HomeMy WebLinkAboutBuilding 02-1254
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(tI,trt\fttatt of ~((\\P\\~
ClrrY OF pRIOR L~
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~'f\nal venniued 0 conditional C.O. E1<l'ires
. " of sectio. 301 of the Unift"... Bwildi.g Code
is CerrijictJ" is,,..d P""""'" '0 the "qu,....... as i. cO"",lia""e wi,k ,he variOUS ordin""'" of tke
eerrifYi.g ,"'" of the ri"'" of. iSS~~ ~:ts ..::::':;~; or use. for ,he foUowi.g,
Cil)> of frior wi<' "gwiot'.g w,' . . 0".-\ ;'.54
Sl"GLE fA"l1.' .",.._NO'~
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occupancy 'Type ~ ~ r-
1-,6, W2, ':'\F,p.,DOv:l'J1F}~
..
Legal Description
owner of Building
Cf..N'lE}1.., \~400
contractor's ~arne &. Address
R03ER'l D. R~1CHLNS
i . n Official
Site Address
.,,,ntE~^tER DR.. SUItE 1,0, ~.l~~f.tO~,,^ 55343
DON RyE
\4387 ~ROOR>lERE ~OULEV^RTI
\Jse classitlcatiO
City Planner
Date:
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L-V/
LEGAL DESCRIPTION (office use only)
LOT b BLOC ADDITIONA~4d 8~
OWNER
(Name)('f~ /IB-~r:>
I White File
Pink City
] Yellow Applicant
(p~
PID
}O ''()
(Address)
(Phone)
BUILDER
(Name) 5 t::? h?-<--
(Contact Name) T o-L ,C; jvdn!'!-IIf
(Address) S dl"11-e...
(Phone)
(Phone)
5 IIf ~-e
9S) -9'02..- 6;)pc/
TYPE OF WORK
ORe-Siding
pNew Construction
OLower Level Finish
~eCk
o Fireplace
o Misc.
o Porch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Addition
OAlteration
/d~/ D:?O
DUtility 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 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 operty to pe ee d inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
......"
lft> . c:;d
Your Building Permit When Approved
1-/7-t77
Date
:;00767 57
Contractor's License No.
Park Support Fee
SAC
#
#
ff ~ ;;; 6 ~o;)
Date
$
$
$ ~
$
$
$
$
$
$5, Z-
?.oo. c;x:;
?oc.oa
l(){). CO
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
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.
~~
IO/i/t;1-- ~ ~ :I..Jv
, 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
Planning Director
-
The Ct'nft"r of the I.lkt ('ounIl1:
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (b~ ~
{
APPLICATION RECEIVED Cf- 10 - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L(,3f~ I?tMk/JtPu t8/vd--.
Accepted
t..-
Accepted With Corrections
Denied
{Jt;-
Date: 1'- / 7,.. () 2-
Reviewed By:
Comments:
(k.~ am d~cW W~
"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
The ('enlt'r nr Ihe Like Country
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
Accepted With Corrections
/'
Accepted
Denied
Reviewed By:
~ 1~1-
~ -tv1 ~
Date:
!()!'I/o1-
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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CIT).' OF ?R10R L.-\KE PLF:\[Bt~;G PER.\IIT
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APPUC.-\..:'-iT PLEASE COMPLETE BELOW
(1~~::-:- Typ~ I)f fi~tlll'(! I QlI:lntiry I
BJ.rh Tub ~vlth or wit!l~ur sh,j<,vl;::" I I
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L:l.Unuri Tra" t l Qr : ..:criicartl7lc:::lt SIr'li.:
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ShO'.\le:, St.J.ll
Sinks
S<;""':1g~ Ejc::;:ur
I Backt10w A~sl!mbly
I Backt10w Assembly T ~st
I L~wn Sprinkler-
I Oth~:"
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Bar Sink
~ Water Clo:ser (Tod~t)
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fEE. SCHEDL'Lf.
II,dU$~~:~I, Curnmt:~~:;;l & :Yluld.f;;.mil:, 1 ~\, of job ~O~[ with:\ S:;i9,SO minimlolm
R~ido;..,ti~l. Nt:,.v Ont: &. 1'wO.F;UTlily 5(l9.~O
RoidcndJ.l. AJdit:ons & A::~:':lt:on$ Sj9.':O
E~~imat~:':' CLJ::it S
8uiii!tn~ Pe~ir # 02. - r 264-
PLUMBrN'G PERi.'\UT FE.E :5
STATESURCa~GE ~
TOT AL PERMIT FEE $
(OITi~~ (;1r. Onl:-)
P::J.id
This Applic:Hil.ln Boe<:l)me:1 Your .81.1ildinlt Permit When Approved
'Builditll: Otlic;ial
D:lt"
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10/07/2002 12:00 5
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PAGE 07
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ell... 0' PltJoaLAd
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i.m ~. APDmCIN I'ZD_
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:"=ANr K &... R Contracting. Inc. ___)
I .-- .3245 Lake Avenue ~
i (AIWMI) - Ne'~ Pniue, MN 56071
: 9j:~.758"6247 lCIIf)
(romoa_ tlt'~ · ~
. APP1.I':~N'T 1I0~~ ... ~4J?~~ DA;'
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APPLICAA'T 'LEASt. COMPUTE BELOW
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03/2~/02 MON 15:24 FAX 6121t'42~S
CITY OF PRIOR lAKE
~OOl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFmEPLACE PER1'\tIlT
Date Ree'd
7
d:r..")..:;J . r-M/l-{,
;-'~o
i ~ ~~~ r PERMIT NO~ - / ?)St./ I
I ZONING,,,,,,,,", I
LEGAl. DESCRlPTION (ome~ use only)
LOT
BLOCK
AD!>ITION
.PlD
OWNI:;R
(Name) _C:. tfI'J f""!... V
(Add.r~~a)
;' <.
~a ..y"\~~
_ (Phone:)
APPLICANT
(Name) /I(.~" +.. ('07 9
.
(Contact Person)
\
IW.9
(Phone) 7&-? - '-117 - ~ & 77 .
APPLICANT SIGNATURE --"
C., r . .....<.. s:r J (;. G
(City) (Zlp Coclll)
(phone) (.... f.2.- 3 ~.3 - s-.n,7
DATE _ / - / 7...,6'< _
(Addl~$a) -L.. s- -
APPLICANT PLEAS'E COMPLETE BELOW
EW CONSTRUCTION :REPLACEMENT 0 AL TERA nONS
FURNACE tvlAKE AND MODEL h(' fCA(,\ f.3<? 3 (") ~~.o 70 FUEL G <t..5
fl.'1 . '
FLUE SIZE RETURN OPENINGS C:? INPUT :? () . 0 00 OUTPUT /; ~.,o t.)
1
TYPE OF SYSTEM HEATING OR POWER PLANT
. ~arm Air 1'-'111\1$ 0 Str:lll1l
Oravlt)' 0 Hot Wa.ter
MechanlCll.l 8 Rlldlllnon
~Ir Condltlonlng Sp~lal Devices
gvont. Sy'tem 0 Other Dc:vlccx
PLEASE NOTE:
Air Conditioner Units
Cunnot 'EncroaClh into
R.equircd SIde Yard
Setback;
FIREPLACE'MAKE AND MODEL
Indugtrlal, Commercial & Multi-PmlIly
Residential, Hllatin/i '" Ale (N~w Consu\lcdon)
R<::ildllntlal, Hoating Only (Now COltltrUC'tlon)
FEE SCHEDULE
1 -V, of job (;(1st R~ldcntlnl. Gll3 Fireplace
$39.'0 minimum
$99..50 Re$lclentllll. AddltlonQ & AltcratiotlJ
$64.50 Rl)Ji~llntIil. AC Only
$39,~O
S.l9..50
$39,'0
Estimated Coat S
Building Penn it #
HEATINGPERNnTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
rd W~[0:01 [002':"1 'U€[
289[82r[9.!..:
l.JOd.:l
(OffiCII Uu On17>
This Applicatiob Beeomes Your Building P,rmlt When Approved
Datil
Dlllldlull Ometlll
~4 hour notAtt for alllnspel:tlOJlI (951)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~~~ Ji~icant I PERMIT NO.;. -- / ~54 I
ZONING (office use)
ADDRESS
14387 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 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/16/03
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:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
Buildine Official
""oJ']'
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
ceipt No.
Date
PRIOR LAKE
INSPECTION RECORD
<;~~~~v
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J1~f37 ~\:~ J5lu~
NATURE OF WORK ---! ~OJ/
USE OF BUILDING S.f',A-
PERMIT NO. OZ-/?5d- DATE ISSUED q-/cf.-cn
CONTRACTOR ('~ PHONE C}52-402-G,7,<M
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
J FOUNDATION (Prior to Backfill) I I
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
2--5
2~5
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
~t .e3
GRADING (Prior to Sodding)
BUILDINGliX!>
ELECTRICAL
PLUMBING
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