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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!