HomeMy WebLinkAboutBuilding 02-1297
aIrrfifirafr of OOrrupanry
CITY OF PRIOR LAKE
~rpartmrnt of ~uil~ing Jlnsprrtion
~ Final Permitted U Conditional CO. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code cert!fying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Occupancy Type
R3
"]p
Type Construction ~_ Fire Zone
Bldg. Permit No,
N/A
0-1:'97
Use Classification
SINGLE rAYfT,y
Zoning District
R/+
Legal Description
L1", P,), FnUNTA1:'\ HIT1,; C;'~CO;;;J) ADD'TTm;
Owner of Building
Site Address
1/1'87 FOT'<J1Af 'J HiT] ,5 Ci HLn'
Contractor's Name & Address
,^'E"JSMAr-:N HOl'mS,
[8')'-, P~,AZ'" DQTVE, SUITE :'00, F:AGA'~ 5517'-'
P""'R ",vT['H' IT('UT NS
.".'. ',on '...L, rt 1. , City Planner
\~ i B4ilding Qffi~ia]. . 1
X 11..)- ~ . I/.. U ) Date:
/ j " \
, ." POST IN CONSPICUOUS PLACE
DON RYl:.
Date:
.'
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Cf- 9 ...... ;<
ADDRESS
, I~ /X)
(- .~. ....,
I <.',)(.) ,...,Ii f,,1 "J
, I ,/,1
!...J-; I, /
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LEGAL DESCRIPTION (office use only)
LOT / !3LOCii-
ADDITION ,......() (/ A/ i' ;':.., I I,'
OV{NER~ '
(Name) I, {:~/'J S j/J/t/...I'jt..)
1)(1/)/............-'
(Address) / l' ')
/ -I~ /17 (-' (
Date Rec' d
I White File
2 Pink City
3 . Yellow Applicant
I PERMIT NO. () t -/ Z rJJ
I?~-
, - !
, "//>-
( , , ,
....-..
/-NL;,
PID;; J' 3 (1 t.j.. 0 /I-D
ZONIN? jOffiCeuse)
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/'- \--;/- (/ /\/ - //,///)/)
(Phone) !.t:? ~ ' " / C ..-{:;>/'/ (j 4-
C:;/:..... ,~/~1 At/l A..J ~ (- . ,-' / I
", "'.)
~ {Xj
BUILDER i /
(Name)
(Contact Name)
(Address)
')_ I
~; J'
/---
~ {de I' /" '.' /)/' C1
i~"~ ~J' '",'i ( ,/(
(Phone)
(Phone) ?0) (;")~f)' %66t7
,A
IX, (./ 1>(
"
TYPE OF WORK
New Construction
DDeck
DRe,Siding
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc,
o Porch
DRe,Roofing
DUtility Connection
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 aU construction wiII conform to aU existing state and local laws and wiII 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
:nterupon thePf/1t61'e;. needed inspections ,/ Il~~ ~' ;/5" L~
/ Contractor's License No, Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
q-/Y-Ot
Date
~
DAddition
DAlteration
#
#
#
#
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Water Meter Siz 5/8 ;1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
-
TOTAL DUE
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, ~ r
~",~-~p~ /r7~z-, A-e< ~ ~
Planning Director ate Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Tht' ('t'nlrr nr the 1.8kt COUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LlMC)4~/7U ~~
Cj'--q -'tJ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
IlIltf-?::;~~ ~ (/~
Accepted X
Accepted With Corrections
Denied
vI!
kA
Date:
1- Ilf~()~
Reviewed By:
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,"
Thr Crnlrr of thr takt ('ounlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
!./)u~u ,J/o-ntJ?-&
APPLICATION RECEIVED
i-q-tJ;)-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
/l./lg-1 7tftk117?U/){ ~ ~:/
Accepted
x
Accepted With Corrections
Denied
:::::::~BY: -!:t:!:l~e for Ad~i;ion~lln:::~tio~ Ifi) ( Q~
S8:-. W\ ~l ~~
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Cont~ol 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." .
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FROM :ALLIED EXCAVATING FAX NO. :952-895-9394
O~d1l/1l2 TOE !lIlJ~4 FAX 81Z.u74l145 CIn OF PRIOR UKE
Oct. 29 2002 12:44PM P2
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Dlu'Recl4
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CITY OF PlUOR LAKE
SEWER AND W AnR PERMIT
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I ADDRESS ;
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fLEOAL Disc~p119N (lllliCllI&Ie Galy) -
l._~~ JiL~CK ,l Al)~mo.~"Eo~..w, \-c..~\ ~ \-\ -\ \ \.,)
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APPLICANT PLEASE COMPLETE BELOW
---~ w.ter serviu :J:. inches. ~
~ti~" or aD)' eoupling$ ftom strUCture ,~.feet.
"Cyp! of ..wet pipe. 0 ABC ~PVC 0 Cut Iren
Bstimated 1erteth of sewer line ~t.
qloan ()ut (ifrequ~recl) loc~tc:d at _ feet nom structu:e. .
i
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~<:sidol'ltialICVltr land ~ line COMIlCliol'l 5]~.SO
SeWel't.onnoetlon ,mly I $17.50
, I
'smn.~ Cost $
i
, SiWE&AND WA'TV. PDMIT FES
STATESU.CHAIt.OB
TOTAL PERMIT fEE
FEE SCHEDULE
lncSla.trial. COID'\ &: Mu1ti.tlUnlty \% ofjoe COil: wlt!la S19.~Ci miaimum
Wac oOllnllCtian cmly S 17,'0
Buildiol Pmnit f;.. ,.-.' '
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$0
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W141.0.iJ ( Dellr.. L_LliJ_~.JJ-QIUf . _ ./.
)4 hOllr ....iee ror .IlIlU.tcliOIll (951) U,.tl50; Ililx (9s.J) ""~.5 .
CITY OF PRIOR LAKE Date Rec'd
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT . / /
~6YY'u
1. Pink
2. Green
3. Yellow
J!~icant I PERMIT NO'OZ-I Zff?
ZONING (office use)
ADDRESS . ~~
/c//?7 ~~J'~ /77/6' 6
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER, )
(Name) t: l. ,/e:/;:'~~/?'tce!",<7 /L
,c"
,I
(Phone)
(Address)
c.::_:;;;_JC~rZ./<,1
~:~::'~~:/0~: -
{..
APPLICANT ~ /. . ./~I::' - ..
(Name) /-/ / .. ~.(L. /~ //;L<,7c:4z.-//~-, ~ ..</' (Phone)
</ /. p-:?,: J ,,/,. , ..,." -t<:.
(Address) "---<_" 7c-- Z--C.,,";l /<'..-4;;'. L;:2:...c ~__
(Address)
(Contact Person)\.. /-;;. //"".-e.:'L--/"
. ..,
APPLICANT SIGNATURE
--:}'..
,2~'7 '//')/")/ (.
(Zip Code).,;:- ...-,)/:
. / ..J..../ ,.~
/../'5;;; ,- ....~ "7 ;:.7....5-
DATE
APPLICANT PLEASE COMPLETE BELOW
NEW;%ONS UCTION 0 REPLACEMENT 0 AL TERA TIONS
.// ; ~ .,' ,.. .. / ...-
v, .,,- "".-." ~---?,'? . , " " '.- . ~ ~( .' /' "
FURNACE MA~ AND MO~E_ ~"y Y'.b<~/. '5.:i::5/c.'4//e-.t;?/C./ ~j ...,. _~ !UEL /'- L,'a'~~C' </cc,(
FLUE SIZE ~/11 ~e:;:5/3 RETURN OPENINGS ~/ INPUT 2) C;[Lj OUTPUT /jc.~~ /::~Z:)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
.01\ir Conditioning
~t. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
,$39,50
Estimated Cost $
Building Permit #
REA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
UILDING
IT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447 9850, fax (952) 447-4245
IF'v '
FILE ~,jo, 9:37 01/30 '03 14: 07
I D : PL'yll0UTH PLUrlB I ~,JG
FAX:7635331121
PAGE 4/ ;3
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CITY OF PRIOR LAKE PLUIVIBING PER1\llT
D:lt~ Ret."d
~~HT NO,':) - ;,p-911
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: Gal.1
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I LEClAL DE$CR.rPTJO~"] (t'llw u:;~ only)
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, OWNER ,
I (Narntj~j)eM.SVVL~.1A.
I (Address)
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" 6
(PhOlle) __.
I APPLICANT ,/) , ,
I ''',me, --~--':1'''1' cH, V I i,1, , \\1:1, "J . (~hOne) (:=z lo }) ~)'2"')"-Ll?-o~ ~ '_
1'(Addre$~:\..C,...(Oq \~I"\Vd+~~ f\~' k.. ~r(I()k.~I/\,ff--\p\c "._ hS.dd_~,__
I Address) (Cny (ZlP Cedel
I'C"'''Clpwond II ~.4~:e ({ ~r _ (Ph"n,)t)f~Q.iS'>", : Lf3S'L ..
i ^:PPLlCANTSIGNATv~ofiYtJ1lHjfp4 ~ ~ 7D-Ql~-,,-!
A,PPLlCANT PLEASE COMPLETE BELOW
IQlI~1/I1il')' 1'- , '-Y
r.- (fH. Bath rob ":.""-
D ish \A;I S h,~ r
.._~~ FIOvr br;w:]-'
L..~..,__'-c;~:;tory (B:lth
i Laundry Tnl~ (
1 I Shcl\.\'tr ~tilll
1-"" Sil1l~;'--'
:Vpl' of fixtun: Ouan titv .,_...... --, .
" . Typt: _of Fh:ruE.:..
Or wIthout Slhiwtl" ~-) '"Rough:ins
....'~. I WaleI' Heattr " ..~._.-
- "..,'. - '( .. Walc:r Sottner .-
- I
1"0(1:1"1 SlI1k) --L I- Sland Pirt (\Va;;hingrv1;chlllt:i
I 01" ~,(;0I11pa~'lmenl Sink , Sewage E;jl:lctor
-- .. .. - .. Backflow Ass':l11 bl)'-- ,.
.. Backflow Asst'il1bly T>:51
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FEE. SCHEDULE
il1dll,III.'!, CPlnl'l~ri;l~tI 0( l\iulll-f:ll11i1y 1",<> n' lob C:"~I,,,,ll';1 ~39.5(1 fltl111lntJm
R~'lcJcn'II'I, New Orlc &. ",",,-F.tl1111)' t<.i() 511
r<::~I,j~iltl~1. Adcilll(ltl,'; S:. r\ltcr:..uon" $3'1,5J'i
I:~: Ilmllt.:d Cost ~: ..'714 <:J:..ro 8~ild!ng PCrTl111 ti
PLl.Il'vIBING PERMIT FEE $
'<r ,",'iT 5URC1-IAFGE
TOT.'\L I'ER,I\11T FEE
5; . ___---29
$
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.2-: hour I'" 1I ".' II" ~II ""I'I'C!IIII" l'i~ ! -1-17-"::1='0, fa, (952) 447-4~~~
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'03 10: 56 I D : PL\'r10UTH PLUi18 I r"jG
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PAGE 25/ 47
GlKfll . rILl!
YELLOw, APPLlC..IlT
aOLD ' ell Y
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.w. No.9-I ;;-C) /1
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: .p1~lC't~,^ P\cl~ ;~
(~DDRESS: \1.1 \ \- OUV\t. '0 \ ^ \ \ ~
\1IGNATu~QJ~l~f'f'~~1 ,
SITE ADORES :
PHONE :tJls~).S,?;Y!J-'LJ. b57
C:'-\-. DATE: d,- \ L\- O~
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
i
AC>
feet.
\ "
inch(es) .
2. Size of water service
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS pvc)C Cast Iron
5. Estimated length of sewer line ~([)
feet.
6, Clean out (if required), located at
structure.
feet
from
===~==~;=================:========;===;============;====;~~=====~~
This application becomes your permit when approved.
BY
DATE:
;=~;==========;;============~~~=z~=;=;;=~====;====================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. " PA!D
DATE PAID AMOUNT PAID !!!!lLD!' W/~'.I
RECEIPT #
REC'O BY
nesota 55372/ Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opponunity Employer
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /cf/8? -r;(.)~{;~ +( d { CA-
NATURE OF WORK A ,~
USE OF BUILDING St='If
PERMIT NO. 02 - IZ.q"7 DATE ISSUED q -1'1 - ",2.-
CONTRACTOR JJ~~,'! PHONE 95?...253-~U!
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Se-e ~ M~ HL~
-
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING f/vLrfJ I ~t)/Yi,lcY2
I FOUNDATION (Prior to Backfill) I VvtfJ I t / ~ t!f3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING W ~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 0 ~ l
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850