HomeMy WebLinkAboutBuilding 02-1139
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8/ J-.r d-
1. White File I PERMIT NO
2. Pink City . /)7 ~/(?q
3 Yellow Applicant . L 21-
,1/1 s.... S ] -7:;)
LEGAL DESCRIPTION (office use only)
LO~ BLOCK I ADDITION 'eQ'cJr.; lA/V1f'w
OWNER
(Name) (rrt,-kr lp#?P5'
ZONING (office use)
(Phone) ?'S)-';)3 5- :;;'S ~/;)
.IV Sl ? if?
(Address)
BUILDER
(Name)
(Address)
:;; &'O-1.-7€ 4' (
(~~rJ ~ (
;; OI'1~ t;s:
(Contact Name)
(Phone) ~S;;"~-9s.6-7 S'~5
(Phone) YS;)r;) '?- ~ '-p y;;
(/ I4-j, Pi'"
fl/c/~jJfO
C-'wJ''I-Pr
TYPE OF WORK
ORe-Siding
ODeck
OPorch
ORe-Roofing
'fl1 New Construction
OLower Level Finish
o Fireplace
OAddition
o Alteration
PROJECT COST/VALUE (exdudingland) $ "'/:25: o-eO
OUtility Connection
o Misc,
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 t property per 0 needed inspections,
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
J C076-7~7
Contractor's License No.
$
$
$
$
$
$
$
$
Sewer/Water Connection Fee
#
#
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
q ~5-tfL
Your Building Permit When Approved
Date
&/giJ:J
Date
$
$
$
$
$
$
$
$
$
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
issued.
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
~~
/J1 a :/.1 h'J r:/
ThE" Crnler of .he Lakf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T.he Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/' -_..../
Accepted i ~
Accepted With Corrections
Denied
Reviewed BY:~#~4~
Comments:
Date:
t:t /1 L /r9 /-
"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."
/J1i/IIt-' r; '/~
Th(" ('rnfef of lhe Lab Countr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (f~ ~
APPLICATION RECEIVED 8-;;1 a -0;)-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11/33~- ~~m-r:'AJ08/ud
.
Accepted With Corrections
x
Accepted
Denied ~ 4t
Reviewed By: (
Comments:
~ ~QQ,a&~ 14&-~
Date:
1'- ?-o?
"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."
/Jltl'~ r; 'J~
Thr ('rnlrr or fhr I..kf Coun.ry
White - Building
Canary - Engineering
Pink - Planning
, ,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (P ~ yJ~
APPLICATION RECEIVED 8-;;? ~ -- 0 d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1-/ '3 3 ~ - 1fJ.A-OOf? }?J~ 8 / u d
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
tYJ9T3
Date: 9-5 -o~
Comments: See RAver~A SirfA fnr Additionallnformationl
/Yl c,;'J1 F, 'Ie
iC,
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."
~'"
/"::~"-?'"
i~/ If \ ':~
D~t~ R~c' d
CITY OF PRlOR LAKE PLC:.IBI~G PER..\IIT
\:\~I"7/
~
_ ~~::~ ~:~, PER.\IIT ~O'-J-{l'Yf
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; ,~_??::.rc.~.~T :3lG~j,~.n;RE (J ~ ~ tv!d~AM
(:::c.:r:<:)
DATE
APPUC.-\:\T PLE.-\SE CO~IPLETE BELO",,'
QU:J.ntiry Type of Fixture I QIJ:J.nriry I Type of Fixture
Bath Tub with or wir!lOur 5ho\v~:- i I Ruu;;h-IOS
I Dishw:lsh~r / W:lte:- H~:lre:-
I I floor Dr:110 \V:lre:- Sufu1~:-
.S I L:l'!:J.wrl(8athroom Sink) / I Stand P:r.~(\V:l.Shin~yLJ.chtn~)
I LJ.undry Ir;].:, ( i or : ..;cmp:J.r:li1~nr :;jn:~ S~'.V:lg~ Ej~c:or i
I Shower Stall 8ackr1ow Assembly l
I Sinks Backt10w Assembly Test J
Bar Sink , Lawn Sprinkler
Warer Closet (ToiI~t) I Oth~:-
FEE SCH..EDl;LE
[ndu,mial. Commercial & Multi-family 1% of job cost with:l 539.50 minimum
Residential. New One & Two-FJrnily 599.50
Residential. Additions & A!terations 539,50
E:;timate:1 Cost S
BuiiJing Pe:"7TIit .:f.
PLUMBlNG PE&.vlIT FEE
STATE SURCHARGE
TOTAL PE&"~IIT FEE
:s
:s
:5
.50
\ 8S
~
,~, .,
(Office t:se Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildin~ Official
Date
B~
Dare
:~ hour nuti<:.: for all inspections ~'J5:) ~7-,):i5iJ, f:u (9:5:) ~7~:~S
u'" J
09/25/2002 13:55 5
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to; aa OP PI~, UXI
PA(:j~ 111
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t
CITY or PRIOR LAKE
SEWER AND WATER PERMIT
:Dr
!Loa
ADDmON
PIP
i=~ C~~~i
I(M'-l /~41~k.dLu'~~' gi)()
.L
I
j Ar'I'LlCANt
: <N_:i_ K &' R Contracting, Incorporated
I (A4dIeN) - 3245 Lake Avenue
I New Prague, MN 56071 (CIIr) as-;;J..-7
, (Coo...._ &C~ _ (ftooc) -f'
, AI'Pl.ICA"''TSIG~nJU~ Ul~~~n
APPLICAA"T PLEASE COMPUTE BILOW
S1z8 at.-.mcc -1:a. indwa.
LOCIhIl of IftY coupliDp from.1r\JC:tIn Ul2 fttc-
Tn- ot.... pipe., C"] ABC ~ 0 C_lnm
2ftj.--ll..,a or.....llM Uf2 r..
CleaD 01,Jl (if fI4Uind) 1oa18d at -:: ,. iem InNC1Ift.
(JIbDM)
ra SCIIDULJ
tt..ai.lltiel ....1'1' Mid Ill'"'' rn.1 100000'C'rioe I"~ ,50 rft"'ltI'1Ill CCll'Il'l . )o(uhI.farllil,. l iK of Jo.. ceI! _l1h . 1)'_'0 .....
sfter e.,mll.,tl_ 01I1~' 111.51>> W... _~ ..., sa 1.50
E....,. COd S 1 IQiWiDI..mil .. ...
sawn.,QID W^TD'I!aM1T FI.E S
STA t1t ItraeHAaGI I : Ji
TOt Al.1'UMI't ftZ I
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(0.. U. 0.,) , "I
I n~ ~","'''''' i-_ Y... ..-......" ""'"" ~,-- I I"" J ~~ "~. ' '. ' .... 1
,_ _~ _ I 'w. OCT _32~;n/ '
- at ....._ ...n 1,_("*'''_''(9111'''- '
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1/39
~. ~e:n ~~:y I PERMIT NO. ~ -<ff--i..f-pl
3. Yellow Applicant . .
ADDRESS
ZONING (office use)
14332 BROOKMERE BLVD NW
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 F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/14/02
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:
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
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
$39,50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
"..,------...
, ~~ p~' -
. . .~,. W!i1/'o"",," _.
. ',g"p......
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl! Official
Date
r\
~, I
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.
CITY OF PRIOR LAKE
HEATING/~IJl, C9NQIT1~~GIFIREPLACE PERMIT.
Date Rec'd
. II' .
~. ,f"
/? IV" ~
!:rl !~ll PERMIT NO. )- It 39 I
I ZONING...... ....)
r-_M~~"'OIAM~
I ADDRESS 4k
. /9. 3.;2. "*,t~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK.
ADDITION
PIn
OWNER
(Name) c::!.C" ,t-~ 'It
He/I~s
(Phone)
...:......,..
. .'.~ i. ;" . ..
(Address)
: .:.~ r'~ ':" ' ~~.~i.~:: ..:.....: ~.~ .,~ "':" .' . .
APPLICANT
(Name:) , 8~C11 ~,' "7
(Ad.dress) ~) ?'J""$"G)
'.
t:!g.... I\~~
(Addresl)
(Contact Person) ~"" ..,
APPLICANT SIGNATURE
~ (1001'", r~
~qI 'g,
(Phone)
7'3- ~il.9 - ~'77
~~3~(jil
(Zip Code)
"3'-~-5:"~G.7
~ -0 2:.>'
~.pI4 G.IG......
(City)
(Phone) G" L -
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8t1"'" ""..:1--
FLUE SIZE l.J II RETURN OPENINGS
TYPE OF SYSTEM
" ~1Il'tt1 Air PllUlts
OGravity
o tiechanicllI ,
(gt(ir Conditioning
OVent. System
o REPLACEMENT 0 AL TERA nONS
'? ~.3o ~e.,.~ 7'0 FUEL ,G, ~S
~ INPUT -'0, u<>9 OUTPUT S-S: oQO
HEATING OR POWER PLANT
o Steam
o Hot Water .
D'R.4dlatlDn
o Special Devic:es
o Other D~vicCll
PLEASE NOTE:
Air Conditioner Units
Cannot Bncroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
InduSlrlal. Commerdal &. Multi-Family
FEE SCHEDULE
I % of job cost Residential. OIlS Fireplace
$39.50 minimuln
$'9.50
$64.50
$39.50
Residential, Heating &. Ale (Nc;w Construction)
Residential. Heating Only ('New Construction)
R.esldm'Ual. Additions & Alterations
. Residential, AC Only
539.S0
$39.50
Estimated Cost S
Building Permit #
MEA TING PERMIT FEE, $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
D.te
o.
(Office u.~ Ollly)
This Applleatlon Becomes Your Building Permit When APPfQved
Bulldllll omcl.,
Date
~4 hOllr notice for aJllnapectlonl ('52) 447-98S0,lu (951) 447~24S
cd W~8C:80 c00c 90 'AON
c89~8cv~9L: 'ON X~~
OMl-8NIIOOJ-8Nll~3H: WO~~
PRIOR LAKE
INSPECTION RECORD
~oo~~~ ~(Jol
L Ma3~~~~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 143~2....
NATURE OF WORK Jj.o w
USE OF BUILDING 5 FA-
PERMIT NO. .(72 - J /_3'1' DATE ISSUED ,- 3.C5""L
CONTRACTOR C~ ~5 PHONE 951.-23J. 2~ qL.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
(///;&/[:)/ I
J FOUNDATION (Prior to Backfill) I ~ t~ I q / 2-D If) 2--1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
I/Ift"/
J FOOTING
INSPECTOR
~4
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING r..&,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
7
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/( - )-(;- UL
( ',l.,( - en.
{(- J..,(-rJ2.
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850