HomeMy WebLinkAboutBuilding 06-0321
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
17/4~
u/t/~~SJ
~~.(
Date Rec' d
+-.270b
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Or;" tJ3Z I
ZONING (office use)
1<./
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ5.370. 0#.0
OWNER,-r.
(N ame) ....J I~
.p~
,kr4sL
(Phone)
7S?- ZICJ_
/~(, 7
(Address)
d
17/~
w,fd' {..r,., ~JJ
~U-r '/
r?, C-~
J1'1Yl-
L.t+/cc
BUILDER * . ~ /1
(Company Name) ~ ,~~J~ ~..sfz,...v,:.-h~:"-'"
(Contact Name) a-t- r;/~0<-J
(Address) 2/7 3.1 ~ -(-I. C;-J Co. ",..d:'-'-"
(Phone)
(Phone)
#7".
(;:,/2- ?9'o- 967t:
&/2- 470-- 86 ge
s-r.g sz.
~ower Level FinIsh
Z~,
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAdditlOn OAlteration OUtility Connection
o Fireplace
CODE: ~.R.C. OLB.C. o Mise.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
42, aC'c). d(/
I hereby certifY that I have hlrnlshed mformatIOn lm this applical10n 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-mentloned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. 1 am aware that the buildmg
official can revoke ermlt for Just cause Further ore, I hereby agree that the CIty offiClal or a designee may enter upon the propel1y to perform needed mspectlllns.
x
Permit Valuation 2, ()C)O.O()
Permit Fee $ t z. Z5'
Plan Check Fee $ --
State Surcharge $ /~ V 0
Penalty $
Plumbing Permit Fee $ -ft). () 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ +tJ. frO
This Application Becomes Your Building Permit When Approved
~~
Buildu!!! Ot1icial
~;""7;a~
Date
-&-trl3. 2..C -I- 5'd049
Contractor's License No.
4- 24- o~
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 $ /43.2-6
lytNO
OIzt,q
/
[M I~:J, Z5
nsate tI-. Ze~p(,
ThIS IS to certifY that the request in the above applicatIon and accompanymg documents is ll1 accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner constItutes a temporary Certiticate of Zonmg complIance and allows constructlon to commence. Before occupancy. a Certlticate of Occupancy must bc
issucd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
4
-
Residential Building Permit Che<:klist
Basement Fmish or Interior Aluntion to Single Family Homes
r
BY: B~ ~
Date: -1P 7 /a ~
Building Permit #
Site Addre:ss / 7 / ~ (p
PID:
Zoning:
tJ~~
B
Subdivision:
L~:L
E.risting Stl"uctnr@r NO
CON'FORi"IS TO ZONING
ORDll't~,{CE
~.O
YES I NO
Is this an e:tp3IlSion of the e.'"cisring footprint or Rde: to Plamring
bm1ding height'? ~O
Is the prop::!"! located wirlrin the flood plain? I R.efe: to Plamring I No I
Does the al~rion indude my additional kitcl::.o.s? I R:fe: to P1aI:ni:ng I rJO I
Does the orOt:ose:i alte:ation inciude mv outside' R~fe: ,0 Pl::l.,..,.,mg
. . ..
c:ltraIlc::s othl::' than patio dears? ~O
Is the ?roposed. '"lSe of tb.e drrjshe:i spac: or R~:e:- to Pla...rmg
alte:arion far mydring othe:- r:.a."'" a aor:nal single NO
family Jome CoEc~. g:ro~ hcr::e. d.:ly c~:. e~c.)?
THIS CbLCX:..1S'T )l1:ST BE COMPLETED .-L'fD fi'(CUmED E'( nIT BlllDL'iG nR.'dJ'T filE TO
:YL.lJ?'('TAIl'l A RECORD OF Tl1""I REVIT\V.
..
..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5-.19tt;
i ~::n ~:!~y I PERMIT NO. t'-'. 0 JZ-/ I
3. Yellow Applicant
ZONING (office use)
/ 71 +Cr [u/ t".tJ c~72/^,,'Df/7~L.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLIC~ ~
(Name) _ '/~")""." -. h - C / r
(Address) d \ - <; {?~'l~~ It ~ e
(Address)
'j;;"t (
(Contact Person)
(Phone) (]5d- LpCfO-,;l<:. 5~
? .~".-- CL}/(e 55 3
(City)
1...2
APPLICANT SIGNATURE
(Phone) (/; I cJ-
DATE '$
(Zip Code)
~ 7}o- S 7 ~
jtt-o~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
Dv stem
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
DMODEL?L #'ie~t:C_ ;301/ R
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.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$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 #
e~(
iJrrlO 0 d---
~ Jit/
HEA TING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
Buildinl! Official
Date
(Office Use Only)
This Application Becomes 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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~:;y I PERMIT NO. /1/_ - 3 '::lI/.
3. Yellow Applicant , CL..Jt:Z ~
I / J/0
W~~
ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
PI
!:J/ 37tJ-OI 'If-o
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
c 7/ """ " fA. WI
7/~b W <t
If r< C(S/{d-
(Phone)
s h)t f'~/(.s I At ~
.-? 0.2 S (J,-., r'7
(Address)
Ah
3-()J'7 51'7' -- ~.3 '73
L()~.s/~ M/ft
(Zip Code)
(Phone)
.md//v
---
~/
- (City)
(Phone) SO 7 - 70/ 'f - <'3 <75
DATE S-j 7- tJ 6.
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
I"d",~omm'~;", & MUlti-f'm~b ~~~.
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
(Office Use Only)
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Receipt No.
Paid
This Application Becomes Your Building Permit When Approved
Building Official
Date ,5 ' ,'1., ~
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
~LD
DEPARTMENT OF
BU~LDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR PHONE '~4J
NOTE: THIS IS NOT A PERMIT FOR A Y OF THE INSPECTIONS BELOW"
THE PERMIT IS BY SEPARATE DOCUMENT
,....
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING JJ1t'
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 5,.<5:,/0(;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
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.
FOR ALL INSPECTIONS (952) 447-9850