HomeMy WebLinkAboutBldg Permit 06-0122
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sian at bottom)
ADDRESS
Date Rec' d
2 .z;7 oC-?
White
Pink
:1 Yellow
File
City
Applicant
I PERMIT NO. (;" . 0 I Z-2-1
/48& 07J r 6c.:;).:..-tv c' (-~ '7Jt-L--
LEGAL DESCRIPTION (office use only)
LOT 4-~LOCK
/ADDITION f1/ ((~,:J j e) 7JI'E /,vl LDf
PID 2!:>-,] 1:..3, ~#. c.)
OWNER
(Name)
(Address)
(Phone)
BUILDER _ ~
(Company Name) 1 \NJSeIl(~_l-- ,"'l LJc-:"Vt .,~
(Contact Name) -lv\ \ ILc- LA,)'N-A.iV tv?,
(Address) p:.-, ~..YL, ('lrs {J,1.\.'-.lL lAt<.:-
ZONING (office use)
PUD
) 5 c 4 LID .s--$ ( ~
(Phone)
(Phone)
/KIL'
ORe,Siding
f1
)'iowe~ve~~ .
o Fireplace
I hereby certify that I have hlrnlshed mformation on this applicatIon which is to the best of my knowledge true and correcl. I also certIfy thatl am the owner or authOrIzed agent t"r the
Jbove,mentlllned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans 1 am aware that thc buildmg
:Ilci~&t fpr t cause FlIIthelmOle, I heleby agree that the City offiCial or a deSignee may enter upon the plOpeny to pel form ne272;;7~ 6
.. -,. ~ Signature Contractor's LICense No 6ate
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing
OAddition o Alteration OUtility Connection
CODE: ~.R.C. DI.B.C.
Type of ~troction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Misc,
PROJECT COST /V ALUE $
(excluding land)
,2. OC'l ,(0
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
t,'Z_ZS-
j,/iO
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
4-0,00
Water Tower Fee
Builder's Deposit
Other
4-0. (} 0
TOTAL DUE
t/l~D 2.-. ~7. ~(,
This Application Becomes Your Building Permit When Approved
~~~
d~ 7 ~ to
/ Date'
Paid
Date
/1'3. ZS
:3 < q d~
/
ReQf1pt No.
:J'
Buildlllg Oflicwl
$
$
$
$
$
$
$
$
$ /?3. 2.5
S/ I~
.;
ThIS IS to certify that the requl'st 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 Cily 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
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
Residential Building Pel wit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~ "'- ~ Date: ~/eJ-7 h G..
B
Pill: Zoning:
'/~Jrtj Ikf. ~
Subdivision: ~ @ ~ ~~
Building Permit #
Site Address 1'/ r~ Co
Le~al: L 1 'f
~
/
Existing StTucture:@)r NO
CONFORiVIS TO ZO~ThG
ORDIN.AJ.~CE
@)
NO
Is this an expansion of the existing foo~~L.:ut or
bw1ding height?
YES
Refer to Planning
NO
f'JO
Is the property located within the flood plain?
Refer to P~g
f-.Jo
tJo
Does the alteration include any additional kitchens?
Refer to Planning
Does the }lL vt-'osed alte:ation indude any outside
emranc:s other than patio doors?
Refer to Pl~g
No
Is the proposed use of the finished spac: or
alte:ation for anything other than a normal single
family home (offic:, group home, day care. e!c.)?
Refer to Planning
iJo
THIS CRECX1.1ST :'vn:ST BE COMPLETED .-\.l'fD INCUJDED IN THE BL"1LDrNG PERl\IIT mE TO
:'vl.-VNT.-UN A RECORD OF THE REVIEW.
..
T .\"T"':'':\.,rtlT ~ Tt:". .\, T TiT:~l" nnr
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
14866 TIMBERWOLF TRAIL NW
~. ~e:n ~~~y PERMIT NoL . ,., ? I
3. Yellow Applicant ~ 6J1III1
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name TIMBERIDGE BUILDERS
(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)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/28/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
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
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
....AIDWtTH
glJftQDtNG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Buildinl! Official
Date
D~~R 0 1 2006
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4-6 0(b T//'-1 LlC:R.ANOLF IKfi/ L
NATURE OF WORK L/JW6/G &6V6L-
USE OF BUILDING ~r /tIlL
PERMIT NO. 00 . 0/2- 2.. DATE ISSUED z.. 2-7, 0 ro
CONTRACTOR T/HLSeJeLDGC!L/JUnaAlJ PHONE tl5Z. +-~O. :$3/3
NOTE: THIS IS NOT A PERMIT F6R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
""G
I
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
J...
Iff;
I
I
I
I
I~
I I
:? /0.'1/01/
/ t
I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
VW
/
U
\Y
<Q/h-W
/:
J;
./f;
SIGNED
,
,
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildili'g9" at'ict'"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
ADDRESS
(4Xfo ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /
Jilt FINAL L--f L r
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE TIME
~-x;-OJ,
(j,~ /0'/';:-
CONTR.
PERMIT NO.
(..,r /Z 1-
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 GAS LINE AIR TST
o
~~--
/ ...---- \
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)
/
/
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---------
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT "7~R~&L FOR REINSPECTION BEFORE COVERING
Inspector: --IJLf/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI