HomeMy WebLinkAboutBuilding 02-0587
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CITY OF PRIOR LAKE BUILDING PERMIT, Vate Itec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5"-/() ... ~ l-
AND UTILITY CONNECTION PERMIT
I. White File I PERMIT NO . I
2. Pink City . 0 ') -0 r:' Oil
3. Vellow Applicant . V ?tL..-t-
ZONING (office use)
t?b'tt/hl;~
tiLl/I? ..
,,1/VV'
R- ;)-J
LEGAL DESCRIPTION (office use only)
LOT /). BLOCK;{ ADDITION
, 0&"0-0
OWNER
(Name)
(Address)
(Phone)
~)..l-~J~-79~~
r/rt4 /J'/,v S-~)
(!:'VT& )L
~E"~
BUILDER
(Name)
(Contact Name)
(Address)
~:-5
~Ae-
t7L.1'r'?cIrKo
(Phone) 5A4~
(Phone) "r.2 -.J" 'f - r? -< "
TYPE OF WORK
w Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
',(,-: pO
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
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
war that uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
erfo in tions.
x
~C>() 7(, 7 J 7
Contractor's License No.
~0~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
00 ~olf'""
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
I dO . C;; 0
toO .rJO
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
.IJ(J
TOTAL DUE
s-~ -O~ $3:2- T3~ /
I ~;~4;cf. C,
~M ~O(
Date
I Paid
Date
~273.. 19
)-z...9'''' ~~~
s Your Building Permit When Approved
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
~~ee~signe by the City Planner constitutes a temporary Certificate of Zoning compliance and allOW~' '00;":00 <0 '~"~ "'T=~m~2ttti"~;::,: =. ~
~'/2.2-IDL "'"'-=- ~~~
Date r eci I Conditions, ifany -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
1
I
!
Th~ Cf'nlrr of tht Llkt Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTIVIENT CHECKLIST
r: 'I.
I I
,-__e;;()fp.-,\ /~l Onct?.-/'lIi;
.
:;;)-/0- d---
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/)
/ ). l-J J~'i /?h:/(J() i,~--/'Y1U//1I2-, //(Jh cL
. .
Accepted
~
Accepted With Corr~ction~
Denied
Reviewed By:
1/,#13
Se~ /)14/'" h/~
Date: ~-20-()2-
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 approv;:ll qf, any violati,on 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 Crnlrr of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f
;
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: ---- -1.~
Date: ::;;- /:7 2-/;~-1--
"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
Tho Conlo' 01 Iho L.ko Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~fp/\_f/~
;:;--/Or-d------
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IL/:;lY9 ~~~M~
Accepted
~
Accepted With Corrections
Denied
r?~~h
.lQ ~ r1alVt.r: {p
Date:
~---r 20 ,,0(:>
Reviewed By:
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."
--------
// 'C ",~. 'J "
/ c~-?,
I. / / .;
i-I / .r \ '7
1-' I ,I \ \,_
- --
CITY OF PRlOR LAKE PLCyIBr~G PER\rIT
D:.He Rec' d
\: \~/ "j
".~J
~
Jlll~
;:Tj~
P ER.'vIlT 00')-58 ~ I
:, Guld
Cto,
?'e~~e t"~e fJr Jr.:][ Lrlil ;l~ .1[ bfJ(tcm I
j '( ~ll()u,
\OOtICJnt I
.':'.DC'P -::53
7,-' ''-'' -C. . .-r." -
'- ~. ,- '. '''''': ';~e: i
I
/t/:J?fJ ZrtltJ fltt l rf
,8 It! f
1"-~G:l..~ DC:SCP~PTIO>i (ur~c:: :J::e Jnl:r)
~ ~~; ~
E l:=: (X
,..l..':=: D [i=C~;
p ~[l
,-:.,v'\i::?D .a
~',:~'c:: /I fX
(?~cr:~~
i .~"...:..:;~~:.;,;
~:..-J:::~'
\~:-:l:r:e)
9&2 -~<~2.? J/.2//
6-6's5;L/
(..\J~r~::s )
(.~.~J:~:;:;)
(Cc":)
(Z~C c,:~~)
- ~
I ,-:...";r::J.~: l"~::;(:r..)
\?::cr.~)
Q dA II; //(;7---
:l..?:?UC...\...)iT SIC:i...\... TG'RE
{~" ~ l 11/l tl-{/h
-..
D.-\ TE
APPLICA~T PLEASE CO~[PLETE BELO\V
QU:lntiry Type of Fixture
Bach Tub \VlCh or without showe:-
I DishwJsher
I I floor Dr:.lln
I LJ'iJtorI (Bathroom Sink)
I LJunury TrJY ( I or : .;omp~r:ment 5In:..;
I I Shower Stall
I Sinks
Bar Sink
Water Closet (Toil~t)
QIJ:lnriry Type of Fixture
Rou~h-tns
I W;.lt~r H~::trer
\Vate:- S() fu1er
i St.1r.d Plr.~ (\V:lshin~ \rf:1c!w-:e)
I Sewage Ejec~or
I Backt10w Assembly
I Backt10w Assembly T ~st
/ Lawn Sprinkler
I Other
.F EE SC HED L'LE
[ndus:ria.1. Commercial & Multi-family I % of job cost with a 539.50 minimum
Estimated CQst :s
Residential. New One & Two-F:l!T1ily 599.50
Residential, Additions & ~tions 539.50
BuiIJing Per;nir .=f. ~...p ....AID ~Vj'T-l
"-4I/!\!n ;~ '.1
. . "f P". \.
.....,,,J~.,.r
$
$
$
(Office L'se Only)
This Application Becomes Your Building Permit When Approved
PLUMBfNG PER..vlIT FEE
STATE SURCH.A.RGE
TOTAL PERlHIT FEE
.50
JUl. I 7 2002
Paid
Receipt No.
Buildin~ Official
Date
By
Dare
:~ I1I)ur notic~ for JilmspectJons \95:) -+47-'J85iJ, fax (9:5:) ~47~:45
LIT Y Ut' .I'KlUK LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
{P~~ """ ~ Prin,.... "@! ":;:
I ADDRESS
/~ 2 y? ,~J~ /nP/--{
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
<:Z. ~ '"' f-~ '.(
l-1:d ~.s
(Address)
APPLICANT
(Name) ~~... -1-, . ........,
(Address) ) ?J-.,s-c)
I. Pink file
2. Gn:cn Ciry
,. Yellow Applicant
PERMIT NO.
~/,-,~
PID
(Phone)
1- ~OQ(I,,? 77.L/o
~4 'if I
t:! CJ '-A I\. +r
(Addres
(Contact Person)
r;;, .,.~
CQlc~
APPLICANT SIGNATURE
(Phone) 7'3- ~ii.)l' - ~" 77
rn.p/J, c.,,,~ 5""~-3(,.1'
(City) (Zip Code)
(Phone) fa,'"}
'3<. ~ - .C;-S-~ 7
... Co - ~L.
,J'.--:
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8r-y ",,11.,1-
FLUE SIZE 4 /1 RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OGravity
o Mechanical
(gt<lr Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
Residential. Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
D t n__'cJ ;".
a e~. ':'ff
o REPLACEMENT 0 AL TERA nONS
'? X.3 G ~ c,. <!) 71> FUEL <.; 0. S
~ INPUT 70. cOO OUTPUT S-S: O<.>t.;>;t
"'1;"
HEATING OR POWER PLANT }
o Steam
o HOI Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units .
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
S39.50 minimum
S99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl: Official
Dlte
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~0.d
Z::B9~Bz::t>~9L
~-'
.~.
Paid
.-
ReceIpt No.
Date
By -
"
OM~ ~NIIOOJ ~ ~NI~~3H W~ B~:L0 Z::0-90-~n~
10/07/2002 12:00 5
_." _ . . -..-:..::- -.. --:=.=--==..:" I ~ ....., ."'..
1".'1U u... J'IC.lOIl I..U:E
PAGE 03
~OOl
D...IbcI41
,.=M~.J"_YllJl~ ""__
!/<'I~5- 9/ ~~ IYl/rI f3/dq;(
~
CITY or PRIOR LAKE
SEWEll AND W A. TER PIllMIT
02--0::;65, 58~f
t =-:... t P.DCT~O_5BBI
1 i zom-o (-~ -I
:"OT
ILOCk
A%:)Dmc>>l'
--.
I
~~-)e-~- 7~31
4~~, fiJN_5$~~ .
1
Pm
I..8OAL .D:l5CJLDI"n0!f (.... -1IlIIr:
l:::~~~ ~~ ~ ~O
~ APPLICANT
: (Name)
K &, R Contracting, Inc.
3245 Lake Avenue
I CAlSdRu) - New Prague, MN 56071 (CiIJ)
952.758.6247
I (Contut PftICII'l) l3i ell,,! Ih j f /7{ 4-/"1"" -- (7Mzie) J
!~n.lCANT SIQ!!l.tuIIll C ./Z>~1f// A?r44..~ DAn () / <io.:i
APPLICANT PLEASE COMPLETE BELOW
Sizlt of___ service ~ ua.., .
LOCItiOft of CJY co"Plinp tram SlN:t\n ~ __
T~ ohewer ,apa. n ABC .8. PVC C! C..lrcll
!,n~ti 1~ or ....llDc Ja2.. fat_
Cleaa 01& (if~ loca1acl at ,. !ram ftrUCU8..
CPbaa)
CZl, CadI)
I
I
~
FIE SCHl.DL'L1
~lda4ti.allll"'lT' 10,;1 *..r Iia. GOM~ SJUO 1...11"", CllIlII'lA Mubl.Pily I" ~j" c:aIE wi.. 13..50 MftnnrI
S...cr ;.Ilonlt.lIIiCIII oal)' SI1.'O W..... ~~..ty 111,'0
!aan....d COil I
Buildiq P-.aj~ . _
LL
SEwn AND WA"I'a 'B'kMlT FU
ST A tt SUllCHA1l0E
TOTAL PUM1T ~
S
J
S J"
,~
(0II'n U~I ~)
I T1l;. ~II,""', ...... Y... ..- P...... -- ......-
..... 01';:'1 L ..
'--
~. Itellt ..~ ,,, .,. ...,...... (",,)...,...... ". eml" J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS j<-l'Z-8c{ ~k~ ~
NATURE OF WORK AJ.. 0
USE OF BUILDING ~dr
PERMIT NO. 9f - ~7 DATE ISSUED ~20 -0 ~
CONTRACTOR D r +k PHONE &(2 - Y~1 -4:5'21
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
{ ~~ vvt~+, t
DEPARTMENT OF ____
BUILDlNG AND INSPECTION
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..v '(,
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
ELECTRICAL
PLUMBING
HEATING
DO NOT
( ;..- 1,1- () J.......
.?- Oy-
(U ,j,,)... - 07-
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 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 ALL INSPECTIONS (952) 447-9850