HomeMy WebLinkAboutBuilding 02-0652
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5~(~-O~
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. Ol -OhSz..f
-
-- -
~~ AJuJ
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER
(Name)
(Address)
PID
ZONING (office use)
I
~J.-O).D-O
(Phone) 9-r{~ - Lf(J3 - t,'-~51
(Phone)
(Phone)
95~ '815K''It.t~
X 11):J...
BUILDER (. ~ ~
(Name) 'L
(ContactName). - rJ- -~~~
(Address) I y~ I J ~ f . S iF~DZ)
TYPE OF WORK
ODeck
OLower Level Finish
o Fireplace
PROJECT COST/VALUE (excluding land) $
o Misc.
ORe-Roofing
OAddition
OAlteration
ORe-Siding
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the p,ope to perform needed inspectio
~
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Gas Fireplace Permit Fee
ur Building Permit When Approved
5"- 2A -oL--
Date
~ Ii 7
Contractor's License No.
Park Support Fee
SAC
#
#
~Jlb/n~
'Date
$
$
$
$
$
$
$
$
$
Water Meter SizeS/8; 1"'-
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
\ Paid
Date
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
::;:t~'~cr.'~'tiW"" "mp""" Ccrtif=" of Zoom, _-, ~d ill~ ==ction 'j;;:;cr. "T ocro,' ,C~di"" of~ ="'"
~--.,. ,5/31 Ie;>-- S'-/lJ€! ~V-<'L t rI""'~{'~W''''''"'
Planning Director Date .." Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
$~/~-O~
L White File
2. Pink City
3. Yellow Applicant
I PERMIT NO.
ZONING (office use)
~~ AJuJ
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER
(Name)
(Address)
TYPE OF WORK
ODeck
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) S
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 p,ope to perform needed inspectio
1
o Misc.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
I
PID
(Phone) 9~~ - Lf03 - t,,,'i3 I
(Phone)
(Phone)
95:;" 815" K''I y~
X 11'1 ~
ORe-Roofing
ORe-Siding
OUtility Connection
OAddition
OAlteration
~ li7
Contractor's License No.
~)/b//J';)
'Date '\
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
I Paid
Date
I ~;ceiPtNO.
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
1:19PM
,
~6'v, l."-\- \r~., \
.-,~
NO.41?
P.l
Dnte Rec:'d
~: ~~ ~:~ I PERMIT NO. .
3. Yello.. Appl....'. 0 ~ - Q ~ S- ~
I ZONING (o"~ ",'
.-"
LI~q~L DESCRIPTION (office use only) l
LPT:lo BLOCK \ ADDITION \\~ \ ~s. ~'^
O~ER
eN jlrI}c)
(A ,",dress)
-G:.. ~ II "
PID
(Phone)
C!\ S J._ ~ t\ ~ -'6 '-\\.\ ~
~
o \A ... ""' !!.
s C;")()
"
APP~ICAN'r.N\ -L '^ \ -r--
(NaTe) \. '''-. ,f'\.) ~ \,.... -\- \'i ~
(A~d~'css) , ~ q ~ to \.J ~, l (,J "'- f\ \I '-
. t\ I (Address)
(CYI11Ilct Person) l \J ..., V'\ (.....\1 S L-" ~ 'l....' \..
AP-fUCANT SIGNATURE ~~ b ~J..k.
. y
(Phone) S S :).. '-\ \\ l- ~ \ ~ ~.{
(' n ~)- l'-. \~ ,",'.v
(City)
(Phone) 9 ~ ~ - "\ \...\ f - ~ I Q '--\
DATE
s S~', 'd.
(Zip C()dc)
-...
APPLICANT PLEASE COMPLETE BELOW
FEESCHEDULK
I"/D or.lob cosl Residential. Gas fireplace
S39.S0 "1llIimLlm
$~9_S0
SM.50
EW CONSTR.UCTION
FU~ljACE MAKE AND MODBL C ()..,r ri \,-
FlV~' SIZE .(J\J C RETURN OPENINGS
lYPE OF SYSTEM
. . .mW1rm Air Plants
OGrayjly
o Mechanical .
e)Air Condilionlng
-3JVent. System
FI~EJ:LACE MAK.E AND MODEL
Jnd11S11 ial. Commercial & Multi-Family
Relildc;rtiill. Healing &. A/C (New Constt\lction)
Re~jdC;Jltial. Heating Only (New ConstrucLioll)
de $ ,ro..., i"-7'\.....1D~
Estirl111le ost -...J ~ ~ ~ 7'
o REPLACEM.ENT 0 ALTERATIONS L
{\-\\I'fJ ~'OO fUEL N~\
'J INPUT \ 0\ , ~O OUTPUT q '\. O~{J
HEATING OR PowER PLANT
o SltaJlI
o Hot Wlile:r
o Ilodintion
o Special Dcvlce.\:
o Other Devices
I)LEI\SE NOTE:
Air Conditioner Units
Cannot Encruach hnu
Required Side Yard
Selhacks
$.19.50
Residentilll. Additions &. Aheralions
Residential. AC Only
Building Permit #J ad - \:) ~ ~ ~
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,-.-
,.. PI! ,
LJ;f I" "'..'D,-
I """~/q,D;,".. .~_..
.50
(O"i(1 LIse Olll~)
~~
Thl~ Applic:.Uon Becomes Your Building Pernllt When Approved
Paid
Receipt No.
a
Date
13)'
BuildIng OfOdal
I; !i
-.~
DatI:
1. Ilour notice for III inspediDn. (951) ..7-9150. rill( (9S1) 4147-41.45
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
ft, 11/0~
~. ~\~W ~i~~licant I PERMIT NO.()z, /otoSz.,}
ZONING (office use)
l.'~bt, llof5C/)T ;12-. rJ LV '
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) f,lJUowoc"Il Ile./fII !:5
(Phone)
(Address)
(Address)
(City)
(Zip Code)
~\.-4-~
(Phone)
L iL t/ L .
(City)
(Phone)
DATE
9S) ~,f 1:) ~ b10b
f roi./'/
(Zip Code)
APPLICAN.I .
(Name) ~IL~/f elL G.>(C'
(Address) I fp /1 II J () P L ';;,j
(Address)
(Contact Person) e IA rL 1-1
APPLICANT SIGNATURE C r
4) l1- '/
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 ABC , ~ 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
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
00
Estimated Cost $ 25 aD .
Building Permit #
$
$
$
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MATTHEW DANIELS, INC.
423 3017 P.01
LJlUe Kec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. BiLle:: File
:. GoIJ Cty
1 Yc:llo.... ""ppli~nI
I PERL'\-IIT NO. a -- 0;:V 1
I
ZONING (affic~U$cl
(PIt:;l.Se cypc= or pn.nt and $i~ at bott.Qm)
I ADDRESS
2..qto~ . ~u.:i= ~j~ i.*
LEGAL DESCRIPTION (otnce usc= only)
LOT UJ BLOCK I ADDITION
PID
(Address) I
~
aw...
(Phone)
95<9. . RqFJ. i~~g
J
I g.~;'~~~d"!# .~
i
APPLICA..'i!~ _ . ~
(Name) f~ OJ?> /111 J dAlJ. -....A/. f'_.
(Address) '-~ (JAJd~.Jj Xl J J _ ~jh
(Address) If J
APPLICANT SIGNATURE
(Phon.:) fcS'J.
~ J rY.. A .11 .I. Jr, \...tJ.;)
(City)
(Phone),. 65"/.
,,~. ..37.~D
-S5'06?1
(Zip Code)
~~ . 3'1.30
(Contact Person}
DATE
Quantity Type of Fi:(ture I Quantity Type of Fixrure
.:J.. Bath Tub with or without shower J/ Rough-ins
I Dishwasher I J Water Hearer
I I Floor Draip I A.L... Water Softner
4- Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
J Laundry Tra~' (lor 2 compartment sink Sewage Ejector
I I Shower Stall Backflow Assembly
I Sinks Bacld'l.ow Assembly Test
Bar Sink I~ Lawn Sprinkler
-~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Indlolstrial, Commc=rcial & Multi-family 1% of job cost with a. 539,50 minimum
Residential. New One &- Two-Family S99.50
Residc=ntial, Additions ~ Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
ST ATE Sl1RCHARGE $
I TOT AL PERJ.'VIlT FEE $
"1"~
.50
/tJlJ. "a
r---- -_
IP'." ~ ~D '-~'8--
, . d"\. lfvITH ..,....,
-~,,~_~~:I,\'" p__
-_____.. ",J\:'~i".....~r,r'1
___ L:.;.lil.l..i\:f'olId
(omu Use Only)
This Appli~ation Becomes Your Building Permit When Approved Paid
Receipt No.
.... ~JliUildinc omclal
-s.~
,r
Date
By
Date
14 hour notice for all inspections (951) 447.9850. fax (951) 447-4145
,
TOTAL P.01
GlNERS BUILDERS SUPPLY
-------.-.-.--- -.-------.---- -'--
08/14/02
13:42 FAX 7635530887
~-~~~--- -
REA TING/AIR CONDITlONINGIFIREPLACE PERMIT
l. piak
~ Gnd
J V.II_
~~~ ~ERMIT NO. 3- -0 :7<--8
ZONING (officc U:iCj
r""" 0'0< '" prin' "'" "'" ., bo..m~_
ADDRESS
;19/gto ~ab Ct t
-- -
I ta..\.\
j
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
OWNER
(Name)
t,,;/, (l~ wool
(phone)
(Address)
APf'LJCANT SIGNA TURf,
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 ~PLACEMENT 0 ALTERATION'S
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYS"I1Thi HEA'llN'G OR POWER PLANT
OWarm Air Plants 0 Steam
o Grav ity 0 HOl Water
o Mechanical 0 lladiation
. OAir Conditioning 0 Special Devices
OVent. System 0 Othcr Device;
(Phone) 7b 3-10 9tf-i.//Pt3
P \'~ mOlJ1-k
(City)
"/ f4, ~ - (p ~-Y/' ,:;,
a/J~
5SW do.
(Zip Codi;)
APPUC.ANT, <-
(Name) ~~i~~" )= ~~~~ r,e
(Address) , 0 J.5 ' ...Je(\ V ~
(^~c1rcss)
(Contact Person)
DC)
(phone)
DATE
PLEASE NOTE:
Air Conditioncr Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
e:.
T-d.-kJ
ReSidential. Hcating & AlC (New CO\lSUuc;tion)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residcntial, Gas fireplacc
$3950 minimum
$99.50 Residcntial. Additions'& AlleratiQns
$64.50 Residential. AC Only
$39.50
IndustriaL Commcrcial & Multi.Family
$39.50
$39.50
Estimated Cos. $
Building Pennit #
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.50
(oroce llse Only)
This p.pplication Becomes Your Buildipg Permit When Appro"ed
Paid
Recclpt o.
Datc
By
OIUC
BuiIlJ;n!; Official
24 hour notice for 1111 inspections (9~1) 0147-9850, flU: (952) '47~245
o;<--~51
White - Building
Canary - Engineering
Pink - Planning
ThE' ("tnter of 'he- Lakf Counll1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By: ~
Date:
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Comments: See Reverse Side for Additional Information!
Driveway Must Have Concrete Apron
Damaged Concrete Walk P<lnels
.",'ill ee replaced by the Bllild@r
y'/ prior to issuance of Final C. of o.
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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 ot r ordinance of the jurisdiction. Permits
presuming to give authority to violate or c cel the provisions of this code or other
ordinances of the jurisdiction shall not be va '0."
Thf' Cf'nlf'r or Ihf' t.kr ('ounll"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
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Date:
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Reviewed By:
Comments:
Z::~V"'GS LL>~9e<-v {A}{JPQ ~y~Qk y.y.::t-y(/!f<
CAX:-~/~~ t;=-\ +-VZ01A~ ~YJe (-c:fSf:iA~/
"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."
Thr ("rnlrr of thr I.akr ('ounlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructi:;a9~ty ZiCh io;2~t+- T I---
Accepted
Accepted With Corrections
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Denied 0 ' /l
Reviewed By: ~ ~;A-- Date:
Comments:
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"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:t:o. be :Submitt~ w.ith l3~ildjng Pennit ,Appliction)-. .. . .
F or All Propc:~e5. Lacate.~ in the Shoreland District (SD). .
The Maximum Impervio)lS Surface Coverage'P~niiitted hi 30 Percent~
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Property Address ~ (/ lftJt3447 , ~~/~ A%' }r/
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Lot Area /2. ;)0, (70 ~ 6?>E#/t?-7~q. Feet x 30% -' ........~.~... 37t:J~ .
*****~**************************~***********~******~******************
LENGTH
WIDTH . SQ. FEET
x =
HOUSE .
x
x
I
,.. ,
ATIACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE.._._....._-_...
ZtJ94
/AlcU"P€,s f?PIU"H
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. DETACHED BLDGS ~..
(GarageiShed) X
... . TOT.AL DETAC~D BUILDINGS........~......_......
"vA
DRlVEW A YfP.A VED AREAS
(Driveway-paved or not) ,
. (Sidewalkt'arking .Areas)'
f?q .. X 2~.33) -'2~ =
x.
'21 x 4-
7t)~,C,
=
84-
,
=
7Cjj.6
TOTAL P A YED AREAS.........................................
P ATIOSIPORCHES/DECKS x. =
(Open Det:Xs' .,;... min. .opening- between ..
X =
boards, willi a pertious surface below,
are not consid~ 'to be. i~pc::i~~~.
X =
. . ..
T OT...~ DE CKs.....__...;._._..........._......._.....-..
. '. ..
;)4
OTHER
X
=
x
=
TOTAL OTHER......_.__..._......-..-..................... p'1l
. .
TOTAL llVIPERVIOUS S1:JRFACE
~:ER_ .--r!.
BreparedBy ./~. /~
Company l~"L ~1A~ C>
r-u&7.b.~l
I 8/7.4- I
Date )> (~ -t:12-
Phone #= 4, L - S OoD
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ::J.1{dg t)~6m2.: T~
NATURE OF WORK A.JJ2.4..J
USE OF BUILDING SF ()
PERMIT NO. 02 -6~52- DATE ISSUED S--..&3-L>?
CONTRACTOR Wiv&.~ ~ PHONE !iii' 9<2tl1~-8rt;~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
I FOOTING I ~
FOUNDATION (Prior to Backfill) a~ J?2/ 6--J 7../ d z-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
C, 00 a.
8'-/
DATE
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SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f: R ~
We.,
, 02/
/ GS 0 L
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to S
BUILDING C) 8/ { .. 0
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 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