HomeMy WebLinkAboutBuilding Permit #02-0230 - Lower Level
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8
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink File
2. Green City
3. Yellow Applicant
Date Rec'd
1-./3. OS
1 ve / ^' I!tJ2. OZ3tJ
PERMIT NO. os. 02 7
/5239 ~//lM/Ay' /h:r e::r:
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID tf!:!!5: .s-7~. OJ". 0
OWNER
(Name)
(Phone)
(Address)
APPLICANT f)
(Name) e b l:l\ v'Y\ (r)? .~
Ul1i
~h(,-F.r\}
(Phone)
[1S122.(., /)(..(./
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
.-,"
APPLICANT SIGNATURE
(Phone)
DATE
~>
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
AKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # (j 5: ().;J- 77
$ :11, r7;
$ .50
$ ~r{/b
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
Paid 4(.). 00
Date A .r- r-
cr./v.(),;;)
Receipt No. 4-9//4-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
':J'.- /3~O 2_,
~~i~e ~:~y I PERMIT NO. 02', 02 ~() I
Yellow Applicant _ ___ .
ADDRESS
/523CJ ~//bf~/jY gei6iI-fT5 c:T
ZONING (office use)
!Jw
/2-/
LEGAL DESCRIPTION (office use only)
LOT f BLOCK 4- ADDITION
/$"7'
fv eJv JI'1 n7J/J
OWNER
(Name) D" ~
H, I "'H('~;.J /5>+1{ (~1
,
3 ~} /""fs
--
I-tJ ,'S .,
(Address)
Cr
BUILDER
(Name)
(Contact Name)
(Address)
PID ?5-37&- 0:59-(j
(Phone)
'!5J.;2;2C-../S,...,
Nw
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
ORe.Siding
o Misc.
ODeck
OPorch
OAddition
OUtility Connection
ORe-Roofing
o Fireplace
OAlteration
PROJECT 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 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 uponlte property~to pertl m needed inspections.
7~ /' ~ I~. a~
X .
Signature Contractor's License No. Date
Permit Valuation 2/ ()O().oU
Permit Fee $ r; ~ 25-
Plan Check Fee $ ---'-
State Surcharge $ ;. 0 (;
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Your Building Permit When Approved
3-14-6~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ae: C;-t~ CrY 1--- $ I. C) 0
TOTAL DUE $ ~4.ZS
I Paid
Date
"4-.~~
3-2 ,.- Z-
l~rl>4-3
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.
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
Planning Director
BY~.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: 3-j3-0L
Building Permit # PID: ZS- -376 - 03 '1 ~ 0 Zoning: /C--- /
Site Address /523? FI'1 / e vV/i Y lfTS. c:-;-
Legal: L q B 4~ Subdivision: tvENS-Fi/-f/0/J / s.T
Existing Structure~'r NO
I
~....
C~~
I
I CONFORMS TO ZONING
ORDINANCE
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? y
Is the property located within the flood plain? Refer to Planning y::
Does the alteration include any additional kitchens? Refer to Planning f
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ;L-
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single y
family home (office, group home, day care, etc.)?
Tms CHECKLIST MUST BE COMPLETED AJ~D INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\A.L TCHCK.DOC
White - Building
Canary - Engineering
Pink - Planning
ThE' ('"nlrr or rht Lah {'oun1f'}'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/-1/ L-H 8~'O/v / Fo k_S/-'
/
3-/3- 0 L_
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5239
F/9//.2rv/j V HT5
I
c-r
/
II f/V
Accepted
Accepted With Corrections
Denied
Reviewed By: @ Date: 3-13-02-
Comments: 1Z--b--rrD 771:6 !.-OVvCK- W/EL-~ FINisH
HA IJDOu-r-
"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 /5239 F/i//C/lVI-IV HTS. CT. NN
NATURE OF WORK L Or1/6t~ L.~ VEL-
USE OF BUILDING 1~6S 8/12...
PERMIT NO. 02-0230 DATE ISSUED 3-/3~02
CONTRACTOR /-//L/'/IEk.sON / P-tJ/CST PHONE 22 (p - /504-
NOTE: THIS IS NOT A PERMiT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~{ {
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
J
f
~.-
... ~~~-=-- 'J":~~..._
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
---I L
FINALS
1
/
l.r7#
HEATING lr 1'"'-'
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850