HomeMy WebLinkAboutBuilding 02-0168
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------
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Z C;' C"'
. . - c)'~ ) L
1. White File I PERMIT NO I
2 Pink City . 0 Z - 0/(.;; 0,
3 Yellow Applicant . U .
r '1l~6
13 roo ~e.;-~ -8/l/t:Il A/V
LEGAL DESCRIPTION (office use only)
LOTai-BLOCK
ADDITION
~OfAJtJl'~
OWNER
(Name)
~ HTJ".,. e~
I~ L{CJO wtv,'
(Address)
ZONING (office use)
RZ.
PIDZ':J,3
-O&z'()
(Phone)
BUILDER
(N ame)
(Contact Name)
(Address)
5'~~
;t4 ,\~t!- ~
~~ e..--
(Phone) 5~e.
(Phone) ~(~-4<7a-lj/(
TYPE OF WORK
ORe-Siding
o Misc.
o Lower Level Finish
ew Construction
~eck
~eplace
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
DAddition
DAlteration
12 s-. t'a::9
DUtility 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 a e 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 prope 0 e tions.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
160 .c90
too ,00
.35.5'0
t? ~ 00
7-f( -02..-
Date
(;/2&01/
l-"~'''O V
I ~;:)j/JL1-'J-&O
Z~O?6 />.$ 7
Contractor's License No.
Park Support Fee
SAC
#
#
o/f ft L
6ate
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
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
:vhen Sjned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Z44~----- Z-/2-C/o2- ~~~~ ~~fr'Vl.,,~
_ ing Director Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Paid (, fS0f' '2
Date .5 - - 0
White - Building
Canary - Engineering
Pink - Planning
Thr Ctnler of th~. l..kt <;ounl[)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
celllTE)( 1-101-1 ES
Z -8-02-
The Building, Engineering, and Planning Departments have reviewed the building permit'
application for construction activity which is proposed at:
/4260
s ~o I:::.../V; 612/6 f3 LV D.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/lJ7B
Date:
,"-/~roL
Comments: See Reverse Side for Additional Information!
Mo.,'" F,-It,
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
. 3) Er.osion Control Plan
liThe issuance or granting of a . permit or _ approy.al.., of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the. provisior,ls of this code or of any. oth.~.r ,prdin~nce, 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."
ri
The Center of the Lah Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ce/~ rEx H(~'/v/FS
2 --(3 .-- C;?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-2 81((;
15?~{)Ol: l/{~ r~ E tSL v?J
Accepted
Accepted With Corrections ^
Denied -A{)
Reviewed By: va d~
Comments:
Date: ;:< - I r - 02-
fkd 0[/ ~-f-!-adud ~~~~
"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 ('enler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,./' ~. 'C' ,;
, i..! , ,y.
"~'.j. ...n.
"........ :'.~/"I'/" ..
.J:. 1/. /L/. ;:::.: r~:
/ i 1,_ _" I "---..... ___~..
.::-..
/:~
"."
i L--
'-"'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,. '. . ,. .... .' ... T
I I. i 11.;. /1. 1- f<. /""-
J ...l ,,~,,--<...". \......l .~. Il...-~" -- ~
, .' I .
t.... j 'i. .
.....J {_. v i...J.
Accepted' ~
Accepted With Corrections
Denied
Reviewed By: q~c- ~~.....~
Com ents:
Date:
2-1 UJ /7)2-
----Vc~ ~
"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 PRlOR LAKE PLUlVIBING PERL"nT
I~AR L 5 2002
1 Blue File: PER.'IIT ~O
: Gold CIV . 1 - "() Z - 0 I fs> fj
l Yellow Applicant
(P!ease type or orint md SIgn at bottom)
\.:='C'l?E55
i /t/~f6
~/'dtJl:rnfrf
/j/t! 01
Z0~~~~C~ ~~::.:~ '::~,
I LEGAL DESCRlPTION (office use only)
I
I LOT BLOCK ADD[TION
PID
! OW~ER & J,/J'i.
I (:-iame) //1.1 r
I
I (AJdre$s)
(Phone)
I APPLICAN
I (~J.r:1e)
I (Addre$s)
I (Address)
(Cont.1c: Person)
I APPLICANT SIGNATURE t!!J./1N
tJS02- C/?J~":2121
/
~3J6J/
(Zip Code)
(City)
1
lv! 14M
(Phone)
WavA
~c2, O/J-J
,
DATE
QU;lil ti ty
d
I
APPLlCA:\T PLEASE COMPLETE BELO\-V
Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher Water Heater
I F!oor Onin
Lavatory (Bathroom Sink)
Laundry Tray (lor:2 compartment sink
I W1te, S\)h:ner
/
I Stand Pipe (Washing Machine)
i Sewage Ejector
; ~..:,.:~.:~:~=.q.' .\.=:~;:-:t-l:/
Cl'.(...q:,~... ,,..,..11
I
I
I 3
I Sinks
I Bar Sink
I Water Closet (Toilet)
I Backtlow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39,50 minimum
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39,50
Estimaccd Cost S
Building Permit #
,~ "...'...1
r;--- '0 v' \, ,
pp.;, ~pi"\ J":"
'~U\'J)'!N~--------
~---
PLUMBING PERMIT FEE $
STATESURCa~RGE $
TOTAL PERMIT FEE $
(Office t:se Only)
Building Official
Date
';1, .I
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447~245
FIRESIDE CORNER #4192 p.006/007
CITY OF PRIOR LAKE Date Rec:'d
HEA TINGI AIR CONDITIONING/FIREPLACE PERMIT
~.~:_ ~~ \ PERMIT NO.Od- 108- 1
\ ~~~7;:;:-~~~... &d t/6J
ZONING (offiCIIIl!!:)
1
TolE-GAL DEScRJPTlON (offi~ lJIIe only)
PID
LOT
BLOCK
AOomON
\ oWNER
(N a.me)
(Address)
-O.-t~ tL
(Phone)
APPLICANT
(Name) ALr..r:~D FIRESIDE DBA FIRESIDE CORNE~
(Phone) 651-633-2561
APPLICANT PLEASE COMPLETE BELOW
w CONSTRUCTlON 0 REPJ..ACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEJ. FUEL
FT.UE SIZE RETURN OPENINGS INpUT OUTPUT
TYPE OF SYSTEM HEATING OR roWER PLANT
OWBJTll Air Plnnts 0 Steam
OGravity 0 Hot Wat.er
~ Mechanical Q Radiation
Air Conditioning 0 Special Devices
Vent. Syl'tcm 0 Other Devices
ROSEVTU..E MN
(City)
651-633-2561
(phone)
DATE
S..511~
(Zip Code)
(Address) 2 700 N. FAIRVIEW ~VENUE
(Addre~~)
Bl\ENDA HU ST.ON
(Contact Person)
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Unir.s
Caflnot En.aoa.c:h into
Required Side Ya.rd
Setbacks
FIREPLACE MAKE AND MODEJ...
tJ ~f'.4
Residential, Heating & AlC (New CQn:strUction)
Re~idenlial, Heating Only (Nt"'" ConstrUction)
FEE SCHEDULE
1% of job cosf ~idcntlal. Gas Firepluce
$39.~O minimuTn
$99,50 Residential. Addition!' &. Altmtions
$64.50 Residential. AC OIlly
$39.50
Industrilll. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HBA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
.50
\'-'" "..,~
Date
o.
1.000cc U!r. Oil')')
Till!! Application Become!! Your Building PermIt When Apprond
P~id
Dllr.l;
f\i-'R J 7
...,
Iluildlng oroci.1
24 hour notice for "J1lnllpectlonl (951) 447-9850, {Ol (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~_M~~:U~
I ADDRESS
1'12.'" 13 ft -=-~t;ee
,g Ivo
LEGAL DESCRIPTION (ol!lce UK only)
LOT
BLOCK
ADDITION
PID
Date Rec'd
~ ~ ~;:'icut I PERMIT NO.OZ- O/0~ I
II ZONING ,--I I
I OWNER '
. (Name) ,(!~" f-~ V.
(Address)
HeI~s
(phone)
." ";",;1" ......
APPLICANT
(Name) A'~_ ./-0. . __.,
(Address) ,) ?J-.s"'c)
:t- ~OQ(I,,?
~O\,.f I\+t ~.:I
(Addres
(Contact Person) ,-,:;:." 't
APPLICANT SIGNATURE
~~O
gl
(Phone) 7"3- "I~<j> - ~b 71
h'I."4 ~hM.4 S:~-3'?
(City) (Zip Code)
(phone) ~I 2... - '3(. ~ -.~~c,. 7
DATE /J. -/7 ~aZ.
