HomeMy WebLinkAboutBuilding 02-0145
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3372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
WOOD fJU tUL- Oe-
Date Rec' d
2 -/:1 - tJ L
LEGAL DESCRIPTION (office use only)
LOTZS-BLOCK I ADDITION THe w /0.0 S 3 i!U?
PID 25-337- 02-S-0
OWNER
(Name)
(Phone)
(Address)
BUILD~ C
(N ame)
(Contact Name)
,1"A-"'5 ~ 4f:7:L
--red . C /1/,MYt)
rll/lllJA
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
4- EMs
ODeck
o Porch
ORe-Roofing
Citu.-
-1Jttf ~
ORe-Siding
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 upon the property to perfor e ed ins . on
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
~J7L
Contractor's License No.
4- 000. () 0
$ g .2.-~
$
$ 2.00
$
$ 40.00
$
$
$ 40. 0 ()
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
tion Becomes Your Building Permit When Approved
2--/c(-o ~
Date
Gi}-Ol
Date
$
$
$
$
$
$
$
$
$
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
17:24 651 633 8884 FIRESIDE CORNER #1657 P.0021...0.9.2. ___
'-ll.l VI:' rJ~VI." .....n,l.~ I
HEATING! AIR CONDITIONING/FJREPLACE PERMIT
.J FEe L I 21m
i: ~w Z!~I-! I PERMIT NO. 62-() /Lfst
ZONlNG (Qffla: Ilse)
LEGAL DESCRIPTION (office lJse only)
LOT
BLOCK
APDITION
PID
OWNER
(Name)
(Phone)
(Address}
APPLICANT
eN....) ALLIEO FI,",SIDE OBA FIFESlOll COI<NER
(Ad.dress) 2700 N. P.AlRVIEW AVENUE ~
(AcUll'fJ5S)
Bl'ENDA HtlSTON
(Con.tact Person)
APPLICANT SIGNATURE
(Ph ne) 651-633-2561
~a5EV~T.l'.E MN'
J (Cit:y)
(ph ne) 651-633-2561
DATE
I; 1:0113
(Zip Code)
OWarm Air Plants
OOrnvhy
o Mechanical .
OAlr Conditioning
DVen~ System
INPUT
HEATINGORPO
o Steam
~ Hot Wllter
RadI w:ion
Spec:i,~ Devices
o Othlll.' CelIicCll
BELOW
o ALTERA nONS
FUEl.
OUTPUT
APPLICANT PLEASE COMPJ..,ET
W CONSTRUCTION 0 REPLACEMENT
'FURNACE MAKE AND MODEL
FLUE SIZE RETIJRN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
CllJ.'lnot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
;J (. Cc
.FEE SCHEDULE j
l.ndustrlal., Ccmmc::rcial &. Multi-Family 1% of job cost . ResideL1tlal.O s Fireplace $39.50
$39.50 mInimum t
ResIdential. Heming & NC (New Construction) $99.50 RClliclentinJ, A ditions lI. Altera.tion~ $39.'0
Rcsidenrial, H.ellting Onl,. (Ni:W Const.ructlon) $64.~O Residential, A O"ly S)9..5G
Estimated Cost $ Building Permil # 0 Z. - 014-5
HEATINGPE~TFEE $ j
STATE SURCHARGE $1 .50
TOTAL PERMIT FEE S -L
(Offlce f)se OJIly)
Z'Z7--0L
Dab:
D Becomes Your BuildIng Permit When Appro1fed
%4 hOllr IIotlce for 1111 lnlpeetlonll (9S2) 4~7-985<<1. fo: (952) 447-4245
01/:JO/Ol MO~ ~.06 FAX 61244!.42~~ .
CITY OF PRIOR LAKE
~OOl
ftI fWjI'd
~
l. Plot
:I. GNM
I J. ytllANi
or . U,'l~atbollDm)
ADDRESS
33.7~ houddl!/~k. fl./? J'J/C/
$\taIl I PERMIT NO.O J - /4 :f
I ZONING _...i 1
LOT BLOC ~
ADOInON
pm:;<5 - 31'1- OJ $/1
LEGAL DESCR: mON (office use only)
OWNER /
(Name) J:J ).<J b-L- 0/- P1 / ~
. ,
(Addless) -s ~ '7 c:2 ~--t/ dc/dol ~ L~I <-
s/~
/
(Phone)
APPL1CA."'iT' . . . ~
(Name) A/J be ,/ -- ~ "- /2-/~
(Addzess) ..L2.::J t:./ 3 J t::./c/I/-. ~ -,c?
