HomeMy WebLinkAboutBuilding 02-1271
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Y cllow Applicant
ICj
c;>r/
LEGAL DESCRIPTION (office use only)
LOTS~ BLOCK
ADDITION
~C?JoU/v/~
OWNER
(Name) r;,'l-ley #Vh1~S""'
(Addressv'
(Phone) 9:S?.... 7)6-- 73 ~3
5"S
BUILDER
(Name) ~ e?n?e
(Contact Name) :\ o-e ::;-fv J.J:1/rJ-p(
(Address) S C7/11e
TYPE OF WORK
New Construction
DLower Level Finish
o Misc.
(Phone)
(Phone)
~ 9fl1-e
9'5)-~O~~6;}?lO
e.e.u,
Deck
o Porch
ORe-Roofing
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
o:::z:::?
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 . ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon perty to perfor ctions.
x
Signature
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
.00
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
-
loo,oIJ
{J(J.6(J
-
This Application Becomes Your Building Permit When Approved
~~7~
Building Official
7/ tzfo Z-
;)0 07 t5. "/-.?7
Contractor's License No.
Park Support Fee
SAC
#
#
3-;26-0;;:<
,
Date
$
$
$
$
$
$
$
$
-
Z.Oo. ()O
-
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
~
Planning Director
/t7!1r 2.-
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
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
iSSU~ ~
1~
White - Building
Canary - Engineering
Pink - Planning
The Ct'nlrr or the t.kt Counlr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(!ffflrex f/~
<j-/{)- d--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _ )
/~3f~ IJMok~ f3lu~'
Accepted
Accepted With Corrections X
Denied
~~
~ t1(~
Date:
9/17jtJ z-
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."
The- Ce-n.e-r or .he- Lah ('ounlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~+ex il onu-~
9-10- d--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: f) I u J
/(/3 fS' ~k m~ u ~
Accepted )\
Accepted With Corrections
S~ h'\Aj~ r:L~
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control P!an
"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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PAGE 12
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CITY or PRIOR LAX!
SEWER AND WATER PERMIT
LBOAI.l>lSarnOlf ''';"...or:
. 1.:.aT BLOC~ _ ADDmQ1\l
bJr(j 13
02- -/2&8 ( lGq
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. APl'LJCANT
: (Name)
...... K &. R Contracting, Inc.
3245 Lake Avenue
(-"MNuI - New Prague, MN 56071
952.758.6247
(CObtac:r~)
-"
(1Ihgoe)
caw,
(P....)
DATI
~ CallI)
APPLICANT PLEAH COMPUTE BELOW
Siz8 of ~ ta"V'ICC UU=-.
Locarieft of IDlY ccuplibp from S1NCNr8'f..LCL fell..
Type of JeW. pipe. [j ABC ia PVC 0 C_ Iron
!s'---.e 1~ of IIWW Tii. 0 feet.
e8" out (it nqWred) 10cawd at r.t from ItNcuo.
nE SCH&DtTLoZ
~ici-Iltill: ..war aDd ...liDt ~ S]~UO I....triII. CoaI'I. Muhi-tunily I" ofJ"~ wtdt. 13'.$0 IlSid.U1
Sara' "1III1ecd_ OI\~ 117,50 W.... ~c_ ..1) 111,50
!ftirDlta4 Colt $ ""- IllildiDI P.mil ,
SEwn AND W A TEl. P!aMlT fiE ·
ITA TE SUIlCHA>>.OE
TOT AI.. Pr.aMlT nz
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PAID WITH
BUilDING PERMIT
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CfTY Of PRlOR LAKE PLl.:vIBr:'-iG PER\rIT
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....~~:- Typ~ (If Fi:'l;[LlrU I Quuntity , Tyr>~ fll" fi:tturc I
;--.~'''''''''::'--I B'-lrh Tub '.\iICh or wichout ~hc"'.'I~:- I d I Rou;h~in:; I
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;----;-~- Shot'/e:- SC.:l.ll I S.o.cktlQw A:lSl!lmbly
: I Sinks I 8ackrlow Assembly Test
I Bar Sink I Lawn Sprinkler
i:'? W;lcer Clo$<:c (Toilr::tj ,Otht::"
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lcl<.il.l~:d::l. Comrr.:=rc::1J & MuJti.t~mily I '~.;, lJ[job C::lSC with n S:;9.50 minimum
Rc!lside:uial. Nc'... Om: .!c r\ltc-Famil~ 599..50
R::si4cnri;;d. A..teic:cns & ......!tci:r:lticns S':;9.SI1
ES~lmate:.! (:Q:H :5
8uij~in;; P~:7.1it #.
(Offic= VJe Only)
PUJMBCNG PE&'-(1T FEE :S
STATE SURCHARGE :s
TOTAL PER.."fIT FEE $
.50
\~
This Applit~::Jdan Bto!comes Your Building Permit When Approved P:1ia
Builllinl( Oll'i(i:1I
D"re
Date . 01
, (on]
.:~ 11',ur <1IHio.:..: Illr ;Ill injpec:riarts ~95':) ~7.!)~50, flu; (9:;:) ~';"-J:..S
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~~:li'1 c00c-6c-1JO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~:~~~w ~l~icaot I PERMIT NO.~_ }J- (I
ZONING (office use)
88 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)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/5/02
xD NEW CONSTRUCTION D REPLACEMENT D 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:
OGravity 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 HEAT N GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
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 $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,."
(j'-
j
~"O"JJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Receipt No.
Paid
Buildinl!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
o ~-~4?83 8? Dec. 31 2002 12:19PM P5
FRO" ~(2f0rN;:T1NG/AIR ~~l%~~~~PLACE PERMIT nateRec'd
+,....1V1!1l0~..
~,~" ~!~ I PERMIT NO. 'I
l. Vol/ow ^pplleonl . d.......
JJ'J)
Iva
ZONING (oIllCl! U~c)
LEGAL DESCRlPUON (office u~e only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
PID
<::(,.-, f--<. 'l
H~~$
(Phone)
APPLICANT
(Name) A'~a .(-, . "'7
(Address) .) ?.J-.$'"C::)
~ [?oQ(I^9
,
(Phone) 7~3- q~? - =1077
rn.p!,q G.rQJd. 5"~-3" ?
(City) (ZJp Code)
(Phone) fel 2 - ''!!<.3.... ~5""~ 7
DATE I .01-
APPLICANT PLEASE COMPLETE BELOW
COo~
~ Q.... f\. -+- r
(Addres
(Contact Person) ~~ 'f
APPLICANT SIGNATURE
EW CONSTRUCTION
FURNACE MAKE AND MODEL er"y ~11 -I
FLUE srZE 4" RETURN OPENINGS
TYPE OF SYSTEM
~ann Air Planl~
. OGraviry
o Mechanical
~r Conditioning
OVen!. System
o REPLACEMENT 0 AL TERA nONS
~ 230 ?C,t':) 7'0 FUEL CO 0. S
~ INPUT 70, <.:l<JO OUTPUT S-5; 0<.)0
HEATING OR POWER PLANT
o Steam
o Hot Water
o Rndlation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Requirl!id Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Indu~triaI. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
S99.50 Residential. Additions & Alterations
$64.50 Residential. AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Henting Only (New Construction)
$39.50
$39.50
Estimated COlit $
Building Permit #
(Omce U~C Only)
This ApplicatIon Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
I -;~
- 1r:;J: ''''
Igillf!'1/ I~I: -~'
~tdJJ,I~.JQ
~~.
Paid
.
Receipt No.
Bulldlnll orndAI
Date
1-J.-3
By -
Date
24 hour notIce for Illlln'pectlOnf (9SZ) 447-9850, fax (952) 447-4245
--
PRIOR LAKE
INSPECTION RECORD
/~S88 ~flJSOIC M.6YlE 15lVq_
NATURE OF WORK tJ€W ~kl"SlI2.u.a-/o,J
USE OF BUILDING 'S F:"' ~ '
PERMIT NO. t/2 -/itj" DATE ISSUED eurz~Ol.-
CONTRACTOR (l~I;~ ~ PHO'NE '152 - '3fc -7fl~3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'3€€ ^^ j I fJ .-;; '==
DEPAHTMENT 0 ," ~ rlL..c:;-
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I FOOTING ~(J~I
I FOUNDATION (Prior to Backfill) Mt;.1\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC Q
FRAMING ec...~lO'V\.
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS~ ~vfl 0 Br-l-e:J
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING :3
HEATING b
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