HomeMy WebLinkAboutBldg Permit 05-0071 & 05-0076
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(Please tvne or 1 rint and silU1 at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
White
Pink
Yellow
File
Cily
Applicant
"7/
I PERMIT NO. ;/5-11
,~-G :3 (
7
{~cbyJJuL J!r
LEGAL DEi 'CRlPTION (office use only)
LOT 1 Bl DCK 3 ADDITION ~ cIe~1U~
(Address)
ZONING (office use)
P/'~~Jd PID;75- f)d-02ll~6
(Phone) O/S?.. C(Y'eJ - 839'/
BUILDER /1 II. __ _1, j) . /
(Company N lme)~ l'71/Y)a ~ Y\ t::::...,L:j~<'"?:V_ '--'LTe.~
(Contact Nane) .c:;ftl/C 'A 11M'" 1/1 '" -/
(Address) :':5"''''1/ W~/)//dV1/ fi,.. I:aja.,^ I
1h<:(.Phone) h~/- t'/~'7- ?'1L1,0
. . )P"hor)ct"11 i..!Z.:;?"I6-ZV9h
j1/1/V <f=:/7:-<
TYPE OF W10RK 0 New Construction DDeck OPorch ORe-Roofing
OAddition OAlteration DUtility Connection 0 Misc.
CODE: ~I.LC. DI.B.c.
Type of l:,nst :uction: I II ill IV V A B
Occupancy GI DUP: A B E F HIM R S U
Division: 1 2 3 4 5
~ower Level Finish 0 Fireplace
/ (2()O/M.
286~.
;.
ORe-Siding
PROJECT COST IV ALUE S
(excluding land)
?>..-Q
I hereby certify tho 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 authoflzed agent for the
above-mentIOned I roperry and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:fA :;;;':O',/''Qr heecbY::!h"!heC"y offn"lo" iS7'1R",ecupon !h,pmpeny!opecfmmneeded 77~n~ 0~.
Signature }. Contractor's License No. - - Date'
Permit Valuati m
Permit Fee
Plan Check Fe,
State Surcharg ~
Penalty
Plumbing Perr lit Fee
Mechanical PE rmit Fee
Sewer & Wate' Penn it Fee
Gas Fireplace )ermit Fee
f(j{JOo.oe
$ ~ 7S
$
$
$
$
$
$
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 ele.c-Bu(JtUM? r
1 TOTAl-DUE I
,.50
$ Lit) --
This Applicati, ,n Becomes Y ourtilding Petmit When Approved
~. 7..eL~:e-
Builull.!!.Otl1cinl
Paid
Date
../
'/:J /if? ./
(-rJ-!-S
1/2-/~S;
Dafe
$
$
$
$
$
$
$
$ ./
$ ';/5-~ '::>
ReceiPt No. ~>r(/60
By (~_
C)
#
#
#
#
This IS to certify It 11 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 th City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please tvDe or orint and sien at bottom)
I ADDRESS
,f{:;3/ Cross al7 c/rt:t
LEGAL Dr SCRIPTION (office use only)
Date Rec'd
I. 2ft,. OS-
n /;en\l /41- os. (; 07 I
;~~" ~:~ I PERMIT NO. OS. OO]LI
3. Yellow Applicant lP
<..Jh. (c..1-
LOT '(rLOCKS ADDITION (YtJu/IN/tL. !ZJJJ66 zNP
OWNER
(Name)
{!rQI'j ... ,(5t!--#, ~rJ....,.,..tJOn
S".3/ Cro$Sa.ntf;... U~ce.:J.
(Phone)
~"d'" it,. h.
.
APPLICA1> T A .A .
(Name) "3t II ~ J-t". :::7;;"('.
(Address) /.2.a.s.~ NI'c;JIIe-f k. ...r.
(Address)
I-k~,..~.r......,
//'._ It.
u
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT Jil'AL TERA TIONS
FURNACE] MKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
Ka.y
APPLICAI" T SIGNATURE
(Contact Pe: son)
TYPE OF SYSTEM
DWann Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
ZONING (office use)
;€.ISD
PID 2.5302.034-. 0
hJJ
SS372..-
(Phone) 95'2.- 7 <./,- S"Z..oo
LJ'UYhsv:l4, .117'" SS.J37
(City) (Zip Code)
(Phone) 9Sl.- 71,/' - S~O
DATE //211/0S"
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
.
