AIR
.Testenl/Signature ~J f
Dale
Pounds
Pressure
Time
.Gas Une
Pressurized
Inspected
.Percent C02
PERFORMANCE TEST
~(r%
7.0%
0%
IIJ"'''
.Percent co
. Percent O2
.Stack Temp.
Finallnspeclion
Date