HomeMy WebLinkAboutBuilding 04-0635
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
/ (, 0 /5 Iv tJ affNtf7/ 0 .e..-o
Date Rec' d
(P.2J~01-
I White
Pink
] Yellow
File
City
Applicant
I PERMIT NO. 04-.0"351
ZONING (office use)
Jf?-/SO
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25:": 1+1. 083, 0
OWNER
(Name)
(Address)
(Phone) 952 1-)..1" ').-~{)B
1,(/", ,.. I ? i. I I. _" l
U. "" -. l..L)' i-'~ ~ f. <<.'f " ,j
I BUILDER
I (Company Name)
I (Contact Name)
I (Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Constr~on ODeck OPorch ORe-Roofing
DAddition /<.Alteration OUtility ConnectIon 0 Mise.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
I
E
V
M
4
II
F
I
III
H
2
IV
I
3
B
ORe-Siding OLower Level Finish
o Fireplace
A
R
5
PROJECT COST /V ALUE $
(excluding land)
B
S U
I hereby certifY that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner Dr authonzed agent for the
above-mentlOne 'operty and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
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Contractor's LIcense No Date
Permit Valuation 2,500,00
Permit Fee $ 7t./ 75"
Plan Check Fee $ .-
State Surcharge $ I. 1.,5
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~,~ 6/~D~'f
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 $ 7t.60
Paid
Date
1(,,00
(P. .z,3;. 64--
I ~;~Z3
ThIS IS to certifY that the request m 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 Celtificate of Zonmg compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued
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
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
U. Z-Z-.CJ1-
FIt- e: IN: 04-- - ()Co35
1_ Blue File PERMIT N
2 Gold City . d -4 . {; {;. / (,
3 Yellow Applicant
ZONING (office use)
/6 o/r;- A/ tI /e-47-/ woo /) /&J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2) 1+--/. 082. ()
I OWNER
(Name)
(Address)
(Phone)
~~~;~~ANT~~A-)z~I fJluJV\.b I\~ [K-
G, S ((1 /'-11 n-- C)tf- tJ
(Address)
&.~
(Phone) /\-")
S7J-{/CJ-R
(City)
(Phone) ~ /;}- j t G tJ/31
;; if- 1'L-....-... ').-Ga V\
't"l) ~')~
M"/- 5J':;j V
(Zip Code)
(Address)
(Contact Person)
APPLICANT SIGNATURE
DATE
I
APPLICANT PLEASE COMPLETE BELOW
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
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 #
04- ' G{P 1/.0
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
21.fV
.50
40. e,LJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pail{a 00
Da~ . '2 l , c f-
Receipt N9. t2
-?7tlv
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
J(P-1..S"1
WR'JEv PREPARED FOR j
~AHOWALD BLDRS
'871 150 TH STREET W.
tRIOR LAKE, MN. 55372 ~ I
I J~L
....0
o.
NORTHWOOO S~
ROAD z~
I
\
,EAST "
- .
Valley Engineering Co., 'nc.
SUITE 120- C, 16670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE, MINNESOTA ~372
TELEPHONE (6/2) 447-2570
447-3241
'';I'"'
, ,_l)
MOil H'ly Cor
of Lot 122
DESCRIPTION:
Lot 12 1, NORTHWOOV, Sc.ott County, Minnuota and tha.t paJLt o~
Lot 122, 06 6cUd p.ta:t ly.i.ng .6outhwutvll.y 00 the ooUow.ing
du CJt,{.bed Une.:
Commenung a.t the mO.6.t .6outheJLty C.OltlleJt 00 .6a:td Lot 122
thence nuJr..theat.teJr.t.y along the ~(Ju;thed6tell.ly Une o~ OIl
Lot 122, a ~tance 00 52.00 6eet to the po.int o~ begi~
06 the Une to be duCJLi.bed; thenc.e nolt.thwe.6teJtl.y to a
po.i.nt on the noltthwuteJLt.y Une, 06 6a.i.d Lot 122, d.i.6tCV1
10.00 6eet 60uth~y 06 the m06t nolt.the~ty COltlleJt 06 ~Q
Lot 122 and the~e te~na.tin9.
..4.
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, c:. j NOTES:
8.M. EL. 910.00 Sp.i.ke in 36" Oak hee aI.l 6hown 011
d/taJAJ.iYlg .
9~8.4 denoteA exi6t.i.ng g~ade elevation
\\ (fjIJ) denotu p~op06ed Mn-Uhed gltade elevation
- denote~ p~op06ed cUJr.ec.,Uon 06 ~UlL6ace Ma<
.~" 6et glVLage 6lab @ elevation 9 I 7 . 17
'. '\ \~ "- 6et top 06 block @ eleva.tion 917.5
\ 6 ,';' Top Hub "-
'. .~' \ L.90ll.20 '" .6et bd6ement 6loo'L @ eleva.Uon 909.11
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)..9;~ AARAGE \ _ 0
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'0 ~ !::, / III, I.. .10.00 ~
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PRIOR LAKE ~,. I
~;;
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IG:.O/~ /.Jd/t.rHIAJI)/J~ ~/).
NATURE OF WORK ~/.I&a "~I/~"/;). / IJJNtj ~E1!(',
USE OF BUILDING ~ . '
PERMIT NO. -,~3 DATE ISSUED '/Z 'tJ1(
CONTRACTOR ~.. ~"u. ~PHONE";2-2Z~.t2'~"
I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
,1 6 & I (, PLUMBING
6'1'
<.-'2..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/C;ClV
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electri~al service cabinet prior to rough-in inspections
and maintained until all inspections llave been approved. On buildings and additions
where no service cabinet is available, card shaIJ be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
:20
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8.M. El. 9JO .00 .:sp.<.Re -In;JO v..... "'ww --.
dJltllAl.i.ng.
, 90.8.4 de,no.t<1ll eWung gllade elevation
\ \\ CITIJ) d<1no.t<11l pllOpol.ed 6.iJU.6lled glUlde elevation :
1")'\ I
Il._' \ _ deno.t<11l pllopoHd cLiJte.cilor. 0 ~ ~uJt.~a.Ce. MM,' kl!ge. \'
\,. '<i>,fi'. "t '''''''''< .lab 0 wooila. "7. J1
\ '\ \ I,. ~ ~Ht top 06 bloc./l @ elevation 917.5
. . \~' Top"
\ ~; \ L.,0I.20 .6e.t blLbement nloOJ!. @ elevation 909.JJ
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PR lOR LAKE
EL. 901.50
1/13/86
30 ,60
- I
E IN FEET
~ Iron monument Mt.
I Iron monument found.
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Dot. ~ Ween.. NO. Ki8i
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F.L". NO. 5485
at<. 135
PG. 32
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