HomeMy WebLinkAboutBuilding Permit 13. 0490 (Teresa's) 0 2N
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0i PR1O� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"+ t ' AND UTILITY CONNECTION PERMIT 44", /3
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1. White File
2 Pink City PERMIT NO. /3 ,9D
.
3. Yellow Applicant
(P lease type or p rint and sign at bottom)
ADDRESS ZONING (office use)
980 / LP / ... -1&T N E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) /2 Ot /n/A/ pCSj.di(f £- L (Phone) 9S7 MO 4' 9 5-1)
(Address) Z q/ `" / A / C adTY z, 4fJ I Q. #20‘, A,,, /C
1
BUILDER Q
(Company Name) k FH 60. (Phone) 1 d 5 °'
(Contact Name) II/ I' J1fA Z 47,1 (Phone) 4
(Address) 2 ` ei. /i/ ..,„/ -' Zs._,, ' r l_ LA- , at '3Q10
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ['Re-Siding ❑Lower Level Finish ❑ Fireplace
['Addition pklteration EUtility Connection
CODE: ❑I.R.C..B.C. ❑ Misc:
Type of Construction: I c MTV V AB ---
Occupancy Group: A 0 E F II I M R S U PROJECT COST /VALUE $ Z4 0
Division: 1 2 3 4 5 (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 - mentio ed .roperty 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 c. : . Qth' permit for • use. u ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
Signature Contractor's License No. Date
Permit Valuation Z T t b oo . _ Park Support Fee # $
Permit Fee $ -;at$ SAC 2435 # 4, $ 4 (c (0.
Plan Check Fee $ - 5 8 . — Water Meter Size 5/8 "; 1 "; $
State Surcharge $ •IZ . _ Pressure Reducer $ IAto
Penalty $ Sewer /Water Connection Fee # & $ 9 0 00 . "
Plumbing Permit Fee $ Water Tower Fee 16oO # $ CO D60 —
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE L637a 5. ZS a $30 ✓
This App ication ecss, me Your Building Permit When Ap roved Paid , 3 ( ,I 3s g. 7p Receipt igd q3
jai
Date 5,60.L By 1,..C/ z3 3
Building Official 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. /3 Car Able, r1 t n25cilc. � �-� 1.J — O Pc
� Lt
D ate Special Conditions, if any
Planning ctor P
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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, I■trtnr)te•
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PR10 CITY OF PRIOR LAKE Date Rec'd
ti ' HEATING /AIR CONDITIONING /FIREPLACE PERMIT r 4 tic-A . ' 1 5
u r - „: ,71 ---_1:- 1-- 4 6 Fir s
1. Pink File PERMIT NO
' 1NNEsoo 2. Green City `j
3. Yellow Applicant — S (.�
jP Pace ty,or print and sign at bottom)
(ADDRESS ; ZONING (office use)
G a-t> G v'‘' 1 k S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (Name) Taie5P6 (Phone)
(Address)
APPLICANT
4 r dre 1 ame) > C'a� ,L,V7� � �� S 1 } t . S Phone C .S) 5 °� Z- 2 S 'i 4
--' ) � es v`t L4 '_..o11,2 1 \rk 0 cl\.. S. GL Ls K €. 1.‘\. ,S S 1\
, �''. (WI E C._, Q t (P hone) 6) ,� ) �1
41 (Contact Person � `L Z
'PLICANT SIGNATUR /:)-k$ G, ((c / (3
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION El REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑ Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
❑ Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings
❑ Vent. System ❑ Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construc - mss: ' ' ',`! Residential, Additions & Alterations $49.50
Residential, Heating Only (New Cos . ;'sat $64.50 aesidential, AC Only $49.50
Cost $ ib 0 p 0 Bui ' t. Permit#
- - ■ PE' ♦ -_ , Ali ". C G.tZ.
STATE SU CHAKur 5.00
TOTAL PERMIT FEE $ e�
r
This Applica i n ecomes Your Building Permit W he Approved Paid 5..s.-, co G l�
P No. � �,-�. _
1t I►_ tp ( (') Datt
Buil. ing 1r cia Date ( � 3
24 hour notice for all inspections (952) 447 -9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
1
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4
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White - Building
Canary - Engineering
4 'INNtsoc - 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:
Accepted Accepted With Corrections
Denied
Reviewed By: Date: 6-- I3
Comments:
4i p , � ' m t arprevel 1 y A•0- 4410 K /s -OS/'G
"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."
PRIOR LAKE BUILDING AND INSPECTION
INSPECTI RECORD
,} -
SITE ADDRESS
NATURE OF WORK TL N ,— PIN Ism
USE OF BUILDING (7c ",/2---
PERMIT NO. 410 DATE ISSUED 4(ts/3
CONTRACTOR PHONE °tc'z •
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1 1 1
ror to Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING tom/ L -/1 -(3
ELECTRICAL
HEATING (if required) I 21 13
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I FIRS
FINALS
1111.lSodding)
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.
FOR ALL INSPECTIONS (952) 447 -9850
PERMIT TRACKING FORM
G doL>o /A--1 s re-kJ '�
Address: D esc ri p t ion:
(3 f7-/JJ / c3
Application Received: Y
Date , Days Elapsed
Initial Review Conducted 4/ r A--
Applicant Called with Corrections
Corrections Received
Corrections Reviewed
Final Review
Applicant Called
Date Days Elapsed
Date Reviewed
Initial Review Completed
Corrections Received
Corrections Reviewed
Final Review
Applicant Called
Date Days Elapsed
Date Received
Initial Review Completed
Corrections Received
Corrections Reviewed
Final Review
Applicant Called
Initial Review Time Correction Review Time
Initial Application Date Final Corrections Received:
Applicant Called W /Corrections: Final Applicant Call Date:
Total Days Elapsed: Total Days Elapsed:
01 PRI
iY aV
WNESO* ,
i
Date Received k � 5 Date Reviewed Permit #
PERMIT REQUIREMENT REPLY DATE
Date: Date:
Request: Reply:
�� � C,7 R -1 161‘i Accept n
<2. . NI a ,A-c„, D6-7-6pam Decline n
,4
Date: Date:
Request: Reply:
Accept n
Decline
Date: Date:
Request: Reply:
Accept n
Decline
Date: Date:
Request: Reply:
Accept n
Decline n
Building/Planning /Engineering Permit Complete Permit Issued
J: \BUILDING\FORMS\PERMIT INFO REQUEST.doc
Bob Hutchins April 22, 2013
Building Official
City of Prior Lake
4646 Dakota Street SE
Prior Lake, MN 55372 -3323
Dear Mr. Hutchins:
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged
for the wastewater capacity demand for Teresa's to be located at 6880 Boudin Street NE., Suite 150 within
the City of Prior Lake.
The City will be charged 6 SAC Units for this project, as determined below.
SAC Units
Charges:
Indoor seating
36 seats @ 10 seats /SAC Unit 3.60
Indoor seating (non- fixed)
402 sq. ft. @ 15 sq. ft. /seat @ 10 seats /SAC Unit 2.68
Total Charges: 6.28
Credits:
Retail (SAC paid 10/09)
1109 sq. ft. @ 3000 sq. ft. /SAC Unit 0.37
Net Charges: 5.91 or 6
It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added, a
determination is required, as it is also subject to SAC evaluation.
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is
a change in use or size, a redetermination will need to be made. If you have any questions, call me at
651 - 602 -1118 or email karon.cappaert@metc.state.mn.us.
Sincerely,
Karon Cappaert
SAC Program Technical Specialist
Environmental Services Division
KC: kg: 130422A9
Determination expiration: 04/22/2015
cc: J. Nye, MCES
Mike Whalen (email - -
390 Robert Street North 1 St. Paul, MN 55101-1805
Phone 651.602.1000 1 Fax 651.602.1550 1 TTY 651.291.0904 1 metrocouncil.org METROPOLITAN
t� u N c: I 1.
An Equal Opportunity Employer r: