HomeMy WebLinkAboutBuilding 02-0863
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
o ,A-,~ ~. C'-.
f.
LEGAL DESCRIPTION (office use only)
White File
Pink City
Yel\ow Applicant
PERMIT NO. 1:>#
DZ-~'3
ZONING (office use)
fL-
LOT <0 BLOCK
ADDITION
OWNER1'
(Name) . .:;')JJ
(Address) I -
I re If, /Jt1-
o Il,~. e,
r .
BUILD~ A
(Name) C~ ~7 ,,-ho.L l
(Contact Name) Jaft11 (
PID 'Z.) . Z(...
(Phone)
4i~ .- 3L-j<b~
(Phone)
(Phone)
'1L.-j0-LJ J 7 ,
q >)~o7-- 37(..~
P"-i:> .~
(Address). '1 L(..c ) 7'"111)
'1"\
-.
t:.~
o Misc.
o New Construction
~r Level Finish
~ LlO t:>
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
OAddition
o Alteration
OUtility Connection
1 hereby certifY that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 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. 1 am aware that the building official can revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may
enter up the property to per rm needed ins ections.
x
Permit Valuation -
Permit Fee $ ~
Plan Check Fee $
State Surcharge $ 50
.
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
2-01.1~~E
Contractor's Licen e No.
7.- Jb- o.~
I Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ~S .2-<;
I Paid ~fi' "2. ~
Date ((, t>""l.-
Receipt No, 4Z.S-r ~
By ,'l...,:) ,-l-
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.
Planning Director
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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1')j
Date Rec'd
I~
I
~. ~~~nw JJ~icant I PERMIT NO.;). -1'11
15546 OMEGA TRAIL
1 r~
..' ) l. . \
; ,,,'j 1
/~t~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
JAMES MICHAEL CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/9/2
APPLICANT PLEASE COMPLETE BELOW
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
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-750TR-C
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 #
$
$
$
,..-
I""w~' PAID u''''H
9~:AtD'!N .-v" I.
'. " JG PEP,~.J!JT
t/.;,;.....
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl! Official
Date
Date JUL I -(
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUiLDING AND INSPECTION
SITE ADDRESS (S"~ 4<0 C+-t~ c,4 JJ2..
NATURE OF WORK ~LLrp-1 R--I_~
USE OF BUILDING REC; ~_~ I
PERMIT NO. 0"2.- ~~ DATE ISSUED 1ft-I.. 01-
CONTRACTOR ~\At'tlC M(q~ PHONE q~2.""C>(.~;(,..z..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~G I
JRroND~ackfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
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