HomeMy WebLinkAboutBuilding Permit 01-0072
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2 Pink
3. Yellow
Fite
City
Applicant
I PERMIT NO.
(Please tvDe or orint and si2Il at bottom)
rDRESS 4694- Ptt;el:::WOOD
Dt2-. s6
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 4- ADDITION fV6m:J124Dq6 L:::J./nn::,5 3eo
I>WNER j
(Name) A Iv\ ~~
(Address) L\ ~ 91./
BUILDER
(Name)
(Address)
Date Rec'd
Z~Z-Qj
R../
PID ZS~3'7-02L-O
tiZ.-\ t- ,,"Of.;)
(Phone)
q 52 -I.fqo-IIJI./D
9SZ-B8J-3S0C; Lv
P~\l-~u.o>:(:)
DSL PfUoiL 41l.-~
(Phone)
PPE OF WORK D New Construction DDeck
~Lower Level Finish D Fireplace
DMisc.
DPorch
DRe-Roofing
DRe-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 J 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 local1aws and will proceed in accordance with
SUbm~ed plans I am aware that the bUlldmg official can revoke thiS permIt for Just cause Furthermore, I hereby agree that the CIty offiCIal or a deslgnee may
enter u on the p'~p_HJ to perform needed tnspecnons
X ~_~ ~-Ol
{~ Contractor's Llcense No _ ~
V
I Permit 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 Permit Fee
DAddition
DAlteration
PROJECT COST /V ALUE (excluding land) $
$
$
$
$
$
$
$
$
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other ~7ZlCRL-
I Mt:<.-e:;Li
TOTAL DUE 2-5-6/
"/4. 75
1.50
40.00
40.00
r
. ation ?\::.es Your Building Permit When Approved
7 2. t;-'2a;)(
Official Date
c
$
$
$
$
$
$
$
$ /.00
$ /67.2S
Paid
Date
1.57- z.,.s-
2-'Z-1-' I
I ~~ce~3,-p~
I
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 aJlows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour uotice fnr all iuspectious (952) 447-9850, fax (952) 447-4245
Th~ ('~nt~r of th~ L.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
V A-f116S 6Jej CO()N
Z-Z-- 0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45q4 PP/Zk:-WOOO 012..-.
Accepted
Accepted With Corrections ~
Denied 107/f? ~
Reviewed B~ (J~
Comments:
Date: 2 - <;;'---G:zK:)1
V~~ -~~~ ~vd2q~
"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."
#3894 P.003/003
......-..-....-
1'P1....l'IJ!" "".rint 106 ,il!!lltboOml.ll
I ADDRESS ()
4'S-q{/ r~/) ~
LEGAL DESCRIPTION (0111""... only) d
LOT ( BLOCK L/ A...,...,<uON [J }lJti~1 Esf- i3 r
~=R ~.d11<ifJ 11n..//I""~'" (Phone)
i:E:. 5:,_1 l'ERMITNOOI-1:A. I
ZONING I""""')
~I
PIDc:9r -- ~/1- Dcil-6
, (Address)
. '~
APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(phone) fi51-6;P-2561
(AW:lresS)~70a N. FJl.!lIlVTRW AVE!ll~ ~TT.T." 't""
(Addles.) (Cloy)
(ContIKt pmon) BRENDA Hl)~ (PItone) 651-633-.561
APPLICANT SIGNA'I'URE I J::;;/P",/J f},'L- _ DATE l(j..:f<(i2'
APPLICANT PLEASE COMPLETE BELOW
ONEWCONSTRUCTlON 0 REPI.ACEMENT Jij'AlTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF i:J ti:JLJ:.M HEATING ORPOWBRPLANT
JW"",, Air Plants
JOMlvil"
- Medwiioal
~ AI. Condmaninl
: Vent. S"st.m
FIREPLACE MAKE AND MODEL dJ'i.~ IV ~
I:;.c;:i'~
(Zip Oo~,)
BStelllft
HOI Water
J R.Bd1.Uon
J Specinl Devi.es
J Other Devie..
PLEASE NOTE:
Air ClIlldiliDller Un lIS
CanDoI En.CI'I)ach into
!lequired Sid. Yard
Setbacks
?-'- 7.~7r?~'
Industrial, Commen:lol &. Mul.tl.Famil"
FEE SCHEPVLE
I % of job cost Rosldenti.l. G.. FI....loce
539.50 mioimum
$99.50 ResidondaJ. AcIdiU....a. Al""alion.
564.50 Residential, AC Only
$39.50
Rcoldential, Hooting & AlC (New Con_ell",,)
R.sidential. Helling Onl" (New Construction)
539.50
$39.50
Estimated Cost 5
Building Pennit #
HEATING PBRMlt FBB
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
.S,!
,I3U/~~G WITH
PEFi;V:rr
(om.. u" Onl)l)
Thil Application komel.' Your Bulldlnll Ptrmlt When Approved
BaJldfllll omd..
I Paid
I Date~/I / (J /
/
;l.4 hour 80llce 'or 811 in.pa<lion. ("Z) 4Io7-98SD, ,.. (!ISZ) 447~Z45
Dot.
I Receipl No.
I By 9K--
(/
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 4Sq:} ~r-k \. ~ th-J
NATURE OF WORK ~"" " k- ;:-;-""t""'I~""-'
USE OF BUILDING q~ f\
PERMIT NO. DATE ISSUED 2 -S-'&c:J(
CONTRACTOR ~r-I'r<:....J\ ."- PHONE '1'&J - l.( ('-10
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
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING . '.
, )'
HEATING (if required) ; ~
FIREPLACE ..g. V.~ '5f~Jol tJ;y,6nrA
GAS LINE AIR TEST ~.l)llA.ott ~f.~,,(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,
;'
"
"' .'
,. .J,
1- ''''''1
{:' .'j
I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ 0/17/tJl--
.
-
-~
&-
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical sarvice 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.
&>//Jh ~
rj/7M2--
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
....-,-.-.-...----- "..-...-.,---....."...'-'" -...-.-.,.--..--.-.--.... .._-._--~
ADDRESS
459&./
0", TE TIME
SCHEDULED ~ 1/: 3 ()
/4fLI(~ ])12,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO. (J I - 7 z...
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATIO~ 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATIO 0 SEWER HOOKUP FIREPLACE FINAL
~INAL ~PLUMBING FINAL ~ ~ GASLlNE AIR TST
o SITE INSPEC N (IJ:V,vMECH FINAL 0
COMMENTS: L, L
(V!t~
- ,-
-chJ (l
j(J WORK SATISFACTORY, PROCEED
(~ CORRECT ACTION AND PROCEED
o CORRECT WOR~K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl