HomeMy WebLinkAboutLower Level Permit #02-0015
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1- 2-02-
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 0;:'-00/5
ZONING (office use)
leI
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 2- ADDITION WI AI 0 s-rrl ~
OWNER
(Name)
PID 25-33'.. I -'0
(Address)
1m,;/ r'E
(Phone) 9 t;'J - t.;l.j / - 0 ;) d- q
~~;~~R A1?E/Jf' ('Cih fTRvCllP,1I/ 7A/c;
(Contact Name) 4;#k J~ j{J EI.? f'
(Address) l)..( 11a D;-lfe
TYPE OF WORK
o New Construction
(e1Lc,wer Level Finish
o Misc.
.3 .e;7S.
PROJECT COST IV ALUE (excluding land) S
SVtJ
(PhonflJ) - J L/J ~ J5-,) )- c.k/
(Phone) 9'>2 -?Cy- ~?Jbf - #d,e
/tz,'(/ ~ F?/3-
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
OUtility Connection
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 plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo property~o 'frfoJ!. needed inspections.
X ,,~- <<~ }]C - gO;) i <)"'-/ CJ Lj- Dee." ?9. ';;Ou I
Signature Contractor's License No. Dati
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $ 4--0 . 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 0.00
This Application Becomes Your Building Permit When Approved
Building Official
Date
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 $ /.~(P. zS-
I ~~ce:fi&135
I ~~~ /~~:ti-
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
/- / ~ "'tJ 2-
'L.-
V'
i :~~ ~:;y I PERMIT NO.OZ-()OIS-!
3. Yellow Applicant . .
ZONING (office use)
4429 ,PO/ll.LJVI6W 772r1/L--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.-.5"' - 33" -c /7 ..c.
I OWNER
(Name)
(Address)
(Phone)
(Contact Person)
/50~ S-
(Address)
'/'1
?/L - .)55 -72-3 7'
s-JC:> V-
(Zip Code)
APPLICANT
(Name)
(Address)
APPLICANT SIGNATURE
(Phone) S~
DATE I.
t? -z..---.
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 (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
r:- PAID WiT I
.5~BUILD:NG P,-.
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
~ Your BuUd;ng 1.:m;~~~~roV.d
uJlding Official Date
~
Dati ___I _ (J C---
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
08:55 651 633 8884 FIRESIDE CORNER #7660 P.002/002
CITY OF PRIOR LAKE Vale lUC"C1
HEA TING/AIR CONDITIONINGIFJREPLACE PERMIT
l. r,"'"
1. Groan
,. y"U-
~~ I PERMIT NO.02- 00 /...- J
Ap,U."" . 0
I ~~?:"":a:s.> ~~
ZONING Ir.rffice use)
LEGAL DESCRlPTION (.,mee use Dnly)
LOT
:BLOCK
ADDITION
PID
OWNER
(N" ame)
(Pbone)
(Address)
APpr...ICANT
~ame) ALLIED FIRESIDE DBA F.IRESIDE CORNER
(PhOIl.e:) 651-633-2561
(AddJ;eS$) 2 700 N. FAIRVIEW AVEN,UE
(Address)
C P BRENDA HU STON
( onmct erson)
ROSF.VTT.]'~ ~
(Ci.ty)
651-633-2561
(Phon.e)
DATE
~ 5.ll.3
(Zip CDdc)
APPLICANT SJGNATUR
APPLICANT PLEASE COMPLETE B~LOW
. EW CONSTRUCTION 0 REPLACEMENT 0 AT... TEM TIONS
FURNACE MAKE AND MODEL FUEJ~
FLUE SIZE REllJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM. REA TING OR POWER PLANT
OWflJ1Tl Air Plllnt.s
DOravh:y
o Mechanic,,]
DAir Cond.itloning
OVcnt. System
FIREPJ...ACE MAKE AND MODEL
o Steam
I:J Hot Water
o Radinrion
o Special Devices
o Orher Devic!::!
PI..EASE NOTE;
Air Conditioner Unjts
Can.not Encroach into
Rcqu.ired Side Yard
Setbacks
Estimated CO::lt $
FEE SCHEDULE
1% of job cost Residc:ntial. GBS Fil'l:l'lll.Cc
S39.SI) minimllm --+ .--..-
599.50 Resldcn.r.ial. Ad
S64.S0 Resldent.ial, AC ~ ~'r'
I /l,....) (]he.
Building penn it
. q_$;39:_S.o_ _ .-.
Indu:qrial. Commercl.al & MlJlrj-ParnUy
Residential. Heal,ing &. AlC (!'Iew Constr\,lctiQn)
Residenti3.1, Hea.ting Only (NeVI Cotlst.ru.c:r.ion)
.
IS
.J,4,S!i?1 /(
BuildIng Offl~lIl
$
$
$ ~Wd ~ a. ... . /2t1.J~
D'" .wi 2 4 200? p--
24 "aur nr,J~ftt for all in,pec:tfons (95Z) 447-9850, filii
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omce Use: Only)
This Application Bi:CC)mcs Your BlIildlng Permit When Approved
Date
White - Building
Canary - Engineering
Pink - Planning
The Ct"nlf'r of Iht' Lakf Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~a13S C!IJ/lIs-reuc;r / oAf
APPLICATION RECEIVED 1- Z - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
44-Zr PONOVI6W 7;eA/L- SE:
Accepted
Accepted With Corrections ~
Denied ~
Reviewed By: 1/1"'7~~- - Date: ./ - 3 - 0 a.....
Comments: K!E77'.o 7J-I6 C".OWe:R- t-&V6 L--
PI NI5H HrrND oifT
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 442.9 PONOVf6W T,eA/L- 5.S.
NATURE OF WORK LOWE:'K- L-evt5t.--
USE OF BUILDING ~ 4/ L
PERMIT NO. 02- 00/5 ' DATE ISSUED /- 3 -02-
CONTRACTOR J::::/eF-&S C()N~. PHONE (12/Z- 24-2_ -552--7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
I
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST (.(),
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO 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 lJiihall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850