HomeMy WebLinkAboutBuilding 02-0169
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT ~l.BLOCK / ADDITION
OWNER
(Name)
Cen:f/!~
{2-cfOO
Jb /JJ es
f)r,' tJe
(Address)
Date Rec' d
2-B.-o z-
I. White File
2. Pink City
J . Yellow Applicant
I PERMIT NO. Ol- - 0/ b7 I
ZONING (office use)
;(}I<J
~'2
IJ; tUt./
PID 25-384 - 0 . -0
(Phone)
'f~z-736, ?A.3.3
/,/U 5S37"
BUILDER
(Name)
(Contact Name)
(Address)
5/fM~
11;/t-e P~FI
~e-
(Phone)
(Phone)
5~~
~/l-tfftJ -elll
TYPE OF WORK
eck
OPorch
ORe-Siding
)<:!:ew Construction
OLower Level Finish
o Misc.
o Fireplace
PROJECT COST /V ALUE (excluding land) $
(~S a::J 0
ORe-Roofing
o Addition
OAlteration
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
exnter upon the property tr;/~YfJl1 ;n"Ppr~s.
~ c:::::::=- c~~r;,7 3 7
, Signature Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $ --
Gas Fireplace Permit Fee $ ,fJO
es Your Building Permit When Approved
.Q.-ll -07-
Date
Park Support Fee # $ -
.
SAC # $ / 2..00 .C) Q
Water Meter SizeS/8"; I"; $ -
Pressure Reducer $ -
Sewer/Water Connection Fee # $ I 200 . c:!>O
Water Tower Fee # $ 700 .00
Builder's Deposit $ ----.
Other u~rr $<650.00/
TOTAL DUE $4423'/c}
.
I Paid 7;23 va
Date - / ",. ()
I:;~.
If1~O
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 b)l the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~ ~/U/cL ~~~tL~~L6
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 S5372
CATE
TIME ,..-
/15
CITY OF PRIOR LAKE
INSPECTION NOTICE
7-~~~
/%?-cf;?; CZO/tti/i{~_ ~
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
C)-!.ocfJ ~7, 20/7/
(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
-::::-,..
lt1A ltv\O M &er 01.(
ff11
P WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
7>_
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH &: SAFETY!
IJVSlVO TJ
Thl' ("l'ntl'r of .hl' Lakl' Countr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I r /' I .,1-~ \ /
'--... \.. '-6...
I I" ,--
!."., . I'" j...
IC"/L-____
:- ..
C,./
~:~~) L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 11" " .
/ If i. '( yo)
ii :' ,/i-~ /
/.,~ (.-'
(<~. 1\,.., ~..
i i \.' i ,
(/ \,I.-V .L..-.I.
Accepted
~
Accepted With Corrections
Denied
q~~
Date:
'71J-D/~
Reviewed By:
(
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."
White - Building
Canary - Engineering
Pink - Planning
The- ('t'"trr of thl!' L.kr Counlno
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CE N ns X /-f() (VI E:S
'Lr 6--02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4- z# CO S 13~ () Ole. IV) 6f2-{;8W.LJ.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/JHf3
5t.L1Ylt1,/, F,'/<-
Date: 2../3-07-
Comments: '
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,lI
rhe Cr-ntt'T of Ihf' Lakf' Countl")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
veAln'! HoMES
2- 6-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-Z'00 Be{)()/~ n~ 8WD.
Accepted
Y--
Accepted With Corrections
Denied
(}iy
Date: 2 ~ ~/-tJ?--
Reviewed By:
Comments:
$pe J-4 ~ar{,{ -C"f~
"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."
~
iW'~'
""N''<ESO''''
Date Rec'd
CITY OF PRlOR LAKE PLUiVIBI.NG PE&\JIT
MAR L 5 t.Ull!
L ~~~~ ~~~ I PER."IlT NO'()'2_0 1/- q I
], Yellow Applicant , (g L .
i ?:~:bC L"iDe :);:' 9nntlilJ~IW .i.t OCt:Or:ii
I ADDRESS . /
I /t/;Jrt $/'tJ#;cMtrr!
ZONING (office use)
blvl
I LEGAL DESCRiPTION (office use unly)
I LOT BLOCK ADDfTI00i
pm
! OW'NER /D n '
I (Name) LV rtJ{ L?
I /
I
i (Address)
(Phone)
tj5:2 -r/tJ~, 02/02 /
5S:J5JV
(Zip Code)
(City)
(Phone)
;2 02/
I (Cont.:lc: Person)
I APPLICANT SIGNATURE C~ 1J;~
i
I
I
/
/
DATE
-\ PPUC1.'lT PLE1."f CO"lPL ETF BElO\V
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor::; comp;lrtment sink
I Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
i Sewage Ejector
I Backflow Assembly
I Backtlow Assembly Test
Lawn Sprinkler
Other
/
'1
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a 539.50 minimum
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBrNG PER.:.'\lIT FEE S
STATESURCK~RGE $
TOTAL PER.1VIIT FEE $
r""--P~',O, 'Nl'"tf\Nl~
5:4). ~JG ....~
., '.-
Building Official
Date
l 6 (.UUL
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
651 633 BBB4
FIRESIDE CORNER
#4192 P.DD5/DD7
Date Rec'd
CITY OF PRIOR LAI<E
REA TINGI AIR CONDI.TIONINGIFIREPLACE PERMIT
r~~~~~~:-4'~ &A tJ~
~~ ~~I-l PERMITNOOd~/ftJ1 J
zoNIN'G (,,",,~~uRl
LEGAL DBscRIFUON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Na,me)
~~
(Phone)
(Address)
APPLICANT
~ame) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Ad.d.ress) 2700 N. FAImlIEW AVENU~,
( Ad.d.n:6~)
BRENDA HUSTON
(Contact PeT5on)
(rhone) 651-633-256J,
APPLICANT SIGNATURE .
ROSEVTT .ToP. ?~
(Clty)
(phone) 651-633-2561
<;1:;11.
(Zip Code)
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPI..ACEMENT 0 AL TERA TION'S
FURNACE MAKE AND MODEL FUEl..
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE of SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
BOrilV'lY 0 Hal W.ttr
Met;~atltclll 0 RMintiQn
Air Conditioning 0 Special Devices
~_~~ D~~~~
PLEASE NOTE:
Air CondirioDer Units
Cann.ot Enc:roacb into
Required Side Yard
Setb8dcs
FtllEPLACE MAKE AND MODEL
;.J ~~
-2.~7J t.e-
Industrial. CQmmerciflJ &. Multl-Flltnily
FEE SCHEDlJLE
1 % of jo" cost Resldr:ntlal. Gas Fireplace
$39.50 minImum
$99.50 Re~ldClltinl. Additions & Alterations
564.50 Residential, AC Only
$39.50
Residc;ntill.l. Heating &. Ale (New Construction)
Residential. Heating Only (New ConstrUction)
$39.50
$39.50
Esdmated COS! $
Building Permit #-
REA TINe:; PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
$
$
5
.50
P.';f..., ,
I'! f-
I
(omee '-'~.. 0"1)')
This Application Becomes You,. Building Permit Wben Approved
Paid
'Receipt I).
Date
I 7
By
Ddt
81111dl"g Omelll
14 lmur notlc;e fOf l'IlIln~pec:tions (952) 447..9850, filII (952) 447....245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT.
nate Rec'd
I ~~~~rin'~:::-~ ~
fS'vo
i:~ ~~i_1 PERMITNO.O~-(J/h 9\
I. I WNlNG(...~ I
LEGAL DESCRIPTION (office we only)
LOT
BLOCK
ADDITION
PID
I OWNER .
. (Name) . <::!~~ k'llt
(Address)
Hd"rflS
(Phone)
.... :
. .',
APPLICANr
(Name) , ~~- .(-, . "7
(Address) ,,) ?.J-,s-c::>
~ ~OQ(I^, ~o
CCJ.....1\....'1 ~q/ 'E,
(Addrcs~
(Phone) 7".3 - ~;;.~ - ";J to 71
""."4 c.~ S:~-3"?
(City) (Zip Code)
(phone) G,l 2... - '3C.3 -.~5"Ch7
DATE 't -/1 .. O'J,or
APPLICANT PLEASE COMPLETE BELOW
COa~
(Contact person)~,...,
APPLICANT SIGNATURE
EW CONSTRUCTION
FURNACE MAKE AND MODEL e~'1 ",,.,..,1-
FLUE SIZE 4 II RETURN OPENINGS
TYPE OF SYSTEM
~ann Air Plants
. DGravity
o ~echanic:al .
[gf(ir Conditioning
OVenL System
o REPLACEMENT 0 ALTERATIONS
'? R.30 f'~c!!) 70 FUEL ,(0 Cll\S
~ INPUT 10, oeX) OUTPUT S""s: 000
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
ClUUlot Encroach into
Required Side Yard
Setbacks
FIREPLACE t..1AKE AND MODEL
Residential, Heating &. AlC (New Construction)
Residential. Heating Only (Ncw Construction)
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
539.50 minimum
$99.50 Rcsidential, Additions &. Alterations
564.50 Residential. AC Only
$39.50
Industrial. Commercial &. Multi-Family
539.50
$39.50
REA TING PERMIT FEE $
STATE SURCHARGE S
TOTALPERNDTFEE S
(l}..-o/ ~ 7
______ "'f.\..l
..... \fl~~O '\!\J\. '.'.'
"5of\'0U~~~~
~
Estimated Cost $ Building Penn it 1#
(Omee Ule Only)
This Application Becomes Your Buildina Permit When Approved
.-"
aid
."
Receipt No.
Date
Date f1.PR 2 3 2fICO
By .
Buildilll omela.
24 hour notice for alllnspcctions (951) 447-9850, fax (951) 447....145
:i:0.d
ZS9:i:SZv:i:9L
OMi ~NI'008 ~ ~NIi~3H W~ :i::i::S0 Z0-Lt-~d~
10/07/2002 12:00 5
___.,.....CI~..,-.~.'::.......:!:~J..,~ D.1.ItI...llt1.4a
La}; lll" flUOR LAKE
PAGE 10
lifluOl
D.t. Rce'.
CITY or PRIOR LAKE
SEWER AND WATER PERMIT
(PhOUf) 90., -9~ 'jl"Z?
/h)1~ /(11'1 /21 IV ~cir ~
I APPLICANT
I (Name)
K & R Contracting, Ioe.
3245 Lake Avenue
(A1MesS) ~ New Prague, MN 56071
95~.758.6247 .
I (C.nta"~) ~cJU;
APl'1.ICA"'T SION" TUIll! ~~ rr&f-?Dd-h.-.J
ICilY)
(pbCltle)
DATE
(Zi, ~)
(Phone)
APPLICANT PLEASE COMPLETE BELOW
Siz. of wa_ lICrvlQC --1:t:l. inch.s. .
Location of :lIlY c:cuplinil from S'I.rUCturr:~ feat.
Type of sewer pipe. n ABC gfPVC 0 Cast Iron
Estim8led leogth of ,ewer iliac 0 feet.
Clean out (irrequired) lotaled at &et from stru~turc.
FEE SCHEDULE
"RtI.id811~i"l ,ewcr 1lQ\1 wlter liD' connection 535.50 !I\Quatrlal, Com 'I ~ )ftulti-tamily 1 % ot jolt !;OIl wiu. . $39.50 minimum
Se1Wer !:.onneCltion only 517.'0 ~Ilcr ~"llnec:tjgn ollly 117.'0
Eltlmat.cd Cost $
Builclinc Pmnil "
saWEA AND W A TEll PERMIT FEE
STAtE SUllCH.UGE
TOT AL PJ:1tMlT FEE
~
4
· PAID WITH
BUILDING PERMIT
(OMet u.. Only)
Thir Ap~lIcatlan HuoIII" YOgI' BgUdl_. Pnmii WIa-. Appt"QVd
Bw1dinl C)fl!ci.1
D.~
~~
\ By
l
3. hDIU ntlc. fu.n i.,.__1I1 ('51) "''7.915I,'as ('Ml) ....'7-4145