HomeMy WebLinkAboutBldg Permit 01-0932
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT g ./ 3-0 {
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. OI-Oq~'2-
(Please type or print and sign at bottom)
ADDRESS
,~'32Yli qox Ta;-t~ Tv- kW
. I
ZONING (office use)
~)
LEGAL DESCRIPTION (office use only) r 711
'-f I lite Cu' Ie( S' ~
LOT BLOCK ADDITION
/
PIDdS - 3 t 7 ,J--rr:t(-()
OWNER ~
(Name) I'Y'/
Ii ' rJ/) //
II~J'/~ P I ///J4' I ~
(Phone) 3S".}- ,':J.7;l-IL/J!K"
(Address)
BUILDER
(Name) 0,'7 11/// -'fA (CO r_o/J<:;T.
(Contact Name) . / a A./7
(Address)
(Phone) 9.rd" d. <7 Dl'i4/S?>?'
(Phone)
TYPE OF WORK
~W Construction
o Deck
OPorch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
o Misc.
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 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
.' enter upon the property to perform needed inspections.
:t~~.
Signature
x
Lfh /9
Contractor's License No.
~-3-0/
Date
I Permit Valuation \lo~ .000.00 I Park Support Fee # $ E;S,~
I Permit Fee $ I ,,? p'1') J) I SAC # $ I IS V, C)(j
I Plan Check Fee $ e?7./0 I Water Meter Size S/8"Q? $ ::1SC.? ,DO
I State Surcharge $ 8C( .S-O I Pressure Reducer $ ryrl. '~
I Penalty $ I Sewer/Water Connection Fee # $ .
// ?.cYJ. ~
Plumbing Permit Fee $ (Oo.() 0 I Water Tower Fee # $ . 70tJ.tJ>7!J I
Mechanical Permit Fee $ /00 .00 I Builder's Deposit $ I ~RLO ..(!)CJ
I Sewer & Water Permit Fee $ SS..SO lather $
I Gas Fireplace Permit Fee $ 4D ,()C) I TOTALDUE~ 8 -Zq,() I $~.~ /. ~
d~ ..
Your Building Permit When Approved I Paid X il~""f.. Receipt No. WJS -d-;3
R- J '1- ")461 I Date g-3\-(11 By /?r .-..
0-
Date.....
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
'tk~ p~~ t>(~jtd Sx- ~~t~1A4
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Tht> Ct>nlt>r of Iht> r..kt" Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~crJ?7 ~ ~
APPLICATION RECEIVED If ---3 -0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for ;n;7;~n acti7 W~i~ is ~c:~. at: ;r IV tJ
. I
Accepted With Corrections -<
I '
Accepted
Reviewed By
Date:
&-B'~I
Denied
z:;o cdQ~ ~ ,/L,f~ ~
"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."
The Cenler of the t.ake ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
--7 / /
NAME OF APPLICANT ~/).. ); /
e..
,/ 'j
;' '" / .~-_.,-
APPLICATION RECEIVED
r" )
I /
.' -
".
-c/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" \
...~",:'"
/f
-)
I
I
,/'
I
,1 l
/1./
I!~
Accepted
~
Accepted With Corrections
Denied
?
4~ - t4-<~..----- Date:
J-L( .~ . ~~
M~~~!~ ~1
I --=t:--_' (- ~ ·
) n ~~;r~ GJ./'~
gl2-~!d(
Reviewed By:
Comments:
J:~~
I~ , '-
~ -0 (lA)
"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."
01- C; 3:<'
White - Building
Canary - Engineering
Pink - Planning
The eenl.. 01 the I.lke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~O7?7 y~
APPLICATION RECEIVED R" 3 -0 I
- .
/1
(~)/l~b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33[/1 70Y feLl' /Y IV 0
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/tIItB
Date:
~ - 9 -0 (
Comments: See Reverse Side for Addition~1 Inform~tionl
See Auacnments: 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 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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
/0-3/-0/
_ /J ~
APPLICANT {,./ / j . >.J/ L,/' /":J."r 'I <. /{ / ~ "':l. <"J fA
(Name) r@"~w r{A.PtAOI/'-0 ~o~ "lj-J C/'..- 7 YO - #f:? t'CJ /
(Address).,;~/r ~a_/HI /R'f,JL I?A/f:fk~ ftld.. S'~'Y/'
(Addre~ (City) (Zip Code)
(Contact Person) !6#n/;f "f?; j9.tv IA ./7 /'ZPhOne)
APPLICANT SIGNATURE /.. ~ M-? ~ DATE /tf - -.:J (- 0/
/' /"
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and sign at bottom)
ADDRESS ..:334-/ FOX -otl f.- I /~/ l--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
,.
Quantity
~F
~. ~~ ~:;y PERMIT NO'"f_d i:> "7
3. Yellow Applicant (/ 704:.---
. ZONING (office use)
PID 2,5-375 - OM-O
(Phone)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # 0 I - q 3 L
31, sl)
_.5..0
q[) .-flU
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
J a .;1("0 }
Date
~
I Date .,
LO-...;..(-o(
Re~1 /Jd
By 4//fJ.
('1/ _
.......
ing Permit When Approved
fluilding Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
9:21AM METRO AIR NO. 207
CITY OF PRIOR LAKE
tl.EATING/AIR CONDITIONINGIFIREPLACE PERMIT
(Please Mle or tlrinr and sil!D at botlOm)
A'QDRESS
--.,-=:>~'-\\ ~~)G-\-~I\ "'CAll
L'ijGAL DESCR.1.t" uON (office use only)
L"T
ADDITION
BLOCK
OWNER
(Nllroe)
(Apdress)
\\t'l\ ~ ~
~~\ (.
\.. O""'~\.
0,... ~ \ ,,\t.Ofllt L
'b~
"'\'\),./
AFPLICANT '^ \ ~
(~i1me) \,,<\,,- ~f\,) ""' \ - -1_ 'r,\ l.
(A~dress) \ ~ q ~ \~ \.j, \ UJ'~ f\ \f '-
(Addr1:u)
(Cl./ntact p~{$on) N c..\ V' 1:.,\1 ,S L..~ ~ ,.\ \.
I AB.PLICANT SIGNATURE ~~.1 ~~
P.l
D$lte Rec'd
10 - 21p - 0 J
I, 'IIIk ril. PERMIT NO. O' /_ a'2-'
~ Cim" ClIy -/....,) IC.--
,. V.IIeI.. ,,~~II....L
ZONING (omf;l:use)
1<1
PID
(Phone) ~ ~ J.~ ~ '\ .." - \ ~ & '8
(Phone) C\ S ;), - '-\ ~ l- ~ \ d, l(
~,\ 0- \.l.t\ll \"~ Ss. '~'I~
(CitY) (Zip Code)
(phone) ~ ~ ~ - \:\ \..\ ....,. <6 ~ Q \.\
DATE \ \- ~ ~-\
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACBMENT 0 ALTERATIONS
FU~NACE MAKE AND MODEL l,,--~ -- ~~~- J 06 FUEL (j\) ,,-+-.
FL~JE SIZE r V ( RBTURN OPENINOS 1 INPUT ) \~. OCl~ OUTPUT C\ 'S. l\~,tI
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Oas fireplace
$39.50 minilnum
$99.S0
$64.50
, 0 ,be() ED...J
.. OWarm Air Plants
OGravily
Ircchallical
Air COlldilioning
ent. System
FI~EPLACE MAKE. AND MODEl..
Indllstrild. Commercial &. Multi-family
R.e~ldcntjal, I Jeali"g &. Ale (New Construction)
~e!iidcntial, Hcatlng Only (New Constl'Uction)
Estimated Cost S
HEA TrNO PERMIT FEE
STATE SURCHARGE
TOTAL PEIWIT FEE
(Ortice l/sc Only)
. l~hls ^I'll ,,~ Bec~ Your Building I'ermit Whel1 Approved
_ ~&W/ I O,.z,~-o (
8uJlrllng omcllll 011'" ,
o Steam
o ].Jot Water
o Radiation
o Special Devices
o Other Devicc:s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
RcsldcCllial, ^ddilions &. ^ltc:ralions
Residential, AC Only
$39.50
$39,50
Building pennir ##
~'-()Cj:S~
r ,*-'0 :~RM\1
.soeu\\>>\N
~--
s
$
$
Paid _______
~- UP~O(
~
By . jj#..
/
.....
24 hour notice ror :111 inspections (952) 447.9850, rnK (952) 4474Z45
6S1 633 8884
FIRESIDE CORNER
#4332 P.OOS/OOS
Date Rec'd
CITY OF PRIOR LAKE
n.J1~A TINGI AIR CONDITIONlNGIFIREPLACE PERMIT
~: ~ ~~ I J:J1.AidlT NO. q?. '1. - I
3. Yelbw Ilpp/btIt I..... ,} ~.
~lea.se MJl! or orim: IlIbd.li@! at bot,lJ)m)
ADDRESS
.53YI ..3:ukif)d- T~
Z~G (Om<< 1L1e)
J.EGAL OBSCRlJ:' uON ("me~ W1e OJlI.y)
LOT Y BLOCK ! APDITION
(j ) D/) g;/1
PID;{:5"' - 3 /7tj- co tj -c)
OWNER.
(Na.me) .