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
9- '.DCJ ;:'";-c..p/a c.e...
v
FIREPLA(.:,[ IVlf\J\.C f\l'llU Ivtor.rr..L
.3 Sc..ppl;~s -2 ~-~
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
Industrial. COl1mercial & Multi-Family
Residential. H ~ating & AlC (New Construction)
Residential. H ~ating Only (New Construction)
Estimated Cost $
8"9-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # 05. 00lfG
$
$
$
..3 9..sO
.50
</0-
(Omcell.e On y)
This Appli cation Becomes Your Building Permit When Approved
Buiding Official
Date
Paid 4<J. 00
Date I. ZIP. 05
24 hour notice for all Inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
Receipt N048~~O
BY~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tv.P<<! OJ orint and sim at bottom)
ADDRESS
~: EODw ~~icanl I PERMIT NO. 05.0"" I
ZUJ.'f.l..1..G (office use)
5631 CROSSANDRA STREET SE
LEGAL Dl SCRIPTION (office use only)
LOT B DCK ADDITION
PID
OWNER
(Name ALTMANN & STREET
IPhone)
(Address)
APPLICA!I T
(Name) AJ.J.TRO FIRRSIDR ORA "TRF.~IDR HRARTH & HOMR
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-1i33-2561
~5lJ3_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-256]
APPLICAN r SIGNATURE
BRENDA HUSTON
DATE
1/10/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE /fAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. 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
Industrial, Cor Imercial & Multi-Family
HEAT N GLO SL550TRD
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
F]REPLACE MAKE AND MODEL
Residential, H 'ating & A/C (New Construction)
Residential, H :ating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
8UILDING PERMIT
(Office Use Onl f)
This Appli :ation Becomes Your Building Permit When Approved : ---p,.i;! -
I ~A~
Receipt No.
Bui dine Official
Date
2 ~ 2005 !
I 11
By
24 hour notice ror all inspeetions (952) 4~;.9850, rax (952) 447-4245
,'~,t ^._."____.,__~"_
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BV,. ~
, ~~.,;
?~
Date:
Building Permit ;;
Site Address
Pill:
.:c'7b 3/
Legal: L 9 B U
Existing Struc:ure: ~r NO
CONFORlvIS TO ZOl'1ThG
ORDlNAJ.~CE
[s this ar.l ex:pansion of ~e exisr.w.g footprint or
IbUilding height?
I fs the proPer.f located 'Nlthin me flood plain?
I Does the alteration include any additional kitchel'.s?
luoes the proposed alte::uion include any oc.tside
entr3nc:=s orne:- than pario doors?
Is the proposed use of the finished spac: or
alte:-Jrion for anything m.b.er :b.an a nOClal single
f3J.-nily home (oEc~, g:-OU? horne, day c:.u-e, ,~~c.)?
/~,7 /-05
Zoning: .
C?t~f~?7C~AJ ~f
Subdivision: ~,-.- If &;vv c2
Y"ES
NO
YES
NO
Refer to PlarillL."1.g
NO
Refer to Planning
Refer to Planning
No
tJD
Refer to Planning
^11J
Refer co Planr.JI1g
tJo
THIS cmClllS7 MUST BE COMPLETED A.ND INCLUDED IN THE BmLDING PER,IlT FILE TO
~L-'Ji'lTAli'f A RECORD 0, Till REVIEW.
--:7'11~T i. ~',,:, . - '~~('~-:('C
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5' , I ~ ~ANat!A. ~ ~f .
NATURE OF WORK 1- ,f'~ L. L. '::;;Ji'~H
USE OF BUILDING . D .
PERI lilT NO. OS- lib? I DATE ISSUED -' /Z.I M
CON1rRACTOR ~ ; AtsClt.. ,//Jr.. PHbNE'-iZ-g4r'O- Wt(.
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
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M
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11..1111>5
j 1,Jl/o5~
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, ,
1/'?I/o5 .
,1/P/05
I/J;/~
:rING <If required)
FIR PLACE
GAr. LINE AIR TEST
'ffJj
tl1Jt
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
Jj(/y
?//~/o5-
<;/t/u.s .-
j/vi
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical urvlce cabinet prior to rough-In Inspections
and maintained until all Inspections have been !IPproved. On buildings and additions
where no service cabinet Is available, card sha,l be placed near main entrance.
J Iff/05 ~
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SQ I 0o->.sQ "'t-c(''''
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~IN LATION
IHAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o .J:LUMBING FINAL
/E MECH FINAL
COMr,'IENT~:
e7""t!!L-/" eeL
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t-c/ {~~,-.
DATE TIME
~-
131
tJS- - 7/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
,.i!H'tREPLACE FINAL
o GAS LINE AIR TST
o
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( ( tOS-e h :----
~~ll"Mt..IUKT'''KO~
o CORRECT ACTION AND PROCEED
o CORRECT WOR&~~../OR REINSPECTION BEFORE COVERING
Inspector: ~/ Owner/Contr:
". -
. "
---
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI