HomeMy WebLinkAboutBuilding 02-0544
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l V'-to.tn +;rlCl
Date Rec' d
Lj - ,50- J-
I. White File I PERMIT NO I
2, Pink City . 0 l, "0, ~ , - LL
), Yellow Applicant JIf"I"f
\6~O
-;.~ S<':'
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
ADDITION
PID ~5- ~~ g
I OWNER
(Name)
(Address)
(Phone)
BUILDER '\
(Name) c.0\\~ E:-. C_\ TX t-\Dm€::...<=~
(Contact Name) F.r..1"'"J\ 6 c-=:"H \ \\JO r C)---
(Address)
(Phone) '1S2.4loC1 ViU)
(Phone) (e\L \C'yl::7' 32Lf1
L ~ L\t:::; \.J . '-'- b \\..\ ""'
TYPE OF WORK
fjI New Construction
OLower Level Finish
o Porch
ORe-Roofing
ORe-Siding
ODeck
o Fireplace OAddition OAlteration OUtiIity Connection
PROJECTCOST/VALUE (excluding land) $ O?'iD, 000. -
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 e 0 erty to pe or needed inspections.
$
$
$
$
$
$
$
$
$ '555,0
I ~~ceiPt Nap;:: (C, 3
U
o Misc.
~
j'20q
Contractor's License No.
#
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
ecomes Your Building Permit When Approved
I ~~~ 4J'if~-gt
S"'-B -02-
Date
Lf /~C !t.fL-
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
wqn si d by the City Planner constitutes a temporary Certificate of Zoning com.Pliance and allows construction to commence. Before occupancy, a Certificate of occupancy. must be
Issue ~ . ~ kL n~
~ ~~___~ \/)//3 tt:Y2- ~~ Z~ CA.,~'~
Plannmg Director ' Date - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
- ~
White - Building
Canary - Engineering
Pink - Planning
Tht Cf'ntf'r or thlP I.aa.:, {'ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLIICATION DEPARTMENT CHECKLIST
\
;~i:;
cJ
., ,.. ~O.tf.Q.q (i
i
If - 3() -d-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cOl')struction activity which is proposed at:
/..-"'} ,
L~ 80S-- (7.m~;' '()~..
Ac~epted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments: See Reverse Side for Additionallnformation\ I',
Driveway Must Have Concrete Apron
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 or other
ordinances of the jurisdiction shall not be valid."
n~
~~
White - Building
Canary - Engineering
Pink - Planning
--
lhl? Ct'nlt'r of the Lakt' Countf)"
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
f~-f (~L
if_ 30:d.-- (]
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 t3e>;? q~ IJttA-4---
Accepted
Accepted With Corrections
Denied ~
Reviewed Bye
Comments:
J2M& aH Q~~c^- ~~
Date:
5-8-C>C-.
"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."
M~~ t~
t
Tht' Crnft'r of the Like Counll1"
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:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~
Date:
5 ;1.3I?J2--
"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."
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1(- jo- J-
\ c::)~O
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID ~5- -3 g
Date Rec' d
I. White File I PERMIT NO.
2. Pink City
3. Yellow Applicant
ZONING (office use)
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Name) C.O\\~ t.. c., \'{ t-\DmE:.-S
(Contact Name) ~fjr_'h 6 c=,. H \ 1\ ..l 0 \ d--
(Address)
(Phone) 0152.4loC1. toclco
(Phone) (0\2-. taCOS. 3~
L ~ \Lee:. \.j \ \.. \..... b \\..-\ ""'
ORe-Siding
TYPE OF WORK
fjlNew Construction
o Lower Level Finish
o Fireplace DAddition OAlteration OUtiIity Connection
PROJECTCOST/VALUE (excluding land) $ OlSD, 000.
o Misc.
ODeck
OPorch
ORe-Roofing
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 aU 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
ente e 0 ertytope or needed inspections. I '20q l{ /1iD 107
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
I Paid
Date
I ~;ceiPt No.
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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. -
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jun, 3. 2002 1:35PM
GENZ RVAN PLUMBING AND HEATING
No.6167 p. 14/14
Date Ret'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I .slue pile I PERMIT NO
2. Obld City. . -::::1 - -c:::: t. / U
), YellDW AppliQlll . ~ -L t.. +
ZONlNG (olfice use)
LEGAL DESCRIPTION (Qffice US<: only)
LOT' I BLOCK &.f ADDmON
PIP
OWNER
(Name) =--COU'{-;L
(Address)
APPLICANT . .
(Name) ~.~e - ~~
(Address) ~s:- Sn ~ T
(Address)
~{
(Phonc)l~ \- lj2.-"3 - ~
~r ~-(o~
(City) (Zip Code)
(Phone)
(Contact Person)
PATE
v
2-
APPLlCANT SIGNATIJRB
Quantity Type of Fixture Quantity Type of FixtUl"e
\ ~ath Tub with or without shower ~ Rough-ins
I Dishwasher f Water Heater
I Floor Drain . 12\ , Water Softner
1,- Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, Laundry Tray (lor 2 compartment sink Sewage Ejector
, Shower Stall Backflow Assembly
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
'2,... Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, CommercIal & Multi-family 1 % of Job cost with a $39.50.rninimum Residential, New One & TwcrFamrly $9950
Residential, Additions & Alterations $39.50
Estimated Cost $
Budding Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~......~
.so
("~" ,'. . f"'*. . ~
"--------.-...
..iJ ,
(Office Usc Only)
Tbis Application Becomes Your Building Permit When Approved
Paid
Receipt No .
Building Otticial
Datc
..'
Date
~4 ~Ollr notice for all inspections (952) 447-9850, fax (952) 447-4245
. "\
05/03/2002 14:13
5077445555
-.. . ...... "'~"4 ....4... "..., ,.,.......
BADGER EXC
PAGE 02
.... ._..._.~-~
- -~-._-'-- "-
...... ... ...... "'"'' '-.\
.........~
......"....
CITY OF PRIOR LAKE
SEWER A.ND WATER PI:RMIT
I)... Rec'd
Q~ . ^-.J uJ
,-- ~ ~
~::.. ~_. PUMJTNO. g-SLJY.j
I [20_.....1
j
PID
LfOAL D!SCRlPnON ( __
0...... u. anI7)
l_.Lor 1 BLOCK Y ADDITION ((eq ci ere s 1-
I OWNER
(Nazne) .~~ ~ ~
G~ddz"'J -rc;d-.O ~ ~luJ
AP.Pl.JC~
CNIl'ne) "-=>Q~ Ex {'"Q. (J':~.'t
(Addrea) 8'.3 { S ~ ?O~ ~iv--cJtt-
(AddiuI) -
(CQntact PC.on) So nd... ..s' ~
APPLICANT SIONAnIU
~) _ c,.~;L-I,I'~_ ~9CJO
L. ~ ;s(.J'fl{
Q ec. -
(?1loM) 6-0'- f ~ - oS $'(" ~--. l
~cJ~ s~ c.J '7',-
(ell)') (Z4P 0*)
(pbone) SQ7 - --7'--( ~ - S' ~-G. ,-
DAT! ~ -c)~
. APPLICANT PLEASE COMPLETE BELOW
Si" of water SoMc:c ..L- inches.
Location of any couplings from slr'UC1\d'e - fHI.
Type gf sewer pipe. n ABl; I2'PVC 0 Cut Iron
BsUmallClluaath of ICwer 'Gne SO feet.
Clean out (if required) lO4:&ted;t=- feet from IUUCture.
FEE SCHEDULE
Rnidcnlial'lwtr II'ld waWr line c:lOMeOllon S3~.~O Indusl1iel. Com'l &t Mwlti-family 1% of Job COli: whh. "'.'0 naini.llMlm
Sewer l:Qlln.orion onb SI7.S0 Water c.lOft"ecl!IoI\ only. 117.S0
Estirnated COlt $
Bullclllll Permit l..:..:. " .
SBWBR AND W ^ 'I'D. PERMIT PEa
st... TB SURCHARGE
TOfAL PIRMrr RI
s
s
S
;~9r
r:; rt'~, ~ ~
101 I!! 1"\ ;',";.....,
L-'~.;;~:_;.,~..- r'
lo/tlC!ll: 1.:M 0.1,)
i Thll AppllcadtJ.. ~~... 'YQUI' 'lulldllll PIP.it Who ",pp,ond
:;=~
...I.i" Olll..'
D...
ti ~.
Uhlir ..... ,., .Uln.,_a.. (HJ) ,'''-9150, ,.. eta) .'1-42""
2002 1:35PM GENZ RVAN PLUMBING AND HEATING 'No.6167 P,1:1/14
CITY OF PRIOR LAn . Date Rec'd
HEATING/Am CONDITIONINGIFlREPLACE PERMIT
. .
(PLew: t}'Jle: or pJUlt and. sign at boltD~
I ADDRESS .. _
!
~:~ ~. I PERMIT NO. .. _~. JI
. ~. Ye;l\Q", . Appl..:.nt. t . if :.,..> 4.:.- .
IZONJNG'--' I
LEGAL DESCRIPTION (office use QxUY)
LOT I ( BLOCK l,,( ADDITION
OWNER r . .
(Name) CoUer~ -: u1Y ~ DS
(Address) 'f..J20 IIi It
PID
(phone)
APPUCANT
(N3l;rle) t:;V1~ - '4'.Y"\
(Address) JLt1W 5 s., RrJoI Jt.r -rt~-
(Add~ss)
lJ
(phone) ~ - tlt.~ -I (4t.!
. ~t, ~..LS'Jr 5fut:;g
(City) (Zip Code) .
(Phone:) lP5"[-l./l.. ~"I (Ll'lI
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLIC EASE COMPLETE BELOW
. lJNEW CONSTRUCTION 0 REPLACEMENT 0 AI... TERATIONS
FURNACE MAKE AND MODEL U/li\O k ~2lo . - FUEL ~ (,n.~
FLUE SIZE RETURN OPENINGS e, INPUT' ~ OUTPUT "1o,1IlIO-
TYPE OF SYSTEM HEATING OR POWER PLANT
~Wann Air Plants
o Gravity
o M,.cha1')lcal
~ir Conditioning
[]V ent, System,
o StelUll
o liot Wate,
o RAdiation
o Special pev\ces
o -Other I;>cvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setba.cks
FIREPLACE MAKE AND MODEL
ndustnal, Comme:rcisl& Multi-Family
FEE SCHEDIJLE
1 % of job cost Residc:ntie.l, Gas Fireplace
$39,50 minimum
$5151.50 ResidentIal, Additions & Alteraiions
$64.50 Residmtial, AC Only
$3950
,esldentiaJ, Heating & AlC (New Construction)
,esidential, Heating Only (New Construction)
$351 50
$39.50
EstImated Cost $
Building Permit if
HEATING PERMIT FEE
STATE SURCHARGE
TO'TAL PERMIT FEE
$
$
$
.50
. l~~j in.:...~
">; ~
"!lice: U!e: pnly)
,lis AppUcaUl;Ill Becomes Your Building Permit When approved
,
Faid
Receipt No.
Date
Date.
., . ,~.
lhdlding otlitilll
24 b~ur notice for.: ali inspections ~Sl) .w7~~850i fax, (95J) 4474Z45 .
. ,'" .
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:w EJ~icant I PERMIT NO. ()- S LlLf I
ZONING (office use)
ADDRESS
15308 JEFFERSP ASS NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
COLLEGE CITY 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
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/12/2
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 D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N 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 & AJC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl! Official
Date
D~~1ti
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
rla.iV\ hLQ
PRIOR LAKE
INSPECTION RECORD
O~
SITE ADDRESS 153m J;ffv-s ~s<:
NATURE OF WORK /J.Q.ld
USE OF BUILDING 3 FA-
PERMIT NO. 02-0~ DATE ISSUED F-?3 ..02-
CONTRACTOR Q.,\~ - ~ PHONE
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill) S
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
, z.-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~ ~ 2.rt-CJZ
ELECTRICAL
PLUMBING
HEATING
DO NOT
,.;..~
Cl2---
q~:l5"-t:J?-.
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 hav~ 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