HomeMy WebLinkAboutBuilding 02-0142
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANQh __
AND UTILITY CONNECTION PERMIT - ~
t. White File I PERMIT NO I
2. Pink City . 07 - 0 I' L "7
J. Yellow Applicant . ~..., ~
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
~
PID2.5 -3
OWNE~ ~
(Name) 'A...... 0
(Address) ~
TYPE OF WORK
ODeck
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
o Misc.
ZONING (office use)
Ie. /.5..0
(Phone) (, I ~ '-I '-J? I L&) B''1
(Phone) 9, ~ {J. R9,,5" ~ l.1y g
(Phone) (J tt:-' I () ~
~ /1}'v~S.:30
o Porch
ORe-Roofing
OAlteration
ORe-Siding
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 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 to perform needed inspections.
\
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
$
$
$
$
$
$
$
$
s Your Building Permit When Approved
;). .tl-o~
Date
DAddition
~11/
Contractor's License No.
~-J-D~
Date
Park Support Fee
SAC
#
#
I Recci~O
By ./
{
$
$
$
$
$
$
$
$
$
850LJO
~OO.oO
30.00
l./S. 06
10
Water Meter Siz /8 ;1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
I ~~~ ~;~::O~
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
:~:dsigned by the City Planner constitutes a temporary Certificate of Zoning compliance and allo/struction t~o commence. nefore o,cup~ a Cert=.Of ~ccupanCY must be
2/1 'L/C:rL ~ ~ <e ~~( \ l L~\l~''''lI-C~\17
Date peclal CondItIOns, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
3-//-62-
I Green File I PERMIT NO
2 Yellow City. . ClZ- 0 I tfz-
3. Gold Applicant
ZONING (office use)
S /37
Slh1tJ'-I C C Jc 1',. N. W
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) [.A..' I rV:J L-''-'' (' 0 IJ N C. >VI C J'
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) 0 /L t f HrC:/J 15 ~ t
(Address) I (" II K .r {) e L z.v.J w.4 y
(Address)
(Phone) (4 .)2) &~ 1 . G 90/;:
L II- v L . ~~ I 6 '-I Lj
(City) (Zip Code)
(Contact Person)
a l.1 IL /./
L-
(Phone)
DATE .1
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. 0 ABC jgj PVC 0 Cast Iron
Estimated length of sewer line 4;) feet.
Clean out (if required) located at ~ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39,50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
~ -0' 'iL.. B~
pAID r2-
.50 I vD0
~tJ
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Ap r
ecomes Your Building Permit When Approved
~ -/1-oL
Date
~
Date
'3-II~OZ-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
NO. 407
P.5
Date Rec'd
~?-/ / -OL
~. ~:~ ~:~. II.ERMIT NO.O' 7-G14zl
). YolltS'... 1\1'11111::..... . . ,.- ,
ZONING {()fficeulI)
S~~~V \..uU't r-t--
L~GAL DESCRIPTION (office use only)
LO'f\ \ BLOCK
ADDITION
PID
OWl'olER
(N ilJl}C)
''\4'" 1'\ ~ \A r.) \\ ~ \\ '-'~.'>
\
,'\~ . ~~'l" ~ J.
r)\.A....Y'\ ~
(I' hone) "\ s: ;;1,_ 'i!. <i S- - \l '1 \\ \( I
s ~ c, l;l
(A\ld(ess
'S
\\a
.-.....-
APPpCANT fI. \ -r-.
(NafJle:) \<\~..\c (\J '" \,.... _L t~ l
(A~dress) \~~~\J \.j ~\ LU~ A.v 'I......
N (Address)
(ConI' a Pe"on) C\ '^ ~ So ch l/. ,..\ ....
A FPtlCANl' SIGNATURE ~\. ~ l.....~q~h
(Pholle) C\ S :~. \\ \\ l ~ ~ \ d.:.:1
r n () - \. ~ \ ll.. {\~-V
(City)
(Phone) 9 ~.~- \,~~ to ~ I ~\
DATE
.s oS ~~I--;}.
(Zip Code)
AI'PLICANT PLEASE COMl'LETE BEJ.JOW
----- ~EW CONSTRUCTION
FU~~ACE MAKE AND MODEL (~.rr"'~ ,.......
FLlJij SIZE Q\C (. RETURN OPENINOS
TYPE OF SYSTEM
. . Q!lWarm Air I'lan(s
OGtavilY
o Mechanical
DAir COIllJilionlng
,BtVenL System
o REPLACEMENT 0 ALTERATIONS
M V P \ a t\ FUEL N 0. + '"
\, ~ INPUT \ ~\), {\ c:'!~ OUTPUT ~~t\
BEATING OR POWER PLANT
PLEASE NOTE:
Air Conditione!' Unils
Cnnnot Encl'oQch into
Required Side Yard
SOlhacks
o Steam
o HOI WOller
o Iladiation
o Spccjpl Devices
o Other Devices
FIl\EI~LACE MAKE AND MODEL
I
Eslimated Cost $
FEE SCHEDULE
I % of job cost Residenlial, Gas Pireplllce
539.50 minimum
$99.50 Residential. ^t1ditiOhS & Alteralions
$G4.~o Residential, ^C Only
13llildillg PcrmlL 11 () Z - (J /4- ;:-
$39.50
$J9.50
S39.SQ
Ind11S11 ial, l.:ommertilll & Multi.Family
Relild~lItial. Healing & Ale (New Construclion)
Rc~ideJllil1l. Healing Only (New (,;'onslruclion)
HEATING PERMIT FEE
STATE SURCHARGE
TOl" AL PEltMIT FEE
$
$
$
.50
(O/Iice LJJC Only)
l'hii A PI.licatlon u.,:oln.. YoUr Building ~.nnll WhO.'.I. ApprovecJ
_._ Jalld- .:J - II -0 ?-
Building Omtllll U.lc
Pa i d _______
.------.
Dale-:;, . ._, By
~ - ( I - c ;.:
24 hour nalke rOt 1111 inSIJcdlon, (9SZ) 447.91150, fnx (952) 447-4245
MRTTHEW DRNIELS, INC.
423 3017
P.01
Date Re~'d
CITY OF PRIOR LAKE PLUMBING PERMIT
APPLICANT PLEASE COMPLETE BELOW
Quantity
J
I
I
I . i FEE SCHEDULE
\lltiJ1familY. i.., % of job cost "Yith I!I $39.50 minimum Residential, New One &: Two-FalnilY
. Residential, Additions IlL Alterati~s
ti~ated Cost $ Building Permit # i .
I '
,
i ~'.
(j~!<!).i ~ N.W-
1lLAu; - c::J1.4..-
t~PLIC
~Name)
,
I
(l.\ddress
I ;
I I
I I
(foncact pe1sol1r .
A,.PPLIC NIT SIGNATU
I
I
i
J
Industr' I. Com!Tic:reial:&
PL~~GPE~TFEE
STATE'SURCHARGE
./ TOTAL PERMIT FEE
$
$
$
Buildiac omm.;1
es Your B~i1dina Permit When Approved
Ii"
I !
I! ' Date
i~: ~:~ I PERMIT ~~, 0./) '\ - /U., Y..
). YoIlqw ........i...., . V c7< -, CJ
jIZONmG'O_~ J
.~ i
PID
"
'~-3/1-oA
9~ - ~~S-. r.J4Y
;,
t.G1. .J~ .\5~?
:: (Zip Code)
(Phone) ,. ~J.
~() Q-I
DATE
Type DC F~xture
Rough-ins
Water Heater
Water Softner '.
Stand Pipe (Washing Machine)
Sewage Ejector . .
Baddlow Assembly : .
Sac ow Assemb y T~t
Lawn Sprinkler
Other : '
599.50
S39.S0
99.$D
.50
IIJ4./Jd
F ': '"
J.':"' .- ,
G'l" -. II
-~",_f..)'i"f
Jr.:
i;
Paid
R.ece~t No.
Date r
'/5-~
B~L
I 2~ +our notiee for alllnspedlons (952) 447-9850, fu ('52) 447-tZ4S
Ii' ,
{
I
I
I .
TOTRL P.01
White - Building
Canary - Engineering
Pink - Planning
The ("("nfer of the Llilkt Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W I f\J D VJOOD
2-- S -02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/37 SH1Wvj UJVe, PI NvJ
Accepted
Accepted With Corrections../
Denied
Reviewed BY~7^~
Comments:
~afftl~W~
Date: ~-//-oL
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."
y
ThE' ('fnlu of .he Lake Countr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;\ j' 1 i' / /,
\' , I, I i \ \. I . \. , /'
't \; I j, l/ ,\ '.... . './
"
,.-
,--
. l
l.~..---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I
,
j " .,-",,,",," j
I J /""; ~"1 \ . I ;, I' . i. \.. i"- ' ii, ., I . . I
, ......., t 1 r-'\ (' ,/ \_ \ . . \ I \; I
_,._.,' ,~' / .' ~ '.. v \..,.' i ',. t '~I
I
Accepted ~
Accepted With Corrections
Denied .
Reviewed By: ~ L4r---;r-~..44-<
Comments:
M\'v1,;~ ,--r-E~ cWJtW1..1TZ:lA-J ~ \i9
~~ L'~ ~ l ~1~A>(JVULliM fir Fr-
~.m:M1 {,,0 'fd ~ ~u v1-. t9 -L-j ~
~Ty~p
Date:
2-ll3/[)'?--
S?t.3~vVe- ~~
~
Q I ~.sy;- C
'The issuance or granting of a permit o(approv~t 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."
cJ-6- 0/1.1 ~
White - Building
Canary - Engineering
Pink - Planning
The" Center of Ihe L.kt' COUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W I f\JD V\JOOr)
2-S-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/3/ SAAOv/ VJVs, PI NvJ
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
1t/80
Date:
2 -<;,C) 2-
Comments: See Reverse Side for Additionallnformationl
F.O.~ IY/v,-I ht no h/gkc,r fhe,t1 ljlf1.0'
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
NO, 262. p, 2/2'
F EB, 5. 2002 5: 30PM
WINDWOOD HOMES
cITY OF FRIOR LAKE
Impervious Surfiu:1: CalculationS" ,," ., ...'
. . .ero. be ~ubmi~ with ~~ilding pe:rmil: Ap~iidticn}', .' ' .
For All Properties Lbc:i1ed ill. the Shoreland.District (SD). '
The MaxiIn= Tm.,;;IT\ous surfiice Covetage'p~d iii '30 Percent.
Property Address g rn 51J~( - -a,ve !J/R ;(. vi
Lot Area z.~ t../7 _ {rP __ ti9f~ Sq. F""J: X 30% =".-...:.."'-- 7~~~ /. -
*********~*************************************************************
" " .' -.' " .. . - .' '
. . . ... . .. ...... .
LENG11!
W!D1H ' '
SQ.~!
HOUSE .
x
- ,
-
-
\
._ I .
x.
. I -.
=
V/V;
-
x
ATIACHED GARAGE
TOTAL FRrnClPLE STRUcrtJRE-------
-
. . ~.,
pA
. pETACHED BWGS
( Qarage-JSht:d.)
,. . ~ .
;c.
,'.. " 'IO-rAL D!.TA~ BmLDINGS-~..:-.-
-
r;-~~.Avm~ tB Yo- 11 = "75'~
~.vodQrnot.) , ., " . x -. =
~g n....--r z:l-.:. x ~ - - 8.8
1;:O"I'.AL PAVED AREAS...-~---....-_..---..--.
314- -
== '
P ATIOSIPORCKES/DECKS .
(OilCl DctX:I, v..- min.'Cl9=inwhe:wecn
bo3I'l2. with It pervious sutface bdaw.
DIe act c:cnsidc-ed '\0 be; lmpcrviows)
. .."'~. I' -
,:,.
-,
.. , x.
='
, ----;-
-
'.,:OTALDECKS----- /LA
, '. ..
"
;01
x
. oTHER
- -
'tOTAL OTHE~--
-- -.-..----...-
-
JiA
UNDEPJOVER --d
P.repared~Y-~ - I~
Co",parIJ' 14cL ~4",~ e-.
[.U(,,~ J
, rg7~/. I J
Date j~z~-~1--- '
Phone#: 431-- 5000
. .
TOTAL ThrPERVlOUS S1JRFAcE '
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 313? S~ QglA.L P+.
NATURE OF WORK A/-RMJ
USE OF BUILDING SFD
PERMIT NO. O~O~4z.. DATE ISSUED ;;Z-II-o~
CONTRACTOR W,, LV C)J2 ~c, PHONE li')":2 -875 -f3~(j8
NOTE: THIS IS'NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ \\ ~ 4.: ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I St-v= J:ai:k I I
FINALS
FOOTING t
FOUNDATION (Prior to Backfill) ~ :3 1, =3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
-:g
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service c~binet prior to rough-in inspections
and maintained until all inspections have beefi 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