HomeMy WebLinkAboutBuilding 02-0945
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L S82.. t4 vu.o..\A1--\1.p
Date Rec' d
j_//-;J--
~i~i~e ~:~y I PERMIT NO. O? "0 O/Lr-I
Yellow Applicant . V L c.r'~ .
(Please
ADDRESS
~/A
/ L/:;.1-/ y
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT r~ BLOCK '3 ADDITION
Z-J
~CJJ^ \~'" \-~ \\S
PID
OWNER W'
(Name) Ill\SVV\~
(Address) \<=6 q ~
\-\Clf'fS
p\IAZP,
(Phone)
~v~~~ LOO
ar\~
~S')4l)~ - 4600
I"1tJ. 551 Z L
BUILDER
(Name)
(Contact Name)
(Address)
~ , h:.,~
M AZlfall I! c.
(Phone)
(Phone) t SU 406 - 44 3~
~"'r"-<
l"'\ ~d\
*ew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Fireplace OAddition o Alter1n OUtility Connection
PROJECT COST IV ALUE (excluding land) $ 67 I 000
o Misc.
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 0 -mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. am that b ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:w,"pon, , " ,d iMP'ctiO",. 4\145<6 "'] /17 /0 Z-
Contractor's License No. Date
$
$
$
$
$
$
$
$
$~
I ~~~ ~ 1$', () ~ I ~;eeipt No lftP If I
Permit Valuation (.~ Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Siz 51 ; 1";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ IDO.c:)O Water Tower Fee
Mechanical Permit Fee $ 100 . e:>O Builder's Deposit
Sewer & Water Permit Fee $ sS- .~-O Other
Gas Fireplace Permit Fee $ TOTAL DUE
7.2~-o,-
Date
#
#
#
#
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
:~~: t.4::;~:::ry em"";' ;'::'~::' md '''on, '00="'00 W <ornm"" B,fu" ocrnpm" , emifi"" ofo,rnpm" m," oc
l . Planning Director Date 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... ("('nfer of the I.lkt ("nunl".,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
NAME OF APPLICANT
v\ ,
...-)
APPLICATION RECEIVED
,/ ,1,1'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
',L.:'" i t
f'/l/ (/" /. / )~
. ':- .' )..~
...J
IL(~//q' =Jo/:(u1.~
It/Is (ij
Accepted
~
Accepted With Corrections
Denied
c:;; -))
Reviewed By: ~.~ ;:~~~./-"7'A-
Date:
7/2t; 10 2-
,..-
"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 shalf not be valid."
Tht' ("t'nl(>r or Iht' Lakr COunll")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1LJM14J7l~
7-//-d.-/
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&,1- /3JBL3 I ~. tJd& Q-v::i
f . ,
Accepted ><=-
! tJ)4Lf ~~
Pt,Zfa cPT
Accepted With Corrections
Denied :2 fS k
Reviewed B~ !fl L- 'J _
Date:
7-2~"CJL
Comments:
See. ~ f'lalV\ .Q l12
"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."
S~f rAx;.N B.~
Th. C.Oln ollh. I,ak. Couolry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!t~J!A14/J7~
7-/1-;;)../
~J7l1!A<L_-
f
The Building, Engineering, and Planning Departments have reviewed the building permit
- application for construction activity which is proposed at:
Lot- /3J R L 3 I 7--~~~ ~ ~ v:l
, . ,
/ /j;2~ 1-1'
);;;/ ~ 1L a?n-'
.
Accepted -:x
Accepted With Corrections
k/21b GT
Denied
Reviewed By: ~ Date: 7 tu.. ( 01,-
Comments: e Revers~ Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
. 3) ErosionCo.ntrql Plan'
"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."
FILE No.885 10/04 '02 06:24
ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 4/ 11
---~
~,
"'------/
Tht Ctftlcr of Ihf L.lkt ((,)\,Inlf)
CITY OF PRIOR LAKE ; ~~~ '2i1r:,
PLUMBING PERMIT PPNo, 3. Y~~-crl7~
:~~:::,~~~~~~~~:hffi\1~~~~~
Legal Description: Lot Block Sub
SitsAddr8ss:~ f"r~,V\.t-al1l\ thJl".:)
Sullding Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type 01 Fixture Quantity Type of Fixture
\ Bath Tub with or without shower Rough-ins
I Dishwasher , Water Heater
I Floor Drain \ Water Softner
8- Lavatory (bathroom sink) , Stand Pipe (washing machine)
I LaunQry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Back/low Assembly (APZ, Double Check, PVB)
, Sinks Bacl<flow Assembly Test
8ar Sink Lawn Sprinkler
d- Water Closet (toilet) \ Other '5 \ llcfl' l'
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1"/,, of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ .-
S
~
$
.50
GRAND TOTAL
$ -~--
/.
This pcrmi~ is grill1led upon the express condition ~hlll said
COntractor, shall comply in all rf:spects with the ordinllnces
of In<=: Slllte Plumbing Code and ~he amendmcms thereof.
RECEIPT NO. DA TE
A TrEST
OCT - 4 2002
Call for all inspections 24 hours in advance. 4'
16200 Eaglt C'eek Av. S.E.. P,;o, Lake, Minnesota 55372 I Ph. (612) 447.4230 I FAX (612) 47-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
~~7?~
Date Rec'd
I. Pink
2. Green
J. Yellow
./"
~:~ I PERMIT NO.') //)/ -It:.. I
Applicant . !2l '-1 '7 J
/-2:J?4L
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~e~RD.~. Horfon Qusbm Home~
1~er16rid<)e~
APPLICANTA U . t M ----
(Name) r Qr1 e~ .:..1~.
(Address) 3tr;S() Kenne bee..~. 5+e. #/
C-- (Address)
r z;
(Address)
(Phone) ((of)... q ~5 -7;),7:2..
o L.f
(Contact Person)
(Phone) 1(J5/- 45~~ cf(775
~-:a8Ql1 55/.22
(City) (ZIp Code)
(Phone) &5/- 45~ - bl770
DATE
[~"NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 3S'3KA-vb2..&!D'10 FUEL l'J~f\Aro..l
FLUE SIZE 'tl'cla.sc;. B RETURN OPENINGS ~ INPUT 10.000 OUTPUT 6lD~/)OO
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical . o Radiation Cannot Encroach into
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.50
4
i:Y.'~' r: ~
IBlw I' ,"\; l..}
!f2!(SiiJ" ,"""" ,,...,
~.. ~'8~~~ P "
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
DateOCT I 1 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FILE ~..Io. :303 02/14 ' 0:3 10: 53 10 : PLVf10UTH PLUf1B I ~jG
FAX:76:35331121
PAGE 5/ 47
IiREE" - ~I\.l!
YELLOW. """lIC.Jlr
CiOLP . elT'"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
$.W. No. 5\ - fJL-/J
Sewer and Water
contractors must
be registered
with the City.
APPLICAN~()Q-\IA PllAilVllo ~
(ADDRESS: L' L-j f O!..)V\t" i v\ ~- . \ \"':, t'\-.
SIGNATU~Q Y~"-W'~I \
r SITE ADORES :
PHONE :tJls??).S?J!J-'u, bS7
DATE: d--\Q-02,
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estinated length of water service
f
A[)
feet.
\ Il
inch(es) .
2. Size of water serv:ce
J. Location of any couplings from structure
feet.
4 .
Type of sewer pipe. ABS PVC~
,10' '
Estimated length of sewer line ~__
Cast Iron
5.
feet.
6. Clean out (if required) I located at
structure.
feet
from
~~=======;============~============~=~~==~~~~===~=========;;=;====
This application becomes your permit when approved.
BY
DATE:
===;~====~===~:===================~==~~===~~==============;;=~~~~~
fEES:
s
S
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
'rOT A L
* fee for either sewer or water individually is $20.00 plus
S .50 surcharge.
-i' Sewer an
recorde
to insu
issued.
'ssued for new construction must be
permit card at the time of issuance
ate sewer and water permits are
/!:"ll. ~;~, ....Jf. r
ISJI!J H.J){ f"le', '
.li.MOUNT PAID' ...: r-:;.,.. .
(:r
j
DATE PAID
RECEIPT #
By
=
--==--
REC/D BY
J 6200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (6] 2) 447-4245
An Equal Opportunity Employer
L~e. ~ Ma..i/,1. i-(~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /t/~tltf~/Jul./b~ ~ (1+
NATUREOFWORK N~\U L.{,< lS3 FdU\A~e...'L..l..j/llj 2.J.
USE OF BUILDING" SFA
PERMIT NO. 1J2-() 945 DATE ISSUED 7--;)5-0'-.
CONTRACTOR tJ.eNL~IMCUAv\..,~ ~ PHONE ~Sl- Cf<<a, ~c1~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
DATE
~
I FOUNDATION (Prior to Backfill) I ~ I q,N t o~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. 'a! " Iii? CJ v " 101"\
~~~~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING t-v) /CL\.~~~Le"\
HEATING (if required)
~-/~-(fL
{ )... -l. 0 --(/1.
~
~
l 1-/ Le" ! c" ;1 --
( - (y--Q"\-
GAS LINE AIR TEST
~~.
.....-
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING l,S I~\.<\t 8'V\-S
HEATING
DO NOT OCCUpy 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.
FOR ALL INSPECTIONS (952) 447-9850