HomeMy WebLinkAboutBuilding 02-0751
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use onl
LOn
BLOCK Z-ADDITION ~UAo-u\...
k~
~~e~R W;w.Q (J ~rJO~
"
(Address)
Date Rec' d
fp .- Z-C/- -02-
I White File
2. Pink City
3. Yel\ow Applicant
I PERMIT NO.OZ-O'1 ~41
S'I
ZONING (office use)
Is-t-
(Phone)
BUILDER
(Name)
(Contact Name)
(Address)
DC0'rd" ~ ~\V\.f
I <13 ~Wl
TYPE OF WORK
o New Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
o Misc.
(Phone) 952-
(Phone) __ eq0 A '-{ c.f 8-
UA
o Porch
ORe-Roofing
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 an construction will conform to an 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 property to perti ne ed inspections.
,
x
Permit Valuation t..l(JCJO. 00
Permit Fee $ 87.2~
Plan Check Fee $
State Surcharge $ 2.00
Penalty $
Plumbing Permit Fee $ 40.~o
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 'to '00
es Your Building Permit When Approved
? -2.r -oL--
Date
OAddition
OAlteration
(P!2f5/DZ-
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
5'
Contractor's License No.
Park Support Fee
SAC
#
#
4- ?-7!:/
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
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
/~-ii:~~
I~
Paid
Date
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
lhe ('rnlff of lht" Lake Countr)-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W/^/DWOOO HOHES
(p - 2-4- - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1.5224
.
r/i/12 WA Y HblG;/-tTS /Co/-iQ
Accepted
Accepted With Corrections ~
Denied
~.
Date: & '-:2 t.(~ DZ-
LSVf3t- F/ /\I/~tf Hr:lIV' 0 tJ uT
Reviewed By:
Comments:
~/I.f) 77IG i-OWf5Je...
"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."
Ull/UUUl 07:55 FAX 7635530887
GUYE~S BUILQERS SU~PLY
/4]002
~
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Til' ~ Wl<..-
of
~~ ~~. IPERMITNO'~"\_--7~ (I
). ,.....0.. A,pheul . CY ; J .
I ZONING (0...."., I
LEGAL DESCRIPTION (olfice use only)
I
LOT
BLOCK
ADDITION
PID
I OWNER - d
(Name) ~ ' (\ d ""00
(Address)
(phon~)
APPUCANT
(Name) r; {} "'1 e"" ')
(Address) I 3 'I s 0
t=""t l',-- () I c:... c€
IS'''' SO~
(Adl;Irc:ss)
(phone) 7b ~- 6i?l- q6t 3
fJ/~j/Jf {)(,/ffL
, (City)
s::rYJ/ J
(Zip Code)
(Contact Pc:rson)
(phone)
DATE
7h7~-'
APPLICANT SIGNATURE
wrEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL S u l':e. ~...o it" FUEL D~\
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA UNG OR POWER PlANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Watl;:f Air Conditioner Unirs
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Spccial Devices Required Side Yard
OVcnL System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL 5 LJ ~1:..t-- '-0 ~ b \ cO Q5) c v'1. ;.J
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercild & Multi-Family
FEE SCHEDULE
1% of job Cost RCllidcntial, Gas Fireplace
S39.50 minimum
$99.50 Residential. Additions & Altcnltiom;
.$64.50 Residential. AC Only
$39.50
Residential. Heating & NC (New Construction)
Residential. Ht:l1ting Only (New Construction)
$39.50
S39,50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERr.'VlIT FEE
$
$
$
Buildinl1; Orucial
O:ate
Datcg-,.. d-
DI~
.50
(Omce Use Onl~)
This Application Becomes Your Building Permit When Approved Paid
24 hour notice fOr all inspcll::tions (952) 447-9850, fax (952) 4.47-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /5lf,L b/LJ!;:- ~tJ
NATURE OF WORK " . ~
USE OF BUILDING C;;F^
PERMIT NO. OZ - ~ DATE ISSUED (r;l.{-t7Z-
CONTRACTOR Wr"l:'Q ,l~ PHONE f5.2 - tJ'7!5.-I'YUt;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~~ ! I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical servjce 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.
FOR ALL INSPECTIONS (952) 447-9850