HomeMy WebLinkAboutBuilding 02-0707
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s- 2-8 -02-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION
1. White File I PERMIT NO.
2. Pink City
J. Yellow Applicant
OZ-O]O"1
ZONING (office use)
PUS D
Qu~
we IV/ LDS
PID25-Z'
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name) (V\'C\-\O<..\\~ c...> H",,-v
(Contact Name) ~kc.:-
(Address) 6' c7 7'::' '^....
J..JrlU \.....
TYPE OF WORK
New Construction
OLower Level Finish
o Misc.
(Phone) C1,2 - ~-7 r- 'i '59 'J
(Phone)
.6'tOO/7 / A/6;7VAj 5 s3'
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
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 upon the property to fi d 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
$
$
$
$
$
$
$
$
es Your Building Permit When Approved
~~S-02-
Date
Contractor's License No.
/Ht1>: l. ir' V L
Date
Park Support Fee
SAC
#
#
$
$
$'
$
$
$
$
$
$
Water Meter Size 5/8" I'"
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
~~~ ro,,"ru~ , """""'" Cmifiw, or "',m, rompHmre md ,"',," ro.=rnoo ~re. "7 ~nm"2"""". .r 0=""", "'PO '"
., c_-<"~~----z.-r ({; 1'~!hL- ~ ,.~L~)( _ ~:sr-~-t<'
. 'Janning 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
The ('f'nln of Ihe t.kf' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t1J ~A6L HA'fES
5 2-0/02-
,
/i{)11t:S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~g71 FoX RUf0
Accepted
Accepted With Corrections
><"
Denied
Reviewed By: ~~ Date: 6> -S--o <=-
:w:;;:;;J12 ~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."
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Tht etnl.. of,\t I.okt Counlry
White - Buillting
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M 'CHA6L HAVES tJont:s
5/2.0/0Z-
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
. --. ------. application for construction activity which is proposed at:
. Z-071 FoX RU f.J
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
M'JB
Date:' 6 -/tJ-8<.
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
3) Erosion COf}frol 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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~1~w ~~~Iicant I PERMIT NO. ~ -{ 07 I
ZONING (office use)
-Q '-'\ V\
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
~~e~R 0\, \L~ \--\ '^'j L ~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA~
(Name) ,DQQ\ N ~ ~ U"
(Address) <;:"D~ ~" are \\.~~
(Address)
(Contact Person) ~ Y\ .
4-- LA) t~V (Phone)
(Y)OlA.~J
(City) (Zip Code)
(Phone) q S J.. -f..{ ') L' 2 > , \0
DATE 8 ' 9 '0 )....
\)-
'1 ~ J. L( -, '2.. 2. ~ \ '"
rnV\ S5:3b'-{
APPLICANT SIGNATURE
,
APPLICANT ~LEASE COMPLETE BELOW
Size of water service I~ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC B1'VC D Cast Iron
Estimated length of sewer line !::tQ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FILE No.477 09/19 '02 10:58 ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 2/ 4
CITY OF PRIOR LAKE
I. Blue . Fil.
Z. Geld Cil)'
3. Vli'llow JoppliCllQt
rh... CC'ftlcr Ilr the L.aklr CQUnu."
PLUMBING PERMIT PP No. 02 -670 (
~~~;:~~~;;~;5~~~
Legal De~e~t Bleck Sup
Site Address: ~ 1> -, ~ /Z..U n
Building Permit # ()l-07 () 1 PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
~ 8ath Tub with or without shower 3 Rough-ins
\ Dishwasher , Water Heater
3 Floor Drain \ Water Softner
4 Lavatory (bathroom sink) \ Stand Pipe (washing machine)
r Laundry Tray (1 or 2 compartment sink) Sewage Ejector
~ Shower Stall Backflow Assembly (APZ, Double Check, PVB)
f Sinks Backflow Assembly Test
\ Bar Sink Lawn Sprinkler
"
~ Water Closet (toilet) 3 Other ~ j i \ \LOc.~~ / \ 5~ f"u. ~
FEE SCHeDULE
Industrial, Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRANO TOTAL PAID WITH
BUILDING PERMIT
This p"rmit is granted upon the express condition that said
contraClor. shall eomply in all respr=cls with the ordlflllnces
of the Stale Plumbing Code and the ~pd I11li ~f.
RECEIPT NO. DAn:
\ A'ITEST
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 553 2/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal OpponunilY Employer
FILE No.477 09/19 '02 10:58 ID:PLYMOUTH PLUMBING FAX:7635331121 PAGE 3/ 4
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i
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~w EJ~icant I PERMIT NO. "X" 101
ZONING (office use)
2871 FOX RUN TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) MICHAEL HAYES CONST
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/25/02
xD 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
OWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TRXI
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 $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'--
Building Permit #
$
$
$
t'::::.,
.50
''') ,
".
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl! Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 62.871 ~ox t<vV\
NATURE OF WORK -W~W
USE OF BUILDING S FD
PERMIT NO. 0'2- - 070 DATE ISSUED {p - 5"'-CY'L.
CONTRACTOR a..e..\ PHONE lfS2,- &)75- cr<;t{
NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE H
ROUGH - INS
SEWER I WATER I SEPTIC _'?-
FRAMING <J
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST lM.. i=: 1//3 02--
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r ~kc.o ~ I a /r-~
FINALS
GRADING (Prior to Sodding) ~; Z{;,. 0
BUILDING , +~
ELECTRICAL
PLUMBING } 2. .... 0
HEATING
DO NOT 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'bee:1 approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
DATE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850