HomeMy WebLinkAboutBuilding 02-0276
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
'-I fJ,v-~~1 13
LOT BLOCK Z ADDITION
OWNER
(Name)
~~e.-
Date Rec' d
3-7,D7-
1. White File I PERMIT NO {;
2 Pink City . OZ. -0 Z-7
3 Yellow Applicant _
~/t.// /!/ A./
ZONING (office use)
~Z-
BUILDER
(N ame)
(Contact Name)
(Address)
SITM E
\
M/je p~"
S~e.
".0' New Construction
OLower Level Finish
,%Deck
o Fireplace
TYPE OF WORK
o Misc.
PID
-384- O~
CeNl-e X ~/'1 e5
/2~CCJ tJhi~ f)/" 5~'1e-/a!J
(Phone) ~~Z ~9.J6 "9:3 3
/1 ,'I(/!~ /(P' ~T7
(Address)
(Phone)
(Phone)
5' If-r1 ~
~ I? - l./ r t'J -C/ / I
ORe~Siding
OPorch
ORe~Roofing
OAddition
o Alteration
OUtility Connection
I C~ ~CJd
PROJECT COST IV ALUE (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
enter upon the property to 0 ed in ections.
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
$
$
$
$
$
$
$
$
I 00 .0-0
/00 00
40,00
3-f5-o?
----
Date
z~ &J I ~ '1 .3 7
Contractor's License No.
3/; /~
/ Dat~
Park Support Fee # $ - i
SAC # $ I. JCJO . 00
Water Meter Size 5/8"; I "~/. $ f -
Pressure Reducer $ -
Sewer/Water Connection Fee # $ I.) 00.60
Water Tower Fee # $ 700 -DO
Builder's Deposit $ -
Other $
TOTAL DUE $ 5 2~ 13 - /1
1~;1l
cf--/r-~
Paid
Date
~ c/3 / I
7/' 2/J ,'f:; z---
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
iS~~ /~~-t 3 !:l-~/CA-
Planni~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
\ -": ~ :'l/~" :'".}. ....~...'
~........;,-", -.,:~',~. ..,"","".'It'.~",~lI. ..of'
Tht Ctnlt, of tht I..kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~,~~Jfr:')( llo lUeS
APPLICATION RECEIVED ~ - {-Od-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'13 'II (jftoof /JU/L(V e /url
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Comments:
/Y14B
5<.~ me,'~ r, '/-L
Date: 3-/~-oL
"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
The Cenlrr of 1h~ t.kt ('ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.I f ,/
/
../ ,\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / ',I I
"......._"'~
Denied
L./' Accepted With Corrections
~~-~-----~
Accepted
Reviewed By:
Date:
,) /UID2-
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."
~l/1\\<[ PI'il.lO~
(:: / II' -:'7\
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"'r~~
IN,'YESO-<e;.
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBING PERL\-IIT
APR - 9 2002
/L/ :3 t/ !
JJ 1'# JI t/lXt Ie
hit/oJ
I Blue Fde II PER.'IlT NO.. !)._O~-?,J I
:. Gold Cty { c.c:>
] Y <,low Applicant
! ZONING (()ffic~uoe) I
! I
(P!~:lse type or orint md SIgn at bottom)
AD DRESS
LEGAL DESCRiPTION (oriice use only)
LOT
BLOCK
ADDrTION
PfD;?S-3gQ-oar0
~~/t.1f 0
(Phone)
I (~;lme)
i
I (Address)
I g:~;;AN~//~ P/~i
I (Address) iL_ _ ,ab/ /!iIJ(
I (Address)
I
I (Cont,1c: Person)
APPUCA~T SIGNATURE
(Phone) tJ-f02. L/r?~ ~J/r2 /
h '//"/7 /1 /
\ JiJ I". fIL-.. .j ...) ~u ~
(City) (Zip Code)
(Phone)
DATE
f (J Z___
APPLICANT PLEASE COMPLETE BELOW
i Quantity I Type of Fixture I Quantity Type of Fixture
I
I ..1..1 I Bath Tub with or without shower V Rough-ins
/ I Dishwasher I / Water Heater
/ Floor Drain I I Water Softner
I '3 I Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks Backtlow Assembly Test
Bar Sink I Lawn Sprinkler
.5 Water Closet (Toilet) I Other
I,
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Residential. New One & Two-family 599.50
Residential. Additions & Alterations $39.50
Estimated Cost :s
Building Permit #
PLUMBING PERlVUT FEE $
STATESURCK~RGE $
TOTAL PERMIT FEE $
.50
By
(Office Vse Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Date
/\H~ -
24 hour notice for all inspections (952) 447-9850, fax (952) 447~245
LIlY UJ:I' t".KJU.K LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
(p1,~ "'" "' orin. md ":' bonmn)
I ADDRESS
/ I( 3"( ( tOg k,f"f'U .. _",
Date Rec'd
I 0
LEGAL DESCRIPTION (office use only)
BlvD
~: ~ E!~i<Mll I PERMIT NO. d- -:;)7 t:, I
I ZONING (."",,,., I
LOT
BLOCK
ADDITION
PIn
I OWNER
(Name)
(Address)
H<:}~s
(Phone)
~ (1"\ f--<. 'L
APPLICANT
(Name) /,I~a~.' "'"1
(Address) ) ('J--S"c)
~ (100(1", ?7-'"'o
~u..... t\.-+-y ~.:I 8'1
(Addresl)
(Phone) 7'3- q;J.)> - ~"71
rh_pl4 C.r~ ~~-3," ~
(City) (Zip Code)
(Phone) G,/ 2 - "3(. 3 --!!:"S-u" 7
DATE S-/d-Oz...
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
S39.50 minimum
$99.50
$64.50
(Contact Person) ~" 'I
APPLICANT SIGNATURE
c~~
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8"")( 1'911';
FLUE SIZE '-f II RETURN OPENINGS
TYPE OF SYSTEM
~ann Air Plants
OGravity
o Mechanical
~r Conditioning
oVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial &. Multi-Family
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost S
o REPLACEMENT 0 AL TERA nONS
~ R.3o ~G,~ 7'0 FUEL <0 a... $
~ INPUT 70,0<.)0 OUTPUT S-S: oc;)O
HEATING OR POWER PLANT
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
S39.50
Residential, Additions & Alterations
Residential, AC Only
S39.50
S39.50
Building Penn it #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Vie Only)
This Application Becomes Your Building Permit When Approved Paid
Date
,-
. Receipt No.
Buildlnc Omc:lll
Dlte
! 0
By -
%4 hour notice for an Inspections (952) 447-9850, fall: (95%) 447-4245
:2:0-d
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..
OMi ~NI'OO~ ~ ~Nli~3H W~ tt:80 :G0-0t-^~W
10/07/2002 12:00 5
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PAGE 05
iii 001
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CITY or PRIOR LAKE
SEWER AND WATER pUlMIT
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:APiUCANr
. (Nt.m&).
,)Ii.
K & R Contracting. Inc.
3245 Lake Avenue
I (Ad6SRII) ~ New Prague. MN 56071 (~
I 952}5~.6247
i (Ccmt.(.t Penan) f;Rl.'/t..<r' -- (r..)
. APPlJCANT SIO~rou ~(/t ~ 7'f .(AtlUl. ~ D4T1
~ CDdI)
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(PboDe) ~
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APPLICANT PLEASE COMPLETE BELOW
Si18 gf w.- ~ .J.1;L iaI::b., .
LocaQOft of' &1 c.ouplmp tram ,~ I..J1:L ...
Typr or..., plpl. n A.B~ ~ D c;- Jl'Cln
!s!4-'-41eqtll ot MWCf 11M r.t.
0... 0" (if~ located at ,.. tiaaIl RrUdIn.
.- ~
DE sCIIED1Jt.E
...ldMl.i.li ......lIQ(1 _at..~. 135.50 I.......... C......t.. M~.""'iI)' I'M ofj. ~ wttlll 13'.51) -.....
kwtt ::.onncca. 0111)' 11'7.50 ........""f1.l......1} '17.S0
!Ill...... Cod S
.laflAllft. '.mil. _
SiWE1 A!lID WAnJt. PERMIT BE
STAnt SU1lCH.U.OE
T01' AL 'EaMI'I' n&
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14 "ill. ..... If, .n I......... (.12) ..,..... .. CRJ) ..'1....
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED 7~ I /~y d 0-0
/E/5,/g/Lff,39f 3 7 En~~
TIME
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
r9- ~ '"'11, 7 G::,J7 5; 7 "
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,,"PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
\
C\ \\
4: 0'<
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ..1) ",\J ~ Owner/Contr
CALL 447 -9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
{)Z-027~
White - Building
Canary - Engineering
Pink - Planning
Tht" Crnft"r or Iht takt Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~1 f:::: ~J-/-P y
'1'~! i /; IN--L:,'
! ' .~ ~ L~)
APPLICATION RECEIVED
-,;;; - --J - () c2-
rv l ~-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/:3 L/I
/:,)~~:.;2./
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J14B
5<.~ /Y1iJ1/~ ,.:, '/~
Date: 3-111 -07-
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."
l ...)e.e. ~ ,-'c.Lo."'- \ \ \k:
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS lLJ:sy l 'RrCX)kVV\~ "1\v<t.
NATURE OF WORK N~
USE OF BUILDING S~;4-
PERMIT NO. &2 7~? DATE ISSUED S - l~- 0 '2..
CONTRACTOR ~ PHONE 0/2-qCro-zcfl
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING l-L- ~
INSULATION "-
ELECTRICAL
PLUMBING "'\.
HEATING (if required) "
-fJB.EP..LAGE-7
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
3- O~
~ 6\ Od
l\
GRADING (Prior to Sodding)
BUILDING --reo !<J.-d-.
ELECTRICAL
PLUMBING
HEATING
DO NOT
, ~<YV
Po
~ -J-,J.. eB
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I - r7- 0
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,d :shaH. be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850