HomeMy WebLinkAboutBuilding02-0215
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l^'\.A.A'IA ~'l-e..
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT FEB 2 8 2002
~i~i~e ~::y I PERMIT NO. 02- 02/51
Yellow Applicant
ADDRESS ZONING (office use)
J~ -
/\Iv.)
/f~'; 'T
LEGAL DESCRIPTION (office use only)
C' r t' J ?-
LOT/
PID,;lY- 3J{y -- () 7;J. - "
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER. I I
(N ame) bJ i'" /VJ /JI i' /V /V-- /v () m .v.J'
(Contact Name) G c. r y J uJ, JV J (; /V'
/
(Phone) tS/- ;/()6--- Y;'Uo
(Phone) t 1;2. - J~.9 - / t / 2.
.5' 5/ rJ ..).
S''-ll' r
(Address)
/' It!. Z ,'-
/,.,tJi'
..J. 0 D
ORe-Roofing
ORe-Siding
OUtility Connection
OPorch
ODeck
TYPE OF WORK
ew Construction
o Alteration
OAddition
o Fireplace
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Misc.
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 th property to perform eeded i pections.
/Y5~
Contractor's License No.
;J.. -:2 J' - '"' 2-
Date
----
x
$
$ I
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter SizeS ';1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Lo 0.00
100.00
SC:;, ":;-0
lfo.oO
TOTAL DUE
I Paid
Date
RecaNo.
By ~
es Your Building Permit When Approved
3 - .)0 - 02..-
3- 8 -02-
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
w'eo ",'" '" ,", C," N",cr ,='''''"'' >em""," Com'''" of Zo,,,,, rom,'"cr "ct ill,w, 'oo,~ct,oo '" 7::: -, ~'''". , <>rtrli,," of 0=,,,,, ~'b,
Issued. 2/7/07- *-Wv~N ~~
nning 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
, ,
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CITY eF PRIoR LAKE
SEWER AND WATER PSRMIT
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~i'P~CAN'I' :
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FILL IN ThE E~KS
Estimat.ec. leng-th of 'Jater service 30 fQ~t-.
size of water service~in~~(es). ~~II^
Location of any cou~li~~s from s~=uc~ure~feet.
T~pe ot sewer pipe. ABS PVC~ Ccst Iron
~5~i~ated length of sewer line ~()
), .
2.
3 ,
4.
s.
6.
(if
requirec) ,
located
,
GIIUJI . PILl ,
nLi.CN . ~c::..,.,
GOU:i . c:ri.,
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NO _ OZ-- tJZ/..:,:;-'
" , ,:
NOTE: Sewer and Wa1;:$t" , .
contractors 'nu,lSt.
be re.;ist~.re~.'
'Wi th the. C.i't..Y~~" '
P1ioN~ :~S -4S;).~ I S-4S..
DATE: ~'/~"",,, ' :,".
- .
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'5 IDG _
!'::?_'1:!T 'i
Clean out
S-:':-J.c't:ure.
fe~~I\A.
at ~:feet
,f'~-cm' ,
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1']":.is a?9licatio
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OAT=::
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FE:::S~
:35.00
.50
35.50
Sewer and wa -::er 1 ine conne~tion pe:-mi15.:: ,'.
Surcharge '" ' ,
TOTAL ""
5
$
$
..
.ee fo= either se~e~ or water
~ .50 $Ur~ha:rge.
indivicually ~s
520.00' 'pilJ,s',,;,
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"
Se'",er and \Ja-c:e? pe~i ts issued for new construction must:' I 'b~ '
recorded on, the building permit ca~d at the time of issu~hce'
-:'0 i:,stire tha.1:I nc ~u.plicate se.,Jer and water per,:nits '~i'.ie:'
issu.e~. .
,,":a~NT PAID (flt~. tt).. .
R"-C 0 BY pu/~G ::<
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WOHd
10/24/01 WED 11:22 FAX 6124474245
CITY OF PRIOR LAKE
14J001
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~_o~
i. ~~ ~~~ I PERMIT NO. 07 - 0 -;; I C;
l. Ytl..". AppI,t;.,,( . G.- t::- '-'
~NW
ZONING (omee 1Ut)
I
LEGAL DESCRIPTION (tlffi~ use only)
LOT '1 BLOCK ADDITION
PID
OWNER
(Name)
(phone) 6S)-'iDb -I./l!DO
Y\ \M" \ $}:2rz
(Phone) a-/-f9-/5t.<
~ tv\V\ ~ $/ XL
(City) (Zip CodeJ-
(phone) tsl-19. -I 5/:;5
DATE 3 ~ D;L
(Address)
(Address)
(Contact Person)
APPLICANT SIGNA roRE
Quantity Type of Fixture Quantity Type of Fixture
dJ.. Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
, Floor Drain Water Softner
~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, Laundry Tray (l or 2 compartment sink Sewage Ejector
, Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
r Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
PLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercllil & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & TWO-Family $99.50
Residential, Additions &. Alterations $39.50
02 r02/5
, 8U~:~~~T-
~
Estimated Cost S
Building Penn it #
PLUMBING PERMIT FEE $
ST A IE SURCHARGE $
TOT AI.. PERMIT FEE $
(Omce Ute Only)
This Application Becomes Your Buildine Permit When Approyed
Buildl", Orndt'
Date
Paid _ Receipt No.
.-----
Date "7 -/7 ._ ,0 -. By (___
--- &. L..
:4 hou,' i>oticv for.n inlpedioll' (9S1)'t't7.9t;5\t, Ullo ~951) W',-4145
I'1AY.D6'2DD2 18:38 651 633 8884
FIRESIDE CORNER
#5251 P.DD4/DD4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Dste Rec~d
t=. Slel.. 1 PER~IITNO.OZ-OZ-/5J
ZONING (D!fla: u",,)
LEGAl.. DESCRll'TION (off}
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Phone)
(Addtess)
APPLICANT
(Name) Af~LIEO FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-256J.
APPLICANT SIGNATURE
ROSEY.TLLE MN
(CiJ;y)
651-633-2561
(PhoX'le)
DATE -rA. .)
"'<;111
(Zip Code)
(Address) 2700 N.. FA!RVIEW AVENUE
(AddmL~
BRENDA HUSTON
(Con.[act Person.)
APPJ..ICAN'T Pl..EASE COMPLETE BELOW
-w CONSTRUCTION 0 REPLACEMENt 0 AI-rEM nONS
FURNACE MAKE AND MODEL fUEL .
FLUE SIZE RETURN OPENlNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DSJearJ'I
lJ HQ[ W~.er
o Radip,tion
o Special Devices
o .other Dcvlces
Bwann Air J>l~nts
OnJ.vity
o MechMlcal .
OAir CDl1dltioning
aVent, Systmn
PLEASE NOn::
Air Conditioner UnIts
C8lI.n.ot EnmJacl:J into
Requ.i.red Side YlIl'd
Setbacl,s
FIREPLACE MAKE AND MODEL
{, 0 ~pi-n..-
Industrilll. Commercial & Multi-FlUllily
FEE SCHEDULE
I % of job cost Residential, GS$ Fireplace
$39.50 mln.imum
599.50 Resldenlial.. Additions &.. Altcrations
$641.. SO Resldentfal, AC Only
S39,50
Rcsidemilll, HCD.ting & AlC (New Construction)
Resid.cnt.ial. Heatln.g Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
$
S
$
oz-oz/~
r"';' ",..'0 ~pI:RM\"
~\U>\NG w_
.50
EstimB.r.cd COSJ :Ii
:Building Permit #
(ome!! rJ$t: Oltly)
This Application Becomes Your Bunding PermJtW'hcn Approved.
Dor.c:
~
Da.te ",,- e o' ~
->~?~ L-
Bllilding Offith"
14 hfJltr notla fOr DIl in.pecl:tons (952) 447.'S!D, fJlll; ('~1) "''''14145
CITY OF
" :
HEATING/AIR CONO~ . \
FIRESIDEt~
CORNER
R LAKE
/FIREPLACE PERMIT
#5812 P.003/003
Da.te Rcc'd
MAY.20'2002 14:52 651 633 8884
FIRES IDE CORNER
Fi'c
City
f\P~'i<"'"
[!ERMIT NO. -:J-;:l J 5"f
ZONING (offl~
1.111C)
15284 JEFFERS PASS
LEGAIJ DESCRIPTION (office m~e only)
LOT
BLOCK
ADDITION
PIP
OWNER
(N arne)
WENSMANN HOMES
(Phone)
(Address)
APPUCANT
(Na.me)__ALLlED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651"(,33--2561
(Address)
2700 NORTI.-J. F AIRVIEW A VENUE
(Add.~5)
..ROSEVILLE
(Cny)
55113~
(Zi.p Cnde)
(Cont.a.cl: Person)
BRENDA HUSTON
(Phone) _651-633-2561_..._
'OPUCANT SIGNA llJRE
.-.-
DATE
X NEW CONSTRUCTJON o REPLACEMENT' o At TERAT/ONS
FURNACE MAKE AND MODEL FUEL
-
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
-
TYPE OF SYSTEM HEATING OR POWER PJ...ANT
DWann Air ?lant:l B Steam PLEASE NOTE:
DGmvity Hot Willer Air Conditioner Units
D Mechanical B Rlldiation Cannot Encroach into
DAir CfJI'u:lhiQning Spcr.i1d Devi.ccs _ Required Si.de Yard
OVcnl. Sysu::m o OT.her Device;! " Set-backs
fiREPLACE MAKE AND MODEL - - HEATN OLO 6000.TR-OAK
APPLICANT PLEASE COMPJ...ETE BEJ..OW
Industn/:ll. CDmmercial & MIJJ1.i-FlIl11ily
FEE SCHEDIJI..E
In;.. of job cost Residential, GIlS F;replace:
$39.50 minimum
$99.50 Residcndlll, Addit.io!1s & AI~rn.tjQns
$64.50 Residentlll.l, AC Only
$39,50
Residc:ntia.l, Heating & Ale (New Construcl.ion)
Residential. Heat.ing Onl.y (New ConsmJct.ion)
$39.:10
$39.50
Esr.imated Cost $
HEATING PERMIT FEE
STATESIJRCHARGE
TOTAL PERMIT FEE
6u.ilding Permit #
$
$
$
~'
,50
l::lttlon Becomes Your Buildin.g Permit When Approved
Pa.id '. ,
E1UILDEA DIVISIO
lJlJildl~~-Avt..'tl:Ir.. r.J.....n PI on ~g'f, 633.2561 FaX (651 ~33-8684
~s!.l-/i.gbway 1~ RII....~ (95
:Z4 hour noticll rWJ eB~,~e;t~~I~~~~l fnx (95~) 447.4245
-
Th. C.nl., 0' tho !.ok< Counlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WSN5/VI/-\ N IV
?-z,S/O?/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 Z g~ ~-6rF~Jc.S PA~ 5
Accepted '>( Accepted With Corrections
Denied
Reviewed By:
/11# B
Date:
3 -~-o~
Comments: ' See Reverse Side for Additional Information!
/J1q/~ F,-Ie-
. "
. See Attachments: 1) Grading Plan, 2) ErosIon Control Measures
. . 3)"ErosionControl Plan
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. II
7f^l'i
White - Building
Canary - Engineering
Pink - Planning
The ('rnfer of Ihe Lab Counl'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
WSN5>MA N tV
'2-~&6/ ()J/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t 5 Z 04- 013PF[5f2-S PA~ s
Accepted
Accepted With Corrections
x
Denied c&
Reviewed By: . . ~.
Comments:
~ all Q~ koQ~
Date: J - 8 ~o~
"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."
Il'P!\B^ aq lOU IIBLls UO!l:>!pSpn[ aLll!O sa:>uBU!p.lO
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6u!uUeld - )jU!d
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6UIPI!na - at!4M
L /'-'\ Ctl V\ L- I e
PRIOR LAKE
INSPECTION RECORD
J:rb R<3.5
DEPARTMENT OF
Bt'lLDING AND INSPECTION
SITE ADDRESS /5 d. ~~
NATURE OF WORK !JeW
USE OF BUILDING S.FA
PERMIT NO. ()Z--()Z/5 DATE ISSUED 5-8 -07-
CONTRACTOR ,J^)~~C,~VL ~ to.. PHONE ~{2'-'J0?-7ro/~_
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)
PLACE NO CONCRETE UNTIL ABOVE H
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING t . t- . if 1/ ~ --t.. --0 ?/
INSULATION 'I II ~
ELECTRICAL
PLUMBING [,../' '< {)V {{ -t ~rv ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~~ 0'" l(-t -6'-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS B EN
NOTICE
This card must be posted near an electric",,: ~el'v:..;e 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