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HomeMy WebLinkAboutBuilding 02-1049 ~ 5' 0 0 ~ 0 ~oooo "'l:J 0 > -0 Z_ en 0 :J: :e C ~::;! al 0 0 en."z"''''''' 0 Z C 8 0 Sl 0 0 s:: :::nz:en~oo z m ;Q mo > 0 " " " 3!: !!!>ci:~~ m ::0 m 0." ~ r- :-! " " " zl""S;:zCz Z en ::!"'l:J m m m en I"" 0 0 en ~ ::!(;)~(;) 9 0::0 ~ t -4 -4 > Z z- t'l ~ > -4 -I m 0 - zO ~ .... Cii en o Z 0 S .D 0 ." -4 Z 0::0 co " -4 > 0 ::!s: ~ 01 ?' 0 0 0 Z 0" Z -4 mm ." 0 > 0 ~ 0 > ~ ::0 I"" Z I"" C ~ -f ." "'l:J "'l:J ;l.. :J: 0 ::0 " ~ m " 0 0 000000 Z ::0 0 0 m m m i:"'l:Jen~i:"'l:J ~ >< m m m Z ml""~)oOml"" -f C C OC -40C ~ Z ~ en :xi: m:xi: "'l:J 0 en ;0 "'tI ~ ~ en m .,,!!!::o::o,,!!! m 0 0 ~ "'l:J ::l 0 zZ:X:J:-Z ::0 Z :J: ::! m 1Il -4 >(;)00 (;) l!: -f m :::t ~ 0 () 0 1"".,,00 ::0 :::::j ~ C -f 0 Z z~~ - Z C 0 3- r- ~ lJJ ~"'tI"'l:J 9 m Z :-! m C ~ N ." ... 0 ~ :J: ::0 m ~ 0 0 c: ::0 0 [ < 000000 en m ~ Z ::0 (;)."."o~ ~ > Z >:5:50 ~ Ilo G) ~mml!:G) m c ~ ~ _"'l:J"'l:J"'l:J~ ~S;:S;:S;:c ~ Z >ooz:;; ~ 0 _mm-4_ !'l ::0."" I"" ~ -4-- I"" i enz z m -4~ G) White File Pink City Y cHow Applicant t' ;a;7 I PERMIT NO.OZ-(04'/ I CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 60 ue r:9 ZONING (office use) ISJJ 55 J, cf atvn rL LEGAL DESCRIPTION (office use only) cX<; i 0S- LOT BLOCK ADDITION ~e) )o.c~-e ..J (Address) ()~~ (Phone) '''''tiName) t.. ,. .1) ,.l't ~) ~) 95;2- C/7((___ 7/;;2/ q 5:2 - q7t!~ 7(~ I -co2,. :2. -f;l ~ ODeck OPorch OAddition ORe-Roofing ORe-Siding TYPE OF WORK o New Construction o Fireplace o Alteration OUtility Connection OLower Level Finish 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 awar that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city 0 lcial a designee may enter upo e to perfo n ed inspections. omes Your Building Permit When Approved 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 PROJECT COST IV ALUE (excluding land) $ ~~~LN6. $ $ $ $ $ $ $ $ Park Support Fee SAC # # $ $ $ $ $ $ $ $ $ Water Meter Size 5/8"; I"; 5'$2. ./1 3'1. 60 Pressure Reducer City SAC and WAC Water Tower Fee # # Builder's Deposit Other TOTAL DUE ~;~~ - Oz....- /'7 ,;211, 'f!- I ReodE' 1f!-CJY Cf3 9-~ 13.- By 8 - Cj -tJ2- Date I Paid Date "his 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 lten signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be 'ed. Planning 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 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd 1. Pink File 2 Green City 3. Yellow Applicant fl.-( S \) , -5- (1 L( I' / ,.. L (..\ r\ A.. > j LLVC LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID Z .- .0 OWNER (Name) (Phone) (Address) APPLICANT--- (Name) , ..+t",~\-( ~'\\ (Address) )Lj,JJ l: S '1' ~ \-t:-- rv\ ':> /\)c'l ~-DE "V (Address) (Phone) 7~'? - '--\ ;} ~J - -t<b<t:'i'~ (Ci -d-~J. k, S':J'l (Zip Code) APPLICANT PLEASE C DNEW CONSTRUCTION 0 RE EMENT FURNACE MAKE AND MODEL r'i)- ',~ 0 Q' FLUE SIZE RETURN OPENIN~S ~ l\iL INPUT TYPE OF SYSTEM (' G ':'0 ~ REA TING OR POWER PLANT OWarm Air Plants '"'\ 0 Steam OGravity 0'" O), \ ) 0 Hot Water o Mechanical \ \J 0 Radiation OAir Conditioning 0 Special Devices ~Vent. System 0 Other Devices , C,'\ \ C,:;~''f:- \0 \' + ~ V" (r, ',,:> I: .... <.. FIREPI::ACFMAKlrANb MODEL (Phone) - ). ~. J \... (Contact Person) APPLICANT SIGNATURE PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 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 _ .~, L__\~ Estimated Cost $ yo ~.;? Building Permit # en Approved $ St( - ) 0 $ .50 $ fo. Paid (l/)fr: HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ur notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering Pink - Planning - The (t'nlt'r nr 'hl' I.akr ('ounlf") BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 0~ ~ &~ APPLICATION RECEIVED {-"'-- f-eJ d- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5S~Lj 0+OV(c7~ Accepted Accepted With Corrections X Denied tZll!? - d Reviewed By, ~ ._~ Comments: -ilp~~.. gMok ~.\.eckr~ ~u~ .oJ- ~.lAocJ~ Date: ~-S--OL "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." ~1 White - Building Canary - Engineering Pink - Planning rht' Cenlrr or .he t.kt Counll')' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / // ~j APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;.- ~; ....-/ L/ " /. '1 /' i.........-' >>. Accepted Accepted With Corrections Denied Reviewed By: Date: #', Comments: r :' , ., \~?;, "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." FROM Thompson Plumbing FAX NO. : 952 933 8949 Sep. 20 2002 11:29AM Pi /fPR~~ ~ CITY OF' PRIOR LAKE ~ ~~w ~iU'ADI PLUA1BIJVG PERMIT PPNo. 02-t64L APPljCan~mf:~:'" \;~~~:~. Phone:q ~- q ~:'/'7/~' L_ Address: \'5cd '0r\~I__ __~_\ cJ... Rd... . \'n-~-~ ~4-'S,_~ Signature:.:]::)" ~ .i..Q(lih.A.!J\ Legal Description: Lot _.__._ Block Sub Site Address:5'5~4 C'l\'~l~ CJ.~\JI.L\ra.\.\ S't _ Building Permit # _. \ 6lJ;' ~IJA1 PID #~k- \ \ S - c~.:t. NOTE: This permit will not be processed without complete information. FIXTURE UNITS n.. C....4n ., I". U"'C c........,,., Quantity Type of Fixture Quantity Type of Fixture 8ath Tub with or without shower Rough-ins I Dishwasher Water Heater . . Flcor Drain Water Softner LavatolY (bathroom sink) Stand Pipe (washing maChine) Laundry Tray (1 or 2 compartment sink) Sewage Ejector Shower Stall Baclctlow Assembly (RPZ, Double Check, PVB) / Sinks Backilow Assembly Test Bar Sink Lawn Sprinlcler Water Closet (toilet) . c::< Other - l.l:Lrt:~ 11.....Y..- t FEE SCHEDULE Industrial. Commercial &. Multi-Family (1% of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge :~j~ i; LJ ..-J 0- )ost~lt" Fax Note $99.50 $39.50 $ S $ '5' .. .50 GRAND TOTAL PAID WITH BUilDING PERMIT ; UpO:1 the upress condition that said contr"l.:tor, snail comply in iJI n:spccts ~ith the ordinances cr the Stale PlumbinE Code and the ~ dmcnts thereof. RECEIPT NO. (. ATE ATTEST Ca..Il for aJI inspections 2 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55~72/Ph. (612) 447-~130 /F.~X (612) 447-4245 An Equal Oppcrtuniry Employer PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 5S-~~ C'~ ()OlU lr NATURE OF WORK T", LAu~, cA.. USE OF BUILDING ~~D PERMIT NO. Z -~ DATE ISSUED /3-7 --a2- CONTRACTOR Lc...~ PHONE (,12. ~O -7t,tA2.. ~Zl., NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR ~ : ~f I V1j<//b?- I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE r------- - . =------ --- FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED 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