HomeMy WebLinkAboutBldg Permit 01-1355
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS :3()S I
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LEGAL DESCRIPTION (office use only)
LOT2 ~ BLOCK 3 ADDITION /l-JE. Wi L.b.r
OWNER
(Name) Me.- b-e..c....i 1+ l4-oM~
(Address)
BUILDERM ~ 11
(Name) ~1)~ J Vt'OM~.1
(Contact Name) ~ ~WwJ At-, M \ cL..6-
(Address) /3.50/0 rL..:.~JoH Aw.. ll~DL V~\\.....
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TYPE OF WORK
~ New Construction
OLower Level Finish
ODeck
o Fireplace
o Misc.
Date Rec' d
I. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO. 01-/355 I
ZONING (ofliceuse)
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PID ~-38~-D1e.10
(Phone) 612-185-0'2:S~
(Phone) 6 /z -{ s.:S - 62.'3.::3
~honef.&y 152- y"yz- 8ttZLt
. M,u ssrz...'f
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
PROJECf COST IV ALUE (excluding land) $
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I hereby certify that I have furnished information on this application which is to the best of my knowledge true and Cuu,",-,. 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
=ji:D:~;}tu.:::n7Jinspe~ns.U 2CXJ'3SY/V 1/-D8,0 (
Signlllure' r- Contractor's License No. Date
,
Permit Valuation ;}.S'O .. COt:) . 00 I Park Support Fee # $ SC)O. (t)O
Permit Fee $ /I-?J ~S ~ 7S- I SAC # $ I. (~.~
I Plan Check Fee $ I Water Meter Size 5/8"(1:) $ r
i. lerl. ~Cf 250.c!:D
I State Surcharge $ , , I?.t;. IJ t:J I Pressure Reducer $ '7" .oD
I Penalty $ I Sewer/Water Connection Fee # $ /. ?(J(J. 00
I Plumbing Permit Fee $ ) tJ(). ~O I Water Tower Fee # $ , 700 . (!)"""O
I Mechanical Permit Fee $ 100. 6)0 I Builder's Deposit $ I....~o .c>~.
I Sewer & Water Permit Fee $ ~S- ~ '50 lather $ .
I Gas Fireplace Permit Fee $ t.J a ~CJO I TOTALDUE,.,JlUBJ tJ-30...0J $
~_Y~P_I~_ Paid C//,/(,'/7
....". " '::'-1_ /c.. <i ~ C9( Date '~IU..()I
Buildin cial 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
'hen 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
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r Date Special Conditions, if any
24 hour notice for aU inspections (952) 447.9850, fax (~52) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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White - Building
Canary - Engineering
Pink - Planning
The ("rnler of thr Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
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Accepted
Accepted With Corrections "Y
Denied /01/J) J
Reviewed B~ --V~ ~ Date: 1',.../ cj --0 I
Comments:
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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."
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Tht etn... of tht Llkt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/. I ____
} (f~? (I / i} tr(1 (it ( t~L/',---"",.
Accepted
~.
Accepted With Corrections
Denied ./'"l
Reviewed By: ~/~~
/'
Date:
/1 lae;t&?1
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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."
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White - Building
Canary - Engineering
Pink - Planning
Thr C.nl.. of Ih. !.ok. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
CJ'f7Cf 6i/kcct fJ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By: /l$-!3
Date:
I! --IS-C; I
Comments: See Rever~A ~ide for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
. 3) Erosion 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,"
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Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APPLICANT f} I ( ~ n r:::-
(Name) (~C-~~..;t,~
J Y (), W~ / dn tt., frf-
O. (Address) ,
(Contact Person) ,Ij I ,1
APPLICANT SIGN.66RE JJ<.d ~~
(/ V{/ (/
APPLICANT PLEASE COMPLETE BELOW
Size of water service l inches,
Location of any couplings from structure ~feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
(Please type or print and si2l1 at bottom)
ADDRESS
30, ( B~
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,
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
OWNER
(Name)
~ {Vt~. ~ .;Ji.
(Address)
(Address)
(Address)
I. Green File PERMIT NO
2. Yellow City '0 1-135' ~
3. Gold Applicant .:::>
ZONING (office use)
PID
(Phone) q,~ d- g-Cf(- ,)'? 3C:I
(City)
(Zip Code)
(Phone) 6'(;)- ?7J' - 3 -:> 6!
(~~ \z~o~ 7~
(Phone)
DATE
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Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Building Permit # 0 {- J 355
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
\0 W\TH
sti~'NG !~
\:
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
APR 2 3 2002
Receipt NJi/IJ
By I~
I
Feb 11 02 04:30p
Mike Schiltz
651-681-8306
p.3
MON 09:16 FAX 61Zt.7~245
CITY OF PRIOR L'&~
Date Ree' cS
~ll { OF PRIOR LAKE PLUMBING PERMIT
FEBllm
~ =.. =-. \ PERMlY "0.0/- /3551
~
, zoNING (aIIke->
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lADDUSS
30'51 n .
