HomeMy WebLinkAboutBuilding Permit 03-0466
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
ADDRESS c;<; I 2....
SCHEDULED (0- (-.j. ei)
LU <!:W..R... 0\ lr9r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )1lSULA TION
,J!f FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ - 4('y
.3 I.~ C
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o liASlfiE AIR TST
)9~t-
,''5
c;k' ~
c fosJ
/
~RK SATISFACTORY. PROCEED
o CORRECT ACTIO AND PROCEED
o CORREC . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""---"-'''--'' -~-.__.--- - .--.---.-.- .'.-..------.-------. -- ..-.--------- ..-------..",-----~.-. ,',- -, __ ______.__'_H.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
16.'JaJ
ADDRESS 33/2 WC3cd 'PI/c.-K- p/,.
OWNER CONTR. I/C. Ho(V!(5
PHONE NO. PERMIT NO. (;) 3 - 'fG f
o FOOTING
o FOUNDATION
o FRAMING
~~:~TION
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
[, lI/h
Br, /- .
.
"
'-
(J(( Ii) ~d
I /1105
X. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINsPECTION BEFORE COVERING
Inspector$~ OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYr
""""'''
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
? b(Z-
OWNER
. IDATY
'~~ 1j11!n3
~ ]c..-\C:-
TIME
I();-~
CONTR.
PHONE NO.
PERMIT NO.
C)g-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
bLFINAL
r 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TsT
o
COMMENTS:
(. f,./VA<-{PM./ler {~
1-- Soo ~L~ 'f'c9L-~~~
~. t1fA(Nr,...u--..l ~fP\-..J ~L..-
o WORK SATISFACTORY, PROCEED
6CORRECT ACT ND ROCEED
o CORRECT EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
~ -;2-03 J()'3l>
LJ<'>Ar~ 'DLlC.~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J' 'S I ~
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
.ll'..PLUMBING FINAL
o MECH FINAL
~TS:
1 T""'\A..J..
fnc>~ ~y
I i e9...
-
DATE TIME
s-q(<<,
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TsT
o
2.5LcuN
':0~ .n
I
o WORK SATISFACTORY, PROCEED
roRREC ACTION AND PROCEED
o CORR T RK, CALL FOR REINsPECTION BEFORE COVERING
Owner/Contr:
CA 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
u<tNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
--"._--------_._~---,---~,-_. -._.' ,,'.--..-.--,.--,-.--
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1./-1-63
Please e or rint and si at bottom
~i~:' ~::, I PERMIT NO. 03-0/1/ /'. I
Yellow Applicant ~((1
ADDRESS
33 I,;}' !-00cd
o~,~ ~c D.lu~
ZONING (office",")
PUG
LEGAL DESCRIPTION (office use only)
LOT ):)BLOCK
ADDITION 1\",-9 W'
tcl S 5,d
PID ,5- 33')- ooto-
OWNER
(Name)
<; A fYl c;-
(Phone)
(Address)
~~~)ER 17 c. +f (,) yY'-0 S It-L-
(Contact Name) J ~:--O l ~ l <)"" V"r---- L., V\ \1
(Address) \:, ';"' 0 \ 6. l )<-VI-'\ L--\..j Dc...
(Phone) 7&
+-0 -<'\ /Y\ U
TYPE OF WORK
New Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 t for the above-mention d property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte plan. I am aware that the ildin 0 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u on th roperty to perform ne r" \
X OJ".-\-id L(/7/CJ~
Dale
Contractor's License No.
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8' ; .
.
State Surcharge $ Pressure Reducer
Penalty $ City SAC and WAC
Plumbing Permit Fee $ 00,00 Water Tower Fee
Mechanical Permit Fee $ 100,0 (l Builder's Deposit
Sewer & Water Permit Fee $ .3$:50 Other
Gas Fireplace Permit Fee $ (J, (J CI TOTAL DUE
Building Official
ill? ::'3
ate
#
#
.00
#
#
tJo.oo
70.00
2.00. ~ 0
700.06
SOO.OO
~
This Application Becomes Your Building Permit When Approved
,
?~/-'
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
iSS~ 7dzf-l
Planning Director
~;i3
,(J~ ~~.
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
Th~ ('~nlft" af III~ 1...1t~ CCNlnfry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
,
. . ),
NAME OF APPLICANT 7~/L ~i.;-r:.'/7J1J2c/ ~:J; ;~!<!" '
APPLICATION RECEIVED 1.;- 7-. c) :3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~-,..'\
~j 3 / cl. - ,:~::,,{~;;;() (:1. 1:,,:"-)<../-f].t~'J L /1.-(/ycC
Accepted )(
Denied
Accepted With Corrections
Reviewed By:
1J148
Date: L.J -21-0 J
Comments: Spp Reverse Side for Additional Information!
See Attachments: I) Grading Plan. 2) Erosion Control Measures
"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
r Pink - Plannln!L/
Tht Crntnof thr L.kr("ounll'}'
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:
-<: -: /,j-......--
I
J' /
-_..-I
, ,
Accepted
Accepted With Corrections
.......--
Denied
~ -7~ Date: 1//7~.7
~~~~
~~
P'
Reviewed By:
Comments: A. e.
AtJ..H-~':"/JLJ.
"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."
~~
Thr('fnlrroflhrl.ab('oUnll")'
qhite - Buildinv
anary - t:nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
T/~ ~~~,
APPLICATION RECEIVED Lf- 7- 0 (3
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
33/;),- u.JJdd J...~ I()A~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~
K~ o-L-(
~;z., Date: ~ ? A7
~~
i~,
.
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,"
ron.
Dale Ru'd
CIIT OF PRIOR LAKE PLUMBING PERMIT
~~~~:':"~7
I ~~;S: () ]) lA P I(
I. .IM )"11,
J 0eY (LIV
3 T._ Appi1~
I PER."1l1 NO. 3-1/ b~
l
r ZONING t'" ute) I
~. -PP;O~
I
~f1k
I..EGAL DESClUPTlON '0_ UI< O!I!y)
LOT ZO BLOCK
ADDITION
,I?,f}
PID
I. ::.~ ~ 1<~::: .. . . ...., 7~~~~/<l4if
. (AddRu) --5tJ/______J..JJ 1.) I PI4,/-k~,. In,.) _ __2:_
APPLlc.QlT
(Name) }./{.[flON 'I- ~OGl.?C. =x,PL (ptlone) ?fJ:1-^ltl7-Z3ZI
(Addles.) Z/:z.f.., ~4 Avrz' AJ AAJ{)i<!~ .s-S-';O!3
(Acid.....) (City) (Zip Code)
(ContAct Persor.)~ (Phone)
APPLlCANTSIONATURE r ~~ K~
OATH
ua. lily
2.
:J;.t.re
ae ne
Ht
IlU SCH1:DUU:
Indu...IoI, C.mmm:blA. Multi.famlly 1% .fJob c... with I $39.l0 minimum
Raidmtill, Ncw One a T'NowFunl1y '99.50
IWldm'l.I, Adclldons A. All_icm SJ9.'O
Earinlll.d Co.l S
eull<linc Pmnit_
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FU S
.50
hiltlll. 0Inc1aI
Dn.
10111.. U.. 0lIly)
Thil AppliCAtion B..O.... Your Bulld181 P....lt Wh.. Approved
14 bou. ootle. for 11I1.'pedi... (951) 441-9
By
00/01/00 WED 11:44 FAX 6124474Z4>
........J,.... ..... ... n__n -.--
_....
nu.CIW . Am.1CMr
ClOUl . l:lTT
CITY OF P~IOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.W. No. ~ .-[( & b
sewer and Water
contraotors must
be registered
with the city.
SITE ,DDRESS: .3:? \'2. UJooct h1.cx.l)'( PIO'
FILL IN THE BLANKS
PHONE: 7&!J'Y2-7.QI01
OAT~: :5/1:5/(93
APPLJ: :ANT:
ADDRF.:S:
SIGN~I ~RE:
BLDG. PERMIT t
1.
I: ,t:.imated length of water service
50'
feet.
2. Ei.,z. of water service
(
inch(e!I) .
4.
5.
I. .cation of any couplings from structure feet.
'1' 'pe of sewer pipe. 1\85_ PVC V Cast Iron_
<0'
S 'timated length of sewer line v faat.
J.
6. C .ean out (if required). located at
s. .ructure.
fQet
from
~ft~~_ 1=~~~=sm~~__~D=~=~~~~~~===~_~~~~~==~_~~~enE=~~-_O.D_CC=~~===
This ~plication becomes your permit when approved.
BY___. DATE:
S~___ .=~~zaa~~~======~~E~~C===~~~~~=~~~~=~_~~~__CD---~=====~~~~
FEES:
$
$
$
3S.00
.SO
3S.50
Sewer and water line connection permit.
surcharge
TOTAL
it F! e for either sewer or water individually is M1.5lll plus
$: . 50 surcharge.
;:,~,:,.I ~,~J.~.",', ,"
\"!\I,,,.,1 "",...'
. i/11,'~ ~~~':' ",'~' r
S; wer and water p~rmit6 issued for .new construction must be
r. corded on the building permit card at the time of issuance
t. insure that no dupli~ate ,. and water pertllits are
i: sued .; ~ (0 ~ll l~] .~ \1 Ii PAID
"~::, :': i~' MAY 211003 ~":AIDRI"'1-~
By_ =
16200 Bagl CreekAv. S.E., Prior Lak.o. Minnesota 5~3721 Ph. (612) 447-4230 I FAX (612) 447-4245
,. ,"'., ., ,An Equal Opportunity Employer
*
!",..:"{,, :
~t~\r~ll<tl.<,\,;"
{IWj'-';:I.;:!'I"::,'_:)
07/01'03 09:38 FAX 7635530887 GUYERS BUILDERS SUPPLY
CITY OF PRIOR LAKE
REA rING/AIR CONDITIONING/FIREPLACE PERMIT
IiiI 001
Date Rec'd
I. Pink
2,Gften
J Y.JIftul
?~.... ~:Rl\-nT NO. "3 -(j f.a bl
I ~~~;~e~Si""'::J Dvcv Dr
ZONrnG (officeusc)
]
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I=' Ilc \:'v, [de('~
. (Address)
(phone) _
APPLICANT ';-- .
(Name) (-. U ,) e,\' s r- I {' c. ~ L,.. t -e
(Addr<ss) 1 "::;'-1 b S / .:5 TI~ .A u e
(Addres,)
(Contact Person) [) e7"Y'-.
APPLICANT SIGNATIJRE '0
(Phone)
p {'/ r1?wfh. 55 '{'I (
(0<)') (Zip Code)
(Phone) )63> -(/1'l-'11,6 ~
DATE ~ho
~NEW CONSTRUCTION o REPLACEMENT o ALTEFATlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
oWann Air Plants o Stcam PLEASE NOTE:
Dei"" il)' o Hot Water Air Conditioner UnitS
o Mechanical o Rodi",ion Cannot Encroach into
. OAi.r Conditioning o Special Devices Required Side Yard
oVen1. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL /V10/le.S~W\ ~~O ~J1/3~
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercial &: Multi-P"",ily
FEE SCHEPULE
I % of job cost Rc.sidontiaJ, Gas fireplace
$39.50 minImum
$99.50 Residential. Additions & AltcIatbns
$64.50 Residential, AC Only
S3950
Residential. Hearing & Ale (New Construction)
Residential. Heating Only (N~ Construction)
$39.50
S39.50
Estimoted Cost $
Building Pennit #
.50
8Uf1...PAID "YrrH
DING P~FlMrr
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERL)1]T FEE
Buildin~ Official
Datt
Co n. Receipt No.
,
I
U By
(OtTi~l!: l,J.sc Only)
This Application Becomes Your Building Permit When Approved
24 hour noti.:I!' for all inspections (952) 44 5..O.Ja.U9Sl) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 5312- \JooD buc."-. :PR..
NATURE OF WORK ~ t"~~
USE OF BUILDING .
PERMIT NO. 0 DATE ISSUED I
CONTRACTOR OAt . PHONE~C(
NOTE: THIS IS N T A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
INSP~CTOIjI
s-h /03
,
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
~~/LATIIE Jflit7:S7llJj- t?~/ I
, , FINALS
tUL
.2~'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
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 shall be placed near main entrance.
I -I
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850