HomeMy WebLinkAboutBldg Permit 01-1403
l .'Y OF PRIOR LAKE BUILDING F. MIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/ /- ZB --0/
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 0/-/403
(Please type or print and sil!;ll at bottom)
ADDRESS
I 4 2J() 1 SrotJ)L mere... f;,f) fA) w",1..
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT J BLOCK Z. ADDITION
/VI tAIl, w V; tJ/A/
PID 25 - J9'I-t;r,S- -~
OWNER
(Name)
C~#teG _ (Phone) !iS2.- 73(,- ~SJ3
lZ,,'-f()O tV~' h-waftr JJrJ 51M' h..- /~, 11;,,"eh,.k.IJuS~31/3
; , /
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
S'~e.-
Jf14.;bt- 0 ~ J1J1 u{
~~e-
.5/U'1? e.....
~. 'f J,
"l-J~9- 3~9 3
(Phone)
(Phone)
~w Construction
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
rz 5"' J dlJCJ
;
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 pr e to perl eded inspections.
~
/112~ fA,
I Dr
$ 8?O..Cb
$ I, ( 52? ,cx5>
$ 41S.0()
$ 14S.~
$ I i-~ .00
$ , 700 .. () 0 I
$ 'I5"'CO. 00 I
$ I
$ ft12Z.f;. tdjJ
411CR I
I
2e;~~" t"J3t'J
x
Contractor's LicenseNo.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
Permit Valuation I ~s . COO . <2a-
Permit Fee $ I
II~~~ .~~
Plan Check Fee $ 7%.1cf
State Surcharge $ C- z- rfh
Penalty $
Plumbing Permit Fee $ 100 .(YO
Mechanical Permit Fee $ (ex) .00
Sewer & Water Permit Fee $ 35. So
Gas Fireplace Permit Fee $ ~ f) ..rJO
"
#
I ~
,#;
#
#
~ rrp1ition Beco1s Your Building Permit When Approved
Ifi-JJ -!-h. Il~ -U::5D-O(
Building c1ficial Date
I
PJz..:l,,8 f 0'1
(2--!l%' .
I Paid
I Date
Receipt No.
By fl-{JU
is 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
~n signed by the C~.ty ..p ner constitutes a temporary Certificate of Zoning compliance and allows co. n. struction to commence. Before occupancy, a Certificate of Occupancy must be
ej Cl
~. ~~~ tz-It'fJht ~p ~M ~~lr~~
Plannmg Irector Date . SpeCial Condlttons, If any
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
Tho (.onlt, of tho t.b ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CjiJ:CKUST. .
NAME OF APPLICANT
APPLICATION RECEIVED
C~5 tJ , t:,,)( f- OtJl F5
I
, ( - Zi!;- 0 (
.
The Building, Engineering, and Plan~ing Departments have reviewed the building permit
application for construction activity ~hich is proposed at:
Beoo~M8~ BLVD.
, !
14-2(P ,
.x
.j
Accepted
Accepted With Corrections
Denied
Reviewed By:
dA4~
. Date:
I ],-/tJ'u'
#JAin f,'/{
Comments: See Reverse Side for Additionallnformationl
Dl'il/CWfAY McJS+ h411t ("I'Ii.. A,.M",
"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."
r
White - Building
Canary - Engineering
Pink - Planning
The Crnler of thr Llkr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t/5JJ I ~'i t-flHFS
I ! - Zd!>- 0 (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I4-ZCt, I BeLJOk-M8(.bb BLVD.
Accepted
Accepted With Corrections X
Denied ~/ J
Reviewed (,:~(J "J,h
~ J.j. --0 I - '-'
Date: 1/ -"30 -CJ I
Comments:
~Q.1\ ..~lADJ2_ .~~"
"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."
J
"
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of Ihr tokr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f,eN It, '/ f-'Gf\-(F::;
I!-Z-~;- Cl
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
BLVD.
S~60k-fI512-E:'
14-2(P I
Accepted V'
Accepted With Corrections
I!'*..
Denied
Reviewed By: t/i-1~C~~
ents:
k< Q ~ ~Ll_ 'f.2-> ~ 1r~~h:9Y\<
lli _ (l -=Li ~, .,p. ..f- {)Ct:l- ~ ~_
1\~~O~w J~ ~l~t/~~~
Date:
t/7--/t Ltl e (
"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 PLUNIBING PERl"IIT
D:1t'" Re~'r1
Id ~;;:f
(P!~:J.se type or print and sign at bottom)
ADDRESS
/1 ;rtJrJiA I/(J
bud
LOT
LEGAL DESCRlPTION (office use only)
AD DlTION
BLOCK
OV.fNER/1 .~ .
(Name).[ ~t JY (J (/
(Address)
APPLICnl/;J~
(Name). . ~ . . /).
(Address) fdo 0, . ,/1/./Ju
(Address)
,-. , ~..... ... "'; ,.." ~ .... \
APPLICANT SIGNATURE
iYA~
l1)/uAA7
Quantity
~
I
/
.5'
/
/
J
.~
t Blll~ File
... 0\)1(1 L..ty
l. Yellow Applicant
I ?~?_~'!T!' ,:C'O( - (4-031
ZONING (office use)
PID
(Phone)
(Phone) ~~)-l/tJcJ'-d/cJ/
'\~IL-;(S:f5;U
(City) (Zip Code)
DATE
Ii It,/f2fYoJ
APPLICANT PLEASE COMPLETE BELOW
,;
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
"
I
I
I
I
Quantity
:3
I
J
I Type of Fixture
I Rough-ins
i Water Heater
I Water Sofmer
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler .
I Other "
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum
(Office Use Only)
Estimated Cost :s
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit ;:;
PLUMBING PERMIT FEE $
STATESURCa~RGE $
TOTAL PERMIT FEE $
_ ~\O\N~utJj\1'
~\.O\NG "..-"'. J
This Application Becomes Your Building Permit When Approved
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Paid
Receipt No.
16:34 651 633 8884 FIRESIDE CORNER #1521 P.003/006
"'....... '\JA.' ... ...__...... ......r...........
.nJ1jAIJ,lliG/AlR CONDJ,1 lONING,tJ.KEPLACE PERM]:l
t ~=- SI.....I PERMIT NO.() / -' /403 1
ZONING (office IQC)
JE'l9se ~, Dr wi~t ~ 11m a1: bclttolll'
ADDRESS
/y;)-~.)
~~ ~ AJ&)
LEGAL DESCRJ.r L LON (otlU:e \.IIC only)
LOT BLOCK
ADDmON
PID
OWNBR
(Name) .
(Ad.d.tess )
(J.41..f~ ~ r
, (Phone)_
,(Phone) 651-633-~561
APPLICANT
(Name) ~IED FIRESIDE DBA FIRESIDE COMER
r:;l;11~
(Zip Code)
(Address) 2700 N. FAIRVT.EW AVE1;WE
(Address)
(Contact Person) BRENDA HUSTON /J /
APPLICANT SIGNATURE .l'kl~ j1h d.r ~
,
13QSEVTT.T.F. lo1lIT
(Cit;y)
. (Phone) 65l-633 -2 561
DATE ~~/o.L
APPLICANT PLEASE COMPLETE BELOW
~WCONSTRUCTION o REPLACEMENT . WALTERATIONS
FURNACE MAKE AND MODEL FUEL
fLUE SIZE RETURN OPENINGS . INPUT OUTPUT
TYPE OF S'\ ~ 1.c.J.~ HEATING OR POWER PLANT
OWIU'I11 Air Plants ] Steam
OGravlty :J Hot WBJ.er
o Mec;'UUlial . J Radilltion
JAir Conditioning J Special. Devices
JVcnt. System :J other DeviceS
FIREPLACE MAKE AND MODEL ~ N ~ t:> Sl. SAn; :'
Industrial, Commercial &. Multi-Family
r iliA SCHEDULE
1% of job co.t l'.Csldentlal. Oas FircpllllPC
$39.50 minimum
$99.50 Residential. AddItions It Alterations
$64.50 Residential, AC Only
Residential, Headns It Ale (New ConfltN.Cl;ion)
Residential, Heating Only (New Consuuction)
01- / '-/03
Estimated. C:O,t $ Building Permit ##
PLEASE NOTE:
Air Conditioner Units
Cannot :Encroach into
ReqUired Side Yard
Setbeelcs
$39.50
$39.'0
$39.'0
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAL r. JI,~ FEE S
.f PAlO WITH ..
.50 BUILDiNG PERM\ r
.~
(OfIIee V,I: Only)
This Applh:llt1oD Becomes 'Vour Bundlng Permit When Approved
Paid /-----
~/
Da~EB 2 0 2002
BuiJlfi,., OIDdnl
D*te
24 "opr nl)th:e for alllu.pectlollll (952) 447.-9SS0. fIX (952) 4A'...Z45
Rece~pt N~-----
gy//IJIL
/
ell i OF PRIOR LAKE
SEA J. .LI.~G/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
AlAI' , S 2JJo~
I. fioIl 'ill PER.1\CT 0
J. 0- CIlY N , (-I / J 7\ -:;
3_ y~ ""liIMI VJ (J '1
(P1e.- eYRe aruriDC aaclslp..ct , ",.,,)
ADDRESS ~ ZONING (olIIlIlIII)
/Y6J,.1
~r~~~ ~ W\..C.~
LEGAL DESCRlP'IlON (oftIc:e Ute only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)_C("I1I-~.V
(Address)
APPUCANT
(Name) #t!t;1 f,. ~1
(Address)
,J C'
ro....,..~.....
(phone)
I' yo S-S-Q
? C ()l?/;r"_~ ~/.IJ',~
8'/
(phone)
,
-7&3 -L./i9'~ -;" 77
APPLICANT SIONA'I'URE
C (:).,. ie-
~
C/
APPLICA..~ PLEASE COMPLETE BELOW
~ -
~W CONSTRUCTION U REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL A,' "ICd\ t- .~ -y :3 0 3<Or.> 7t> FUEL G ... ..s
o . .
FLUE SIZE 41 ltEnJRN OPENINGS ~ INPUT A' n ; ~CXJ OUT?t1I' -"S D.':) ()
TYPB OP SYSTBM HEATING OR POWER PLANT
. ~arm Air Plants 0 Stum
Onvtt)' 0 HDt Water
MecbUllca1 . 8 Iladl.tion
~ir CODdltionil\S Sp<<ial Dcvi~
g'VCIlt.. System 0 Othw Devlcn
(~O,_-,,,,+,~ Rd
... (A~SI)
--
I .., "''"-1'
h'" '/-f G r~ ......t S S- ~? (, '1
fCi~) (Zip Code)
(Phone) (". I L - "5 -:. 3 - S-.s-'A 7
(Contact Person)
\
~f_
DATE
ot;-..Ir... ~
PLEASE NOTE:
Air Caa.ditioncr Units
Cannot EDaoaeh into
R.equired Sidc Yd
SetbKlcs
FIREPLACE MAKE AND MODBL
Industrial. Commercial.t: Multi-Family
Residential, Hutina" Ale (New ConstrUctiDn)
Rc..sidenrial. HOllin. Only (New COftIlrUcUon)
FEE SCHEDULE
I % of Job COli Residential, 0.. FiNpIKC
$39.'0 minimum
$99.'0 Residential, Addition~ &. Alterations
$64.50 Residential, AC Only
S39.~
$19.'0
$39.50
Estimldod Cost S
Building Permit 1#
}lEA llNG PERMIT FEE $
STATE SURCHARGE. S
TOTAL J:J!.aMlT FEE S
.so
,...---
'f ~~!D WITH.
.zc ,-,' r:-=:::/./;:;y
-.
'. --~.
(Office UK ORb')
TIll. AppUc:atioD Be~.. Your Bulldl.. P.rlDit WIleD Approved Paid
.R.eceipt. No.
Bun.l.. 0IIcia1
D." lJate MAY, 5!UUL ay p
24 hour nodca for .llln.pecdoD, (H2) ",-tI5O. fa. (952) 44'7.4U5
to0'd
Z8928Zto29L
OMi ~NI'OO~ ~ ~Nli~3H W~ SS:L0 Z0-St-^~w
10/07/2002 12:00 5
D1/2'/O! TBO 13;l'.lII 8111.7..'.
-...... --.
CItY or PR101 .....
PAGE 02
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SEWD AND W A.TE. PEJlMI'I'
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:.of BLOC::*.
AD.... ..ON_
PII)
rg.=~ Ihn?e'
~:_~M_ w11ii~ 81.J;)/)
. (hall) ~~ 9~ -71'33
/17/an,e/t;nklL ,MA) . 55..~
(Oir) <It. C",.-i
; API'IJC.~
! eN.,..., K &.. R Conttacting, Inc. CI'IIOM)
I 3245 Lake Avenue
.. (A.d4MI) New Prague, MN 56071 lOiW) .Co4I)
I ~2.758.621-7 nc" ~'-'f2.,/-..,d7
I (Cantac.t'_> l:t(~b.{ cr.....) f;"'-'::;' '-";-:1,
I AmJCANTSlO>l..~e-........-:> DATa)O 17/J~
AP.LIC~"T PI&AB COMJI'U.TE ..LOW
... J
~.. aI__.... -LJL. iJrh-.
L--'e.p or WI coupliap rr. ...... JeO ....
Type 01__ pi,.. 0 ABC J:8.PVC 0 C:_11U
~t_ ..-I __ or_llM "'0 Sit.
a.... out (ifllMl'lind) Iouwd at, -{!. fill,.... ......
ra ICIID'UU
~*"ti&l..w. ....l...... ____ $3'.50 J.....w. c.'I" ,....au.....iIy 1" alJ. _III"" .ll..SO........
s.w.c.oIl......CIIIIf 117.50 "..c.udtaa-J, IIUG
j
- i
I
Iw~ ~1~ COlt S
a..lWiq '_il II
SEWD. AND WATa naMJT nE S
ITAtt lvacHAaOE S
.OTAI. nDGT ftE S .
J2
(oar. IJM o.t)
Tit. .,,U''801l ...... Year .,"'a.'eriI" ""- A""''' PIald
~"l'I..
......... Of..... ~
~Il.~
~ .'11' .-.ew .11......... (m) ,,"'...... fl. (9I1J ..,~ U 1LD IN" G
~
...
PERMIl'
PRIOR LAKE
INSPECTION RECORD
&lEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JLt~to\ ~pr~
NATURE OF WORK ~
USE OF BUILDING ,~F'A
PERMIT NO. 0/- / UJ3 DATE ISSUED 1\ - "3C - 01
CONTRACTOR ~<x "~~.. PHONE~"3"-m
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT~~ ~TE
~JJ fJ-U4. I I f)./ Ie O(
. \ I ,
t FOUNDATION (Prior to Backfill) I '~~, ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/f-:> ~~-
"6~~
16 ,\)~
FOOTING
\ \
I ~ \ (J;J..
2.' lp 0 'J.
/~ '\ ~ l~O ;t
1S;~.~
I .
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~UL" ~lL\~~
HEATING (if r~)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'A& -a~~~-l^ ,
~ { (4t,
\
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
'--
MJ \ {'~} l.(/oV
1S: v~ 5, ~fiI bJ
~ ~h .1 4. ClC".O').
(~~ ~ f)::l~ o~
OCCUpy UNTIL ABOVE ti-AS BeEN !;IGrJED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have teen aj)proved. 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Kj,G'Io.... II; 3(j
ADDRESS /L./dlDl ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
&1 - /y~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
I: D. SEWER HOOKUP
c" rJt. PLUMBING FINAL
J 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ /JJNJvut J??j'- r)K
/
ftORK SATISFACTORY, PROCEED
o CORRECT ACT1ct AND PROCEED
o CORRE~R'( CALL F~R REINSPECTION BEFORE COVERING
Inspector: F ~), ,,~ Owner/Contr:
CALL 447-9850 FOR TH\ NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/{,,/l' (
(3,-rJt>k'#1.(-e
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 nMe
/ -;'1~LI
D/..../40-S
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Sod -J. l' ~-r:r
~I'
/' I r}-,-1'
L-/"' L.-- -c.- - -
.;" I
r-rl.e
?WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
_on
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE nilE
CITY OF PRIOR LAKE
INSPEcnON NonCE SCHEDULED j-/L1-oL(
ADDRESS 1'1"'1 J3root..nJe,I'C!. Blvd.
OWNER CONTR. ~ Vi/ex.
PHONE NO. PERMIT NO. r? I -I Jf 03
[J FOOTING
o FOUNDATION
[J FRAMING
[J INSULATION
011 FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILUNG
VO CO'iitstAlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/'1 J& I -- (;)'t..
I '7~ J " () K:...
14,)l~ s- f) lL
/Lt)..~ 1 - A Ie.,
, -
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K, CY'::JR REINSPECTION BEFORE COVERING
Inspedor:~~ or Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOT1
1IIIIIIIIIIIIII-----.--.---""-..--.....---......---lIIIIIIIIIIIIII
*Permit# .
*Job~ 'I
'_C. ...H[AT~~G
*T~r. /~
,
TWO
2!!!
!!!!!!
Pounds
Prasure
*a. line
Pr~
lnspecled
*Pefcenl ~
PERfORMANCE TEST
.0110 *r.. lCO~
. ~fJ. *Slack Temp_ 'Z ~
* Perc:ent CO:!
Fin-' I. .". . .lion
Date .