HomeMy WebLinkAboutBldg Permit 01-0816
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERnJ4ICA TE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT '7- I q - 0
1. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only) 'BLt) G:,..\l: \"2- Ui\...+ ~ " ,
LOT tfBLOCK ( ADDITION l'>>:;~r..Cu;\d ~J ~ PIDJ~-:311-0C)f-()
OWNER
(Name) (phone)
(Address)
BUILDER /J
(Name) O.Q. ~ -Xn\ '
(Contact Name) _M ,j(L lA)ann~t~a /
(Address) d()fJ&,O l<'-Gvlbrt~ d. ~te..1 00 LtJ4vtl)6JAA kJ
TYPE OF WORK
~New Construction
OLower Level Finish
(Phone) 'q~-erg,""-IBO~
(Phone) ~5Ol-Ba~' 4732-
Q.,7Jt.J t../
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
o Misc.
PROJECf COST IV ALUE (excluding land) $ '7~. In 0
o Fireplace
ORe-Siding
OUtility Connection
I hereby certitY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that lam 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..____.d in accordance with
uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
d inspections.
sUb~'tte ans. I am aware that th
;ter up, n _ e property to ps:rform n
A Si
-v
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
7').. ~~ .e> 0
....
$1 c:r I . 7<)
$ f!) Ie. 5'<.(
$ .~. t!JO
$
$
$
$
$
IDb . On
/~<" .00
~O
4o.~1")
ecomes Y our}uilding Permit When Approved
~-'20~~'-
Date
~I)OOt;(ps~
Contractor's License No.
Park Support Fee
SAC
#
#
']- 1&-0 I
Date
$ BSQ.r'Fl.
$ 1/5O.C2t2.
$-0 -
$ -0-
$ I, '200 · &1
$ '1f ()I · CJ a -
$-0 -
$
$,$" L/QJ. - ~9
t. -
Recei~'l ittJ:> (0
By It .
/
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
~k::;;:~:-C_~;'~md-.z:m~c:::;;-~:~
P m g Director Date .. ~Cia1 Conditions. if any ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
I Paid
I Date
~L./Cj'.,.). .er'I
r /,1 }- t5;>
The Center of the toke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j) J? 4/~
.
7-/1-() I
The Building, Engineering, and Planning Departments have reviewed the building permit
application forcon-;_ct;~:ct~ty/WhiCh is pro:s~aSl?' fawn ~of.tn<)
~
.Y
Accepted With Corrections
Accepted
Denied
~ i-- J:
/
Date: 1-2D-~1
Reviewed By:
Comments:
\s~ ~ MC4--l~ 1::'-\-0
'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."
White- Building
Canary - Engineering
Pink - Planning
Th~ (""nlrr of 'hr l~.kr ('ountry
'~/~'f~;:~'
BUIIJ)ING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f) J? k-f (~
. -
7-/1-() I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
7- 11- 0 I ~L/ S~ ,kL1f)1 ff1J.~~
, ~
Accepted )( Accepted With Corrections
\
Denied
Reviewed By:
All/- i3
Date: 7-2 $"'-0 I
Comments:
5<,c /YJer/n ~'I L
'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."
Jul.25.2001 6:56AM
GENZ RVAN PLUMBING AND HEATING
No.8621 P,' 25/30
t..:.1.l r OF PRIOR LAKE PLUMBING PERl\lll~
:pate Rec'd
,.
JUt'2 4 2001
- "- .. c./
,
'"'. ',-
. .
CF~ ~ or*&cl'siga It:b.baDm)
ADDRESS . '- -'. -'. ..
""'tiE':> i^ _-.._ - 'p-p,) \ ~ l? f!&P1 ~ f\ t--
LEGAL DESCRIPTION (of6c:a'1IlIe auly)
LOT q BLOCK I ADDmON Du Q.v-:--b.' O. 0 3rLD
l
I..... m-
to GDId CIty
J. Y...... Aflpi'-
.(.d.RMrr Nu. / 'rfi ~
..--J
.~
ZONING (cdlkcllK)
~()-
PlD,?g"'- B "fr3-no9-C.)
OWNER
(Name) DR. 110;r:tou Cust:om Homes
(~) 3459 Wash~Dgcon Dr Ste 204 Eagan, MN 55122
. (l'hone) 651-454-4663
APPIlCANT
(Name) CilRZ~Jilya.- "D1..m'h.1"\i r, u.... ....~'":I.:
(phone) ,.; c; 1 4 ., ~- '-l..&j.
(Address) 14745 So Robex-t! Tra~l Rosemouut
(A~.........) (City)
(conr.actpetS~ Mary. Olson ,1 . ~~) 651-423-1144
~uc.AlliT~GNATURE I 1 ~~~_-' ."tf.(11ll ---1125[0 I
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of FL ,t ,', . I Q1Wltity I
,. . - I Bath Tub with OJ:' without shower I I Rough-ins
, Dishwasher I . \ . I W_ :a......L~
J Floor Drain I 1Z./ I I. WatCi' Softncr
~ . 1 Lavatory (Bathroom Sink) " I SDmd Pipe (Wuhing Machine}
, I Laundry Tray (lor 2 compartment sink I I Sewage EjeCtor .
I Shower Stall I I Backflow Assembly .
I Sinks I I Backflow Assembly Test
I Bar Sink I Lawn Sp~er
Z. I Waf<< Closet (Toilet) I Other "
MN
, :.5-5068
. ~ t ~ (Zip Co~)
Type ofFb:ture
~..I!..E S\..J::I..IW lJ.a..E
IndustnaJ. Conunerc:w. It Ml.llu-fllmUy 1% otjob cost with a $39.50 minimum RmidentJal, New One &. Two-family $99...50
Resideotial. Additions &. AI_"":o,os $39.'0
Estimated Cost S
l3uildins Penr;titH
PLUMBING J:~ ~.tUi $
STATE SURCHARGE $
TOTAL .l JUoQ\IJIT .l'...... $
,...
11_1_ omdaJ
D.e. '
A V
, elJII..D~/D V r
'1tvG p~'
I"
Paid , ~ "1
Date <6""---=3 -0 I . By CK
u
.50
>mea tlse Only)
This Application Be~ines You.. BuiIdiIlg Permit When Approved
14 hour DOtU:.e foJ' all iupectlo... (952) 447.98!~ fu (95%) ~7-4%4S
CITY OF PRIOR LAKE
liEAlliiG/AIR CONDITI0NING/141KEPLACE PERlVuT
Date Rec'd
~: ~ ~:~ PERMIT NO.,_ <7irl
3. Yellow Applicant 0 , )0
(Please tyoe or orint and sil!;Il at bottom)
ADD6~g K1Wn ffipMDW 0llyvt; z;m;::fticeuse)
LEGAL DESCRIPTIpN (office use only)
q-I
LOT f,8 BLOCK t '2---ADDITION
lO_i?~~;;"-€~fP) ;--d
'--'
PID~- 313-a:f1-0
OWNER ~() I L.
(Name) vK.. \1Dfli\
(Address) , 3(Jij1 W Ot, cAtIN k fW-L M 1JJQ
L~
~;;~fAN1f1llaM YntthCUl)icaJ (phone) ld31 452,-2-175 j
(Address) ~D mntbe.u ''1)r ~3Jil-kr \ .
(Address) .
(Contact Person) ---YJ.ft~ . U~
APPLICANT SIGNATURE _ M~_f./ 7.J fYifl11.J//rIIl/l
I ~v-rr-
/ APPLICANT PLEASE COMPLETE BELOW
~W CONSTR.UCnO~ 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL Br'jtnJ.- ?}6?;lLAVD2J-IblD . . FUEL~aJ'
FLUE SIZE L.\I\ dltss & RETURN OPENINGS 4- INPUT '1DI DDD OUTPUT 5lc! bb..D
TYPE OF SYSTEM HEATING OR POWER PLANT
(phone)
~
MJJ 55/21-
(City) (Zip Code)
(Phone) --1.J5 I '-1-51..- 2-"176
fJtJJJflJ DATE i/3DJ /) I
OWarm Air Plants
o Gravity
o Mechanical -
~ir Conditioning
[JJ.VCnt. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE 'NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost . Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
e{jll;~/D 11
'1NQ J;/""/Y
4S'i);, A
J "/1'1"
(Office LIse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receint No
--
-
Date
q~-() l
By ~
\j
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DEC.11'1001 07:41 651 633 BBB4
FIRESIDE CORNER
#6031 P.oo61013
Date RK'd
CITY OF PRIOR LAKE
J:1&ATING/AIR CONDITIONINGIFIREPLACE PERl\'J.ll E 3
Del 20m
I. PI'"
2._
). v.....
$1..", , ~'~K1tfi'Y. NO. (J 1-0 ~
ZONlNG (otlb PR)
(PleuctvE!eOfTJriDtlJlllsiJUJltl. ...,,)
ADDRESS
5y.r~ ~.~ ~
LEGAL DESCRIPTION (office UIIC DDIy)
LOT BLOCr<.
ADDmON
PID
OWNER
(Name)
~ JJo~
(phone)
(Address)
APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-256J,
(Address) .-2700 N. FAIRV'I~ AVEN8E
(A.d.dress)
BRENDA h"US'I'ON
(ContaCt Person) --
APPLICANT SIGNATUR.B (' ~.&../)-- .d~
BQS.EYTT.T" ~
(CIty)
(phone) 651-633-2561
If,'\ll":l
(Zip Code)
DATE
/~./JjJDJ
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMBN'T 0 AL TERATJONS
FURNACE MAKE AND MuJ.J~J... FUEL
FT.UE SIZE RETUR.N OPENINGS rNPUT OUTPUT
'1"Yl'E OF SYSTEM HEATING OR POWER PLANT
DWum Air Pllll1ts
DOl1lVity
o Mec:h.anical
DAir Conditioning
CJVent. Systan
FIREPLACE MAKE AND MODEL ~ JJ t' (p
B StelUJ1
Hot Water
o Radiation
o Special Devlc~
o Other Devices
PLEASE N'u, Jl,:
Air Conditioner Units
Cannot Encroldl into
Requirad Side Yard
Setbll'lks
s(~ AfZ)
InduStJ'iaJ. Commercial /JI. Multi.Family
FEE SCHEDVLE
1 % of job cost Residential. Gas Firephu:e
$39,'0 minImum
$99.50 RllIlidenti.al. Additions & Alrzntfom
$64.50 Residential. AC Only
$39.50
Residential. Heating It. AlC (New CQflSUUction)
Residentl", Heating Only (New Con5trUctian)
$39.'0
$39.'0
Estimated Cost $
Buildins Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
S
r~ PAtO WITH,.,.
.50, . SUJ~\"D1NG PEhIJi,T...
,
(omc:e Use Only)
This APPII~~y~r Bufldtne Permit When Approvtd
vy([ 7 J DEe t 4 2001
BU1l81", omld.' Date
24 hollr nDtlce for .11 '...pection, ('SZ) 447.9850, ~ll (952) 447-4245
Paid
R".s:l't No.
Date
By
P R' ":"':ka::,":':E;'R" ',,\.ti'
, ' " i ';C'fK',' , ,::" "',__,',~"
. { . '~ 'li:: ".: ,-<- ,~
INSPECTION RECORD
, r"';!"i'
SITEADDRESS ,~4~ ~'^" ~ Q.~
NATURE OF WORK ;)e,.t..)
USE OF BUILDING -~ F,4-
PERMIT NO. 0/-1) R'/ fp DATE ISSUED )-2t:J -'2ac) I
CONTRACTOR D. R.. ~~~ PHONE ~n.." :l.:u,. 4/~""'L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSNC1'OR
DATE
t FOOTING ~ I I 'ii/3d/OJ
FOUNDATION (Prior to ElackflU) I 0, II> )afo I I ~t /0/3/07 7:::>."
PLACE NO CONC~ETE UNTIL AElOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION~. t{J ~c 1/17h,..
ELECTRICAL · .
PLUMBING~ IA.~. ~, LQ11!() I Jt"u." {tJlIJ~J ~IL? f1~,/Y
HEATING (If required) ~. 1];, :p:rc IT>t.3b.J ,- ~. ~ t.!.//(J /0 J ''; 'r: d4
FIREPLACE ~ \\0......... } (aJO'2..
GAS LINE AIR TEST 'b ~r~, \, ~ \Ot..-
COVER NO WORK UNTIL ABOVE HAS BeEN SIGNED
, - '
I~I ~ ~. /~It(/Ol I~ ~. l(b/4-z...
. v FINALS '
GRADING (Prior to Sodding) IV Jb / P b q -/c:l-- .;L
BUILI;lING1':C,O. tJ1 <t/ I /02.- &, .~/"i/~~ p~ q!/~ J-
ELECTRICAL '
PLUMBING r)). 2- 1;$
HEATING A- (~/~4~
. " r
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
~~~~/ -!ll"\'~.,
~~. 1\~t~1-
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
t ',:~~;r, ..""1-\' : ,~~ N~.,: "~~)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
s- ~ fflv/ tV
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
s. -(""...0 Z--
I; $..fI)
01- 0;-'/(0
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING €) 0 WATER HOOKUP
o INSULA TIO tJ* 0 SEWER HOOKUP
~ FINAL ~ PLUMBING FINAL
(0' SITE INSPECTION ~ MECH FINAL
COMMENT~ ~
j ~~W ~ ~
~~ S'~ -~f
~O~C~
o EXIGRADIFILLING
o COMPLAINT
~ FIREPLACE RI
\!!J.: FIREPLACE FINAL
o GASLlNE AIR TST
o
r
'l c CLr O. 6J.J ~'2-
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
T9-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
II'tSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
COMMENTS:
DATE
SCHEDULED 'lId - 0;2...
