HomeMy WebLinkAboutBuilding 02-0170
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
tJ
LEGAL DESCRIPTION (office use only)
LOT (p'L BLOCK ( ADDITION
OWNER
(N ame)
~~
Date Rec' d
z -8 "(7
~. ~i~i~e ~:;y I PERMIT NO. /)2...... 0/ 10
J. Yellow Applicant . v_
ZONING (office use)
KL
fA..) tlle.tA../
PID 25- 364 ~o 2...-0
t+o ne -'
ru~~ Dr~v~ 5~'~ (2-D
(Phone)
Y'S2~ 13~- ~~33
(Address) 12.. Lftb
HN !)~3
BUILDER
(N ame)
(Contact Name)
(Address)
.5~ ;P
11 ; k-t- J>~ '"
(Phone)
(Phone)
5d??7 L
~(l -l/'O - 2///
TYPE OF WORK
ORe-Siding
~ew Construction
DLower Level Finish
~eck
)@:irePlace OAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ I z.S""' tJtPZ'
/
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 upon the property to per need inspections.
o Misc.
X
Permit Valuation OOO.~
Permit Fee $ ./)
Plan Check Fee $ ? g(p. ~
State Surcharge $ ~2 ' .~[)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ t.(D.OO
'2.., - Il - 0 z.....
Date
OPorch
ORe-Roofing
DUtility Connection
'U)tJ 'lIP 73'7
Contractor's License No.
Park Support Fee # $ O$CJ.d~
SAC # $ I. 200 . 00
Water Meter Size 5/8"; I"; $ , -
Pressure Reducer $ .---
Sewer/Water Connection Fee # $ t.1-CJO. () ()
Water Tower Fee # $ lOO,()O
Builder's Deposit $ ----
Other $
TOTAL DUE $5:2-73./9
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
issu~l / ,A~ ~ ~ C r,
~~~~~ tLJ2~/tl?2-- ~.~L~~\. ~~~~
.' Planning Director Dale 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
TIME ,.,-
//j
CITY OF PRIOR LAKE
INSPECTION NOTICE
7-~~~
I/j'?-<fd; 90/ot5jS6 ~&.
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
d- &efi 6:,7. 20/7/
(
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
~LUM8ING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
A=t1
-=::..
'^" a..v\O M ~ Q~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
I/VS/VO T1
Tht' Ct'ntt'r of Iht' L.ke Countr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~. /.
'I v /.r ,/
.~ ./. ,~,
1'(-1"/' (~
, ; ,-,' -"
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
/ ..../ ..;...
.. .(
;/.' / (
1:., r
< v L> .
// t~."
Accepted
~
Accepted With Corrections
Denied
~
Date:
;2-/:;?o;b2-
Reviewed By:
'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 Ihe L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C5N7E"X ;-to/\//6S
2-9-02--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/42 c; 0 b/C:/(){)K.- n 8/2-6 8 LV 0 .
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/)14/3
SlL/Yl~/;'" hit-
Date:
2-/3-0'-.
Comments':
"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."
Tht" Ct"nlt"r or Iht" I,.kt" Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CEN1T5X rlU/'16S
Z--9-0L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4ZC/O
6/Z00~rlelZE 8LVD.
Accepted
7--
Accepted With Corrections
Denied
~t-J--.
I
Date: {)2. - II - oL
Reviewed By:
Comments:
~ ~ M.(A.~ II\. C-I e.
"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."
T"'\......,n, ,..,
..... .... ~... ........... .....
CITY OF PRIOR LAKE PLUJ\tIBING PERlvllT
MAR L 5 2002
(Please type or orint me! slim ,u bolto m)
I ADDRESS /' l
I /1/;) cJ () b / 1l/)!C)11 f rt[
~. ~~~~ ~:;'., I PER-yilT NO.OZ-O 170 I
) Yeilow Applicant . .
BIt/&!
I ZONING "'c,w"
I LEGAL DESCRiPTION (office use only)
i LOT BLOCK ADDITION
i OW'NER /J L
i (~arr:e) (V _!2If rrfL!.b
I
I
I
I (AJdre~s)
PID
(Phone)
i APPLIC-\NT
(0iame)
(Address) flc/O
4sdj.. t/?1 a2 /' rJ / ;21
/
. jj$V
(Zip Code)
\Ccntlc P~r$on)
(Phone)
APPLICANT SIGNATURE
DATE
,...,
~
APPLICANT PLEASE COMPLETE BELOyV
I Quantity I Type of Fixture I Quantity I Type of Fixture
if I Bath Tub with or without shower I :1 I Rough-ins
I I Dishwasher i 1 I Water Heater
, I I Floor Drain i j Water Sot1ner
JJ I Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I I Shower Stall i I Backtlow Assemblv
.
I I Sinks I I Backtlow Assembly Test
I Bar Sink I I Lawn Sprinkler
3 I Water Closet (Toilet) I I Other
I
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Residential, New One & Two-Family 599.50
Residenlial. Additions & Alterations $39.50
Estimated Cost S
Building Permit #
t'---:~~"Rci.! p ~
.) \g~J---
'0'...
PLUMBfNG PERMIT FEE $
STATESURCK~RGE $
TOTAL PE&.vllT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
2 6 t.uu/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4145
FIRESIDE CORNER
#4192 P.003/007
Pllte Rec'd
CITY OF PRIOR LAKE
BEATING/AIR CONDITIONINGIFIREPLACE PERMI.T
i: ~_ Slaanl I PERMIT NO. 0).- /70 I
I ~~~:;;:'F_J~
LEGAL DESCRIPTION (offir.c U~ anly)
ZONlNG (offla: use)
Iftd
,.
-1
LOT
BLOCK
AoomON
PID
OWNER
eN arne)
(Address)
~
(Phone)
APPLICANT
(Name) ALT...IED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
APPLICANT SIGNATURE
ROS~VTT.r"l;1 MN
(Clt;y)
(phone) 651-633-2561
DATE
<;';113
{ZIp Code}
(Address) 2 700 N. FAIRVIEW AVENUE
(Address)
BRENDA HU S'I'
(COIlT.act Person)
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE M.AKE AN MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWBnn Air PIll1lts 0 Steem
OGravity CJ Hot WBTIZt
o Mer.hanitl1l 0 Radrotlon
OAlr Condhioning 0 Special DC'IIlces
DVcnt. System 0 Other Devices
~LEASE NOTE:
Air Condit.ioner Units
Cannot Encrollch into
Required. Side Yard
Setbacks
FIREPLACE MAKE AND MODEJ..
Jt
Residential. Heating & A/C (New Con$mJcti",,)
ResidendBl. Hef.ldng Only (New Construction)
FEE SCHE))UI..E
1% of job cost Residential, Gas Fireplll-C&
$39.50 min;mlJm
$99.50 Residential, Additions &. Alterations
$64.50 Resldentlal, AC Only
$39.50
IndlJstrillJ, Commcreifll & Multl-Fllmily
$39.50
$39.50
Estimated Cost $
Building pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
,..........
C, 1111'141" fA,
,.. i :...D/,,7:.. ... V/1"'/-f
'-'1 p__ .
--.
(,Omf-I; !Jet Only)
Tbls AppJtcattoD BecoJlles Your Building Permit When Approved
aid
R.ecelpt
Date
Date, ,...:< I 1 ',Wlr.', j
/1~ l , t....v\...h-n
By
".,lIdin!: om~h"
24 hour n"tice for,,1I Inllpectfon8 (~1) 447-9BSO, till: (952.) 447.4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
])ate Ree'd
~~~:...:.t-: n .
I/~ q u... ..~
BlvD
~=- ~,-I PERMIT NO.02-0i70 I
I. I ZONING (,......, I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name) . C~!l M 1Il
(Address)
H,,'rNl..S
(Phone)
~:: -.
APPLICANT
(Name) A'~_ ~.' "1
(Address) . J ?J-$"G)
~ (7oa(l^1
t:!~\J tI.~t ~<1
(Ad4re,
:~;, 'f
APPLICANT SIGNATURE
~.......~
g,
(Phone) ",,3- /f~S> - ~'77
/)'J.p/~ c.~ S':'\-J" 9
(City) (Zip Code)
(phone) '" L - ~(. 3 - ~S"'Got 7
DATE '1-17- OZ-
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL e,,-y I'9,.,.,L
FLUE SIZE '-I II REnJRN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
. OGravity
o r-.:1echanical .
(gt(ir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
10;" of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions ct. Alterations
$64.50 Residential, AC Only
$39.50
Residential. Hc.tina &: AlC (New Construction)
Residential, Hcating Only (New Construction)
$39.50
$39.50
HEA TlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
02--0170
,..~,d~). ~o' .>,,~,
.~(l........... ;:".''''''' ~
t:\:-;i'-'~----
. .-
Estimated Cost $ Building Permit #
(Orne! UIe Only)
This Application Becomes Your Buildina Permit When Approved
..,,--
Date
Date 2 '\ '"
,",PR 3 dl\\'
Paid
BuildinC Omcial
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
~0'd
~89~8~1>~9L
OM~ ~NI'OO~ ~ ~NI~~3H W~ ~~:80 ~0-Lt-~d~
10/07/2002 12:00 5
___......u~...,_~.'-.:.....!:.:!....:...I.l~ D.L'.lI"/.t6~4:>>
ld'U U!o' fRIOR LA.KE
PAGE 10
~OOl
Date Ree'.
CITY or PRIOR LAKE
SEWER AND WATER PERMIT
02--0/&8,OI&Cf,
l: =- ~~ [!!RMJT N~ 0 /7 ~
, !fl..""." ........... . _ ,... ..- ~f-
I ADOB2SS /2--:: J:;/. __ A _ ~I 'I tON1NC (.....l,lM) I
! fiI?!! -CJ,(.([TD7JI7/77LVl~ 8v/ '!!1f q i I
LBGAL OESClUPT!ON (Dl&:e .-lIII1y) I
LOT BLOCK AoomON rID.
(phQue) r;o..~9?Lr ~,Z2 I
{h/~/(d.1 /J1l1l ~:-~? I
I
I APPLI~ANT
I (N1me)_
K & R Contracting, In.e.
3245 Lake Avenue
(A~II) ~ New Prague, MN 56071
95Z,.758.6247 .
\ (c....".!'<hon) ~~
"PPLlCANT SIONATtJIU! 6~ p.'~
(CiIY)
(pla(ltU~)
DATE!.
(Zip c..)
(Phone)
APPLICANT PLEAS); COMPLETE BELOW
Siz.. of WI'fIIr llcmce -1.::!.J.. inch.s.
Location of allY couplinil from strlJC,tule~ felSt.
Type of sewer pipe. n ABC ~ PVC 0 Cast Iron
Estimaled leogtb of sewer i'Iie 0 feet.
Clt;lm out (if requited) located at &et from struc:~.
fEE SCHEDULE
lUIlidCll1tial ,IlWI:T MIl water litllllonnlc(ion 535.$0 Il\clultrtal, C~n'l'l.l\otulti.t.mil)1 1% of'jo" =sr wiu. . $39.50 milllmum
S~""t:t ~onnl!lCllion ClrllY 117.'0 yi'alcr tl1l\ncc:tion ollly 117.S0
.Eitl",atcd Cost S
Builciinc pmnit " _
saWEA AND W A TEll PERMIT FEE
ST A TP. SURCHARGE
TOTAL PJ:JtMlT FEE
s.
B1Iihlinl C)(l!ci.1
DI~
.
· PAID WITH
BUilDING PERMIT
~.. I By
l
(OfIke Un Onl~)
Tlli.. Apllllcatlon BUDIII" YOllr BlIlIdl_. 'nmllf WII.. APP"O\'ed
:I.lI~l.tr h.de- feor.1I ie........ (m) ....'.915.. f.. (951) ""-4145
PRIOR LAKE
INSPECTION RECORD
DEPA.RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Ll.2. 'TO ~\oo~ ~~.-'~ ~lv~
NATURE OF WORK tJ~
USE OF BUILDING 3 t::fT
PERMIT NO. 02-~()170 DATE ISSUED A- Il-c/'L
CONTRACTOR Q~~ f!dV1-...e.c:o., PHONE 93(0 - ')~ ~ ?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING L I- t~
INSULATION II
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 electr.ical ser.vice 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850