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HomeMy WebLinkAboutBldg Permit 01-1406 (Please type or print and siRll at bottom) ADDRESS 14 '"Lfo '7 l .'Y OF PRIOR LAKE BUILDING F.MIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White File 2. Pink City 3. Yellow Applicant Jj r() () /t:.M~ b I UtP ' LEGAL DESCRIPTION (office use only) LOT l BLOCK L ADDITION OWNER (Name) c~ J2tftJ/J (Address) BUILDER (Name) (Contact Name) (Address) TYPE OF WORK /vleJDW View. f/z; /VI e,S IAJhi ~~ })r. I / ~p AtA-1/ I) '/j-J ","td 5~~ . ~New Construction OLower Level Finish Date Rec' d I ( . ~r...O I PERMIT NO. n.' /4{J (0 ZONING (office use) I!!. 2-- PID 1,S' - 38tf... tJ'5,,() (Phone) "IS l-7 3' - ~~.J3 5~ -k /~. Jl}:AVldt;"k~ I'1AJ} .5~3~ ~ / /, 5~~ 9IZ-3~9-J~? 3 (Phone) (Phone) o Deck o Porch ORe-Roofing ( ORe-Siding ~ireplace OAddition OAlteration OUtility Connection PROJECTCOST/VALUE (excluding land) $ Iz r. t/OO - , 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 ;ter upon the prope to perform needed inspections. ~ ,., /:1? 3 / / / / 2" ~ / Contractor's License No. I D;de . 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 (~S ,Ot:JO .dO $ ~ ~ , 1 I ~~ . ..,~ $ ".?(, . e;~. $ ey.5'D $ $ $ $ - $ 16o.QO toO. (;:) 0 1.[0 . 0 () f%ryj_....y=...;:;:;A~ ~~cial Date I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid r;;o':1~ VI I Date /-Z/,IJ/OI' # $ R~,OC # $ 1./ ~.c)C;> $ . , --- $ # $ 1.200.0(J' # $ . . ~ .00 $ - $ $~OI3.f!/- Receipt No. "1-11 oa I Bv LL)t.J. I , 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 =,~~fu'Ci~P~:"~::-C_;;;;~lim~mdill~?:ID~D'c:lRT;.:: V ~_, -.""" S"do C",,'moo, ;f~y - 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. ('.nl., of 'h. I.... eGnnl1') BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED C ~b fVi"B}( H 0 fJI E5 11- Z9;-O I . . The Building, Engineering, and Plan~ing Departments have reviewed the building permit application for construction activity which is proposed at: ) ~l{()S SeoolcMErGE BLVD. X Accepted '-... Accepted With Corrections Denied Reviewed By: M4f(. - ~ Cf MA/,^: bk Date: /'2. -'10 -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 eenl.. of the tlke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t~~'16)( HL~IE~ f{-Zy.,-QJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J 4- Z (c 7 t~;~'(-C c~~'IE t<-E BL \/ D. . , Accepted V Accepted With Corrections Denied Reviewed By: ~~i1:----.-"---~ Dale: I :?-fltl/Bl' Q -:c.I ~~;<' --\ ~ "-t fN, \ ('~~ , _ 'V:1 ~ r ...L9", /J, +- ~% ~ "\ Jut ~') ~_) S,9b&J/JiJ<h~ 4b '''i, "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." \ D~te Rec'd CITY OF PRIOR LAKE PLUNIBING PERl\IIT ~. ~~~ ~!~ I PE&\nT NO'Of -I AO '- J. Yellow Applicant ~ (] (Please type or print and slim at bottom) ADDRESS /{/af 1 0I'df}ht~/{J 8ft;} I ZONING roffic~ use) f' r:"'- ,'" .-.. "":,,.,-T"" T"""'-"T""""'", r ,...- LOT ....._._.. ~_ _ ___-_..__ ......'-'~, \J'~"""_''''''''''' ~'~..', PID BLOCK ADDITION : OW"NER /I t . ! (Na~e) I _~~1 ~ I. (Address) (Phone) ~~;;;,~~ANVa/ J, JlI~l. (Address) ~O ~.<<ab/' l/i/<t (Address) (Phon,? <? 5cZ- t/~ 01, ;;! J ~ '\,~/tlai1 / 10-5:1/ (Cicy) (Zip Code) (Contact Person) ./ APPLICANT SIGNATURE (UAA-A Quantity :p / / 1 I I .J' I MMAAJ (Phone) A 11)// t!.-r t / DATE APPLICANT PLEASE COMPLETE BELOyV' Type of Fixture Bath Tub with or without shower I Dishwasher , Floor Drain Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Type of Fixture Quantity ,1 . i Rou~h-ins Water Heater i Water Softner I Stand Pipe (Washing Machine) I Sewa~e E)ector - I Backflow Assembly I Backtlow Assembly Test I Lawn Sprinkler . I Other . ;. " FEE SCHEDULE Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential. New One & Two-Family S99.50 Residential. Additions & Alterations 539.50 Estimated Cost $ Building Permit # PLUMBfNG PERMIT FEE $ STATESURCR~RGE $ TOTAL PERMIT FEE $ '0 '.J' I \\'r-\ pP..\ '"fpE.RMH .t\)\\'p\NG (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 16:33 651 633 8884 FIRESIDE CORNER #1521 p.0021006 '-'....1. ... '-'A. A ................' ...............~ REA TlNGI AIR CONDITIONINGI ludPLACE PE~111 t~ ~,_I PERMIT NO'OI-/t./-00 \ (Pltue tvDe or Tn'i!1t rmd. slm at bcmoml ADDRESS ZONING (oftke lUll) /CI~("7 ~"L. ~~ AJt.J LEGAL DESClUPTlON (gfl'jl;c Uft: Q7Jly) I LOT BLOCK ADDITION PID OWNER (Name) . [1p.r:~ )Jw-5 , (Phone) (Address) APPLICANT (Name) lILLIED FIRESID~ DBA FIRESIDE CORNER (Address} 2700 N. FAIRVIEW AVENU~ (Address) BRENDA aUS~T (COD.tad: Person) APPLICANT SIGNATURE . ~ . (phone) ~51"'633-2 'm1 I 4L,-~~ mSEVTLT,F. 10'11\1 (eil:)') . (phone) 651-633-2561 DATE )tu/2L "'~l" (Zip Code) APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTJ.~N 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT TYPE Of SYSTEM HEATING OR POWER PLAN'!' Bwarm. Air Phmts Grllvlty o Mech8lliclll DAir Conditioning OVcnt. Syfltem FIREPLACE MAI<E AND MODEL .....~ o Steam o Hat WDk.r o Radiation o Specl.al Oevlces o Other Dovll:es A1 (D~ S<. -.Du PLEASE NOTE: Air Conditioner Units CanD.ot Encroach mtCl Required Side Yard SetbKks Residential. Hesting &. Ale (New CClnsuu.ction) R~idcntiaJ.. Heeling Ol'lly (New ConlP1JUction) FEE SCHEDULE l~ ofjeb GOJt Residential. 015 Pltr;place $39.S0 minimum $99.50 Resld.",tilll, Additions &: AltcnWonl!l 564. SO Resld.",tjf).~ AC Only 539.50 539.50 539.50 Industrial. Commercial &: Mutti.FllIl1iJy MEA TlNG PERMIT fEE $ sr ATE SURCHARGE S TOTAL PERMIT FEE S () /- / t./CJ& r PA'D WITl \ .50 BUILDING P Z:: ~. Estimated Cost $ B1.IildiZlg pennit # (omce VII: On'1) Thill Application. Becomes "lour Balldlng Permit When Approved .~ ORB l 0 20lU ~cetP..ttNN~O.. -----;/;jJ/ BYr BlIlIdtDJ omchlll D.,e 14 hour notice 'or Rlllnlpec1fo". (!J52) '-.7.9850, r.J: (952) 44'1-4145 ell. , OF PRIOR LAKE REA TING/AIR CONnI. ~ .I0NlNG/,tIudPLACE PEDu J. Date Rec~d .~ t / , .ti ~:::. ~_ PEDI.lI.L'~v. /.. -/h/) / J . 3. V..- AlPI~ ,l../ ~ (Pkllll ~ 01 'DriDc IDIS sip acbu1mml ADDRESS /~ 2-G. R 11 rtlfJ/f- I)'\.(~ ZONlNG (01&1 1M) LEGAL DESCR.a.r uON (otIIet UK only) LOT BLOCK ADDmON PID OWNER . (Name):.c P.11 f-f...,v (Add.ress) . APPUCANT (Name' :II~Q f,' ""~ j-Ial'Vl'-fJ . (phone) ? (0'7/;'1\.4 , "r, .A.<I' n (phone) 7&3 - 't/29<1c' i1 (Adchus). I" 9 S-~,., < :"i"L ,,, ~.., R J 8"1 /'H~J ,/~ Go rqA S r ~ 6 r (AddmI) (CRy) (Zip Code) ---- (ContaCt Person) I ., r""~ C en (e- (phone) ~, 2- ~ G. 3 . S-S-/4 7 APPLI~SIGNATUIl1t ~ ~./- DATE ....s--/s.--~ APPLICANT PLEASE COMPLETE BELOW (QNEW CONSTR.UcnON 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL ./3t:.:{ar. t -;'Y 303<.00 7t:J FUEL G.. 5 fi '~ FLUE SIZE J( RE1'l1RN OPENINGS ~ INPUT Ij' () 1 0 00 OUTPUT ~ 0.':) i) TYPB OP SYSTBM HEATING OR. POWER PLANT . ~arm Air f'lants 0 Steam OI'avlty 0 Hat Water Mechanical . B Radi.t1an ~lr COlldhJon1ns Special Devices Q'V.nt. System 0 Othlr Devices PLEASE N...' Alii.: . Air Conditioner Unlu C&DDot EIIcroaoh lcto R.equired Side Yard Setblclcl FIREPLACE MAKE AND MODEL I"dustrill. Conunc:rclal ,& Multl-Pamily Residential, Heatlnl" Ale (New ConstrUction) ResidenUal. Hetzinl OtIly (New COQINction) FEE SCHEDULE 1% of job cost Reaidentlll. Ciu Flnlplacc $39.50 miDimum S99.5O Residential. Additions ,& Altaatlons $64.50 Residential, AC Only 539.50 539.50 $39.50 Estim.ed Cost S Building Pemit # .1 PAID " r),~, , ''', ""', '1~8 HEA TINO PERMIT FEE STATESURCtlAkG~ TOTAL PERMIT RE $ S S .50 Bui1l1i.. OOlcial D... . .DIre l t .\ \/ I ..... , ~ ' -- '."~. Jleceipt. No. . ~ I (om" UN 0lI1y) nil AppU~.tioD Become. Yoar I.tldlll Permit Whea Approved Paid 2.t hour aodce for allla.peed... (952) "'-9150. fa (952) .w'7~U5 te"d ZS9:52:8Z....:52:9L OM~ ~NI'008 ~ ~NI~~3H W~ ZS:Le ze-st-^~W 10/07/2002 12:00 5 __.01121/0:! TIII.i 1'::l T..l6I IUU7UU CITY OP "101 UK! PAGE 02 iloal D." a.... '-a & { or PRIOR LAd SEwn AND W A.ft. PEJlMI'I' ~. -14-0~, l404- :: =- :=. !lfO. i AJI51 ....... s,... ...... ~-f"V I . l i ----- > ,J Lfl-'-tt'-u7 6rl;~/vr/ 13/1aJ ,- t..a()A.L tlBScaD'T'tCJM (........~ :.oT .LOa. A%)J)mON P'ID I ~:~ (1~ Ihn;e~ .,_l MIJt)_ w~"dhdr 8h /~ . (PbnI) ~~ 9~ -7i33 f)J/ane /t;"klL- ,MN . 553 tI ~ (ClrJ (lit c-i - I , i ! ; API'IJC.'-N1' ! eN-) K &. R Contracting, Inc. (I'bOM) I 3245 1..ake Avenue .. (A.d4RII) . New Prague, MN 56071 (CMr) (Zif0*) I 252.758.62i7 q'c '7 ~"-12. /..., "'L7 I (C:an'"tP~) l:t(~k.4 (pJaou) ;;/, - r,::} 1-";-:7_ I APPtJcurrSlQ>l"~~~f'~-~ .. DAn _II) 17/';; APPLICAA"T 'LEAH COMPJ..I.TE BELOW s. at.....1CII'Yicc -LJL isbII. " L--'OP of &.1 coupliap froal J1I'QI::E\IN JeO ..... Tn- ~... pi,.. 0 ABC Q!PVc 0 C_11U Irlo/l:t. ~..J~of_llM ~O fWt. a... out (ifnq1lind) IoatIId at d,.. flare ~ ra 1C'IIED\1U ~i...ti&l.w.. ..1.............. tJ,.so J.....riil. c.-'.. MWd~""Dy \" oIj.... _.tl!t 1139.50....... !i.wer ~..... CIIl~ 117.50 Vi- CSlI1Udlal -11 111.50 Lt.~ PT _ COlt S aulWiaI P_iUI SEWD. AND \V" 1"21 P!IU4)T lie $ ITA U'S'U'lC1W.GE S . .... . Al.I'DMIT .nz S J2 (~. UIt o.tl ny 4".II..UOft ...co.. yo.... ..UI-. ,...It --.. AP"",- ...... u. ".... Plo. ........ Of..... - ... P..!~Il'~ - U .'11' ....lIrtr .111......... (JI2) ",....... fa. (fI1J ..,...a~ U lLD IN" G PERMIl' PRIOR LAKE DEPARTMENT OF - BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ ~ v.-\V'-€- ,. .$'~ NATURE OF WORK -fj).e., J USE OF BUILDING SFICr PERMIT NO. 11/- /4-0& DATE ISSUED 1:- CONTRACTOR Q.e,,,,,\.cx PHONE cPl2- 5~ i -3t, !_<: NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING Vv1Q~ I I FOUNDATION (Prior to Backfill) ~ql~ I . I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS vlAa '" ~~ ~ r~ ~ .CY~'-\ '%b 'tQ~ ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT :RJ{)Ml/ ~,. l~) oot ~ '(4\ oa 3. h 01- ~\i~~ II l\. 5JOl.er ~~ l II \ ~ ~~ 0\ .~J ,Ocl- ~ 5"Ot.~~ \. I. OCCUPY UNTIL ABOVE HAS EEN 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, card shall 'be piaced 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 SCHEDULED ADDRESS /LI2' :( (JrrK/t jI1IU ~ 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 i - 2 J-'O(./ tP i.I r! / -14 d)G, o EXIGRADIFILLING o COMPLAINT o FIREPLACE R1 o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: s;, J 4- T~r: ~ ~ /' ~f ~ L) f)~ --- ---- ~ r/~ I-/~ ) / ~~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~. ~A~OR REINSPECTION BEFORE COVERING Inspector: //vr . Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! t/<SNOn DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ . z.e -02- /:l .-r: ADDRESS /+ZCP 7 ~AU.f:}~~ OWNER CONTR. PHONE NO. PERMIT NO. 0/- /c.fo fp o FOOTING o FOUNDATION o FRAMING ~NSULATION , INAL - 0 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP D./LUMBING FINAL ~ MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: Fl'} ~l?OlOOl ~rY'lA. - l I I !""-,,ryo,\, vpe.s. ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: HE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INS/'IOTI ~ 'Ct(,...()~ '3.~t)() .. 14;).(,S ~G>\:~iY 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 f\ P PLUMBING FINAL o MECH FINAL COMMENTS: lM.dV\.OV\t\e--tec 0\<:' 'lATE " TIME 1- t40~ 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 CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: { CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl