HomeMy WebLinkAboutBuilding Permit 02-1554
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
, l\ lo 51 Lv '^-, t-.( . \4: \-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
!?t~NSULA TION
..)UTINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
^( (() (),
~\6~ \fV'-.JL t-~ \ f',
()(C\I'tVl
, .
...--. r\_
~ ~tfO
1
~
TIME
;;). - J &SYJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRfflK' CALL FOR REINSPECTION BEFORE COVERING
InSpectO(f~} Owner/Contr:
CA~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS . /4l.o S\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED // I (g Cl7
1- I .
W~~T~TC.\\ ~
CONTR.
TIME
PERMIT NO.
C),l- /554
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 GAS LINE AIR TST
o
l. \~\V~ $ lOCO,oC) rX- ~ (0 (..) \ \cl~ [DV))~t;-
- .. \
ri2a ~\\^ .$ '5'00 .00 At '.f' ~ exo\ ~ TQJMl')
Q.e.rt,~~ca.J:...- of Cb:.uN~..... '
, G
o WORK SATISFACTORY, PROCEED
l! CORRECT ACTION AND PROCEED
o CORR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ ..,
/ - .11 -(~
ADDRESS
'I -.' I / ( 0
/ 4v::) / l" (, .fc Ie, ' /~ /1;)-{
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
COMMENTS:
ll_",,(c)'cr Dr, ("h,\/ iv,l/ j.,
( t.,
/'1
<., /-i /'-'~
(-.~' = / ~._) '(
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, /
(c. ( (/,f"J
~CRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
../"~
Inspector: {'c/~ ~ ~_.
~-- ---
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J 4 (,5" I (Jkte. W
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2 -15S"cf
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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
COMMENTS:
,. r~~':"'--
I 0
I
A~~
- I'
- ^
(h\~ fh '~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
ADDRESS
/~J/,~)
fd/Lo../e.}
fA Mi\e _' 'b~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'L-(;C);41
o FOOTING .......M.INe RI 0 EXIGRADIFILLlNG
o FOUNDATION ~ 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL x"pLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION . A 0 MECH F1NA.k-ti rfIt
COMME~TS: 1_ ~
r ~::i%~~~~ <{ ?~
12lJ'\A1/ /.. ;' / N . -,
'7 V - '.' ^f).~ ~. ~ _/ ,..101. ./1... ",".
//~ f~. ~,'~~-~
"" ~ yL... ~... ~ . . -A- I _ . II \
I.i/.\. _}~~ IJV\J€X'M
~.., ~rP J2/~ tt LLP~<" . r n - I A )~U Y'Lf).a::'\ l
. <f';'h -' - ~~- - - - .'-
1:f;,1c ~~i'l.~~ f.~~E~
-It::): . 'I..\f~~ C/~ rAli_ t0~tMA
~ 'Jx..r-- r t
~"'fi: 'IJ '1. \~...s'.. -'
. -- '. -
_C" ^
~ ""V/ A./)
M~ 1>. uV\OL/ ,
"
o WORK SATISFACTORY, PR~ --
~RRECT ACTIO~ ~.~:.~ ~~~~~~~16;:::"'~ COVERING
Inspector: ~ - Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I '"2 - 'V' ..() r
q;(c;-
ADDRESS
I lfij"z:;1
kJ~;~ TJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
- /'.....J....,.
..) - {6(V
2 - /'5S-C;
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
..s:PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. (l ~1AAbLUL U&:o~ {l~5
.
'L. D!dA_ '_fY"~
~. f.}L., j'.~,-. ( Aer~
'fl ~ ~~-
~ ec,/.{'I~~~
. ~te;JJ
o WORK SATISFACTORY, PROCEED
-pt. CORRECT ACTION AND PROCEED
o CORRE~!K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1]:/1 Owner!Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE J -'J:)...~o'f
INSPECTION NOTICE SCHEDULED
ADDRESS I t./ Ib 'J-t t.Jk'~ .1, ~ (t\~
OWNER CONTR.
PHONE NO. PERMIT NO. 2 - /ss-i
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
j( FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
!' c..wJ, !:...-uLv : ~~t u'l'f/l bJ: t-D. r;;,. J
C. .~/j ~<t"t7.,^ · thJ-)Jv,.~'/'oJ- P It:I-.~
, .. - I 'i .'
:5 I Ma..""t ~.IA. "t;..,.......~ ~i};a.-L
* 4. ~.IJ,lo.:U. ~c~
*~, Slat i~G-k utd.u- S~ J- ~~I~ .
I' -+.., ~.AA.A a
~~. s.&~K'. 'SU1o-..~ I~
fA ),(~~ ~w cr':F:-p. ~t~
. ""
r'
'\
~
1~ Q ,,~-. 0 to 8 -1-~c;)Q <(
U fO~ 'S2 _ C/C/7- '12. t/~ '
tar ~ IAAW i lAP\. -'- IMm:L..1. ~./
'" lJ
&~ ~""~~ - 9rihn Q.,nt-' "1S.Lr,.1, ~.J
---V' '(
o WORK SATISFACTORY. PROCEED l}o ('J6u.J~;$Sl.AJ2- '"
. U/ ,--- -...j .
o CORRE~T ION AND PROCEED
)< CORREC W~r;() CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1/ <-;l Owner/Contr:
CAL'-~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /1- J 3 -();)
(Please type or print and sign at bottom)
AljMtRESS
j L/-fo51 JJ#17'e TAIl.- tZ /{JL,E
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK to ADDITION k.) \ LOS
~R
efame) C~IS AIMLlA:
~ As.'>CC If\"i C-.'>,
I, White File
2 Pink City
3 Yellow Applicant
PERMIT NO. O~'l55~
ZONING (office use)
-p l{.j)
.
1~I, I. ~
"f"q) 0 ( T l e. ,.)
PID.-JS--;J41-(j(., j- 0
I,.::> L- -
"
~\-
(Phone) tSl -S7t-tdo~7-
(3A:lLE::'; e.1~C-t.C: C/lf!.." LJOc...ot.Sv~-( . fV\"';'> ,s..~I~S-
I
(Address) '3 (p Otf-
BIIIl'DER
(-...) C1tt2-1 s
....'Name)
~ess) '5 &0+
l~WORK
o Mise,
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical,Permit Fee
I Sewer & Wj.iter Permit Fee
I Gas Fireplace Peqnit Fee
AIM.WA { ~iA~~.
I
C-ttt..~ S AI M.uA..
~.A\~'-(' R;o'-1~ ~~
~ew Construction
OLower Level Finish
ODeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
-
/tJ(J,{)O
/tJtJ. 0 "
S~.S-()
41, IJO
This Application Becomes Your Building Permit When Approved
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 pro~rty to?orrr~ needed inspections,
X //C--_<r ..;s<---~' 20111- S II 1 ( ) I> I DL
- .....ii". _~i'ticense No,'..Date'
.(
..,.- dl7dydtJlJ, f)~ I
$ It; bl,Qs.l~
$ li?z.o2.-
$ /3.W. tJ()
$
$
$
$
$
~!/~
Building Official
rz!sld 2/
, ,
Date
I,J (.
(Phone)~51 ) 5 7g----'=f.:,./~1' 7- 7
(Phone) <.oS- r - 3$''5. - t( $ 0 <I ~.
L-->oC' -.0 (~u f- '1
"-
------~
~-~ 1:2 ~
"
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
I Park Support Fee
I SAC
I
I
I City SAC and WAC
Water Tower Fee
I Paid ~ #(1 . 4-7
I Date' IZ-l'Jfn -()2-
I
I
I
I
I
I
I
$ I
$ (/. 4 hO. +11
4 .
Receipt~o. 4J' 4'J; 7 I
By~, I
U
#
$ rs-O. f)O
$ IUO I f) lJ
$1I3()O,o7J
$ 7tJ,tJO
$ /ZOO,()O
$ 70{), eo
$ l'5tJtJ, 00
#
Water Meter Size 5/8"6
Pressure Reducer
#
#
Builder's Deposit
I Other
I TOTAL DUEtJRUED
12.5".02--
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
~~
Planning Director
/d-/!>~Z- .Ju ~ ~
, bate - Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BUILDERS DEPOSIT/TREE DEPOSIT
CITY OF PRIOR LAKE
A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to
insure compliance for a Final Occupancy Permit. A $500.00 Tree Deposit may also be required and will be
refunded if specified trees are preserved.
DATE:
il!I>!C"V
\ :
FROM: CttQ.\ <; J...nv'\l..{~ ~ t>&S"DGI~-rt.S. IJe.
SITE ADDRESS: 14 &>5 J v.J t\ ntl A I L 'e./D'tt. PERMIT #
_~{PDLf-
17 A' L'E'( ~ I tJC1e
Cle...
OZ.-/5~ ~
~ +, zoo8
~~~
~~
~ {f/~500.00
()h, ~ ~.
ROBLEMS. yat&.
REFUND TO BE MAILED TO:
eM-I S
A\lV\uA
W DOD(7;.\J~1
~ ...)
s;t; 1 ~
PLEASE REMEMBER -- TO AV
1. KEEP STREETS CLEAN DURING CONSTRUCTION
2. KEEP EROSION CONTROL IN PLACE
3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE
FORFEITED
SIGNATURE:
~
.......
'"'
'"'
N
N
"'
"'
o
o
"'
~
JLAKELANDJ
CONSTRUCTION FINANCE LLC
860 BLUE GENTIAN ROAD. SUITE 135
EAGAN, MN 55121
WELLS FARGO BANK MINNESOTA. N,A,
WWW.WELLSFARGO.COM
17,1/910
105735
December 06, 2002
PAY TO THE
ORDER OF
C'; ty of PY'; or T..ak.e
,$ $9,460.47
I~
:2
NINE THOUSAND FOUR HUNDRED SIXTY AND 47/100 DOLLARS
DOLLARS
MEMO:
- A II
~~
III ~ 0 5 7 :i Sill I: 0 9ii56(f6'~~g I:'O-~ 9 b 2L.9 7 i.'illl---'-'-"--'-
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2
BY: DEJt. /JIG hi /01
Date: 1;}1 /;-z-
Building Permit #
Site Address: /~~S(
Legal: L /1 B h
PID:
~T4d
Subdivision:
Existing Structure? YES orrt!JY
Zoning:
~.
W~ I~~
Existing Nonconforming Structure? YES o.f"@
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NOT APPLICABLE I FAILS
MEETS CODE
· Front Yard
(setback average if in-fill lot)
· Side Yard
(25' if abutting a street)
· Side Yard
(Easements)
· Rear Yard
(Easments)
· Sidewall exceeding 50 feet required additional
side setback of 2" for every foot over 50' long
· From 100 year flood elevation of Wetland
· From OHW (Prior or Spring Lake)
YES
NO
Requirement
Proposed
25'
'Z-- ~ r
3~ '
10'
10'
25'
Wall over 50'?
30'
75' or setback average of adjacent
structures no less than 50"
Yard Encroachments: NOT ~BLE /
FA1LS::Z--~TS ~
Eaves and Gutters no more than 2 feet m width and
no closer than 5 feet to a lot line (Easements),
NC and other equipment cannot encroach on
interior side yards.
I Lot Coverage (Structures Only)
Significant Trees: ([OT APPLLCARI ,F\; FAILS
MEETS CODE
· Total Caliper Inches
I. Can remove 25% ofT.C.I,
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
I
UTEMPLA TE\3LDGLIST.DOC
30% Maximum
Requirement
Proposed
Y::1
I
I
I
r
I
I
4646 Dakota Street S,E,
Prior Lake, MN 55372-1714
March 24, 2008
Chris Aimua & Associates
3604 Bailey Ridge Circle
Woodbury MN 55123
RE: BP# 02-1554, 14651 White Tail Ridge
Dear Mr. Aimua,
In review of older building permit files. I was discovered there is an open permit for a
new single family house. The permit is open because the property has two driveway
entrances to the street. This is a violation of city code. Please call by April 2, 2008 to set
up a time line to correct the condition. If you do not call to set up the time line for
completion of the project, the City will use the builders deposit submitted at the time of
permit issuance to make necessary corrections for compliance.
Feel free to contact me if you have any questions (952) 447-9853
SrA
Paul Baumgartner
Building Inspector
www.cityofpriorlake.com
Phone 952,447,9800 I Fax 952.447.4245
4646 Dakota Street S.E,
Prior Lake, MN 55372-1714
April 3, 2008
Chris Aimua & Associates
3604 Bailey Ridge Circle
Woodbury MN 55123
RE: BP# 02-1554, 14651 White Tail Ridge
Second Notice
Dear Mr. Aimua,
In review of older building permit files. I was discovered there is an open permit for a
new single family house. The permit is open because the property has two driveway
entrances to the street. This is a violation of city code. Please call by April 12, 2008 to set
up a time line to correct the condition. If you do not call to set up the time line for
completion of the project, the City will use the builders deposit submitted at the time of
permit issuance to make necessary corrections for compliance.
Feel free to contact me if you have any questions (952) 447-9853
KdY
Paul Baumgartn
Building Inspector
www.cityofpriorlake.com
Phone 952,447,9800 I Fax 952,447,4245
~
QIrrtifirtttr of (@rrupttnr\r
CITY OF PRIOR LAKE
~rpllrtmrnt nf ~uilbing Jrnzprrfinn
o Final Permitted yiConditional C.O. Expire~ -I .... 0 c/
f:;,r ~~
This Certificate issued pursuant to the requirements (!{ Section 307 (!f the Uniform Bui ding Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City ()f Prior
Lake regulating building construction or use. For the following:
Occupancy Type
R3
Type Construction
SINGLE FAMILY
VN
Sldg, Permit No,
Fi re Zone
N/A
Zoning District
02-1554
PUD
Use Classification
Legal Description
L11, B6, THE WILDS FIRST ADDITION
Owner of Building
Contractor's Name & AddressCHRIS AIM~, 1604
ROBERT D. HUTCHINS/~J J
BuIlding Official V'
Date: I - ::2.').. (") cI
\
Site Address
14651 WHITE TAIL RIDGE
BAILEY RIDGE CIR., WOODBURY, MN 55125
City Planner
DON RYE
Date:
908.9 Prior Lake
914.4 SDrin!! Lake
909.9 Prior Lake I
915.4 SDrin!! Lake
Must be 1 foot above flood elevation for new
and existing structures. If existing structure
was constructed 9/19/90-11122/97 then
additional foot is not reauired,
Must be flood elevation or
hi!!her
907.9 for Prior Lake
913.4 for SarinQ Lake
Driveway: NOT APPLICABLE I FAILS I
MEETS CODE
. Maximum 'vVidth at orODertV line
. Required Setback
I. Maximum SlaDe
. All parking areas to be paved including R- V or
snaces adiacent to the !!ara!!e
I. Location to match Subdivision !lradin!! Dlan
I Buildin!! Hei!!ht: mfEETS COD~ILS
Shoreland District:<8Q..T ~ PPT J'r .~BU[ /~
FAILS I MEETS CODE
Minimum Lot area (square feet)
Minimum Lot width
I Shoreland Alterations
I Imnervious Surface
BluI~I~Ul' AP:PLf~AILS
M..t.Kl~ CODE
. Setback from Top of Bluff
I. Blufflmnact Zone
I. EnlZineerinlr Certification submined/aooroved
I. GradinlZ in Bluff or Bluff Imoact Zone
I Flood zon~-:~!:1:!V1.u~1 FAILS
lYl.t.l!. S CODE
. 100 Year Flood Elevation
.
Lowest Floor Elevation
.
Proposed Lowest Floor
Elevation
.
Elevations 15 feet from structure
.
Road access must be no more than 2 feet below
ReQulatorv Flood Protection Elevation
Accessory Stru'~ture:CtT5T APPLI,~
FAILS / MEETS CODE
.
Size
Not Located in Front vard (Materials)
Side Yard and Rear Yard Setbacks
I .
I .
7\./f..,";.........ll""'"' r..:r~;rrh+
r:nmnatihl~ ivi~;~;i~ls
L:\TEMPLA TE\BLDGLIST.DOC
Requirement Proposed
24' 18'
5' from side lot line
30' from R-O- Won s' ,vt ('"J .
corner lots
10% 2.. '2% . I
35' Maximum
Requirement
Proposed
7.500 Rio. 7.999 Non-rio
50' Rio, 57.3' Non-riD
30% Maximum
Requirement
Proposed
25' setback from slope
Jess than 18%
20' From Too of Bluff
Bv City En!!ineer
No imDortin!!/exDortin!!
Requirement
Proposed
Req uiremen t
Proposed
832 Sa,Ft. /25% rear vard
j
I
j
(
10'
"I
1,,'
"'; "~~'"-~r';;{t::i'$,..:7~t~,;'~",'-l <t~.,' t ,'-' ,,1~1~; -'1~~-\~-~-~-i'~{-~;;"'J~;,i'~'\;"--1)~.;\..d\:;~':,,;~~~," '~":C>J''" ,\-~~d:'r-.-"" ~~(4)- l ...., ,,~'-_h. '(tl~-" .......'"" ~... ~ ,'" ,-...;,." ,.;( -':: ~ t.)I- ,- 't' ~t,,,,,-.._ ,!,;..-,~..'
'::-.'~
White - Building
Canary - Engineering
Pink - Planning
01., or tho ...kt ('OOolry
.a
it
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~AME OF APPLICANT
\PPLlCATION RECEIVED
(I);r;51t;l11u~
( (-/3 -c:)J.--./
0j- J/SSOG
-he Building, Engineering, and Planning Departments have reviewed the building permit
ipplication for construction activity which is proposed at: . 1)' i /
li/6tJ'/ /1J--tcte ~~ /110~
/
\ccepted
x-
Accepted With Corrections
)enied
~eviewed By:
Mi3
Date:
/ /-~I--{)2-
~omments: See Reverse Side for Addition~lll1formati"~1
See Attachrne~t~. 1) Gr::lc1ine Pl::1n, 2) FrosioD C:ontrol Measures
The issuance or granting of a permit or approval of plans, specifications and
'omputations shall not be construed to be a permit for, or an approval of, any violation of
my of the provisions of this code or of any other ordinance of the jurisdiction. Permits
)resuming to give authority to violate or cancel the provisions of this code or other
)rdinances of the jurisdiction shall not be valid."
!'
Th(' ('('nlff or Iht l,.kr Counlr}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(l)JI~/5 A'~MUtU OJ-,./4ssG'C
-, ;;
(1-/3 -cJd--J
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con;~~57ivitY;IJZ~ ;ql~
{/
Accepted With Corrections /
Accepted
Denied
r
~ ,: / =( ~~ Date: /1 / ;;J-O /1)'2.---
, ,
~~~~,j)~-~
Reviewed By:
Comments:
"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
The Center of 'he tlke Counll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
A"6cepted With Corrections ~
Denied
Reviewed By: ~ MI'-J Date:' ^ /z/:s-;b2..-
Comments: -.d)Je/~6' tcJ/r-GI I ~ /iA-sC"it1e-N'1 I J" (/Wt.../e;es
/.? ' ~ /
f( cS ~tJ ~s 181 t /'rv iF EV e?L. me ;l'ea:::a:J i'J F
, J
~~~ ce=~t;;-,Jr ir ~tt;~t;7J,
\'~
"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."
I>
CITY OF PRIOR LAKE '
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS /J ~?
14lPSJ J-/itLE lI1i{ r)/ot!L
I. Pink
2. Green
3, Yellow
~~~, I PERMIT NO. 'I - /5 S' u
Applicant (7)-,
I ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~e~R f! '~/vU1 .f1f m?'. f1r (r)LtI< ~d) (Phone) tS/. 3 jf..L;SfJ4
(Add,es,) :;t,otf f3A/<(!Lf (?"o~efJ.iu<~-tJ/)u~J;;A1. $}/.flS;-
~~:;~~ANT y? Jt~. fA) lk:J11. n IlLl (Phone) l/;l X 1 s: bff.1
4t ~ (}- Uatitt;P pllKl )nlJ( r jJ1J 5~'1(}1
1'1 (Addressy L I (City) (Zip Code)
(Contact Person) V{h1)J. hJ~dl1.lL (Phone) tl;;1.-f;l)'6f&'7
APPLICANT SIGNATURE ' ., ~/ .rJ)' ~..-:":''''/ DATE /. ~",43
/ APPLICA~T PLEAS~MPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODELJ M.I'H)vrtI(JfAi~l~ FUEL #Af&J
FLUESIZE ~"fVt. RETURN OPENINGS INPUT 11::~ OUTPUT 1'~~
TYPE OF SYSTEM REA TING OR POWER PLANT
, , [LJWil~n Air Plants 0 Steam
I:jGywity 0 Hot Water
~./C:hanical 0 Radiation
~ir Conditioning 0 Special Devices
OVent. System 0 Other Devices
(Address)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Mul.ti-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
\
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Buildin frWt_= i(# i r; ill
V I .. '" LC,.~
HEATING PERMIT FEE $- . ~--JA..N 'Wnn, r '
STATE SURCHARGE $ . .50 ' ..-!
TOTAL PERMIT FEE $
(0;::, U~~:;::tion B<com., Yon, Bndd;ng P"m;' When App,oved - 5::,: ~ ~:~ ~ ?::~; No.
Building Official Date LJ
24 hour notice for all inspections (952) 447-9850, fl8~~) ti11~"~_5-_:~-.::::::::::;____.::::__J
Estimated Cost $
(~
J
~j IY U~ ~~JOR _AVE
'::':,~4dld"'~,l'::.
@001/001
r-'. ~:'~:
01/29/03 WED 09:34 FAX
J HI~-~ r'-,,:I:1~.j Idf::: j.~
~)
""/J\I"'ESO~"
D:J.re Rec'd
CITY OF PRIOR LAKE PLUMBIKG PERMIT
I dJ>oIt ~l\O: I PERMIT NO V
'. Gel. e;er I ,/' .,' CC
J \{cIJ~'" ....'PI;C.;II'H A - (~J -
(Please :,,,e or pnnt wd tl;:n It bOClom)
ADDRESS
i lONll-IG (o~cc ""<J
I
I
h-i ('1 5'1
lu~Cr~ r/Q;t.
I LEGAL DESCRlPTlON (office use only)
LOT
BLOCK
ADD!1'ION
PID
OWNER
(Name) C"""'y-,\'-I( 'A \M'--'--1", ~ D.C'C'^ r.J.t!:p, .' T... Ii" (Phone)
(Address)3~oL!- iSa ~L~,! ~'-\j~ ('[\Il;..l-f Luf"\"~ \r-,tJ\-;J j M ~ 5'S(;;).~
APPLICA\'l'T (.::).
(Name) h..aVl-.Sf.",,-rL"'~\"-J.'J_::r.N<'" (Phone) I')l,~ Ll~~- f)bg()
(Address) 'SO&) ~ )~~ \\l\. L\o.. ~J u) n't,.I~N\e_ tv' \'oJ
I (Address) (City)
! (Contac: Pwon) ~ l~"- "(\J e..\ ll~ (phone) ~ (0'3
I APPLICANTSIGNATiJ~:Q~\ry)~~ DATE ~,~~~- 01
Quantity
3
l
I
S
/
I
L
q
t)~'3.11l/
(Zip Code)'
LJ"d-fJ, II b~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compClrtment sink
I Shower Stall
I Sink"
Bar Sink
Water Closet (Toikt)
quantity
~
I
Type of Fixture I
Rough-ins S"t,-t>l' 'n l. ,.d:-o- cLo\rA- ..I.l~
I Water Heater 'h -,'
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other Lu..o.,.:---.. \'!..,,-{ J t.('.p TY\(M ~_ l,....J. i
(0 ~\'j) d. C~~\:..... ~\lCoC'~
<;4.",\, lfu.'eV\(:' C~~L,.r.~ ~ \:A<;('02Qj
R.csiden:ial. New One & Two-Family S99,3D
Re~identi.1.1. Additiuns & Alterations S39,SO
1.
6
FEE SCHEDULE
Industrial. Commerci.1.1 & Multi-t-amily ['% of.JO:l cost wim a SBjO minjmum
(Orfice Us~ Only)
E3timaled Cost SR,. (J 5' I. 6~
Building PeTTllit ::
PLUMBING PER..\t1IT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE S
,50
"T'
Thi, Applka"on S",,,,., You, Suild',,~ Poem" Who, APpea"'d: i llin~l~ ~n~ 0 \lJ~'~";~n
Euildinl; Ollicial D'l~ l J,^J~ ~ 0 1.1lO..3 I (_ tl~_
2.~ hour nc.nc~ for all i"~pe~t'u"s (952) Jd. 7-\18 ,fa:>.: (~5'.) "'47-~~4S L-/ ,]
16200 E.:l~le Cr~ck A\I~, S.E., Prillr L~ke ~V.. 55372- \ 714
;I)TAL P. 03
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /L(05/ WH/lc TA/e- ,ei/)6~
NATURE OF WORK NEW ra7>-/~r/2-lAcT1tJ,:)
USE OF BUILDING ..\: F:;- D,
PERMIT NO. 02- /.554- DATE ISSUED /1//9/0 v
t" I r
CONTRACTOR .t:LfJeIS .4L/YlvA ~~dCtA'c\J~HONE.b5Y-<7?-~t.."j'''i'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~C~R
fJ
t.
J FOUNDATION (Prior to Backfill)t1f~ I fbr lZ/I?/6l- I,P/~ '/~eo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
f/L> /:?-~o
Stf
S', 9"
FOOTING
SEWER I WATER I SEPTIC
FRAMING (' ~1/Ll.S1EW\.~
INSULATION
ELECTRICAL
PLUMBING U{Sv(.\ l foP). l-1'VCI5
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DEPARTMENT OF
BUILDING AND INSPECTION
IflJ5
vt(/ 0&" s -K 6'l-,J//f:
"...~
fV$-~jf
DATE
I lL.vr~./ n./
"3- I~
8 /t~ 1153
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
;Jfucco / LA-THF I ~/J - ?-<r I
I FINALS
Nfl
()JC f/b A
~. /2-
. /
7/3//011
\\ ,4}? I
* oj
8-f'l/
BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING'::;~ ~ I; - t-of
ELECTRICAL
PLUMBING
HEATING
)- DO NOT OCCUpy UNTIL ABOVE HAS
~ j NOTICE
I _~ This card must be posted near an electrical service cabinet prior to rough-in inspections
~""'D.. \1 and maintained until all inspections have been approved. On buildings and additions
l " where no service cabinet is available, card shall be placed near main entrance.
ItJ('
FOR ..~,LL INSPECTIONS (952) 447-9850