HomeMy WebLinkAboutBldg Permit 05-0955
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
q. ZtR.05
White
Pink
Vello'l'
File
City
Applicant
I PERMIT NO. OS: 09 sst
(Please type or print and siJ!:n at bottom)
ADDRESS r-
5.3 5.:::> / +0 7?f
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ~/Yl
I- t4. t" '-1
,
(Address)
.s-r
ZONING (office use)
el
PID 2!5. O~c". ~ 5. 6
(Phone)
9J l.- '1'1 j-- "5-K'~
BUILDER . 1..... .
(Company Name) ITtJ1'YI~ ;;4V~MM
(Contact Name) 7)tbJ BrhL&~
(Address) .J'",O ct Lc.1 ..-1).l'rYAL rfV,~
4c-Z~~'~ ....}/
(Phone) 7 ~ ~ IJ ..,. -tpl vf..p
(Phone)
{f toOl''?, _vr-...-J
j;....... e
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TYPE OF WORKl!ew Construction ODeck o Porch ORe-Roofing
ddition DAlteration OUtility Connection
CODE: ~I.R.C. DI.B.C. 0 Misc.
Type of &nstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level FinIsh
PROJECT COST IV ALUE $
(excluding land)
S--~""''Il.{..)
o Fireplace
/ ~/ ,0.::','>
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certIfY that I am the owner or authorIzed agent for the
above. me property 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
<lffici can rev<lke'fhis perm~r Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlons.
X ' . /~r}.. - 1/ L '-I,n'-
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE MUelJ "Zg. OS' /)
I /
Re<fewt No. .57)()67
!
,I,
.". , /p. DO 0 ,0 a
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
, c/la'O , 0 ()
/9'"z. ,00
8.00
Pressure Reducer
Water Meter
Size 5/8"; I";
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
/fd,OO
This Application Becomes Your Building Permit When Approved
Paid
Date
S/O.(J D
/~. 3. (JJ-
~~
BlIildll1!! otticial
'1f-f'~ r
Dale
$
$
$
$
$
$
$
$
$ S/O.OO
ThIs IS to eertlfY that the request in the above applicatIon and accompanying documents is m accordance with the City Zoning Ordinanee and may proceed as requested. This doeument
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Planning Director . , Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - !;:naineering
c:@K - Plann.!!:i9>
The ('rntf'r of Ihe Like Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
II-if.,...'.,/' / L ,/ I /_//i./ Ii /1.- /.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"_'~ ~: /4(. ".',' .:-; 7 j, ~E /
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
,.
:)..L4f2~
Date:
1/~tYJs
I /
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~ - Quild~
Canary - Engineering
Pink - Planning
Thr Crnt., 01 Ihr "ok< Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H0t16 6NHrrAlUi?~
q.27.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5355 /40 nI .s TI26t:;. I
Accepted
Accepted With Corrections V
Denied
~~~
Comments: ~ 0-1' P.. ~
* ~ ~I//~~
Reviewed By:
Date: .9 /~~r
'E~ Ctn-." ~, ~
~ /.f1.L ~ ,. n
(/ &~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
5355 140TII STREET NE
1. Pink File PERMIT NO.6:!I5~
2. Green City
3. Vellow Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name HOME ENHANCERS INC.
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
- -;ontact Person)
BRENDA HUSTON
(Phone)
651-633-2561
I APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10120/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK-IPI
FEE SCHEDULE
I % 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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
c-
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
...ffiee Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Date
By
Buildine: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ..s3S.s: I YD t1- ~, ~
NATURE OF WORK A1KU n.~ ~e:c:J:,. _
USE OF BUILDING s:. ~ l)-
PERMIT NO. OS.OqSS DATE ISSUED ~I.,y
CONTRACTOR )d,,"' &lHAtJCI!Il.J PHONEf!'~"'rY-"'. "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECT~~
fj(Jr-
DPE /'
It? I /~/oS"
FRAMING
INSULATION
ELECTRICAL
1/11)/ A
.~
I 0 - )..~-'ul-
/~/Z"'/6J
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
ff{'
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I'~
1
.. jt.Jj/i/os-
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
iA"rHE / I'IiJIAS, U'AI' I //VV I / V, ~(rc.A5
f FINALS
BUILDI~G
ELECTRICAL
IPf/
, I
/2/U/CS-
/ 1/;23/45
~i- /t/~3;dJ
NOT 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
ADDRESS
DATE TIME
~--2/ftJ
S3s-s- / ~OT4' S/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,-) - :9ST
o FOOTING
o FOUNDA liON
o FRAMING
~LATION
~~~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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WORK SA TISF
t 0 C RECT ACTION AND PROCEED
o CORRECT WORK, CAL F INSPEC
BEFORE COVERING
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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