HomeMy WebLinkAboutBuilding Permit 02-0198 - Alterations
DATE TIME
CITY OF PRIOR LAKE , /. /
INSPECTION NOTICE SCHEDULED..2 /..Z/ d,
/ /
ADDRESS 5b7C/ ~;-~~Pz ~~ ~/
OWNER CONTR.
PHONE NO.
PERMIT NO.
..:2 -/7'?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
../ / '2 ~ .
7%.~ hpUJ"~ ~;,~ ~-e~n C6'...~kk~/
'" ,,/,,/, /~. c- //
/~~rJ . r' - //h~__ p/"'~~,Y-
~ 4q':?S"7 /
" .
/'
I
/"'? /-
~
~
1
// /,0 /
~
A
r- /
~
( (. /o..f-e //7/--3
~FACTORy.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!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6t.<J 70
(Please type or orint ;md sign at bottom)
ADDRESS
I~
F/I/ R... L-/J IV tV
I. White File
2 Pink City
J . Yellow Applicant
sit O/U:::, S
Date Rec' d
2-20-02-
PERMIT NO. 0 2-.- \ '\t)
ZONING (office use)
Ie- / Q::J
LEGAL DES~RIPTION (office use only)
32-133
LOT BLOCK ADDITION fII//?-&I7W/'J Stt01265
PID ZS -031 - 0/4--0
OWNER
(Name)
(Address)
(Phone)
,
'-j JVv, (LI!lti.
i.ti.~ame) ~ 0 I~
iA4dtess)
1? Vi"lied-]
.S;.,..; It l- V ~
(p I; - j,) 1- 170 '?
,.~ne)
(Phone)
tf't.<J 0/7 / 11/ e:i/ 0 A./
B9'o/ L V/l/O~G" AVe. s..
, ,
TYPE OF WORK
~S42-0
o Misc.
o New Construction
ODeck o Porch ORe-Roofing ORe-Siding
o Fireplace OAddition ~lteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ 4'-0,000. 00
,
OLower Level Finish
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 ro~erty to perf~r~ needed inspections.
x
Ht -:Iv J- '1 i'1,.} "3
Contractor's License No.
Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Pennit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
I $
i $
I $
I $
i $
I $
i $
i $
" 0 , OCO . C!:lO
5'1~, 75
3~~ .71
20 ,00
qo.OO
iJ JrJition Becorrys Your Building PermIt When Approved
(-r!r~/1 A-- ;)-:;).7 ~oa
. BuildA' Official Date
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
95 r- -C;-/-
...:3 - {.,- tJ 2-
'7/lov
..~ /; (" /0)
~~~;i'
# 1$
# ' $
I
'$
I
, $
I
# ' $
I
# ' $
I
, $
I
, $
I
1fti: 4t::)C;,~4 I
I ReceiP. . ~ /Jld7~
IBy A L
/
This is to certify that the request in the above application and accompanying documents is in accordance with the CiIy Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constiIutes a Iemporary Certificate of Zoning compliance and allows construcIion to commence. Before occupancy, a Certificate of Occupancy must be
;~ "'~--:r ~AA/ 'd2R,It~2/ L~/~O Cd'v'\&v'\mv.c.
Pia mmg Diredfur' , y , " Datet -, Special CondiIions. if any _
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
UD
rh~ C~nft'r of th~ Lak~ Countf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --t:.UG L I/\JB 6UI LJ) r;rs
APPLICATION RECEIVED Z - 7-0 -" 02--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~ 'i 0 ;::-;q / /2?/J t/v;J _SfftJ~_~ //2~
Accepted
Accepted With Corrections-<
Denied . . _ ,J "
;//,Z: /,
. / /i ~~
ReViewed By: \ 1:: i /: _/-;f/
V /
Date: :S' - /-0 2_
Comments:
L)pdJp,-Z3
. tM
r" J..
-'(/i'jJ~ c., () D .
I I /"
S'. --f.-, ) () ;jf~,f,_._ 0 c- 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."
~~
~~
White - Building
Canary - Engineering
Pink - Planning
rht" ('("nler- of IhE' Lakr Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
---T-. .."..
: 'I L
,I ,\ ,..
l r-- './ ;;:'
it\. }',~"
1 'v \...'
r ; j I r \ ...
t..,' \...1 , t .,> .// (
,I
J,'- /'
j i.........",
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-I
'//
) :' !
/ II,..
... / /\./' '. . ! I_~l
-t"/ .,./
......-
Accepted
~....._-"
Accepted With Corrections
Denied .1
Reviewed BY~-fJ~~-7 Date: '2 /~/' /3?-
1'h,~ ~~ 7VL'i~ If)<>-l~
e.Kt~~ '3\14-9"'~€-~j ~
6tt<WI . -:J5~fqJDLy- W?:JQ~cr
- ,
"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."
14:52 651 633 8884 FIRESIDE CORNER
LTl X U~ rl~.U~ .I.J^~ #2314 P. DD2L.DD2.
BRA TINGI AIR CONDITIONING/lfu<EPLACE PERMIT .:3 -/2 -0 Z-
.
I. I'ln~
~. 0.-
" VoI'-
al<lIItt I PERMIT NO. 02- 0226 .
