HomeMy WebLinkAboutBldg Permit 05-0120
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z , / 1--, oS-
(Please type or print and si2Jl at bottom)
I White File I PERM AI
2. Pink C;ty IT NO. f/' C- --/)1.7 /I
3 Yellow Applicant ...) " e,.-v
ADDRESS /6359
WOOO
ov'M<..
LEGAL DESCRIPTION (office use only)
LOT /4-BLOCK 4ADDITION
WIL.-OS souTH
PIDZS: ~8z. / 19. 0
(Phone) fls/-233- ~qOs-
(Phone) 6f).-327-IJ'O 'I
~S3.J ')
OWNER
(Name)
(Phone)
(Address)
-
BUILDER '- / _ \ ---
(Company Name) Na.,..(J I :J-I1c. ~
(Contact Name) 7ro~ P-/,'c:..e~
(Address) 2700 ' flt..ves (Jr.
,
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing
DAddition o Alteration OUtility Connection 0 Misc.
~ GAI'II.s()~/k~
/J,!t/
ORe-Siding )(L3:e;r~:iSh
PROJECT COST IV ALUE $
(excluding land)
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
ZONING (office use)
R./
o Fireplace
I hereby certity that I have htrnished mformation is application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed agent for the
above-menuoned property and that all co ctio ill conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
ermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns.
70 LfS7/S-J 2 -/'I-rx-
- -
Contractor's License No. Date
$
$
$
$
$
$
$
$
$/50.2:S-
- -
~f/"-- ~ 1"
Plan Check Fee
$
$
$
$
$
$
$
$
3,000.00
74-. 7S
#
#
Park Support Fee
SAC
Water Meter
Size 5/8"; I";
/.50
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
+0.00
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
+6,00
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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/a.?,J
~../'I. (/1--
Paid
Date
ThIS IS to certity 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 consl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certtficate 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
Date Rec'd
(Please type or vrint and si2Jl at bottom)
ADDRESS
~. ~::n ~!:y PERMIT NO'OS.AlZl\J
3. Yellow Applicant U 1.1I
15359 WOODDUCK TRAIL NW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name XP AND INC.
I'
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/15/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent 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
FIREPLACE MAKE AND MODEL
__HEAT -r'LQ.10 SL-750TRS-TPI
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
{fI\U~~
9.\J\t.'O\l-\G
(Office Use Only)
This Application Becomes Your Building Permit When Approvrd
Builllill2 Oflicial
Date
-- ..- .-~
J ! %1.l4'n-) III
~! lfJu t!J _
i\
'. IJA.R - 4 2005
u
By
24 hour notice for all inspections (952) 44 ~"'850, fax (952) 447-4245
t:i------ ---- --------:::-----
.
..
Residential Building Pel ~t Che~klist
Basement FInish or Interior Alteration to Single Family Homes
BY:
~9-~
Date: 0< fIt( (ar-
Building Permit #
Site Address ! S3 S- ~
Lep1: L /f B if
PID:
~~
Zoning:
~~
tJ/lj;b ~
Subdivision:
EJisting structure~or NO
CONFORlV!S TO ZONING
ORDIN'AJ.'{ CE
YES
NO
Is this an e:tpansion of the e."cisting fOO~4':""'t or
btn1ding height'?
YES
Refer to P~g
NO
Is the l'H'l'e:t'/located within the flood plain?
Refer to P~g
tJ()
NO
NO
Does the altC""..tion include my additional kitchens?
ReiC:' to Plamring
Does the 1'4\J!Josed alte:'3.tion inciude my outside'
e::I.tranc:s other than patio doors?
Refer to Planning
Is the :'4 vl'osed use of the finished space or
alte:'3.non for anything othe:- th3n a nor.nal i..ngle
family home (ace:, gro~ ho~e, day C:lI:, etc.)?
Refer to Pl~T"l"~g
~o
NQ
Tms Cr...t.CKL1ST )!UST BE COMPLETED .~'fD Ii"fCUJDED IN Tm: BtlLDC'!G P~R,ylTT PlE TO
:'v1..lJNTA1N A R!CORD OF THE REV1!W,
..
..
.
.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILD'ING AND INSPECTION
SITE ADDRESS /5359 I/VO 00 DUeK-
NATURE OF WORK LOtU~ ~/c;;c--
USE OF BUILDING ~ /9//L
PERMIT NO. OS. 01 z- J /DATE ISSUED Z. /~~ 0:::;-
CONTRACTOR % - j'//1Jt/.J:J PHONE
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 J/W--" J.... }..,y-...{) 5
INSULATION I
ELECTRICAL I I
PLUMBING / i
HEATING (if required) I. ~)
FIREPLACE V
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
""..
/ /
t(/6/~
/ I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(( /f; J
\. /
~
V
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service 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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~~~O~
lJ~ O"L~
TIME
ADDRESS J5~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - OlrT)
o FOOTING
o FOUNDATION
o FRAMING
o )IlSULA TION
J! ~~~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
G.k JR~ P<p
./'
~RK SATISFACTORY, PROCEED
o CORRECT N AND PROCEED
o CORRE WO CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C LL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl