HomeMy WebLinkAboutBuilding 02-0873
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/-3-D ~
1. White File I PERMIT NO
2. Pink City . rY1 .-ell IJJ7..r 7
3. Yellow Applicant . vt.-- V (7 ...::>
ZONING (office use)
.d---.
/lIJrJ ,t,-tlfE/tb /3 L {/' P, /!/tv
LEGAL DESCRIPTION (office use only)
LOT '1 BLOCK C).. ADDITION ~G",4-tJd~Y/EW-
PID
e:f~ - 93" - '7 tjJ.;':?
/IJ~~"f- /1/ ~ ~S-J'I~
Ce/Vff1'- ~I"IE,5
1:< '1()() /V'H/ffjr/fft/<
OWNER
(Name)
(Address)
(Phone)
~/l./r"C # .?fT1fC /~p
I
BUILDER 7 FI -
(N ame) /J1 t:=
(Contact Name)" ~ tt /2t../
(Address) .5"R--/'Jt e-
(Phone)
(Phone) ~/,) - 3 b 9 -- $/302?
6fl-
9~;l-;l33 -;l54~
~tIt5C#~O
ORe-Siding
ORe-Roofing
OPorch
~ew Construction
OLower Level Finish
ODeck
TYPE OF WORK
OUtility Connection
OAlteration
OAddition
o Fireplace
1:2 s: dOC>
PROJECT COST/VALUE (excluding land) $
o Misc.
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 loca11aws and will proceed in accordance with
submitted plans. I a~e at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon rty t or ed inspections.
X . dO 0 7 {P"? '3f 7.- "3 -(J':<'
Signature Contractor's License No. Date
$ ...
$
$
$
$
$
$
$
#
#
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
7..0f::).c5Q
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
to .c.96
(DO . c!) C>
#C"
-
TOTAL DUE
our Building Permit When Approved
7-1" -oc-
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
when signed by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue ~ ,!l ~ 11 11
~~-'l'-?"-= 7 /f,.dlJ2~ ~'C ~~...UN~f C-<})~~{~tt1S
Director Date ' Special Conditions, irl.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
Tht' Crnlrr of the takt Counl'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
d~v!-eX fl-omci
7- '3 -0 ')--.-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which 8roposed at: J
/43//] proo/(ht.~I/~ 6)v&
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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
Thr ernl.. 01 lhr "ok, Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/'
NAME OF APPLICANT
( :~". {'J' ,1~.,
,
C '
,
7-".
,
,..>
"'''a,,..
APPLICATION RECEIVED
-->
I
f
,
. ,..' .,......_.~
,i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/i!)/')
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~~___-/~--Z
Comments:
Date:
7/t7-//97-
.
"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
Thr Crnlr' or thr Lakr Counlry
'I:
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
devf~ X HUMeS
{- 3-0 A-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
"- application for constru;i~ ;ti;i; which B;~eJ(a~ C y ~ fj} Va
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
Comments:
M1B
~-<:.(_ me, ( A (",'1 <.
Date:
)-c;-o L
At .
tiThe 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 Ree'd
CITY OF PRlOR LAKE PLCylBING PER.\-nT
~.:~ ~:~y PER." lIT ~ 0:--, _ 0-7;.).
), Yd!Ow -\oollcant ~ 6 /'-J
(P!~:IS~ t'ro~ or orint ,ll1d SlI!I1 ,l( bottom)
1</0//
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t/vJ
[ ~O'-,,-C
L L j l.~ j ~ (l;rf.C~ '...1.~e\
! '
AD 0 RESS
LEGAL DESCRlPTION (ol:1c us.: Jniv)
L\JT
SlOCK
ADDlTION
pm
'0"'.""-1:''0('71 h
IV. l......:\.. v
(>i.l:::e,: f! j, ~ If
(F::or.e)
C~,~G~e~s)
:l. P P LI C-\~T
(~':H:1e)
(Zip Ccc.e)
(.4..dli=-~s::; )
(Address)
If S":J. f/ f/J/ ~ cl/J I
!:J:;J.5 V
(Cer.,;}c: ?er~on)
~? ;10 r.~)
APPUCA~T SIGN.-\ T1JRE
(7A~~
7J lA/~
DATE
rJ t: fie-
APPLICANT PLEASE COMPLETE BELO\V
/
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatorl m<lthroom Sink)
Laundry' Trav (lor:: compartment Sink
Quantity
..3'
I
I Type of Fixture
I Rough-ins
I Water Heater
I Water S0fmer
I Stand PiT)~ (\Vashin2 Machine)
i Sewage Ejector
I
I
I
I
I
Quantity
.J/
~
I
- - ,
( I Shower Stall I I Backt10w Assembly
I I Sinks I I Backtlow Assembly Test
I Bar Sink I I Lawn Sprinkler
.3 I Water Closet (Toilet) I I Other
fEE SCHEDliLE
Industria!. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
Estimated Cost :s
Building Permit ;:;
r' ~'1rr')!'
'-rl,...
~1'lLD'~~''''::: .
Ct;/. - .,. ~,'
PLUMBING PE~lIT FEE $
STATESURCK~RGE $
TOT AL PERJ.'VlIT FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Date JUL I 1 2002
By
Building Official
Z~ hour nodce ior all inspections ,95:::) ~7-9S50. fax (95Z) ~4'7~::..5
~/1"{"O't~"\
I. /. / r \ \"
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"",V~ES01.'"
D:.J.te Rec'd
CITY OF PRlOR LAKE PLCyIBI~G PER-\IIT
I 3llJe r'l<:
:. C:uJII Ct'l
] '( ~tlow \OOIL(JOI
PER.\IlT ~od-g')~JJ !
...:..~s' C' F~S3
(?~~:l:.;e r~t~ or ;Jr::1C md )1~ ,l( nnrrcm)
',L;;-;;";: :":'.:e:
/C/,g 17
~'2' :1-~4-C
/1 I
(!J liJi'lIb-i{llfJ
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: .j,.??UC.~:"-"T SIG:"-i...I..n":RE
CATE
QU:ln ti ry
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APPLlC.-\~T PLE.-\SE COMPLETE BELO"'"
Type of Fixture I QU:lnriry I
Bath Tub \Nlth or without 5hc\ver I I
Dishwasher
floor Dr:110
I LW:ltor/ (8athroom Sink)
Lwndry Tr:lY (lor: ..:ompJ.rcmCl1t :jlm~
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
I
R(Ju~h.ins
W:lter He:J.ter
\Vater Su f.:ner
! St:J.nd Pll:'~ (\VJ.shln~ \i!J.chine)
Sewag~ Ejecwr
Backt10w Assembly
8ackt1ow Assembly Test
I Lawn Sprinkler
I Other
i
l
I
fEE SC HED l; LE
Industrial. Commercial & Multi-family 1% of job cost with:J. S39.50 minimum
Residential, New One & Two-F:m1ily 599.50
R~sidential. AJditions & Alterations 539.50
Estimatd Cost :S
BuiiJing Pe:-:nir .:;
PLUMBrNG PER..'vlIT FEE :5
STA TE SURCHARGE :5
TOTAL PER.'\UT FEE $
".-
~~1;':c:'~1
..,
.50
(Office L'se Only)
This Applic:lrion B~comes Your Building Permit When Approved
Paid
Receipt No.
Dare
Building Official
Date
JUl
.:~ l1,)Ur nutil:e iur all inspectluns ,95:) ~7 .9::150. fax (95::) ~~7 ~:~:S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~~:w Jl~icant I PERMIT NO. ~ ~8 1~~
ZONING (office use)
14317 BROOKMERE BLVD NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(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
8/26/2
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
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 SL-550TR-C
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 $
REA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
.f -<,
GU ,..
c.:..;....o
~
.., .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Buildinl! Official
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
03:37 PM HEATING @ COOLING TWO
7634283682
P.02
CITY OF PRIOR LAKE Date Rec'd
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT rJ .:. 7 D I
~ ~ ~:~.. I PERMIT NO. 1 - s> r;31
1. Yellow Apphc:onl, _ (7 .
ZONING (olficeusel
8/0tJ A
GAL t>ESCRIPTION (office use only)
BLOCK
ADDITION
PID
C!... < ~ f--t. V.
tf<:J ~ S
(Phone)
. J'" UcANT
~':(Name).. . A'~ar .f-. . -.,
1<AddresS) ) ?J...,s"'c:;>
~ (lOQ(i^9
,
t!CJI..A "'''''''6 ~.:I
(Acldres
77~o
'gl
(Phone) 7(,3- f~9 - ~b 71
rn-p/~ c.,-~ ~")-3," 9
(City) (Zip Code)
(phone) ~! L - '3~ 3 ,,;'~<;"'~"7
.... ~''f
w,'APPUCANT SIGNATURE
DATE
~ .~ 1.0 z....
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT 0 ALTERATIONS
"? !l.3 C7 :f "D 7'0 FuEL G, 0.. S
~ INPUT 10, 000 , OUTPUT 5'~ 000
REA TINO OR POWER PLANT
W CONSTRUCTION
llURNACE MAKE AND MODEL ,8 ~'1 ,q,., ..f
(nUE SlZE '-I " RETURN OPENINGS
TYPE OF SYSTEM
.~ann Air Plants
EjOravity
o Mechanical .
~r Conditioning
aVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~Ustria1. Commercial 8L Multi-Family
.~ld~ti.l. Heatini & AlC (New Construction)
idcntilJ. Heatini Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
539.50 minimum
599.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
539.50
539.50
539.50
Estimated Cost $ Building Penn it #
HEATING PERMIT FEE $
STATE SURCHARGE S .50
TOTAL PERMIT FEE S
"
~
-'\
" . eetJ~ Only)
,YlblS Application Becomes Your Building Permit When Approved
Paid
o.
Buildinl omdal
Date
By -
24 hour notice for .n inspections (952) 447-9850, fax (952) 447-4245
10/07/2002 12:00 5
-.... _ .-.=.:=~..:.;.'~ --.......,....."
c.;al: OF PRICIII u.u
PAGE 04
11011
D." Ree'.
CITY or PRIOR LAKE
SEWEll AND WATER PERMIT
UOAl. tllSaurnO'N ,...... nl)Il
o z - 09; 7 2/'''_';
t 5- ~__ [h~NO. B14( 075[
.J I i JONtI'ICI_'""j
61t.'J .3 !
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APPLICANT PLEASE COMPUTE BELOW
SiM of __ scnicc i.nI:b8I.
Loc:aIioll of ~ coupli!1p from lVUCNR .1lQ.... rllt.
Type tJ/WIli. pipe. 0 ABC ~ pve D C_ JI'OIl
!lItizDIaclleacrJi of MW.1IM JaL f~.
CelIS OUE (it~) loe.1ed at ~ flit from swctura.
DE SCBIDULI
a...ld.rInj;,i ..... al ,...1iP IOQbC1it.II 1]'.50 I....n.a, Com"! a MlI1\1-family ,,, otj~ COlt .tth . '39.5D mit\D1IIII
Sewer :onnscdan CQlI~ 117.'0 Wiler ~~tCllan 0Il1~ SlHC
k... <<t<f Cod S Bui1diDI '.mi\ ·
SEwn ~ W A 't'1!J,. P:EaMlT f1lE
ITA TE :SlJ1lCHAaOE
TOTAL n>>aT I'D
S
I
S
JJl
M _.11' .... ., .It Ic_
-:- 1
.
(~ u... ow.l
TIlif ~p,IlMdoa a,.co.- Yo., aIlUlI'-, ,.,widl w.... Ap"""
- .",IIi.1II orw.lcl
l-_
1hI-
PRIOR LAKE
INSPECTION RECORD
L ~ ~ ~\V\.{~'l.Q
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \L\ "3~tt:x)~\N\Qte 15\u&.
NATURE OF WORK --.-Ne-L/'l
USE OF BUILDING SFO
PERMIT NO. O~ 673 DATE ISSUED -2::1 ~ - 6L
CONTRACT~R ('PY\ ~ PHONE u,l'2.-~G.~- qS~'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I ~ II
I FOUNDATION (Prior to Backfill) I r b 'vI /L4l{ fj U 'I ~ 3/- ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ..lv1l\'(.> ~, "'1-0
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an elect~ic!ll 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, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850