HomeMy WebLinkAboutBuilding 02-1304
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(1-5 -02-
ADDRESS
L( 2- Go '3
-::'_c.,v'0\,,)
LEGAL DESCRIPTION (office use only)
LOT I C)BLOc0
Date Rec' d
I White File I PERMIT NO ~
2 Pink City .02 - /.f?(J
3. Yellow Applicant . _ ~_
//
i ~,
",...,.--'
ZONING (office use)
K-4-
ADDITION (
\,' )/'......i J'.:~ "'~')
I~~ ! 1<
/..:.. /\.1 i":"
,-....-. ~ i J-. )
.J ? 0.- ....:.,. I - \
PID.;2S-,~.,
OWNER
(Name) f/"jc/IJ 5'11.':,>,,,,)1,/
(Address) / )j 'I' ;-
t:' I
P,A 'i~A
BUILDER
(Name)
(Contact Name)
II
i'l, t / :2.-- (~, ~
(Address)
TYPE OF WORK
l.......::c~... ';- l'{f;!::"-~
/ ~--- ~
(Phone) (; \/- /.//56"';/[ (k:)
D/'2.
ItA;,J
, 1-.-
-p; Z {'j(,;}
rT/'/' '"
:',J ./- ./ -
~-':::'.4. ~~ _~ ,,.,,J
/
II
I ?
--r:~ ~.<, /~ .-' - ,r, ~---
. .--~ ""-- -.,.-.4 I ~./t
(Phone) II
(Phone) rl-~'~..-'. ",)~ ~ '~..
New Construction
ODeck
ORe-Roofing
o Porch
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
o Alteration
ORe-Siding
OUtility 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 the property to p~rforrn n~inspections. / ./' /'/~'" .... \ .) 1 "
X 1'2, .~'.' /~-- . / i 4 ,::.-; --:5'- L
/> / /'Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
#
#
Park Support Fee
SAC
#
#
Water Meter Siz 5/' 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
.00
S:>, "::;D
L( O. &~
TOTAL DUE
comes Your Building Permit When Approved
1- 'f-tJ2~
Date
$
$
$
$
$
$
$
$
$
'1
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.
10 '-09
Date Special Conditions, if any
our notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Thf ("fntt'r of Ihl!' Lab Counll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'({E}JS tvl A N rJ
q -J5 -- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4-Zf.t;3 FOUNTAI'~ HILW ~T
Accepted Y- Accepted With Corrections
Denied LJfJ
Reviewed By: Vp
comment2. JLe ~ -D le
Date:
Q-l')-07
"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
Tht Ctnlff nf Iht I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
WE1lSMAt\J rJ
q-FJ - 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments 'have reviewed the building permit
application for construction activity which is proposed at:
)4-Z(03'FoutJTArfJ H/U-5 ~T
Accepted 'X Accepted With Corrections
Denied ~
Reviewed \BY: ~ _
Comments:
Date: jJlli 01.-
S~~ 'y{\~ ~-:(LE
See 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."
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'03 10: 59 I D : PL\'f10UTH PLUf181 ~,jG
F A~< : 76:35:331121
PAGE 47/ 47
&'11:1:11 . ,.11.11;
Yl!LLOW . APPLlC..T
GlOI.D - CITt'
CITY OF PRIOR LAKE
SEWER AND WATER PE~4IT
S.w. No.
";2~ /3 {Jtj'
NOTE: Sewer and Water
contractors must
be registered
with the City_
~.PPLICANT, ~~()l-:v.. PllA:~~ PHONE {llllj)SX,- Wo'S7
~.DDRESS: I Li _ _ r OLiV\t -a~~ _ \ \~ c.'-\--. DATE: -.-a- \ L\ - 0 ~
IGNATU~Q...Qt:l'1vN_fJ\Yt'Y\wQ~c A, BLDG. PERMIT #
ITE ADDRES~: PID#
FILL IN THE BLANKS
1. Estimated length of water service
,
AD
feet.
2. Size of water service
\ "
inch(es) .
3. Location of any cauplings from structure
feet.
4. Type of sewer pipe. ASS PVC'Y,: Cast Iron_
5. Estimated length of sewer line ~()
feet.
6. Clean out (if required), located at
structure.
feet
from
=:~=~~=;:=============~~======~~==;====~~==========;;;=~====~=~=;=
This application becomes your permit when approved.
BY
DATE:
==~====~=====~======~;=-==========~========;======~~==============
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOT.~L
*
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
I~s~~~~re that no dupl icate sewer and water ron pe~~/ ts are
1.I3M!! ;,0 t'V:i"
........ ""D"~",,, 'j ..... i
I "\\.:;r /::)r::-:,.'
it'
I
By J
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunil)' Employer
*
DATE PAID
~ ~ @ ~ 0 W ~ ~1
FEB 1 8 2003 ~
AMOUNT PAID
RECEIPT #
REC'D BY'
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#7CJ~
~: ~:n ~:~. I PERMIT NO.} _I. -? /)1 j I
3. Yellow Apphcant ~ ___J (.. L '
Please
ADDRESS
/Yd~3 ~~<-<-h-~-<- ~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT A . /. ./~
(Name) /-7//~A.,A..r /' ,~~~~~ (Phone) ;/-
(Address) l ~~7) //~.A::.I 6~ ~ ~_ /~~~
(Address) (CitYV' .
(Contact Person) .A~L::J~ ~C~ (Phone) 5/-
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODE~Y~ 3/0M.\! C)""Z 40'/0 FUEL N~ GA..S
t\ hGirr~
FLUE SIZE LI RETURN OPENINGS INPUT OUTPUT s'~,c')CJt'-:)
TYPE OF SYSTEM HEATING OR POWER PLANT
;wonn Ai. PI... o Steam PLEASE NOTE:
Gravity o Hot Water Air Conditioner Units
Mechanical o Radiation Cannot Encroach into
Air Conditioni~g o Special Devices Required Side Yard
~Vent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL -
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
Building Permit #
$39.50
$39.50
PAID ~
at IILo/NG lTH
_ / PERMIT
· 0'<:/
.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
Building Official
Date
Receipt No.
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447
By__
FILE No.502 04/11 '03 06:53
I D : PL\'r10UTH PLUf1B I r.jG
FA>< :7635331121
PAGE 11 / 11
/o~ PR1o-i'
(~~~
, ~ ~.. ,
"'~
Date Rec'd
CITY OF PRlOR LAKE PLU1\1BING PERMIT
I B'ue
: COl.
l Y<ll,~
Pil'
Clil'
",,"plt;:lll'li
I PERMIT NO.2'/ (3oi~
I
ZONlli G f orl\c" ''"C\
IPle~s' IIf1)C or PM! :lJ1d SI/?J1 ai bot'!(lm I
~D~S~[p 3
fouV\~~ (\ ~ l ~ S
.
LEGAL DESCRlPTION (OIT1Ct use Onll'\
LOT
BLOCK
AD D JTl Cl]\J
PID
o \VNER /
n'hrnc:i \A.. ~N\ ') //V\ 7\1^ VI,
(AddreSS)' ~. P
(PhOfle)
I APPLJ CANT
; (Name) .vI (,:YA^[,)L"'l-~~1
iAddress:) I,,' \ q ,.
(!"'.dcrc:s;,)
{) I LVI'\. ~~ I "'.3
. (~I~ l:
(:2 (~y~j2:>~"l[b~5 (
! c;:::: c::: r'" <'
( '"), ") L " t,
(Zl)) Code)
(Pj)one) t!i O?VS ") ~ 4 3 S 7
DATE ~
(Phone)
ICumaCI Person)
QU:.lntit), T~'pt, ()fFb.:tur~ QU~lntit~! T:vpc of Fixture I
\ Bath Tub with or witholl\ shC\w~r Rough-Ins
I Dishwashc:r \ Water Heater
'A.. Floor Drain \ Water Sofmer
J.\ Lavatory (Bathroom Sink) r Stand Pljit (Washing Mnchrne)
\ Laundry Tr<l\ 11 or 2 i:.OmpLlllment slI1k Sewagt Elector
\ Shower Stall Backflow Asstmbl).
\ Sinks Bilckf10w Assembly Test
. . . ,
APPLICANT PLEASE COMPLETE BELOW
UUI..Jllll\,
Ww:r CI(,sel (T",ile1)
FEE SCHEDULE
IncluSlIiJI, Commercial &. /vluIU-,'.\lll1l\ I~" of ILlll ~lISI willl ~ $3950 rn1l11tl1um
RColucnlidl. Nl:w On~ 6:. l\vll-I:..lJllily j:4950
R~sld!:nli~1. AddilIO:l;' &. 1~ll~falltln:, .\:3950
ESllro::Jted Cost S 'f l 0 lO,-aJ
Building Pcnnlt #
0'
.11
,50
(/Ut<t:J ~()
,~
~4t/,..
PLUMBING PERMlT FEE
STATESVRCl-lARGE
TOTAL PERMIT FEE.
$
$
flUllui'l:': !JITwai
1);11'"
mi
Rt:ct:ipl No
Ill/flcl' list OnlYI
ThiS Apphc:.ltlM 8~comc~ Y('111' Building P~rmil Wi,en Appri)"~cJ
I .-
B:.
I
~_i
2~ \iOUI nlllit:~ lor ..lIll"p~dlllm !~~~I..I 6."liSlL I;,) [Lj511 J-1;--1245
l(\~fll1 rljl'.;.~I' (o!"t'd\;\\"('.. "'I.E.. f'ri;J!" L..d~<':, :\.'11'-' ~';'~::.J""ll..l
" "
,
(/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e~n ~:~y I PERMIT NO. 1_/ 30U I
3 Yellow Applicant ~ -L- '
ZONING (office use)
14263 FOUNTAIN HILLS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/29/03
xD NEW CONSTRUCTION o REPLACEMENT o 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:
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 HEATN 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
8(jII..DP~/D ~
'1A1G 7"/)..;
P/:!:I}"ftr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Buildin!! Official
, . I, By
Date \ '. \ :,
\. i' 1 L )
24 hour notice for all inspections (952) 441t~S50, fax (952) 447-4245 j
I
~ -
\8\I,_-'-=~ -----
PRIOR LAKE
INSPECTION RECORD
l ~~~-R~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J::r2J~ ~ TOUV\+~~~_ 8.d1 ~ 01-
NATURE OF WORK JtJ ~
USE OF BUILDING gF~
PERMIT NO. tJ2 -/,.304- DATE ISSUED 1'.... If-Q"#
CONTRACTOR W~ PHONE CfS2- 233,' ~~ bf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
r FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING c..
INSULATION
ELECTRICAL
PLUMBING W
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ~ 6
GRADING (Prior to Soddin )
BUILDING W G
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.
I
c{ tC8
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850