HomeMy WebLinkAboutBuilding Permit 03-1013
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec
725.Q
or rint and si at bottom
White File [ PERMIT NO
p;" C;'Y . 0.17 -/.013.
Yellow Applicant . ~_
ADDRESS ZONING (oflk,",,)
.
/5? 10 SIOj tu'U i)Yi'v<- ,e/SO
LEGAL DESCRIPTION (office use only)
LOT :5 BLOCK 5 ADDITION IJLrtAlO VIE/-V 1ST PID ?C;. 14.5'. ~ (;, 0
OWNER
(Name)
INlHil. /(fJ'juU... r dbU- 6t.rfi (//1c1
.
/'57QO J. ~Jr:
(Address)
(Phone)
9~z.) Zu, -t/~3J
BUILDER
(Name)
/J1ltI~ tJH1J~ .,j)/Lc. . (Phone)
100f1O '-Yt1d'au ;m~5. 1/6, /3IOO~f<J" (Phone)
, S'sl/z.-o
I
qf'}..) !!f-S5?t
J()IIIV /.J7U~R?
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
DDeck
OPorch
ORe-Siding
ORe-Roofing
Misc. (()IYI)id
fW1'Vl/
o Fireplace DAddition ~Alteration
-----
PROJECTCOST/VALUE (excluding land) $ Odd ~
DUtility Connection
OLower Level Finish
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 local laws 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
enter upon the property to perform needed inspections.
x
~
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty .'
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Wa.ter Permit Fee
t3t23 '37
Contractor's License No.
7/~.>'/o'?,
/ Da" -
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE l'J.I1A,oo 1. f) .07 $ .,...vL "oc-.
This is to certify that the request in the above application and accompanying documents is in accordante 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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
White . Building
Canary . Engineering
Pink - Planning
The Cfnler of the L.ke <.'ounlfl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /C 0 N CO K.:- CO A/r77C-. .
APPLICATION RECEIVED 7. Zl:;. 0.5'
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/S790 Sqt.--itJ6 DR-/1/'6
/
Accepted
Accepted With Corrections
,
fIJ C~ '
Date:
'7~h
Denied
Reviewed By:
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."
~~
White . Building
Canary . Engineering
Pink - Planning
rh.. ("tn...., nf lh" I...... Connlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J. ('/" .,/(, i.
/(. 'i ( ../ /"......
, / /'.' .~.. (A:::_, .
-~/"_ ; r" /-j
. I..;'~' LJ ,';"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,; ),) C'// V L IliC f,. I., ,'C
Accepted
~
Accepted With Corrections
1M ft- '
7/./
Denied
Reviewed By:
~
Date:
Comments:
i
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,"
SEP.11'2201-06:15 651 633 8884
FIRESIDE CORNER
#2692 P.005/006
CITY OF PO~R LAKE
HEATING/AIR CONDITI~ l, GlFlREPLACE PERMIT
FIRESID~. ~~,"" \ PERMIT NO'3, It) I j
Date Re~'d
HEARTH6-HOME'"
15790 SKYUNE AVENUE NW
ZONING (omoeu",)
J,EGAL DESCRlPll0N (office u'c 01l1y)
LOT
BLOCK
ADDITION
PTD
I OWNER
(Name
(Address)
RONCOR CONSTRUCTION
(Phone)
APPUCANT
(Name) ALI.lEDFTRESJmtP..Jlt,J1J~J2ll..li~k.I{OME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVlEW A VENUE
(^d~r...)
ROSEVILLE
(City)
(Phone) _651-633-2561
5S1I3_
(Zip Code)
(Conraa. Person)
BRENDA HUSTON
AJ>PLICANT SIGNATURE
BRENDA HUSTON
DATE
9/I 1103
XO NEW CONSTRUCTION o REPI.ACEMENT o AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
'rYl'E OF SYSTF.M. REA TING OR POWER Pl-ANT
DW,nn Air PI.nls BSte.", PLEASE NOTE:
oGnlUiry HotWruer Air Conditioner Units
o Mechanlcol o Rod i "t,;on Cannot Encroach into
OAir Ct)nditifJning o Speci.1 Devices Required Side Yard
oV<nl. Sy'tem o Other Devic<s Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SUPREME XT
APPLICANT PLEASE COMPLETE BELOW
Indumi.l, Commerci.l &: Multi.Family
FEE SCHEDULE
1% of job ea,[ Residenli"l. G., Fireplace
S39.~O minimum
$99.10 Resldenri,'. Additions &: Altenl.1ions
$64.50 Residential. AC Only
539.50
Residential. Healing & AfC (New ConslJ1Jction)
R<si~enti,l, Heating Only (New ConstnJCTion)
539.50
$39.S0
(om.. I)", Onlyl
..".^~...~
, '-,.:J
:: " ", [;~ i:
liL'J't::':;,
-:
.50
:0 it r';\"11
:" u U L.
~ Ii I'
1 2 2003 ! eeipt No.
.&('I(,;'-4/D IA.
""'G 7f~
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:f11}'-
Estimated Cost 5
REA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
S
TI,ls Application Become. Your Building r:JW1JJl!it.hl:n,It1I>>EOf,li9,n In
Builder Divis; Date
llu;ldlne Of!!llIIjO Fairvi.ew Avenue NorTh Ro~le. MN 55 I 13 ho"" F' x ~5 I.
3850 West Hj~l1wa,v 13 Burnsvl'lIc. MN 55337 1'l1one 952-890.0758 -ox.
2lno,,~ notic. for nl Inspections (9S1l 447.9&50, fn (951) 447-4Z45
w"^,,.flr~'ddt:ll'llft.cnft'l !\IN CIOIlIT.Cltlr l.Iun!C rl1I)O~J<lll
----~-~---~--
" '------ .._~---
PRIOR LAKE
INSPECTION RECO
SITE ADDRESS ISI 0 <. IN$-- I us-
NATURE OF WORK A.L...1~~f'~~
USE OF BUILDING ~ ----F- t /
PERMIT NO. ("!J-/{J!3 DATE ISSUED 1( /o~
CONTRACTOR ~/'~~~ PHONE ~SZ.'"Z-~~~f
NOTE: THIS IS NbT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTME~T OF
BUILDING AND INSPECTION
D
INSPECTOR
DATE
-
_II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
":"\'i'1:'j" , 'II '\:" =1m ~,,;,~:.~..",.~!
~--
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1 '" f . ~ ' l 'j . rior to Sodding)
BUILDING ~ IL !<-tI83
ELECTRICAL f9vL..
:. .
-
"
DO NOT 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.
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
!6-1"J40
DATE TIllE
SCHEDULED ~~
1SkilA'~ ~
CONTR.
CITY OF PRIOR LAKE
INSPECTION NonCE
OWNER
PERMIT NO.
~ ~ t.tW3
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
<I FINAL
D SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXlGRADIFILUNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE Rf
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
~.~
C p<-~ 0 '8le
(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:'::O:ECT ~ FOR REINS:~::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
lNSNOTl