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HomeMy WebLinkAboutBuilding 02-0113 o~ ." 0 )>0 -0 iI D D D D z_ :z: ~ c ~:;! 2! z"'~~ 0 z c 5" ;;l)>o~~co z m ;:0 mo 11I m ;:0 m 0." ~ o 0 ~ en :j." 000 -'!l:I:~:j z en ~ !l z - Z P 0;:0 0 ;U ;:0 ;U en ::d~ ~ (i) )>0 0 ;U ;U " z- ~ , :"'! m m ." 0 - zO , 00)>0 m Z 0 0;:0 ~ t ~~~ ~ Z ~ :j!l: ~ ..... <5 0" . 0-1'" Z mm S CD CO ;U - )>0 ~ en " 0 0 ~ 0 - Z-I ." )>0 0 ~ 0 )>0 Z ;:0 c :< ~~OOOO ~ -4 "0 "0 :J: o ;U ::tJ l:."en~I:'" ~ m ;U g 0 ~ z ;U m m m:::~>~::: en ~ m !!! m m ~I: ;;l:J:1: ." 0 0 >< Z C c .,,!!!;:o;:o;:o!!! m 0 -l en ;:0 Z :J: ~ ~ -Z:J::J:-Z m ~ Z ." ~(i)00 (i) I: -I C C5 en m =4 ;:a ." :J 0 ,.,,00 ;:0 C <:> ~ 11I -I -"" - z r- ::! m ~ <5 zcc m ~ 0 () ~."." P C -l 0 Z 0 ;a. lD ~ Z :"'! m ~ ~ ." N 0 ~ ;:0 ~ :J: m oo~ooo ~ 0 0 ~a c 0 (i) "'om ' ~ ;:0 < ~ . ~ en m >;:oSii~~ ~ m ~ Z ;:0 enmm Z C.".".,,~ Roo > (i) ~s:s:s:c ~ ~ ~ c ~ ~ )>oooz=Tj _mm-l_ \ ~ ~ ;:O:!!i!! l= ~ i z m 0 -Iz - "'l !'1 en> Z ~ -I, (i) ~ Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ADDRESS ~;t1l' CAADU,,:Al..., Klj)L~ 1'../\ \ L LEGAL DESCRIPTION (office use only) LOT BLOCK -z...- ADDITION ~~\~ OvrNER D (Name) '~c-wt A-~ T . (Address) , White File I PERMIT NO. Pink City 0 7 II? Yellow Applicant L.. - .:> I<f: - lv1/J ~ 12- ZONING (office use) rub. ~ADO PID Z ') - -Os/-G (Phone) 1<)2- - ~ 4'1 .. 4? t I 0 'S"537<- BUILDER (Name) ~~ (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK DDeck OPorch DAddition ORe-Roofing ORe-Siding D New Construction \6'Lower Level Finish o Misc. PROJECT COST IV ALUE (excluding land) $ o Fireplace DAlteration OUtility Connection 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 at 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 pro ~.. ons. Permit Valuation A- c1?G:C? - - Permit Fee $ f>l. 2~ Plan Check Fee $ State Surcharge $ '"2,. . c:A:? Penalty $ Plumbing Permit Fee $ 40.- Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ ~- -eIJ Contractor's License No. '2- -I) .- (\ 2- Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other G i.-I&- . ~?P $ LOO TOTAL DUE $ f'70.2e? Paid Date (~c9. 2-..,- -z. C; / C? 2-- . f I ~;ceiPt No. rJ"\~ z.D"L- 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. Planning Director 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ./? J'"\ itl-- Date: /- / r'-1} '\j 2. . ~ (02- Building Permit # 02 r'i I 3 Site Address PID: Zoning: Legal: L B Subdivision: Existing StrDcmrGor NO I CONFORMS TO ZONING ORDINANCE 10S I NO YES NO Is this an expansion of the existing footprint or Refer to Planning building height? 'f Is the property located within the flood plain? Refer to Planning y Does the alteration include any additional kitchens? Refer to Planning y Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? 'yO Is the proposed use of the fInished space or Refer to Planning alteration for anything other than a normal single y family home (offIce, group home, day care, etc,)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLA TE\AL TCHCK.DOC Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File I PERMIT NO 2. Gold City . /)..-. -/{3 3. Yellow Applicant V l- _ h ZONING (office use) sell\ ~12- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OVfNE~ (Name) (~ (Phone) 152-'1L(? -(0 It V SZ)'?>1Z- APPLICANT (Name) ~ (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNAT DATE Z. -5-D2- APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner J Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test I Bar Sink Lawn Sprinkler I Water Closet (Toilet) 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 $ Building Permit # {IT" PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) en Approved I P,;d Date I :~eiPt No 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~~~;w ~J~icant I PERMIT NOO Z -((.3 ZONING (office use) ~ \ \ C~2j)\~^t- \.1Xr€" IPA \ 1,. ~\ 1J C;S-;~7 2 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID z~-~ --0 OVfNE~ (Name) How1~ (Address) 5'-lt C P. (Phone) q5'2. -4~1-(O (to R bIZ ~'/li1tJ ~12- APPLICANT ~'.J"....r (Name) ?11 vrU? (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) DATE 2 "5" .-() 2- APPLICANT SIGNATUR APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS FURNACE MAKE AND MODEL 016 +\~~ FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Steam PLEASE NOTE: OGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into OAir Conditioning o Special Devices Required Side Yard OVent. 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 $ $ $ $ \"'\. HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office lise Only) I ::ce;p'NO I Paid Date 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Sit ( CAP-P//V'-PT<- ~(O<3E-- ~ NATURE OF WORK Lo__6'L le-v6L- Fl~s~ USE OF BUILDING \~~ A/tL , PERMIT NO. ()7- --;' s DATE ISSUED Lk/c9L CONTRACTOR lIOMAc;;. 5uL.L.lvtA('i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~i~iJI) i : PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE ..8EWIiR I VjJtr:Sn J~ r;::PTIt. FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST .3. t, ~~ . IJ, '. r COVER NO WORK UNTIL ABOVE HAS BEEN SIGN,ED ~O~ I I FINALS I BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEf\ NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections ~aYe been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850