HomeMy WebLinkAboutBuilding 02-0253
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~-s7/~50 (j~y
LEGAL DESCRIPTION (office use only)
LOT~BLOCK I
/CjCJ'C,1 II' tCJ
ADDITION
OWNE
(Name) ... l
(Address)
Date Rec' d
3-0-02-
I. White File I PERMIT NO I
2 Pink City . 02 - 0 ? c:: "Z
3 Yellow Applicant ~ .
;<I, (j f
PID zS-
c ~" /
;Jch1 t'5
,-
(Phone)
ZONING (office use)
1<2
B-D
BUILDER
(Name)
017/ <4X
/311 J
/
/Jcm~S
:5~;PO.J/
/24'C) (I Wrl1 ;e~I1I ~ -p,.e-.
(Phone) Cj 9 - r; ~ - tcf 35
(Phone) 9 5,:;) ~ 49<;- 73S-S-
(Contact Name)
(Address)
11 ''''OAj~ 5J.)4-7
TYPE OF WORK
New Construction
OOeck
ORe-Siding
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
o Misc.
DPorch
ORe-Roofing
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~UIidin offiCIal can revoke this permIt for just cause. Furthermore, I hereby agree that the CIty official or a designee may
enter upon the pr rty !o perform neede i ,:c. _ /
X 'i, ' ;t;;:;?OO / (; 7 5 7 {J ,;; /dJ ,:>7d~
Slgnatur ' Contractor's License No. 7 OOe
Permit Valuation ,
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100.00
Mechanical Permit Fee $ \ (:)0 .00
Sewer & Water Permit Fee $ $<). '50
Gas Fireplace Permit Fee $
p. '"00.. Bfcomes Your Building Permit When Approved
~ J:;:;;.. S - I 4 - 0'2
g Official Date
DAddition
o Alteration
$
$
$
$
$
$ 7DO.DO
$ r SCP .en
$
$ 7J./ l:,.lfj.
, ,
This is 10 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
:::~e~d by Ihe City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commenK,=- occupancy, a Certificate of Occupancy must be
-d- e~-~ -SltL'!J.9-L ~_ ~~~uYJ,~
PI ing 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
Park Support Fee
SAC
#
#
Water Meter Siz 5/ ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\1IT
~. ~~~ ~:~y I PER1\1IT NO. 02--025 .,1
3. Yellow Applicant , ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
LOCK \ ADDITION
Ot'1t Ie 1/
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICAN
(Name)
Il 54~. yly~ -- tiZ/;J /
(Address)
/.. /-;>///1
J~oL/
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
J Bath Tub with or without shower 7 Rough-ins
/ Dishwasher I Water Heater
I Floor Drain Water Softner
..J Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
) Shower Stall Backflow Assembly
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
-3 Water Closet (Toilet) Other
I,
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations 539.50
. ~ 15JY
if~: glW
ppJ
Estimated Cost $
Building Permit #
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date . /
?- ZO - 0 <-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FIRESIDE CORNER
#4192 p.007/o07
Date Re.:'d
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~:i:. ~~ 1 PERMIT~~~~)_d53
ZONING (offici: U~)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
PIO
OWNER
(Name)
(phone)
(Address)
APPUCANT
~ame) ALLIED FIRESIDE DBA FIRES!DE CORNER
(Phone) 651-633-2561
APPLICANT. SIGNATURE
ROE;EVTT.T,Ji: MN
(City)
(Phone) 651-633-256J.
~'i.";
(Zip Code)
(Address) 2100 N. FAIRVIEW AVENPE
(Address)
(C ct P ) SRENDA HU STON
onta erson.
DATE
~
~-:-.
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETlJRN' OPENTNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWllml Air P'lln~
OGl"llvity
o Mechanical
OAir CondltlQning
OVent. Sys1:Cm
o Steam
o HOl W RtJ:,r
o JUdill.tlQIl
o Spr::ch11 Oevjces
o Other Devica
PI..EASE NOTE:
Air Conditioner Units
Canno~ En.CToach into
Required Si.de Yard
Setbacks
FlREPJ.ACE MAJ<E AND MODEL
~6>
Industrial. CQmmercial &. Multl.Family
FEE SCHEDULE
1% of job cost R~identi8l, Gas Fireplace
539.50 miQjm\.lm
$99.50 Residential. Additions & Alrerat[ol'l~
$64,50 Residcnt14l1.. AC Only
$39.50
RC:5irJcntia.l, Heal:ing &: NC (Nllw ConstrUction)
Residential.. Heating Only (New ConstructIon)
$39,50
$39.50
E$tima~ed Cost $
Building Permit #
HEA TTNG PERMIT FEE $
STATBSURCHARGE $
TOTAL PERMIT FEE S
.50
(om!:!: Use Only)
Tbis Applh:atjQn Becomes YOllr Building Permit When Approved
d
t ~'-
I. IBUIl.o:iVG ._
~ I~
Rece pt No.
n..te
Da~PR j 7 2002
By
Blllldlng; Ofl'lcl.'
~. hDllr podC:1I: for nil inspectilJ"" (952) 447-9850, ,.. (9~2) 447....:245
_"~' :.:' ',CITY OF PRIOR LAKE Date Rec'd
HEA TINGI AIR CONDITIONlNGIFIREPLACE PERMIT
APR ~ 4 ,.
i ~ J~~i_1 I PERMIT NOt! 0< - J 53\
I ZONING """".) I
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
, OWNER. .
(Name) t:3z /I f-< >!
(Address)
/I 0 ,?ot" <"
(Phone)
APPLICANT
(Name) .#~Oo-f, v..J
(Address) / s:- S-S-O
~ ~oo /,'"" '}
(! 0",.., f'f
(Address)
"I f.tJo
U it
(Phon~)
7~ 3 - 4').. y- 1(, 77
/'7'fp/~ ''>10~
(City)
S-S-3G.'J
(Zip Code)
(Contact Person)
-
I ~ 1""'1'
(Phone) ~/ 2.. - "3" '3 - S-5r. 7
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL f3 ~ ~ 0 "'..(-
FLUE SIZE PVC RETIJRN OPENINGS
TYPE OF SYSTEM
(ilWann Air Plants
OGravity
o Mechanical .
0Air Conditioning
~ent. System
o REPLACEMENT 0 AL TERA TIONS
35"'"0 4 ~o 70 FUEL &0.5
3' INPUT;? 0 f Q (']0 OUTPUT 7 Yo 000
HEATING OR POWER PLANT
o Steam
o Hol Water
o Radiation
o Special Devices
o Other Devices _
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE I\'1AKE AND MODEL
Industrial, Commercial '" Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
599.50 Residential, Additions'" Alterations
564.50 Residential, AC Only
539.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
539.50
$39.50
Estimated Cost S
Building Permit #
.50
--fIt (l.,;t
~ I ~i. /..' ~ ~)pft'I
/jJ i }(Of' V
. /
,.- I,
Receipt No.
HEATING PERMIT FEE S
51 A TE SURCHARGE S
TOTALPERNUTFEE S
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Date APR .. 20U2 By ~
Building Official
24 hour notice for all Inspections (951) 447-9850, fIX (951) 447-4145
v
1130d
Z;8928Z;v29L
,
OMi ~NII008 ~ ~Nli~3H W~ 913:813 Z;13-vZ;-~d~
White - Building
Canary - Engineering
Pink - Planning
The Ct'nlf'f of .he t.kt Coun1r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~61VfGX t}DHG~
3- (0- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)4-457 CASTLE~A-Tb WAY N.W.
Accepted
Accepted With Corrections
Denied 7- /J C7
ReviewedB/ ~~
crz:jents:
_~o{\uck~
~
Date: ....<)-1'1-02
~.~
"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" ('tnlN or Iht t.kt Counl.,."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.~,
i
l-:!.
I ; 1'-= /
! \- ~,
\ "
,. ,
! ... t...--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J I /. J--i' r"-'
. "7 Ct _.-' i 1-\ :~ C " It \ l.,.-'
i .I
/
/'
I', "
-' .
Accepted
;/.
Accepted With Corrections
Denied
~~
Date:
5/tL/lo 7-
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."
()?- -U3
White - Building
Canary - Engineering
Pink - Planning
The ('('nfer of 1ht takt Count.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/i r:: 'j .. .'T-l' / ,I { I ,- /'
1./ t/ 1\; vi, H Uti t,~
(c _. () 2--
.......i
/
)
_.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) 44 57 CA STLE, 01 f\ T6 VV f-\ 11 I\J . 'v\J 0
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
A19-B
Date:
3 - ,g-() 2...
Comments: ~p.e Reverse Side for Additional Information!
See Attachments: 1) Gradmg Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .J:f:ls II QCL~t\e~c.-L.
NATURE OF WORK t-J~
USE OF BUILDING SFD
PERMIT NO. 02-0253 DATE ISSUED
CONTRACTOR C~\k><: PHONE '15J-C{<rS--?~-C;-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
~
AS BEEN SI
ED
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
t,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f)~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850