HomeMy WebLinkAboutBuilding 02-1468
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
!d-,73 -6d--'
1 White File
2 Pink City
3 . Yellow Applicant
PERMIT NO. D2 - /4-h8
c?3/d
~J f-'c f /'...5:/
LEGAL DESCRIPTION (office use only)
LO
ZONING (office use)
7ZJ-
ADDITION
OWNER
(Name)
(Phone) 99 -.d53 ~5Y.5
-5
(Address)
BUILDER c:::
(N ame) ~:~ I>> ;c7
(Contact Name) E;// 5/::;/70/'1
(Address)
(Phone)
(Phone) 75::} - d 35 e:JS'"ij.5
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
ew Construction
OLower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
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 operty to perform nee (i' sI2..e . ns.
..?
-P~aJ7t;737
Contractor's License No.
/Cjb ~~
ate
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $ ----
Plumbing Permit Fee $ 00 . t) 0
Mechanical Permit Fee $ ().OO
Sewer & Water Permit Fee $ 35.50
Gas Fireplace Permit Fee $ &, /)0
Park Support Fee
SAC
#
#
Water Meter
Si
5/ ; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
II ~ ,d-Z---
~'7~. #-1
. I - ..-'{) .
$
$
$
$
$
$
$
$
$
-
Receipt No.
By
LJf?3
This Application Becomes Your Building Permit When Approved
Paid
Date
~ r~1-J
Building Official
It/~A 2---
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
~i~ ~. wmp_ Cffti;;;;/;:'~ md ill~ 2ruoo w ~~" ofO,rupmq ="oc
Planning Director I 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
..'- . ~ '.", ./
/
White - Building
Canary - Engineering
Pink - Planning
Thf' ("f'nln of Iht t..kt Counlry
,'.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
d~A j/07JLfl.~
/6 ~ :l3-Q d-
,
APPLICATION REqEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction ac~ivity~ich is proposed a~: ~_ ;
;;1 3/;)- /<JU~b~L~i- I-ll~
Accepted
x
Accepted With Corrections
Denied
. Reviewed By:
#nT3
Date:
II-?-o?
.
Comments: See Reverse Side for Addition~llnformationl
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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
ThE' Cenlrr of tht' I.akr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(jbn~~ ~
I () - ;:13- C\ d--.
.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activit~ h_ich is proposed atlJ.--rA.
~31:J- ~~ 1I~~
Accepted With Corrections
~
Accepted
Denied
~]l~
~~~
Date: /~S~ 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."
11!19!2~~2 ~9:3~
'352461.....h
__."" CONTRACT I NG
-.I' 1l\4UI'\ LJ\.l\.t:.
1;1.) tJ U 1
Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
I, 1I\U2. "'U"
1. a.ld C:1l~
,. "11_ 4l'l'1~.'
\ PERMIT NO. O~/ .t/tbjJ
I
ZONING (Qmt'l: use)
~;s:;'~'P":
! 31 0W (i.r.Rt)1- PQ~.
LEGAL DESCRIP110N (ol!!a \IJe ollly)
LO 7 I LOCK I ADDmON st
; oWNER t r:jJ,
\ (l'iame) I...R/J ~ l.pK Jrt\. ()C) -
. (Ad.~)
APPUC
(N ame)
P'ID
(phone)
l
j
(A d.d:rc.ss)
(ContBct pmon)
DATE
Quantity Type of Fatur'8 Quantity Type of :Fixture
Bath Tub with or wIthout shower Rough-ins
Dishwasher Wau:r Heater
Floor Drain Water Sotiner
LavatOrf (Ba.throOm Sink) Stand Pipe (Wasl:llng Machine)
Laundry Tray (1 or 2 compartment smk Sewage Ejector
Shower Stall BaCkflow Assembly
--S-i nks Back.flow Assembly Test
Bar Sink Lawn Sprinkler
Water Closlrt (TOilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
l11dustnal. Commc:rc:iBl &: Multi-family 1% ofjQb c:ost With II S39.~O minimum Residential. New One lfL r""g..f'amily s:rno
il=idCllual. Additions & Altc:ratlons 539.50
Estimated CO!!t $
Building Permit '#
PLUMBrNG PERMlT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.so
I"""
(omc:t: Uat Onl",
Thi, Appli~tion Becomes Your.Bulldiog Permit When Approvocd
Paid
R.cc:eipt No.
Date
\ .
Oale
Bulldln'l Officl.1
14 hour natiee fOr an Inspections (95'%) 447-9850, fas (95~) 447~'145
16200 ta;le Creek ;.:vr.., S.E., prlDr Lake, MN 55371-1.114
j
,
10 . d llj101
.--."
..:""~,~-:'.,:..~
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CfTY Of PR10R LAKE PLC)r3~~G PER.\IIT
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APPL..fC~."T PlE.-\SE CIJ\lPlETE BELO\V
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8;1::1 TIJb ',o"lCl1'Jr '.11:,:101;[ ;~C'.'.~:- 1.3 I R-Ju';n-;n~
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\ 'SrJnJ PT- I"\"":iln'~ 'vI ,,'" ,-,- ,---"I
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I:lJli'j:.~:.I. CJr.1;7:~.::;lt &. ~,(u~t:"f::r:,.I'f i.', ot"job \:0,: ',\tith:1 Sj9..50 minimum
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STATE SURCR-\RGE S
TOTAL PER.'r!rr FEE S
- ''''I, ~
.50
.........r, 1
(QlTic; C~<: Oni~)
\ Thl.) .....pplic:lt~on Boecomc:s Your Buddin;:: Permit Wh~n Approvc:d
l=___-.!.'~IIJille omci~1 O~cc
:J h'll.lr "u~iI:~ i.lI" ~lIl"spccnlln:> \9:5:) ~-:-')::l
ec:::pt No.
l
--j
--
10/10' d
By
JNIOJ8NIBWnldA3llljn
91: n [00C:-[0-1~1j.r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
~ 3..~ y;ee,k1eOnw A~::Yl. I PERMIT NO. J //4 b g-
pp Icant . c7<
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)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/10/03
xD NEW CONSTRUCTION o REPLACEMENT o 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
OAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL550TR
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
$39.50
$39.50
$39.50
"~
-
L
Industrial, Commercial & Multi-Family
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245--"=.1
..' ,.~ :,,,:', CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERimT
Date Rec'd
1. P,o.
2. Of~n
l Yell.w
~:~ I PERMIT NO. I
Appl,aoo, . ;;2-141o~
ZONING (office USe)
Sfd/~( c- /~s.,-f
// f c<,
I LEGAL DESCRIPTION (officI: \151: only)
I
LOT
BLOCK
ADDITION
PID
IOWNER
I G'. ame) (:;,eJl +-~ ';IC
(Address)
); 0 /'Y'.;1 s:
(Phone)
(Address) 17.~)o
:f- (!o91,'~ 7 -rI~
(2 C) '" (1 r 1 !2.d g (
(Address)
(Phone)
7(,3- 4),7- 5(., 77
APPLICANT
(Name) /71':;''<:''"11.., '"".'+
I
/"i'lpl, (:J/p..""
(City)
5"'-;-~ (,. f
(Zip Code)
APPLICANT SIGNA TORE
(Phone) tCl L - ;: r.. :3 . >~G 7
DATE ~/ .-/ /. (')3
-
(Contact Person) ----'.? "y~
. .
I APPLICANT PLEASE COMPLETE BELOW
\ I~EW CONSTRUCTION 0 REPLACE:tvl:ENT 0 AL TERA TIONS
FURi"1ACEMAKEANDMODEL 131"'4 a,1+- 350 -+y.j 70 FUEL G~5
FLUE SIZE PVc. RETIJRNOPENINGS <;5 INPUT '60,orJO OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
[DWann Air PliII1t5 0 Stearn
OGravit)' 0 Hot Wa,er
o Mechunic<ll . 0 ROldiation
@ir Conditioning 0 Special Deviccs
[g-Vent, System 0 Other Devices
7 '-1. 01S0
PLEASE NOTE: \
Air Conditioner Units I
Cannot Encroach into
Require:' Side Yard
Setbacks
FIREPLACE J-..1.AKE AND MODEL
Rc~idcntial, H~ating & NC (New Construction)
Residc:ntial, Hcating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Go..:; Fireplace
$39,50 mmimum
$99,50 Residential, Additions & Alterations
$64.50 Rcsidc;ntial, AC Only
$39.50
Industrial. Commercial & Multi-family
$39,50
$39,50
Estimated Cost S
Building Permit #
r--
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\1lT FEE
$
$
$
.50
UuihJlng omclal
Date
-'
,~
(Office u~( Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspection, (952 ett1-9850, fllX (95Z) 447-4245
==
1: d ~'JtlcO : 01 [00c D . U'E' f
c8'3[8ct'['3L.: 'Otj >~tl.:l
OMl-9NIlOOJ-9NIltl3H: WOd.:l
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS c:j 3/..:L- J'~+flrrH
NATURE OF WORK ;VEuJ ~tJSfJI!.UcJ70;:J
USE OF BUILDING s: pr. D,
PERMIT NO. ()Z-/4~fJ DATE ISSUED /1/5/02--
CONTRACTOR (2E'tJTE)C IIoJ1ltES PHONE ,sz- z3~-~,.o)il3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING vvf If--Is-OJ-
I FOUNDATION (Prior to Backfill) I ~ I /1... Z{-O f-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING vJ tA>H'~
ELECTRICAL
PLUMBING
HEATING
DO NOT
3fl? D.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
t { I {)3
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
---
----~~--~
- -----~-- - --
,---- -,--....,
~
"-0'"
Thf' ("rnlf'r of 'he tlkr Coun'I")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~,. I -'-:-
/
Accepted With Corrections
/
Accepted
Denied
,.
Reviewed By: ~ f.a-J2t- Date: I/S;&z-
Comments: yYl~ &? 21' ~ ~ 6r- ~
~~ ~ ~;::;:~~~~. ~a;
"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."