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Home My WebLink AboutBldg Permit 04-0986 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign at bottom) ADD. 317 s~s 33~3 ~ ..... C.00Q 0.(" t'a:*h I. While 2. Pink 3. Yellow File City Applicant I PERMIT NO. 04- , oqe&? LEGAL DESCRIPTION (office use only) "A'. .' ~{ {(11\ WR.-tl~fr;CUk '1.1:- LOT l~ BLOCK3 ADDITION~I.~~ OWNERJ l' ^. (Name) O\"\~ \0 ~ Ai \.u.n (Address) \?jD13 AshCrt>\4 ~OCltl ~~;~)ER RQ.tL\Q" ~'~c.., (Contact Name) LDl~ ~a..t2lo~ ~~. (Address) o01?:x:> ~\~ ~ i~ TYPE OF WORK ~ew Construction OLower Level Finish r!n/J63" o Fireplace OAddition OAlteration OUtility Connection PROJECT COST IV ALUE (excluding land) sUI n, 000 I OU I o Misc. fee. Cha. n SCWOv~ . Date Rec' d 1. /3. M- ZONING (office use) ~ .-'" . _ A 1< -/.) lJ PID Ot5 L/I ~ Of &b (Phone) _ q~ 2 ~ ~q6 - 4" b m u 6537~ (Phone) (Phone) ODeck OPorch ORe-Roofing Q62--Qi'5...s Cf6Q 162 ~ q~6- Lj I ?O ~"3S3 ORe-Siding 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 I 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 plans. I 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 ="'Ut:;;O:'~;/L~~o~ aD 1&!o3D 7 0/1:1 10'-/ ~re Contractor's License No. ~~ I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee "." . ~ ~/tJ, ()~tJ, aa $ d '1/.5, 50 $ 1~9,~,7? $ 2DS' .00 $ $ $ $ $ Sewer & Water Permit Fee I Gas Fireplace Permit Fee J o~. DO 100,00 3s-. SO ~O I tJt) This Application Becomes Your Building Permit When Approved ~Mt- Building Official Q/28!O t.{ date ~. z,q. 64- t I Re9VJt No. Y J/,!,'I 7 I By", I Park Support Fee I SAC I Water Meter Size 5/8(2) I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit lather I TOTAL DUE ut1A@ I Paid I Date 1(J.f.{-04 # # # # $ $ $ $ $ $ $ $ $/0.,407.7aJ /3'50. Q C) Boo. 00 7D.OO /2...00,00 7oo.Qo I5oo. o~ 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 PliUlner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~ tJJ~ 7'12~/aL( _~~_ a.1.( ~ Planning Director Date Special Conditions~ If any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 The ("enler of Ihe \.ok< Counlry CWt,ite - Buildliil:D Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED eAT~LAFF l-"OHE6 q. 13 . 04- . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2(033 GOU qAf2- PA I rt Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Date: 9/~1oL( ~ a-U~, Comments: "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 Cana.nL.:.J::ngineering ( P!nk - Planning) Tht" ('('nfer of tht" L.kt" Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \T- i!: L/"-\ F F t-I C r-! C ~=. APPLICATION RECEIVED i /- / I...... /} .,~ The Building, Engineering, and Planning Departments have reviewed the building permit applicatian far canstructian activity which is propased at: II ...' .