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Home My WebLink AboutBuilding Permit 03-1544 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d I. White File I PERMIT NO 2. Pi"" CI" . "'.2. -Ir' ..1-4- 3. Yellow Applicant u :J 1 ~ (Please tvDe or orint and sim at bottom) ADDRESS ZONING (office use) /f/3J.- ,Te~,j' Ass /Y. w LEGAL DESCRIPTION (office use only) LOT 7BLOCK > ADDITION ::Ie-fluf .),.... fI. OWNER'I'\ ,I (Name) l//X'/I" (Address) J5n2 1?1 AiM' t.r ,1;_ f-kr J &5 A/. v/. (Phone) BUILDER <7"l (Name) II/LvI tI /J1~r~ (Contact Na~e) IJa-v;1 /J1aA/V' (Address) 1~/';Jz. -:k f.kr5 fJp.5.5 /f/. w TYPE OF WORK o New Construction Jal.-ower Level Finish o Misc. fl- - "Z- PID 1.')- 3 "5' -tJ')'f -0 '1.>Z-Zzt -t~97 (Phone) '1>1- Z?, -tlL'77 (Phone1, ?rZ - 2y/- S""OQ I rc:) DDeck DPorch DRe.Roofing o Fireplace DAddition DAlteration ORe-Siding '" DUtility connecti.~ ./ 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 all construction will conform to all existing state and loca11aws and will proceed in accordance with submitted plans. 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 ;teru~Y;;1erfOrmneededinspections //_ Z/-/1 ~ -- Signature Contractor's License No. Date PROJECTCOSTIVALUE (excluding land) $ I Permit Valuation I Permit Fee $ Plan Check Fee $ State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I Mechanical Permit Fee $ I Sewer & Water Permit Fee $ I Gas Fireplace Permit Fee . $ ;:> _ -:- . +rJit..". '~dingp:7;ted -f"\BUilctn~ ,~/'J ~ ~ 4~,- I'f7 . "Z. "> 2.- 40.- I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid I Date I~.l, flhil n ~ # $ # $ $ $ # $ # $ $ $ $ I ~q .1..'5 ~fi1 I Receipt No, By 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 -...r-...." Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, jf any 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 t6200 Eagle Creek Avenue Prior Lake, MN 55372 BY: Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes ~ ~ Date: I ,/~~\D-S Building Permit # tfh _ __/" .,f- Pill: Site Address ~ T f) "V Zoning: r2-- ( Legal: L B Subdivision: Existing Structure: YES or NO ~ CW~ NO CONFORMS TO ZONING ORDINANCE Is this an expansion of the existing footprint or building height? YES Refer to Planning NO Is the property located within the flood plain? Refer to Planning J I Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside entrances other than patio doors? Refer to Planning Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office. group home. day care. etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FIL~TO MAINTAIN A RECORD OF THE REVIEW. -.....-"" L:\TEMPLA TEIAL TCHCK.DOC t:W~ P~RIO,p <;. - ... u '" 1.''',,",'''ESO<<'~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd q'lease ~ or mint and sion at bottom) . ADDRESS ~.;;;,:.- ~::y I PERMIT NO.JIW2. 'r~ 3. Yellow Applicant ~ ZVl. '1'.1...1 ,,6 (office use) 15132 JEFFERS PASS LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name THOMAS J MAUER CONSTRUCTION (Phone) (Address) APPLICANT (Name) ALTT~D FTReSTDR DRA FJRRSTDR J!M.RTH & HOI:ifR (Phone) 651-011-2561 (Address) ?700 NORTH FAJRVIEW AVENUE (Address) (Contact Person) BRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 <;5113_ (Zip Code) APPLICANT SIGNATURE BRENDA HUSTON DATE 1/9/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants 0 Steam OGravity 0 Hot Water o Mechanical 0 Radiation DAir Conditioning 0 Special Devices OVen!. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK (2ND FIREPLACE) 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 & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39,50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAlO WITH .5oBU1LD1NG PERMIT (Office Us. Only) This Application Becomes Your Building Permit Wben Approved Paid I Receipt No, I By Buildine: Official Date [Fall 4: 0 4: 24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245 \j Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 'Please!".J!l:. or IXint and sim at bottom' ADDRESS /n'32.. Ie. f.fer.> I. Blue File 2. Gold City 3. Yellow Applicant I PERMITNO'03.../5'1f-/ . ZONING (ollke use) I t$.5 f LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID . OWNER j) . I (Name) t//ir'IP (Address) (1J/l u.re.r (phone) "5J - ,22(r~"j' 7 APPLICANT (Name) (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) ~ (phone) APPLICANT SIGNATURE DATE j-Z7-(}'f APPLICANT PLEASE COMPLETE BELOW l Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) Quantity Type of Fixture Quantity 1/ / I Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Building Official Date I Paid I Date 1-(}-1- oL/ Residential, New One & Two-Family $99,50 Residential, Additions & Alterations ~ $39,50 BlQ Estimated Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (om.. v.. Only) This Application Becomes Your Building Permit When Approved 24 hour notice for a1llnspeedon. (952) 447-9850, fu (952) 447.4245 t6200 Eagle ereekAvo., S.E., Prior Lake, MN 55372.1714 PRIOR LAKE INSPECTION RECORD SITE ADDRESS ,,,,I ~'1- ~ PASS' NATURE OF WORK FI N 1..14- L.a........:M- ~ USE OF BUILDING /Z-'$-;. I't-ltL I / PERMIT NO. 0"2:1-(')4-4- DATE ISSUED !r/z./ld~ CONTRACTOR I),wl.() f1I~ PHONE1'it.'z3t - "a:? I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE ~~TIUCf 1-fI.OIlN~<.,,~ \dlorto Backfill) I I --PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS . ~,..~~~~~DTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS - fib 1 ) I w 1-28 We... l/t ~iorto Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY I-V /) Ifh r I 0; UNTIL ABOVE HAS BEEN SIGNED NOTICE (t- Z -0<1 ",- This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet Is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED lyI~~;r !t;1 '},z-,'u~ (V~ TIllE ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. ~ -1.5!L1f o EXlGRADlFILUNG o COMPLAINT o fIREPLACE RI ,a"'"'FIREPLACE FINAL -0 GASUNE AIR TST o o FOOTING o FOUNDATION o FRAMING o !!J$ULATlON )Ol"1'INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP ~R HOOKUP ~ ~":.~M.BING FINAL o MECH FINAL COMMENTS: ~RK ATISFACTORY, PROCEED o CO EC A ON AND PROCEED o CO RECT FOR REINSPECTION BEFORE COVERING Owner/Contr. CA '1470 ~O F~ THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUlufENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI I/<II<OTl