HomeMy WebLinkAboutBldg Permit 01-1024
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT
(Please type or print and sign at bottom)
ADDRESS
3329 h,x /4// ~/ /
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK
ADDITION7#i::- W~ 5t:d
/~
/ fJJJ/~
.;;?-I ,~
OWNER
(Name)
(Address)
BUILDER /:J7 HtJt.f5'
(Name) / / g-'7/2rJ
(Address) ~ 8.B---&:)
/
TYPE OF WORK ~w Construction
Date Rec' d
7-5-01
ZONING (office use)
~/
PID 25-375-003-0
(Phone)
C!/4ss1~
./~~
~~~'i7?a-~
;6!'/ d z..
":;;:---r
(Phone) &52') 153- 77;;? /
~~c ~//c c/ S9 2 Y
/~; ;' ,
ODeck
o Misc.
OLower Level Finish
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
I hereby certifY that I have furnished informati on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
the abo -me oned ~ petty and that all construction will conform to all existing state and local laws and will proceed in accordance with
ae the bu' ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
or nee c:..../::::> 9 s z z- 9-s--o I
~ignature -
voiUf
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
/)
This
l e"2.., 000.00
$ 1,~5Z-~Jq~
$ - '1 ctt{.lf~
$ 1'.()(j
$
$
$
$
$
[t!)O -6> 0
Ic>o .00
J..~.S-O
mes Your Building Permit When Approved
OAddition
OAlteration
Date
$ f3 S1,:) . ex:)
: I, b~ ~
$ . 70 ~Ci:J
$I.~D, Cd
$',?cx:J.~
$/1500.cd
$ , I
$ f;, #3. fJ7
f - 7-2B;/ I Paid el iN3 If1 R.ecei~t I QO!5l...?
. Date' I Date ' t:/.;.JO '01 . By /.
,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may ~roceed 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
;2; 11\ ~~-' ~~--- ~
~~--r;I q/~~h1_L- c. . Sp~~i~~y~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PROJECT COST /V ALUE (excluding land) $
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8";(0
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
#
#
#
#
Builder's Deposit
I Other
TOTAL DUE tAUO.o q-Ifj-Ol
From JECHEEXC
PHONE No.
612 8926396
Oct.01 2001 6:23AM P01
,.
Date Rct'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(l'I/\ft~f'IIYllt' ur print U1d ll~1) 01 bull",nft)
AVDRnSS
,. __,=5 '3 ~.cr_ H X . It:1;) .J rr.~ I V
~: ~h."w ~:~II: PERMIT NO'A. 1-/.1"7 U
J, (Iold Apl.n....' t...J f I" 7
ZONJNn ((>fII~u,."
_R I
LOT 3 DLOCK J
\., ~., ..~.
~- ~..
I.EOAL DB~(":R.lPTION (ulllcO! us&'! only) "--
AnDIIlo~~ltrL..u~,\/ds c-J I(
1'!Ll~5- 3'75-aOyD,1
.. ~'.
~~~~~'b c'.l O&/c _ f.~- _c~
(Ph(m~)
(Address) _
. ~^(Id~,,)
(Clry, ..~
(~ipC(\de)
I
.___.1
APPLJCAN'J'-- I C
(Name) J e.e.. "'e~ ~y~
(Address) J..QLn :r ~ p l~ e ~~
(Add,en)
(CoIHacl Pers~l/1) ~~~" ,-
APPLICANT SIGNATURE ~~
. I'
AI-PLICANT PLEASE COMPLETE BELOW
Size of water service 1 inches.
Location of any coupJ~gs from structure feet.
,Type of ~ewer pipe. 0 ABC [iJ'PVC 0 Cast Iron
Estinlated length of sewer line ...!j ~ feet.
Clean out (lfrcquired) located tll' - feet from structure.
,(Phone) 4./;) ')#0. 'It..! 0-10
8IDnWl;w+DlA~1 ._ /i\~'43/
(~l (:i'.ir Cooeo)
(Phone) 41J '7~ /) 7tf-st
DATE
Residential !lcwer and water Jit,c connection
Sewer connection only
FEE SClfEDULE
$35,SO IndustriAl, Com'l &. Multi-family 1% of job cost with a $39.50 minimum
$17.50 Watel' corme~tion onl)' $17..s0
E~(itnlltc:d Cost $
Building Permit #
SEWER AND W ATEIl PEn.MIT FEH $
STATE SURCHARGE $
1'OT AL 1~ERM1T FEE $
,so
r
, su,lti:5>G \.1.'!tH
P€r:'-'~
JIll!. l'
(OM"" ll~r Only)
'.N....
This Appllcflllil.lll Deconles Your Ul.Iildlng f. mil When Approvod Paid
Receipt No.
Date
10 - /- OJ
By~
IJ
Hlllldlhll om"I.1
I'.le
24 hDUO' IIOtl",1> rar .lIlnspoa:l/un. (9!'IZ) ....7-9850. "all (95Z) ""7-4%45
10-05-2001 08:15AM
@y
MATTHEW DANIELS, INC.
423 3017
P.01
..,......~ &'~I.:' a
CITY OF PRIOR LAKE PLUMBING PERMIT
10 -~,O f
(Plc:oue r:ype or II un iUl.a si!!:ft a[ bocww.)
ADDRESS
~.321 ~ '-.JadJ 0~
LEGAL DE~CRIPTION (offi~ use only)
LOT-3 BIOCK I ADOITION'-.2LL. >Y~ S~
I
O~ER J .1 ~
(Name) '-f~~ ~J,,'(J..d/f'..J ~
(Address) .!5'8eS- - J4q'l-h ~.ut; . ()~~1~ '/ai/If!' ~
I f I ..
APPLICANt' __
(Name)~ 'J)aJ)jel..... - ~.
(Address) A:\"'A,3o {I.tJJ"r~/Js~J ~\J . R^,~""OlLrrt _ hlrI
(Address) r (City)
E. ~v.;+n.
(Contact Perrn) :::lJtmie.1
APPLICANt SIGNATURE
Quantity
~
/
/
1-
~
/
I
....3
I BI.... Fil.
~. Quid City
J Yella. AHIic:ant
I PERJ.\UT NO.O t - 1 024 J
ZONtN'G (olft<:l:lUe)
PID
(Phone)
96'.:l. 9.6:a - ~ J
(Phone)
45'1. -IJl.3...3 '7t8 0
..sSa~ Y
(Zip Code)
(Phone) ~. ';'r!J.8. \!1W
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bach Tub with or without shower
Dishwasher
Floor Oraip
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
..s
I
1M..
I
FEE SCHEDULE
Industrial. C lmmercial & Multi-family I % of job cost with a $39.50 minimum
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
R..sidmtiaJ. New One: &. Two-FlIn1ily 599.S0
~icienril1l, Additions &: Alterations S~i.SO
\l'J\\\"\ ~
Building Permit # r ~,,\O G ~~f\W\~
e\)\\.P\~
9fJ. 6ZJ
.50 ..., '\
)IJ~-/)()Jr~
Estimated Cost $
PL~~GPE~TFEE
ST ATE SURCHARGE
I TOTAL PERMIT 14 J.J!,.
(Offiec V~t Old .)
I
This Appli :ation Becomes Your Suildiag Permit When Approved
Buildi.. omclaJ
Dan:
$
$
$
~
Date
/0,5-01
Rec~
By ;;~
I -
U hour notice for alllospections (952) 441-9150. fas. (952) 441-4245 .__
" - -,
TOTAL P.01
P.l.
Date H,ec'd
9: 59RM METRo~l~'Y OF PIUOR LAKE NO. 004
IlEA TINGI AIR COND.lTIONING/FIREPLACE PERMIT
(Plc;asl! tYPe or print IInd slm at bolloln)
AQQRESS
'3 ~ ~ '\ ~ \);1( +~ ;
1 0" 5-'0 I
I. "Ink Fil. I PEIRMJT NO
2, ClI.... ell' . '"
,. y.llo. A",II_1 ~, ~ \ \;:) ~ -\
\~~"\
ZONING (umCI! IIle)
..
LEQAL DESCRIPTION (alliell USll only)
LOT"3> BLOCr< I. ADDITION ~: \ ~ !:. S ~
OWNER
CNjiO)e)
. -c--
l\lJ.1i\ l
\ '" " *'
\\ l) M.l.\.
~ \J. \ \-""\. \ ~")..
f\(1 ~ \'1 \I ",\ \.hl
ij. - ~. ,
(A~dfess)
\'\ ~ ~r~
S "6 "l S
PID
(, (" ".'\ t- -~ G G "3 \
(Phone) .\ ~",., ,~ ")-\ \
S' So \ ~"\
AFPPCANT 'i' \ ~
(~a~le) ~~-\:(\,},~ ,\"'" -L Yi l...
(A~d\'ess). \~~ ~t) "1 ,\ L(j~ f\v,-
(Adclrf:ss)
(CVDlllct Pel'son) N "" V'\ L..\I S. (..-~ ~ \'.\ \.
AFPt.ICANT SIONATU..!E ~~hl.."~
_ _ (Phone) ~ S d." \..\ \.\ 1 - ~ \ :), \1
(' n CX'" \.t.. \ll.. {\~ .s So '~'I ~
(City) (Zir Code)
(Phone) '9 ~ ~ - \:\ '-\ t. ~ \ Q .'-\
DATE \ \) - S - \
API'LICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
1% orjob eOSt Rcsidc:mial, Gas Fil'eplace
$39.50 minimul11
$9950 Residential. Addilions & Allcraliolls
$64.50 Re.sidetllial, AC Only
~EW CONSTRUCTIONu
FUf-NACE MAKE AND MODEL C ~ v r~ ~--
fLVij SIZE (' \{ L RETURN OrENJNGS
TYPE OF SYSTEM
, . ~arln Air J'llInls
OGravilY
BMechalllc:al ,
Ja.Air Conditioning
aVent, Systetn
FI~El~LACE MAKE AND MODEL .
- -
Inl.l\lstlial. Commercial &. Multi,Family
Rt~Jde(1tinl. Heating &. Ale (New Construction)
R.e~ide/llial, Healing Ollly (New Construction)
Estimated Cos~ $ ~ C tl~ ~
o REPLACEMENT 0 ALTt:;RA'rIONS +
~k A - \ ~ fUEL N '^.
~ g INPUT )Ot). ()l:)~ OUTPUT q 3. (f{SC)
~
flEA TING OR POWER PLANT
o Steam
o HOI Waler
o RlldilltiOIl
o Spec:ial Devices
o Olher Devices
I-LEASE NOTE:
Air Conditioner Unils
Cannot Encroach inro
Require.d Side Yard
Setbacks
$J9.50
$J9.50
$39.50
Building Permit II
HEATING PERMIT FEE
STATE SURCHARGE
1'0'1 AL PERMIT FEE
$
$.
s
r PA'O W'TH~ I
.SceulLDlNG PEH,I.,T
,
(OI!lce \lse Ollly)
" '''I
1 hi~ Appllcallon Becomes Your Building Permit When AplJroVed
Duihllne ornel..1
:14 hour noticll rOl' nil inSlledionJ (952) 447-'850, flu; (951) 447.....J4S
nile
pa~
-oate
/0,5-01
'RCC~
By ~
The Cenler of Iht' t.";t Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J1 t5~ Ck",4651 (!..,; ff()t:ff;S
APPLICATION RECEIVED q - 5' - 0 /
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~3 2 q ~X I HI V --rJCA / L---
/
Accepted
Accepted With Corrections
Denied
Date: 9-7--'4zc;J1
Reviewed By.
rz;;QS: ~f2Q ~~ ~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."
Th. C.nl.. of Ih. tab ('ounlry
White . Building
Canary - Engineering
Pink - Planning
,I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /'1&-Tl<!..O Ul-i5S/C-.. HQt:tt;:..5
APPLICATION RECEIVED q - .5' - 0 J
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_532 CfF/;/(Tll / L., -77G.H I L---
/
Accepted ! / Accepted With Corrections
Denied /"'l . I /
Reviewed By: / ~/.-? ~ _ l. "" ~ ~ Date:
~-~ -
CO'"jenlS: ~ ~+ ~ _ 10
/(lo q leo(el.
q/t'-/ ?e1
V~~~
..r
'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 juril?diction shall not be valid."
0{ - lo~4
White - Building
Canary - Engineering
Pink - Planning
The ('rn'er of 'he t.kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 11&77ZO cJL,;::JSS/(!.." I-!()He;:5
APPLICATION RECEIVED q - 5' - 0 /
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
332CJ
/
Accepted x:
Denied
F()A /11 / [."
IMI L---
Accepted With Corrections
Reviewed By:
/VA i3
Date:
'l-19-01
Comments:
See Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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
PRIOR LAKE DEPARTMENT OF
4 .' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ '1
NATURE OF WORK tJe.y1
USE OF BUILDING S F D
PERMIT NO. tJl- /oZ4- DATE ISSUED q-7-2B:1l
CONTRACTOR M~ c;b,~ ~~ PHONE QS-2 ~ ~-9711
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ' I INSPE)" \\ ""1. I It\~ :;TE
J FOUNDATION (Prior to Backfill) I ~ ~ ~\ I 111\ ... \ '~{
PLACE NO CONCRETE UNTIL ABOVE HA'S B~NED
ROUGH - INS
~y'~
'b l\~
~ll
-r;; \~
'Ml~
GAS LINE AIR TEST ~~
COVER NO WORK UNTIL ABOVE HAS BE~N SIGNED
I I
FINALS
Alf
,
.~
~' \a.;I 'I~\
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
lO}t1! o(
I \(
tl ~ ~\
\ I .:t O(
,
1,~b~OI
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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 shall be placed near main entrance.
/0', ;) -0 ;)-
\\~\O~ ph
\
~ \1.t:R\ I t b\
~~\l I 1~\O~
HAS B EN IGNED
It. v .J rO ;--
Call between 8:00 and 9:00 A,t>Jf. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ..:> ~? cr
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~(:) -'2-02--11: ~I.>
:P;k
( Cc d "'"f;Q; I
CONTR.
PERMIT NO.
01- {o2.~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
f G~:r~ft~
Sci ~-:G:ma
of,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECj{t; CALL FOR REINSPECTION BEFORE COVERING
Inspector: \. \ ,I Owner/Contr:
CAll ~7.;"tsO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA TE TIME
IbsMI- j/:or;
, .
ADDRESS
33 d).. 9 p:::~ T a:J !If!.{,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() I -j tJ ;;u(
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
A 0 INSULATION 0 SEWER HOOKUP
~ FINAL ~ 0 PLUMBING FINAL
o SITE INSPECTION It ~ MECH FINAL
COMMENTS: ~/'!J '
::c $ So lot e- +e.-\M 0 - C-"D"
\
b I_t ~ Ol,L1J_
9r~?ro~ ~
~
~/aJ, .w=fer ~~fM&.\-t-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ [;1"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
,.
o CORRECT WORK, :ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~" \ ~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
SCHEDULED
(/~l
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
;J.;1)()
ADDRESS '3 '3 oq
Foxlar}
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- !o;z4
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~EWER HOOKUP
It jE PLUMBING FINAL
iJ MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: J
tN'lth,tO IMPXM" 0 ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ /U f1Iv..iJ Owner/Contr:
CALL 44~-9850 FORlTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/'ISNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33:J7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)2l--RNAL
o SITE INSPECTION
COMMENTS:
bl'ttrh ~ c> t
DATE TIME
SCHEDULED
~
Fo)(. I c,t'l Trer/' (
CONTR. /Y7~!rO CksJf'L HOjlflJ
PERMIT NO. 01-10;;;;
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~N-\.LI~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Cv/b ~,L.... ~K..
X.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!
INSNOTl
-_.
*Permit#
-------~--
'JobAddr_ J3~"" r:',..,./..'{ (;--...1,4/,/#,
*Hellling Conlr8clor METRO AIR
*TesleIW/Signature ~~.
*G8s Uno
PreMUrized
Inspected
* Percent cO:!
*Percenl O:!
Finallnspeclion
Q!!!
Ii!!!!
PERFORMANCE TEST
7~
~~~
*P ,
*Stack Temp.
Pounds
PreMUre
,CO
p~
I tilf....
Dale