HomeMy WebLinkAboutPermits 03-0878 & 03-1435
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3, Yellow Applicant
(Please type or print and sign at bottom)
I ADDRESS
/ S 4-9 I tJ/U?l3lAj
ZONING (olli" use)
r'T
/t.LJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2.S":' I~ .062,,0
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) Ph#' ~ /fYl'l /ltJe'5
,
(Phone)
q 52.--
4-
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
FURNACE
FLUE SIZE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
E AND MODEL FUEL
RETIJRN OPENINGS INPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLE SE NOTE:
Air onditioner Units
Can t Encroach into
Req 'red Side Yard
Setb cks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # ()J -/4-...l S-
$ 39,50
$ .50
$ 4-0.00
Estimated Cost $
(omc, Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447
16200 Eagle Creek Avenue, Prior Lake. MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please e or tint and si
ADDRESS
/S,/p / ZteE~<?..
Date Rec'd
-jfJ-6?>
I. White File
2. Pink City
3. Yellow Applicant
PERMIT N
. 03 - OB7fJ
Pi. RD. :s.~,
LEGAL DESCRIPTION (office use only)
BLOCK {
df
LO
ADDITION
OWNER \
(Name) D/i/l/ ( E
(Address)
/?7 E.
BUILDER
(Name) <,f: I F'
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
DDeck
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $
o Misc.
-6
(Phone)
e..c;.-z.t.--
(} -S/sy
0/, 788fo
(Phone)
(Phone)
DPorch
ORe-Roofing
)i!e..ddition
DAlteration
Utility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also ce fy that I am the owner or
authorized a t for the above.mentioned property and that all construction will conform to all existing state and local laws and will p Deeed in accordance with
submitted a I am aware that the building cial can revoke this permit for just cause. Furthermore, I hereby agree that the city fficial or a designee may
enter upo th property to perform oeede "oos.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
O. -
-
This Application Becomes Your Building Permit When Approved
~ t;I;,-.; (P/'J'd/cn
Building Official . Date
Contractor's License No.
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
/3//.7
.\\J
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 Ce "ficate of Occupancy must be
Bru~ ~~
Planning Director
'/.?d/n
, Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
,/
" ~~
Thr ("rnlt< of lhr I..~' Counl!') .
'Ie - SUI In
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
, /.-: r:- c:- ~
IC>-Jc- LJrll1/6::C
i -'l-~ '\2
If I. L.-....;.. l/~
t-f'-;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the buildi g permit
application for construction activity which is proposed at:
,54-9 J L5IZ{:.:.E2-L/ //T eA.:;Js~6-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments: ,See.
e Side for Additional Information!
. .. ,",
See Attachments:
"The issuance or granting of a permit or approval of plans, specificati ns and
computations shall not be construed to be a permit for, or an approval of, any vi lation 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 r other
ordinances of the jurisdiction shall not be valid."
---_.~-~_.,..."----_._.__._-.-"--_.."._.".. --,
_ _____.____.__________.e_..._._________. --
~~
Thl' ("fnlu of lhf L.kr ('ounl!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6Sf::/ UrlNIEL- ~
17 --;> C,;J
(0'- ?--- ~
HIVj
::rhe Building, Engineering, and Planning Departments have reviewed the buil
application for construction activity which is proposed at:
.::;- 4- (/ / iSle: E6Z l,
ing permit
/--
I I
,t;;L/
--
Sc
.
Accepted
./
Accepted With Corrections
Denied
!:/J ~
Reviewed By:
Date:
Comments:
"The issuance or granting of a permit or approval of plans, specific ions and
computations shall not be construed to be a permit for, or an approval of, any iolation of
any of the provisions of this code or of any other ordinance of the jurisdictio . Permits
presuming to give authority to violate or cancel the provisions of this cod or other
ordinances of the jurisdiction shall not be valid."
5~~
uil In
nglneering
Planning
Thf (rnlrr of lhr L.kr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J
65~ D/I/J/GL- ~ 14M
&. 23 03
The Building, Engineering, and Planning Departments have reviewed the buil ing permit
application for construction activity which is proposed at:
'.5 H / 81Z682-
--
PT .eO Sc-
Denied
Accepted With Corrections
;l();k&
,
./
Accepted
Reviewed By:
Date:
Comments:
2..
"-
A
14
A
c...",,,,e,/Mt:> p~,;-
F. p~(r
cAt- p ",0/1..41 r(
#' 675:tJ
"The issuance or granting of a permit or approval of plans, specific tions and
computations shall not be construed to be a permit for, or an approval of, any iolation of
any of the provisions of this code or of any other ordinance of the jurisdictio . Permits
presuming to give authority to violate or cancel the provisions of this cod or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
jo,""Y7.o5
; ~~, ~:~ PERMIT N . OJ _ 0 II.~
3. Yellow Applicant Iii" I:
ZONING (office u,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
~~;~~ANT 1:::0 ("\ ..} +1m~t-\-Df ~~
(Address)
(Phone)
-5/:54
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
0-2-1 l:l3
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTP
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLE SE NOTE:
Air onditioner Units
Can t Encroach into
Req 'red Side Yard
Setb cks
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
. Industrial, Commercial & Multi-Family
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ~ .50
$/
/'
$39.50
$39.50
f\1 vii ~11
P (,.. f
~lJ
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Penn it #
(Ollie. Use Only)
Building Official
Date
Receipt N
This Application Becomes Your Building Permit When Approved
D
By
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
€~l Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT 10.2..7. 03
+'NNES01.'"
L B'", Fit, I PERMIT N :>. 6? -OB76
2. Gold City
IPlease ~e or nrint and si<m at bottom\ 3. Yellow Applicant
ADDRESS Bret-u-f ~H\-\- Qmd SL ZONING (office use)
\S4Q\
LEGAL DESCRIPTION (ollice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANt:> Prm~ (Phone) nc.., _ /I AJ\ -t; { gt.
(Name) ctf\ .J- fS,e-
(Address)
(Address) (City) (Zip Code)
(Contact Person) Ol'A1M~ /1 -;;.p I. (Phone)
VT I()-Z-l ~3
APPLICANT SIGNATURE ,vvor DATE
-v'
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type ofF i ture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
y: Lavatory (Bathroom Sink) Stand Pipe (Washing M chine)
. Laundry Tray (1 or 2 compartment sink Sewage Ejector
,.--- Shower Stall Backflow Assembly
r Sinks Backflow Assembly Te
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two.F am Iy $99.50
Residential. Additions & Alteratio $39.50
Estimated Cost $ Building Permit # D~~I
PLUMBING PERMIT FEE $ ~ pfl't
STATE SURCHARGE Y .50 b6. Pol
TOTAL PERMIT FEE ~~
(Ollice Use Only) -
-- /\
This Application Becomes Your Building Permit When Approved PY Rec ,'/ ,
Datfo. /.,,1 ,0) By ~
Building Official Date
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 t
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
1
,,'" "
PRIOR LAKE
,
INSP,ECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTIO
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE 111% ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTION BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill) ~'O (A
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE
frj ~O!::>
FINALS
GRADING (Prior to Soddin )
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspe tions
and maintained until all inspections have been approved. On buildings and ad itions
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
SCHEDULED
,,-r;//y(v
,
/-Y ;6/
OWNER
(/; Y:~ zy
/
CONTR.
ADDRESS /<:> ~7'/
PHONE NO.
PERMIT NO.
0]- /crss-
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE Rl
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION rECH FINAL 0
COMM~TS:, I.~ /
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/
&IC
~ORK SATISFACTORY, PROCEED
o CORRECT 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/
INSNOTl
~7~
/
/.c;-L/9/ gee?: v' rl/ Rei
CONTR. /
&-?71'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
o INSULATION
~L
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
Cl PLUMBING FINAL
[] MECH FINAL
COMMENTS: _____ ./
h,k~/
,
DATE TIME
Cl EXIGRADIFILLING
[] COMPLAINT
Cl FIREPLACE Rl
[] FIREPLACE FINAL
Cl GASLlNE AIR TST
[]
@ f3.,:i~ i:~1?:;, %"
~/~
4/ 0/("
p4/0RK SATISFA RY. PROCEED
/0 CORRECT ACTION AND
o CORRECT WORK, CALL F 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!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /) 9'9/
OWNER
SCHEDULED
&....e <:.i/
/
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COPo1MENJS: .
Cf ec.//:tA4!
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
ri/A# ( do~-<
DATE TillE
/91~~
#~C(
03- f7,r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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do-/t
:s t"-<!''+
<' / /I -;cl -
Lq//' .fei,' '....~e.
,
J
t/ lJ",-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
/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!
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