~::' I (t\ f /f-\ I t-t I Accepted / Accepted With Carrectians Denied Reviewed By: :!5 0 ~ I' ~ Date:o/Z--S;~ c-/ Comments: "The issuance 'Or granting 'Of a permit or approval of plans, specifications and camputations shall nat be canstrued ta be a permit far, 'Or an appraval 'Of, any vialatian 'Of any 'Of the provisians 'Of this cade 'Or 'Of any ather 'Ordinance 'Of the jurisdictian. Permits presuming ta give authority to violate or cancel the provisions 'Of this cade or ather 'Ordinances 'Of the jurisdictian shall nat be valid." ~ - BuildinL rc-anarv - F~gm~erlfRro) Pi~ - P anmng Thf' ("rntrr of thr I..kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , '1-''-'' ;' 'Cr' ,"-"', , --........ L (\ r > 'I L... ; , , ". Ie>' T"~' ,.-- t. C I ~ i t:./::::="" /-~ _ '--.' ,~- fi l. f -~' , c, LF--- I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . r'A-T'"1-t '-',? I. .-:;; "? .!::- t..l." ...."""~....~ --_/ (I " \ /"'" ;'-\ <:' I '. '- Accepted y , " Accepted With Corrections Denied Reviewed By: ,/YJ4 B Date: 9-2/-0 'I ( . , Comments: See Reverse Side for AdditIonal Information! See Attachments: 1) Grading Plan, 2) Erosion CQ1ltrol Measures "The issuance or granting of a permit or approval of plans, specifications and computations shalf 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 CITY OF PRIOR LAKE SEWER AND WATER PERMIT I Green File PERMIT NO ) 9~ 2. Yellow City . c: J_ ~ / 3 Gold Applicant 1 <.:::. (Please type or print and sign at bottom) ADDRESS ZONING (office use) 2" :s:! c.. 0 '\. G Ai2. P 41"" l-( LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Illt-r 2. L. 0 ~ ~ (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name)-IJft.~.S-II~ .t- x.G- . (Address) l..k-.1l.J \.T"o PL-l::,....} WA---j (Address) (Contact Person) ,~ '" rc- '" APPLICANT SIGNATURE r-~~ ~~L.__ o (Phone) q s,) - ~ C).J -, "\ 0 " L./tt-lL. (City) (Phone) s ..r0 4 1..( (Zip Code) DATE t} /1/ (0 <.f APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure - feet. Type of sewer pipe. 0 ABC , 0 pvc 0 Cast Iron Estimated length of sewer line L( 0 feet. Clean out (if required) located at - feet from structure. Estimated Cost $ $35.50 $17.50 ()I 0 '\,00 ~ FEE SCHEDULE Industrial, Com'l & Multi-family Water connection only 1 % of job cost with a $39.50 minimum $l7.50 Residential sewer and water line connection Sewer connection only Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Official Date o.~)V Paid lJ1' v . Dati 0 ;-5- --t.-J Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 By U---.. (J , CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec' d (Pleue tYPe or 'Print and $i= at bOttom) ADDRESS . c>?c; 3~ ~/1IJ(~(){) LEGAL DESCRIPTION (office use o:n1y) ~/)~ i:~ ~~ lPERl\1ITNO.~ J. Ytllow ^P\lllcallt 7 -70Cf' ZONING (ofliccu;c) LOT BLOCK ADDITION PID ~=~.bJ19 P ~ ~~.r (Phon~J qr;~- ~g (.Address) APPUCAN~ J (\ (Name) I~A..J (J/r (AddressWJ;l /(\ ~AJ fiIJe.. (Address) (Phone) ..-0...11 - ~ ~ .~'5'ch)4 (Zip Code) ~.h.). "CJ (City) (Contact Person) APPLICANT SIGNATURE ~ 7~ (phone) DATE q -r~-~ APPLICANT PLEASE COMPLETE BELOW ~ COl'fSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAK.E AND MODEL -Z;;-ro\t' . '"'7l7X:A"Ylcq C/") FUEL ~ FLUE SIZE 21( ~Jr. . REroRNOPENIN'GS__Ld INPUT /fY,\A"Y"l OUTPUT -2J,tYY\ TYPE OF SYO:>J.,C,LVt HEATING ORPOWEltPLANT DWQrnl Air Plants 0 Stearn . DGravity 0 Hot Water o Mechanical 0 Radiation OAir Conditioning '. 0 Special Devices OVent. Systan 0 Other Devices FIREPLACE MAKE AND MODEL dnl ..0 .~. 9::L -7~ PLEASE NOTE: Air Conditioner Units Cannot En~oach into R.eqwred Side Yard Setbacks FEE SCHEDULE Industrial, Commercial & M\dti-Farnily 1 % of job cost R.esidcntiltJ, Gas Firepl&ce $39.50 minimum Residential, Heating &. NC (N~ Coumuction) $99.50 Residential, AdditioDS & Alterations Re5idential, Heating Only (New ConStl'Uction) $64.50 R.esidential, AC Ollly $39.50 3>39.:50 $39.50 Estimated Cost $ 'BulIding Permit # HEATING PERMIT FEE STATE SURCHARGE. TOTAL PERMIT FEE $ $ $ ,.50 t:"'" ,.~, t"' ,., "oj "~ .',;.t:~ :'0.. ~ , ";', ~.',',.,,~ .' .'.. .....'Ictr ,,~jf;'" Ii-,. .. ,;on ,~' ",~f~" t,..... .,.,_,1" (Office Use Only) This Application Becomes Your nuilding Permit When Apprond BuUding OtDcial Date --I Ie (i1I Ii: n i' ,- ,-co r-- J IU~tiQ lliJ !_~. LI IJJ LS }eceiPt No. _ .f~l r I 3 2004 I )t1 24 hour notice for all inspwions (952) 447. ~.~O, fax (952) 4474245 16200 Eagle "creek Menne, Prior ~~"'t1. - lOO~ ~IV U3110HJ.NO:) 9L6909tlS9 IVd tC:LO nH~ t006/0C/60 FROM :FARMINGTON PLG & HTG FAX NO. :6514637835 Nov. 11 2004 04:55PM P1 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT fY fl-l/-O't Y;5L1 , II... F,I. I PERMIT NO~ I 0014 ("." . l V.I..... "",Ii,",", ZONING (offiel! UK) (P~ ~ or priDe .zJd Ii", at boaom) ADDRESS J.lo ',-; Cou.sQ.~ QJo.t ~ LOT BLOCK LEGAL DESCRIPTION (office \Ue only) PID ADDITION ~=R ~6t"2 \a.~'~ )-b~~ . v (Address) ;;'1 Y 5=3?1 . (,,? f" P.II'I a..c.O.a ~ I!P . (Phone) 5..... · 4~ Id.-O ~~~fANTl=6.Cjy\ ,'(1 ~ +c,V\ ~ ~ I' Y1 . & \-\ ~ (phone) ~-78 ~ i (Address) ~~IO:~LI it.h; P Of"Vl Jal€',... ~ U~ '%rmi'Y\tJ" ~~ /5SD:2.'t- (Address) 1 \ (City) \. (Zip Code) (ContaCt Perrao) J I' VV""t ) Do. ~ (P~one) --1P S ) - L./It;3" 'nf?. Y APPUCANTSIGNAnJRE~r~ l..~. DATE ll-II-OLf Qaaadty ;)... I L 5 I I 1 I APPLICANT PLEASE COMPLETE BELOW Type of Fixture Bath Tub with or without shower Dilhwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stalf ' Sinks Bar Sink fl.:!:" Wamr Closet (Toilet) Type of Fixture Quaatil)' .~ I 1 . Rough.fns watisr Heater Water Softner Stand Pipc (Washing Machine) Sewage aieCtor Backt'iow Assembly l3acldlow Assembly Test Lawn Sprinkler' , Other FEE SCHEDULE IndlllUlal, Commercial &. Mlatd-ftlftlly 1% af Job co. with. S39.~O minimum RelldClltial. New One A Two-FmUly S99.S0 RClldeatfal, AdcllliCJN A AltcrIllons S39.$0 Estimated Cost S B!llldlng Permit #I , t..A.~' t.,' ,... .. ..' "',. ., -. -tt ,. ,..~ w1~ i ,,;;,'j. :,~/ PLUMBING PERMIT FEE $ STATE SURCHARGB S TOTAL PERMIT FEE $ .so '; '~''''.'' .,. ,"t', ,;.:.:.~~," :",~~.,~~y!l" ,I " ...~'.' ..;_' . v.., "~;;J,'~, ~ .' .' ,r.~::.. ",: . :'.~':: ;..( .'~," - '.. .' .4, . ";" .~ '" ,,"<,. 'Po .!~ ~. : .'-~;~li: ~,.."l .,::,.. ~'.'f')j~. ," ,l''''~''/ 'l,~'" ..~~"..