HomeMy WebLinkAboutBuilding 02-1309
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CITY OF PRIOR LAKE BUILDING PE It f, Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'L
'J
.;, x.
{.. )./.A/-:- A i ,'-.,)
LEGAL DESCRIPTION (office use only)
9-5 -OG.-
White File
Pink City
3 Yellow Applicant
I PERMIT NO. 02-- / :301 ,
"
""~".
( ~ I
LOT
......
t
BLOCK ", ADDITION r-: .>:) '/~"(" "-'
~~ ,
/-# , j
OWNER
(Name) VVdl\;StL-l to. '.JA)
(Address)
'0, II.,
f ...f,~ , 1,.< '" o-S
ZONING (office use)
fi?.4--
~;..-c~'; :'r:""'.>
(Phone) (.,S}-tltX -'I(,/r::D
(;:1_ i...;..:..- A) !'I.{.d
SY/,;;t.)
BUILDER
(Name) I. ,,It.:' !'-'''S ';(1 A....; !\.~ i-h---;, lt1b'.!
(Contact Name) 2,--,/_2.. 'lAc,.,.:... '~dl~
(Address)
(Phone) C:-.)"! - eft)!" - 't'i / (1 ()
(Phone) !})~;; -,;. 13--',--71xC. <./
TYPE OF WORK
ORe.Siding
~ New Construction
ODeck
OPorch
o Re.Roofing
OLower Level Finish
o Misc.
o Fireplace
OAddition
o Utility Connection
c.?U
OAlteration
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.
x~ ""'-;"r '4.f-r-
C "'7-). / ,." .~. I. j
( t; ,); SIgnature
/' f"/"-")i' ".
. '-..,
o ,
Contractor's License No.
Permit Valuation
/7 -
/- <~~7
.JO ~- f./ L_
Date
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 8 ;1";
Pressure Reducer
Park Support Fee
SAC
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
$
$
$
$
$
$
$
$
$
es Your Building Permit When Approved
Paid
Date
~/~~::.~:!
1 l)-OZ
Date
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.
c::
IC.!,n8-
Date Special Conditions, if any
4 hour 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
-
Tht" Crnlt'r flf Iht' Lab ('ounl'1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\\JbN5/1A!\itJ
Cl-S-02
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14/&0 FOUt0IAIN
K
HI L/G'S
~T
Accepted
Accepted With Corrections
Denied
vO
Date: 1-(6 _0",,---
Reviewed By:
Comments:
~A- A ~ P'Le
"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 C("nter of rh{' Lab ('ounlrJ
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'.
r l ,).. '\' / \ (' I {
~ I / ,
".'L.__
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ".j I i~ t( i' (, I.., T-'j'! I r I;" ,_;
'-'-'
Accepted
J
Accepted With Corrections
Denied
Reviewed By:
~
Date:
a . q ~P--
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 C"rnlrr or Ihr I..kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\Nf;N5 ~'1A~tJ
CI-5-07.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14/fc0
Accepted X
o
F 0 U t'-..rr f\ I rJ
tU ~ G S
~T
Accepted With Corrections
Denied
+~
Date:
or I (or I 01,
I
\
,
Reviewed By:
Comments:
56:: yl)A!~ t~
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."
'03 10: 58 I D : PL'r'l10UTH PLUnB I ~.JG
FAX:7635331121
PAGE 42/ 47
GAffl . flU
VI!LLOW - 4P~L'CANT
GOLD, CIl1
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.w. No. /) - /3() 9
Sewer and Water
contractors must
be registered
with the city.
APPLI CANT: {l1:'Jr l t'l P \ "'~ \" ~ PHONE :0 /.oj)S:'0- Li b57
-c:DDRESS: J <-\ ( (] OLW\t;a' V\ ~- \ \..., C:'-\-. DATE: ;}.- \ L\ - 0 ~
SIGNATU:J~Q&~ ff1:lJb!..!!QQe \ BLDG. PERMIT #
ITE ADORES : PIO#
FILL IN THE BLANKS
1. Estimated length of water service
I
AD
feet.
2. Size of water service
\ "
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC Y.
Cast Iron
5. Estimated length of sewer line ~C)
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 ti~.Of issuance
~o insur that no duplicate sewer and wateq p~llits .~re
l.ssued. D ~ @ R D n!7 i~ ~6U>ING~~~~~',
DATE PAID U; ~ U; III AMOUNT PAID -. 'c
RECEIPT # By FEB 1 8 2 u. REC' 0 BY ~ .
~-
---
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opp<'lI"lUnllY Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
;#707c??
~. ;.~~:w ~l~icant I PERMIT N~~_ J ,~ 0 '71
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~~2~
a
(Phone)
(Address)
APPLICANT A , /. / /'J.?
(Name) /-7//~~' ~'GL~,-r~(Phone) "'/-
(Address) L ~c;,:>7) /~~~ 61!!' ~ ~_ /:=-~~
(Address) (CityV'
(Contact Person) A~("j~ &.c.~ (Phone) /'-
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACEMAKEANDMODEL~Yi..Af)- "3-J~YC,"'24DID FUEL NA. ~ )'
~ ~
FLUE SIZE 4 RETURN OPENINGS INPUT 6G ( C)(")C') OUTPUT~:f C'/J CJ
TYPE OF SYSTEM HEATING OR POWER PLANT
[2tWarm Air Plants
OGravity
GIMechanical
g.Air Conditioning
[]Vent. System
I FIREPLACE MAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
Building Permit #
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
. ~~ P~/D
,50 8U'lD,,., w,.,.,.,
'vG p~
,'FfMI-r
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Building Official
Date
" ~
,I
I
By
24 hour notice for all inspections
'-""f
FILE ~,Jo. 502 04/11 '03 06: 52
I D : PLyrl0UTH PUJrlB I ~JG
FA><: 7635331121
PAGE 6/ 11
CrTY OF PRIOR LAKE PLUJ\1BING PERJ\llT
Date Rec'd
rP1C:ll~r
ADDRESS
I ill" "ill I PERMIT N3 .1
,Gol" ell,,' '_ / 3/)0
.) ',"Il<'h" l\prll<C:.l.r\1 _ {.../ ( __
~
-- OU V\~~
~l~
ZONING Joffic" "",'
LEGAL DESCRIPTION (t?l1ic( use only)
LOT
BLOCK
ADDJTliJN
PID
(Address)
APPLICANT
(Namt) PL'JV\'\{ll..:''l-l'\
I, I Address I (0" C~
(.A. cldress)
Ilcon",per,onl Sill ,DcJ.,\~ (Phone) t!io?j)'Ff?r~S7
I APPLlCWT SIGNATC1~ep /;;f'~f1MIVI)lpf1u DATE --=':l- I i ~- LL:5-
APPLICANT PLEASE COMPLETE BELOW
()' .
V I Lt i1~.kJl "')
I , I .
I~ ~ \.' "'-
(Phone)
~~L~~
I.J J .... J c::;j)---
(Zl]:' Code)
Quantit)' Type- of Fixtu re QUM tity Type of FixtuJ"C -l
r Bath Tub with wI' IJ.iithml1 Sh0\,ver ROllgh-ins
rl-..
1 DishWilsh~i" I Waltr j-h:;ll/:r
cJ. Floor Drain \ Wall:r Sofmer
I j.-.l Lavatory (Bathroom Sink) i Stand Pipe: IWiiShlllg Maclline)
I .--
I Lamdr,\' TrJv (] or 2 companmtl11 sink Sewage ~jcctor
Shower Sta II BackfJow AS$em bly
l Sinks Backtlow Assembly Test
- - . , .
I-JI.lI ~1'U\
--.." -1-.......-.
, Other
Water Closel (T(\IIr:l;
FEE SCHEDULE
InclllSlrlJI, Commercial &. ~~tJltl-i';lnliiy I"..;, t1l'lul, t;"SI will, ~ D<JjO mJJ\1l11um
t.slInlollf:d Cost j; -, q ?f). C[)
R':SlcJenllll:, Nc:w One: &. r",.,.F;'ln1i1)' $"'950
KCSIO::OLliJl. /,C1dllil!l1~, &. AHer::lLl.,O:; j;39.:io
Building Pc:m111 #
s:
:.U
~/D
'-li'P'\~
-'0,
Wl'r,((, lI~t (11111';
PL..UlvlBING PERMlT FEE
STA TE SURC]-lARGE
TOTAL PERMlT FEE
3;
Q'
.JJ
Hlllld; 11;: ()/'(".",J
}1;1 'e
Rete!p! 1-.)0
I
ct---n'
f
V
ThiS Applic:Jtlon Bceon,,:" \01/1' BIJildin6 Pei'ln/! WI1~n Apprllve(j
~~ IIl,UI 11"11<':': fill' ~IJ 111.\P~'tj/)I\'\ (~5~J
lil~/l(l F.:r:.J11' ("n'd, AVII" I.,.C.. 1:'"111
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~"w JJ~icant I PERMIT NO.d- () DC(
ZONING (office use)
14168 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
4/24/03
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 D Steam PLEASE NOTE: .'
DGravity D Hot Water Air Conditioner Units ,
D Mechanical D Radiation Cannot Encroach into /~
DAir Conditioning D Special Devices Required Side Yard
DVent. System D 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
,50
tJ~~<IfIID ~
~IVG 7l-Jr
,o~
194,/7-
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office lIse Only)
Buildine Official
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-985 ~l. 447-4245
~'::=----=.==-----,
PRIOR LAKE
INSPECTION RECORD
l~~~ ~~'Le
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -L1l lA ~~ tJl-Ll~ [L;+,
NATURE OF WORK VU ~
USE OF BUILDING ~ 14-
PERMIT NO. 02.-I.~C cy DATE ISSUED f-Ij-~
CONTRACTOR ~ ~ PHONE Cf52-23?-9$~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
INSULATION
ELECTRICAL
PLUMBING U ~(,.~ ~ 11 ~)...'-I ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS<{~' C-
I
o ~ \ L< D,3
GRADING (Prior to Sodding)
BUILDING
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850