HomeMy WebLinkAboutBuilding 02-0659
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-22-02-
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO.OZ-OC>5j
ZONING (office use)
/'Z- I
34-43 Sr'ev~ ~/L- SIA./
LEGAL DESCRIPTION (office use only)
LOT '8 BLOCK S- ADDITION S (/ N../ E /" #/ Lt....- f
PID 25"'" - 17 z - () 7 Z- - ()
I OWNER
(Name)
(Address)
(Phone)
~~~~)ER 4.;' C" L t;;c" rv ~h/ r:' Yr:) / (~/fI ~c7(~) v 5
(Contact Name) o:;?ut."" A/:J<' ~>~/v
(Address) //? /7 ~.N ~.:"'/.~ Y led,
(Phone)
(Phone)
Y5:;.J-099-6t 9/
ODeck
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 m 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 th erty to perform needed inspections.
~' }.?-
TYPE OF WORK
ORe-Roofing
o New Construction
o Lower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
x
Contractor's License No.
.:2d/?d:2 ~7
Permit Valuation
, .., ()(){) ,,00
27 .~
lCO ~I
'e.SO
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE tAu6./) '-j "oz,
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
0.00
ORe-Siding
OUtility Connection
.:J -:'..::?.P -rJ ;:I
Date
$
$
$
$
$
$
$
$
$
our Building Permit When Approved
~fI(P
.. ...d Z--
b
I ~;C~.fZJU
I Paid
Date
~-2V--o~
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
l1en 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
'~~~-c~,~ (d~/e;?_ Se~ Iwz-J.\e<~ (~^i~J:..nr.,
<- Planning Director 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
White - Building
Canary - Engineering
Pink - Planning
Th(" Ct'nlt"r nf Iht' I.akfo Counlf)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.IV <5 LS () N q 8/1/6/:3/1 L- etJN772/J e;;r ORS
5-2-2--02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34-4-3 SPR..UC!.-e 712A/ L- S ~V
Accepted
Accepted With Corrections
J<-
Denied ~(()., J
Reviewed ByV~Ij:7 ~
Comments:
Date: {"'- zc( ~
JJp~~Qi-'l SMoko kkkfr~rc; t-~~ oj- ~ ~U5~
"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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
3lfl/3
LEGAL DESCRIPTION (office use only)
......-
LOT BLOCK::; ADDITION
Date Rec'd
0).-059
~. ~r::n ~!t~ I PERMIT N~
3. Yellow Applicant . ~
-
11'
ZONING (office use)
,S~+
PID,2$'- ')J-&7f:J.- 0
~~~R #~,Yh. C~ j)/n.e roiL c;" -Ir~c;
(Address)
(Phone)
APBUCANT
(Name)
(Addms) '( /q
(Contact Person)
APfLICANTSIGNATURE
L'1 c. ~
(Phone) 6r). -5~ '- q.;u (;
~ _?S37Q
(City) (Zip Code)
(phone) "/:J-~ V~ - '1 J 1 b ,
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL (:
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
(Office lIse Only)
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
. ~. Other Devices
~k~.lo -
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
/U~/~
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Building Pennit # at.
~~t6\~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved I PaId ~
Dol, . Date _ ~ By H_.---;
Building Official _ '~_. _
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DE?ARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :sqL('5 Sp.1'UC-€ ~(
NATURE OF WORK /Jew ~1~hCJJA
USE OF BUILDING S'W
PERMIT NO. ()z. --()(O~ DATE ISSUED
CONTRACTOR .~~ Q,~ ~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY 0 THE INSPECTIONS BELOW.
THE PERMIT IS BY SEPARATE DOCUMENT
~CTtYl DATe
I FOOTING I _ ll/i4-
I FOUNDAnOltJPrior to Backfill) i ;
PLACE ~O CONCRETE UNTIL ABOVE HAS BEEN SIGNED
\ ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING 7 /1 (J t,...
INSULATION ~ '" . ll7 Ov
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST F:' P, . 7/"'''' /)2--
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
GRADING (Prior to Sodding)
BUILDING
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, carci shall be placed near main entrance.
/
Jjf/fl
I I
/'
1 J , ,J .,.
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850