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Home My WebLink AboutBldg Permit 01-1366 ".... ul '; .f CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign at bv."'m) ADDRESS ~ Blind k4.1 ~ \ Date Rec' d 01 1. White File 2. Pink City 3. Yellow Applicant LEGAL DESCRIPTION (office use only) LOT~ BLOCK/,.- ADDITIONtn: td. ern ~ POY\J OWNER 5 (Name) ,J(J (" / (Address) o Misc. Zn~ . (Phone) .-d' PID625-~-t)I() q~ (Phone) ~ ~ ",,15 (Phone) -hI;t:::- ~ 7 - d.iJ5 (,., o Porch OAddition ORe-Roofing PROJECT COST IV ALUE (excluding land) $ OAlteration ORe-Siding OUtility Connection 1 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 up n the ~ropertY. to,;orm need~ in~ d..O , 30 3 I 2- 1 J - 2-\ -0 ) Signature O/' Contractor's License No. Date v BUILDER I). J) I r - I (Name)~ rrvl!'e5 J 0 C---' (Contact Name) .J OJ)...J _) en h I II ~ 5 - V (Address) I roo c; 6 ~ Y Pcd-h TYPE OF WORK ~ew constructi~ o Deck ~ Level~ 0 Fireplace I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty Plumbing Permit Fee Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ I $ $ $ $ , Si,ooo .Ot') I J ~ IR - ,t.,"\ .a.s9~OL ~ .(!) 0 '''0 ' ~O tOO. 00 .5'J .S-O lfo . CJO Becomes Your Building Permit When Approved li:2'-(J ( Date Park Support Fee SAC I Water Meter SizeQ,,; I"; I Pressure Reducer Sewer/Water Connection Fee Water Tower Fee # # # # I Builder's Deposit Other <f~ TOTAL DUE tml&O 11/1, ~fJ I I Paid II ~ 0 o. II I Date .'? -1.:=L2f $ $ $ $ $ " 'UO."C:> $ ~...l9# $l 0-00 -6('J $'~ $8,1IDO. L/ 85cJ. cgeJ II SO. CJ(P .~ 1 2S"'.d) 't:) ~eCJ Recei9)~ BY~ is to certify that the request m the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document s~ by the ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ., _ ~"2-/61B1 ~ ~U r~~T~ 109 Director Date - Special ConditIons, if any - 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Tht ('tnl.. of Iht tokt Country White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Tr I APPLICATION RECEIVED 11-.::; l() I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /. 1 < r '!" /, ,/,.., L' ,,;L,e/ \. t(- / //,l ":.:/I/(.Q ''''..,L..~ . \,' :,~;)(' '''4.,~,'''',,,.,,,,,,~--(/ 1- "...... '"./t". -' ......, Accepted ~ Accepted With Corrections Denied Reviewed By: ~~~: fl':"~ . Date: / z/r/ e I ? Comments: . . ~.0g~ .~V'eL ~~ ~ Ve\W'~ l~ W~ ~p;l'J r~le;t. ~ ~% (l.Q.- eu.~ 4 -iWtJ~~ ~ veS' a-L~_: 't~t& ~5t~- . , - .... _. - 2-q~ t<__ . - 1--6 ~\tiM ~ ~0~ ! ~,[~ 1.-JA)1 ~ ~~. q.lAdQ 14" ~lM..k. le6~~ LDr::r-lt' ~ ~ ~1 ~ 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. II %~ ~O ~~r Le" - Uvv::> " _,.;.r. , Thf ('fnlf' of lhf bkf Counlry (9 (- I 3~? White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Tefl< /1- ;)--/-0 / ~'I(JyfV2~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /61~9 ~~o ~ I Accepted )< Accepted With Corrections Denied Reviewed By: 1!IfJJ3 Date: 11- :{ f? -0 I '... it.' "", Comments: ~ Reverse Side for Additional Information I . ~SG (AUI-I'c)A wheVl bl'Ctd,'1Ifi Qf(YV",o1 1Y7~fI/,ht',/~. ~ v .. ... O. r: . 5t=t= r\uacnmems: 1) uraoln9 ~Ian, ~) t:roslon (,;ontrol 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." Th. C.n.er of th. !.ok. Country White . Building Canary . Engineering Pink . Planning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST K 'fJ~ :J f //- dI-o / APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 161~~ ~~~ , Accepted Accepted With Corrections A Denied (~/) _ Q Reviewed B~ 1:.-,/.... - Date: -11- 2J-6( Comments: ~. ~a_~,~~ 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." Date Rec'd I. Pink =.. Green J. Yellow ~~;y. I PERMIT NO. (-/31 f Applicant . <<-P P (Please type or print and sign at bottom) , ADDRESS / b I 2- ~ is h,....Q 4~ '\Y, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) t (Phone) b/2- 19 7-.;2bSb /"'I",. - (Address) (Contact Person) icv;'" J S~i.er~ /J (Phone) APPLICANTSIGNATU~E h.d1./} k1J DATE APPLkANT P~EASE COMPLETE BELO\V B'NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL :3-rf... /-l.:.,...,~ (Address) I bO S;-'=- HII-r ""-OA.. , .p~~ APPLICANT (Name~ U: a~J( ~\~ (Phone) 9:5L- (Address) Ibl'Sl (J 1': .:N"" ~ I<- (City) ZONING (officeusel PID qYD - S& 2,0 S:S37Z (Zip Code) '7 ~ z.. - 4 L/ l) ~"''l,. Zl) S/3//0~ FLUE SIZE RETURN OPENINGS INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical OAir Conditioning OVent. System OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL e:J. J/l~ c.f."t.. ~ b IJ .JJ-o ll..{::.iV .1 ~ b () Ilk T J!. f!t1'I Industria!. Commercial & Multi-Family fEE SCHEDULE 1 % of job cost Residential. Gas Fireplace S39.50 minimum S99.5tl Residential. Additions & Alterations S64.50 Residential. AC Only ResiderltiJL Heating & AiC (~ew Constnlction) Reside:Jtial. Heating Only (New Construction) Estimated Cost S Building Permit II HEA TIl\G PER\1TT FEE STATE SURCHARGE TOTAL PER.\'lIT FEE s s s .50 (Office l'se Only) This Application Becomes Your Building Permit When Approved I Paid I Date Building Official Dale II iP J:\ ?nm -- ..:.......""').... 2~ hour notice for all inspections (952) 4~7-9S50, fax (952) 447-~2~5 S39.50 S39.50 S39.50 ,.. PAID V/iT'o' ~UILD:NG p~; . or _ . .... U~'.. Receipt 1\0. By ~ 06/05/2002 10:24 9528911656 AIR MASTERS INC PAGE 02 CITY OF PRIOR LAKE .tI.~A TlNG/ AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd .' ~ s:. EiUftl I PERMIT NOO /- R 0' I ~ m":~taucldp at botlloml . ADPi7LJ~ RkJ Lo..Y.f- -1r/ ~ Lok ZONING (.. use) LEGAL DESCR.1r nON (oftice ~se Dnly) LOT BLOCK ADPmON PID -.- -. ~=R :\.. ~ ~Mes ~, (Mdreos) tJ.,f)') ~ eaJ.h: LU APPUCAN'l' 1\ .. ."" ^ t J - ~ -r:... _ n ~ (Name) ,..,. '" J-.t ~ 1.i!f ~ .yK<.. _' (Phone) ~ ~. -"1/- ~3 cd-- (MAr<")~ {?rJ0/I6!:J.. 4ue. ~ .A ",~/., J.bJIu! ~-S-/}" II ~. ~ (AddRJ9 ~ l (Zip Code) (o,ntactPerson) t::J.IiD...,!..1 !II . (phone) $1. <1M. ~.?U - APPLICANT SIGNATURE ~ '/. DATE .~.,.Li.[ / (Jc.- ./ ~pii~E~E COMPLETE ~ELOW --. ~'\lI:.WCONS~UCTION DREPLACEMBNT DAL'"BRATION~S FURNACE MAKE AND MODEL ~ 3)5 . FUEL h . FLUE SIZE ~ RETURN OPENINGS L.D INPUT ") 5: QJL ') OUTPUT J:J, G" () (J TYPE OF SYSTEM HEATING OR POWER. PLAl' T ~llIrn Air Plants 0 Stea.rn OGravity 0 Hot Water O)t1echanical . 0 Radiation ~-Nr Conditioning 0 Spedal Devices ~ ent. System O.Other DeviccS (Phonl) ~ 31Jk.f" ~ \-r)'fl,; PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbac:ks F~LACE MAKE AND MODEL Industrial. Commercial II: Multi.Faroily FEES"-nA!.DULE I % of job cost Residential, Oas Fireplace 139.50 minimum 599.'0 R..esidential, Additions &. AltLtations $64.50 Residential, AC Only $39.50 539.50 539.'0 Residential, Heating a:. Ale (New Construction) Residential. Headni Only (New Com~truaiQn) Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $, $ s .50 ,... . /)1.1// P~/D r . ~ciP~YG ~l~ By ~/ U. (Omec Use: Only) This AppUcation Becomes Your Building Permit When Approved Paid tluildiag OOidal Oale D~ 5 2002 24 hour notic", for .n Inspedions (952) 447.9850, fax (952) 447-42 15 -.. . ...... ,..LLo. . .~..,. C".., ...... . GIn . II I I i CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: s.w. NQ. _Q) -J:~(p . i! I' I Sewer and \Ioia:~"r contractors ~~'st be rel;liste ed ",i th the Ci)/'. SITE A.DDRESS: PID4f APPLtCAN'I': FI LL IN THE BLAtoIl'S, 1. Esti'mated len9th of '.\ll~tsr serviee_-i () " 2. size of watcar service I Jnc::h (es) . feet. : I . I i' I I : .j i ~ : i , 1. . I' I J . t..ooation of any coupllnqs !rom struc;tur~ feet. Type of se~ar pipe. ABS pvc__~cast Iron . "lI . 5_ Estimated lenqth of ~ewer line ~~ feat. 6. clean out (i t re'1l..1ired), located at ~ s'tructure. feet t p ~rn =~=~=~5=__=~~____~~=~=E~~_~=~=~~~~~=~=~~==~%_=~=e~~~==~==~--~~~~-~: This~cat'on BY ._~ ~~~2=_===-- ~#_E2_~~~E_~~:~&~~*_~_~__~~=~~_da__==*=_E~=~==_C~_I'~~~~ your permit when approved. D/4.'TE: 1 2. --..:J. a - t)J . 'j FEES: $ $ $ 35.00 .50 35.50 Sewer and ~ater line connection per~i~. SUi-charge TOTAL * individually is $20.00 , I .Ph. us Fee for either $ewer or water $ ."i0 surcharge. * sewer and water pe~mi~s i9sue~ fo~ ~eW construction musti: ,be recorded on the bU11d~n, per~lt card at the ti~e of isSUrQce to insure 'that no dupllcate sewer and ~ater permits 'I lire issued - .'. '\1t\ . DATE PAID AMOUNT ~DP~\O~PEH~Jst ~; · ~~\\P~_/ '1-: RECE! PT ff ~_~_.__-_._-_.- R.EC' 0 BY \S!i ---- 1 . -- ---1 . I \6200 Eagle Creck Av. S.E., Prior Lake, MinM,ota 553721 Ph. (612) 447-4230 I FAX (612) ,In.4245 ,An Eqnal OppD"unity Brnpl(lyC'.r . i' ~ 10 39~d 9NI1~^~8X3 NOSNHOr 09ll15~ 50:L0 0~0~/~1/01 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Please type or print and sian at bottom) ADDRESS / (, 7 z. 8 k-/ NO L-;::}-!::6 7J2I;:) / L-- LOT BLOCK LEGAL DESCRIPTION (office use only) ADDITION (Address) ~~:;~ANTS ~~ #- ,)~ 14/r'PI,JwtZ.'-)- (Phone) is-/~ fS-cJ-b'i6'~ (Address) /-;3J-1 !>r.,J(lt:.t.; .1ti~ -IJ1v..uh C?Ji)~ If A ~ {?) '17 , (Ad"s) I (City) (Zip Code) (Contact PetS on) )(10-// /~ ....rh.,. one) 60/- '7? r..,19_V APPLICANTSIGNATU~ ~ DATV 1-/J/#;2.. \ ........,.. ('"'- APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower I Dishwasher ') Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) OWNER (Name) Quantity ~ , , d. , I :.L. , S : IC- ~r1G5 1-31-02- I. Blue File 2. Gold City 3. YeUow Applicant PERMITNO.OI_1312~ ZONING (office use) PID (Phone) Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test I Lawn Sprinkler 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 # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application B.ecomes Your Building Permit When Approved Wt- 1- 51 -02- Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 .' D '/'Jrn-\ .50 t.!~NG PEf\t>J\\1 ~. ~ -nat1_ 31-02-- --- :;~- PRIOR LAKE .. INSPECTION RECORD SITE ADDRESS L( ol281 ~~O_ ~_' '4 ~ , NATURE OF WORK :.JJ~) USE OF BUILDING ~ ~ PERMIT NO. (J / - I % ~ DATE ISSUED CONTRACTOR ~ ~l<' ~ PHONE {,12-9B7-?~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION FOOTING ...JNSPECTOR hi DATE GRADING (Prior to Soc;lding) BUILDING ~\~ itr f('/I.~ ~ ELECTRICAL PLUMBING HEATING I /~/I?/(J/ , . ~ FOUNDATION (Prior to Backfill) V~ ~ lz/ulol I \~ trl~(, PLACE NO CONCRETE UNTIL 'ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC ~ ~ o)IIf ,6-. dJIJ (f) \ FRAMING ~ ~ '~f L. l,., tftr,. \ '4S(o~ INSULATION ~ ~I (() / () -z.. ELECTRICAL VI PLUMBING~ ~ f9r tWdo'z,.. IA.G, Alf~~~.~h5/0:~(,I~'DV HEATING (if required) . , k, ~t. 'th~~,; L.L.-~~{()Isloz, FIREPLACE /.-' (.. . r-: e ~ .t~ )/~!o ~ ~ rfJ), A~ l,/ I L!b-"" GAS LINE AIR TEST ~ C, t, F; f? ~ F f', ~.(?1. ~, ~~ z,- " J ' , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS, ~ ~8 mr tf I, ~ I ~L- { D~ J.{-Cf(r1 DO NOT ~& OCCUpy UNTIL ABO~E NOTICE Ar7)."OV HAS BEEN SIGNED 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 INSPECT1NS (952) 447-9850 . . ......:..:~'j;...\.,;..:.cI'.?~ ~:v...'''';-,. _'," ~,.,' .;.\,': , , "I' . ) "i; ~ '.,- "f~", -O<j.' -'.'''''~-M';'''''f!4 ""~t,i>:', "'~ 1'~>i'1;n '-il"..,. ':<l'''I''W...,~.N':~'-~ '~ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 9-fi-ol- ADDRESS /h TJS 'Bb'~~ Itp_ Tr,. OWNER CONTR. ::r -I K Htf)m-LS PHONE NO. PERMIT NO. (;) I - /3/Jt o FOOTING o FOUNDATION o FRAMING o INSULATION ~FiNAL ...... DS1'tE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL tREXI~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: t:.rw/-t - t?K- (~ .', . . I ; ....- i./ ~ ~. , -f)K. KWORK 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 & SAFETYl INSNOTI ADDRESS /L7X- DATE TIME SCHEDULED f,.. f~-~-/-(~ f;~ ~~ CITY OF PRIOR LAKE INSPECTION NOTICE r OWNER CONTR. PHONE NO. PERMIT NO. I-I 3 ~{; 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 ~LUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: /' ftK SATISFACTORY, PROCEED o CORRECT 10 AND PROCEED o CORR T W , CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/CDntr: v ~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl J/IIS/IIOTl CATE '> TIME "~,.. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED e~ 7/0() ADDRESS l!i1-2A Bi,~ lA.~ ,... { OWNER CONTR. PHONE NO. PERMIT NO. 1- IJC,v o FOOTING o FOUNDATION o FRAMING o INSULATION }i!- FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ;t( MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: J. Sao .\- 'Tb-Dcu\ p~r- dl~ALoOi1~ ~ _tJ. tA'H'''~ ~.: -- ~ ~ ~. L-~~ ~ S;i7 Ui,ADl ~ '\~rb~ 060~ .g~~.'S).c/l(C t;. t\\'^' \<.io CfM. v~"'(4..hOYL. A,~ C(8~ o WORK SATISFACTORY. PROCEED \ ~ORR ION AND PROCEED J\\....COR CT, RK, CALL FOR REINSPECTION BEFORE COVERING Inspecto ' ./ Owner/Contr: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl