HomeMy WebLinkAboutBuilding 02-0451
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4-' I?J - 61-
LEGAL DESCRIPTION (office use only)
LOT '6%LOCK :3
OWNER
(Name)
(Address)
BUILDER
(Name)
(Address)
TYPE OF WORK
New Construction
DLower Level Finish
o Misc.
Date Rec' d
I. White File
2. Pink City
J. Yellow Applicant
I PERMIT NO. O'L - 04-5 J I
A!LJ
ZONING (office use)
12./
PID z.5-38Z-091- i)
ODeck
o Porch
ORe-Roofing
o Fireplace
DAddition
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
OUtiIity Connection
00
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
that all construction will conform to all existing state and local laws and will proceed in accordance with
an revoke this permit for just cause. Furthermore, I hereby agree that the city iaI or a d ignee may
# /'7/5"
Permit Valuation ~8S 00c) .C90
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
((..- 2 7 -o'C-
Date
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$'154-2..0
f'1'l{,V
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 si d by the Ci PI nner constItutes a temporary CertIficate of Zonmg compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
,~, l{/2-~!O2. ~"(L A:I:~ ~~~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter
Size 5/8' I"
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
5~,""o1-
I ~~: ~~ ~z: -:Z-
I~;~
--- -
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.. nllh. "ok. Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 13l JTL.t:,R- HOlJS\ N9 C-O f<.-P.
APPLICATION RECEIVED 4- - '6 - 02-
Accepted
Accepted With Corrections
Denied
Reviewed By: .
#'f13
Date: '1-::;' -0 2..
Comments: Sp.e Reverse Side for Additionallnformationl
See Attachments: 1) Grading Plan, 2) Erosion Control Mea"sures
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
The C"rnt{'f or .ht' L.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT BUTLS~ H nUs \ Nc, C-O R-P .
APPLICATION RECEIVED 4- -I B - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15311 E:A9LES 12.(D9b NW
Accepted
Accepted With Corrections ...:>(
Denied ---t7-7J()
Reviewed By: ~~
c~ents:
~ dfl a~
Date:
r/-27 -a7-
/;~~
"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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05/15/2002 10:37 9528459394
0,&.18,'02 TfE 1l1:i~ FAl I1ZU1UU
ALLIED EXCAVATING
CITY OF p~ID~ LAKE
PAGE 01
ICI 00 1
o.tII aect.
CITY or PRIOR LAKE
S~WER AND WATER PERMIT
---------..
:.!f :1_ LPUM1T"O.oa-04~-~
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ADDRESS
_ I ~:~LJ II _~e.~~e )..1W
I LEOAL DESClU1 N taIU all .-b)
L;'OT >>L~CK
\ (Ad4JelIII)
(CiII)
(1Jp Co*)
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ow~~}t
(l'-iaml:)
__Yo~-n~
CPhanc)
APPUC"'~, _
(Name)_t.::1
(~) 2.4_.-
I
\ (COl1tiict Penon)
l APPLICANT SlO~
~_.)q~-~lf -e2>nl
&V~ e_ LU ~&":531~
(Or) (Z. C::,*l ...,
(Phone) ~ l:o~-'1)B.~
DATS
L
I
\ APPLICANT PLEASE COMPLETE BELOW
iu of waIn service ~ i_MS. ~.
I c;adon of uJy cOUFlins' ftoetn *!IUONI'e ...
}'pi of .......r pi~. 0 AIle -: rve 0 CUI Iron
,tim.led lonp of leWer line ~ .
lean out (ihequlred) located at '& feet frDm ItrUCtUZC.
I
I
!
--
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--
$35,50
$17.50
FEE SCHEDVLE . S)9.~O mwlJNll'
Indllalrla1. Com'l * MWti._lIy l~ ~loa ClW
w.. tonneadUD Clf\ly 11'7.'0
lstUnarad Cost S
BuDdina Ptnnit j....-
SSWEJ. MD 'II A. 'nJt PEJtMJT n.~ s
STA TB SUJ.CHAR.OH S
TOTAl. PPMlT FEE S ~
jom... ~~ 0"')
Thil AIIPUulluli
· y- -... ,.,:;;;- ............... \ f':~
D.I&~ J ~
:M how' JlDtiN fer 111111"__ (912) "'''50. .. rt) ",
FROM WELTER & BLAYLOCK
PHONE NO.
612 8828573
Jun. 26 2002 03:48PM Pi
r... (',cft... or ... IAk. Co.nl~
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: J&Le /-1- Ct""' of' .8 / f.l r /0 c; k
Address: /.5-0 E w / i3~ I'
I
Signature:
Legal Description: Lot .3 7
Site Address: S g 17 G" It
Building Permit ## .!:!;1.- (:> Y s , PID 1# .2.5'3 f? ..2 09/- 0
NOTe: This permit will not be processed without complete information.
I. Blue Ale
2. Cold Clry
3. 3:;r/f/
PPNo.
Phone: f S i). - 'f5'i);;J. - i''' cg'" I
I AAA/ SS" 33
Sub W/ld s ~o ~+t,
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower ..3 Rough-ins
J Dishwasher I Water Heater
~ Floor Drain Water Softner
S Lavatory (bathroom sink) I Stand Pipe (washing machine)
~ Laundry Tray (1 or 2 compa"ment sink) Sewage Ejector
/ Shower Stall Backflow Assembly (RPZ, Double Chedc, PVS)
I Sinks Bac:lcflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (toilet) Cl.. Other !}4 s J.o r .f ;r~ p IQce., d"ye ('
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
$
....
This p<;l'mil is granted upon Ihe eKprc.ss mndition thaI said
contractor. shall comply in all rcspc~~IS with"thG oWj~~i1
of thc Sl"le. Plurnbing Code and the amc.nd~ lter~(,J.)(
_.'''__' RECEIVrNO. -.---._DATF..
ATTEST
~I . p/j r
, If:ffV!t ,<:'~ '
~~~, ~
-...,--."-
Call for all inspectitms 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850 / FAX (612) 447-4245
An Eql,l:J1 Opponunity Employer
FROM WELTER & BLRYLOCK
PHONE NO.
612 8828573
Jun. 20 2002 01:11PM Pi
Th~ Cell._ ot .... J...e CQunt~
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Lv e / fet" of' 131 a r /0 c; k
Address; LSD '9 _E' 1/ w y /3 . Bu,.
Signature:
legal Description: Lot .3 "7
Site Address: S.3 /7 t;;- Q
Building Permit # O~- 0 '-IS I PIO # ..J..s-3g,,2091~O
NOTE: This permit will not be processed without complete information.
I. Diu. File
. (iola Ci.,
J Y.l1ow AppliC8l1l
PPNo.d-<- L/~~/
Phone: r s d. - 'if7S;)' - ~ ~ -S- I
I UA/ S~ 33
Sub w/le:ls So '"'+~
FIXTURE UNITS
I Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower ..3 Rough~ins
J Dishwasher I Water Heater
.;2.. Floor Drain Water Softner
S Lavatory (bathroom Shlk) / Stand Pipe (washing machine)
~ Laundry Tray (1 Of 2 compartment sink) Sewage Ejector
I Shower Stall BackfJow Assembly (RP2. Double Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
..3 Water Closet (toilet) ~ Other .!J4 s ';ll'" ~ ,;.e. fA /Q ee. J J.", e ('
. FEE SCHE!DUlE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ ____.._0. ,_",..
$
$ ......_..._:"?~
GRAND TOTAL
$ '.-'--"'"' ,'.'-
"'-
This permit is grilnted upon Ihe express condilinn lhal said .".
conlraclor. shall Cl)Illply in all respecls wittllhe ordinances
of the Slal.. J)lumbing Code and lhe amcndmcnl~ lhereof.
_. _ RECEIPT NO. _,_ DATE JUN 2 5 2002
_ A l'TES'r
Call for all inspections 24 houl'S in advance.
16200 Eagle Creek Av. S.B. Prior Lake. MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245
An E4ua) Opportunity Employer
'"
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2, Green
3. Yellow
~J~icant I PERMIT NO. d- ~ t( 6~
ZONIN G (office use)
I~J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) 9':5;-113 J -L//3~
S -, ~
(Phone) ~/J/ ~J 5/b fGl
m ^~)
(City) (Zip Code)
hone) ~J~ ~;4~~ (~~7
~ ~
DATE
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE CO PLETE BELOW
w CONS~CTION 0 REPLACEMENT 0 ALTERATIONSII 1.1
FURNACE MAKE AND MODEL ~ ft ~ tJ~ 7l1f. J /),) ~ Setr~t.O FUEL lUff &f
FLUE SIZE ) Ii ~ViC), RETURN OPENINGS b INPUT JiJtJ,b0ZJ OUTPUT ~Cf1V
,
TYP~ OF SYSTEM HEATING OR POWER PLANT
, . [5Warm Air Plants 0 Steam
Oytavity 0 Hot Water ,/J . \ vl"
0')tfechanical O)bdiation () 1,*/VatJr,1I
[g'AirConditioning [3'SpecialDevices Hilt 10 {{P'! elJ/3/)
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE M.A.KE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64^50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
;.....,
...~~ .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Ii "i
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
J, Yellow
L!;;I 0 Ie
~~:y I PERMIT NO. '7---~
Apphcant ~
ZONING (office use)
15317 EAGLE RIDGE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
BUTLER HOUSING COMPANY
(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
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/12/2
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
OAir Conditioning D Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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 & 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
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
(Office Use Only)
BuiIdine Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE E>EPARTMENTOF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J 6317 ~~do
NATURE OF WORK AJt2.I. ')
USE OF BUILDING SFO /
PERMIT NO. 2 -0 4-S I DATE ISSUED 4-;:) 7-CJc.
CONTRACTOR PHONE ~/?-,~g,?leS
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) S' v 0;" 010
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION L-,L l LtV1 i (O-).,~ -{/~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS
I
FINALS
EEN SIGNED
I
GRADING (Prior to Sodding)
BUILDINGT 0 ~ ~-l -tft--6
ELECTRICAL
PLUMBING /0 - 2. Y
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricalsprv,l.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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
o~~ THU 14:14 FAX 6124474245
CITY OF'PRIOR LAKE
I4l OO:}
-
""
"
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coveragepennitted in 30 Percent.
~;".: ...
Property Address
\~~\l f'l.\5eb R,r\l'tf ~w
Lot Area \ll?,'1~q Sq. Feet x 30% == .............. ~,022..
************************************************************************
HOUSE
LENGTH
43
WIDTH
SQ. FEET
x
x
=
\1~4~
,~\. .<::l":\
...
,')'1.5'0 X /)R.3?1 =: '?-,?,,'?:,
TOTAL PRINCIPLE STRUCTURE......................
ATTACJ:ffiD GARAGE
~. \ €;\
DET ACHED BLDGS
(Carage/Shed)
x
x
TOT AL PET ACHED BUILDINGS....................... 'Nj"
D'KlVEW A Y fP A VED AREAS
(Drivewayopaveo or not)
(SidewalklParking Areas)
A\, 3"3>
\Lc>
x 0?6.?6 = \.o~l:\
X ,'-\ = 4~
x ""'
TOT A.I. PAVED AREAS......................................... 'I \~ 7
P A TIOSfPORCHES/DECKS x LP. \\..Q ",. \ \1
\q
(Open Decks W' rnin. opening between, X =
boards, with a perYious surface below,
Me not consIdered to be lmpcrvi01,\S)
X ==
TOT A:L DECKS........................................................ \ \.,
==
OTHER
~
x
:=
TOTAL OTHER........,.,.,...................,.........,......".....
TOTAL IMPERVIOUS SURFACE
~OVER
Prepared By
1~ i? r7t:~ ,~
Date 4-\ )-0::>
Company
f/..;-J LJ t~ .
Phone # If,c;/. 4D~' ~(ooc