HomeMy WebLinkAboutBuilding 02-1136
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/.5~ I -:J e
Date Rec' d
I. White File
2 Pink City
3. Yellow Applicant
PERMIT NO.O? --(L5~J
t.J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK ..J-ADDITION
OWNER
(Name)
(Address)
BUILDER.
(Name) h.J~~
(Contact Name) C (4 I'" ';'
,
(Address)
TYPE OF WORK
rfJ' /
PID.zy-Jtf~ - OJ.;J..-()
(Phone) ~/ - ')IIJ" --yj/() 0
(Phone) tl..2. -369- 7(,/:L..
~__5/.l.:J-
(Phone)
IJ~
I
() f' JI/ /I
ORe-Roofing
Construction
ODeck
OPorch
o Fireplace
OAddition
OAlteration
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
ZONING (office use)
ORe-Siding
OUtility Coml: 'on
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 e property to perfo nee a ins 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
r-
/Y~r
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
eo_ -
OD.~
"3';;. ~
+0. ~,
Builder's Deposit
Other
TOTAL DUE
J -,;);< - 0 '2-
Date
Paid
Date
SYI'? Yj
f-j r - 01--"
I~~~.
Your Building Permit
.-....,
r / (0/0;-
I Dtte
$
$
$
$
$
$
$
$
$561117
2-. ::';0. ~
( "u?o. .
7S0. ~
4[;.-
(-L.-~ ~
~ 00. ,-
-f'J'dO
......
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
~ by fu~""= oo",",",~ , ttmporuy C<rt'ficuo of ""''''g oomplimcr md illo~OO 00 'Ztiit T'7 {i;;Jij;m" ':'" b,
'l1 ~~~-?'~ ql'b'(07-- y. :;t.ve~ . ~1
an 'ng 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
White - Building
Canary - Engineering
Pink - Planning
The Cf'nlt'r of lhf' Lab Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/I) fl~/lntZ/}/t/J CX,~~
S" ~ "d--G d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ibd.-IS'I? - 9~4- ~
Accepted
/
Accepted With Corrections
Reviewed By:
([0 l<f--
Date:
;/
1/(64<-
Denied
Comments:
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."
,.
The Ct"nff'r or thr takr Counlry
White - Building
Canary - Engineering
Pink - Planning
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:
. 11/ /
~,'
.,.
I ~,r) ,.'~': !,'
Accepted . i/
Denied
Reviewed By: qM~~ Date:
Accepted With Corrections
q,/! () I C31--
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~fi5diction shall not be valid."
Th. C.nlf' or Ih. I.ak. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
'f..
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~~()mqAAAu I/o~
g,. c7-d-. -0 d-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~sed at: A
/5 ;;.., q I - :;, je/L4-/ ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
IIIJ&
Date:
cr -9-D^
Comments:
Se f /YIC,,'n t: t'I (
"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."
10/24/01 WED 11~ZZ FAX 8124474245
CITY OF PRIoR LAKE
~DDl
CITY OF PRIOR LAKE PLUMBING PERMIT
/3D -w--- CJv5
Date kec'd
l~~D~is~~i:t~ ~S
:.:~ ~:; I PERMIT NO,. ... - lJ 3b ]
) Y.,. .,..-1 . ~ {l _
I I ZONDOG ,- -l I
LEGAL DESCRlPilON (DIJia= ua anly)
LOT I q BLOCK 2... ADDITION
eu\ ~~'t-
Pm
OWNER
(Name)
(Adchss)
(Phone) ~.5J-LfD' -WDO
~ ~t\\ ~J:Zr:z
(Phone)J1~~f5:2-IS2
'VW\~ ss;!;2':J
(City) (Zip CockJ--
(Phone) ~S-I-Lts:;l-15bS
(Addtess)
(Cantal:t Pel'5on)
DATE
Type of F tan
csr
SEE SCBEDUl..E
InduslnBI. Commvcl1f.1 &: ~uJtj-fan"ly J% ot job CtlJt ~il.h a 5]9.'0 minimum
R~idcnli.). ~c... One II. T\Of~FamlJy $99.50
ReidenlillJ. Addltions.t. AI!UllIions 139.50
I
'EslimBfcd Cesl S
Duildins P.mtir ..
PLUMBING PERMlT fEE
STATE SUltCHA.RGE
TOTAL PERMIT l"EE
.so
D.16
Receipt "'0.
romutJu Oftb')
I)
,
Thill Apl'licariun BeCO",C5 ~our Buildinll Permit When "'~pro.ed
,
J..HdlJ>t om.i.1 .
By
:4 hou~' \1Dtic" 1Dl' ai' inapllldio/fl (5'Sli "';7-lil~, fall. \951) <.t';.~2...S
d 9g2 l g8l ggS 'ON/8o: g I '18/60: g I 20 ,61 '60 (nHl)
fiOEd
----
CoItCr." . nl..I!
n:.Ll-O- " ....1>uC4...,.
!;;OLD - en'''
C!~y OF PRIOR ~_KE
SEHER ~~D WATER P~~~IT
NO. d-/13b
NOT:t::
SQwe= and Water
contractors must
be resistered
with the Cit:y_
PHONE :tJ~1hfo-J~
OAT:::: ~ I Q;2..
ADDRSSS:
~---:'Y~~T-"O-:.
.._ ... - . I.. . _ '" .. -' _
:;!"~'=-
~'!;"~'AT"T' .;I
-----....- "';"
4 .
s.
:!LL IN TS~ BL~~~S
Esti:!:l2.~e.d length of water service 30 fee.t-.
size 0= water se=vice / inc~(es). 41~\^
Location of any co~pli~~~ fro~ s~=~c~ure~feet.
~~pe of $~~er pipe. ABS____ PVC~ Cast Iron____
3~
~5~i~a~ed leng~h
of se....er line
fee~~JVL
at ~feet
from
1 .
2.
J .
6.
(if
rec;:u irec.) I
!.oca;:.e-:
c:!..eec:: out
$~~~r CUre-
~~=~===~~~~~==_~~===~m~==~~~~~_==~~~~~~~~~===~~==========;;_===;;
I
T~~s e?~!ic:etion becomes your pe~~t v~en approvec.
B~
DATE:
~~~~~==~=~~~~==~=~~~~~=~--~~~=~~==~==~~~======~=~==~~~~~~=~-=._===
*
'S 35.00 Se~er and water line connection pe~it.
S .50 surcharge
5 35.50 TOTAL
:Qe Ifc= eithe~ sewe~ ~ ~ate~ i~civic~ally ~s S2Q.OO plus
5 _~o su!:"charc;e.
I
SeY~~ anc vater pe~its iS5uec ~or nev constr~ction must be
~ecd=dec ori the huildinc; pe~it ca~d at the time of issuance
to ~~su~e that no cuplica~e se~e= and vater pe~its are
issued.
I
q . Jor ()-
k~OUNT P~ZD~. . hW~
R'=:C I DB.;
-
F-;;"";'<<:.
*
D 2-. ':'::; Pl>. :; !J
i
R.=:C=::!?"!:':~
I
_ I .. .;. ,- 0:'1 n.'. _ ..... ?.~. -..... ~ " '~- =: "r. u - . .. -, ,
I
I
d 99G l 9S1 998 'oN/SO: 91 '1S/60: 9 l GO ,6l '60 (nHl)
.:' ~ ~-...
I "":'L
. 4- ,,--f'""'\
_' _. _:1
j "':: J -( I':' 1 .....'
I~ ',- - .~..: _~ =:
G
WOHd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~w ~l~icant I PERMIT NO. OZ~/13(P
jFR:es
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I :::: {~:~?a
(Phone) b51 ~~ 44CX)
a
~~
APPLICANT
(Name) t-<-j,.H~/ H;/&G
q3J 01/ y#p
(Address)
Lb.A/
(Address)
(Phone) Ic/51-???4 -q.'?7!?
ALr -55JU
(Zip Code)
~/'/
City)
(Contact Person)
/1:ffde
(Phone)
DATE
APPLICANT SIGNATURE ~//
q/;4
/
,)aNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL4.dAl...?,/ ~ 6.:io ~ 31 S- FUEL Nd ~
FLUE SIZE ~' ~- ?JI t ~Vc..... RETURN OPENfNGS . ~ - ~ fNPUT lS tJCJ:) OUTPUT ~poO
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
.2 Mechanical o Radiation Cannot Encroach into
..0'o.ir Conditioning o Special Devices Required Side Yard
0' ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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 Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
6l /1l3 (0
REA TING PERMIT FEE
SI A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
(Office lIse Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Dateg
... L
By
Building Official
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
~. F.~"w ~J~jcant I PERMIT NO. OZ - 1(30 I
ZONING (office use)
15291 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 FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/16/02
APPLICANT PLEASE COMPLETE BELOW
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
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 $
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
<P~ WITH
.soBUlLDING
PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuiIdine Official
Date
~ 182002
By
Paid
Receipt No.
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 PERMIT NO...., - II '3/1
3. Y.How Apphcanc . c7' F' ,
ZONING (office we)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
~/-6/Y/a/ /.A/
d~
.
(Phone) ~~/-4G:>~ -cJ~
APPLICANT 1.1 /
(Name) ~/'./7'O ,Hv/9C
(Address) 4/3/ c:y' ~. ?J -6Jy/
(Address)
a-/~,-/
(Phone) ~<S/ -1?94 -?g:?~
4~/~1 ~~".I $5/2"""2.
(G;y)/ (Zip Code)
(Contact Person)
(Phone)
DATE
II
APPLICANT SIGNATURE
~EW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~~,-L/~X' 6 ,.,:)~ cQ 31 S- FUEL ",/a/-
FLUE SIZE d-?/ 'PIc RETURN OPENINGS b INPUT ~a:o OUTPUT rP2h.V
TYPE OF SYSTEM REA TING OR POWER PLANT
~ann Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
~Mechanical o Radiation Cannot Encroach into
~ir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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 Only
$39.50
Residential, Heating & NC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
...-..~
'''\1.'
.r....
'/1
Paid
Receipt No.
Building Official
Date
NOV 2 0 2002
By
Date
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
~. ~:n 2!:y I PERMIT NO. '"")- /13 ( ,
3. Yellow Applicant , c:::'\ ,
ZONING (office use)
15291 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 FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/9/02
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
DWarill 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 HEA TN GLO 6000TR-OAK & PIER- TRC
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 Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office llse Only)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,.,.,,,
~ . r.:,~J!) to
I.....~IJJ!J:J~.:\.''''::; ,
---. '~.~ IJ
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine: Official
Date
DateOfC - 9 aa
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 02.-/ 13~ ~SSUED
CONTRACTOR fA~1f.J;M~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~~.,.., fi -.c
I FOUNDATION (Prior to Backfill) I I
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
/"/-0
fit
Ipf
'c
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
GRADING (Prior to Sodding)
BUILDING 1-<"''' 0>1\+; \ ~ "'1t)3
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
1- ""2 -0 t.-{
~-c57
;L " 11-0'>
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 (612) 447-9850