HomeMy WebLinkAboutBuilding 02-0442
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Cf7~ /~'~
I. White File I PERMIT NO I
2 Pink City . 0'7 /0 A A- ?
3 Yellow Applicant _ V ~ e.-,
ZONING (office use)
30
Bobc,c..+
---:--,
I R.P., t..
R/
LEGAL DESCRIPTION (office use only)
LOT2D BLOCK 3 ADDITION 71J1i: L,v 1 Lb..s ~~
PIDZS -"582 - 074. (
OWNER
(Name)
M c "Lk.v;H- Hnn1t!f ~ L
(Phone) 61Z-6eS-6233
(Address)
BUILDERM ~ .--:-7
(Name) C~~ i-J- fJOM ES J..,Uc..
(Contact Name) -:S-P\ VV\;:C...t A. M lC.l4-~
(Address) } 3S '10 FtK;,5T4Fr AVE'
(Phone)
(Phone)
6f2-68~--6233
~AM't:
LL€'"
.5:5/2
TYPE OF WORK
R.New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ 220, 00 0
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
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 w
submitted plans. I am aware that the buildin official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee II
~t1Vr&:;t?perform,::din ections. 2V03.5L//lf J- Lj-01'-O'2.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8' . ".
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
tion &com" Yo~ BW1]~it; :;;;~~
[~~:e r8 ~~ ~~~~.:t~~;ceiPtNo.
#
#
#
#
Date
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
:~x~:,::::,_c,rt;OC"~j:=~d'"O:S::;O~:g;rc::~<~m:'~
~or Date Special Conditions~ifany
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
ThE' C"f'nlf'r or the L.kt ("ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M~l)bVITT
+/"102-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30lq ISO(j(!A7 'WAI L~
Accepted
Accepted With Corrections
Denied ~ /J (() j
Reviewed By: ~l" (f).. -0
Comm1)1ts: ^
V~ o.tl QJh~ ~J2~~-
Date: c( /9--0c
'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."
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White - Building
Canary - Engineering
Pink - Planning
Thf' C'f'nlf'r of Ihf' I.ak" ('ounlf")'
, \
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t1~z~/~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. 30/Cj (?;Ot>fA-r 7/2Ii / ~
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
jJA13
Date:
~..... /~ -0:2.
Comments: See Reverse Side for Additional Information!
See Attachments: 1) ~rading 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." .' , .
05/14/2002 20:47 6127584912
1).,\, ~...O~ TEE IJW "FA! 8lZU74HI
ALLIED_EXCT
CITY OF PRIOR LAKE
PAGE 01
...._-'..
lZJ 00 l
CITY OF PlUOR LAKE
SEWER AND WAn. PERMIT
0.. Rec'd
MAY I 5 2W2
.Jl~!>'" m!! or It\f: .~'
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APPLICANT PLEASE COMPLETE BELOW
ze of water lIJfVica I iDeM.. ~ "
cation of laDY cO'4'liftlS from lUUCI\a _ ...,
of MWel pipl. 0 ABC pve 0 Cut Iron
0Iba.md 10ftIIh of_or bn. ~
lean out (if1'a:luired) lo~tc4 at feet ftom ~rute,
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I
K>sldcmtial.wer and
SIlI/..er c.onn.ttiOr\ gnly
FEE SCREDVLK
line cOMect1Oft S33.S0 Indu.trllal, Co,.,'l" Ml,alti.fllnlly J~ of Job QHl: 'Nldle SJ9..5C minilmim
511.50 Wa.to~lllIC\_ 0111)' $IUO
ftt...tId Cost $
Buildina Pnmit If.....'"
SEWik AND W ~ '1"!It PEJC.MJT FEE
STATESv.cH.\RGB
TOTAL PI:QIIT rtl
s
s
$
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r~' PA -------
l3U!' O.!t;> Wl77-t'
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05/12/2002 20:05 5127584912
U~'1~(02 IUE ij~~ F~A 81Z.'74~41
ALLIED EXCT
tlT\ or PKIUM LA~E
PAGE 01
llIJU'"
o..IUc'd
CITY or PlUOR LAKE
SEWER AND W A TEa PERMIT
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PID
\~.._}io~J -
(Phaaw)
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(CiIJ)
A.PPUCANjt \\-
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APPLICANT PLEASE COMPLETE BELOW
i. of Watn lCTVice , i~he.. ~ ,~.
tion of.y ~liags b SQ'Uc1Ule _,...
ypo of _ pi"". . 0 ~ pve 0 Cu. Iron
stimaud lesth of !eWer line U~ .
IIlD CHJl (ifr.;uin:d) located at feet from IIr\IItNre.
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R..l4ent:.lsllWIt Il1d
SIWct to"",etiOI\ onl
!
I . Iir., conn.tllon
rEE SCHEDVLK
53~.SO Indu'lrlAl, Com.llt MuItj.fiml1y J~ ~ JOI COlt _Ids . S)9,~O m~ilNm
117.50 Wa_ tOlln.c:llaft Oftl) 517.'0
BuUdibl Permit J.--
I
~Sdmat8d Cost $
SiWEk AND W AT!Jt '!AMlT PEE
STATBSlJ'kCHAROB
TOTALPI>>IlTFEI
s
s
S
;59
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"lIltl", 011I
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5 - 2() -02-
~. ~:n ~i~y I PERMIT NO. "I _ JJ 4--:li-
3, Yellow Apphcant ~ '1 ~
ZONING (office use)
3019 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDEVITT HOMES
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE _BRENDA HUSTON
5120/02
(Phone) _651-633-2561
DATE
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:
DGravity 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 HEATN GLO SL-750TR-C
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
efice Use Only)
'~ r .-.
fhis Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date NAY 2 2 Ii
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
, -.
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Rug 22 02 01:42p Mike Schiltz 651-681-8306
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ru'd
~cJ~('~4-
t ;;:~_ ~;__ \ PERMIT NO. ~ ". ~J L1 :rt
] \ ZONIN G to(ft.... ...ell
7" r=.l I _' .
(PI.,uc type or priD\ Miel siD at bot.nn)
\ ADDRESS 3 CJ 1 ~
LEGAL DPSClUP'I10N (olfie<: 1&1I: onl,.)
LOT
BLOCK
ADDlTJON
PlD
\ ~=R /Yl C O-e..-' I ~ 1
(Address)
(Phon!:)
~
(Contact Person)
--e:...J J I 0 r1
po,l)o"
(Address)
~k
(Phone) G S / - ~ 8- I ~ 8 :l .s?
L ~~"" -----. ~...u S S / c:;
(city) (Zip Code)
eoSf-G. g'/~?2-Sc..
DATE ~ -
APPUCANT
(Name)
(Address)
APPLICANt' StGNA. TUitE
Qa:antity Type of Jibture Qu..tily Type of Fixtur~
-L Bath Tub with Of without shower -~ Rough-ins
I Dishwasher -/ Water Heater
I Floor Drain Water Sottner
'q Lavatory (Bathroom Sink) r Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compafUllcDl sink Sewage Ejec:tor
I I Shower Stall Backffaw Assembly
( Sinks Backllaw Assembly Test
Bar Sink Lawn Sprinkler
~ W.~r Closet (Toilet) -Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial" Mulli-fNl\1ly 1% of.iob cost wi'" . S39.50 minimum
lluidcnli.I. New One &; Two-Family S99.50
Residential. Addi\ions a: Alt""'liOft~ 139.50
Eslirnaled Cost S
Buildina Permit "
PLUMBING PERMIT fEE S
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
Dllr
-e/
(01Yi~ Uk Ollly)
This Appliution Become Your Buildinl Permit When ApplvYlCd Paid
BaiNinc otIiD'al
14 b.ar natia: far aD ialpCCtiD.. (95%) "'7."50, ,.. ("1) 667411145
IQOO Eaalc Creek AVE_. 5.L. Pnor Lake. MN 55371-171.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~() n..LJ;a,' /
NATURE OF WORK JjouJ
USE OF BUILDING SF!"')
PERMIT NO. () z-044-2- DATE ISSUED ~ - ~OOL
CONTRACTOR Me \)~vit- ~@-"~ PHONE {,t:1- C985'-c.233
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING - -0
FOUNDATION (Prior to Backfill) 1> ~ ~ {
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I S\ucco L~t,^ I I
FINALS
GRADING (Prior to Sodding)
BUILDING I' Q .D ,.t;Jfl f~ 3ll,z
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