HomeMy WebLinkAboutBuilding 02-1141
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In
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~~~~
Date Rec' d
F~d~-~
I. White File I PERMIT NO
2, Pink City . Ot:.... / / A /
3 , Yellow Applicant , ..,.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK/
ADDITION
PID
OWNER
(Name)
(~ /hAP)'
I '0 tJ t-e-,f, l
(Phone) fi'S;)- Y?b-7 go?,)
~S.?'8
(Address)
BUILDER . .
(Name) (81'";fy -fh:,~
(Contact Name) chnS .tlAcj,/r~
(Address) ~/he 0
ZONING (office use)
5 - 3 SI-/-OfoO-
(Phone)
(Phone)
1$)- 9'56--.76>'-$)
?S')-~? ],.~ ;)Sif~
TYPE OF WORK
KNew Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
l:l S-, cn:1O
OUtiIity 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 th,at, the building official can revoke this permit for just cau, se. FUrthe,=~' I h=by 'g'" thot th, city Offi''7jl;'al or a designee may
enter upon the property to Or!ll eded inspections. .? I r J
X :JC07 t, 7 :;; 7 6:/ '- V p{
Signature Contractor's Li~nse No. Date
#
#
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ ---. Other
Gas Fireplace Permit Fee $ lio . C>~ TOTAL DUE
#
#
9-5-62-
Date
$
$
$
$
$
$
$
$
$
.00
-
-
>rtify 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
"v the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
tanning 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
Th(> Centrf or the t.kt Countl")'
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
~
Accepted With Corrections
Denied
~~~""-"--..--?/--/--1'"
Date:
ct /![ Is 2-
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."
White - Building
Canary - Engineering
Pink - Planning
Thr ("rotff of Ihl!' L.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (l~- ~
APPLICATION RECEIVED <(' /J~d-- d->
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1L/3~~ ht11fkYJ~~ Md
Accepted y...
Accepted With Corrections
Denied ~
Reviewed By: l f
Date:
f - J ,.()Z-
Comments:
,~ ~ (!}a('M (2 ~
"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."
~
Tht' ern'fr or thr l..kr Coun'f)'
.~
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White. - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT ~ ~
APPLICATION RECEIVED <?' /' ? &. - d--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IL/33fp IhMI2~ ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/J1'J/S
{~-{.e 1Yl111~
Date: 9-5-6<"
{:,'/ c
"
"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-\KE PLC:.IBr:'1G PER\ITT
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APPLIC.-\~T PLE.-\SE CO~{PLETE BELO\V
QU:.lntiry Type of Fi."Cture I Qll:.lnriry I Type of Fi:cturc
Ba::h Tub v.tell or wiehouc 5hO\\i~:- I RJU~i1-ln:i
( Dlshw::lsh~r i W::leer E~:lte:-
I I floor Dr:J.1n I I,V:lC~:- Svt'u1~:-
I L.1'i;).ccr/ (8athroom Sink) SC.JnC P:r.~ I "V:lS~tn~ \-LlC!ll,,~)
( i Lwnt1ry Tr:J.Y ( i or: .;omp:.lr:m<::::H :iir.:~ i S~"v:J.:;~ EJ~c:or
! I Shower Scali , Backr10w A.:isernbly I
I I S inks I Backt10w A.:isernbly T ~st I
I Bar Sink I Lawn Sorinkler ]
7 , Wacer Closet (T oil~t) I Other J
fEE SCHEDLLE
[ncus:.:;:,!. Comme~ci:11 & :VCulti-f:uniiy [% of job cost with a S39.$0 minimum
R-=side:1ci:11. New One & Two-Family 599.50
R.:side:uial. Addit:ons & Al::::-J.c:ons 539.30
E:it:m;lce~ (use S
8uii<.!in;; P::7;1it .:f.
PLUlvCBCNG PER..\"UT FEE
STATE SURCHARGE
TOTAL PER'HIT FEE
s
:s
$
.50
~ "''''\
"':':';"l<::
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^--
~
(Office l..'se Only)
This Applic:lCion B~comes Your Building Permit When Approved
Paid
Rec:::pc No.
Buildin~ Official
Dare:
By
Dace
:~ 11,)ur llocke ior :1il inspectlOllS I?::::) -4"7 -?:lSiJ. f:J:t ('J5:) -47 -4:~.:i
09/25/2002 13:55 5
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PAGE 01
Ii 011
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CITY or PRIOR LAXI
SEWJ:R AND Wit. TEll PERMIT
L.8GAl. DISCIUl11O!f (....... ntrl
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AtlJ:lmON
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i APPLICANT
~ (NUM:i~
K &: R Contracting, Incorporated
I (A4bet.) - 3245 Lake Avenue
I New Pragl!e, MN 56071 (~ as-;;J.-7
, (Contac.1 htsr &c4 ~ __ ('PlIoac) -,.
· A1'PUC\~'TSlG~TUU~Al~~ lfinu:J~n
(JIbaM) ...
~ I,
I
APPLICM"'T PLEASE COMPUTE BELOW
S11a al..-1G'Yicc .1..:a indl8I. '
L~11 of MY coupliql from.~ tKJ re.c.
Type 01.... pipe., 0 ABC ~ 0 C_ Inm
k'~ 1'- of.....11M ll.Q.. a.n.
adD 01,11 (it nquind') louted at -::: ,. &am I'INCUI.
ru SCKIJ)t"U
R.I,id811ri.r..wer..d *a~r hIICIM'~oa I!""O IftcNltrW. CO!l\'tj: ~tl.r.n.i1y I'M. otjo~ ,*1 IIIlthll),",O _.....
~er eIJnn81tl0fl Oil I)' 111.'0 \If... c....udliaD .." 'a '-'0
Eft. ReS COlt S
l1&ildiD. P...mil .
SEWD. AND WA Tn P!!Qlf1T F1lE
STA T1t luaeHAIlG!
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TIllr 4p"Ucaftolll i.ea... YCllIr 11&1141_, P,",II Wh- "PpnilItd I I : ; f.~
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.
CITY OF PRIOR LAKE I
HEATING/AIR CONnITIONINGIFIREPLACE PERMIT.'.
'," r' . .' , .
Datil Rec'd
I
LBGAL DESCRIPTION (oftice use onl)')
LOT
BLOCK
ADDITION
PID
. '. '," ."
, .
);
~ ~w Slew I PERMIT NO. d- - II if I
ZONING (olfla we)
OWNER '
(Name) ~~" r-<. v.
(Address)
H~~s
"';:"',..
.. :
(Phone)
':':'f:':'.~: "'~~~~~'~:" J. '.'" :;: I;>
(Phone) 7'3- 4~9... ~'71
",..P/4 c.'a..... S'~3'~
(City) (Zip Code)
(Phone) ~J:2 - "3(. ~ -~S-(",7
:.... .
DATE JI-.- d2...
APPLICANT PLEASE COMPLETE BELOW
APPLJCANT
(Name) . #~a -1-. ' -1
(Address) . J ?.J-S"c:)
~ t'7cal/^?
('!(J "'" "-"1 ~-:I
(Addte$
(Contact Person) ,~.. 'f
APPLICANT SIGNATURE
COat'-
W CONSTRUCTION
FURNACE MAKE AND MODEL 8"., "111..:1-
FLUE SIZE 4- 'I RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Planrs
'. OGravity
Cl ~~hanical .
lld<<ir ConditiDning
OVent. System
FIREPLACE MAKE AND MODEL
r~
*8'1
o REPLACEMENT 0 ALTERA nONS
~ JI~o ~~~ 7'0 FUEL .G, OloS
~ INPUT 70, U~() OUTPUT --55; 000
HEATING OR POWER. :PLANT
o Steam
o Hot Water .
o lUdlatlon
o SpecillJ DevicC5
o Other DeviCes
PLEASE NOTE:
Air Conditioner Units
Cannot BncroaQh into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job eDst ResidentiAl, Gas fireplace
$39.50 minimum
$99,50
$64.~0
Industrial, Commercial & MulrlftFamily
Residential. Heating &. AlC (New CDnstruetion)
Residential, Heating Only (Now ConstructiDn)
Estimated Cost $
$39.50
Rcsidmittal, Additions & Altel'lltlons
. RC5idential. AC Only
$39.50
$39..50
Building Penn it #
HEATING PERMIT FEE. $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om~e Vie Only)
.50
This Application Becomes Your Bulldlhl Permit When Approved
Date
. Bulhlloa omdal
Date
11-/:;";)-
14 hcuar nOllee lor aUlnllpectloal (952) "7-'850. fax (952) 447-4245
[d W~8C:80 c00c 90 "AON
c89[8cv[9L: "ON X~~
OMl-8NIlOOJ-8NI1~3H: WO~~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. F.~lnw Jl~icant I PERMIT NO. I? - I IV /
ADDRESS
ZONING (office use)
14336 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 FAIRVIEW AVENUE
(Address)
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
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 Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
)"".'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Bui1diDl~ Official
Date
Date OCT I {) 2002 By
,/(/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
~ ~~"'- ~~~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1::l3~u, I3t~klL\or-e
NATURE OF WORK jJc:l4.)
USE OF BUILDING SFfT-
PERMIT NO. 02 -//4-1 DATE ISSUED 9 -J'-o-z..
CONTRACTOR Q~ PHONE c;S"2-~-4-tL2-.
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 M !I-IS~(JL
INSULATION 'I/IP n~/ti-(f1
ELECTRICAL
PLUMBING I4fJ 1/--/3., cJ2-
HEATING (if required) Wf 7( '- Jf; ~ OZ--
FIREPLACE YIIY ./ J /r/ S -(fl.
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL ~
PLUMBING t-v ~
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