HomeMy WebLinkAboutBuilding 02-0082
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
cJeva
2C~
Date Rec' d
1-/ }-o 2-
White File I PERMIT NO
Pink City .0' '7 -008"'1
Yellow Applicant _V _ t..-
~//tJ
LEGAL DESCRIPTION (office use only)
LOT/ BLOCK I ADDITION l1eJt!)~-<.)t./;~
OWNER
(Name)
c~x Ihl11e-S
ILt.t~ tVtL('
(Address)
PID '25 -
(Phone)
ZONING (office use)
,e2-
-0
-
BUILDER
(Name)
(Contact Name)
(Address)
5a-?11 ~
f11cd;f & 'u,/} /) (J.J.,1
7'tZ-P1 e-
(Phone)
(Phone)
(;/2. - 3~ 7- 30 7 ~
TYPE OF WORK
ODeck o Porch ORe-Roofing ORe-Siding
iFirePlace o Addition OAlteration OUtility Connection
P~ECTCOST/VALUE (excluding land) $ 1.35$ ~
/
1 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, 1 am aw e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property n eded ins ec' ns.
~ New Construction
OLower Level Finish
o Misc.
X
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100, ~O
Mechanical Permit Fee $ (oo.oo
Sewer & Water Permit Fee $ 3S,so
Gas Fireplace Permit Fee $ tJ.O()
Date
$
$
$
$
$
$
$
$
$~ 960- 31
I ~eiPif- Hlez-
200 '7 b 7 s >
Contractor's License No.
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
:;::~~ed by the 1 Planner constitutes a temporary Certificate of Zonmg compliance and allOW~S cons~ctlon to c~ommence Before occupancy, ~_rtlficat~f Occupancy must be
C~ ~ ,/1. ,J 2/!' /02- ~/ ~O ~J:~ <~
, Date S ecia Con Itions, if an~
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
#
#
TOTAL DUE
I Paid
Date
~q~l'.31
/- ~<" -O.J-.
(
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--,-,_.-y--.~._~~-,-..............,,,---_.._~_..,. -.-,........-
()~ - C08~
White - Building
Canary - Engineering
Pink - Planning
The Center or the Lakt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(I E~/v~-TS)( H61~1 E, C
1~(-0Z--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 44.5 2-
(f 1..). r--J ,~,....... (- AIE
A \ ~ I '\: i::-j '~
\,\j f\ Y
Accepted
-K
Accepted With Corrections
Denied
Reviewed By:
#!fB
Date:
/- z 2..- () "'L
Comments: See Reverse Side for Additional Information! .
bLJ. F. !f7(/!:J f nc) f bi
u;/'tl J,IIJh ",r +l-1""" 9 g 7
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-.r' "1-
-
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
3) Erosion Control Plan
liThe 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 ('("nler of 1hl" Lab Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
66('JTBX H0t16S
L=i( -02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
144-52.. U\rrLB~~ WAY
Accepted Accepted With Corrections ,/.
Denied
QJ~
Date: --1- ~?-:- 02-
Reviewed By:
Comments:
~ cJ.Q ~LW--1J~J2 ~
"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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
5- 2-1-07-
fiDE- ~v' 02/6082-
~,:~ ~:;y I PERMIT NO(j l JJ &7 I
), Yellow Applicant , V _ '
ZONING (office use)
/?-z-
ADDRESS
/4452-
fflf7lE 6/)1& tv k\f JV /tV
LEGAL DESCRIPTION (office use only)
LOT /9BLOCK I ADDITION JV1owot-v .; (oJ
pm 25 - 3.
- tJ/r-O
OWNER..L ,
(Name) Ce> A.Ire K
r,{;~e~
(Phone)
(Address)
~~~~~~ANT rt!eet:k3 &~~;'1feR
(Address) ,7 520 €, Hf-UY 5b~
(Address) (
?;llf0 -S-. vPtce~
(Phone)
~I)( - 777-!-sy'(
(City)
( Zip Code)
APPLICAN PLEASE
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Phone)
(Contact Person)
APPLICANT SIGNATURE
DATE
~'--:.;:( (" C>2
Quantity
OMPLETE BELOW
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 4tI. (.IV
Date }' ~~. f - () -z.,...
7._u7f
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
15:~6 651 633 BBB~ FIRESIDE CORNER
CITY OF PRlUlC. LAIV';' #2016 P. 0021 oo~
REA TINGI AIR COl'lDITlONlNGIFJREPLACE PERMIT
LEGAT- DE5CIUPTJ.ON (omr:. uce onJ.y)
PID~5 -
r.-OT
BLOCK
ADDITION
oWNER
(Na.me)
(Address)
(Phone)
APPLICANT
(Name) .ALLIED Fr.~SIOE DBA l!'!RESIDE CORN~
(Phone) 65).-633-2561
APPLICANT PLEASE COMPLETE BELOW
_ W CONSTR.1JC110N 0 REPLACEMENT 0 AL TEllA TIONS
FURNACE MAKE AN MODEL FUEL
FLUE SIZE RETlllll'lOPENINGS INPUT OUTPUT
TYPE OF SYSTEM aEATING OR pOWER pLANT
OW8I'/Tl Air Plants CJ Steam
OOra....ity 0 Hot Water
8 Mec;:hp,nica1 . [J IWlilllioll
Air CQI'lditionltli 0 special Devices
OVeI'lL System 0 other Devices -
ROs~n.I.E MN
lCl.t'/)
(Phon~ 651-633-2561
DATE
r:;",' , ~
(Zip Code)
(Ad.d:J:ess) 2700 N. FA!RV!EW AVENPE
(AddresR)
(Conr.ad: person) aP-ENDA HfJSToN
APPLlCANT SIGN}.;. ,
.........
PLEASE NOTE:
Air Conditioner Units
Cannot Enc:roach into
Required Side Yard
Setbacks
FtREPJ.,ACE MAKE AND MODEL
;J etA JL ~o
FJut SCaEDt1LE
l.ndustrial. Commett::illl &. Multi-Family 1 'Yo of job l:ost R,esidentl-.l. Gas Fireplace
$39.50 mipjtnum
"",deo,;.l. H""""" AlC (NOW C..",.ctlon) $99.50 ...._ol. Additions" AI"""'"
Residential, Heating Only (New ConstrUction) $64.~O ResLdentil1.~ AC Only
$39,50
$39.50
$39.50
Estimated Cost $ Building Pennit #
r
PAin'
I~' Il' D'"
_b.' "fIi!' '" l"'~-"
l "" ~- it': ~'~ f.
HEA WO PERMIT FEE
5T ATE SURCHARGE
TOTAL PERMI1' FEE
$
$
s
.50
t.'
'"-
(omec uu OnlY)
This t\ppltC2t1Ol1 Becomea Your ~llIdlng PerJJllt When Approved
Paid
R,ecl:ipt No.
DAte
Da.te
3 --ro--d-.
p"lIdl~ amon!
14 hour nl)tite for 1111 ISl11 pecUolllt (?51) 44M8~. rllX (9!7.) 447..41.45
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G0"d
Date Rec'd
CITY OF PRIOR LAKE PLUlYIBING PERL\'llT
~,:~ ~:~ \ PERl\1IT NO.OZ--OO ().,rJ\
], Yellow Applicant , (,/G--,
(P!ease
ADDRESS
/~t/f~
ZONING (offic.us.)
!AI
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
\ ~:::~t',<1 /I ~ 1/
I (Address)
(Phone)
APPLlCA.l"J"T
(Name)
(Address) V ()O
(Address)
'c/-y/oi/
5j~5~
(Zip Code)
APPLICANT SIGNATURE /
(Phone)
DATE
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
-..~ Bath Tub with or without shower :3 Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Softner
l' Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backf10w Assembly
I Sinks Backf10w Assembly Test
Bar Sink I Lawn Sprinkler
f--~- Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit # 0 Z ~OO B 2-
f"'"'" PAlO wrn-\
.50 l B\J\\.D\NG PERI'J,\l.
~
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Use Only)
Date
DatJAN 3 0 tOOL
By
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DEPARTMENT OF
BUiLDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ILtLi5A Qa-'5-\.1-f>~' uJ~
NATURE OF WORK _I/J...Q..<....) tl
USE OF BUILDING SFD
PERMIT NO. ~~l?~ DATE ISSUED / - 2."2 -:<:>"2...-
CONTRACTOR (\ ~ (2) PHONE q5?-q3(-7.$~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING ~
FOUNDATION (Prior to Backfill) J- l 0 'D
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGN
ROUGH - INS
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
GRADING (Prior to Sodding) jV~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS B
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.
N SIGNED
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850