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HomeMy WebLinkAboutBldg Permit 01-1146 ') CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT H~v-e.~ c,+~ Lc-\(.-e.. Date Rec' d 10-1-0 J I PERMIT NO. OI-I/4h 1. White File 2. Pink City 3 . Yellow Applicant ... LV . ZONING (office use) LEGAL DESCRIPTION (office use only) LOTI2.BLOCK J ADDITION AJor-tk~DO~ ocd~~ F~.J..c.J-e':S 2ri:.PID~5~7/-01';>'-O OWNER (Name) ~c-~e.... c:..~ b~: I J-e.."- (Address) (Phone) BUILDER I (Name)=\zi ,,-~5"O('O~h.. (Contact Name) 'S+-c...U c..... (Add ) ~Sb - c::. 0 'C' st- S. ress 0' , c..o ~ ..... r 0 ve 1Vl.A/ Ho~.es (Phone) 6s J - "8'0 - I 'if 8" I (Phone) Sc...1'II\. e.... S-So/~ TYPE OF WORK ~ew Construction ORe-Siding ODeck OPorch ORe-Roofing OLower Level Finish o Fireplace OAddition OAlteration OUti1ity Connection PROmCf COST /V ALUE (excluding land) $ 2- / I ~ 076 o Misc. 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 prop~ ~erform needed inspections. X ~ ~'-'--- -c 2.00:5"8'530 ~/Z.7 /~I Signature Contractor's License No. . Date Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ ()O .00 Mechanical Permit Fee $ ()O.c:>O Sewer & Water Permit Fee $ 3'5'". ~O Gas Fireplace Permit Fee $ .00 es Your Building Permit When Approved /()-t /)- U?q Date Park Support Fee SAC # # $ $ $ $ $ $ $ $ $ Water Meter Size /8 , I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE # # I pJ~~t"'~7 Date ....../~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 I ~ipt~'lOcA ,\\ 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 Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~ ~,-~~~ Date . I on'os,tany ;/ I The {of'n'er of the l..kr {'ountry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST / . / NAME OF APPLlCANT"'I~.-71.1D /'r;)itJ)/c'/t'../ . ,/,1 APPLICATION RECEIVED //. - / - 0 r ~'. I l ''-J /; 'J.)i'j ~ I '.,~ 1..../ .. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . :.J;~' r</ / ,- 'v: / (~j i/"'(' j.. .,<" ; " ,f .. ?", M, ,,' , "' i7- Accepted ~ Accepted With Corrections Denied Reviewed By: qh->,,-~ Dale: Wto/~ p , "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 Gancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ;:--- ,Y lo,'tr.:..*.>I} ;~,i'ojl-'~',b",t'.t--;" .\.~-:. "1 " Ol-ll~(p White - Building Canary - Engineering Pink - Planning Th, C,nl" of th, "ok, Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~':oOtl7ffl~./ ~ APPLICATION RECEIVED _ -I-:Q {,(.....-, .' " J. . "f-;, " .~ ",.j,'" ~.\.. t, '-'1 ~ I"j'," /. ,'/ The Building, Engln~~ring, 'ahCl PlanTling Departm~rlts have reviewed the building permit application for construction activity which is proposed at: ~ () f 10 icJ2P *~(!-;- X , .. Accepted Accepted With Corrections Denied Reviewed By: -,M'Ji3 Date: t'ri ,t See Reverse Side for Additional Information! w ! di'" rtll/ 'J ' , . (' It 'f LJr I v ~ y Comments: ...,:~'~ ~ '< ./ ". .~' ' j{;~;"''''' '3 . , =- .. /'".7')1' ,"'. ..-----~- ./ /"" ...-- See AUacllments: 1) Grading Plan, 2) Erosion Control Measures 3) ~rosion 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." '- White - Building Canary - Engineering Pink - Planning Tht Ctnt., ollht t.kt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 4~~r ~ APPLICATION RECEIVED . -1-0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3()~1o ~ ~{!;;f- Accepted Accepted With Corrections X2 Denied ~a J Reviewed BY~~ ~n:tl a+k~ {tJ ~ Date: lo-/o~ ~/ "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." 10/23/2001 07:05 6514808348 DLD EXC.&PDURED WALL <'. ~-,'~..i.;" '.i.~~j,.~~..~..~ .', . PAGE 01 . . ~ITYO:F':PRIOR:~ SEWER AND;.\\' .ATER PERMIr . :Dllte Ree'd . , APPLICANT PLEASE COMPLETE BELOW Size ofwatl!lt service -L- me ,. Location of any couplings from rUucture /" feet. Type of sewer pipe. 0 ABCE PVC D Cast Iron Estimated length of sewer' line .ell. ~ Clean out (if required) located a.t ...:...L"fect from stnWture. -- SEWER. AND W AlEa STATS SURCHARGE TOTA,L PERMIT FE R'sid~ntial sewer and water line cotmectiQll S35.50 Sewer ConOKUOQ only $17.50 Estimated Cost $ . - BuildJng Penntt # $ $ $ .50 , , (Omc~ Uu Only) < TbLo ..ppll","," Be...... Y ... BuildIng P,...I. Wbn. ~PP....d , Poi", Bulldlnl Om~lal Dlte 24 Iltlu.- "Ot.C8 for alll..pllttIODI (H2) 447-9150, fIX (9!1) "7"'245 ~. '1U/{;f'O WITH ~.... tNa PERMIL R:ceiPt ~ ~ 10 -.;13 - I :==J 10/29/2001 14:35 5514372112 10/29/01 liON 12: 13 FlU IIlZU7.uu SWANSONS CITY OF PRIOR LA.KE PAGE 01 .-. ...... iii 001 CITY or PRIOR LAXE PLUMBING PERMIT Dale Rec'd . ta ~I l~E~NO. /-/ftft>1 or 'II '!,III U J.olroaa} : AD~ISc.. kA.~ HGtIlt:.ft. c.+. . I rf;'n;.m-- i I LSOAL DESCRIPTION (ollSoc "K ollly) . I ~l~ JLOCJC_ I ADOlTI0N ~rtnL\a?a Cax.s Esta.re J~PID.:25-~II-D(;2-t> 'OWNER VI~" I I CNIIn1e)_~ ~5~ro~~ Hom.~ ~ (Phone) {~SI)~RC-/~g, i I (AISlim$) 8...,~-qO'Tn~t. ~IH'-t~ ~Ol Co~ C1"-ove, m~ 5S0tL.I I A,PfUCANT po. . (N-) ,"'0.0.>(11)501'\ ll.lm!:2l~ ... tlea.:b ~ _ (I'bou) (iD '51)..'1.37 -9.;115 I (M4reI$) _~S.O 'It:r mil \ ion... ~t.. Has.tl r'\a~~ mu 55033 (A4dress) ~c,~) (Zip Code) I (COD~ct Pe",:;Jfl) ...D1C!t.t ~ s r\...; Whonc) ( ~s i) 4 ~ 7 - q Q I S I APPLICANT SIGNATURE DATE 10 ... ~ 9 -() I T -..._.-. or .'iJr...... FEE SCHEDtJLE lndwtrlal. CDmmera.talA M\llti-&mily I~ofj"b coat ..,iEh. $1'.50 minil'nUn\ R.,ldlftllll. N.... o..e 4\ Two-Fll'nil, $99.'0 &e.idcntill, Actdltions.. AllerttjOl\' 13'.50 .50 . . E~llrn..1ICI Con S Build",. Permit , PLUMBING P!RMIT FEE. S 5T ^ TE SUJt,CHARGE $ TOT4L PERMIT PU S (om.. UK 0_' nIl. ApplicatlOIl Becom..Yo.r SYildinc Pcr..I Wile. Approved 30-{ ..\141.. om.I.1 D.te 14 ho.., ..." tor aJI in....... (ta) "7._. r.. (152) ",..aU FROM : BINDER HERTING PHONE NO. : Nov. 13 2001 11:41RM P1 CITY OF PRIOR LAKE HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT Dare Rec'd 1~=:;S~PriAtwlsi:"_:m '30'6l? _La.~. k-o--ve.^ (Ol.l.r-o\' t=. S-I PERMIT NO. l-flLlb I I IRiSouOl LEGAL DESCR.IP'nON (oJfice lUll o.a1y) LOT ADDITION ~PID OWNER. (Name) K, n.qs~oro UIj Vl tIOme..c::, (Adcbess) -'50 'fo ~\ (Phone) foc:;"[- '-I ~O- I ~~ I S.~-ol . APPUCANT. (Name) Bir1 der Hea TI~J1.q ct- /fIe: (Address) ~ Hardma..n f1t;~ lVi $. ~;-- Pa.u..1 (Addrm) APPLICANT SIGNATIJRE (Phone) t-J5 I-~.S, -~-,~ J (}fN S:~6(S' (City) (Zip Code) (Phone) (Contact Person) 11- 1.;2. -0 I APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION o lWPLACEMENT o ALTERATIONS FURNACE MAKE AND MODEL -r r tl.r2.e Tux'fODCqYR FUEL 6as FLUE SIZE ~'l RETURN OPENINGS rNPUT /00, 000 6rUo~UT lYPE OF SYSTEM llEATlNGOR POWER. PLANT .. OWann Air Plants ,.. OS.'" PLEASE.NOTE: OGravity o Hot Wau:r Air Conditioner Units. IS!I Mechanical o Radiation Cannot Encroach into [3Air ConditiDning o Special Devices Required Side Yard saVcnt. System o Other Devices SetOacks FIREPLACE MAKE AND MODEL ~ndustria1. Commercial &. Mlllti-Famil,. FEE SCHE.DULE 1 % of job Q)st .. :Residential, Oas Fireplace $39.50 minimum . .. _u_.-.. .~. .~. $99.50 R.esidential, Additions &. Alterations $64.50 Residential, AC Only $39.$0 539.50 539.50 Residential, Heating & AlC (Nav Construction) R.esidential, JoIeating On I)' (New Construction) Estimated Cost $ Building Permit 1# HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE S .... .50 ~/, ~A .'-'/' ,/" "'0, v fA ..~ ,,"I vt-~ . ReceIpt: No. (om~e Use Only) This Appli<!ation Becomes Your. Building Permit When Approved Paid 'undiD': omclal Dare By " 24 hour notice for all illspec:tions (95Z) 447.'850, fax (9!1) "7~Z4$ @) 16: 19 P.01 CITY OF PRIOR LAKE BEATING/~ CONDmONINclFIREpLACE p~ Date Rec'" (Please ~ or~ atboaD~ l~;;;~ J.JJKe- lh~ C~~f ~ LEGAL DIlSCIUPrION Colfi~.....,q.) L LOT BLOCK. ADDITION ~ =.. s.. I PERMIT NO.O / - /Ilfb 1 J I~G__I 1 PID (Phone) dOi APPLICANr f)_I ~. L ~ (' J _ I (Name)~' . k{JfJ{JO"- J.--1cr..()1IJI e '- ~J (phone) 7(03 - '7)(10 -d~ I . I . (Address) 882a ~u.Y ~p+ ~n{L l11J(p {hJ/1c .~~t/-i~ (Addmls) V (City), (Zip Cadle) (Conmct Person) I (Phone) 7103:r 7f((p - a:s4/ . DATE ra - 'I-<:JJ APPLICANT SIGNA APPLIC W CONSTRUCTION FURNACE MAKE AND MODEL . FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATtNG OR POWER PLANT o Slam o Hot Water o Radimon o Special DcviU$ o Ofher Devices tdxn'f""t; - Ot4-K' ~ PLEASE COMPLETE BELOW o REPLACEMENT 0 ALTERATIONS FUEL OUlPUT .. BWsnn Air Plants Gl1lvity o Mechanical . OAir Conditionillg OVent System FIREPLACE MAKE AND MODEL PLEASE NqTE: Air Ccmditimi.er Units CUDot EncrPach into It.equind Si~ Yard Setbac1cs ' Indu$1rial, Commcn:ial & Multi-Family RESCHEDULE 1% of job cost Residential, Gas FimpJacc $39.50 minimum $99.50 $64.50 $39.:50 Residential. Heating .!t Ale (New Construction) Residential, Heating Only (New ConslructiQn) Estimated Cost S Residential. Additions .!t AltenlioDS Residential. AC Only Building Permit II 0/- //~(p " v.Jrn-\ HEA TING PERMIT FEE $ .39 ..x) r.'-!~~RG PEF\tJ.rc STATE SURCHARGE $ .50 ~-- TOTAL PERMIT FEE 5 4-(1. (')0 S39.50 539.50 (OffiCJ;JM:On(yJ' f' ~c'APpli~~ Be ,~You"':S'uilding Permit When Approved ',' .'.,.. .J' /,', ,. it L>' :../~/~.,i.\, '- ,j/u' 1,-:..;-,-,/ ":j"-"~~. t.:. -"~ ,,,,-,,..,.,.,,.~~~',.~. ":"' -;:~tJ<:rV"l"""" J! B.ilcli.. OOidal DIle ate'Z--5 -0 I By Paid 24 hour notice for .llllllpection~ (9g) "'7-91~l( (952) 447-4~ TOTRL P.01 , P R 10 R LA KE DEPARTMENT OF , eOILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3J8~ III b Hd~ CI- . NATURE OF WORK A.J.4.cU USE OF BUILDING SFO PERMIT NO. ~ ~ DATE ISSUED (0 -ID - "-' / CONTRACTOR Ki ~ (.L ~ PHONE (p5/-tleo-leef NOTE: THIS IS NOT ~ PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING FOUNDATION (Prior to Backfill) 0 l PLACE NO CONCRETE UNTIL ABOVE HA ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING if required) FIREPLACE GAS LINE AIR TEST p:: f (Jl,; COVER NO WORK UNTIL ABOVE HAS BE I FINALS GRADING (Prior to Soddin ) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS B 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 shlll be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 50cre, OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: SCHEDULED DATE TIME /01r ~ tAl ~V~ (r CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL >od ((H~3 o {- ((f..( ~ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST @ e-( O~-C G ~ ,/LWoRK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING Inspector: 1111 0 1. '?r -D v OwnerlContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! _n l-z4-oz- :3 ~OV .3Q8~ L.A-J::E /#f(/(3N CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 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 'gf PLUMBING FINAL /0 MECH FINAL COMMENTS: ~lJA.~ DATE TIME 1- /14b o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o WORK SATISFACTORY, PROCEED o CORRECT ACT ON AND PROCEED . CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: HE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: /liSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl ~-E -O;l., 308~ LAke. l-hv~ c+; CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT 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 COMMENTS: DATE TIME 3~ 01- J/4fo o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o~ ~ a,...d~e-S ~e. de;reli~+- o WORK SATISFACTORY, PROCEED o CORRECT ACT. ON AND PROCEED o CORRE K, CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (,-27-(JZ- ADDRESS 3~ L#jf'~ 1-k1l~11 PHONE NO. PERMIT NO. 'f1 -Dl-11 )lE~LLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o OWNER CONTR. 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: ~&",e!>K ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpect.Or:~ "'- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSliOTI