HomeMy WebLinkAboutBuilding 02-0206
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;),(1.f4 Fe
R\J,J
LEGAL DESCRIPTION (office use only)
LOT ;A BLOCK ~ ADDITION
Date Rec' d
3- 4..,tJZ-
~. ~i:i~e ~:;y I PERMIT NO. 07- 0"70/"'"' I
3. Yellow Applicant V l-- lI./
M<..- Will.?
ZONING (office use)
P l).50
OWNER
(Name) =-:D~~l1tro~
(Address) It)~Va \il ~~(r
C-ut-l:>,\l(IPt\r ~C-
V;U<(... ~-J \()("*
(Phone)
,n.-"2.,.. 77/1
,
1$2,--ftlV~wro
Cd{
BUILDER
(Name) ~
(Contact Name) ~
(Address) ~
-
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o New Construction
~ower Level Finish
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 prope t erform needed inspections.
p~
o Misc.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
$
$
$
$
$
$
$
$
tIrUOJ 3-7-d2. $ Vab.O(P
I ~f6"'M2-
o Porch
ORe-Roofing
DUtility Connection
,0'0
;/2U/7)'2-
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
issued.
Planning Director
J8:!ireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
~'2- Y
Contractor's License No.
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
qo.(!>~
Water Tower Fee
#
Builder's Deposit
Other
o.tff
TOTAL DUE
g-G, -02-
I Paid
Date
J t;.~ . 0 "
'5- It_-az--
.
Date
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The ('tn1ef of 'he l..kt Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
066/G /5~CJ.K:E
..3-+-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z~~4- FoX' RAJA!
Accepted
Accepted With Corrections
-K'
Denied
(2v6/s--
Date:
Reviewed By:
$-Ce.-a-~
/2GJ1D 7J.I6 .or1'f I#1A1D (}{//
~~ ~ LouJ~ ~ ~~~ ~crJ
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I
I. Pink
1. GnIft
J. YoIlGw
{P~'" "'" "'\'!!!It =_IDI
I ADDRESS .
d~L/Y . ~
l;ican, I PERMIT NO.oz--ozo01
\
ZONING (oma: ule)
LEGAL DESCRIPTION (office use only)
Pro
LOT
BLOCK
ADDITION
APPLI~ . ..:
CN'-) ;~~~::::;~nx;; ~~;one) ~X -7~_
(Address) - . Ii. ~
, liress) / (City) \ (Zip Code)
(Contact Person) ,~,.s }..k;,J7h.;:JJ-77QrJ (Phone).3 -75/
APPLICANT SIGNATURE DATE 3
(Phone) q,-"5~ -z;::R - 77//
OWNER ~
(Name) J1
(Address)
/?7n
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TE
FURNACE MAKE AND MODEL
FLUE SIZE RETIJRN OPENINOS
TYPE OF SYSTEM
INPUT
HEATING OR POWEk PLANT
TIONS
EL
OUTPUT
,. OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating &. A/C (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &. Alterations
$64.50 Residential. AC Only
$39.50
539.50
$39.50
Industrial. Commercial &. Multi-Family
Estimated Cost S Building Permit #
( /1.-:./
. /y'/
.rftrt() , :f ./
-13<-u-ld.t.l1
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
D.te
P~
Dat~
-)-
(Office Use Only)
This Application Becomes Your Bunding Permit When Approved
Building omtllll
24 hour notice for all inspections (951) 447..9850, fu (951) 447-4145
GOLOS1tG19 XV3 GG:11 GO/R1/tO
GOO III
X310IH3 3~VHV~ JI~VWO~nv
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Rs 44 FOx. fvV'...
NATURE OF WORK Lov.34O""" l-Q.v..J ~~'^'-" ~ .q- ~b-
USE OF BUILDING /2ES /I//C..-
PERMIT NO. 0 Z ~ 0 ZO~ DATE ISSUED 3' - ~-o-'2...
CONTRACTOR. Orn~ge6D~ PHONE ,5'z,C; - 771/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\ INSPECTOR
I FOOTING Dec.K ~ ~ '\ll
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
~-_._- - -.-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST /
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 h!lve be-~n 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