HomeMy WebLinkAboutBuilding 02-0706
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
14
LOT
LEGAL DESCRIPTION (office use only)
LOC. J ADDITION
Date Rec' d
5-30 -02-
I. White File
2. Pink City
3. Yellow Applicant
rPERMITNO. O~~070~
ZONING (office use)
,PUD
ScnJ'#...
PID
5-307-0C,30
OWNER
(Name)
M t Ot, ~~/~) Cc:." 'f;'J
(Address)
~
(Phone)
BUILDER IlA /l l, ) /) ':'"1
(Name) 1'''''J(!)~t/ L-"""'S \
(Contact Name) ::s~t'/) ~Or./ll j ~
(Address) 0 ( t L.l r""'" I "-...e.- :-t-
TYPE OF WORK.
~
(Phone) c; ,~~. ~ .J;;.. ~? b 0 ,
(Phone) <1 ~~ . J.t 3J. .. 7 ~ c57
OlNew Construction
~Lower Level Finish
o Misc.
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
i(Deck
~irePlace
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
~tility Connection
00
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also rtifY 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 will peed 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 offiCI r a designee may
enter up n the ropeI1Y to perform needed inspections.
100-(90
I~-<yd'
:?5".':>"'"'B
t.{o. q:!)
mes Your Building Permit When Approved
C9 -(;,-Q?
Date
8e. ~J7b
6-.. 3(/.. 0 ~:
Contractor's License No.
Date
Park Support Fee
SAC
#
#
Water Meter Siz /'; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I~:i: 1~~~a
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
.'"1f-& . . A- ~!,^.~
~L1;I:r~_--r --.C,/CQ (87 ~. N;:T/0-<:_~"'J ~\No-e.'l.<:;
Planning Director Date Special Conditions. ifany
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
Thf' ('('nln of rhr I.ah Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-y;;~ 0%J1~ ~
--5- 3o-o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr"sed at: - At '
14c;YJ-- ~~?l'~./ ~
Accepted
Accepted With Corrections ex
Denied ~
Reviewed By: (/......p
Date:
&, - &-02-
Comments:
~cJQ~ff-t:tM. ~~
"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
Tht' Cf'nlrr or Ihe r..kt' Counlry
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: '
.I / I'
/
/ / < -'
' . ~._~,.
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: ~_ ~~
Date:
~/(OID2_
"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."
,
(.
I
White - Building
Canary - Engineering
Pink - Planning
Th~ Crnlrr or Chr tekt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;})} ~ f]rI/lrl f2re
~- 3cJ-o~
-
r1(<J1!4 Z
The Building, Engineering, and Planning Dep~rtrnents have reviewed the building permit
'-. ~-'- application for construction activity which is prop-osed at:
/1-/ 7Lli- ~c/:~/~~ ~ ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
f}Jd~
.
Date:
{rId -07-
Comments: Sp.e Reverse Side for Additional Information!
Wo,feo' 5uv,'c..t. mv~-t r~' /ll(n '10 h&v~
~ee 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 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
14
LEGAL DESCRIPTION (office use only)
LOC. J ADDITION
LOT
Date Rec' d
5-30 -(J2-
I. White File
2. Pink City
3. YeHow Applicant
I PERMIT NO.
ZONING (office use)
.PUO
ScnJ'I1-
PID
5 -307- 0(,3 0
OWNER
(Name) M t~ /lc.c./~) Ct:.;;-'$'J ..
(Address)
(Phone)
BUILDER ':-1
(Name) /J1"IJt>~tJ {}.Ors \
(Contact Name) ..:set'/) ~(l...JJ.l j 0--
, l..( S- .....,.. r- 4.....e- ~
(Address)
O(
TYPE OF WORK
t)lNew Construction
~Lower Level Finish
o Misc.
(Phone)~'-d. ~..?;t -7bO I
(Phone) q, ~..;l .I.f 3~ - 7 6 c5I
IR(Deck
~irePlace
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
~ti1ity Connection
00
PROJECT COST IV ALUE (excluding land) $
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 up n the rope~ to perform needed inspections.
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 $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Be.. ~J7b
6-- -So.. 0 !2-.
Date
Contractor's License No.
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 $
l Paid
Date
I ;;ceiPt No.
"
This is to certity 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
From JECHEEXC
.1
PHONE No.
612 8926396
Jun. 25 2002 6:08AM P01
CITY OF PIUOR LAKE
SEWER AND WATER PERMIT
Date ReC!'d
~. ~-;:n_ ~\:; rp.~RMIT NO. ~ -/~)b J
l, a..14 A.lrU("41n~ _ '''.
r~~~~:~M"~~;;~ I 'f .0jvii}
..~
ZONING (ulllt:e lIIe,
----.---" -,-,. ..
LEGAL DESCRIPTION (um~'e IIIe gnly)
.- 1 c,,:..L J \
Lo .I.. BLOCK I AODl'rJ~~ ~'sL-I1..JI("'.
. ,/
~w,;.~~)1;t .QilwlL ()c(JII;t
S>D
PID
OJhonc) ,
J\ .
(Addles.\!) __
__~^ddn:J5~__~.___..
...._~'...__...._-
.(~llr)
APl'LlCAN'I~' I 'C:---"~-'-" '-. ..
(Name)_.:v e.e.l\e..... ..C.yC. _ .... __.
(Adtll'l'ss) J..ol 1) J~.N.L.'~.oL-
(Alldrl'u)
(Contact Person)
(Phom:)
8/ /)tJJ11J\~JlI+()~
, ( IlY)
APPLICANT SIGNATURE
(Phone)
DATE
APPLICANT LEASE COMPLETE BELOW
Size of water service inches.
Location of an)' ~oupling from structure feet.
o Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line _ feet.
CJean out (if required) _located at ~ feet fro~ ~tructure_
.. 4
FEE SCHEDULE
Residential sewer and wat~r line connection $35.50 Industrial, Com') & MuJti~fatnjly 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estiuutlcd CO:;l $ _71i'"/L BUilding Permit #
~-'-~-~';.......
"t,Ift""
-<<....,., "'-.,
l -:' ~-------
i.' "'''~
"'"', , '; 1,"J
SUWF.;R AND W A'l'1:!R PERMIT FEE
STATE SURCHARGE
TOTAL ~EkMrr FElt;
$
$ _~--:..SO
$--
'orn,c Uae Onl)')
._,~...._--'---- -
."hl. A"Plk.U..l<.......~.B.Udl.g Perm ". Wh.. A~~""d ] . [:: _.. . . "
UUlldlngOmrlal 1>>"'1: -~..:~-L5 t.lJ\2
24 ,"uur ..",du. ro,. Hllln~peclluns (95:1) 447~98S0. rax (952) 447~245
RoceipTNo.
13y
-.- - '-,-'-'-~ - -"-'..-_.- -- ---...::-,,_~,. r^.1UJ"; L.....KE
@001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
(1'1=:5<: r;p~ Dr 1'Tin[ l!..llti ~l~ at bottom)
I ADP:REsS .
I~~d
~ /'Yl /?7) f-
I LEGAL DESCFlPTION (r:>ffic::e UJ= oll.)Y)
L LOTBL~CK ADDITION
Dat~ Rec'd
i. fllh"
::!.. Cir'II:~n
1.1'.11_
GI"-
N.L.:J.
~~~ I PERMIT NO,! 7. 0 b j
Applk,nr C>'f- ...
l ZONIN G CO"" '~l I
PID
~..t~.
(....~~~)
(Co,,,,", p""O") ~
A.:PPLICA.N''T SrGN~_TURE -..,-,. _
(Pbone)
~JO).;, /GO!
I
I
(Phone)
r~
~(;() - bO~~
S:?O~L/
(Zit' Code)
(Phone:)
~
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION
FURNACE MAKE AND MODEL ~~,tt.{"
I FLUE SIZE Z /' RJc.. RETURN OPENINGS
I mE OF SYSTEM
I' ow!.!.,,,, Air :?In..nts
o Grnvhy
~echaJ1k;11 .'
~ CDlldi~loTting
~'l1;, Syst=
l1'EESCHEDULE
1 'Yo c-f jcb eD~1 ite,idtmtial. G~ Fi:-e:plar:,;
539,50 minim\1m
.b9~J50 Resid~!:!,:h:,I, .Additions ,& Ah;:;'=-~'f.icTl3
$~4.;5'J .K.,:~'j~-::~i.:b:!. AC a:;!y
L ?l?-EPLACE MAKE AND ,\J10DEL
Tndustrial. CI;l'rn:-n::reial & Multi-PemHy
R:;~d.d~n;:i~L ;.,[C:~ltne &. J.JC (N"w ConsU'1.)r:tiDl1)
:::C,~zid!:::'1tia!. ~~~'ti~g Qnfy (~r:"~1 C~l'"!S!~J~~~~~1
E:s~irnE!.~ed Cost j;
7 -I/-C~
o REPLACElv1ENT
L 9~ t-> ~ /...O~J fl
< INPUT /cq,ooo
HEATING OR POW~R PLA-"N'T
o ALTERATIONS
FtJEL ;.JA I-
OUTPUT '2.0:> 00(')
- .-.,- -.- -'
o St:am
o Bot Watc:r
o R~clitltJon
o Sp.<=jIlI D..v;c::s
o Other Dc:vic!:S
PLEASE NOTE:
Air Conditionet Units
Cannot Enc,o<lch into
Reljuirod, Si.de Yll.rd
Setbacks
S3S'.50
~.~9,5D
~?"~.3'l
~~.lidlrLg ?~iJ;".l1t #_.-
r--"A!D VJ!TH
[t;q.~DP.!2 r :~:~"~~.~.:;T
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
s
S
$
.50
(Om::, US" Only)
Ini~ Apptk;;t;; 1'3c~';;e~- Your Building P,;,rmit When Approyed )
L- . ..'C,;..O""'" Do" I
I Paid
Date:
JUL , 5 200'
24 nl;lui notice for ",11 il1Sladibn$ (9!;!) 447-9850, rot.'!: (9S2) 4474::45 .
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HIV <l3TIOH.LNO:>
9L6909~lS9 XVd 80:Cl GH.L 6006/111LO
JUL.3U'2002 09:25 651 633 8884
FIRESIDE CORNER
#0569 P.00l/001
Dllte Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
I. rink
2, Or_
). Yen_
IroYff~~;"'~, tGr~ !0tv
~~ I PERMIT NO. ~,,/}u /~
AJPlic:anl. ' /' ' 'l.-
rZONlNO'--> I
LEGAL DESCRll'TION (Qffice u.se ollly)
LOT . BLOCK
ADDITION
PID
(Pho~) ~~ -dQ.:t-Id-Pi
1~~~R~Wo.. CDt-
(Address) _
APPLICANT
(NIlIn,e) ;:\L.LIED FIRESIDE DBA FIRESIDE CO~ER
(Phone) 651-633-2 561
(Contact Person)
BRENDA ,
ROSEV TT .To1=! MN
(City)
651-633-2561
~t;'11
(Zip Code)
(Address) 2700 N. FAIRVIEW AVENUE
(Add:e~s)
ON
(phone)
DATE l-~-~
APPLICANT PLEA: C MPLETE BELOW
_ W CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL
FLUE SIZE R.ETIJRN OPENINGS
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Wnw
o Radintion
o Spccial Dcvjl:Cls
o Other Ollvlces
o N_lERA~~
o .UT dJ.~f ,,~
1YPE OF SYSTEM
DWarm Air Plants
OOravity
o Ml!:Chanical .
~ DAir Conditioning
DVent. Sy~
FI. :. LACE MAKE ANP MODEJ..
PI."EASE NOTE:
Air Conditioner UnIts
C8JlDot Encroach into
Reql.lJred Side Yard
Setbacks
frldustt1aJ. Commercial &. MuIT.i-FlI1TIily
FEi: SCllEDUJ..E
J % of Job cost Residenllal, QGS FirepJJCC
$39.50 minimum
$99.50 Residcntjlll, AddldQns &. AIr:eration!1
$64.50 Residential, AC Only
$39,50
ResidentillJ, Hearing IlL Ale (New ConSTroc!:fon'
Residcntlf.l.J, Hc;lltiJ'lg On.ly (New Con!truc:rlon)
$39.50
$39.50
Estfmar.ed Cost $ .
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
r
e..UtiJD.'\!-: 1
(Office Use Only,
Thi!l Application Becomes Your Building Permit WheD Approved
Paid
Receipt No.
Date
By
JJlIlldl.lIg Offici.'
Dltl!
U "ollr "Qti~ for nil I"spectlons (951) 447-9850. fll~ (~) 447..4245
TII. Co_ 01 ... l.lIlI. CO"",,,,,
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No, :;( - 70~
Applicant ~~rJ)~C_Phone:b-r/-ro. --~/~O
Address: "A :.>. ~ v' '.) '. a P &f\~ V (! J1 YI ':SSrO / /:;
, '
Signature: . -
Legal Description: ~ (;.3 , BIOCk~. II / SUb.stef'~ ~a"t\
SileAddress:/Y ~ ~iJ~J~Clr(,/~ m:----
BUlldlnQ PermIt # ---0 () ) PIO #_,
NOTE: This permit will not be processed without complete information
FIXTURE UNITS
I Ulue
? Jold
). Y~ilow
~Ile
City
APPUCaDl
..... /:"~o '-
-~
._- -
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower RoughMlns
/ DIshwasher ~I Wilter Heater
/ .-
Floor Drain Water Softner
"I Lavatory (bathroom sink) / Stand Pipe (washing machine)
/ L -
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
.....'1 ~_.-
~ Shower Stall Backflow Assembly (RPZ. Double Chack, PVI
/ --
Sinks Backflow Assembly Test
J Bar Sink Lawn Sprinkler
,~ Other ..-
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residel1tial, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.5C
$39.50
$
$
$
$
.50
GRAND TOTAL
$~~
"...-
p. .,
SUp O'-"'L.) t"':1--,
.... .-. ~'t\ll-";"':.' ,..}
This permit is iranled upon the express conditkm that said . \",';0 j-' i..:; :_ .'1'-
contractor, shall comply Cn all respects wIth the ordinances -" I
of the State Plumbing Code and the amendments thereOf. JUt I 1 '.
RECBlPT NO. E!>ATE iUUe
A ms't'- -
Call for all inspections 24 ho rs in advance':
16200 Eagle Creek Av. S,E.. Prior Lake, Minnesota ~5372 / Ph. (612) 4..4.7A230 / FAX (612) 40:+7.424~
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS mY;t SU\M~"-\ C... r-
NATURE OF WORK ~~
USE OF BUILDING Sej)
PERMIT NO. OZ --0 'iotb DATE ISSUED (, - {, _ c::rL.
CONTRACTOR -Me D~~ PHONE {,~- 701-Bt,cff/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~.. (p;; 1J;t--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S GNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING S Z.
INSULATION . t.... L. F'~ Urs /-!lb
ELECTRICAL
PLUMBING , r J;)/ 0
HEATING (if required) .7 , 7-0
FIREPLACE ~v ~ _~
GAS LINE AIR TEST /~/ 7 -:1-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~ ~ 4: Wd-77~ G.- ]
FINALS
GRADING (Prior to Sodding)
BUILDING ( f) -7.-
ELECTRICAL
PLUMBING
HEATING
DO NOT
vz.-
This card must be posted near an electrical servige/c:abinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card sh3!1"be piaced near main entrance.
(};
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850