HomeMy WebLinkAboutBuilding 02-0936
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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK
ADDITION
OWNER
(Name)
(Address)
Date Rec' d
7-- /B-Oz.
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO'Ol-Oj'3h I
ZONING (office use)
R.. Z-
015 - [)
PIDo?5-:5S1-~ -0
(Phone) 9.:=5::.? -0/35 dS-Q3
555<'5
S(/'
BUILDER
(Name)
(,,/;7 7 I' X J-km,4 s
(Contact Name) /5t II ~,~r:57V.N
(Address) ~ C; /h.."
(Phone)
(Phone)
Cj5oJ-d>53--d'SQ3
79- d55 ,O?S~3
TYPE OF WORK
New Construction
OLower Level Finish
o Misc.
ODeck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
.p~007&737
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 roperty to perform e ed ins ctions.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
/ ()O .CJQ
( O(J . ~
8S.S1j
L(O. ocJ
Your Building Permit When Approved
7-2f..o-
Date
o Fireplace
OAddition
OAlteration
Contractor's License No,
o 7 j;,f~
$
$
$
$
$
$
$
$
~'v" ~ $8 /84-.8
I ~';'iPCf!d-'7l'1
Park Support Fee
SAC
#
#
Water Meter Siz 5/ ; I";
Pressure Reducer
Sewer/Water Connection Fee
#
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
":s~~~~Signed by the ~; Planner constitutes a temporary Certificate of Zoning compliance and all00nstruction ;~ce, Before oc,pancy, a Certificate of Occupancy must be
'{'V'-~~~-:7'-7'7 7/:s0/6L-_ ,'>,e-L~^-e"_t'-L:o\ (l.h(~h~
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
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
I Paid }?f~' 2
Date . r ;'/"0
/
White - B~i1ding
Canary - Engineering
Pink - Planning
Thr ('f'nlrr or 'hf' I.akf' Counl,.,..
11
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
GENTS-X' HOHES
7~1 B. - 92-
The Building, Engineering, and Planning Departments have reviewed the building permit
~,. application for construction activity which is proposed at:
J 4-4-0 ~ ('l15/L-E:<qATE. WAY
Accepted X. Accepted With Corrections
Denied 1 ~ I"l
Reviewed By; ~jy Date; ~(1..;7.... tOe
Comments: ~everse 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 Cf'nlt"r or 'he t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6bNTE}( H.c2HES
7-IB-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4-4-h~ CI15TL-Sc=,AT6 WAY
Accepted Accepted With Corrections 1><
Denied
~2I~-A
Date: 7-;)~-~
Reviewed By:
Comments:
~~doJ1 ct-t{-Qf ~of
~onk
"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' Cf"nlf"f or 'he Lakr Countr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1:= ' _..-,.. \/ L-/ ( . ; r ,"-'
. I" J t=-. ^ I _! j c/--,
---7 - (;; - (" )_
I '-i '-"~
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4.4 {~~ iJl~ \~T L.. t: I~\-TE
(
'/\ , j
'.,/ \ \.'/j
I
Accepted
[/
Accepted With Corrections
Denied I
RevieWedBY:~A-, ~ :z?~'L~
Com ents:
mh'.J ~)~
C~L2
Date:
--; /jo/D2-.
)
,
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. F.~~~ Ji~icant I PERMIT NO. () - ? 3/P I
ZONING (office use)
14462CASTLEGATE WAY 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
9/16/02
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
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 HEA TN GLO PIER- TRC
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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Estimated Cost $
REA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
r:,~ I _,~
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildin~ Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
: ,., CITY OF PRIOR LAKE
HEA TING/~ C~NDITI9NINGIFIREPLACE PERMIT
"'11;
Date Ref:~ct~~
'W~
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas r:replace
S39.50 minimum
S99.50
$64.50
$39.50
I. Pink File PERMIT NO -"2
;~ ~~~;- . 'd-9~6
z..,
ZONING(ollkz
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) c:!.e /l f{ Y
).; D 13-t., c;;-
(Phone)
(Address)
APPLICANT
(Name:) .#<!'0;1,+. ''^-'j
(Address) , 9'S-S-o
~ ~O~ /."" J
CO~r1(-'1
(Address)
-rt~
(Phone)
7(; 3 - 4').. 7'- "5(, 77
Rd' if
/h~p/~ c; rc_'"
(Ciry)
(Contact Person)
-
/Jrr"'"
" .
Go...!:-
(Phone)
f.aIL-
S-~-;I !, ~
(Zip Code)
. s:"5C. 7
APPLICANT SIGNATURE
DATE
02--
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURJ'IACE MAKE AND MODEL 13 ~ ~ 0 ,1 +
FLUE SIZE Pv C RETURJ\! OPENINGS
TYPE OF SYSTEM
[D'Warm Air Plants
OGravity
o Mechanical
~ir Conditioning
~ent, System
o REPLACEMENT 0 AL TERA nONS
3 S-O ~ ~,~ 70 FUEL Ga...;i
"jf rNPUT 60, n,?o OUTPUT 74, b6D
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devic:s
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating &: AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.S0
$39.50
Estimated Cost $
Building Permit #
(Omce Ule Only)
This Application Becomes Your Building Permit When Approved Paid
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
} J.'.,., _'"
-.: ".'."' ....
Receipt o.
Buildinl omclal
Dare
By .
24 hour notice for al\ inspectionJ (952) 447-9850, fax (952) 447-4245
to"d
Z:89~8Z:1;>~9L
OMi ~NII008 ~ ~Nli~3H W~ 0t:L0 2:0-Lt-d3S
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CITY OF PRlOR LAM PLC:vIBI::';'G PER.\IIT
D:lte Rec'd
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"VVE50~
(?~Cl~l: rm~ or :;r::1t md 3I~ .It bottom)
I 31lJe ;ii~ PER\I"TT ~O __
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L.:.GAL DESCRIPTION (ul;;C~ ~::<:Jnl:{)
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E lC,(::(
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P:D
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, ,-\??UC.-\)iT SrG:i.-\ TT..:RE
DATE
) ri tle-
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Type of Fixture
Bath Tub with or without sho\'vC::-
Dishwasher
I Floor Dr:J.In
L:lVJtorl (Bathroom Sink)
! Laundry Ir:J.;- ( I or :: ..:omp~r:ment SIn:..:
I Shower Stall
I Sinks
I Bar Sink
I Water Closet ( Toilet)
APPLIC-\:\T PLE.-\SE COMPLETE BELO\V
QU:lntity
QIl:lnriry
Type of Fixture
I
Rou~h-ins
WJter HeJte:-
\VJte:- Suhner
, Stand Ptr.~ r\VJShIn7 :vr:lchln~)
I Sc::wJg:e Ejecwr
I Backt10w Assembly
I 8ackt1ow Assembly Test
I Lawn Sprinkler
I Other
I
FEE SC HED LLE
Industrial. Commercial & Multi-family 1 % of job cost with a S39.50 minimum
R.:sidemiaJ, New One & Two-F=iIy S99,50
R-=sidential. AJditions & Alterations S39.50
Estimate:.! Cost :s
Buiiding Pe:-;nit .:;
(Office L'se Only)
PLUMBfNG PEIUv[lT FEE $
STATESURCK~RGE $
TOTAL PE.&\IIT FEE $
.50
fI"....
This Application Becomes Your Building Permit When Approved Paid
Buildin~ Official
Date
Date
:4 hour notice for ail inspectlOns (')5:) 447-,)85U, f:1:( (9:5:) 447~:45
- '~~...,I..-",
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14L{(.,~ Q".~H~fJ~' W<>-;r
NATURE OF WORK .J0 t<LJ U
USE OF BUILDING SFD
PERMIT NO. 6Z-0~~ DATE ISSUED 7-;;(1,,-6 L
CONTRACTOR Q~\ex H Q:\ PHONE 7$7-a3L~-.:>r-({ ~
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING (!; ~/ fI- 15 -,;;>-
, FOUNDATION (Prior to Backfill) ~. '/40{PL-
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 J
FINALS
GRADING (Prior to Sodding) ~ ~!c 7,dJ
BUILDING 1(.,1.\ t? VV1~d VV"flrJ.17 7
ELECTRICAL
PLUMBING yw I/~/-()~
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 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