HomeMy WebLinkAboutBuilding 02-0875
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CITY OF PRIOR LAKE BUILDING PERMIT, Vate Kc",'cl
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~. ~i~i~e ~::y I PERMIT NO. (]'7 ...0 D.1'C" I
3. Yellow Applicant . _~ f.l.::/,
j) 141 k/'1-~1Lt
ZONING (office use)
!3l-VIJ.
/I/~
d-
LEGAL DESCRIPTION (office use only)
LOT 'J BLOCK t!l
ADDITION
~€",401/w'r;kEW
PID ~5- '
OWNER
(Name)
~e/1--~ M~f
I J'/o,j !vIII' fflv~ tJ/l-I~
(Phone)
5v-t ~ I A-tJ
.flq: /1l1V S-;-:JY?
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
?~~
C~M~
?~
tit.". j(HK'D
(Phone)
(Phone)
fA-~
-
~/,)- Jb9 - r,'3.;Jet
(1-
95"".2 -,,')-3'3 -;lYY.2
TYPE OF WORK
)(.New Construction
DDeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
I;J.~ IJ~O
l
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 10ca1laws and will proceed in accordance with
submitted pia . I a ~w. ar~that. the uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e rty t ~~ ded inspections. .'-
X ~ ,~~~ ,;L()07C,737 7--'3'-()~
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $ :ZOO .o15
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ tOO.. c>O Water Tower Fee # $
Mechanical Permit Fee $ I ~(!) .. CJO Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 0.00 TOTAL DUE $ JS.3.~
Building Permit When Approved I Paid ;~~~ I~fio 4z-fTTJ
7 p...l (,-D Date
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
:,':' "',,' b, <b, p""",, ",","M~ . tt""",", C"""',,, of "',;" wmplimre m' ..n~ ~ctfOO '4="re. "r oc;m", · Q,ctffictt of 0=,,,,, mw' b,
7 /~E--I{'j1- .p ~~~nd::~tff~hy{)~~~
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" Cf'nlt"r or Iht l..kr Counlr)"
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
a eJfJ+~x If 0 vYl e.(
7- 3-{)~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which )j. p prrooppoo~sed at:
1"/'3'3--1 ~L~ tJlud
.
Accepted ~
Accepted With Corrections
Denied ~
Reviewed BY:( -
Date:
;-Iro- 07
Comments:
S e () ~ f-1l o-,'\/t ~ {p
"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."
Tht ('tnltr or Ihr I.akr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
a~-IU+~X If 0 lIV1 ei'
7- 3-D)..
The Building, Engineering, and Planning Departments have reviewed the building permit
~'- application for construction activity which is proposed at:
/1../'30.1 . &.orJ~()~ f3/ud
I
Accepted
X'
. "
Accepted With Corrections
Denied
Reviewed By:
Comments:
!llff6
<~-{ <- f11 ~ f 'n.
Date:
7-9-0'7
F( '( (
"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" Cf'nlrr nr 'he Lak.. Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(
/
<'- "".
'>" \ '
..-7
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! ; I
'/
,.-/
Accepted
1/
Accepted With Corrections
Denied
Reviewed By: ~/L, ~~--41
Comments:
Date:
"/ /t 7-//37_
"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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CITY OF PRlOR L--\KE PLC}IBL''iG PER.\IIT
D:.;.te Rec'd
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.':'.0 C' r--'::55
3rll~ ;:TIC PER\fIT ~~ 51
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C A TE
APPUC.-\:'\T PLE.-\SE COc\IPLETE BELO\\'
QU:lntiry Type of Fixture I QU:lnricy I Type of Fixture
,/ Bath Tub WIth or without sho\'ver j I Ruu:;h-ins
I DlshwJsher ) ! \.V:rrer He:Jter
I floor Dr:1ln \Varer ~vhner
I L:WJtcrl (Bathroom Sink) Sr:lnd Pll:'r-: (\V:1shIn~ \.Llchlne I
j L:lundrv Tr:1v ( I or: ~OmD:.lr:mefl( SInk i Sew:12:e Ejec:or
-
I I , Shower Stall I I Backtlow Assembly
,
I I I Sinks I I Backtlow Assembly Test
! I Bar Sink I I Lawn Sprinkler
I ...:J I Water Closet (Toiler) I I Other
I
.FEE SCHEDl;LE
lndus:ri:ll. Commerc::l! & Multi-f:lmiIy 1 % of job cost with a S39.50 minimum
Rt:sidenrbJ. New One & Two-FJrTliIy 599,50
R~sidenti:ll, Additions & Alterations 539.50
Esrimatd Cosr :s
Buiieing Pe:illir .:f.
(Office Use Only)
PLUMBrNG PERlvUT FEE :5
STATESURCK~RGE :5
TOTAL PERJ."HT FEE :5
.50
This Applic:Hion Becomes Your Building Permit When Approved
Paid
!~f\' 1~ _____
,;oO"\1U' ~iVrn., "
'~II\,.""":,>:\",,,, ,__',,~
(. .~,-..
I
Receipt No.
Buildin~ Official
Date
Date
3 I 2002
By
:~ htJur l1o(ic~ ior ail insp,:c:lUns \')5:) ~7-,)85iJ. fax (95:) ~..f7-C..:5
~ ?~:o~
11K\/1 "i' \
. I ""
;, f\ .~"
CrTY OF PRIOR LAKE PLUiYIBlriG PER'IIT
Date Rec'd
(P~e~se tvoe or onntmd ,rial ,lC bottom)
! ADDRESS /7 i
/1./ J ;) / IS J;'tll!Jf I1t f ff
I Blue Fiie
.:. Gojd Cl'l
J Yellow '\ooILc:Int
I PER\UT NO';;)_'61Z]
glLlI
ZO :iI:iG (I;t::(.. u"eii
- -, I
!
LEGAL DESCRiPTION (or;;ce LIse Im!y)
LtJT
BlOC(
ADD[TION
o \I'->i E Rf!k -'-
I (>i,1:7:e:,/{7 p~
P~D
i (.\~c=-e~s)
(P~cr:e)
! A ~ P LI c.-\.~r /? Ih
' (~.:lr::C) t/ If
i (..J..jJ~e:;:;) rPt;O
/./- ~- /J
-.S0oL-/
(Z;p C:c::::)
(.-\ddressl
(Phone)
-f,
(Ci(:1)
tJ S/'- 7 f): - 2 Ie. /
! ((:81':(.1C: ?t:r~on)
!
I, DOr I~' "T ~IG:\- 'TToRi:"
' ,""\.. ~ c........ ~ :, . ..""\ W .J...
(?hcr.e)
DATE
~ ;Ie-
Quantity
;J;
I
!
.3
I Type of Fixture
I Bath Tub with or without shovver
I Dishwasher
I Floor Dr::lln
, Lavatorl (Bathroom Sink)
I Laundrv' Trav (lor -, 'ompartmclH 'Ink
APPLICANT PLEASE COMPLETE BELO\V
Quantity
']
I
/ - \,; L :;; . I " t, I
.
I I Shower Stall I I Backtlow Assembly
/ I Sinks I I Backtlow Assembly Test
I Bar Sink , I Lawn Sprinkler
3' I Water Closet (Toilet) I I Other
/
r Type of Fixture
I Rough-ins
I Water He:lter
I \Vater SOhner
I Stand Pil:'~ I\Vashing :\tbchinel
I Se ~a ye Ejector
FEE SCHEDLLE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50. minimum
R~sidential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost :s
Building Permit ;;
.50
,...
PAra
~, IH .....,
861" . , \'0 ",,_ .
.. ,......,." ,~ '-"~,'
(Office t:se Only)
PLUMBING PERMIT FEE $
STATESURCK~RGE $
TOTAL PER1\-UT FEE $
., II
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date By
JUL I 7 2CU:~
2~ hour nocice ior all inspectIons \95':) -47-9850, fax (95':) ~47-4':...::i
F I RES IDE CORNER
#1458 P.001/OOl
CITY OF PRIOR LAKE
HEA TJ.NGI AIR CONDITIONINGIFJREPI-JACE PERMIT
Date Rec:'d
~: ~~!;, IPERMIT NO. .~ _ 3151
" Vel""" ApplJ",.1II L ex:J
ZONING (Offia: u~~)
''-lDtUw .