~aam 1J1L~)!Iu~AJ
l
CONTR. - ,,""'" elf'
0/- ~Y/ (f/~ljpt ~
PERMIT NO. &:5:!/ 0/ / ~/~
o PLUMBING RI 0 EXlGRADIFILLING
o MECH RI CJ COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASUNE AIR TST
o MECH FINAL 0
~f-r
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
5'133 -
, -5 '7"" 0D
ADDRESS
OWNER
PHONE NO.
o FOOTING
D FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPEcnON
))f
Uf...-
A.. 11 . ,1 /)
Il l j(J~
/ rJ rcrJL- 7 )
"--'"" ( L/
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED-
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. I~ Owner/Contr:
CALL 44~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.."", "
...~. .
't\tI~
o~'t~
clt'f Of ~ VJ<1' se",,1)III.fl'
\llSpe.~ ,.o1IC" :i II ....LN.
~oo~ess .2 ~~
__ ______ CO" '0'-
<:JfIll"v. ______ ~ pe.ldA'f >10-
1'1'0"" >10- :..-.----:- ~ '"
. 0 P\,;
o fOO..... 0 -"'" '" 0'fJJ'
o f""""~""" 0 ..~"",,,,, ~
.......... 0 .~ """
~ f..."""""" ~~ f.....
o fill"'- /0 -.-e" fill"'-
o S\"tE \tlSPEC1\Otl
COtAtAE.~"S:
~~
~
o CO,,"pv.\tl1
o f\~EPv.CE 1U
o f\~EPv.CE f\~\.
Gt-S\.\tlE ,..\~ 151
~ ::::------
,
~
'1.,
" PflOCEEO
fU<. S,.. 1\Sf,..C10~~ ·
o ~""""C1' ~CII"" ~tlO ""~:llS."."..,.. ""fOl'f. eo..,eF1~
~\ C~f~~ ~
o COflflEC .
~{\erlCO{\\r.
, OURS \to' ~o'l ~to'CE.
\~. 1~~2A"
Cl'U: ""~ fC)ll.1l\" "e:6 · ..oNAL sEAJ-f11 ~ s,<f]lfl"
1S ~ fOIt fOVIt pel\>>
cove }tt:QVJ}tt:~eN ~
\ -
l 1
" -4
DATE
nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
5453 Fc,wn !'II{~/owC(J/vt'.
CONTR. D~ HOlM"
PERMIT NO. 6 I - ?/ I
ADDRESS
OWNER
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
a FINAL
a SITE INSPECTION
a PLUMBING RI
a MECH RI
a WATER HOOKUP
lJ SEWER HOOKUP
a PLUMBING FINAL
a MECH FINAL
a EXIGRADIFILLING
a COMPLAINT
a FIREPLACE R1
lJ FIREPLACE FINAL
a GASLINE AIR TST
lJ
I
COMMENTS:
5 Lf 5 3 - LI.,,/I '/1/0,// UrA I vt (Just-, WI f~ .s&c/.
54 c; 1./ - hf&(/-t, ol(
5'-155 - b/f;I".()'L
) 1/[71
0/ 0~
V\_~ 0/ 1
f ~.)~
SL/ r;; v"-' &/~t!., - v It.
c; 'f 5 /- &''4/'_ r')K-
S lfS ~- hr4{J(, cJl<-
.
545 ~-&~/~-of<-
/' I _I"
5 '1" ().,..... (;?/ cUfof - v L-
a WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
X CORRECT WORK, CALL FOR REI~SPECTION BEFORE COVERING
Inspector:~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
.
......
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name of Tester
Date
A" ; __ -\, "" \u..\-
\C.~\~'--
:a. - ) - ~ 'Z)..
Job Address S'-4Si" F-.._ ""~.w ~"""c...
Heating Contractor A \\ ,-~ l-~~l.-..
Name of Tester l~~
Date ~- ,-~
Percent 02 ---" . S-
Percent CO
Percent CO2
-0-
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~....)
Input ~, ()Oo
-5S.~
3 i'3.