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Home My WebLink AboutBldg Permit 01-0556 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT S -/5 --:()r~ j', // 4' ,-c.,', e or rint and si at bottom ADDRESS LEGAL DESCRIPTION (office use only) LOT I~ BLOCK 1/ ADDITION WI\...O> ~fL PID Date Rec'd I,White File 2 Pink City 3. Yellow Applicant OWNER (Name) (Phone) (Address) I ^,c.. (Address TYPE OF WORK IZJ New Construction DDeck DLower Level Finish riO Fireplace o Misc, (~one) Cf5'Z.-Cf8~-5<rSq u..c.. SSv DPorch ORe-Roofing ORe-Siding DAddition DAlteration DUtility Connection PROJECT COST IV ALUE (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 agenit 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 enter upon the Prop. rty to perform needed inspections. x Signature Permit Fee 230JoOC:l .ct> $ 5 $ $ $ $ $ $ $ Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee 5-:2.5- 2tn I Date --zo If? C? '3>0 '7 Contractor's License No. ~/ti/Of Date Park Support Fee SAC # # $ $ $ $ $ $ $ $ .(Jo a66.cD ,Or). 0 .(9' Water Meter Size 5/8"; 1 j Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTALDUE ~ t'~'~1 ~~-o~i $ 8 95/.3 I ReceiptNo,,?q6~Lf BY~ I Paid Date This is to certify tbat 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 ;S?tA~~ --e-<'~ lanning Director ~ ~]C~S,~~f9rf~ 6/~Gje-t Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Ot ,O)(~ The' ('l'nlft of lhl' L.h ('ollnll') White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPA~TMENT CHECKLIST /~.. ." -;r., i: :,' .----:;-- N ME OF APPLICANT / /j /2 C/( /~ l/i H..l i/\.-_ A PLICATION RECEIVED .:;;-://:;;- (;) J T e Building, Engineering, and Planning Departments have reviewed the building permit a plication for construction activity which is proposed at: /- ;)0 ' // ,r , I Aqcepted I , Delnied ~ Rj!viewed By: ~ ~ <'-2,. C m ents: v Accepted With Corrections Date: -s;! 7-~ ~ , w~ ! -1 "Tile 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 'bf, 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 or<ilinances of the jurisdiction shall not be valid," ...~x PR/O",,, !::: ~ u '" al-551, White - Building Canary - Engineering Pink - Planning Th~ ("f'nl..oI of Ih.. l...... (.'ounll')' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT I~ /*r~ APPLICATION RECEIVED- ~. '0 J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5/-70 !L;/Jo/J ./J//c/{-rr Aqcepted D( Accepted With Corrections Denied Reviewed By: &11:5. Date: Comments: See Reverse Side for Additionallnform;:!tinnl tfl";,,, 1-../" D"'''/~4!J' a......y ';;O.l't /t1191l~f l'u1 P.E (I9rtJt.r (f + huvH See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan "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 approvalbf, 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." ~ o~~ DI' 0$5/P The- ("tn..., of lh.. I...... <.'ounll'} White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ F APPLICATION RECEIVED - ~ -0 ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5/70 to~CJ/J /JJ~,k --n- Accepted Accepted With Corrections Denied 4Jp <1 Reviewed By: (;~t// Date: 525" 2LK.;( f1mments: ~~L>~ afJ2 a HucLJ, ~j~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT ; ~;::w ~;~ I PERMIT NO. /-C'r-/ J, Gold Applicant, _ ~2 b ZONING (office use) S/7() W 00.1) O'^-C/'- r uJJ LEGAL DESCRIPTION (office use only) LOT t 3 BLOCK ADDITION .3,rJ.. PID d s-:. OWNER (Name) ~:$~ ll._ evu RUlV'e.S I2I?TLL,4r~ (Phone) (Address) (Address) (City) (Zip Code) ~:;~~ANO fl ~S H.6.e ~ )( C . (Address) I " 119 J ()f'L l:vI W A .,. (Address) (Phone) ('1 S".:d L-/}/~~ l::L-L.6 (City) i' ~:l-It '1() " S-SO 1f '-I (Zip Code) (Contact Person) (Phone) DATE APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW Size of water service ~ inches. Location of any couplings from structure -=- feet Type of sewer pipe. 0 ABC IKI PVC 0 Cast Iron Estimated length of sewer line .!:iL feet Clean out (if required) located at '- feet from structure. Estimated Cost $ $35-50 })7-50 OD 900- FEE SCHEDULE Industrial, Com'l & Multi-family Water connection only 1% of job cost with a $39-50 minimum $17-50 Residential sewer and water line connection Sewer connection only Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ " 750"'-' .~ I-i.;. A : EJLJji.D'~~ 11'l7"Jj p€r>. ",id Receipt No, (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Building Official Date Date 24 hour nntice for all inspections (952) 447-9850, fax (952) 447-4245 06-25-02 08:32 AM FROM FGTN PLG HTG TO 6124474245 POI Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT , BIlK 'ilr; 1 G..1oIl Cil, } 't'cll.;ow APPIi~1 I PERMIT NO. /- 55bl ] ZONING (0,"" "..) ~~~;~n.'md'i~~::clLl' k LEGAL DESCRlPTION (office... only) LOT BLOCK ADDITION PID I ~:::.~~~. ~W>" (Address) L b j....e. " I \ (Phone) APPLICANT 0 (Name) T=a~n-ll"to~ :ILA~b~ C1~n (Address) .2 ,my h ~fff'V1JC1Ic:. v~ (A ress) (Contact Person) ~~ APPLICANT SiGNATURE :t) ON\f 0 Q L ~ahl.. ~ (Phone) (b~ 1-l4(P:1-7g~ ~r"""'I"~to .<::< a<<i (City) (Zip Code) (Phone) DATE J-~'-I-O,- APPLICANT PLEASE COMPLETE BELOW ---. Qua-Dtity Type oC Fixture Quantity Type oC Fixture d.. 8ath Tub with or without shower ~ Rough-ins I Dishwasher \ Water Heater I Floor Drain Water Softner 1./ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector --'",--- ) Shower Stall Backflow Assembly , Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet (Toilet) Other FEE SCHEDULE Industrial. Comm~rci.J &. MuUi-funiJ)'I-.4ofjobcosl with a $39..50 minimum Residential, New One:: .. T~o..Family 599.'0 ResidentiaJ. Additions &. Altel"8.tions $39.50 Estima[ed Cost S Building Pennit # PLUMBING PERMIT FEE S STATE SURCHARGE S TOTAL PERMIT FEE S -50 "7 ff7,~; (omu llle OnIJ) Thi. Application Become. VOllr BlIlIdlnll Permit When Approved I :~CiPI No, r PuUdlnlOrnel.1 D.I~ I Paid Date r C 1.. hour tudilte' ror .lIln.p.et.ioftl (9!1) ....".98~O. r..: (9!2) 447....2.5 'Or '-- . Lan.. I. Toll. IRC'e OI-55'h &fs ;:;;. e CITY OF PRfOR LAKE MC 16200 Esgle Creek Av. S.E, Permit No. Prior Like, MN 65372 .... o c ~ SIngle Femlly ~ Two.l'lI!Ilily Commel'clal__ IndusITlaI Murll-FAmll, Ollw, HEATING APPUCATION I PERMIT 1'10,,)5- 33'1-Q51- [$39.60 IIIInIimuII Public 1% of/ob cosl SlID.5O 164,50 $311.50 $311.50 $39.60 F.e Sd,edule Inooslrlal. Comman:lal .. Mulll-Flmn, lleeldenUaI, HlI&lIng .. AC lIeoldenll81, Heeling Onl, ResldenYal. GIS Rrepllce lIuldenlllll. Addition. & Aller.llon. RllSldenlilll, A.C Only RemerlllHtr I. Atkl '" Stile Surcharge on lhe bottom 0/ IhlI AppIIca~n. Th9 price .f ,cur healing pel m1Ilncludet _ 1O~1n and one fiDallh8p4.... . . AddnionallnlpoctioM will be bllllld al $35,00 each. House HI8Ung Te.1 RelXlrd tllUllI be submltled wfth bIllIJIiw RlJlDlllIIllDIIII:bellII'IbuiIIf. Ing ee.lllk:ale 01 otcUpllncy w1lIbe Icsued, ' &:. ~..; -,/ _ ~ .e ~'-L- TYPE 01' SYSTEM /' Warm Aft Planls V Gra"I, _ MochericBl _ Air Condltlnnlng V.nl. Sr..m Slle II.ddren lol Owne". Addt-e.. Addllas Com. load Fuel /I)t} I- Au. Size Supply Openings Relu.n Opening, Telephone' I'll nace M.ke .. Model Sin l>o: - < Q ~ ...l o ~ o u lieA! REOUIRE[) wRh number of aupply .nd .etUfR optIIi1gIl'IIed "AI ...m w"h CFM'. per opening. N8l't IIluolu... or IddllJone send 1100. plan.....""""ir and I.Iuml.cn.....s ""own, HEAT LOSS CI\lCUlATIONS. PAYMENT A!I) APPliCATIONS MAY BE MAllE[) TO THE CITY OF PRIOR LAK~ t62t111EAlBLE CIlEEK AVE. S.E. PRIOR lAKE, MN 66372. Clly Hal bualnen houri ar. 8 ,.m, . 4:30 p,m. ALL WonK MUST BE INSPECTED (ROUGH-IN AND FINALI . CALL CRnlAll. HEATlNa on POWER PLANT St'M! Hol Wele' _ F1ad..~on _ Spedel o.vlc". ~ Oulput Input Ed; 447...,230 I h.raby .pply lor a mlcl1snlclll ',llaml parmlt Ind I acknowledge lIhlllhll Inlo.mallon abaYl Ie ".mplel. I"d accur.'e; lhallhe work win bl IncanllOllll"'" willi Ihe .rdlnlnca. and cod.. ollhe elf, and wllh Ihe .1.I.,bulld......""'.' codes; Illallhl. Iorm d081 not beeom. a permll unln alvntid b, ,lallUllDIJlIO OFFICIAL: Ihalth. walk will ba In accordance wllh Iha apPlovellplBlln 1he case 01 ell work which lequlr.. lavlew BIld approval 01 plan.. I 5-c-() -- ~ Oltler O.vlel9 N ow Construction ~ Building ORleal'. PAID WITH BUILDING PERMIT Rocelpl . 50 Cost $ HEATING PERMIT FEE $ $ , TYPE OF WonK AepI.cemenl Est. Comp. Olle Building Pennk , STATE SURCHARGE TOTAl PERMIT FEES Crm. MlIflllons Repair EsL CD to- N CD o CD ... .... ., CD ~ '" N ... .... - ~ .... o o N "- ... .... "- ., o 1J PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS J.5]'70 W~ Dtk.\C \'bAl t NATURE OF WORK bJ-e U) USE OF BUILDING ~ ~ D PERMIT NO. O'-9~S(O DATE ISSUED 5-2S-'&J:;( CONTRACTOR~ t~, ~, PHONE~-1~-,')"1S1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING-...) t<' '" FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABO ROUGH - I S INSPECTOR DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS u "'? GRADING (Prior to Sodding) 0"-'0-> BUIILDING 1LO lo~;rl ELECTRICAL PLUMBING HEATING 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, car"': shaH ije placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR AILL INSPECTIONS (952) 447-9850 ~- r (J-;:1. /< )ocdd~uct: CITY OF PRIOR LAKE INSPECTION NOTICE ;1J1I7E SCHEOULED ADDRESS /SI'1() OWNER CONTR. 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 o PLUMBING FINAL o MECH FINAL COMMENTS: (:/ rd"'( - 0 If... DATE TIME /-~~b "d" EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o C'Jrh 8l)~ -- t')t:.. Sf-I ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:~j~-- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. I/'1SNOTl CODE REQUJREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ADDRESS /~/7{) . DATE G./1-)..... //MddudL TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER CONTR 1-55'"''' 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 o PLUMBING FINAL o MECH FINAL o EXlGRADfFlLLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: .;:S"T ( 1$,5,IJ e C({) c. clt>se /t~!e I o WORK SATISFACTORY, PROCEED o CORRECT ACTIO AND PROCEED o CORRECT ALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! JliSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER DATE TIME SCHEDULED /"INlol . /0::30 /5/70 ~~ CONTR. PHONE NO. PERMIT NO. tJ / - SC;- C. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATERHOOKU~P o SEWER HOOKUP ~LUMBING FINA o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~" ~RK SATISFACTORY, PROCEED o CORRECT ACTIO AND PROCEED o CORRECT ALL 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 & SAFETYI lNSNOTl ADDRESS / ~/7d DATE TIME SCHEDULED ~ ~C; tJrorfl ~ CONTR. ~ PERMIT NO. Of - 55'<0 CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION Jill FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL )It MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: T,C.a ~ lSe.9G) , J - Cd\;- ?0-..oh~,.,r-- ~~"v"r5 ~' ,t~^'7-~:: s,J'j- J~ 0.. "J:' 0 uv--.\ . I' 8- { - 2POL. o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~CORRE RK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: -9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI Job Address Heating Contractor Name of Tester Date Percent O2 , Percent CO2 Percent CO Slack Temp, ft2J2D ~ ~trolled Air d'b~~ ~6 '11 ~