HomeMy WebLinkAboutBuilding 02-0424
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MJ4 //tJ F/ L I--
CITY OF PRIOR LAKE BUILDING plRM{T~ Date ~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Lf -q - b ~
LEGAL DESCRIPTION (office use only)
LOT)..I BLOCK
ADDITION
OWNER
(Name)
1 White File
2 Pink City
3. Yellow Applicant
I PERMIT NOC);<_(} ?/~1;
ZON
/Vw
(' r~I t
PID 'J~- 3,16 --0 7.y-()
(Phone)
(Address)
BUILDER
(Name) weN.f /114'/v/V
(Contact Name) C ~ rV
..q
(Address) / ~ 5' /4 2 c-
TYPE OF WORK
!Jd,7" ~I
(Phone) t J / - 7'1; t, .- .y -y /) tJ
(Phone) t /.2- J(. y- 7 t, /2-
{'~. '4.~N /;l.;l.
~r
New Construction
DDeck
ORe-Roofing
ORe-Siding
DPorch
o Fireplace
OAddition
DUtility Connection
o Alteration
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
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 upon e property to perfo m nee. d inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/ y' ,5- J'
Contractor's License No.
4/~/oz-
Date
$
$
$
$
$
$
$
$
#
#
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
; 1";
Water Tower Fee
Builder's Deposit
Other
. oP
. (})()
:?S.SO
c{ 0.(1)0
TOTAL DUE
$,139J ,~ l'
~~q/
I Paid ~3~~- II~/
Date - .-- Oa-
n Be mes Your Building Permit When Approved
tf-/7-02
Date
Receipt No.
By
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 ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction t commence. Before occupancy, a Certificate of Occupancy must be
issued.
.---
~.
Date - pedal Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
--'
~ . P1LL
"~UbW . ~C:&.,.
c;cu> . err..,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. ,:} - If;}- LJ
NOTE:
Selooler and Water
~ontra~tors must
be resis~ered
....ith the city.
PHONE: &'5"1-45;2- J~
DATE: ~ /;;;'3}o 2.-
.
APPLI.CANT:
ADDRESS: J~;l7~
~\~~
s :G~A'!'~:?::::
3LD~. :?~:?_"!:!:T ~
4.
Es~i6ated length of looIater service
Si.ze 0::: 'Jater service t inc:'l.(es)_
Location of any co~?lin~s from 5~=~c~ure~feet.
TV'!:l2 of ~~'.Jer pipe. ABS PVC p( Cast Iron
~~~i~etec length of 5~~er line ~-c:>
FZLL ~N TnE BL~~~S
30
1.
2 .
feet-.
3 .
6 .
Clean out
st=-.Jc~ure .
(if
resuirac:i) ,
locate'::'
fe~t11AI\
at ~faet
from
5.
==============~~~~~~~===-=======~==~=~~~~===~==~~~===========~~~~
T~~~ a?plication becomes ~o~r permit IooIhen a?~rove~.
EY
DAT~:
;:::::::;;:;=;:____::::;;::::::I=:J:=:;;;:::;_____:ns~:=J~~:!!!!!!!~~===_:iiiiiii~.:::::E:I~'::D~::::::::z=::!::::::::za=__;;;:;:;:===::;;;;iiiiiiii~=::::::J::::J::s:::z::::::=::::~:::;:::],===-=:::::S::::::l!:l:::::::::'==='=
F=::=::S:
S
5
5
:35.00
.50
:35.50
Sever and va~er line connec~ion pe~i~.
Surcharge
TOTAL
* ~ee fo~ eithe~ se~er or looIatar incivicual~y ~s 520.00 plus
S .50 surchar~e.
* Sever and v2te~ pe~its issued for ne~ construction must be
reco=dec on the buildins permit ca=d at the t~me of issuance
to i::1sure th~t.i:rrp')U!! ,dupl icat. e se-Je= and ';.later j'Per:ni ":.s are
issuec. J:i'\ '. ....; U i... \_, lJ'\ . l~j i'1 r<
" I ~.baJi; '-, ,
--
D~'!'== PA:!1J
A11:0UN'!' P.'\:!: D
r;f-
C
R~C~!?"!' ;.
RZC'D BY
, ~""r'-' ~:!'":':-: '::---:-::: .!:..'f S.=:. ~-:r'J-l_:1~'~ yr;-::"'~"'crJ. ::"':-: ''''~ 1',,:"'--:'"' .1.:!"":'~"2=r') I "F.~..:'( 1~1-:' ~-....!:15
2 d \g8lg8l9g8 'ON/LO:vl 'lS/80:vl 20.82 'VO (3nl)
YWB3
10/24/01 WED 11:ZZ PAX 6124414245
CITY OF p~lORLAKE
~OOl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Re.c'd
\ ~;o::S~'9-7~~~ ~~
~. ~~ ~:~ I PERMIT NO..'J _ I j('~/ /
]. 1.l&- ApplttM. . U') z.:.~
I I ZONING r_~, I
LEGAl. DESCRlPTION (office use lUll,.) ~ ~ .
LOT2l BLOCK'i AOOlTION ~~ ~\
PIP
(phone) ~5)-40b - tJiloO
n \Mf\~ SS;}-:29-
(Phone) g-j-/f5;2-ISt.
~, SE;/;2J
::l tsl~9- ;5-6~
~~ 0;;;-
OWNER
(Name)
(Address)
(A.dtl.r1:SS )
(Conrac:! Penon)
Quaatity
FEE SCHEDULE
lndLlslrial. Commuclllll &. M\Jlti.filJ11i1y W."t job c:gst wi1h 1I SJ~.'O minim\Jm
Estimated Cast S
Builriing pmnit j
PLUMBING pERMlT FEE S
ST A n SURCHARGE S
TOTAL PERMIT FEE 5
DATE
Type of i'm1are
R'C$identllll, Nc:w One &. Two-family $99.50
R.esidernial, Additions IJL AltenllDDs SJ9.S0
r> "'.
I ~. , : ~."", ) ':. ,'~~r
., 1
.50
(omce 11., DillY)
~~;d
~aw
Tnis Application BeI:DfIICS 'Vour BuildinE Permil Wbell 4pprond
Bulltllne omrl.r
D.It~
1.4 ....(1... l~arid i'av .u iDlII:wrlllu.s C95:Z~ ....7~a5ii. tn. ,9511 ~~.....~4~
WOH3
d \g8lg8\9gE 'ON/LO:v\ 'lS/80:v\ GO lEG 'VO (]IUl
, I:Ci~
<WI! S 0 28tl-.y =:.-
1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~:~n ~~~y I PERMIT NO. J,- 11;+. ,LJ
3, Yellow Apphcant t7\ L/f~. [..,
I
ZONING (office use)
15276 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(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
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/5/02
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarrn Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO L-CORNER- TRN
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
.50
/~I $39,~O
'\J,J ~59'(')
~'Vl,,- 'r,~,/~
, '~'"" . " . )0.
'..~ ~<i/!
'-.'
t;;,;.,.
~~"+J ~)-.
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,,....
~~. ~ ,9,.,
.t .fl,tH I, ..
. .'1" ,'.
~~.J .......: .'. '-:-'''''',
,
.....
(Office Use Only)
Building Official
Date
Paid Receipt No.
Date JUN I 9 ~': By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
/j-/8 -02-
~. ~',ne:n ~;;y I PERMIT NO. OZ _/).A ? 4-1
3 Yellow Applican: . ~ e;..,.; ,
(Please type or print and sign at bottom)
I ADD~SS
S~ 7 k, :SC-tf~f~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
l~~ s h~)"-
1$<75 ~\~l.1.I..
(Phone)
bSl- )l0b- 'tyoc
(Address)
/l1N S:S"'/ Z L
I APPLICANT
(Name) \.y,e, ~L-IL
(Address)
)b/S I
f-.'fc. f i~
;Vl~. '^-
(Acdress)
AL<-
(Phone)
PI'. l) r
(City)
95L-
~.~
7'10
~b2D
.-S::S. 3. 7 2...
(Zip Code)
(Contact Person)
(Phone) C;s L - 'Iy" - ..sL W
DATE 7- / )-0 I
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELO\V
1 EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIOl\S
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURJ"i OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
DVent. System
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
FIREPL.-\CE MAKE AND MODEL
f) ,d (J 2-
"'~l C^'-'-) L d
FEE SCHEDCLE
Industria'. C()<T1rr~~;cial &: Multi-Famil>
I ~'o of job cost
539.50 minirnurn
S9(51)
S64.51)
Resicential, Gas Fireplace
539.50
Residenti:::, ~kat:r~g &: ..\,C (:\ew Construction)
Resldc;lld, H;;:ac;~g Only (i\ew Conscruction)
R~side:1ti:l1. Additions & Alt-:rZltions
R~siciea(:al. AC Only
539.50
S39.50
Estimated Cost S
HEA T[?\G PER\lIT FEE
STA TE SLJRCH.-\RGE
TOTAL PER:VIIT FEE
(Office Cse Onl})
This A.pplication Becomes Your Building Permit \Vhen Approved
{ZfA!t- "7,/ f 'b---oz-
Buildin~ Official Date
~-
Dare By
7-(~..-()Z-
2.t hour notice for all inspections (952) -t-t7-9850, fax (952) .t47-.t2.t5
I
lA
'" .'
. "'--~
,! I . U
I
Th... ("("nin of 'he Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.../
Accepted
I~
Accepted With Corrections
Denied
~~~~~
Date:
LJ /!q/ t:J 2-
,
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."
f-t~:/bDd-
o 4()' '1
White - Building
Canary - Engineering
Pink - Planning
The ("('nfer of Ihe Lake ('ountr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~~)ev:;maN/V w'OI/J1CS
4 4 - o;;J-...
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wh~h is proposed 1\
1~;)-7" J~e-rs VJCt~S
Accepted
Accepted With Corrections
Denied U
Reviewed BY( -j-
~t:JQ$cW ~~
Date:
)L- /70 <-
, .
"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" Ct"nlt"r or Ihe t.kt Counlr)'
O~ - 0'/2'1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
it..) rc-? ILC; /1//('/ ,11/ / j V
L /- (~1 - () ~f-.
':,.',/ ..- . '. - .:;
IV /.' i ;) ( ..
11 c_ II"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---" r
~/ e --i--f /_r (<. r' /i (',:::-,
.. .' I l.~_ ') v' J---
/..c.. '-7 /
/ ::..J [7"~ I?
Accepted
Denied
x
-
Accepted With Corrections
Reviewed By:
AJlfB
Date:
'-I-/~ -02-
Comments: See Reverse Side for Additional Information!
Drivew~Must Have Concrete Apron
/Ylc, /Vl F, 'I (
~ee 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
OEPARTMENT OF
BUILDING AND INSPECTION
l Mt,."V\. f)~LL
SITE ADDRESS J'5:l7(o ~ ~q
NATURE OF WORK -A)0LJ
USE OF BUILDING SFtl
PERMIT NO. 1:-a- t?t/~ DATE ISSUED cf - I 'l--a z
CONTRACTOR lt1 u...a.'r "'.~ PHONE G/?- 3'? - 2;/'2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) b &<>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN
ROUGH - INS
t>l
EN SIGNED
I
SEWER I WATER I SEPTI
FRAMING t-L"
INSULATION
ELECTRICAL
PLUMBING '"
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS B
I
. FINALS
GRADING (Prior to Sodding)
BUILDING (}~ 1(_)41-
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 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