HomeMy WebLinkAboutBldg Permit 01-1405
l ....'Y OF PRIOR LAKE BUILDING 1. .illIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Il- 2-8 rO (
I. Wh;te Fde I PERMIT NO.
2 Pink City
3. Yellow Applicant
() l- /4{) S-I
(Please type or print and sign at bottom)
ADDRESS
142&~
!J r() t) /u11. v-e-
i>/vd.
ZONING (office use)
1!!-2-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2... ADDITION
AeddWI/'&v
PID 25""- 3e'l-()~-1J
OWNER
(Name)
cw-~
I Z.4~t)
~/J1 e 5 (Phone) 'iY Z - 'l3~ - ') B.13
~ fUiJ~ J)r 5~'-k /2~ h'',.''~~j ~S-~.:JlI3
/ ' ,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
~~~,
~~ UAAeII
5 Clr't t:-
(Phone) S~ e
(Phone)~/2-J~ 9-~93>
TYPE OF WORK
~ Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
~place
OAddition
OAlteration
OUtiIity Connection
/IS-, tJlJ V
I
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
~teruponthepr~~e~tio.?s. UJb7~7 /I/~bl
Signature Contractor's License No.' I Dare
o Misc.
PROJECT COST IV ALUE (excluding land) $
Permit Valuation \ tS 1000.0::> I Park Support Fee # $ P6b .06
Permit Fee $ . I SAC # $ 'I' 5'0,0(")
'1011,7C;-
Plan Check Fee $ (ot) ,5'1 I Water Meter Size 5/8"; 1"; $ I
State Surcharge $ ",;1. q) I Pressure Reducer $ I
Penalty $ - I Sewer/Water Connection Fee # $ 1120a.ctY I
Plumbing Permit Fee $ 100.00 I Water Tower Fee # $ 1ot:?00
Mechanical Permit Fee $ 106 .t:) 'l' I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ 'ItJ . t:) () I TOTAL DUE :s;q7~ 7fJ
t21:LX' Yow BuildingP=i' WIre. App_i1 Paid ~q "'C;..7~ Receipt No. 4-; 1cJ.3 I
Date ,-i-/,fj/(.)j By fl.ai - I
!/-TIJ-O(
· BulldlP{ Official 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 sig ed by the City Planner constllutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy must be
Issue ) _ / ^ ~-/A"'~A.. 12' !t\{,!'" t 5' ~C__ ,)...., ~ AJ~_f) C~ft'~<,
::--- ~Director' Date ~nditionF.Jany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Tht ernl.. oltht t.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(F;f\JTbX H()~IE:S
[[-Z9J-OJ
, I -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J~Z(P7 BR-oOk:lH~r<E BLVD.
. I
)<
Accepted
Accepted With Corrections
Denied
Reviewed By:
/1;1#3
$<<.- ~ ,Fi /, .
. Date:
! ~-/tJ-(J ,
Comments:
"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 ('enter or Ihe I.akt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~tJ ,6)( -IOH6S
'J ( - ~B -() J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~Z&7 Bt<:oO~HGRE BLVD~
. ,
Accepted -/--
Accepted With Corrections
Date: (( -3'0 -Of
Comments:
~ d!2 a ~ckJ ~,
~ (1 ~12 \\A lUV\ ~ \ ..()
"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 eenler of Ihe ""ke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I ~~, 1\" I-[~ X 1-( C! j C:-
I( ~)(:"_I I
I - C (j C.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-/I.(~_=- .-..:( It /-(/
I " (
I'. i \ i-:
._'T-" ---- .... _._".' .
Accepted
~
Accepted With Corrections
Denied
~
,/ ~"-1--t4--P/A-Yh
Date: t "2--/{LI/t9f
Reviewed By:
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."
