HomeMy WebLinkAboutBuilding 05-1021
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please
ADDRESS
at bottom)
Date Rec' d
f, IS-. 05
White
Pink
Yellow
File
City
Applicant
I PERMIT NO'05.102.../
/ 4Ci s:-
Su~.' f-
Iw,
LEGAL DESCRIPTION (office use only)
ADDITION Sf' eQ(;"
~)f'--
ZONING (office use)
Pl/O
PID 2~..307 o(pe. ()
OWNER /l . 1 (J C .) -7
(Name) / 1/1 (l~/ /-.:,(,/ (/ , ~ <;;.
( c...< ~/Z. 0 Y-' ('\/ _ > -I-
(Address)
DO'
(Phone) S;~ ~d .. Lrs ~ - 7 (;,0 ~
BUILDER )"Z /7 / [J '/
(Company Name) ?e~--Cv V0-v"S .
(Contact Name) J e.1' j) C)c.,~l-su----
(Address) '/ ~o t I 4 "':)-r-c.. S. Tr:.....A--<" '; t,
LrS-~. /{;cn
TYPE OF WORK 0"Mew Construction ~ ~h ORe-Roofing ORe-Siding ~er Level Finish ~Fireplace
OAddition OAlteration Wllity Connection
CODE: rlII.R.C. DI.B.C.
Type of &nstrnction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
o Misc.
A
R
5
PROJECT COST IV ALUE
(excluding land)
00
$ 340 ?~J,.-
B
S U
I hereby certifY that I have nlrntshed mformation on this applicatIOn which IS to the best of my knowledgc true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
official can rev ' this permit for Just cause. Furthermore. I hereby agree.t,hat the City official or a deSignee may enter upon the propelty to perform needed mspectlOns
1)--- .l? {! .....2.. 5> /} 6 q /' I ~"'-o S --
nature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
tJo,QO
gS.5"o
lfO~€>D
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Ltt~dmgp;i:~;'P;'d
BuildllH! OfIiclal Date'
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter
,00
00,0<3
000, () 0
Paid
Date
2.8. 38
9' ~ ~&'. -3~eiPt No. ~'c)tl1 ()-
-'/4'" B c;
ThiS IS to certifY that the request m the above applicatIOn and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested TIllS docu ment
~~~,~'ig". b, ,", Ci. ~,,",,ry C,""i,," "fZ;~/;;:;;;';"(;;~::; 'Sme"e "'Milii"'pne" m.." "'
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
Size 5/8' ;
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~ /().t::r.OS
See Main File
White - Building
" Canary - t:nglnAArlrl:g>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;Vl~O{)N/1 LD
9/~ oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l.eftJ 5 4- 51/f41fV? I T ~/IG~
X
.....
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
G~ III.",^- F,'/L
.
Date:
1-~7-os-
Comments:
See Main--EiJe
"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."
See Main File
CWb..ite - BuildTiiQ:>
~anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;vle,f)ON/7 L-O
9-/~ oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,14454- 51/~/Y?IT 6/~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
,.
~
Date: 9p3~S
"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."
See Main "File
-'
White - Building
Canary - Enaineering
~ - Plannliig)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
" / ('~~",/ j/ /~",",,'/"1 L". 1_//
",) /,,-, ,/
I, '
-
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ Li ,( /,",,'''L_ ",.'. //',/,/' . I "I " ( jl" ,-
j T . ,,/,. " l' I' c:' 1.../
Accepted
v-
Accepted With Corrections
Denied
O't
!
l
Reviewed By:
~
?-.R~~
Date:
C}/2-3/oS
,
Comments:
~ ,
See Main .File
'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."
CITY OF PRIOR LAKE
HEATING/Am CONDITIONINGIFlREPLACE PERMIT
Date Rec'd
Y[7;;~~~I:::'1
\, Pink
2.Citccn
l Yellow
C/ i"c/e
N,W.
~!~io_1 PERMIT N05': / I)~ J
i
ZONING (offi:c
uae)
LEGAL DESCRIPTION (office ~ only)
LOT BLOCK
ADDmON
PID
~=R ~Q()Nn/D
,
c~l-~
(phone)
"';662 - 7GO (
(Address)
~~~~ANTr:-~N~~~0
0..; ('1
(Phone)
--rhO - 6Cd.;:2
(Address)
;;J I~/ (')
to) mAl
(Address)
;::)1/1
/
15h) .'
/n'N ,
(City)
(phone)
~'C1';:> ~
(Zip Code)
(Contact Person)
DATE
APPLICANT PLEASE COMPLETE BELOW
-l) s-"
APPUCANTSIGNATURE
-
--ErNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ?Mil) e 7it/ Q 9: (', C 9 -sib) FUEL AI /'71-
FLUE SIZe r-~ II P u C RETIJRN OPENINGS INPUT ?tJ 60~ OUlPUT 73, CIY:J
( ,
TYPE OF SYSTEM HEATING OR POWER PLANT
OWlitIil Air Plants o Steam PLEASE NOTE:
o GIllVity o Hot W8.Ier Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
DVeDt. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL -
Indll31rial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job lX>st Resid~tial. OIU Fireplace
$39.50 minimum
599.50 Residential. Additions & Al~rations
$64.50 Residential. AC Only
$39.50
RCGidentiaI, Heolting & AlC (New Construction)
Residential. Healing Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pemlit /I.
$
$
$
PAID WITH
.50 BUILDING PERMIT
(Office lT~c Ooly)
This Application .Becomes Your Building Permit When Approved
Paid
Receipt No.
B.wdine Otl1cilll
Dllte
~e 0 1 Z005
By
24 hour notice for 311 iD~pectioDS (9S2) 447-9850, fax (~2) 447-4245
TOO~
~IV a3:110~~NOJ
SLlsosrTSS IYd Cr:LO 3:n~ SOOl/ll/TT
CITY OF PRIOR LAKE
HEATING/Am CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
m- ~ ~ ",w,;nuI ri",,, ....=)
~ ADDRESS
It I 95'1 SUJ'Y1r1/r
f ~=w ~~tiC4D1 I PERMIT NO~.I'Z/J
ZONING (offia
u.",)
C/~(lje
/J.- ~ (
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
Pill
OWNER Q f)
(Name) j?/ft ~
~A )~I- ~
(phone)
(Address)
APPLICANT ;;, IPO
(Name) Co ^) (l~
O)f1
(Phone)
/f(d:J - /&)~~
(Address)
(V(01 LO
~^J
(Address)
lIve <.'
,
F~r
/??/lJ ('
(Gty)
(Zip Code)
(Contact Person)
(phone)
APPLICANTSIGNATURE DATE / / - "o1-() S-
PLEASE COMPLETE BELOW
NEW CONSIRUCTION 0 REPLACEMENT 0 ALn:R;.\TlONS
FURNACE MAKE AND MODEL 7iY;A \ e /UXO&oC q-'l {;). FUEL ,A/;t /-
FLUE SIZE 3 If {{Ie -' RETUR.."10PENINGS INPUT ~ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWaI'Ol Air Plents
o Gravity
o Mcchanical
DAir Conditioning
DVcnt. System
o Steam
o Hot WaleI'
o Radiation
o Special Devices
o Other Devicc~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commerclal & Multi-Family
FEE SCHEDULE
1 % of job co~t R~sidential, Gas Fireplace
$39.50 minimum
$99.S0 Residential, Additions & Alterations
$64.50 Residential. AC Only
$39.50
Residential. Heating & AlC (New COll.>1Jl.Iction)
Rcsidcotial, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.50 BUILDING PERMIT
(Office Un Ow)')
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
DatbE "
By
BpildiOl:: OfficiAl
24 hour notice for all jllspectioD~ (952) 447-9850, fax (952) 447-4245
(;00 IfJ
l:IIV a::n10~UNO;)
9L(;909tTS9 XVd tt:LO aaL SOO(;/(;(;/TT
.~'\
:w.1
CITY OF "PRIOR LAKE PLVMBINc:; PE~llT
Date f
!a.L~~
~jyrtYs-:;;;m,f Glrv/;-J( k/ _ ~ l~-~
\ tIG4L DIIIeIlIPrtON (0" \alii -If) . , - :
I r.grb8 J&.~ 0) ADRfTJON ~i e r !"h \q -SO tit? h. P!D
, ~, .. ~ ::.'
r;;j~rQ~a:"~:f ,:IA;;!e~~71ey, l1Q('7;Q~~J~7601 _
'.s rn /)1 J:nt -(PhOIW> .k',H'....,y:.I:l~ ~ /IfJO
,~..IJL~ ~L~ j- d I &;; J9
f1 (Ad~) : (City) (Zip Cadt)
I (e... p_) fA II e ~~. I h . - {Phon.) ,t ~J -z.~9 - QJ /d?' 0' A
CAN'tSIGNATUU :tATE' - 0-
0'.....
n&lCJII:nvu:
lftdllllrili. CO!TU'M!'Oll\J "M~lIi.famil)' 11Hl of job cost with. DUO Jft~ tt..idt&\tlal,l'ol.. Oa. II Tw04wl)' .....0
~ ' ~1ll"'1. A4411idom A AIttrMi.. flue
__Coot I djS{)OOO IJ'''IdIna-.-'Li5iNO
PLtJMBrNOPUMlTfEE $ ~l~J ~'DWITH
STAft Sl1&C1Wf.QI S v riii91LOING PERMIT'
TOTAL JIDIIlT J'lZ S _
... ..,.. o.b'J
1-..-..-y...----A~ lli ~,;::~
I . .-.-. '.: 'w - - - .. ~. . r. n i 20;; ·
14 ..., ....... ,... ................. <,P. ..~... twe'a) ....'l'~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
Please
ADDRESS
14954 SUMMIT CIRCLE NW UNIT A
f ;.~~"W JJ~icant I PERMIT NO. 5: ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
65I-633-
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/28/05
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
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 HEATN GLO PIER-HV
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #--.PAIIlW1TH
~ BUILDING PERMIT
.50
$
Buildine Official
Date
5 By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF See Main Filt
BUILDING AND INSPECTION
SITE ADDRESS /L/'5~ Cfffi.F ~
NATURE OF WORK ~ . (14J L,L, _ '7 , . _".1
USE OF BUILDING S.~A. ti
PERMIT NO. 05, /02/ DATE ISSUED OS"
CONTRACTOR ~ CI.)~ PHON .. ..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO~
! FOOTING I V1;}Zi'
I FOUNDATION (Prior to Backfill) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
L.l.. J( r R 0 UGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST.-2- , , dt /' ~ )J to{,
COVER NO WORK UNTIL AB.OVE HA.S ~EFN SIGNED
ItATHE I ~E""flN' ] #Jw f ~ 0310tl
..
FINALS
DATE
I 0'/ l{ - (}j
~c..,
1
--4(>
GRAD~NG (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING (-OT,
HEATING
DO NOT 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.
FOR ALL INSPECTiONS (952) 447-9850