HomeMy WebLinkAboutBuilding Permit 03-0231
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or 'Drint and sill!;tl at bottom)
ADDRESS
J 5J.,5 J- 1-4lfl4JAy
J+e l"f h1S
. -
LEGAL DESCRIPTION (office use only)
LOT >3 BLOCK Y ADDITION tv e 716
OWNER
(Name)
(Address)
We l1.<;" /)1 JIM YI
/gqS jJt.lfz, ff
BUILDER
(Name\
GA-f"Ie
J111 C!-Ic...
(Contact Name)
(Address)
TYPE OF WORK
HO")lle5
Orlve. ,
HelL- fhl1Yl
o New Construction
~Lower Level Finish
o Misc.
l. White File
2. Pillk City
3. Yellow Applicanl
~/') IA: r+
/.5T
(Phone)
E.1I<71f Il
Date Rec' d
a-;;2P-1Q3
I PERMIT NO. 03 - 02.3/ I
"t
ZONING (office use)
721
PlDdS- 3/lt.- D3&>-O
bEl-"h'-lJ/.ft>O
(Phone)
(Phone) ~ I z -Jl:q-7b Z-r
DDeciI
DPorch
DAddition
ORe-Roofing
~ Fireplace
OAlteration
ORe-Siding
DUtility 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 certify that I am the owner or
authorized agent for the above.mentioned r'-r-.~i 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
;ter~ei:U (\erfoa;ei~;;c;ns
~'":'ture Contractor's License No. Date
I Pennit Valuation
I Pennit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee
$
$
$
$
$
$
$
$
PROJECTCOST/VALUE (exc1udingland) $
4/000 , qf)
B"7.J-t"
)..60
qoOJ?
l.{ 0 ()(}
ThiiflPftatioY1L-Your Building Permir When Approved
1M f1~ ]-4-0"3>
Building Official Date
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
..\ ,- <=1-
I Paid ~ / {p 7. &.5
I Date &-U- '?,
# $
# $
$
$
# $
# $
$
$
$ 1ft, f 25
I ~~ceiPt No. !;;~q:b
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
=~':71f1' Cirzt;::. rempor~Cmfiare;~:~c~~mcemd allows c"iZ~dow,~ Bd=~~::~'O=N:;
- Plinning Director Date Special Conditions, ifany
24 bour notice (or all inspections (952) 447-9850, (ax (952) 447-4245
t6200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i~, ~::y I PERMIT NO:'" ~ ~d-:ll
J. Yellow Apphcant J ~::...J
(Please ~ or vrint and silm at bottom)
ADDRESS Z"H,...\G(ofliceuse)
15251 FAIRWAY HEIGHTS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name~
WFNSM A NN HOMES
(Phone)
(Address)
APPLICANT
(Name)_ATJ.JRD FTRE~mE DBA FIRESIDE HEARTH & HOME
(Phone)
651-6JJ-2561
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700 NORTH FAIRVIEW A VENUF
(Address)
APPLICANT SIGNATURE
BRFNf)A HUSTON
DATE
J/26/m
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK (2ND FIREPLACE)
Industrial, Commercial & Multi~Family
FEE SCHEDULE
I % 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 #
$
$
$
8u/i. P-1ID ""'-
D1Nri:'" , ,.,
Pt:FI~,.,.
.50
(Office Use Only)
Buildin2 Official
roJii~ [E U IT] [E mil
, m IM~R 3 I 2003 IIi II By
LJ
24 hour notice for all inspections (952) 4- e-gS50. fax (952) 4474245
Receipt No.
-,
This Application Becomes Your Building Permit When Approved
Date
0r
u
-
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: !ki. ~ Date: ;?- ex f?-03
Legal: L
?
B
4
PID: Zoning:
1~-.;(51 .f~ li-Is~-r
SubdlvlSl0n: I J _.. I r
Vl/c.;/SWlQnn. S
Building Permit #
Site Address
Existing structure:Q or NO
CONFORlvIS TO ZONJNG
ORD INA1'l" CE
@
NO
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens'?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
~
/
~
I
I
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Refer to Planning
~
~
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer t? Planning
~
rIDS CHECK1.1ST MUST BE COMPLETED .~'!D INCLUDED IN THE BUlLDrNG PERi'yIIT mE TO
MAlNTAIN A RECORD OF THE REVITW.
T .\TF7Vf1lT .l, TF\ALTrFfCZ.DOC
PRIOR LAKE
INSPECTION RECORD
- (!.T
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITE ADDRESS /5 ~ S'I
NATURE OF WORK ~ F P
USE OF BUILDING ....5 F" -
PERMIT NO. ~ / DATE ISSUED ,
CONTRACTOR PHON~ 9 ,"",.2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
f'
FRAMING 1J b I
INSULATION . I
ELECTRICAL I
PLUMBING I
HEATING (if required) J
FIREPLACE I
GAS LINE AIR TEST 4J
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS .dol
~ \)
oJP ~wJ v~ '
lf~0\ ,f~'
I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
c/--7
( (
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850