(Address)
~ (k"J/I.J"(c..tJ:i..-
(phone)
APPUCAN1'
(N'ame) ALLIED FIRESIDE DBA F!RESIDE CORNER
(Acldrtss) 2700 N. FAI~ AVENUE
(Address)
BRENDA H1JS'I'ON
(ConJ;a.ct Person) V
APPLICANT SIGNATURE ~A
(Phone) 651-633-a.?61
d.~
R,QP~TLLr. MN
(City)
(phon~ 651-633-2561
DATE /1-501
r;;;","i
(Zi.p Co~)
APPLICANT PLEASE COMPLETE BELOW
~J:,W CONSTRUCTION 0 ~PLACEMENT 0 AL TERA TrONS
FURNACE MAKE A.ND MODEL FlJEL
FLUE SIZE RETURN OPENINGS TN PUT OUTPUT
TYPE OF SYSTEM HEATING Oil POWER PLANT
OWflllJ1. Air Plants 0 Stearn
OGraYily 0 Hat Water
o Mcchl11.lic.a1 0 Radiation
"'[JAlr Conditioning :J Specl.... Devices
DVent. System ] Other Device:;
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
iJecu
jJ c;~
~~
!nduST.ill!. Commercial IJt. Multi-Family
FEE SCHJl:DVLE
1% ofjop CQst 'Re~identiat. GIS Flrephll:e
$39.50 minimum
$99-50 ResidE:lltial. Additions & Alterations
~64.S0 Residen.dal, AC Ollly
$39.5D
R,c:sidentin.l. Heating & Ale (New Construction)
Residential, Heating On.ty (New CClnstructicn)
$39.50
$39.50
Estim Bted Cost $
Bufld.in.g Permit #
HJ':A TING PERMIT FEE
STATBSURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
r--
"-SU1..':fi~G ~I~
,/ .
(omCf! USll O,dy)
This AppUcatioll Becomes Your Bllilding Permit When Approved
Paid
Receipt No.
Building Oml;llII
Dnrr.
Date 11_ ~- I
B~
U
~... hour notice for nllln.pedil)l)1Il (952) 441-9850, f"l( (99) 447-414S
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .3~" I Fox -f <d ,1 \t.c.c. " l
NATURE OF WORK ..AJ0t.,>
USE OF BUILDING S PD_
PERMIT NO. {JL{}!f3? DATE ISSUED 8 -F; · ~(
CONTRACTOR -~~. W,.T ~ ~~ PHONE QS"2 - ~"?..(~ra
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING "'~ /{:-' I 'g O=CTOll I q/fo(;~TE
FOUNDATION (Prior to Backfill) I ( ~ ~ I ~ ) ~ I J 01
PLACE NO CONCRETE UNTIL ABOVE H~ BEEN ~ED
ROUGH - INS
b..~
rhJ-v
K1/
.
SEWER I WATER I SEPTIC I
FRAMING "J f C/
INSULATION
ELECTRICAL
PLUMBING ~ ~ ~ ,,~
HEATING (if required) /~ ~~_ ' fO .~', 01
FIREPLACE r~ - " 1'1~1 ~ I
GAS LINE AIR TEST ~ IO\~~~~ t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
jJlp //. zz.1) 2-
'~
a...)~ ,f)(
tt (1?/o,
11..:J,~-O)
GRADING (Prior to Sodding)
BUILDING
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, card shall be placed near main entrance.
/2.- '2,,--C/L
."t)J~
PI}
;l-ls- "'0'"2.,
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
ADDRESS
334-/
SCHEDULED ( ;) ~ S -- 0 d-
FoX' mlc..., /~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() 1- 09.37
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S Of) /TJt,GG !f)
Vtl
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/l / OS / ~
C-,/V L../
.,-- / / /--::-
r/~
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ft1? /1-1-02.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOrJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/I-Z?-o<
ADDRESS
~3'-11 Foxl-ot,. { TrOJ l"t
CONTR. 10,.,. tbl M "-
PERMIT NO. (}) 1- tt 3{
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
br~< - &-11:....
CuJ~ ~- &R....
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~
-'
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33 '-II
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED d!;)S~ 2. II.'otJ
~T~
f
CONTR.
PERMIT NO.
01 - 93d--
o PLUMBING RI
o MECH RI
o WATER HOOKUP
() 0 SEWER HOOKUP
-t'1 ~ PLUMBING FINAL
o MECH FINAL
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
l:ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:,=:$~::;'NS:~::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-~ ::> /'J--A
, )~I
FoX -m-/ V
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
;g: FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
r MECH FINAL
DATE TIME
~--Itf-() -z., 2/ 30
I - 732-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
J. &\-~S\t)~ (~oV\c..~.J-~. +- 1)H(J..Ql~_ :;4~~.
~-~ p~~~ _ \.~\A 0 0
'2. ~..'^~\ G~__ ~,^~~r.l\'OVt; (\.J1 ~.~.
torS').) <./47-cr8~f"i
~. S,.J ..L -\-NU.tL-~ .
L( . fr-oc;\ovI () ^'^~tt)-_ D
~\N\'r' o. o~ ()
f.o
~- t - 2C\Q:<.,.
o WORK SATISFACTORY, PROCEED
o CORRE ~TION AND PROCEED
J\OR ECI: N( 'RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto . > Owner/Contr:
J" ,
CAL '447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
*Permit#
'Job Addr_
*Heating C. " ... r Me I 1"10 AIR
'TeslelS/Signature -r ./f::t::-"
~ Time
Pounds
Preaure
*Qa Une
Pressurized
Inspected
PERFORMANCE TEST
*Percenl CO:! ..s. q '7b *Percent CO (J7"
'PercenIO:! J 0 .5'4:> 'Stack Temp. ,J tA 0
Final Inspection
Date