HomeMy WebLinkAboutBuillding Permit 01-0676
CITY OF PRIOR LAKE BUILDING PERMIT, ;4ate Re 'd
TEMPORARY CERTIFICATE OF WNlNG COMPLIANCE
AND UTILITY CONNECTION PERMIT ~" J l /
I. W",,, F;I, I PERMIT NO.
2. Pink City
3_ Yellow Applicant
(Please lVD!: or urint and sien at bottom)
ADDRESS 'A .
3SSb k"~e(.. ~ ~ tVlA.J
n . : ,,--' j.......~ _ . . /YI1l} .r...-~ '7""
r _ _ 4'" I. ~. - - _,
LEGAL DESCRIPTION (office use only)
LOT-S-BLOCK Y ADDITION ",. I O.J ,,) ,CA
,
,
PIDZ5~:376 -a3'--O
OWNER
(Name)
(Address)
WINDWOOD HOMES
14311 Ewlr:1g AVE'. E., E:.'ite 2DC
~;;,'n3'Vj,"8, f-At\' :;xva
_ (Phone) ~:l-~c..--ffl{l.J.~
, BUILDER
(Name)
(Address)
(Phone)
TYPE OF WORK ~New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
I
o Misc.
PROJECT COST IV ALUE (excluding land) $ JS:~ [),t)7)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge troe 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 up. on the '.'r-..)' to petform needed inspecti~nJ ' l
x/)~~?;-~ ~~~.A) '1 )Q') , ~J /01
- SignatQfe/ Contra~se No. Date
..
tDO. ,X)
InI'J. C>O
35.50 I
-.-J
#
#
$ Pf50 ~(!B I
$ L I. F>r"\.('o/J) I
$ ~9")-tcPl.
$ I"]/J-~
$ I, 2AeJ .CJ"')
$ rt-zOQ. ~
$I.~.~I
$ .. I
I
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
/
/
Tht' C't'nlt'rof lht' I..kt ("ounlry
0(- t7~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI-{ECKLlST
NAME OF APPLICANT VJ--I~dlLYx;:d t\ ~
APPLICATION RECEIVED f......:+ / -0 )
I" _
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r
.~-;)L~b- /LJ~1f~avu
Accepted
x
Accepted With Corrections
r~ -, ,.
Denied
Reviewed By:
Ahtl3
Date:
~ - ;;S -0 I
Comments: See Reverse Sidj;l for Additionallnfonnationl
c...._t-'""J--
..J / '/
see Attachments: 1) Grading Plan, 2) Erosion Control Measures
~\ I=rm:inn 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."
\
,
-
Tht ("tnltr of lht I..kt ('ollnCry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT ! jJ--I;';d~ ~~
APPLICATION RECEIVED t:..... ::J.-I-O J
~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r
,~3S"h'" /LJ~{/~~
Accepted
Accepted With Corrections X
Denied ,r--;/J()
Reviewed BY~ .js.
r
Comments:
M 4-iO a~
Date: tb -27- '?Le/
~~
"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."
Tht' ('t'ntt'rnf lht' I..kt' Counlry
White ." Building
Canary - Engineering
Pink - Planning
aUILDING PE;RMIT APPLICATION DEPARTMENT CI:IECKLlST
NAME OF APPLICANT !//<01d/1.YXJ
APPLICATION RECEIVED (A -" d / -0 )
L\
-., 1~-';;' <J.-..-
The Building, Engineering, and Planning Departments have revieWed the building permit
application for construction activity which is proposed at: r
;) ~) <;b - 1LJ.Ltc!) IJ (J14Q !~
Accepted
~
Accepted With Corrections
.'
Denied
Reviewed By: ~ b~~~~ Date:
Comments:
----AIr ~ IJlAruA~ ~ ~ ~
$VlT~J~ ?;~ ~~ ~~~< ~IOt:-~)..
~IA~ .'!-t/y, IAJ~A ~~-~ ~
.~eWt-r.r~ t...w 4- ~J .. V<. L ~. ~J ...
~. ~ePT ~h,
7/0/01
"\:--
'.,
,
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~:w ~;~~. I PERMIT NO. J - /7 I I
3. Gold Applicant " ~
(Please !VD~ or orint and sign. at bottom)
ADDRESS
33S~ WJLO Hod! CIZ
L::;;:::::TIt7 ::::::: 31~ / j;d~ gA IJrl(~ p~5- 375 O~ 6-0
ZONING (office use)
OWNER
(Name) IY;:"'" ~ uJ 0 O,a (Phone)
(Address)
(Address)
~~;~~AND rZ t r )/ ElL -E}I.. C.
(Address) " If J' J uP; ":,J w;4 'I
(Address)
(Contact Person) t3 vi. ';- ( H
APPLICANT SIGNATURE (" 9-.... -l. ~ lJ.~ 1/\ 0--,,---
- ([
(City)
(Zip Code)
(Phone) ( q.J.J )
Uc'vli .
(City)
&'9,)-{,<j()(,
.f S6 II LI
(Zip Code)
(Phone)
DATE
R I~ j, I
. "
APPLICANT PLEASE COMPLETE BELOW
Size of water service --L- inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC. KI PVC
Estimated length of sewer line Y () feet.
Clean out (if required) located at - feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family I % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
017
Estimated Cost $ gOO. Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
..
$
$
$
.50
JUIL.DP4ID lA,
fIVG vvrr/-f
P~f:;"I'1_
, Receipt N~.."
I Paid
I Date
0q~al
BY~
V
/
15:51 FAX 7835530887 GUYER'S BUILDERS EXPRESS
CITY OF PRIOR LAKJ!;
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
1aI001
Date Re~'d
(Pie... fY2.e ar~I.."r ..",t sililD. atbotmm\
ADDRESS .... ......
335t. rv/t-IJ;bhesE
C!/~~
LEGAL DESCRIPTION (0&. .... only)
LOTS BLOCK i.j ADDITION
~.
U./.Jbk SCA
OWNER
(Name) //VI M.DVVCJ CJ^
(Address)
APPLI~ ~ ,.-
(Name ~ ~/ILrU:FR c:. _("';",JD~~ 4
(Addr.ss\/'<lIOc...... /~/2! ;(.y No-_
~ cyt'-s)
(Contact Person) f _ - - ~~
APPLICANT SIO~ATURE ~..L' ') " P t? IC~
~ ~ ~. I PERMIT NO. /- /7/
J. v........ "",,1._. \p (p
ZONING (011I", .R'
PID.:J~~ ~?~"'03~-'O
(phone)
(phone) ~ I- ::i1;
/J4-~.r_
(City)
"",,~c/t/~
C~GC/
(Zip Code)
(Phone)
DATE
/~ /d'?'
. APPLICANT PLEASE COMPLETE BELOW
kJNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERAll0NS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
l'YPE OF SYSTEM
OW....., Air PI..,,,
OGra.vity
o Mechanical
OAir Conditioning
OVen!. SYStem
FIREPLACE MAKE AND MODEL~r'~/~
HEATING OR POWER PLANT
OS....."
o HOE Water
o Radiation
o Special Devie..
o Other Devlc..
:0/6 C!)o C-h"..'/
PLEASE NOTE;
Air Conclitioner Unils
Cannot En._eII illto
Required Side Yard
Setbaele.!
JlEESCHEDVLE
Indl.&Strial. Commercial & Multi-Pamily I % of job COSt Re:sidential. Gas Fireplac;c
539.50 minimum
Ruidential. Heating &t Ale (New Consmu:rian) S99..50 R..:=iiidcol:ial, Addil:iona lit Alterations
Re.sid<ntiaJ. Healing Only (New Construction) 564.50 Rosiden,illl. AC Only
~
Estimated Co", 5 /Goo Building Pennit 11
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FE.E
(om.. Us. Only)
Thio Application Bocom... Your Buildillll Permit When Approved
Bulldln,Om.i.1
Da..
24 hour notice ro. an inspoetion. (952) 447.9850, rAS (952) "7..42'5
$]9.50
$39.50
$39.50
s
s
s
.so
,..
. 8U/~WG ~r.H
fJ 01'1.(1""
I Paid
I Oat.
1",-/0-01
-
R.eceipt No,
BYf/
05: 37RM
MRTTHEW DANIELS,INC.
423 3017 P.01
Date Ret'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(1'1_ ..".. o. ' ,riD. u.t mn or bottom)
ADDRESS
..336" >I~ \..~ ..."'. ~~~h) "" W.
LEGAL DE ;CRlPTlON (oll!...... o>>ly)
LOT S" B ~OCK ~ ADDITION ~'J I.~ .SWI
I
OWNE~' ;") I/A
(Name) ...~J~~l. ~~ \.. nLJ ~
i: ~L a..... I PERMIT NO. 1-07c:' 1
ZO~Gtft\"""1 I
PID ,J~-7,?S- 03t-.-d
(phone) 9.4'"A. 1M5j. 11'1/#1J?
(A4dress) ~0J.3J1 .j~d~~~'" lJ~u. \.4.. ~n.IIAJ;,,7;),WI.' ."'ilr......'"
APPLICANlr, f\. -;--..
(Name)~'f1J,~ ~I"'~) ~". (Phone) (,51. ..j1/,!j-_"'f.'1.3LJ
(Address) .,i'5"".a.1i'} tJA"A.I'Jvul. ~1f" . ~"""/ln ,-1=. \.J't... '> ~e.~
(Address) (City) (Zip Code)
(ContaCtPeuon) ~I . J. ~~.'(!;: J (PhOne) ~/. 4~ '-3~
APPLICANrSIGNATURE Il." HI "-nt. L ."'~"'A/" _ DATE ~A _ /4. ~
, . U ~
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture Quantity
I__~ I Bath Tub with or without shower J
r--;. I oishwaslier I
I I I I Floor.Draill I ~
I ~ I Lavatory (Bathroom Sink) J
i I I Laundry tray' (lor 2 compartment sink
I I I Shower Stall
I I I. Sinks
I I Bar Sink
I ,.., I Water Clo,et (Toilet) I
J FEE SCHEDULE
Inclustrial, ommc:rcial &; Multi..t"amily 1 % of Job cost with a 539.50 minimum
eU/~/() V
$___Sil , ~1\tG '/1.'
$ .50 ., /:>/2, /1
$ /4.1,." ~ --6.JA Fr/V,I"/'
I PaiQ ___ ' R~
I Date [>-13-0)
Estimated Cost S
Builcling Penn;t 1#
PLUMBING PERMIT FEE
I STATE S'lJRCHARGE
TOTAL PERMIT FEE
(om" VIe on,y)
Tbll Applleation Becomes Your Buildlne: '_MIIlt Whon Approved
8uI d1.. Omdal
D...
Type of Fixture
Roujh-ins
Water He"ter
Water Softner
Stand Pipe (WashinguMlll;hine)
Sewase Ejector
Blll;ktlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Rosiclential, New One&: Two-Fomily 599.50
ll.esiclenrlaJ. A.clcllrlens It Alterations 539.50
BY~
%4 hour noti.. tor on iBSp4dions (95%)447-9850, rOJ (95%) 447-4145 .._
,
TOTRL P.01
1:52PM
NO. sse
P. ~ale Rec'd
I. rink
~.....
3. "......
~~ II'EIWJT NO. I 1- !o /..,[
......., 0. \ _ a\n" '" ~
~Gf!"l!'l.''lIiI',...d.;.....h.""...1
A~qRBSS ,
, ~~ s\o ~,\~hC).....~
(~""l~
ZONING ("nl<< ",,)
f()
L~AL DESCRIPTION (olllet ;,.. ollly)
L~T~ BLOCK"\ ADDITION \A;\.~
OWNER. - -, -~.
(N!\l'lJe) ~ ~ ,,~\~ \,}I:o\~"~~
(Alldress) ''''l.~\. "-~""\ {\..I\. ~
<;~
PID...)lj -3'75~ 03kO
(Phone) C!\ 0._ ~ t, ~ -~ ioN ~
\)\A"-""'>,,,,\\s <; c;")<:ll'J
~
\
~~f~~ANl' \<\q_:~r\', (\ ~,.... T~"\ l.
(^~~(eSS) \~q~t) \J '1.\ lll~ (-\" '-
" (Mel....)
(CII.P,nCl Person) N l.\ V\ c... " S. ~ h 11. "- \ \.
AJilrl,ICANTSIONATURE ...../{\~ .1_,A.\~
';;1
(Phone) S S ;), \..i \\1 - ~ \ d. L(
f?no- \.L.\ll.. (\".) .s~~'d.
(Cily) (Zip I.:.d.)
(Phone)"".'; '::1.- \,\ \..\ f' <f5 \ lJ \.\
DATE ~=-1-S-\ ..
APPLICANT PLEASE COMPLETE BELOW
'I .:g,NEW CONSTRUCTION 0 REI'LJ\CEMBNT 0 ALTERATIONS
FU~1'jACB MAKE AND MODEL C c.."',..~ l...... (V'\ Vf'. \00-,;) '<J FUEL /\J "'+
FLlJ~SIZE ~ \,fe... IlETURNOPENINOS ~ lNI'UT '~I::l. ()~t'I UUTl'u.J~3, 1;)~C'l
"
1YPE OF SYSTEM
'. ~",In Air l'lnnlS
80l1lvily
Mechanical .
gAir COlldilionl118
.gVen., SYIlOln
HEATING OR POWER PLANT
~S"'''''
Hot Walcr
nadillliol1
o Spr;citd Doyice"
o Olhe.r Devices
I....EASE N()TE:
Air Conditioner Unills
Callnot Uncl"uQch intlJ
Recluired Sid. Yard
S.,hocke
FI~I!LA(;E MAKE ANI:> MOI.l~
In411~\llal. ColRlRerclallr. Mulll-Family
,
Re~I~~nd:1l. Ue.llng &. Nt. (New C;oMlrucllun)
Re'l~e!,II.I. II..ling O"ly (New Construclion)
FEE SCHEDULE
1% 0' Job cost Rc5idcnUol. 00' fhc\,loce
$]9.50 minimum
$99.50 Re.I~Cllli.I, Mdillon. &. ^Ilcmli.".
S6UO Reside,,"al. ^C Only
$39.50
$J9.50
','39.50
ESli",.Led (;0" S
Duildiug r"llli' II
HEATINO PER.MIT "EE S
STATE SURCHARGE $ .SO
TOTAL PERMIT FEE S
,(OI!~._\I.eCltlI))
"1,1, Al'J,lIeeUoh bocolne. VOllr BlIlldiulI rel'nlll Whe., Approved Paid
"
PAID WITH
BUilDING PERMIT
Receipt No.
-
',; Bulldl..Omcl.'
D.le
Oal. 5("", / Lf-{) I
BY~
I
I
l' hour nolic. ror .Ill..pa.,io", (951) '~7-98Sl). 'ax (951) .47-1145
II
PRIOR LAKE
INSPECTION RECORD
,
SITEADDRESS 5~~,.. ~ CJ\
NATURE OF WORK ^ ).P.... . )
USE OF BUILDING . S,M
PERMIT NO. OJ- 0(//10 DATE ISSUED ~ -::2?-24JaJ
CONTRACTOR ~~..t ~.. h PHONE'1o.<~ ~~6~8"(.~
NOTE: THIS IS NOT A PERMIT F~'-R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING \ I ~ ~]INSPECTOR 1"7 } cnr~
, FOUNDATION (Prior to Backfill) I 1. ~ 9l1lot I $ d din
PLACE NO CONCRETE UNTIL AB'O E HAS BEEN SIGNED
ROUGH-}NS
SEWER/WATER/SEPTIC ~ V~ ~1~1?,
FRAMING "b \l~ q,'l.2l ~
INSULATION ~\)~ alaJc t2.!
ELECTRICAL . \.{ .
PLUMBING l \)/1""" q 111 0/
HEATING (if required) ~ \1M D11lJ Of
FIREPLACE ,\.
GAS LINE AIR TEST -tt I(,)\~\~~ M ~ ~\)a-; q 1I\()1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, I I
FINALS
DEPARTMENT OF
BUILDING AND INSPECTION
.
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.
, . .
<
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ft/fJJ
<'"&_~~
$-/-+'1-o~ . .~
" dOl -A~:.~)~
v!:v=? ...(jO
~-~rr . It ,;HI1{)\
'3.~ H!.;7.tt?{
HAS BEEN SIGNED
I~
~ ~E>{p (j); Ii ~r~e- (Jr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
It, [J)NSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
D.JlEWER HOOKUP
.ef JlLUMBING FINAL
.)i!'" MECH FIN ,..
COMMENTst:
JIlrl
f\
,
TillE
'h~O
c,
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I (
(\J)...,tJAJl) r ~-T-
~RK SATISFACTORY, PROCEED
o CORRECT ACTlqN AND PROCEED
o CORRECT WORII CALL FOR REINSPECTION BEFORE COVERING
Inspector'? \ ().J,.l::q Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
\ c;;;~u e--
cJ,o.s-e-
~
_ r_~~_.., Tlil!
SCHEDULED _..:J'..J ..........
3'?S-b tUdcO ~
CONTR.
PERMIT NO.
o/~ (.::.7?>
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADtFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
____5 -!- T
(.,.0.
~\-le-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: .-g-\\~ Owner/Contr:
CALL 447-9850 FOR T.k NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1UJOOTI
s .;)t;~14P1
355C l#, 'lei /i,~.s -#! c.,. ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o ~ECH Rl
o /WATER HOOKUP
0' SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMEtiTS:
bf'~~ /?J(
DATE TIME
1"'( n1\P
Jl~ILLING
o co LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Sri-I
JlCWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ ~Owner/Contr:
CALL 447-9850 FOR THE NI'XT INSPECTION 24 HOURS IN ADVANCE.
lNSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!