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HomeMy WebLinkAboutBuilding 02-0810 ~ 5" 0 ~~ 0$0000 "ll ~ )0 -0 III ::t 0 z_ 16 0 en -"TI"T1"T1 0 0 ~~ 8 0 o 0 --z~oo z Z ::0 0 $l -4zen c:o m mo )0 0 " " " ~)oC:3:Z-4 m ::0 m O"TI ~ r- :-! 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Y cllow Applicant I PERMIT NO. aZ-o'OIO <, I rcu. LOT LEGAL DESCRIPTION (office use only) BLOCK 3 ADDITION ~ II../ C( f'I j 0o.d-.. if fA. OWNER ~ (Name) ,-J I VV".. (Address) 33 BUILDER -1./ ' (Name) tS::... I h lj .---:--. . (Contact Name) / J "." (Address)o?o g TYPE OF WORK o Misc. G r c..Y'\6j e r .-..... fV1 c.. )-<-- J r 0..1( ~-es> KJr-,~ '1() ~ ~I ZONING (office use) rS_O -() (Phone) q$~- '/'/7- 57 3cl $ $ $ $ $ $ $ $ Water Meter Size 5/8"; I"; Pressure Reducer (Phone) 6/.2- ?s/- ~;2 S ,} (Phone)~ C;~"'.)- 'I'I~-hOf3 .~. Co' /J1 Ai_ o New Construction ORe-Siding OUtility Connection 000. 00 ODeck o Porch o Fireplace ~ ORe-Roofing OLower Level Finish OAlteration 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 upo~ prope~ to p;rf~ nee~ed inspections. X /I(~~ ~~:::l ='''9-2 f/;;)/~2., Signatu e Contractor's License No. . ~te Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee PROJECT COST /V AL UE (excluding land) $ Park Support Fee SAC Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTAL DU -' 3-0'V s Your Building Permit When Approved t., - 2t;; -OZ !paid 3~~ Date _ - 0 ~ I ~?38~ Date # # $ $ $ $ $ $ $ $ $39~. 4-~ 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 sign by the City anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issue ___:_ _.c- 7/J-/O;?-- ~ j~-t- O-/'"L~~eQ C~L~;\~1~,- Date ~e(~1 Conditions, If any 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 HEATING/AIR CONDITIONING/FIREPLACE PERMIT I. Pink File 2. Green City 3. Yellow Applicant ['(-.,33 LEGAL DESCRIPTION (office use only) LOT BLOCK:5 ADDITION (j)<<tla t:f::.. OWNER (Name) - -.J"--l W\ 6 RA~4E/C o PIDckS~/.3~ O;2~ 0 0', /u . (Phone) 9Sd. - s/Y 7 - .5 7 39 (Address) APPLICANT (Name) '1 2, ';;- 0'"' , ,r5 (AJ) (\ ~v (Contact Person) ',~ , Q APPLICANT SIGNATUk" . I \\/ {I (Phone) (Address) (City) (Phone) DATE APPLICANT PLEASE COMPLETE BELOW (Zip Code) ONEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM REA TING OR POWER PLANT OWarm Air Plants ~ o Steam PLEASE NOTE: OGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into OAir Conditioning o Special Devices Required Side Yard OVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ 3 q:;c $ .50 $ liD (Office Use Only) This Application Becomes Your Building Permit When Approved Paid d-- Date Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 $39.50 $39.50 $39.50 Th(" ('("nIN or Ihe t.ke Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .~ ."" .,.- .-' l' /,,~- ~_._....,/" . -,~"'~,., The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,,/ .:' ..-........ Accepted L /' Accepted With Corrections Denied J /l Reviewed BYC~4-y~~~ co~mrt1en=-_ n -'Vq~ ~ ~M(.() f/ ~ Date: 7/7-- /0 J- ~~'v~ {~t1~1, "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 Thr Ctnlf'r of Ih(" I..kt Coun'r}" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT cp~ 4- -1~~ APPLICATION RECEIVED ~- c9-1 ~ ;) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \ Ill? 3',~ mUfJ-fl' tJjLJ Accepted Accepted With Corrections--X Denied ~ 12 9. Reviewed ~ v+--- Comments: ----Llpr:OQ}~ Q SV\tVok j::kk~j~ Date: & ~2~--CJ( / ~cJ~Jn..1 ~ tk~ "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 PRlORLAKE Impervious'Surface Calculations . . .' (To be Submitted w'ith Building Permit Application) For All Properties Located in the Shoreland District (SD). . The Maximum Impervious Surface Coverage Pennitted in 30 Percent. -----.=-- ~ -' '----~3'Q r;,uJ:-_.I.) nw.GJ.C;;:-.) . ~~ \e ~o..'~ Lot Area --1.z:W.::IlP ... .. .. .. . Sq. Feet x 300/0 = ..............~~~ . ........................................................................ - .. - :~ . LENGTH WIDTH SQ. FEET HOUSE . .~ ATTACHEDGARA.GE . ~ 'l x == x :::: x :::: DEI ACHED BLDGS (Garag€he~ TOTAL PRINCIPLE STR UCTURE...................... -D \ 0 eX\\o x l~~ D~EWAY~AVEDAREAS (Driveway-paved or not) (SidewalkIParking Areas) TOT AL D ETA CHE D B UlLD IN GS.. ............ ......... I '2. ~ \ ~ X S1P5 x .= -990 = X = PATIOS~ORCHESIDECKS . ~~ TOT AL P A YEn AREAS......................................... q'lO (Open Decks y." min. opening between boards. with a pervious surface below, are not considered to bt: impervious) , 11.... X \ 'ft X .-C.or.t.fc.k _ = ::::: \ q "2. X '2. -'lD ::::: OrnER N~ &~~e' '. ~c ~"T"i c.~ TOT.'-\L DECKS........................................................ 1.l. i . X 'Z.'-{ X L\StO = 'S\~ TOTAL IlYIPERVIOUS SURFACE TOTAL OTHER...................................................... ~ 1.1 [3~ ] [ 1$3 ] \ (:) - 0"2. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I'/(.~~~ \[h,..: _( NATUREOFWORK ~;h ~A0 USE OF BUILDING >1 Jt PERMIT NO. :j':/fIO DATE ISSUED ~_ 2r.,-dL CONTRACTOR f<; ~ PHONEMl:' . ~ ,) }!jl NOTE: THIS IS NOT A-PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT G.IZ-'X"! -(,:2 '5J DATE FOOTING FOUNDATION (Prior to Backfill) 7, 1'7. 0 Z- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL 'vvr ctr- ~ 1-k- OL ~~ '02 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 I FINALS ~ lL DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical servIce cabinet prIor to rough-In Inspeellons and maintained until all Inspections have be4jtn approved. On buildings and additions where no service cabinet Is available, ca;-d'shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850