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Home My WebLink AboutBuilding Permit 04-0504 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE LJ AND UTILITY CONNECTION PERMIT ~ -~ 1/. ()-, l]'1ease .!.V.2O or nrint and sil!Jl at bottom) ADDRESS 1m .-:l., I UKF it A-,jg/lJ ( fi tJ.JL:, ~. ~~ ~:~ I PERMIT NO. 0 J, DC I'M _ .1 3. Yellow Applicant ~ ;;...J "....,.- ZONING (O_U""j LEGAL DESCRIPTION (office use only) LOTq BLOCK I ADDITIo.;;o;iJ7tIrLX>1d ([J~ W d.-,vl. pm ~s- 3'7/- CJLJ.f'-o OWNER (Name) ~ -+-- ~P.LA A-t>:l~---e.."oJU 3Cl~, LA~S ++Aue~ ~ (Address) (phone) q,.,,lr};::).(o-I..(c,,O.s- . BUILDER (NameL~t..LE("";:: CIT'''' 'i<.€mo"tl€"'-lN6- (Phone) C,Y2.-<lCaCf-(oqon .; (Contact Name) ~Tl;;-IU;;t1\.j HU55.Ej (phone) (Address) 7 <>t to U\K.evu..c.E '8U1u, U\-~ tll t..U2, IYlN "SSo~ l..f TYPE OF WORK o Misc. ! t<..-r:- . o New Constroction ~ower Level Finish ODed oPorch ORe-Roofing o Fireplace oAddilion oAlteralion ORe-Siding oUtility 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 t'&~r-'J and that all construction will_........:....... to all existing state and loca11aws and will proceed in accordance wilh 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 ~7~dirGr--~=~ 13c- doCf3(7/~ tJ/;'1 kc/ ../" - - ./ - Sil!nature ./?' Contractor's License No. Date & I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Pennit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee , ' PROJECICOSTIVALUE (excluding land) S 30. eOD $ $ $ $ S $ $ $ 3000_ LlIe> '2 ,- c='- .... <:t.~ - (c:::o 4<9. - 40 , , ... B _~__'mJrBlJilding~~d Building OffiCtti......... date I ParkSup~rtFee # I SAC # I WaterMeter SizeS/8"; 1"; I Pressure Reducer I City SAC and WAC # Water Tower Fee # Builder's Deposit Other TOTALDUE CA1WD 5.U.04- $ $ $ $ $ $ $ $ $ 2.2-7. f/ I Paid Date ;?<7',]. /I' il'>- ~- c...r I , I Receipt No. U to.\''7 J B1C . U This is: to certify that the request in the above application and acc.__........J:..., documents is in accordance with the City Zoning Ordinance and may proceed as requested. 'Ibis document when signed by the City Planner __.....:.._.__ a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of ~~~"r""~~ mUst be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 441-4245 lfi?OO F.ap'lt': C.reek Avenue Prior Lake. MN 55372 Residential Building Permit Checklist I?^ B/!ent Finish or Interior Alteration to Single Family Eomes BY: 1<V ~ Date: ~ - ;;j '1~ 61 Building Permit;;: tJ~. o.5V4- },: . Site Address ~31 ~~ Legal: L B E.:risting Structure: :rES or NO CO~YORl"!S TO ZONlNG ORDINA1'{CE Is this an expansion of the exisnng footprint or building height? Is the property located within the flood plain? I Does the alteration include any additional kitchens? Does the proposed alteration include any outside. entr:mces other than patio doors? 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.)" Zoning: .303 ? - O(aIu ~ (!;;t- Subdivision: ~" C- YE~ NO YES Refer to Plannmg NO ,./ Refer to Plannmg v Refer to Planning /' Refer to Plannmg V'"' Refer to Plannmg /' Tms CHECKLIST MUST BE COMPLETED .","'11) INCLUDED IN THE BUILDfi'fG PERiHlT mE TO i'lIAIi'fTA.lN A RECORD 0, THE REV1EW. r .'-:-:"fl-:;T j, T='"J. r -,~:~r( ';cc CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd -40, r;D q'Iease ~ or ttrint and siRn at bottom) ADDRESS ~Z'1 Ud~ ~h at. ~ ~ ~~ I. PERMIT NO. ) Yd'~ App';""" 04-. 0 5~ ZONING (oflic:eusc) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 25.37/.008.0 ~=R JA~ 4- PtUVliltv a/l~~ (Address) (phone) ~~~ANTf1rYrl- ffalu (phone) uPf/- 4;J...g~/t1-4- (Address)H]4'5 . f!JJm~TRi. ~ltj71!)ZU1j Jrln ~!;/L () ,(Ad<!r=) ~ . (City) (Zip Code) (ContaClPerson) ('h JetV' f1 ]?/L/(<:; (phone) (6;-4o<.2- / !-14- APPLICANT SlG~ATURE /) 14/~ ~~ DATE _ -. - - ;i311t V1 Jt:l?J -Iv OlJoU- ~ APPLICANT PLEASE COMPLETE BEI,OW.,-o..J.J..1 tW U.N tv -FijaL ONEW CONSTRUCTION 0 REPLACEMENT .frt1 .ALTERATI~t~Vevt+ kJakt pll<ee.. FURNACE MAKE AND MODEL FUEL Mill. FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Steam OGravity 0 Hot Water o Mechanical 0 Radiation OAir Conditioning 0 Special Devices OVent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot EncrQach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL 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 & A/C (New Consbuction) Residential, Heating-Only (New Consbuction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATINGPERMITFEE $_ 1f/. SV~iT STATE SURCHARGE $ ~~ TOTAL PERMIT FEE $- 4lJ, OU 'Office Use .only) ,is Application Becomes Your Building Permit When Approved Building OfIIcial Date IPai~ I Date(p . 6. 04-- Recei~ By .;:1- U 24 hour notice for all inspection. (952) 447-9850, fax (952) 447-4245 ~~, \,','" ",,,.,It/JIt 0"'" ':'-':""':"_\' NES \;\~~~\\\~;.;. CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Please ~~ or'DIint and si20 at bottom) ADDRESS ~ LAI~ ~ Of LEGAL DESCRIPTION (olllce use only) LOT BLOCK ADDmON ~':~~JJZt1 4 Ptvnllt0 ()J1dmklfJ1) (Address) \ fa~ 9 ~;;~F (0P111-: /!f/ay) (Address) J!l1110 (j,' '12iJhlPf (Address) (Contact Person) IJ2/flJ(fh' r APPLICANT SIGNATURE (lJ .I I. Blut File 2. Gold City 3. Yellow Applicant 4,00 I PERMIT NO.04. 0504-1 ZONING (olliceuse) PIDz5, 37 (,009;_0 (phone) 4l?dr;2;;(~_ 4i::C6 (phone) /fllr 1/8,1-1/44 mi. I!iJJI/J1IJUW mn ~J) r f_ (p~~:~) Ib:? I/L/LliP Code) "7d J..kO DATE ~ - --J r;J-1- APPLICANT PLEASE COMPLETE BELOW '. 'P~ . Date 6> . fl. o+- Quantity I Type of Fixture I Quantity Bath Tub with or without shower I I Dishwasher I Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks I Bar Sink I I Water Closet (Toilet) fJ /t1 bdh ,frin rJIU FEE SCHEDULE Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Estimated Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Omce Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 I Type of Fixture Rough- ins I Water Heater I Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test I Lawn Sprinkler I Other Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 MD. A f lIUIiI1IIl T'J-W . Receipt NO:9 --- I By J U CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please tvve or Drint and si... at bottom) ADDRESS i::i:. ~::y I PERMIT NO. IJ. ~~ 3. Yellow Applicant --, ~.......} ZONING (office use) 3037 LAKE HAYEN COURT LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pm OWNER (Name COLLEGE CITY HOMHS (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HO....". (Phone) /i51-/i33-25/i 1 (Address) 2700 NORTH FAIRVIEW A VENUF (Address) (Contact Person) BRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 55113_ (Zip Code) APPLICANT SIGNATURE BRFN/JA HUSTON DATE /i/R/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEATN GLO SL.750TR-D 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 ~~ .lJ!1 @ ~ G \II ~1t"" No 't iJ1 JUN 152004 ~ U-- 24 hour notice for all inspections (952) 447-9fi ;0, fax (952) 447-4245 0 By_ Building Permit # $ $ $ .50 (Office Use Only) This Application Becomes Y onr Building Permit When Approved HuUdine: Official Date " " PRIOR LAKE INSPECTION RECORD SITE ADDRESS 3D 3'1 tAIl e tJ AA.Je ~ I C1::f NATURE OF WORK ---.l.-L. USE OF BUILDI~~ ~ PERMIT NO. 0 - osrxt- ~JE ISSUED S.. ~-O)l' _ CONTRACTOR ~ PHONE~- 4:>>'-<<> NOTE: THIS IS NOT A P~MIT FOR NY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS - -I~ r-/~ ~-2;:J BUILDING ELECTRICAL PLUMBING HEATING DO NOT /1..--, If!? 8-/~ - '-....'":1 . OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE } I ~ \ This card must ba 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 8-1&-oY Lo..k-l4a,~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS J0.37 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION )It FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIllE c.J - SO'! o EXlGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED 'ljJ(.CORRECT ACTION AND PROCEED YO CORREC~' CALL FOR REINSPECTION BEFORE COVERING Inspector: / Owner/Conlr: CALL 447- 850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE. .-on CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & s..tFETY/