HomeMy WebLinkAboutBuilding 02-0979
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~ ~~Rte
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
1--3o-~'
I PERMIT NO.O)_ 97q I
#/L~tlt.-~ 8 /lV'/:.. v~
ZONING (office use)
e~
LEGAL DESCRIPTION (office use only)
LO#( BLOCK
ADDITION
~~P6,J'V/~ t1/"
PID d5'"
'-I-r};I-O
OWNER
(Name)
(Address) 1;(<(0-0 /JI'f"t k""
(Phone) ~)).-- 9:J/; -7g >7
(':(0 Ale-A-,AA/ '7.1),/;1
BUILDER ~
(Name) ~
(Contact Name) 'Y /) (' / ~C-~e-& 1= 0
(Address) 7" P--/IA ~
5'~
(Phone) ~;2 - .3" 9- Y3~1
~/C.
e:?~;1.-273-2YV~
TYPE OF WORK
Construction
o Misc.
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) S
1':2 Y: tri><>
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 age or he above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p. s. I ware t e b . ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up the erty to n ed 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 $
es Your Building Permit When Approved
8-8. 02..
Date
(Phone)
DPorch
ORe-Roofing
ORe-Siding
o Addition
OAlteration
DUtility Connection
;Uv 7<&:>73 7
Contractor's License No.
7--3",-2;.-:1..
Date
Park Support Fee # $
SAC # $ 8> 12bO. ~~
Water Meter Size5/81'; 1"; $ -
-
Pressure Reducer $ -
Sewer/Water Connection Fee # $ (, '2P6. CX5
Water Tower Fee # $ lco.a::>
Builder's Deposit $
Other $
TOTAL DUE t?d/3. }tt
I Paid 5 ";;i3 ,~ql ReceiE'N~~ 74.')
Date "I -()cr By 9
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 si ned 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 ~~ ~ ~
.e-/~~ ~/f) IO'L ~ ~t~ vt).. ttn~m-p11(
Planning 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
/
~ W\~ &t.-t.
Thf' Cf'nlcor of tht I..au' Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
a
('II f
I~I'AA
~+j~
1'3o-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
.. application for construction activity whi is proposed at:
1./3/1/ ode J/1erc .vei
Accepted ~.
Accepted With Corrections
Denied
~ Dale: 7/-'yjfoz
See Reverse Side for Additional Information!
Reviewed By:
Comments:
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."
Tht' Cfnlfr of Ihe t.kr Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS-.I ~
1~~ ~~a1~
NAME OF APPLICANT ~ ~ (7 l./{
APPLICATION RECEIVED 7 - 30 ---~
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi is proposed at:
L/3/Lj ,aiL)tI~~ vel
Accepted ~
Accepted With Corrections
Denied
@J.
Date:
83 ?3 ..02-
Reviewed By:
Comments: _~ A 11
~~ fJl~If~
"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 LAKE PLCyIBI~G PER\I1T
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PER-yIlT i'10~ - 7'/9' I
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QU:lntiry
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APPLICA~T PLEASE COMPLETE BELO\V
Type of Fixture I QIJ:lntiry
Bath Tub w1th or without shower I
Dishw'Jsher
I floor Dr::l.ln
I L:1'iJtorf (8athroom Sink)
LJ.undry TrJ.Y \ i or: ..;omp:J.r:ment Sim~
Shower Stall
Sinks
Bar Sink
Water Closet (Todet)
Type of Fixture
I
Rou~h-tns
\V Jr~r He:rte:-
VII ;U~r Su t'mer
StJ.nd P1f,~ (\VJ.shtn~ \tfJchine)
S<::W:1g~ Ejector
I Backt10w Assembly
I Backt10w Assembly Test
I Lawn Sprinkler
I Other
/
.
I
l
J
fEE SCHEDLLE
Indus,rial. Commercial & Multi-family I % of job cost with a S39.50 minimum
Residential. New One & Two-FJrnily 59950
Residential. AJditians & Alterations S39..50
Estimate--: Cost :s
8uiiJin; Pe:-:nit .:;.
PLUMBrNG PER...vnT FEE $
STATESURCK~RGE $
TOTAL PERJ.'HIT FEE $
.50
(Office t:se Only)
This Application Becomes Your Building Permit When Approved
Buildin~ Official
Paid Receipt No.
-
Date By
Date
:4 h,)ur notice ior :Iii inspectlons ,95:) ~7-9::l5iJ. f:1X (95:) 447~:..:i
09/25/2002 14:22 5
_'_0. -.:.:..::.. .....-2~: .U...J:A,l BJ.IU76'..
CIn 0' PIlJOR L4D
PAGE 01
liIou
D.. ace'.
aTY 01' PRIOR LAKE
SEW~. AND WATER PERMIT
OZ-(} 977
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: APPLICANT
i <N.-:,_ K &' R Contracting, Incorporated
3245 Lake Avenue
New Prague, MN 56071
&.clL'1
APP1.1CANT SION f1I. Ttl'U
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;.
I (A~) -
! (CO"t&~1 PaD
(CIIr)
__ (plteee)
DAn
(ZIt CMI)
r----
APPLICAA"T PLEASE COMPUTE BELOW
SiD of w.- a;.o:mc.c ....L.?1.-- inrZII.
LocaIioft of my covplinp ftam IWCtI.Ire ~ fHL
Type ot.... pi~, 0 ABC .81VC 0 C.ll'01l
1!Iri....-t 1"- of trMIt 'TIM ~ feet.
Cle.. Ollt (ir~ Joca1eel at ,. f:um 1I:NRIre.
I'D SCJO:DVLE
P4a1d.lthal .....cr Wld 'Mawr Ii". IlIM.~~lQO '3~ ,.sa 1I\1*..Il!i8l, C~",,'I. MuJt.I.flnlily 1" of j" COIf wlI!l . ''','0 .......
Silwer cm,nllDflan Cltll)' 117,'0 W'" ;ClI'....aau ~ 111.30
(~ u. c:..,)
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JuiWiDa PM'ftIit . _
SEWEi\ AND WAn. PUMlT FIE S
ST A'tE Stl'lleHAllOE S
TOTAL PUMlT I'U $
2' .0\1' ... tin .111......... (JIlt ...,.... .. (tG) 44'7.A3"
CITY OF PRIOR LAKE
HEA TING/ AI~ CONDITIONINGIFIREPLACE PERMIT
~~s:riM"'"P-"~
I / 3 'I 8" t ~.....
I. Pi". Fil.
1. 0.- City
J. V.IIow AppliuM
;; /",0
LEGAL DESCRIPTION (office \lse only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~~" f--(.~
H~~s
(Phone)
(Address)
APPLICANT
(Narne) #~CII "'". . "1
(Address) ) P'..s-$"c)
(Phone)
(Contact Person) ~ ~ 't
APPLICANT SIGNATURE
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL e,,-y" 1'1 .,J-
FLUE SIZE '-f II RE11JRN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OG~vity
o Mechanical
~r Conditioning
OVcnt. Systcm
PID
o REPLACEMENT 0 At TERA nONS
"? ~.3o ~"D 70 FUEL ",,5
~ INPUT 70 t 000 OUTPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fircplacc
539.50 minimum
S99.50 Residential, Additions & Alterations
564.50 Residential, AC Only
Residential. Heating cl NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost S
Building Permit ##
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
(Office Vie Only)
This Application Becomes Your Building Permit When Approyed Paid
Date
DuildinC omell'
Dale
24 hour notice for .11 inspections (952) 447.9850, fax (952) 447....2~
PLEASE NO~:",
Air Conditioner 1-hd~ii~
Cannot Encr0.4in$o:~i'
Rcquired Side Yird'!~~
Setbacks .... '. >1::
$39.'0
539.'0
539.50
!",
By .
10"d
<:::8'9:%:8<:::1:>:%:'9L
-
OMi ~NI'008 ~ ~Nli~3H W~ 1:>:%::60 <:::0-10-i80
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~nw JJ~icant I PERMIT NO.OZ-Q{l11I
ZONING (office use)
14314 BROOKMERE BLVD
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 FAIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/4/02
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 HEAT N GLO SL-550TR-C
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 ani
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.soBUILDING
PERMIT
(Office Use Only)
Buildine Official
Date
I Paid
Date
I :~eiPt No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~td~~ "t:\uot
NATURE OF WORK tJe.c...)
USE OF BUILDING SPA
PERMIT NO. ~- c.J.7..2 DATE ISSUED a-A _ o-z...
CONTRACTOR ~ PHONE (,17 - !l.1-4rr:Y1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I 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
tbwz--
[t;.!C'2-
./
GRADING (Prior to Sodding)
BUILDING ........< LMld <b'/-f0 \flf\P vvr
ELECTRICAL
PLUMBING ~. CC')'\/f2L~e-.V~ *
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.
l't--I c{ I (' 2 --
1)__ UJ-rJ'L
BEEN SIGNED
'"\,
FOR ALL INSPECTIONS (952) 447-9850