HomeMy WebLinkAboutBldg Permit 01-1340
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
(Please type or print and si2ll at bu.....~)
ADDRESS
I <- <> n? I, ,'\ ~ -,-.. Lr
.-J ...... <::7 .:::> ~ " U 11'-. t' c -/
L+-
LEGAL DESCRIPTION (office use only)
LOT -S BLOCK if ADDITION
OWNER
(Name)
1\(
~,\~ ') Sc:>v.d-'~
~
(~O~r
Date Rec' d
I
PERMIT NO.
PID~""~g~- )08-D
-l.......(f\. Co-
(Phone) lj ") -~ - '/(1 / - ":? >- [j~
(Address)
"P C;;;> 1S 0 ,(
~-(
c I/LQ.
~ 'u(.,(
BUILDER
(Name) ~ CJ.... '-"..'\... c:..
(Contact Name)
(Address)
TYPE OF WORK
. 0 Misc,
(Phone)
(Phone)
~ew Construction
OLower Level Finish
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
j-Y'O. 6 DC>
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 property to pe~orm ~ed .i,,~ctions.
X ~>c.J(/~ IO'7t;:, / /.... /'1-0 f
Signature Contractor's License No. Date
I Permit Valuation
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
~--ol $8) 1St. 2.3
. R~ceiifi1 4t:J 9.5 7-
BY~_' /
ODeck
OAddition
OAlteration
o Fireplace
PROJECT COST IV ALUE (excluding land) $
( cJ I~. t'JOO. cfX)
$ I ~ '251 . 35-
$ e31. sa
$ ? ~ . DO
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter SiZ~; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I 00. ()D
laD.ot)
36"".60
qo. Of?
I Paid
I Date
5(, /5/, d-'f
/1, )4" tiJ
1/ , ,
12PIA-Y=Buil~~~:;;
BUilJing j1Jfficial Date ,
W.(9D-
# $ 4lQl2~
2SV.ri> ~B
')O.t~ ~
$ II ';2()C).ClJ
$ , 7 Of) .tJJi
$1.5~O'C90
$ ,
#
$
#
#
This is to certi1Y that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ais document
when signed by the City Planner constitutes a te"'}M<JY Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss
lanning Director
J1I~ ~ pecia1COnditio~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
From JECHEEXC
PHONE No.
612 8926396
Dec. 04 2001 7:58AM P02
; ~.. .
~
Date Bec'd
CITY OF PRIOR I..A:tCE'.
SEWER AND WATER PER.MIT
CPl..... woe Of oriftt....4I ai". lit hntlnm\
ADDRESS
-IS3A?' k1Jl -~ ~/
..
~: =... p.~; I PERMIT NO. 0 I ~ 1340
,. 0..14 ^""Ioo111 __
ZONING (vm.. we)
LEGA.1. DRSCIUPTlON (umet: u.e only) . I , J J .
. LOT3 BLOCK 4, ~:I?~I'I1UN Ik..e. 'u~
~'Z:~~~_J~ ..9.~ , C. (J 14 s-t-
(Address)
:sc ui.h .'.
PIP
(Phnne)
(AddJ~~)
_.Jt~ty)
" ", ; 'I .:. -,--,'/;\ "
~1p,~~~1
ArrLICANl'-r-- I C'
{Name" .J e..e.. h._~ t:..~
(AI111n:ss).J.a1.D. J~e_
(Address)
(Contact Person) ~ . ,. fl
APPLICANT SIGNATURE
(Phone)
DATE
~I fJ ")~{),.,~
M.AI ,t;' 0*4.~ /
(~iJJ code)
IdJ ~ /) 7Y.S-~
(PhQne)
~I DtlW/i':t+81t1
( lLy)
AP:PLICANT PLEASE COMPLETE BELOW
Size of water service } inches.
Location of any couplings from strUcture 6 feet.
. Type of sewer pipe. 0 ABC---e:r I've 0 Cast Iron
Estimated length of sewer line 5> teet.
Cle011 out (if required) located at feet from structure.
RCJidcntlal seW~I' alld wllter line connectlOlt
Sewer connection only
PEE SCHEDULE
$35.50 Industrial, Corn'l &: Multl.famlly 1% of Job cost with a 539.50 minimum
517.50 Water CODDeQUon onl)' $17.50
Estimated CUlIt $ q- ,""/>
Building Permit #
0/-/34-0
.,.. . "0 \Nrn"\ "f'
., P~\~ p~'\_'~
_....~
SEWER AND W A TBR PERMIT FI::;E S
STATE SURCHAkOE $
'l'U'l'AL PERMIT FEE $
(omtt U~!?lIl)') _ ~___,
Thl,,,,,,,pplleatIoD BeeGan... V~ur Building Permit Wben Approved Paid
/" ' < '"
Bulldlllg'Olftclal
,. "~';~.
D.tc:
DAte
IZ,...5,.O,
Receipt No.
I ~ . ,/fJ
--
.
,
/ r't> ~
./ ~ /
2. hour notle. '0" 1111 hUI,.ctlon. (952) "'7-9850, '811 (952.) 44'....245
.
I,
Jan:~,~=,~~ ~w~: ..~~~ &<<71 '"!.~~~...~~_r/A lta H~9_ l!'. ~alijl.. '!.~.21 740
P.03
~---
t,...i 01" PRIOR LAD PL1JMBING PDlMlT
Da. ....
~.,..........~
ADDRJ!SS
153.:' ,~
I.... ..
J. CIIIII CIII
1"'_
I PDMITNOO 1-/346 I
ZONING ("II-.)
Wi ld -rv..,II"~*""_'
LEGAL DB$CIt.:...: ....! ~ Nee" --'Y)
LOT JlLOC%
ADDmON
OWNEll
(N...) 'r. ('. C~~
(l-A.--,) ~ 0 . ~ Cil . e-/ Jc.r.
API'LI
(Name)
(Ad*eD) ..J q,},uO
.'
PID
~
~) q.ut.. ?:AN-
~
~;:~
(Addrcsa) (CiIy) (Zip Code)
CCo... ftw:t. .......11) ~ ~_ _ ~. _ L/<-f,-'G..3C:;>
A!!LICANTSIGNA1'lTRE~ ~ DAT! 1~~9-Q-
Qua,
(
J
I
I
(
~
APPUCANT PLEASE COMPUTE BELOW.
-
T,pe .,....,.
... Tub willi or wtIIIOUl ~r
DJIhwubcr
1'kJc)r Dnm
LavaIDrY ~_ SIDk)
J:..mdIy Tray (1 or 2 ccna___ sIak
ShGww Stall
siats
8.,. Sink
w... ClOMl <;ToiMI)
TJpe or......
QoaMhJ
:5
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W_M...- ..
W..~
s......:c...... ..~.....,)
~::t:-AUemltly
B~~IIIYT"
LaMa $"-_
Odlcr
~.... $l"1ftftlJU .
. IDilllsUill, Commen:lal . MulMuli~. J% or j" COIL ,.jIb. S3'.5D mbUmam
(o.&C U. 0I0IF)
.............Ncw 0.. . 1'wooP_ily .".50
R.oIidatIW. AddIIiou .. AI..... J:t9..so
O/~13 4-0
.50 ~1~:~:~'tRMll
~.
Earim.-.. C..t S . BuiJcIiac Pamir 1#
PLVMl.iING PEItM1T r ~ S
STA1E SuacHA1lGE s
TOI'AL nRMlT RJ: S
nah AppUc." h",," Yon .~.I p_it W'" A,prwnd ~llcI
a..jW 3 0 lUUZ
..,. Ham
'I ~ II7JlA.:-
r
~o.w
....
141 ....r ..... for II' iupIdIo.. (MZ) ...,..... a. <<'II) ..,..eMS
Jan-29-02 11:39A Clearwater/Alta Hta & Pla 4401740
U.L'''~'U~ I.UJ:, .1..1._.&." I"A.I. V.I.....'...." . ......."1' ...... ..-.....-n .
P.04
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~a & L 01' PlUOR J....Alu,
BEATING/AIR COND&&.ONlNGIIlREPLACE PERMIT
... ....
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,._,
~';"'-"'~ .
. .
16~ L.J\ tgL.. . I { ":-~I- DC.
. LBGAL DSSC1UP'nON (o"_.-IJ)
Z01GNG ......
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,
tDT BLoac.
A,t,..,', ..lVll
pm
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(Addft:u~ '"P 0 . . ~ fil r:::.~ .'
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(AM1as)~O m~~~. ~ ,~ l 'iIt <<.c. ~~,;-
lAdInII) (CI&t') : (Zip Cade)
(CoD.t&ctP,_...~ ~"1. ~ f'I. o(l ,i ~ <.fLf.o -~..,...,''t
APPLlCANTS1GNATUllB~~~Il~ DATB /-~9--0r'
. _\- -,,,-.,
APPLICANT PLEASE COMPW,..... aELOW
PtaNACI!MAlClir-:~ ~D'+\'?~1DA~';'~~~ ~
fWESIZE~'" BEllJRMOPDllNGS i DiPt1t ,/00,. .....u""' otJ't1IIUT
n'PE OF $'\,,&_ HBA11NG aa. POWJ!IlPLANT
" 3S:~~ ]e-:r
2IUr Cold...... ..... D -.,
JV-. __ ~o.""
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'f{p/;'" i,w
f f ;w..o
I'J:.I.A~ NOm; .
AIr ~ "1IL...-4' u....
.c-~_
...... 5... Yd
~
lI'~ ..ACE MAKE A'ND MODEL..,
HEAnNG I~ FEE
STATE SUIt.CHA1t.GE .
TOTALnDJI'r I'D
PES SCIII:DVU
.,. of jab ... "i"~" GII.......~'.
n'.5O...._ .-.-.....
..sa llal...... Mei_ & AJ--...
J60UG , . ~ a:dal, At OIIIJ.. .
BaUdlq Permtl' 0 1-134{) .
r:~ P"'l~cf~'tRM\"
.50 eu\~ '.
~ .......
.,,,,,~,
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"".t.H 3 0 lWZ -, r ~ -
D9.$O .
a..Ilam"'~. MuId-fl-ur
..........Had... NC tN- t"'_-\"l!I~
IUlidealiIl. HcIIIq Only ~ CMmf....~
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13'.50
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#
The- Cf'ntrf of thr t.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.-;..----
NAME OF APPLICANT (
APPLICATION RECEIVED i / '- /L/- I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6 3 3, /,j /j(
')
t'r
"
Accepted ,.~
Accepted With Corrections
Denied ,
RevieWedBy:~{4-~
Date:
~t )2-1/81
Comments:
_MtJ}~ 2 t/ 'A- ~\
~<Mi-~. ~ ~\f~
~~ /'~ 4
- ......-
~1~~
~t () "Lj\Ja
~-(\ l~~ P-
~A{>~ -PA/1Ue~ ~Mev-~~
~~- c.O" LDr.~ '.
.
~~
liThe 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 erntr, 01 rhr bkr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -r- (' J (l ~
. - '
APPLICATION RECEIVED 11- ILl-I
- r,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
10 6;;1-3 ! LJ:AfL ~ fl;, th- ar-
a
Accepted Accepted With Corrections Y--
Denied
Reviewed B
-------
-c-..
Date:
/
fZ:]'t;jJQ cd1c,cLoJ ~..
"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- i.. ,'-"" ,d
Th. {'.ol., of Ih. Llk< Couolry
~, " '/I ';;,,;' "",.,,' 'or-" ..
~, , ..,.
O(-13L(o
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --; (', (/ ;1'rM~
APPLICATION RECEIVED /1- /L/- /
I ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53;L3 I~JcrZ LY...uiJ"(j (Dr
,x
Accepted
'....,.~, Denied
Accepted With Corrections
Reviewed By:
fVJ4B
Date:
Comments:, See ~everse Side for Additionallnfnrrnatio~~
~-r
y
/l
-::-
...,...----.-.-
11- ") 1-(9 I
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3 ) Erosion Control Plan
liThe 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."
"
.,
P R 10 R LA KE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
Wi/&. ~ Cl\-.
SITE ADDRESS 153~~
NATURE OF WORK ~'\
USE OF BUILDING 9.F(""')
PERMIT NO. n/-- /34-0 DATE ISSUED 11"2\ -C>l
CONTRACTOR \ . Q.. ~. PHONE Cf,5J. -C/"I- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW ·
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ,
FOOTING I ~ f( /2..,0 Dl I
FOUNDATION (Prior to Backfill) I ~ {~ I tiLl t1\ec
PLACE NO CONCRETE UNTIL ABOVE HAS IBEEN SIGNED
ROUGH - INS
..
~~1
~~
III!? ~~A
~~~
~~cMM.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DATE
( .
1~4' q
fJ. .~~oa
:2...;2., -0;;
:J -l...o~
:2 -(;10 ...o~
;;;....;10-0;)
~ eO ;2.0 ...O~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
AlIA I-J-~'OJ-
. . 1> ~~ 1. ,-:J.'tJ ,O/.- -1-1 ;)-I)~
\ .
~ ~(LUl. 1'~ l?-
~\)~ 2>t~.~ ()~
OCCUPY UNTIL ABOVE HAS ~EEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections h~'I~ beEm 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
{, . { ,.,' ',"','f>
"... '..
""'-"~'t~,~,~.,., ,.j.: i .... ~~.~ '1"~"~~
1-1
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
7J ,~~ J--r
~~~. 'lAMk; c+
SCHEDULED
ADDRESS I!;' 3 ~:3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
PERMIT NO. 1-/340
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HorKUP
o PLUMBINGF.,.IN..... ,.-"
o MECH FINAL/
5 +1 "
i
". f'.(. 2flO' Ja.!
..
fI ~ +w- e'^4 (v\
'..5S/Ae ( ~l
C.ose +:-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
?ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-22"tJL
PHONE NO.
15'~3 W,'Jd Tu('(~v Gr
I
CONTR. TL, (' O"Jl.:J.I'u{,/.l<J"I
PERMIT NO. 0 t-!31{1J
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMr LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Cv/b R:,J' - f!) Ie.
/f)6 S rl-I
~ORK 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 &: SAFETY!
INSJiOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
15.s2J
SCHEDULED /2/If/o'
w~4f T ~ lj,
/
jlJ! 3d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~/- 13yt)
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~o WATER HOOKUP
SEWER HOOKUP
< ~! PLUMBING FINAL
I'V 0 MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.I
4,ORK SATISFACTORY, PROCEED
-<;. '~ORRECT ACTION AND PROCEED
o CORREC~RK.\ALL FOR REINSPECTION BEFORE COVERING
'"po- ("b \) 9 Owne,lCont'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
;/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-U-~Z 3.'.J:.O
ADDRESS
/5 32.3 Wlt--O ruee:c:v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() 1- /31r:J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ,(J
~~J~bD
,
~.o V\J\e:t.er- O~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \)~ Owner/Contr: .
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3. '2-8 -02,... /.'/'5"
ADDRESS
/5323 WI/.;O Wece;y eA.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-I3+t)
o FOOTING
o FOUNDATION
o FRAMING
~O INSULATION
1. \ ~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
M. ~PLUMBING FINAL
~ ~MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ,
&t1(ttO~f ~~ M+ lQ-e, ~~ uvt1-71
J; ~ I..s (:>t9D ~
10, P> )Dl )O~
-,~l4--4ffm-r~.~ ~~
))\~
_~- r
~a _~ t1'ef'~ 'r'r- (JbJ~t---
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C'~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ - \. QJ./eI Owner/Contr:
CALL 447-~850 FOR THE JEXT INSPECTION 24 HOURS IN ADVANCE.
\ '
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI