HomeMy WebLinkAboutBuilding 02-0952
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
, L1 ~51-
7...//-'d-
1. White File I PERMIT NO I
2 Pink City .O? -0 a -e:;:?
J. Yellow Applicant V ~~.
LJU/Ydd.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 20 BLOCK .5 ADDITION
~~~~
OWNERU ' I
(Name) ill\~M~ r ~
p\ A Z~,
(Address)
l<bt}S"
BUILDER
(N ame)
(Contact Name)
(Address)
<;; ~-(
M ,. \:\
DN~
~
J.,~
t'\ k~c..
~l \\~
2~
PID
sv\~
(Phone)
E
(6Q)40b --4400
~ MN. SSIZZ
7eo
(Phone)
(Phone)
(651) ~ - 4433
TYPE OF WORK
ORe-Siding
New Construction
ODeck
o Porch
ORe-Roofing
o Misc.
OLower Level Finish
o Fireplace OAddition OA~tion
PROJECT COST IV ALUE (excluding land) $ ~.jf 42- aoo
OUtility Connection
x
fumishe mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
bov -m tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
wa t the building official can revoke this permit for just c~yse. Furthermore, I hereby agree that the city official r a drignee may
ormneededinspections. 7J t45<6' 7 t7/oZ-.-
Contractor's License No. Date
I hereby certify that I h
authorized agent for
submitted plans
enter upon the r
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
&0. C>6
00 .06
3~ .':70
r Building Permit When Approved
725=0
Date
$
$
$
$
$
$
$
$
$..5 .0
./
I Receipt No. '-/ d--') I g
.. By (~C-.
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 by the City lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue .
#
Water Meter Siz 51 "; I";
Pressure Reducer
Sewer/Water Connection Fee
#
l /?O/C\L-
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
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
~id 5~ q .~--7;- U~
Date ~, <rj-- 0
White 0- Building
Canary - Engineering
Pink - Planning
The- ("fnlt"r or 'he tlke Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L{)./~~ .;J~
APPLICATION RECEIVED -? -11- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
bJrrY0 ~13J T~ 4tbd :Jd
'A
Accepted
/~~,,~I ~9U~~
~(/f
Accepted With Corrections
Denied Z
Reviewed By: (
Date: 7.. 2-Z
Comments: ,......
~j? +t. ~1.L
"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 ("fnlfr of 1ht" Lab Counlr).
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i .,
" .
./
APPLICATION RECEIVED !, /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l_ij (,L~
. r. '.. .~
. i "';;'.:!..lL.JI 1/#(/1/ (:.'1 ';.' c.' '1 ;/...<.
J- "I ; I / ,c-f<.."'" .' I' . ii. i... L:.J ./
/'/?,$I
/~.f~7~.'~./.'.. /" ,...' <...Lr.< . 'L./
I;;:; , -r
Accepted
~
Accepted With Corrections
Denied
~lJr~~
Date:
7/2-Cz /OL
Reviewed By:
3,
~~s
"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."
~ Vf\ktJj fr-t.f.
,.'.
White - Building
Canary - Engineering
Pink - Planning
Thf' ('tnleor or the l..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT UJ~~ ",/~
APPLICATION RECEIVED ""1-1/- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
MnlO;J11::5J fcJ1~ I/rffi Jd
Accepted 'X'
/!/d"S-/
T d-t/vYl (z:u1~
~(f/
Accepted With Corrections
Denied
Date:
See Reverse Side for Additional Information!
Reviewed By:
Comments:
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control 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 cc;l.ncel the provisions of this code or other
ordinances of the jurisdiction shall not be valid." .
---_.._.~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7-//-d-
(Please type or print and sign at bottom)
ADDRESS N fA
1. White File
Pink City
3 Yellow Applicant
I PERMIT NO.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 20 BLOCK .s ADDITION
f;~~~~
\.\~ \\~
2~
PID
OWNERU ' I
(Name) till ~MtiA"\ r ut~..b:>
p\ A Zp,
l<gC}5
DN\M.
s~~k 7C^'c:;;
(Phone) _(6~) 406 --4400
EL '" i-<lN. S5llZ
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
S /--{
M ..\\
ts
~ l,L'-'L
o "'-'l~c.
(Phone)
(Phone)
(b5~ 4<:6 - 4 L\ 33
TYPE OF WORK
New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition OA~tion
PROJECT COST IV ALUE (excluding land) $ ~ It' % Z COO
OUtility Connection
o Misc.
I hereby certify that I ha
authorized agent for
submitted plans.
enter upon the r
fumishe ~lnformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
bove-m tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
war t t the building official can revoke this permit for just c~yse. Furthermore, I hereby agree that the city offi.1Cial r a djignee may
)t orm needed inspections. 11 (4 S <<6" 7 17 /0 Z-
x
Signanue
Contractor's License No.
Date
# $
# $
$
$
# $
# $
$
$
$
Receipt No.
By
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
L Building Official
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
when signed by the City Planner constitutes a temporary Certiticate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
PIClnnin[( Director
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
FILE No.885 10/04 '02 06:26 ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 11/ 11
TI1t! Crnrrr 01 Ihe- L.~t' C"ill'll"
CITY OF PRIOR LAKE ~. ~:1L ~~ti~
PLUMBING PERMIT PPNo. .~~ q0~
:~~:.::.~~t:~~~:(:;~~:;rc~u~~
Legal Description; Lot Slock Sub
Site Address:~ F'" w,.t~ V\ \:h \ \:J ~ - -
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
.~ Bath Tub with or wjthout shower Rough-ins
\ Dishwasher \ Water Heater
Floor Drain ( Water Softner
;1 Lavatory (bathroom sink) I Stand Pipe (washing machine)
Laundry Tray (1 or 2 cc.,partment sink) , Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVS)
l Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water CIDset (toilet) I Other ~t ((0'1)( 1L
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 "I" of jOb cDst, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ .50
--
GRAND TOTAL $
.'.........
This permit is granled upon the cl'press condHion [hat said
cOntraclor. shaJl comply in all respects with the ordinances
0( the SUilc F'lumbing Code and [he amendments thereof.
RECEIPT NO.
DATE
A lTEST
OCT ~ 4 2002
Call for all inspections 24 hours in advance. ~
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) ;j/;-4245
An Equal Oppor1unity Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
#&;7/~
Date Rec'd
I. Pink
2. Green
J. Yellow
~!:y. I PERMIT NO. '.-1 - 9~ ~ I
Applicant CI-
ZONING (office use)
/L L~/5 C./--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone) C(5G1... (r~5 -7:l7t2..
(Address)
APPLICANT tl U . t M --.
(Name) , Qt1 e~ .:..L.~ .
(Address) 3~50 fte.nne bec- L::r.
(Address)
r z;
ste. #/
(Phone) Ip5/- 45~ -rf(775
~::a8Qn 55/.2~
(City) (Zip Code)
(Phone) to5/-45<fJ- ~77o
(Contact Person)
DATE
gNEW CONSTRUCTION 0 REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 383KA-vb2~; 0 FUEL J\Jo.tlAr1A ,
FLUE SIZE 'f'\cl(1,S~ 'B RETURN OPENINGS 4 INPUT ,CICOO OUTPUT 6lD~/)O (:)
TYPE OF SYSTEM REA TING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity 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
Residential, Heating & AIC (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 Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~/
.50
-.....
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
L ~J-4. M~~~ +i'
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /Lf~~/ ~~~~ 1Id-L'J @-f-
NATURE OF WORK }JeW L20 - 'Bs fOUA~ H-(~l(~
USE OF BUILDING SF-A
PERMIT NO. ()2--0CJ52- DATE ISSUED 7-2S'-oc...
CONTRACTOR ~~ (-f-.et~~ PHONE C:J5/- ~~ ~6 . till ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
f" --
GAS LINE AIR TEST ~ t/'2--1{~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
FOUNDATION (Prior to Backfill) / 70(i)'Z/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'- I '! J5 ,v
A
,.
/Ij ~ &:' Co
FOOTING
evt--
4-
GRADING (Prior to Sodding)
BUILDING {,~. 0 -~"D3
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTlL 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.
c, (2-~ leJ3
t I~Lt 03
I
FOR ALL INSPECTIONS (952) 447-9850