HomeMy WebLinkAboutBuilding Permit 04-0973
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f. Z 7,()+
1_ While file I PERMIT NO AA- '21
~ ~:;:w ;:;,;,,", . err . 0 97 oJ,
(Please ~ or mot and si2ll at bottom)
ADDRESS
33Z"7 NIJ()L) ()c/ f!I'<. I:)IL...
ZONING (offic, ure)
F(/O
LEGAL DESCRIPTION (ollice use only)
LOT a BLOCK z. ADDITION
WI"'OS
3~
PID z.5'. 33'. 0#. 0
OWNER >>&.
(Name) 10
.4. JtW MJ
(Phone)
151. '27-b . f.:, t.h~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
CODE: OJ.R.C. OI.B.C.
Type of Consrroction:
Occupancy Group: A B
Division:
J
E
II
F
1
ill IV V A
H J M R
2 3 4 5
B
S U
ORe-Siding ~ower Level Finish
3~,
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing
OAddition DAlteration DUtility Connection 0 Misc.
x
ed~-n rmation on Ihis 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
that all c nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a:~re Jat the building
r JUst" " ~unhermore, I her,by 'gm that the "'Y offici,! "' , designee ""y enter upon th, propeny to perform needed '1.72..11 tJ'!
Signature Contractor's License No. . Da~
I hereby certify that I have
above.mentloned property
official can revok is per t
Permit Valuation 3,000.0(') I Park Support Fee # $
I Permit Fee $ 74-.75 I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $
I State Surcharge $ I. SO I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ -fa.oD I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other I $ I
I Gas Fireplace Permit Fee $ 4-0,00 I TOTAL DUE 1$/5&;.Z51
This Application Becomes Your Building Permit When Approved Paid /~. '2S- '7~6.31
~' ~ Po:!y Date ~ 27.o<F- By _
Building Otlicial
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 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Plannins: Director
Date Special Conditions, if any
24 hour notice for .11 inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
~
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: iL. .:. ~ Date: 1/ .;2- 7ft V
Building Permit # PID: Zoning:
Site Address 3'32- 7 ~. ~ ~
Legal: LJ B t7- Subdivision: ~ 3i:!2-
Existing structur@r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an ~"",:,-.;on of the existing fov......:..... or
building height?
YES
Refer to Planning
NO
I Is the ".w,,~.;/lw..~': within the flood plain?
I Does the alteration include any additional kitchens?
Does the propo~d alteration include any outside
entrances other than patio doors?
Refer to Planning
.-Jo
rJ()
rJO
Refer to Planning
Refer to Planning
t-Jo
Is the proposed use of the furished space or
alteration for anything other than a nonnal single
family home (office, group home, day care, etc.)?
Refer to Planning
tJo
THIS CHECKLlST :vruST BE COMPLETED ....i'll> INCLUDED IN THE BUlLDING PERrvIIT FILE TO
MAINTAIN .... RECORD OF THE REVIEW.
.
L:\TENCPL<\. TElAL TCHCK..DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
cr!...... ~ or 1Jrint an4 slon at bottoml
ADDRESS
;:i:. ~::" I PERMIT NO./) 11.nn ~
3. Yellow Apphcant ~.:J
ZONING (office use)
3327 WOuuuuCK DRIVE
LEGAL DESCRIPTION (ollice use nnly)
LOT BLOCK ADDITION
PID
OWNER
(Name MT'ITEL!,;T"'EDTRROTHRR!,;
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRR'mR i'(EARTH & J.rOMl'
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRvrnW AVENUE
(Address)
p OSEVILLE
(City)
'i5 II 3_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/25/04
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 HEATING OR POWER PLANT
OWann Air Plants
OGravily
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO 6000TR-OAK X2
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
" - fJ4ID It,,,,,,,,,.J
,'~~<;';'1
~
\ ij )lJfd~ ~ u~i ~ ~ Receipt N~.
l!f"mlv 0 9 2004 . J j By r-
.50
(Orne. Us. Only)
This Application Becomes Your Building Permit When Approved
i
""7'"
BuildiDR Omcial
Date
24 hour notic. for all inspections (952) 447 9850, fax (952) 447-4245
By
PRIOR LAKE .."DEPARTMENTOF
.. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 3327 W 000 OUf!J::.-
NATURE OF WORK LOWt;,Je- {-6IIe.'-
USE OF BUILDING p-.(=:.s Ii /,c,.
PERMIT NO. a4- . 0 Cf73 / DATE ISSUED 9. Z 7. D4--
CONTRACTOR J7JHAlsOIJ PHONE zz-(,. (;4-95"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
~
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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
DATE TillE
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
\J~ <>>Jt
ADDRESS :n21
OWNER CONTR.
PHONE NO. PERMIT NO. f/- 973
o FOOTING o PLUMBING RI o EXIGRADlFILLlNG
o FOUNDA nON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA nON o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I. (lC<.lIlk PI.k--..1:-~.
v .
o WORK SATISFACTORY. PROCEED
)<CORRECT ACT N AND PROCEED
o CORRE R . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
INSNOn