HomeMy WebLinkAboutBuilding Permit 04-0953
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
c:g/24~
(Please type or print and sign at bottom)
I ADDRESS
376" JY>J(f ~' I-~,-
li'tll.lG.
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK
f
I. White
2. Pink
3 Yellow
I PERMIT NO. (yf, ors31
I
File
City
Applicant
}IIlJ
ZONING (office use)
RI
<
v+\.v<- ~~
PID ')5".. L)(
-008.-()
ADDITION
~=~f frt~'dV"rl--c-J Jk.,-(,Jtl~1)..-.I-&--
(Address) Cltv~ L~.
(p :l.;J(.,~
rtftJ
(€;s -1.- '4:~- ljB~
(Phone)
lkv~\qf~~-t- tv AtvJ
(Phone)
(Phone)
fnJ} -C/63- ~~
6$-)-7.>.5' - tlB JII
OLower Level Finish
o Fireplace
TYPE OF WORK [XNew Construction ODeck OPorch ORe-Roofing ORe-Siding
t1Addition o Alteration OUtility Connection 0 Misc.
CODE: OOII.R.c. DI.B.c.
Type of &nstmction:
Occupancy Group: A B
Division:
I:m
E F
1
III IV V A
HIM R
2 3 4 5
a. 00, Oa)
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoflzed 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 building
:'fiClal/f :;:.j W for Just cause FllIthelmore, I hereby agree that the City offiCial or }eOO);;..~the property to perform need31:~:O \.1
~ Signature Contractor's License No Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
IOCr tJ 0
00.00
3s.. S;-O
0.00
This Application Becomes Your Building Permit When Approved
~~~
d
8llll Ill!! Olllcml
9!ttjjt; V
Date
Park Support Fee # $
SAC # $ 3S""o.oo
Water Meter 1 u; $ z..S-O .0 0
Pressure Reducer $ 4-:; . E) CJ
Sewer/Water Connection Fee # $ 'Lc:JO. QD
Water Tower Fee # $ 00 , D 0
Builder's Deposit $ C:;-OQ.E) 0
Other $
ThiS IS to certify that the request m the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerllficate of Occupancy must be
iS~ Plan~ 9J~t 4~ ~i~'
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Main File
White - Building
Canary - Engineering
.....--1Sfnk - P1anninlf:::>
Tht' ("f'ntrr or Ihf Llkt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
l=, / '
f C,';".' /,' ; r, ().
, / :'--/ j \ ../ " ./
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
I:/('~
':"','."',',?
--. ,"- ~ " ' " ,
, -.' ,/ ~.~ .-
.- .".-"./
Accepted
Accepted With Corrections ----
Denied
----
Reviewed By: ~ ~ I- Date: 1;1 ~ t(
-(::/,r --6uj,fJ tJ j'cre--r~ ~~ .
30' ~.-"-'. ~ ~ ~ /tiNt., ~/~'
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."
Main File
Thr ("f'nlrr of Ihl' takl' COUnll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
...
~~4 h-Y\ IJ~U'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr9YfAed at- ~ -fA
31g? /r!r~~
Accepted With Corrections /'
Accepted
Denied
~ ~ Date: jfy'#r
fUJ-/J t:df ~ .
Reviewed By:
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."
'.
Main File
lh. ('..1.' of Ih. t.b Counlf)'
-J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,/Z'. .,. . ' ---;~
-;/ </ / 1.. .,'7';/./'" -~~. --] ~'Y\
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/. ....
f ! r.' ( ) .
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is ProP9sed at:. ,
'~7 /-7 r--;" / ,/<~/7 /, .,_ ,;',' l<.-, , "'.','
-< I '(. $,. .... I" t./ J '/ t-I, .',.7\..'.<:;'/1"( ,."--'__..
..........:;......,' , c./ ~ /',. ;" ./ !./ .-..:_~;.....-',:--t ---....... 1,,__''.. 'u_.' '-'~ - '''"---
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
tWfl3
~
Date:
7--/1 -00/
Comments: See Reverse Side for AddjtiQnallnfQrm~tionl
lYIt:ti/t h' It_
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"The issuance o'r granting of a permit or approval of plans, specifications and
computations shal1 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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2, Green
), Yellow
~::y I PERMIT NO. tJ if- ~53
Apphcant ~ '
I
ZONING (office use)
(Please type or print and sign at bottom)
I ADDRESS 3~?0 -
I!loi/~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER tl::""
(Name) r<'r -~) 4,,~
(Address)
D. tk.-lo p~ t
(Phone)
APPLICANT I h LIt..,
(Name) t.4 HVI f
RrA-p /{L{.
(Phone) 412-- '-114- C/2-l/ 'L
/1~ullt,
(City) (Zip Code)
(phone) ~ I ").., t" - </ 2- '17_
DATE :3 .-!r/o..s-
(Address)
(Address)
(Contact Penon) ~c, tI- s~ He r/
APPLICANT SIGNATURE ~ ~
DNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL 5t - 7.)0 7fJ..
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Pennit #
.50
~\dY
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Building Official
Date
Paid
Receipt No.
(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
FROM
FAX NO.
Apr. 02 2009 03:30PM P3
..-..-...-'
Date Rec' d
CITY OF PRIOR LAKE PLUMBING PERMIT
4-.3.07
1. Dluu Vito
1. C:nJ~ City
3, ".110., ^I'~~".l
-~
. unci. m~ ar bottom)
.,.:
J
L.,.." '^ of?
-
l LEGAl. DESCJUPTION l""'" ~ MI,)
. LOT ... BLO~ ADDlTI01:L.-_._,-.-
pro
-.--.--'
(Phone) 14j \-l\~ "J- 4 lS,).L')j
I ="~~5-k~ ~sJ.Q~~e",+
(Addre~) ~ 'd..D a. '^ ... CoUJ~
-
=~~r Wli ~P\v.W\b,,:~_ ~ \\:~ (Ph-) I6S\-l,jiD3-]~,~.
(Addrells) ~ le:~ 4 ~b I R?-ey, ~b.\e.. ~ve..- tOl..f.: ",,-, (\'l.\o~'" :JS0J. L--
(Address) .. (City) __J (Zip Code)
(Contact PerllOn) Jl~~ (phone) -'-
APPLICANTSI~ 'J::JC:).A~ Vl,q]:O...- DATE q~,().-(yt
e of Fixtu re
l
\
ROll h-in_s_
\yater Hoater _
Water Softener
Stand Pi ~~ashing Machine
Sewa e E'~ctor
Backflow Ass,!:,mbly
Bncktlow Agse~~ly Test
LllW~1-Sprinkler
Other
FEE SCHEDULE
lndu~trilll, COlmncrciall 8r. Multi-family 1% of job cost with II $49.50 minimum
Residential, New One &. Two-Family S 149.50
Residential, Addi\iOIlS & Altcrotions $49,50
Estimated Cost $,_
Building ronnit #
'PLUMBING 'PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$-,~
$
$-
PAiD V\irfH
mJiLDiNG PERMI T
(Office l1~t O"Iy)
TIIII Applicatioll Becomes Your Building Permit When Approved
Duildlnl! omdal
Date
~-
~
~
R eipt No.
.-
.
14 hour notice f()r all inspection. (952) 447-9850, fax (952) 447-4%45
4646 Dakota Strollt S.E.. Prior Lake, MllInu..ta SS371
FROM
FAX NO.
Ma~. 11 200901:10PM P2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date ReC'~
.5:/2.V7
.,. <..,.
l:.Q.","~
~:~::.. ~~. I PERMIT NO. ~
3. veUow ApphWII L__ ~
I I ZONING C--> I
LEGAL DESCRIPTION (office use cm1y)
LOT
BLOCK
ADDITION
PID
&=-FnrIMWjklll.. _ () g,vel Qfl ~eV\"+
Address) , ". dn~Ot.V\ to V\. Ol-l..,. +
~W\i~t;. . -pL~,':5 ~ illj (l'bonc)
(Address) ;)./0'34 C k ~ eV'\~,J~ " >'to <-
(A )
(,,3- 4g;)51
L:.Sl~ LJ.~:3'" ?~~4-<<..---,
(Phone)
(City)
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE
(Phone) '''W_
DATE
'._-"."""'!liNnw'OON-STiiicTJ(jN' , ,.. o REPLACEMENT o ALTERATIONS
I"URNACE MAKE AND MODEL " e \I\. he> -.& (be; \ M f .. "'1 D ,.3 (Q \', FUEL <<<<..tl?d
~LUH SIZE ~h PVCy RETURN OPENINGS ca TNPlIT 101()()D OUTPUT lo. 4 J l.lOD
TYPE OF SYSTEM BEATING OR POWER PLANT
f~ ""...... D StC:llm PLEASE NOTE: Air ConeJitjoner
Ullits and Fireplal:el CaBDot Enuolu:h
Oavity o Hot Water into Req1llred Side Yard Setbaw.
MOQhanil:al o Radiation Fireplaces with BO:l Additions or
ir ConditioninA o Special DeviCCII
DVcnt. System o Other DeviCllll CanWeven to the Olltside of Building.
Require a Building '"ennit.
FIREPLACE MAKE AND MODEL -~ , . ......
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commerl:ial & Multi-Family
FEE SCHEDULE
I % of job cost Rcsid<mtial. Gas Fircplacl:
$49.50 minimum
$149.50 Residentilll, Additions & Altcratinnll
$64.50 Rc:sidcntial. AC Only
$49.50
Residential, Heating 8/. NC (New Constn1Ction)
RCl$idl;lltiIlJ. Hellting Only (Nc:w Coostnwtion)
$49 .~O
S49.50
Estimated Cost $ _.~_.
Building Pmnit II
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
A\ID WITH
~....<<' ..u.,...----~O.. BUllDfNG PERM;T
$
(08lee Use Only)
This Applkatlon Becomes \'our BuUdin. Permit When Appro'Vc4 Pllid
Date
Balldiul 0fIIciaI
f>llfe
.
24 boar Dotice for III hllpfttilJlllI (952) 447-9150. fall (952) 447-4145
4~ Dlkota Street S...:.. PrIor l.-kII. Minnl!lIOtlI SS372
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 3'7S~ rv\~~Ic... lA~ ~.~.
NATURE OF WORK ~8.0 C:O",",S\~""&I
USE OF BUILDING S .P: ....
PERMIT NO. ---.O4>;-l-O .1:3 DATE ISSUI;D ~ 101(
CONTRACTOR ~ ~ ~. ~../~HONEM"?S,s- ftf'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
FOOTING
FOUNDATION (Prior to Backfill) // '/6 G
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
FIREPLACE
GAS LINE AIR TEST ~
we.
7-1' -.dr
tIil- J "/Ie-o)"
we..
OCCUpy UNTIL ABOVE HAS
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