HomeMy WebLinkAboutBuilding Permit #98-1281
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~,." ~".,.....j...- .~., ..-~~- - ~.
CITY OF PRIOR LAKE
BUILDING PERMIT,
J 28"egpORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicanl
Permit No.
if t . f J/? I
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1. DATE
w j 1(ls
/ ~P/!
lOT/~~x
ADDITION --r11.1 tJ.' _ ,A IIQ IS
il{
PID 1-5 - .'100 .
/st ~rlJI,.J
IO~(5-f'<3
()uJ UD
Oi)'~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) i )
4. OWNER
(Name)
(Address)
(Tel. No.)
12. NO. OF STORIES,
13. 1YPE OF CONSTRUCTION
vtt'l.~
14. FLOOR AREA APPORTIONMENT USE
3. LEGAL DESCRIPTION
(Address)
I t.
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
5. ARCHITECT (Name j
I 'a,-V1 ilc.
6. BUILDER (Nam;
flde. 'la / ((!JdS/t/rL(t'(l.']
7. 1YPE OF WO Fireplace 0 Septic 0
New Constructio'Vl Alterations 0 Addition 0
Chimney 0 Misc.
8. PROPER1Y AREA OR ACRES
Sq. Ft.
(Address)
Yes
10, CULVERT SIZE
~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS /
SEATS
if 16. ESTIMATED VALUE ..;
~~ 0(.10 t'v ,
17. COMPLETI N DATE
9. PROPER1Y DIMENSIONS
Width Depth tJlI,f $'lH'
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 officirl can revoke this permit for lust c use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~c. " ~(;J ~(")&~ II9~sf)l
'gnature 'cense No, Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
1YPE OF CONSTRUCTION: I II
Occupancy Group A BEl H~
Division 1 2~4
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ';<,C;O,OOO. C)CF
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
S~1\
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ef?.1. t...:.. ,. ;}-f:l.......... $
Septic Sys4f!....1 Y ~ ../. J!iJ...... $
Other ...S.fI.J?:~t.:~...I.d::t!.... $
Subtotal r:.P.... .q.((. J ;)i1... $
I \ I () 3, '1 . L~
1. Din If. 1/
f )/\
JJ. r. I./IJ
/()u -
1 Oc') .--
3 -;) 50
40--
~City: Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
.s::..a-e-- Collective Street Fee ....................... $
1 g_. / ~ gO -::: SewerTap ................................... $
~ ~ License Check Fee ..(,..................... $
Pressure Reducer .1....................... $
Bc::;o.D6
L DOO .as
Permit Fee ................................... $
,o.CX)
Check if
Deferred
Meter Horn ................................... $
Water Meter ..r........................... $---11 tiC; . 00
Sewer & Water Connection Fee ........... $ 'I? 00. <:90
ICY) . 00
o
o Water Tower Fee ........................... $
omes Vi ur Building Permit When Approved.
Date 10 - 3C) - 18
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Issued
Date
This is to certify that the request in the above application and accompanying documents is in accordance w~h the City Zoning Ordinance and may proceed as r
signed By the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of
City Planner
Date
Special Conditions ~ any
24 Hour notice for all inspections 447-42309:00 a.m. . 10:00 a.m.
GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CfJ- 12.8 \
CITY OF PRIOR LAKE NO.
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~'~~~ ~ PHONE: 7{:r":~6,f
ADDRESS: /,' <//1 ,',' tv"~)~\_/;;l #,,,,/a;,~ 1T.l~'Y DATE: ;A~j?
SIGNATURE: ~/U!// ~~ BLDG. PERMIT # q3-(l~(
SITE ADDRESS: /*11 ?1/oM' 1-1--,r;./fr:;' PID!
FILL IN THE LANKS
1. Estimated length of water service ~j
2. Size of water service / ~ 'I inch (es) .
feet.
3. Location of any couplings from structure ~j
/'
feet.
4. Type of sewer pipe. ABS
PVC~ Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This appl ifhH-pt. becomes your permit when approvr, d "I "
BY lL-{) V\\ DATE: [7:<; ltc-I
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
AMOUNT PAID
RECEIPT #
PAID WITH
BUILDING PEI~:\.1IT
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
The CUler of the Like Counlry
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No. 48 -l7.8 1/
~~~:::t: ~bV~Vv' P~:":~i~?:j(m
1. Blue
2, Gold
3. Yellow
File
City
Applicanl
Signature:
Legal Description: Lot Block
SO" Address: ,I.fi:."l ~-, ~l/Af"" r '7'
Building Permit # ~ -- _ L- t7 _ PIO #
NOTE: This permit will not be processed without complete information.
Sub
FIXTURE UNITS
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
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
F,\lD "'!IT'I
EL"'.
IT
This permit is granted upon the express condition that said
contractor, shall comply in all respects ith t e ordinances
of the State Plumbing Code and the ame dm~ ts)l}ereof.
RECEIPT rt \ \ ,,1,1 \ '16 DATE
ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
FIRESIDE CORNER #7330 P.DD1/DDl
CITY OF PRIOR LAKE Date Rcc'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
~:~:. ~~ I PERMIT NO-a<:1_/?8 / J
,. Yell_ Appll..n, , 70 c..- _
'_'~~~':Ml,"~m~
I ",uDRESS ~
/ q' j jdtk:1 '.JzU'''J-
LEGAL DESClUPTION (offi.ce use only)
ZONING (officI: use)
LOT
BLOCK
ADDITION
PID
I ~':'~R tJLh t:~
(Address)
(kJ
(Phone)
APPLICANT
~ame) ALLIED FIRESIDE DBA FIRESIDE CORNER
(phone) 651-633-256..1
APPLICANT SJ.GNATTJRE
ROSEVI..I.LE MN
(City)
(Phone) 65J.-633-2561
i;5.ll3
(Zip Code)
(Address) 2700 N. FAJJ3Yr,EW AVENUE
(Addn::M)
BRENDA ImSTON
(Contac[ Person)
DATE
oL
APPLICANT PLEASE COMPJ.JETE BELOW
, EW CONSTRUCTION 0 REPLACEMENT 0 AJ... rEM nONS
FURNACE MAKE AND MODEL FUEL
FT_UE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWtltm Alr Plants
DGravity
o Mechllnjcal
OAir Conditioning
OVent Sysrem
HEATING OR POWER PLANT
o Steam
o Hot WltfJ:r
o Radiation,
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial &: Multi-Family
FEE SCJ:lEDID...E
1 % of job cllsf. Residendal, Gas Fireplac:e
$39.50 minimum
$99.50 Re{ifdenti~l, Additions &. Aheraliom:l
$64.50 Re~identilll, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.~O
$39.~O
Estimated C05t S Bllilding Permit #
98 - /2.- r; /
HEATING PERMIT fEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office U~r. Only)
""hfs Application Becomell Your BulJdln,g Permit When Approved
P d
Receipt No.
Rulldlng amel..
Ddc:
Da~ 2 4 2002
By
24 /lollr norlc:e for nil inspections (952) 447-9850, fHl (951) 447-4245
..c~"~'
~1""I7/Jl
./t"
"
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1 · n ~ .(
(V.I."..)' . \ (1 /'1 \.1' '1
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted /
Accepted With Corrections
Denied
Reviewed By: h/ALJ'€fl. Crl((F-5MlttJN
Date: Il.;/~g
Comments: CntJvt-/ (?JtVoP'F" 1"0
ANti
AL.tll\l r; r,)a AlA.! Aut:
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As MlJ('.J1 t1;S ?RM,I/CAL
<;,E'E. ItJFoftMI'l-"-IOrJ ON 1'<€J€~6 s/t:>(f..
SEe: A'TTA~~EiJ'rS; I. hNAl.. G'R.At:>",)C., 1^l:u"c:cllO,J JNFotl""'t4TftltV
Z. ftt<lSIO,,", CnNT(1..0L- Pl.-'-'N
'S. ~~AO/I\J(-. ?L-.-.N
"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."
c~
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, 'J' ,f'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:) /
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Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~ Date: LL-tp-ti<6
Comments: k~ ~ (f'A~ ~~ L~pr;-
A:tiJ. l L-lD - Cz g v
"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."
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnltr or tht Lak" ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/[p-A..~ JP ~ ('~,rn5l7u r), t~~
,v/'?-3/11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!VC) 6 / r ).);"//1' ~~CLV(J /lW t>CiA.uJ 0
Accepted
Accepted With Corrections ~
Denied
Reviewed By: G2 (J ~.
Comments:
I, S~ o-jJ +r-u&S ~ ~~ f(~
2- MaJvt/~~: (3.Jt:>9~ ~oQ
-
3. ~ CL1Q O)(~ ~ ~L
0. Se-e.- m\P it- lL(3() ~r- Gr~5 5~c<:::., ~/U~ ~<
/ I' r
Date: ICJ-'S::::J- ~
"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."
..p'Eti'S"A:i!ctAKE DEPARTMENTOF'..' ...;;'fjl;
...../;iz~t)~~:~TION B~D~e:S~~\0';,.~'
., ..,' . . 'i:'lr;:!~,;,>',:,5/';'~;;3,N-'5;\" '.: \,"..' . ',i '< ;'..' , ',. ..,r,~': > ' : 'i:~>~;",: ,:,;",.-, "'.,
"'. $Jr~.i~[)p8E..~$:;/~cr~\" \....)~\&s. <?~~e:j .. ",."<:::::it;~/:;;51::";;"/;'"
~~lJJR~O,R::,WqRK, . ..:JJ-e.w ~~\-l'-uc." ~ ", (" "~:/';;~~".:'>"'\:':;::.'
,.,OSE:,OF:.BUILDING SF A- -.1":'(""";:;""
;PERMITNO.~ .'18- r~8 t DATE ISSUED'16-1,-<r~ "~",>>~..;,
':"CO'NTRACTOR'~~~ -.cH'r-ct. Ck....J- .' ":.: "\:,,.:~.~v';,~;;1hJ~">"':: . ,
"'NOTE~;THIS'IS NOTA PERMIT FOR ANY OF THE INSPECTIONS:SELOW
THE PERMIT IS BY SEPARATE DOCUMENT ,:,',l" ,
. .. ' INSPECTOR DA~ \7;'~~;~;;'rf.t:;;:.;:/"'::.~.'...',,:,'...>Ii~,,',','~i.,.1ll::.....,.:<.:,.,.;;,..:.......',..:...,..... ....
.~O..'O' 'TIN' G' '~i\~J,:j,~J;;;1~~LJ:M;;i.:,,/,: .....,
"~~'" ,.,', _ " ' : ~~,.."I.;~Ht~,';r..,~':':':!'5'..\~'t;:;,:::,:~.:, ;."",
. '" "~lFOUNDATION(prior to Backfill) I I. " :L('c:ti',
'./":.<~~\::2:';~LA C EN 0 . CON C R E T E' UN T I LAB OV E. HAS BEE N,S I G ~E"D{":':;i'?;~:'
"':,<' :,f,J',.~lk~l'~,::i~';.i.;:" ." , . I' '.' "', "'~:':::,,,;;;~'~7r~:,i!?; .','~'~~,;
". "';.":;!'I~:-;'::.. ' " ' ROUGH · INS' . . " ~;;j:!;:~'>';:;i:!';~;': ;i';....
SEWER I WATER 1 SEPTIC I - 2.~ ___
FRAMING
INSULATION
ELECTRICAL,,:
PL.UMBING""
HEATING (if required)
FIREPLACE
GAS LINE AIR .TEST
-, " , , I " .' ""~""'()~i'i,~'" i, :;'~~"f
, " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEO',::<i;)d",
I : .,
FINALS
;GR~pING, PriortoSoddin
, ~~Jiilr"~'I"~'I'!N'.'G'c:!~IU ,I..:';".'.'
. au ~LI >~:,,',,,,~~,, . "",.'
: 'ECECTRICAL'
.g~OMBING
:AE~tING';:'i\,;;
..'~ f<":':"':.'L""~~,.,.', ..' "'_~"':'~'II:" "
"'~~1Ii~;6f\:::'oe;eu P'Y""U NT It; AS 0 V E:;!:!.(HA'S~~;B!'E'N~';( rri'
~jf!hl"'''~_''':-",:;\_-;; '".,-'.' . :."'~'. '. ",- '; '\" ,,' >'+.".'_ ,'~l" -',l:'~'f."'::~d..
"';;0...,.,.;: '. ,',. NOTICE' ' '. .,,'....:,.'.;
" : '",.. ,'" '. ", ' " '".,' ~'l,.~."
',.1."..,1,.; "', 1 ,,;,,;: . ~:""r.";-'i...;.i~~,,;,:r:"~
".:'i-~This.card _must be posted near an electrical service cabinet prior to rough-In inspections
':,?;.1:,:.and maintained until all Inspections have been approved. On buildings and additions
'dD:,; ,Nhere noservlc:ec~blnet Is available, card shall be placed near main ent~nce. . "i-;;~'
.:/:'~:;":tC~'llbetween'8:00 'and' 9:.00 A~M. for alllhspe'~tiori$';:';:;'" . AI>;;,:,
FOR ALL INSPECTIONS 447-4230