HomeMy WebLinkAboutBuilding 02-0125
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CITY OF PRIOR LAKE BUILDING PERM Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /- /0-02-
AND UTILITY CONNECTION PERMIT
ADDRESS 4
J5
Lu l c..,b
LEGAL DESCRIPTION (office use only)
LOT 1 ,# BLOCK
\ ADDITION
I OWNER
(Name)
(Address)
L White File I PERMIT NO. DZ- 0 1251
2. Pink City
3. Yellow Applicant
o-Av...S
r2AAMz-
l t..~
oMs'
,-
Q,vt~
ZONING (office use)
telSD
PID 2S <3(A.- - 015- 0
HI U-/ CIe-b..5T HtJl'-165
r
(Phone)
~~;~)ER /flU ee65T ff(J/'165
(Contact Name) 611 e/5
(Address) -p o. L30X'" 4-6'(P J f/. {.,. ---
(Phone) tfS2-8Cf8 - 7(0'3
(Phone)
TYPE OF WORK
ORe-Siding
New Construction
ODeck
ORe-Roofing
o Porch
OM1sr,
OLower Level Finish
'//
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
OUtility Connection
on this application which is to the best of my knowledge true and correct, I also certifY that I am the owner or
ve entio prop and that all construction will conform to all existing state and local laws and will proceed in accordance with
building fficial can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
eeded ins ctions,
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
JuO 3"5 4 4
Contractor's License No,
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Si 5/ ;1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
. CJO
. t?O
S~.S-O
l/o . C) 6
Builder's Deposit
Other
TOTAL DUE
1-22-0 (
Date
I Paid ~ pr(p q. J t>;
. Date '7 ~I ( ,-0'2----
l~ec?hJI'-
es Your Building Permit When Approved
~-(O~OL
Date
$
$
$
$
$
$
$
$
$
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
'""~~~..R__~ 2../7/ n s:. ~ ~l~ L.:n G.~I\.,,;\~
Planmng Director Date ~ Special conditions,TI-any /
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - Building
Canary - Engineering
Pink - Planning
The Crnfrr or Ihe I..kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/! i l ~, .~'
,I ,.
"C
I: ,/','- ^ (~-.
I I {' I (
APPLICATION RECEIVED
I
. -,
l.,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
__, if-
iL
,/
, '\ <<::.
! \ ~ .-.....".
--/.' '\
......... l --"
Accepted t,/ Accepted With Corrections
Denied r.-.a-- /' ^
Reviewed By: ~~~
Date:
:;Z/?/D2-
..
"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."
Thr Crnlf'r or Ihe Like Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I1J 0~CAZb5T t/aHss
1-10-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(tJ3S4- WLLO nA~S IERRA~
Accepted
Accepted With Corrections
Denied :;j ^
Reviewed Bye ~r--
Comments:
Date: 1-2? -~
S e-JL ~
d(~.
tv\. 0... ; V\..
t',-lo
-
c~
PI~C)
/
3~c;. J <Ju~
"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
Th~ Ct'nl~r of thr l.akr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HI LL-CAZF;sT HD14E/S
1-=-10- 07-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C()~54- \Af U -I) OA k:::-5 LERRAc:t/
Accepted
)(:
Accepted With Corrections
Denied
Reviewed By:
/y)tfi!>
~ce,. /tlc,,'n (.'/e.,
Date:
/- / /, -0)....
.
Comments:
"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."
3-25-02; 2:35PM;
;952 894 0925
# L/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;;n ~:~y I PERMIT NO. 02-0/z.5
), Yellow Apphcanc ,
ZONING (office use)
CLCSL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
APPLlCANJ: ' . _ .
(Name) '\6\.^";'-~.\\\...Q --+t OC~
(Address) /:2 Lf '( I '~~O r_Q Q. L S,I ('""cO
(Address)
(Phone) 96 ~.- gq({,.oocs-
A'l;e S. ~ I )n~ C;;Ss, ~
(City). '.' (Zip Code)
(Contact Person)
APPLICANT SIGNATURE ~C(~~
(Phone)
DATE
.3 - ;). '0- oc9-
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION
FURNACE MAKE AND MODEL l I A"'\oY"\l"}'.(
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
o REPLACEMEl'lT 0 ALTERATIONS
~ 'd...lO{~ ~ ~ 'f)FUEL ..li2cd -~Q~
.. -. - - - --,.' - - - , - .
" INPUT '~f'C'>O OUTPUT
HEATING OR POWER PLANT
PLEASE NOTE:
Air. Coriditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
~' minimum
Residential, Heating & AIC (New Construction) 99.J9.-' Residential, Additions & Alterations
Residential, Heating Only (New Construction) 4.50 Residential, AC Only
$39,50
$39,50
$39.50
Estimated Cost $ qDOO .00 Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 9q '<;O~'''''''PA\OVV.\.1.
$ '''''G P-
.50 . ~U\U::>~~"'~7
$ LOO.OO~
(Officr llsr Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
MAR-03-2002 06:30 PM
STAR PLUMBING & EXC.
""..
...
952 884 7468
~ ,~- MI!
YB.I.OII - ""PLICAIn'
.; l .1IGlD - Cln
','
P.01
"
...
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
. NO. ,/:):J.- ICJS-
APPLICANT:
ADDRESS:
SIGNATURE:
NOTE: SewE\r'and Water
contractors must
be registered
with the City.
95,1-
PHONE: -.EiL/- L//~
DATE: ;l.. ......~o- 02..
BLDG. PERMIT .
PIDp<5-3Gt/~q.5-q, .;.,
....,
3.
FILL IN THE BLANKS
Estimated length of water service ...:p; fe.~t~~:~
Size of water service I ,/ incb(es). tC' '<'.
Location of any couplings from struct~:r;S'P"-'''''''''' ~''''
X. .-" .,. . . ..
. ,; ~. ~~~' .
Type of sewer pipe. ABS_ PVC~ Cast Iron };f
Estimated length of sewer line ~~tJ feet.
,~..
1.
2.
4.
5.
6. Clean out (if required), located at
structure.
feet
from
====================~~===~a=~~~==================~=====~~~~~~~===~
This application becomes your permit when approved.
BY
DATE:
=====================;========~==========================~========
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 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 p~rm~ts, are
issued. 1~ll " ,",
DATE PAID j ,Iv" ;}-. AMOUNT PAID C e- l.....1bl;!...D;;\'G r
.4,.,., "","'.." ", ,.'... .. """""',"
. ./
t~"'H - ,..11:
YI!LLDW . Al'1'lICAN'T
*
. .::}.~i(~,>~:,'-r-:.~.;~J!;~r;.~~~, ~w-r'-~_~(:-~-'"
,', .
~ PR/O
o~
t/ Ilr\ \~
-: "
"',
,GOLD - CIT'f
04/05/2002 15:34
9528947972
LAKESIDE PLBG
PAGE 01
Th, C'ftll' 'II' .8. uk.. Cau,""
I, BIIIC FUc
'CITY ,OF PRIOR LAKE ;: ~:~ow ~Zti~
. Pt-UMBING PERMIT # {)d--/~':,
Applicant: :;~~;~A~~~~b<"1~ PhOn.~~~:l~16ob_
Addre..; ~ _ _--; ~ I::...- '- _ ~ /1?,u. -;5:3 7~
SIgnature: --
Logaloa.cilpUon: Lot 110Ck Sub .
SIte Address: ~ wi ~ J ~.1lI ~4t_':4 '~A'~
Building Permit # ' . ,. PID #t~':;'5- ~~Jq - 015-0
NOTE: This permit will not be processed without complete Information.
L
fJ J JIl" A...L lL/Wt J7A FIXTURE UNITS
Quantlty Type of Fixture QuantIty Type of Fixture
.:2 Bath Tub wIth or without shower ~ Rough.ln!
I Dishwasher J Water Heater
I Floor Oraln Water ~oftner
-3 Lavatory (bathroom sink) -J Stand Pipe (washing machIne)
Laundry Tray (1 or 2 compartmenlslnk) . Sewage Ejector
I Shower Stall ' ' Backflow Assembly (RPZ, Double Check. F
, '", , -::-"l'
.. : ~ .,
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
;L Water ClGset (toilet) Other C:n.ftl5 Ik..
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Addltlol)s & Alterations
State Surcharge
$99.50
$39.50
$
$ 4ft!P
$
s .50
GRAND TOTAL
$ /() 0 C'>
TIlls permit Is grllntcd upon the exp~' condition that said
contractor, shall comply In all respects with the ordlnanc~1
of the State Plumbing Code and the amendments thcr~f.
RECeIPT NO. AP.'\' - ~ ...I~1JJLD', I
A TreST ----..:.: " '~G I
.....
Call for all inspections 24 ho s in advance.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
LS~ ~~~~
PRIOR LAKE DEPARTMENT OF
-..' BUILDING AND INSPECTION
,INSPECTION RECORD
SITE ADDRESS ~35'~ W /(~ ()~ ~
NATURE OF WORK A)~:J
.
USE OF BUILDING 5 F A
PERMIT NO. DZ-O/L-5 DATE ISSUED If"" 22- -a~
CONTRACTOR ?-}."l\ c}1Jz.~t- ~~ PHONE q5J..-~ -7~4>S'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) . IS oz, . vol o;}- ()o-.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING ~ 'f,)
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 4;\ F:P, {)\.~ '-f ~9 dL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~~Jtut~, ~3rf,t(D7/ 11A. '3/~7fc>~ ~ I~. sf/ /ov
FINALS
GRADING (Prior to Sodding) \.
BUILDING ~/\ f
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrical,serv!ce 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.
CERTIFICATE OF SURVEY
For: c e t es
PROPERTY DESCRIPTION: Lots 15 and 16. Block 1, WILD OAKS,
Scott County, Minnesota.
We hereby certify that this is a true e.nd correct survey of the above
described property and that it was performed by me or under my
direct supervision and the.t I am a duly Licensed Surveyor under the
laws of the State of Minnesota. That this survey does not purport to
show all improvements, easements or encroachments, to the property
except as shown thereon.
Signed this 5n-t day of JANUARY , ,2002. J&meI R HUI, Inc.,
By:
Not.s:
1. Building dimensions shown are for
horizontal It. vertical placement of structure
only. See architectural plans for building
& foundation dimensions.
2. No specific sons investigation has been
completed on this lot by James R. Hill, Inc.
The suitabHity of soHs to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or un-recorded easements
has been conducted by the surveyor as a part
of this survey. Only easements per the recorded
plat ore shown.
4. Proposed grades shown were taken from
the grading 1t./or development pion prepared by
JAMES R. HILL, INC.
A
o
.
x927.6
(930.0)
.
TC
Denotes set spike
Denotes set iron monument
Denote~ found fron monument
Denotes existing elevation
Denotes proposed elevation
Denotes proposed drainage
Denotes top of curb
Bench Mark: 931.59 - TNH- CP' 20. SE END
STREET B
Proposed Garage Floor=
Proposed Garage Top of Block-
Proposed House Top of Block=
Proposed Lowest Floor::
~!g:~
930.4
921.7
Bet.r1nga are on uarned datum
Scale: 1w-2O'
:r:
"tJ -og
> -a.
~ N~~() ~ N i
o~~~ ~';::;-~~i
-a. .o-AON~
~ co-f... i ...., iT! !Xl
cozo (/)9 ~
0'"
N .to
to
James R. Hill, Inc.
PLANNERS / ENGINEERS / SUR'f{YQRS
2!500 We eft: III. a. ~ 120, 111I.... WI !15m
PHM: (I5l)llO-lOM FAX: <......
CERTIFICATE OF SURVEY
For: c t
L
I
I
~I
_",/,,-
~/~
~/"
--\ ~I
'S I ~
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