~~",:<:,"J,., .",'1. '..l""~~._..' ..:1', f: ," ",' .' . By' 'I '., . .: ': ' j i COllet Ute 0aIJ) nil ApplJcatloa BeeOlDd Yo.r 8td1dlal Pe,.~t Wile. Appro"ed .. 'aid ....... OftIcitl ~v 1 5 2004 Da.. U 1I0.r Bollee f.r IUI..peed... (951) 44'-:'150, f.. (952) "7~J45 ._.......0_... .... .... ,"_.'_''''...._w._..._ ...._._............. ,.,,-__... ..._.,,"-,~--"~.._-"".,..- ;; I , Ie PRIOR LAKE INSPECTION RECORD SITE ADDRESS Zl.53 CDuQ.M ~"M NATURE OF WORK NI &.0 CO'" ~ '0,:) USE OF BUILDING ~. PERMIT NO. 04-.. aqe(p DATE ISSUED CONTRACTOR ~PJ:- ~ PHON · "1170 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ..--,.INSPECTOR FOOTING I rA ....... d"-A FOUNDATION (Prior to Backfill) I ~ /o..~/ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ w( (Yf) ,;'1.,,0:' ,/ ~.. ,,/ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE /1 GAS LINE AIR TEST{V\~r COV_ER NO WORK UNTILABOVE HAS7BEEN SIGNED . I.A11lEJ Hell.,'lAI&A.P I~ ~c-. /' I 1..~ lJ~~'^tM FINALS / l~~ r~ok GRADING (Prior to Sodding) Ai (~ . 11.1. or BUILDING\'4 h> 8-\-06'" flf) ufz./t6"" ELECTRICAL PLUMBING HEATING DO NOT OCCUPY DEPARTMENT OF BUILDING AND INSPECTION DATE I I /o/?-()/o.y f\ /21 I I/J} (/ ~/1 ~. /?P v P l) ~ ~c-) I'lY .7~b I I r:iIPt ~ 2/67~ 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. FOR ALL INSPECTIONS (952) 447-9850 '""~ j!!",.lrr .'_:~,~ "-----~ Jii",-~',;,~d ~ ~- DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1I"'-6J- ADDRESS :<~J3 C~,. f./-I, (J OWNER CONTR. ~fzln )l,wt,.s PHONE NO. PERMIT NO. 0" -tjR' o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL XEXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: G~- ,,I)! f.lllbW- ~ 5f7 ~WORK 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! /NSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS AU-~~ (1~~~J CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL COMMENTS: I. p~ ~'X~~.f? ~. ~-<(.I 14_ (?, /1 -t& //--- J.:_f~ l tJ'"' L60 (' -~ 4. . ~ DATE 'l~ TIME Lf - (;/1tp.,{ r o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o , -L({J.I~ ~y (IJ_ o WORK SATISFACTORY, PROCEED )(' CORRECT ION AND PROCEED o CORRE WO , C L FOR REINSPECTION BEFORE COVERING Inspecto . Owner/Contr: CA_ _OTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~lP2>:S OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING _ D...)NSULA TION ~ FINAL o SITE INSPECTION DATE TIME SCHEDULED ;yIJ~~ (1~ CONTR. PERMIT NO. 4- '1FJv o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 1 - I. ~CI.t""Wt\ ~c.~ ~ O. ,--.. -2. 0.~~. -r~~ ~~L~ (<i)tUC!C-O ') l.(. HGcJ ~Jr'~ DNV.y\eu..... /MAX .~';;T,tl'Ir"Q(.l:~ S.. fi~ tb....h ~ ~ ~~"O ~ ~. S-J,,,L..: ,'-_ Jc- ~, "..- .e-r Q.c>r 0 k 8 -l- ocr o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED X COR{1E K, CALL FOR REINSPECTION BEFORE COVERING Inspect . . --"] Owner/Contr: CA L r;...{. FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! Job Address ;;fb 33 ~rz.. p~ f7 Heating Contractor Controlled Air Name of Tester Date Percent O2 Percent CO2 Percent CO Stack Temp. PO -4/;:2 ,!t:>s ~ B;' D /I~o