HomeMy WebLinkAboutBuilding 02-0069
<<trlificu1e of (J3ccupanry
CITY OF PRIOR LAKE
J,lepartment of Jiuilbing 3Jn~pection
II! Final Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Legal Description
R3 Type Construction
L L3. bL
) J
BId . Permit No: 0 2. - C ()to C;
~Fire Zone ~zoning District .~~ .l-
/ - - -l / \ ,\ (l C i k l.' l~ I +- J.----;- \
\: ...J 7
Use Classification
Occupancy Type
Owner of Building
Site Address
"
Contractor's Name & Address
~x-+ D. Hv1Ch,V\S
Building Official
q )-7- OL
i1VJ~
V City Planner
'Dc~ I \<~t..
Date:
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l. White File
2_ Pink City
3, Ye\low Applicant
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
V.IAJ
Date Rec' d
1~/t7"D{
RZ-
PID "2S-38' -01.5-0
OWNER
(Name)
ce-Je X H-o /J1 e s
12-400 W ~ te~.er /Jr 5~ Ie lc.o
(Phone) 1'fZ - 13(,- '783,3
;"11 doJIl< MA./ 5 5"3 y)
(Address)
.-
BUILDER
(Name)
(Contact Name)
(Address)
~~
M td;t 0 '("t;J/111 ell
(Phone)
(Phone)
~/~ -3~~<$~9~
C;a,,~ e
ORe-Siding
ODeck
OPorch
ORe-Roofing
TYPE OF WORK
~ Construction
.Wireplace
o Addition
OAlteration
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
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
:"'UPOOili'Pi4~;:;::M WO 7tJ'7 '2, 7 rz/rloL
. Sign."'" Coo"","" Li=" No. I J",
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ ~P> . 00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Siz /8,1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
#
#
$
$
$
$
$ I
$
$
$
$
I ~~tY;;'
I ~:~ l~~f!a;r
es Your Building Permit When Approved
(2. a l -0 (
Date
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 Ci!)' Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ~ ti'~jn. ~ ~ G.~~~
Date . Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBING PERlVlIT
~,~~~ ~:~y I PER.~IlT NO'02 - 66(PC/ I
J. Yeilow Applicant , J- .
I ~~~~;d"~8~f~yak
ZONING (office use)
w~
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADD[TION
PID
I OWNE~
I (Name) . k:
I
I (Address)
(Phone)
(Address)
q 5;? - t/ (J tJ-- ~/ 02/
~3o~
(Zip Code)
APPLICANT
(Name)
(Address)
(City)
APPLICANT SIGNATURE
(Phone)
(Contact Person)
vJ
DATE
~J d 0#
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower 7 Rough-ins
, / Dishwasher "/ Water Heater
/ I Floor Drain Water Softner
..3 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
/ Laundry Tray (lor 2 compartment sink Sewage Ejector
/ Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
:3 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
'1
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
PLUMBfNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~Z~O()(P7
t;;'- PAlO \JV\';~, '. .'
.i\ I n\NG Pt;.hioJ.1 ~ ~
U\iooIo' __ .
~-
Estimated Cost $
Building Permit #
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Date fEB - OJ LW(
By
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MAY-01-02 01:18 PM HEATING @ COOLING TWO
7634283682
P.01
CITY OF pRiOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec:'d
(P1wc type or print and sign at bottom)
I ADDRESS ) I /,/ / /, /
_ <r7(/,re. ~ "i<.-. G iV-J.C w "'(
LEGAL DESCRIP110N (office use only)
~: ~ ~!~. I PERMIT NO. -; - c, Qr
]. V.llow Applu,.nl , ,~_
lJ IZONING(_~1
LOT
BLOCK
ADDITION
PID
I OWNER .
. (Name) . ~~., I--<':lil
(Address)
Hf:J~S
(Phone)
APPLICANT
(Name) , ~~ClI -1--. . '"
(Address) . J j>.J-5'"C:>
~ ('lear/^!
~U\.A I\~X ~q1
(Addres
~#'O
gl
(Phone) 7'3- /.j~? - ~"77
"".p/~ c..rcx.-l ~~-3"?
(City) (Zip Code)
(phone) ",2...- ~(. 0;; -.t;;~(n 7
DATE
(Contact Person) ,~" y
APPLICANT SIGNATURE
COat:...
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8"'-y """..f
FLUE SIZE '-J " RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
. OGravity
a l'1echanical ,
~r Conditioning
OVent. System
o REPLACEMENT 0 AL TERA nONS
'? ~.3 0 "''' c!) 71) FUEL (0 a. S
~. INPUT 70,000 OUTPUT S'S; 000
HEATING OR POWER PLANf
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &. Multi-Family
Residential, Heating &. AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &. Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
Building Pennit #
COmet Use Only)
This ApplicatioD Bec:omes Your Buildlnl: Permit When Approved Pal
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~u
Duildln, Official
Date
... "7-- d---
By
14 hour notice for alllnspedions (952) 447-9850, fax (952) 447-4245
#3546 P.DD2/DD3
Date Rec'd
FIRESIDE CORNER
CITY OF PRIOR LAKE
IlEA T1NGI AIR CONDITIONINGIFIREPLACE PERMIT
R I 2002.
~:;~ r~'..nL I PERMIT NO. O;(-~Cj' I
ZONING (office U.~)
~l.Q~
NL0
-K~
LEGAL DESClUPTlON (office use only)
LOT 6 BLOCK
ADDITION
YY1L1QdouJ Ute LA)
PID
- 32tf -0/3 ()
C1n~ t+,rn~
I OWNER
(Name)
(Address)
-
(phone)
APPLICANT
(Na.me) AJ'JrJIED FlREST.DE DBA FIRJ::SIDE CORNER
(Phone) 651-633-2591
APPLICANT PL
~w CONSTRUCTION
FURNACE MAKE A~O MODEJ...
FtUE SJ.ZE RETURN OPENINGS
TYPE OF. SYSTEM
DWBJTn Air Plll1'lu
o Gravity
o Mccl1lU1lcal
OAir Cl'Jnr.lnioning
OVcnt. System
ROSEVILLE MN
(City)
651-633-2561
(Phone)
55) 1":!
(Zip Code)
(Ad.dress) .2 700 N. FAIRVIEW AVENUE
(Address)
BRENDA liUSTON
(COlltact Person)
APPLICANT SIGNATURE
DATE
4 -f -())..
FlREPr...ACE MAKE AND MODEL
E COMPLET~ BELOW
o REPLACEMENT 0 At TERA nONS
FUEL ~CJ.0
INPUT O~T
HEAnNGORPO~RPLANT
o StelUTl
o Hot Wllter
o RBdill1;on
o Specillj fJ=vi~s
DOthcr Dnicc:s
S\.. S
PLEASE NOTE:
Air Conditioner Units
Cannot Enc:roacl1 into
Required Side ya:td
Setbacks
FEE SCHEDUJ...E
Industril'l.l. Commcrclo\ll &. Multi-Fllmily 1% QfJob cost Re!idenrial, 033 Fireplac:e
$39.50 minimum
Resldentisl. HellTjng & Ale (New ConsO'Uc:ocn) $99.51) Residc:ntilll, Additions & Alterations
Rcside"tiaJ, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $ J loo .00 Building Permit #
$39.SD
$39,'0
$39,50
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE 51
(ome~ U,e Ollly)
r This Application Uetome!ll Your U.ild'ng Permit When Approved 'Paid ..
Oatil
-/-o:?-
By ~
C-.
BJtfldln2 oman'
Dnrc
%4 hODr notice for nil Inspection. (9!%) "'7-9850, ,.. (95%) '47~Z4S
~~
White - Building
Canary - Engineering
Pink - Planning
The ('t"ter of the Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I ,-" ,-,....,,- X/
.t-r, [., ! 1--
, " J '\ t ~
',..,'" ~_,.,' ,'"1 I ,1/
,
APPLICATION RECEIVED
i ' . . "-7 I I
1/" <-/~\)
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,f1 t "
f q i../
~' - j./ ' f
\. ~ -.....
,-, r ' ,,' ,.,--
l I, - i Lv (,; r \ -,(-- t.::
" I, '
. /', " i
, : I, \ I
i"
i
I
'\ 'J
Accepted With Corrections
v
Accepted
Denied
~~~~
Date:
l(t7/tJ2-
Reviewed By:
CommelJts:
,,~ ~T~ fJ .~12~ , /VLLW~
e--a~/trr~ ~p eMLV~
~SR ~ ~
A,e-- ~~ F~~ .~
vuYt= ~ itcr7 ~~~ ,~ LD For
Q ~(\&e 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
The ('('nler of .he L.ke Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
66NIGx
1Z-"~7-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-4-&(P ~sru:34f!:TG WAY f'lW
Accepted With Corrections -l-
Accepted
Denied ~
Reviewed BY:0 1l~
Comments:
J2e~ Cl~ ~~t>-~
Date: /2- 3/-0 (
"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."
The Cenler of 1he Like Counlry
(!))-oo(;~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
tSN/f;X
JZ--Z7--01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-4-00 Cfi51L~t\Tb ~Vf-\V f\J\;V
>(
Accepted With Corrections
Accepted
Denied
Reviewed By:
1Vl48
Date: }-3-01
Comments:
See Reverse Side for Additional Information!
lJu:f ) 00 - S
J
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ Q~~~\e'3cJ:e
NATURE OF WORK tJ~
USE OF BUILDING S~
PERMIT NO. ()2-O0 ~ DATE ISSUED /'2 - 31- 0/
CONTRACTOR 0.w.l.-e,)( . dML-S PHONE lP/;l-J(,1-3tli3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 5 0'0-.
FOUNDATION (Prior to Backfill) ~ /\ I ~~ 6 B
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BE
I
FINALS
.)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrica!, s~rvj('.o'! 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.
(J"J-7i
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850