HomeMy WebLinkAboutBuilding Permit 09-0054
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CER ONING COMPLIANCE
ILITY CONNECTIO ERMIT
Date Rec' d
Z ~J7. Of
\l)
?r\o LG..v..G
I PERMIT NO'09. 00541-
I~-)I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pro 25 /0 o. 0 / I, ()
OWNER '
(Name) 7>f"Uc.e- r~'o'o\@""~
(Address) \~ G. ?~or-\.. ~ C't\K.
(phone) qS~~~'iO-~L\'2>l
BUILDER
(Company Name)
(Contact Name)
(Address) \
~:~~M\,,~
j '. '"^ N \J ~ \<....
(phone) Co\a- (QCl[6-LDd'1
(Phone) ~\Nte
TYPE OF WORK 0 New Cons~on ODeck OPorch Re-Roofing ORe-Siding
DAddition ~teration OUtility Connection
MN.
OLower Level Finish
o Fireplace
CODE: OI.R.C. 'WI.B.C.
Type of Construction: I
Occupancy Group: A B E
DiTision:
II
F
1
m IVfV)A B
H I );( fi'. S
2 4 Y
'pQ Mise: fAA ~~\'8- l'..n.\~
U PROJECT COST IV ALUE S
(excluding land)
\8., OOC!? 00
x
infurmation on this application which is to the best of my knowledge true and correct. I also =tify that I am the owner or authorized agent for the
all construction . confurm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
cause. Furth ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
7\1)\0C\
Date
QOS4 qqqLj
Contractor's License No.
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing P
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Sewer & Water Pe1lllit Fee
Gas Fireplace Pennit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
Permit When Approved
"/:l)/,e,,1
This is to =tify 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 temponuy Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isSUed.~ J- - /9'-0 r ~e L:mfVle,.f 5Je et!:-
Date Special Conditions, if any
24 hour notice for aU inspections (952) 447-9856, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i" (<}
c.... 'I
.I
", /'
( " ,/ C.. 1-1,' . . (-:7
I
NAME OF APPLICANT
APPLICATION RECEIVED
" f- /.1- i / /.,',,",,- \..-,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
_' I
.I; / f
f L.,.,. (..-/ [,,/ ~. "J._-/ i'
'\/
. f" .
Accepted
)(
,
Accepted With Corrections
t
Denied
ReViewed By: .# ~ Dale: ,2-/9'-C/1
Comments: /V. e Y'~n6J", uf' )Il,i4 ~rl~
!
i,
.'
..
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."
-AM-~:~~-;~.",,=__'~~~~'"~""'-"'"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/VASV/I<. I26fV1005/-IN1
Z; 17 ~O/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
333/ 7WIN 1St-AND (!AIL. /I. W~
Accepted
Accepted With Corrections /-
Dale: :l J:<'1 / 0 i
{ I
l<<~tUt a.l( ~tf4CLuJ COIMy^~
2. Mtl\"\.\o.., V\.. !].OSt'"o.A. ~OULttol C{.f C(U
3. ~oJ.. 0.1 l \oo..N" or cli5~\}l~e& ~d
1- AJJ:h'OY\o..\ pJU\M~~ ~' tor worl V'o~
.l-, "'" e :5
A-N' lL~
\\~~-tJ.. ~ Sc~ o~ wor-"-.
"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."
CITY OF PRIOR LAKE
lIE · Tltl ~ J U or IBlI'UUJING/FIREPLACE PERMIT
PUJ!1%f N g
Date Rec'd
1. Pink
2. Green
3. Yellow
z, U 107
ftwW dC;,d
PERMIT NO'c19, do Co ()
File
City
Applicant
ZONING (office use)
3'3"3/
rlO r Le.. Ic~ I1N. s..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
IOWNER
(Name)
(Address)
(Phone)
(Contact Person)
(Zip Code)
APPLIC~T
(NameL--.O ('u c.e. Tt,. 0 W\.A 5
(Address) Co V e....
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
o Radiation
o Special Devices
D Other Devices
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
$49.50
:fTRl'lH 1 ..L .1~ rUUJ mODEL
Residential, Heating & AJC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ L/r ~i)
$ .50
$ SO. Ot:)
Buildine: Official
Date
Paid ...so ~ ~
Datz.-, Z-(, .0
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
D~PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ -S~ I Tu.JJIV }SL~"'-\,D
NATURE OF WORK TG~E., C:C>,C
USE OF BUILDING e- ... ~ f<-
PERMIT NO. DATE ISSUED 2. 2 7.09
CONTRACTOR ASV/fL.. -'V/OI?c=L..INb PHONE 0/' .~15' ~z77
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ulll.-- so{, - .3Ovl(
~.sIO^, AT Au- 7/'I6S "'PECTOA DAlE
~rto Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.... ~-
~--------- -
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
fJ D IA.A..
,... ---
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
".. --:
-
rior 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.
FOR ALL INSPECTIONS (952) 447-9850