HomeMy WebLinkAboutBldg Permit 01-1146
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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