HomeMy WebLinkAboutBldg Permit 04-0043
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type Qrp int and sism_atbottom)
ADDRESS '~at../ '1 ~ ~ cAT
t'LIDfL J..A~
,
Date Rec'd
I. Zr- 01
-
I. White File
2 Pink City
J. Yellow Applicant
,PERMIT NO. Otf, 60431
TIlItIL /J.N.
4tAJ ~ S':t7"-
~11i
LEGAL DE~ CRIPTION (office use only)
LOT dB! OCK ~ ADDITION tJ I ,-p S
OWNER
(Name)
~ -- feU1N
(Address)
ZONING (office use)
lei
PIDZ5.36Z..068.0
(Phone)
BUILDElb. . () /\ '\
(N ame)-J!li ~C;1'AGoI f.o.IL.I) THEItS '-lW s: ~ .,.., fJw-l
(Contact Nan Ie) ~ /VI ,~~S ~O,
(Address)
TYPE OF W JRK
D New Construction
~we:tev;;;;J
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ c:;: O. 90 ()
ORe-Siding
DUtility Connection
o Misc.
(Phone){Dk~l"l..-LfJt.(t) I
(Phone)F^X: 6~.'l.2z..mj'
DDeck
DPorch
ORe-Roofing
I hereby certity t Jat 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
a rized agent for e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
b ed ~ aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the c' offici or a designee may
enter u Jp to ~erform needed inspections. (!)O 1.1.( "f ~
Contractor's License No.
I Permit Valuatil In
I Permit Fee
1 Plan Check Fe,
I State Surcharg(
-4-, OOO.d D
$ 'iJ'1. 2-5
$
$
$
$
$
$
$
'2..00
1 Penalty
I Plumbing Pern it Fee
I Mechanical Pe: mit Fee
I Sewer & Wate] Permit Fee
I Gas Fireplace ermit Fee
~o.oo
1'V.OO
;/
Bec ' es Your Building Permit When Approved
1- 27-oLI
BuilCling fficial
Date
I $
1 $
1$
1 $
$
$
$
$
I $/~ 9. 2.5'
I ~~ce~fo. ,",dJ7
o
,
Park Support Fee
SAC
#
#
/
This is to certify th4t 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 allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. I
I Water Meter Size 5/8"; I";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTAL DUE
#
#
I Paid
I Date
/ e-t;I;;;-r
/ .:3ii 04---
)lanning 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
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"NES9
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type 0 . mint and silZIl at bottom)
ADDRESS
; ~;.:" ~::y I PERMIT NO.^.A..,,_ ^^"--fft
). Yellow Applicant .,..,...~
ZONING (office use)
2849 BOBCAT TRAIL
LEGAL D' lSCRIPTION (office use only)
LOT fLOCK ADDITION
PID
OWNER
(Name MITTELSTAEDT BROS
(Phone)
(Address)
APPLICAJ IT
(Name) AT.TJRD FTRESTDF DBA FTRFSTDF HEARTH & HOME
(Phone)
651-633-2561
(Address)
?700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILT P
(City)
55113_
(Zip Code)
(Contact p, rson)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICAI1T SIGNATURE
BRENDA HUSTON
DATE
2/19/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLAC 0 MAKE AND MODEL
HEATN GLO 6000TR-OAK
Industrial, 0 mmercial & 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, l~eating & Ale (New Construction)
Residential. ~eating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ '-JP''''", ~A""'"
',r~~i4' t:i?l( / [~
tf .th'~fO
~ . ~_",,'I€ 1rl~'5;,'i1JT
(Office Use 0: ,Iy)
This App icalion Becomes Your Building Permit When Approved
n1ndine: Official
Date
I Paid
I,I1IttE.l:S
:G 4 LUU~
Rece1.p o.
By
0'.
24 hour notice for all inspections (952) 441-9850,fax (952)44142.4~ c::=:
PRIOR LAKE
INSPECTION RECORD
jo/. w.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE) \DDRESS 264- q 15 6/5(!/fT 7l2A I L-
NATUI~E OF WORK ~OW6R t.:-6(/r:;L..
USE-OF BUILDING eE.S AIle...
PER~IT NO. 04-. 0043 IDATE ISSUED I. Z 9. O+-
CONTRACTOR /1/II't:-LS7rJe;oT PHONE~/. 32.2. 4-/4-0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING f?t! }
I I
INSlLATION
ELE TRIC..'L I
PLU BING I
HE~ ING (it required) J
FIR PLACE I
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN S:GNED
I I
FINALS
BUII.DING
ELE CTRICAL
PLU MBING
HEATING
DO NOT
q[)
v
OCCUPY UNTIL ABOVE HAS SEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
land maintained until all inspections have been approved. On buildings and additions
iwhere no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED t/- zt;-o'(
9:~
ADDRESS
Cg'IJ '&bJ-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tf-(/ VJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
jiC'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/
/'
~RKSATISF ORY,PROCEED
o CORRECT A 10 AND PROCEED
o CORREC ( , CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
:c4 ~85~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
SI---
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETYI
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