HomeMy WebLinkAboutBuilding 02-0260
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 -5 -02
I. White File I PERMIT NO I
2. Pink City . 0" 2.' 0 '? /'" 0
l Yellow Applicant t..-~ .
lu -, \ d h. 0 f'~c..
G-.
LEGAL DESCRIPTION (office use only)
LOT 20BLOCK L./ ADDITION Th<. Uv:1 d-J' ~~uJ-~
ZONING (office use)
Jet
PID 25-382-/2-5-0
OWNER M
(Name) c.. Dev\'\-4
(Address) I 35LfD Fl
\-\OM.~
(Phone) 6J2-68S~6Z33
lJ /i.I.JCJ 1Z
BUILDER 't\ ^ 1"""'\
(Name) JVILJ.....Ie."'~ ~k<.o
(Contact Name) .-- ...... \ ~"N\.~
(Address) 13Sl/0 P/.-l:)G6~FF AuCu(.o.(..
(Phone) 6/Z....t8.s'b2-:?:::1
(Phone) 6/2- 6'8~-622.:J'
'-J .s oS rz..
TYPE OF WORK
~ew Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
o Addition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) $ 2 5 0, C> 0 (j
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 perform nee ed' SpectiAonsAA
X N\c..~l'\-\- ilL 2DC>3.s.Y/y :5.....6.$"-0'2..
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; ", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE .3 - 21- 0 z... $
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ /00.00
Mechanical Permit Fee $ 00 . (!) 0
Sewer & Water Permit Fee $ 55.S-0
Gas Fireplace Permit Fee $ Cfo .. CJO
I Paid tJ; 2, 0 /. / ~
Date _3-~- Oa--
I :;ce~
ecomes Your Building Permit When Approved
3-13-0'<-
Date
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
::;:""'" b, ", C,,, '."cr ,o~","~ , "m,_ Co"""" ,f umm, eompU"IT ,,' 'U~ ~ eo=" :n ?!:r."" ,f JiiJ. mm' '"
'?!~a{8L l~ditionS.ifany ~ ~6
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
r--,.
Th. ('.nl., nlth. \.ok. Counlry
White - Building
~c-...~~ - t:ngln~erang =>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.
~(f IJ. e~~( III -=/J I>>1~J
3- ~-o~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3;A2-? ll)~tJ(f! IJtn~_.~_/II#~C"r
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4B
Date: 3-1.5-02-
Comments: See Reverse Side for Additional Information!
\',
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
.AI> 3) Erosion Control Plt:ln
"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."
1l~
White - Building
Canary - Engineering
Pink - Planning
The ('enter of Ihe L.kt CounU),'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'-111" /J e/!~i~ -)J~
3- {p-o~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 aif--? U).,J-,~:IJ t.rlAJL p~
Accepted
Accepted With Corrections ~
Denied
Reviewed BY:~
Date: S -Is - 200<-
Comments:
2eJ ~(( att~ I!JL~
"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
Thf' C"rn...r or Ihe Like' ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ;'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~
~~
Accepted
~
Accepted With Corrections
Denied
~~
Date:
5" (U)/D2
Reviewed By:
(~/~; -
'f.to ~1:''lBv\ c() ~'(i'l-~ 1dA()~Q
8v1_l' v{)~ e~ ~e.p~
"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."
04/15/2002 20:59 6127584912
1J.a. 11L D2 TI:E 1)\1 .. FAA "lUU4U.
ALLIED_EXCT
CITI OF PRIUR LAKE
PAGE 02
IIlU"'1
D...Il.c'.
aTY OJ PRIOR LAX!
SEWER ~D WATER PERMIT
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I
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at ....1
ADgmo~.___,.
PID
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(c:t!rJ
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(Pbotlll')
II APPLICAW"..,..
CNal'l\e)_.Bll
i (MOteu) ..:z~
i
I
I (Cant~... Person)
J
I
I A.'PUC:Al'1T SI0N
DATE
L._~_~._
i' APPLICM"T PLEASE COMPLETE BELOW
.of..- service l inchn. ~ .
. lion of uy o.,..,Uftls Mm I1IUCNR feel.
. I )'pC of..wv pipe. 0 ~ PV 0 Cut Iron
,nn-ted lenadt of JeWel' line ~ .
1.-n o~t (iftequiftd) 1GOaled at ~ feet from ItnICtule,
I
I
I
-~
Jilcsidend,l sew,r and
Scwtr conr.eetiofl CJnl
FEE SCHEDt)LJ:
line COM.~~ion S3~.SO Ind,..erial, C"m'l & Muhi.~lIy '''' gfjob cae ....1dI.1'9,jC minmwn
$17.50 W'.*lIl1Cllan lID!)' 111.'0
.
,
IstiNIIId Co$! $ Bulldin& Pmnit ;. ..~
SiWll AND W A 'TBR PEJOflr PEl! S
STATE SlJaCHAI.OI S ;50
TOTALPlaMlT rEI $
r', ,
/1/1 ,,'D""
I.. ,....:..;.I\.~-""';;~ ___, t /\:...,:; .
IOftkc "" Owl!)
r Tlti, Ap.,U_llun
~-.--......
.y__..........w.;._II:
De_ . I r APR I. 7 2002
JI Ia.., ..... .r &111*_"_ (951) "'...... .. (MZ) ""4Jd
I ....,d..o. i
t : {If ._-~
BY:
j ( ~ j
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~~:w ~ii~~. I PERMIT NO. A2,- kJ / 0 I
Gold Applicant U U Ll..t'
ZONING (office use)
(.A/ · (~ ktlv- ~ e
C t).... c:J -e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Me D ~~ HrJ -- Q~
(Phone) 9 ~ J.- - fer 1- <;7 30
(Address)
(Address)
(City)
(Zip Code)
(Address)
(Phone)
APPLICANT
(Name)
APPLICANT SIGNATURE
(Phone)
DATE
'-1- ~4- 0 d-
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ----1- inches.
Location of any couplings from structure -===-- feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line Sa- feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
o l-'O~{a 0
~:~
~
Estimated Cost $
Building Permit #
(Office Use Only)
Date
DateR 23 2002
By
This Application Becomes Your Building Permit When Approved Paid
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MAY.10'2002 16:03 651 633 BBB4
FIRESIDE CORNER
#5502 P.002/011
CITY OF PRIOR LAKE
IiEA TlNGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
t~:.. ~:~ \ PERMIT NO. ,;:2 - ~ G 0 I
3, Y.I,.", ,l.lI1'lI~1III1 V . j
I A(P1V.eaOI.le :::sQS'~3' (,~~.:M:lm)A A
~ ~"'~ f VU;"" L~
ZONING (r.JfficI; u.e)
J
LEGAt DESCRIPTION (offIce use only)
LOT ,BLOCK
ADDmON
Pro
OWNER
(Nam.e)
(Pbone)
(Adclxes:l )
APPLICANT
(Nam,e) ALLIED FIRESIDE DBA FIRESIDE CORNER
(phone) 65J.-633 -2 561
APPLICANT SIGNATURE
ROSEVTT.LE ~
(elM
(Phone) 651-633-256J.
DATE
1:\5111
(Zip Code)
(Ad.d.Tess) 2 700 N. FAIRV!EW AVENUE
(AddRSS)
ERENDA HUSTON
(Contact Person.}
SN'EW CONSTRUCTION o REPLACEMENT. o ALTERATIONS
FURNACE MAKE AND MODEL FIJEJ...
FLUE STZE :REllJRN OPENTNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR. POWF..R PLANT
DWIlt1ll Air PlriUJts o Sterun PLEASE NOTE;
BGl'l'lvilY D Hot WatLir Air Conditioner Units
Mccf'llilnical o Radilltjon CancDt Enaoach Into
OAlt Conditioning [J Spcciil' Devices Required Side Yard
OVent. System j)~ jJ o Othlill' OC'Vfr;~ Sc~blU:ltS
FIREPLACE MAKE AND MODEL Gt... t.,oQ:)lTL-
APPLICANT Pl..EASE COMPLETE BELOW
lndusrtfal. CommerciAl &:. MlIlr.I~fpmily
FEE SCHEDULE
1% of job COS~ Residential, Gas Fireplace
539.50 minimum
$99.'0 Rcsldentilll, Additions & Alteradons
564.50 ResldentJlll, AC Only
$39.S0
Rt:lidentlaf, Heuting lit. Ale (New Conlltmction)
Residential, Hearing Only (New Con.srruction)
$39.50
$39.50
Estimated Cost $
Bul1din.g Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMn FEE
$
$
$
.50
.~
(Offlr.t UBt Only}
This Applh:llthm BccDmes Your BlllldlJlg Permit When ApprDved
Paid
Receipt No,
Dflte
By
Date
\...
BIIlldl"" omr.b,'
2.4 hllllr nDtlce for nil in8~C'tfpn$ (!1!2) 447~!O, nlll: (931) 447..4245
v
Rug 16 02 08:03a Mike Schiltz
08/15/02 THU 14:41 FAX 6124474245
651-681-8306
CITY OF PRIOR LAKE
p. 1
flI 00 1
A ~~ L ;/\ Jc. ~
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
;:;... ~~6"'" I PERMIT NO,d-, , d- roC) 1
IPIe,uc: lYIX or D.fW1 and 3Um at boftDm)
I ADDRESS 3 ~ :J -,
ZONING (oM<<....1
kJ l.lh.:!fS~
fJo,.s.s
LEGAL DESCRlYIlON (oilier lUc: only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~cO.e-.J;*
~o~(L...l
(Phone) ~ lS "1 1- S I J"
(AlSdn:ss)
APPUCANT
eN arne} j-\ ~.s.s 1 Co ""'
(Contact Person)
p 0. (),.d
(Address)
(V-\lU~
P).~
~ d. }7 ;)..
~ p -r_ . CJL r'
(Phone) <.. s. 1- Go l?' J~ ~ J... S <...
APPLICANT SIGNATURE
(Phone)
&
.s.s/22
(Zip Code)
~ 12- (" i'7-/lt/o
~~ 8' IS-a <:.
(AdlSress)
L<: ~o. ,......
(City)
DATE
Quantity Type of Fillture QuaDtity Type or Fixture
-2. Bath Tub with or without shower .3 Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Softner
Ll Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
/ Shower Stall Backflow A5!iCmbly
I Sinks Backflow Assembly Test
Bar Sink / Lawn Sprinkler
.3 Wa~r Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Induslri;al, Cornlne-rdal &. Multi.fllmily 1% of job I:ost wi'" I 539.50 minimum R.uidenlia'. New One &. Two-Fllmily $99.50
Residenlial. Additions &. Alteralions 539.50
Estimated Cost S
Buildins Pcnnit N
PLUMBING PERMIT fEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
(Ol1irr Vie Oaly}
This Application Become! Your Buildiag hrmit When Approved
D.lr
Ih~
Date
I:~NO
Building Officilll
14 bour lIotice for all inlplldiDnl (952) 447-9150. rail (95Z) ~7-4Z4S
IQOO Hale Creek Ave., 9.1:., Prior L.b, Mill 5537%-171.
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3a'd-7 W;\J.. l-tor-s~ ~o-ss
NATURE OF WORK _f\\euJ
USE OF BUILDING Sf:" D
PERMIT NO. ()2-0Z&O DATE ISSUED :S-{3-0~
CONTRACTOR ~Q. l)evitt- Hm1"e~ PHONE uJ').-~BS-~~3r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) ~ A l8
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE C, -(; -u"L,
GAS LINE AIR TEST f: P. ~ ~ {1 () z..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDIN CO~~ t \a, l
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850