HomeMy WebLinkAboutBuilding 02-0432
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 2.;- J ~-O ~
~. ~i~~e ~:~y I PERMIT NO, 02 -0 "'3? I
3 Yellow Applicant . ~ t..-
144)
/ 1 \i) I.
L, e.
ZONING (office use)
DL{D
LEGAL DESCRIPTION (office use only)
LOT f7
~^ ;- t-
PID
- 01 q-D
OWNER
(Name)
117 e ,) 0 ,", <c. )~)
('OJ c~ 7
(Phone)
(Address)
BUILDER. I .! J'
(Name) Il7 ~rJ c ~\,. (;/ ('t." ~. ,
~ r'l) (,
) C'i--- ;-- l"-/l (S...,.--
(Phone) ~ 5.')."/' 5;).,~ 7(~ol
(Phone) (,., /~- 7or.. f(-, 1..1 Y
(Contact Name)
(Address) ',lc.,o / (i.l 5':':7'-.. ~ 7-(,., /::-s J
/ . Ji-<. 1,/(. d_
S-S- I:) 'f
TYPE OF WORK
~ew Construction
OtQeck
[)torch
ORe-Roofing
ORe-Siding
~Lower Level Finish
~ireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
~tility Connection
)c) tjel
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 t e rop to p~rform needed inspections_
x
(f .{~ :.. d ,"S ~7 [,
LJ-/b"-O~
Contractor's License No.
Date
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ Jf) -C0
Mechanical Permit Fee $ IO(!). 00
Sewer & Water Permit Fee $ .35-. V
Gas Fireplace Permit Fee $ LfO.C;
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
es Your Building Permit When Approved
tf- 23-0L_
Date
I
I Paid 4 8;1;;;;~ 81 I Receipt No. tj;rl~1
Date ? --. ~06 By CP
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
~:::/~'d h, <h, C, . "~,cr m_Mcr, ttmp_ cm'r.:;;;:~d~",?;;" '~J:Ic~;::;~" b,
Date 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
From : JECHEEXC
PHONE No,
612 8926396
Ma~,20 2002 6:54AM P01
i....!tI('':'.~:'.rl}.-,:'.,....,."L.. ,f
. "
CITY OF PIUOlt LAlm':
SEWER AND WATER PERMIT'
\ I, Dat. lIa'd
I
OWNER.
eN" Arne:)
.-
LEGAL DDSCRlPTION (on\ce lae only)
LOT ?1 BLOCKI ADDlTfON,._ :!-rC t:A'Ut
(', ... -!--
~~ ~~
:: 5- ~1I_ [pERMITllO_d -' 1) 3 d-I
.~I ZONlNQ__ i
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L~_I-___.(?_J/ll' j(~ '7_____
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CI~ "i_I'-' .~;' . . . ,.'. r Code ",.
c; C)
PID
.j' .~ /:.. . .
(Phone)
DATE
APl~LICANT LEASE COMPLETE BELOW
Size of water service inches,
Locu.tion of any couplings from structl.U'e _ feet.
,Type of ~cwcr pipe. . 0 ABC 0 PVC 0 Cast Jron
Estimated length of sewer line feet.
.....----
Clean out (if 1'C;::'iuired) located at _ feet from structure.
RCllldontill1 Sewer and warel' Iill" l.:unncctloll $35.50
Sewer c;:onnection only $17.50
Estimated Cost $ <? 1] tJ
FEE SCHEDULE
Industrial, Com'J & Multl.ramily
Water c:ormection only
1% of Job COSl wIth a $39.50 minimum
$17,50
Building Permit #
SIJ,WER AND W A 1"ER PERMIT FbE
STATE SURCHARGE
TOT AL ~EnMIT FF;:I!:
S
$~
$
.50
,..,~-
.P~}D '~!riH
(om.. V.e On11)
Thl. Application Bel;lome. Your Building Permit When Approved
-i ~;PN~ .I
""lldlnc omtla'
P.lt
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Rto '
..........
24 hour lU.U.,., 'or 1\IIII1A'~(!dlun5 (!J5Z) 447.!J8S0, ru (951) 441-41~5
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~~~y I PERMIT NO, J_ }I/~I
3, Yellow Apphcant r7- t-t .6 CJ
ZONING (office use)
14973 SUMMIT CIRCLE NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDONALD CONST
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
ROSEVILLE
(City)
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
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 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm 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 6000TR-OAK
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
r' PAID W
~MdJ!NG ~i~, ( .
Receipt No. '-~4A;'
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
_._____________._____:--"-~~. .I'd'.)!': LAKE
43001
~PRIO
~~
~ ~.
Ii:. ~\
\u\2J~ .,
\~/J
~
CITY OF PRIOR LAKE
REA TING/A1R CONDITIONING/FIREPLACE PER1',1IT
Dat~ Rcc'd
~. P'inl
!, G:ccn
:1. Y.lI~
1!1c
C::)'
,l,!,?l!nn~
i PER.c'\1IT NO,/) _ J/3:;v-"
I ,;>'I '-1
!:'l~zsc type or vr..nr . ~d ~iEC it ocr-..om)
ADDRESS
/ ~ 9' ~7'~ (5)i 1 j-7'/Jr';7; I-
(;/1..
J' "
/1..../ . (;,_,
I ZONWG (offic~ ,,,=)
I
I
i LEGAL DESCRIPTION (office u~c onlv)
I .
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L. LOT BLOCK ADDITION
PID
J
I
I
I
: (Addr=ss)
OW'NER, A [I1
(Nao:le) ,.Jr7~~\-1/l,..&.' j
A, (./r
('A<)-/~~,l-
(phone)
rf<;.-::J- "7 (() (
I
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I
I . -.u- Ir . \.7r~
......1".. L ~r-l" 1 /"'" _ .--;;- .1 ,', O.
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I
i CAddr::ss) c:SJI ~ III Ut.-t;;;:.},'7
i (!',dd:.!:)
i
i (Canace Pe:rmn)
I A.??LICA....l\iT SIGNATURE d'7~/
(J "
. Li.A
('}'1Lc:
__ (Phone) _~j;o
EfJ~~ .
'. (City)
~0.,q .a
/)'.,~:::O,;;) .y
(Zip Code)
~.' ..' .~ 1
k" ~I;:; . !/
.
(Phone)
DATE <7- ,~9 ..-("),::;:l.
/' APPLrCANT PLEASE COMPLETE BELOW
...er:~l:.-W' CONSTRUCTION 0 REPLACEMENT U AL rERA nONS '
FURN.ACE M~~ ,~ND MODEL a-:n1.tJ;;.-<'-<l..J~,/ C9/?;t!)j;)/O() FUEL. V.,f)- ______
FLUE srZE (~ eUC RETUR:"'i O. ENINGS . c( INPUT /nn/c,(",(') . OUTPUT __...2-5j.f)C:J::")
'TYPE OF SYSTEM
HEATING OR POW"ER PL..A.NT
OWC,,41 Air ?In.nts
UGnl'l)'
~"U1i<::d .
~;: ~ond~~io!'.ing
p y' ::'~L Sys\"c;j'l
o St:~;n
o Bot \Vate:-
CJ Knoietion
o Special Devices _______
o Orn:::r De',i;;es
PLEASE NOTE:
.Aij Conditjone:' Unit~
Cannot Encroach !nt~
Required Side Yard
Set1::acks
"FI:?2PL.-ii. CE l'..{.A.KE .A_r-,u ~l-10DEL
FEE SCREDULE
7r1du..;~rl~J. CClT'\i7l,C:-:::lId &.. ~1111t\-?2mjly
) ~~ or job co~t
S39.50 min:"71'JT::
,}-99.50
~sid':-:1t~e.l, G~ Fj:-~?l~c:.
$:39.50
,RCS:'Q:-rltL=_~. H"_::'2"t~~g d~. .~jc..: (N~\:." C>~.'1S~.rucI;.crn)
F_e~i6,.;:~:jti~ /..:l::i!~i=,;-:.; &. .i>~h.:::-?-.t'~<:j:-;;';
:;.39.5')
?'_'':'~_:'{:J:::-'X.::,! ~',.t~":~:.q
,~}J~..~., C'~::':;:~'.lr:~r~r:)
S'::::::-. :~.:;
?-.~:-;.;'d~:'";-;:;:~~., A C~!~!;j'
'C":: ':- ,'-1
- .- . C S
CS~~r:1z.!~a ost
3i..l.ncl::-ig ?,:~it
HEATING PERlIIJ:IT fEE
ST/,.TE SDRCHARGE
TOTAL PE-R.'YllT FEE
~
"
:;
.50 1"<
f ?:iid
i
I
i D2.te
I
I
F':.~ , t..., ~
If', _
tr". .u\' r'\" ,,". ,
If:ii 6.cdJ..\1(.~'.
....
........ ~. _ . ~ 011
s
(C.~c: USt: Cr.1yj
,-
i Tb:s Application Be::!)mes Your Building Permit Whe~ Approved
I .
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L Building Omcilll Dz:~
I R,,;.,......;;"\t !~..a
I .. -'........~. -
!
C;v
52002
I BY
I .
24 hour no[ke far all i:1spedions (.9~2) 447-9850, (.'l.~ (952) ~74Z45
TOO~
HIV 03110H.LNO::>
9LG909tTS9 XVd 9t:tT cr3M GOOG/6G/SO
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PER..1VIIT
~. ~~ ~~y I PERMIT NO.O "-()(J~ -
3. Yellow Applicant . CY l~
Surnh1l't G/f'vle
!Vt k/c
ZONING (office use)
So~f~
prD
(Phone) Y-S-J-- y;)>~- 760 I
_1111 ~~/~r
:,. "(;hone)\0SI- y~ - rY /JYn "
g 6-f'oi/9 cro/6
(City) (Zip Code)
(Phone) t~/- Y~--7-~/~
DATE 6 -~-o ().
(Contact Person)
I APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
7 Bath Tub with or without shower Rough-ins
J Dishwasher / Water Heater
/ Floor Dra.in Water Softner
[I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, 7 Laundry Tray (1 or 2 compartment sink 1 Sewage Ejector
I
~ Shower Stall ! Backflow Assembly
J Sinks , Backtlow Assembly ,Test
/ Bar Sink Lawn Sprinkler
... -~ ' WateT Closet (Toilet) I.Qther
.....
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Multi-family t % of job cost with a $39.~O minimum Residential. New One & Two-Family $99,SO
Residential. Additions & Alterations $39.50
Estimated Cost $
Dllte
Building Permit #
~ ~4T'-~r ..
$ F-"'" 'r'l
f~'~li ",.....'~ "-',
. 10. u.' n'.~1
" --,~,.",1'..G': 1..
, Paid Receipt No.
t
I Date.IUN 10..
PLUMBING PERMIT FEE
ST A TE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Bulldlna omrial
By
14 hour notice for all inspections (9S:Z) 447-9850, fax (952) 447-4245
.!
Thf Cfn1t"r of 1hl' I..kt {'ounlrl
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:
3--
('
Accepted
v-
Accepted With Corrections
Denied ~
Reviewed By:L =- - ~~
Com
Date:
/'1/J.JpltJ2
"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
The ("..nfer of the I.ake Counl.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7'll~ iJ)07Ja& f! ec77~
APPLICATION RECEIVED Lf- /~ --Od-.
Accepted
Accepted With Corrections
Denied
WM
tflfC(CW #J~
Date:
V-;(KJ-O"L
Reviewed By:
1!:1~m
"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."
62 --CX/3L
White - Building
Canary - Engineering
Pink - Planning
Thr ('('nfer of the tab ('aunlr1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-,'> /-t~) "~ ',/ ,,", ", .,".... //,'./ /) ,.
/ /. / /1 / ',/..""? 1/'" /,!- Ji \f I ,( .
/ i ". '.~_._',,' }.-.f: "( V .~..~/ .1 ' . ",t:.~ --' ,-~.-'
APPLICATION RECEIVED ,::1- /~~, -- (i:__1.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity Which is proposed at:
/</,,1 ~i, ,7~4 '.' ./", /r': ., ,,,r'"l-/''''/ J ~ \ / // i l<-/
,! ..~ ./ _",II' ,./</ t"" .' ~' / ~~ ~ /~--1 ~' pC/'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ1.J3
Date:
'-/ -J' -L) <-
Comments: See Reverse Side for Additional Information!
~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
SoWlMtI (2\t0~
-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /L{Ir;~
NATURE OF WORK AJ~
USE OF BUILDING SF/)
PERMIT NO, 02,- 04-32- DATE ISSUED "-~3-<:J'2-
CONTRACTOR --&t)OV\o.l.Jt ~~. PHONE (~f2 - 76 ( -E;(" '/1'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOV
SpER77-J/M 15t/&//Y~dv ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST /f ,.... r"'" !f;R +- F
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Stucco ~%G I I
FINALS
/CL-
~~'ZJ
vJe....
GRADING (Prior to Sodding)
BUILDING 7: C.t1/ -tl1J /6 '31 4/..;
ELECTRICAL
PLUMBING
HEATING
DO NOT
'3ft 02-
~ dL
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 been approved, On buildings and additions
where no service cabinet is available, card s~all be'placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850