HomeMy WebLinkAboutBuilding 02-0720
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
Ilf=t'i
LEGAL DESCRIPTION (office use only)
LOTtJ
ADDITION
(Phone) Cp-2- "/ri..- 7CDol
OWNER
(Name)
Date Rec' d
0' 30 -02-
I White File I PERMIT NO
2. Pink City . 07 ... 0 27 l\
3. Yellow Applicant . _ "" _VV
} T c:!..,' /l
ZONING (office use)
pLLD
1c..V
PID ~-S""
S'Q :;r~
m ,jJ~ ~~ (!a. '" ~ '1 .
.
(Address)
BUILDER f ) rI "
(Name) 1'1 etl~ (_~/.
(Contact Name) J <..t ~ ('u.-dLso-
(Address) ') (,,0 ( I ? ,
(Phone) qs~ k$'" . 71,c.(
(Phone) ~/~;O (.. ,.., ~~
TYPE OF WORK
o Porch
~eck
ORe-Roofing
ORe-Siding
~ New Construction
r$\ower Level Finish
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 u on pro erty to perform needed inspections.
o Misc.
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
~FirePlace
~Uti1ity Connection
7~O !;?o.
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
i3 t:... ~17v
Contractor's License No.
~-.1~.. 01-
Date
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Siz 5/ '; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
s Your Building Permit When Approved
t - rP,-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
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
issu~"H A~ ~~<-? a /t'1 fez. Se-L A~~ Ccrn{~~l~.
/ v~~: Date' - Special Conditions, if~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
D.te Ref;'d
~: ~F ~:;:lkMt r-PERMIT NO, ()<J. -')() D l
'f. 0 I' v ^' Li)
]
ZONING (olftcc UK)
LBGAl. DESCRlYtION (.)/ficc usc ullly)
LOT I ADDITION ..S1v It'u') S /)
OWNER
(Name)
(AIJ.&1rells) _
l
PID
(Phone)
(Address)
----..~-_. .-..
(City)
Zl t::oc:Ic)
(Phone)' - "a ?clO 7'-1 s-~
r://})()I11;~+Cl-1 M AI ,~~'-I:~!
( Ity) (Zip Co~)
(Phone) ~ Irl ?;{ 0 7'fs,"
~ n,,\~ Leil'{-4l' --==-~_
~
(Address) ~
(Addl'l!s$)
(ContactPe"on) ~
APPLIC~,~T SIGNAT'f:~_,,~ :.' ~.~. ~
APPLICANT PLEASE COMPL~TE BELOW
Sl~o of water sc:rvic.c ~ inches.
I .o~(ltion of any courlinB~ from $tnI~turc ..J..1__ fe~l.
- Type of sewer pipe. 0 A He -Pr1'Vc' 0 Cast Iron
Estimated length of ~cw"r line ~ feet.
Clea~ ~~lt (if required) located at _ ftlct from structure.
f
~'Il:E SCHEDULE
Residential Sewer and wllt..,.linc connection ~3.5.S0 Industrial, Com'l & Multi~tan-tl.'1
S.,\Yer c:onnec:tiOh only S 17,50 Watel' cunnccdo/\ only
<:.7' r- 'X
RstiJlIlll~d CORt $ ---O_.:::L..L,L-..
1 % of job cost wi~h II $39.S0 minimum
$17.50
Building PCl'rnit 1/ ._~___._~_
SRWEk, AND WATHI{ PERMIT FEE
STATE SURCHARGE
TOTAL I'(l;KMIT "'EE
~
.'6 ==_~~~.- -1q
$
------..............-..................
~,
11.0'1
.. I't)
. . ..~ f.,
, ;"'J/~y
(Ollln VI. Only)
Thl. Application Becomes Your lluilc1illl Perlnit Whc:" APPI-oved
~-
,,:.... --.. ,--
I '.
". ,'" I
KCCdipt No.
'.,
--:--~
.-..- ..- --
Ull/hllllll (')rn~lllIl DIIII:
H)'
24110llr notlco (or alllnslloc:ti",,,. (95~) ....1-lJ8~O, fll (952) 441~24!l
G0d W~ZG:9 G00G VG'unr
96Z9G68 G19
'ON :3NOHd
:JX:3:3H:J:3r wO.J..::l
651 633 8884
FIRESIDE CORNER
#D132 P.DD2/DD4
CITY OF PRIOR LAKE
REA TINGI AIR CONDITI.ONINGIFIREPLACE PERMIT
Date Rec'd
SL( fV'\m.
~: t;ow r~~ql I PE~T NO. J - 1 ;)0 I
ZONING ("ffi~ 11S~)
rJ.J- tJW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Con~+-ru. t..l-i ~
(phone) -
l
I OWNER -ID
(Name) ~f\ o..A..d-
(Adcl:r.ess)
APPI.JCAN'T
(Nll..m.e) N..I.IED FIRESIDE DBA FIRESIDE CO~ER
(phone) 651-633-7..5.61
APPLICANT PLEASE COMPJ...ETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
fURNACE MAKE AND MODEL FUEL ~t../.:)
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWl3nn Atr Plants 0 StelllTl
BGl'ilvity 0 Ho~ WfJlf::r
Mechanical . 0 R.w;Ijatlon
DAir Conditioning 0 Specfal Devices
DVent. Syst.cm 0 .other D~jc:es
\_~'L:J- ~ lAlc CT... j1Jt. ~
FIREPLACE MAKE AND MODEL ~ .;) "'" ~
fPSEVD.LE MN
(City)
651-633-2561
(Phone)
~5]1~
(Zip CodI:)
(Add.ress) 2700 N. FAIRV1EW AVENUE
(Addl.'Cl/li)
BRENDA fiUS'I'ON
(Contact PeI5on)
APPLICANT SIGNATURE
DATE
...., - l k"-c ~
~
PLEASE NOTE:
Air Con.ditioner Units
Cannot Encroacb into
Required Side Yard
Ssr:back:s
tG~1l,..OAL
JndlJst.rI~, Comrnerehll & Multi-Family
FEE SQiEDULE
1% ofjcb cost Resident.ial, Gas Fil:l:lplace
$39.50 minimunl
$99JO Re~identjlll. Additions &. Alterarions
$64..50 Rtsidcntl,ll.l, AC OnlY
S39.S0
S39.~O
$39'.SO
Residential, Heating & Ale (New Construction)
Residenda,l, Hea.ting Only (New ConSD1J.cr.ion)
Estimated Cost $
Building Perm it #
HEArING PERMIT FEE
ST A'Ie SURCHARGE
TOTAL PERMIT FEE
$
S
$
.50
i
! r~~/,-" ! '.0-
~~_l'/;;";i7j. ./
, C~"J~Gi f.:- .', '--
_.. L.;J.",.., t
(Omre U,e 0,,1,..)
This Application Becomes VOJlr Building Permit When Approved
Paid
kcc;ejpt No.
Date
:..i I
By
/1(--
,/
BlIndh," omclll'
D,d~
24 hOllr notice for all i""pedfPnB (9!Z) 441-98SO, f.. (9!Z) 447-4Z4S
The ('en1ef of .he L.ke Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.-j'
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 B~ ~<"..,...~
Com ents:
Date: {# /, L( /6 "7-
"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 ('("nler of Ihe Lakf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1f}cl tI~PR j ~
6~ 3cY O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity ich is proposed at:
) Lf q<;3
Accepted
Accepted With Corrections
Denied :)
Reviewed Bli~ ~ Date: G,. ~ - CJ z-
Comments:
W-~~~ ~~
"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."
The C"rnlrr of 'he Lak" {'ountry
QJ ~ BZ~n~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.>', . ,/i, 'kd ~
,,' ,7 ,: //J I \./ /, """,'V/.,/:/ ,/ ,.-
l' .' . (! f... tl / (i./ ".
r'/
-~ " - . ~-\ /
!) ~ .:::5 (j- ()~
'(1?;x-bL-
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wbich is proposed at:
, ) - 7
/ c/ 'QC;3 (~-::;; /L/)12/'-;'!"t~,-f- (l;/~~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
filJ9l3
Date:
t -10 '-C9Z
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3)'Frosion 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."
PRIOR LAKE DEPARTMENT OF
. - BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS jgiJ 3" ~h\MCJ.AZ \ C\\r-
NATURE OF WORK J,)~
USE OF BUILDING ~
PERMIT NO. ~-~ DATE ISSUED ~.(p-cn-
CONTRACTOR V'\- ~ PHONE q6"2.4'5L..-"}(,oL
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) 1> 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG
ROUGH - INS
DATE
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~o ~ 4- f/1Ycn- I
FINALS
-t'
GRADING (Prior to Sodding)
BUILDINGt'7 . +., ...(-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
//-7'tJZ-
r lO
It ~ (C) -( ,~
t (J.... )(J~
1& ~ z.,~ ""02-
BEEN SIGNED
This card must be posted near an electricc:.t 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