HomeMy WebLinkAboutBldg Permit 01-1404
(Please type or print and si2Il at bottom)
ADDRESS
\. .l'Y OF PRIOR LAKE BUILDING 1_ ~tMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/1-2 r ~I
1. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. O/-!I/{J4-'
ZONING (office use)
142173
~ roo~n-t~ hI vtf '
1<:2-
LEGAL DESCR.J.t'TlON (office use only)
LOT I BLOCK l. ADDITION
OWNER
(Name)
~
1l-4(J~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
17 W t)lA/v /E!.M./
PID ZS- - 39'1-tJ6.r-t:1
1/,; h1 e,.,
IAJ!t,,' -hwd-er j)r, .
I
(Phone) 9'S2. - 'i'3~. ~$J 3
5u.: k jU;J 11,'"" d,;~JfA/.~.n't3
/ / /
~1Jfi1 t>.
UdI- ~ 'UIII1 tAl
5tu11 e-
(Phone)
(Phone)
~~ro
'~/l-m-369~
TYPE OF WORK
",0'New Construction
OLower Level Finish
OUtility Connection
o Misc.
I Permit Valuation
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
o Deck
OPorch
ORe-Roofing
ORe-Siding
...!2fFireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
lIs-. tfJ~O
,
$
$
$
$
$
$
$
$
, \~ 000 ,Q51
1,07'), IS-
'10('),<;</
5'1 .51>
.---.
#
$
$
$
$
$ l;2-0~ . aJ
$ 100.. cO
$
$
#
(be) ,~CJ
o( 00 . (9(;)
#
#
40. CD
$5Q75. 7'1
4ffOW
- ,
I Paid S~.7 s- ., '1
I Date Iz./JA loJ .
Receipt No.
By JUJU
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~~.by" Citr """""'. constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,. ' c.rtilia'.e of Occupancy .must be
tss~ l^ L' IJ'N - M ~
y ~-Plan~'n;~~-:'-"~ L1--1~!/~ ~~ditions,ifany /L~~~Vl~,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Th. ('.n... of Ih. I.ok. Coonlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t6Nl ~X ~"OfJI f,S
I J.:. zlj -D )
. I
The Building, Engineering, and Planning D$partments have reviewed the building permit
application for construction activity which is: proposed at:
14~v3 Beoo~M6r2--~ BLVD.
Accepted
Denied
^-
Accepted With' Corrections
Comments:
11MB
Set... ~,~ ~"ku:
Date: I ~"I()-o .I
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."
The (<enlrr of Ihr take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CBtv{tX HC~-IES
11- ZO-O'
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14t(P~ B~UO~IV/SI2.t BlV().
~
Accepted
Accepted With Corrections
Denied .
Reviewed By: ~~-4',p';e.,
Comnents:
Date: l ?-It'-l It;> I
. Q ~~,c.y~ 't . '!2> ~ r:'~i,l~.M<
i~~ {'-il!Ji~. +--O(d ~~CL
9L11 ~A1 ~Mt~(
- --4
"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."
Date Rec'd
CITY OF PRIOR LAKE PLULYIBING PER.J."IIT
1. Blu. Fd. PERvIIT NO.O {-/404-.-
:. Guld C:ty _
J. Yellow Applicant
(Please type or orint and sign at bottom)
ADDRESS
I It! a~ / $/t1tJbntli
~!JJ
ZONING (office use)
LOT
LEGAL DESCRlPTION (office use only)
ADDITION
BLOCK
PID
OW"NER/I ~
(Name) (~jJ..A.l~~.
(Address)
(Phone)
. APPLICALJa/~ 1)/1/)
(Name) (J 0: 1"/ {Jr'
(Address) iUO tJ()ab r .!})f
(Address)
(Contact Person)
(Phone) tJ{:2'~~~ J r J/J/
,,0/'hlL ,1-;;~5~
..... ~ ('C~ity) (Zip Code)
;:~~
~
(Phone)
a/df/)!
Jvl'J.A~
APPLICA:-.iT SIGNA.TURE
Quantity
..1
/
/
...?
/
(
(
-.1
DATE
APPLICANT PLEASE COMPLETE BELO"V
Type of Fixture Quantity
Bath Tub with or without shower .. ?
Dishwasher /
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
J
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow' Assembly
Backtlow Assembly Test
Lawn Sprinkler .
Other "
"
FEE SCHED ULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum
Rt:sidential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATESURCK~RGE $
TOTAL PERMIT FEE $
'. ~\O W~.xt\T
.5 NG "",,".' l
BU'
(Office Use 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
CITY OF PRIOR LAKE
BEA.l.l.L~G/AIR CONDITlONlNG,~udPUCE PERMIT
Date Rec'd
MAY , 5 2fll2
t =- ~luaI I PER.~ ~v. / - 1404
(PIe&sl! t.:flt or oriDr: m4 slID &I: baaDm)
, ADDRESS ZOJ.'lcl.l~lJ (alliin..)
I~ ~ t'- ~ q,,..,. f4. ~~
LEGAL DESCllaz "...ON (oIIeeUleonly)
LOT
BLOCK
ADomON
PID
OWNER
. (Name) _C (~111~. V
;-Jc..,....~5
(Phone)
.(~)
APPUCANT
(Name) ~e.C',f.' ",.f '9- CO;;) I ,. t'_~ -ri.v.#-J
(Phone) 7& 3 - t;,2V';'. ~"71 .'
(Add:ess)
I' Sf'S-:S-Q
c... "CO"...", T'-#' ~d
(Addresa)
8'/
/-./-
/)':1.., .~/~ G ,"" A S- r.1 & '1
(City) (Zip Code)
(phone) C-' 2- 3~ 3 - S-.s-.~ 7
DATE ,s-"'1f'.. 0)/
(Contact Person)
\
C bn it:-
~
APPLICA..~T SIGNAn.TRE --' _& _ ..
~
APPLICA.~T PLEASE COMPLETE BELOW
[QNEW CONSTRucnON U REPLACEMENT 0 AL TDA nONS
FURNACE MAKE AND MODEL J3.c;;fC4t'. t-~'i' 3" ''3(ar'> 70 FUEL G <It .$
I '
FLUE SIZE 4J' REroRN OPENINGS f.p INPUT ':?n j "" arJ OUTPUT .....J..So.~ r::J
TYPE OP SYSTEM HBA1nJO OR POWER. PLANT
. ~arm Air Pluta 0 Steam
Gravily 0 Hot Water
MechanicaJ . 3 Radiation
~lr Conditioninl SpKi&l Dovicc.s
Grlenl System 0 Oth. Devi",
---
/ ~ r.,...,
PLEASE NOTE:
Air Conditioner Units
ClDDot EDc:roacb iaco
Required Side Yard
Se!bleks
FIR.EPLACE MAKE AND MODSL
Resi4ential, lie.tinl "Ale (New Construction)
Residennal, Hoating Only (New ConsuucUon)
PEE SCHEDULE
1% of job COlt Raidential. Gu FirwpllM:C
$39.50 minimum
S99.~ Residential, Additions &. Alt=ratioM
$64..50 Rosidentla1, AC Only
$39.50
S39.~O
S39. SO
rndus1rial, Commercial a: Multi-Family
Estimated Cost S
Suildin& Pcnnit 1#.
.!
MEA TING PERMIT FEE
STATESURCHAR.OB
TOTAL ~iJ.AMIT FEE
s
s
s
.so
,.,~
f~,,!~ J)1'o~
. I) .','..... 7"r1-'
..,.....~ - '.~, '7
.JteceiptNo, .
(omet v.. OaJy)
This ApplicatioD Beeomll Your BalldlDC Permit WIleD Approved PaId
Dee >>MI. , t:' IIII!)
PI"" ;J "-u.~"
BllIell. OIIIcia'
Da_
By~
. '"1
I
24 hour notice for all t..peetlo.. ('52) 447-9850. fu (95J) 447..4245
20-d
~8928~1:>29.L
OMi ~NII008 ~ ~Nli~3H W~ 1:>S=.L0 ~0-St-^~W
10/07/2002 12:00 5
__.OI'ZI/O:!-.!!U U::lT.JM IUUUUI
CItY or PRloa UKS
PAGE 02
ilOll
o.t. .....
'-a L ( or PIUOR LAd
SEWD AND WA.ft. PEaMI1'
t5-= ~~J~6,~
I
r ZOJIIJ)Ic:) c----
I
I
tfBiM"....... II- 1 \
LJ!j).{J/-f.t7 ~~/vd /3I(t,J
~
,- t..aOAL UI!S~CJ!f (.-.......:
:.oT BLOCk
Al)..... .ON
PJD
!~=~ f'eMa' Ihn?es
C~J .idf()(} tdh;bh~'. SA /;){)
~)
(hall) 95:< 9~ -7i33
/Jl;ah2 h;"klL-,MIv 553 tj.i
(0Ir) CD c-i
-
I
, i
!
: API'UC.~
! eN...)
I
K &.. R Contracting, Inc.
3245 Lake Avenue
.. (A.d4MI) New Prague, MN 56071 tClfr) (II, c:o.r.)
I (C__l E2J~.62'17 ~ Q!f';1-7S-r-t..;z.'fj
I AP'UCANTSlQN"~~f'-"""~ DATI ~() 17/';
APPLICAA. 'LEAD COMPUTE BELOW
sa. of,..-1II'Yia ...ll\- ""w.
L~" of., coupliap rr. .tI'\JI:Dn.leO ...
Tn- ~... pi". 0 ABC DlPVC 0 C_IJaD
!>Ilt. ~...., ... of _11M. ~O &;t.
a.. 0__ otnquind) located at g,.. fIan!a ~
(ftOaa)
'-..,...,.......
I'D s...a..DUU
Jai...tal....., ..I... liullllllDllClklD $3,.JO J......w, e..'I. MWd.....iIy 1" fIIj. - -t1ll. 13..50.......,
s..er ~..... CIIl~ 11'7.50 Vi.. CI:lIlDdial.11 111.30
L~ VTd COlt S BIIIWiaI'......i..
lEWD. AND W" T!Jt. P!U411' JI'E.! $
STAT!. S'U'lCHAJQE S
a OT AI. ,DMIT I'SZ S
J2
(~ u.. 0lYt)
nil A.l'.ll..tI8a "CftI- VHI' a.u-. 'wnd W\a. ""..,... .-...
. ~.l'I.,
...... Of...... -
P A....JIl-.... T. I I' l' LJ
I _...!_~ .L.~
U ...,. .....r .Il......... (,a) ,,'...... fa. (911) ..,..q~ U 1LD IN' G
u..
..
1'.hKMI l'
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 14':lto~ ~V'J\A-fl_ $\Jcl
NATURE OF WORK J)~w
USE OF BUILDING S~~
PERMIT NO. A 0/- / Lf(!4---- DATE ISSUED \\- 3c - 01
CONTRACTOR ~~,oW\~><- ~S PHONE-!oL?,.. ~"3f:i3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
.3. 4.0~
.6 .~ 08-
~ . f ...v;;)..
-g , ()~
_~ \ 10 oiL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I FOOTING #lt4~J
FOUNDATION (Prior to Backfill)~o"'vo I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~ \
~\jH
~ ~ Q.A.Cq'
I \.
fj<< g ~~
~q
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.~~~
f) Ii, ~~
. v
~ \\~ 4:\~~1111.
. I~ \\~ . f( L"\f)';l
UNTIL ABOVE HAS \BEEN 'SIGNED
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, car~ shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"
ADDRESS
ILl).' '3
DATE TIME
SCHEDULED 1-). 3-0' f
~/ooIc,,~-c
CONTR.
PERMIT NO. /-140'-/
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
COMMENTS:
2ad -i-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ .
~lS
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
/~i.-, ;\)
l c..----L V~ ~ ~'-/
Je""WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I../l/
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
UtSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
^~ 0 INSULATION
1'1' FINAL
~ITE INSPECTION
COMMENTS:
CA TE TIME.--, \
SCHEDULED S-/fl-~:0 ';.00
/L};;th3 0rO()I(t/YI.'C~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'blA ~ 0\
\ ~ ,
~4 ~.J
O~
! +r~e5
J- /~a"
,
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 WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~., Q..u.l Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/ ~~to3
SCHEDULED ~~~~~
~
jl:'3 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~l -1'IdLf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
.A-Z SEWER HOOKUP
I \ ~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
MtUAO 1M. e +e.r--
- /
/J.<.
- . ,
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'b.,l \..aMJJ Owner/Contr:
CALL 447-9850 ;;R ~k NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTl