HomeMy WebLinkAboutBuilding 03-1287
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/4-7/3
Date Rec' d
q 2-2-.03
White File
Pink City
Yellow Applicant
PERMIT NO'03 - / ?07
arl/VT6/Z-- Lfi file N&-
ZONING (office use)
K-J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2.5: 300. 0370
OWNER
(Name)
vJ i L .sf",".I
RA'J'tj ,
,)
(Address)
(Phone) 9,-<:{z '-Ive 3tj 5? '2.-
q52 A tfC{ 0 ,.. '1 Co e 2.
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
ORe-Siding
o Fireplace
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
DAddition
o Alteration
DUtility Connection
o Mise.
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 upo e proferty ~o Pl~form~eeded insP. ections.
X W U-----.
Signature Contractor's License No. Date
Permit Valuation ..3 JUI1 >" . 3, {)O O. CJ lJ
Permit Fee $ 7'-17S-
Plan Check Fee $ .,..---
State Surcharge $ I.rn
Penalty $
Plumbing Permit Fee $ 1-o.aO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ld~
Building Official
f/~~/oJ
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ //&.z5
:J
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
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.
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
Residential Building Permit Checklist
Baserneat Finish or Interior AJtenrion to Single F:lmily Homes
BY:
Date:
q 22-,03
Building Permit # 6J ~ t ~~ 7 Pill: 2- S. :5 0 o.cJ7 - 0 Zonrns: ,.e-I
Site Address /4-7/ 3 e.n. .,A./?CJC.- L../l./.
Legal: L / B (b Subdivision: ~ /tGG to/?u"S' 3/f3
E.risring srrucrure:6i1r::-fO
CONFOR.vIS TO ZONmG y~S NO
ORDm_~~CE
LfO
Is ch:ts an eX"panslon of the e:cisnng fOOqJiw( or I Refer ,0 ?larJ'..L.""1g
build1.J.g heig.b.t? y
Is r.b.e proper,=,y located. witirin ehe nood pbm? I Refer w PlaTh-Th.""1g \ y
Does Gl.e alteration inc~ude any add.itional kitcneas? \ Refer ,0 Plannir:g \ 7' I
Does Gl.e proposed alteration include any outside Refer :0 Planning
e::tr3...l1ces other G1an patio doors? y
Is the proposed. tlse of the rinishe:i space or , Rcfe:- ~o P18Jlj,TJ.h"'1g
:..lte:ac.on for anyching OiJ.1e:" man 2. :laTInal single "--
fal:ril y , (-- grOll'O hooe, d..3.V c::.:-~. -=,-r__ \'J (
.,...... ,,,;a, r1 Q
,.uo,- O..l..C~, -...'-.) .
'IRS
THIS CillCKLlST )ruST BE COMPLETED ..I..'to [:,{CLGuEO INUIT BU1LO[l'iG PE&y!IT FIlE TO
:'tL..IJl'iTA.E'1 .-\. RECORD OF THE REYIE'iV.
,~.\ :-::;- -:. -::' _.l-=--:- '-=~-:'=-=':.-= (i=
2003 4:0iPM
GENZ RVAN PLUMBING AND HEATING
No.7658 p, 23
Date Rec'd
CITY OF- PRIOR LAKE PL'lJiYrBING PERIVIIT
1 Blue File
~. Go'<I Crty
J V.II"", Appll=t
I PERMIT N05-!J- g? l
I
ZONWG (oJ)5.c:e 11~")
I =j;a~t.~~~
I/}.
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
___1 /" ~ J1)
Cttlt.ft,e 1/1.
APPLICANT J )
(Name) ,tv
(Address) EJ!df::L J, l2lJ !Jele! W..
(Address) I
(Contact Person) Ci1jfjf;~~
APPUCANTSTGNATURE~ ~~ ~/LXJ
'1 b. ftN
(phone)
1~-_L#O-3b~
DATE
I hf;'9vt /I A W APPLICAl'IT PLEASE COMPLETE BEl,OW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower _0_"'_' Rough-ins
Dishwasher Water Heater
Floor Drain - Water Soflner
I Lavatory (Bathroom -Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector .,--,
Shower Stall Backflow Assembly
Sinks Backflo," Assembly fest
- Bar Sink- Ll'Wll Sprinkler --
) Water Closet (Toilet) ----< - Other
~
FEE SCBEDTJL.E
Industnal, Commercial & l\1uln-fanllly 1 % of Job cost with a $39.50 minimum Residential. New One & Two-FsmJly $9950
Residential. Additions & Alt.:rations $39 50
EstImated Cost $
Buildmg PermIt #-
PLUMBING PERlvUT FEE $
STA IE SURCH.ARGE $
TOTAL PERl\-llT FEE $
50
'. ,",PAID lill,_
".It'/' >, c: <ryt ,:t,,;
'~'~.,!.",)~iJt." .'- ' " ,. "
. <I;Y(:, :,)""",,",,_
cl'r
(Office Usc Only)
Thi~ Application Becomes Your Bu.ilding Permit When Approved Pajd
Receipt No
Building Official
I D~~ ,By
DIlfe ... ... OCr 2 S 2003
24 hour notiu for alllnspec:tions (95.2) 447-9850, f~.x (952) .147-4245
4:01PM
GENZ RVAN PLUMBING AND HEATING
NO,7658 p. 33
Date Rec'd
;. ~~n ~:~ \. PE~nT NO.3- ! d-tf/7\
) ""oIlcw ~.pph=l . I _
CP\ca.~e ~e or print and SIgn at bottom)
IADD~
. 113 fat1JtI~
ZONING (oHie:e us!:)
ll/).
LOT
BLOCK
ADDITION
PID
1
LEGAL DESCRIPTION (office use ocly)
(Address)
_ (phone)
qti?-.-lJili3~ I
OWNER
(Name)
APPLICANT
(N'ame)_~_ ,-
(Address) /z!11J5 cl='/j~~fx~f rnf.)
, (Ad~)
(Contact Person) (}fj 1P/rf/7 0': ~~ ~ (Phone) -
APPLICANTSIGNATlJ'RE ~ -:fP!/L<) DATE
APPLICANT PLEASE COJ.\.1PLETE BELO~ . ,
ONEW CONSTRUCTION 0 REPLACEMENT ~IALTERA nONS
FURNACE MAKE AND MODEL FUEL -.-.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATIN'G OR POWER PLANT
(phone:) / r 1cJ3-
;(iJiflXI~UJ1j.' my;
(City)
~
Q
~
OWarm Alr Plants
o Gravity
o Mechamcal
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Dcvice~
o Other Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach mro
Required Side Yard
Setbaclcs
FIREPLACE MAK.E AND MODEL
Industrial, Commercial & Multi-Family
FEE SCH:RDULE
1%, of.iob cost ResidentIal, Gfl..~ Fireplace
$39.50 minimum
$99.50 Residential, Addition!'; & Alteratlons
$64 50 Residential, AC Only
$3950
ReSIdentIal, Heatlng & Ale (New Construction)
Residential, Hea.ting Only (New Construction)
$39 50
$3950
Estuuated Cost $
Buildmg Penult #
50
r...)A,
.. ... "14) ~1l1
,.'iVt(\>' "tI/"fol'
'-lilV{::'. .. ,.'"
',,' <;J.".
to 'f>>.
'..N!:J,,__
Wlf!
REA TING PERMIT FEE
STATE SURCHARGE
TOT AI.. PER1\'UT FEE
$
$
$--
(Office U~e Onl)')
lis Application Becomes Your :Building Permit When Approved
Paid
Recejpt No.
Date
DaaCT 2 8 2003
Building Official
24 hour notice for ~I1 inspectlClns (952) 44~98.50, fax (952) 447-4245
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS /1(?/..7 ~~ I.~"r N.6-'
NATURE OF WORK L. L. :lAJI
USE OF BUILDING rff:i.D ·
PERMIT NO. ~e! pATE ISSUED !{~
CONTRACTOR U-.N PH N · _.~L
NOTE: THIS IS NOT A PERMIT FOR ANY OF, THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING lV
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDIN
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