HomeMy WebLinkAboutBldg Permit 04-0750
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
32..98
~J:;;i-D JlU-!J~t~jf
LEGAL DESCRIPTION (office use only)
LOTS BLOCK Y ADDITION W . -, J j
OWNER
(N ame)
(Address)
White File
Pink City
Yellow Applicant
Date Rec' d
1. (,. 01-
I PERMIT NO. O~, () 15lJ
C f'
ZONING (office use)
~I
PID zs. 411.. 02.3. C
(Phone)
BrnLDER \/ / U
(Company Name) IOtv.J ~'1 L ""'~n.-- r{u,,",,-L / (Phone)
(Contact Name) C~ r+ 7 JI'.., q~ l- 25l. - c~ '1~ ~:',iI1s.t -Z'il-'i(t'1cPhone)
(Address) /91 .7U t1..~,,-,,- h f?...rL+'I-L /Vv./ Sr::.".~z..
1S},- 212 -t::L;'1e
TYPE OF WORK. D New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have hlrnished mformation 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-menl1oned 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 JU cause. Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspecl1ons.
...
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
30C).~.oo
.
2!~5'J .50
1!'IlI'i'18
L Sf>. IJ {)
? t'1 '1 t.~.ro/
Contractor's License No.
Park Support Fee
SAC
#
#
~-(,r")'"
Date
$
$
$
$
$
$
$
$
---
J. 350. QQ
SOO .~
7()..()
1,200.00
,
/00 rX>
I, ~()I . Or)
loo wOO
I.!}/) . () 0
3S . '!it)
qv . () b
Water Meter Size 5/8";{!)
Pressure Reducer
Sewer/Water Connection Fee
#
#
TOTAL DUE ,,~ 1. 'Z--I. 04--- $ 'l z.. '3. 1 a...-
Il I '
Paid 9. Z (,.7. 7f1 . R~ce:f.o. HSf,J I
Date .? Z#. Q4- BYr) I
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 conslllutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Gas Fireplace Permit Fee
,
~s pl' Itioj"ecomes Your Building Pennit When Approved
X 7-20-0
t1dlllg Olliclal Date
,
Planning Director
Water Tower Fee
Builder's Deposit
Other
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Thr Crnfrr of .he- t.kr COURlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Vo ew A y ~ V ~ 1l1ti--H 0 Mf15
7. l.t. 0+
//
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 Z 68 WI L.D r'Ot?.S5 ::>A5S
Accepted.
Accepted With Corrections "<'
:::;::edBy(d~ Date: 7-2/-0 V
/
Comments:
r~~~ ~
\l
"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
Th~ Crnlt'r of Iht' L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y~, i(...\ \, !-\ "(
I ·
j I 4-
/~.-Tr I\. J
1--1
,,-
\ I
C-'
,,-' .,-
Accepted
)L
Accepted With Corrections
Denied
/"
'i.
Reviewed By:
Date:
-I,
..
Comments:
J
/-
V/
)/.7/,
...~.." . t:f' j
( V
f
X
./
,/
--? '? I .. () /
I
V ,.....r: ,,-,\
"
/l
-'f'-I
'. \.) t
1
~-,
/(
,7
Y-.j,
"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
7. 2- 7. tJ4-
1. Green File I PERMIT NO
2 Yellow City. . 0 4 ~ tJ 7c="'O
3. Gold Applicant ~ I
(Please type or print and sign at bottom)
ADDRESS
3c1gg ()J J 1..() Ho;fsf /IJ S6
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ~LOCK 4 ADDITION
WlcA)s & e AtJo
~=~R Yo~u)II! CUSTDIfJ HO/TJE 8L1 JLf)fX!S (Phone) Y&1-fl&, -32/3-1
(Address) ~ ~l}tJ J2I<IVE .:$l~ ~~f}J!i)6-~
(Address) (City)
PID 15-412 - 0 z.z,-c.
GS37P
(Zip Code)
APPLICAjt
(N ame) II,) IJ J.. (; If IItJ f .:rA) G
(Address) J3J5 J1JJbGljs .5j;{,66T SIlI/KD;Jfi~ .:j?i37~
- (Address) (City) (Zip Code)
(Contact Person) V ON AJ JE~ y1}GuJJLLI ,If/JJS (Phone) 95~-/l:3-? ....J::<m
APPLICANT SIGNATURE ~j/,/~~ DATE ?'.Ja;~JtJlJ
/ /
(Phone)
C?.5:?-~~-JdI)O
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC [2g PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
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
Estimated Cost $
Building Permit #
~jijGJ V~lIlti
.50 ~U~W~NG P~~{ft4 c
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
...
I
(Office USij~) ~ ___ > r (
Tb;, i: ;..1. ~om" Y 00' BoUd;.. 0e IDI1Jt W n APP. roved
. J ~ 1 1- 04
Buildi g Icial \ Oat.
- -"
Paid
Receipt No.
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
9:01AM METRO A!R 952-447-8126 NO, 036
CITY OF PRIOR LAKE'
HEATING/AIR CONDITIONING/FIREPLACE PERl\1IT
p, 1
uate Rec'd
C1'I~: AC N\:lC or ~d
Ar;~RE~~~\r- ) ~
- - - -
H, I J IV\. ( U. ~ rI
LIl. :lAL-DJ:l~(,," 11'T'IiN' (.,IIl.... "". ""ly)
;: ~~~II ~:~y. \ PERMIT NO. 04-. 0 7::>-tb
l, V.llow ^ppll'~n\ ~ '1'
ZONIN 0 (omce IUC)
LOT BLOCK
ADDITION
PlD
OWNER
(N~mc)
'Y ty w C.{\.) ~ C) ~>
I
\ ~ '1\ a ~,~~ ~ ~
r ,~ \' \j'. l \l
,i J
(Phone) ~ \ ~ . \,p X S" ~ \ \.\ \) \
<:;'" ( j 'l ~
(Address)
ADPLICANT .("'(\ '^ \ \.,
(Na.me) \. ,~~(\) ..., \ r- -\- ~\ l.
(A~dress) \~~ ~\) \j C(,\ \.l>~ ~V '-.
(Addl'es~
(C4nlact Person) t\ u.. V\ "--\/ L~ ~ --- \ \..
APPLICANT SIGNATURE -~~J?:.-~,".
(Phone) ~ S :~" \.1 '-\ l- ~ \ ~ Y
" ., ()- \.~ \~ ~,,~ S S 'Si d-
(City) (Zip Code)
(Phone) C1 ~ '), - \\ \.\ t. ~ \ ('.J \..\
DATE ~.. ~"-" - \.\
API)LICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATlONK
FU~NACI!MAKEANDMODEL (Cj>V"(";~ MkY1~\~-~~ FUEL (\h~
FLVE SIZE ~ \J C RETURN OPENINGS C\ INPUT l"Q.~J ~ OtJTI'UT . ill! 0 G'c)
TYI'E OF SYSTEM HEATING OR. POWUR. PLANT
. , DtWnrrn Air Plants 0 Steam
1]bravily 0 Hol Wnltr
o Mechalli~1 0 Radiation
~Air COlloilioning 0 Special Devices
E\.Vent. System 0 Olher Devices
PLEASE NOTE:
Air Conclitioner Unitll
Cannat Encrullch into
Required Side Yard
Setbacks
I'I[\J~PLACE MAKE AND MODEL
FEE SCHEDULE
lruJ\lslrial, t:ommcrcinl &. Multi.Pamily 1 % ofjab Clost Residential. Oil! Fireplace
$39,50 minimum
Rc~juel1linl. llenling &. Ale (New Construction) $99,50 RcsldClIlil\l, Mailions &. Alterations
R~itlcllllal, l-Je.1l1ng Only (New COllslruclion) $64.50 Residential, A.C Only
Estimated Cost 311 0 , Cl ~ 6 3t Building Permit #
$J9.S0
SJ9,SO
$39.50
~ ~llH
(OltittUseOuly) $ BUlLDIN"G
Thj~ Aplllicatlon DcculI\cs You!' Dulltllng fenult Whon ApPI'o"eu .~ ,r!Il@~~r\if'~~.~~~ l'
Due _J lJ~tp 1 0 2004 ll3Y
24 hour lIotlee fOl'l1ll inspectIons (952) 44'-9850, fnx (952) 447.4245
By
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL l)EUMIT FE:E
Uulhllllg OfliciAI
Tht Ctnlt'r of Iht I.."'t Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\
Y f: k~/V\J f\ \
I ·
I (--""; 11./1 !.J.. I' "
\ if' ,'~ (. ' 1""',1 .~~~:.;
'. ~ ..' ,,' I '-
(,~ ,i+,...~AtO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.<"-)
/'
:r-')
" i
1........<
i . \ , .-.~
, \ I j i I j
: I i.-- v
r-j,,\ ,....-- ,--
/1 .,."- C ,t/P\ ~_.,) __ c'
1_. k__.,..;; l./ '"-' .. ..
Accepted
)(
......
Accepted With Corrections
Denied
Reviewed By:
/YJ413
Date:
7-~o'-o'f
.
Comments: '. See Reverse Side for Additional Informationl
lYle,in/c,iV\ Er05i(?"1 G:>-'1{") I
See Attachments: 1 ~ 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. II
PRIOR LAKE DEPARTMENT OF
~ BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS aaB~ Wi.19 (.4 C2l:>-O R C2 ~
NATURE OF WORK tJl!-~
USE OF BUILDING SCv')
PERMIT NO. 6~. ()150 DATE ISSUED ~~'lo-OCf
CONTRACTOR ~ YQV'-U ()~"', ~ PHONE 9si -~'t) -6'/.1..2;
NOTE: THIS IS NOT A PE~'T-FOR ANY OF tHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLU M BING w<:'" ;--' A!!!7 7 _ ;::> /
HEATING (if required) I_.L,W ~fYP /"
FIREPLACE //p ;77-'?c?
yASLlNEAIRTEST~ ~ .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A/~ ~A
FOOTING 0 L- I ~iJECTOR I / ~;;,
FOUNDATION (Prior to Backfill) I J1;V/ I ~ 1-vL1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
_ /1 /Ilr(/
flS /'/F?
%~~~,
.ltJ v ~
./
GRADING (Prior to Sodding) ____
BUILDING ~~ ~ ~ -C -Of()
ELECTRICAL
PLUMBING
HEATING
DO NOT
10,(7. ar
1 /~}~ -
. .
@~.~ /-$-0(,1
tin} ,- lLt-O'-
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
".
,." ........ """
_,_...JiI,::~U
~ ,..M!..i,'.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-/}-eJ
ADDRESS 3J8~ \;J,-/cP- ~r.5(' 4~1J
OWNER CONTR. Va rL.lt:w
, I
PHONE NO. PERMIT NO. 0 4-7S0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
"J5-~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-
G/'4Lc,-oL
CvJo~J(...-a1I
~RK.SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
1NSN011
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 328 6
~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;d FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ,\ .I- "
/j'. ~;\.t.~ ~h ~
/'2.. ~pr\M"~~~')S:
V~. f;'~ $~~ 0~4..+
L/ ~. RQ~ ~. De\'h'S
~. r,.......;. G~~,~
VlJ. sJ ~
~ r~~ .r1k.Ju/
irY/:
TIME
t. / - 7CS-O
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector.
CA_
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
SCHEDULED I-/~~
wl/dc;. ~ rks
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION / / 0 MECH RI
'-'V,
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION ~"')l MECH FINAL
COMMENTS:
~) ~,LA
@
{~11
IVL (1/1-
CACJ/JRr fll-'\~ r
"
dtJ
w'n
.'
-f-/1'Lf/I I
,
DATE TIME
L-l- ?sv
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
<III'( 1- (?)vJ Idve-.
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT W~R~ FOR REINSPECTION BEFORE COVERING
Inspector: --JI V ! Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSltOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED J.3.~
ADDRESS ~ II~~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. t.! - ?s-n
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL Jl PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(. ~u_ ~osf ~~ ,/
~. J:--biJ (a..J. ~ 'It l.o~
,. 5 t:;r t'{T() _. 417-77<7B
4. . ~-~ ~ ~~.~ ()~~
,c;. -;- jJ ~~~t: ~~ .lI~~l~
,
.,..
o WORK SATISFACTORY. PROCEED
AORRECT Acrel AND PROCEED
o CORRE~ . CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1/1 < Owner/Contr:
CAL j447-~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS!tOTl
'Permit. .;
.JobMdl_~ il/dfc;;r" H.55.
'HeIding Connclor Me I nO AIR
'TeslefW/SigNlur. ~/.
'Gaa Line
Pr.....nzed
Inspected
'Petcenl c~
'r... ~
Fi....1nspection
Q!!!
Ii!!!!
Pounds
Pr__.
PERFORMANCE TEST
4)';F%
q, $/%
'Percent CO ~-
'SlackTemp. /Zl:fC
0aIe