HomeMy WebLinkAboutBuilding 02-0018
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ~/7S
I uJ .
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER /J l '} 1
(Name) (heIJo"",- rJ (r.....S
(Address) S -,- L
BUILDE~ IQ ,. Ii 7
(Name) '" (;1-75 v' LG.... S ,.
(Contact Name) Je t:' C. u Q { :s; 0"-
(Address) 7bOl ILA ~J,,- r- W R ~-t
TYPE OF WORK
~ew Construction
Aower Level Finish
~ireplace
PROJECT COST IV ALUE (excluding land) $
ODeck
o Misc.
Date Rec' d
12--/4-0/
1. White File I PERMIT NO I
2. Pink City . 0 "? - 0 OJ a..
3. Yellow Applicant . V _ V.
ZONING (office use)
PtJD
'IJ<;
PID z..5 -z 91- 0
(Phone) Cf'l<J.-Ll(:J -7(,.~) (
J
(Phone) ct~ ~:). ~ 3 )...- '? (..., 0 J
(Phone )Ct ~ ~;. - L(5 'J- - ) ~ () (
<i'--f!U b f;J..-? 0 (-- C(~ Lt {,
DPorch
ORe-Siding
~Utility Connection
(J 00
ORe-Roofing
OAddition
OAlteration
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 up n e ra rty to erform needed inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
/2,.. IB-o(
Date
6bO ~'<:.?b
Contractor's License No.
J:2-Jt;-o /
, Date
Park Support Fee
SAC
# $
# $ I
$
$
# $
# $
$
$
-02. $ 10 077. 7
I ~;ce~ 411 erL
Water Meter Size 5/81~ "
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid 1(; . 0 77. ~
Date /-' 'l....() -
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 sigoed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~ ~ f'I ~ ^ {\ /'
~~\~d~~ V}/~/&\ y~. ~~~ \.~L~.~
. Plan~ing Director Date -' Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thr Cenltr or the Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H~D()NALO c..DN6TT2-.
12 -fA- -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-755 WiLDS VI 5W
Accepted
Accepted With Corrections X.
Denied -A-//l-LL
Reviewed By: LT~- """ Date: / 2 - / 8 -0 I
Comments:
J?oo& all a1J-acleA ~ ~--
"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."
The Cenler or Ihe I..kr Counu)'
White - Building
"Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~.. ( ..'l, L) (i (\ l\ L L,1
i . /) -- j / 1_/" l'
(L'___ L c-1- '~'J_
/ i. . ~--.I-L)
t . !\,3 ..~-' r--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j , .}----;" 1--- Z-
' (-f-- 1;_,,) ....:......J
! .; I! ! i ,,~
I., "'-.... I / '- _.
,
\' ( (- ,. l \J
Accepted
....------
,
Accepted With Corrections
Denied
R'dB~
eVlewe y: .... ~~rz.,
Date:
!Jk//2~&9 t
Comments:
fA'~- ,")p'\ ~H11JT/ ~X~?-k..
~~ ~~~Z fJrt9(dtwY1 [~
At.-- VW~JaQ wwT ~~O ~ SeJ&w~
d>t ~ W~ 10 <;;;;4 {w~ ~,
"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."
()2- 60/8
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'nlt"r or the I..kr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
fJI00C)NAL[) Cj)NClR
(~2--14-oJ
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4--755 l\1/cUS \/'~>l/J
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1mB
Date:
1- 02.- 02..
Comments: See Reverse Side for Additional Information I
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
From JECHEEXC
PHONE No.
512 8925395
Feb. 05 2002 7:21AM P02
.
CITY OF PRIORLAI(E
SEWER AND WATER PE'RMIT
Dllte Rec'd
:' ~':'w ~\:; [PF.RMlT NO. 02 -()O I (). I
,). u..Jd ......11....11 U
... ~ .......
I ~;jtiRll.I)lPSS Print. an IhlEtJ ..~t b"twm~ .. .__._
I~. r-?5~)-:. /...() I: .t~- L\~.~_11l1JL
".
..- ----
LEGAl. DllSCN./I'TION (oJfl~ lI~e only)
LOT 7 ULOCl<.!" ADD~'-I-cd.tv)
--..-..-.-....
OWNER /A/I. \\.. ..( (\ (\ - ''1.
(Name)~_ "\ --,OY1E-....
(AdcSles:l) JkoL:.J \ \ 17T~ ~11'-1 __.'
- ..-. ". (Addrl'..'IN~.. n
] rZONINOI_...'
~
,) ''\
PIn
.... . /. Whune) elf'; 432. f] bd I
AJ~I:;:JT.IL j~IJ/' ..~!) _
. ~. ,'.~. . .."',': . .{Zt Code .
--
APPUC~N~ l E
(Nnmc)__ ~_.e,... ~~_.._
(Addl't'.ss) ~)O rll ~ f.1a~.
(Address)
(rhon~) ~.~ 7070 ?:LJ.s-0
r:?llJnm;Y{~+f)l1 MAl fiS-4,~1
((!fly) (Zip Co~)
(Phone) !J a ?~ D 7c.;.s,t,
DATE
(Contacr Person)
APPLICANT SIGNATUR.E
APPLICANT PLEASE COMPLETE BELOW
Size of Water service finches.
LOct"lliun of allY couplings from structure _ feet.
. Type of Sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean Qut (if required) located at feet from Structure.
Residential Sewer and water line connecti(m
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'J & Multi~fa.tnily
$17.50 WaleI' connection only
Estilllllted Cost $ ~ 1) t)
Building Permit #
J% of job cost with a $39.50 minimum
$17.50
()~ --OO/B
SilWER AND W A TEn. PERMIT FEE
STATE SURCHARGE
TOTAL l~ERMIT }i.It;E
$~_u
$ - ..
$
...~~~~,
r.. '~.l
\-,'~
___...,J
(Omf'. Un Only)
=p"eo',;OO,""O'''' ,,~~, BOlld;~; ""mil Wh.. APpn""d.. J'"
lI11il<llnll Offici.' b.'e
24 hour noU.,,, (ur alllnlpl;c:tlon. (952) 447-9850, rax (952) 447.....~4S
_ __ _ ._____- _ ~ _. ___...._ __ __..--~ ......&.. ~^.LUl't LA.K.E
!4JOOl
CITY OF PRIOR LAKE
HEATL~G/A1R CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I'E'!U5<: lYOc or i't'...nr an~ lle;D at bottom)
II ADDREss
/-f7S$" t.J//J)~
I. plnl<
:=., Grnn
l. V.II_
V,
. leu...)
A/,. L~,
.
~~~": I PERMIT NO'()2-00/6 J
1 LG,o-':J
I L:EGu DESCRIPTION (otl'i"e ~J" ~nIY)
l LOT BL9CK ADDITION
PID
I O\VNER 0 '[)
I (N~llC) ~ ~t;..}a.l,
L (Address) A .. LJ ~
~N:Sf.
(J'hQnc::) .yd.:9' -'- 7Go I
APl'LICANT J 1/ D A \
(Name) LOAJ,.-m.k'l'"": .L,.\ I/"
(Addn:ss) diE) Ie" _t::::. oi~ Au e
(./'_dd:'~n)
~~~2f ---I
(Zil'C~__~1
<:9-/9-63-- ~
(Phone) ~
4tAJ
(City)
(Contact Person)
APPLICANT S!GNATURE ~ 7 Z-:~~
(Phone)
DATE.
_.\PPLICANT PLEASE COMPLETE BELOW
#w CONSTR.UCTION' . 0 REPLACEMENT 0 AL TE:RA TIONS
FURNACE MA.KE~NO MODEL ~^".e 7U'7< L.;i}O ~ . FUEL )J/l:.r:- .
F'LUE SIZE ~~ PVC-. R.ETIJR..~ OP:ENINGS _ J'e INPUT / 6JO,~ ' OUTPUT LLO, -'lee
, - r
HEATING OR POWER PLANT
~ O'F SYSTEM:
~14'Tn Air Pll1lIts
o Gn>vity
o ~chuli~ .'
..01'....J;-e onditjol'lin g
...e:rv ~n.t. Sy $(<;:m
I ~~R.EPL.ACE MAKE MTI MODEL
o Ste:un
OHotWater
o Radiation
o SP"Cllll Devices _
o 'Other D~vjoas
PLEASE NOTE;
Air C9nditiono:' Unhs
Cannot Encroach into
Reguir~d Side Yard.
Sl:tba,c: ks
L-
J I
j
~
Tndl..lSlrilO1. Commercial &. Ml.llti-F'amily
FEE SCBEDULE
l,.. of job CaS; k!ldl;nti~l, Gu Fi;-~!ae..
D~~m~~~ .
,~9~.50 Res1de!!ut.l, /.ddhio.";s &. AJt"~2rioT;~
~o!-<!-.1'J jl.erl<:;!-::~,\:ld. l'.C O;1!Y
S39..sQ
R.<!:.side;t~i~.l. H~-2.Tln& .& Ale (N~w COl1mucti:m}
'R~,sid~~u..!. 'i-r~~il'\g Cl'Jly (y~.., C<:>ns!rJc!k:r:)
n9.5a
~:1'1 .~~
Es-;:rneted Cost S
..... '}'- _ -.. '" / - OO/(),
;:>Ul Clmg r'crmlt rr~.___. __~
HEATING PERJvtIT .FEE
STATE SURCHARGE
TOT .c-U- PER.'iIr1IT FEE
.$
r-- If'Aro "'i\~~, 1'1'
.50 r~~U)tNG Ith:.;':"lY"
\: .
'"
.'
(O!nQ; Use O"ly)
s
--.
Tlti! ARplit:~tion Bec:omes Your BlJilcin~ Permit When Approved I
Buileling Official
J)atc
., R.eceipt 'N.' .
I By
!
:Z4l1oLlr natj<:e for 11./1 in$ptctibn$ (5l52) 447-9:\:SO, (u (952) ~7-1245
100~
lIlV <I3110H.LNOJ
9L6909t1S9 XVd 6S:S1 3111 6006/61/60
15:57 651 633 BBB4 FIRESIDE CORNER
CITY OF P'RIOR LA)O.;
REA TINGI AIR CONDITlONINGIFIREPLACE PERMIT
#lB74 P.006/00B
...-flCIlloL..... ...--_.
t ~~ ~~~on< l PERMIT NO. 0 ~-/g J
(Pll:asCl rypc: Or tninr. IIDd sign at ba1:Il)m)
\ ADDRESS
/Y7SS WiLJ.s IlAJ
tl/)
I
~;__ ! r/
ZONING (office~)
LEGAL DESCRIPTION (offi~ use only)
LOT n BLOCK ~ ADDITION 0
'eVA
Pro
OWNER
(Name)
me, '/)t:r.dJ ~ .
(Phone)
(.Ad.dl:"es$)
APPUCANT
(Name) ALLT.;ED FIRESIDE DBA FIRESIDE CORNER'
(Phon~ 651-633-2561
APPLICANT SIGNA11JR
J:$OSEVTT.T.J;: MN
(City)
651-633-2561
(phone)
DATE
I:,lill":1
(Zip Code)
(Addl:'ess) 2700 N- FAIRVIEW AVENUE
(A~S)
BRENDA HUSTON
(Contact Person)
iY
APPLICANT PLEASE COMPLETE BELOW
. W CONSTRUCTION 0 REPLACEMENT 0 AJ.. TERA TIONS
FURNACE MAKE AND MODEL FTJEL
nUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HBATING OR POWER PLANT
OWarm Air Plllllt.s 0 Steam
DGravl1:Y 0 Hot Ww.r
o MedtaJ'ljcal 0 Radiation
DAir Condidoninll 0 Special Devices
OVcnl. System 0 Ocher Devices
PLEASE NOTE:
Ai'" ':oll.dltioner Untts
C.. ~ EnCT'Oac:n into
Req1.l. 1 Side Yard
Setback.,
FIREPLACE MAKE AND MODEL
JJ Cto
r.ndustrllll. Commerr;;e.1 & Multi-Family
FEE SCHEDULE
J ~ of job COST. Rcsldtntllll, Ga3 F;Tq)lace
$39.50 minlmllnt
$99.50 Ttesldlmdal, Additions &. Al~ioJ1S
$64.50 Residential, AC Only
$39.10
Residentilll, Hcatjng &; Ale (New ConstnJ(ldon)
Residential. H.atlng Only (New ConSll"\lction)
$39.50
539.50
estimated Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~~~G~~
'.r ;'
/' "1'"
(amC!! U.r Only)
Thls Applh:atfon Becomes Yo.., BulJdf"lI Permit When Approved
Paid
ecelpt No,
Dill
Date '3 - b / &::t--
Blllldllll Oft1cilll
~4ltour nodce for 1111 in.llpcctlonll (9S~) 447"9850, fD" (95Z) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1L(l)5.~ fA),.tJs {/r'--€4J
NATURE OF WORK AJeMJ
USE OF BUILDING SF'D
PERMIT NO. ~015 DATE ISSUED 1'2.-1'0 -c.9 I
CONTRACTOR ~ PHONE C,!2.... 701 -at, i{
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
SEWER I WATER I SEPTIC
FRAMING I.-L- ~.:L8
INSULATION
ELECTRICAL
PLUMBING v\;' :b 01.. ,5 3-
HEATING (if required) (...1..- ~ ~~ '3
FIREPLACE3
GAS LINE AIR TEST , \ I ~ ~ -;?fo
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Jo ot
FOUNDATION (Prior to Backfill) -~~ J ~ 0 I ~ oJ.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S G ED
ROUGH - INS
~
'b
vj
0.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING vJ c....-
HEATING
DO NOT OCCUpy UNTIL ABOVE RAS
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.
<!JI?.
r -vr
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850