HomeMy WebLinkAboutBuilding 02-0599
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
L/ t( lj;L(
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(N ame)
C~d) ;,:, ~
(Address)
Date Rec' d
q, 'dSfJo-
I PERMIT NO. ()l---OSW I
I. White File
2 Pink City
3. Yellow Applicant
ZONING (office use)
d--
0/4
PIDdS""'.... ~
(Phone) c;Sd-.?l33 -~5~3
#h?O
BUILDER &.
(Name) ~/T /lX
(Contact Name) /3///
(Address) ~c;/h~
Atl}./I S
S,Ki/'TO/'!
(Phone)
(Phone) Q5'd -';;33 -~5--q3'
.
TYPE OF WORK
New Construction
o Re.Siding
o Lower Level Finish
DDeck
o Porch
ORe-Roofing
o Fireplace
o Addition
o Alteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
c
o Mise.
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 upon perty to perform ne de nspec' ns,
/, ...
.'
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
{DC -0 D
too .00
35.S0
1t0-06
r Building Permit When Approved
5-8 -6L-
Date
"#cJCl57t?737
Contractor's License No,
O'lp5~~
OOe
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Siz 5/8 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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
~~b' '"'i." P"~cr <00"',",0 , ttmp=ry C,rtill,," of "mm, "m,If,," "d '"~ "':00"'00 w ~=rt. ,<rmQ ~r~ C'_);;'""" mort '"
~.,-, ~ c'~~-~f'--r- .!5-/2\~}7- ~" ~/~ .~( GL~t.fzS-1-1 f
/' lan~g Director I Date' pedal Conditions. ifany -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
TOTAL DUE
I Paid ~ ~~
Date # f- c> ^-
';. ,'.-, J'\r...:t.:(~ .' 't -, , ,.... "
,,; ,i:,.'.', v- -....._'--'...<"...~c,>..;a....'~1.... ,""
White - Building
Canary - Engineering
Pink - Planning
Thr Crn'rr or 'hr t..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (~tf~ ~
f
APPLICATION RECEIVED 1-/ a,roo..-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! 4L( foLI . af/~/-;e(5~-f<::- 1))&
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments: See Reverse Side for Additional Information I
fJrol<c/ C*~ 7S4J'~ F/o,.-. s,'/i.
1/5'( ~v1If9^ ~J"'~V' br"""'~s 4n?i/.. C.~k~ iS~.l;;,
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."
,
,
White - Building
Canary - Engineering
Pink - Planning
l'ht' (""nit'( or .hf L.kr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
de?/J17.u~
I
/-1- ar()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14L/fcti &5f-/ei1cz-fc.-
"-
Accepted With Corrections x::.
u() -,
:::J
Accepted
Denied
~
~~
Date:
S-6- ;2cx:JL-
Reviewed By:
Comments:
~dl~
"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(>n'(>r of th(> t.kr ('uunll")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t ....
!;'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
c.----'
Accepted With Corrections
Denied
Reviewed By: $~-..c---~
Date:
(~/t3/bL-
~e-~s Ct~ I~L~ <6MQ LJf.2- ~
~~ fBF\~~Ld\~
"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."
~"
/' ~ r.'. Q "
/o~-r'
I, / /t'. "'.""
I - / ;,;1 \ \ '7
:' ;' : \ \,-::
CITY OF PRlOR LAKE PLCyfBI::'iG PER\IIT
D:lt~ RcC'd
\:~/)
~
(?~e:1:';c ~mr~ 0i ~r::1t lnd :il~ .tt boctcm)
JI<J~ i='i~
I--';old (::',
1 Y-:dow \OOIl"::Jnt
PER\I1T ~O_
d--,2J91
~;~6"c/ t1U;/lpttR WtJtf /rJ a/
L(J~;=--:C ':I:::-';""~e'!
i . , "", I
I
L2G..lj~.. DESCP~PTIO>j ((J[~C: ;j::e Jlll:r)
E l::= (::(
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p~~
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\_ 'Y . I .: .'. ?
: :'''.::-:-:.::: I/! A_ ~. k!
(.:-":-:cr:~~
(.i....:..:.:-:~::~ ;
-I :; ':l r ~ - l "''V' /
.... _,L... L/(H
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( ..\ ,~, -l ~,~<"ro \
" ~~.....~ _......-..1 J
tl 5)' ~ 1/ rJ I - ,;2 /'; I
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It 5'j'J 5.2/
(.~.,i..i:~:;:;)
goo
(C~~~/1 (Z~p C,:l!e)
- ~
I, "'_ ~ r.. :.1.....: ;:' '~;:.;~::-: j
\~::cr:~)
..l.??UC.-\..\iT SIG:'-i.-\. TCRE
(J k/ k /I/~
CATE
f {/ c---
APPUC.-\:\T PLEASE COMPLETE BELO\'V
QU;lntiry Type of Fixture i Type of Fixture
Bath Tub wIth or without sho\ve:- I Rou~h-tns
I Dishvi::!sher W::!te:- He:lte:-
( ! floor Dr:l1n \Vate:- S,Jfu1e:-
3 I La'i::!tor/ (Bathroom Sink) I SC:lnc PlT~~ (\V;1shing :YfJchtnt:)
I L:lunc:ry Tr:lY (lor: comp:lr:melH 5In:, i Sc"V:l~~ Ejecwr
I I Showe:- Stall I Backt10w Assembly
/ Sinks I Backt10w Assembly Test
Bar Sink I Lawn Sorinkler
Water Closet (T ollet) I Othe:-
FEE SC HED l; LE
Industrial. Commercial & Multi.family 1% of job cost with a 539,50 minimum
R.:sidential. New One & Two-FJrnily 599,50
R.:sid.:ntial, AJditions & Alterations 539.50
E:;timatd Cost :S
BuiiJing Per:nit .:f.
,. p~r'.
~U!'~D~;""
k ~ '. ...... '-<"~ .
PLUMBrNG PER.v[IT FEE :5
STATESURCK-\RGE $
TOTAL PERMIT FEE $
.50
(Ol1ice t:se Only)
This Applic~tion Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildin~ Official
Date
By
Date
::4 nour nuti.:e ior;lil inspections (95:) +-17-9850, fax (9:5::) 447~:4:5
__ , :":' CITY ,OF PRIOR LAKE
HEATING/AIR CONDITION:ING/FIREPLACE PERMIT
Date Rec'~;
I PERMIT NO. ;J- 59'1 l
1..
I ZONING ,...."'j 11."
I. Pink
1. Ci!un
l, Yellow
File
eicy
AppliCoUl\
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
PID
ADDITION
OWNER
(Name) C!.e /l f-( }of
(Address)
J.I 0 I?'! rl ~
(phone)
APPLICANT
(Name) H~~-+. "'^-J
(Address) , s:' S-S-o
~ C:O<'l /.'"," J
Co v'" (-1
(Address)
(Phone)
--//3- I,"",
" '-1".-?"- -;, 77
,-~
RJ' ft
~~p/~ ('~'o.~
(City)
S"S-:J(.'J
(Zip Code)
(Contact Person)
-
I,! "",
(Phone) ~/ L - "3 r. :3 - >5C,7
DATE 7 - ~2,. -: <:> 1.-
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL t3 r 'f a 11-1-
FLUE SIZE PVC RETURN OPENINGS
APPLICANT SIGNATURE
TYPE OF SYSTEM
[iJWann Air Plants
OGravity
o Mcchanical .
~ir Conditioning
~cnt. Systcm
o REPLACEMENT 0 AL TERA nONS
3s'"o -+rn 10 FUEL GaS
~ INPUT go,C)(')O OUTPUT
HEATING OR POWER PLANT
o Stcam
o Hot Watcr
o Radiation
o Spccial Devices
o Othcr Devices
7y, 060
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
$64.50 Residential, AC Only
$39.50
$39.50
S39,50
Residential. Heating &. NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
f"" """
h:'; , ''-, 2~: '~;"""1 ,
ofJci,'f""'" .,;,')
~~';\<G f>'- .
---:~-~.' ~J"~~~:'~r
(Office Ule Only)
This Application Becomes Your Building Permit When Approved Paid
, Receipt No.
DUVl 3 I 2002
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (951) 447-4245
to"d
~8952:8~t>52:9.L
...
OMi ~NIIOO~ ~ ~Nli~3H W~ .L~:80 ~0-~~-,nr
FIRESIDE CORNER
#0132 P.003/004
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPI..,ACE PERMIT
Date Rec'd
t ~r- =Icara I PERMIT NO. d - :;<<t 9 I
[~~~~~;'Sili~W [ZONINO__'I
LE.GAL DESCRIPTION (affl(:ot 1llt only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(phone)
q~_1I4S..13SS
(Addtess)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
(Ad41'ess) 2700 N. FAIRV'IEW AV~UE
(AddreJS)
BRENDA HUSTON
(Contact Person)
~SEV TT.I..E: MN
(City)
651-633-2561
5 5 1..l..3
(Zip Code)
APPLICANT SIGNA TtTRE
(Phone)
DATE 4- I Jt"'O~
jJNEW CONSTRUCTION o REPLACEMENT [J At TEM nONS
FURNACE MAKE AND MODEL FUEL ~ (}O
FLUE SIZE RETURN OPENINGS INPUT OUTP T
TYPE OF SYSTEM I~ATINGORPO~PLANT
DWII.I'In AiJ P1DIlts DStC:Rm PLEASE NOTE;
DGrllvity o Het WeIer Air Conditioner Uoits
o Mechllnical o ~dill1iOl'l Camaot Ent;TOaeb ;ZltO
BAir CondItIoning o Spl:lclal Devices Required Side Yard
Vent~ System o Otber Devices Setbacks
FIREPJ..ACE MAKE AND MOOEL ~ J..;) lD lob - SL...SSOT.ec..
APPLICANT PLEAS l COMPLETE BELOW
Industrial. Commerc~al & MuW-Family
FEE SCHEDULE
1% "fjob c:ost Re3fdenJiil.I, OIlS Fireplace
$39.S0 minimum
S99.50 Residential.. Addit.fons &. Al.tc1'8tfons
$64.50 Resiaentill.l, AC On.ly
$39.50
ResidentiaL Helltlng &. Ale (Nt;W Construction)
Residentilll. Heating Only (New Con:rtruc:tioJl)
$39.50
$39,50
Estimated Cost $ .
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
$
$
$
,50
(orner: V!e Dilly)
Thill Apprtcnttol'J Become.. Your Bailding PerrnJ1:When Approved
aid
JptNo.
Dn~
Oat! JUl 3 I 2002 By
BlIlldlng Official
14. hopr nodte for 1111 inepectlons (~5~) 447-98!O; fill( (!'S~) 447~2.c5
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ G, <{ C.a.J1 ~;r" t... W7
NATURE OF WORK ~~l11
USE OF BUILDING SFD
PERMIT NO. 0 2 -OS~ DATE ISSUED S- ~ 2> ~ ;;(OOd.-.
CONTRACTOR QQ~t~ ~ R~ PHONE q5A~d~S-~5~3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~'Ie 1 b r~ O~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST X'd {!7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been ~pproved. On buildings and additions
where no service cabinet is available, card S;ic... lJe placed near main entrance.
1-4-0 ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850