HomeMy WebLinkAboutBuilding 02-0588
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5~/d -02.-
I. White File I PERMIT NO I
2 Pink City .OL-> _ 01 .c- a. a..
3 Yellow Applicant . _...:...; V V ,
!J/Uf'~~ #LI"'P..
.- ;)-/
LEGAL DESCRIPTION (office use only)
LOT:<" BLOCK:< ADDITION
OWNER
(Name)
E,.".. r:c1C-- C7 A € ?
t-v/h ff"'6r4 /e~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
?!~
h~c-.
TYPE OF WORK
/Y'IV'
u~
o-u)
PID S ~ .3 ~ 4 '
(Phone)
972-~.Y'-78$:S
A~k~ A/V'"';?53,
~4..
t!J~".-,?C /7'-~
(Phone)
(Phone)
~~~.e-
C,f,2-:3 "? - v,?-<>?
Construction
DDeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Misc.
o Fireplace
OAddition
OAlteration
o Utility Connection
PROJECT COST IV ALUE (excluding land) $
d'1"'O
e 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 tI th abov -mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
a e that u'din cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
o perfor d i ections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
;2tPo 7 f,7 J 1
Contractor's License No.
~0.2
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
--
I VCJ,or"
Water Meter Size 5/8"; I";
Pressure Reducer
--.
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I (JO",
(eN? . 0' l)
'3S'0
40 .. () J
TOTAL DUE ttnif3D
Paid /5 2
Date
es Your Building Permit When Approved
5'-20-0L
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
~ssued L' .fu-: tJ A
· ~~~< S/2z/rfl-- . ~^\t\~('~",,~
Plannmg Director Date Special Conditions, 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~ Center of the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~.... ,< ,..l, '. \./
'.- '1(._' ,.' :/." /<.
.~' , If"..
/, ,/ :'-"'-~,'
,) ....,........ / / . C_~ /.....~--...'
.}
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,. L/
,
,e t
, If" ">;. .. ,.
..,,~
""-'(...L~
Accepted
L/
~AiI1--~~
Accepted With Corrections
Denied
Reviewed By:
Date:
,~/2-2-/ CY2-
,
"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."
"'.
Th~ C~nl~r or Ih~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
a p)LJ-f,o y rxl{nl1--e~
~~- /(::) -~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
). / /::J/ (
/ L) c:A 9/ ,/2)/UrO/:? }11.JL-'UL, 0. VG-,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: "1f/JIji3
Comments: ..s -( t.. /Ylc, ;'1
Date:
5- 2f98 2...
r:: '/ 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."
White - Building
Canary - Engineering
Pink - Planning
The- Crn'rr or 'hr Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ~)L)-jy, Y- WcJ-n~
~-- /Q '-;l,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/A91 ~~ (j/ucL
Accepted'~
Accepted With Corrections
Denied
@
Date:
~-20~
Reviewed By:
Comments: ~
~,~~J: a
f
"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."
....---....
k~.'~'O~~'"
'.:.../ /rl. \ .-
I:, ,/ : \. \,~
CITY OF PRlOR L-\.KE PLC}IBl:.'iG PER\IIT
D:lte ReC'd
\- ~l ..:;
'".~J
~
I ?~e:Joc ['me or :Jr::lt lIlJ ;I~ .l( bottcm)
31'Je rqc
:, \~uj(J C:IV
] '( ~lln"'" \ OOIIC.1nt
PER\r~~':.o. 3-f~J
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9:51:.- c/r}?- 2/-Z/
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55 0L/
(.~~,":J.;~~:; )
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(Z:p C,:~e)
- ~
I, ___-...;:-::.1.....: ~::;:.:(:,::i
&AA'~ j Iv( d -/d:U
C ?::cr.~)
(}I-</f /! tI~
.-".??UC.-\~iT S:C:i.-\ n.JRE
D.J..TE
APPUC.-\."T PLE.-\SE COMPLETE BELO\V
QU:.Intiry Type of Fixture I QU:.Intiry I Type of Fixture
Bath Tub wlrh or wirhour shc\vc::- I I R0u::rn-ms
/ Dishwasher / Warer He:J.re:-
I 1 floor Dr:J.In \Vare:- Sufuler
I La'/arorl (Bathroom Sink) I Stand Plr.~ I\V:J.shin~ \-f:J.chlnel
i Laundry Ir:J.)' ( I or: ..:cmpar.:ment Sink I Sew:J.g:e Ejecwr
I Shower S(.111 I Backt10w Assembly
I Sinks I Backt10w Assembly Test
I Bar Sink I Lawn Sorinkler
..:5 I Water Closet ( Toiler) I Other
}- EE SC HED (j LE
Industrial. Commercial & Multi-family 1 % of job cost with a 539.50 minimum
Estimated Cost S
R-:sidential. New One & Two-FJrnily
R:=sidentiaJ. AJditions & A~r:ltions
S9950
539.50
BuiiJing Pe:-:nir :;.
[B:r.
I.. ..
(Office Use Only)
PLUMBlNG PERivHT FEE $
STATESURCK~RGE $
TOTAL PERiHIT FEE $
.50
JUL j 7
This Applic:Jtion Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildin~ Official
Date
Date
By
.:~ ntJur nocice ior ail inspections ('J5:) ~7-'J85(), fax (9:5:) ~474:~5
CITY Ulf PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
I. Pink File PERMIT NO
z. In... City . '/
l. Yellow AppliCMl 0<.
-(
g /vd
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~ ('" 1:--<. 'tl
Ha~s
(Phone)
(Address)
APPLICANT
(Name) ~~- -?, ' "'J
(Address) ) F'J-S-a
1- c?oo!i"J 77.......0
~~ g'1
(Phone) 7'3- q;;.)> - =1b 77
rhoP.J4 Ca,ot-t ;c;-; ~ 9
(City) (Zip Code)
(Phone) i.a;" - 3<.. -; - C:;-c;v. 7
DATE
~(J""" ^~!f
(Addres
(Contact Person) 0", '1'
APPLICANT SIGNA TORE
C"Qo~
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL .e"'-y 1'9"..,J.
FLUE SIZE 4 II RETURN OPENINGS
TYPE OF SYSTEM
[SWann Air Plants
OGravity
o Mechanical
~r Conditioning
OVcnt. System
o Steam
o Hot Water
o Radiation
o Special Dcvices
o Othcr Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
S64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Pennit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Orner Usc Only)
This Application Becomes Your Building Permit When Approved Pai
I.. .1
Buildin~ Officia'
Date
natr
~"r; - h
24 hour notice for all inspections (952) 447-98S0, fax (952) 447-4245
t>0"d
-.
OM.!. ~N I ..,OO:::l ~ ~'I I '!'1;:;!3H WI;:;! 60;;: L0 2:0-90-~nl;:;!
2:S9:Z:S2:t>:Z:9L
Dale~
.,1,
';"'1'
:-:):'
ji~
~VC/;i
J C> 0 . t..: ;,,'
AUG.21'2DD2 13:D9 651 633 8884
FIRESIDE CORNER
#1533 P.DD3/DD3
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDmONlNG/FJREPLACE PERMIT
~. t~ Si~ftl 1 PERMIT NO. d-" 5~ I
ZONING (<;IfflCe us~)
l3>l \Jt)
LEGAL DESCRIPTION (ofJl.al use pnly)
LOT
BLOCK
ADDITION
PID
C%\..rL'k ~.v.,
(Phone)
I
[OwNER
(N ame)
(AddXes~
APPUCAN'r
~ame) AJ~JIED FIRESIDE DBA FIRESIDE CORNER
(pbone) 651-633-2561
APPLICANT PLE OMPJ...ETE BELOW
ONEW CONSTRUCTION 0 REPJJACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL a OJ)
FLUE STZE RETURN OPENINGS INPUT OumJ~ ~('i.o\
TYPE OF SYSTEM HEATING OR POWER PLANT
ROSEVTT ,T~ MI'l
(City)
(Phone) 651-633-2561
DATE
55]]l
(Zip CDde)
(Add.ress) 2700 N. F-AIRVIEW AVENUE
(Address)
(C P ) B~DA HUST.ON
cor.aet etson
APPLICANT SIGNATURE
FIREPLACE MAKE AND MODEL
o Steam.
o Hot Wat.tr
8 RadIBdon
Spechll Devices
D Other: Dcvites
~ulb"
PLEASE NOTE:
Air CCl11ditioner Units
Cannot EI]Q'Oach into
Required Side Yard
Setbw;lc;s
OWarm Alr Plants
OGravity
I:J MechllniCf,11 .
DAlr Conditioning
DVent. System.
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1% ofjQb cost ResidentIal. Gas FiteJllace
$39.'0 minimum.
$99.50
564.50
$39.50
Resident/RI. Hea.ting &. Ale (New COTlSO'Uctlon}
Residential, Heating On.l.y (New Construction)
Resldendnl, AdditIons & Alterations
Residential. AC Only
$39.50
$39.50
Estimated Cost $ .
Building Penn It #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(OlTi~e rJ~c Only)
This Applh;:lItjon Becomes YDllr Bllildln.g Permit When Approved
Date
Blllldlllt: OtlldAI
24 hour rlotlce for .Illnspel:tlons (951) 447-98!O, 'lIX (9S~) 447-4145
1~/07/2002 12:00 5
. - -:..:.... - --"::'==--=':'.:" I ~ -.6.., .c....
"-Tn lIf' I"uaa LAKE
PAGE 03
~OOl
CITY or PRIOR LAX:!
SEWER AND WATER PERMIT
02--0565 58",
~ ~ 5... [ PII:~T ~o. 5~~
l i _0,__ 1
D... Le'"
,.=~~.NlttRd!YII") J
I DU ""'-
1_14..:2~5- 91 ~~ ~)//d B/d9:;
I..BOAL .D:B5C&D"'nO!'l' (.... -1JIIIh;
;" ~=~__C~ Ibnts ~
I "'......) iNa; _ ~.;;;. ~
~
j
~ ~l L~-;. 7~31
.4b/,>~~.tJJ-1I 5Sfi:<' ~
1
Pm
LOT
-!LOCk
A%:)DmON
~ AntleANI'
: (N1tDoC)
I
j
~
K &. R Contracting, Inc.
3245 Like Avenue
, CAddrat) - New Prague, MN 56071 (dii"
952.758.6247
I (Cantatt Pn1CI'I) .& elt..'1 Jh / f /11 a,h-. __ (?MzIe)
j "'PPLIC.'NTSIO~~.rou C~~"1~L/~44..~ DAn JolZ<oj
APPLICANT PLEASE COMPLETE BELOW
SizIr of ___ scrrice -1Ji!. iAch.a.
LacatiOft of CI1 coyplmp tram SI.NCt\n ~ ...
Type r:If Iftlf ,apa. 0 ABC ~ I'Ve C! C_II'ClJl
!srl~clleQ&'t1l or ....lIDe -ka... Mt.
_ Cleaa out (if~ 1oca1lld at: -'J"" &am lftn.lC1Ure.
FEE SCHJ.l)L'LE
Ilalclanl.iAl MWIlr uti;' ...r 1ilul1OM~ tJ!..sO It..trlll. CG/1Il11A MuIfJ.luaiJy I" ~j" CQIE wi.. S3..50 lUll"'"
S'-'cr ;.n.n"CIIion ~I~' SI1.'O W.... ~ca....~ 111.50
(1Iibcee)
(ZIp CldI)
1
I
2<<....... COli: S
luiJdiq P..-aic . _
SEWn AND 'itA 1"a 'BlUtof]T FIE
STAnt SlJRCHAllOE
TOT.u..aucr J'U
S
J
.
I~
(0lI'n U~. 0IIty)
IT_i' "".Ika.... i..... y.... ..IIdl.. .....M -. - I
'-- ~ or~" ~- - I
24 "Ill'"' ......, .n ...,...... (,e) ...,..... ".. tmJ .. a
o.
AID WITH
BunnING
PERMIT
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 142ft ~1LO {, ~M~ ~(/cf
NATURE OF WORK IJ.e0U
USE OF BUILDING SF-A
PERMIT NO. ;:;~L.snp; DATE ISSUED ~ 2rJ -02- ,
CONTRACTOR __ ~ PHONE f..e(Z - "%i -~.521
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
.BUILDING AND INSPECTION
l ~~.~~,~.
INSPECTOR
I FOOTING I I
I FOUNDATION (Prior to Backfill) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION :stA- ~7.9&! OJ-
-.
ELECTRICAL .
PLUMBING ~{.... tl6 VI.J pV (,. ~/? "'"2- ~ g/~tn2-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
u/ t-'-~ O~
19/ '2 by
( U/ ~Z- -02-
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 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