HomeMy WebLinkAboutBldg Permti 01-1339; Mech 02-0012
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
(Please type or print and siltl1 at bu~~v~)
ADDRESS
~l?Lf'..j E all r /all~-r;a: IIllf
LEGAL DESCRIPTION (office use only)
LOT0 BLOCK d ADDITION
.
~;mJ
~ - ,r
..-
~bM111 nal rIJrA
II .
o New Construction
~~:n?;~n? V:;WN
(Address) JS"7;) F~~tJtV-r IJ~ iJJw
Bt.JILDER ~ I
(Name) -Ibmh NIlJ
(ContactName) ~
(Address) IS" 7~ P~t>w-t.4v., IIJfA }
TY'PB0fI WORK
)
PIDdS" -()!Cj - DO 7-0
(Phone) ('/J-3ft,O-S3;J. 9
P t' " CJ I/' 1Nk.'l' /Y) (]/
I
0)
(Phon:) ~-3~()-53';}. 9
(Phone) ,n. 95' ~ - 'IYt?- ~ 70
o Deck
o Porch
JiiRe-Roofing
JKRe-Siding
~ower Level Finish
r!'Misc. ~~I S,t;)1t F--'A.,,~~ /bm.p
o Fireplace OAddition ~lteration OUtility Connection
PROJECf COST IV ALUE (excluding land) $ 35. OPO . DO
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 rpay
enter up e pro~ 0 erfo nee~ in~ctiOns. IV /11- 11-9 _ 0 I
~dctor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I StareSuochMge $
IP~a~ $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I ~ePI') Permit Fee $
(/l+~~;;;(
~ BUi~~al · Date
35'.l.o......., .CSO
l(~,.c..S-
3l~\. 9(P
II · ':>U
,
40 .O()
I Park Support Fee
I SAC
I WaterMeter SizeS/S"j l"j
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE rj\UEO
I Paid
I Date
Fffp&1. '7 I
.If ..-1.,1 iJ -'
# $
# $
$
$
# $
# $
$
$
II. z.g. 0 I \S B("q. '7/
"
Rece~~
By 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
issued.
~ ILI'll/~ ~
Dif!Ctor - . Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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v
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
r/~f5 w/ 0/- /7,~1
(Please type or print and siltl1 at bottom)
ADDRESS
.LfDl/:l, ~cuJ (l)aV.J)~ )(~ ,"j
LEGAL DESCRJ..t' uON (office use only)
LOT
BLOCK
ADDITION
OWNER..---:::: '4t' nil
(Name) I Am
(Address)
, APPLICANT.--;2 I . . ' 1/
(Name) oU!trlsvLIIe.. wa:6../lCl o/-1c.
(Address) I$iJl/ 'i2/7ocb ISIMcff.1IuL s-
(Address)
(Contact Person)
//.-
Yff~
APPLICANT SIGNATURE
Date Rec'd
/2..-3/-0/
~ ~n ~:~ PERMIT NO. 02:""0012-
3. Yellow Applicant
ZONING (office use) .
PID 26-0139- dO 7- ()
(Phone) -1fl1B. - ~uO -538... 9
(Phone) ~) a..-R?~/JOO:S-
~. YuJ/1at ~ 5537 f
(CityO (Zip Code)
(Phone)
DATE /t::f-cfl?~1
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
)q"Other Devices C)l )c..,.'\--l..Dl)'f K
\3Q~+- -=" ",i f>n
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ /fX)(). CO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
s Your Building Permit When Approved
,-3-o~
Date
$39.50
U39.50?
$39.50
Building Permit #
$ .':?9. 60
$ .50
$ ~D.OO
Paid 4-
0.00
Date/_ :3 - 01-
Receipt 2l (:3 I
BY~
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-----"
White - Building
Canary .. Engineering
Pink - Planning
Thr Crnt.. nr thr tokr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --rn YY1 F7 IV ~
,
APPLICATION RECEIVED ll- 13-() I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L!()t!3 6f2;tL C/(L( Ire. -rr
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
White .. Building
Canary - Engineering
Pink .. Planning
The' ('C'nltr of the' Lakt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '1 Ol/V\. Fi AI AI
APPLICATION RECEIVED Il - / ? - (.) I
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L-/DL-I.2;, S/~{) r./(/f~, Vp l/
(
Accepted
Accepted With Corrections
1...-...........
~:,~....
Denied
Reviewed By: ~t&K~../~ Date: lL/l41t) I
Comments: 7~ ~ j,vi''-\~ tJ(e-v4:-),V81/l~
~J ~<;< L,J~J,"~1}'/""<:<;' tA)I~
WP->> ~~,~ b~_~~ I&_~~ 9,~
~. ' ~. ~tlv~"iL- (~ ~ ~.~~
4PPli~?J4Wv ~O ~ fV~ ~
~C;-L-; ?0.<-Q~ (ft; ~ t/e.A~ ~k....
~~ ('A))~'V1-:t4~~Nl ~t{t1z-e<;
~~ \N)~ ~~~ ~l.ed lV\. ~ I A)Wev- ~
~u.-~ vtA"t '% ~_ GL. r~\~Cex \J~~-~
"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 PLUMBING PERMIT
FlU, I/v'/ 0/-/331
IZ//~~O I
I. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NO.O/_ /337
ZONING (office use)
(Please type or print and siltl1 at b__""_)
ADDRESS
4043 EAU CLAIRE AVENUE NE, PRIOR LAKE, MN 55372
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID
OWNER
(Name) _ TOM FINN
(Address) 15672 FREMONT AVENUE NW PRIOR LAKE, MN 55372
(Phone) 612-860-5329
APPLICANT
(Name). RICHFIELD PLUMBING COMPANY
(Phone) 612-869-7517
RICHFIELD, MN 55423
(City) (Zip Code)
(Address) 509 WEST 77TH STREET
(Address)
(Contact Person) KATY
g/Q:/~
(Phone) ~-86q-7,)17
DATE/:Lh/k/
APPLICANT SIGNATURE
Quantity
~
:J
I
d..
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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
(Office Use Only)
Estimated Cost $ 1? R q~ Building Permit # -D 1 - 1 U9
PLUMBING PERMIT FEE $ 39.50 r--tJ"'O \l-J\~MSt'
STATE SURCHARGE $ .)~\\J)\NG P
TOTAL PERMIT FEE $ 40.00 \
comes Your Building Permit When Approved
JZ..;/3'-O {
Date
,~
Date
12.-"'/3-01
-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
" BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS~' eCUJ ~~ ({tt...\ l
NATUREOFWORK Jo~~
USE OF BUILDING SFC
PERMIT NO. .fJ / - /3.3 q DATE ISSUED
CONTRACTOR....1.cwA +;'\&^'. PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
tfP ~ ~ fir. ,7.,/~h z...
. M. . d /J-SI~;).-J
V. ?~. 111(,(02..- .~, t/Z:Z./67"
h .:i-/d-5"Io~
,
FRAMING L L.
INSULATION
ELECTRICAL
PLUMBING
HE. ATING. (if required) 1 J L ~ L- ( .
~ ".'
~~~ .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
... - --
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
CIb
(,.2('
I'k:..
...., ..
~~
?;f11/071
~ .. .2..ttl" 7J
BEEN SIGNED
p.~
OCCUpy UNTIL ABOVE HAS
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, carcf"shail tie 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
SCHEDULED
ADDRESS
/ /GJ ij'3
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
tn=INAL
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
- /J f#t~~
.~~_S~~ .-..~t:r ~
-~
I"
LtKc.- Wf.-
,
~;~"~$ ~
Eau- ~AJ2-
~-/~ ~
i- is'~9
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Ak-J
/
/'
~K SATISFACTORY, PROCEED
~ ~;~RECT ACTION AND PROCEED
o CORREC 0 K LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
.-.:;
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CAL
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
160/3
SCHEDULED ~
~tLM- ce.~t~
1;41
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O{-(!'S9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
@ 0 SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
'l! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850;6R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
";-l'}h;::~:'.., ,~'.~~.~'~;.' -~:",:";<','
...,~ .>.'~'fr~,~~, .....~.~;'.~~,.....,
~-: -.:-~~-~-~.. ~~~
r.... . . .'101':"&. .,. >t. & ""IU!"::'O('
" . . .'. . ," '.'~. - :.1 .'", ;....>; ,.:.'" :,,:.~""~.,. ;..; ..... .~ t"'''' ..'
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l ~.
~.. :~ Itrtifuau of (l3cmpanry
..t.-I"
~~"~ CITY OF PRIOR LAKE
lI{-
~t~ . )Btpartment of _uilbing In'ptttion
(~: ""'Final Permitted 0 Conditional C.O. Expires
~~. '.. This C. ertijicate issued pursuonl to. the requirements of Section 307 of.the Uniform Building. Code
t. T;' certifying thtll at the time of issuance this structure ~.Jn compliance with the various ordi1fQ1tCes. of the
~..~.:. City of Prior lAIce regulating building construction ~use. For the following:
~~~ . SINGLE FAMILY / 'I.. 01-1339
I ~ Use ClaSsification. \--Y Bldg. Permit No
(I
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f'-:". . :""J '". ..... t:""a~'~' .+"', ,~-.."'". ". f:.!'! ~l. :..;.t:.
~".....".......
0ccupaIIcy Type
R3
Type Consttuc:tion
VN
,""'
'u' . Fire Zone
N/A
Zoning District
R1SD
Legal Description
L3, B2, GRAINWOOD HEIG~
u
SiteAddress 4043 EAU CLAIRE TRAIL NE
TOM FINN, 15672 FREMONT AVE. N.W.. PRIOR LAKE 55372
Owner of Building
C.
"!'.
City Planner
DON RYE
Date: