HomeMy WebLinkAboutBuilding 02-0883
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT 6 BLOCK
OWNER
(Name)
(Address)
BUILDER
(Name)
(Address)
tt.^-.l
Date Rec' d
~3.w02-
1. White File I PERMIT NO
2 Pink City . Ol __ 0 a 0;2-
3. Yellow Applicant . tI V..,I
ZONING (office use)
"---;(l
PID -'5- 375"-0 I?>
~::::; [~l11-q~ !:J
2-
TYPE OF WORK
ORe-Siding
~ ew Construction
o Lower Level Finish
o Misc.
ODeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DPorch
ORe-Roofing
o Utility Connection
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
$
$
$
$
$
$
$
$
Your Building Permit When Approved
7 -rG, --rrL
Date
$
$
$
$
$
$
$
$
1- 0-02- $ 8, 1fJ . 4-/
OAddition
OAlteration
7-2-c; Z-
Date
<!)5'"
00'
I ~cejft #U'h ~.
93"2- 2-
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size5/8" 1'"
Pressure Reducer
Sewer/Water Connection Fee
#
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
~~:C~=Ccrti"~;ft:;;:'''''nOS;:OAID:O:l6:lk;Z
PI . Director Date. I 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
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE CA
I Paid ?it; P;! , ~I
Date ~zS~dZ---
___----4lo.
"
Thf' Cf'nltr or Ihr I..kr ("ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.,,--/1lLPw) (/;{JtL4-k;:-. W~-a-/
7- 3-.o~
APPLICATION RECEIVED
The Building, Engineering; and Planning Departments have reviewed the building permit
.- .:....... application for construction activity which is proposed at . .
15"3~.7 Ej Horn PtrSS
Accepted X Accepted With Corrections
Denied
Reviewed By:
ItkfB
Date:
/- Y'-oz.
"--
Comments: See Reverse Side for Additional Information!
.. ,. 1
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
3) Fro~lon ~ontrol Plan
liThe 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 CenlN or 'he t.ke COUnll"}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~T~ {!J}~_ ~~a-/
7- 3- o~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application 10 . construction activity ~roposed at:
/~'07 %/-bM t2
Accepted
Accepted With Corrections X-
Denied 4- /J ~_ .i-
Reviewed By: {;~ ~ '\:>
:71;~ dJ ci/Ia;:~tP ~p ~
Date: 7 -18-
"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."
METRO RIRCITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
NO.7BB
P.i
Dale Rec:'d
~: ~:~ ~i,~ rPERMJT NO. O/~~
J. "ot!.- ^ppll""nl L c) ~ () 8 '6 ~._
6 ~ 'j '"' ~....,"", ~ u..> 5
1
ZONING (office Un')
LJ~'QAL DESCRIPTION (office use only)
LOT '6 BLOCK)
ADDITION
w:\~s
~+.b.
PID
OW~ER
(Nill1'!C)
'P\ i{ \- r~
S "6~ S
I
l\~1.1\ l.
\~~*'
~OMl~
.s \.... \ \-""- \ ~")..
f\
(Phone) q ~ 'J.. l\ ~- <;, _ C\ c', "3 \
S' ~ \ ";(\\
(A dfl!:SS
AP~ICANT ' '" \ ~_
(~aI11e) ~~ ~ (\.) ,~, r"' _\_ ~l l
(A~dfess) \ ~ <\ ~ lj \.j, \ Ll>~ f\- V "- '
(Address)
(Con,." P".on) N L\ '" ~ So L\'" <2 '-, '"
AP-Pl.ICANT SIGNATURE VW--\. ~ L...lt>..'L..
(PhOlll:) ~ S ~),: '-1 \.\ -1 - ~ \ d, ~{
t\' r, ().... ll., \ u.. (\~
(Chy)
(Phone) C) ~ ~ _. "\ \,.\ ,. ~ \ Q \..\
DATE ~ - ~- J..
---.
S:s '~~-J d,
(Zip C:ode)
.l8lNEW CONSTRUCTION
FU/'IiACB MAKE AND MODEL r'\ ~ A-. ,~~
FLllJ; SIZE r V c.. RETUl\N OPENINGS
'IYPE OF SYSTEM
. . 2!;Warjn Air Plnnls
OOrlll1;ly
o Mechalllcal .
lSlAir COlldilionhlg
lSVenl. Sy~tern
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT 0 ALTERATrONS
FUEL N~ t
,~ INPUT J \)t\ I ~ OUTPUT l\"\ ~
HEATING OR POWER PLAN1"
r--
o Stealll
o Hot Wllt~r
o Radlalion
o Special De\liccs
o Other Devices
"LEASIt NOTE:
Air Conditioner Unils
Cannot Encruach into
Required Side Yard
Selhack5
Fll\EllLACE MAKE AND MODEL
IndllSlllal. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Rcsidclltial. Gas Fireplace
$39.50 minimum
S99.S0 Residontial. Addilions & Alh;raliOIIS
$64..50 Residenlial. AC Only
$j9.50
Rc~jde"tial, I lealing & Ale (Ne"" CQl1Slruction)
Re~ideJlLiaJ. f ICl1ling Only (Ntw Construction)
$J9,50
$39,50
Estimated Cost oS II;,) )<::;)'~~ Building pctmil #
(Ollite LIse Only)
HEATING PERMIT FEE
STATE SURCHARGB
TOTAL PP:HMIT FEE
$
$
S
~
.50
"
BUi""
l. I,t c;"'~
.
l'hi~ AIII>lh:atiou Becomes Your Building Permit When Approved
aid
Receipt No.
-'-'Oulldlng OClidRI
Dale
I 5 2U(\'
By
,3
l>.le
24 hour "oth:e for nil hlslltctions (952) 447~98S0, fn,t (952) 447-4245
9/18/02
III 002
Date Rec' d
. GUYERS_JmILDERS SUPPLY
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
~ =_ ~~i_' I PERMIT NO.,)_ ~ f j l
ZONING (officeusc:l
\ ~:;:;'~M;:~
Ho'\Y\
LEGAL DESCRIPTION (offi~tll.lStl only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) m e-+ ~a
c... \ a..S sic-
tf oWl e.. ~
(phone)
(Address)
APPLICANT /'I
(Name) b V i e..t- ~
e, 0 ~ ld e j
(Phone)
(City)
(Zip Code)
(Address)
{A.d.mssJ
(Contact Person) t) JY\.
APPLICANTSIGNATURE ro~ rUUJ-,
(phone)
7ft? ~-~ 9<y-l/1.,{,3
Cj /, 7 loa.
DATE
~PLICANT PLEASE COMPLETE BELOW
'f1JNEW CONSTR.UCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
DGravity
o Mechanical .
DAir Conditioning
OVcnt. System
FIREPLACE MAKE AND MODEL j) ()
t'\O,
o Steam
o Hot Wat..r
o Radilltion
o Special D.vic~
o Oilier Devices
\) \" (POO c.. fY',J
PLEASE NOTE:
Air Conditioner UnitS
Cannot Encroach into
Required Side Yard
Setbacks
~ (.,) ^~1'~ fo
~J
Residential. Heating & Ale (New ConstrUction)
Residential. Heating Only (N/:~ Construction)
FEESCllEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &: Alterations
564..50 Residential, AC Only
$39.50
Industrial. Commercial &: Multi-Family
S39.S0
$39.50
Estimated Cost $
;){tiJ o~
r
Building Permit #
".-
~MJ"";'
; . ","'\ ' ~',_ ,11 ~,~ (',~.
. . I
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERL'WT FEE
$
$
S
.50
D:ale
Paid Receipt No.
Date By
1....;
(omC~ tlse Only)
This Application Becomes Your Building Permit When Approved
Bllilding Official
24 hour notice for ull inspections (951) 447-9850, fnx (95Z) 447..41.45
MATTHEW DANIELS, INC. 423 3017
CITY OF PRIOR LAKE PLUMBING PER!JIT
at bQltQm)
,
i:
153'7
"
v/uA- OocJ
P.01
UaEe Kec'd
I, iii..... 'Ue p n 1\-IIT NO
~,Gul~ CilJ ~ . .::> - () f:(O
) Vellow Applicant ~ 6
ZONING (ol7\a use)
I LEGAL DESC~TION (oflice lJSC only)
I LOT BLOCK ADDITION
prD
OWNER " .
(Name) . ~-r1LJJ
(Address) :0--
(!J/i )fJ~J;) ~ ~J
1~\Ih VJr
i
(Phone) J 9Qf. 96'08. ~I
SS/~ I
(Phone)
qP7 J ri A--' 1 1..r YJ;)
(City)
(Phone)" b5" I.
DATE
APPLICAl'o'l SIGN A TURE
Qua.ntity
A.
I
I
~If)
J
.!l~
J
~
LETE BELOW
i Quantity
!
i I
I /
I }
: ' Type;of Fbture
. Bath Tub with or ""fithoul shower
i Dishwasher
. floor DraiJ1
: Lavatory (Bathroom Sink)
! Laundry Tray (lor 2 compartment sink
: Shower Stall
: Sinks
: Bar Sink
: Water Closet (Toilet)
FEE SCHEDULE
Industrial. Commercial & Multi~family I % of job cost with a. $39.50 minimum
.
! "
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
I STATE SURCHARGE $
TOTAL PERMIT FEE $
(om.;" llse Only)
This Appli~tion Becollles Your Building Permit When Approved
....~..Ji...i1dln& Offic:ial
,.r
D*te
I ..$()6l1
I (Zip Code)
~ . .3'l!1O
Type of Fixture
Rough-ins
W ate!' Heat~r
Water Softn~r
Stand Pipe (!Washing Machine)
I Sewage Eje~tor
Backflow ~sembly
Backflow A~sembly Test
Lawn Spri~lcr
Other I
Residential. New 0 e &. Two-Family 599.50
Residential. Additio s &. Alterations $39.50
J
I
qq. .trr) I
.SO
/~tJ.()()
"""
M.
/' ,.,' ~ :~,;
<. ..') '"
~""~'.~ ':4;' '. ;':.~. -' '?,..,~,
Paid
R.ec;eipt No.
Date
I 9
By
14 hOar "orier for .11 iaspectioll5 (952) "7.9850t fu (952) 447-4~451
, I
TOTAL P.01
1~7~~"'K6;~0M~ p~s~
~ ~ ?:~I ~ERMIT NO~._ ~ ~~
J I ZONlNG(O__1
, .'
LEGAL DESCRlPTION (omel: use only)
LOT
BLOCK
ADDITION
PID
O~R "
(Name) fY) e t l' 0
C- { a. S 5 ( C ;.f om e S
(phone)
(Address)
APPLICANt.
(Name) (.; U i e' ~ ":::. t= \ r-<:.. ~ I CLC -Q
(Address) I 3 t.; D S / S -Th If V c ", C) ~
(A~ss)
12>o~
~-~.".
b 1. ; I S 1~l(Phone) :; e:, 3 -10 9Y- 'Il:?b ~
P jr.( )'I1()U f"'-. .s.5 V Y;;J...
(City) (Zip Code)
(Conract Person)
(phone)
DATE
/.!/~cS~~
APPLICANT SIGNATURE
-
JilNEW CONSllU,1CTION o REPLACEMENT o ALTERA nONS
FtJRNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWaml Air Plants o Steam ' PLEASE NOTE:
o Gf3.vity o Hot Wau:r Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
. OAil' Conditioning o Special Dc:vi..es R,equired Side Yard
DVcnt. System o Othc:r Devices Setbacks
FIREPLACE MA.KE AND MODEL Sc)~e.~,or- ~ f20Q
APPLICANT PLEASE COMPLETE BELOW
Indumial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job COS[ R.esidential, Gas Fireplace
S39..50 minimum
S99_50 Residential. Additions & Altera.tions
S64.50 Residential. AC Only
S3950
Residential. Heating & NC (New Construction)
Residential. HeaIi~ Only (New Con.strUction)
$39.50
S39.50
Estimated Cost $
Building Permit #
.50
r" PA'D WITH
~lm.D~NG FE:;=' c,
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER.c"'\UT FEE
S
$
S
(omc~ Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Da'I!
Building Oflicial
24 hour notice for;all il\Spe~On5 (952) 447-9850, f81: (952) 441-'245
zoo~
- --XlddnS SH:3:(I1Ina SH:3:Xn~ - --~flflO~-;;C~ XV.:! fit: C~O/SllOl -. -
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J53fo1 hi3 ~otv"\ ~asS
NATURE OF WORK -1J.aJ
USE OF BUILDING ~ F\~
PERMIT NO. OZ-O~~) DATE ISSUED 7-18 - ~2-
CONTRACTOR _Me\~ a.sS\c H-~es PHONE 1'52- 1~~ -17 5' J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ~ Vi <"PJr~O-d-
I FOUNDATION (Prior to Backfill) I 19 V I ~/-(J()-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC -'1-00-
FRAMING ,-
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 1 aJ.; 3 ...:p~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING ~ -\ - (~ /
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an el!!c~rica~ 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.
l \ IS.1/
1\- '
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850