HomeMy WebLinkAboutBuilding 02-0118
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
z~ (p -02-
ADDRESS
/4~9q
Date Rec' d
I. White File I PERMIT NO I
2 Pink City . 02 -- all dI
3. Yellow Applicant . __ V .
ZONING (office use)
~/
L/1 /V 0/1(/ L-/I /J 6
LEGAL DESCRIPTION (office use only)
LOT5BLOCK 4-ADDITION ~~E: r(lL-v..; 4/71
PID P2..-S- - 3/
OWNER
(Name)
(Phone)
~4tJ-4470
/l1/CfIEL06/fiNOlZeW U1~O
/
(Address)
~~~;~~R HAY Jl H-.,; (/O/L( ~.TfZ-.
(Contact Name) Y.../Atl, VI. i) ~. 'Vi ~ J1/ 1 ~ .
(Address) 173tl:J Hthr d J'h-.< ~"" I h ,1)J p
(Phone)
(Phone)
~2'1
/2- t:>... '3 .--
, . .~2-~7' / r,S Cel.
C;S 2-qf7-~ f~f
TYPE OF WORK
ORe-Siding
o Misc,
o New Construction
~ower Level Finish
.:3 t:!fi1S.
ODeck
OPorch
ORe. Roofing
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST/VALUE (excluding land) $
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
~e property t perf] rm eeded in ctions,
? V ~ /t. ,2-2LJ-t:>7-
Signature
Permit Valuation -3 000.00
Permit Fee $ .75
Plan Check Fee $
State Surcharge $ /.50
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ /fO . 00
mes Your Building Permit When Approved
Q-&-02--
Date
Contractor's License No,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ LJ5b. 2.5
[paid /~.. 2-s
Date Z ,2-d ,{J Z--
I~~~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/it
Date: 2-&--{) 2--
Building Permit #
Site Address / 4fc q C;
Legal: L 5 B 4-
PIn: 25 -3/1--- ~- 0 Zoning: K-I
Lr//IJOf9U LAILIG
Subdivision: MKR.I/J66 Hlt-t...-S -1-171
Existing Structure@ NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ,?
Is the property located within the flood plain? Refer to Planning -P
Does the alteration include any additional kitchens? Refer to Planning -,iJ
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ~
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ~
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
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
LAC/~O J A;JO/6CWhl{,';-/~
.~ /
2-& - ()2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~699 L-/1NLJrJU LANE
Accepted
Denied L)/J
Reviewed Bj~~(
Accepted With Corrections
Comments:
Date: d-- - G, -0 2-
al-lo 7JIl3 L4W51C La/f5L/
11?1 /\/0 o'UT
FiNISH
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
2" 27--02-
I. Blue File I PERMIT NO. /12-0//8 I
2. Gold City v.
3. Yellow Applicant
ZONING (office use)
/4&'11
L/1IVO~t./ ~N6
~/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
?r~ NJA~-k-- fIb,
(Address) 6'10 -:r tv J "8)+-'.. 5+
(Address)
(Phone) '" ,~}- 1yI" 0-- i'et < 1-
~,.__ .t- sso~y
(arry) (Zip Code)
(Phone) '-5). if' Q - 'i 'f 1.. ,
"'2.. - Z. 7 - d"'L
(Contact Person)
1\PPLICANT 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
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Appli~7M1t,~~.()ur Building Permit When Approved
f-A'litT ~, 1- 7,01,-
Building Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FEB-28-2002 14:47
P.03/04
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
, . . ...
3-/-02--
l..ct /.It -e
~a. =S~I I PERMIT NO.OZ-01/8
[ ZONlNG'-""J
.)" .
."
~~-~.._.-
I ADDRE~0r &.~Jw.
I LEGAL DESClUP'T'ION (.- "'F oojYl
LOT BLOC:X ADOmON
pm
..1;'--''''- ..
OWNER
(Name) A-~ ro.J ~'ttt ; (l~ (I t
t~,,<:.(J
(Phcme)
7S-J.- 'fif;-Y<;,.O
(Address)
'y'T L"I.,dGt.'"'I.~'"
r .'~( L.. "c: '
I'/IIIIJ SJ)"9).
APPUCANT
(Name)
(Addrtss)
~A(t"" Lr....c{t:r.;
APPLICANT SIGNA'I'URB
1~~'77 L4-Ju<..l. l.o",<
(Aclchess)
JU ld.\-e lit L"c.ktJ
A- If 1;L
(Phone)
PH,)' l4ke
(City)
cts~-v'to - 'ff( 'fo (1) /"0- -::,;JfD -oo1f) (... )
,
(Contac( Person)
(Phclne)
J) ) ) 1-
(Zip Code)
Cf r'd- ~ '"'''' D -:-- V'f J (}
DATE
'}., I ),fl (J z..
Qilalltity Type of Fixture Quantity Type of FiJ:ture
Bath Tub with or without shower R.ough-ins
Dishwasher Water Heater .
Floor I}rain Water Softner
, Lavatmy (Bathroom Sink) Stand Pi~ (Washing Machine)
Lanndry Tray (I Of 2 compartiDent sink Sewage Ejeetor
, Shower Swl Backflow Assembly
:Simes Bacldlow Assembly Test
Sar Sink Lawn Sprinkler
I Wat1:r Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Indla$lrlal. Commercl.1 A Mult-l-f'aml1y 1% .rjob ClOSt \Vim a $39.50 minimum Rcaidmtial, New One A Two.-Family 599.50
Rcsidtmtial. Additions. Alttnltions $39.50
Estimated CaSt S -$ ~ I 0 Gt:)
B\.\ilding Pennit *
PLUMBING PERMIT FEE S
STAn SUkCHAIlGE S
TOTAL PEBMIT FEES
l" PAtOWlTH
~IIJ)ING p~.!.
.S ---
"/4 -, 7....1 ~r ./1 6.... (J ,,~ f",.....;4
(Oftia U.o..,)
Thls ApplteatiDll Becomu YO~1r BuildiDg P~nrait When Approved Paid
lbh!
Dale,
....) . (, 0 Z-
By
Buildl... O~l '
14 "Ollr "Ddel for IlIlftspectlDM <'$1) 64'-9850. to (952) ."-4245
FEB-28-2002 14:48
P.04/04
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
D.~ lI.K'd
8--1-02.-
(l.1IlWc.we tIt~' tGClsia II ~)
I ADDRESS
If6ff {4,J~.. 4-,
I LBGAL DES~ON (ellce me Oll1J)
. LOT BLOCK. ADDmON
~5:. ::"lP~~O.o2-0/18 I
\. [_0___1
1
pm
OW'NEll
(Nunc)
~J(tw ~' 1IA"~~fllf
L..,(~()
(Phone)
15;) - 'f'fo - r./ 'j 1- 0
(Ad4Iess)
11''i'tr Lc:..,J'"-.... L4....~
PrltJl L.c.kt:
f)Jr~
(CODtact Person)
,
la.t.k ()
~lItdfL"'" Lc.lAt.
(Addms)
elle tetc&u
11-11-
(Phone)'ffj.. fib ,;~ jc' (~/I~~J'C1~~<,'i~~ (w)
fr'd( l...ke $"5 J'7 ~
(Cicy) (~ Cadc)
(PhObe) '1 r)- , '1'1(J - if f '0
DATE :; p.(i/CJ~
APPUCANT
(Name) ~~:e.J
(Addttss)' I 'f.~7Y
APPLICANT SIGNATUllB
[]NEW CONSTRUCTION D~Aa;~ ~ ALTERAnONS
Fl:JRNACB ~ AN!) MQf)EL , FtJEL -
-- .- -- ". - ~ -- .. -.--.. -,
FLUE SIZE RB1URN OPENINGS INPUT OUTPUT
TYn OF SYS~ HEATING OR POWBll PLANT
, , OWarm Ail: PI-.u OSIeUft PUASI NOTE.: .
OGr1lvitY o Ho! WNt Air Conditianel" Units
o Mechlllical o bliazioll CannDt Encroach into
OAir Condilionins o Speei&l Devices Requ.ircd Side Y cd
DVml. Sy~ o Od\er Devices Setbal::ks
F'llEPLACB MAIC.E AND MODEL Iftr..4-~ ~ - GLa SI- - ?5r)
APPLICANT PLEASE COMPLETE BELOW
Estima!cdC~S
FIE ScmnULE
1'" of job cost ~ldll\lia1. GIS Fireplace
539.50 ",illim\lm ' "','~ u'" ,
599.S0 llcsidmti81. Additions & Alwations
564.So Residential, AC Only
4' d- I ()OO
13'.:50
$39.50
539..50
ll\du$II'ial. Commercial .l Multi.P~ily
R.csidcn~ll. He.ling a. Ale (1IT~ CoIlswcdon)
Rcsidentia.l. HcatinK Only (New Con5t('l:lClion)
8\lild.ing Permit II
HEATING PERMIT FEE
ST}\TE SUR.CHAilOE
TOTAL PDMIT FEE
s
S
$
~o ~I'>;J'\\
.5 6\)\\.P\~
1//1'r '\.- , '
.,..-~.
~pt.
(011I. u. Ooialy)
TbiJ Applicatioll BeeoIBta Ynr hlldm. Permit Wha Approval'
Paa
By
Pai
BlriIlIi.. OIIicll1
24 hour IUI1ice for .11 iUptctlOu (951) '''-9S50. fa (tn) "7"345
TOTRL P.04
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUU.DING AND INSPECTION
SITE ADDRESS /4~9C; LrlNO.qU L-/7/\/G
NATURE OF WORK t!- () W (5 K!.. t-C V 6 t..---
USE OF BUILDING ~.5 A /.e...
PERMIT NO. OZ - 0//8 'DATE ISSUED
CONTRACTOR L/ge~O PHONE 440 -4-<770
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
II~
~. -1)1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
{'
"2-
~(JI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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, car.!1 shali'be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850