HomeMy WebLinkAboutBuilding Permit #01-1291 (2)
White - Building
Canary - Engineering
Pink - Planning
The ('tnter of Ihe I,.k, Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
to ~ S (l xry I::!ill1 F--S
\0-25-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~6r:ffiRS PA5~
AccePtedlw~dorr~~~ ~6/A L- CAGEST
Accepted
Denied ~
Reviewed By.
Comments:
Date:
;1-9- O(
s~~ ~'1It pee
"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."
12/05/2001 12:38 5077445565
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BADGER EXC
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Dee.18. 2001 8:45AM
GENZ RVAN PLUMBING AND HEATING
No.8b~~ ~. on
Date Rec) d
CITY OF pRIOR LAKE PLmvtBING PERMIT
\" ..
1 5.... fil.
~. ClQld City
J. ytllOW A.WJh:~'
[PERMIT NO-61:iZ.q I \
I
zoNING (office use)
I~;~~'-;:~~ ~~~
LEGAL DESCRIPTION (office use only)
LOT5 BLOCK 2> ADDITION Q O~
~w
PID
OWNER
(Name) to\ \1 (~ J
(phone) 9 <;2 - 4lt9t -<.o.qOO
~ \JO
APPLICANT SIGNATURE
(Pbon~)loSI- ~?:YIIULJ
~\ 5~
(City) (Zip Code)
(phone) l OS, -L\1.:~- II L\ L\
PAl'E \
APPLlCAN~. g .
(:::) ~; _~j;~0. Jfl~ TV )-
(Address)
(Contact Person)
I
APPL
Type of Fixture
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)
ASE COMPLETE BELOW
Quantity Type of Fixture
Rough~ins
Water Heater
Water Softner
Stand pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Quantity
,
FEE SCHEDULE
Industrial, Commercial & Multi-fau'lIly 1% of job ~ostwith ll. $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.:50
Estllnated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
, ~~Q:
\?\..
(Offlte Use Only)
This Application Becomes Your Building Permit When App~oved
Paid
:Receipt No.
pate
By
Date
."
"
Building Ollitial
Z4 hour notice for all inspections (952) 447-9850, fax (952) 4474245
8:45AM GENZ RVAN PLUMBING AND HEAT1NG No.8699 p. I ~
CITY OF PRIOR LAKE Date Rec'd
HEATING/~ CONDIDONINGIFIREPLACE PERMIT
I I'lllk
2. Gr.....
3. Yellow
~icon1 t PERMIT NO. Of- , 2.q / \
I
ZONING (otJi(c.u:sc:)
(PIeasetype.m_~~
[ ADDRESS 2
. 153lo L-- , (l ,":--.. _ _ bF-... c::...,
h'\\~J
LEGAL DESCRIPTION (olfice use: cp.ly)
LOT BLOCK ( ADDIUON
__f~~.('yeSI
PID
(Addtess)
(Phone)
CfQ 2-~ U(Pq -1.o9tfD
OWNER Co
(Name) l\P[~ ..
~;;~~ANT bl;L:l2 - {6 )(l.L:L-
(AdAress) I tnuc;- ~ '1t."jd Yl..:J
(Adchcss)
(Contact Pt::rson) \ ~ ~
\lfl ~I
. (phone~?-~- {~~
.{I n " - (~
(City) (Zip Code)
(Phone)
DATE I
AP
TJNEW CONSTRUCTION
FURNACE MAKE AND MODEL t () Jt\. Jf'\.f1.{
FLUE SIZE RE1'l.TRN' OPENINGS
TYPE OF SYSTEM
PLEASE COMPLETE BELOW
o REPLACEMENT 0 ALTERA nONS
G~U: \c.-\. L~ ~ FUEL ~ ~r ~~
INPUT (z c::;.; C5t(2 OUTPUT Jl \..0 t cnrO
I:IEATING OR POWER pLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach. into
Required Side Yard
Setbacks
ti[.Warm Air Plants
OGravity
O. Mechanical
J1&fAir Conditiontng
OValt. System
o Steam
o Hot Watu
o Radiation
o Special DevIces
o .other Devices
FIREPLACE MAKE AND MODEL
ReSlaential, He$tlng & Ale (New Construction)
Residential, Heating Only (New Construction)
F:EE SCHEDULE
1 % of job cost Residential, GIlS Fireplace
$39.50 minimum
$99.50 ReSIdential, Additions & AlteratIons
$64.50 Residential, AC Only
$3950
Industrial, Commercial & Multi-Family
$3950
$3950
Estimated Cost $
Building pennit #
.5 ~\"j\ V\' J)'"
.pv-
HEATING PERMIT FEE
STATE SURCHARGE
'fOTAL PE:RMlT FEE
$
$
$
!iii....
Paid Receipt No.
Date By -
"'
(OOice Use poly)
;lis Application Becomes Your Bllilding Permit When Approved
Building ott'lcial
l>ak
24 hour notIce for all inspections (952) 447-9850, fn (952) 4474245
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
07:50 651 633 8884
#7876 p.003/003
Date Rec'd
~.;.... ~~'oont I!ERMIT NO. 01- / Z q I l
ZONING (i:lfIi~~ llse)
APPI..ICANT PI..EASE COMPJ..ETE B~LOW
EW CONSTRUCTION 0 REPLACEMENT 0 AT.. TERA nONS
FURNACE MAKE AND MODEJ.. FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA'IT.N'G OR POWER PLANT
OWl!tIT1 Air PlanlS 0 Stellm
OOJ"llvjty 0 Hot Water
o MechllllicaJ 0 Rlldiation
DAfr Conditioning 0 Special Devices
OVent. System 0 Other Devices
/55&r-
~. /r.J
LEGAL DESCRIPT1.0N (office use r.mly)
PID
LOT
BLOCK
ADDITION
OWNER
eN ame)
(Phone)
(Address)
APPLICANT
(Name) ALr..U:D FIRESIPE nBA FIRESIDE ComER
(Phone) 651-633-2561
RQS F~V iT ,r.F. MN
(Ci.ty)
651-633-2561
(Phone)
(Add.res:')) ;2700 N. FAIRVIEW AVENUE
(Address)
BRENDA troSTON
(Contact Person)
~
APPLICANT SIGNATURE
DATE
!--IJ-- tJ2
FJ.REPI..ACE MAKE AND MODEL
~
lndustrill.l. Commercial &. Multi-Family
FEE SCHEDULE
1% of job l;O$t Residcntf~I, OIlS Fin;plac:e
$39.50 minimum
$99.50 Re:lidcnt.ial. Additions & Altcre.f.ions
$64.50 Residential, AC Only
Resident,illl. Heating &. AIC (New Constlllc;:t,ion)
R.=siden~ial, Heating Only (New Cnnstfucticn)
EstImated CO:lt S BlJildiTlg Penn it 1* 0/- f 2 c; I
HEA TING PERMIT FEE $
STATE SURCHARGE $ ,so
TOT AI.. PERMIT FEE $
I,Omcf. u~!; Only)
This Application BecomeI' Your BuiJdi,ng Permit When Approved
Paid
Dft!!;
Bu1l411111l omclll'
24 hour notice fnr n/l inspr:r.tll)l'! (951) 447-91156, fRx (9$%) 447..414~
t;l;U3
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
5:39.50
539.50
By
Receipt No.
l ~ ~ M~-t(\11
PRIOR LAKE
INSPECTION RECORD
L5 -13;<; - ~ OJ~
OEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 153& 2-.; }~~ ~~S
NATURE OF WORK fJet0
USE OF BUILDING SF.
PERMIT NO. DATE ISSUED - e - c:; (
CONTRACTOR U PHONE (,,12- c.,es-- 6201
NOTE: THIS IS NOT A PER IT R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTil ABOV
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
III
FINALS
GRADING (Prior to Sodding)
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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, card ..,hall b.:. placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
---
---~-- ~
-
Thf' Crnfrr of Ihr t.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, / i ; t' I ,.
:~ i , L I.- "\:,1 r>
I! '.") ;-'
'I i", I
- L.. ~-
( , 1-"[ \ /
-: I'
I i ( l- i j--:- r
t'l '/ I C-'-)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-; T' F ~' F i<.--- {/ \ /'
Accepted
~
L- 4- I L../ ___'
Accepted With Corrections
, r-- / -' '\' l j I r--T
k () , \ .f/' , .
I- L- "., It "~ t
Denied
9~t~~
Date:
l L 17 /& 1
Reviewed By:
"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."