HomeMy WebLinkAboutBuilding 02-0740
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1# --4'{/Z-
~. ~i~i~e ~::y I PERMIT NO. 0'''' _OrA /11
3. Yellow Applicant . ~ I'1"'L/
LEGAL DESCRIPTION (office use only)
LOCK { ADDITION l' ~ ~
~.IJs
LOT.
OWNER
(Name)
(Address)
S(J:;t-~
ZONING (office use)
I
PID ~ 5 -3 f?~ - 0 'd.--to -
Mr""'... _
(Phone) ~...I./$:l-Jb 01
(Phone) C;r-j~ 4JJ.-7~o r
(Phone) ~/ :1. "JOt - f"'q~
(Address)
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck
o Fireplace
OPorch
ORe-Roofing
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Misc.
ORe-Siding
"Utility Connection
O~e;C7 -
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 roperty to perform needed inspections.
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
$
$
$
$
$
$
$
$
mes Your Building Permit When Approved
l,-tl-c>c
Date
IS t:... ~3 i ~
Contractor's License No.
Park Support Fee
SAC
#
#
".... LI....O~
Date
$
$
$
$
$
$
$
$
$
Water Meter Si 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
when signed by the ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSSU~i < ~ A
,,_=----.,--_~___ (" I tq 1t'72- ~~- '. 'I'~I (LnvQ,~ t,5
. Date Special Conditions, if any v
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
lh. C.n'.. of Ih. I..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '--JJ11 j OiYnaPd) u..~
APPLICATION RECEIVED (p..:.-Lj-d-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
: / 6 359 - htJhcLL-C: au.-
.
Accepted X
Accepted With Corrections
Denied
Reviewed By: ~8
Date: {;-I f -oc
Comments: See Reverse Side for Additional Information!
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
The ('('nler of 1ht t.kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '/Jl~jJ)ernaPd2_ (~~
APPLICATION RECEIVED ~-L/-;).-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5359- bicd ~
Accepted
Accepted With Corrections
Denied
Reviewed By:r;21f:..l-- Date: (P-I7-CJ L
C~ments:
lK~ ecQO uM-arL"Q ~04-
"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 Cfnler of 1he t.kf Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.: i ,-.'" .-_./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
Accepted ~
Accepted With Corrections
Denied
ReVieWedByq4~~
cACnts:
. . - ~~JC~r~~~ ~
~b . ~~fJJM~
l()~qo ~ L~(h I
'-- -
~S5 :~ ~i! ~
__ ~#fi . ~ R- $'
L~/~~
Date:
t 1/<2/07--
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
From JECHEEXC
PHONE No.
612 8926396
Jul.162002 5:25RM P01
Date Rec'd
CITY OF PRIOR I.JAKE
SEWI~R AND WATER PEltMIT
I. Ci,_
1, VoIlllw
). Ckd~
~1~~IlU.' I PERMIT NO'6~ 02Y, .D,J
~
ZONINO ((>ffloIIlJfl
I V"'[:I~.' ...., ~d .1,.. .. ....Ml
AJ}I)RESS
-. '., .", (" 1(") I ..J
~.l,J,.J~41
(" ,J €
_d.Y.L:l..f--..----,
-----'" ~...~.,.~--_..."..
J..EOAL DllSCR I'PTION (olTiCc \.I8t' only) 1
LOT ~ b BI"OCK ( ADI1.~!ION W.,' JJ,S. ,c;'(J I) I~
PJD
OWNHR
(Name)
" ._~tirl-~~~,~~_.._,--
-'1~ 1"6/-1
(Zip (.~,!~'c) 'H'
(Phone) 9,');1
(Address) _,,,___
(Acldl~'-s)
(City) 0_,_
APPLICAN'.l'-- k. E
(Name) .j e.c.. e...._ y.~-.,,_____.
(Phone) Jl,J;.2tltJ '7'-1 S-~
8JDQWJ;~+()YLf}JN 5~'i::J/
,(elly) (Zip Code)
(Phone) _ ~ /~ ?~ ~ 7t..fJ-~
(Addrc$~)
(Contl1~' P,-=r:lun)
APPLICANT SIGNATURli ~__-----;:;=:.=:.,._
DATE
APl~LJCANT PLEASE COMPLET~ BELOW
Sil..e of water service ~ inches.
Location of Ll.llY couplings trom strUL:lure feet.
,Type uf sewer pipe. D ABC Ej PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clenn oUl (if requiTed) lOL:::iI~d at __ teet f.'om structure.
" .
Reiidcntial sewer and water !ill'" L;uuucdion
Sewer cOllnection only
FEE SCIIEDU1.E
$3.5.:'SO InduSlTil1J, Com') & Multi-family )% ofjQb cost with II $39.50 minimum
$17.50 Water connection only $17.50
ll:>tillllllcU Cost $ 7 Z; i)
"
Building !)ermit #
SEWER ANf) WATER })ERMlT FEE
STATE SURCHARGE
TOTAL Pl<:RMIT FEE
$-~
$ ___n",_:.~Q
$._~.
BuiitJlnl: l:imd.f
1'.le
,-~", .
~;:"fD W'ITH
",D':V(3 ....;.,:
, ]>.i~ '~_~ -ReceIpt NO"_
DiI\(' l'Jy
(Ome. IIR< 0,,1,)
I
Thb Application Becomes Your Building Permit When Ar1prbved
24 bOllr nollcc for .11 1.161'0<:110'" (\I~2) 447-98S0, .'ax (952) 447-4245
lO/Z4/01 WED 11;ZZ PAX 61Z4474Z45
CITY OF PRIOR LAKE
fl]OOl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec:'d
r-:ii at........ '!IP ,,-
l ADDllESS
1$351 &ecA-r (!IL
LEGAL DESCRIPTION (g"h:. QU only)
LOT'lL BLOCK
AD DmON
{Add:rCS5}
(Contact Pc:J5011)
APPLICANT SIGNA TlJ1U,
FEE SCBEJ)1JLE
IfldUSlrill, Cgmmcrci.1 A t;lulri-fam.I)' 1 % of jgp ;g~ ..l~ a S39.S0 minimuITJ
~. = ~~ I PEaMtrl'iO. I
J. YoU.... .,..... . ~_ ._) - {LJ 0
J \ nooNG_-> I
pm
95Z-"I3Z. ,}~I
(Phone) h5"l- 452.. IS-l:,~
~ SSIZ?
(City) (Zip (:gdc)
(phone)
OATB
Type Dr Ian
mg Muhine)
,.
R.csidlClltiBJ, Nc:w One o!. -rw..FAJllilJ S99.S0
lUdidential, Additicma .. Altertdians SJ9.SD
?t;~
\'EStimlled CClSt S J'2,1Jf/t) Buildiag Permit j
I "
PLUMBING PERMIT FEE S
STATE SmcBAKGE S
TOTAL PERMiT FEE $
torr- v.. Onbl>
This Applla::alio.. Bec~s YOJ,1r a..Udinl r.nail Whlll .Pp1'~ed
I
1
Bulllll.. Oftidli. !
Dab'
,-
Hill
\..~
.30
1= :u J
{tJl..//
f:~
.t
~\
Woad
Z.G h.UT Dotial1 "lIr .u inapWiD.. ~ t.W7-i&5ii; faa (95Z) ..7.-4145
\/l d S9S\98l99S 'oN/2v:60 'ls/Sv:60 20 ,\S 'LO (Q~M)
__ _ ___--'- --: _~. ___' _ __, "_ __-.~.:.. ~.' rl\l.UK '.JAKE
!4l 001
CITY OF PRIOR LAKE
flEA TING/ AIR CONDITIONINGIFIREPLACE PERlVIIT
Date Rec'd
:, rh,~
::!.,. Ot.cn
), v........
~!~ I PERMIT NO. .- -7. I/O j
A.pjlH~rn: :.J<
"'~.. ",. ~ ,,;.' ~. ,,@ "b'~:
' ADDRESS ~
I /5359 (jBt} f
ZONING (o~"" ~.e)
O~p~k
1
I oVv"N'ER PJA 1\ /J
I (N~-n,) I PI tJ u /)~(t{. b V ~ /lsf-
I (Aclcll-ess) A(JfJ/t Va/It
APPLICANT /J J
(Name) W6/IL,r"'O /I~o A$" 1l__~~.~_-
CAMTl;SS) ~/~ ~l> ~~..f,;J pf()[.,
(.".6M~z)
(phone)
j
PID I
'/,}'i1.-'7~(;/ . J
I. LEGAL DES=T10N (offi~ ,.. ~lyl
LOT BLOCK ADDITION
(COJ:ltaC( PC:TSon)
M-L ~9-
(:phone)
Df'I,TE. -c- e -$ ....0.;;;...
I
I
I
--=J
(Phone) ~S (- ,7to -loo,iJa.
L6?7'"p Sso~Y
CCiTY) (2;1' Co~)
APPi rc.A...N'T stONATURE
. APPLICANT PLEASE COMPLETE BELOW
I ~W CONSTRUCTION 0 REPLACEMENT 0 AL iE-RATIONS I
I FURNACE MAKE AND MODEL Co,.. fir f mc.k.ut:. ~PtH I!/J I=;{", <{ FUEL #""/
I FLUE SIZE ;].... fJ-(/C RETURN OPEN'INGS . S INPUT L(Jt)./(/y' OVTI'UT ?~~ (ftT~
I TYPE OF SYSTEM EEA TING OR POWER PL.ANT
I DWaj'"m Air l"lallts 0 Stearn PLEASE NOTE:
o Gr!l.vit)' 0 Hot Wa.ter Al1' Conditioner Unhs
, ..B"lC!~chs.tljc::!1 " 0 Radilltlol1 Ca;r..not Enc.oach into
~Col1ditiodn~ 0 Spcl;ia! De,dec.. Requi:red Side Ya~r:i,
I . ~" System 0 ,Other Devices Sr=tb;"cb
LFIRE?LACE MAKE A:!-,'D MODEL ~ ""
Jndu~lri'l.l. Commercil!l & i"'1][i-PamHy
F~:E SCB'.EDUL'E
1 % c[job cost !/.~~idcntie.l, O~ FiTtoolac"
$39.50 rniTli~~m .
t~9,5o Re:;id..r,tit,\, ....::idhi"'n~ & AI~","'sior,~
:>:6,4,50 iv:~d~~Lt:zL AC O~ly
539,50
5:39,SD
F-e.sid~\1ti2i. "lv:,.;:[ng, d!. J..Jc. (~cw C"n=tldon)
~..~;.!id::!!:"1~j!":d B:~~1.!!;g Orlly (r-i,,:~' Cc:!~&ir1.1~~r'J.0;
~1? 51)
Est:matd Cost $
atllid~Tlg Permit '#
HBA nN'G PERMIT FEE
STATE SURCHARGE
TOT PJ, PERMIT FEE
S
$-,-~-_.-,~
Si
,....
p..p .~;
IG1Uilj . ~, i~ ~-N
j -' ',l(:'~~C~;',. ':'-':.. . -"~........ ,
CO:.'!)ct Use Only)
n. A~p,,,.tiO" B"om" Your 3Uild'.g Perm" W." Appro." j
',1 Rec.eipt No.
AtJG - 5 200? I By
r--
Building omdllJ
D~I.
r Paid.
I
l Date
24 hour' nQti~~ for all i:'15pcctihnJ (~52) 447,!l!l50, fu (,952) tA7..4J.~5
100~
HIV G3TIOH.LNO;)
9L6909t199 XVd 9C:gO NON 6006/90/80
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~~:w fl~icant I PERMIT NO. ,)-.- 72j{J
ADDRESS ZONING (office use)
15359 BOBCAT CIRCLE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDONALD CONST
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/12/2
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
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
I ::ceiPt No
Date
I Paid
Date
This Application Becomes Your Building Permit When Approved
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J53S7 ~h{\oJ: Qir
NATURE OF WORK ~ew
USE OF BUILDING SfD
PERMIT NO. ()Z-0740 DATE ISSUED (s,-/7 - a2-
CONTRACTOR -fjt"_ Dov.,^o..OA- ~. PHONE {Pl'l- 701 # 8(., L1y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) , 1'\ V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS rltiLf,/1 6t1 7-11~-O~
SEWER I WATER I SEPTIC '~--:1./ /fI'O,}-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) fZ .
FIREPLACE {2 -
GAS LINE AIR TEST I'Vt ~ P'. B V'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~ ~ /P~C7L I I
FINALS
GRADING (Prior to Soddin )
BUILDING t[ I ' . - LI.. ~~
ELECTRICAL , () L
PLUMBING
HEATING
DO NOT
( 6 - ~ -c) ~
G,''}.
~
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 beei', ...pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
J6 - / /'!
D 30(['2-
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850