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HomeMy WebLinkAboutBldg Permit 05-0587 CITY OF PRIOR LAKE BUILDING PERMIT, 1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT O~ PRIO"'... ;;., (' ;... "7 ~ . ~ u '" "'1'J\rNESO'\1" (Please type or Print and silltll at bottom) ADDRESS 33S1 iU~ce LEGAL DESCRIPTION (office use only) Ii/~ KeLLy' LOT )~lJOCK -3 ADDITION OWNER (Name) P,...,../KICx. (Address) , Date Rec' d White Pink Yellow File City Applicant I PERMIT NO. t<5-S~~ ~ ZONING (office use) P0K0/ sz::IL PID ,~IJG: O,;L P? (Phone) q52~q33 7b73 /\/ €/q/lB2rIltxJD l3PlluQQ ..KEHt'J/)ifJ.I(I4 952-935-7~73 :K--ifI2EN NI1tIMI'tn J (Phon~4i?e-2-24CJ.a" / 1002-4 H /11 /JGmtJKfl i3/v/) Mtnl1€?/l)f1J(A.,..,AI o.:::>~ , TYPE OF WORK D New Construction DDeck DPorch ORe-Roofing ORe-Siding P'fLower Level Finish 0 Fireplace DAddition OAlteration DUtility Connection ~ BUILDER I (Company Name) (Contact Name) (Address) I CODE: OLR,C, OLB.C. o Mise Type of Consttuction: I II III IV V A B ~- PROJECT COST IV ALUE $ L(< ., Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify tha~ I have furnishl'd mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the above-mentIOned ptoperty and that all cllnstru. will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg :fi"" con ,"yoke t~i, pnm" fot JO",'""" ; "mo.e, ~y 'g'"' th" the my Offi"'&':e~'j; the pmp"" tn pnt"tm~t;.'~.s- ~ JilfJ a re Contractor's License No, DarE Permit;;Jw.l'iion 6 tlOtJO; Pdiliit Fee $ /?",q. - I $ I~/q< I $ ~.oo I $ I $ qO.- I $ , I $ I $ L/eJ/ -- I Plan Check F eo State Surcharge Penalty Plumbing Permit Fe'Y16/~r Mechanical Permit Fee Sewer & Watd Permit Fee Gas Fireplace perm:t Fe(todr n" ,,-I pp ti eonit When Approved Date ./ Park Support Fee $ $ $ $ $ $ $ $ $ I I I I I I I A 0l..5/rCf5 I ilil74 I # SAC # Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTAL DUE Paid Date -,,,,/ .:-J-J {_~..,J j t. ~ /7-,7- ,'"J ,~~cf 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 TIllS document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows cunstruction 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 €~~ +''''IVESO~'' CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please.!VDe or orint and sign at bottom) ADDRESS ;~" ~:~ IPERMITNO. /Jz::_ K(/'(/ 3. Yellow Apphcant I ' (/-.d d 0 Y ,~3~1 W-dd ~ Z~l (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) ~:;~~AWJEI4-IfBtJr/l1JOlJ 13111l.J)/nq ~q 952433-7(;, 73 (Address) /oM.-4 1'11;'11~IJKH- i3!t/D M/hIJEmnK/f MAl .!553O:::- (Address) (City) (Zip Code) (ContactP~rson) KI'f.ee-N N//V}.1hY7 (Phone) ~S2-Z40 tJ" J APPLICAJ!IT SIGNATURE - ~ ~..; DATE ~ jZz../os- ~~NT;~EASE COMP~ET-~"BELO~ DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVen!. System HEATING OR POWER PLANT o Steam PLEASE NOTE: o Hot Water Air Conditioner Units o Radiation Cannot Encroach into o Special Devices Required Side Yard Ikm- AI 4/o0o;;;;;;ce'rireJ:lI7etT .:;:~ tJf7Ir-, - OJ FIREPLACf; MAKE AND MODEL Industrial. Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39,50 Residential, lIeating & A/C (New Construction) Residential. Heating Only (New Construction) $39.50 $39,50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Date (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ; ~~ ~:~ I PERMIT NO. L~ z:-yV J. Yellow Applicanl . "} J (~ /I (Please.!V.Ee ot print and sim at bottom) ADDRES~ '351 IAJ71C) Uorsf (/J-+S5 NvJ ZONING (office use) LEGAL DESCRIPTION (olliee use only) LOT BLOCK ADDITION pm OWNER (Name) ~\c\.r.. ~3 Sf 45'" worfl. W;-( d h()r<;f Pits') (Phone) 15) - L/<lI" 6 'l J'i (Address) 1l1t/lJ APPLICANT (Name' ~ ^ kid c;7/'r""'" . - - Lf.~(}-o O'\{:- CY'\ f (Phone) J./) 2 - 5'19 -!ff'iCJ ~fDOld"/1 C11', '5S4:JJ1 (Address) (City) (Zip Code) N'OrdY7,11CJV'-,. Wi (Phone) 5f;i~ l./1<K -lfH4 ~ /)'/1/7 / I~ DATE '?-' 06-oS- ~P~ICANT PLEASE COMPLETE BELOW I Type of Fixture Quantity Bath Tub with or without shower Rough-ins I Dishwasher Water Heater I Floor Drain I Water Softner I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks Backflow Assembly Test I Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other _lJlu,-./o,'''''1 Av (- A.J b9ft., (Address) (Contact Person) -r~'-I I APPLICANT SIGNATURE Quantity Type of Fixture fY"'I{, FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ J ')0(") Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ Building Official ,50 : 11L-( 73)cb-- .- I Paid ;?f., / I I ReceiptNo, IDate1~R/t1 IBy gr-- 24 hour noliee 'or an inspections (952) 447-9850, fax (952) 447-4245 U 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 Date (Office Use Only) This Application Becomes Your Building Permit When Approved CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type Of urint and SilUl at bottom) ADDRESS ; ;;,::, ~::y I PERMIT NOO'I::". ~... - J ). Yellow Applicant ~. UttJ~ ZONING (office use) 3351 WILDHORSE CIRCLE NW LEGAL DESCRIPTION (office use only) LOT BLoCK ADDITION PID OWNER (Name NBTGHBORHOOD BIJTIDERS (Phone) (Address) APPLICANT (Name)HEJ\RTH AND HOME TEC'HNOLomES DRA FrRESTDE HEARTH & HOME (Phone) 2561 65] -633- (Address) 7700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) S5113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 7/19/05 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 OWarm Air Plants OGravity o Mechanical DAir Conditioning OVen!. System HEATING OR POWER PLANT o Steam D Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEATN GLO 6000TR-OAK FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64,50 Residential. AC Only $39,50 Industrial, Commercial & Multi-Family Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39,50 $39.50 Estima1ed Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ 50 PAlO WITH , a\JILOING PERMIT (Office Use Only) This Application Becomes Y onr Building Permit When Approved I: -~lla-;c~ (;::) I'.. c, \ ~ ,,~ " dd'" I _ _ i ; r:>attUl ~ 1 ;::UU:J I ~~-~,~:i:!i::~_~!~;l , Receipt No, By Building Official Date 24 hour notice for an inspections (952) 447!i8f:~.."::!2?:;L4474245 PRIOR LAKE INSPECTION REC 51 tpilJ DEPARTMENT OF BUilDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDI ' - ~ PERMIT NO. · _ f/7 __,' ~SUED G.- ciJ~"~ '/ CONTRACTOR - IM- PHONE~' U'-'- NOTE: THIS IS NOT 'A PERMIT FOR ANY HE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT RDIJ 'S~ r INSPECTOR DATE I ackfill) I I . PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS IC I , FRAMING 4 INSULATION r ELECTRICAL I PL~MBING 1 HEATING (if required) b ~ FIREPLACE t7 ?> GA$ LINE AIR TEST ~!7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS 7 //1/~h I. v ,/-<?..,. BUILDING ELECTRICAL PLUMBING HEATING DO NOT lill J / -~ .9.:ltJ~ " OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electricai service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is availabie, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 __.~___,______.... "__~_'_'_"_~W__'_'''____'__< CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 335\ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ,'\ll' FINAL V(l-SITE INSPECTION COMMENTS: DATE nMe SCHEDULED ,g - IIJ ':'(;1, L\; l,Q U. '" se.... ~~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL / \J .. /,. rIP .1 Vlv...>\.. V',,^, II /;./ -Dlf;; o EXlGRAD'FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /' lp ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o COR{2ECT 'K-/f'r.7L L F FOOIR REINSPECTION BEFORE COVERING Inspeeto . / / ~ Owner/Contr: C LL tit '.91rto FOwfu'E NEXT INSPECTION 24 HOURS IN ADVANCE. CO~QU~NTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/ UUNOTI