HomeMy WebLinkAboutBuilding 01-0611
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S -IS" -0 I
1. White File
2 Pink City
). Yellow Applicant
ZONING (office use)
12-1
t1J /I;iCt/'OOO
C/~CtE
LEGAL DESCRIPTION (office use only)
LOT lBLOCK z.. ADDITION
OWNER ....-~~/I/
(Name) ~ '/
<;'1
PID 25 -Z80 - 01 ~ -0
(Address)
~
~~2--857-S-'7"
-n'JP'.~€ 7C;-;z..-~~o- 5'7>'5>
C:r~L. b/ ~ - 2-:>0- 872- "
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
DLower Level Finish
DDeck o Porch ORe-Roofing
o Fireplace ~dditiOn OAlteration
PROJECT COST /V ALUE (excluding land) S
ORe-Siding
TYPE OF WORK
o New Construction
OUtility Connection
o Misc.
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 pI a aware tha the b" official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter up th ~ perfo ectiL /'
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ qt> .00
Mechanical Permit Fee $ L{O. aD
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 'Ib.oD
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ Cf ~ L/.071
I
omes Your Building Permit When Approved
Paid
Date
q-t~o'-f
-- I-e}
I
I ~;Zo,:j' r~lt3
5"-1 &, , 410 (
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
~~:;~Sign~d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~--. 5(2~/D\ ~,*.Q;u.k'6\~~1~~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
0/- O~I/
White - Building
Canary - Engineering
Pink - Planning
The ('('nler of Ihe Lake Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'~-=)"l E/ F f \ t\J S K 'vI )
I
5- IS-C)!
r-. ," ,-- I
,:::)-,1;;\/ t.- !\J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--
.4-7 .e7 C..', 1'""," / " r " .
/ J! c:f\t::...\\~C.(/0.,i, 11-. ,~.Lt>
~
Accepted
Accepted With Corrections
Denied
Reviewed By: ~~
Date:
O/2~~(
Comments:
~~v ~{~~~4-~
4~ :Q
"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."
()(-- 0(/1
White - Building
Canary - Engineering
Pink - Planning
Tht' ('t'nll"r or the Lakf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 5rE FAb:1<:::J:::-Y) G1::SVE- N
APPLICATION RECEIVED 5 - { 5 - 0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1730 OAt:-WOOD CJg~L6
Accepted
Accepted With Corrections ~
Denied ~
Reviewe By: ---
Date: s;--lt-200/
.
Comments:
llp~ Sw.o~ ~k~ ~orl ~ b~ J
"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."
{j{ -- ()to ( I
White - Building
~~~
Tht Cf'nlrr of Ihr I..", ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlST-
NAME OF APPLICANT SfE-FANSK'/) S-n;VE..N
APPLICATION RECEIVED 5 - / 5 - () I ,.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t 7 30 OA~\^JO()D C-AJ2 t-Lb
Accepted X Accepted With Corrections
Denied
Reviewed By: AlJ4- i3
Date:
5-~)-O'
Comments:
See Reverse Side for Additional Information!
~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."
,~
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.:~ ~i~y I PERMIT NO,n 1- 0 /.. III
3. Yellow Applicant , U ~ - ,
ZONING (office use)
KI
z::."'" ,4:'.~o c>O
C,4C'-er
p;<2-/ve L..,.,.'<'6-
/?? /l/
LEGAL DESCRIPTION (office use only)
LOT/?-BLOCK t~ ADDITION WOO
OWNER
(N ame)
(Phone)
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City) (Zip Code)
9c;;-.2.- ~fo -<;'"""~S-
(Phone)
&'-' b2-2~a- ~2-~
DATE
APPLICANT SIGN
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50, P,': rr") '.....,,'.J
E....... . ei II'/
. PI '"
U._D.i\G P'::" .
t:;;,. "l..,. ~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
~-
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~. ;.;~:w Jl~icant I PERMIT NOl?/ - O? 1/
o/9KWOOC>
C/J€ C L E:-- A.z./p".? i.A~t ~A../ S-S37
ZONING (office use)
1<,
LEGAL DESCRIPTION (office use only)
LOT /- BLOCK d-ADDITION
OWNER - ~
(Name) O~~
(Address) ~73o e;~~""oC)O
PID$~j-cy<f-d
(Phone)?-S-:;L- -f1'fO-S7S-S-
CALC Li2-
P4nue L-;"f-/~
/?'? ..-1/
S-S3?7--
'e--V
~--a/
~
APPLICANT
(Name)
(Address) .ef7 ~D
C,,eae-
~-'7~~PCO
(Address)
(Contact Person)
APPLICANT SIGNATU
Phone) y~~- --1~e; - S7S-S--
/~/P~ ~ <;:>3"72--
(City) (Zip Code)
(Phone) ceLL- ~/~- :zs-o- g7;;2.. b
DATE /.o~8"ft/
APPLICANT PL A E COMPLETE BELOW
NEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
~"I/r 3~DMI'f vO~bobDF FUEL IV"''' h,.,.<;
RETURN OPENINGS INPUT OUTPUT
FLUE SIZE
TYPE OF SYSTEM
REA TING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Heating & AIC (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
(Office Use Only)
$
$
$
3160
,0
4tJ () C
..,i Ii
This Application Becomes Your Building Permit When Approved Paid
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date . /v~) I
10 -( () - L/
..I'
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BlIlLDING AND INSPECTION
SITE ADDRESS ~'7So Cb'KLOOOcQ_ 0-.
NATURE OF WORK ~~lA..
USE OF BUILDING S F.D
PERMIT NO. a~~&(/ DATE ISSUED !>-Ic..'ZooI
CONTRACTOR ~ Gl.AAsl<: PHONE '1r(O-S-7~
NOTE: THIS IS NOT A PERMI~OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~R < DATE
I FOOTING _ I P/~r/() (
I FOUNDATION (Prior to Backfill) I (Jr I r; 311 oj
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING If- . b ,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I~ /()/(iJ!OI I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 (952) 447-9850