HomeMy WebLinkAboutBuilding 01-0201
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
:3-/4- 0/
(Please
ADDRESS
, ~ 5 3 0 j)~ iff Ie. r J -1 v
LEGAL DESCRIPTION (office uSe only)
LOT
BLOCK
ADDITION
( '"
J ~"""- ,
OWNER rn'tr/yS /J / tl/'1 '> .1
(Name)
(Address) I b S lu () .' II /if" I< .41,' J...
BUILDER j3v/J IJ j f 7"" ~ ,.,
(Name)
(Address) Ib J f/ ,,' SF f>~"d '- , .s t.fV
~. ~i~i~e ~:~y I PERMIT NO. 01- Olol I
3. Yellow Applicant _ _ .
ZONING (office use)
Ie / SD
PID
(Phone)
'-j Lj 7 - ] J 7 Y
(Phone) 1.-1'1 () -)0"1 7
UlA_(,/Z- Z-t30-SIII
TYPE OF WORK
L81 New Construction
ORe-Siding
OLower Level Finish
o Misc.
ODeck
o Fireplace
o Porch
ORe-Roofing
OAddition
~Alteration
OUtility Connection
PROJECT COST/VALUE (exc1udingland) $ ~~ f)") . c ~(.)
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 property to perform needed inspections.
X /Jut. /)~ ~O (1'1 L/ J'6 LI i-'IL/-vl
Signature Contractor's License No. Date
2,000. C)O
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
3- J(,...'l0(
Date
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 $ //5. 2~
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
iS~A ~-C:-C:-_ 3 (ZUe1 ~_ J\,,~~CW-~~
~ ~annl'hg Director Date ~I Condlttons, tt any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
() I -0 UJ (
Tht Crnln of tht L.kr Counlry
White - Building
c~nary~'1n!1!n~erin9~
Pmk - anmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BOB D/TTJvJrtN
3- /4- -OJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ Ie 530 Du/L! K-1/2J<:::.. A V 6, s (/1/
,
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
N/H)
Date: 03 - ~/-Ol
Comments: See Reverse Side for Additional Information!
See 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."
6 (. 600 (
The eeRier of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
130B DI7Tt1PN
3-14--0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~530 DUNK-/I2I<- 4V6 SW
.
Accepted
Accepted With Corrections
7-
Denied ::1 Jtl k
Reviewed BY:();.-;Z:~ -
Comments:
Date: '5-11. - UJo(
~ 5~ ctt-ece-~ ttM~~~
'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."
White - Building
Canary - Engineering
Pink - Planning
The ('('n'er of Ihe Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,.
/." T71 //1/ /
APPLICATION RECEIVED
- /4 . ( I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II /'-
I ' C , '"
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. ~_..-'
l.,.-'<
r._ " ",,/- c,
/ /"'~_.. / I --., I "-..-- / ~,~, / l
J
(;,. (V'
v/
Accepted
Accepted With Corrections
Denied
?fj!AA-. ~
Date:
3/22-/B'(
Reviewed By:
~/~~~~~
o/~~b~~ ~~
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."
'; '.
. , . ", " " , '
. . ,'CITY'OFfR+QRLAKE
IIUpervious$uri'ace CaIculatiolis
.... '. .,."'('1'6 be Submitt~dWlth'Bullding Pemlit ARPlication)... .
: ,".'ForAl1PrQperties LocatedirttheSho~elandDistrict (SD).: '. ., '.
Tre,Nla'X1n1Uiri'Irnpervi?usSutfaceCoveragePennitted'in 30 Percent. . .
: Prop~riyAddr~'s$"'\'~''S~c;,.:: .....~'~.h\<\ ~\L' ".h~~:e...'.' ..
, ':' .'
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;Lot"Area'.',:.:lo1i\ d,::::":," .... '.Sq.Feet'x."30%= ............... .-;2.0\ y.;
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",. .' ..' . '>LENGTH," . WIDTH-.' .'. . SQ. FEET . .' '
HOUSE"" .. '. = ,.
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. ,TOTAL PRINCIPLE STRUCTURE......................
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"TOT Ai DETACHED BUILDINGS............,......;;.. .'
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D~VEY1AY~ AVED AREAS ..,. '. ' . ~
. 6~\+., (Dtiveway.~ed or not) ~; ': X .
to~c...(Sl~\val0P~kir)'g Areas)2;.:~" ." '.. . ;(
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. PATlbs/PORCHES/DECKS
(Open Decks.y."mi,n. 'opening bet\veeli".
. boardsi \vlth a pervioussutface b~J6\v, ',' ,
'. al'e nb\COliSI,dered tqbe impervious)" .
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. rOT AL OTHER.~.;.;;'.,.... ;.... .......,.., ........~.....ii.......~..
'....'
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": i,~9!A~..10~E~ylp.pS'.~lJRFACE: I' ~51'~.:
';:~~m~~i:tLL ' Date~\\p\oC>,I~~o '.,"
>c9m~a~y~\\iC2S3~~1"':~.)R~':Ph~~e#~~1~7-S~.CJ'..... ,.... '. ." . '.,'.' .
.(\\o~:N.'~~+~;@..~t~<;>+;..:\\., eC)e'''H.Q~m ITIO~~~ 'I",,&\~~S
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
4-/r-oZ-
he, c wi tJ/-!iJz,o /
I. Blue File I PERMIT NO ~
2, Gold City . 02 - 0 79-
3, Yellow Applicant :....> _
ZONING (offiee use)
/ /:S-]U
.I" , ,
IJ t/ /'? j( I' /~ It
~,1 t/
,.
.J t,,-,,,,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
-()'l4-010-0
OWNER (
(Name) /Ii r., / I IY S
/
I / ,~,
b ) j (I
/) / T//"1 ''1/1
(Phone)
(Address)
10 v Yl Ie I' /" A, -f- v J ~v
APPLICANT '7 '
(Name) /..)' f..' / J
a I /~//"'I '? /1
(Phone)
~ ,F). - 1'7"(, --,;. 1..; '1 7
(Address)
ib)..Ci(,l ':',T r/'~/!~, ~~
(Address)
(City)
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE /'''!?~~ //.~..-..--
(Phone)
DATE
1"/7'~)..
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
~ ( Bath Tub with or without shower Rough-ins
I 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
J Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
r Water Closet (Toilet) Other
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 # 0 z-- t) ~ 94-
39, 5CJ
.50
4-0 _ oc)
$
$
$
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid4-0 _ 0 U
Da4 _ / ,,() Z-
ReceiPtJfi7? 0
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
4--;t:f-(} 2-
,FIt..-6 W ( 61 /(jU) I
~. ~;e:n ~~~y I PERMIT NO. A 7 -6 '::>051
3. Yellow Applicant U c.. -..) /-, ,
ZONING (office use)
;e/5D
[)(/N~/~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25-t/Q4--010-6
OWNER _
(Name) In 7/ Iy 5
/6)-3(/
0.1 /- .T't., ., PI
IJVil/~" / Ie A..'
(Phone)
(Address)
J ('..
APPLICANT'3 ' 3
(Name) / (.. /
1// r r".. f"l
(Phone) 7 r ). - 'I 'I (;.~ LO 'I 7
(Address)
/ 6 ,)..t i.
ST
-
r~ "'1,-,')
(Address)
/.- ,..
(City)
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE .' /J,j L./..~.~
(Phone)
DATE
4- ~/?, (/ -z..-
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir 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
AKE AND MODEL
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas FireplaCe
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # () Z ~ ~3 9' 5'
$39,50
IndustriaL Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
ResidentiaL Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.5 CJ. .!:>()
.50
40. of.)
(Office lJse Only)
Building Official
Date
Paid46.00
Date .A
q -1 ~O
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS lJa-.C::;-,~ L:bV\ ki'rk Au-e
NATURE OF WORK ~
USE OF BUILDING Sf))
PERMIT NO. Q/~ 02-0' DATE ISSUED "3 - 2'-~(
CONTRACTOR ~~ 1)~(~ PHONE ~/z-2e6'SI/(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING~ O{JL rvf \ \ -Vj4\-
<'
DATE
FOUNDATION (Prior to Backfill) , l (g tJ I
PLACE NO CONCRETE UNTIL A OVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST (P- bZt
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
/
GRADING (Prior to Sodding)
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