I (Addtcss)
(Coot&<:t _I ~ ,;2.4/ b )<J/7 6-<' f//
APPLICANT SI ~N~Tl.11lE
1
(PhaDe) ..2.. S-.::2- - 7Yb- 9-Cc~ l
S-S 37
(Zip Code)
(Phone)
I APPLICANT pLEASE COMPLETE BELOW
1\ []NEW CONSTltUCnON 0 REPLACEMENT rn ALTERA nONS
FURNACE MAl. & AND MODEL FUEL
FLUE SIZE -i RE'I'URN OPENINGS INPUT OUTPUT
TYPE OF sYSTBM HEATING OR poWER PLANT
. . ~Cl=ityAir PlllIlts 8 ~atar
I Mechanical 0 Radiation
i Air ConditioniDa 0 Special Oc'Iiees
, Vent Syctcm ". Ll Other Oevil:cs
. .:AS ern p";...;I';:::::; VI) slv
FIREPLACE M.' KE AND MODEL
IndllS1l'lal, ccmJ cia! & Multi.Family
DAn
PLEASE NOTE:
Air Condl.tioller Units
Camaot EDel'C*h into .
Requin<1 Side Yard
Setbacks
Residential, Hcatll g &:. Ale (New ConstNCtion)
'Residential. Reali. ~ Only (New Constnlctilm)
FEE scmDULE
I % of job cost Residentlll. 0113 fireplacc
$39.50 minimum
$99.50
S64.~O
Residential. Mditiona & A1toratioDJ
Residential. AC Only
S39.50
$39.50
$39.50
Estimated Cost $
Buildil1i Penni1 #
IlEA TING PERMIT FEE
STA TB SURCHARGB
TOTAL PERMIT FEE
$
$-
$
r-' PAlO \t'.i!r;
~~WLD:NG pc::
- _.
. :
comet UIlt Only) ,
Thll....ppUc:~llloD Becomes your Building Ptrmit When Approved
,..
Build!, ~ O(IIdal
Date
t~
Dat5 - G:, - ,::;....
t~
24 hOllr notice for 1111 i..ptetionl (951) 447.9850. fu (9SZ) 447..2.s
02-27-2002 08:09RM
MRTTHEW DRNIELS, INC.
423 3017 P.01
..,.'c KeC'(2
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue Fil.
:. 0ul4 Ci..,
1. yell.... API'licon'
I PERJ."UT NO O~ _ ..z.. ..~ -;. 1
~ I IY:::t'
I ZONING,,,,,,,,,..., ]
k~ fJ/(.t.J_ ~~'(U)
LEGAL DE CR.IP110N (oltict! use only)
LOT .; B ocJldl APDITIO~1)
(Contact Per on)
rei
Pln;?S-" 31"* 6;)5"'-
OWNER
(Name)
(Phone) ~. ~. ~4~~
(Address)
APPLlCAN
(Name)
(Phone) tSl. ..J:L.~. ..!J'M~
(Address)
(City)
(Zip Cod-e)
(.
{Phone) .,~/ - .fA3 - \S"J.8t:J
DATE
APPUCAN SIGNATURE
I
APPLICANT PLEASE COMPLETE BELOW
Type ot Fixture Quantity
B.ath Tub with or without shower
Dishwasher
Floor DraiFl .
Lavatory (Bathroom Sink)
Lllundry Tray (l or 2 c;ompat1ment sink
Shower Stall .
Sinks
Elar Sink
Water Closet (Toilet)
Type of Fixture
Quantity
I
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Baekt10w Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Indl1Stria.l. omm~rc:ial &. Multi.family I % of job I:ost with a $39.50 minimum
Resi4&;ntial. New One &: TWQ~Family $99.50
Residential. Additions &. Alterations 539.50
Estimated Cost $
Building Permit #
PLuMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.SD P'"
.S~ ,- RO.iO IIv!
~.D() -fl- ~!LO:NG PC.
(Olli"" Use 0 y)
This Appl ation Becomes Your Building pe.,mit When Approved
Paid
Receipt No.
te
3 --!o~ ?
Buldlng OOicial
Dale
14 hoar notice for.1I illSpectiolll <,S2) "'-9ISO. fu (951) 4&'~145 . ,.-
, ~
TOTRL P.01
The Center or Ihe Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r j (1/ ~V II L I 1--\ fl- IS
2-13-02-
,
A~-~ DC..- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33,2 v\J6CJO DUCAC. Df2..I\/~
Accepted
Accepted With Corrections
~x
Denied
j.'/ /(//, ?
. .'.'.'..
1..-1'; _
Rtm~
J
! .
~-
/
Date:
<;;2 -j(p - CJc__
F' tV/st-{
Reviewed By:
1""
Comments:
-ni E L. U Ivv E. tC l-e\ it:..- L-
.
I-*\I\JDo0\
"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 R 10 R LA KE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 3372- WOOD Du~ Df2-.
NATURE OF WORK L-- 0 \Ai 6tc.- lE-V6l.-
USE OF BUILDING IZts Alp-
PERMIT NO. Ol-OI1-.s- I . DATE ISSUED
CONTRACTOR M~WI.L0IAM5 ~ A5So~. PHONE (ol'L-22-{-Z5iO
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
FRAMING
INSULATION
ELECTRICAL
PLUMBING 0 l\
HEATING (if required) ,"-
FIREPLACE 0(;..
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(J\
V\,
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 shalf be placed near main entrance.
(!; l3 J...
- -
~.._.._.-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850