HomeMy WebLinkAboutBuilding 02-0617
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Jf-15-oY
I PERMIT NO.O l-oCP {7 I
I. White File
2 Pink City
J. Yellow Applicant
/lfJ6:3
$~d/~~e~
~ (f ,-VI'r/'L-D
j1/JV
LEGAL DESCRIPTION (office use only)
LOT S;-BLOCK:L ADDITION
OWNER
(N ame)
CEIV~lL fIo~t,s-
(.2 'I "0 f/o/' If I n-W- ~~ It.-.-
(Address)
BUILDER /' _ /j
(Name) ve~~,L no/ly€'.$'
(Contact Name) {! flat /" t'e-I!;)CHl:=o
(Address)
() / ~uJ
~-
(Phone)
.5;'" { ~ rd... 0
ZONING (office use)
7S-.J.-~}b <~ 78 '$ ~
/11 r /lr-1V'"'71J 4'~
r]V~
96""J...-97~ ,- 78$$
t? ( .,l - ? ~f 't J ~ t:t
TYPE OF WORK
ORe-Siding
BN ew Construction
ODeck
o Misc.
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
(Phone)
(Phone)
OPorch
ORe-Roofing
1..< s-, ,0 I
OUtiIity 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 plan I a aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e erty to fo ed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
our Building Permit When Approved
L/~28-~7
Date
OAddition
OAlteration
#
#
#
#
r"-/S--d-<.
Date
$
$
$
$
$
$
$
$
$
.00
.2()O?(P737
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid ~-3oo. I ?
. Date s-- 2..1 r 0 2--
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
~;;n si d by the ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction tOl;:.e. BefoAe occuPnncy, a Certificate of Occupancy must be
_5/2-~/C!l- ~o ~H~;t.. c.~X-I-e\A~
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
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White - Building
Canary - Engineering
Pink - Planning
Th. e.nl.. or Ih. I..k. ('ounll)'
BUILDING PERMiAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C elJf-e X. AI 0 111er;,
APPLICATION RECEIVED Lj- ~ D;A.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /
ILj3b3 6raPYJ1Y?re-I3Jvci
Accepted
A:
Accepted With Corrections
Denied
Reviewed By:
I//I1B
Date: LI<J.'1-0~
Comments:
5c!~ mOl,''' h'lt
"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 ("tntf'r or Ihe I..ke Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C elJftX Nomes
'-1- I~ Od-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: )
/Lf3 t:3 6r-tdc'merc,/J) veL
/..-
Accepted
Accepted With Corrections
Denied ~
ReViewedsl fJ&"1~
Comments:
~o ~ l\o..~"'^- ~ L.Q
Date:
Lf~:;)8 -O~
"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."
Date Rec'd
CITY OF PRlOR LAKE PLU~IBING PER.vlIT
APR t ~ 2002
ADDRESS
/c/lJi/3
t/'L/t!/h~/f
6/1/1
~. ~~ ~:~ I PER.yIlT NO. /))- / ~/11
). Yellow Appllc:lnt . ~ ~ -.
\ ZONr.--iG (mf." u,e)
(P~t::lse tvoe or orint md Sign at bottom)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADO[TION
pm
! O\v:-iER /P L
! (:-i.lr::e) (~A rl!0
I (\ J ~ "aro)
i ...............l.i...'-.j.j
(Phone)
(Phone) tl~"' t/t?e / o? /~ /
,1OY'dtJA / ~2:5d~
(Ctt~f) (Zip Code)
1~~~~;A~~~~ ff- !
(Ad","') ~ ZJ. i)/r~
(Address)
I (Cor.tJ.c: ?<::r~on)
I APPLICA:'-iT SIGNATURE
(Phcne)
DATE
Quantity \ Type 0 f Fixtu re I Quantity T Type of Fixture
~ I Bath Tub with or without shower I J 1 Rough-ins
( I Dishwasher I ) I Water Heater
APPLICANT PLEASE COMPLETE BELOW
I
I floor Dram
Lavatorv (Bathroom Sink)
I L d T 1 .,
k
I Water Sofrner
I Stand Pine (Washing Machine)
E"
J
I
I
aun ry ray ( or.:. compartment Sin . I I :::>ewage Jector
/ Shower Stall I Backflow Assembly
) Sinks \ Backtlow Assembly Test
Bar Sink I Lawn Sprinkler
J I Water Closet (Toilet) I Other
...J
I
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
"
R.:sidential, New One & Two-Family $99.50
Residential, Additions & Alterations 539.50
Estimated Cost S
Building Permit ;;.
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERi'\1IT FEE $
.50
,~"'o-
'" t6;;,~~" .':: ,
.....,
(Office t:se Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
D.tJ.~ 5 ".."-
By
Building Official
Date
1~ hour notice for all inspections ~951) ~7-9850, fax (951) ~47~1~5
u
AM HEATING @ COOLING TWO
7634283682
P.03
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
.'i:i"}
....~......:....,.f................{...'....:.t...:. ... ..(PIcasc~or print aDd sign at bottom)
....'~:......'.j.l' ADDRESS
:~,_,~;:,. / ,.$ ~,tlQ ~ ~.'_. ,q,A,Q
~:~ ~:~, (PERMIT NO.;)_ fcl 7\
J. Vcl\g.. Applo..... _ .
ZONING (office we)
,
;,1'1 LEGAL DESCRIP110N (office use only)
:~~,~4
~l~
~: ~:~.~?f'
'tGi .-
'~f'1
i~
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~ (" f--<. 'L
tf~ n-tlS
(Phone)
(Address)
.APPUCANT
(Name) . ~~CII ./r,' "1
(Address) ) P'-.)-5"c)
~ t7oo(i^J -rpo
~qI g/
(Phone)
7' 3 - ~ ;;.)' - ";J to 71
5'" ~- 3 " <f
(Zip Code)
C.r~
t:!CJ..... 1\~'t
(Addres
hi .P!4
(City)
(Contact Person) -r:;;, ~ 'f
APPLICANT SIGNATURE
(phone) ~f 2. - ~(.'~ -~~v, i
DATE 7- /.i - d~
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT 0 AL TERA nONS
'? 5/.3 0 ~ G, ~ 7'0 FUEL Co 0.. S
~ INPUT 70. aeX) OUTPUT 5"S". coO
HEATINGORPO~RPLANT
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8"-y A I't ..f
FLUE SIZE 4- II RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OGravity
o Mechanical
~r 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 & AlC (New Constl\lction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
S64.50 Residential, AC Only
539,50
539.50
539,50
Industrial. Commercial & Multi-Family
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
.~-
Paid
7
,
Receipt No.
Date
By -
Buildinll: Official
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
10/07/2002 12:00 5
-..... -- - -.. - .......,. --...,....
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PAGE 05
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,. .."UCAln' 1< &. R ContraCtin" Inc. '
, ~:' 324.5 Lake Avenue (JItI:IDe) - :
~ CA.,*-) _ NeoN Prague, MN 56071 I
I 9,22.158.6247 ~
(C..__ ~.:-~ ~/. ::., -
..nW?NTfJQ'!~--tftfJ.a7><"-~ DA!Z · 1p7;/&:""'" :'
A.PPLIC~T PLUS" COMPUTE BELOW
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lal'l _ColIS IwWi8l'-i' .
IlWU.um'l/ tit. PDMlT na $
'TA1B~ I ~a
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ra ICIII.DIJ1.&
r.. II w. Calli'. ~"iI1 I" C1tj~'" ..idla 519.50 ,....-
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,_.._Iii -t.,. I - -- Oell f) 2062\"_ - - .
I'll.......... ~ III _ . .,.a. ..,..-. "IM)..-r~
I
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i
PRIOR LAKE
INSPECTION RECORD
L ..Jee ~ r - ~a..\ V\, -r- ~ \ --€
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -I.!j:see 3 15~~M Qr~ ~\v-4
NATURE OF WORK -W-el ~
USE OF BUILDING 3 FA I
PERMIT NO, 02-0C~/'1 DATE ISSUED q -26" 02-
CONTRACTOR Qe~_At-~X PHONE G,/2- ~7 - t..{:;;2.{
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING [ 'ff} \/; !
[ FOUNDATION (Prior to Backfill) i ~ V I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
\
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
ELECTRICAL
PLUMBING
HEATING~A L-ifi/,::- 1"'--
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 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