HomeMy WebLinkAboutBuilding 02-0068
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ILl C; '-I S- S
:T
_1-<....
Ct'
LEGAL DESCRIPTION (office use only)
LOT gLI BLOCK
,sT<-
ADDITION
OWNER
(Name)
IJ1 e /2., ,,,- a ( J (t,. <;;-'
-,.... "
I 4. S-" J h .s"'" Lu- c;t
(Address) ') &'0 f
(Address)
TYPE OF WORK
~w Construction
~Lower Level Finish
~ireplace
o Alteration , It!Utjijty Connection
(j ~{)E) Ud
PROJECTCOST/VALUE (exc1udingland) $ D ~ (.7 -
o Mise,
Date Rec' d
1- 3-02-
I. White File I PERMIT NO
2, Pink City .OZ....OIY. a.
3, Yellow Applicant ~ U
30(/1----
ZONING (office use)
PUp
PID 25-,30
A
(Phone) q~:;l- Lt:1 ~ - 1 bO (
~, ,-'7 ..-?-
(Phone) ~')'J- -4"S:2.-7 hDJ
(Phone) (?( ~- 101- RGLi t;
ORe-Roofing
OAddition
ORe-Siding
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 unon prop~ to perform needed inspections,
X /I J - J-~7G. I-]-O'i--
Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
100 .00
00 .00
~S . e:;O
.00
our Building Permit When Approved
/ - rc.r -0"2-
Date
$
$
$
$
$
$
$
$
I-I - 0 2- $!J ~ / z. e
I ~ 4-t1??
Park Support Fee
SAC
#
#
Water Meter Siz 5/8 ;1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issue~,~/\ ,^ ~ __ I
/-;V~~~~~ -.l /r7/0L- ~~~~~ ~~)}'\~
Planning Director Date ~ Special Conditions, if y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
TOTAL DUE
fA,
I Paid P/~/~$!
Date /,' - OL-
The ('enter of Ihe takr Coonlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
t1 ~DONAGD 60N6T12-.
1-2--02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-145 6UMM (( vI r2-~ce:
Accepted Accepted With Corrections ~
Denied
Reviewed By: rz.oE0
Comments:
Date: /-/5-CJ"':2-
{("nJ) Q.{l atkc~ ~ ~
"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
The eenle' of the Like Connlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ I
I I " ',;I" l I i
fl. \ ." - - . ~. j' . . "
( I
i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
, Cf
I
.'
/' {~'-{. -~/
I
"-.',.-"-
{ i
, ~'
'-
Accepted
Accepted With Corrections
v--
Denied
~~
Date:
lI17/D2-
-
Reviewed By:
Comments:
Ae- ~J) ~ ~~tQ ~pA,ArVD6c-k
LJJ;- h~~ ,
~c)~()
~ ~)t~
"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."
_,._.____~'~--~.,...___,.,_--,.-- .,..._.______...___~._.____.___._____r_- ---.---------.-------..-.-----------.-------------------~---..---------.----.,-------
---
White - Building
Canary - Engineering
Pink - Planning
Tht Cf'nfn or 'ht Lake ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT"
APPLICATION RECEIVED
rlc,DoNf\lQ C/O NSTf<2 .
1-2--02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-145 '5 U(V/~l (I C/I r2-~Cc;
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Al)q-B
Date: /-ltJ-II8CJ'L
Comments: See Reverse Side for Additional Information!
I I, If I . -J. J
(tHI tlf lV~Tl.r 5t-nll (. ( /;, 0 nC>cJ..5l
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion 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."
~
CITY OF PRIOR LAl(E
SEWER AND WATER PERMIT
Date R"'d
\ I
I
~: ~7:::' ~\Il~ I ~ERMIT NO.O;2 -A"6~8 '
1, n..ld ...~~II..ftl V'
~-;;~~~~'''~~,''''=Ml , _,--
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I WNlNO ,...... _I 1
.,
, ..-_._.--,-.._..._........~ '.._-
LIlGAL DllSCRlPTION (Dffice: US~ only)
II C~
LoT" IDLOCK ADDITION ()
-...
.. .
OD
PID
OWNER
(Name)
(Address) rJCnD \ - 1 ~ rif0.. ~'-r="....,,--,.
.:; ,~,., , (Addf,:,u) _
;'t:!..~:q'-~. . :'.
APPUC~ I r:::
(Name)'~' . J ee. "'~ T:-'j~
(Address) J {3 1 D ~ ~d~ eJl] C-1 €./
(^ I1dre$ s)
(Contact Person)
APPLICANT SIGNATURE
(Phone) &. J f} ') r.lO 7 '-I ~h
8IDnm]l1l1+0Y1 N^/ 1iS-4.":$/
((!fey) (Zip CGd.e)
(Phone) fJ IJ '7~ 0 7t.f.r-r,
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of lill)' couplings fTom structure _ feet.
'TYPl; of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated hmgth of sewer line _ feet.
Clean out (if l"equil'c.d) locatcu tit _ ft:et from structu~:.
Residential sower I1nd WDter line conllccti(.1l $35..50
Sewer connection only $17..50
Estimllted Cost :Ii -~5"" D
FEE SCHEDULE
ImlulltrillJ, C~lm'l & Multi-family 1 ':Ii. of Job cost with a $39.'0 mlnlmum
Water connecl!on oul)' $17.S0
nuilding Permit #
O~ - oo(p8
r: PAlO "'W~~\ .,.-
.fiJu..D\NG pc, "nl'
\.:..-- "
SEWER AND WATER. PERMIT FEE
STATE SORCHARUE
TOT AI, PEIUtoUT FEE
$
$
:I;
(omee Un Only)
Tb'. APPU~.IJOnB"O"'~ Y.., n:Udl.g P,,-;'.U Who. ^pp'.n~,jJ-
Bulldlnc Oflldal Ual~
:u hOllr noil~c (or .1Ilnspcctlolu (95%) 44'-98~O. tin: (9SZ) 447~Z4S
~
DauFEB I I 2002
2: 13PM METRO .e.\RCV OF PIUOI~ LAKE
HEA TINGI AIR CONDITIONING/lflREPLACE ~ERMIT
NO.210
P.l
Dale Rcc'd
I. rink
zen..,
" Yellow
~ ~~ ..... ~ ~'\)
"
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\~
file I PERMI'I~O
;~~I".' ~;:)-.~ \t &
I ZON~NG (,m~ ,,,'
L1~'Q'AL DESCRIPTION (office \ISl! only)
LOT '5 BLOCI~ ADDITION \..J \~ -' ~ ~l., &
PID
A(Jd{ess)
0,,", ...'" ~
(Phon.) _" s: :1.- 'is 'I ~ -Il ~
s Sl()~ ~
OWNER
(N !lIT)c)
.\~I'l"~~\)~~ \\~~~
, '\ ~ -'- '-4 'I '" ~
~
\\a
APPpCANr ^'~-
(~afJlc) ~~~~ '"' \ r- _L"'~
(Al,ldfcSS) \ ~ ~ ~~) '-J ~ \ L (,) ~ f\ V '-
, N (,4I.ddrcss)
(Cl,JIl\act Person) l.\ V'\ C \J S l,.,,", fC ~ \ \.
ABPPCANTSIGNATURE ~~.11.."'~
(Phone) ~ S :~" \1 \-\ l - ~ \ ~, I..{
" ,\ Q - l~ \l1... ~~-0 S.~ '~'I ~
(City) (Zip Code)
(Phone) 9~' ~ - \t\ ~ -,,, ~ I ~_'\.-\
DATil
AI)PLICANT PLEASE COMPLETE BELOW
EW CONSTRUC110N 0 REPLACEMENT 0 ALTERATIONS
FUF-fjACB MAKE AND MODEL ~ '\J f' - ~ ~ - )..-0 r~UEL N ~ 1--
FLVij SIZE f' V c... RETURN OPENINGS q INPUT ~ ~ I ()'t)~ O~ ~
TYPE OF SYSTE.M HEATING OR POWER PLANT
, , ~Irm Air I'IBn~
Obrllvi!y
o Mechanical ,
OAlr Conditioning
lSlVel\l. Syslem
8 Slearn
Hot Wnll:r
o /ladialion
o Spc:cilll Davicc:s
o Olher Devices
)'I..EASE NOTE:
^ ir Conditioner Unils
Cmmol Encroach into
RCtluired Side Yard
Selbacks
FI~EI~LAC:E MAKE AND MODEL
Eslirllaled Cost $
FEE SCHEDULE
I % of job cost Rcsidclll1ol, Gas Pi. cl,lacc
$39.'0 minimum
$99.50 Residential, Auditions & AlteratiOlls
$64,50 Residr:llljol. AC Only
Duilding Permit # () Z - () 0 (p 0
$.19.50
Indllsll ial. Commercial &. Mulli-I:amily
Re~jdcrljal. Hc:nling & A/C (New Con:llruc:tiol\)
Re~;dC;f1Ii:lI, HCllting Only (NeW COl\slruclion)
SJ9.50
,$;9.50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.50 (J~"1' \"">.,;1.". ~\~PS~;'\iJ,";'
: \';S~ :\.~~tl~y. L; - -
~--=----
(Olllc~ lIse Only,
l':; ^p"li,.t1." ""0"" YnO. noll.log Permit Wh.. App.....
Dulldlh~ amellll I)lIle
I'ftl
13y
24 hour nulin for DlI ill511ec:liuns (951) 40(7-91150, rR,l (952) 447-4,14S
-~ - --,-'~ --; - ---,~ ---- ~-'--=,'::- ,-.' r^1.u!,\ LAKE
@001
CITY OF PRIOR LAKE
HEA TING/.AIR CO~'1)ITIONINGIFIREPLACE PER1\1IT
Date Rec:'d
f.?!~:$C: type Or prine a:c::' PF'.!I at bct<.<)m)
If ADDREsS
_..1+1 "/5" ~- r::; U rrln'?I; I-
~ ~::. ~!~ , PERM1T NO. 7_ ()JI'V
1. Y,jl_ Ap~lI..n, I ex 100
~C"'C/r?
i
I ZONlNG{O"",,]
L " ,
LEGAL DESCRIPTION (offi~e U!e only) ('
LOT f4 BLOer.:: (A..DDITI~N. i
pm;? 5-
O~'ER l'\ _ In
I (.N"ame)_:h;?r:~)AnIA~'
l1.;\dd..resS) A" (/,
~:;;TANT ~Oh3h,('\/~D
(Addn:ss) .;1 J;;). / C') -Efl f-cuu
(.....d~:;:)
G"JC: f.
(Phone)
.Aj3.::) - 7 C, 0 !.
();,1""1
Aue
(Phone) -rW-
/~.:l !-A,), " /41'-"
{J (City)
hOd d
~~5'694
(Zip C~cL:)
I
1
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(ConUct Person)
(Phone)
DATE _t~-,-;?,?O~
AP?LICA.:'J..n S!GN.A_TURE
, APPLICANT Pl..EASE COMPLETE BELOW
I ~ coNSTRUCTION 0 REPLACEMENT 0 J..L TERA TIONS
I FURNACE MAKE AND MODE~P(jf'I-~/df' 7X;K Ir:::t:) FUEL -^J.4 T
I F'LUE SIZE .~ r' pue RETURN OPENINGS -~.-G:1 INPUT /rqoo(")' OUTPUT 9~(joO
I 'IYPE OF SYSTEM HEATING OR POWER PLANT
r OWa.-rn Air PI:ults 0 St~am PLEASE NOTE:
OG~vit)' 0 Hot War"'r Air Conditioner Units
_~eclllanic::;.1 , 0 RndietlQll Cannot Enq-oach into
~i:: Condh:lo"ling 0 Spe'I:101 Devices Requirod Side Yard
...-B'Vettt. Systc;n 0 0rhc:r DeYic:~ S~tl:iad::3
. ?!REPLA CE MAKJ:: P.l'i'"D MODEL
I
I
" "._._.,..-1
ThdwSlri3.L Comm=reial &. Multi-?!lmHy
FEll: SCHEDULE
1 'Yo of job cOft R..sid~r'.tial. Ges Fi7~pI3C"
S39.50 min:rn\l1!l
S:l9.5Ci R.esice!'Jrial,}.:iditions &: A!':,,:a.dons
S!!~ ,;50 !.<,c"';':!~::-,'::::I. f. C 'Jrdy
S35',.50
R<l.llid~i'l;:i~L 1-i::atlng It. /vC (N~w Cor.slrtlc!bn)
~,.r;:.~. id6;,ti:,~.I. Hi:::'.'!~!".z: rJ~ f:", ~}J~"", C-=:"srr'J!:::~I{'!~)
.$39.50
~1'1,S~1
Es-:i."7lE.tc:d COS! .ii
BU,jjding ?o::rmit #___..
come: l1s~ Olily)
HEATING PERMIT.fEE
STJ..TE SljRCHARGE
TOT....U, PER.~TF'BE
$
~
-'
.50
~
PAID WiTH
BUILDING PEEiViiT
k
s
.
, ! Re::eipt No.
J By
9{./
Tld~ Applic::ttion Becomes Your Builcii~~ Permit Whe:t Approved
Building Offieilll
D.le
! PalCi
j
I Dat~ ~;5 -() ~
24 h<1ut noti~e for ~Il in5~tdihn! (.5'52) 447-9~5ClJ fu (,952) ~7~:l45
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15:58 651 633 8884 FIRESIDE CORNER
CITY OF r.K1U.l<.LA~ #1874 p.oo7Lo08
REA TINGI AIR CONDITIONINGfFlREPLACE PERMIT
I, Pln~
2.0.-
J. y.n....
~~~ \ PERMIT NO" ,- ]
"""II...' z;,.:) -00<0;;/
I eNJNG(-~. \
~:;~;u~~.ab_~
I j qyS -;C -J
D~ JtJ
LEGAL DESCRIPTION (office use onlY)
LOT [{[(BLOCK
ADDITION
06.
PID
()ttj-D
o'tVNER
(Name)
(Address)
me'.- UlJrvdJ ~,
(Phone)
APPUCAN'I'
~ame) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Address) ~700 N. FAIRVIEW AVENTJE
(Addnm)
. BREND1\. HUS'l'ON
(ContJJ.ct Pe~n)
(Phone) 651-633-2561
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 ALTERA TrONS
F1JR.l'iACE MAKE AND MODEL FUEL
FLUE SIZE RETUIlN OPENINGS INPut OUTPUT
TYPE OF SYSTEM HEA'TIJIlG OR POWER PLANT
o Steam
o Hal W~
o RadilJtian
o Special Devices
o other DC1IicCfl
ROSE'J'T'T.r.p;'. MN
(City)
651-633-~561
(Ph.one)
DATE
r::; ':;111
(ztp Code)
APPLICANT SIGNA
gwlllT'lt Air Plants
Oruvity
o Mechanical
OAir Conditioning
OVcnt System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Requ.ired Side Vard
Setbacks
F'lREPr..ACE MAKE AND MODEL
~
~~.
Resfdclltial, liuJing & Ale (New CQn~c:tion)
Residcntilll. Hating Only (New CDnstruction)
FEE SCHEDULE
1% of Job cost Resid~tiil.l, VIIS Fir1lp[llCll
$39.50 rnjnfml~m
$99.50 ReSidcntial, Additions &. Alpmstton:s
564.50 Residential, AC Only
$39.50
lndusma[, Ccmmerdal &. Multi.FamJly
539.S0
$39.50
Estimar.ed Cost $
Buildilli Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r--
lr'\u PArD I'....,...
l...fi) JZ.DING' P 1
,-,
(Office U.e Only)
Thi, Application Becomes Y Qur Building Permit Wben Approved
Paj,i:\
~ece pt ND.
Deft
Date 3
.r., - c)
BaUdlng offielll
Z4 hour "odce (Dr all inllpeethmJl (9SZ) 447.'J8~O. fill (95%) 447...4%45
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
3-7-02-
;:;~ ~I~y I PERMIT NO.()2-{}O~8 I
3, Yellow Applicant , '
ZONING (office use)
PUD
I
1+> S' ~
LEGAL DESCRIPTION (office use only)
LOT84-BLOCK I ADDITION ~/N6 S(}U7H IJTTrt6 NILL25
PID 26 -307-08~-0
OWNER (' ,
(Name) YY) -(1) 'h-/ ~ L<o
Gff'vISI
(Phone) ~3}, f i 1l }
(Address)
APPLICANT SIGNATURE
(Phone) q [; J. 43.l '1/ b 71
fl ~q> Le V~ t-Lf \ J 55' )~ ~_
(City) I (Zip Code)
(Phone) b Ll -; cf) J g I ~5
DATE 3 --$ ..... 6.1
APPLICANT 0 j" e{) \0-+' 6
(Name) J..-..~ W I r~\Jv'-m)sJ"/a.;
<.'~'
{II \,__)vl.
(Address) ~ o-v .:5 -- ~ '1 Ct'
(Address)
b (,0<./ f'
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower - Rough-ins
...l
Dishwasher I Water Heater
. Floor Drain Water Softner
< Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
1 Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
, Sinks Backflow Assembly Test
i Bar Sink Lawn Sprinkler
~' Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
02" oOh8
r .~\O ~W"~ .
,50fJJ~\~
~..../
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
r2f)tJ 3-7-- 02-
Building Official
Date
~
Date.
5-7-02
24 hour notice for a\l inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JL/c46 S')VV\.\M.~'r-
NATURE OF WORK f0e..-J
USE OF BUILDING Sr=D
PERMIT NO. DATE ISSUED 1- 15'-07-
CONTRACTOR J"\~D~& PHONE tJl~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELl
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
DATE
FOUNDATION (Prior to Backfill) b
PLACE NO CONCRETE UNTIL ABO
ROUGH - INS
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-;;:jl:
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
J ~ w~ 4- ' ~/4z- I
/ FINALS
GRADING (Prior to Sodding)
BUILDING T (0 '" /
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 haw:: 'beeii approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
I J. /2 .' a4--
)Z-5
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850