HomeMy WebLinkAboutBuilding 02-1067
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5~l1ecr~ -I- ~-I-~
Date Rec' d
t--;q- tJ~
I
White File
Pink City
Yellow Applicant
I PERMIT NOO? r 10& 7
LEGAL DESCRIPTION (office use only)
LOT 4'S'BLOCK I ADDITION etM-lu.J. VteleJ
ZONING (office use)
0'-/5'
PID 2S-3S'l-~-o
OWNER
(Name)
C~Ytfe~ ~e.f
232.4 ~cr~:>f ~+,
(Address)
(Phone)
@St) '233- 2::;-<13
BUILDER { 1/
(Name) enk 'X f-/r:IMeJ
(Contact Name) 13, i I
(Address) /;?t;tJO o/;jlewCt/~,r
(Phone) _&>2 )
(Phone)
233-2SYJ
S e'-t _ e
TYPE OF WORK
ORe-Siding
;zfNew Construction
OLower Level Finish
o Misc.
ODeck
o Porch
ORe-Roofing
o Fireplace OAddition OA7tion
PROJECT COST IV ALUE (excluding land) $ If!. f) ~()
OUtility Connection
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 th pe~ to perform ne dins ections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'o.~
"
~20076737
Contractor's License No.
Park Support Fee
SAC
#
#
~/I~~~
Date
$
$
$
$
$
$
$
$
i ''Z-CV
250.
4<=;.-
. 1....00, -
I U<.). -
~Q).""
Water Meter
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Paid
Date
0--
/7'774. '71
1-3-{)7-
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
TOTAL DUE
/
This is to certify that
when signed by the
issued.
the a ove application and accomp ying d uments is in accordance with the City Zoning Ordinance and may proceed as requested. This document
tes apporary Certificate 0 Zonin ompliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
. '.;",..
-...,.~.--
White . Building
Canary - Engineering
Pink - Planning
Tht ("tnttr 0( rht I..kt ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
///7 ,'J, 1;--, I
',--,Y-- -' i/':,..-- ' L-L--- '-f-
/ I
(-/ 1.-="----'''-'1.' ,
,~ . : I ) .,.. I .-~/ \../
APPLICATION RECEIVED 0- li'-oJ-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ --, --if.
~y' -J', --;.t- _ J
'-""- \....- ,-', ,/
... l. /)-;:....;.. ,-1
.'-;--,.'
i/ ! t \
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: _ I/I1i 13
Date:
g-d 7-o.J.
Comments: See Reverse Siq~ for Arlrlitionrlllnformrltionl
~ee Attachments: 1) Grading Plc;ln, 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
J'he Crnlt'r of Iht L.kt Counlr):
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~IJ~
0'- /9-oJ.,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which ,is proposed at:
:;( j d Lj J~-t 0 a:;VI\
Accepted With Corrections
v
Accepted
Reviewed By:
!IJf}-
Date:
8/27 JL
Denied
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."
The ("entef of (he Lllh {'ounlr}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ / lr",yl
APPLICATION RECEIVED
--,
( L--'
. '
I ~..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&
-, j / i I
" ..rTj
/". I. / f .-1-"
t ;'"
Accepted
\.
Accepted With Corrections
Denied
Reviewed By:
I
~ ,r; Ii .r)
~"., /""" . ..,
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."
~
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_. 'r \.
,.', I I ,\ _
I -' .I ' \ i ':-
- ~
CITY OF PRlOR LAKE PLl:yr:3r~G PER.\IlT
D:.:.t~ R~~'d
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, .':'.??UC.-l.':'iT SIG:j-.'" TT';RE
C:.'; TE
QU:lntiry
;V
I
/
3
APPUC.-\.'-1'T PLEASE CO~rPLETE BELO"V
Type of Fixture I QU:lnrity I
Bath Tub '-'itCh or without showt::" 1:1 I
Dishw::lshc:r / i
I floor Dr:l1O
I L.1'i;).tcr/ (8athroom SinK)
Type of Fixture
i L:lUocry Tr:l:i ( i or': -.:omp:J.r:r.1cnt ;iin:~
I Shower Scali
I Sinks
, Bar Sink
I Warer Closer (TQilc:tl
Ruugh-Ins
Warer He:lte:"
\\tare:" Svt.ne:"
>:)c.1nd P:r.~ (\V:l:;;'ln~ \.-f:lchll1:::)
Se'.V:lg~ EJt::::or
Backt10w Assembly
Backt10w Assembly T c:st
I Lawn Sprinkler
I Other
I
I
l
]
FEE SCHEDC"LE
[ndu.:m'ial. Commercial & Multi-family I % of job cosr with a 539.50 minimum
(Office t:se Only)
R~sjde:1tial. New One & Two-Family 599.50
R.:side:Jtial. Additions & Al:er:mons :539.50
Estim;J.re~ Cost :s
Buiitiing Pe:7'i1ir #-
PLUMBrNG PERZ,,[lT FEE .s
STATESURCR~RGE .s
TOTAL PERMIT FEE .s
.50 r-
f'~ '"
' "'""\ ,I ........ ~ '" ......,p t.
."! ..
This Applic:Jtion Becomes Your Building Permit When Approved Paid
Building Official
Dare SEP
By
Date
;,~ h'lur notice for ail inspections \9:5:) -44 '7-9::1:50. f:u (9:5:) ~4'7 -C..:5
10:17 AM HEATING ~ COOLING TWO
7634283682
P.01
. . -, :,.,CITYOFPRIORLAKE
, IlEATlNG/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i ~n ~!~ LPERMIT NO. d-. - I (j <-Z]
J. V,Uow 4ppliColllt _: V/ ____
I- (j ~ Cf\.(.~i-
01 1-1-
ZONING (otllceuse)
<. .::.DESCRIPnON Coll1ee use only)
""~:ti'.,
.'~ BLOCK ADDITION
PID
e€l1f~ y
).; 0 ~." <;"
(Phone:)
#~...-+.,,^-'j
/ 9'S-S-o
~ ~Q<') /.;'\ 9
,
-rt~
(Phone)
7G 3 - 4-:1. '1'- 5(., 77
C!. 0;....11 f 1 /G,/ !if
(Address)
/>'7..p/~ C:J 'C.~
(City)
S"~-3 r., 5-
(Zip Code)
-
I:, "..'1
(Phone) Co/2.. - "3 (,3 . S"5" 7
DATE /0 - ,; - Gz....-
'i. . '; W CONSTRUCTION
t,' 'it . ..
,.~~~EMAKJtANDMODEL /3r'''f.,,.,+
'P$:$IZEPVC REruRN OPENlNGS
. t'~.
TYPE OF SYSTEM
.iarm Air Plants
. ; Gravity
.'. .. .. ecbanical
.;Ai, Coo.mooin.
. ene. System
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT 0 At TERA nONS
3S-o "-f~;') .?O FUEL Ga5
<::7 <? . -. '-I
G) INPUT l) 0, ("J I'JO OUTPUT I . 0(50
REA TING OR POWER PLANT
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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &: Alterations
$64.50 Residentiill. AC Only
$39.50
S39..s0
S39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
,"
/
.50
'eoma Your Building Permit When Approved
.---
Paid
Receipt No.
Buildlnl Omelal
Dare
Date
By .
14 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:w Jl~icant I PERMIT NO.O Z - 10&7 I
ZONING (office use)
ADDRESS
2324 STONE CREST PATH
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 AVENUE
(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:
DGravity 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 Onl
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.soBUILDING
PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
I Pa;d
Date
I ::ceiPt No
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Z~Z4 S~N~~ -:P~k
NATURE OF WORK s. r:- P.
USE OF BUILDING ~(~e ~'~N\...
PERMIT NO. ",'2-- /O&.7,t..; DATE ISSUED . eI'l.-Q~
CONTRACTOR c:::.Et-1 TE:-)C ~ PHONE 'Tg61..'l. s:-.,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
! FOOTING q/ & 101-
FOUNDATION (Prior to Backfill) q./t-t (;)-L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC ~'_1.A.... q/~lJOL
~
FRAMING /;(- /U-(L/-()2
INSULATION l~
ELECTRICAL
PLUMBING rvf !U-( Lt - Ol
HEATING (if required) t1(' iO-/~_()L
~
-GAS LINE AIR TEST
GRADING (Prior to Sodding)
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ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850