LEGAL DESCRJl'TION (offiCe 1.181: only)
tOT
BLOCK
ADDffiON
PID
O'WNER
(Name)
JJ:)
(Phone)
(Address
APPLICANT
(Na.me) ALLIED FIRESIDE DBA FIRESIDE CO~ER
(phone) 651-633-2561
(Address) .2700 N. FAJ.RVIEW A~C1E
CAddre$s)
TON
BRENDA
Ro~r::yTT.r,~ MN
(city)
651..633-2561
1:;t;1..11
(Zip Code)
(Contact Person)
APPLICANT SIGNA'TUl.m
DATE
~-.).o-~
APP1..ICANT PJ...EASE COMPLETE BELOW
,EWCONSTRUCTlON 0 REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL F1JEL 0 OJ.:::,
FLUE SIZE RET1JRN OPENINGS INPUT ounlur ~ I~
TYPE OF SYSTEM HEATING OR. POWER PLANT
DWarm Air PlPIIT.s 0 Steam
BO"1.IVi~ 0 H/Jt Wl1ter
McchsnleuJ B Radiation
OAi.r Conditioning Spcclsl Devices
OVenr. Sy:rtmJ 0 Other Devices
I'.)~
PLEASE NOTE;
Afr CandirJonL'lT UnifS
C2ll.1Dot Encrcar;h into
Requited Side Yard
SeEbacks
FIREPLACE MAKE AND MODET.
rndust:rlal. Commercial &. Multi-fBJl'lily
FEESCIJEDVLE
1% of job cost Residential. OQ Fl~llcc
$3!i.~O minimum
$99.5D Residantial, AddItion, & Alcem/ons
564.50 Residf:rltiaI, AC On.!y
$a 9.50
Resiclenr.ial, HClItlng &: Ale (New Construction)
Residential, Hellting Only (New Con~.Il:tioJl)
$39.50
$39.50
Estimated Cost $ .
Building Permit #
(Orne.: U,e Only)
This AppUcation Become.'i Your BuiJding Permit When Approved
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
.$
S
.50
Bblldllll: orne/II'
Dire
I Pw
Dllte
[:i~NO.
ZI hOllr notice for .11 '''-p~ctflJn. (952) 447-'8SQ, fOll (952) 447-4U5
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
I. Pi.k Fil.
1 0-. City
S. V.11ow Appll.....
PERMIT NO.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
prD
OWNER
(Name)
(Address)
~(" f--<. v.
Hd~S
(Phone)
APPLICANT
(Name) #t"ClI "', ' -1
(Address) ) P'J-.$'"<::)
+-- (7 CJ Q ( i '" ~,..,~
t'!CJY I\.~y ~tt:I g/
(Aclc1resl)
(Phone) 7'3- Lfil.? - ~'77
rh...,p!4 c.,CM....4 5"~-3"~
(City) (Zip Code)
(Phone) ~! L - 3<. 3 -'.';-S"'~ 7
DATE -az".
(Contact Person) ~, ..,
APPLICANT SIGNATURE
c~~
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8~y ~",...,J.
FLUE SrZE '-t 'I RETURN OPENINGS
TYPE OF SYSTEM
~ann Air Plants
OGravity
o Mechanical
[g,<l'r Conditioning
OVent System
o REPLACEMENT 0 ALTERATIONS
~ 1/.30 ~""~ 71:) FUEL G, 0. S
~ INPUT 70. U<X.) OUTPUT
HEATmGORPO~RPLANT
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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
S39.50 minimum
$99.50 Residential. Additions & Alterations
$64.S0 Residential, AC Only
Residential, Heating &. AlC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
,....
18 P'Il,,..
...f.ilJ!!.tJ;.~r.: l1~!~., I
r;,,"~, G ,r--... ,~,.'
(Office UIr Only)
This Application Becomes Your Building Permit When Approved Paid
Date
".-..
,-
ReceIpt No.
By .
Building Ornel.1
D.'e
24 hour notice 'or all inspections (952) 441-9850, fax (952) 441-424S
'te'd
G89:2:8Gv:2:9L
..
OMi ~NIIOO~ ~ ~NIi~3H W~ 8e=Le Ge-6G-~n~
;~~
,l' ;).,::.;;~:
Date Rec:,a,;;}i,
;',.'-"''1!":'
.. ~_ ":,..f
$39.50
$39.50
539.50
#1922 P.001/006
Date Ret'd
FIRESIDE CORNER
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONlNG/FJREPLACE PERMIT
I ~~i:~~~"~c=\-;~: R\V ()
I. PIl*
z. om..
]. y"""",
---
~ l PERMIT NO.;( -3' 75 I
....,,,""'" L ,
ZONING (offia: UM:)
LEGAL DESCRIPTION (affie.: UBI! only)
LOT
BT~OCK
ADDmON
PID
OWNER
eN vne)
(Addtess)
(Phone)
APPLICANT
(Na.rne) ALLIED FIRESIDE OBA FIRESIDE CORN:a;R
(Pbone) 651-633-2561
(Address) 2700 N. F.'AJ.RVIEW A~UE
(Addnlss)
BRENDA bl1'" ON
(Contact Person)
~
ROSEV.:"T,T.F. 7oIrI'iI
(City)
651-633 -2561
1;1';71,
(Zip Code)
APPLICANT SIGNATURE
DATE
R-~O)-
FIREPLACE MAKE AND MODEL
\l~.
FEE SCHEDULE
Indulitrlal. Commercial & MLlltJ.Famlly ,% afjQb cost R.e5idernial, Gas FlreplBl;e
$39.50 minimum
R.esirJentlsJ. Heutlng IL Ale (New COTJ$l1uctfon) $99.50 ResIdential, Additions & Alterarion~
ResidCl.'ldAl, Heating Only (New ConSlT1lCT:i'OTJ) $64.50 Residential, AC Only
$39.!0
$39.50
$39.50
E/lzimated Cost $ , BuUding Permit #-
.~.I'
(om!:!! U8e Onl)')
Thi. Appfh::atfon Ber:ome$ YOur BUilding Permit Wben Approved
MEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
Paid
Receipt No.
Blr1f41ng OfficiR'
Dare
)'
v"'"
Dntl!
Z4 hlJllr notice for 011 'lI.pedlao. (gSZ) 447.mo, fl'lll (95Z) 447-4%4$
1~/07/2002 12:00 5
--"0.. -- .~~..:..:.'" '-:...::at:' ........, .,&..11
c.;n).' OF PR.lQII 1.AD
PAGE 04
11011
CITY or PRIOR LAKE
SEWEJl4ND WATER PEaM1T
n... &ee'"
r.ar BLOa=
A1)l'mON
OZ-O~72'fM
~ =- S_ (h~TNO. 74,'
15~ -3 - :; : <&0N%l<0G'_...]
- - Pa)J " j
'~-:~~~ Blvd
WlOAL tllsaurnON ,.... 11II nl)rJ
! g.=" {'eitkx /It;~
I (MQa.) J.:lYaJ UJIu:b~ /:i; sl-j.Jo
/hj~rleb,0~::d-~:r
: APPtJCANT
K &. R Contracring, Inc.
i (N1Imlt). 3245 Lake A~nue
I (Ad4ft:Il) - New Prague. MN 56071_
9j2. 758.6247 (ClIr)
(Contl't hnan) & t'. k-tj r __ (J'lacusc)
! APP\.ICANrstC~!-T\1Q ~~#-j_l/~ DATIl
~ Co*)
;
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j
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PRIOR LAKE
INSPECTION RECORD
L S<e ~.JicdLA. tk
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ---L L{3 ~\ ~~IM.<?N ~\\;C&
NATURE OF WORK -1J~ .
USE OF BUILDING SEa
PERMIT NO. 02 -0 '&75 DATE ISSUED 7-/~-ko2-
CONTRACTOR (}z.V\;4?( ~<; PHONE (or2--233 -';;l'j{?..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING j [
r FOUNDATION (Prior to Backfill) tUa.J..t V 7-31-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING LT\~
INSULATION
ELECTRICAL
PLUMBING ~ Y) 1/ 8~ ~ --- () .d--.
HEATING (if re uired)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1
GRADING Prior to Soddin
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical s~rvice 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.
fp(l!n-.tJ3
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FOR ALL INSPECTIONS (952) 447-9850