HomeMy WebLinkAboutBuilding 02-0943
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT \ \ BLOCK "S ADDITION
OWNER
(Name)
/tJ~L/ ~
z
7- //- ~
; ~;~i~e ~::y I PERMIT NO. 0'7 "'Oa'L~ I
3, Yellow Applicant , V -, ~J ,
?-(}V/X~
':dh6
ZONING (office use)
'Fa ~ \ ~~'"' \-~ \\ s
PID
tv\~~4y\ Ot"-iS
l~t1s- P\/JtZA (JM\r<
s~~
(Phone) _~S\) 406 440G
6~ t"l ~ ~S/2,-
~ 1.I1Z.... 2,2' -
(Phone) <<s\ 4(j (, - 4l\ 00
(Phone) ~S1)4\O~ - 44 3 3
EA ~ M1-J. SSTZL
(Address)
BUILDER L.J
(N ame) tV\S y'\"\ "'" '"
(Con!act Name) t"\ It t\ t-'\ tit 7 ~L
(Address) I ~ '1-5 \ ~Z 4
TYPE OF WORK
l-\.o~ So
Or\\,-t
o Misc.
o Lower Level Finish
ew Construction
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 ab ve entioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aw !:hat the buildi .' official can revoke this permit for just cause. Furthermore, I hereby agree that the city offi ial ora designee may
:nter upon the for e .nspections. .~ 14 ~cg- I
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
DAI~e tion
~ Z 00/"-."
PROJECT COST IV ALUE (excluding land) $ -0 V
our Building Permit When Approved
/-Z)'-O?
Date
<; "t~. Z CO
ODeck
~
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DUtility Connection
Park Support Fee
SAC
#
#
Date
$
$
$
$
$ I
$
$
$
Water Meter Siz / ; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
I Paid 7t1<J/;i
Date r ~ .
$ '1. 4153. Z
I Receipt No. e- 7/'[/
By /lf~
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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~. 1
. - \# ~ ~--c-Z/{. -:J /w-I () L
lannlllg 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
~-<
~M)I-.o(~ C8\lj l~L t~
~
.
W\kU0 (~
\,
White - Building
Canary - Engineering
Pink - Planning
Th~ ("f'nlrr or Ihr t.akf {'OU"try
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST Gl Lt 3
}'
NAME OF APPLICANT "7-1/ - d-
APPLICATION RECEIVED /d-bn-4J/)///~~ IJ~L?J
I.' .
The Building, Engineering, and Planning Departments have reviewed the building permit
_ application for construction activity which is proposed at:
C5!o~ /~ /31- ~ ?tJ1;//Jf7;:w;, /JdlJO dAfi- /L/~ L/[? . -
ft~/){ -2a,//-L-- ~
Accepted 'x. Accepted With Corrections C!..-+
Denied
Revietd By: +-N Date: -, h<.e I ()1-
Comments: See Reverse Side for Additional Information!
r(\ MJ-J \" A1-~f O~:)'L\ -tv ~ 0 RA""'.wv ~(;;f- /\/...0 JJ G (:)0 U\ l--\
P.;)()1-t.-Dt"-' {:, i-o\, h'-'-~E.. ('-01' ~ \ ~ A.JJD \ (0)
See Attachments: 1) Gradina Plan. '2) Eros'ion Control Measures
."" ' .... 3) Erosion' "Contro.l .Plan
liThe 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. II
White - Building
Canary - Engineering
Pink - Planning
The C"f'ntt'f of .he Lake Countl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
d ~ 1"P
NAME OF APPLICANT
7-11- d-
W-M1ArJf ~ Ii-CrrUl1.Q<1-.)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: , .. ,j
C5(o-C //; /31- 3 9tJZ0t~ /~ ;)JUa
)L/;;2'1 g
Accepted
Accepted With Corrections
~
Denied ~
Reviewed sG : _._
Comments:
ReCA.ol aQQ. ~~
Date:
?~2)-OL
~0Q2S'
"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."
6~~
White - Building
Canary - Engineering
Pink - Planning
The C"rntt'r of Ihe Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
d/qtf3
NAME OF APPLICANT
APPLICATION RECEIVED
.../
.'
,..,-""
" :.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
I~
Accepted With Corrections
9-~4{' ~{L-J-
I/.J,'I~
7 /JZ-7UJ ,7-
Denied ,
Reviewed By: ~4A-U-~4'~d4
Comments:
Date:
"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."
FILE No.885 10/04 '02 06:25
ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 6/ 11
~
CITY OF PRIOR LAKE ~. ~:1~~ ~~~UQDL
PLUMBING PERMIT pp No. ~- q'l .3
~~~:.::~~~~~-!~~:~~~~~~4~~
Legal Description: Lot Block Sub
Site Address: 14 ~L\~ Fn ')V'tcJ V\ th \ ~ ~
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
T'hr- (t"n1C'1 .car (h, ~.""I" (llunl,..,
Quantity Type of Fixture Ouantity Type of Fixture
-a. Bath Tub with or without shower Rough-ins
I Dishwasher 1 Water Heater
( Floor Drain I Water Softner
t4 Lavatory (bathroom sink) I Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shower Stall 8acletlow Assembly (RPZ, Double Check, PVB)
, Sinks BackiJow Assembly Tesl
Bar Sink LalNn Sprinkler
~ Water Closet (toilet) 1 Other ~: lfrt"Y ~
FEE SCHEOULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions &; Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ -.
.50
GRAND TOTAL
$--
IJ!;I/! ,
" v., __ '"~\'''
.....,.,
This pt:rroit is grillHc:d upon the express condilion that said
contractor, shall comply in all respects with the ordinances
Qf lhe Slale Plllmbing Code and the llmendments thereof.
RECEIM' NO. DA TE
ATTEST
, T-42002
Call for all inspections 24 hours in advance. ff1
16200 Eagle Creek Av. S.E,. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 4"~245
An Equal Oppor1unity EmplClyc::r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
#~-7cf7
Date Rec'd
;: ~~:n ~~~, I PERMIT NO. ~ _ () 1/ d I
3. Yellow Applicant , bLl 'J.... '1..-7 ,
Lk
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(Phone) q5bl- q~5 -7017~
o Lf
~~~RD.~. Horfon Cusbm
APPLICANT /\ , I. t M ----
(Name) rw , Qt1 e~ .j,..~ .
(Address) 3~50 ~ne bec- L::r.
C- (Address)
f Z;
5+e. #/
(Phone) Ip5/-45:L-rJ(775
L Q8arl 55/,22
(CIty) (ZIp Code)
(Phone) (05/- 45~ - ~77o
(Contact Person)
DATE
0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 383KA-V~IO FUEL l\JoJlAm I
FLUE SIZE /f14c(a.Sc;, B RETURN OPENINGS 4 INPUT 10.000 OUTPUT 61.D..tJoo
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOtE:
OGravity o Hot Water Air Conditioner Units
o Mechanical . o Radiation Cannot Encroach into
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
ICANT 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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
--
(Office LIse Only)
This Application Becomes Your Building Permit When Approved
,50
1/
~~!'?,,~ITH -..,
f"'t r_...,... ~
' , r~'T'
Paid
Receipt No.
Building Official
Date
Dateo:r I 7 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3, Yellow
File
City
Applicant
I PERMIT NO. ;;-9L-(=f I
-
ZONING (office use)
14248 FOUNTAIN HILLS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/17/02
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
'?' ~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Dat~CT " !":" "n.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FILE ~,Jo. 303 02./14 '03 10: 54 I D : PL"r'r10UTH PLUf1B I ~.jG
FA>< :7635:331121
PAGE 9/ 47
OR"!!II . FILE
YELLO. . ...."UC""r
vOLD . en y
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W. No. ~- qt.j 3
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICAN~~i:,a;t' ,-1-\1\ P\tJ.V\\ ~~ PHONE 'Gill1)~Y?2:>-L1 b57
(ADDRESS, _._ f QUV\t."20\ '^ _ \ \ '> t'i- . DATE' ri-- \ L\ - 0:'
SIGNATURt: 0iLO&.1~~.QI-\ BLDG. PERMIT!
SITE ADORES"': PID#
FILL IN THE BLANKS
1, Estimated length of water service
i
AD
feet.
2. Size of water service
\ "
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ASS
PVC~ Cast Iron
5. Estimated length of sewer line j...!O
feet.
6. Clean out (if required), lccated at
structure..
feet
from
=======~~==~====================~~~~~~~~:==============~==~~~~~~~~
This application becomes your permit when approved.
BY
D~.TE:
~==~=~======~==~~~=;~===================~==~=~=~=~================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
:l:
Fee for either sewer or water individually 1S $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued
D[E@[EOIJJ~
FEe 1 8 200
AMOUNT PAID
DATE PAID
RECEIPT #
REC'D BY
f[:),. J1r.t:~, I
'.9fJ IL./:){ ~, ~" I I
'-.. ~ F~
.r~ -'J _
01'
By~
-
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunity Employer
1/
PRIOR LAKE
INSPECTION RECORD
Mo..\\'l +,: t-e.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / t{).. tlf
NATURE OF WORK --.N~w
USE OF BUILDING S~~
PERMIT NO. ~. O~ DATE ISSUED ~- ~5.Cl'2..
CONTRACTOR ~I 1M l-{~Md$ PHONE ~S"I- qo~... qfD
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- j/. j} lJ-.L-
9([/,L~<:/K, ~e-o ~,
l. lI-B '3 1ou\l\\iAAA. "-in 2vJ.
INSPECTOR DATE
I FOOTING lffi~ ~.3 -20 4- ($1, l.l~" t 1- I....~ ~ !27<<'L-
FOUNDATION (Prior to Backfill) q I L{ EJL
~E NO CONCRETE UNTIL ABOVE HAS,B,EEN SIGNED
~tJ.~ ~~ct<ROUGH - INS (vf iV-ill
SEWER I WATER I SEPTIC , ~ /3 (5"Z.- !/V\ lEJJ 1-l
FRAMING j/v/
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
10-)..1
ID~
GAS LINE AIR TEST "L '"(fl---
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~'^^f uJ\h\ ~-I-l'")
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
/)QtL~
'2-- 'L V
\ -I~-(Sl-
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850