HomeMy WebLinkAboutBuilding 02-1170
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g'~JDd-
I, White File
2. Pink City
3. Yellow Applicant
PERMIT NO. OZ-I/7 0
ZONING (office use)
~O/)PCr~SJ
;)-
LEGAL DESCRIPTION (office use only)
LOT1~BLOCK I
OLlJ-
PIDolS-- 3a'l-Cb'~...O
JJJ~c,cb VI eW
ADDITION
OWNER
(N ame)
(Address)
5"3<-/3
BUILDER
(Name)
(Contact Name)
(Address)
C5:::t;11 ~
6/11
,
~/lJ r"
(Phone)
(Phone) 95d---c:?53dS<;3
<S~ 1f57O/-I
TYPE OF WORK
New Construction
Deck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 erty to perform ne e mspecti ns.
Ocf~~oI
#cXoo 7~737
Contractor's License No.
x
Permit Valuation
Permit Fee
Plan Check Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$7 73h. 7
$
$
$
$
$
$
$
$
Water Meter Siz 5/8' I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
35"'.5V
O.~
TOTAL DUE
es Your Building Permit When Approved
I Paid (I ~~. 7;
Date ~! 'tJlo"t-
I Receipt No. 1JC>57
By IL () L
l-r2-Cl~
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
"(A,....,' ; '\_" ~~i.,.,'!;.~,;.,..... , "'\..:..~;lo>".~;1 r' \,
1"'-1
White - Building
Canary - Engineering
Pink - Planning
Thf' Crnlu nf Ihr 1..11.1' COunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
----
~~
APPLICATION RECEIVED P-- :;L[---()d-...
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permil
application for construction activity which is proposed at:
d-d-9;)- S1(}7UC1h-r rfJ~
Accepted X
Denied
Accepted With Corrections
Reviewed By:
M9f3
Date:
9-/~ -o~
Comments: See .Reverse SidA for A.dditional Inform3tion!
1) Grading Plan, 2) Erosion Contro easures
3) Erosion Control Phm
"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
Tht> Cf'nlrr of Iht' tab ("ounll")"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.-----
~
APPLICATION RECEIVED p-- ~-()o.-.
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d-~~ Sr;;:;;u~1 PaLlv
><
Accepted
Accepted With Corrections
-t:J;~
Denied
Reviewed By:
Date:
7-12-02-
Comments:
{2eaoP &ct{6c4J AJ ~
"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."
~~ ~
........ ..
.:~
'.
',~
'"
The Ct"n't"r of rht" tah ('oun.".'
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:
-'
.-'
'".......~.. ./
/./ /!
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
lif .
,if.
M"
.~:",:
"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."
't'l'" ,
..... '-'( UL./ ~(.Jt:j,,::,:,
lL:~l 9524512155
ln~1 J.i._,UlI I'M tlUH/4j!<l5
DASEN CONTRACTING
CITY OF PRIOR LAKE
PAGE 02
IdI 00.1
Ut1.J.{.\J/U~
CITY OF PRIOR LAKE PLUMBING PERMIT
5 ti-UUA- .l- wd;:v-
Data Ret'd
~: ~ ~i.r [PERMIT NO'OQ2I/"7~. '1
} Vel'- Appll..., _ ~ , v .
LEGAL DESCRlPUON (oltice \I~ only)
! ZONING ,__, ]
ADDITION
L0 U,'..evJ.
PIn
I=: QeOk~~o~e~
=~~~.\e{1 ~+rOLh'J / Cf/l1f~ H6meS. (Phone)~5a.Lf/P/~/0(),
(AdLb-c:.ss) ~L(;)4S- k.h.*llRL ot,L /.nKiu'l! {. H u SSQI./'I
(Addn:ss) (City) (Zip Code)
(ContJIct Penon) b ocd~Y\ La r -~ (Phone) !t5). '1lj I ~;).I (jJ .
APPLICANT SIGNA /f --' OA TE J p_ ~ _~ _
(Phone)
,.'
QOllntity 1)~ ofFi~ture QUSlntity Type or .Fixture
Bath Tub with or without shower Rough-ins
Dishwash~r Water HC8.ter
Floor Drain Water Softner
Lavatory (~athroom Sink) Stand PipeJWashing Machine)
Laundry Tray (J or 2 compartmont sink Sewage Ejector
Shower Stall Backflow Assembly
Smks Bac:k.fIow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (TOilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Jlldustrlnl, Commc:rtlinJ &: Multi.family 1 % of job cost with II S39,50 minimum J'tesldcntial. New One & Two-rounily 599.50
Rl'3identiaJ. Additions ~ AIEcm.ions 539.50
Estimated CoSt S
BlJildini Permit #
(omet lJ$e Only)
Thi~ A.pp/icatlon Bc;c;Dmes Your-Building Permit When Approved
PLUMBING PERMIT FEE $
ST' ATE SURCHARGE . $
1 \JT AL PERMIT FEE $
.50
Bulldinl Offielal
JJOIe
Receipt No.
24 hour notice for alllJlApectlonl (952) 447-9850, fax (952) 44704%"5
16Zoo Eagle Cl'l:ek Ave., a.E., PrIor L.k.e, MN 55372-1714
\ ~
I I /1, \'7
1=' . ','_, \:::
CITY OF PRiOR L\.rv: PLD'fBl';G PER."IIT
D:4rc Rt!\:'d
I,: \~' ",
\~/~"/
~
cJ~ 102
~
,-:0.': C' [:'~S:i
I ?!e.1~C '~r::'t~ rJi :'r-::-:c L1d iI~ .le ,1ntrcm;
31'1e ,7'1t:
';lml (;:',
; '(~llo\.oo \:J="I"':.:I",
i L.:.CAi.. Oc.5C?~P7~O~i (UI:;c: u:<.: l'11:/)
,
~Y-ol7t~/e{'1 M;~
! PERJllT ,'o;;l_ ~
~
~
"- '-' . ,.._ I\.-" ";."7:..::.: '~':.:' .
. i
' I
~
~
''::',l,'i:::? /? ~
.. .',.:,-;;;~, Ge e V
3L~:(~:=
,J..r:: 0 fTUJ.';
P:0
-J
'_:'.--':"::~~:;:; :
r ?::c...:~!
--
i
I
-j
,
(':""";'~:::;:;,;
~, ;:" :: l: r. t::'
9~02,t;/tJol' J/J /
,
~3j'~~
(.~J.~;~~: )
(C:c'!I
(::8 ,=~~~)
- ~
" '- ~:: :.:~...: ;.- -: ;:.;c;;,)
=~A ~ j,
V dA A ;/
l ?::c.: r:<:)
Od /~~tJL
, ..!..??UC..!...'-iT SlC.'i.J.. T<..;RE
~
D...!.. TE
:-\.PPUC.-\,~T PLEASE COMPLETE BELO\V
T,vpe of Fi."Cture I QlJ~nrity
Bath Tub I,Vlth or without ShOV.iC::- I--J
Dlshw::Ishe:-
! floor DrJln
I L::I1i:J.torl (Bathroom Sink)
Ruu~i1-ms
WJte:- Ee:lCe:-
\V::It~:- :)vttner
SC::Ind Plr..-: I \V:l5i1m;; .\r:!chln~)
; .sCW::Ig~ Eje::wr
I Backt10w Assembly
I Backt10w Assembly Test
I Lawn Sprinkler
I Other
Type of Fixture
QU~ntiry
(
i LJ.undry Tr:J.Y ( i or: ..:amp:lr7T:lc:J[ Sin:..;
I Shower ScalI
I Sinks
I Bar Sink
I Warer Closer (Toilet)
L
.3
FEE. SCHEDGLE
rndus,r:~I. Commercial & ,vCulti-t":lmily 1% of job cost wj(h a :539.50 minimum
E:;timat~;i Cost S
R~side:1tial. New One: & Two-Family 599.50
Residential. AJdi,ions & .-I.1,e::1(ion" :539.50
Buiiliing Per7nir :;.
(Oftice Use Only)
This Applic:lCion Becomes Your Building Permit When Approved PJid
PLUMBfNG PERlvCIT FEE S
STATESURCK~RGE S
TOTAL PERMIT FEE S
.50 L"
....J iF.-. "
~"''''.';''-iJT
Buildin~ Official
Dare
Dace
:~ hour nocice ior ajf Inspt!crJOns \9:::) ~7-91j5iJ. i:J:C (9:5:) ~7~:~i
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
r &~~: J!ZiCant l PERMIT NO. Q-I/70 ]
2292 STONECREST PATH
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/28/02
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATmGORPO~RPLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity 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
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)
(Office Use Only)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$39.50
$39.50
Building Permit #
$
$
$
.50
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine Official
Date
Dateocr 3 0 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FAX NO. :7634283682
Nov. 08 2002 08:49AM P1
I
._,.,~. .~.,' ". CITY .OF PRlOR LAKE
HEATING/AIR CONDmONINGIFIREpLACE PEQMJT
.., ..' . '. . .
D.te Rec'd
l. "Ink
2. GN.n
J, "./10...
~!; /PERMiT NO.
AppllOOftI L.;J-
1/10]
LBGAL DESClUPnON camel: use only)
ZONTNO (offiCI! \I(~)
LOT
BLOCK
ADDInON
OWNBR.
(Name) _ Ce /'J f{ ><-
(Addrcss)
Ai ~ hi.;> <::
prD
(Phone:) .
..
APPLICANt
(Narne)_ :#Pll'.~, ""J
(Address)
~ ("C)oO />".,. 9
.
-rt~
(Phone)
7' 3 - 4~r- 5(:; 77
(Contact Person) _
-
/ ~ ,.Ir'-!
APPLICANT SIGNATURE
S"~-;:, '"
(Zip CO~)
(Phone) ~/ 2... - ?" 3 - .s-~t:. '7
DATE I / - f-l?a
" APPLICANT PLEAS"E COMPLETE BELOW
gmw CONSTRUCTION 0 REPLACEMENt 0 ALftAAnoNS
FURl<ACE MAKE AND MODEL ~ "" · ,,+- :::: S"l' ...f\, '" _ FUa Go.s
fLUE SIZE _F:vc RETURN OPENINGS ~. INPUT;? 0, '-''''Q _ OlTIPu:r _7'1. "'''0_
TYPE OF SYSTEM HEATING OR POWER PLANT
UJ'W1U1tl Air Plants 0 Steam
. OGravity 0 Hot Water
bl..Mec:hanioal . 01tlldiation
Ert\ir Conditioning 0 Special Devices _
~ent. System 0 Other Devicc:s
PLEASE NOTE:
Air Conditioner Units
Cannet Encroach into
Req~ired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
=-
Industrial. Commercial &. Multi-Family
Residential. Heating & AlC (New Construction)
Residential, Heuting Only (New Construction)
FEE SCHEDULE
I % of job cost Rc:sidentilll, Oas Fireplace:
S39.50 minimum
$99.50
$64..50
Residentml. Additions &. Alterations
. Residential. AC Only
$39.50
Estimated Cost S
$39.50
$39.50 .
Building Permit #
(Omee VII!: On'y)
Th'$ Application Becomes YOur BaUdlng PernUt When Approved
REA TINa PERMIT FEE .. $_
STATE SURCHAR.GE $
TOT A.L PERMIT FEE $
.50
Paid
,.-..-..
'-uUlllng om!:I..
DII'e
Date
24 hour notIce far.rr 'n'peeEI...". ('52) ..7-9850, r.X (952) 447~24S
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~~iL S~~ ~
NATURE OF WORK ~..,J
USE OF BUILDING 5r:n
PERMIT NO. 02-//70 DATEISSUED '1-{"2...0l...
CONTRACTOR a.-(,o-v~~ PHONE '752.. - ;l3~ - 2.. <rJ
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
! FOOTING ~ I. tJ I?L"IDJ-
I FOUNDATION (Prior to Backfill) I s- t4r ..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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 I
FINALS Tt:~ C
GRADING (Prior to Sodding) p. Z 7.IJ
BUILDING W
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
z--
1/ --- - (/2-
..-- Iz..r r/'\..;
11- J-(fL
I
fb/t/03
tr3
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.
FOR ALL INSPECTIONS (952) 447-9850