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Home My WebLink AboutBldg Permit 01-1261 L r'\a.~ f\~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERIUICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and silm at bw~"w_) ADDRESS /4LJ2-4 -:J L White File 2. Pink City 3 . Yellow Applicant ~ rt'JokMere .h IIIJ LEGAL DESCR.J..t'uON (office use only) LOTS" BLOCK Z ADDITION MJtJW Oi ()L.U OWNER (Name) Ce.4eJt. I L'100 (Address) TYPE OF WORK o Misc. ~ew Construction OLower Level Finish ]sPeck -)zlFireplace o Porch OAddition ~ Date Rec'd ~tl1X '0 - .o1 PERMIT NO. zs :~!4- .. as'-o PID if' J . (Phone) 'S2 - '3'~ 7a 3 '\ M,'" n dtJni< a. . 11 AJ .$;D ~_ ~ / (Phone) --!i..s- 2. -7 3~ - ~ 6.)3 (Phone) ~ 11 - .3 ~ ,..3 ~ , 3 ORe-Roofing OAlteration PROJECT COST IV ALUE (excluding land) S II Z. J aOl:) , ORe-Siding OUtility Connection 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 enter upon the property to perform needed inspections. X ,j~~ ~. lie hi l!. $ tJi1A /-eu,J-v- ~ Dr:,' 5Lu' k I W/ BUILDER '1 J J (Name) LVl7/E'r /TOMPIj (Contact Name) Md tJ 'C1>1t Y7 ~ (Address) 5 e. e- ~tj {/~ I Permit Valuation , \"'Z..DOO. Permit Fee 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 ~.- ~..~"._~ $ I O~6 . '15 $ (JJJ . c,-z.. $ 5(0. C;O $ $ $ $ $ t ()O . 00 I~O .o(J) b~5o l(o-oo Becomes Your Building Permit When Approved IO,.t!J'" 01 Date 200'76137 Contractor's License No. Park Support Fee SAC Water Meter Size 5/8"; 1"; I Pressure Reducer I Sewer/Water Connection Fee Water Tower Fee Builder's Deposit I Other I TOTAL DUE I Paid I Date yio {.,. .0-7 II" 'V I _lJ , , ~ $ $ $ $ $ $ $ I 5~.OO " $ .$~, J_O~-tIj-J Rec;1llrJ.~or Ff Z . BVfff~ # # , f'. # # IO/3/tJ/ / Uate 8~&~ t ISO Ll'1Slol"l l C{5',o15 1,'2.~O ' <90 100.CJO 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 is~. ' ~ ~gDi;;C~ / J/",b ~ Date S ecial Conditions, if any - 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Tho Con... of lho "oko Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~&NTbX I-fDfVlES Ifl-5-01 The Building, Engineering, and Planning Departments have reviewed the building permit application' for construction activity which is proposed at: /4 Lf 26 f3roof::-yJu. r( 51 vol, X ......... Accepted Accepted With Corrections Denied Reviewed By: II/i9 (~ Date: 1/-/'7-0/ , /y'lc(~ ~'L . . If....-. . Comments: S --<...{ /VI", , 'tt. F, \ l-L 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." Th. (".nt., of th. t.k. COllnlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (~6lJThX tJnH 65 IO-5-()1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted ~ Accepted With Corrections Denied Reviewed By: ~ A~ ~ v~ Com ents: , ./~ ~~eLx"Tn ~ ~~5 \jho (l ~ V ,p, IANV~ !,~;st " )!