HomeMy WebLinkAboutBuilding 02-0581
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Date Rec' d
4-z-z -02-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~. ~i~~e ~::y I PERMIT NO. 0/. __o.lea I
3. Yellow Applicant V 'J D
ZONING (office use)
-1'1. 2-
LEGAL DESCRIPTION (office use only)
PID
ADDITION
LOT
OWNER ~,....-:- .
(Name) ~J/ """y
(Phone) t)5d-c/_53 - ~C;3
5
(Address)
/Je/I? p~ s
._~:/?70tY
BUILDER ,/1
(Name) {~n/ ,&l~
(Contact-N~me) /(3://
(Address) ~~
(Phone) 7 <::;c) - dl3S d5C/:5
(Phone) C)5d- J5 5 ~SV 5
ORe-Siding
ORe-Roofing
OPorch
OAddition
ODeck
TYPE OF WORK
New Construction
OUtility Connection
o Alteration
o Fireplace
OLower Level Finish
{C. vC
PROJECT COST IV ALUE (excluding land) $
o Misc.
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 build.ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon operty to perform ne e . spectio .
Cqpd~o?
Date'
-::;talCO )(/ 7> 7
Contractor's License No.
x
$
$
$
$
$
$
$
$
$
#
#
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 Siz 5/8 ;1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Receipt No.4' "d-I 03
By 1fC>
I ~~:e :;~t9?Zd-
uilding Permit When Approved
5-3-02..
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
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
is/A- ~ 0 "
~CL t ~.--/~~[--1C /~!~? l /C'2-- S-'C' 1tr\1:;~ _ ~.\{ C~~V\{-c~~~
- Planning Director Date t ~c~ ~onditions. if any
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
Th(' {"('nler ()f lht" Lakt" Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(] uvl-<2-X. 7Jo m eS
Lf - d..;). - ad-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
QL/L/!J SfoNecZrCS+ (JCc~
Accepted
Accepted With Corrections )<
Denied ~~
Reviewed By
Comments:
2J cJ12 LQitadMr2 /tt~
Date: 5 - '3 - CYL-
"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."
Thf' Cf'ntn of Ihf' takt Counl'1'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,i
,""._~-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.'
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ ~
Co'}?ments:
Kt~~~I~_~~'\A~L~ ~~
~d~~\, ~ ~ ~X-i-<
~~~l LO T=r~ ~ ~~ U;t-
[A/v42 {J
Date:
:5 /20/C"2-
"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
Th~ ("~ntrr of Ihr I..kr Country
9
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (] e.-./UI- ~~X H 0 In eS
APPLICATION RECEIVED LI- ~ ~ - od-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Q'ILIS- SfONe(! rC3S -j-.. PC(~
Accepted
)(
"
Accepted With Corrections
Denied
Reviewed By:
MH5
Date: .s -20-0 L
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 or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e~n ~::y I PERMIT NO. 'I.... 50 I
3. Yellow Applicant . V'" , 0
ZONING (office use)
2445 STONE CREST PATH NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/5/02
X NEW CONSTRUCTION o REPLACEMENT o 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:
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 HEA TN GLO SL-550TR-C
APPLICANT PLEASE COMPLETE BELOW
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
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No. .
Date
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~,
~ (I1r\ \~,
Date Rec'd
CITY OF PRlOR LAKE PLUj\;IBI~G PER.\-nT
~. ~~~ ~:;v I, PER'\IIT ~'O. /}_L C:) -I,
3 Yellow AoollC:lnt ~ ..:;2...0L..
(?!~3se tvDe or orint ,111<1 slim ,u bottom)
.~D:;;S{' ~1011r' tffsf aiL
Z 0 :i"'C'i C (l;~~: 'J~e;
LEGAL DESCRlPTION (otl1c~ use lllllv)
f..')T
BlOC(
,.l.DD[TION
PID
o '},::iE R
{1r JL If Jc
i \,:;J.:7:e,:
(F~or:e)
i
i (.~~,..:li:ess)
i .-\?PUC.....~T / / /'/J
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.:::/,//) .//1
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I
I
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(Cit~r)
(Z:p C:~e)
('-.'r.'.). .- ;:J~"'!-n)
! '- -..J ..... l-~.. '-....J\...I
i A??UC.-\).'T SIG~iA TURE
~/
Ab
JJ~
(?hcr..c)
DATE
;21J(J
APPLICA;\fT PLEASE COMPLETE BELO\V
?
I
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Dram
Lavatol" (Bathroom Sink)
Laundrv' Irav [lor:: .:ompanment Sink
Quantity
;j
/
I Type of Fixture
I Rough-ins
I Vi ater He::lter
I \Vater Sofmer
I Stand PiT:'~ (\Vashing \-bchine)
i Sewage Ejector
Quantity
u...
I
I
. -
( I Shower Stall I I Backtlow Assembly
) I Sinks I I Backtlow Assembly Test
I Bar Sink I I Lawn Sprinkler
'i I Water Closet (Toilet) I I Other
FEE SC HED li LE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-F:unily 599.50
Residential. Additions & Alterations $39,50
Estimated Cost S
Building Permit ;;
PLUMBrNG PER1vlIT FEE $
STATE SURCH..'\RGE $
TOTAL PERMIT FEE $
.50
..~' :~..,
.....;');
"I.:.7~.J~/~
't...J
(Office Vse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid Receipt No.
Date ? .S By
'. -
:4 hour notice for all inspections {95:) -447-9850, fax (95:) 447.....:45
,,,. CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONINGIFIREPLACE PERMIT
. ~l
:, - '; ". -(~.'~'
Date Rec. '''~~:i~;
.~.,,~
';'.",~.."~~
. :' .'_:\~!'-'
OWNER
(Name) Ce/l f~ y
II D /J'I.17 ~
(Phone)
PID
I. Pint File
z. c.- Ciry
l. Yellow Appliwnl
s~~c~..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Address)
APPLICANT
(Name) /7<:"0.+. ''^-'j
(Address) I Y' S-S-C
':}- eo~ /.,n 7 -r~
(!. C) v/'1 ry f&/' if
(Acldrm)
(Phone)
7(, 3 - 4).. "j"- '5(" 77
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. r":;~!
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/"'1'7 ': F' Iii (.:> f c..'"
(City)
SY:l C. 'j
(Zip Code)
(Comact Person)
-
/ ': ,.. 4''1'
(Phone)
f.a/2.-
- 5"'"5 C. 7
APPLICANT SIGNATIJRE
DATE
-0 2---
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 13 r" It c:t '" of-
FLUE SIZE PVC RE11JRN OPENINGS
1YPE OF SYSTEM
[DWarm Air Plants
OGravity
o Mechanical .
ffiir Conditioning
~cnt. System
o REPLACEMENT 0 AL TERA nONS
3':>0 '+ ~() ,7(' FUEL bas
'8' INPUT '60. n -:70 OUTPUT 74. 060.
REA TING OR POWER PLANT
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
539.50 minimum
$99.50
564.50
539.50
.' ,,;-.<~',t
; :,.~ ~~
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Residential. Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
Residential. Additions & Alterations
Residential, AC Only
$39.50
$39.50
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Estimated Cost S Building Penn it #
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REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.50
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(Offiee Un Only)
This Application Becomes Your Building Permit When Approved Paid
Date
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By -
Receipt No.
Buildln, Official
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
10"d
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OMi ~NIIOO~ ~ ~Nli~3H W~ 20:60 Z:0-~1-~nw
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ;;;(Ljt-/s- .gtOY1.Q..QJta.S~ ~
NATURE OF WORK fJeuJ
USE OF BUILDING SFD
PERMIT NO. ~-05fjL DATE ISSUED 5 -3 -~
CONTRACTOR (~ t-a PHONE 7S~ - Q33-2.C) 4:5
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABO
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 I
FINALS
GRADING (Prior to Sodding) () -dl-O~
BUILDING ~ C-c>. C
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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 f'~all be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850