HomeMy WebLinkAboutBuilding 02-1134
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CITY OF PRIOR LAKE BUILDING PERMIT, . .... Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,~~;ir
AND UTILITY CONNECTION PERMIT ? -. O? d- -Of..
I. White File
2. Pink City
J. Ye\low Applicant
PERMIT NO. 02 - / ;34-
~J
LEGAL DESCRIPTION (office use only)
LOT ~LOCK
ADDITION
/
ZONING (office use)
C I'e' J
PI
I OWNER
(Name)
(Address)
(Phone)
BUILDER / J
(Name) "0e/V.J'mQN.IV /'l 4' In lj"
(Contact Name) .;:J q r'" Y
, /
/?1S 1'~2e;:.
(Address)
/',tlt
TYPE OF WORK
DDeck
ORe-Roofing
OLower Level Finish
o Fireplace
DAddition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
2....
ORe-Siding
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 the property to perfo neede' specti ns.
x
/yJr
Contractor's License No.
J" ..;;.2. - () 2......
Date
--"
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
X.-
CO. ~
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
~ <: ~O
~ .-
TOTAL DUE
$~
$
$
$
$
$
$ (CQ),-
$
$
L';::)C) . A
L~~O -,
,,1-- ....,
::;-.
'--LC)O. ~-
(~).-
_ 0/
o. .fJOS"J
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 e City Plann r constitutes a temporary Certificate of Zonmg compliance and allows constructiOn to commence Before occupancy, a Certificate of Occupancy must be
',wd. ~ q![C/{YL ~k ~L(PAq~ /'~J;t~~-
Planning Director Date ~onditions, if an~
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
Th... Cf'nff'r of 1ht' Lakf Count.,..
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I-'/~~<-J (j~~
g~ d--d.--Q d-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is posed at:
fJ~
Accepted
Accepted With Corrections
Denied
Reviewed By:
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."
White - Building
Canary - Engineering
Pink - Planning
Thf' ('("nler of the Lake Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Reviewed By:
t/
??I~~~~
Accepted With Corrections
Accepted
Denied
Date:
0//0/62-
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."
. \'1;.,
White - Building
Canary - Engineering
Pink - I?Janning
Th~ C~nlf'r of Ihf' I.akt Counlry
(.')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /)) fJA:l4/11I't/7,;J rx }rYlJ
APPLICATION RECEIVED F~ C) d--o ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity hich is proposed at:
5~ ~7- I~:l--
Accepted
0(
Accepted With Corrections
Denied
Reviewed By:
/rJ9R
Date:
fj-CJ-o:<,
Comments: -1 See Revers~ Sid~ for Additi0n~llnfnrfl"lctjonl
IY1ctl'r. F.'le
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 sha" not he construed to be a permit for, or an approval of, any violation of
any of the 'pro.visions of this code or of any other ordinance of the jurisdiction. Permits
presuming \1) give authority to. violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
f
..
10/Z~/Ol WED 11:ZZ FAX 81Z4474245
CITY OF PRIOR LAKE
~DOl
n.te Ru'i11
an OF PRIOR LAKE PLUMBING PERMIT
I Dill. Pd.
1. r.,ld eil?
J ".1..... .""~'
fPERMTI NOd -l/3 if 1
I I ZO!OlNG ,.... ~ I
(11~l&z ~ or print U1d ,iJr.D ~f boftDm)
\ADDRE55/9!? S~ ~s,
LEGAL DESClUP'TlON ("m", lW aNy)
LO"! \ 2.. BLOCK, ~ ADDITION
Cx-~t-
PID
(Com:aa Per.;on)
(Phone) 6SJ-4D'-i/lIOO
~", SS:}::Z~
(Phone) (/;Sj -152-1 St.
1\7W\ ~ 551 ;;2 ~
(City) (Zip Cod.eJ.-
(phcn~) ~~J-19.-)5hS
Ib Lf O~
OWNEX
eN a rTlt!)
(Address)
(Addt~~)
DATE.
Type 0 tar.,
est
FEE SCHJ:DULE
Industrial, Commercial &: Multi-family lly.. ofjgb Cgst "'Ith:l 539.50 minimum Rc:.sidc:n\iIJ, }\o\c:w One a. Tw~famil}' S99.S0
Rl!3JdentiaJ, Additions a. Alll!fllliDM 139-'0
Estimated CgS( 5
Building P~nnit jI
lh'c
PLUMBING PERMlT FEE
5T An SUR.CHARGE
TOTAL pEllMIT FEE
IOnlu u..: Onloy)
This ApplicaliDn Become5 ~our Bujildine Permit When ApprQ"aI
Bullcd'Dt Ol!l~;.'
:'4 haul ~10{jg, To:r.11 in5pedln.~) ~1-~~. rl<lll. i9$]) ~-,4:z4.!:7
wmB
d 906\gS\9gS 'ON/6G:S\ 'lS/6G:Sl GO ,VG '01 (nHl)
1Q/24/01 WED 11:ZZ FAX 6124474245
CITY OF PRIOR LAKE
\l)OOl
D.te Rec'cI
130-r:::f2--ar1'I
\ ~;-O::s~iS;g~ ~~s.
CITY OF PRIOR LAKE PLUMBING PERMIT
~. = ~:~ [PERMIT Jll10. ') _/ { 3 JI I
J ".1.... ."""eM' _ (7\ '1 1
\ \ ZONJNG_~ I
LEGAL DESCRlYI101'l (a"'" W&' cnM
Lor \ aBLOCK {J.. ADDITION
PID
(Contac:t Person)
(phone) b,S}-4D'-t.J1IOO
~O n \Mf\, $J-:l2-
(Phone) (;5"1-f5)-/5I.
~ ,,^". 5!':;l.2')
(CiTY) (Zip Code)....--
(phone) t~J-1Q-J5bS
DATE 02.
OWNER
(Name)
(Address)
Type of Pi:llan
mg Mac;bine)
fa SCHEDULE
Industrial, Commucllll A: Multi-family 10/. a1 job ~D,t ..,iu. I $3'.'" minimum Residerl1)..!, Ne.... One; & T"'o-F4Jftil, S".SD
Residential. Additions 4. Altenl\CnS S39.SO
I 'Estimated Cost S
Buildia.s Permit ·
PI' e
llc:ctapt 1'\1 0.
PLUMBING pERM'lT FEE
ST A TE SURCHAllGE
TOTAL pERMIT FEE
.50
IOJ1icc 'l.ll'" Dlllyl
Tllil A.pplicatiDl1 Beta~es 'Your Bulildinc J'cnail Wlten Appro..d
< '
By
lSul1C1l~ omciJ" :
,
:4 hol.l,< ollotlC6 9'1:1...11 in.~ctio.' (951,...1-~;SU, r:.16 {i>>S2l ""~~2.!~
W01B
S d ggG I g819gS 'ON/80: g I 'lS/60: g I GO ,61 '60 (nHl)
...-
Q.IN.~ . ~
...r.u.o- , A~<;.I\WT
~ - r:n'<t
C!~y OF P~IOR LrlKE
S:t:WER AND WATER P::~IT
NQ. ~-//'3~
NOTE:
Seue~ and Water
contractors must
be registered
wit.h the cit.y.
APPLICANT:
PHONE'~r~-j~
DATE: : Cf It!] 02-
ADDRESS:
~ ::;7'T~.':'T:~~ :
.__S"!"'::)G,
:?==?~!'!' ~
1 ,
F!LL IN TEE oL~RS
Es"t.i:!:latec lensrt.h of ;.tater se=vicQ ~ 0 teet:.'.
Size 0= v2ter service / inch(es). ..M\A
Locatior. of any co~?li~~s from 5~=~c~ure~feet.
~~P@ of sewer pip~. AB5____ PVC~ Cast Iron____
~s~i~ated leng~h of se~er line ~C)
2 .
J,
4.
5 .
f ae ~ ~ J1Il..
at ~feet
f'!:"om
6.
C:~een out
st::::'"..Jc'Cu=e.
(if
re~irec.) ,
10c2.te.:.
=~~~=~~~~~~~_~~==~~2__~___C==~=~====-=~==~~=====~=====~~=;======;;
Th~s a??lie:ation becomes ~ou~ pe~it ~he~ approvec.
B':
DATE:
~~~=~=~--~=~~~~~~==~~~~~=~~~~~~~~~=~~=~=~-===~~~~=~=~~~~=~~~~~~-~~
F':"':"C:'
~
S
S
35.00
.50
35.50
sever and ~a~er line connection pe~mit.
Surcharge
TOT"-L
* ~CQ fc= ei~he= seve= 0= ~ater incivi~ually is 520_00 plus
S ,so 5u::oc:harge.
Se~T::::' anc ~ate~ pe~its i5sued for ne~ construction must be
rec~=~e~ on the building pe=mit ca=d ~t the time of issuance
~o t~sure that no cuplicate se~e= ana ueter permits are
~SSrec. . ~
D~_':'=: pp..~!J tl/ c?O rOO-- M!OUNT P_~ID ~I UN
F~C'D BY ~
'"
~;;' --;-T-:l""'" .:&
r<.~.... - - - ~ i ,.
I
I
I
... '
I ..~~ - 'I "
'::.'~, .!-'..--1:?rJ JF.='-y"C,''""',' 1-~-_.:::.~:
, .;-.r r -:::' ",:,,' ~
5?~ -0'-:.-- 'r.o-'.'..:- '.~j........~,.;,..~ r~~-: '"':11.,
V d ggG l g8l9gS 'ON/8o: g l IS/6o: g I GO ,6l '60 (nHl)
WOHd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I ;;~;~d=;~
~. ~:~:w EJ~icant I PERMIT NO'DZ -1134- I
ZONING (office use)
~5
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ,6 J
(Name) tA.R/V~~/~1
(Phone) b51-<'Cit:, 44a)
(Address)
I APPLICANT
(Name) ?!~#2L:// dY4G
~S/ 0/4 Y#
(Address)
Lb/-I
APPLICANT SIGNATURE ~/ I
(Address)
(Phone) 1~51-m4~
.ALr ~ZZ
(Zip Code)
~",I
City)
(Contact Person)
~de
(Phone)
DATE
(;4
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL4d~/ ~6~--,~3"')S- FUEL Ndt-
I I'ht
FLUE SIZEd' f'I- ~ rvC RETURN OPENINGS :'5- ta INPUT ISDCD OUTPUT '=Rpao
TYPE OF SYSTEM REA TING OR POWER PLANT
J;3'Warm Air Plants
DGravity
2Mechanical
~ir Conditioning
@ent. System
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
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
Building Permit # D L / ( a4-
Estimated Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
BUILDING PERMIT
Paid [
Date
SEP 2 I) 2U02
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
..--'
4_LM _ "...
T~u...cw . .....\.Ic.....,.
c.o~D . crT.,
C!~~ or F~IOR ~KE
S'2\-rER AND WATER ?:S::<.MIT
No. )-113~
NOTE:
Sever and Wa1:er
contractors must
be re~i5tered
,-,ith the c:it~.
;.:: :;::~.~'.:~~:::
PHONE:tJSJ-i9-'-JS65
DATE: 10 /:ll{ )0':1-....
AP:5=1LICANT:
AODR:SSS:
3~::,=. ?~?~1:!:':' .:l
4 -
F!LL IN TEE BL~~~S
!::sti~a~ed length of water ser"ice 3 0 feet-.
Size 0= vater se~vice I inc~(es). 'I M1^
Location of any co~plin~s from s~=~ctu~e~feet-
~~?e of sewer pipe. A~S PVC~ Ccst Iron____
3CJ
~s~i~ated length
of
ser...e!."' 1 ine
fee~~JJ/L
c:.~ ~feet
f~cm
1.
2.
3 _
5.
6 .
C2.e~n cut
s':.="..lc-::.u:=e.
(if
re91irec.) ,
locc..~ec
==~_~~=~=~M_;=;_~;==;~=~=~=~==~====;=~~===~==;============;=;;---;
T~~s ~=clic~~icn becooes yo~= pe!."'~it ~~e~ approvec.
BY
DAT~:
~~~=-~=~-~~~-~--~--~--~~~===~=~=~~=~~~~~~--~=~~-~~~~-~~~~~~--~~-~~
::::~s:
s
s
S
35.00
.50
35.50
Se~er and ~a~~r lin~ cODnection p~=mit-
Su!:'chargQ
TOTAL
*
res fc~ ei~~e!."' sewe= o~ wate=
S _50 $u~c::"arse-
* Sa~e= and wate= pe~its issuec for ne~ con~~ruction
~eco=de~ on ~he buildin~ pe~it ca!."'d at ~he time of
~~ i~su!:'e tha~ no ~uol~cate se~e~ ap.d vater pe
iss~e2. -.
i!1cividually is
520.00 plus
R~ c=:! ?-:< :;
RZC'D E';
I 0 /, dv rs -I
D;'. '!' Z ? .:l...:;:) --J, 0--
.a~-!.OUN'!' P1'.!D
- - /- -:::-
~ -
, .
. -
?.7........r
',' ...
'\ f',
"')t. . -, ,-.
~~- _'V-=,?i' I e ~ ~( ,.c. I ...-
I r- "'.~"" .t:
3 d 906lg819gS 'ON/63:81 '18/0S:81 30 ,v3 '01 (DH1)
WOB3
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:w ~l~icant I PERMIT NO. OL -/134--1
ZONING (office use)
15287 JEFFERS PASS
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 F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/16/02
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 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 6000TR-OAK
APPLICANT 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 Onl
$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 #
$
$
$
oFAJl1) WITH
.s(}I3UILDING
PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl!: Official
Date
~182002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY 01' PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/J055
~. ~~~"w JJ~icanl I PERMIT NO.~ -II ~L(
,
ZONING (office use)
I ~~:;:;:d'::;~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) {Akr,JS/YIa/ /,./
d~
.
(Phone) f:;5/~~ -4~
(Address)
APPLICANT I M.
(Name) W/'I7"'C t//'lC
dd' 5/ hiJ/
(Address)
LA-//,/
(Address)
4/3/
(Phone) ~CSI-~14 -9gc?P
/7P /J'1);?/~ I a;?t4/-1 $"S /2 '?-
(City) (Zip Code)
(Contact Person)
APPLICANT SIGNATURE
p
(Phone)
DATE
II
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION o REPLACEMENT o AL TERA nONS
FURNACE MAKE AND MODEL ..&:;;#-/,HoX' 6~0cQ31S- FUEL ",Ie::;/-
FLUE SIZE eJ-3,I(JvL RETURN OPENINGS b INPUT ~a::o OUTPUT ~a:v
TYPE OF SYSTEM HEATING OR POWER PLANT
Ji!f!V arm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
.,grMechanical o Radiation Cannot Encroach into
~ir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
This Application Becomes Your Building Permit When Approved Paid
". -I)...,
, .t/
Receipt No.
,-. .
.,.>
(Office lIse Only)
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1 t5Z.8 7 J~ PA-55
NATURE OF WORK $FA
USE OF BUILDING :>r.q I I
PERMIT NO. ~ 02 - //5'4- DATE ISSUED 't {r..>(o,
CONTRACTOR Wt'JvSA-1A"-"! I-kvs PHONE 6> I z _ ~ -7M2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF LMAiI\) flu
- _._~
BUILDING AND INSPECTION
~
FOOTING (3) v.. .. 10-1_ LL
FOUNDATION (Prior to Backfill) ( \,., b -1/- cr-L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
(
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 r I
FINALS
Iz--(z
'2.- -I z..,
GRADING (Prior to SOdding)
BUILDING f{~ <Mh' Co-/-lfJ
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
~
~. 2-CJ. oJ
10. (D .6
-/~
/~)-
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