HomeMy WebLinkAboutBuilding 02-0684
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
:s l ~3
LEGAL DESCRIPTION (office use only)
LOT ~ t BLOCK
ADDITION
Date Rec' d
S -2e -6"2-
White File I PERMIT NO ~
Pink City . {)2 -' 0/ tl
Yellow Applicant f.PU_
tr:-.
LJ,\
PID -:;s--
ZONING (office use)
R\
"D
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)---t'\tt-to elc..S~'L H~c::..
(Contact Namelt.j;e
(Address) Sa~ S-
TYPE OF WORK
(Phone) 7'5"2.. 7'53- 173/
(Phone)
+'^
~
ODeck
OPorch
ORe-Roofing
New Construction
o Alteration
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
ORe-Siding
OUtility Connection
mishe nformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
. ned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed inspec s.
~
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
~ -(<I-a Z.
7~
5'- 2t(-c:; <-
Date
$
$
$
$
$
$
$
$
$
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
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
:~~y the C,tyAPlanner constitutes a temporary Certificate of Zoning compliance and allows construction to cO;ir:nce. Before oJpanCYha Certificate of Occupancy must be
Ol~~-----z---=---- C:~/C!8L-. ~ ~1/V:~/~{ G/id~t\~
- Plannmg Director Date SpeCIal Condlttons, Ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 5/8" I"
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
100. 00
100 . DC)
35.
L/O.
Builder's Deposit
Other
TOTAL DUE
Permit When Approved
Paid
Date
b-3-o2.
Date
White - Building
Canary - Engineering
Pink - Planning
Thr ("rnt"r or fhf' I..kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ 710 @p~ ~jU2r;r
APPLICATION RECEIVED .5 c;2,~- O;;Lt
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ It/:=J A~h( CL.+- T r-
Accepted
,)(
Accepted With Corrections
Denied
Reviewed By:
MI{3'..
Date: C -'!-oZ-
Comments: See Rever~e Sirle for Arlditionallnformation!
~ee 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 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
Tht" Ct"nft"r of thf I..b {'ounlf}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~z;;L; @~~~.
APPLICATION RECEIVED 5- ae-O;;L/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~/L/~ A))y~+- T r--
Accepted
Accepted With Corrections X
Denied j
ReVieWedBy:WI1~ Date: t$""-3-oc
Comments: .
~ aii a ffaJu& A~t5V+S
"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
Tht' Cf'nlf'r of .he L.h 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:
,
j.
Accepted 1/
Accepted With Corrections
Denied
Reviewed By: ~~~____
Date:
&/b/e2-
"" L,
k:
~- Lt~{A~,
lO.[J k
"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."
Jul 24 02 02:58p
JD Excavat i ng, I nc_
763-862-1223
p _ 1
. 1 a" ft'I:"l. II': 24 F.-iX 01::4.& i ~24!
OJ.--:] /~;:t RCoI
....In OF Plllo, L\KE
iQOOl
__-~E
wa.... _ ---=-o!
---..
D}I
CITY OF PRIOR LftXE
SEifER AND WATER. PEJOa"l'
NOTE:
SoW No. CJ - (p '6'7
x AP-PLICANT: .TD EXCF)VATIN c-, . INC. "'PltONE:
".c: ADDRESS: , RItPlb,"DATE::
SeVer and Water
contractors aust
be reqlsterea
witb the city.
1'=.3-
~b ,.. - 4-:3 ~ 2..
-.: 5IGN.~TtJRE ~
X SITE ADDRESS:~\~
SLOG. PERMIT ,
:pro:f
Fl:LL IN THE BLMlItS
1_ Estimated lengtb of water se~~ic~
~:!!et:._
2. Size of water service
incb(es) _
3. Location or any c:ou~linqs fl:01I\ structure fe.et.
4 - Type of sewer pipe. ABS_ pvcL. Cast I'ron_
5. Est1~ated length of ~~er line
teet_
6. Clean out (it' raq-..:ired), located at:
structure.
feet
from
.2:Dr=-=:;;;==....===--======~--===~__ - ---.-----=-===----~~~=----=~C'====
This app~ication beco~es your ~r.it WhEn ~pproved_
BY
OAT~:
~==~========-=~.;:c::.=:!!II_____==_~=~_=~--- ___~.__ --...c;:z:.
FEES:
$ 35.00
S .50
$=]5_50
S'!!wer 21nd water line connection permit.
SurcharcJe
TOTAL
.,
Fee ror eithQc sewer or wa~~r individually is 520_00 plus
S .50 sllrchar~__
· Sewer and wa~er per.i~s issued tar new constructian
recorded on t::h~ buildi.nq pe.~it ~"rd. et' 't;hp. til'!e
to insure tbat no dUpli~te sever and vater
issued_
DATE PAI01-J5-DJl-
REC'E:TPT '*
AMOUNT
REC"D BY
must be
.1,!<;$\Jancp.
'its aif;V
, ~CJJ
16200 Eagle Crcrk Av. S.E.. Prior Uke. Minnesota 5SJ72/ Ph. (612) 447~230 I FAX (612) 447-4245
An EquzJ ~"'ulli(y EibpInJ.....
2:44PM
NO.757
P.i
Dnte l(ec'd
I. "ill~
2:. Oteen
,. Veil".,.
f;l. r P~~l\ll T ~O
Coly 'aU
Appllaon. ~ - .;:) ~ -:l:
I ZONING (,m~",)
AOQRESS
~\~~
6 o~ c. t:\.-\: \ 'r"'"' \.
.
OW~ER \'\ ~ \T~
CNj!ITJc)
S ~" S
LE'OI\L DESCIUPTION (on!ce use only)
LlJT ~ BLOCK:::' ADDITION ~ \ 6..~ 1 0",," \'"
(\u~1~ ~
\~,,~
PID
(A d{css)
~~\\" \~:k
~l)MJ.~
f\
AFP{-lCANT '" \ --r-
(tiaqJe) ~ ~ ~ ('\:) ,~,,-. -'- n ~
(A~dfess) \~'\~\J \.j ,\ l(j~ Av "-
(Address)
(C~nl..ct Person) N L., V"\ c \/ S. LJ~ fC. 'l.... \ \..
AE1PLICANT SIGNATURE ~~ 1l....l..t"-4
(Phone) ~ S':~" '-1 \\ l - ~ \~~L__
"n ~)- \..'-4\~ ,,~ S~ '~'-I~
(Chy) (Zil' Code)
(Phone) 9~':2. - \:\ ~ (" ~ I Q \-\
DATE
APPLICANT PLEASE COMPLETE BELOW
jRNEW CONSTRUCTION 0 REPL^CEMENT 0 ALTERA TIONS
fU~1'/^CE MAKE AND MODEL L "'..... r-; ,,- ~ ~ ... \'\1"'0 I~UEJ.. tJ C'1-t
F'L\JI; SIZE 'f'v c.. R..ETUttN OPENINGS ~ INPUT \ a~) ~~ OUTPUT ~ ", ~
TYPE OF SYSTEM HEA TIN 0 OR POWER PLANT
, .1d\lf1l.rr~ Air Phmls
'1:)3ravlly
o Mechanicnl ,
-41ir Couditioning f\/b
5i:l'VenL Syst1ml
o Slealll
o Hot Walet
o Radialion
o Special Oevico;:s
o Olher Devices
I'LEASE NOTl~:
Air Condilioner Units
Cannot Encl.uach inlo
Required Side Yard
Setbacks
FI~E!,LACE MAKE AND MODEL
.'
lndllSllial. Commerclnl & MUlli-l'amily
FEE SCHEDULE
1% of job lXlsl Residenlilll, GDS Fireplace
S39.S0 minimull1
$99.50 Residential. ^tldilions & ^llcraliulIs
$64.50 l~esidenLlal, AC Only
$.W5D
Rc:;:ldcfltial, I'J~ling & NC (New Construction)
Re&idcfltial, HeaLing Onl)' (New COIISlrucllon)
$J9.50
.H9.50
Eslilllated Cost $
~~~~~
Building Pennit #
J-lEA TlNG PERMrT fEE
STATE SURCHARGE
TOTAL PERMIT FEE
.$
$
$
.50
,....
/f>Ij p"
@!I!,..ff; . '"1
,\ j/. Z. ({) ',~ 0,1 ",
(Ol~i~e Use Only)
l: A.,>licaUolI !keo",,, VOile Bllltdillg l'eellllt Whell A.....ved
8ulltllng ornellll DnlC
By
~
I)ai
Receipt No.
24 hour notice ror nil inspecClons (952) 447-9850. fnx (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERi\1IT
Date Rec'd
at bottom)
~ ~~~~ ~~~ I PERl\HT NO. 0,1-1 V / J ]
J Yellow \pplicant , eS tJ Q~ _
ZONING (office 'Jse)
3/Cf3
606cd- Tm II fJJl W.
I LEGAL DESCRIPTION (offic~ use only)
LOT
BLOCK
ADDITION
PID
OWNER ftJdw ~ fa . fh
(Name) VI :5'5-)L... m-cg
(Address) 6" g &5 ,.- 1'-/ qd:J 5'./-.
APPLICANTL J ~
(Name) ~LJJ?J flu' uj..(l ) . ~JI. (I , .
(Address) /~O ~JkA_-AJj led j J -Jt1 J h
(Address) If
(Phone)
q~:d-- 95'3-'913/
~
;J
55"
(Phone) bS'J. ~c:J..3.
qYJJ /Y. A.U.1.r. YJ..;)
(City)
....31.~ Q
(Contact Person)
(Phone)" 65"/.
S5068
(Zip Code)
~,M . 3'J.30
O.-C?~
APPLICANT SIGNATURE
DATE
Quantity I Type of Fixture i Quantity Type of Fixture
42.3 Bath Tub with or without shower ! ....3 Rough-ins
Dishwasher I Water Heater
I / Floor Drai,n Water Softner
..3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall ! Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
...3 Water Closet (Toilet) , Other i
APPLICANT PLEASE COMPLETE BELO\V
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
I TOTALPERMITFEE $
q<f.,;Jl)
~,~.
50 ~,.~
. -~' .
,,~, ,
100, W f!"""' ' '" ,-,
"
(Office Use Only)
This Application Becomes Your Building Permit When Approved
. '
_~ .,;iuilding Official
'"
Date
,,'
Paid Receipt No.
Date 411(; 2 6 20Ci~i By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,
09/18/02 ~6:03 FAX 7635530887
GlNERS BUILDERS SUPPLY
III 003
, HEATING/AIR CONDm9NINGIFlREPLA.CE PERMIT
I~o., ~
~~ EKs.L I PERMIT NO. d. fogLf 1
I ZONING(....~l I
lP"" ~ ~..... e.... EbooDml
[ADDRESS
3 9 ~ e:,DbCQf
LEGAL DESCRIPTlON (Dffice use only)
LOT
BLOCK
ADDmO'N
PID
I~=R (YkhD
(Address)
c... {o.SS I C
(phone)
APPliCANT
(Name) G t,)~e ".."
(Address)
6'1l fJ -e. r
(phone)
b~
(Address)
(Cil:,Y)
(Zip Code)
(Contact Person)
07Sn~
(phone)
7~3 - 09</-
APPLICANT SIGNATURE
DATE
lfJNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
:
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWrmn Air Plants o Steam PLEASE NOTE:
OO(3.vity o Hal Waf<< Air Conditioner Units
o MecbllDical o Radi8tioQ Cannot EQc;roac;h into
. OAir Conditioning o Speeial Oevices Required Side Yard
OVent. Sysn:m o Other Devices Setbacks
FIREPLACE MAKE AND MODEL 5 (.;) It> e..",~, or b \ (P(!)O c., I'Y' )U
~PLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
industrial Commen:ial &. Multi-Family I % of job COSl: Residential. Gas Fireplace
$39.50 minimum
Residc:ntial. Healing &: NC (New CODSlruCtion) $99.50 Residential, Additions &. AltcfUio~s
Residential. Hearing Only (New Construction) S64.50 Residential, AC Only
Estimated Cost $ IOOOo~ Building Pennit #
539.50
S39.50
$3950
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
r
.so
i:1;:,ri
'j,';:',",''1''',
" ~. ~ .-
(Office Use Ollly)
This Applk..tion Becomes Your Building Penait When ApprDved
I ~.. No
Building Official
Dale
[Pm
Date SEP , ~
~4 hDur notice fur ~II inapecrions (!J5~) "7-9850, r.s (951) 447-4145
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~:5 15c6c.cJt ---rt= I
NATURE OF WORK NeLkJ
USE OF BUILDING S1=- D
PERMIT NO. () ~ - 0& ~4- DATE ISSUED (" - ~ ...<:'2__
CONTRACTOR Me\to \a-sSI'G ~S PHONE ~-95-3-1r:S1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING tv- 10-17 -0 L
I FOUNDATION (Prior to Backfill) I I ~0 1\ \
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE C\l r \r>~
GAS LINE AIR TEST
~
/
10 -(7-0l-
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I StuCCL:) ~ ~ /~-~ I
FINALS d
GRADING (Prior to Sodding)
BUILDING - D f 010<)--<(>' ')eY
ELECTRICAL
PLUMBING
HEATING
DO NOT
0;;>
- ~<:1 _ / ~
"
- J.~I /c' ,)-,
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 be.er 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