HomeMy WebLinkAboutBuilding 02-0748
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- - 2.4--02-
I White File
2 Pink City
3 Ye\low Applicant
I PERMIT NO. 0 l .D7 4-~ I
]
(Please type or print and sign at bottom)
I ADDRESS ". - I
, ~/O rc.., "V .'~\v'
ld SLL/
\ LEGAL DESCRIPTION (office use only)
LOT S'BLOCK G:. ADDITION r/ll,etlleW 8E~cH
ZONING (office use)
KISO
PID 25 -132.- ()O~ -0
OWNER !
(Name) OCl./'/~
D(..J~ j,-t;,,r
(Phone) C;S-;)-- 5"010 ~ 1-;>-5'6
(Address)
i)VQb€~"'-
BUILDER ' )
(Name) ~~'tr"'It"S
(Contact Name)
J1- a.SJ- . ~.
(Phone) / - if ~ - /7'67;
(Phone) ~ ~/ ;;... - ~ 3-,7 - J 1::' (
c.-
(Address)..1to 10
?
~/;"'Vi/~~
)ed- S'j,V
TYPE OF WORK
o New Construction
ODeck
OPorch
~ddition
e- Roofing
DLower Level Finish
o Fireplace
DAlteration
D Mise.
PROJECT COST /V 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 the pro erty to ~erform n ed inspec' r
$
$
$
$
$
$
$
$
{)Z- $5~S. (p(p
I ~;cJlU;?6rr
x
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
Contractor's License No,
#
Park Support Fee
SAC
Pem1it Valuation
Permit Fee
#
$
$
$
$
$
$
$
$
o-w
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
#
Llo .0-6
l((:).oO
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ecomes Your Building Pennit When Approved
I Paid Sf 5. ,c,- I
Date .. z.4- " () z.-
5-~-67-
Date
~- 2'-1-CJ :L
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
wr:zen Sl d by the Ity Planner constitutes a temporary Certificate of ZOning compliance and allows construction to co mence Before occupancy, a Certificate of Occupancy must be
tSSU ~ ~ I~ ~
~-f'~~ ~_7(M')2__~' ~_I~-,,-~_'V /{wLu~~
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
~
, ....:.
~ '."
e---'"
White - Building
Canary - Engineering
Pink - Planning
fhr- C~nlf'r of Iht' I..k~ Country
.
BUILDING PERMIT APPLlCATIOU>~PARTMENT CHECKLIST
NAME OF APPLICANT DUEL3E€, CHAR-LbS
,
APPLICATION RECEIVED 4- r 24- - O? _
Accepted With Corrections
Date:
-6 -i L;:::tJZ-
~-
I 'I I'
.!;, ..'
'-->O--<_~,-
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control 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."
The ('enler nr the I.akt ('ounll")"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DUE/36e. CHI9RL5S
{
4'. 24-- 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30/0 F/J//C (//6 vv' eo SW
Accepted With Corrections
x
Accepted
Denied
Reviewed ByGJ;2Q ~~
Date: 6--0-0'2-
Comments:
UpcQ."L S\Mo~!2,kdc t'S tWo~ oJ
"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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pUB SUO!lB::>!!pads 'SUBld !O IB^OJddB JO l!WJad B !O 6u!lUBJ6 JO a:::>uBnSS! a4.L.
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- ..'"'..---=-.;;..- ""',~....."..,..-
09/09/2002 09:19
9528947972
LAKE SIDE PLUMBING
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~~;rs~' md... "~~
I D I () 'cur .. t: ""
I, IIlu~ File
l. Cl61d G.,
), V~llo.. ,AppJh:llnl
[ PERMIT NO. ~-7t--/ Y I
]
ZONING (Dlfice usc)
l o~J
~
LEGAL DESCRIPnON (office us~ OI\1y)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
1\ , .., h-e.r
- -
(' ."rOfltru.cfd... L
'l'(lA "d ~ H I'J ~ J- (Phone)
.
(Atidress)
APPLICANT
(Name:)
(Address)
LAKESIDE PLBG. & HTG.. INC.
124Bg ZiJlI ~II ~\V':;,
Savage, MN 55378
(Address)
(Phone)
95.J -?7Y- /(,nQ
(City)
(Zip Code)
(Contact Petson)
(Phone)
S"/'7e
APPLICANT SIGNATURE
DATE
Quantity Type of Fixtun Quantity . Type or Fixture
, Bath Tub with or without shower Rough-ins
7 Dishwasher I Water Heater
Floor Drain Water Softner
J Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compattment sink Sewage Ejector
Shower Stall Bac.kflow Assembly
7 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
7 Water Closet (Toilet) Otherd;>PlU Ii L. ic t' 7.._ ~
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commc:n:ial & Multi-family 1 'Yo of job cost with II $39.50 minimum
Rllsidentia,l. New One &: Two-Fllmily $99.50
Residential, Additions &. AlteratiQns $39.50
Estimated Cost oS 8' 7f.S ~
Buildine Permit #
PLtMBrNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$~
3? 5~ "'--
-'5 0 I'" c,,\
(Omce U5t: Only)
This Application BecomesYour Building Permit When Approved
Buildln; Official
Dire
Paid Re~eipt No.
,-
DatSEP By
I :i
Z4 hour IIDtiCt: for 11I11I5pl!ctions (95:2) 447-91150, fllX (9Si) 447....24S
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland Distri'ct (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address "30\ 0
~~\R..\1\~~ <1<OA-O
s.w.
Lot Area \ \ i' 02>"2- Sq. Feet x 300/0 = .............. ~~"2..S
, ,
,***********~************************************************************
LENGTH
WIDTH
SQ. FEET
~
HOUSE 'I.
J:
\
ATTACHED GARAGE
x
x
=
x
=
TOT AL PRIN CIPLE STRUCTURE......................
\S~~
DETACHED BL~
(Garag~
x
x
TOTAL DETACHED BUILDINGS....................... Be
~YfP~AREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
x
x
=
=
x
=
TOT AL PAVED AREAS.........................................
\'"2. (.~
N e\A,J ~ \I'"C. ~ ~o 0 M
P A TIOSfPORCHESIDECKS
~
= -1:J 0
x
(Open Decks '/;. min. opening be~ween X
boards. with a pervious surface below. f)
are not considered to be: impervious) ('It-, ~~ to,-...~
=
t ~ l
x
=
TOT.<\L DECKS........................................................ ~:l '\:1
x
X
=
OTHER
=
TOT AL OTlIER.... ............ ..... ......... .... ...... ...............
I~B
I 41
Date 4 t,() r 02-
Phone # ~'-.l..., - 'Z. OS& 0
TOTAL IMPERVIOUS SURFACE
(UNng;OVE~
Prepared By-l)"'....... ~ ...~
company~CJ.\\,6\Jr~~ 0.0") ~p."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
10.2$. (}2--
; ~e:n ~!~y I PERMIT NO. ()2 -j'4:7t:1J
3, Yellow Apphcant , v{/
ADDRESS
.30/0 m/~/6~J
ZONING (office use)
/C.-I JD
eo. ..r-W
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ5 -132 .
-0
I OWNER
(Name)
(Address)
(Phone)
APPLICANT 11, ~ ~ 1....... i .
(Name) tt'~I~p J:11c" ~c .'it!
(Address) -d-li ~ 0 Pc M ~
(Address)
(Contact Person) ~ ~
APPLICANT SIGNATURE
:rh <.. (Phone) to t <. -0, I 0, -'{31o 17
<l2~~o- ss- I ~
(glty) (Zip Code)
(Phone) ::,~
DATE / 0 - d-€.> -0 --z.
APPLICANT PLEA COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL q 2. / b FUEL IV .6
F0u~E~J~{!C RETURN OPENINGS INPUT -=1 0 i COO ~UTPUT
+'^~~ TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
~Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
DVent. System 0 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
Building Permit # 02-/428
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :$9.50
$ .50
$ 4rJ,()O
(Office Use Only)
{O. ?/~'()L--
Date
Paid
,00
Date
I 0 . Z,9;. () z.......
By
comes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PR I 0 R LA KE DEPARTMENT OF
_BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~F~"t"\Iiet.L) RJ.
NATURE OF WORK ---!Jt?w AJAJ",.
USE OF BUILDING ---.S..fJ)
PERMIT NO. 02-0748 DATE ISSUED S-(n -OL
CONTRACTOR Q~OJ"\~s. Du~ber PHONE 6,/';J..-:J3?-3771
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~~ (\"-~ t==-\-G--'. t lllb-t!t-~~
INSPECTOR
~.
SEWER I WATER I SEPTIC . ~
FRAMING t/V\ ~ t l!~1.ftJ7-
INSULATION <~ l7~/;) (f 2-
ELECTRICAL
PLUMBING r:)C4. o /17/{)2~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~7# I 'J- { -7'-0 d-
GRADING (Prior to Sodding) A/$ g.6.~'I
BUILDING
ELECTRICAL
PLUMBING V1tY 1-/4-tJ3
HEATING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTI,C-E
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