HomeMy WebLinkAboutBuilding 02-1140
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2 Pink City
3. Yellow Applicant
Date Rec' d
t"dd'-~
I
PERMIT NO.02 - / / 40
LEGAL DESCRIPTION (office use only)
ADDITION
PI~5-
OWNER /'
(Name) <..n1Jey
Ifr,J/)"} rS
ZONING (office use)
IC 'd-
(Phone)
?S',;)- 9?b'-7~'??
/1"r ~ 5-3 V
(Address)
BUILDER r'
(Name) ":>~P'?e <C.! 0 '-t-- h .pI.......
(Contact Name) C Arl'C) P/~hrzr
(Address)
(Phone)
(Phone)
,~;;--- 956- 7J:?-3
PS'}- - d 3:J~;;1 ~-jI~
TYPE OF WORK
"fJ New Construction
OLower Level Finish
OPorch
ORe. Roofing
ORe.Siding
ODeck
o Fireplace o Addition o Alt4ltion OUtility Connection
PROJECT COST IV ALUE (excluding land) $ 1:2 s-, a-oo
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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon property to e needed inspections.
'Jt)o76'737
Contractor's License No.
#
#
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00.00
Mechanical Permit Fee $ 06 .00
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 40. IJ
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
gIS/O;)
Date
$ -
$
$
$
$
$
$ --
$
$5:273./
TOTAL DUE
s Your Building Permit When Approved
1-3-02-
Date
This is to certij'y 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
White - Building
Canary - Engineering
Pink - Planning
Thf' Cenlrr or Ihe t..kr Countr}'
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:
Accepted
t/
Accepted With Corrections
Denied
* ~--/~~~
Date:
q /{ L )e7--
Reviewed By:
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."
, >-
), .":
Thr ('rnlf< of Ihr I.okt ('ounlry
~.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMI'"P APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(luM
,g-?'d--d-.
The Bui1din.g, Engineering, and Planning Departments .have reviewed the building permit
application for construction activity which is proposed at:
/L/?3 t./ i~t!-..~j)~ /l~~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
M1R
~e 1Ykt'VI f, '( e
Date:
9'':-6'-0 <
'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 ('fn.rr of the I.akr ('ounll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(lu.1i;j
~-?-;)--^
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Ll~3 '-! ~~ ~-
Accepted V.
Accepted With Corrections
Denied -A- /) Ii A
Reviewed By: ~~ 7~
Comments:
300 ~ f1al\~ R~k
Date:
f-)-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."
-----
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CITY OF PRlOR L.-l.KE PLC~r3C\;G PER..\IIT
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APPUC.-\,'iT PLE.-\SE CO:\"[PLETE BELO'.'\"
Type of fixture I Q1J:Jnriry I
Bath Tub WIth or without 5hcw~:- I R0u~i1-m:;
Dlshw::lsh~:-
I fl00r Dr::lln
I LJ.'i:J.rcrl (8arhroom Sir.kl
Type offi:c:ure
QU:Jnriry
I
L:lUnt1r;; Tr:J.Y ( i or : -;OffiC;],r:i7l~:H :ilr.:~
I Showe:-ScalJ
Sinks
Bar Sink
Wacer Closet l T 0il~t)
I
\VJ.c~r S\J~~r
I Sr.1l1d P:r.o-: I\V:l,:;;,rn:; \-f:lchlr::::l
S<::'.V::lg~ Ej~:;:ur
Backr10w A;;se:nbty
Backt10w Asse:nbly Test
I Lawn Sprinkle:-
I Other
1
I
fEE. SCHEDl.iLE.
fndu$..i:ll. Comm.:~cial &. Multi-tJ.miiy [% of job cost with a S39.50 minimum
R.:sid.:ntial. Ne'.v On.: &. Two-FJrnily 599.50
R.:sid::ntial. Addit:ons &. A1::::-:1c:on$ :539..50
E;;timare:i Cost :s
Buik!ing P::7.lic .~
,....... --
f"''' ~ '"
rt . ~.. ~~:"'r-,.."
'. . .'
(Office t:se Only)
This Applic:ltion Becomes Your Building Permit When Approved
PLtJ1vffirNG PERZ"UT FEE :s
STATE SURCHA..RGE :s
TOTALPE&'ITTFEE :s
.50
Buildin~ Offici:1I
Dace
SEP
I Rec~ipc No.
,I By
Paid
D:lre
:~ n'Jur notice ior ail inspecrlons t'J:5:) -447.9::150, f:u: (9:5:) -447...:~S
09/25/2002 13:55 5
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t,;n, O' PRlOR UKI
PAGE 01
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: <N_:i_ K &' R Contracting, Incorporated (JIbGM) ...4
I (Ad..ctml) - 3245 Lake Avenue
I New Prague, MN 56071 (CWr) as-;;J..-7
, (Contac.1 Penar &C~ /? __ (Plaozsc) - { .
; APPUCAl'-'TS1G1:5!-Tl1U.~~~~ ~ ~TI
APPLICANT PLEASl COMPUTE BILOW
SlDaf..-raaftc ~ind\..
Loc:aIiOI1 of any C:C"Pliap from a1NCtln ~D me.
T)'pt of....... pipe. 0 ABC ~ 0 C..lnm
ift'r-' 1--' of......11M .l.i.Q... filet.
aeaD 0"- (if requind) located at -::: ,. &em 1'INCU'8.
I
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ra SCIIDUU
~li.,lt~.! "'1'1' IQd w.." h. ICIftIl.~oe S" ,50 YI\d\altrW. toft!. 'II: Multi-bit,. I ~ ot jo" eDIt \ljlth . S3','0 .....
sR.,er elJlIlI..tlOl'l ollly I 11..!1I W... CGf.ultiaa aaJ, 111.50
8....__ COlt S
IQiJ.cliD. '...mil j
SEWD. ~D WA TEll 'BJU-I1T JIBE
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~~~:w ~l~icant I PERMIT NO. ,?J - / f Y tJ I
ZONING (office use)
14334 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
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/14/02
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
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. 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
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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
r~
0>. ", fPAFl}
t2)fI.li,it/ ff"l,.~ '.
,,-, u'~J' 11"";,' 'r,
_ w '"'\::.J.J ?
(Office Use Only)
Buildine: Official
Date
This Application Becomes Your Building Permit When Approved Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
...
... ~
....
b " .
CITY OF PRIOR LAKE
BEATING/AlJ CONl)ITIONINGIFIREPLACE PERMIT,
':' 0" . . , .
Date Rec:'d
~-;~~~'md'~~~ .
lADD~~ .
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~: 5:. E~~ I PERMIT NO. ;; -//4U l
J .IZ?NINq,.-..,. I
LEGAL DESCRIPTION (Qfflc:e \Ise Qnl)')
LOT
BLOCK
ADDITION
PID
OWNER .
(Name) <:!~'" f-.-<. v.
H~ ...... S
(Phone)
..... r .~;." .
. .:.'
(Address)
APPLICANT
(Name) , ~t""_ -/-. ' -7
(Address) ;,) P'.j-,rc)
~ t'cutl,,?
t:!(J~ ^~:t ~<I
(Addle
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APPLICANT SIGNATURE
(Contact Person)
COa~
" " .:~:~.t 'Y/h :~.... ~),~..
r~
'gl
(Phone) 7'3... '1~9... ~'77
hi..". 4,oa...t S'~~~ <?
(City) (Zip Code)
(Phone) (PI 2. - '3("3-.C;-~Clt7
DATE /1- .(0 '-Oz.;;' ~..
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8r"'y 19".:,t
FLUE SIZE 4-" RElURN OPENINGS
TYPE OF SYSTEM
(3'Wll.nn Air Plants
. OGravity
o ~echanil;1l1 ,
(gflr.r Conditioning
OVent. System
FEE SCHEDULE
I % of job cost Residenthll, Gas Fireplace
$39.S0 minltnum
$99,50
$64.S0
FIREPLACE MAKE AND MODEL
Industrial, Commerdlll & Multi~Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
o REPLACEMENT 0 AL TERA nONS
$ ~~o 11 ""~ ?'D FUEL .(0 01. S
~ INPUT 70,000 OUTPUT S"s: 000
HEATING OR POWER PLANT
o Steam
o Hot Water .
o lUdiatlon
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Urdts
Cannot Encroach into
Required Side Yatd
Setbacks
$39.50
RC$idenilal, Additions &. Alterations
. Residential. AC Only
$39.50
$39.50
Estimated Cost $ Building Pennit #
HEATING PERMIT FEE. $
STATE SURCHARGE $
TOTAL PERMIT FEE S
(Offil:e V.e Only)
This Application Becomes Your Bulldlnc Permit When Approved
o.
Date if rf.p" C
By
Date
v
Dullethl' omr:l.1
I
24 boar notice lor allln.pectlon. (9.!l2) 441-'850, lax ('53) 44'....1.5
~d W~8c:80 c00c 90 'AoN
c89~8cv~9L: 'ON X~~
OM1-~NIlOOJ-~Nll~3H: WO~~
PRIOR LAKE
INSPECTION RECORD
~{~
l S'~ ~ Ma..\lA. ~~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS jg3~ If-=:Rt'>>B k~
NATURE OF WORK ~
USE OF BUILDING IJF~
PERMIT NO. (JZ-//4C DATE ISSUED 9-3-o~
CONTRACTOR ~>< PHONE qS~"'23'?- ~'I"L
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 IN (l/o,.,d"'rtAA>
INSULATION Lv I { (/'-""'''(-.'0>1 ~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
l-q-(J2
1- V/- d2-
GRADING (Prior to Sodding)
BUILDINGw . '~\bYU..
ELECTRICAL ~Yvl...
PLUMBING
HEATING
DO NOT
<;c:::;J
~. l/ ") 2.t.~
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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