HomeMy WebLinkAboutBuilding 02-0874
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1f/317
13/L~tl~A:F~ I?LYO.
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK;( ADDITION
I. White File
2 Pink City
3. Y cllow Applicant
7- 3-0~
I PERMIT NO. 07- - 0 B14-1
ZONING (office use)
/V~
.~
/11~/fP(J(;VYIE~
PID d5-
OWNER
(Name)
C~Ar:ex
1:2~()O
!IoAc>
1v#/7C/1r/r7Et<-
(Address)
(Phone)
,L?It-IVe-, 5"rTe (;;cJ I /Pkk4
,/JI/V
~)JY3
BUILDER
(Name)
(Contact Name)
(Address)
.?A-/'1 e
L?17fl/ /
;5 "fA ~
PLA-~R/<:o
(Phone)
(Phone)
~(;). -- )'~ - V3~~
tlTR.
9s-..J- - .:233 -;;J.5 V~
o Deck
o Porch
ORe-Roofing
TYPE OF WORK
~New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
1:<. 5", dUD
o Misc.
ORe-Siding
OAddition
OAlteration
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 all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. m a~that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the OIl 0 pe~~~pections.
X ~~ 62 00 7" 7 '17 /-'3 .-tJ-<.
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ t~o .06
Mechanical Permit Fee $ /"0.60
Sewer & Water Permit Fee $ -
Gas Fireplace Permit Fee $ 'tJ.C/6
) - / c. ~O-z.....
Date
Park Support Fee
SAC
TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$7,353. (p
I ~1I"4~rrrJ
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I ~~~ 1J-r::tL
This is to certify that the request in the above application and accompanying documents i~ in accordance with the City Zoning Ordinance and may proceed as requested. This document
~~~en signed by the~City Planner constitutes a temporary Certificate of Zoning compliance and aIlows,conStIUction to co~]:e. Before Jccupan~, a Certificate of Occupancy must be
L~L.. ~,"f~tl I /f/) /D1C?-E .A-1~t~-^.f'-e~ r:-n,)Z'i~1:1
anning Director ' Datt Special Conditions. ifany
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(' C""lfor or .he t.kt Counll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
aelJl-~x
7- 3-O~
iJ.. 0 t11 e~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic is proposed at:
/'/311 IJ/ucl
Accepted l>( Accepted With Corrections
Denied f2 ~
Reviewed BY:Ci2-f ~ ~
Comments:
~- ~_ M~ i-L-~
-
Date:
7-fCo-~
"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."
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03^1383H NOI.l~8Ildd~
.lN~8Ildd~ =:10 3V\1~N
l.SI1)103HO l.N311\11.l:JVd30 NOll.VOl1ddV 1.11I\Il:J3d ~NI01In8
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6Ulpl!"a - al!4M
.(.uuno,) ~".'I jUU JO J.JIU.J.) .utI.
Thf (',nlfr of Ih, 1..11., Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
a~ IJ!-e X
7- 3-o~
iJ (jt11e~
The Building, Engineering, and Planning Departments have reviewed the building permit
~._application for construction activity whic is proposed at:
/0/3/1 61uJ
Accepted
/Z,
Accepted With Corrections
Denied
Reviewed By: /J1'!l--f3
Comments: 5 -C -{ /J1 Of}, F, < 1-( .
Date:
7-7-oL
liThe issuance or granting of a permit or approval of plans, specifications and
computations shali 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."
't p~. ..o~
o~-:\
~ fllr\ ,{~,
~~"1'
,~~)
'~
Date Rec'd
CITY OF PRIOR LAKE PLC0-'IBING PER.vIIT
I. B].Je Fii~
:. Guld Ctv
). Ydlow '\oollcant
I PER'YIlT NO. ;J--/5/t/ J
(?'e~$e tvtle or orint md SIgn ,It bottom)
AD DRESS
/1/3/9 13 Y!Jc~i/)1 fJ/(
z 0 ~jI:'i G ((}tEc~ u:e)
[} 1v1?1
LEGAL DESCRiPTION (ot:1ce llscJnly)
I [.t)T
BLOCK.
AD DCTIOl'-i
P~D
· O',\~iERLtJ h
I (:<J.:7:e~ a/I(. 1./
(P;:one)
: (..l.~.j :-e~::;:)
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(0i.1f:1~) (J fj ;11- .
(Acili:~s:;) cYtlO OtllJ b r j/)i/e
(.\ddress)
(?t:one) 9~?' tiPI' "
.,J; r tlcr. )L
(C~e'!)
2/'2'/
c;5:f5~
(Zip Cede)
I (CGr.cJ.c: ?:::scn)
I
i AP?UCA~T SIGN.\TURE
;J J / '
(!Iu~ M~
(?::cr.e)
DATE
ql{/L(
r2rt C~ __
,
APPLICANT PLEASE COMPLETE BELO\V
! QU:ln tity I Type of Fixture I QU:lntity I Type of Fixture
I J I Bath Tub with or without shov"er I 'f I Rough-ins
I ( I Dishwasher ! I I Water Heater
I
3'
I
Floor Drain
Lavatorv (Bathroom Sink)
Laundrv. Trav (lor'" compartment Sink
/
I Water Sottner
I Stand Pil:'e (\.Vashing \.-bchine)
I SCwa(~e Ejector
- - :::
I Shower Stall I , Backtlow Assembly
J Sinks I I Backtlow Assembly Test
Bar Sink I I Lawn Sprinkler
J I Water Closet (Toilet) I I Other
FEE SCHEDGLE
[ndustrial. Commercial & Multi-family I % of job cost with a 539.50 minimum
R~sidential, New One & Two-Family $99.50
Residential, Additions & Alterations 539..50
Estimated Case :s
Building Permit #
.50
,.....-
. PArD WITH '
"..~ H r~~,\,,~ nr-...~,
,.. ; ".-:,; ~~. ::: > _I.:;r
PLUMBfNG PER1VIIT FEE $
STATESURCK~RGE $
TOTAL PER..\'HT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date By
JUL I 7 2lJ02
1~ hour notice for all inspectIOns \95::) ~7-985i). fax (951) ~47-41~5
'~.'~'Q't~',\
1:../ Irl', \ .-
(:' , . \ ,~
D:4t~ Rc..:'d
CITY OF PRlOR LAKE PLCyIBI~G PER\IIT
\~~/";.
""V"'!!SO~l"-
JI'j!: ;:;i~
: Guld C:tv
J ,(~t1ow \OOIICJnt
PER.\fIT ~Od_ ?7L-f I
I ?~~:J"C "m,~ ()r :Jr::1t 111<1 il!!Tl ,It bottom)
,-".l::'CP=SS
11/.11;; $r;Jl'/f~'{flf
L.'2'~;~I-C "l;:-::.:....~e't
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(Z:p C,:~e)
- -
1,__ ~ r: :J.~: .:-' ~ :-~c r~)
.-".??~IC..l....:,iT SIG:i..l... TGRE
(lJ~ II,
f~l-iW
~?::cr.~)
DATE
'/
APPUC.--\:'1'T PLEASE COMPLETE BELO\"':
Type of Fixture I Qu~ntity I
Bath Tub wtrh or without shower I 'V' I
Dishvi::lsher )
I floor Dr::lIn
I L:w::ltorl (8athroom Sink)
Laundry TrJ.Y ( I or : ~omp:.1r:mc:nr sInk
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Qu~ntity
Rou:;h-ins
W ::lt~r He::lter
\V::lter Sv tmc:r
StJ.nG Ptr.~ (\V:J.shln~ \ibchlnt:)
i
I
I
i Sew::lge Ejecwr
Backt10w Assembly
Backr10w Assembly Test
I Lawn Sorinkler
I Other
i
l
1
FEE SC HED L'LE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential. New One & Two-FJrTlily 599.50
Residemial. AJditions & Alterations $39.50
Estim:J.td Cost :s
Buiiliing Pe:-:nit .=#
PLUMBING PERivIIT FEE :5
STATESURCK~RGE S
TOTAL PERiHIT FEE $
.50
",..' , --
. P). --~-
...~. Pr, ~liJ'fnJr-----"
(Office Cse Only)
This Applic:1Cion Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
4 3 I if!]! 1 By
Date
:-4 hour notice ior:lil inspectIons ~95:) 447-9850. f;a (95:) -447-4:-45
SEP-09-02 03:38 PM HEATING @ COOLING TWO
7634283682
P.03
. 700-
;2. -' Date Rec'd
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
~: ~ ~~ [ PERMIT NO~ - g 7[,/ I
]. YoIIow Appli....t . .
ZONING (olllce use)
(}"-C. ~
ILlo
BLOCK
ADDITION
PID
c:2. c,,", f-o(. 'i
r+d~.S
(Phone)
~;'
(Phone) 7C,3- ~~9 - -:jfo 71
fh.p/~ c.,.-- 5':4)-;" 9
(City) (Zip Code)
(Phone) t:a! 2.. -
DATE
+- ~CQli"1 /U/O
CCJ'-' I\.~'!:/. ~c/ 'EI
(Addresi)
-p,..'(
. PLICANTSIGNATURE
eClat:.
APPLICANT PLEASE COMPLETE BELOW
........ EW CONSTRUCTION
. ~~ACE MAKE AND MODEL e"y 1'911 ~
/. . UE SIZE 4 II RETURN OPENINGS
TYPE OF SYSTEM
.~ann Air Plants
OGravity
a t.1cchanical
[Jdt(ir Condilioning
aVent. System
:~PLACE MAIO:: AND MODEL
~:t/;
:' ~~ i'7' ~ .
.: !~dUstrlal. Commercial &. Mulli-Family
~*".ti~I, Heatinlll-. NC (New Construction)
. , .. .'dCftti.l. Heating Only (New Construction)
o REPLACEMENT 0 ALTERATIONS
"? ~.3o :t~~ 7'0 FUEL <O.....S
~ INPUT 10. a<X) OUTPUT 5'S: o<X:)
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
539.50 minimum
599.50
564.50
539.50
Residential, Additions &. Alterations
Residential, AC Only
539.50
539.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
Ac
Buildinl Official
Dale
....-. " ",
I ::: . I :~i~ No. "
. SEP I 0 'Iiil i. -
i
..' t'hlS.\pplicatioD'Becomes Your Building Permit Wben Approved
24 hour notice (or III Inspections (952) 447-9850, (ax (952) 447-4245
10/07/2002 12:00 5
_&"0.. __ .~~..:..:-'~ ..........'..4...11
l.,;Hl: OF PRIQJ UD
PAGE 04
flOll
O."lbc'.
CITY or PRIOR LAKE
SEWER AND WATER PUlMIT
.lIB!JIow-....;.. '
IADOU.
'JLl3/~ -r!21 6~ Blvd
02-067Z, fJ73;
~:- S._ [ndtl'NO..t' 675r
I3t& ;5 ] ! _0_.., I
- ~ I
i =: ISrl;~~ tr, Sf/JO 1!?;~;f:0/t~-f;;~ I
!
I
I
: j
UOAL tJlSOJl"'t'ION ,... ~..J
:.oT
BLO~
Atll:lmC)l
.........1
__ (Pboaa)
GZIf Collk,
J()IZM!:J
,
84\. <<tel Coat S Buildial '.mil"
SBWU.um WATEA P!!aM1T FEE
STATE :SWCHAaOE
TOTAL PUJGT nz
S
I
S
JR
(o.n UM cw.)
Till. J"p,licalioa I..ca... Yo., 1..11".' '.r.at.: WlI.. Approved
~_ .".'11I o~18'~
_. -:-
M _.11' .... ., alt la_ r ~ (,cJ ..,..... _. (9QJ'" ...Q
.
AID WITH
BUILDING
PERMIT
PRIOR LAKE
INSPECTION RECORD
. ~ See ~ iv\~u.. .;-:: '~
DEPARTMENT 0 .
BUILDING AND INSPECTION
SITE ADDRESS J:i3Jj ~~ ~\lIcQ .
NATURE OF WORK ---.f\J ec.....J
USE OF BUILDING ~-p
PERMIT NO. 02/067~ DATE ISSUED ,- (Co"'OL.
CONTRACTOR c..~ ~l~ PHONE {P12..- <)c.~,. Lf521
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I WaLe 7- 3 /-r d- 8 V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING - cl1:
INSULATION
ELECTRICAL
PLUMBING )/ 7-- ~ (
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
L.:t4-
OJ
tt
b?--
GRADING (Prior to Sodding)
BUILDING O(t'V\ 11M
ELECTRICAL
PLUMBING
HEATING
DO NOT
,oj
I-I ~c)l.
11"'- / 4 -I:fL,
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 beer.! approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850