HomeMy WebLinkAboutBldg Permit 07-0173 NC
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CITY OF PRIOR LAKE
~~parf1tt~nf of ~uilbing Jlnsp~tfinn
,e1Final Permitted
o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:" I
Use Classification S/ /v G I & FrY /J'l' II-V Bldg. Permit No. () 7: 0/7.3 1#
,
Occupancy Type Ie Type Construction V;,/ Zoning District /< I-S.LJ
Legal Description L / 7; [} Z / r!..JC-<jJ7/1 L /3Hy'
Owner of Building Site Address 3{,.1 / . (!kY,rJ"r)L BrJ,V /.....h NC
Contractor'sName&AddresskS 11{,1-/65. /9&20 IIC:L.Lr)!\J..f) PL-'I LHU VltA..t:
ICIJ/5[JzT P. 1-10:7 C rll^js/;~t2 City Planner . .J /-I/Ve. Kh /LlJ I ~
, / . Ie BUlldmg OffiCIal V fj;
/(1 .....,...., /"~
Date:;"...... c/(/ Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. 4- - of)
I White
2. Pink
3 Yellow
File
City
Applicant
I PERMITNO.07~ 01'8-1
ADDRESS
3&~ / /
C-Ic.'Aj.57J-J l..- 8ffY ~/-};vI C- -
ZONING (office use)
(2..\ ~ D
LEGAL DESCRIPTION (office use only)
17 I
LOT BLOCK ADDITION C (-6+'- ( ~ 4.-'1 7(,--I1-JU/l'f~ 5.
PID2-S-417 -0(7-0
OWNER
(Name)
~j~ v ~l!J ~ t-frJ I<< ( 1
t-fLjlt -';'-I'/l:vM-
}'1"j/~,,- J41p/ sr54D
I 5" o.,.,y"& c- e."",sh...e..L.'()V\..
(Phone)
1/2- ~"'15/b
(; I).. ?,'-7~~/
--
J. J\.../ ~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) 11~1.
.NCI I~b ^ HoJt,..t,s
(!J.V'o,"'5 ;1/01./.,,"-
/, .
11'1 / I . ,) M- ;)/2. S
-'J1.C
(Phfme)
(Phone)
t /) ').)./- l-Jr/Lj
/1).- 3?i- 7~O
JV' 5'5'1 t.{ ~
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
I hereby certify that I have ti.trnished mformation 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
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 buildmg
otlicial can revoke this permit for Jt cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectIons.
('1 k-- Ah 2,0 S ( 4<03 (:/ P.5/V{),;h.
Contractor's License No.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
III IV V
HIM
234
A
R
5
B
S U
II
F
I
I
E
PROJECT COST IV ALUE $
(excluding land)
x
Signature
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
#
#
TOTAL DUE
Gas Fireplace Permit Fee
Paid
Date
?). ,t!''f
Date
$
$
$
$
$
$
$
$
Thts IS to eerofy that the request in the above applieatton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constttutes a temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
See lVllain File
c::white - Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/2S 110/1651 /AJ~.
::3 . /9. 0 7 '
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose~ at: J
3 & / / &uj Si771- C Hy &fJ,
I
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
~.~
Date:
5/23"10 7
, ,
Comments:
~.... '~1r & Eile
See. l~llrj.
"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,"
See MainF1ile
BUILDING PERMIT APPLICATION DePARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/2 S HOI'1ES / / AI C!-- .
.:3 . /9. 07 '
f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J
3 & / / (!Iv.; Sil7l-. r:: HY L,fJ.
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
IJHj
See /J1:,;/l F:' k
Date: '?> ~z. S-c' J
See Mairi l~'ile
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. II
,":"'i'->l~'
S M.... ~ w-,ol
ee '~;"" ':' '::n> /<!"~l e
fij ". ii' ,. '-'1", f.
~Il. .....1i!',...t.t!..~.B.. ...dIIIClo...
White - Building
ca1:9' - S::",9iA~9
cPin - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
( ';
j, ! ( / / /.'
/ I ,_' i .' L-. .".".
f, / i
/ ! I,. / '-.-'
"
_.
iii' ( 7
I '. .
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/( / /
:/
;' i '
j i / I L
/ /'1 "I'
I
i
/
J
/ ,/
Accepted
x-
Accepted With Corrections
Denied
Reviewed By:
~ ~ Dale:
A,'",.. t;() -C-t.W\. Cet.t-;f,i:",:te A ou
.J -;2'1-1J7
Comments:
- lAit' 5.cwt
is t"e.eJ,cf're,( t:z:, ver'7 cI)YIS-tr"d;i~ -1 iflll,lIerr//''*J .5lArI'~"I'_
"ea1
d Other l'1ec~ d
Air conditioner :;oacp \nto RequJre
Units C~~~~ard Setbacks
"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."
i
\
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.
L~L
~~w ~icanr.IPE~ITNO..{, (t3
">,',; ,
I>~~~("j~)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
vVofL\o"
\\0 ff...~ ~
(phone)
I
I OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
HEATING & COOLING TWO INC.
18550 County Rd. 81
Maple Grove, MN 55369-9231.
(763) ~77
www.heatcooI2.co
(Phone)
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
(
APPLICANT SIGNATURE
APPLICANT PLEA COMPLETE BELOW
"glNEW CONSTRUCTION 0 REPLACEMENT 0 AL TE TION~ \
FURNACEMA~ANDMODEL l%\ilU\+ 34olif'c€o FUEL ~.
FLUE SIZE -3 REivRN' OPENINGS 1 INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
-El Mechanical
,B1\ir Conditioning
DVent System
HEATlNGORPO~RPLANT
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
FIREPLACE MAKE AND MODEL
.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
~ <::>(?
(fj() -
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
5'J .. (ftI
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
~o
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
1 ';;',{\{\ 1<',,,"1.. r......1r A V,,~n" PM"" T ,<olr" MN' C:C:"l7?
. .
CITY OF PRIOR LAKE PLUMBING PERMIT~ ~ (1.j ~ ~~
\\\\l MAY 0 ~ 2008 ~
1. Blue File
2. Gold City
3 . Yellow Applicant
I WNING,,,,,,,=> I
LIA
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID
LOT
I OWNER
(Name)
(Address)
I
(phone)
cd
~. (;/).- 7')'0- o~") 8
Lo/e,fiD /11-{) SS-~s-?
(City) (Zip Code)
(phone)
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink ,
Laund Tra 1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
(Office Use Only)
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ ?9 tJt)
Building Permit #
pfl1 ~ e tJ)fl--
PLUMBING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 31.1' C e STAJ- ~ l.J..JJc rJ. w ·
NATURE OF WORK ~ C6~. ,i//r" "dcr z-f:;p'
USE OF BUILDING F: _ H
PERMIT NO. 07., 0 173 DATEJSS~ED 617 ~S
CONTRACTOR~tS. H~"'e:.~ ~:IIvC PHON
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT q~S4 ELOW
THE PERMIT IS BY SEPARATE DOCUMENT ~h~).'" &>1'
.. ~ M" "'L,el
" ~' _ .alD r I e
DEPARTMENT OF ee, .
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
g/~~
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~TH. f /"If)" .rr~ I
FINALS
GRADING (Prior to Sodding)
BtllLDING l,Jc
EL~CTRICAL
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
CITY OF PRlOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address LOT /7
36// CgY~TlJi !JAY L;J)/E NW
Lot ATea 4-;:~Cf sq. ft. x 30% = .............. / ~O I . 7
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
A TT ACHED GARAGE
x
TOTAL PRlNCIPAL STRUCTURE............._........
2001. )
,/
DETACHED BillLDINGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS....................... fJ{}
DRlVEW A YIp A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
x
= 3,0' - NA
30
/
TOT AL PAVED AREAS...................................~.....
P ATIOS~C~~~)DECKS
(Open Decks Y. min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
X
72--
x
TOTAL DECKS ................... .............. .......................
;1-
,,/
OTHER
x
x
TOTAL OTHER....................................................... J./Il
8-06-08
A~gcr. I 27CJ9,)" I /
A)8LTI /4--07, 8 ~ ./
UNDERJ~
Prepared By
Date J- ZiJ -tJ1
Phone # (15'2) 437 ~ 5 t70t7