HomeMy WebLinkAboutBuilding 07-0492
:;- ~~ 0 ~DDDD '"0 0 > -0
z_
'" 0 J: ~ C ~~
"0 en"Tlz"Tl"Tl"Tl 0 C
C1> 3: Z
g 0 n- O 0 :::jzen~OO Z m ::tl mO
> 0 ::tl ;lJ 3: ~>CEC~S m ::tl m 0"Tl
:-1 ;lJ " ZI"'"!;ZCZ Z en ::!"l)
hl I"'" m en m p en
I"'" ~ ::jG)~G'l O::tl
~ t o )0- Z Z-
hl -4 -4 -i m 0 - zO
I<::l ..... > - en o Z 0
I o en ~z O::tl
S CD -4 "Tl ::!!;
co - )0-
~ (ft o 0 V'~ 0"
0 Z -I mm
"Tl > 0 ~
~ 0 Z .~
::tl C
~ -I ---..
"Tl "tI "tI
~ J: 0 ;lJ ;lJ
~ m ::0 0 0 000000
Z ;lJ 0 0
~ m m m m EC"tIen::!:EC"tI
>< Z m m ml"'"~>ml"'"
-I 0 0 OC -40c
Z 0 en J:EC mJ:EC '"0 0 en
a ~ ~ "tI "Tl~;lJ;lJ;lJ~ m 0 0
en m
~ "tI :J 0 -zJ:J:-z ;lJ Z J:
::! ~ m C1> -4 ~G)OO G) EC -I m
0 ::!. 0 1"'""Tl00 ;lJ :::j ~ C
~ -I () Z -"" - c
0 zcc Z I"'"
~ 0 ~ lJl ~"tI"tI 9 m
Z m C
~ N "Tl
,.. 0
~ J: ::0
m
~ 0 0
c 0 0
::0 < 000000
en m \oN
5! z 2 G)"Tl"Tl0~ C
~
Z >;0;00 0J -i
Ro > G> ~mmECG> m
~ C _"tI"tI"tI~ ~ "'i-.
<
)0- ifi>>>o ~
~ Z )o-ooz=n ~
""l 0 _mm-l_
!'" ;lJ"Tl;lJ I"'" -i
~ -1-_ I"'" i:
enz z m
-I~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
j~" I
H(h\
LEGAL DESCRIPTION (office use only)
LOT to BLOCK f ADDITION
,
TiTUS
Date Rec' d
v.7,07
1 White
Pink
..{eI1O\....
I PERMIT NO.
07, V4-f ~
File
City
Applicant
Cf
ZONING (office use)
~I
If!;- ~.
PID ZS
()7Z. 00<0. t)
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
{~ ; 1/ r S
(Contact Name) Dr>, Lt
lSL/{) ,
(Address)
TYPE OF WORK 0 New Construction ODeck
OAddition OAlteration 0
t" ~.
QS2 -- '1bL -- 2,24z
qSz. -'l)2- ~~~3
"'\ .
/-"
u
,
ORe-Siding OLower Level FinIsh 0 Fircpl<tce
CODE: ~.R.C. DI.B.C. o Misc. .._~-._-
Type of onstruction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certify that I have hlrnished mfnrmation on this applicatIOn which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or iluthonzed agent for the
above-mentlL1ned pruperty and that all eonstructlDn w1l1 cunIlJrm to all eXlStlng state and local laws and will proceed in accordance with submllled plans. I am aware that the buildmg
official can. oke tIm permil III l.t au e Furthermore, I hereby agree that the City OfflCi1:f a deSIgnee may enter upon the prupeJ1y to pert(Jrm needed inspectIons
f:,f" 7 5 -J t,. t\ C" '7;,cff(
Contractor's License No. Date
Signature
Permit Valuation <.: rrt5lL(/JOOlof)
Permit Fee $ 3'f. (JO
Plan Check Fee $8r;8". 70
State Surcharge $ I 2... 0 0
I Penalty $
I Plumbing Permit Fee $
~echamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ /JOT , /-JeL b .
This Application Becomes Your Building Permit When Approved
~~
I~
I Buildlllg Urtlcial
toft L( (a 7
I Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connecl1on Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ -0
Paid t}1Z70
Date
ThiS 1S to certlty that the request In the abllve application and accompanYing documents IS In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
~' ",,"~pm"ry C,""",,. ,,' ':"/ ;~P;~'~"' ,P"" ,""""'''00" '" wmm",,, Bd"" '''''pm"" " C""""" ,,' 0""","" "",,' '"
Planning Director Date Special Conditions, if any
24 hOllr notiee for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONIN~LACE P~i!:>
3/IY!D7
1. Pink File I PERMIT NO I
2. Green City . D 7 - 0 ., I J
3. Yellow Applicant , r ~ _
ZONING (office use)
\'S"2_~\
1-\4t-
C'y"
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER . f:::>
(Name) M., \c.4. ~ 1'\4..+""
Gr-r-
(Phone) Cf~ 2... - 401 -1".33.i
(Address)
APPLICANI
(Name) <...: L-e. I"V\ Cd
(Address) I ~ ~ 1- 1
I-t~~.. ~ "1 .;i
4r> s ~e\
(Address)
4.,... Cun.d~-It-. l~
P... -\ '"
(Phone) {" z.... 8 0'-1- ~ I l.( Z
L-.. lc.t. v~ '10 5"~~1)1...{ L/
(City) (Zip Code)
(Contact Person)
(Phone)
(.'.1-: .90'1- tj.1 ,/1-
DATE
(l- , '-1- ,,~
LICANT PLEASE COMPLETE BELOW
NSTRucnON D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
DGravity
~Mechanical
Air Conditioning
Ven!. System
!\L,
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
D Special Devices ---b4
I:A Other Devices 4:Jf..A
~.P.
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$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
~~
Paid
Receipt No. 5"'-15'35
By
Buildin!! Official
r?jJc{ /07
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
r:White - Buildi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
G, I(~ WN5lf<- '
(,. '7. rJ7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/3L6> I H1zNNI I'll C!A K-.
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ ~ ~ Date: to (I L{ /0 7
Comments: ~ o.-e..Q ~, ~~
~ ~.J..(J. ~ ~ f-f-c-.-~~r>p ~
~
p/~
liThe 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."
White - Building
Canary - Enaineering
CPink - Plannir!9:=>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~.~,_.,
NAME OF APPLICANT
APPLICATION RECEIVED
(, l. \,_
I i"-~
1-'
I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
!
I
iii' .'
, ',--,.
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~~
Date: to 1/ L( /07
, ,
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."
BY:
~
Residential Building Permit Checklist
.0 Additions to Single Family Homes
{ 0 R..c.H
,.
~ Date: to(/LlfO?
Legal: L
Co
13 2..Cc (
B ~
PID: Zoning:
.
t-l~s ~bd' . . T' s t)'S
u IVlSlOn: i '\U
Building Permit #
Site Address
Existing structure:@r NO
I~
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 5(j ,
Cardinal Ridge)
. Side Yard 10' I
as te>> o-dJJl.
. Rear Yard 25' 218 '
. Townhouses Must be consistent with
approved plan for rJA:
development .
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J!>~Co~~N/~ _C(~E'
NATURE OF WORK .. ~... N
USE OF BUILDING ~P: ~
PERMIT NO. ~()4'lIL DATE ISSUED
CONTRACTOR~ Clu!rr. _IK. P~II.SWJ'
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
CONCRE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
JILDING
L ECTRICAL
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