HomeMy WebLinkAboutBuilding 02-0715
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I,
.~ Date Rec'd ,
n4 ,m
1. White File [ PERMIT NO 1
2. Pink City . /)"7 _ 0 Z' ,/ ,-
1 Yellow Applicant _ V ~ ...J?_
t:./
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOW BLOCK
/5D
OWNER
(Name)
PID d~- _qJ/-o~to-()
(Address)
(61- 1/ w- Lfq3~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~ew Construction
:H:i;ower Level Finish
ORe-Roofing
ORe-Siding
o Misc.
~ireplace OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (exc1udingland) $ ~275-f 000 . O()
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 tliat I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to aU 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
:"~"P"fu1I11l7!;;t"p<oti " Tk -;)60-51{3:2-7 (p-S.02-
Signature Contractor's License No. Date
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size /8 , I";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $
Co .7. 200<)
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
:~een~ by the ity Planner constitutes a temporary Certificate of zoning/comPliance and allow~truction to c;71rn;ce. Before AOCCUP~CY' a Certificate of Occupancy must be
L.;rr t III I eY} s--,P.i? ~\{<-&t~d'( G'W~ A tBvI-s
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thf' Cf'nrf'r of th... t.h Count'}"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ':?:!7a,n67 &ef--~.
(
APPLICATION RECEIVED 4~ - 3 ~C:)d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3 (~~ / Lc~ k:c /& / U~ff (2-; \ v'
Accepted
Accepted With Corrections
)(
Denied
Reviewed By: ~~
Comments:
Date: CD - 7- O~
Jead). a.LL-&ac-k.cQ fA~c>()~S
"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."
The Cen'er of 'he 1.8kf' ('ounrry
B
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
APPLICATION RECEIVED
KlI T
The Building, Engineering, and Planning Departments have reviewed the bUilding permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~{iJ~~~
Date: _ c; /1 0/"/ eL
~
"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./l
U-----" ..
White - Building
Canary - Engineering
Pink - Planning
Tht ("t>nltr or fht I..kt COunfry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPUCANT ?;J7d:Jt~7~c,v
APPLICATION RECEIVED tP - ,3 -Od-
The Building, Engineering, and Planning Departments have reviewed the building permit
. '- .~- application for construction activity which is proposed at:
~~ d c~ / (~o.lcc: 01/ u.,ff.' a ) . V'
Accepted
Denied
X.
Accepted With Corrections
Reviewed By:
M9/S
Date:
b'-/tJ-C)2-
Comments: See Reverse Side for Additional Information!
C....,b Box tnv~-t h~.-/ q", q({e55 box /'1jk,//a) I ~ dr1ih'rl"Y
9IJCf,'lc,.~'r Of. f /Y14"/I"'~I'rt"'/I{( C~y1fll'.
1) Grading Plan, ) Erosion
3) Erosion Control Plan
easures
"The issuance or granting of a, permit ocapproval 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.."
\
- .-.~w -,v, Lofgren Htg & Ale 651-4601208
_~~~F~O.:.!!..f'~.!!!t742"~ CITY OF PRIOR LAKE
P.02
CITY OF PRIOR LAn
BEAnNG/AIR CONDmONlNGIFIREPLACE PERMIT
iii 001
Date Ree'd
:E: s...[1No.d~/7's1
[ZONING ___I
[~7-:~U;:' RI'Lf-P Cir:d~
LEGAL DESClUPn:ON c.... _ Oll/J)
LOT~"BUXX ADDmON
OWNER.
(N'~)
pm
/--
/
CAddzess)
. PLEAsE COMPLETE BELOW
CONSntu ON O~ OAL~1lDNs
Fl1RNAa MAKE AND MODEL C ]) 1'\ fl . ~ ,.e:;}? f1\ \I A ) on FUEL
FLUE SIZE ~" Put. RnuIN_GS '1 INPUT OutPUT
TYPE 01' sYSTEM SEA llNa 01. POWEll PlANT
i~A~~g. Os-.
...il)l ~ HlIt Water
WccIJeiQJ . Redlltion
CondiIkmin. $pftW Dewi.
v.... S)'Raft OdIcr~wlca
PLEASE NOTE;
Air COndltioaer Units
Caallot Encroach iuto
l\eqllirtd Side Yard
Setllulcs
FIIlEPLACE MA.XE ANn MODEL
RI: SClDnuu
Indlislrial. Canuncmlll 01: hfl&hi-F-m.,. 1'160 of jab _ "'dcDlill. Gas FIftpJICC
'3'.50 nainRnuIa
Rcsiclcnull,lieaIiac A Ale (Nnr CURStnIcIiOll) ..10 . RcRdaaIial. Adcllriolq 01: Alta.riou
R8idallill H..,. Only (New CGIIAI'lIctioft) -':30 Rllidatial, AC Only
EstiJura:a Cost S
139.50
SJ9.S0
539.'0
Buildin. '-mail .
(Olin 11... o.b)
nil AP....Uae Remm.. Y..r .-lIdi... P.,..it w.... Apprv.
HEATING PERMIT FEE
ST A "'t st1R.CHAllaE
TOTAL PEDuT IU
'1 :t
s '1 .~~~
s .5..2
s
....... 0IIcia1
.....
L=
~~~
.. 2:y 2 v . 8y
1
Z. lDtlr eodte fer .u iatpea.t.. C95Z) ..,~ ilia (951) 441-GfS
. a.>. uJ.""IIUl753
STOCKER EXCAVATIN~__
'-'--.-
@OOl
"--'-
CITY OF PRIOR LAKE
SEWER A.Nn WATER PERMIT
Date Rec'd
I I........ CiFi~ [PEn.6IT NO.
