HomeMy WebLinkAboutBldg Permit 01-1329
1. White File
2. Pink City
3. Yellow Applicant
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJm at bu.."~)
ADDRESS
/5DJ1-Aw. \rmtA. f ('(;.; \
LEGAL DESCRu'uON (office use only)
LOT 7 BLOCK;< ADDITION
OWNER
(Name)
3rd I!dhJ to RCMn~ /?;/'LfJ PIDJ~--~'IJ-QfrFl}----
., //) 7-~
~
(Phone)
(Address)
~;~)ER lhln,. r'\ilJ Or)i~I"\ f co 11\ ){rl..(*l\~h
- "'tJ 0r..L p
(Contact Name) Vll' \ f n)l
(Address) 1l\14l) l40.,h~yrOht~ fh~~
TYPE OF WORK )(New Construction
OLower Level Finish
(Phone)
(Phone)
q~? -~' C;()'I'1
Cit1. <r~q- luci
~OT-f. ,.
~k{>lJN (i
. . \
N1"kI
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
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
au~n d 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
sub '. 'tte plans. I am aware that the building official can revoke this permit for just cause. Furth. . ermore, I hereby agree that the city official or a designee may
ent . (0 the p.(opert) tf p~rform needed inspections. /'
X .,1.' ~~" - ~f)'''f)4llr.;t{ ---1f1-'31"0 l ~/
v\,\I J - 'sfgnature Contractor's License No. Date ~
I Permit Valuation 138., f'XX).t!)O I I Park Support Fee # $ as-C;. Os
I Permit Fee $ It2.Cll.,":" I I SAC # $ I. JSO~oo
I Plan Check Fee $ 'l ~4. 'L~ I I Water Meter SizetlJ1; 1"; $ , lzt;".a2-
I State Surcharge $ (P1 --00 I Pressure Reducer $ l(5. c9 eJ
I Penalty $ I Sewer/Water Connection Fee # $ 1('20o~cv
I Plumbing Permit Fee $ /OO~OO I Water Tower Fee # I $ . ')O(J.C!JO
I Mech~nica1 Permit Fee $ lO() .oC; Builder's Deposit $ L ,,-tX). 0$-
I Sewer & Water Permit Fee $ 3"-. S-o Other $ " -
I Gas Fireplace Permit Fee $ 4{).d;) I TOTAL DUE ~ II-~' $"-~OS. 3L
~j~YOWBWMmi(~~7-;;d Paid '7&/0$.5/ I Recei~~?~
Date II.~{' . CJ I I By A
I
Bu ding.6fficial Date
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
:when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISs~=II.~ _ ~lt2ihi ~~('~~
~g Director Date - Special Conditions,1f any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
GREEN . fILE
YELLOW . APPLICANT
GOLD. CIT'f
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. 01- /32. C;
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: hp;1t.. (;/llilG IAJ C PHONE: 9~~:B- J,JIoo
ADDRESS: l~JfitJJfMJJl~C;'d7~E'I StMKo.A::E ,lip DATE: /f/f (J /
SIGNATURE:~~/$~ BLDG. PERMIT # (J/-13z.r
SITE ADDRESS: lfiOJ"I A.f:lPIfJ...CbSff. ,;(l/J/L- PID# 25-342- 0/7-0
FILL IN THE BLANKS
1. Estimated length of water service
(,5""
feet.
2. Size of water service
I
inch(es) .
3.
Location of any couplings from structure
-
feet.
4. Type of sewer pipe. ABS PVC X. Cast Iron
5. Estimated length of sewer line ~~ feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This apPlicatio~~~J.1 your permit when approved.
BY IfJlN DATE: /2-/2,-01
=============,t:==================================================
FEES: S 35.00 Sewer and water line connection permit.
S .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $2~~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
AMOUNT PAID~ DA\PW\~",,~,
. ,Me p"",.. .
REC'D BY .eu~-
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~~~~R/O~ /.<""'?~--'"
, 'JC '. "
;'6' ~
.. Th. ('..I.. of Ih. !.ok< ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT 1::/h);!J.'/){'l.
APPLICATION RECEIVED la' 3/",-6 J
/,
./ / J., , '
IJL2-c::.( 4/t_j 'j
/
./
'~,,<.(.F
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~,"1, ,/1 /) .
/:;; () /1/ . /-1___, 1/)' J'" /',","1 V ~~:-;,v . L/
, /
Accepted
~
Accepted With Corrections
Denied /'1 [
Reviewed By: (.t'~~
Date: ~~!~t
Comments:
fMVl.0MbM .,.fOl=\ k~~ ~-~,\O
~~<' ~J- Q.~ lW ..AM() ,,-:f7 ~l~ Csw~
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."
White - Building
Canary - Engineering
Pink - Planning
Thr Crn'rr of 'hr L.kr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~r
NAME OF APPLICANT ~ J.i)~ 'f-'lit~
(L /'1 (J . '-
APPLICATION RECEIVED /tJ,- -3 /-.:..-c) )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/50/1./ /L,,_
.~"
Accepted
Accepted With Corrections ~
Denied /J)J(L
Reviewed By{1A1!tI_J ' Date: II - '1-0 (
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."
. ~;
,\
\
"-/3~'
White - Building
Canary - Engineering
Pink - Planning
Thr Crntrr or thf t.kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~r
NAME OF APPLICANT \:j'J/?1~ ;J)~ 'f lird&
APPLICATION RECEIVED If)" ~/-g )
Toe BYJJ9ing/(;Qgineering, and plar{nin:gl6~partments have reviewed the building permit
application for cOnstruction activity which is proposed at:
/~/)/LI frfP{~{XJ~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
'1113
II
/7
Date:
//- 8-()/
Comments: See Reverse Side for Additional Information!
tAt'~'
't:pin
,x.
<~~-;~---
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) r-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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
2- 7-02-
(Please tvDe or tl!int and sign at bottom)
ADDRESS
~. ~::n ~!~ I PERMIT NO.(),/_/ < :::>Cl
3, Yellow Applicant ut:,.-:. L
,
/SO/~
/1P/Jt9L-ooS'A
77?f-,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
, (Phone)
(Address)
!~PPLICAijT I II .J f r~ ~2. / / / /'""')
4!~ame) h 'fJ111 , e c./ 7'~ II S ,(Phone) .,...::> - '-f~,.... ((,/~2.
(Address) 3 ~S2 ~1-61; ,~.,<< S~ 5 t-u JO;--,o I- /-..(:P ~ 1 MI1 S-S' 37<.-
~ (Address) \J (City) - , (Zip Code)
(Contact Person) f,.Jrcul j, yil--] . (phone) (ofd.. - 3<{,6 -"3434
APPLICANTSIGNATUMn~<cx:~ DATE,0d-./7 [ 07
APPLICANT PLEASE COMPLETE BELOW
' ~EW CONSTRUCTIpN 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL fie / I FUEL 1J),., f ~~
FLUE SIZE .a rf)1C I.,) RETURN OPENINGS ,/ INPUT 7~oo~ i}UTPUT ~ ~ ()OO/3;4'
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants
o Gravity
o Mechanical
l3Air Conditioning
8Y ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ '2-7-67 ,
Ifuilding Official Date
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
!J / -' /..32- q
/'
r f, I D \i Ii I I I I T
f' ."'" PERtJU
'SSJ\\..o~~. ----. --
~ --"-'
Estimated Cost $ Building Permit #
'"
~
D~ -j "'0'2-
R~
I By /JfttIi
f
,.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date,Rec'd
cJ..-/ -tJ.)-
I. Blue File PERMIT NO
2, Gold City 'l\ 1_/' =,., .q
3 , Yellow Applicant U .-J &-:'
(Please tvDe or Drint and siJm at L;;..,~)
ADDRESS ZONING (office use)
\ 5"0 I "f
A-~rKost4-
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
PID
ADDITION
OWNER
(Name) \1\1 \e::v-Rt'17' lJes, fTAI
(Address)
(Phone) &/).-- '634 -{ b(" )..-
APPLICANT
(Name) ~u<- Lc.)Rl~
(Address) l r;-~c;;;c, \=:' uk.K.~ooo v.I!.\>'
(Address)
~~~~
APPLICANT SIGNATURE co ,
(Contact Person)
Quantity
')..
,
,
If
I
,
,
3
(Phone) (P -/ J- ~" 7-~~(? I
\l\--R?lG" V~->- S~-' >-c..J-
(City) (Zip Code)
(Phone) V})..-~~ 7-,,~g I
DATE ~h /()~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I Type of Fixture
I Bath Tub with or without shower 'Rough-ins ~ 13M] 'l'-
I Dishwasher I I Water Heater
I Floor Drain , I Water Softner
I Lavatory (Bathroom Sink) l I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit # IJ./- L?? _C/ T":' ,
----'1" p~v I I ,
PLUMBING PERMIT FEE $ BUB.DING PEf-"',,.i r
STATE SURCHARGE $ ~ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
D~e
:J,.. -I - Or
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
P R I 0 R LA KE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS lSX"){~ ~cz.Q~ W 1
NATURE OF WORK .AJ.p,_0
USE OF BUILDING 9E.D
PERMIT NO. I) /- /3';;"'9 DATE ISSUED 11- Y -CJ( r
CONTRACTOR d1J~tJ ~,~Lt\ , PHONE~/2-8:?~..f~c
NOTE: THIS IS NOT ~ PeRMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
~~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~
GAS LINE AIR TEST
() /(..
'IJr.-1
^
it.
, J 2/(810/
:;../ r /" 2/
j d - ,;; - O~
I
I r /31ItP"Z- ii" ~. ~ ~a~~
I ~F!02./ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ wr~./ w!e Jft~/~~ I
FINALS
11/13
J~r/j7 ),,2-
GRADING (Prior to Sodding)
BUILDING'hM.1'Jf 1\/1/0'2/ '1h-.
- f I '~ r
ELECTRICAL
PLUMBING
HEATING
"
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
h.
~.
~-;:<I-Od-
7-/-cJJ- PD'
,
3/~(,lo~
3/;.~/oz-
BEEN SIGNED
~~O
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 sh~U 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
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o jHS'ULA TION
....er ~L
?,SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ?-/~~ /1--1
I ~ 0/11 It/J 00 /otJSCL
I , -, -
CONTR.
PERMIT NO.
~'t-I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Jr/3O-C;
~ J-'" \ 0\'-..
--
n/J
U~ _ \>
b'---
n \ 07
l,J'
/
~ORK SATISFACTORY, PROCEED
. ~RRECT TION AND PROCEED
o CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CAL~ 44 .JsSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3...Z'- .()Z- ///~
ADDRESS
/60/4- fip,P/l L-()()~
OWNER
CONTR.
.il'"
tJ I -15Z~
I
o PLUMBING RI 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP /"A)) 0 FIREPLACE FINAL
~PLUMBING FINAL\t:S/ 0 GASLlNE'AIR TST
~: MECH FINAL 0
COMMENTS:tfJ . ~ ~ ~ ~
L.P, i-c ~ ~ ~
~ ~ .A-n. :t:o Ix ~f-
L,...{~~ I
@~. 4t> ~ ~ ~ ~
t'rlJ..1G,~ ~&(-,- ~ ~V~~ c _, ..
.~~ ~().A ~ 0- ~
~)~<l~~ -2 ~,
(l Qu,..J.. ~r' I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
/0' SITE INSPECTION
PHONE NO.
PERMIT NO.
~~~
~~~~-~~,
~ t~ W.c..f. -~
~~,
o WORK SATISFACTORY, PROCEED to\ "l- ,.. ~ S ~ - 1 ~"2-
o CORRECT ACTION AND PROCEED
)It CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,,,pecto,,~, awne,lCo"',
CALL 447-9850 FOR THE NEXT INSPECT10N 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
s '21.() 2- 11;(%
ADDRESS
/ ~ 0 I ~ A;P r::' he,,- tJ oJ-t'f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() I - /329
o EXlGRA~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATlON(@ 0 MECH RI
o FRAMING 0 WATER HOOKUP
~NSULATION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~- d~.
~~~J~~--b
~~4~~, ,
~ jJ~rI-~ ~: ~-"-I~L...
~ ~~_' _ 6,-1- .~~-~~~
@~ ~ ~r;:w J:;ff~~~
~(,~'~ ~::!i'.I:) ~~~O_. ;;J-
~\uT-3a~ r---
, ~~/~I-~~ hl>l"'~
~ '.d IJ . '~
(rfl ~ ~6. V? ~~ ~ c-JL .
~~~~,
~~J No U~~ tJF 6~e i.LNIIL ~~~
1 \\ ~loort.- (oS IN. - ~tJ use- &.flA.#()et-V~OJf'" ":,,
\0 H-Nle: "Det.J~ ' '%..
o WORK SATISFACTORY, PROCEED ."" , . ' '"
W CORRECT ACTION AND PROCEED T~ C. O. ~".. ' !tJ" e ~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COY G
~i
I
CALL 447-9850 FOR THE NEXT INSPECT
Inspector:
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR P 1lS0NAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
6-:J/-oz..
ADDRESS -1'f)Olr AlfJq/~t:O fr.
OWNER CONTR. ':'::n-/t-~/l.t~-
PHONE NO. PERMIT NO. -D1-/3:J9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
)l(.E~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
f(j),i r
f)/JY1/' h ~
. -
h y -I-,--H~ h#o I! I" ? .
A
f)~ Iv ~
A/t} C ""
o WORK SATISFACTORY, PROCEED
j)'(!(ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1'/SNOTl
---
tilr.~-"~.~ ..
, ":.J '~v:r'.','V: .~. ~. ~.:tI-,!,:":";..i",,, ~.'""i.'
~ " -(;lo.' ""'... . ~.A~ '4~.~ (~, i, ,I': "
l ~ '.'l ...,..
I: ~:l lertifics!! of (JDccupanry
r:.~ Cll'f OF PRIOR LAKE
-
1Department of _uilbing In'pettion
ytFinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to tM requirements of Section 307 of tM Uniform Building Code
certifying that at tM time of issuance this structure was in compliance with the various ordiNJIICes. of the
City of Prior Lo/ce regulJJting building construction or use. For tM following:
SINGLE FAMILY
Use ClassificatiOlJ
_ Bldg. Permit No..
01-1329
Occupancy Type
R3 Type Construction VN Fire Zone N / A Zoning District R 1 SD
L7, B2, THIRD ADDITION TO RASPBERRY RIDGE
Legal Description _
15014 APPALOOSA TRAIL
Owner of Building
, Site Address
INTEGRITY DESIGN & CONSTR., 21140 HONEYCOMB PATH, LAKEVILLE
ContractOr's Name &; Address
Date:
ROBERT D. HUTCHINS _ City PIanne~
) Building Official
t:/jAJ n i-/-OC).. Date:
.r
DON RYE
*Permit#
*JObAddressJ,<O /11 4P.L?d!.t:. /)~ 1hii(
.-.._J-"f'~;')h'J .
*TesterslSignature ;) Jl ( " ,() I~ h)
Pounds
Q!!! !!!!!! Pressure
*Gas Une
Pressurized
!rJ4-
Inspected
PERFORMANCE TEST
* Percent CO2 -.fJ7"/) *PercentCO t1.?'0-
*Percent ~ 9' 9-) *Stack Temp. l~ cl 0
Final Inspection Date ~O 2.
J"