HomeMy WebLinkAboutBuilding 02-0356
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ADDRESS
o? (1'S-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,,--..
5 J 01'7 t"c r6.r
q//,
LOT
LEGAL DESCRIPTION (office use only)
OWNER ~
(Name) L." //1 t' )I
ADDITION
/lcln ,e:'S
Date Rec' d
'f-I-()~
1. White File
2. Pink City
3 , Yellow Applicant
PERMIT NO.OZ-~ 0.._5510
ZONING (office use)
~
{J,f'(l
PID ;/5-3kth7Da-b
(Address)
(Phone) 95;,)- 93~-7tf55
55(/5
BUILDER /""
(Name) L r-;{/;7 X
(Contact Name) ;55 ;//
(Address) .:;!; c:; ~?J f'
;)m~~
.'5,.t;-P70N
/
(Phone) 95'01- 93U--l.J-33
(Phone0/~- 3~C; -V7/~
TYPE OF WORK
ORe-Roofing
o Mise
o Lower Level Finish
New Construction
DDeck
DPorch
ORe-Siding
OUtility Connection
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ c;;? 3>
$
$
$
$
$
$
$
$
, Ct:>
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correcL 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
Xenter upo~op.~. j;~ perform n~~d d -" pectio . /
~Cf ~ :;ddm"7(; 757 CJ~//U;,,7__
SIgnature Contractor's License No, -Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
mes Your Building Permit When Approved
f- fOL
Date
Park Support Fee
SAC
#
Water Meter Siz 5/8 ;1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE tnU@)
I Paid
Date
8, 6CP4- ~ 8J
4--/~ ~()Z--
I ~;cei~ HS-7Z-
/
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
::en s- ,by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to c~ommence_ Before~occupanL a Certificate of ~~;;:st be
L\)v\Dt /e02- /"' ~T S 'I C d" - 6w~
f(;; ~ cia on Itlons, I any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
~Engineering
Pink -.Planning
Thr ('rnlrr or Iht I.lkr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
((eAL-fey. ,'lloJne:f.
LI-/-tJ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 1-/0; S-f-CJ/Ue CLrcSf- P4i-h
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
N./413_
Date: l.{... ;(-Oz-
Comments: See Reverse Side for Additionallnformationl
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."
White - Building
Canary - Engineering
Pink - Planning
Tht> Cf'nlrr or the I..kt COUnll)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(!eAJt:-e'K NOlnec;,
4- /-0;;-/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
d, 1-/o~ Sfz;/Ue (Lrcsf- (Jec#
Accepted
Accepted With Corrections ~
Denied
u;?~k
Date:
r;:-(('-O .L
Reviewed By:
Comments:
r2,& c&2 C[&~ ~ ~
"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' ('tnll"r or tht t.kt Counlrl
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
('" ~:)
i /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....'
"
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: L ~ ~~~_ Date:
'-{ IlL Ie; L
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUlYIBING PERJ.\'IIT
l. Blue Fite
:, Guld Cty
l Yellow Applicant
I PE~'IIT NO.O) - 0 35 ~
I I ZONING (office use) I
I !7<;}- I
CP!e:lse type or orint md Sign <It bono m)
! ADDRESS I
/) '/:J /' \>L ~r
I v t/ r/;J; ~!JIl(J 'Iff /
hll lv/V
LOT
BLOCK
ADD[TIO~
I
I
Plrb?5 -: ') 8tj - (V~~O
LEGAL DESCRlPTION (office use onlv)
i OW~ER/ L
I (='lame) LIJ 11 ,rf7 V
I (Address)
i APPLICANT
! (Name)
(Phone)
(Address)
(Phone)
tJ S~.- tl i :l' .;; /.J /
s~U-5:J/
(Zip Culle)
(City)
(Contac: Person)
(/ -4A k !011;L)
(Phone)
APPLICA~T SIGNATURE
DATE
()~
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity Type of Fixture
I ~ i SLnh -, uo "v Hil or W IlllllUl s11ll\Ycr I ...:5 I Ruu:?iHIlS
, I Dishwasher I I Water Heater
I Floor Drain I Water Softner
y Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
/ I Laundry Tray (lor 2 compartment sink Sewage Ejector
I I Shower Stall I Backflow Assembly
I Sinks Backt10w Assembly Test
Bar Sink Lawn Sprinkler
7 I Water Closet (Toilet) I Other
I,
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39,50 minimum
Residential, New One & Two-Family 599-50
Residential, Additions & Alterations :539,50
Estimated Cost S
Building Permit #
PLUMBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
r
(Office Vse Only)
This Application Becomes Your Building Permit When Approved
Paid
p. ,'-,
"i, I ) .
rN'
Gr
'-.
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-.;. -, CITY.OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I X:'-;;:~ prin, md "" .. bo"".!!!l
f1!to 5 S to 1\..(2 (~ rl
~: ~ ~!~. I PERMIT NO. '1 ~ 3.~ Ii.
J_ Villa. Applicant . 0<. Y
p... t L I ZONING '--I I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) &/1 f{ Y
)10 mil ~
(Phone)
(Address)
APPLICANT
(Name) H~o.-i-, ''^- ,
(Address) I 9' S-S-o
:}- ~Oi!l. /,'"" 7
Covt1 t'(
(Address)
r~
Rd. if
(Phone)
7(, 3 ~ 4"J- 'r- 5b 77
/'>7']P/~ Gto.A
(City)
SY?I ~ 9'
(Zip Code)
(Contact Person)
-
I if' '''''1
(Phone) ~/2.. - ~" 3 - S-5c' 7
DATE S' -I I' a z....-
APPLICANT PLEASE COMPLETE BELOW
APPLICANT SIGNATURE
~
~EW CONSTRUCTION o REPLACEMENT o AL TERA 1l0NS
FURNACE MAKE AND MODEL 13r-'t c:t 1'\+ 3s-o 4?o 70 FUEL &0.-..>
FLUE SIZE Pvc RETURN OPENINGS -s' INPUT 60.nno OUTPUT 7'1. 060
TYPE OF SYSTEM HEATING OR POWER PLANT
[U'Warm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical - o Radiation Cannot Encroach into
0'Air Conditioning o Special Devices Required Side Yard
~ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating lIL AlC (Ncw Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
S99_50 Residential, Additions &: Altcnuions
S64.50 Residential, AC Only
$39.50
Industrial, Commercial &: Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
"'. .~
{-'L.,.,'~ '
<
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
.
Receipt o.
Buildlnc omel.1
nile
Date 1)'01\')
1'-:/-\1 2. 0 L UL
By .
24 hour notice ror In Inspections (952) 447-9850, rill: (952) 447-4245
10"d
;C::S92S;C::v29,L
~.
OMi ~NIIOO~ ~ ~Nli~3H W~ ;C::;C:::S0 ;C::0-,Ll-A~W
MAY.2D'2DD2 14:52 651 633 BBB4
FIRESIDE CORNER
#5B12 P.DD2/DD3
CITY OF- qJR LAKE Date Rec:'d
HEATINGfAIRCOND~ ..' fF~~ACEPERMIT
FI E~G~n E:~kmlt !PERMITNO-;J--35b I
nt,mdsi lIt.bQltom RESID 3 ..."',"'"
CORNER ZONING ("fAc"
2405 STONECREST PATH u.,e}
LEGAL DESCRIPTION (oft.lcc llBe I;'l'Ily)
LOT
BLOCK
ADDITION
PID
OWNER
(Nllme)
(Addl:'e:lS)
CENTEX HOMF..5
(Phone)
APPUCJ\NT
(Name)_AT...T...J.ED FIRESIDE DBA FIRESlDE CORNER
(Address)
2700 NORTH FAIRVIEW AVENUE
(Add.n::;Il)
(Phone) _651-633-2561
ROSEVILLE
(City)
5511.3_
(Zip Cod~)
~PUCANT SIGNA TTJRE
(Phone) ~651-633-2561
DATE
(Contad Person)
X NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
11'PE OF Sl'STEM HEATING OR POWER PT__ANT
OWarm Air Plan!:> o St,epm PLEASE NOTE:
o Grovity o Hot Water Air Conditioner Units
o McchpJ1h:al o R8dja~il)" CilMot Encroach into
BAir Conditioning o Sp~illl Devices Required Side Yard
Vent. Syst.em o Other Devices Setbacks
FIREPLACE MAKE AND MODEL - HEAT N OLD st-SSOTR-C _ ..
APPLICANT PLEASE COMPLETE BELOW
rndIJstri~l. Commcr~lal & MIJJl;;-FlIJnlJy
FEE SCHEDULE
1% ofjop cost Residential, GIlS fireplac:1W
$39.50 minimum
$99.50 R~idcntifl.). Addidons & Alterations
$64.50 Rcsidcntill.l. AC Only
$39_50
Residential, HCllting & NC (New Conlltruction)
Rcsrdenr-ifJJ, HCIlI,ing Only (New Consttu.ction)
$39.50
$39.50
Estimated Cost. $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildin.g Permit #
$
$
$
.50
1:. \~ ,
, ~
cation Becomes Your Bllllding Permit When Approved
Paid
Receipt No. .'
L.
BUILDER DIVISIO Djlt~ By
fJlliJd~I~~Lih~:'~I~~'~;~~ P (9n5 (651/633-2561 Fax (651 1)3:3-8884
24 ho,.r notice ~ ~tJ-MJl~~7JO~Wr fnll: (952) 447-4,245
PRIOR LAKE
INSPECTION RECORD
~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 2t!OS ~~~
NATURE OF WORK n./V-J
USE OF BUILDING SFD
PERMIT NO. ~5<0 DATE ISSUED 4- t( -C) c..-
CONTRACTOR .. PHONE u(z- 3{p1-~r I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
o
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
tc. 'Z-7. 0
oa.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been ~pproved. 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