~A)/~1N . - - - - Date: tV ~ kr1 IThe 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." Thr Crnlrr or Ihr Lak, ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f,cN" I ~xJ J-foMES IO-tJ- 01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections ~ Denied /) 110 \ Reviewed By: ( dfl~ 1l..iJ - / CO~ a~ Date: /tf- IS-~~/ , ~~ . "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 PRlOR LAKE PLUNIBING PERJ.'VIIT l. Blue File PED "[IT NO :. Gold C:ty ftlT l '0 I-I Zf-I J. Yellow Applicant W (Pl":lse type or print and sign at bottom) ADDRESS Ie( cfott/ 8rtJdIMfJ/p/ ll/J , ZONING (office use) I LOT LEGAL DESCRlPTION (office use only) BLOCK ADDrTION PID OW"NER /1) ..J- ' (Name).J .'lll!,7'? >?' (Address) (Phone) ~~;;~~ANY Jam fj jJ 10~' (Address) PI//) ~fjJ /' 011 (Address) (Cont<lc: Person) (Phone) ?7~ 4-' t,/ ~ c:2~~/ rJ / \J;~ A : < g62/ (City) (Zip Code) iY..JAM J1j~ (Phone) 111// :JfY{l/ APPLICANT SIGNATURE DATE Quantity .:t I / J' I / / .J' APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Bath Tub with or without sho\"rer I Dishwasher i Floor Drain I Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity ,~ I I Type of Fixture I Rough-ins I Water Heater I Water Softner I Stand Pipe (Washing Machine) Sewage Eiector Backflow' Assembly Backflow Assembly Test . Lawn Sprinkler . I Other . 1 J I " FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a 539.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations 539.50 Estimated Cost S Building Permit # PLUMBING PERMIT FEE $ STATESURCa~RGE $ TOTAL PERMIT FEE $ .5~\O W~~'T IilUlL~NG ~.~. '- (Office Use Only) This Application Becomes Your Building Permit When Approved Paid I Receipt No. I By Date Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Il.f"'I G,-'O - 0 I -" / Z ft, 3 CITY OF PRIOR LAKE MC /"IY z(;< - () I ~ / Z-f.R 2- 16200 Eagle Creek Av. S.E. Permit No. ~2 Lf -- 0 ( , / Z ~ J Prior Lake, MN 55372 I 1../ '-I 2 2- ...- !J /- /2& 0 I . ... Single Family HEATING APPLICATION I PERMIT Date. 1 ~ ~ D - 0 ~ PID II . Site Address l'f#( ~~ .Ac.. 2 '1- ~ ~.,.eo Ie.~ AI VD "'hi Healing Contractor HeC{. \-~ ~ J- I ~ S- S- 0 (i <P... "tt-. k'..a! I 1(/>;.4?")I...-?t:.77 Furnace Make & Model '?, ~~ ;)300 (1) Lot Block ., Owner's Name Address Address Telephone II Model Size Conn. load j Fuel 6 A..... 5 Supply Openings / ;}... Flue Size 1J II Addition f1.." r e...x.: /10 v/'-L )" ~Dt> l J ,,-c, f ~, T:.d ....... 10, ,;>D,') TYPE OF SYSTEM Warm Air Planls Gravity Mechanical Air Condilioning Venl System HEATING OR POWER PLANT Steam Hol Water Radiallon . Special Devices , f?1~ --. Relurn Openings f Input 1() ~"),J Oulput S5:~H> Edr. . Clm. Alleratlons Repair Esl. Cost $ - Olher Devices TYPE OF WORK New Construcllon :/ Replacement Esl. Comp. Dale Bundlng Permh II ~O~~\1' ~ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ , . 'j .50 Receipt' TYPE OF STRUCTURE 3. Yellow . Co" . or Commercial Two-Family Induslrial Mulll-Famlly Public Diller ,/ Fee Schedule 1 % of Job cosl ($39.60 mInimum) $99.50 )c' ~ $64.50 $39.50 $39.50 $39.50 Industrial, Comm r . ~sidenlial, Healing & A -- Resldenllal, Heating Only Residential, Gas Fireplace Residenlial, Additions & Alterations Residential, AC Only Remember 10 add lhe Slale Surcharge on lhe bottom of this application. The price 01 your healing permillncludes one rough-In and one Iinallnspectlon. Additional inspecllons will be billed at $35.00 each. House Heating Tesl Record must be submllled with buildina &2mmil number belore build. Ing certificate of occupancy will be Issued. ' HEAT. CAlC.!LL.8ILOliS REal/IRED with number of supply end relurn openings lis led per room with CFM's per opening. New sfruclures or additions send floor plan wllh supply and relurn localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAI<E, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 447-4230 I hereby apply for a mechanical syslems permit and I acknowledge that the Inlormation above Is complele and accurate; that the work will be In conformance wllh lhe ordinances and codes of the clly and wllh the state building/mechanical codes; lhatlhis form does not become a permit until sIgned by the BUILDING OFFldIAL; that the work will be In accordance with the approved plan In the case of all work which ~equlre8 review and approval of plans. .~ /~/~ (--?O ~ cJ)~ L7~ j- 3o;:.Od- u-,"g om.s Signature Date #4294 P.001/OOl Date Rec'd FIRESIDE CORNER CITY OF PRIOR LAKE REA TING/AlR CONDll..ONJNG,~ 1dPLACE PEDu.! }, =- S-- I PERMIT NO.Of - I d- ~ I I (PIeatc t:mc or mat IIDd lip ItbotlDm\ ADDRESS /y~~c,r- ~ArrbAlI~". .~ ZONING (CItl5a: aile) LBOAL DESClUr LION (oftlce use only) LOT BLOCK ADDmON fID OWNER (Name) f'~/ .L- (phoz).e) (Address) APPLICANT (Nam.e) ALLIED FIRESIDE OBA FIRESIDE CO~ER (Address) 2700 1.4. P'W"Sl:IEW AVENUE (Addreu) (COluact Person) BRBNDA KU:;'r~ APPLICANT SIGNATURE !d>>.I-;2 d~ f (Phone) 651-6:n~~ ~SEVT:w.E Mta (Oty) (phone) 651-633 -2 561 DATE Ct~t\. 1:;1;,' , .... (Zip Code) APPLICANT PLEASE COMPLETE BELOW 1 OfmW CONSTRUCTION 0 REPLACEMENT 0 At TERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RElURN OPENINGS INPUT OUTPUT mE OF S\ 0) l.J:.l.YI HEATING OR POWER PLANT OWIU'Dl Air PllUIJs J Stnm OGra.vity :J HoJ W.. :J MachDnical J ~ladon :lAir Condltioninl J SpOQia/ Deyices JVent. SY!lrcm J 0Ul<< Devices _ FIllEPLACE MAKE AND MODEL ~ A,J. JJ 'f.tJ PLEASE Nu ..~: Air Conditioner Units Cannot Encroadt into R.eqIJ.irecl Side Yard Setbacks 4l- .i3l-& ,; InduSb"l~. Commerc:j..' & MulJl-P'amily Residential. Heating &: AlC (New CanlJtnlction) IUsidcndal, Hearlng Only (New ~nstnl~IDn) FEE S~nJlJ)ULE 1 % of jo~ coSt Residenlja!. ON fj~l~ $39.50 minimum $99.50 ResidentW. Addidons .t. Al[Ct'8.tions $64.'0 Residential, AC Only $39,50 $39.50 539.51} Estimated Cost $ BuJJdhlg Permit ## REA TJ:NG PERMIT FEE STATE SURCHARGE TOTALPERMlT~..JIl, $ $ $ Dale .~tA~!-J3d DN,'O"pn---' HJ.I/VI G i'~'.j' 9 p. IIleceiDlNo. SUI' rf:7,:.~'I~~H . '. APR t 1 2002 -S9",' C.j,,:;jJ~ // (omc:e Vile O,lyl This AppUation Deco...et Your Bldldh.. Perm,t When Approved . Paid Bulld'lII om!!I.' D.r. 24 hour nOllee for all inlpectton. (952) 447-9850, fn (952) 447.4%45 -...-. ... -.. -. ..-... ...,~..,~ ..."..,.,.. CI1Y or PlUII LAD PAGE 14 11I011 10/07/2002 12:00 5 D." .... '-a & I 01' PIUOR LAJCI '.WEIl AND W Aa.- PaDIJT .a.~ ;. ~4 /3/l/d NUet /5 ~ 5- S,.. r ! P&IIMIT NU. /- I d- to / 1 - ~~.... I ! II UOAX. PlSc:aJPnON ,...-., l.OT ILoa A%).,I'&. ..ON rJD iOW)lllJ. . CN--) I I ("I ~.,~) Cfddfd ~ /;;I.JaJ tJ~y Sf I::J.I) (~, . ~)!If;;;:- q~-- 7333 /liKJIlLI/JtJ:a. . ,11M 5S~t{3 ~CIIwl. (Ia. 5eIri , AJlPt,lCAN't i (N....) K & R Contracting, Inc. 3245 Lake Avenue i CA.....) .. New PragUe, MN 56071 I 952.758.6247 I (CoatJe! '-oft) Bt. ~ i AnUCAprfllOl(lt.~..II~~noA~ (PIIaIlt) I I I CC3IrJ _ CattJ (P1lIDM) DATa /nli hlj! ~~ ......." , LI .I ARLICANT PLEAD COMPUTE BELOW liII of~ III'ricC ..JJl.,. i~. . Locadoa of 8fJ CDupliDp from 1W\IICIIft'~ D ... Tn- 01.... pipe. L] AlC j!:PVC 0 c:.. tlU 1.4:. i ..... or_liM Jill. ,-. OdD out (ir~ _wd at ~- 6-.1tNCtIn. ra. SCIID'UU "'ldn~ .......... -w..,"~ ':JUO ~. c:.'t a ..........i1y '" oIJo1t~ _till 1)'.50 ...... s..... :.I:"III"'.~ 11'1.50 w......... fII1Y 117.50 -- ~ Cod I lulldiD. ..mil · IIWO AND WAnl. 'EIMlT ft! S ITA 11L SlJl,ClWlOi S 1'OT~ ....::.lIGT JU S .J2. e~fPAgD ~rrH ~~NG f~ co.. u. 0IlIJ) n... ___... ..... v.... .................. AP.,.w ~ ~._ ....... ".1 , rw ~ .....fI.. gMI "-if . ..- __ (nlJ ..,...... fa. (MIl ..,...,. ........ 01." ... BEPARTMENT O~ BUILDING AND INSPECTION PRIOR LAKE- INSPECTION RECORD SITE ADDRESS /44-;z4- " j)rChk M-'<.-~ K1tlJ. NATURE OF WORK hle.w l )\I\\: \- A~- USE OF BUILDING ~FA - PERMIT NO. (J/ ~ /c:z& I DATEISSUED /tJ-/(g-&c; ( CONTRACTOR ~ PHONEMe - 3~1 .. 31. 7 r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , FOOTING 'f\Aft~ I FOUNDATION (Prior to Backfill) /vwt.,.1 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS \MW,. SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING L\.~. ~ \ J 18'!t>,-, HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ \}a.w, r COVER NO WORK UNTIL ABOVE HAS BElEN SIGNED I - I FINALS ~ /f, \ \ OP&\ ~~~ ~\~ ~\, \. ~~~ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~- ~~...O~ ;2- lb"vC>O? .;1.- 11"o-;z :J." ,~~ 9.-JS-O~ 4, '(5tSi' J t> ':).- v Ii .... '~\ )c~ ~ 0tw1 ~()"ud t1L;2tJb~ OCCUpy UNTIL ABOVE HAS ~EEN ~IGNED NOTICE . 4 Il~)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 shall be placed near main entrance. Call between 8:00 and 9:00 A.'M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 I ~ SCHEDULED / -), "1 04 ~/l~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /442-(.( 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 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~d .I- T'J-u ''J ...- ~ I' /' /"/ I L J ()~ l "--- ~ SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED -..~ 1'1 ) /'--7 Le / ~ 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 cl SAFETY! INSNOn DATE TIME CITY OF PRIOR LAKE INSPECTION NonCE 4-. SCHEDULED 1~{..: ADDRESS / ~4--z-t' d eeRJK./'?67Z6 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: - f\o. t 15 ,., ~\ fk~ r.s - PAeL/ ~IA('L : ~1~~ haJ.a.'I \ - ~~lu- CJ~ .z: .UJ o I - /2ft?3 o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o &'" U l 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. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! ~ ,. '1 i - \ \OlO (?\ / , ~ - -.- - -- ~- -~ -- -- --- --- -..----._. - _.--- .Permit. .Job Address I '{ , .HeatjngConlr8Ct()(HEATM,G ~::Ol}JG TWO .Tester.lSignalure ~ ~ / "G.. Une Pressurized Inspected .Percent CO2 "Percent ~ Final Inspection ~ Q!!! Time PERFORMANCE TEST 790 i9C'1 .Percent CO .Stack Temp. Date . ~ Pounds Pressure , cs:Jh I ...~:t' l , ,', .~.. ];,2:1