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!