\ LEGAL DJ!SClUPT1ON (alia '!If 4'>
LOT BLOCK ADOmON
60 b(..CO\~
T ('c. i
OWNER
(Name)
. ............. ~
i')\. e fJ<- v " fl."
P10
~ 0 ~e. l?
(Phone) ~ S do - R 9 \ - S 7 .1 CJ
(A.ckkess)
~
(phonc) --' '! S / - (eI ~ I - 8 ~ 5 ~
\ APPUCANT
(Name\
- Hessian Plumbing Services, Inc.
(Ad!" ,..) 11:0. Box ~~172
. .. I:agan, MN 55122.0172
(Contact person) rY1 t U ~ s: t. v,: 1 t- 7
,
I APPLICANTSIGNA"I'UU f'Vl.;...L L1~
(Address)
(City) (Zap Cock)
(Phone) ./VI - fL.G. S I - (0 '& I - 8 ;;) S" ~
. DATE .-? - ')- n<?
APPLICA.NT PLEASE COMPLr..16 .aw..OW
Qu..!.'t.- Type of l'istue
~ Bath Tub with or without mower
i : l>i.hw'-' = .
l ~
~.. i..av~ ~.throom SUllO
i - LauDdI'y Tray (1 or 2 compm1mcnt sink
I ~ ShoWCf Stall -
L- 5mb
_ B.- Siak
;> Vi aicr Closd (Toilet)
QuD~ Type orJ'lsiare
L-- !lough-ins
I WaW Heater
f Water Softner
i smnd ..ipe (Washing Machin-)
- Sewage Ejcdor -=
-, ~aekftow Als.-nb'J
Sacldlow AsSlllllbly Test
r . _ Lawn SJ!riDklcr -=
Othe'
L
n." SCDDlJU
Ino\lsuil1. cornmarcial .. MUItI-ramily I~ Dr jab cost willa' 1)9,50 minim_ R_i...', 'New One. T""o-FlII1lily S~',50
R.c:Iidcnlil1. "dcli\ionl a ,,'ccnllions S)9.~O
I!stllllu.d C.l S Bui1dinl Permit If 0 1- /35-"5"
PLUMBING PERMIT FEE S
STATESua.cHARGE. $
TOTAL PEaMR' 'FEE S
.50.
a.iIdl. 0IIda\
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M ,.., ..ttu r.. .u i.......... (952) ..,..,-. ~ll (951) "'-045
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oa'EB , 2. 200l
(OIDcl UK 0Il1y.
Tbh A,plia1iDD 1Icco." Yo, ..iWinc r....it WIleD A,proYcd
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P R I 0 R LA KE .DEPARTMENT OF
,~ BUILDING AND INSPECTION
INSPECTION RECORD
. ~~~I
SITE ADDRESS _";)mJ5cb~ tl~ \
NATURE OF WORK U~
USE OF BUILDING SF [)
PERMIT NO. Qj - /365 DATE ISSUED } J.... 1~"'0 I
CONTRACTOR -Me Dev,11- ~ PHONE (P1?-c,BCS:~23r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 'NSP~00dut I 1 fL\ ~ ;~TE
FOUNDATION (Prior to Backfill) I '1l\\ \ \~\7-t U! I 't, ~ \ l~\4-:z..
PLACE NO CONCRETE UNTIL ABOV: HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
/tiff
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY 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, card shall be placed near main entrance.
'b~~
Call between 8:00 and '9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
q,((, ~l.-
ADDRESS
90.51 8()Lf~/ .~,
OWNER
CONTR.
PHONE NO.
PERMIT NO,
b 1 -I.?.s-S-
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK 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 & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-5~l. jo.':t7
PHONE NO.
3051 BobCAf T~
CONTR. mC,~(}I'+ ~d
PERMIT NO. (9 J - J3SS'
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Gt;b ~-I"J l-
bre;d~- O/L-
~RK 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!
UiSliOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
30S1 --gobui-
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
.,zf PLUMBING FINAL
o MECH FINAL
COMMENTS:
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. DATE TIME
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-.-
I-I ~55'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~~~~TST
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 9- Lf- ~ a 06
305/- ~hCCtf Iv-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO,
1- /1~5"
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
,. FINAL ..:}:LUMBING FINAL
o SITE INSPECTION ~ECH FINAL
COMMENTS: IC
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2... A...1 t.- <4:> '\.:.:~>d><_; IA ~~""\...- )
~. ~. ~nt\}.. \1,.71.OJ..~ ~~
o EXIGRAD/FILLlNG
o COMPLAINT
~IREPLACE RI
FIREPLACE FINAL
ASLINE AIR TST
o
~ ~~ ok
l'~ O...W .k,
"\. "vnJ L\ - o~
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~~~
o WORK SATISF TORY, PROCEED
o CORREC I N AND PROCEED
o CORREC T K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: fAFETY! \
INSNOTl ~
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