HomeMy WebLinkAboutBuilding 01-1341
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
11-15 j;{J I
l. White File
2. Pink City
3 Yellow Applicant
ADDRESS
/4-377 ,Je/1V6 AI
~
LEGAL DESCRIPTION (office use only)
LOT 2fa3LOCK I ADDITION /eN 0/3 1-/ / lA-- 5" TJt
PID 25 -3lP
OWNER ,
(Name)~^ 2i+k
(Address) ) '-( J ") 7 ,2/-J.vr.1
(Phone) 9 > l - 2- ')? 2... ~ J'i
Wd. ~~-.'
~r~ - <:J o'j-J.:J/tY
(f
j'JI f~
(Phone) ? '" J - .s-Y ~~ ) J ,,, ....
(Phone) (, {l- - 2.-2. f - ." yv
<.../ CJ.;I /' 4/ /Yf ~J f- t..
, /
BUILDER. I .
(Name) (.; I' r t ~ v,.. c.."
(Contact Name) /-(ev'" /)....~'r"'-
(Address) ",2 t!J / t' c::h>-I c' ".1 Ir C '-'-'c../~
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe. Roofing
ORe.Siding
DLower Level Finish
o Fireplace
o Addition
DAlteration
DUtility 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 aU construction will conform to aU existing state and local laws and will proceed in accordance with
submitted pl<l.Vs. 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
~'" n"" prop~f~m needed ;n"","''' - / -
x~ y~ t7"1r'/ /IIIL-Iel
Signature Contractor's License No. Date
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
# $
# $
$
$
# $
# $
$
$
'1-2. ~D $ 743. ~
I ~10 #ffjs
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Permit Valuation
Water Meter Size5/8";l";
Pressure Reducer
Becomes Your Building Permit When Approved
\ ~~~ If'!; f: 0 I
-' I-lq -0 I
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 th City Planner constitutes a temporary Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Certificate of Occupancy must be
issued
h!J-&h1 ~~ ~~~\ CL~~T'ttW1s..
Date - Special Conditions, rf any - ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
15:45 651 633 BBB4 FIRESIDE CORNER
CITY OF PRIOR J..,AJ(E
#6926 P.lJlJ1/UUl
Date Rec'd
j- 8 --() 2--
~: ~ ~:~ \ PERMIT ~O. /) 'l-OCL/U/i ,
], VoI'ow "11I'11_1 Uc::7"
ZONING (omo: U~)
/2./
LEGAL DESCRIP11.0N (Dlfice use only)
PID 25'- 3tPtJ - o2/R- 0
LOT Br~OCK ADDITION
OWNER
/"". P,
(Name) ('9;OA('5' ~.
(Phon,e)
(Address)
APJ?UCANT
(Name) Af...r...IED FIRESIPE DBA. FIRESIDE cORNER
(phone) 651-633-2561
APPLlCAN'T SJ.GNATlJ .
APPLICANT Pl..EASE COMPJ..,ETE BEI...OW
:MEW CONSTRUCTION 0 REPLACEMENT 0 AJ... TEJ'V. TI.molS
FURNACE MAKE AND MODEJ- FUEJ-
FLUE SIZE RETTJRN OPENINGS INJlfJ.T- ..,. .J.:lU.T.J)U.T_.
TYPE OF SYSTEM HEATING OF
RQ5iEVILLE MN
(City)
651-633-2561
(Phone)
DATE
--.S51 11
(Z~ Code)
(Address) 2700 N. FAIRVIF-W AVENUE
(AddNS~)
C P BREND.A HUSTON
( ontact . erson.)
~wllrm Air Plants
GJ1l.vit:y
M.echanical
Alr Conditioning
OVenl System
FlREPI..ACE MAKE AND MODEI... :;:i
o STilam
o Hot Water
o Rttdhuil)n
o Specilll Devil:
o Ot.her DevlcE~
f:-~ijti" j
~ .
{J!J.S~J
~.-
I~ IJ' .
Resldenlial. Heating &. Ale (Nc.,v ConsTJ'1,Lcllon)
Rcsidcnt.iill. Heating Only (New Construction)
FEE SCJ:lEDUJ..E
1 % of jPb cosT. Rcsidc:nt.i
$39.50 minimum
$99.50
$611-.50
u~
-fr~
Tnd\l~trl~1. Commercial & Multi.Pllmily
Resident;
Rtsldcnti
Estimated Cost $
Building P
HE-A TlNG PERMIT FEE
STATE SURCHARGE
TOT AI... PERMIT FEE
$ :39'.50
$ .50
$ 4-0.0 d
I~6-0L-
DllllI:
Pa. 40.00
Date / __ g... 0 7.-
(omet: 1J~r. Only)
],4 honr notice for nil in~pcc:tic)n~ <'SZ) 4.7-~IJSO, faJ (951) 447..4145
White - Building
Canary - Engineering
Pink - Planning
Thr Cf'nlrr of 1ht Lakf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
G,/5RT5DN
11-15-()J
GO.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4377 teA V6;J ~aUK-T
Accepted
Accepted With Corrections ')(
Denied 4 IfZ /J
Reviewed BYU!(} ~
Comments:
Date: \\-I'l-O(
I. AU shoJ()tcS- ~ ~ \Q.Q... ~.e,\tl evoJ ucJ:iJ. it,r- CdYldt /, CJvL
~pf'~ 9~~_ck-kd"t'S fWovr o,d
"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."
Date Rec'd
12-1/-0/
wi
).. ;,4L.'. ... ..,,/)4;J;4rl
~..~<,'~
''''i.-,',,,.,-.,
00-0748
t ~~~~w ~l~icant I PERMIT NO. 0/-/3 if I
ZONING (office use)
/4377 fi?//V6N {!/T AI&
/:../
LEGAL DESCRIPTION (office use only)
LOT 2l(l3LOCK I ADDITION ,t;IIIO& H/(.,.t- S'TH
PID 25-3" f; - (J ZlP .~ tJ
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) (.n 1.ffY\~~ 111 ~c h. .J:..n '-
(Address) f-s'i-ft/V s; )Vf1v~ Sf- tJ.,v
(Address)
(Phone) 7b 3 - If 2-1 - 2-Lf I?
A-.....rlov~"" 0c.}30l.f
(City) (Zip Code)
(Phone) 7h~ - L( U - 2-4 f 9
DATE
APPLICANT PL
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
E COMPLETE BELOW
REPLACEMENT 0 AL TERA TIONS
FUEL
INPUT OUTPUT
HEATING OR POWER PLANT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
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
FIREPLACE MAKE AND MODEL
Residential, Heating & A/C (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
$39.50
Industrial. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 31,50
$ .50
$ 4-0. UV
(Office Use Only)
Thi' AP~I~~~J"" Yon' Boildlng P"m;t When Approved
~ /7///,,0 I
Building Official Date
paid/itl, r/O
Date
/Z-'
Receipt ~?9 3
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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_____ .___..............., u.___ __~__._._ ..__... _..~_.._ ~,,_~_ ___, .~ 0- ---
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JG37'7 RON@_,^ Q~.
NATURE OF WORK H~ ~ y~ra-iT'""'
USE OF BUILDING S FD
PERMIT NO. ~/-/3t! ~EISSUED 11-1'1-01
CONTRACTOR 0. ~ ~ tlA 'Ba\<4}} PHONE 19l2 -~\-3I]alo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
t.-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING Ve.t\
INSULATION
ELECTRICAL
PLUMBING"}\
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST}, .1 /14 ()-z,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOV 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 c;hall !,e placed near main entrance.
2-l5-b~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850