HomeMy WebLinkAboutBuilding 02-0433
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
lk tf62,jk ,lP t;
I{' 'V' \
L(3
0<
Date Rec' d
Jf- ! t, "()d-
I PERMIT NO. Oz, ~O 4-33 I
Z~Nt1Gj)ffice use)
I. White File
2. Pink City
3. Yellow Applicant
IL
LEGAL DESCRIPTION (office use only)
ADDITION
,-~T~tj2 L",
OWNER
(Name)
0-'"
(Address)
BUILDER /1.,} )
(Name) /,] " I-/h ;1.<"... t
(Contact Name) V -Gf..;('
(Address) ,") ["",e> ,
TYPE OF WORK
w Construction
eJceck
Sl1~,j I,
PID
-5- 3CY7- 0/18-0
(Phone) 95~- 95;L- J{~() l
(Phone) C;y:z - L,3J - -; f...c) (
(Phone) t.:., J;t - 70 (. ift. <, ~
/ ,J) _- (, {.t It; S.-S- / f
is ~ - ;) )'1 ,-.
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8' I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
ORe-Siding
-BlLower Level Finish
ftFireplace OAddition OAlteration ~tili!y C~nnection
PROJECTCOST/VALUE (exc1udingland) $ r:P:c~-) S......(~~ 'C(.. -.
Date
/_.>> C.-oao -; ,
ORe-Roofing
I ~~c~ ~
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 rop to perform needed inspections.
tfr- Ib-od-
Date
$
$
$
$
$
$
$ I
$
.cn
. 0:3'
I ,.<XJ
l{S;co
. eJ{j
1&5J.80
~t9l
TOTAL DUE
$BbIZ.f;
4r/${u
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 lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~aid
Date
o Misc.
x
$
$
$
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Btf d- f)1
-5 -;). -() C-
~/Zk!D;;2-_ ~~ o_~n 04~b
Date spe~
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~.
White - Building
Canary - Engineering
Pink - Planning
Thr <"rnlff or .ht I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTlENT CHECKLIST
NAME OF APPLICANT Cf/J (J iJo--na(c[2~ C {)~
APPLICATION RECEIVED L.j- 10 - O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 1/ C( fl ~).- }L/lJo111uL (J1 ~ Lf1 oJ
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
PvI4{5
Date:
tt~Jf,-02-
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~r other
ordinances of the jurisdiction shall not be valid."
~~
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'nle-r or Ihe take COunlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT <-{J? tL tJ(9I1cP.-(JL C ~
APPLICATION RECEIVED l/-/0 - 08---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J'fCffl 0,k~ (bu Lf1'~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
The ('enler or the t.kt Counlr)'
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:
I
Accepted
L/
Accepted With Corrections
Denied .----1
ReVieWedBY:~~
Comments:
M~ to~
, - ,
Date:
tJ IZf1!02--
~~'U14 ~~-U
"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."
- - - ._-~._._~ -_ _.-___-,_ ---- -..-.::..:.......... r.t\lU.K LJl..K~
. .
@OOl
CITY OF PRIOR LAKE
REA TING/AIR CONDITIOl'/"INGfFIREPLACE PERMIT
Date R,ec'd
L pl"~
l. O(l:ca
J. V.II~
~:~ . [PERMIT NO., - L/3 3
A~.l~", ex
(~/9 g I
S LJ.1"Y/ .P7/ f
C~(lk
~ l;) ~
1
ZONING (Of&,:us<) 1
LEGAL DESCRIPTION (am"~ IlJ" ol\ly)
LOT
BLOCK
ADDITION
PIP
I ;;'::,~~~4J
I (Address) .A _ \I.:'
c~l-,
-~ (l"hone) ~gc;> . - .7~1() I
-I
l
APPLICANJ:. A ~D.
(N-ame). c.~nJl /t"'}.fi .
(Co.no.cc Person)
(Phone) -fi? -s:!) -1"C-t") .- ~ ;~' ?--
F~ 5$"~..y
, 0 (Ot)') (Zip Codt)
(Phon~)
DATE
I
a.,.
En~ 4~--,-
(.'\ d.dl'e.'J)
(Ad d'rr::s S );J J.:::;) /(".,
.A..?PLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
VI coNSTRUCTION 0 REPLACEMENT d AL TERA TIONS
FUi'-.NACE MAKE AND MODEL ~~..,~1" (5ij.1'fP~/OO FUEL AJ,4 r
FLUE SIZE ~~....... RETum-gpENINGS. INPUT /~'" ,~ OUTPUT Jr5J.("lQQ
7 ,
IT.PE OF SYSTEM HEATING OR FOWER PLANT .
OWe..-m Air PlAIlts
OGrnvlty
~chanic:j.j .'
~r Conditioning
~nI. System
o St~n
o Hot W...tllr
o R,lIdil:.tlon
o Special D.:vicc5 ___
o .Other Dllvic:oli
PLEASE NOTE:
Air Conditionc:,f Units
Cannot BnCrOl!l;h into
RequiT"d Side Yl1rd
Setbacks
FIR.,CPLACE MAKE "".:!'ilJ MonEL
-Y"""
TnQI.lSlr'ial. Comrn<:rcil'! &. Multi-Pl1mHy
FEE SCHEDULE
1'% c.fjr;>o c:o~t i4!idCl'lti...l. Gu Fir..ph:.c"
S39.50 mi...imum
. ~9~.;50 Resid"'l:b.ll,/\d::\itions & Alt<:~~tiQns
.$6'1.,;50 P.esido;:ntiai: AC Gilly
539.50
.R:::sidCf\ti;;.!, ({canna; /!. }..JC (New COr!struc:rion)
R~sid~nUcJ, ?-~tih.~ Only (Nc..... Ccnslructior.)
B9,50
S:09.50
Estimatc:d Cost S
BUlldir,g, '?ermit #
HEATINGPERNUTFEE
STATE S1.JRCHARGB
TOTAL PERMlT FEE
s
...
~
$
.50
(om,,: U.e Only)
13uUd;n~ Ortidlll
,~ 1<.
.1 ReceiP~,:,
{JfC I 7 tnl2T"Y ~
1-4 hou r noti<;8 far 8./1 ins,,~dibn$ (952) 44'7~9SS0, (n (l1Sl) 4.47-4:<l45
Oar.
I .Paid.
r Date
Tbi.! AI:p!katioo Becomes Your Building Permit When Approved
100~
HIV G3110H.LNO::>
9L6909tlS9 XVd tl:LO 3ill 6006/Ll/61
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
l. DI... Pile
2 ~I~ Chy
3, Vellow Appli..nl
\ PERMITNO'{~_l-13-~ ]
~v
.
ZONING (office u.le)
I LEGAL DESCRIPTION (office u.se only)
I LOT 18, BLOCK 0 I ADDITION
I
\
! ~W.::tMvlJo h~ JJ Co IJdr~c +; oh I JhC 9,r~~ Y,?'<Y- /60 L !
\ (Addres,) 7(2(') ) L 'Is<!hS,t. J[e~ ,App / e /, 7 h r--$.! ;) r I
>, , .... .,... ... '.' ;," :;.,{.:':".,;,,,!;:'~'i>1r;~""'~I.fl":'~:~*;""~;,); .k' ",.c'i ' ..' ... .
l~rFi v€ '';+0'' P Ju,,> J,; 1'8 -1ht' (Phone)"6:S-F vr9~~/-JiQ
\1 (Address) 1w93 delt'e J A ~/ P ,,,9, Colla 3 e 6r 0 V C )1t) s-::r;:o /6
{J (Address) / (City) / (Zip Code)
\ {Contact Person) . rt,ve -Eli 4 (phone) 6 ~! - yrY - rf /cfo
! APPLlCANTSIGNATURE eJl~ ~ ~. 44.. DATE / Q)- IJ>vo d-
~ -}-er )1' f),g
~cJ u+ h
PID
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower , Rough-ins
J Dishwasher / Water Heater I
J Floor Drain r- Water Softner
Tl Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
I Lauri3ry Tray (lor 2 compartment sink Sewage Ejector
r- eV Shower Stall Backflow Assembly
I
/ Sinks Backflow Assembly Test
J Bar Sink Lawn Sprinkler
.~ Water Closet (Toilet) .Other
-
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercia! & Multi-family 1 % of job cost with a $39,50 minimum Residential, New One & Two-Family $99,'0
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
,
50 ti ~ };,Jb~
PLUMBING PER1fIT FEE $
STATE SURCHARGE $
TOTALPERN.nTFEE $
{Offiu Uie Only)
! Receipt No.
By
Oate
1 Paid
I
"I Date DEe 2 0 200)
. This Application Becomes Your Building Permit When Approved
Bulldina Off1eilll
14 bour notice for all inspections (952) 44'7-9850, fax (951) 447-4145
From : JECHEEXC
PHONE No.
612 8926396
Ma~.20 2002 6:56AM P01
"""'~.;)"~."""'" ...r;',f.f
."
.'
",1
CITY 014' PIUOR LAKE ': '
SEWER AND WATER PERMIT'
\ \ Dat. a..td
;'
,. .
t =w ~~ I PERMIT NO.',~__ LI""33 I
I, &Id ",,11_. . .'
_ -___J '1 ZONINO,_.") '1
~J.",~ rype or Prllit &1Il! ~I~" In borron\}
ADDRESS '
Iy q )'/ S'U VJ7r11. '/._... C~,j'J~(,jf~._.
.
LBOAL OESeR IPTION (Omce US!! (101;)
LOT ?rDLOCK ) ADp'p~~~N
-""'."-_._-"~
I
I
"Jjt.r~5'b PIO j
=~~;\~Ol~~~ 'a_;~Y)&r:-::- - ~ .' ~~,;~Ol--I
,,,.,,'........ . .' lA......) ~~gJI~lIi_ . ~~""""_ .,....
~1t.(~Il:::'i:i:... .
APPU~
(Nam~>",'"~''' e.e.. ~e.,. EyQ..
(Address) .d3J.D ~ ~CI~ eLa ~ ~
(Addnss)
(Contact. Person)
(Phone) ~J;} ')t?lJ 7'1.s-&'
EIDnWl;~iI+f)V7 MAl 6S-4.?/
,(Cfly) (Zip Code)
(Phone) 61J?~ 0 7'1.r~
DATE j'-::-;;?() ?i(,.' ,.
At \NTSIONATURE
APPLICANT LEASE COMPL:KTE BELOW
Size of water service 'nches.
Loclii.iun of any COUplings rom struct~~~, -;t.-:::- feet. .
,Type of S~wc:r pipe. 0 ABC lJrYVC 0 Cast Iron
Estimiited length of sewer line .,-_ feet.
Clean out (if rc:quhed) JOCll.lcd at feet from strUcture.
Resldentil11l:ewcr and Water line ':"'lIIle~liun
SeWer connection only
Jc'Ell: SCHEDULE
$35.50 Industrial, COln'1 &. Ml.llti-family 1% of job cost with a $39.50 minimwn
$17,50 Water connectlDn Dnly $17.50
Estimnlcd Cust $ q J"'; L)
-
l:5ullding Permit '#
SEWER AND WATeR PERMIT PEE
STATE SURCHARGE
TO'l'AL Plm.MIT FR';
S
$
$
~S.Q
,..._.. .
(omu \.Iu Only)
Th" Appll,.lI.o".,on... You, "~Ud'~'_~''"'" ~'''.. -AP~~V~ I
Plllldhl& Ornel.. IJ.I~
:~''l'''H
r-.: ~~_ I
.'0'00
o.
By
24 h()"r notkc ft" 1I11lnspec~.on. (952) 441-91150, ral (951) .47....145
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2, Green
3. Yellow
~~~y I PERMIT NO. ,1- } lJ ':;
Applicant X '1 '-J
ZONING (office use)
14981 SUMMIT CIRCLE 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 FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/16/02
xD 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
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 X 2
APPLICANT PLEASE COMPLETE BELOW
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
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
-- -'-'"
-.- ':"'~~!:) \~rrH
". .-""."'~a~
'.~ . 'I' r,~ ", ."''' ~~
r~ ~ . ,'nO "i.1 '':..~ t? u.-,u u'~0t,1 , J
\......' -,',,--
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date
!~ - ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
L,l,
fIJ
(027
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J.11aJ SU\MIM" ~ 6r\.
NATURE OF WORK AJ.eW
USE OF BUILDING ~ '
PERMIT NO. ()2-04-33 DATE ISSUED tf- ;!~-O2...
CONTRACTOR _MC"c~ ~ PHONE ~ 2~ iO/-=-F.f" eft
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)'" 1?, ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING r-~ 0-".....< PI
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Stucc.o LJ-t-... I ~ ~ I ~ - 67
FINALS
GRADING (Prior to Sodding) , IJ ( 'l--z, ,d J
BUILDING g~ l 'C>
ELECTRICAL
PLUMBING .. ZO
HEATING
DO NOT OCCUpy UNTIL - OVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical serv~ce 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.
5-ZZ G -~-
t~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850