HomeMy WebLinkAboutBuilding 02-1440
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C!~Y OF PRIOR LAKE
S'EW:::R AND WATER P~:u-!I'!'
NO" ;) -1'-140
NOTE~
Se~e~ and Wa~ei
contractors ~us~
be resis~ered
with the City.
ADDR'=:SS:
PHONE fJSr':9-' J~
OATZ: g lb/o::L-
,
~ -:s';~.~":~"':)~:::
:3~~G.
?";'"O'IfT'T' .:I
------- "i'
1 .
~s~i~e~ec length of water se~ice
=~LL IN TnE aL;N~S
30
feet".
4.
5 i..ze of t..;e..::'er service I inc:.. (es)" 41l\ih^
Lccatior. of any COU?ling~ from s~~~cture~feet_
'!'~pe of sel.Jer pi~e. ABS PVC~ Cast: Iron
3C)
~sti~a~ed length
of
set/a!:" line
2.
J _
fee~ ~ 1111-
at ~feet
f~orn
5 .
6.
C!.ean out
st=...lc~u=e .
(if
resuirec.) ,
locetec.
~~~-~~~~~==~~~~~~~~~~~~~~~~~~~~~=====~~=~;~~-~~~~=~~~~==;~~~~====~
T~~5 a~~lication becones vou~ perm~t ~h@n app~ovec.
B'::"
Di\T'S:
~~~~~~~=;__~==d=~~=~~=~~_~~_~~~==~=~=~~~~~~_~~~~~~====~~~~~~~~~~~=
F"'='-::"C:"
--- .
s
s
S
35.00
'.50
35.50
Se~er and water line connection pa~i~.
Su:t"c:targe
TOT .~L
..
:se fo~ ai~he: seVe~ C~ ~ate~
$ .50 su::-char:;e.
L"'lcivi.dually
is
520.00 plus
*
Seve= and w~te= pe~its issuec for ne~ con5~rJction must be
~eco~~ec on the building pe~it c~=c at the time of issue~ce
to i:-xsure that no c.uplicate se"..re::- ar.d Vt~er- PQr::Ji~s are
i.ssuec. (X;T 3 02002 . .... -'-
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D~::'Z P.o:..: ~
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R2:C'D BY
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v=iLE
-=::ftC Ml N
CITY OF PRIOR LAKE BUILDING PERMI ,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
3<f'77
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK ;J... ADDITION
/() ~ It! 02--
White File I PERMIT NO 1
Pink City . 1')'7/ I' /'0< ;
Yellow Applicant . Lv" ~
;J0
r
PID ,;}.~-- - ytFb ,- o:2..J-o
ZONING (office use)
;el
OWNER
(Name)
(Phone)
(Address)
BUILDER J J
(Name) lA../ ~ IV f /J1 q IV/V
(Contact Name) G ~ ~ 1\ Y
/
(Address) / F 15 /'~ <. &..
/-1 (J m "...r
f)f""'"l () {'
TYPE OF WORK
ew Construction
o Lower Level Finish
o Misc.
(Phone) t...s- / - -y () t - Y 'Y 0 ()
(Phone) &/2 -:11,7 -?t/:l..
..s- ..5/ ,;J. .2..
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 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 property to perform eeded in ections.
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 $
This Application Becomes Your Building Permit When Approved
~ .:f~
I (J4~ 7---
/ Date
Building Official
1'7' sr
Contractor's License No<
/0 -- /V - 0 :L.....
Date
Park Support Fee
#
#
$
$
$
$
$
$
$
$
SAC
Water Meter Siz
Pressure Reducer
/8
1" .
,
TOTAL DUE
Paid
Date
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
::::t""'" by <h, "" _a :"",tiru~ , rem""", c~m~~mp'''re "d illom ~"m""" "ro~re. lkfure _~crtifi~" ,f Ocr",,,,, m"" b,
~ 1~p /4 ~2- _~-<- n-&~~ ...
PlannIng Director ' Date 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
The {".-nfef of lht' Lah ("ountll'-
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/lJGl/tv.UJ{t2~ ~
3f'?7- HeG;t:G€ p~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0- / L/- cJ c?-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
The ("enlef of the L.ke {'ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
// .,1
"
I .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.....
Accepted /(J
Accepted With Corrections
Denied
c~ y~A
~ ~-~./
Date:
/()~~ 2/
!
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,"
10/24/01 WED 11:22 FAX 61ZGa74Z45
CITY OF r~lOR LAKE
lllDOl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ru'd
(phone) bSJ-LID' -l/LjDO
n ~f\, $J;;Zrz..
(Phone) 6S"1- 1'SJ- 1st.
,,^", 56/::l~
(City) (Zip C~
(l'hone) ~s-I-19.-15b5
IS] (} .2.....
1~;~~;~;7~~ ~~ ~~.
LEGAL DESCR1PT10N (,,!fie: IDe anly)
LOTbBLOCK~ ADDmON
OWNER
(Name)
(Address)
(Address)
(CC:Jntact Person)
AFPUCANr SlGNATURE
~. :..~ ~~~ [PERMIT NO,,_ ILl LI ~J
) '1'.1.., .....IE'...t _ c::>l.":' _
I LONlNG--J
PlD
DATE
Type of Fbt,,",
FEE SCHD)ULE
l"dusr..isl. CDmmutlll1 & ~u/Ii~famll)' I % of jGb tOsl with 11 139_50 minllTlulTI R.l!l5lden1...I, Nc:.... One i:. T~t>F;am"7 59')).50
lle!lideOlial, Additions "- AIlUllllions SJ9.50
'E51im8T~d COSt S
Buildif\E Pennit 'lit
PLUMBING PERMlT FEE S
STATE SURCHARGE S
TOTAL PERMlT FEE S
,50
.
~tt":":G';
~i'L!
rcmC:lIU'lO"ly)
Thi8 Apl'Jicarjon .c:omc!l Your BJiJdinE Permit When AppronwJ
Dak
:~ boli~' \)otil:i11 Io\" ..&1 iOlaectill'ft.ll f9Sl'iloi47-\Ja5ii. ~lI. .95Z) (4.,-~04S
WOHd
Bulld1nc onIc.al
G/l d LG9l 981998 'ON/8r: 9 l 'lS/9r: 9 I GO ,9 l '80 (nHl)
Pal
'"
""If
ate OCT 3 0 am
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~n ~!~ I PERMIT NO'I~ /lIL!O
3. Yellow Applicant . V--":; 7
ZONING (office use)
J87
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ,/ . /
(Name) (/t~-/S/7JC'i~H ~~5
(Address) t'/i -
(Phone) ~/ -40C::.?-c!r:f'C>{)
APPLICANT . /
(Name) .(!{P#iV/ /7' p~C
(Address) 4/..:?/ c::Jk:-/ ~~/
(Ad~
(Contact Person) u;,,;-/
.
<::0r:f.J/ /"
/'
(Phone) ~/ ~!-iVt-C)n/f
~2Z
(City) (Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL .~-#/O;r k-Jb437C:;- FUEL *~
FLUE SIZEJil /1/0 RETURN OPENINGS ~ INPUT 7S['x:_)(~ OUTPUT ?-->/;~6
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
la'Mechanical
.Q1I.ir Conditioning
(dVent. 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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-98
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '" ~6 ? 7 ReG A L PAss ,J, 0.
NATURE OF WORK NEtAJ ~ NS( f2JA.LTro,J
USE OF BUILDING ~ ~ A. .
PERMIT NO. tJ 2--IM-o DATE ISSUED /6/21 /d 2.--
CONTRACTOR 0aJ5'IV\.14;;~r\J <fi:,11^-l2S PHONE 6'/2 - 3~9- ~(;'IC
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V,r;; /2-<)
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/ - /<-<
--{(g-O"?
1- .tD
GRADING (Prior to Sodding)
BUILDING lM.t\l g",~ct>
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ -IL{-ff}
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