HomeMy WebLinkAboutBuilding Permit 04-1060
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec' d
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PERMIT NO. 04-. J 0"01
White
Pink
Yellow
File
City
Applicant
(Please type or lInnt and si2ll at bottom)
ADDRESS
3d-0.~ WOCb "bu.c..K Di2-IUC'
ZONING (office use)
IJIkD
LEGAL DESCRIPTION (office use only)
LOT / BLOCK d ADDITION
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PID~- 3'17-
OWNER
(Name) Ro''?> 4- IY\€L.I '5s.A 13LCOm6tL
(Phone)
(Address) ''3;;2.0'3, Lvoob D--lCJ<::-t:>eIVC:/ 7e./of2- L:I\J<..C-
BUILDER
(Company Name) Co ~LC (;,.t; C-t ,V) i2.EfYlObRJ ,v&-
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(Contact Name) :::J?-J2F'1V\<.A t+u ,S1=rt,A
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(Address) [<1 10 l-AI<.Je V LL-'-'C F.=.:)u..i...GV7'\tQ:,.,
(Phone) c;,.s-z- 'fl:H-t.,Cj (yj
(Phone) CT.s:~ -...J(nC,-b9(X")
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TYPE OF WORK D New Construction DDeck DPorch ORe-Roofing ORe-Siding ~wer Level Finish D Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
PROJECTCOSTlVALUE $ 3s; OBO
(excluding land)
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV VA
HIM R
Z 3 4 5
B
S U
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 aurhonzed agent for the
abovc.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 buildmg
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 needed mspections
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S1gi1ature ~ Contractor's License No, Da1e
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4.000.0() I
'A'7. ~ S-I
I
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I
Permit Valuation
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$ /(09. zs
#
#
$
$
$
$
$
$
I $
Gas Fireplace Permit F~A.J,$ 40 .be>
r9m'J,tiOr ~ecom, es Your Building Pennit When Approved
~ /1-1')-0'-'1
,~Ul[dl1l_!!. Ot11cwl Date
I
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
State Surcharge
Penalty
Plumbing Permit Fee/~
Mechanical Permit Fee
i./o.oo
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTALDUE ~ 10.15'.64-
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//- /-1J/7
I Receipt No. //?r">/7
By /'
~
Paid
Date
ThiS is to cerrify 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
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE PLUMBING PERMIt, \ '~0;/;~ ~a~~f~,:
"'I' OCT 1I.(ll'64
III "
;:,~ ~:~ I PERlM."v.O A-./o/~oll
3. Yellow Applieuu .., tV
(Please type or orint and si2l1 at bottom)
ADDRESS
~;:) () ~
J/I/1Yrl dlAck jk,
v
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
Pill
(Contact Person)
- "
~~R f!l)! Ifat U~/V11!)de/(j7ft (phone) ifl7i-!(trlMttJ
(Address) 7q2f) Lakf/i / Hf/ ~J vd LdI:tJ/) / , m 11 fJ7)41
'iii':;:;Am~fJJ. ~al1! . ~~t! ,,""",,/jlFJi-/(4::J1141/ ,r)
(Address) I- ~ ~ /fJ" ' /l;J 1du621 !Mf J2 (1J1T m J/l ~/{J L
(Addres, " "(City) (Z~PC~i'
)~n ;:-' o:;!jf;jJ;ff5P
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APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture Quantity I Type of Fixture
I Bath Tub with or without shower I Rough-ins
I Dishwasher I Water Heater
I Floor Drain I Water Softner
~ I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a 539.50 minimum
Estimated Cost $
Building Pennit #
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
B~
r~\O 00~
00\\/
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
BuDding Official
Date
24 hnur notice for an inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~ or orint and sim at bottom)
ADDRESS ZONING (office use)
3203 WOODDUCK DRIVE
i ~ ~::y I PERMIT NoLI. )0,_1t
). Yellow Applicant ~.... T-'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name COLLEGE CITY REMODET.TNG
(Phone)
(Address)
APPLICANT
(Name) ATJ .TRD FTRF~TnR DBA FTRRSTDR HEARTH &. HOME
(Phone)
n.11.n~~.?"nl
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651.633.256)
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFN/)A HUSTON
DATE
11/.1/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN OLO noOOTR1-IPI
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 #
$
$
$
5".
,50
"
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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BuUdin!! Official
Date
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~IPa1d'
jI1>atNOV
Receipt No,
1I1I ZUU4
By
a
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24 hour notice for all inspections (952) 447-!ilIsO. fax (952) 447-4245
Residential Building PermiL Checklist
Basemen! Finisb or Interior Alteration to Single Family Eomes
Building PerInit ;;
Site Address
Date: 10- /5- U L/
Pill: Zoning:
3 ;;< 03 WoOd DUeL
Subdivision: br ; tJ6
BY:
Legal: L B
Existing Strucrure: 't"IS or NO
COI'H'ORL'rIS TO ZO~ThG
ORDINA.!.'{CE
x'ES
NO
YES
NO
Is this an expanSlOIl of :he ex:s'dng footpr~t or
building height?
Refe: to Planni.."'1g
Is :he property located within :he flood plain'?
Refer to Pl:mning
I Does :he alteration include any additional :Glchens?
Does :he proposed alteration include any oc:tside
emr.u:c"s o:her than patio doors?
Ref", to Planning
Refer to Planning
Is the proposed use of me Bnished spac: or
alte:-J.con for anythi."r1g ou.~e: ~1an a normal single
fal7'..ily home (of:fic~, groU"9 home, day c:::.re, e~c_)?
Ref", to Plannmg
THIS CHECKl.iST ;:YlUST BE COi'dPLETED .-I.l'fD INCLUDED IN THE BU1l.DIi'iG PERMIT FILE TO
:YWNTA,E'i A RECORD OF THE REVIEW,
~,-;-=7,A"'ST j, --:;' .:.. T -,~"'--7r~ -:cc
PRIOR LAKE
INSPECTION RECORD
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SITE ADDRESS ~ vJ~. D....fc-c....
NATURE OF WORK J If?u)
USE OF BUILDING ~~C
PERMIT NO. 04-, I~" 0 DATE ISSUED Ill-I~-r)cf
CONTRACTOR Q,,\~ Clitj kl,........."J..I.'*- PHONE~-'''~~~
NOTE: THIS IS NOT APERMIT'1=OR ANY Of THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-
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I
I
/
/
/
r'fJ7
/ /
//11 tJ/d/
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r, I I
FINALS
VIff
1-/3- 05
I
'if
BEEN SIGNED
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
L 11/ /'
11Y'
OCCUPY UNTIL ABOVE HAS
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTI"-
SCHEDULED
ADDRESS .:j,;2.0.2 (,lJ 1OI'V"t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
p1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(l(~ f~ -0-y
DATE TIME
/-.1- O~
IO'::'~'
l../_ " =,
)
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,t WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,/ Owner/Contr:
CALL 144 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY/