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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 ~J 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 ~" ~;;' <omoo,,,, CeO",",' of 9h';;;;'d .II,w, ,,""mrtiM '" romm"re. Mort 0''''00"'', . Cm,II.." ,ro"""",, m"" '" 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.- /. fl. . C;. .....__ / ' '. - ;_. c_.. --- '-;. t:. / ( ,,-- --' 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{' r4. I'~ 1 .. jt.Jj/i/os- /O/Z?/~ _ //}!/J! /()r' 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: / /. j-r-; 1t'-1' f / I /J .I ~// L//L ---- /" / ( .---------- --------.. ~ "") ) y~/ J ~ ~ ~ ~ ~ // ...-,/ A .,/ /A r-e.-. ~ {...- 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! lNSliOTl