HomeMy WebLinkAboutBuilding 02-0193
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2- jq-()2-
I. White File
2 Pink City
3, Yellow Applicant
I PERMIT NO. 02--0/93 I
Nt{)
LEGAL DESCRIPTION (office use only)
LOT3.s;LOCK 3 ADDITION
PIDZ5-362-
-0
OWNER 9t A. f!J-v fIr A
(Name) it 'eL__ ~f1'9 u;rlfJ.
(Address) ~ 0, f3t:;/( ::2-,/.51
ZONING (office use)
/2/
(Phone)
/h I1J ,
(h/2-)- 325 -Z/g2/
55/.2-'/
(phone) ~L2 )~-.2/&3
(Phone) /,2) .::G<8' -;;2./ gg
111/1/ 55/2--
TYPE OF WORK.
o Deck
OPorch
ORe-Roofing
ew Construction
DLower Level Finish
o Fireplace
DAddition
DAlteration
ORe-Siding
o Misc_
PROJECT COST IV ALUE (excluding land) $
DUtility Connection
a:.
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 prope and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub - ,ed plans_ I am aware that uilding cial can revoke this permit for just cause. Furthermore, I hereby agree that the city offi~ial or a esignee may
e er ~n the property to (led i ons, # / 7/ ~
Contractor's License No,
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100. ao
Mechanical Permit Fee $ (00 ,00
Sewer & Water Permit Fee $ 3 - ,<)'0
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8'" 1'"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
Becomes Your Building Permit When Approved
I Paid ~~7()';f
Date - ~-I
I Rece}p(No. ~Q-(;, '7
By/
~ 9-5-6;;L
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
0e"'-k---- ;> IJ~4dl- ~~ A~~Lc.l ~~~
lann ng Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Thto ("tonlcor or .hr I..kto Coun...,.'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j2:J\ r-rLEK n-(A)S'I N9
2-1 q- OL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 53 4-1 F~;-\ (1 L ES k2, I ( ) q ~ ~j vJ
)(
"
Accepted
Accepted With Corrections
Denied
Reviewed By:
M9R
Date: 2 - :2 J - 0 L
Comments: See Reverse Side for Addition~llnf()rIjlCltionl
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."
1^
Tht' Ct'nft'r of Iht' takt Counlr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BUrGER- ttoU~1 N9
'2-/ q- OL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53 4-1 ~AGJ-LES
Accepted
~, 0 g 5
Accepted With Corrections ")<(
NW
Denied Z
Reviewed By: C tZy Date: ;l;2C;--oc
Comments:
~ 0..(( C(ftQcLd h.~ OcJ~3
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,lI
Thr Ct>nlt>r or Iht> Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l-:;' ......,..-., t. b I" - "'''1 ,/-
. .ii, ilL,' i1.l;U .-/ ~'J(-1
--" i rr '")
/ _/"-1.'/
<:::.- - - I <,d' t-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-, ",> ,I I
I t.., -.."e /: .. t i .. I' I 0'-
~._..) ," --r' , J( -~ ..... ,/ ,,~;)'-- t
Accepted ~
Accepted With Corrections
Denied
~~~
Date:
f!-I ~I t:J J-
Reviewed By:
~J;:r Ckvb ~
"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,"
'~--------'-~"------'---~---,,-_., -'^r'" -.---------~--- - ..__.._~_~____~__.._~_~..__ ___"__.__.__._~..____._."..." ______^-,-_____--,._ ...
STAR PLUMBING & EXC.
'952
MAR-18-2002 05:03 PM
..............~~......",."..
,,-
...... 1#:61p'''' .,..,..u
I.
"
PHONE:
DATE: 3 -IJ? - (J 2-
BLOG. PERMIT t
Estimated length of water service &""",0 feh-t.,
/ t I ;i ,sti&,;
size of water service _ inch (es) . tt3.~:l.~~'.':~.
Location of any couplinqs from stru::;~~",",-""; .tIl.
Type of sewer pipe. ABS PVC ~ Cast Iron'~~'
Estimated length of sewer line 0- tJ feet.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE!
ADDRESS:
SIGNATURE:
L
2.
3.
4.
5.
6. Clean out (if required), located at
structure.
884 7468
, ~...
. i~-"'R
"IIUOW . AI'PUCAIIT
.IIDLD . CI"I"
P.01
~, ~
",'
NO..\ OZ- o/Q3
Sew~r'and Water
contractors muet
be registered
with the city.
~iJ. - ~~O/-q Iq<j
PIO'
~.,.,.,.;.'
........--.
...
feet
from
=============~=======~~~_~~======~===~=~=====~=====~~=___~===~=~=s
DATE:
ur permit when approved.
3'-20-02-
This application
BY
==============--~======================~=================~==~~====
V
35.00
.50
35.50
FEES:
$
$
$
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 permits are
issued.
*
DATE PAID
AMOUNT PAID
REC'O BY
, ~ '-15/~ .
-fd,( . f~)
.-1pl
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372/ Ph, (612) 447-4230 I FAX (612) 447-4245
An Eaual Oooortunitv Emplover
RECEIPT '#
FRm1 WEL TER & BLRYLOCK
PHONE NO,
612 8828573
Ma~, 01 2002 09:42RM P1
n. r ..1... Dr .... l.akt Cau""',,
I. Blue file
2. Gold Ciry
3. Y~lIow 1\ppbl\
O,~ '- ( q,~
Applicant: WeJJ.er ~I3IQ1/oc..k Phone:~ ~"if~-~b'6l
Add"'..' .IS0~/ 3 t~.sv, /~~ /11.4/ S$3 37
Signature: fc/ ~~~__ ~
Legal Description: Lot 3S 0 ock. .3 Sub /.J:/ds So ~+I,
Site Address: /5'341 E<< 51 ~ s Ie l'd:J c:..
Building Permit # 0.;;1- 01'13 PIO #..:?S=- ;3 8' d. -0 ~9-o
NOTE; This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
PPNo,
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
;( 'I .
Bath Tub with or without shower Rough~ins
I Dishwasher I Water Heater
cZ Floor Drain / Water Softner
if Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
J Shower Stall Backtlow Assembly (RPZ, Double ChEll;:k, PVB)
a. Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
l 3 Water Closet (toilet) .~ Other I -J.. ' Ic
l ' 3~ S ,"e, Oq G
..
I~qs d"'1e,...
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ -_-.:.?~
"i .,;s permil is grl\olc;:d upon the p css t;ondilion thaI said
con.lrat;l(lr'S~.hl\ l;~lIn~'o. ires eels wilh the or.dinanccs
of [he State Plu bing lhe amendments u~
_ -----i+-. REC"T 0,. 6...... , ::--~ ~,ATE
-1:.- 'EST
,.---..... \.. - . ,~
Call for all in~pt(;tions 24 hours' udvance,
LK-'
16200 Eagle Creek Av, S,E. Prior Lake, MN 55372/ Ph (612) 447-9XSO / FAX (612) 447-4245
An Equol Opponl,lnity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
dUILDING AND INSPECTION
SITE ADDRESS JSs'lJ Ea-~\QS Rl&YZ-
NATURE OF WORK NeW
USE OF BUILDING :=;~\C:)
PERMIT NO. () 2 -a/q3 DATE ISSUED ~ - ~(, -0'<-
CONTRACTOR. :Ed: I er It''''5'~ Qo.,p. PHON E {,/2 - g~ -21 Be;,
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
0.
FOUNDATION (Prior to Backfill) 3 2.Z 02.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
L-
EN SIGNED
I
COVER NO WORK UNTIL ABOVE HAS B
I )
FINALS
GRADING (Prior to Sodding)
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 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 f\LL INSPECTIONS (952) 447-9850