HomeMy WebLinkAboutBuilding 02-0355
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Pk'" ~ 0< prin' "'" ,i.. "bOno:
I ADDRESS
9JJ ~ 0:()c. .~
LEGAL DESCRIPTION (office use only)
LOTS"'G BLOCK
ADDITION
OWNER ( .\
(Name) IA I/O (f)'" w-v
(Address) ? bO
4.... Z~DZ,
I
t. White File I PERMIT NO I
2 Pink C;ty . O? .j'\3.~5
3. Yellow Applicant . _lr -V --./ .
J{ll JJ
ZONING (office use)
UD
PID .::25- 30
eft) nI1. -} ,
(Phone) 9.5;.- 4 .s :L- 7 6 0 I
-s-S- / ~ L1
BUILDER ./l JJ
(N ame) JY7 ~ , J t:> ..., C r;,.. -:r ...
(Contact Name) J -etP QCA.d( oS 0-
-
(Address) '7 c"Ot ~ I {,r c:- / -..
~eck
TYPE OF WORK
~ew Construction
~Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
~ower Level Finish
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 u 0 e pr perty to perform needed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
/00 ,00
100'()O
~,50
l(O.{)
comes Your Building Permit When Approved
r-Cfi-O?-
Date
(Phone) <is';),,, Lt 3'" l' 0/
(Phone) q 5:), - L( 7'- ? (.O(
-, ~l.(
~rch
ORe-Roofing
ORe-Siding
~ty Connection
4. 00 --
o Addition
o Alteration
/1 e - 9.31 G:,
, Contractor1s License No.
Lt - P.- o!l-
Date
TOTAL DUE
Park Support Fee
SAC
#
#
Water Meter Siz
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I Paid e 9zA .r~
. Date I ~,/ /t. . 1--"
01/
I ~jfl-- -f11P-l
This is to certity 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 ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
4/ti~JOJ-
~ 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
g Director
~'" ::'"f"'" ":';".. ':;,'~,?,".; " r~.,..: ":"'-..,, -';"'-".~;';'~~~;!;~\'.,;I~ '- ~,;"f' .1"1-' :,._.,j" > ;""' ~ ..,_-;:""p;'"~' . tI:,,' ~., .;,I,,::.' "~P..v,~.f.i: -~~l .: '.,~:t"':..... ;',.,., .... '7.'.... . '~ ,;'..\(
--~
Tht ('tntn of Iht l..kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'-/11 e U) Uila2 C Q
4- () ~Od-
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w~ich is proposed at:
d8L(3 tUA?a [JiJ
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M1B
Date: '1-/0 -0:1..
Comments: See Reverse Side for Addition;:fllnform~tionl
Driveway Must Have Concrete Apron
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."
The ('enlef or Ihe t.kf Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '-111.l JJ) CT110L2. cQ ~
APPLICATION RECEIVED L/ - d... -Gd.-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d g 'i'3 tUA2dh L./J
Accepted
Accepted With Corrections ~
Denied
(2f(jJ~
Date:
sL [3 -oZ-
Reviewed By:
Comments:
~JJ2~ W~
"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 Cronin of 'he Lib ('oUnl'1"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/
'-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..,
\.,'
J
/
...,..~ { ~
Accepted
v-
Accepted With Corrections
Denied ~ ~
Reviewed By: { ~
Date:
q /tl/'02-
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."
GII[U.I'IlE
'tI!llOW . A~PlleAII"
COOUI . elf Y
CITY OF PRIOR LAKE S.w. No.
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with .the City.
APPLIANT: Ih. 00. :l JJ (3.,..- s. ~ - PHONE :Q~ -4' 3~. 7G.b
ADDRE S. +~.J:',,.5/ .n.-r~' f . - a -fj t/ ~7. ~...f-is ~~ DATE: ~... ~o L
SIGNA' 'URErJ/j I~-&---- BLDG. PERMIT #
SITE . DDR:rffjf~~ Lth'IJs.. ~ .AlCr/ PID#
FILL IN THE BLANKS
1. E: timated length of water service
<Of feet.
2. S Ze of water service
?
inch(es).
'"
3. L cation of any Couplings from structure
feet.
5. E timated length of sewer line
4. r pe of sewer pipe. ABS____ PVC____ Cast Iron____
feet.
6. C' ean out (if required), located at
s ructure.
feet
from
===== ============================================================
This. pplication b~comes your permit when approved.
BY DATE:
=====, ============================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* F e for either sewer or water individually is $~?4D plus
$ .50 surcharge.
*
S wer and water permits issued for new construction must be
r corded on the buildin9 permit card at the time of ~ssuance
t ' insure that no dupllcate sewer and water permits are
i sued.
DATE 'AID
:::.
AMOUNT PAID
RECEI 'T #
REC'D BY
16200 Eagl : Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
. An Equal OpportunilY Employer
TI II - :>F,- :>rlrlrl 1 c;: ?q
F,1:>,j,j'7d:><1C;
q7%
P f"i1
From JECHEEXC
PHONE No.
612 8926396
Rpr.292002 6:08RM P02
,.
Dltl Rle'd
CITY OF ]-)UOR LAKE
SEWER AND WATER PERMIT
ADDRESS
~ ~6 L1~~-, Lo " } ~L( L" r\.}{lL- N D tl J.. _
..,~t,~~Uqm)
I 01'_ PII. I PERMiT NO ......, .--- 'I
;: VIlI"'" ell, . d. '-:'" -<,)1 _S I
~. UOld "",11_' J , I
..
LING--' -I
..._.._....~,..---.---..._,..- ...
LEGAL DESCRlPTION (<>ffic:e use C1uly) i
LOT~<: a~CK) ~Dl'>::'ON':;f(:tkt;.'j- s.~___ PID. ... _I
g;::~~<, OOYl<10 ?-~UVld=:-~._~_ (Phnn')~:>~gX:~~1 I
(Address) . - I.. \ VI., C\ ',,_.., L) ''l'I l'l} ~IJ ~ U_ ' _~'. 1;~._ _ ~
(Addrl\55) ~__.._ ~ (Chy)" ", ,:i" ":'/""," ",., (ZlpCoclcl
.
-. _0"
)\ Pl'Lll;AN'l"-:-. , L
(Name)"'" ,J e....e. l\e.... c..yc...
(Address) ~, ~ )\115:' eJa c!., €-
(AdcSress)
(Contact PCr.lon)
APPLICANT SIGNATURE
'.-..----..,-
(Phone) ~I a ?070 7"-1 S-Ib
BIJ)'vt1;~ff)11 MAl (J;S-4.?j
( Ity) (Zip Code)
~l~ ?~ 0 7c.;~~
(Phone)
..,"
DATE
LJ
APPLICANT PJJEASE COMPLETE BELOW
Size of water service inches.
Locntlutl of auy couplings ii-om structure ~ feet.
Type of sewer pipe. 0 ABC ., ua-PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at _~ feet from structure.
FI~E SCHEDULE
Residentialscwer and water line connection $35,50 Industrial, Com'l & Multi-family 1% of job cost with.. $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
E9tilllated Cost $. 7 1) tJ ~
Building Penn it #
SEWER AND WATER PERMIT FEE
STATESURCHAR.OE
TOTAL PERMIT 1.It:E
$--
$ '.-
$
.50
cornu ll.~ 0111)")
Th'. A..Ilcotlo. B..om.. Y oor .B~".,~g p.~mli.~i"n. App;';~.d I
Bullcllne OlD"'.' bale
- .., "...
24 hour tltltilOc '-or oil lnspcdions (952) 447~'850, far (95Z) 447....245
"--
I Paid
Dare
--'1:iP9t
,"
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
,5 -/Lj- 0 L-
; ~~n ~::y I PERMIT NO. /I:; - O' ";>(- sI-
1. Yellow Apphcant (/ '- ...) -~ :J
ZONING (office use)
2843 WILDS LANE NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
--."
FIREPLACE MAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
() z- 0'555
.. ~ ~n \r --'.',
.50 Ft"'-,....,..... c .' ..,
,... . (.... ,_.. Ii."'
6\)\'..0..",'..;\ -
.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-- ,~ (6fYfi~\
~,
~
n. Cm... .. .... L.... Co.Utl..,
CITY OF PRIOR LAKE ; ::,. E....,~
PLUMB ,G ERMIT PP No _. d -35"
Applicant: Ve f' ' 'llj,:InC _F lone:.fos"U-I..tJ - ~/~
Address: - v'e, ~-)Co~e ~"ovel M_tL~~O(t6
Signature: _ a ~ _. ,
Legal Oescript1sm-: Lot. Block 0 I __Sub S1n~ C; "$o(l/h
Site Address; ~ 'c/ a~_ __:=.___
BUilding Permit # () ~ -- 0 .:s~..s- _PIO '_ ,_" '_
NOTE: This permit will not be processed without complete information
FIXTURE UNITS
,- --
Quantity Type 01 Fixture Quantity Type (')'i FiXture
-3 Bath Tub with or without shower Rougn-Ir:s
7 / _.
Oishwasher Wilter Heater
/ .-
Floor Crain Water Softn.,
Lf Lavatory (bathroom sink) 7 Stand Pipe (washing machine)
7 Laundry Tray (1 or 2 compartment sink) ., Sewage Ejector
I _.-
Shower Stall Backflow Assembly (APZ, Double Chi.iCk. Pill
) --
Sinks Backflow Assembly Test
) -
Sar Sink Lawn Sprinkler
,~ ,-
Water Closet (toilet) Other
-
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(10/9 of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
"
GRANO TOTAL
$~~
This pennil is granted upon the express condition that said
contractor, shall comply in ell l'Mpects w~..Jhe qrdinllm:~s
of the State Plumbina Code and the amendl1id~t5 fh~1:i
RECBIPT NO. , DATE
ATTEST
r
j~l ,PAiL) t-,
.\ '._-~ I., ~--l)' l.. ' ~, ,~
Call for all inspections 24 hou
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota :5:5372 I Ph. (612) 447-42:30 I FAX (612) 447-4245
An Equal OPPQrtunity Employer
_ __ ___._. _ ___ ~._~.--~.:::...... .....L. r.......J.IJ1'(
L....KE
@ 001
CITY OF PRIOR LAKE
REA TING/A1R CONDITIONINGfFIREPLACE PER1\lIT
Date Rec'd
:. pll".1::
:. O:'t'er.
J. YollC)l..Y
~II,
City
).~PfJn::)n:
II: PER1\1IT NO.d, -355
( J
(?}:Z5C C)?e or :rf.:.nc a..nd ~i~ at bD~..om)
; P-.DDR:2SS
ZO"N"TNG (offi=, ,,,,)
/"10 '.-,
,--v D-1j'-,~
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A9/i)r:
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LEGAL DE5CRI?TION (ome, U~c c~ly)
LOT
BLOCK
ADDITION
PID
! OW1'iER . ["
! (Name) .J--:7~7c_Q(':'I)ILJO 10'-.) [n.),S,f-
! U~_dd.ress) if;) f:J/ -e . (19//(:" (II
,f -\
I '.....p...'r^NTT
i r~>~:_n..c__. -/--- //) n
': \- _'c.,) C~ 7 ?,(/L-i'"\'-f'Cek/ 0;1
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I (Add.Tess) ~-;2l02IC::L__.E.C)...j-~:7:.:L_.--/l~
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__ (Pnone) _.-dc~,n
1~h~...
, ,.Or:)')
"~;C)C.:;J ~
c~51::),9-..l
(Zip C,,&)
,
i (Co:!:?cc Person)
I _"'-P?I:.JC/"'_'\i"T SrGN_~.TURE d--:::?f
-_..~~ ----.-~-,.-..~.-r
(Phone)
--?''':r''~ ~~
.,u...c.f.f./c.'tf . DAlr.
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APPLICANT PLEASE COMPLETE BELOW
,-- ~w CONSTRUCTION 0 REPL;\CEMENT 0 ALTERATIONS
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Building- Offic:illI
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H hour notice for "II i;')~ped;bns (9~2) 447-9850, r"" (952) ~7~245
TOO~
HIV G3110H.LNO:l
9LZ909tTS9 XVd tT:OT NOW ZOOZ/~T/SO
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS :;eels lJr'JJ~ L J1~
NATURE OF WORK n~u 1
USE OF BUILDING ~7fj .
PERMIT NO. ()~:1f DATE ISSUED 0/- 8 -0;(
CONTRACTOR ~__ (1OYtd--, PHONE qSJ.- C;~-7(;61
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill) 1,~ ~ V ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Sjt-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f.-\rv ro \g 5 - Iobb
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding)
BUILDING lit B ,. ' z...
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical semi~e ca'binet 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