HomeMy WebLinkAboutBuilding 02-0079
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I - I B-o 2-
White File I PERMIT NO
Pink City . 0 z.-~ 0010
Yellow Applicant L
ADDRESS
ZONING (office use)
Pt/.D
I 4-fa q /
WII-DS
VI6N
NW
LEGAL DESCRIPTION (office use only)
LOT I ZBLOCK" ADDITION 7116 W IL-D-S
(Address)
OWNER
(N ame)
(Phone)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
~W~ ,",wi F'"'"
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 tha 11 construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that buil ing official ca r voke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e er upo the roperty to perD ne ed ns ections.
Contractor's License No.
I~/Y CJ~
Date
Permit Valuation Ii
Permit Fee $
Plan Check Fee $
State Surcharge $ .CCJ
Penalty $
Plumbing Permit Fee $ .00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$ /(~ . fJU
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE U4lAi~ 1-23"'0Z. $ /1L9. z.5"
Paid
Date
/7-cr - ~~
{/7..-ft /O'L-
I '
I Receipt No. 4-1/ f3 3.
By IUJkf
J-1.7.-0"2-
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 requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a C lficate of Occupancy must be
issued.
Planning Director
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
07:50 651 633 8884 FIRESIDE CORNER #7876 P.001/003
CITY OF PRIOR LAKE Date Rec'd
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
~. ~ ~~I.an' I PERMIT NO.OZ_ 007Q I
ZONING r"ffice Uo1I:}
LEGAL DESCRIP110N (officl! 1J~ only)
LOT
BLOCK
ADDITION
PID
~W7~
(Phone)
IOWNER
eN a.me)
(Address)
APPLICANT
(Name) AI..r..U:D FIRESIDE: OBA FIRESIDE: CORNER
(!{Bone) 651-633-2561
APPLICANT SIGNATURE
ROSEVTT.T.F. M1\l
(City}
651-633 -25G1
(Phone)
15"111
(Zip Code)
(Address) .2 700 N. Pc A.!RV IEW A VJl;~lJE
(Address)
(Contact Person.) BRENDA HUSTON
DATE
/-I/,-/)2-
APPLICANT PLEASE COMPLETE BEJ...OW
DNEW CONSTRUCTION 0 REPJ..ACEMENT ALTERATIONS {;?KIS111~ J
FURNACE MAKE AND MODEJ... FTJEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWru'm A.lr Plants
OGrllvity
o Mechllnical
DAir Conditioning
OVent. S)'stem
o Stellm
o Hot W lifer
o Racliar.ion
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Re'lufred Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndustriA.!. Commercial & Multi.Family
FEE SCHEDJJJ..E
Jlr" ofjPb CQSt. Residential. GIIS Fireplace::
$39.s0 minimum
$99.50 Resident.jaI, AdditIons lJr. Altcl'iltjons
$64.50 ResidenT.ial, AC Only
$3950
Residcntinl. Heating & AlC (New Consf.n~.ctjl)n)
Residential. Hearing anI)' (New Construction)
$39.50
$39..50
Estimated COST. $ BuildIng Permit # 0 Z ~ tJo 71
HEATING PERMIT FEE $
STATE SURCHA.RGE $ .50
TOTAL PERMIT FEE $
(omCI: 1)"1: Only)
This Application Becl)m~ Your BJ,nd'n~ Permit When Approved
Paid
Receipt No.
DlIl1:
Dat~AN 2. it 2002
By
Butld;lI~ omdl1l
14 hour nl)tlce fDr n,ll tD/ipeetimlS (9:52) 447-985Q, fill (9!%) 447-4245
08: 52RM
MRTTHEW DRNIELS, INC.
423 3017 P.03
.., -..... .''C'L: 0
CITY OF PRIOR LAKE PLUlVlBING ERMIT
I. 81ue Fil.
:. Oul~ c;"
1. Y eUa- App4i ;"nt
[ PE~nTNo'Oz-oD791
[ ZONlNG1__, I
~'J tl;) y'~ i.. >V .
LOT
ADDITION
PIn
OWNER
(Name)
(Address)
(Address)
(Zip Code)
(Phone) .
SIGNATURE
,;JJ JJ. 8 J ~().aJ
APPLICANT PLEASE COMPLETE BEL W
I
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor DraiJ'l
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
Quantity
I
I
I
FEE SCHEDULE
Industrial. .ommercilll & Multi~family 1% of job cost with a 539.50 minimum Rcsidcnti . New One & Two-Family $99.50
RcsidentilS. Additions &. Alterations $39.50
Eotimot.d CO" $ Btlilding Penni' # --:-~ Z - 0 ~ 7 ~\ 0 IN ',T_;",." ,
PLUMBING PERlVflT FEE $ .~ ~YG pr.;.. .
STATE SURCHARGE $ .50
, TOTAL PERMIT FEE $ ~~ H~
B IIdlac Oifld.1
Dale
Df'EB I I LUUL
By
(omce Usc 0 1'1
This App j1;ation Becomes Vour Building Permit When Approved
1~ hour notice for aU IQspeUions (951) 441-98$0. fas (951) 47-4%45
.,
TOTRL P.03
White - Building
Canary - Engineering
Pink - Planning
The Centrr of 'he t.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ "",..( 7Ja/N-':CrJk.cC
I
/-. /8- 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /'
/A /J. 4/'/-/0 ' /"7/' <-J/.. -1 /
c..r-0 ~I / ~C{-<2_/ /~UU/ _-/' / (~"1
Accepted
Accepted With Corrections
Denied
(/<7() / I. /
__",/ ..' -t.----
Reviewed By: \ /_! 11_<>_. ,
"/) L/;t:;; .F
Comments: ~ac;( ~ ik...- /7~~--L C~.._~
~_:::~//'uO/'L/ \JlO/1 "/of Ub~
Date:
I J.) 0"2_
"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 at 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 ~ II ) t'\& ~ \I \ e<..U
NATURE OF WORK ~\..U-er- t 12.u..d k,^^-",>~
USE OF BUILDING S'FD
PERMIT NO. ()2 --007Cf DATE ISSUED [- .;2::2.-0'L.
CONTRACTOR -.JjoJ-~ PHONE 75::< - 2:33- L 7 .sO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I
FRAMING 15\ ;'I. ..I '3-I+-O~
V"""'V
INSULATION 'bl In ~J '1.
ELECTRICAL ,
PLUMBING v1. V\
HEATING (if required) v\ "
FIREPLACE '" V'
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING fr1J /f,r-oL _-
ELECTRICAL I
PLUMBING
HEATING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical seryice cabinet prior to rough-in inspections
and maintained until all inspections hav'e 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