HomeMy WebLinkAboutBuilding 03-1515
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
II. IZ. a3
}
(~
)-L C
LEGAL DESCRIPTION (office use only)
LOT ~LOCK / ADDITION
I. White File I PERMIT NO ~
2 Pink City . /') .:::> _ /' L::' I,.
3. Yellow Applicant , (,/2 .::;J 1._
ZONING (office use)
b
PID ;;2 ,t5 -
OWNER
(Name)
fV\ L. r \<.....
.
Lj ~9 7.::Z"
VV\ t' L(' i h.
D') )
(Address)
.5~
8 - 61 O-()
(Phone) 'J-~J - 46 ~ _.({~Ll(,;) ')
e
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o Misc.
o New Construction
..)(~ower Level Finish
4 r.... 0."'"
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
o Alteration
OUtility Connection
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 upon the property to perform needed inspections.
~~~, '~ .
X "--.:t. ............, {-
"' '!;ignature -- Contractor's License No.
Permit Valuation +000.00
Permit Fee $ 8 7. z.S
Plan Check Fee $ -
State Surcharge $ Z.OO
Penalty $
Plumbing Permit Fee )( $ 4- 0.00
Mechanical Permit Fee $
Sewer & Water Permit Fee 0.: $
Gas Fireplace Permit Fee )( $ 'pCJe'11IT as ./5 '4-
This Application Becomes Your Building Permit When Approved
~ ~ 1//;~/oJ
Building Official date I
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other G~CTXA~ $ 1.00
TOTAL DUE $ /s c. z,s;-
o. ~o:u-
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 Certificate of Zoning compliance and allows construction to commence, Before occupancy. a Certificate of Occupancy must be
issued.
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
Planning Director
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/ /1 o. {l3
~. ;.;:w Jl~icant I PERMIT NO. 03 -15/1- I
ZONING (office use)
, 4'}-~~
-I)o Ue
c+
;()~
Je,1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs: 3"8 0 10. 0
OWNER
(Name)
(Phone)
(Address)
APPLICANT ,/, r...... . . r..... "-
(Name) () \C\K.L V'^~ ~p ^,,6'~\. ~
(Address>l~ ~g, (~ SOJ.I
(Phone)
S-~ 7 d.-
(Zip Code)
ls~7
(Contact Person)
APPLICANT SIGNATURE
DATE
A LICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
GI1J '-"IAle
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
KE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$6450 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # 6.f -/5"/4-
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3950
.50
4c.t.oo
''lice Use Only)
ihis Application Becomes Your Building Permit When Approved
Building Official
Date
Paid A-O
., ,tiO
Date /(10,03
Receipt No4" 6.3 /
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
February 14,2005
Mark McLain or Current Resident
14288 Dove Ct.
Prior Lake MN 55372
RE: Building Permit Number 03-1515 and #03-1514
Second Notice
In review of building permit files it was discovered there is an open permit for a lower level finish and fireplace.
The City needs to have access for a final inspection. Please call for a final inspection by February 24,2005.
To schedule an inspection time call,(952) 447-9850. If you have any questions feel free to call me between
8:00 and 8:45 AM at (952) 447-9853
Paul Baumga er
Building Inspector
----
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
BY:
Residential Building Permit Checklist
Basement Finish or Interior ..:Uteration to Single Family Homes
-:::2
/1_ I~-O~
Date:
Building Permit #.
Site Address
Pill:
Zoning:
/ </ d-J> c?
/Jo oc CZr
Legal: L
B
Subdivision:
Existing Structure: "YES or NO
I CONFOR!vIS TO ZOl'{ING
o RD IN A1'1" CE
TIS
NO
YES NO
Is this an expansion of the existing footprillt or Refer to Plann:L.lg
building height?
Is the property located 'Within the flood plain? I Refer to Planning I
Does the alteration include any additional kitchens? Refer to Planning I
Does the proposed alteration include any outside Refer to Planning
entrances othe: than patio doors?
Is the proposed use of the finished space or Refer to Planrung
alteration for anything other than a normal single
family home (office, group home, day care, e:c.)?
THIS CHECKLlST MUST BE COMPLETED A.I.'fD INCLUDED IN THE BtrILDING PERi'rI1T FIlE TO
M.AlNTAlN A RECORD OF THE REVIEW,
T ,\r.:-~\'DT .I. "'i'"c:\.-\LTc'FrCZ.DOC
PRIOR LAKE
INSPECTION RECORD
~~~~~D~FE~~RK 7~!." 11.1J~c.P- f-
USE OF BUILDIN~ .
PERMIT NO. - /, DATE ISSUED J /- I .. 3'
CONTRACTOR Ii, ~~ 10. ;~ PHONE ~O~- ~~d-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT 15':2.. 'fo 3 _ (, '( 2-7
OEPAR) MENT OF
BUILDING AND INSPECTION
~ t I
~E UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING '/
INSULATION
ELECTRICAL
~\lH- IJIi {Up" b,."Yl~ )fj;Jf
1_- . -'7'fif-required}
FIREPLACE J--q" iJL(
GAS LINE AIR TEST "-/4r{[b
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 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