HomeMy WebLinkAboutBuilding 02-1268
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/ 'I S 8d
rt
:g Lvi
LEGAL DESCRIPTION (office use only)
LO'5<2 BLOCK
ADDITION /V1-e"tJew ,'f=' lA/
OWNER
(Name) Ce~
(Address) l). CO
.J..I.o YVJP <:
-
- -:J----
I. White File
2 Pink City
3. Yellow Applicant
PERMIT NO.
PID
(Phone) ?s) -r16-7<g~s
~ ft1/V S S:] Y'
tNh,
BUILDER
(Name) 5 t?n1-f
Toe SfvJ",,'c rOt.
~ Pt0l-e
(Contact Name)
(Address)
(Phone)
(Phone)
5 If n--, -E'
9s?- ~O:? - 6:;;'5/0
TYPE OF WORK
New Construction
Deck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $ /::2-.C ~
DAddition
OAlteration
OUtility Connection
o Misc.
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
~teru~;:p('tions.~ ;}.00767?7 &~;)6-o~
C-/ Signature Contractor's L(cense No. Date
Permit Valuation I t.S: DOt). .1}
Permit Fee $ J i ~f. 7~
Plan Check Fee $ 73~, ,,,
State Surcharge $ "2.. S'O
Penalty $ -
Plumbing Permit Fee $ lOt), DO
Mechanical Permit Fee $ J()(J, 00
Sewer & Water Permit Fee $ 3S,5D
Gas Fireplace Permit Fee $ I/tJ,IJO
This Application Becomes Your Building Permit When Approved
~ ~ 1/t7~yr
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
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
issue~ ;(~
Planning Director
4a-~~
Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
It'h~2/
f bate
Th(" ('("nfer of lhe Lakf' Countr)-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
r!ilA<~~
9-/0- ;;L-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1f3r~ &~/}10?/1t?_ bfu-)
I '
Accepted
Accepted With Corrections
~
/
Denied
~ 1~;p Date: 1/t7/oZ-
kL~_ d-f ~",I~ ~r-.l-~
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."
~~
Tht' Cf'n'rr of the Lakr Counlr)'
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: ~_.~~ ~...tf-P Date: /~hfi2.-
Comments: A, c. lj~~~ u..~ ~.c-'- 1M-- ,:1.:tPfJ-
t1~ ~,
"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."
/
MKW'-L-(
White - Building
Canary - Engineering
Pink - Planning
Tht ("tnlcor or Ihr LIke' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ttlAAk Jt1nV'--~
9-10- ;L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
///3f~ ~&1JP/JJ1-P1tl_ 6(~
I
Accepted
'><
Accepted With Corrections
Denied
\
Reviewed By:
Oate:
~/W/OL
Comments:
Reverse Side for Additional Information!
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."
10/07/2002 12:00 5
-..,.... -_. ___._ -.....0.;0.-:: -__..._ft ......_
" H I ~I r' ..IU 011 LAD
PAGE 12
11.01
D... Recl.
CITY or PJUOK LAd
DWEll AND WATER PUIMIT
, APl'IJCANT
: (Nuzw)
_ K &. R Contracting, Inc.
3245 Lake Avenue
C~~) ~ New Prague, MN 56071
952.758.6247
(CODtadPmon)
JII
(PhcIoe) ..--
(0."
(P1IoDe)
~ATI
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"'--
APPLICANT 'LEAH COMPUTE BELOW
SiD af__ acrricc -a~. .
Lcati&1l of.y c:cupliDp from S1N:NN'~ .....
Type of JeW. pape. t'1 ABC sa PVC D C.lron
!...---.. 1'- af __ Tbse 0 feet.
a8AD out (if reqWrIII) 1oca1ad at t.t fram ItNcuo.
n:a:. SCHIDULJ:
lltIir.t.ltl:ia: ..war aad ,.,........ ~ 1]',50 I....... c:-a'l & Maabi-.....iJy ,,, ofl_ ~ whll . 139.50 .ull....,
Sfttll' 1OC","'Gd.OIII)' .17.50 W.. ~tdan..1) 111.'0
!an. Colt S -"--- BuiWiDI P_h "
SEWD AND WA T!P- PERMIT FIE ·
STATES\l"JtHAJ\Oi
TOT AI. PI.UIIT 1'1&
PAID WITH
BUILDING PERMIT
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CITY Of PRIOR LAKE Pll~:'-IBr~-G PER"rIT
D~rt:: R~~~'d
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8<.rch rub With or wicilOIJ[ 3hcwc::-
D ish W:l$h~r
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; _._.___...J:.__._____~.:'.: 'i ."1 to t-! ( 13:! ch rr:: 11_r.1 ~)I n..:~)_.
'"_.--'.____J L.J.un~r:.' T r'J.:-- t [ ur: ...:()r.:::,J.r::m~llt ;iln:~
I ( I Shower SrJ.1J
I ! I Sinks
L I Bar Sink
i ...? I W::tter Clo$E:c (T oJil~t)
,-
(!U:.I., ,i~1
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..\PPLICA~T PLE..\SE CO~(PLETE BELO\V
QI\~ln ri ry
g
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T~l'e of fi~::url!-
Ruu:;h-ins
W J.re:o Ht::Jre:-
\,VJ.t--=r Sul~<cr
I :$c:lI''!d Ptr.-: I '~VJ.shlnt! :-ur,lC!11r.-:l
S~"\(J.~':: Ejt::.::or
BoiCkt1ow A~se:nbly
Bac:kt1ow A:!isembly Test
I L.:1wr\ Sprinkler
, Ocher
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t~,cu~~.::lL Corr::nc:.c:a[ & ML:I~j-t";m,ily I '~';J ot"jcb cost wit.'1:1 SJ9.5Q minimum
R.:sicic::nti~l. New 011<: & T....o-F3rnil;' 59950
R::sid::mial. AJdi~ions &. Alcer:1tllJn:; S::;9.':O
E:i:im:.ltd eLlst :s
Bl..lii~ing Pe~jt #
PLUrvlBrNG PERJ.'v(IT FEE :5
ST.-\ TE SURCHARGE :5
TOTAL PERMIT FEE $
.50
(OrTic~ ~~~ Olll)')
l_
Sui/din" OlTicl:a1
O'Ho:
Date OCT
This t\ppfLC:1tiQn Becomes YQur Buildin~~ P~l"mit When Approved P;:Lid.
':.1 nllUr ~.ltil:t: iur ~Il irlSpetrlllC1S ~!l:5:) ~';'-'JllSiJ. (:1:t \9S:) ~~';'~:.H
t:'0/J:0 . d
JNIOJ~NI8wnld^3ll~~
SE:t:'l 2002-62-1JO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~:;y I PERMIT NO. /)_1" cc/ I
3. Yellow Applicant . .;I.. ~ 0
ZONING (office use)
17382 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 A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/5/02
APPLICANT PLEASE COMPLETE BELOW
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 HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% 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
/f,l!j 0,..
'JJ. ft;~ff1':Y
-."
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl! Official
Date
Date[)EC - 9 2[JO~
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FA>< ~n :7634283682 Dec. 31 2002 12: 19Pi1 P4
CITY OF PRIOR LAKE Dllte R()e'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
I. Pink
2. Ore...
3. Vollow
~I~ I PERMIT NO. d, )-&K
Appllu"\ . I ,
I
ZONING (office use)
LEGAL DESCRIPTION (office u~e only)
LOT
BLOCK
ADDITION
PID
~WNER
(Name) c'<.r'1 (-~ ~
!..Address) .
APPLICANT
(Name) ~~~ f-, ' "?
(Address) .) ?'J-S-<:)
ft~~s.
(Phone)
1."
i- (?OQ(I^9
"
('~~ 1\.-+-6 eq/
(Addres
?,7L/O
gl
(Phone) 7~3- q~9 - ;~ 71
/l1op/~ <:'rot-t 5"~3<';'?
(City) (Zip Code)
(Phone) ~I 7 - 3(, 3 - t:;"S-~ 7
DATE 1;;.- J( 'Q~
(Contact Person) 0;< 'I
APPLICANT SIGNATURE
COo~
~
~
0NEW CONSTRUCTION o REPLACEMENT o AL TEM TIONS
FURNACE MAKE AND MODEL l3r'"y~"'..f ~ :il ~O :t ~C) 2r:> FUEL G "'" S
FLUE SIZE 4 II RETIJRN OPENINGS G, INPUT 70,o<JO OUTPUT ---:S...5; OOC
TYPE OF SYSTEM HEATING OR POWER PLANT
, [SWarm Air Plant.! OStellm PLEASE NOTE:
o Grllvity o HOI Water Air Conditioner Units
o Mechanical . o Radiation Cannot Encroach into
~r Conditioning o Special Devices Required Sido Yard
OVen!. System o Other Dcvices Setbacks
FIREPLACE MAKE AND MODEL
./
APPLICANT PLEASE COMPLETE BELOW
IndustrIal. Commercial & MultI-Family
FEE SCHEDULE
1 % of job cost Residlmtinl, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residcntial. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Pennit #
(Office Vie Only)
This Application Becomes Your Building fermit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
\.. ~ 8!vUJdLI!J!J1"I.!"", .~
~_._J""\~iJ'.
;~.
Pai
Receipt No.
Building OmelAI
Date
/ -J - -3
By .
DAte
24 hour notice for 1111 Inspection, (952) 447-98~O, fax (952) 447-4245
-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IL/.~8 2.- ~(2()OI~ M6'lC ~(VcQ.,
NATURE OF WORK ~e-w ~'5i'.
USE OF BUILDING ~F: A .
PERMIT NO. 02 -/7 &0 DATE ISSUED -.1/., /62."
CONTRACTOR CelJT~ ~~ PHONEjS2-q~'-'78~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~PE~R
I FOOTING (}\\ v'^ ;~ vw- t()->/~tJl-
FOUNDATION (Prior to Backfill) 0\ u~lt5> / - 7 - O~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING w
INSULATION
ELECTRICAL
PLUMBING U. "
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
{Q- )-1.-( ~UL-
/~3/o'S
GRADING (Prior to Sodding)
BUILDING 6>3
ELECTRICAL
PLUMBING D3
HEATING b.3
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