Date Rec'd
CITY OF PRIOR LAKE PLUlVlBING PER.,nT
~. ~::~~ ~~~v P E ~'IIT NO. 0 ( - J 4-05-
3 Y dlow Aoolicant
(Please type or DOllt .md Sign ,1t bottom;
I ADDRESS
J /j :;/13/ 1;3/'11;/ fh1v1/cf
~JJJ
v~'
! ZONING (offic,u,e)
I
1
I
i LEGAL DESCRIPTION loffic~ :l~'~Jnb)
LOT
BLOCK
ADOfTION
PID
! O\V:-iER / J j
i (:-i.1me) [. rt 1.1P V
(AJd;ess)
(Phone)
APPLICA1'(f) / / n / ~ /J
(Name) (A'1//!;7:1 P'/b;;.,
(Address) ~!y() 1)((1); r ,IJJ~
(Address)
(Phone) 1/5~-- L/9J c2 '" J / J /
/f' /1 J /"1//)
-.... II? /114 L .'5:5J&i+'
. ~ . (City.)- . (Zip Code)
(Contact Person)
(/JAA~
/'l J
j~/ MAA.:7
(Phone)
-
;l1)~~/tJj/ 0 /
APPLICANT SIGNATURE
DATE
Quantity
J
I
I.
J
/
/
I
...?
APPLICANT PLEASE COMPLETE BELO\-\"
i Type of Fixture
I Bath Tub with or without shower
! Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
i Laundry Tray (lor .2 compartment sink
: Showe, ScalI
I Sinks
I Bar Sink
I Water Closet (Toilet)
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
i Backt10w Assembly
i Backtlow Assembly Test
I Lawn Sorinkler
I Other .
Quantity
?
- -;
I
t
FEE SCHEDCLE
Industrial. Commercial & Multi-family 1% of job cost with a 539.50 minimum
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations 539.50
Estimated Cost S
Building Permit :;
PLUMBfNG PER.iVIIT FEE $
STATESURC~~RGE $
TOTAL PE&\HT FEE $
...
pt-... ..) 'i ~'.~ r
.~~O\~ · ~
\
(Office t:se Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16:34 651 633 8884 FIRESIDE CORNER
'-',Ii..J. .J. '-I". .L ........'-'...... A.tI.I. ..~........
#1521 p,006/006
HEA TJ-NGI AIR CONDITIONING/FJREPLACE PERMIT
i~ ~:~, \ rJ!..~TNO'OI-/405- \
]. YoU"'" ^r!'u..... '
(PI.c:ase typc or orint ilDc15lflll at. bD~1
ADDRESS ~
/0~s /~v:
ZONING (~IlSC)
,&A/eI M.~ J
J~EGAr~ DESCRJPTION (office use only)
LOT
BLOCK
ADDI'I10N
PID
oWNER
(Na.me)
(Address)
fu~~
. (Phone)
, APPUCANT
(Name) ALLIED FIRESIDE DBA FI:RESIDE CORNER
. (Phone) 651-633-2561
APPLICANT SIGNATURE
ilk'
ROSWTLLE MN
(Oty)
,(phone) 651-633-2561
I:: r:;.,' , ":l
(Zi.p Cod.e)
(Addtess) 2700 N. FAIRVIEW ~E
(Adllres5)
BREtmA HUSTON ./7
(ContaCt Person) / ,/
0.1A.a-
_ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRtJC1'ION 0 REPLACEMENt U AL reflATIONS'
FTJRNACE MAKE AND MODEJ.. FUEL
FLUE SIZE RETURN OPENINGS MUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Ste:un
DGrnvlty 0 Hat WatJ:r
o Mm:hMlcfJ.1 0 Radiation
DAir CondJt1oning 0 Special DevIces
DVent. Sy91:em 0 Other Dcvlccs
i..J,u-.N ~6. ~. .~
PLEASIt NOTE:
Air Conditioner Units
Cs.nn.ot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEJ~
RdldcntrnL Heatlng &; Ale (New Conlltructicll)
Re:;idc:ntlal, Hcoting Only (Nl:W ConstnJ~of\)
FEE SCHEDULE
1 % of job cost Rr-sidmtial, Gas FJ.rep1 ace
$39.50 minimum
$99,50 ResldenT-jal, Additions & Altcro.dDns
$600 Resl.dential. AC Only
539.50
fnduscillJ. Commercial &. Multi-Family
SJ9.S0
$39.50
Estirruu:ed Cost $
Building Permit #
(J/- / L/05
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,so
,.,.... F ~ In'
'1'~;N-;G f~;-'l...l~
~----
(omce fJ!r. O"ly)
BlIlldlng Offldlll
Dllte
Paid ~
~
~ 'j 0"\)11)
rtlj L (., .'
~
(f
Thill Applh:8tlon Bec:ol'lll!J VIlI" BuUdlDS Permit WheD Approved
%4 IJour l'Iotla: rDr nil in.pedlon. (95~) 447-9850. r.,: (951) 44.7..4245
CITY OF PRIOR LAKE
lIEA TING/AIR CONDITIONINGI I41.J.dPLACE PERMI.l
Date Rec',
Ar4y , fi ?O! I
I. Pi. ."\
~: =- i~.... I PER.1WT NO.O /-1 C/c:JS
(Pkase tYPe or print IDclsign all. , .",...)
ADDRESS ZONING (afIk:e'"
)~ Z G. 1'" ~".uo *- ;7\.1--..
LEGAL DESCRu .I. loON (ofB<< use only)
, LOT
BLOCK
ADDITION
PID
OWNER
(Name) _C toY,) f-€.,.. V
. (Adcl.ress)
J-Io .""'of 5
. (Phone)
APPLICANT
(Name) b'e.'1 +.. ~1 ? C 0,'/ ;'I'I_~ -r,..A/,'r]
(phone:) "7& 3 - c.r 2 <j . ~ :; (., i7
APPLICANT SIGNA'I'1JI{E
C c:> <> Ie..-
--:--
-~--
C/'
APPLICA..~T PLEASE COMPLETE BELOW
lQNEW CONSTRUCTION d REPLACEMENT U AL TEM nONS
FURNACE MAKE AND MODEL f2,," ""~f'I t3<j 303(00 70 FtJ!L G ~ 5
fi' .
FLUE SiZE 41 ltJ!TURN OPENINGS to INPUT ? () Q "::>,-? OUTPUT ~ co (J
TYPE OF SYSTEM HEATrnG OR POWER. PLANT
, ~arrn Air P\ants 0 StCllItl
Gravity 0 HDt Water
Mechanical - 8 R.adlation
~ir Conditioning Special Devices
g'Vent. System 0 Other D~iccs
----
/ .p "..,....,
~f_
h'c' ~/~ G,,,, A S S-]f... 7
(Ci1y) (Zlp Cock)
. (phone) ~ '1-_ ? ~.3 - s-S-'~ 7
DATE .:5" . I:J - ~ 0 l,....-
(Atidle$s)
" </ S-.)Q
<.' 0'_'1"\ -T-~ I2d
(Address)
fr/
(Contact: Person)
PLEASE NOTE:
Air Conditioner Units
Carmot Encroach into
Required SIde YlIfd
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial &: Multi-FlJnily
Residential. Heatina &. Ale (New Con$'lNction)
Residential, Heating Only (New ConstnlcUon)
FEE SCHEDULE
1 % of job cost Residential, Cu Fireplace
$3Il~0 minimum
$99,'0 Residential, Additions & Alteration!
$64.50 Residential. AC Only
539.50
$.39.50
S~9.50
Estimatecl Cost $
Building Permit 1#
MEA TING PERMIT FEE
STATE SURCHARGE.
TOTAL PERMIT FEE
$
$
$
.50
".-----
- i, ~~!'?_~fTH
BIIRdl.. Olllcia'
D.r.
I Paid
I Date ~W ; " '
".--,,-..
'.Receipt, No,
(omce UN Onl)')
Thll ApplicatioD B~om" Your BaUdlDC PlflDit When Approved
14 hour notice for al1ln.pectloa, ("2) 441-9850. faa (95%) 447.AU!
By &/(/
(J .-
za'd
Z89:2:8Z1>:2:9,L
OMi ~NII008 ~ ~NIi~3H W~ :2:~:,La za-~t-^~W
10/07/2002 12:00 5
__.DI/ZI/O:! TIIli U;;l.T~ IU..1U"
CItY or PRI01 Lu:E
PAGE 02
a1011
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()7//Jh2 hJ,,/(IL, M IV . 55313
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K &. R Contracting, Inc.
