HomeMy WebLinkAboutBuilding 02-1308
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
i,,'. I J.J ryA. .. V
LEGAL DESCRIPTION (office use only)
LOT 'J BLOCK3
ADDITION (:,~/(/"-t\.,
OWNER
(N ame) rJJ L:;j~) S Fl/U;' ,,-II,J
( J.,,~ .~
,-1C',,,_.1..':.. oJ
(Address) ,
Z i"L'
Date Rec' d
9-5 -c) 2-
1. White File I PERMIT NO
2 Pink City .O? - L ?O.t?l
3. Yellow Applicant . V _ 2 V
ZONING (office use)
1&1-
L/,-<)
(Phone) C>:..) ." '/r')(;.." '/,/,:'JO
t-j.... i q/'....)
/f/lA./
c--'-' (.;:, :,"
BUILDER
(Name) f,
(Contact Name)
(Address)
1
~'
,,,-c.
I ~ ~~,J.:"; 1."
(Phone) ,.
,,--,
(Phone) I.,',) '.1:;" ,'. - I:Y\) ( <'/
~ 7' 1'''' ,..~ _" r. ~ -.r _
.~_. _, ,r'--'--
I 1'.:. ) ') t:. fl./;
TYPE OF WORK
o Misc.
OLower Level Finish
New Construction
ODeck
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
ORe-Siding
OUtility Connection
"IV
-'
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.
X -;:;:'?t ~:r:t-
~.--- i.,' -+ .$fj ature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
1-l5c5L
Date
I ',' '>-2'
-,
)"-- jr 1;::-
Contractor's License No.
Date
Park Support Fee
SAC
#
#
v
$
$
$
$
$
$
$
$
$
Water Meter
_10,7,09-
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
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.
~-
-,,,....,..',,'
-.---.'"
~~~
Tht' ('t'ntt'r of tht' l.d:r Count')
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i , :
I ',J '
. j' \ ; \,.j (, I
APPLICATION RECEIVED
I .
L_._.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.' J
"j I
, I :," I{
f f.,
.
i
. "
t ~} t. {
.~-'....
._ I
Accepted
Denied
Reviewed By: ~
/
Accepted With Corrections
Date:
q q.O: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,"
Thr Crnlrr or Ihr I..kr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
kJLEN Slv/ A ~ tJ
C) -' c; - 07
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f-(llI.,S
J41tc~
Accepted ><
FouNTAI N
~,.
Accepted With Corrections
Denied \ ~
,
Reviewed By:
Comments: D ,-' ~ 5kOf~
~ W\At10 r-~~
Date: -1/ (C} /01-
10 IS/Y 6 -' 6K
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."
White - Building
Canary - Engineering
Pink - Planning
Tht' ('{'nIN or the t.kt ('ou 0 II):
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~t\J fNSlvl A ~ tJ
C) -c) - 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
FOLJf'JTAI rJ
141ft ~!
Accepted X. Accepted With Corrections
Denied n n
Reviewed By: -V ~
f-i ILL., S
<!:r.
Date:
ere 1?02--
Comments:
~ ~ ~f:-L
"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"lnDUTH PLUflB I ~.jG
FA>!: 7635331121
PAGE 41./ 47
~E.. - FIl.E
YUlOW . APPLlCAIIT
COUl . elT 1
CIT~ OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S,w. No, ~ - /'.:sO g
Sewer and Water
contractors must
be registered
with the City.
APPLI CANT: .() I ~: ~ l,tv-. P \ u VVI \~
(ADDRESS: -.l.ill. I - - f GWV\t <'l i ",- (\ <-,
~ SIGNATU~&~1~2/\
SITE ADORES :
PHONE :t!l51~)S?:0-'LJ, ?:J57
C::"t-. DATE: ri-- \L\- 0 ~
SLDG. PERJ1IT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
i
,L\ C)
feet.
2. Size of water service
\ "
inch (es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ASS
PVC Y.
Cast Iron
5. Estimated 1 ength 0 f sewer 1 ine .to 0
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
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 th 0 duplicate sewer and watercP~~~l\"Vra.. l;'e
issued. 0 !l @ [ft:5JW!lOtNG t',-
DATE PAID f.!71J AMOUNT PAID
RECEIPT! fe 1 sO 03 ~ REC'D BY &~
~ r
~::-- .j
-::::::--....
16200 Eagle Creek. Av. S.E., Prior Lake, Minne ota 55372 / Ph, (612) 447-4130 I FAX (612) 447-4245
An Equal OpponunHY Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#70;&?
~. ~::n ~!~ I PERMIT NO, d- / -3o~ I
3. Yellow Applicant . '-
ZONING (office use)
~~~/~ /h/.5
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
~-
(Contact Person)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 3 Jn~ o-Zl/c570 . -612-fMr- FUEL N ~ ..) G AS
FLUE SIZE 4 (; RETURN OPENINGS INPUT 6~ I'lOC'\ OUTPUT ...:;;~ oQ)
TYPE OF SYSTEM HEATING OR POWER PLANT
17lWar~ Air Plants 0 Steam
i:aV1ty 0 Hot Water
echanical . 0 Radiation
ir Conditioning 0 Special Devices
[;JYent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
8U/l.~,ff/D W/77-!
1NG t::J
~J:f~/ir:
(Office Use Only)
This Application Becomes Your Building Permit When Approved "I lEa
I ~ ~ Dat<
uU APR
24 hour notice for all inspections (952) 4 -9850, fax (952) 447-4245 \
8y._ ___.___.__..______...__.J
Building Official
Date
FILE ~,1o.502 04/11 '03 06:52
ID:PLYMOUTH PLUMBING
FA>::: 76:353:31121
PAGE 5/ 11
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
rpl:a!r lYPC or prll1\ :md Slpl al bottom I
I ADDRESS
~o4 fOlH,-1c;t\ ~lls
~ ~~ul~ ~::, I PERMIT NO._?_ J 3 /1 o--J
) \'~llaw AflVliG.Il1\1 , '~ _ ~-L 0 _
.
lONlliG luflkou.\"l
LEGAL DESCRIPTJON (Cmc~ use only)
LOT
BLOCK
ADDYTJON
pm
OWNEF J
(Name) \~ ~) ifV\ -r..ll' lA\
(Addrm) , . p
(Phone)
APPLl C.Aj\)T . ,/) .
(Namel_:..J2J ~jV\^f" l.~--t \....\. y I L-ll",'\,b it^.. G (Phone) b. Lc').J ~J">~'-(rb5 (
I Ad1n'~.,1 ( 0 'i () C( \" I \ III t\! j- l'N A I. 'l-P . k-) t:'F (It' Ie \ ~I/\, -P~d( 0') 'S L( d~ ~
(Address) (City'}.) (lip Code)
rCom,lcl Persun) S, l ( c)0~'\~PY'VlLAt Uk. (Phone) ~)~ ?J?;-- L( '3 S 7
I APPUCANT SIGNATU~ Q~ & JNvJ~l~ DATE ~ - I ( - 0::3
APPLICANT PLEASE COMPLETE BELOW
! QU:Jntlt")' TYr(~ of Fixtu re Quan tilY Type of Fixture .1
I
1 l Bath Tub with or withoLJt shower ROLlgh-ms
\ Dishwasher I Water HeLlter
~ Floor Drain , Water Sonner
~ Lavato~y (Bathroom Sink) I Stand Pipe (W:lShl11g. lvlachine)
Laundry Tr<lY 11 or 2 CClll1panmenl smk Sewage: Ejector
: Shower Stall BilCI:J1ow Assem b Iy
\ Sinks BacUlov.' Assembly Test
- . . - . .
~...j """'tlll'\
W.::.ler CIO~elIT(lilet)
FEE SCHEDULE
lnd\lSlnal. Coml11crclal &. Mulll-i'arnilv I",,, o1'lDI1 e"SI wltll J $3'1.5(1 nllllll11Jm
ResidentIal, N~VJ One b:. TWlI.Famil)' ];99.50
ResldenllJ!. Adctitli.ll1t; & Allcr~lllln~ j;:i9,5Ll
ESllnJi:lled COSl ~ <5 4 Cfj j (J[)
Building Pemllt t;
ll'.
.J<
.:'0
SUll P~/D kn.....
DING -:..~, Ii
P~lIl.1,.,..
PLUMBING PERMlT FEE
ST.~ TE SURCl-LA.RG[
TOTAL PERMIT FEE
$
$
1 1.1 iI.'
I'-llft Ct. USC Onl \ I
This Appllc;Jtlon 3~c'ln.lc~ \'Oll!' Building P~rmil Wht:n Approvl;u
h"lId,"~ (Jllicl;1i
:-'lllOur 1111l1~lo i'or .11 II\'p~C'lflll.\ (95~J.:I4 . ~:=II rill, r~~2) I i~..J'.:l~_
!,,~1I11 ",":,:Ic ('1'1'"" "VI'. ".r:, h'wl' Ld,e M'~ ;;0;;;;:.1'1.1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~nw Jl~icant I PERMIT NO'~-13o~ I
ZONING (office use)
14166 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 FAIRVIEW 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:
OGravity 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 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 $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
e~ ~4Jl>
~/I\1G ~~It
t>~~
~~
(Office llse Only)
Date
Receipt No.
This Application Becomes Your Building Permit When Appro
Buildinl! Official
I
I:
li
.J
24 hour notice for all inspections ( 52) 447-9850, fax (952) 447-4 5
By
By
'--"--~'-~I
PRIOR LAKE
INSPECTION RECORD
~ fu-~ ~~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS #LCoG? ~(~L~'. t{l{{q ~f-.
NATURE OF WORK tv~
USE OF BUILDING <;~ I't-
PERMIT NO. U 2 - /306 DATE ISSUED 1-( y~
CONTRACTOR W~ 0-1~ PHONE 152.. ~~~-..@t:,y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING Lv t.-
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) \ (.;
FIREPLACE
GAS LINE AIR TEST
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS (j~ ~ .Lto3
GRADING (Prior to Sodding)
BUILDING vv
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850