HomeMy WebLinkAboutBuilding 01-0417
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5'tS( CROSSfV) DIl~
LEGAL DESCRIPTION (office use only)
1. White File
2. Pink City
3. Yellow Applicant
s
J
LOT 12BLOCK Z. ADDITION 8e.DOJ::$V1 t,L.6
OWNER
(N ame) :..JYlAe.1~
(Address) 54. ~(
mt
PID ZS-I
Date Rec' d
5 2-01
ZONING (office use)
12.1
-0
(Phone)
<1$~ ~ ~ '-17- g&-~9
{ (,/2-1'78..7977
BUILDER
(Name) fV\A.R Ie.. R ncH \c
(Contact Name)
(Address) 5q$ \ CIZOSY\V\Ol<.>> S.,
(Phone) 9SJ. q~1~b3c;
(Phone)
0</01'2.. LAKE (Vl1V 553 7 J-
TYPE OF WORK
ORe-Siding
ODeck
o New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
DLower Level Finish
~orch
DAddition
ORe-Roofing
DAlteration
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 an 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
? 7tX to per ee d inspections. :;; ~ 2 CJ )
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
0-7- ~I
Date '
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$
$
$
$
$
$
$
$
$
I Paid
Date
~t:t z~
"'8, 0
5- -()
I ~~f..3 95~ 0
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
;:~' Ci~ p""",, """"'"'~ . "mp""'Y C,rti""" of ""'''' romplim" md illow> '00""'_ '" ro='. """" ,=p,"". . c"""". ,n)"""",,, "'Po"
~ 1 J~ <4'4- /;/010 t
~tor Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
White - Building
Canary - Engineering
Pink - Planning
Th~ erntflr of the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (/2 ..( cLu '~
APPLICATION RECEIVED :5 - 2 -0 (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r:;c(D! CkDs:g~
Accepted
Accepted With Corrections ~
Denied ~
Reviewed~
Date: "5-7.....~{
Comments:
u~ ~'=- daterkJ5 Au~c=:1:----
"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 juriseliction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.. 0' lh. Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l(
;/
, ,
...f ;
. l
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c.:! I / 5~ / .:;; -r-
Accepted
~
Accepted With Corrections
Denied
~~
Date:
577/91
Reviewed By:
~
~~4~~~~
- Cf'l"'~"^"ti ~~L.1tl1i1 ~ . Lv.Y~i:jS ,
"The issuance or gra~ting 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
o~e/~~no~ ~+-~~ ~
(Y~) ~ 'Fc9v I~~ "\bW~ ~~,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
II zJ-l c4-
; ~::n ~!~ I PERMIT NO.Of /\A-/71
3. Yellow Applicant .. c.....r-r j ,
3+.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
ZONING (office use)
PID
020.0
(Phone) Y!Jd-- -L/Lj? - aid 39
-f ~
(Address)
APPLICANT
(Name)
f:','v (J ~/'('UB f-f aU r i h 'I- 110 1M (2
<-S g- -5:'0 Ii) I I~/ W!J l '1
. (Address)
(Address)
(Contact Person)
DATE
(Phone)
APPLICANT SIGNATURE
APPLICAN
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
PLEASE COMPLETE BELOW
D REPLACEMENT D AL TERA TIONS
FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
OUTPUT
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 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Permit #
o /. 0 crl 7
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
/JY
f/1/0 . ~~
o i;i/ /vI {.,
Re~
By
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS setSt C~s~J21
NATURE OF WORK T~E" 'Soa~OV\ R,tc-~
USE OF BUILDING ~F.D
PERMIT NO. a 1- ~411 DATE ISSUED 5- 7- a., ,
CONTRACTOR J<it~~ &12-178 -77 7?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~ DATE
~ _: 0/-;;;/I2J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
_ I I
FINALS
~
)
BUILDING
ELECTRICAL
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850