HomeMy WebLinkAboutBuilding 02-0095
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/-- q-~z-
Date Rec' d
I. White File I PERMIT NO I
2 Pink City . f} 7 - (.) r.,i (L~ ,I~,
3. Yellow Applicant (" L-- _ _ _
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION
WIt-OS
2N
PID z5-
ZONING (office use)
PuD
OWNER .
(Name) K'e y\ c:j.;'Ta.", I 1-1("'4,
(
(Address)
(Phone) 9.5-2 - '-11ft) .. 4 S- d 9-
BUILDEJ2 LJ:
(Name) a (J (. prA.tl. e >1
(Contact Name) P14 UG
(Address)
TYPE OF WORK
DDeck
o Lower Level Finish
U]..Ptrep lace
PROJECT COST /V ALUE (excluding land) $ ,
91Jisc,
(Phone) tf~.2 - ~727 cfyf/
(Phone) "1.2 - .)JI - t,!, t9 - (' t't?
5S-0 llll
OPorch
ORe,Roofing
ORe-Siding
!9tr6lity Connection
00
,-
o Addition
o Alteration
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
submitted plans, I am aware that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
exnter r'\ th~ prjP\rty l\p?\o,rmrm_ .n~ee inspections,
~,~_ d{)~~2- '} 3 r /I/~)'hadl
SIgnature Contractor's License No, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ lOt) .CJO
Mechanical Permit Fee $ lot). tJ()
Sewer & Water Permit Fee $ 3~- -0
Gas Fireplace Permit Fee $ q tJ .(!)o
es Your Building Permit When Approved
1-/S'-o2-
Date
$
$
$
$
$
$
$
$
$ 855/.0
I ~~r HNq
Park Support Fee
SAC
#
#
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 si ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issu , L , Jl4ifT""'_ \ () ~
t/z."-;/O'1- - r~ tt1'~~ c."U:\I.,.~~
Date . Special Conditions, if any ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter
Size 5/8". 1"
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTALDUE ~eo 1- 25-02-
I Paid
Date
fJf-~~'L
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5'-lh~()/
~. ~;':n ~~~ I PERMIT NO'O'l- /:)/"'" I
3 Yellow Applicant (7-- 7 :J .
ZONING (office use)
LUf'ltfs Par/two/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I. ~~:e~R fJ a~ f) /:/ ~ /'QY
. (Address)
(Phone)
APPLICA~T I L . ,
(Name) f."p /II ,/f,gi:': 1/ 1.
(Address) '3 ~S ~ j)",,1 ':;/] I t; J
(Address)
(
(Contact Person) ( /1
(Phone) q52
PrIor J-v/h:-e
(City)
- '1117 -C;/ 15 2-
,S:S- 3 ) 2-
.
(Zip Code)
(Phone)
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL Jf~ / f FUEL /I/C? 1- ~a<;;
FLUE SIZE 3.'/OVL RETURN OPENINGS 1/) INPUT 100 J~~ OUTPUT q;) ?/
, '(.
, ./ ./
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
J2IJ'v1echanical o Radiation Cannot Encroach into
!;3Air Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
Building Permit #
.50
~ ~j;J
, d hit KY-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
GRUI . Fill
YELLOW - APPLICANT
GOLD - CIl Y
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Sow. No, OZ-oCflS
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: hNf}t. G,i(Il/J,6 J.IJC..
ADDRESS: ).316 PlIJ/As SrJ(cEJ Sffl'9;<O;OCE
SIGNATURE: ~./;~/ y/jt#~~
SITE ADDRESS :/50.iF1 tV )L05 /IlI<KWf1Y A/tU
/5
FILL IN THE BLANKS
PHONE: r/j;(~83' - /b1~eJl-
DA TE: qJ1j [)J-
BLDG. PERMIT # 6~-OOq~
PID# z5 -322 - 00/- 0
1.
Estimated length of water service ~~ feet.
lIt
Size of water service inch(es) .
Location of any couplings from structure feet.
2 .
3 .
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line ~5 feet.
6. Clean out (if required), located at
structure.
feet
from
----------------------------.--------------------------------------
------------------------------------------------------------------
BY
s your permit when approved.
This
DATE:
z - 12--0 z..
------------ ----------------------------------------------------
------------ ----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $J~~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits
issued.
RECEIPT #
REC'D BY
DATE PAID
AMOUNT PAID
16200 Eagle Creek Avo S,E., Prior Lake, Minnesota 55372 / Pho (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
Jun 20 02 04:59p
Chris Berc::man
952-492-5996
p. 1
Iht Crnlrr of rhe- L.k~ Caun(r')'
Applicant:
Address:
Signature:
Legal Description: Lot Block
Site Address: / SO / S ; L ) i /...- D 5 "? < 'LA) 'Y'
Building Permit # PID #
NOTE: This permit will not be processed without complete information,
CITY OF PRIOR LAKE
PLUMBING PERMIT #
O~MO-r(\ ':?ll..ll.IA-b\~. Phone: CfrS~- L"/7)', $?5-c>
d II ~i XC6 '''''I A-UC:::: -lof'Dc~V1 lM. >1 5:$35-::>
t~~
J. Blue File
2, Gold City
3. Yellow Applicant
:J-9~
Sub
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
?- Bath Tub with or without shower 3 Rough-ins
) Dishwasher I Water Heater
Lj' Floor Drain - Water Softner
:5 Lavatory (bathroom sink) Stand Pipe (washing machine)
?- Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
t-;A Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
'3 Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & T\I\ Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
'.~
This ncnnit is granted upon the express condition that said
conL.:lor, shall comply in all respects with the ordinances II" I
of the State Plumbing Code and the amendments thereof. d\.' 2 5
RECEIPT NO. DATE
ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ EAX (612) 447-4245
An f::oll"l ()nnnrTllnitv Emnlover
Tht ('tnttr or Iht l,.kt Coun1r)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
iro" -'-,
'I ) r:-tj <....
.) \...-,) /"') ~ ,;::.. '-T'
APPLICATION RECEIVED
/... t....,
"," .-.' '. ; ./
_. J .:---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.'''' "......; ,\ < ~.^ ,
! < .: / ( '/"J ({ ~/ \ \I.__)/~,!, \.r'\' " ,..::\ J
i .,.J L__ ,....--J L.-/',. _ J ~o,l " '!i '''__ '. \....../'.,..," . ,
Accepted
V-'
Accepted With Corrections
Denied t
Reviewed BY:~ k~
Date:
t /2'-i(D2
Comments:
~~ ~~~(;::-~~~
LX ~V( V l ~' J.)
~'-c!) It,,J ~ ~V'~f ~Ic ~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
White - Building
Canary - Engineering
Pink - Planning
The Cf'nln of fhf' Lakf {'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DrtVE DUDL-6V
1- 9-oz
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
W/~05 Pfj/G/<-WAY
Accepted With Corrections X
/50/5
Denied
Reviewed By:~N
Date: /-/']-0"2-
Comments:
J2~~C(ffa~ ~ ~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
x
~'
The ('t"nlrr or thl" I.."r Counlr)'
()2-- o:J is-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l)/~ l/' C ,l~uL/L-6V'
/
1,- C)_ (2
/ b' <-
The BLiilding, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)/5- 11/ / L I ) r, jj;-) /2/<-lVA \./
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
MiB
Date: /-23-02
Comments: See Reverse Side for Additionallnformationl
,,,,.
;s~"
~ee Attachments: 1) Grading Plan, 2) E.{Q~ion Cont'rbl MeasWre,srl',
3) Erosion Control Plan " , , "!
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
(.ll,'lots rC<rk~
DEPARTMENT OF
Bl,~;lDING AND INSPECTION
SITE ADDRESS I So I )
NATURE OF WORK N~
USE OF BUILDING .s t=f)
PERMIT NO. OZ.-QOC?S DATE ISSUED I - I ~-o ~
CONTRACTOR -.D4<J l)lJ.Q~ PHONE 1'ot2-~~1 - M"c'r
NOTE: THIS IS NOT A PERMI OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
TE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BE
I
FINALS
(p 0.).0-
N SIGNED
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 hav'!>. beer,. approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
t.^
"
EN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850