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL e~y "'", I-
FLUE SIZE 4- II RETURN OPENINGS
TYPE OF SYSTEM
[!'Warm Air Plants
, OGravi\y
o Mechanical .
[g.(l'r Conditioning
OVenl Systcm
FIREPLACE MAKE AND MODEL
o REPLACEMENT 0 AL TERA TlONS
"5 R~O ~G.~ 7'0 FUEL<D 0.5
~ INPUT 70, uOO OUTPUT ~~S; 000
HEATING OR POWER PLANf
o Steam
o Hot Watcr
o Radiation
o Spccial Dcvices
o Othcr Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Rcsidential, Gas Fireplace
$39.S0 minimum
S99.S0 Rcsidential. Additions &. Alterations
S64.S0 Residential, AC Only
Industrial. Commercial &: Multi-Family
Residential. Hcating &: AlC (Ncw Construction)
Residential. Heating Only (New Construction)
S39.50
$39.S0
S39,SO
o2-~o/&8
"~O\N'~" !
.sa \'3U'Wj)I.NG ~~~;~~""--,
..~---
Estimated Cost S Building Pennit ##
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
,,-"
(Omce Use Only)
This Application Becomes Your Buildinl Permit When Approved
Paid
BuildiDl Omeial
nale
Date :I'\or~ 2. 3
24 hour notice for an inspections (951) 447-9850, fall (952) 447....245
't>0-d
Z:89~8z:'t>~9L
OM~ ~NI'008 ~ ~NI~~3H W~ ~~:80 Z:0-Lt-~d~
10/07/2002 12:00 5
_..._.,_K.l~~"".~.~::!...:.J.l~ D..1....411/"~4~
LJ:U lit' I'RIOIl LAKE
PAGE 10
III 001
Pate Rce I d
CITY or PRIOR LAKE
SEWER AND WATER PERMIT
(phO.) ~.-93r ~,~
fr/J1';",Jix' &r /It IV ~{:...f ~
I A.PPU~ANT
I (Name,l.-
K & R Contracting, loe.
32~5 Lake Avenue
(Adl1m') _ New Prague, MN 56071
95~_758.6247 '
\ (C.nta"l'<11co) ~ut<t -
APpUCA"'T SIOli"= ~~ rfZ~'~
(PhcDe)
~-
(Otv)
(pac-tie)
OATS
(%i, 0*)
APPLICANT PLEASE COMPLETE BELOW
... Siz. of WI_ lIervi~e --1..1:L inch.s. '
Loc:ation of allY couplinal from s1:rUCture~ feat.
Type of sewer plpel, r1 ABC ~PVC 0 Cast Iron
Est:imIIled leogth of' ,ewer tIDe 0 feet.
Clean out (ifrequirlld) localed at feet from struc:.t:w:c.
FEE. SCHEDVLE
~lid.ll1li.1 ,.wer ~d Wiler lift. C10Mlc1ion 535.50 b\C1u'l'l'Ial, Coft\'l. Multi-family t% Qfjob l;O\Il wlu.. $39.50 lIlilllmum
Se,.,er connllcnion (IrllY 117.'0 \V.,cr tg{lneclion olll~ 117,'0
Eltlrnat.ed Cost S
Suildine Pmnil . _
~
SEWER AND W A 'fElt PERMIT PEE
STA n~ SllllCHARGE
TOTAL PEItM1T FIE
I
· PAID WITH
BUILDING PERMIT
I~
1 ate
1 ~y
l
(OfIIce Un Dab)
~~'""1I.; ...._ Yo.. ..1141.. .or........ "P_od
Bw14i"l QII.iel - ~ D.~
-
:14 "Din n.ttu r.r ell i..,...". (952) "'.9151, ... (952) ..,....:1..
PRIOR LAKE
INSPECTION RECORD
L fv\ lAl VI. FtI.J2.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1::1 d-.t3 In 15roo'f:\ t1e.re, ~ue& I
NATURE OF WORK p~
USE OF BUILDING SF4
PERMIT NO. ~O~ DATE ISSUED .:<. -1/-0 <-
CONTRACTOR Qe *' Q<:; PHONE 95;2 - 9g("-18s3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) (~(P ., 'b II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED
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 BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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 s~tall be placed near main entrance.
I
-Z II ~
EN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850