HomeMy WebLinkAboutBuilding 02-0614
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\~ <-- L'- \-
<) S s-
'T"")
\-
(',
PID:J5- 3?J--O/lh'V
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK S ADDITION l....), \ ~ )
S- -- /Lf-:J-
1. White File I PERMIT NO I
2. Pink City , O? --0/-/4-
3. Yellow Applicant , V tV' ~_.
'"\-\,
ZONING (office use)
((I
~D v"J- h
OWNER
(Name)
......--;---
\ \ L
c a v ~~-r- '"'-+- ~'\C
J;;/
(Address)
(Phone) (7 \e;'J - (../ & J - --::;)---';((/
r-D
BUILDER
(N ame)
(Contact Name)
(Address)
c:..,c,,"-- '-.',,--, , c
(Phone)
(Phone)
TYPE OF WORK
New Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
/05, bC:~D
.
o Misc,
ORe-Roofing
ORe-Siding
OPorch
OAddition
o Alteration
OUtility 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~ild ing official can revoke this permit for just cause Furthermore, I hereby agree that the city official or. a designee may
enter upon the prop.e.~"Q J?l!fiDrm nt:;, d in~ctions,. . -
X L ~. ,-x.J\ Ie 7 G, S- IY- 0 ,~
Signature Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
')- ZL -0 l/
Date
IPark Support Fee
SAC
# $ 8SOr~ /
# $ ~ c:;>t)
$ 65'. (J'-()
$ rOt)
# $ ZO-O...6)~
# $ ~C9.e:lJ
$ l 5'0 (!) ~ c9t'
$
$
I
Rec~No.1.2 12(,
By
r--
Water Meter Size 5/8"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I
TOTAL DUE
\ Paid
. Date U. ~S -C5"'L-
)
/
-
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
:~;/:::d "' "0 c,~ "w"" ,o"","'~ . "m,m.", C~ifi~" of ZOO," ,=,1,,,,, .od "'O~OO m '"!i.'mo "''!:r'''' Ccrtifi~" of 0"",,,,, mm' bi
~'., ~. __i~j2-0/~-- / . ~N _ (JTYY~S
Panning Director Date Sp cial Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
?---jO" 02--
(PleJ.se type or orint and sign at bottom)
ADDRESS
~. ~~~~w El~~ic'n' I PERI\lIT NO. ,J.. &/LI
ZONING (office use)
~ol>5
&b~-\
\)-
LEGAL DESCRIPTION (offlce use only)
LOT BLOCK ADDITION
PID
(Address)
Sf
f,( ~
(Phone) qSL' l.tb f - :Jc;8 V
SSvLo
OWNER
(N am e) 'T L. ~~~ -\.f ,...c...;\-) 0 "
)b/5/
r,'{' 'Y (L<<<.
jVl(,....V'- ~
(Address)
(Phone)
Pr ( pr
(City)
tt:j.s L - "-Ilia -- S-b Z. 0
APPLICANT
(Name) V-, G( u..~C
(Address)
J-k
SS3 72-
(Zip Cede)
APPLIC NT PLEASE COMPLETE BELO\V
EW C001STRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
(Phone) 9 ~ l - '140 - 5"- CO
DATE J ~1- 07.
(Contact Person)
APPLlCAl'."T SIGNATURE
RETURJ'i OPENINGS
TYPE OF SYSTEM
INPUT
OUTPUT
FLUE SIZE
OWarm Air Plants
OGravity
o MechanicJ.I
OAir Conditioning
OVent. Systcm
HEATING OR POWER PLANT
o Stcam
o Hot Wata
o Radiation
o Special Dcvices
o Other Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
{Vl"'1 ~ ~<..
tiJ iJ .3 Co
FEE SCHEDULE
Resid<::ntial, Hc:~";r.'S 8: AcC (:--:ew Co:\s',..;ctlon)
Residential, H<:::::;,,'S Only (Nev" COr1str..;ction)
1% of Job cost
539.50 minimun,
5995il
S6c.\50
ReSidc:ntial. Gas Fireplace
53950
InJuslri:ll, COi7\~ccial 8: i\lulti-Famil;
RcsidentiJ.1. Additions 8: AllCr2.tions
Residential. AC Only
53950
53950
HEATIL\G PER\lIT FEE
STATE SURCHARGE
TOTAL PER.\'IIT FEE
s
s
s
.50
"",
4>>;)
'\'-"/\~
,1,
Estirna:d Cost S
Builc;ng Permit .,
'/;.
(Office lse Onl:)
This Applic3tion Becomes Your Building Permit 'When Approved
Receipt 1'0.
D3t~
[ Paid
I Date
I
By
Buildin~ Official
\ED I tJ!
,,.,' ~ /,; ;:i : i
2~ hour notice for all inspections (952) 4~--9S50, fax (952) ~47~~:i45
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t;;;-~ ~~Ii<anl I PERMIT NO. ~ -0/,-/ -'1
(Please lype or ~rinl and silln If bottom) _
[ADDRESS
__3_035' 8>O\oCCllt
ZONING (office u..)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER __
(Name) _ I C.
(Address) ~_O,
CoV'L <; ~. r' IA. (+ i O~
~, ~JkD
(Phone) '?5:2 - 4 w I - 3'~ 3 Lj
rvl~
550'J. 0
--....-.-.--
APPLICAliT \. I:)
(Name) ro.rm: ~"'- rf8 & li4~
(Addn:ss) .~( 03Y C~ 'ii:s ",c;Ra \C
(A )
(Contact Person) J:h~
APPLICANT SIGNATURE -:L::> ctM'l 0 Q
t1ve,
(Phone) Io5l -4 <Q.p-7 81 '-I-
Fo.. r 111'1.' ~ \o~ 5.s O~ 4-
(eil (Zip Code)
(Phone)
L ~oOO.u-J
DATE B -- 14- O"Z.....
Quantity Type of Fi:r.ture Quaattty Type of FiJ:ture ,.._---....,-~~
~ Bath Tub with or without shower -3 Rough-ins
I Dishwasher , Water Heater
I Floor Drain Water Soflner
_""1, Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray {lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
1 Sinks Ba.ckflow Assembly Test
....-...-..-.
Bar Sank Lawn Sprinkler
~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industri,d. Commercial 8L Multi-family 1% of job <<:05t Wilh a $39.50 rninimum Residential. New One IL Two-Family 599,50
ResiMntial. Additions &; Alterations 539.50
:I-::i:r.:LUM~~~~~:=rt' re, ""i~~
STATESUR.CHARGE s~ .SO:::~WI7"N
TOTAL PERMIT FEE $ "'." ..~
.".
(Office V,e 0111,,)
Thill Application Become. Your Bulldine Permit When Approved
Paid
Reee1pt 'No.
Date
By
8ulldlnl omclal
Dale
V !"oJ
14 hour notke for all inJpcc:tilln, (951) '"1.9850, fall (951) 447....245
10d
SvZHHZ19 01
~lH ~ld N1~d WO~d WV 8[:60 ZO-vl-80
From : JECHEEXC
PHONE No.
612 8926396
Jun. 24 2002 6:22AM P01
~'
Date Ree'd
CITY 0.... PRIOR LA1'E
SEWER AND WATER PERMIT
- r~'ai..l
~/~
i: ~ ~u_1 PERMIT NO. a)- h ~/j \
. I I ZONINO(_~_I
I
PID
..
LEGA.L DllSCRlFTION (nmm liRe <:Inly)
OWNEk-r n --)
(Name) ---1.....L.\..-Jl.\..
ADDI'l'lON
CUI~.Jk ~'()()/1J
(Phone)
(Address)
;'f~,;~;,;, ',:.
Address)
"-'~""'\'."'::~I '.".'.
(ell)') ". :"':!~~ ~'" :. J::' (~ Code)
. ....APPU.CAN~
. : (NAm4;) 0,". e.e. h,e.,; Ey~. ....
(Attc1tess) J..a1 D ':In}\~ Ela ~ e-
(Address)
(Phone)
DATE
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
S. f ., \ \ '. 1
lze 0 water servlC' .....I--. me lCS. ~
Location uf uny couplings from StJ.uclur~ ~ feet.
. Type of SCWC1' pipe. 0 AHt; 0 pvc 0 Cast Iron
Estimated length of sewer line ~ feet.
Cleall out (ifn:quired) located H-l_ feet from strUcture.
Re.identllll &ewer 1I1lt! Wllter Iin~ COllllcdiulI
Sewer connection only
FEE SCHEDULE
$3S.-'0 lndustrial, Com'J &. Multi-family 1% of job cost with .$39.$0 minimum
$J7,50 Water Qonnedion only $17.50
ESliulIllud Cost $ q,. l'J
Building l~ermit it
SEWER ANI '. WATER PERMIT FEE
STA Tn SURCHARGE
"O'l'AL PERMI1' :FEE
$
S
$
.50
/
I -,-
(om~r Un 0...1,,)
Thl, Application Bocomes Your Building P4l.!mlt When Aprruved
Building Omdal
n..e.
I::::
") f,
F.NO.
(11
24 huur lIotlt.e to.' all hI5"l,ldloIl5 ('52) 44'7~9150. '8& (951) 447-42"5
OS/29/2002 00:17
5073~~~8~~_._.__._
CANNON VALLEY MOTORS
~~.. yr r~A~~ ~AAe
PAGE 02
ICI OUl
CITY OF PRIOR LAKE
HEATING/AIR CONDmONINGlFlREPLACE PERMIT
,
Pat. Rec-.
~~ S-.. I PERMlTNO'o-G I~
] I ZONING -.., I
crl'''~~
I ADDU~fi~f.uy /;'~l_
LBGAL DI!SCR.IP'nON (oCIClI - DIlly)
l.OT ..Z2..BLOCK 3 AOPlTI0N
PID
\~=
(Ad.4raa)
~~
-
r "... .1/
~) ia ~~ Jr/~ J
APPUC~T
CN&MC).
(Addrn,) !l. t..{
(ContaC! Person)
!WC~U ON
, l'\JaNACE MAg rlJ:D!L ,r'Jy.IL iuJ
,~~ SIZE ~ IJ t,.. Tt.I'ICN QPENlNOS
TYPI OF sYSTEM
IIftIl Air I'1",w
em.!" '
Mechulctl
I If Condlllo"jn.
I Van. S)'1TZm
rnulPLACE MAXB "NO MOD!.L
UPLAC; AL1'EMn~
-111 PtlEL ~
'7 rNPU1" J'~~ OUTPUT ~ 1,1)
~~OORPO~ap~
CJ 'I....
o HOI W.t.
a 11..lItilo"
8 SplCtal D"I- .....
Odllf Donica
rUASJ: NOtl:
Air Condhtan8l' Ullilll
C.nClt Enc:oadllnla
lo~l"" stelo yud
se.akl
rEE SCJlti)tJL&
J"dllSfrl.1. Commercial & Multi-J'amiJ)' 1 ~ of jab co.. Raldtmllal. Gu pll'SlJ..
139.50 I'I\lftit71Ufl'l
ll,atd.nrial. Hcalh1. & Ale (Nc~ Conlll'Ucthml $99.'0 Ilgidcatial. Addlt'QrI.a AttentiON
P.tsi4anttal. KaMI OD1)' (No~ Can.t'Nctlon) $64.'0 Ilcsldentl", AC On"
S:39.50
$39,'0
S]9.50
E.stlmated eM S
aul1dllll Permit "
HEATING Pi~ FEE
ST A TB SUllCH.-U,OE
TotAL PIRMII' nt:
$
S
S
.~o
If":\f .r:".".
'l:, ;'i . -. .J"',
ol... ~~. ~ l> , ,. ~.
. .1 :-;'~~~ , "
l
COllin u.. 0.",.
Th" AppUcadoll "'COalM ~ou IlIlIclIn, Permit Wb... "'pproy~
a.ll.'" 0..'
D.r.
t:,:
Z. bour ..UM far aUI..plCCloa. (952) "7.9150, ru (9SJ) "'141'5
---
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'nfrr of _lIr t..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ie (t 0 1t/5f}-
APPLICATION RECEIVED -5 - It{ - d-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- ~o 3~ 13()~cC(-I ~
Accepted
x
...
Accepted With Corrections
Denied
Reviewed By:
#}f3
Date: 6"-':<7-0Z---
Comments: See Reverse Side for Additionallnformationl
iltJV~~ tylf/5 f /':()lJnlC;/- i /\ -Ie> t>,~,.~ -h' / ( I ^ r('~1/
of. Iv+.
See Attachments: -1) Grading Plan, 2) Erosion Control Measures
3), Fr,?~ion C,ontrol 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 Center or the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IC
5-/L(-~
d!.-o fl/5-t }-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 0 3S- B o);cd+ 'r;,-
.
Accepted
Accepted With Corrections
x
Denied ~
Reviewed By:
Comments:
~cJfo/tf~ ~ d/7fl;
Date: ~-2[-oZ
"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 ('enler of lhe take Counlry
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:
. l
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~""'_~-<"44-1
Date:
0- /2-q tiJ 7-
Comments:
--1lo ~W>'l q5 >}1v'U-WN'-P
~/\ I' ~Vf)~~ €4''---- S e t/L1. e ~ r
I..5Pr ~/61M-~'
~))
)t~~ l)-1. U~
"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."
",.~~"_~..:_...__,,.._._~,.._,,___=,. ,.".",_,_~_,.___....,.."~,,,_'...__""" ".~_.~,,,,-...,."_"_.~"^~~~"~'m~._,_._.~_~.~_~_""
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 30 s S- I~eo...l 11-
NATURE OF WORK N€A.J
USE OF BUILDING SFp
PERMIT NO. () 7~ DATE ISSUED {>-2/-<YZ--
CONTRACTOR Tt. c ,(J\.1 PHONE 1i:?2,... 'lJ,J.-r?9S?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG E
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ 'r;.f. ~l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
10- zz ,O"l-
I ' i & v lJl.,/'
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
. '.,,0'1/
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 9:0t> A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
crYi" OF PRIOR LAF-E
Impervious Surface Calculations' '.. "
. ,(1.'0. be:Submitte.d W,tth 13,~iIding PennitApplic:aicn)'. " ..
For ,All Prop~~es,Loc:ite,~ in the Shore!and District (3D).
The ty.fa;r.imum Impervious Surface CaYerage'P~~tted .ii:l30 Percent
T
Prclperty Address 3 C 3) b()(;JLffT Ifc/-J/i ~,{ 1.-1/
LocArea /Z{)M Sq. Feet x. 30~tQ -.............. 30/L.
*~~******.*****.***~*~******~******.****.~****..****~*******************
HOUSE
LENGrA
VlIDT:~
SQ. FEET
; ,
x
x
x
=
=,
ATrACF..ED GAR.AGE
=
TOT.A.L PRINCIPLE STRUCTURE..............._.....
"2273
PET ACHED ELDGS
(GaragetShed)
X;.
x
TOTAL DETACHED BUILDINGS..............._......
pt;
DR.:~"'YE'N A YlPA YED AREAS
(Driveway-paved or not)
(Sidew~lk Parking Areas)'
(" '"
(2..7 X 2>,33) - s-c> =
>:.
" ~3.1
=
33 X 4-- = /~'L
T OT.~ P.'~ YED AREAS.........................................
-rr Cl
lit::;, ( (
PATIOS/PORCI--:ES/DECKS.
(Open Decl-.:;' Yo.. min. '0 lJt::1in g. bct\\'e:rl
board~ with a perrious surface beic'W,
U:I not :::onsidc::'1:d'to be impc:r;i~~),
x,
X
=
=
x
=
T OT _~ DE CKS......__...;...._...._..............._....._.. j-Ilf
'. ..
OTHE?
x
=
x
=
O u-rrR .. fjt
l' 0 T.4.1.. T ~ ......-..-....._...._....._....._.............. I" '
TOTAL Th'rPER"Y'TOUS SlTRF.A.CE
:2./,'0 fl. ,/)
"/t/ ,/ (.., I
I
I
....,._...---0:..-=..."
( C:~D ER;~bvER
~;:ti By . Z:. -;t~
1/1 i, (" . . ~ .
Campan:, j'/{;-tJr.tA- t'1.~Uv~"1).-1--f} v.....
j/ . (}
573, /
.
.-J
Date
5" ~ / () .-cJ L.
pI.. .J.J.. 431. - ~ ooc
_ uone ,.,..