HomeMy WebLinkAboutBuilding 08-0038
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Par fr/ctf~
Date Rec'd
~/I /tJ?
I White
Pink
Yellow
File
City
Arrlicant
PERMIT NO. ~-003g
ZONING (office use)
€--
err
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5. 3c'Z-. oat:!. 0
OWNER
(Name)
f11e /l5(1 Bednvr-ecK
5t1/~le-
(Address)
BUILDER 1_
(Company Name) J~'OtQ",1.
(Contact Name) M( ~~
,
(Address) 70 -S 8'
/ftnv- 5
, ,
7ft
sr-
(Phone)
A, (;y- LPf A ,
f
9"' JZ - ZO/-S-.JI/
~.,A/
~(-/
(Phone)
(Phone)
34" ~'P
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding
OAdditlOn DAlteration DUtility ConnectIon
CODE: 'lSaI.R.C. DI.B.c.
Type of &nstrnction:
Occupancy Group: A B
Division:
I II III
E F H
r(!j) 2
IV V
I M
3 4
o Fireplace
o Mise.
A
R
5
B
S
PROJECT COST IV ALUE
(excluding land)
$
/ s-: ULra
"
U
I hereby certity that I have turnlshelj Int'lImatlon on this applicatIon WlllCh IS to the best of my knowledge true and CDlTeC( I also certify that I am the owner III authonzed agent 1'1l the
dbove-mentlllned plOpelty and that all coostructllln will contorm to all eXISting state and local laws and will plOcced In aCCllldance WIth submitted plans I ,1m "ware that the buildmg
lltllCl,ll can levoke t mIl st C'7FlllthelmOle, I hcreby agree that the CIty offiCIal 01 a deSIgnee may enter upon the plOpeny to perform needed InSp' tlOns
X ~_ ~,,~:.-- '- ZoO 77 /2 r z. I 08
SIgnature Contractor's License No.
Permit Valuation
z
Permit Fee
$
$
$
1.00
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
-
50.00
This Application Becomes Your Building Permit When Approved
~~
Buildlllg Oniclal
t/f IOF
, Da{c
Park Support Fee
#
$
SAC # $
Water Meter Size5/S";]"; $
Pressure Reducer _____ $
Sewer/Water Connection Fee # $
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
3.2.5
.1. C e
ThIS IS to certify that the request III the above applrcatlon and accompanymg documents IS In accordance WIth the City Zoning Ordinance and m"y pmceed "5 requested. TIllS document
when signed by the City Planner constJtlltcs a temporary Certificate of Zonmg compliance and allows constructIon to commence. Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Special Conditions_ if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
04/25/2008 14:25
'3524401740
AL T A CLEARv,IA TER
PAGE 03
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
=~M~"~'..P;:
I ADDq-1C~~ 1Lv+vidg~
CJit- ·
LEGAL DESCRlPTION (office u.~c only)
BLOCK
ADDmON
PID
(Contact Person)
WC;t{I\,V\ -=. _~ c~~~ ~one)0S2:2<:;2-S-Z-WI
1A;Ti?S ~, ~ . ') SS)4-Y
I Vl1 4- (Phone) C)5Z- LtL/D . 3; 771
~ C;;S3l J---
City) (Zip Code)
I (Phone) if.- r, V2/~
/1/{A ;GU/J/ DATE Lf /~ CY
(Address)
AFPUC
(Name)
(Address)
APPLICANT SIGNA Th'"RE
e of Fi:xture
FEE SCHEDULE
Indulltrinl, CommC1'cial & Multi-family 1",{, of job cost wim a $49.50 minilTl\J1'l\ Residential, New One & Two-Family S 149.50
Residential, Additions & AllcTlltions S49.50
Estimated Cost $
Building Permit #
.50 .)2:
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Oltlce {ISle Only)
Thill Appl5tatloB Bec:ome!l Your BuDding Pennit When Approved
JltlOcJl1N: 0tIIc:tA1
Date
I Pmd
Date
I :~~NO.
:M hoar lIl)tiel! For .11 illspedloftS (952) 447-98so. fn ('JS2) 447-4245
46'"" D.kota Street S.E., Prior Lake. Min_ta ~S372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~
~ Date: c7/;!(}?
Legal: L
B
PID:
~JU lj-,
Subdivision:
Zoning:
Building Permit #
Site Address 1'?96"
Existing structure@r NO
I~
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ,JO
Is the property located within the flood plain? Refer to Planning ,JO
Does the alteration include any additional kitchens? Refer to Planning tJO
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? tJl)
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single rJO
family home (office, group home, dav care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO.OB. O~
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name JORDAN HOMES.
(Phone)
952-292-5220
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
2561
CHRISTA WEGWART
(Phone) _651-633-
APPLICANT SIGNATURE
CHRISTA WEGWART
DATE
02-04-08
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO 6000G-IPI
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,:::: ;..- __: f~ ~)~ i T
(Office Use Only)
Date
1'1':- .
! ri . I
s! I..
\l~_ ~R 1 3
\By_::;.;.; ....
,"---"''-
Receipt No.
This Application Becomes Your Building Permit When Approved
Building Official
By
\
----I
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING ANC' INSPECTfOr
SITE ADDRESS 4-79 B ;?AIC77UDC?6 C;f.
NATURE OF WORK L- owe-n.. LeVEL-
USE OF BUILDING tU3s- /1/1<-
PERMIT NO. 08.0038 ' DATE ISSUED z. 1,08
CONTRACTOR JOteDAN flOH6S PHONE z..qz.. 5220
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ]
'....-....-... I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTnlCAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card tQust 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 piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~.:':., ~~~ I PERMIT NO.
3. Yellow Applicant
I =lffa~R~n1J<> ~;Zt/--A
LEGAL DESCRIPTION (office use only)
I ZONING (office use) I
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
ill " ~l{,) (phone) 9S~ /12 .)~-t1
( ~ V) ,S,"SlJ '-I<
(Address)
(Contact Person)
(phone)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE B
DNEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODE
INPUT
OR POWER PLANT
OUTPUT
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
Industrial, Commercial
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,5Q ,<SU PAID WITH
~,'~ BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BulIdine OfIiclal
Date
IP~
Date
I :~~NO
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake. Minnesota 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I, Blue File I PERMIT NO
2. Gold Cily .
3. Yellow Applicant .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
OWNE
(Name)
(phone) (J'J2- 29;'I-!5~'?LJ
~~~L/
O~.~--=>:7_! J ,'...> 77~1
;()~/ ~ / L::5 /..
DL- b~-7
(Zip Code)
e .+ ---/"7 --::?
~ - tC:- e:-" J
J-.2~~-Go
(Address)
(Address)
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra I or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet Toilet
~ 'Vr~~ f?;te: V] +- EE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
/1 . tr.:.r ~) ~jl:)
Estimated Cost $ ''L/ I / Z/ ,
Building Permit #
(Office Use Only)
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~2pf~ SL)
I ~50
L-f -) ~ &7-,/
PAl) wrrn
WU.olNG PERMIT
This Application Becomes Your Building Permit When Approved
I :~~ No
Bulldinll OfIicial
Date
I Pmd
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake. Minnesota 55372