HomeMy WebLinkAboutBuilding Permit 03-0029
l~~~
CITY OF PRIOR LAKE BUILDING PEAAlll, L",,,~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
J. Yellow Applicant
q'lease.!\'P'C or Ilt'int and swat bottom)
ADDRESS
It/for J{rn~rv;..pK ILI/D
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK -:;ZADDITION /'VJ.r=>, d ~U;I/''''' l.<.----
"3 & 1 - tJO , . 0
PID ;J5-3'tlf87/-0
OWNER,!
(Name) _ (" ~P1*)( Hoi"1e r-
(Address) /1 ~t'JO vv/,'~JA.r,--k-Jr
BillLDER
(Name)
(Contact Name)
(Address)
(Phone)
'75;)- 9~6-7g]7,
J),...l...-f' I~ VJ~ I A 0/ A1 /n n~-hI'1h:, 41"v .s: S?-'(?
s: 1vJ1'l ; t'J-....
TYPE OF WORK
Jlf New Construction
OLower Level Finish
~eck
o Fireplace
o Misc.
(Phone)
(Phone)
<'"...~
?S::;J- Y"oA---6;) VO
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Sieling
OUtility Connection
PROJECT COST IV ALUE (excluding land) $ / ?-.<::;" 0 c::::> 0
"-
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 r#-r';'-~.1 and that all construction will confonn to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that th~ULlCLlll~ffi.cia1 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the~~perform~~
X (~--:::::: ;).00 767"{/ .?~;}6-0;)
~ Slgnature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Pennit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
J 215. t>O".~
,/~. 7"
- #-n.l.. "'tit I
~2.. ~ I
I Park Support Fee rn
I SAC / 1 1,
, .
I Water Meter Size 5/8"; 1'(; I?
I Pressure Reducer ~
I City SAC and WAC #
I WaterTowerFee #
I Builder's Deposit
lather
I TOTAL DUE
7~;;Sd~g
k:+?.-0Jr"'.>
$ I
$ J_~.CO I
$"3t,s.~ I
$ I AO .cJf' I
$ I. 'Z-i'O . C!Rr
$' 7~ .c!:iY-
I $ I.,'r) 6:::!:J.&S' I
$ . I
$ ?t4-7.6.tJr I
I Receipt No.4 ,-;./ i..i~ I
Bv tf- / . I
I Paid
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 the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~'"~ ~
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(DO . cO
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qt). 00
(fJ2utA:Buildingp~;;:~ro~
- Building Offici'
Planning Director
Date
/~A-
. Date Special Conditions, if any
24 hour notice Cor all Inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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Th~ ('~..tt'r of lh~ I..kt' Countl')"
White - Building
Canary - Engineering
Pink - Planning
".
...
BUILDING PERMIT APPLICATION DEP,ARTNlE.NT CHECKLIST
NAME OF APPLICANT --&AJ Ju! .; LA---
APPLICATION RECEIVED a-IO';).
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p~ose~, at: . )
/LlLlof - -ff)AmiZ fU-RA.L6 /0(6
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
A14rs
Date:
9-2()-<:J'L .
It" r r',' {(
/"C.,~ h
i!=:F!~ RF!versf! Side for Additional Information! i
"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."
~
,-
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Th~ ('rnl... of Ih.. t.h ("ouR1!'}'
White - Building
Canary - Engineering
Pink . Planning
WILDING PERMIT APPLICATION DE~TMENT CHECKLIST
NAME OF APPLICANT
{/~A{M
I
v' " ~",. /,
^,~fi'V""
APPLICATION RECEIVED C/- I {)~,;(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr9posed at:
/1/1./01-
. /1/ <'
_"'~/ Iv'/.
}71 ,A.C
I~: {/ d
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~~ ::(~
A,e. LL..:-tg t!.~.
A-d-IHW.k.., ,
~~"".//
Date: jah/d 2.--
,I'.. ~ ''''',;''r
~..L..Y. ~-~,
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,"
Tht ('mltr of Iht L.kt ('ounl"..
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMlLAPPLlCATION DEPARTMENT CI-tECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
(J~M
,
Cf- I CJ-;)..
ib
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction. activity which is p~osedA'~t: )
/l/l/0- r/I:;LJ/~1ifjj,'U-R.A..~' A /u~
V
Accepted
Accepted With Corrections
Denied
Date:
~/7-0Z-
Reviewed B
Comments:
rt~ a1Q di-~[) W ~
"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."
...
.-..
'JobAddr_I'l'l"f ~v/!l-.. .
._ngeontroctorHEATING & COOLING Twd_
-Testert/Signalur. .IM.&'- d,r
~
T1lne
Pounds
Pr-..r.
-GasU".
Preesurized
In.petted
PERFORMANCE TEST
.p.,cenl CO. . 0 7 1:0 'P..conl co 0 'I:>
....'cenl"2 . of ~ .Stack Temp. ');0.
..
Final Inspection
Dele
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10/07 /7.~02........12~_ .....?-
...n UP P11,. &.All
PAGE 08
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STATESURCK~GE S
'TOT..>J. PER:"m FEE S
.50
1'-'-
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90/90'd
-
JNIOJ8NlaWnld^3ll~n
v0:0, E00c-v,-N~r
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~~ ~:~ I PERMIT NO'3~ '1q
3_ Yellow Apphcant t::?'\.
q'l~ase ~ or 1Jrint and sip at bottom)
ADDRESS ZONING (office use)
1~09BROOKMEREBLVD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(phone)
(Address)
APPLICANT
(Name~ AI.T ,T'Pn PTRPSJDE DBA FIRESIDE HEARTH &. HOMR
(phone) _
651.633.2561
(Address)
2700 NORTH FAIRVIEW AVENUF
(Address)
ROSEVlT T P
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL.550TR.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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
PAID WITH
9tnLD'NG PERMIT
~~n\V1~1J
- - - - - l.ceipt No.
I
!}J )1
I
.50
BuildlOli! Official
Date
24 hour notice for all inspections (952) 447.9~ Illfi l
,
11
VI
FROM :HEATING-COOLING-TWO
FAX NO. :7534283682
Mar. 14 2003 07:53AM Pi
CITY OF PRIOR LAKE
HEATING/AIR CONDITI9NINGIFIREPLACE PERMIT
Date Rec'd
::~ ~:~. I PERMIT NO'(jj-d--C-J I
), V.llew AppllOlllllt I
(fll:'1Ut' ~ or Mint MU1 sUm 1\1: boaom)
ADDRESS ZONmG (oftIeeuse)
J'I'ioq e~ookmdL A Iv'd ;J,u).
LEGAL DESCRIPTION (oJllce ute only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name),
0~.II~
I
c\\"M..... \
(Phone)
(Addreu)
APPLICANT
(Name),
(Phone)
(Contact Person)
f..:E~i1,~.r; &: r.OOUW~ iY\'O H~;
(Aa&rl,~ ':'VV'Hl F(~. &;
Maple "Grove, IvlN 552'%-(:,0',
f'.'(.;;,~;~ t.?A..~~7"'7
(Addre~.)
APPLICANT SIGNATURE
(City) (Zip Code)
(phone) ~I.:) " -<tit-.. l' -, 'is Ir, ?
DATE 3 .. JL/~() ~
- -
-lUlu. (\ ~oK
\
APPLICANT PLEASE COMPLETE BELOW
;:aNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL A e.f ~~ ,<?"it<> .r(cfaK' 0 FUEL
FLUE SIZE :v~ (I. RETIJRN OPENINGS J{ INPUT ~ 00\1 OUTPUT ~t1() n
,
TYPE OF SYSTEM HEATING OR POWER PLANT
. ~ann Air Plants 0 St08m
DO",V;!}' 0 Hot Water
O}feChanical 0 Radiation
erAlr Condltlonillll 0 Special Devices
~nl System 0 Other Devices
PLEASE NOTE:
Air Collditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &. Multi-Family
Residential. Heating & AlC (New Construction)
Rcsidetllial. Heating Only (New Construction)
'FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
539,50 minimum
599.50 Residential. Additions & Alterations
S64.50 Residenlia~ AC Only
539.50
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID w.-.
8lJILOING" r, ,,.,
PE~Mrr
.50
(omet Us. Only)
Thi. Application Becomes Your Building Penn it When Approved
)~~~u~[l
DOl. ~ I~ 1 4 2003 I
24 hourMtl~ ror aUln.peetlons (952) 147-9850, rax (952) 447-4245 I
By
/'
."
Receipt No.
BUildln,Omctftl
By -1Jr
()
PRIOR LAKE
INSPECTION RECORD
b.~ ~lJti
Maiu.. ~l \.e
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING <:j ~
PERMIT NO. tJ':5-0D?JI _ DATE ISSUED Q-/7-62....
CONTRACTOR .....c. .~"" PHONEQS"2 --<kl."5'-~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING 0...-- "2. ~ "':l - if)'
I FOUNDATION (Prior to Backfill) I ~ I :2-/lil ho
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
. I I I J
FIN A L S 1-Vf\I\ L..,f{. 0 e -l -03
~~
'3 1'1-7/tf3
{
~11
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3/.?? 4;.3
'3/Z-7 ~/7f..
,?j"2.-71t)~
GRADING (Prior to Sodding)
BUILDING I ~ I C- q)L*"
\ ELECTRICAL
PLUMBING ~
HEATING V~~"rJ't/L- ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
67~Dto:J
tJ/lJ,/~
fi1 ~E>'rf7,
BEEN SIGNED
This card must be posted near an electriclll 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~/oJ
t~~-
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:f-02-q
lJ FOOTING
o FRAMING
lJ INSULATION
~INAL
~ FOUNDATION
o DEMOLITION
o FIRE PREV.
~LUMBING RJ
MECHANICAL
TER HOOKUP
o SEWER HOOKUP
. 0 JM!PTIC INSTALL
...er"""..e,wMBING FINAL
YSITE INSPECTJON
lJ EXClGRADlFILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
. '<'_I .
~~f\O~s:
{~ () ,b ~.t 7~.{3
jEKSATlSFACTORV,PROCEEO .n:- _._T1'I C7'1"~
ECTACT1ONANOPROCEEO ~ VI O-oJ
tJk ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Conlr:
~
--- .
'--1 ~JJ,
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
DATE nME
?-IO-01f
ADDRESS ~q- /4-4--I~ 'fl./UlDJ::r1at.,& Lh.1It2.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PERMIT NO. a:!-boZ9 - 3z..
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
"p(;FINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
SO D /77LeE:
"
COMMENTS:
~ . .IIl/
(1 V AT-
vto
'O.J
-If
v
[J EXIGRADlFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
[J
-------
~ SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
EINSPECTlON BEFORE COVERING
Inspector:
OwnerlContr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSMm
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY!
QLtmfkau nf~rmpanry
ell t OF PRIOR LAKE
~ Department of .uilbing Jnspettion
Final Permitted 0 Conditional C.O. Expires
is CeT1ifiCtJle issued pursuant to tM requirements of Section 307 of tM Uniform Building Code
ceT1i./Ying thDt at the time of isslUlllCe this structure was in compliance with tM variollS ordi_e. of the
City of Prior LoU regulating building construction or lISe. For tM following:
SINGLE FAMILY 02-1264
.C.. .,' '''. Type
R3
VN
Type Construction
'~FircZone
Bldl, Permit N"
ZooiDI District R2
Use C1usificatioe
LepI Description LOT 7. BLOCK 2. MEADOW VTRW
14409 BROOKMERE BLVD
Owner ofBuiJdi"l! ,i.. Address
C.._ ',H 'sNameltAddressCENTEX HOMES, 12400 101HITEWATER DR, lil20, MINNETONKA, 55343
Da..:
~RTrrrRT1I1L-City Planner
,1777 ----- Dale:
I V . POST IN A' CONSPICUOUS PLACE
nON RYF.
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03J)oZQ
- 'I
fit' EXI~.LLING
-o-'COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Jll'i en
Brc90f",,<1/'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~r9~
OA TE nME
7-27-0{"
XWORK SATISFACTORY, PROCEED
/~~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. /?'?"~ _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/