HomeMy WebLinkAboutBldg Permit 01-1422
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
IN f) od J)ucJL -r;zt5J J I
LEGAL DESCRIPTION (office use only)
Lor35;LOCK I ADDITION
'2,-11-0 I
I. White File
2. Pink City
3. Yellow Applicant
~ w. (d~ '1i+if',j)
OWNER
(Name)
(Address)
BUILDER ~. ..&-\
(Name) ~ ~
(Contact Name) _~ V\ Y\ '-1
.
(Address) ~ o. e>DK tJ..l.Sq 1
TYPE OF WORK
o New Construction
~wer Level Finish
PIDz.5-33
35-0
32$-2/
(Phone)
Aft, $j:W-
rYlN.
ES:L+
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
o Fireplace
OUti1ity Connection
a.
.-
o Misc.
PROJECf COST IV ALUE (excluding land) $
I hereby certify that I have furnished information 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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted s. I am aware that the buildin fficial revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e roperty to perfi 1 0
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ 2.()O
Penalty $
Plumbing Permit Fee $ O.C)O
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 0.00
ecomes Your Building Permit When Approved
(2"\~-C1 L
Date
#1115
l';)...II~l&
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE (,II~ /,",1.. "'/0 I $ /6r 9. z..5
, ,
I ~~'f1/v~
I Paid /~ ~r
Date ,:" ,,-/J I
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. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: 12-1'4-0 I
Pill: 25-337-D~~O Zoning:
WOOD DUeK -n=:=-
PuD
Building Permit #
Site Address 15 17:3
Legal: L 3S B I
Existing structure@or NO
I CONFORLvIS TO ZONING
. ORDlliA1'rCE
Subdivision: /lie. \fJ(GDS ..3 ~
NO
YES
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? 'f
Is the property located within the flood plain? Refer to Planning rL
Does the alteration include any additional kitchens? Refer to Planning r
Does the proposed alteration include any outside. Refer to Planning
entrances other than patio doors? f
Is the proposed use of the finished space or Refer to Planning r
alteration for anything other than a nonnal single
family home (office, group home, day care, etc.)?
THIS CHEC1G..IST MUST BE COMPLETED ...\J.'ID INCLUDED IN THE BUlLDING PER.:.'VIIT FlLE TO
l\'WNTA1N A RECORD OF THE REVTEW.
L\TEiYfPLA TE\AL TCHCK.DOC
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3. Yellow
File
City
Applicant
Tht ernerr of Iht Lakr Counlry
PP No. t) 1-/422-
Applicant: We I +e~ -J.- /j I a 'f I () ek. Phone: ifS;; - ~ '8 ~ - 8' b 8' J
Address: /509 E /-I/.() 'i /:3 ~tI P"l1svi/J-o) MA/ S-S337
Signature: (.l)~ Q1.~ - ~ ~
Legal Description: Lot .3 S Block I
Site Address:/S/7 3 Wood Duck T(lQ; (
Building Permit # () 1/ t{ .;l ..:t PID # ~ ~ 5" 3 37D 3S0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Sub Wad 5 3 r4
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
/ Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
/ Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
/ Bar Sink Lawn Sprinkler
/ Water Closet (toilet) / Other 3Q S / I;' 't!J -fo". J,/,.,e,/Qce
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50 \-\
r-- PA\O \tJ\~~
eu\\J)\tlG P ---/
$~
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing d the amend~ts thereof.
_____ R . :zp"~ ~ Z. DATE
ATTEST
Call for all i
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~.~~n ~:~. I PERMIT NO. J-/J/"").-,-L
3. Yellow Apphcant . '" c7 ~
ZONING (office use)
15173 WOODDUCK TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
BUTLER HOUSING
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
ROSEVILLE
(City)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
/
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6120/02
o NEW CONSTRUCTION o REPLACEMENT XD ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL REA TN GLO 6000TR-OAK (LOWER LEVEL)
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
"".----
t". "."~'", ,.
, ''''''''.,..
. ,
Building Official
Date
~~ ipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
i .ateJUN 2 '
! r 5 tlJLi(
By
, I
24 hour notice for all inspections (952) 447=98SIJ, fax (952) 447-4245
..--____w...._
PRIOR LAKE DEPARTMENT OF
;. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /5/73 WOOD [)U(!,J::::. TRA/ L-
NATURE OF WORK · ~~e;,e: C--E;V8L-
USE OF BUILDING _- ~ IZ
PERMIT NO. 01- / ~2.;Z.- ATE ISSUED
CONTRACTOR L3(/T~ H<2U5IA1~ PHONE f,,/2..--3zg. Zl~f;
NOTE: THIS IS NOT A PERMIT FOR ANY F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING J.,L ..,
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIA Ii PLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J,
GRADING (Prior to Sodding) J>;V~
BUILDING , t
ELECTRICAL
PLUMBING
HEATING \..
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical seryice c8.binet 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ r-/7.f (,./000 DV4L-
OWNER
CONTR.
I - , 4-2- -z.,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
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:
P/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AN PROCEED
FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOn