HomeMy WebLinkAboutBuilding 02-1248
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
7fEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
3S-G
!=Int~ !.?()Vi- €'VIf-/'O
LEGAL DESCRIPTION (office use only)
LOT[r BLOCK ADDITION
OWNER
(Name)
FII4 'dVI/(-EIV
~1V7-CL- Mh\Jt~
/;l'ltJO WIf('rr;V~1I!- ,?J/l/vr
(Address)
q_'o-OO
~. ~i~~e ~:~y I PERMIT NO.O-?- I~..'.'
J. Yellow Applicant . V ~
(Phone) ~~J-9k-7e:;.3
.>Vrrc /~() ;J4rl=/I /h/V ~>3~;:;
OPorch
ORe-Roofing
I/ItP
PID
BUILDER L'
(Name) 7/ffl11:
(Contact Name) C;W/LtJ tl'-~5c#Ko
(Address) S.4- /It e
(Phone) <3"...M-t
(Phone) 9~.J.. -0133 -dlS'I..2
ciZ-
{o/:1 -3"1 -'1;;>0l..1
TYPE OF WORK
ew Construction
~eck
ORe-Siding
~
OLower Level Finish
o Fireplace OAddition OAAtion OUtility Connection
PROJECT COST IV ALUE (excluding land) $ (.2 .s; t:rlJ 0
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,.A'Jm a are that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon p~ 0 perti ::?~~ctions.
X ~' .;2"67(..737
Signature Contractor's License No. Date
o Misc.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ I~O.06
Mechanical Permit Fee $ I ()d . (76
Sewer & Water Permit Fee $ .~O
Gas Fireplace Permit Fee $ ift .tOO
Becomes Your Building Permit When Approved
'1"7-oe-
Date
Park Support Fee
SAC
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
\ Receipt No.2,f I,~
By 7"
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
""',' ~ --/..5; D ,~ '
Planning~ I~ ~e Special Conditi
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
\ Paid
Date
'1/'1S '1- (c(.1
tl - c: - (. .r-
~~ ~l.(
White - Building
Canary - Engineering
Pink - Planning
nr Crnlr' of Ihr ".kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
t2eM-L-X
Cj-/6- ~
YJ(J-1?l'~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i proposed at:
,V}t:/;J!z )10J~
Accepted )\
Accepted With Corrections
Denied II ~_
Reviewed 'BY: J~1v.-r Date:
Comments: See Reverse Side forAdditionallnformation!
~(w(ac
~ h,\J{1:~ ftf~
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
liThe 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
The Cf"ntt'r of .he Lake ('OU"1I1:
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(2e,u/c-x
9-/6-- ~
ijS11~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which 1 proposed at:
/1j3~6 (Y/)~.~
Accepted \L Accepted With Corrections
Denied 8-fJ 0 D
Reviewed By: 17~~ Date: 0/- (7~
Comments: ~
~ rJJ2 ~ ,__
./
"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."
~Uv
White - Building
Canary - Engineering
Pink - Planning
The ("("nler of 1hE' t.ake Counlr)'
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:
I
, I
Accepted With Corrections
/'
Accepted
Denied
~ I~ Date: /tJN~?--
~~ aLl ~I ~-~. A-,e,
~~~~~,
c
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."
,--
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CITY OF PRlOR LAKE PLF:.,IBI~G PER.\I1T
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QU:.lntiry
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APPUC.-\:\T PLE.-\SE CO~[PLETE BELO\V
Type of Fixture I QU:.lntiry I
Bath Tub \.vlth or wit!lOut shc\ve:- I I
Dish\v:lshe:- i
I floor Dr:110 I
I L:1'i:J.(Orl (Bathroom Sir.!\)
Type of Fixture
I
RJu~h-lnS
W:lte:- He:lte:-
\Vat~:- Sut'me:-
SC:1r.d P:r.~ (\V;l::i;,ir.; \-f;1C!11r.::1
S~wag~ Eje:::or
I
J
I
L:1unury TrJ.Y ( I or :'.;omp:.licl7lt:nt Sin:..:
I Showe:- St:111
Sinks
Bar Sink
W:lcer Closer ( To ilet)
Backr10w Assembly
Backt10w Assembly Test
I Lawn Sprinkler
I Other
fEE. SCHEDl;L.E.
[ndus..i:ll. Comme~c:al & Multi-f:lmily l % of job cost with:l :539.50 minimum
(Office t:se Only)
R~sidential. New One & Two-F:lrnily 599.50
Residential. Additions & Alte:-ations 539.50
E:i;:imat~~ Cost :S
BuiiJing Pe:-:-nit ,;
.".....
PLUMB[!\[G PER...vUT FEE :5
STATESURCR~RGE :5
TOTAL PERlHIT FEE :5
"r) ,
.50
This Applic:ltion Becomes Your Building Permit When Approved Paid
Date
Buildin~ Official
Date
.:~ ClI)Ur nodel: ior:IiI inspectIOns ,9:5:) +47-91i.5iJ. fax (9:5:) +47-C~.5
10/07/2002 12:00 5
-... ."..' .",.&Wft ~
PAGE 11
11001
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CITY or ,JQOll LAD
SEWE. AND WATER naMlT
LBOAL DISCJUF!'IOM ,.... ~ ..~
LOT !LOC--.
Al)rJmON
02 ~ .J:rz44(
t tf ~'o. rn-mr "0. I lBJ, / ZS)1
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[(-;' ~~tt!:J!khbA_~ SJRf)
,
, A.PPUCANT
I CN"-)M _ K & R Contracting, Inc.
3245 Lake Avenue
I (AdbIu) - New Prague, MN 56071
I c 952.758.6247 cOIf)
: \ ODtad hrtOft) ~ . (P....)
I..m.ICANT5IOl'!~rou ~~ 0#.1'1
APPLICANT 'UASE COMPLETE BELOW
'S_ ohw... MtVicc LA iDdIII, '
loc:aliOJl of my coupliDp from ~ 1i?O_ tnL
1'ype 01... pipe. 0 ABC ~PVC 0 C_ lroft
2.......-4 1"- 01 tN8I'1IM 0 .
Oee out (if~ located a! feet fJem fa'UC....
(PbOae)
a:III CD4iI,)
"'"-
ru ICJW)UU
"~ci;a; ...... _l 'W_ ..1GftD~ S!5.50 t....tlWI. Ceft\'l A )lCulll.r-U)' l~ oil" GIIMt wt1tl · '39.$D ......,
s.wCt~'--ClIIIly 1'7.'0 w..~.tbI01dy. 11'.'0
1___ Cost S 81li14i1l1 'ftftlit ·
SEWD ~ W.4'm1.EaM1T PIE e
STATE suacHAaOi
TOT AL,DMIT 1'1&
c~ lU OiIttl
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PAID WITH
BUILDING PERMIT
\-
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l
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~;e~n ~:~y I PERMIT NO. ~ ,-= rJJ,rR
3. Yellow Apphcant . " -.L ~
ZONING (office use)
ADDRESS
14356 BROOKMERE BLVD
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 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/26/02
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA nONS
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
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
.50
., . ~ ",.,.. ,
t"'" '.r\ \,')' ".', ,".
\ ,("J"'\. ,~,' \( iloe..... r - ~"1
GU~~~N,G Fc-J ,,,"~,'
Receipt No.
(Office lIsc Only)
This Application Becomes Your Building Permit When Approved Paid
Date
By
Buildinl! Official
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
CITY OF ;PRIOR LAKE
HEATING/AIR CONDITIONINGIFlREPLACE PERMIT '.
Date Rec'd
JJi'II'V rot
/3/""D
~ =. ~'_I I PERMIT NO()2 -/z~e
I ZONlNC': c........., I
("_"" "'~..d .!Rn ":
I ADDRESS
1"I3.)-eo ~t
LEGAL DESCRIPTION (office llse only)
LOT
BLOCK
ADDITION
PID
I OWNER. .
::,) . (!t" ts)(
H--s
(Phone)
""1..': ",i
.' . ',~ ,; '. '.
I
APPLICANT
(Name) , h'~cr .f-, . -1
(Address) ~,) ?',J"".s-c:::>
~ ('oatl^?
~Q'-4 I\.~" ~<I
(Addres~
(Contact Person) ,~" 't C eta I!;
APPLICANT SIGNATURE
~~
gl
(Phone) 7t,3- L;;1.)' - :J' 77
ht.P!4 ~'o&.04. S:~?'" c;
, (City) (Zip Code)
(Phone) ", '- - '3'- 3 -,r:::~(",7
I.~ .'
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION
FURNACE MAKE AND MODEL 8"-,,/ 19" J.-
FLUE SIZE 't " RElURN OPENINGS
TYPE OF SYSTEM
'. ~lInn Air Plants
o Gravity
o ~eehaniclll .
[Qf(ir Conditioning
OVc:nl. System
o REPLACEMENT 0 AL TERA nONS
"3 '.$0 ""e '1'0 FUEL .(0 OloS
~ INPUT 10, o~ OUTPUT ..~s: 0<>0
REA TING OR POWER PLANT
o Stewn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroal::h into
Required Side Yard
Setbal::kB
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Fllmlly
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions &. Altc:rations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estilnated Cost $
Building Pennit #
()Z-I'24~
,Blllldlng Orocl.l
D.te
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
(omel 11.c: Only)
This Application Becomes Your BulJdlnl Permit When Approvod
24 hour notlea for lllllnspectlon. (952) 447M98!10, rllx (952) ....74245
Id W~C[:01 c00c v0 '8dQ
c89[8cv[9L: 'ON X~~
.'
OMl-9NIlOOJ-9NI1~3H: WO~~
PRIOR LAKE
INSPECTION RECORD
~ M.w-.t-: te
DEPARTMENT 0
BUILDING AND INSPECTION
-----
SITE ADDRESS lf35(p ~L-JlJ).D, ~rvcl
NATURE OF WORK --^'.e.c.,)
USE OF BUILDIN~ /'
PERMIT NO. C - 2- t.f Y DATE ISSUED trt 7-0 t
CONTRACTOR PHONE 95L ~";<33~2S"C(2..-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING f - r I -oL-
FOUNDATION (Prior to Backfill) 0 ---
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING l.)PT-f.,. fIW> 1"tUS, '"
INSULATION
ELECTRICAL
PLUMBING U &-, WI I 0 /~y -en.-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS~ ~ 03
- 2-l.rOL
lL/b{;--^
Ilr-J
~&-1LO
GRADING (Prior to Sodding)
BUILDING W ~e- ~
ELECTRICAL
PLUMBING
HEATING 2-
DO NOT OCCUpy UNTIL ABOVE HAS
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