HomeMy WebLinkAboutBuilding 02-0906
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Date Rec'd
~. ~'"e~" ~:~y I PERMIT NO. ...:).___G /l! I
J Y.:ilow Applicant , ~ It../ ~
(Ple:lse tvpe or print and sign at boaom)
I: ADDRESS
/ 10 ~ 31 S-,~ f )(.'r\~
ZONING (office use)
Ik..
S0
LEGAL DESCRlPTION (office use only)
LOT l/ BLOCK
ADDITION Isf-
fJ v7l~
PID ,;2 j-- 36 SO- {)d-O -0
OWNER
(Name)
b~v.J
3" u'-' ^-S,.,..>
(Phone)
f (Address)
I
S;I"'--
Ax-
StJ
APPLICANT
(Name)
u .~ c. r (.t.. IC f-i'1 C f /..'-<-
/10/5/ j11~.",,- Ax..
(Ac!dress)
(Phone)
f..,;("
(City)
]5 Z - 'I 'i 0 - Sb 2.c
LA S:S3? ~
(Zip Code)
(Address)
APPLICANT SIGNATURE
(Phone) '5'~z..- '-IYi) s"'Z.. 2l::::l
DATE ?-D Z
APPLIC NT PLEASE CO:\lPLETE BELO\V
ONEW CO:-iSTRUCTION 0 REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
(Contact Person)
FLUE SIZE
RETUR;~ OPENINGS
INPUT
HEATING OR POWER PLANT
OUTPUT
TYPE OF SYSTEM
OWarm Air Plarots
OGravity
o Mechanical
OAir Conditio:Jing
OVent. System
o Steam
o Hot Wate~
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE Al','D MODEL
fV"t...... '\ ~~, j)U/..-T: 6<.. /-(!.;v
FEE SCHEDLLE
Industri;):. ComrT:c~ial &. Multi-Faml'>
[% of Job cost
SJ9.5U minimurn
59951)
5645()
R~sicential. Gas Flrepl::lcc
539.50
Resicknli:::. HC:~H.r:s & .-\.C (:\c'" Cons:rc:ctlon)
Rcsldentd. He::lt:r,g Only (:\C\v Cons:~.~c:ion)
Rcs,Jential. Additions &. Alte~a:ions
R~siccntial. AC Only
539.50
539.50
Estimated Cost S
Bl:i;cing Permit ..
./JifJl":....,
HEA. TL'\G PER\lTT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
S
S
.50
f<,
" '
(Office lse On/:)
This Application Becomes Your Building Permit When Approved
i Paid
Receipt ~o.
Date
By
q--
Date
AI'I'" I ::.,
., . \/
BuiIdin;! Official
2~ hour notice for all inspections (952) ~~7-9S50, fax (952) ~47-42~5
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ '" ,,,,,- t.(, 0'\ S A v...e......
LEGAL DESCRIPTION (office use only)
LOT 4--BLOCK 5" ADDITION
Date Rec' d
'7- /2-- 02-
White File [ PERMIT NO
Pink City . 0'" -- 0 'I 0 !-.
Yellow Applicant , V IV
ZONING (office use)
/<:..1
.s, ~lI;)L)N. TlJ
pm 25-308- 020-0
OWNER ~
(Name) DuJ \ '.
-=s- ohA!.> 0"'-
(Address)
BUILDER
(N ame) =,J0h.~
(Contact Name)
(Address) .
P:- ~~""t9' V "
(v,"- ~
, \
r ~"
(Phone)
qLJI - iOa.'1
V'e
(Phone) 440 /"'< '5""/9~
(Phone) ~ld- - 4'\fO'--lloS
c.... : I"
TYPE OF WORK
o New Construction
ORe-Siding
OLower Level Finish
o Misc.
ODeck
OPorch
~tion
OUtility Connection
ORe-Roofing
dFireplace
o Alteration
PROJECT COST IV ALUE (excluding land) $
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 on ~ ,I rope'Y).o 0 p p:~m needed inspections.
X 'V\I\K-\..:,t ~ Lt9 C)'( l . -( ~ -0)-.
Signature Contractor's License No. Date
Permit aluation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 1./0.00
s Your Building Permit When Approved
7-/8 -C>Z
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ 76..3,6
I ~;ce1lU:55i;
I
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~M.89
--t if. f'Z--
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
~~~;€ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allO~struction to commence. Before oncupancy, a Certificate of Occupancy must be
. . .-e>-e'-<,,__-? 7/~~'72- ~~ At5t/,vJ.~x. (3hJ}~1<
Planning 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
/
White - Building
Canary - Engineering
Pink - Planning
Th(' {'"nerr or Ihr 1.lkr Co'un'f}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CF\SA N OVA I TOri IV
,
7- /2- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
'~" application for construction activity which is proposed at:
1&;837 SII'1PGIN.S I-\ve;.
Accepted 'X
Accepted With Corrections
Denied ~
Reviewed By:
Comments: .See A achm nts:
Date: 7/1-1... (Dl.
1) Grading Plan, 2) Erosiqn Control Measures
3) Erosiqn Control Plan
See Reverse Side for Additional Information!
"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
Tht ('"nin of .ht" r..kf' Coon.r}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CASA NOVA I JVHN
7- 12- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
}0537 SII'1P~/NS AVe.
X
Accepted
Accepted With Corrections
Denied ~;.O /
Reviewed: '!+-r -;------ Date: 7- /8 - CJ Z-
I
Comments:
~~ S'~~ ~ ~f oJ #.t +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."
~<
Thf ('(>nl(>1' or Ihf I..kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/; / I
:... \
1\ !\
, '('..
. \" 'l\
, I
r I I !
--I -
,-
~,
/"" ..>
..=--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.'-"-7
.;:1----
{-,.. ~-".....-
" '" ' .' ", .-."
l ' ./ j.J i~ l ! '. On
.' \, \.' c- .
Accepted
~
Accepted With Corrections
Denied
Reviewed BY:~"--~
Date:
--; /72-/LY7.-
,'y~
"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
INSPECTION RECORD
SITEADDRESS /(,,8:57 5iVV\p~~V'-S ~v-e.
NATURE OF WORK A~
USE OF BUILDING S F[)
PERMIT NO. 6~;oqO~ DATEISSUED 7-/8--0<-
CONTRACTOR L"kv.... (PSOtACf)~ PHONE C;/2 -1 io ",,?IOE!)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING IN"PE~ I !'15~:
I FOUNDATION (Prior to Backfill) I h I ?/r/tJ t-
.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
<2-
B,c2&
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l-' I
FINALS
8-:26,
/
HEATING
DO NOT OCCUpy
i lfr/
UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical 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.
(, /' \
J -A" ~)~
BEEN SIGNED
FOR ALL INSPECTiONS (952) 447-9850