HomeMy WebLinkAboutBuilding 02-0947
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8
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
( S~ 1Ih> ~0J:-~
~'d
,--)1- J..
I. White File I PERMIT NO I
2 Pink City . 0 ~ -0 a A./1
3. Yellow Applicant V J I'r I .
~
0J2ty ({.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
/"'" '" - \ \~ .'\\<-
LOTI? BLOCK"::> ADDITION \-o\;v--~~ -,^ \ ~
~~
PID
OWNER' I 11\
(Name) \.,J t&l\?r'\AN'\ r () ~S
(Address) l <%t15 P\4.~'1 D('\\rt. (S~~ ZCO
(Phone) (j,S\) 4<3b - L\4oo
E/)~ . t"lN. ~5( L L
BUILDER
(Name)
(Contact Name)
(Address)
~J'-( ~
~'\ ,.~
t.k~
~ 4"l~~~
(Phone)
(Phon~s1) 40 ~ ~. 44 'S 3
TYPE OF WORK
New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
OLower Level Finish
o Fireplace OAddition OAI~ion OUtility Connection
PROJECTCOST/VALUE (excluding land) $ 1( ~ 2000
x
. hed informati n on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
v mentione pr erty and that all construction will conform to all existing state and local laws and will proceed in accordance with
that e i mg official can revoke this permit for just cause. Furthermore, I hereby agree that the city offic' I or a designee may
for inspections. ~ I 4 ~ <6 "7 (7 ~ 1-
Contractor's License No. Date
I hereby certifY that I have
authorized agent for the a
submitted plans. m a
enter upon
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
7 - :2 :).o'G-
Date
$
$
$
$
$
$
$
$
$S;tiS7. ao
I ~;ceiPt Nfi~1) I 'iJ
Park Support Fee
SAC
#
---
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 si d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue
#
Water Meter
Siz 5/8
1" .
,
7 (;[C'ID-'2-
Date 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
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Uaid
Date
!J ~15-.'l~ Fcf
- ~ --()
White - Building
Canary - Engineering
Pink - Planning
The ("rnlrT of Ihe L.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fL/ ~~/'lU ~
APPLICATION RECEIVED I - ( I-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lo-fIS; EL~ ,.1{)1LMT~- /JdJia ;;?lJd /L(;}L(09-Ch~r~
~ ()!-r--
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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
The ('enter of the Lab Count.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~.....,
/
./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
~/ / .L..
/4. 1 .,~.
,
). '01-
.--"\ '
,
. . ~f-<' 1 .
"7--
Accepted
~
Accepted With Corrections
Denied
~ A-zr>~-4~
~.
Reviewed By:
Date:
7!J--c;//)7-
~
"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."
5~vf\~~ t{Lt
, ,
'. '
White - Building
Canary - Engineering
Pink - Planning
Th. (".nl., 01 th. 1-ok, Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ii) ~<YJ72.-</}1//() c/Io-n/l,. O~)
APPLICATION RECEIVED I - (I-d-'
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
Lof IS:/ BL 3. , .1- {J1//}1 i?li~ !k e~ ~ AJd'
It/;)?/o :ltrz~lcu~
I/dh (]-I
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~ Date:
Comments: See Reverse Sicte for Additional Information!
tl\A:(J-.y-rl\~ t>os.1,1:''t.vf. DR..P((tJ A.<:k: AwA,<-f (~fY'\ bru-~
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control 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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
#~ 7?~
Date Rec'd
t ~~~~w ~J~icant I PERMIT NO. d 114 '1
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~::e~RD.~. Horfon CudeV)')
(Phone) q5a~ q~5 -7;l7~
o L.(
(Address)
APPLICANT AU' 1 M --
(Name) ranT e<L .:L.~.
(Address) 3(P50 fte.nne. hec- !::r.
(Address)
f Z..
5+e. #/
(Phone) Ip5/- 45:L- c:l775
;::a8al1 55/.2:2..
(CIty) (ZIp Code)
(Phone) &5/- 45~" ~77o
(Contact Person)
DATE
0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~a.n.+ 383KA-Vb2JUrlO FUEL l\Jo.tlAr'lA \
FLUE SIZE 'f14cla.S'D B RETURN OPENINGS ~ INPUT 10.000 OUTPUT 5iJ>~l>OO
TYPE OF SYSTEM REA TING 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 MAKEAND MODEL
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
/.50
fJ
,...---
!~~!'?~
~~ ;.'(~ ~,~
.'-. J, "~ Ir"~'.'-:::-" "J"'P
lC:,.iJ i,,\,JI.I'u "
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
-...,.
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
OCT I 7 2002
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FILE No.885 10/04 '02 06:24 ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 2/ 11
The' Crnlc:r el' Ih( L."c COunl,)
CITY OF PRIOR LAKE t ~::L ~~~licanl
PLUMBING PERMIT PP No. ~~ .-qtl1
:~~:t::~~~~~~~:h~~~~f~~
Legal Description: Lot " Block Sub
Site Address: ri.{ ~L~ 6 Fn :>V\.-\-~ '^ "\}; \ \. ~
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Ouantity Type of Fixture Quantity Type of Fixture
a Bath Tub with or without shower Rough-ins
1 Dishwasher , Water Heater
I Floor Drain l Water Softner
A Lavatory (bathroom sink) ( Stand Pipe (washing machine)
i Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shower Stall 8acktlow Assembly (RPZ, Double Check, PVB)
I Sinks Sackflow Assembly Tesl
8ar Sink Lawn Sprinkler
~ Water Closet (toilet) \ Other 11i (, lc..1)clC
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
$
$
$
$ ~.
.50
GRAND TOTAL
$
"....-
1'>:,
This permit is granlc:d upon the express condition that said
contractor, shall comply in all respects ">lith the ordinances
oflhe Slate Plumbing Code and the amc::ndmcnts thereof.
RECEIPT NO. DATE
A ITEST
Call for all inspections 24 hours in advance. (;;y.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 J Ph. (612) 447-4230/ FAX (6 1 2)'U-4245
An Equal Opponunily Employer
OCT - 4 2002
1 I) : 53 I D : PL\'f10UTH PLUm I ~.jr;
FAX:7635331121
PAGE 2/ 47
GIIEE. . FM-E
YELLOW. APPLICANT
GOL D . erT't
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
~-- qt1(')
S.w. No. (
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: 9. . Ol ;-tV\ P \ LA 1\ ~
SIGNATUr<B..1Qjl&l.J~~~1 ,
SITE ADDRES :
PHONE :t!ls2~)S"!J'U '6S7
DATE: ~- \L\- 0 ~
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
i
A()
feet.
1. Estimated length of water service
2. Size of water service
\ "
inch(es) .
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC 'l
Cast Iron
5. Estimated length of sewer line J-( 0
feet.
6. Clean out (if required), located at
structure.
feet
from
====~===============~======~=======~==~=;==============:==~=;=====
This application becomes your permit when approved.
BY
DATE:
===~==================~===~~~~==========~===============;;====~=~=
FEES:
$
S
$
35.00
.50
35.50
Sewer and water line connection permlt.
Surcharge
TOTAL
* fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and
recorded 0
to insure
issued.
. - 'ssued for new construction must be
i~~n~ ~ rmit card at the time of ~ssuance
at no ~upl~ ~ e sewer and water perm~ts are
FEe I 8 2003 U I fJUJ~ir~'''' . , ,
)i AMOUNT PAID ;;} rt.., _",:
DATE PAID
By_
RECEIPT #
--
RECIO BY
if
/:
I
16:200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (6 J 2) 447-4245
An Equal Opponunlty Emplc)yer
PRIOR LAKE
INSPECTION RECORD
l ~~ +~ Mao.,n
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /L,/Oi 1-/0 - 9-(}~~ ~ %
NATURE OF WORK J.Je.~ L \5 - 'Bs fo<.J~,^- k..'\~ '5
USE OF BUILDING SF {J.
PERMIT NO. O/?--()Q4-7 DATE ISSUED 7-2e:;--CJL-
CONTRACTOR LJ~~~,^ ~~<; PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
DATE
I
I FOUNDATION (Prior to Backfill) I H/-.-I CC /L-{ I C52-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ . \(i ('3 '07.- 'IN I lUll
FRAMING LV/{OIINt h't1/J /1;YO
INSULATION
ELECTRICAL
PLUMBING LA\-~tL., L~I<~ -::%k-
HEATING (if required)
~-
f6 ()-/ /bL
I~ 2 {, 02-
/].,1-02-
fV(-7
f
./
/- u- Cf7.-
j)-J. 7- UL
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING '( (N1t1 \ <jS-I-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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