HomeMy WebLinkAboutBldg Permit 05-0217
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
Date Rec' d
File
City
Applicant
I PERMIT NO. ()5 -,:) (/I I
(Please type or print and si2Jl at bottom)
ADDRESS
30FJI- w(j()d~ I.-fh-
LEGAL DESCRIPTION (office use only) rcL
LOT JI/BLOCK ~ADDITION I~ a
OWNER
(N ame)
&06 f J{L.L-
(Phone)
e..-=:rD~
(Address)
ZONING (office use)
PuD
PIrb25 - 3~/}.055~
BUILDER /l I /~ -- A.rJ 0 -..N1aa U1v1A O~ O. 'C"
(Company Name) (,.,0----\.11:::' '-'" -, ~r'" '/; -( (Phone) #"~ 2.- T~tr-v7vD
(Contact Name) #41. '" \ ~ir- =$i-rJo p-/ :::T,;:-fi!.P.I NO W'I-t- (phone) 6". - - ~ J- - _ ;;'1 ~_
f f 'loll ,'L- UI "? S.J ~
(Address) -71/0 U4-it.J:Vit.LE ~3L-VD .' J;/4-/LcVll..c.LC. mM 5 S if
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding~" ,or Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: t5Cb:.R.C. OI.B.C.
Type of &stntction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST /V ALUE
(excluding land)
I
E
II
F
1
III IV V
HIM
234
A
R
5
0(.'
$ ~J/Fl/O.'-
I
I hereby certifY that I have filrnished information on this application which is to the best of my knowledge tme and correct. I also certifY that I am the owner or authorIzed agent for the
above-menltoned property and tha all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revo~~ pe7t for t cause. Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
X V1//'/v/I~ fSC-Z04-y1 I:' 's --2...<{-cS-
/ I · '-' Signature ~ Contractor's License No. Date
}\...
lC1.q,~5" I
~--- . /' ..")./f /
/::;1-...'-1- oJ-::> __ - Receipt No. L/ ;r- V'1 "t./
~ r- ;:J €':) - ('j~ By C
0-
Permit Valuation
..1./066.-
81--d-5
Park Support Fee
SAC
$
$
I State Surcharge $
I Penalty $
I Plumbing Permit Fee 13t.j Of)) ^ J~ 4f()5' /'
I Mechanical Permit Fee ' $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Ft!,oltJfr $ t;O...--'
Permit Fee
Plan Check Fee
Water Meter
SizeS/S"; 1";
.::1,.00
Pressure Reducer
Sewer/Water Connection Fee
/~/
Water Tower Fee
Builder's Deposit
Other
/)ij.J .v~
TOTAL DuE
This Application Becomes Your Building Permit When Approved
~~r.~ 3PD:.(aS
Paid
Date
#
#
$
$
$
$
$
$
$
$
$
#
#
ThiS tS to certifY that the request in the above applical10n 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 aUows 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
0:5 - d-~?
Residential Building Permit Checklist
Baseme.:n Finish or IJJ.l:enor _:.;Jtcr"JTIon to Single Family Homes
r
BY~ ~ Dato: 3-d9'-OS-
Building Permit;:;
Site Address
Pill: Zoam cr:
~
3CJ~7/-- uUud Vue (e
Legal: 1
B
Subdivision:
E.:ri.sting Strucrure~r NO
CONFORLvIS TO ZONlliG
ORDlliAl'fCE
Y""E S
NO
YES
NO
Is tins an exoansion of che exi~...ng foomrinr or
. .
building heigb.t?
Rde: ,0 Pl.,,.,-n'~g
Is me l'.I.u:,eITjlocatd within the flood plain?
Refer to Planning
NO
0CJ
tJtJ
Does the alteration include any additional ki!che:::.s?
Refer to Pl""""'~"'g
Does the pro-posed alte:anon include any outSide'
encr-anc~ othe: than patio doors?
Rde: to Planning
~(J
Is the pro-posed use or dle Bnishd space or
alteration for anything othe: than a nor:nal single
family home (office, g:ou'9 home, day c~e, e~c.)'J
Rde: ,0 Planning
rJ<1
THIS CEECX1.1ST MUST BE COMPLETED .-\J.'fD II'!CLUDED II'! THE Bl..TIl.DII'IG PERiv!IT mE TO
~L-\.lN'TA1I'! .-\. RECORD OF THE REYITW.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1. Pink
2. Green
3. Yellow
Date Rec'd
~~:y I PERMIT NO~ _ ~/'I
Apphc.nt ~ tI ~ f-
(Please me or print and sign at bottom)
ADDRESS
3071 WOOD DUCK DRIVE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113
(Zip Code)
3/30/05
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
o Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-D
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
'111.. '.'.~; i : ~.; !
. t, )
".
. rp~~ APR
. it i
6 2005
This Application Becomes Your Building Permit When Approved
n
"
Buildinl!: Official
Date
24 hour notice for all inspections (952) 447-985( ff~x (952).~~7-4~~5~_
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
.m'l
~. ~. N
,.~\lelpt o.
Ii
:]1 :
~Y'
lJ /
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~'
~I
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS B07/- ~~
NATURE OF WORK - ". lSJ.f D w A,JC .-
USE OF BUILDI~ S
PERMIT NO. /)5"~ 1'7 ATE ISSUED ~ -- ~ 1(- ~
CONTRACTOR PHONE
NOTE: THIS IS NOT A P MIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I
IL ABOVE HAS BEEN SIGNED
ROUGH - INS
M
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING ::fI=. (2S' 1'1
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
leg. PI/3
Jj
F'~
, /.
m 41~s
~
~
~
~
Y/76~
Y/..77F ~
~Tk
3 -!h-Of? /
$l'7/~
Y,/7 / ~tS---'
~/? ;os./
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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.
~o I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
\{
FOR tdJ. !NSPFf:'T'ONS (g~~n Ilt!7-Q~50
I ~
';)1 f~ \~
l
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
307/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
$FINAL
o SITE INSPECTION
COMMENTS:
. clJ: "TiE f- TIME
SCHEDULED ::;J~
LJt't'J. C)UC ~
"
CONTR.
PERMIT NO. c;- - () W
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.....erPLUMBING FINAL V~
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(~~ tt. t~
~ORK SATISFACT RY. PROCEED
o \ORRECTI1T AND PROCEED
o CORRECT/' R . C INSPECTION BEFORE COVERING
.(
Inspector: _ _ Owner/Contr:
CALL ki.9850 FO HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~NTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
INSNOTI