2. Yellow.r ~l'~
J. Gold ^pp/iGID' 02-0715
~~""-~"'--.~
,~
J
"---.
ZONING Co~ use)
I r~GAL DESCRIPTION;o""" .; o",y)
LOT 2'j,LOCK. 1 ADDmON Northwood Oaks Bstates 2nd Add
~ ~_. -""-~----. ---
---"'--
PIn
-1
OWNER
(Name)_ Manlt:;y Brothers; ~Enst~uction
(Phone)
651/454-4933
(Addre,'j --!!.!79 Bt~'D Drive Eagan,}lN 5512)
- 'Add"!') 'Cioy' c"", Co"")
APPLICANT
(N""'ej_~ cocke T,. Bxc'''~t i.< cwn" n l{pr h. n; c. 1 (Phone) _ 95 ~ J 8.0 H'"
(Address) ---13247 TJ JJ'it-h Sf"
(Adths$)
C:;1'U~81:a ,
MIll 55Jl3-.
(Cjty)
(Zip Code)
(Contact Person) _~.urt
APPLICANT SIGNATURE
- - ~-,
.~/]P.IO'
APPLICANT PLEASE COMPLETE BELOW
Size.ofwater service inches.
-
Location of any COuplings tram structure __ feet.
Type of seWer pipe, 0 ABC 0 PVC 0 CastIroo
Estimated length of sewer line feet.
-
Clean out (ifreqUired) located at _ feet from structure.
--- .- - .- ...
Estimated Cost $
FEESCHEDVLE
SJs.so 1"""0-,.1, Com 'I &0 M. I'Hilln ii, I % of job cost with 0$39.50 mmu""",
$17.50 Water connection only S17.50
Residential sewer and water line connection
Sewer conn<:ction only
Building Pemlit #
/"-'
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$
$
---,..
-/),
.50:/ I
(Office Use Only)
This ApPJic3tion Becomes Your BQilding Permit When Approved
'~.. ' '\
f'..:'
'"
Buildillg Offici.,
Dlte:
Paid Receipt No_
DatcKiN 25 2002 By
. 24 hour notice for al/ in.spectiohs (95.2) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
3221 LAKE BLUFF CIRCLE
: ~~~: ~~icant I PERMIT NO. ~ -7/~ I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MANLEY BROS. CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
\...
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/26/2
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:
o Gravity 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 HEA TN GLO 6000TR-OAK X 2
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% 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
(Office Use Only)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
....
.50
CLI-, .r-. ~ ''',
This Application Becomes Your Building Permit When Approved
Paid.
Receipt No.
Buildine: Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
By
CITY OF PRIOR LAKE PLUMBING PERt\fIT
.~ d.d. \
L~ ~lu~f
Date Rec'd
~.::;; ~ ~ERMlT NO. ::J,- -? I ~
~. y.u.... "'-.li_, ~ Z/I: ~
rZONING !""'..,.)
LEGAL DESClUPIlON (oIb \&Ie CInIy)
LOT BLOCK
ADDmON
/ OWNER <Y\-"n\QU U.., "- r1l_ _ ....-+~_
I (Nantc) \ \ \u.\ \ j U.00, ~,...) \1
UAddrcss)
=
I APPLICANT c::v.. \..-.,.....1"""1 v- U 1\ \ en \.... \'"
' (NllntC)_~ lGY ~ r t ,-\, \ \ \) \ ~
/ (Addre,,) lj'1n) liskm Circle. SE -JIlrlor-
! (AcIdraa)
(Conloa Penon) ~ \e.q' ':'x- hol(Qr
PID
(Phone)
I
i
I
j
~ (Phone) qcs d. - l.\ y,- 6 134
~ mru
Al'PLlCANT SIGNA TUD
~l
5537J _I
(Zip Code)
(Phone) to12-7Jb -3~3 ~~_
I
DAn &?-o/m. __~
(City)
-~._--,
T orFill:~___~
Roush-in. _ __~
Water Heater
Water Softner _.
Stand Pipe ( ashing Machine)
Sewage Ejector
Backflow Assembly
BacJdlow Assembly Test
L.wn rll1k et
her
FJ:J; SCIDDUU
,,,"'",,/, c.........'oI .. ......_Iy ,.. of j." 'OR ...... ""." "'n'n...... ~"i''''tiol. N_ a.., .. TW"-F... ii, ... "
Reside . ,Additions" Allerllions $)Q S(l
Estimated Cost S
PLt1M8INQ PE
STATE S GE
TOT EilMrr RE
S
$
S
comce u_ 0111'1
ThIs App.ic.tloft "OlDb y~
81
a..II... o-...J
Date
....
.50
, l
Receipt No. -~
...J
U ....r ..... re.. .. ......... CJSZ) "7-tl15O. r.. (tn) "7"2.~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUiLDING AND INSPECTION
SITE ADDRESS 3;;/~ ~.ha 'i?L..1{ (l,t-:
NATURE OF WORK Nel.)
USE OF BUILDING ~SF~
PERMIT NO. - 02 -&7 /~ DATE ISSUED (; _ "/ _ ;lC>Q -=< ~
CONTRACTOR Ho."'l~hr.. Ch;..sf: PHONE C. J ^ _ 9'10.- ~~~
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to BackflJl) \\ do. _ 17-').
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) 07.--
FIREPLACE 'g O~ I'
GAS LINE AIR TEST t..t-, ?! /62-- t^ v ~ i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
L.L,
~~
,e I).
GRADING (Prior to SOdding)
BUILDING f{J-J "OS
ELECTRICAL
PLUMBING
HEATING
DO NOT
]
/-/~
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, care! shall be placed near main entrance.
/0 .- ).. S - 02..
1('-
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