HomeMy WebLinkAboutBuilding 02-0116
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE FE _ 'llVYJ
AND UTILITY CONNECTION PERMIT B 5 CJNl.
T { c\." 1
I White File I PERMIT NO. Oz, - 0 II~ I
2 Pink City ",.
l Yellow Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
A~(t ~ ~. ~ck
V,,^\\C-\u\~.ll tL~
- '- ,
(Address)
(Phone) ~l-O \(JL
BUILDER
(Name)
(Contact Name)
(Address)
~ 0\. I^A ~
~ A d..o....w\.. 0 r
r'l\ I ~~ \\1_
TYPE OF WORK
ODeck
o New Construction
o Misc.
ower Level Finish
o Fireplace
PROJECT COST IV AL UE (excluding land) $
OAddition
o Alteration
OUtility Connection
(Phone)
(Phone)
L-\ l.\l- D \ D1-
o Porch
ORe-Roofing
ORe-Siding
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
enter upon ~e property to perform needed in~ections.
Permit Valuation 3 I ocX) - O(;J
Permit Fee $ 1~ - 7<:)
Plan Check Fee $
State Surcharge $ 1.50
Penalty $
Plumbing Permit Fee $ '10.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 4.0.0cJ
9. - 5' -0 "2...-
Date
Contractor's License No.
1-- 5 -uL
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
.25
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
I Paid 1(;' 2~
Date _II -IJ 7.....__
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
The C'enftr or tht t.kt Counfr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT A cQa..,......... ~ r\\'ct..~ ~e c \C
APPLICATION RECEIVED ;) ~ S - 0 '2..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{){)70 AprJoosCL- C/r--',
Accepted X
Accepted With Corrections
Denied ~
Reviewed B : ~.
Comments: _
rKeoA ~ ~~~:.'^\~ (~~
Date: ;;).-5-62--
"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."
~b.:l~~.-_q2 _!_2..:_~~?..~1~~!".~~_~~r/Alta t:t~~.~ _~_lg 4401740
P.01
D.. Rec'ct
CITY 01' PRIOR LAKE PLUMBING PERMIT
1~~;;~o!l!'~U)~
I LEGAL DESCRJPt10N (......-
LOT BLClC%. ADDmON
t=:' I~NO.02.-0/lto
.. - ........-
\ UJNIMG_w I
I
I
PlD
I ~= (h icY, d-'-~ :: JC-
(Adms~. { 5070 Ap l D.~"~ t"'l...
AmJ~ ~~
(Name) ..A.C' ~'*= c4--
(Ad.....) J-(4'0 ~ .._~
(.AcI.cIn:sa)
(PbaDe)
Ljtf7" DIOI-.
(Conr.att PenoD) ~
APPLICANT SIGNA 1't1RE
~ %J--4-Lf7:'~
~-\(y- ~ 37~~
(City) (Zip Code)
OH) l[ 4..7 - i4 ~D
,. ;)-
I
I
APPUCANT PLEASE COMPLETE BELOW .
pe 0 Fe -1itJ
or"'.
siak
abia& MlrohinA
BeeIdIow ,AaaaWy
AsIaD fa
Lawn
Other
n:J: SCBDJlJl..E .
. lDdusm.l. Commercial . MllJtip_i~. 1,. Df job COlt with. $3'.$0 minbnam Kc5ldn1ial,.Ncw eae a: Two-P...uly $99.50
RAi"";.a, Ad4lliall5. ~ 139.'0
Estimated Cost S
.8\IiJding PmDi~ N 0 z ,::_.9 /1&
""""..... p 1). '< f"\ .." '. -.. .
.so r "".n' Q\NG, F '- " ,
\y'~~' "'~_/'
.~
PLUMBING PERMIT FEE S
STATE 5Ul\CHAB.GE. S
TOTAL I"EIlMlT FEE' S
(Oflico: U- 0...,)
nb Appllca... lIcco.-a Your Bddlal ,....it WII.. App......
Pa
--/'..
~ ---- -
.~~..
.....
o.r EB 2 0 2002
24 IIDIlr _DtiM ,.,. all'..pllEa... ('52) ..,.-sa, .... (952) "'~.5
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3- 5 - 02
; ~e~n ~~~y I PERMIT NO'02~/\/1 /:: I
3. Yellow Applicant V ce../,
ZONING (office use)
//?;J/I L- OOS 11
.~ / L..,-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 7~~ ~3t..f2- - 0/3 - ()
I OWNER
(Name)
(Address)
(Phone)
APPLICANT (: . . . .
(Name) ~I t:!I-IeZ~. l-lO/J7Vl t3~
(Phone)
(Address)
Sh/1f.16
(Address)
(City)
(Zip Code)
(Contact Person
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
IREPLACE M KE AND MODEL
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential. Heating & A/C (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial. Commercial & Multi-Family
$39.50
$39.50
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.5
Estimated Cost $
Building Permit #
(Office Use Only)
e omes Your Building Permit When Approved
'7 -
~- ~ -OL.-
Date
Date f'"' -.,
.3-) -0,--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /SrYJO AM~r.>sC<.~1 .-:,
NATURE OF WORK L.OCA..:)<?T t.-e.. ("v--,-":Y
USE OF BUILDING ~
PERMIT NO. . ..- Y /(0 DATE ISSUED ~- 5'-o~
CONTRACTOR r;)p PHONE (;/2 - t.J-s/ -~ <fc;lj
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING IJ..; o;;t
INSULATION Yl
ELECTRICAL
PLUMBING t{ v\
HEATING (if required) U r\
FIREPLACE 3 I ( D oz...
GAS LINE AIR TEST 3 7 D'Z.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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 have been aJ:proved. 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 (952) 447-9850