HomeMy WebLinkAboutBuilding 02-1305
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1~+t1!5
:; C l/l..,~., ' '':;-/4 ; ,~
Date Rec' d
1-5 -02-
I. White File I PERMIT NO I
i ~~~l~w ~~~licant 0 Z- -- /3 O~
/"J ~--
/
ZONING (office use)
12-4-
LEGAL DESCRIPTION (office use only)
LOT S- BLOCK -? ADDITION (...j AJ~-<:, !U
I-h / 1<,
~l ,',"
,i'~ J... t)
PIDc?'S~3?o""O((2- -I..J
~~e~~A/(;' /'--' <) r~l.t:\ !-./,J
(Address) I
!-Ir' .~
, ) /:./ V:'-<(
. (, ,.. '~'. ./)
/
(Phone) ,:: "7/
;~/~/')
C~.A - /;." f,,,>
/11/\)
5-{-- ;to.:
/;: 1,;<; / / 'r~}t)
BUILDER / I
(Name)
(Contact Name) R (n-::,~
(Address)
~I
:/
(Phone)
(Phone) ~-
~.-. .., ._. -,~~..-
1 ) /"- I 0" ,
I .
-----~--
/ i f....
. /
,'7 (- -, ~"}7 l:7--?/.~
7"..: (....t.. ;7'. J I .:;' A IllZ
TYPE OF WORK
New Construction
ORe-Siding
OLower Level Finish
ODeck
o Porch
ORe-Roofing
o Fireplace
o Addition
o Alteration
OUtility Connection
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. 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 perform needed inspections.
<i ..---;--
..-:. I ~
o Misc.
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
$
$
$
$
$
$
$
$
~~t> ~(}b
Date
$
$
$
$
$
$
$
$
$~ Of; "
I ~;1fi;t~~1 /
/</ ,/.-~,
Contractor's License No.
Park Support Fee
SAC
#
#
c;:~ -; - 2-
Date
iO.cO
I 2Ob.C?6
~O .6$
'15.&0
.~l'~. 06
I ()(!) .,,0
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.
Water Meter Siz /8' I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
107 '()Id-
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
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
t ~8:~fv' f
/ {} -'1
~~~
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr or 'hr ""kr COUnll}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IN ~N5'rl A'tJ~J
q ~ 5.-:. . 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l~f00 FUUf\J/AJN H(~L$ ~T
Accepted >< Accepted With Corrections
Denied \ ~
Reviewed By:
Comments: --D ~\.-Of f.
5~~ n1k:tN t~u:.
Date:
OL
\1.00(0 "'OV\
See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
liThe 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."
~~
- c4J-a- ~ ~
--------....
--
Tht' ("fn'fr of the LakE' COunll1"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!. :..;\ / "''':r''1
t !, : ~, .. 1" ,
I ~. / I'
f' ,
\ I
. "
APPLICATION RECEIVED
/.~ ('-
I ~ J
I
( .-,.
" L_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!.j if ( (-'''/ i ;--.\, 1\, t ! I (, :..~ ,1_-1
, i I "I \... i I..: I I. i" "w ..
Accepted
J
Accepted With Corrections
Denied
Reviewed By:
~
Date: .-9 .C/. (J.:J--
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."
~{
White - Building
Canary - Engineering
Pink - Planning
-
lh(" Crnlt"r or (he Lake ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
lN~~A NI\1
Cj,5- 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
FUUf\JiAI rJ H(Lk~
~100
C'X
"-
Denied d
Reviewed By: l-Q
Comments:
~z jJt. jI~.n-V
~T
Accepted
Accepted With Corrections
Date:
1- (' Y'~D2-
"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."
'03 10: 58 I D : PL"{i'10UTH PLUi18 I ~,jG
FA>( : 76:35331121
PAGE 3:3/ 47
CiAfl!. . FILl:
YULOW . .'''LlCAIIT
GOLD. elT"
\
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
/) /''7()5
S.w. No.c:.?"\- /') _
NOTE: Sewer and Water
contractors must
be registered
with the City.
.~PPLI CANT: -91~"" n l ,-+v>. P \ '-'-!l:\ ~ PHONE :0 ll!?)S~ LI ~5 7
(DDRESS:JL\ \_0 fooV\t-aiv\__\\"'? Q+. DATE: rl--\L\-O~
SIGNATU~Qj)&.1v.'~_Ny'tY\WL9Jp ~. BLDG. PERMIT #
ITE ADDRES~: PID#
FILL IN THE BLANKS
1. Estimated length of water service
f
AD
feet.
\ \L
inch(es) .
2. Size of water service
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC\{,
Cast Iron
5. Estimated length of sewer 1 ine t-( 0
feet.
6. Clean out (if required) I 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
TOTAL
* 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
to insure that no duplicate sewer and wat~_ ~it~ are
issued fWlu5F"'W/ ru
~ ~ @ ~ 0 ill ~ ~ NG PEE-;'.
DATE PAID ~~OUNT PAID
/A-
C!}
RECEIPT #
FEB 1 8 Z003
RECIO BY
By
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opponunity Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/=/ 70;G?
~!~. I PERMIT NO.;<_ J 30~1
Applicant , ,
1. Pink
2. Green
3. Yellow
ZONING (office use)
ffi/~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address) C~~ .A'
..." -
APPLICANT../'J 1/. / ~.
(Name) /-7//"~' "~~~~~(Phone) ;/-
(Address) l ~~7) //~....-c:" 6t!!* ~ ~_ /:=- ~~
(Address) (CityV'
(Contact Person) A~ /:)~ & c..,,(,. (Phone) "/-
APPLICANT SIGNATURE DATE
~. CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~y'~ .3io~"o-z.L-{o7o FUEL N A... . GAS
FLUE SIZE tf" RETURN OPENINGS INPUT b(2t O?O OUTPUT 53 ~:Y? .."
,
TYPE OF SYSTEM HEATING OR POWER PLANT
--gVlUTIl Air Plants o Steam PLEASE NOTE:
Air Conditioner Units
I"ry o Hot Water
echanical o Radiation Cannot Encroach into
. ir Conditioning o Special Devices Required Side Yard
nt. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL -
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Permit #
B PAID WITH
· d"~ UILDING PERM
.50 IT
REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Receipt No.
Da~ n
II, 3
24 hour notice for all inspections (952) 44 - 50, fax (952) 447-4245
By __. ___.
-.-- ----
FILE No.502 04/11 '03 06:51
ID:PLYMOUTH PLUMBING
FA/< :76:35331121
PA(3E 2/ 11
..---:--
(s...~~~.~
'. /
\'. 'If . ....
.........~J/iE.5c:.:.....'
CITY OF PRIOR LAKE PLUMBING PERMIT
D:1te Rcc'd
(l'lea~< I ." or rlm;md ~l):n J\ 1''',1'(',\1) \
; ~~~ 2:," [ PERMIT NO. , _ J 30~_ _".
~ \.elll4.... ApiJJ'~.1~ . c;;;I- ::__.1
ADDKESS
20Nn~G IMrie" "",]
~ Oel vY\o<
~lt
LEGAL DESCFJPTJO\J (,'IT,cl' use onlYI
LOT
BLOCK
A[)D1TJON
PlD
..
I OWI..JEF '\. J Jb:
(Namc)_U-i;v'\ ') LIV\~I!\ ~\ )~ S
I (Addrmd ~q~ _P (1\ 7"N,' 0, ~\J{
APPLlC..:dH SlG(~ATU.
(Phone)
I APP~1 CANT ().
i Name) P I '::\ '-lien ~;:r \, '1 yiLt, ,~~, ~~ , '" )
I .
IAddrc,~:\ (o'i (,1 q VI'L\ II,! it;::; A \.~ . L
(Address)
.......-~ I
tCOI1!ZICI Person) .....:01!.\
DATE
--,. Bath Tub wi1:h Or wlthC>Lll ~h(;:;c:r ROll gll-1 ns
- I f ....- ',- .
Dishwasher Wale! ]-leJter ---l
- Floor Drain _..... I Wattr Sonntr
.~
[ ~ .- L41v~tory (Bath,'oollYI Sink) f Stalld Pir~ rW:..shl11g lvl::lchlne)
I \ Laundrl' Tr/.\\ 11 or 2 L'omparLmcl1t sink Sewage: E;jtctor .---_.._-
I ,- I Shower Stall BackJlol,\i Assembl~'
\ Sinks #_- BacldlO\A' Assembly Tes!
- . .
APPLlC ANT PLEASE COMPLETE BELOW
I QuaniTi,"j-'--" Typ' ofF;<<.,', '=j Q.'''';~" ,
T~:pc of Fixture
v":lltl Ck,:-<.:\-'(T(li let)
"-'.-.:~'. '. -I
.;...Jf.H ~IIU'"
FEE SCHEDULE
IncllI,ltrJ:d. Commerclul & r"iLIIII-iMlld., 1"'11 d1lL'll t:o$: wllh;; $3lljD 111 11\ 1111 u 11'1
R'~ldcnll,tI. N(w (Jnc 6.. TWll.F41ndy 1:tI(j 511
R,:sld~nll;:1. ^,ddllllll1;; J::. AIICt:lIIIIl1,; \::)950
J:sII!1l:Jlcd Ctl~1 $ -,l1..(j V5 ',DO
BUlldlno h:m~111i
~ -,...
"
.;.
~o
elJl/;)~/D ~ _
DING -~" 11
~FiMrr
PLUMB1NG PERM] T FEE
STA TE SURCJ-LARGC
TOTAL PLRJVlIT FEE
~
5:
iUrfi". U.\C (lull'l
I Thl~ Applic:Jtion l3<:c(lm~, \ ~,;It' Buildln~ Permit When A.ppl'!Iv(:<1 .' '.' . ,'. -l-~ceIPI I~o -:
'-' '-, II: i~. I I
i~~'r;\;;~i'jii;-;:;:~I----- '-.-'-.-- 11,1, --.-...-- ::~~C"'l--l-WB3 ..l'---"- 8\_._7f--_:'=---~-!
, , I I 1 'I . .... ~! t. ~I - . I'. L -., I ... . , I .....j j
-" IlIUl'Ulll,cc '1l1 41 "'~I'~UIlII" (.~_I ~ ,-10:"11), .Il. U:<.I "~I-~_~:; i
111~1I1l1;'.;j~'.~i'{ rl'l~L'\'T \.L. l'rllsly_d.\.: ;\"r... ':~:~""~"l~~~~-,...____.._~
,__.w...;:!.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~, ~~~n ~::y I PERMIT NO. ~ _/~ oSl
3, Yellow Applicant ~ J .
ADDRESS
ZONING (office use)
14160 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)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/10/03
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
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 6000TR-OAK
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
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
'd!0
~G~~
~Jj>~
Receipt No.
Buildinl! Official
Date
A:2R 1 4 Z003
(Office llse Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) f,9850. fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS }l.{/ ~6 ~(n,cJ~) I.//{ C/-
NATURE OF WORK AJ.e.J-
USE OF BUILDING <~r=A
PERMIT NO. I)t? -/305 DATE ISSUED c;- 15 <52.
CONTRACTOR ~---.. ~ ) PHONE 75"'7) -2.Jj>-s&(gf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
%-'
DATE
"'-- /l Cc to ~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING vV: l(,Vt'lt-h~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS <V~vt~ L- " Q
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.
I
~.L'(93
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850