HomeMy WebLinkAboutBuilding 02-0266
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~sf/ec'~./e
~)C\
Date Rec' d
3-/2-02
1, White File I PERMIT NO I
2 Pink City . O~? - OZ-I - /,-
3. Yellow Applicant ...- lPf.l?
,~tJ{
LEGAL DESCRIPTION (office use only)
LOT ~O BLOCK \ ADDITION M('t<.d6 L.j V ' e,-v
ZONING (office use)
~Z-
PID
OWNER
(N ame)
Ce vtkx
(Address)
BUILDER r_
(Name) L.(""V\:t-eX.
(Contact Name)\S l\ t
(Address)
Hcne~
{-I-c, ~ ~ .
S~(,?1-c Y"\
W IV' fl/Jbltl/ /1
TYPE OF WORK
o Mise.
.oe.
New Construction
o Lower Level Finish
(Pho~r--
./
(Phone)
(Phone) c;9-~/(./5-- 7_3SS-
,
5r3 +:3
n '7?)N)4ICI
ODeck
o Porch
ORe-Roofing
o Fireplace
OAlteration
ORe-Siding
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
enter up~n the-propeJty to perform ne~ nsp~cti
" ::::7' ~
x- j/ -',/ .
--- Signa, e
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
OAddition
$
$
$
$
$
$
$
$
omes Your Building Permit When Approved
a-o 'Z..-
Date
Contractor's License No.
02(26/02-
Date
#20C>76 737
Park Support Fee # $
~c # $
Water Meter Si 5/8'; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Oilicr $
TOTALDUE ~ 3-ZS-dZ-- $ cP
3
!paid ~ ~~
Date (7- '? .-'
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 si d by the City Planner constltutes a temporary Certificate of Zomng compliance and allows constructton to commence Before occupancy, a CertIficate of Occupancy must be
"'" 3/7-?;;/ O~_ ~$~y ('~Q/\l-tMS
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUlYIBING PER~''lIT
APR - 9 .
at bottom)
~. ~~~ ~;~y I PER1\UT NO. ~'l _ /}") I /1
J_ Yellow Applicant , l/!~ .... ~(o ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID;;Jf-jfq ---0;)-0-6
I ~~~R??IAlt k<
I (Address)
(Phone)
(Address)
(Phone)
96'~- qt?~'J/ot/
-3J--:5V
(Zip Code)
(City)
(Contact Person)
APPLICANT SIGNATURE
&A~
~~
(Phone)
DATE
c1Z~
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower "1 Rough-ins
I Dishwasher -I Water Heater
I Floor Drain Water Softner
~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
/ Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
? Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
.50
~/D 11
~~.... ~A!G 1//)
. F"
Receipt No.
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office lJse Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
By
APR - 9 2002
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
651 633 BBB4
#4693 P.001/007
~~:m<:u~
I-=-~~v~: C~lh~ ~AlIJ
LEGAL DESCRlP110N (oft\r.e use only)
FIRESIDE CORNER
CITY OF PRIOR LAKE
I
HEATING/AIR CONDITIONING/FIREPLACE PERMIT APR 2. 52002.
I
!
li~ S_ll'E8MlTNOj,) - 2[, ~
I
I
Date Rec'd
ZONING (officr.'ase)
LOT
BLOCK
ADDITION
PID
~~
(phone)
I OWNER
(Nam.e)
(Ad,d.ress)
APPLICANT
(Name) ALLIED FIREsIDE: DBA FIRESIDE CORNER
(Ad.dress) 2700 N. FAIRVIEW AVENU,E
(Address)
(C P ) BRENDA l':lUSTON
ontact ,erson
I
(Phone) 651-633-2561
I
RO~WVTT,T,F. M1ll
i (City)
I
(Phone) 65J.-633-256J.
r;1;11':l
(Zip Code)
APPLICANT SIGNATURE
DATE
I
APPLICANT PJ...EASE COMPJ...EtE BELOW
~EW CONSTRUCTION
FURNACE MAKE AND MODEL
DWllrm Air Plnl'lt.~
OGr8\11ty
B Me:chllnicaJ
Air Conditioning
OVent. Systllll'l
O REPLACEMENT 0 AL TERA TIONS
. I
j FUEL
INPUT OUTPUT
I
HEA TINO OR POWER Pf.ANT
o Steam !
o Hot Wflter I
o Ra.dllltion I
o Speclltl Devices
o Other Devjccs !
I
I
,
.
PI..EASE NOTE:
Air Conditioner Units
C!l1lnot Encroach into
Requ.ired Side Yard
Setbacks
FLUE SIZE
RE11JRN OPENINGS
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
6t,.,.
.j'.-t.. J1\1'ib-
Industrial. CQmmerclllJ &. Multi-Family
I
FEE SCHEDULE I
) % of job C05l Rcslt:wntfllq GIIS Fireplace
539.:50 minimum I
599.50 Rcsidcntll1J, Additions &. AltcraJions
$64.'0 Residential; AC Only
$39,50
Residential, Hellting &. Ale (Nt:w Constructjon)
Residf:nlial, Heating Only (New Construction)
$39.50
$39.50
Estimated CQst $
I
I
B1Jf1ding Per;mlt #
I
I
$ i
$ i
$~
i
jto.
REA TINa PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
.50
"', f i'..
'L~.II .. '."').
'..../', , .
""-'J
(orncr. U~r. ani)')
This Application Become..'i Your Building permit When Approved
Paid
Receipt No.
BuJl41ng Offld",'
Dnte
Da~c j-\n< '2.. ~ tL.
By
'71
E/
14 hour notice for nil inllpectlon:l (9SZ) 447-9850, fOJl (952) 44'....%4S
-"'- .;.. ',', CITY Uj4'l'RlOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
LEGAL DESCRIPTION (office use only)
~ ~ ~!~. [ PERMIT NO..) - '""\ I I:"]
l. V.lIow AppJ.CMI __> cTi..I? 'P _
A/ J l ZONlNG"...._l J
LOT
BLOCK
ADDITION
PID
II~ hiE' ~
(Phone)
.':,
APPLICANT
(Name) /Y'POl-1-, "^'
(Address) I f'S-S-o
~ ~Oi!) /.''''-7 fl~
~ Ovt'l ry fG/ if
(Address)
(Phone)
7G 3 - 4).. y- 5(,77
(Contact Person)
-
l~rY...,
/?7'fPlf Gro:d
(City)
s-s-; (, 'J
(Zip Code)
APPLICANT SIGNATURE
(Phone) (.,/ L - ~ I.. 3 - >5(. '7
DATE , r- t' ~ 02.-
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL 13 rr~ G '" + 3 S-o 4 Po 70 FUEL Gus-
FLUE SIZE Pvc RETURN OPENINGS 8' INPUT go. ,.,nc OUTPUT 7 'f.. "'60
TYPE OF SYSTEM HEATING OR POWER PLANT
[ilWarm Air Plants 0 Sleam
OGravity 0 Hot Waler
o Mechanical . 0 Radiation
~ir Conditioning 0 Special Devices
~ent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks I
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
S39.50 minimum
S99.50 Residential, Additions &. Alterations
S64.50 Residential, AC Only
S39,50
Residential, Healing &: AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost S
Building Permit 1#
(Office UIC Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"-
~
~i"1__ .
--../ . .",."
Paid
Receipt No.
. Duildln. omelal
Date
Dar:s-7_~
24 hour notice for aU Inspections (952) 447-9850, fax (951) 447-4245
10"d
G89:Z:8Gt>:Z:9L
'Ii.
OM~ ~NI'OO~ ~ ~NI~~3H W~ :Z:0:01 G0-10-^~W
The ('enfer of fhe Lib ('ounlf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
t- :x
)
-'
_."i-._
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,. ./'1 .--)
c i ':r:.f- L-
: : /- -- r
\.. '- ,,: I ' ,
;. \,/
" . I
,
\ \ J .
Accepted
~-
Accepted With Corrections
Denied
q~
/j\.c-~ ~ -, Date:
3/:2 ( /82-
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."
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of Ihr tlkr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CE NT5X
3>-/2-- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I +4-4 2
CASTUJ9A--rB WAY N.\Ar
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
(!)2- ~b
White - Building
Canary - Engineering
Pink - Planning
Tht" Cf'nler of .he Lab Coun.,.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C E f\JTE Xl
,
~-IZ-OL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 44-4 2.
(1'\/"~ t GJ' -
cA- ~ I v f{Tt
~/VAY
t\J ~\/.
Accepted
x.
Accepted With Corrections
Denied
Reviewed By:
M'f/3
Date: 3 -2-2 "'0<-.
Comments: See Reverse Side for Additional Information!
/:"
\
c
\-1
See Attachments: 1) Grading 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
aUILDING AND INSPECTION
SITE ADDRESS ~ 'Z.. C~st/e~~
NATURE OF WORK AJ.....}
USE OF BUILDING SPD
PERMIT NO. OZ ' () ZcP(P DATE ISSUED 3-l~ -o?
CONTRACTOR ()~x ~5 PHONE {P12---:r~9 -~7 t'-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ '0 ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DTE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEE
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections ha','e 'been approved, On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
-0
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850