3245 Lake Avenue
(A../I4.I'III) New Prague, MN 56071 (CiIr) (,ZIf 0*)
I 2)2.758.6247 rJc.., 7,r-?. /~..,d7
I (Con1&C.~ pftlQfl) t1(~b.{ (P1IoM) ,:/ r - .:> ,-"..6t;;LI
I....UO::AN'fSlQN..~~~.......~-=' DAn )0 )7/',2
APPLICAAi PLEAR COMPUTE BELOW
~a. at....1GYic.c A iDI=bII.
L.......~ o!cy coupliap from J.....-..." jpO filL
Type r4.,.. pi". 0 ABC C8. PVC 0 C_lran
~__of_llM IRO fWt.
C1eaD out (ifnquinlt) located at Jf f8d1lara ~
I'D SCHIDULI
~i",~l..w., Mall..... DIRID~ tJ'.Ja I"'irW, eqft\'I. MW11~_Dy 1" ofj" - \IItm . S)'.50 lIUB.....
s..e:r~1tCliallDl'l~ IJ7.'0 Vi_~laI.}y 111.30
(pbCu)
~ COlt S
Juil4iDl '...mil ..
SEwn AND WA l'D. PERMIT FEE
ITA T! S'U'RCHAaGE
1'OT ALI'DMJ'f nz
S
5_
S
.!O
(~. u.. o.u,)
TII'. 41'.II..dol& "'ca.. Yo... .aUla. '.rlalt -.na. "p,..'"
"'wi
1lAM,,- l'Io.
UCla
P~~Il'.8 -
........01..... -
..
~ .'11' .... t.r .111......... <,a) "1....... fa. (9'11) ",..q~ U lLD IN" G
PERMIl'
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -tl-2.(g'l~ ~~eJ'-e.... blt&
NATURE OF WORK ~euJ
USE OF BUILDING SpA-
PERMIT NO. ()J,/ cM~ DATE ISSUED 12.-Y--o(
CONTRACTOR ~~ PHONE t'o{2.-5"(i?1' -J"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~.y;I(;i
I FOUNDATION (Prior to Backfill) J/,I{J"r. I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
i/Vl11w.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
/"P~M
i\~~
\
~~~
~~ -
~~
'3. Il\ lOot
2 t ~ ()'iJ.-
~ ! B\\o~
~ \ \\ ~
~ l~ oN..
[ ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~. \\UW 5:
\.
'b~ .
.r~"j~, 4\ ~ II;!..
OCCUPY UNTIL ABOVE HAS B\eEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have geen approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
4 .3l::, 0 ~ --3 ::.Y>
l .-
/4~~ 7 1).('()O~e1e-
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 ~EWER HOOKUP
~ ~LUMBING FINAL
o MECH FINAL
COMMENTS: 1
lM.aMD INte,,\-er OK
l DATE- TIME
I - /40 (,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 1ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ,\){)..(,U., Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE..
I/'iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
ILl 4 7
y1';;rotv1/U -"C
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
DATE TIME
/ -1-3--{)''-f
l-jt-(oC:
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR 1ST
o
COMMENTS:
~J.J- T r--r'"f'.)
..-
~
/ /// fJj{'"
~ ~L - __,__-
-~
"-
h~ ;)
.~
-----
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. C~OR REINSPECTION BEFORE COVERING
Inspector: V ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
QLtrtifirst! of ODrmpanry
Cll'Y OF PKlOR LAKE
mepartment of Jluilbing Jn~pettion
5Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior JAJce regulating building construction or use. For the following:
SINGLE FA?-ULY
Use C1assificatiop
Bldg. Permit No.
01-1405
Occupancy Type _ R 1 Type Construction VN
Legal Description Ll, B:', MEAD01,<,TVIEW
Fire Zone N / A _ Zoning District
R2
Owner of Building
CENTEX HOMES, 12400
Contractor's Name &: Address
v1;(7 City Planner
Site Address 14Z65 BROOKMERE BOULEVARD
WHITE\.JATER DR., SUITE 120, MINNETONKA
ROBERT D, HUTCHINS
Building Official
1-1.}oc
DON RYE
Date:
Date: