HomeMy WebLinkAboutBuilding 02-0304
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()
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3-/ t..J ,02-
\62.4-1-
9,. \ C-;
LEGAL DESCRIPTION (office use only)
LOT lP BLOCK L ADDITION W
I. White File I PERMIT NO I
2. Pink City . 0' -0 '204-
J. Yellow Applicant . V"::>.
w.w
'S
\~t-
c\c\.
PIDZ5 -3?~>.- 6/0 -0
ZONING (office use)
12/
I OWNER
(Name)
(Address)
(Phone)
BUILDE~ C" \ \
(Name) c..O\\~L'L.\~ "OYY\ -{,,~
(Contact Name) ecv:h'<- Sh I'm D t- '@.-
(Address) " "\ \2. ' \
o $\Dl"V\ I -L- U\ \JC:
(Phone) CVS 2. Li tL1. to G\ 0 0
(Phone) lol2. \126, 3"20 g
560
U)"LI~
ORe-Siding
TYPE OF WORK
ji(New Construction
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECT COST/VALUE (exc1udingland) $ ~ 6~ I 't/:i).
OUtility Connection
o Mise,
ODeck
o Porch
ORe-Roofing
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 wilI 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 r \perty to perform needed inspections. J
X "'- \LO~3/1 W. J ~
Contractor's License No, / Date I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Gas Fireplace Permit Fee
?-20-tJ2-
Date
Park Support Fee
SAC
#
#
$
$ I
$
$
$
$
$
$
$
o
.(98
-"'oo.ad
Water Meter SizeS/ ';1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I Paid
Date
%:; ~I ~ .9'
-]-- or.-
TOTAL DUE
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 Certifi~cy must be
issued'/1 . ~ ~~ ~
~~...e..e'~ 31ZS- /e2- _'
Plan ng Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th. ("tnr.. or th. "ok. COOnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APpLICANT
APPLICATION RECEIVED
(!OLLEq~ C-Inj f1(JJ16S
3-/4--07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/524-7 FOX -mIL (!;T NN
Accepted X. Accepted With Corrections
Denied
Reviewed By:
1VJ16
)
.
Date: 3-)7~OL
Comments: See Reverse Side for Additional Information!
.,.
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control 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."
. ,'.
~~
White - Building
Canary - Engineering
Pink - Planning
Thf' Ct>nftr or Ihf' t.au- Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
c!'OLLE(jE el n; /-f(JME-S
2-14---0L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1524'7 roX7J11L- eX NN
Accepted ?\
Accepted With Corrections
Denied ~
Reviewed By: ~.."k
Comments:
Date: '5 -?o-()~
-12-ea.r~ Q U a:+tucl.acQ J+.J-
'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."
Thf' Cf'nlf'r or Ihf' I..kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, "
t~,. \
i. t.-
" ,,~
,i,r' "
I 'I.- i
"
1'-"'- .)
~)..
I \,
i 'J
,I
L
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: Lr
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
jr'" ,,> ,-f//
i"-""'''' I
! (:..
;r-" i "l
/llil.._
( , I
\.... .
, ":/'
I "i , "
Accepted
Accepted With Corrections
Denied
Reviewed By: ~<f-1..~:.2"" ~
Comments:
f--ID ~~ ~ ~ck~~~
~~ ~--8~ ~I
Date:
3/1-2./CJ"2
~
"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."
8:10AM
GENZ RVAN PLUMBING AND HEATING
No,0687 P, 3/3
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~,:~4 ~y I PERMIT NO./!" )) - 3 Q LJ,,'
J Y"'J~ ~l~~ " UvrJ f
ZO:NlNG (ofticel,lse)
4-1
t;'11111 l-
Or
LLJ
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 2. ADDITION tV f Sf fA
I::~=;;::ilt;:~ '~~,
APPLICANT
(Name) (dYl~- '11~
(Address) ~~ ~ ~.nr-
(Adc:1ress)
"~
mL
(phone) ~5LJJ7-3-rJ ltjLj
ofJj\l vYNJ nr ".~~
(City) (Zip Code)
(Phone)
(Contact Person)
DATE 4-
I
,;,~
APPLICANT SIGNATURE
r Quantity I Type of Fixture Quantity Type of FUture
:;2. Bath Tub with or without shower. ~ Rough-ins
-. Dishwasher I Water Heater .. -~"
, Floor Drain " . t2..-" Water Softner
~7, Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I LaundI)' Tray (lor 2 compartment sink Sewage Ejector
T Shower Stall Backflow Assembly
1 Sinks ! Backflow Assembly Test
Bar Sink Lawn Sprinkler
2- Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commcrcud & Multt-family] % of job cost Wlth a $39.50 minimum
Rcsid<=ntlal, New One & Two'P8Jmly $99 50
ResidentiaI. Additions & Alterations $39 50
I
Estimated Cost $
t~..
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
so
, ,." ~
(Office Use: Only)
I....,
,,'
This Application Bec:omes Your Building Permit When Approved
Paid
Receipt o.
Date
, 1 ?Ofl?
By
Building O~(ial
D..te
:24 hQur notice for alllo.:lpections (95~) 447-9850, fax (951) 447-4245
8:10AM GENZ RVAN PLUMBING AND HEATING No,0687
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
P, 2/3
Date Rec:'d
I Pink
~, 01-_
:J. v.now
S-., ~PERM1TNO~t?J-~3oLr J
{PI........ '" """t on'''''' b'~
I ADDRESS
1()2-~.ff 'LTtI/L-
ZONING (affi.ceuse)
l-I IVuJ
1
LEGAL DESCRIPTION (offi.c~ U!Ie ol:11y)
LOT lo BLOC!<. ~ ADDITION
ID
l:::~~ ;:iI~~
~~ ~h~)~O~~~W7{J[) I
,
AP~~ .
(Name) -
(Add",") ~ ~~~ ~~ T1L-L-
(Address)
"'/
~hone) "'~~: -{ { '-ILl
" 'JJ " ~D~
(City) (Zip Coc1e)
(Contact Person)
(phone)
DATE
u
APPLICANT SIGNATURE
ffJ-NEW CONSTRUCTION o REPLACEMENT o ALTEMTIONS ~
FURNACE MAKE ANP MODEL Le.v\..no t G2lo(Q ~l L./ - (DC FUEL)jfTf: ::l1~
FLUE SIZE RETIJRN OPENINGS f INPUT Jf::,() ~ OUTPUT q I OOD
, ""-"
TYPE OF SYSTEM HEATING OR POWER PLANT
gwarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~ir Conc:1itiomng o Spec:ial Devjce~ Required Side Yard
OVent.' System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
PLEASE COMPLETE BELOW
Industflal, Commercial & Multl-FlUnliy
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace:
~W"SO minimum
S9~ ,,50 Residential, Additions & Alterations
$64,,50 Residential"AC Only
$39.50
ReSldentlal, Heating & Ale (New Constroctlon)
Residential, Heating Only (New' Construction)
$39.50
$3950
Esnmated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use "Only)
.115 Application Becomes Your Building Permit When Approved
Paid
Receipt No.
B..ilding otttcllll
Date
By
Datil
14 hour notice for aUlnspedlons (9~2) 447-9850, fax (952) 447-4245
a"weA/ir, '6o..l.~ t-Icc<< o~ ...n ~... chI'_
a_II.: lD7$ ~ 7~~ "'~~'t- .NOIflr~~':7~q.-s-s-~'r"
.J"ATUII: ~ _e~ OATI: 'T-I()-VL~ . .
81'n lIlIlII"., I S~ 4"] ~ Ceo..,. J::.::. _no · r:::J0l- 3 0 ~
"~I..I" 1. '1'0 .~y --
1. Ilet~.ted len9th of wat.~ .ervlce ~()
~. Ii.. at waee, ..rvice___J to ifto~(_.).
J. Locatjon of anJ c~~plln,. f~~ .~~~c~~re --- I.et.
... type o~ ..",.r- pL,e. ,..._ pvc.2:C- ea.l. IrO"_
5. ..t1..ted lenvth 0' .ewer 11"_ .~ f..~.
6. C~e.~ o~l (it r'qutr'~l, 10clted at ::-
Itructl,u'..
I.et.
J f..t.
tt'o.
....__........._._.....~=s.~......................................
Th11 application becomea yo~r pe~lt ~h.ft approved.
.y
DA't1 :
......~..5=....................................-..................
fEll;
s
s
s
;l5.QQ
3~*
5~.r a~ w.~.r line oonneation ..r-~t.
.urcraart-
T<71'~L
.
'ee ro~ .it.her .e~er II wlter indlvld~.11y 11 '''..0 plu.
$ .50 ....rt;".rq...
'.wer and vater ~r.it. l"u" for nev c.".tr~G~~.n .y.~ ..
recor." e" t~. 'wllelft. p.~i~ oar. .~ ~~e ~i.e.r t..y.ftoe
to l~.~re that no O~pl1.a'- .ewer and w.t.~ ..r.t~. ace
I..",ed.
.
DATI ,,.:0
.,eEIPT .
~_._.
-
Moun '.10
1Il1C: ~ C I.,
4M O.k... $C 1,,1, PrIOr L.1Ic. ~.. MnZ I "",, (6111 ..,.- I r.. 6612' ..,..,.1
.. ~~,,~, ",j,lIIfRI
,
5~
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! 1 2002
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FIRESIDE CORNER #5333 P.001/OOl
CITY OF PRIOR LAKE Drate Rcc'd
HEA TINGI AIR CONDITIONINGIFIREPJoJACE PERMIT
~;~sr:"'Ae~bo:=
I /5 ~I 3 . &flAr
~:;_ E~_, I PERMIT NO.tf Z -0304=}
ZONING (offl~ I~.el
LEGAL DESCRIPTION (office U$C only)
LOT
BLOCK
ADDITION
PID
IOWNER
(Name)
(~dtesS)
f~'fJ (;~
(phOXle)
APPUCANT
~8me) ALLIED FIRESIDE DBA FIRESIDE CORN~R
(Phon.e) 651-633-2561
(Address) 2700 N. FAIRVJ:EW ~NrJE
(Address)
C ) BRENDA HUSTON
( ontact Person
ROSmLILLJ:,:--MN
(Ci1:Y)
(Phone) 65J.-633-2561
DATE
'iS111
(Zip CQd"e)
APPLICANT SIGNATURE
APPJ..ICANT PI..EASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AJ_ TERA TIONS
FURNACE MAKE AND MODEL FUEl...
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGrnvil}'
o M~hlln!t::IlJ
DAj~ CClldj~Joni"ng
DVent. Syst.em
o St.ellm.
o HoT. Water
o Radiation
o Special Devices
o .othet Dt:viccs
PLEASE NOTE:
Air Condirjoner Unirs
CanlJot En"croach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Indusrrlf.lJ, Cammc:rcill.l & Multi.Famlly
FEE SCHEDUJ..)1:
1 % of job cost Restder.thll. Gas FIn:place
$39,,'0 mInimum
$99.50 Rcsidel1tial, AddltiDns & AIl:t'lmtiol'ls
$600 Residential. AC On"I)'
539.50
$3!UO
$39,50
ResidenT-JaI. Healing 6L NC (New Consr.nlctlon)
Residentjj]./, HCIl.tlng Only (New Connructlon)
HT':::.A TING PERMIT FEE $
STATE SURCHARGE $
TOTAl.. PERMIT FEE S
02-, 0304-
r PAlO W\"~\l
.50 'eU\\.D\NG pE -
\:
Esrimar.ed Cost $ Building Permit #
(Offier. fJsc Only)
This Applic~u:ioJ1 BeJ:;l)mllS YOllr Bulld'n"g Per-mit When Approved
)Jar.e
-=5- -6 -02-
Bllilding omell" "
Ollt~
24 !.our nottce for 1111 In,pectlons (952) 447.J.J&..'iO. fn (!J!2) 447-4~'S
PRIOR LAKE
INSPECTION RECORD
FOx. ~.l 1; J
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS"2C('l
NATURE OF WORK 1tJ~
USE OF BUILDING 5F()
PERMIT NO. 2/ 0 3o~ DATE ISSUED ~ -'20-02-
CONTRACTOR PHONE ~/2.- tHS-34;:J,J
NOTE: THIS IS NOT A ERM FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) </....
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - S
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
FIREPLACE
GAS LINE AIR TEST
~"'IS-
~
~
COVER NO WORK UNTIL ABOVE HA
Sh.,ccs:o c...~
u
1/,3xfo ---0 d-
FINALS
J j ) 11'0
r. >-11l'.1
'7 ~c. o~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In Inspections
and maintained until all Inspections have 1<:'&~," 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