HomeMy WebLinkAboutBuilding 02-1251
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CITY OF PRIOR LAKE BUILDING PERM , Date Kec C1
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White File
2 Pink City
3. Yellow Applicant
,(3 /47d~~ 8&,vL.. ~(/'I"t-Il-t:)
LEGAL DESCRIPTION (office use only)
LOT~7BLOCK ADDITION ,Ifh.e-hZ)t:Jw~~
PID
OWNER
(Name)
,=€"/VIt^- ~~
ZONING (office use)
(2d-.
(Phone) 9>.2- <7:?~.-- 7933
fl1 rt44 ~# !YYJV..3
(Address) I d- '(OJ) wR, "r~?L-
i'~. ~I
BUILDER <~_~
(Name) L/, 'V'L
(Contact Name) Cff/t,c-? ;:31~#"CPk
(Address)' ;;: A-~ C
(Phone)
(Phone) 9r.J -.:23"3 -~ 5V.;J
Y. {-2 - ~~ <; - S/~.:.l "l
TYPE OF WORK
ORe-Roofing
ORe-Siding
DPorch
OLower Level Finish
o Fireplace
DAddition
DAlteration
/:;2~;' ~
DUtility 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. aw at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:nter upon th ~ perfo ~ ,J2.aJ 7 (;.. 7 :$ 7
Signature Contractor's License No. Date
Water Meter Size 5/8"; I";
Pressure Reducer
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
$
$
$
$
$
$
$
$
$
.C(5
I Paid
Date
'e;
5~~~,:)) I ~;ceiEtN*~V3-
mes Your Building Permit When Approved
~ -(f-C52.-
Date
Jr~2/
4u-
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~ Y~"fJ
Planning Director
~~
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
Th. C.nl., of Ih. \.ok. COllnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~AI~~ ;I~.
APPLICATION RECEIVED r; -10 -" d----"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
hJ](Jk~ fj/uct
/ L/3~d..
,
Accepted X
Accepted With Corrections
Denied
Date: ~ Iw( 0<'"
Reviewed By:
Comments:
5t.r;:: VA ~ f't{.t-t:
See Attachments: 1) Grading Plan, .2) Erosion Control Measures
3) Erosion Control 'Plan
"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' CE"nlE'r or 'hE" I..kt ('ounl..,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (/JpAl-;{~, ~
APPLICATION RECEIVED tj - 10 ..... d---"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/31o~ ~/~[jlu~
1
Accepted
Accepted With Corrections
Denied :d CL
Reviewed By: ( _Q 6ir/~
Comments:
JJe. ~ ~ "'~
Date:
7- I 7 --62-
"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 Cf"ntn of .ht" Lllkt' Count.,..
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:
I..
t l
"
.............-. .."..
Accepted Accepted With Corrections
/
Denied
Reviewed By:
~~~~
Date: /o/ij/J 1.-
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."
~"
/c.'t~~~.,
; / /rr '\ ' "..
i-I / ; \ \ '7
I:' , ' \ \;:
CITY Of PRlOR L.-\KE PLC"YIBI:\G PER-\IlT
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PER..\rIT ~O'd-Id-57l
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c).~ TE
IIJ"Z",/Z-
APPUC.-\:\T PLE.-\SE CO~[PLETE BELO"V
QU:.lntiry Type of Fixture I QU:.lntity I Type of Fixture
8ath Tub WH!1 or without shcwe:- I I Ruu:;h-ms
Dlsh\',(:Jsh~r i W:Jter he:Jte:-
floor Dr::l.ln \Vate:- S,)t'cne:-
I L:1'i:1ccr/ (Bathroom Sink) I St.1nd P:r..-: ('vV:J.s;,in~ :vr;lc!lInC)
i L.1undry Tr:1Y (i or:: .;omp:lr:mcnt Sin:" Sc'.V:Jg~ Ej~:::0r
I Showe:- ScalI 8ackr1ow Assembly
I Sinks Backt10w Assembly Test
I Bar Sink/Lawn Sprinkler
I Water C [oset ( To il~t) I Othe:-
FEE SC HED L- LE
!ndu$.ri:ll. Comme:-c::l1 &. Multi-t"J.mily 1% of job CO$t with J 539.50 minimum
R~sidenrial. New One &. Two-Family 599.50
R':$idential. Additions &. .-\.!t'::-:lcions S39.50
Estimate:': Cl.l$t :s
Buiitiing Pe:-;nit:#
PLU!vffifNG PEfuvUT FEE
STA TE SURCHA.RGE
TOTAL PERl'HIT FEE
s
S
$
.50
J;",
'.'0.'
, ~_.(~
.. ~. ..,
~"', ..
"- .
,
(Office t:se Only)
This Applic:lCion Bo=comes Your Building Permit When Approved Paid
Buildin~ Official
Date
Dace OCT - 4
:~ n'lur nucice iur:1i1 inspections ,9:::) ~7-')~5U. f:J:t (9:5:) ~47~:~:5
10/07/2002 12:00
5
-... ""'.' . "...wa a..AA.C.
PAGE 11
II 001
CITY or PRIOR LAXI
SEWER AND WATER nRMlT
D... Rce'.
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L.BOAI.. D.JSClUPTIi::>>N (.-..e _ _~
LOT
BLOCk
At)!:)mON
i ;:,~ CMl}ex ~ ~ jj;-
I (.........., . ;;wa; 11 ~f<hLp-'!fJr- S!- Po
. APPUCANr
I CN-=ej _ K & R Contracting, Inc.
3245 Lake Avenue
I (Adblql - New Prague, MN 56071
I 952.758.6247
i (CODtu! hrtcws) ~
i APPLlCAN'r 5lOl'lATUQ ~ tt~~
~)
(a."
(P~)
DATI
(,ZIf CDOIJ
APPLICANT PLEAD COMPLETE BELOW
Siza of__ JCrYicc . .
loc:abon of my ccuplmp from stNCtIn fk!;L tnL
iyPl! rst..er pipe. 0 ABC ~ PVC 0 C.. tron
!..o-IIIM 1--' of Il'WW TIDe 0 .
OdD out (ifnqWtllf) locaWd at faet. ~ ~C'Bn.
ra SC1IEDVU
........~i;a; _..1 'W" _1lGNl~ S!~..50 r."ltr1II, c.'l. ~ubl."'Uy l~ oIj"*t ~Ilt\. '39,50 -.11II'I
lMwcr ;cuelllian anly &17.'0 Vi... ~....., 0II1~ 111,'0
1Ir..1tad Colt S luildiDI 'nmit .
SBWU ~ W...1U. PEJMlT FIE I!
STAn:. SlJaCHAJOE
TOT ~'EDIn' n&
- ....... Of."
..
PAID WITH
BUll.DING PERMIT
I~
I ..
1 Dy
l
(0.. u... ~l
T'i. "",Ilea.... i..... v,.,. ..1Idl., ._It WhA ApprwvlCl
J.- ....r ..-..r.n.... ".. ('11) M7..... ... ["21 ,,""'lI"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~70':. ~J~icant I PERMIT NO. ~ - / if 51 I
ZONING (office use)
14362 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)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/3/02
xD NEW CONSTRUCTION D REPLACEMENT D 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
l"lff9:U
~- ~ ~-- " ,~~~; "" ~:-?
(Office Use Only)
, "F~
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl!: Official
Date
2.OOl
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AlRCONDITIONlNG~PLACEPERMIT'
nat" Rec:'d
3 c.. 2...
t ~ :J~I- [PERMIT NO. 02-(251
l~mNG(_""
LEGAL DESCRIPTION (omc:e USe only)
LOT
BLOCK
ADDITION
PID
H<JI~s
(Phone)
" ,"Ir".
.:,',
:..~.:;....., ')/J~' .:' , ~,:.
AP:E'LICANT
(Name) . A'~_ ~. .~
(Address) ~) ?,rS"c>
t!!Cj.... 1\.+ X
(Acldres
+- ~OQII,,!
~~ fft
(Phone) 7'3- 4~'r - ':J' 77
,;,..1114 c.'o..... s:S"'~, 'f
(CI~) (~p Code)
(Phone) (..,,, - '3'(. ~ - ~~~ 7
DATE ~- ."0\.';' ...
APPLICANT PLEASE COMPLETE BELOW
r~
(Contact Person) 'M,. '(
APPLICANT SIGNATURE
W CONSTRUCTION
FURNACE MAKE AND MODEL -8"-, ",,,..,t
FLUE SIZE 4 II RETURN OPENINGS
mE OF SYSTEM
~8tm Air Plants
., DOrl1vity
o I'oJcchlll1ical ,
(gf(ir Conditioning
QVent. System
o REPLACEMENT 0 AL TERA nONS
"$ ~.3t:::; JfG..4:!:) 70 FUEL .<!, ~s
(.. INPUT 10. U()O OUTPUT S-S; 0<..)0
HEAl'ING OR POWER PLANT
o Stoam
o Hot Willer
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
ClUU10t Encroach into
R.equired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas FircplllCC
$39.'0 minimum
599.50 Residential, Additions &. Altetlltions
564.50 Residential, AC Only
BQild1ng Pennit # 0 l - / Zs /
539.50
Industrial. Commercial & Multi-Family
Residential, Heating & Ale (New Constn.lI:tion)
Residential, Heating Only (New Construc;tion)
$39.50
$39.50
(ome!: V.e Only)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
S
Thb Application Beco~.. Your BuildIng PermJt When Appro"c:d
BUlIdh'e Offici.'
D.le
24 hour ftotlel!l for.II In'pctd'oll. (952) 441-9850, fu (95Z) 4470.4245
r
vd W~EE:01 c00c v0 '8dG
c89E8cvE9L: 'ON X~~
OMl-9NIlOOJ-9NI1~3H: WO~~
PRIOR LAKE
INSPECTION RECORD
(9u~ ~t~
DEPARTMENT OF ~
BUILDING AND INSPECTION
SITE ADDRESS -J c..{ 3 Co L ~~ ~ _ Y{\J"~
NATURE OF WORK ^ 9('--L\.
USE OF BUILDING -..S.~ 1&\
PERMIT NO. _~I DATE ISSU~ED ({'- (7 -cY? :
CONTRACTOR C . PHONE ~2..' 2y- -2S-92-
NOTE: THIS IS NOT A p. RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING r ] ]
I FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING IN [U(1'(( hdl..)
INSULATION
ELECTRICAL
PLUMBING w!CV(((t ~rCI\.{J
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I ]
FINALSCU. , C_ (j g..t.03
'L~/l~ dL
I -I - CJl..
IL-IL-CJl
11- Ii -c.J2
I L '"' It, 0"\.....
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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