HomeMy WebLinkAboutBuilding 05-1056
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
LJjt.j, Of
White File
Pink City
Yellow Applicant
I PERMIT NO. 05. /05~
at bottom)
Or 0. ke
fJLJ
ZONING (office use)
t:'-Irr:ie
52>~W
/C i~ D
LEGAL DESCRIPTION (office use only)
LOT g BLOCK I ADDITION
~(
PIDZS"':4-/1.oo8.0
sht
(Phonel(){jJ ~ d Cf1~ 71 / 8'
,------
I BUILDER ~.A ::tI\ l.P
I (Company Name) l -l t::. L
I (Contact Nam,). H l C
(Address) ~ LB Cll
TYPE OF WORK ~New Construction IZlDeck, DPorch ORe-Roofing ORe-Siding gLower Level Finish !Xl Fireplace
OAddition OAlteratfon o Utility Connection 0 Misc.
I hereby certify that I have furnished mformatlon on this application which is to the best of my knowledge true and correct. I also certIfY that I am the owner or authonzed agent for the
,lbove-mentlllned property and that all constructlOn wiU conform to all eXistmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
~li~HtOc};erLit~ Just C 1 Furthermore, I hereby agree that the eity official or a designee may enter upon the property to perform nSqi:m~
CODE: tilI.R.C. DI.B.C.
Type of .t~struction:
Occupancy Group: A B
Division:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$ XOO, 000 100
,
I
E
III IV V
HIM
234
A
R
5
PROJECT COST /V ALUE
(excluding land)
B
S U
II
F
I
Contractor's License No.
Date
.00
Builder's Deposit
Other
$
$
$
$
$
$ C)tJO. "0
$ I~O. 0 C
$
$
Park Support Fee
SAC
#
#
-
'{SarOO
2<<50,00
Water Meter
".
,
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
,~o
TOTAL DUE
I~NO
Paid
Date
/~ SS-(p.~q
It). UJ. OS'
iC:-;Z;:i"P~;:;:;'d
Build111g Otlicial ' Date .
5lJ322J
ThiS 15 to ceftify 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 Cit Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
IV-2o -05'
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Main File
~~hitA - BuildinV
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/J/JN~eY l3eLJ5.
,
9. / t1--. oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)'5580 LJ/C//c.& e/le~
Accepted
Accepted With Corrections ~
Denied
r
Reviewed By: ~ ~ Date: 9/Z-uloS-
Comments: ~ aLl ~. ~ ~.IJ ~
'-
tE~~ ~~~,
~i7~~~~
~ ~ ~,~~
~ ~cr--~~~~
~ (JL TC-.O,
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
e', ."..,
..,/f/ ./ /./\ :.:' C Y
/. J~. t:'
/ / /..,/ .
,I - ~ .
--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.~~,.... --
" /W
/
,/ "'". /.. ,'#< / ..{ (.,
-..-.-.....
f / \
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
#~
Date:
/0 -;;. 0 -OS"
Comments:
'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."
--~,-~-,----_._-_._-.,._----.~-_._-_._,~. -'-~'-
.lVlain File
White - Building
CCaruu::y - EnQlneerin~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~rJNC6Y dea5.
/
9. /~. oS-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/558(0 L)/Z-rJc.e ~//Z~
Accepted
Accepted With Corrections >(
Denied
Reviewed By:
/Y)(j-g
Date:
Cj-27-OS-
Commentst See ReVerse Side for Additional Information!
, ,
'",.
DriVN'1,v rn,,~1- 4x... I~.s/..,/I(I Q5 I per' QI4('h<t1 ~h'l
') "
~
'., "-
See Attachments: I) Grading Plan, 2) Eroslon rontrol Me~sllres
"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~~~::~~:.:~~;L...~~,~~~}~.~;.o~.:..~...}L:.~~?;:.~.. ........................
HOUSE.
.. .' '. ."' ," . ':,'. .,..
])~lUVEW A Y {PAVED AREAs
. . " '.
(Driveway.pavedor not) ,
. ... (SldewalklPar.king Areas). ........
.:.,:..... .
. '. . .' . .
. ...' . . . .
. . .,'
.' '. .' ..:.., 1::...'-,.
. . . ..' .
.' . . -' '., -;". ....- ". .": .;.
..p A TIOSIPORCHES/DECKS
. . . .
,(Open D<;cks'A" min. opening betv.'een
. boards, with a pcrvloussurface bi::low,. ... ...
.. ..are not considered to be impcrVious), ."
. .
. '. :.' :..... ". "
....: ,TOTALIMPERVIOUSSURFACE
~. .
'. .' ... .' . .... ':' ..... 'j
.. ... . ERJ VER ..,'.:... '.'. .,'
.. .?rep';edB;...~~i::;
.,' ..:,......J..~{.~:fl. :>:\\....ry..\',~..:;,\...
, ..t.~~~,....~li_,.,. "';.' ....:,...'
., .'. -');_"~:: <...~:" . ",.: . "'.. ..... ::;::.,.'... ....: .: .: :. .......: '" . .:;-." . I
.', .... : '.'..... ,"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pmk
2. Green
). Yellow
~l~ \ PERMIT N06: td
,,",pl.caI\' ·
ZONING (office
use)
ADDRESS
lSS8(L, ~~
---" -.-.---------
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N.me)~~ Cor-d-.
I - LV-
(Add,":') ..4-1.- _u ,. /11n ScsI>>
(phone) (oS/~ 7~~. 7;W,
APPLICANT
(Name01..f-.t"'I"rY\^h;c.../~~I\A"'I~D On-A> d-
(AddressJ?
9ro /09~ (hlf'~ jJ Ji-/r:fJO
I
(AddIess)
(Contact Person) k\S ~ne.r--na""'"
F.P
(phone) 'l~3 - Sr"ll- 'dSdS
"'), r}/>>1/Jl",~ JrnrJ 5S3/(p
~ (City) (Zip Code)
(phone) ~ltl~ - S'1vr Id I \.0
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE RELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
~c.,o~ ~
FEE SCHEDULE
1% of job cost Residential, GIlS Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Resid(:ntia~ AC Only
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
Estimated Cost $ \'d. to').. ~ nOl
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
PAID WITH
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Buildinl! Official
Dale
Date
-BE-C /.J
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
COO~
MOOG H~VMV~ JI~VWO~OV
66ZL 9L9 C9L XV~ 9Z:91 90/91/Z1
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 51" P E CI
NATURE OF WORK t-JE"~ l" kJ
USE OF BUILDING .1:: A.
PERMIT NO. 0 S ~.570 DATE ISSUED
CONTRACTOR~ ~T1Ias PH NE a
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Maill File
BUILDING AND INSPECTION
L.)
INSPECTOR
I FOOTING rw7
FOUNDATION (Prior to Backfill) h '
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
DATE
/rJ- J/J~W
,
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST fI ~ (2 f'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~E /ft'"Se~ 1~,,,,'Is-'~ I
FINALS
/
GRADING (Prior to Sodding)
~
BUILDING
ELECTRIC.AL
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