HomeMy WebLinkAboutBuilding 02-0641
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
?,.'\ ,~
--t; " \
tJ bCA '\
LEGAL DESCRIPTION (office use only)
LOT t-'J. BLOCK 3 ADDITION 6ovt-\i'n
\,\.1\
OWNER
(Name) fY\ ..,,~
~~', \ fAA..i)
cE-7-O )--
1. White File
2. Pink City
J. Yellow Applicant
(
PERMIT NO. 2
~
ZONING (office use)
~rlor k~k
I
i
PID)5.....3 ~.
(Phone) crS2- - 4Q",- 5"300
(Address) ll.\ q
BUILDER
(N ame)
(Contact Name)
(Address)
l
ftI G rl". D.,e-' \ Cio-\ i)
~\t.-
tlU..
~~
ODeck OPorch O~:foofing ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ It.; '~{'" (",
~wv-t--
TYPE OF WORK
~ew Construction
OLower Level Finish
o Mise.
(Phone)
(Phone)
C\' Sz.- '1c:J 1.1- S"'3 bO
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 r oke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
exnter upon the prop~erf~. ed ins
./ ~ /U/'4
Signature Contractor's License No. Date
This is to certify that the request in the above application and accompanying documents is in accord c with the City Zoning Ordinance and may proceed as requested. This document
when si ned by the City Planne constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issu ' /Yl9 . ~ A (1 I~ ~
r~.-A~-r----r______,S!] {/c07-=- ~~ (/$~_~/4-l ,-OiAa!L(Y/r:j~-<
irector 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
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
6- - , 7-oL
Date
Park Support Fee
SAC
#
Water Meter Size 5/8"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
bSO'~.
4'tI--.
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl., of lh. Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/
I
.J
APPLICATION RECEIVED
,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: ~. ~
Date: D/?! /o~
Comments:
k [/VV",l~/.O {?1j~~~~ ~~
J~~:iIW}W~~ *Th~~ 4=t- O~ IE{2r
Q ~~ L~~/.
"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."
._."~.,.~,"'I':\",!".",."",,,,,,,,,~,,,,,,~,!I~~~"''''''''''''''~''"''=''''''''''''"=''"'''''''':":.,.,'~'=""".,,,=..,..:....,,,~.,.,.-,'-.-.'..".-", .~'---"'.-'-"-"-'---'-~'--"-~' -.- "0
,-----.- ~
White - Building
Canary - Engineering
Pink - Planning
Th. (.nl., of Ih. L.k. Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
if) (j r II R e (' I () /JJ
[:.... 7-0;J-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propos~d at:
. ~ q / -:l e I/Ueat:: J-^--'
," \
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
jV/lB
Date: ,s--2. (-o~
Commehts: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
~) Fr0,~.inn.CQl]trol Plan
liThe 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
Thr ('t"nerr of Iht Lakr Counery
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
mayl! R e (' '(lwei
:;.... '7- ():J-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w ich is proposed at:
bk~c- ~.~
Accepted With Corrections
><
Accepted
"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,"
.' '. .
CITY OF PRIOR LAKE
Impervious Surface Calculations" ~ - ..
.. .c:r:o. be- ~ubmittc.d w.ith B~ilding Permi~ Applic:xticn)'. .. . .
For All Propc:I:t!es Located in the Shoreland District (3D).
The Maximum Impervious Surface Coverage'Peniiitted. hi 30 Percent~
. .
Property Address
Zc332 tct344r. ~~/L- ~}!/
. '
Lot .A.rea /Z ;5'0. (70 ~ ~E#/tYT~q. Feet x 30% -' ......~.~.~... ;7t::J~ .
*****~**************************~************~*************************
LENGTH
WIDTH . SQ. FEET
HOUSE .
x =
\
,.. .
x
x
ATIACHED GARAGE
=
URE ttJ94
TOTAL PRINCIPLE STRUCT .....-.....---...
11o/<:t.Ul>e-S ;PllI'U"H
#4:? C>1P7).
. DETACHED BLDGS
(Garage/Shed)
';(;..
x
DRlVEW A YIP.A YEn AREAS
(Driveway-paved or net). ,
(Sidewalkl?arking Are3S)'
TOTAL DETACHED BUILDINGS....................... ,VA
(?q x Z~,33) -'25 =
7t?r,t,
" . x.
=
84-
,
"ZI x 4-
=
TOTAL P A YED AREAS.........................................
iqj.6
x.
.x
=
P ATIOSIPORCHES/DECKS
(Open Dech .;... min. .opening' betwect
boards. with a pervious surface below,
are not considered'to be. i~.pcr:'i~~~.
x
=
TOTAL :D ECKS....~'7"'"-...;...._.........._........":"....._.. ;)4
OTHER
x
=
x
=
TOTAL OTHE.R......-.--...-......................-........' ~ /)
. .
TOTAL IlVIPER"VIOUS SURFACE
@:ER. -.--rJ-,
Prepared By . (t'lt---- / ~
Company I/lAJL t;~M~ 0-.
I ~t57r6 '1
r g /7. 4- 1
Date >~(I-z:12-
Phone iF 4" L - :5 OoD
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7-/1- 02-
; ~~~~;w ~ii~~. \ PERMIT NO. 02- () / A_II
3 Gold ApplIcant ~j
ZONING (office use)
KI
I.5Of5~T
/72fq1L-
NW
LEGAL DESCRIPTION (office use only)
LOT I LBLOCK..3 ADDITION me 11/1 L-0..5 ..s ()t/77-/
PID
-()
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT SIGNATURE
(Phone)
~ '-.
(City)
447 - ::3e84--
APPLICANT
(Name)
(Address)
I
(Zip Code)
(Contact Person)
(Phone)
DATE
7 /7- ~
EASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at _ feet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Building Permit # 02- 0" -1-/
$ ./ ~< ~... ~..~
$ ./ .5Q,'_ Jri...~ ..
V ~.~~/
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
7-/1/02-
Date
es Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I, Blue File
2. Gold City
3, Yellow Applicant
()r ( 'r1.~ a.Q
I PERMIT N . 0 )-IoL-fl
ZONING (office use)
ICC,',
;)
t r,u('
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITIOrl'
PID
OWNER
(Name) (VI A, \c. Re', \ 'CIn d
(Address) I Y '1ca :)UM
1-".0...'1$.) - 8(.t3 - '10::1'
(Phone) C, II i 'S.:<' - '1~' ,1 - 5300
~(f',~ i \\e m"J
55
APPLICANT
(Name)
~
(Phone)
7/'3- 5:</5--.//33
S-)(j
(Address)
1/ ,f ~
(City) ~ (Zip Code)
/r~ / . ,
(' /'7" ,/I -, ~,.
(Phohe) , ,,' ./ I: G4 . (. C? /V ./\.A::.- I
"'V_I_())
C> ---
DATE
Quantity Type of Fixture Quantity Type of Fixture
--.;z Bath Tub with or without shower \ Rough-ins (~AI &~h \ \ "I.C, \ t" I \
, Dishwasher \ Water Heater 10--1 C,A\\. e\~<:k,c._
i Floor Drain \ Water Softner
I..J Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I I,. I \) Sinks Backflow Assembly Test
',,~ (c.....' ") v.-
I Bar Sink Lawn Sprinkler
3 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
*' ,,/-('
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ .,.800
,
Building Permit # 0;;' - C><.P,,-\ \
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :.:n ~::y I PERMIT NO. "1_ / lei,!
3. Yellow Applicant . ~ <.0 7 L
ZONING (office use)
bob {~ --t
--t- LX. \ \
LEGAL DESCRIPTION (office use only)
LOT\. L BLOCK ~ ADDITION vl\.H I )..5
s c::, ~'- -l ~
PID
OWNER
(Name) If'v\(/I' LL
--:::'. \ '\
fC----<'-. lL.-_~
(Phone)
-1'-) Z - '-1 C1 LI - S-:3c...l c;
(Address)
APPLICANT
(N ame)
Sf1A/J117 ./
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
y~/~on:ATE
sl(e; /0 2-.
7
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~.~\"'^\ ,\,rJ \ ~c::r C/t'1. f L( I 00 () FUEL LA ~~ -L../eAl
FLUE SIZE ~ \f\ RETURN OPENINGS ~ INPUT 1 [)0 DJ OUTPUT -1 '1 <;0 D
\ l
TYPE OF SYSTEM HEATING OR POWER PLANT
L ''SS-031o:
FI&f.~LACE tMK.E AND MODEL 5"'1/ rc:t \
OWarm Air Plants
OGravity
O)v1echanical
t3Air Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
'l - 5~ (.....e....s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % 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
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.50
Date
(Office llse Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FROM: C,Connerlnc
FAX NO.
5357755
Jul. 30 2002 09:21PM Pi
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~', ~;;~ I~~:~y IPERMITNO- 'd- '" [;; 41
J. y.lla.... Applleonl L
ZONING (olfJJ;c us,,)
Ple.ase tYPe or print and sign at bottom)
ADDRESS 079 I ~ Bobc-,,-t T f"'~~ \
? r.ot" L~'l.e rrnJ
. .
LEGAL DESCR1PTION (otf;cc: use only)
1"10
J
LOT
BLOCK
ADPITION
OI"r'oi:. _ t:ts::J - 'il9 S - lIQ2
(Phone) (",II - oif'5:;l- ~q~ ~ 5'3~
OWNER
(Narne) (Y'\f\f"'~ Ke..; \~.Qd
(A~dTCSS) ,,4 ~<6 'Q,,)fY'<"n"-\- C~:i~e"',. \\r""~
~ ...~,=>\J\ \ \e mN
.
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~ (CitY) (Zip Code)
(Contac,Pc-r.;on) ... _.---..--- _ .(p~Ld--z. (""'''''/V~,.
APPLICANT SIGNATURE DATE - '}> - I - 02.
APPLICANT PLEASE COMPLETE BEl~OW
_ Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Clos~! (Toilet)
Qlla!,ltity
F'EE SCHEDULE
lr\dllstrial. Commercial & Multi-family 1O/n <>f jl)b cost Uliln 11 $39.50 minimum
Residential, New One & Two-Family $99.50
Re~idential. Additions & AlLerations $39.50
Estimated Cost $ ,. 800
,. -"-
Building Pt:lrtnit# C)~ - ~(,p~ \
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AI_ PERMIT FEE
$
$-~
$
.50
r
I
This AppliC:lltion Becomes Your Building Permit When Approved
Paid
~~J~~ ~ h. ~
\.., - --.;;;.,t;;;;:,', '.
Receipt No.
(Oflkc USC Dill}')
P.....
.-
'-'
Building Official
'].4 hour .,otice for all in~l'cdions (9S1) 447-98SQ, rRl' (951) 447-424S
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~i J 3 Bobro..k- ThAi \
NATURE OF WORK ~e.vJ
USE OF BUILDING -SF\~
PERMIT NO. O~- ~"tl DATE ISSUED 6"-/7-<52-
CONTRACTOR Jj()J'-k ~e\\o..~ PHONE36~~+'" 5~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE H
ROUGH - INS
Ocr
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 Stucco ~ I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING \J~~~
HEATING
DO NOT OCCUpy
&7(.,.07'
r
\Je,
Iz- -Z~
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 ~dditions
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