HomeMy WebLinkAboutBuilding - 02-1435
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'Permit"
.Jobfvjdr~li'7r' ,suJ; car 7./
.Heeling ConIrector METRO AIR
'Testel'l/Signelure I )/
Pounds
Q!!! !!!!!! ~
.Gu Una
Pressurized
-
Inspected -
.Percent CO2 . Percent CO Oo~)
. Percent O2 .Stack Temp, /0 'I (J
F ,"allnspection Date
"
09:09AM
MATTHEW DANIELS, INC. 423 3017
t P.01
uate Kec'd
CIT OF PRIOR LAKE PLUMBING PEa..~JjT
I I
I !
I :
~.. ~L ~~ie.nt I tE~~IIT NO.~ - (if 3S-
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at bottOm)
ZONIN'G (olllc~~)
~
r LEGAL DE
LOT 10 Brloc~ I
~.
PID
OWNER
(Name)
\
(Address)
9$~ .' gqS - 5l4ll2
j
~~. :..373D
S~GN A TURE
I
~06
(Zip Code)
,: .
(phone)' bS"JI. 1~;' .g?30
DATE J ~~/()2)
I
, I
PPLICA.J.~T PLEASE COMPLETE BELOW I
. Type of Fixture Quantity
iBarh Tub with or ithout shower s:
i Dishwasher I
: Floor Draifl I
! Lavatory (Bamroo Sink) I
! :Laundry Tray (1 0 2 compartment sink
; Shower sun
: Sinks
Bar Sink
Watef.Closet (Toi
'Typ~ of Fixture
(Address)
I I
I ~.
(Contact Pe on).
! . FEE SCHEDULE
Industrial. Fom;merc.ial & Multi-family I % of job cost with a S39.S0 miniml.lm
I
,1
"1
'i
I
Residential, Ne c:r.e &: T;wo-Fwnily $99.50
Residential, Ad iti1ns &: -:lterations $39.50
Estimated ost S Building Permit # i?--
I ~i~~~~oiFEE ~ 94.4: 1>-,,,)1';''''''
TOTAL PER..l\1lT FEE $ )~I). 4-4%/
. i
I I'
(Office Us/; ~IY) : ·
, ,.
This ~p1Iica~i(Jn Becomes Your uilding Permit When Approved
....4...;..00;.... Ii- Do"
Paid
; Receipt No.
Date
;By
I', .
11 hour Dorice for all inspections (951) 441.9850. fas (952) 447
I
r
QV
TOTAL P.'
CITY OF PRIOR LAKE
HEATING/AlR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
~ ~~ ~:~ I PERMIT NO. J -- / L/ ~~ f
) YeUo..- ApphCll.nl . ~_
ZONING (office use)
;1.87
..,-- r
{IG-\.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
6-) : (leI LtJOoJ
(phone)
I OWNER
(Name)
(Address)
APPLICANT /'
(Name) l.:) U Y e.~ ~
/ ,~ YO S- / :5:f h. 11 u c... f\. l) e...
I\. (Address)
(Contact Person) l)o V\..
APPLICANT SIGNATURE ~r- ~
(phone)
7{e ~ - &?'f -</6 (p ~
(Address)
(City)
(Zip Code)
~
(Phone)
DATE
lb~
ONEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
fURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENfNGS INPUT OUTPUT
TYPE OF SYSTEM HEA UNG OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Indu:;trial. CommeJ"cinl & Multi-Family
FEE SCHEDULE
I % of job cost Residqjtial, Gas Fin:plact:
$39.50 minimum
$99.50 Resideotial, Additions & Altt:rl1tions
$64.50 Residential. AC Only
$39.50
Residential Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
00
Estimated Cost $ J 000
Building Permit #
.'<or'
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
[,
Building Offici~1
Da[1:
Receipt No.
(Office lI~c Onl)')
This Applica[ion Becomes Your Building Permit When Approved
24 hour notice for all inspection3 (952)
By
=
TOO/Toolf1
X1ddrrs S~3a1Irra S~31rr~
L880CSSC9L XVd Tt:T~ CO/L~/TO
~ J. J. I VIi .r .l'\.J. ~..
HEATING/AIR CONDITIONING/Fll'U.- ACE PERMIT
C, 0'0 c~\ru7\
~ ~~w ~!~I".I [PERM.lT NO. ;;}--.I tl/~.f
J I ZON:G('~~'~)
LaOt\L DESCRIPTION (office use only)
LPT \ OBLOCK\ ADDITION ~ ). \ ct~ .5 0
PID
(A dress)
.~~,,~~~~'\ \\~~>
,'\~ ~ .(.~'l" {\ ~
~)\A"'", ~
(PhOlle) C\ ~ J._ ~ ~.\ ~ -~
S S -:) () \.;; _~
OWER
(Nplr}c)
~
, \ \g
APPpCANr ."^ \ ~-
(?-I,a~le) ~~~(\) \""t, r- -.\_ ~'1 l.
(Aj,1d~'css) \~~ ~\J \.j ~\ Lv"," Av '-
, (Addre")
(Con lac< Penon) N L\ '" ~ s, ~,'" I/. '- \ ....
AFPpCANT SIGNA TURt~ ~ 11...Jl \ ~
(Phone) C\ s ;), - \.1 \.\ l- ~ \ ~. l{
(' n ~,- l~, \ t1.. \'\ t\.J
(CiIY)
(Phone) ~~' ~ - \r\ '-\ to ~ I Q. \..\
~ .....----
Ss., '~'I~
(Zip Code)
DATE
APPLICANT PLEASE COMIJLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS _l
FU~~ACE MAKE AND MODEL \"l\ \J ~ - \ ~<;;:) FUEL rv tofT
FL!.J~ SJZE '() " L RETURN OPENINGS l\ INPUT \-~~,cb~ OUTPUT ~ -So ll() '0
TYPB OF SYSTEM HEATING OR POWER PT..-ANT
--..
, . "'E!a!Nnrm Air Plllnts
OGrllvily
o M~(:haJlicol ,
~ir CondiLiuning
1)tVc:nt. System
o Steam
o Hot Waler
o RadilLtiotJ
o Special Devices
o Other Devices
I'LEASI~ NOTE:
Air Conditioner Units
Cannot Encruach inlo
RClluircd Side Yard
SeLback..s
FII\EI!LACE MAKE AND MODEL
In..\\1511 inl. COlllll1etc::llI,l & Multi-Family
FEE SCHEDULE
1% uf job cost Rcshlenlllll. Gas Fil Clllace
$39.50 minimum
$99.50 Residenlial, Alldilions &. AllernLio,ls
$64.'0 ltcsidelllial, AC Only
$39.50
Rc~ldll.ntilll. Healing &. Ale (Ne.... Construction)
Rr;~jdGPtial, Healing Only (New CanstructiOIl)
$39..50
$39.:50
Estimated Cost $
~
\\ ~~~ /'
,
l3uilding Pcrlllil II
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PEltMIT FEE
$
$
s
.50
24 bour hollee for all inspcdlolls (952) 447.9850, fnx (952) 447-4245
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White - Building
Canary - Engineering
Pink - Planning
Thf ('('-nler of lht' Lakt Countf)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i/~duad
/0 ,- /~,- d-
~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
cY 8/}'l
Accepted
,....,--
Accepted With Corrections
Denied
Reviewed By:
~ :P~~ Date: #M2--
R&d~ ~ ~~~,
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."
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White - Building
Canary - Engineering
Pink - Planning
Th, (',nt.. of Ih, l.ok, Counl"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f//-Mtdud 1I~,u~
APPLICATION RECEIVED . t{~ -/~..... d-
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
0) 8/}(jBo be" f- rr~/'1
'-" . I
Accepted ,J\::..
Denied
Accepted With Corrections
Reviewed By:
/JIW/3
Date: /(!)-:(g-O~
Comments: See Reverse Side for Arfrfitinnallnformation!
. Driveway Must Have Concrete Apron
See Attachments: 1) Grading Plan" 2) Erosion Control Measures
". . ..- .
"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." .
r'RIOR LAKE
INSPECTION RECORD
DEPAR'fMENT OF
BUILDING AND INSPECTION
SITE ADDRESS e:<8 '7 L.{ 130 heg A.T T72A ( L.-
NATURE OF WORK N5l-U ~NS"~lA.GT/'~~
USE OF BUILDING S.F:" D.
PERMIT NO. 02 -/4-35 DATE ISSUED lO/dS/o?"-
CONTRACTOR ()Ji.,.Jc ~oo T1.o ~€S PHONE.9oS, -?.,s--s;l((tfS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
?ZPEc:rOR DATE
I FOOTING ~ I II - ~ - oz:..
I FOUNDATION (Prior to Backfill) I /~ ' I J //} ~ /01-
. .
PLACE NO C NCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WA
FRAMING
INSULATIO
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS~ D"'- L Oi
GRADING (Prior to Sodding)
BUILDING 'J
ELECTRICAL
PLUMBING
HEATING .~ t '1 tD,")
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.
I
~'J.t~ (13 J
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR L.AKE
Impervious Surface Calculations" .. ~ -.
- .. .fC:o. be ~ubmitt~ ~itb B~iiding Penni~ Applic:1tion)-. .. , .
Far All Propc:~es.Locate_~ in the SharelandDistrict (3D).
The Maximum Impervious Surface CoYerig~'P~rriiitted ill 30 Percerit~
Property Address 2874 f500CA-r. Tf!.A-/L
Lot Area /4,.4 r7 Sq. Feet x 30% -' ........~.~... 432): I
*****~****************************************~******~******************
LENGTII
WID1E . SQ. FEET
x =
HOUSE
AITACHED GAR..A..GE
x
x
I
,"' .
=
/95""/
TOTAL PRIN ClPLE STRUCTURE.._._....._._.....
. DETACHED BLDGS
(Garage/Shed)
X:-'
X
TOT.AL D ETA CHEn B UILn IN GS..............._......
114
VED AREAS
rIveway-paved or not) ,
(Sidewalld'aiking Areas)'
~'1 X ~5'.;V -Z~=
x. =
-; ~f, (p
x
=
,
7~1.b
TOT.AL PAVED AR.EAS..............................._........
PATIOS~RC~E~KS,
(Open Dl:1:xs,1).... min. -opening- betwt:t:n
boards. willi a pervious surface below,
are not considt:rl:d'to be. i~pcr:i~us~,
b X. IQ./7
.x
=
//~{)Z-
=
x:
=
. . ..
TOTAL D ECKs......__..~..._..._................_....._..
'. ..
//~tJ
,
OTHER
X
=
x
=
TOT.A.L OTHER......_.___..._.___._..._.........., /-14
- .
TOTAL IlYIPERVIOUS SURFACE
SVER. ~ _~ .
P~pared By .' 1~ /L.
Company I/!AJL Z;~.M~ ~.'
I 2'77~61
1/~49.. 5"" I
Date . /tJ -/6 ...-tJ 'L- -
Phone # 4,1.. - :s 000
I
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I O'-/~ - () d---
I. White File
2 Pink City
3.. Yellow Applicant
I PERMIT NO. 02.--/'-135"" I
~g7'-1 ~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
- 010-
(Phone)
-S-S-..3
BUILDER
(Name)
(Contact Name)
(Phone) 1~a ~1--.~~44 q
(Phone) X I D~
(Address) I 4~ II
TYPE OF WORK
ODeck
OPorch
ORe-Siding
OLower Level Finish
o Fireplace
DAddition
o Mise,
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 e 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 sta e and local liWs and will proceed in accordance with
submitted plans, I am aware that the building official can evoke this permit for just cause, Furthermore, I hereby agree that therclty official or a designee may
;ter upon the r?,erty t perforr needed inspections.' 9.. 1 CZ 7 '. J 0 I '/ I {) ~
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
Park Support Fee
SAC
'-..
# $
# $
$
$
# $
# $
$
$
$
Receipt No.
By
Water Meter
Size 5/8'" ",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ ::(~p
Building Official
/dj.,J1loot-
, ,
Date
I Paid
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 Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~I-/
Planning Director
,A1/~--
Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245