ZONING [office 115'-)
R 1St]
~ (Please MJe 91 vrmt lIDd silZD ~t. bo=='
ADDRESS
5'='70 ~tu)~ ..~.I-l1-.8l~
LEGAL DESCRu:" liON (offic:r: use cnJy)
3;;;.c/ 33 =z . flL . ('0. )
LOT BLOCK ADDITION a" .-1/J,/"Lt-W UL/' c~
PLO ,~5 -O~)- 0 I J-t-6
OWNER
eN ame)
( j';" {; u,." ""
, (Phone)_
(Address)
APPLICANT
(Name) AT..LIED FI~SIDE DBA FIRESIDE COMER'
(Phone) 6S1-633-2~1
(Address) _;2 700 N. F.r-.IRV1:F.:W AV:E.'N11.E
(Address)
(,... P ) BRENDA HOSTON
, ,_ontact erson .--.
APPLICANT SIGNATURE L6~-aJ:L
4.1._hc
l1QSl=:VILLE MN
(City)
. (Phone) 651-633-2561
DA1"E
r;=;',~
(Zip Code)
,-
-" -
APPLICANT PLEASE COMPLETE BELOW
EffNEW CONSTRUCTIC?N [J REPI..ACEMEN"l' 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SY;:, J..r:..L'd REA'T!NG OR POWER. PLANT
DWorm Air Plants 0 Sttll.ll'1.
fT' DOl'II.vity 0 Hot WarN
O . ~ 0 Mechanical 0 ~diltion
~\ , JAir Conditioning 0 Special Oev;c;es
:JVl:I'IL S)'S1:em , ) 0 Other D&:vicC::l .
(2 fIREPLACE MAKE AND MODEJ.. W~ ;J ~t... Ar- ~fYU~ >c ~
FEE SCHEDULE
1 % of Job eost R.esfdentlal. Gas f'jn:pJ8."
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Enc;roach into
~qJ1ired Side Yard
Setbseks
$39.50
lndustrirsJ. Commercial & Multi.Famlly
Rc~jdentjuI. Heating &. Ale (New COnSTl1J.c:tion)
RcsidentiElI. Heating Only (New Con!lltlJetion)
Resldent.tllJ. Additions IJ:. Al~ons
Residtntial, AC Only
$39.50
$39.50
ElStimaf,ed Cost $
Building PerttJft # () 2- - 0 zze,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
3'1.50
.50
4-0()O
(OffiCiIlllse Only)
This AppUcation Becomes You, Build.ing Permit When Approved
f}f)(!J:- 3 -12/0 z-.
B..II~f"l orne',,' Dote
Paid 4- d
G.O
Date
3./2-0L
I Rccei'4-jZ-q~
IBY~
24 'Iollr notice for ~" lnll(HIlltions (!J!Z) 447-98!O, fll:lC (9!2) 447...4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
3-/-'02-
(Please type or print and simt at bottom)
ADDRESS
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO. 0 2-~ l't f$
Sh70 M/I2-U1WA/ ~1I()/2&S
ZONING (office use)
~/s..o
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZI)'-tJ3/- ~/4-1J
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) W~L.O PLl,((Vl e; (N~ (Phone) 11:, 3-L{7S-()dqb
(Address) 3JlS ,JUN~ftU '-N lOImOCATtf MN
(Address) . (City) (Zip Code)
(Contact Person) () 0 tv vJ ~ LO . _ (Phone) ~ Ia... - dd.' -47 I 'f
APPLICANT SIGNATURE v~/fJ;M DATE ?l/( loa . ,
, FutL I3Arft ,~/tf f3I.trtf- APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture Quantity
I Bath Tub with or without shower
I I Dishwasher
I I Floor Drain
I I Lavatory (Bathroom Sink)
I I Laundry Tray (lor 2 compartment sink
I I Shower Stall
I I Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I 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 $
f. Il\.iOwrrH..,.
. PI" ""G pE.F,;~.' I
~b'
\:--- .
(Office Use Only)
This Applica:~J ~e/f)fes Your Building Permit When Approved
1Uf/ Y::r ~ ~ I ~ (J 7..-
Building Official Date
~
Date
'?-- }-0"'2..----
:1J(jiJ
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECtiON
Gnc,c. p~~
() .
SITE ADDRESS 5(,/7D &:c..law"1 ~.,-' I r-
NATURE OF WORK ~~lbr A-/k-rrJ:,'r:JV1
USE OF BUILDING --.SFC'\
PERMIT NO. 02.- ,qS DATE ISSUED 9.-~-C9-...
CONTRACTOR J t"(Je..I~~~ PHONE-"c,~d2-~~\-?:1t13
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
. 3/ r / (JZ If;;;. 3/;.$/0 ~
i 4. 3!/ S /D'Z'
I /
I 3/sltJ V
I j/tlo;!;
I I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
INSPECTOR
p~ w/c.
f~
.
/j;r
J
a$.;r, 3/ / 1/0'2-
FRAMING
INSULATION
ELECTRICAL
PLUMBING vJl ~_
HEATING (if required) ~+. ~
~
I~
)
,
~
, BUILDING
:LECTRICAL
'LUMBING
. ATING
DO NOT
DATE
/
Y-/z/tJ ,
"Is card must be posted near an electrical service cabinet prior to rough.in inspections
d maintained until all Inspections have been approved. On buildings and additions
're 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