HomeMy WebLinkAboutBuilding Permit #03-0074
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /- b- D3
(Please type or print and siWl at bottom)
ADDRESS
\ 4 7 J'2- ~QSe..VVC61:>
(Address)
Je.(..( C
147f~
rf)
/('(~IJ !J
1. White File I PERMIT NO
2, Pink City .Ol? -00....., A
), Yellow Applicant '-=' I ~
I\J. E,
,-
iltU,
ZONING (office use)
f< /SD
PID n25 -=?I 0 -() /7.... t)
mAN~ FIEL.D
rz o. Iv, (~
- -
(Phone)('15 i) Jc33 S3~~
l'-J A 1A<-I f
R 05c \v-oaa
BUILDER /"
(Name) WH_l-e..j ~ G_L.:rr ,t1,gfV\ ,~ ~
(Contact Name) ~ ~ /::...
(Address) '7<11-0 LAi:-<..v..l(<.. f3lvJ. LAt-e.v:ll~
LEGAL DESCRIPTION (office use only)
LOT UBLOCK ~DDITION
,
OWNER
(Name)
TYPE OF WORK
o Misc,
(Phone) Lj S"1..r 4 bib 1CP
(Phone)
~56Ll-1
ORe-Siding
.Lower Level Finish
ODeck o Porch o Re,Roofing
~ Fireplace OAddition OAlteration
PROJiCT COST IV ALUE (excluding land) $
OUtility Connection
o New Construction
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 roperty and that all construction will conform to all existing state and local laws and will proceed in accordance with
sUbmitte~. ' I am aware that the ~~;~Cl,',al can revoke this permit for just cause, Furthermore, I hereby agree that the city. official or a designee may
~teruP(n1::L:performn~?j CS, R<- r J ~O ., ell 0)/ () )
- Signature Contractor's License No, .. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~' 47_CJoO -
$ I tt7)..5
$
$ 2 00
$
$ 40, lII)
$
$
$ 4Doo
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
lather
I TOTAL DUE ~
I Paid
I Date
/&r.z,J
/-/C, -{)7
# $
# $
$
$
# $
# $
$
$
I--H, /O~ $ / ~~f. z.-!J
il
Recei~ No. -'FJ47Z-
(J
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
=il4Xrzr:__,oornwoo. wro,_ ~~7:::;- ~d'- '~i: dro;:~~~::;,. ;:~::~; ~.~
.. Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec~O. c2)
CITY OF PRIOR LAKE PLUMBING PEAAuT
1. Blue File
2. Gold City
3, YeUow Applicant
I PERMIT NO'/,7~ -14 I
(Please type or print and sign at bottom)
ADDRE,S Lj t} / 6( /?1J c,p (1J{!i)d ill IV ~
ZONING (office use)
LEGAL DESCRil'uON (office use only)
LOT
BLOCK
ADDITION
PID
-
~=e~R Jr?-f'-f' Cf /~ f')1/U)~ff~_cl(PhOne)
'. ---
(Address) J ql)/9 !(()S e/fl()() d 12c1 rl.i::-
~:;~~ANT fir YJ 2- eUJt2A-
(Address) JLfJ)<l5 ~ JJ2Db:ev-f 7Y /
(Address) (City)
(Contactper.;on) ----r-~ GA~ _ . () (phone)
, APPLICANT SIGNATU~~ ~ f/ r ~ar uS' DATE
(PhOne)~c;/ - 465-; /v</
K{)SEfn!J7W 0S {iQcf
(Zip Code)
/-/,/-(J3
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity Type of Fixture
I Bath Tub with or without shower I Rough-ins
I Dishwasher I Water Heater
I Floor Drain I I Water Softner
/ I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I I Shower Stall I I Backflow Assembly
I Sinks I I Backflow Assembly Test
1 I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Official
Date
Building Permit #
,3tl50
- ..w
'-!O.Ol)
~ ~I\.)
Paid .~ it! D
Date 1-:J1 "'3
$
$
$
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
y
.----,.
, ,.
CITY OF PRIOR LAKE
.tlEATING/AIR CONDITIONING/l1'11<EPLACE PERMIT
tl/) (j?J)
Date R;~'Y
~: ::. ~!~, I PERMIT NO. I)' -::J -7' t
3, Y cllow Applicant r - ) .....,
(Please type or print and sign at bottom)
ADDRES/S 4 /l. / ,/)
. / ;X I.{Q\t~(j)noc( l? d
ZONING (office use)
(lJ~'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~=~er+ C/ /)a~ /l)anslJ~{d (phone)
(Address) ILj/)/f) l~oSew/)()c/ 12d (}C
APPLICANT 0;-:>) j... f/~? (/V
(Name) lXf) 7 -- ! (A_ /l (LYJ (phone) (tI e;;/ - :.., 0 0-1 / T r
(Address) J Lf0 L/5 S C/ i?r) b-e-Y1- !r I PIJS-emtJ2LL:f SS-{)0f?
(Address) (City) (Zip Code)
(Contact Person) / ~. _ . ,.r'JPhone)
APPLICANTSIGNATURE ,~-};r ~'-1Yl/J:;ttJ;LtJS;ATE /~//)-03
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation (1_ Cannot Encroach into
] Special Devices l\ " . ~.,~ Required Side Yard
'Wether Devices ,~./ ...J Setbacks
~ /, ~
(( /)P-!7iA-JlLJ-4
PLEASE NOTE:
Air Conditioner Units
FIREPLACE MAKE AND MODEL
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 $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
r) q r:-{)
.......:) .:J
ifOjjfJ )
1 t (&/l./
pai13QJ)'-, Receipt No.
Date /~ 3~'-3 By ~
(Office Use Only)
.lis Application Becomes Your Building Permit When Approved
Building OtUcial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I r
...T....~..-~'
'.I-r~'-- ~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si~ at bottom)
ADDRESS
~. ~e~n ~:;y I PERMIT NO.
1 Yellow Applicant
~ -~ 7L/
14712 ROSEWOOD ROAD NE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
ROSEVILLE
(City)
2700 NORTH FAIRVIEW A VENUE
(Address)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113
(Zip Code)
2/12/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEATN GLO ST-TRC
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Permit #
REA TING PERMIT FEE $
STATE SURCHARGE ~ .50 ./~~~'
TOTAL PERMIT FEE w; rf'- .
(Office Use Only) U u U; ~ (;ll
This Application Becomes Your Building Permit When APproveJU Ftt}d 1 8 2003 IIU
Date UJ
Building Official Date ~_
24 hour notice for all inspections (952) 447-985~, fa~4~
-, lr
T r
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39,50
$39,50
ii-' /"""'1 t;)'J'!'~
~i..4_,. -ft' I....!
,( ~ I~ r-, "..:
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~(.r...;.!jr~~
:"CI:/~'dU
Receipt No.
By Ii'
C('
PRIOR LAKE
INSPECTION RECORD
t2d
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 147 JL Rose woo d
NATURE OF WORK L, L... -P(~ r.st.-..
USE OF BUILDING <;, r:. 0,
PERMIT NO. V;3-00'i4- DATE ISSUED )-/4' 03
CONTRACTOR LO/(~0C &f 1--, PHONE Q.{'"2 - J..l]-.t{3r;,
NOTE: THIS IS NOT A PERMit FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
t r981iIU&
N~UINJ48U~~ri~[w 1ii..hfiU) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
l.uII" ,'1.;~~n : Ilr . .__
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
r?g "
I
I
1
'<J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.R.-.IIIJ~Plilll I_JJ. v)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
lI1IY ~- 3o/u?"
J.1Ir' [..I-'u-r[)
V/,.1O ~ -J"Y'frI:;
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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
I I
I 1
I I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
t1-1Y
SCHEDULED
ADDRESS
/U:,II- fL~~'-V()ld p~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:r7Cf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(0 Y\<(r!- e!l(.,fV<<A I
.~~
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-
fJw1. fA J
. " I
~JL
~
~ \ ()S~
I WORK SATISFACTORY, PROCEED
o ss>RRECT ACTION AND PROCEED
~CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: fV(J L1 ~ ~g.D"':> Owner/Contr:
f:ALL 447-98fiO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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