HomeMy WebLinkAboutBldg Permit 05-0587
CITY OF PRIOR LAKE BUILDING PERMIT, 1
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O~ PRIO"'...
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(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