HomeMy WebLinkAboutBuilding 02-0313
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3- /Z-OZ-
I PERMIT NO. 62- ~()313 J
,
ZONING (office use)
R-Z-.
1. White File
2 Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT.:? 7 BLOCK I
ADDITION IJJ ~CIJCCJ Ul f{J
PID Z5-3~ - 02-7-0
OWNER
(Name)
('~IJ/tP;~
(Address)
(Phone)
BUILDER
(Name)
{-/t/TT?<"
(Contact Name) ,{51/1 SK !)?JC;~J
- {;/d-3~~ -I/l?/&
(Phone) Viol - 5&<; -c;c;/c;.
(Phone)
(Address)
ORe-Siding
TYPE OF WORK
DDeck
New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
DAlteration
o Misc.
DLower Level Finish
OPorch
ORe-Roofing
DUtility 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 :.ro~ to ~erform needed~ins c ns._~
X 4 ~ ~...-~e #dGt"J7G757 05//...J100<
Signature Contractor's License No. / Dlte
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
3-IB.O?
Date
Park Support Fee
SAC
#
#
$
$
$
$
$ I aoo ,00
$ O..~
$ . oc:>
$
$
D
TOTAL DUE
This is 10 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 sig by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu J/21 bQ2- -~At[;~~~HM<
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
Water Meter Siz 51 '; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I Paid
Date
I ~;ce~,
(/
7/ z.-*1- - S-1
~-'f..-ov-
~
~~~\
rllf\ \~~ 1
i \L.JY ,.",
~~
I...."ESO~
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBING PERLvIIT
APR - 5 2UUc
~. ~~: ~~~ I PE&"UT NO. /f'J-031 ::2]
] Yellow Applican, . ~ \J_
(Ple:lse type or onnt and SIgn at bottom)
I ADDRESS
, left! 5/ GJ~;i2
- - -- . - ~ - ~,--- -
I ~~~.'.- ---,-,~~, ...~-'.v,."_~...nu;,
I LOT BLOCK AD DrTION
I OVlNER /) i
I (~ame) L~ I( rPI?
l (Address)
iA/cA y )J uJ
I I Z~NING ,offi"",,,
proJS ' 3~ll-OJ -r--~
(Phone)
(Address)
9 ~/ c/ ' tiP cJ cJ / ;l /
~/~Jj/J,
(Zip Code)
(Address)
I (Cont.:lct Person)
I APPLICANT SIGNATURE
/;}
(Phone) .
/'
DATE
~ j 1 j /1
.Ju / ()U
APPLICA:'iT PLEASE CO:'YIPLETE BELO\V
Quantity Type of Fixture I Quantity Type of Fixture
J I Bath Tub with or without shower \'1 Rough-ins
I Dishwasher I / , Water Heater
I Floor Drain ! I Water Softner
? Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink , Sewage Ejector
/ I Shower Stall I Backt10w Assembly
( Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
-f Water Closet (Toilet) I Other
l'-EE SCHEDuLE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations 539.50
Estimated Cost $
Building Pemit ;;
PLUMBfNG PERMIT FEE $
STATESURCa~RGE $
Try,. \ l Pli'R1\,n'T' l;'''''l;' 't:
....
.50
Cl'''r:.~.~.") "',-"
".;';;_LJ:.... 1:-. r
-.., ,;
(Office {Jse Only)
This Application Becomes Your Building Permit When Approved
. J
Paid
"-. .
Building Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10/03/2002 10:00 9524512155
U~'~b.U, ltil, J.~ I'AA OUIjIjIIj~ljJ
DASEN CONTRACTING
l- 1 1 ~ ~J r r I'd U l\. ui\J\u
PAGE 01
Dah~ Rt:c1 d
CITY OF pRIOR LAKE PLt.J1\1ElNG PERl\1lT
~ ~t ;~l"'l \ PERMIT NO. Od~ f.p 7 J
Pr; DC Lu.1J
(?lcue rype r,r prinl il.I1d. nr;ll at tlQmlm)
I ADDRESS
t4'-t55
zoNrNG (Ome<: Ulel
LEGAl DESCRIPTION (oma: use only)
I ) s1
LOT~ ADPmo"N:
OWNER
(Name)
/}'ib~~ '
PID
(phone)
(Ad~)
A.PPUC
(Name)
I (Address)
(phonE:)
APPLICANT SIGNATURE
Quantity Type of FbrituJ"l! Quantity Type of Fixture
Bath Tub wrth or wit!'lout skower Rough-ins
DiShwasher Water Heater
Floor Drain Wa,tcr S otmer
Lavatory (Bathroom Sink) Stand Pipe (W8.5hing Machine)
Laundry Tray (I or 2 compartlT\ent sink Sewage Ejector
ShoUll::r Stall Backflow Assembly
Sinks Bllclc.flow Assr:mbly Test
Bar Sink Lawn Sprinkler
Water Closet (IOllet) Other
APPLICAN1' PLEASE COMPLETE BELOW
FEE SCHEDULE
tndl)stri~l. Comm"'rcinJ &. Multi-family 1% of job cost \With 11 $:39.S0 minimum
Rc.~ide"l:lal, New One & T"Vo-Family 599.50
RMldeotla.l. Additions!l.. Alterations $39.50
Egtimated Co,t $
Building pel'mit #
PL1ftv{BrNG PERMIT FEE $
STATE SURCHARGE . $
TOTALPE~FEE $
.50
Dale
'Paid Receipt No.
DIl.~e By
I
(om~~ Use On11)
This AppJiClltilln BecDmes Your BuUdlag P~rmit When Approved
Building Offici"l
:14 hOllr notice for alllnspe.;tlon5 (952) 4A7-98SO. fu (951) 447-4245
16100 'E..~Je Crl!ek AYE., S.E., Prior Lak.l!, MN 55371-1714
Date Rec'd
CITY OF PRlOR LAKE PLTJiVIBING PERvIIT
I Bl". F;;e PER.yIlT ~-o.t?'~- _ 3).3 I
:. wid C:ty .
), Yellow '\policant
(P!~:l~e tvn~ or orint ,md SlIm .It bottom)
AD 0 RESS
Nt/;~/ f3S!1t9til
/))2 I(
Zn,-n"c -
'-' , I l. I "( ,)If:c~ u~e; i
I
L\)T
LEGAL DESCRlPTION (offic= use unly)
pm
BLOCK
ADDCTION
'O\":'iER~ 1ft
I (:-i.l;.:e,: f!j( P V
; (' 1 ,,~ ..a...(."
; ".'""'\.\...0........ '-..J...J ,J
i ..\PPLICANT
i (~.1r.1e)
I
I
(Add:::ss)
(P~or:e)
(?hone)
-J;;
(..\.1.1r::ss)
(City)
I (Cur,cae: ?e:son)
i APPLICA~T SIG~i,.\ TURE
l?~cr.e)
DATE
APPLICANT PLEASE COMPLETE BELO\-V
I
I
I
I
Quantity
:t
I
I
:J
I
I
1
_f
I Type of Fixture
I Bath Tub with or without show'er
I Dishwasher
I floor Drain
I Lavatorl (Bathroom Sink)
I Laundr;. Tr:lY (lor:: .;ompartment SInK
I Shower Stall
I Sinks
I Bar Sink
I Water Closet ( Toilet)
Quantity
~1
I
I Type of Fixture
I Rough-ins
I Water Heater
I "Vater Softner
I Stand riDe (Washing ~bchine)
I Sewage Ejector
I Backtlow Assembly
I Backtlow Assembly Test
I Lawn Sprinkler
i Other
I
I
I
I
I
I
j
FEE SCHEDGLE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
R~sidential, New One & Two-Family $99.50
R~sidential, Additions & Alterations S39.50
Estimated Cost :s
Building Permit #-
PLUMBrNG PERMIT FEE
STATE SURCI-L'\RGE
TOTAL PERl'\1IT FEE
$
$
$
.50
,...
~. ~W,
I11U. f' D:
If.i i... "'G"'
~_ ',\j 1,,__.
. i ~
Building Official
Date
Date
A/-ik 3 0
Z~ hour notice ior all insp~ctions \95:::) ~7-9~50, fax (95:::) ~47-4:::45
. ,'. CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~ ~ EJ~i_' I PERMIT NO.;) - ~J 2>
&- 1> +-1.11.__
I ZONING,__, I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIn
[OWNER.
(Name) & /l t-. "
(Address)
/lD ""'L~
(Phone)
APPLICANT
(Name) H~o,+, '^ J
(Address) , ~ S-S-O
:;.. ~ot:')/"A7
(! ovt1 t1
(Address)
-r~
R.../ y (
(Phone)
7<; 3 - 4)..1'- 5b 77
/"i<:pl'/ (;> ,O~
(City)
s-r~c..:1'
(Zip Code)
(Contact Person)
-
I,!, "'''7'
(Phone) Ca/2.... - ~ (. "3 . S-5~ 7
DATE ..r'-ltJ - 0 2-
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL /3" e, ~ ,.., + 3 $'""0 4-?o TO FUEL &a..5
FLUE SIZE PVC RETURN OPENINGS 3' INPUT 'gO,nCJO OUTPUT 7"1,000
TYPE OF SYSTEM HEATING OR POWER PLANT
[}Warm Air Plants
OGravity
o ~'!~chanical
~,r Conditioning
~ent. Syslem
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 & NC (New Construction)
Residential. Heating Only (New Conslruction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &. Alterations
$64.50 Residential. AC Only
$39.50
Industrial, Commercial & Multi-Family
S39.50
. S39.50
Estimated Cost S
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
~ ......,. " >
(Office Ule Only)
This Application Becomes Your Building Permit When Approved
,,-,'.,, ,
~-
Pai
~.
ReceIpt No.
Date
I U
By
Buildln& omdal
Date
%4 hour notice for al\ InspectIons (95%) 447-9850, fill (951) 447-4%45
~.
~12I.d
Z:89~8z:t>-~9.L
OMi ~NIIOO~ ~ ~Nli~3H W~ Z:1:8121 Z:12I-12I1-^~W
~~
White - Building
Canary - Engineering
Pink - Planning
The C"f'nler of Ihe LlkI Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6610/0'1
-3 - /'l--- OZ--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-4- 55 Cl~ Sf Lf: GllnE~ 'v\! ;-\ y
Accepted
Accepted With Corrections
Denied 4() (\( L
Reviewed By: (j-{_-J! ~
Comments:
Date: ,,-:s- /8-Q~
Q~ Gt ({ ttf(-ackk IU dds
"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."
0), - 6313
White - Building
Canary - Engineering
Pink - Planning
The ("rntf'f of Ihe "Ike Coun1r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
cEIL/IE y /iOJV1ES
-'/ /1 ,.,..."
-5 -- ~,,- 0 L-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4455 CrJ.57ZE-: GrJ-T-E ~VAV
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
AlYJi3
Date:
3-2p-OL
Comments: See Reverse Side for Additionallnformationl
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."
White - Building
Canary - Engineering
Pink - Planning
The eenle' or Ihe take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
( ;'--
APPLICATION RECEIVED
c-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i <. -4 \ ,
j. ~~
.J
Accepted
~
Accepted With Corrections
Denied
ReVieWedBy:~L.Jt~ Date: 3!:LL)'02---
Comments:
Ac---- N4~(~ P1>>!-f?-~Nt:: 1s~
I~ ~ Lh~ ~ ~ ts~c-
\G9 ?rt-tPL ~ LVvte. p
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
f\UILDING AND INSPECTION
SITE ADDRESS ~S6 Co.st\ej~ W~
NATURE OF WORK Ne.w
USE OF BUILDING SF\)
PERMIT NO. ()2-lQ3i~ DATE ISSUED 3-JR~('")~
CONTRACTOR 0p~ PHONE ~'2 -~9-{g71&,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING q. l
FOUNDATION (Prior to Backfill) 16
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~+,\Ve~
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 have be~n ajJproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 an-d 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850