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HomeMy WebLinkAboutBuilding Permit 04-1059 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT O~ PIlIO", ;.. (' ;.. -, - :>: u ,., "'lfVNESO~t- Date Rec' d 9-/~-uf I PERMIT NO. tJ4-, /()59 While Pink Yellow File City ApplicRnl (Please type or print and si2Jl at bottom) ADDRESS 6130 WOO\::>~DlL\UC: LEGAL DESCRIPTION (office use only) LOTh BLOCK / ADDITION /--//,OCP./J (ird PID0!5-331J-OOG, \,:J OWNER (Name) -Et2-\C-- 4- ,Ti\C\"-lt t-\-1\1J c '-'I (Phone) ~ (Address) '313~ won't> Dud<- DiLIU-t BUilDER (CompanyName)~ l\\ LF(~F-: C,-r-.A 12E""'-o't:i=LlrVt..... -,./ (Contact Name) ~tt""---fl1L1 HiJe",C.C--! J (Address) -1<=1 I 0 LAKe VI '-,_:c Bl...V b , LI't ILCC./lU-C . , ZONING (office use) Pub (Phone) C,S"? - 't<c<t-{oc;.()C) (Phone) '1S-2--'- y",'(---G:,"joO /?""u <;;5" <f <+ TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing ORe-Siding ~ower Level Finish D Fireplace DAddition DAlteration DUtility Connection 0 Mise. CODE: DI.R.C. DI.B.c. PROJECT COSTlV ALUE S ~S.OOO Type of Construction: I II III IV V A B (excluding land) Occupancy Group: A B E F H I M R 5 U Division: I Z 3 4 5 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 submiltcd plans. I am aware that the building official can rev .s permit for Just c~ ~ermorc, I hereby agree that the city official or a designee may enter upon the property to perform ne.eded Inspections. X ~ - _ .t. 13 C -;La '-13; 7/3 101,., /0</ /" ./' Signal6re ,/ Contractor's License No. '/' kJate' , Gas Fireplace Permit FeOo~+V /\ rzl2JB~Buildmg~j:;rnoA;roved , ~,~ om,,,,1 I DL < Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee i{'1vlv Mechanical Permit Fee Sewer & Water Permit Fee ~ $ $ $ $ $ $ $ $ lfl D"".OO 87.2<.7- # # $ $ $ $ $ $ $ $ $ /10'1.25 ~ '1 ){(J/15 - ,- Paid Date Receipt No. By 0, (f----- Date 24 hOllf notice fOf all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 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 compliancc and allows construction to commence Before occupancy, a Certificate Df Occupancy mllst be iSSllCd Park Support Fee SAC 2.00 Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # Planning Director '/0.00 110.00 TOTALDUE ,I.......M'"'O'1 '..-A,I. CHru"r, V 10, .> .".,.- /(; &1 .,j;" if-/-OCI Special Conditions, if any Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMI'TI1 ~I. ~ @ rd ~~ I \i t n~ OCT 2 7 2004 ~ i ~J:.. ~~u~, I PE~T NO. O~ . 1059.1 . .-.-- , (Please ~ or Print and si2Il at bottom) ADDRES~ rJ Tvl" 1\ ,A 3/3(\ VVDLUU lA OK f//L LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION ZONING (office....j PID g,= {'olltif; ~f1k r; ff;/d;t:;'t/fI-- (P>ooo) 1tr11~4c?'3-///f/ (Address) 7!fdo Wdn /-& IJM. I d~__Jk mn /1lJl)17JJ ~:;~~T HI!t! !2;ltif7 (phone) I/P- fcl.':5 - 1/L/4 (Address) 1l/7f/'5d~ RlJfJm!l/J,j !b;e!J7iJ)A1I+ t7i)rtlR (Address) (City) 1// (Zip Code) (C_'-) (II1Ji!Sjj_ ~/LS ,/J (P>ooo) lJ-l3- II/!<t APPLICANT SIGNATURE (Jr, ~) =f-z1 (II' /I DATE IO/:9t7 /!)<! APPLICANT PLEASE COMPLETE BELOW I Type of Fixture Quantity Bath Tub with or without shower Rough-ins I Dishwasher Water Heater I Floor Drain I Water Softner 1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (lor 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 Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 0~ (2- f> P. \ D \)0 <:(;0\\/ Quantity I ; I I FEE SCHEDULE Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Estimated Cost $ Building Permit # $ ,jCJ z;v $?/t .50 $ ). g) IP~~ I Date .4 ~ /0. 2-1. O~ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Offiee Use Only) This Application Becomes Your Building Permit When Approved Building Official Da'" 24 hour notice for .n inspection. (952) 447-9850, f.. (952) 447-4245 Type of Fixture I Re.=:ipt No. i / I By jDU -I I CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please tvoe or Print and siOl1 at bottom) ADDRESS i~.:. ~::y IPERMITNO/J_I'A~ 3. Yellow Apphcant .", . ~ T1' 3138 WOODDUCK DRIVE ZONING (office u,,) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name COLLEGE CITY HOMES (Phone) (Address) APPLICANT (Name) AUTED FIRRSTnR DRA FIRRSTnR HRARTH,. HOMR (Phone) lio1-1'33-251i 1 (Address) 7700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 05113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 11/5/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical DAir Conditioning DVen!. System D Steam D Hot Water D Radiation o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO SL-700TRS 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 & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ -50 y .-"'~ I l '. (Office Use Only) "." ."N': . ,-<, 1/" ~~~ If"...,,> ,. . ......:. -, Buildin!! Official Date I Paid I D"fIDV 0 9 2004 I', Receipt No. I,BY a u This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447~850, fax (952) 447-4245 . ~..tl.._ Residential Building Permit Checklist Basement Finish or lmenor Alteration to Single Family Eomes By:r{2D Date: /O./S--Oi/ W~ D~L/C D?-- Building Permit # Si1e Address Pill: 3/3cY Legal: L (p B I w;(.,L~ 7....&ubdivision: Existing Sc-ucrure: @:+:-f0 CONFORlvIS TO ZONlliG ORDJNA.l'1 CE x~S NO ITS NO Is this an expansion of the ex.ir~g foo-q:rUJ.! or building height? Refe: ~o Planni..TJ.g v- I Is che propercy located W1ttrin che flood plain? I Does che altention include any additional :ctchens? Does the pro1=osed alteration include any outSide entrances oth", than patio doors? Refer to Planning Refer to Plannir.g v V /' Refer to Planning Is the proposed use of the fi.:.-1ished s-;::ac::: or alte::lrion for any-ching Qeb.er b.~an a nor:::al single fanil~f home (offic~, grou'P aome, day C:l:'~, e:c.)? Refe:- to Pianring /' Th'1S CRECKl.1ST evlUST BE COMPLETED A..'fD INCUl)ED IN TID: BU1LDiNG PER,IIT FILE TO evL-IlNTAJN A RECORD OF TID: REVIEW. i -,--:'7..-/':T J.. -::-"';" i -~:.:r:~ -:(-(~ PRIOR LAKE INSPECTJQ/J RECORD SITE ADDRESS ~~ We0<9 \:\.. II"'-=-- i:}~u.() NATURE OF WORK Lo..u-"," L......I c.,....J...... USE OF BUILDING 'SF["') PERMIT NO. II ~ . lOS' DATE ISSUED IO/If5/lJc{ CONTRACTOR ,0.."./ PHONE . Cf::;:l.-'I~., -&-lOG NOTE: THIS IS NOT A PER IT FOR ~y OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF laUILDING AND INSPECTION INSPECTOR DATE , ...... 'F . - - - : I ckfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS IC ~W' \~-Ib FRAMING INSULATION ELECTRICAL PLUMBING I HEATING (if required) , FIREPLACE / I I GAS LINE AIR TEST ~ I. COVER NO WORK UNTIL ABOV~ HAS BEEN SIGNED I I I FINALS we, ,. BUILDING 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. FOR ALL INSPECTIONS (952) 447-9850 -- -- ---~- --------~. ") CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 3/3? W2V:! jl/J{ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING D IN~LATION / L ~AL t..--I' o SITE INSPECTION o PLUMBING RI o MECH R1 o WATER HOOKUP o SEWER HOOKUP ~LUMBING FINAL o MECH FINA COMMENTS: ~ / / ( \ '---- /1 / I 1\c- /? ( ~ LL..-J.---- r;-L DATE liMa: /-rJ-cJJ- I ~5"9 L./ - f(}(;"{) o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE R1 o FIREPLACE FINAL o GASLINE AIR TST o ---------- // o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~~~R REINSPECTlON BEFORE COVERING Inspector: /1 fI{ -/ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. """"" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!