HomeMy WebLinkAboutBuilding Permit 04-0954
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+. z. OJ
File
City
Applicant
I PERMIT NO. 0+. 07s+-
,
White
Pink
Yellow
at bottom)
3790
nAJ'Ssn c....
~r:; NC
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER J ' JJA -r It. IJ
(Name) A~rrt; .... '''t .J~ IS- fTr-e.VJ cx.S
(Address)
(Phone) (112- -p S-{J- ('2.2.f?
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ew Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
:A,ddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.C. ~iSC. -r~A/Jree Or pe,e;rl/ I
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certifY that I have fitrmshed mformation on this appIicalton which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
abovc-menltoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that thc buildmg
~a.n revoke this pea:~st c~ Fmthermore, I hereby agree that the Ctty official or a designee may enter upon the property to perform needed ~~ 9
Signature Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
#
#
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Pennit When Approved
Buildll1!! Ofticial
Date
./'
~
$
$
$
$
$
$
$
$
$
ThIS IS to certifY that the rcquest in the above applicatton and accompanying documents is in accordance with thc City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued I
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
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
4. /.5 . 07
(please type or print and sign at bottom)
I ADDRESS
37<JO /?1tj~.r'/-'l L/1r1r
;~~~~ ~~;y I PERMIT NO. 04. 045)
3. Yellow Applicant /, ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ,
(Name) L. ,"f~
(Address) "2 D 7
-+ TA-..,.~ ~Jr
-
/G' /4:/
r?~f;.n.-f
APPLICANT ~ ' i! L .
(Name) ~ ~./ 1"'#'01.-91"'7
(Address) 220 ~/t2.;rb~
,
(Address)
(Contact Person) 5ed4
(phone) t; / Z - 'f?~-<:::> - /22 '(
L€-i ,,-n;f st.-
..,.. /~"'{,..~~ Lt~hone) 501-37 3- Z.8::2-~
-
Avr- A/./~I ~ /1-(" ~(;,ob7
(City) (Zip Code)
ItSUO , P"'\ (Phone) ~O") - i3 ~3' .- 7 1S"7 &
.:..- j>:. 6
Residential, New One & Two-Family $149.50
Buildmg p,::~tial, Addilio", & AI"""lion, $4~Oi '
r~'OJ\vP6fV
APPLICANT SIGNATURE
I
o
J
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
BuUdinl! Official
DATE
e of Fixture
I
o
C>
6
D
$
$
$
.50
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 't /)L/-()L-/
See Main File,~. "', I 'Al
i ~:~I~w ~;:Iicanl PERMIT NO. 0'1-. d95..."
at bottom)
ADDRESS
31 CJO
r1
e.s~ "c....
L v<.
LEGAL DESCRIPTION (office use only)
LOT
E <{,,,+~ v~
ADDITION
OWNER
(N aIDe)
r 9'1 vtt>.. \ ~ ~ :J)-ev-< '''ef t--,*
~:lo 1B C~~+<W L*
(Address)
TYPE OF WORK ~ New Construction DDeck
OAddition o Alteration
CODE: ~I.R.C. DI.B.C.
Type of <flinstruction:
Occupancy Group: A B
Division:
AlU
ZONING (office use)
lei
i1 hid
PID JS-lj, ~ O()~. 0
~
(:,r J.. \~ 1-- Lfg Z)
r f'\JL\
(Phone)
J M:.. (Phone)
(Phone)
't"I- t~ ~~
,) t-.7SS' -I.((fit.(
OLower Level Finish 0 Fireplace
PROJECT COST/VALUE $ ;J.OO,lJ66
~uding land)
I hereby certifY that I have furnished information 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
abovc-mentlOned 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
official can revoke t is for just cause. Furthermore, I hereby agree that the City offtcial or a designee may enter upon the property to perform needed mspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
00, (J 0
!ao.OO
3S-,S-o
(J,{)O
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~n;lfJJP 9/1;;(,/0'1
;}'3200 ~ 1
Contractor's License No.
<< ~ 20-d~
Date
Park Support Fee
SAC
#
#
$
$ S(~LC9 0
$ 2-S'"().0 0
$ <15,0 ~
$ '2.00 .00
$ 700.00
$ .....,
$
$
Water Meter
Pressure Reducer
SewerlWater Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThiS IS to certifY that thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~"m~pm~ MOrn. of z; ;;'; "d ,I... '='"'SeereMiiiii CPile"'"'' mw'"
Planning Director ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
The ("f'nln of the' L.kr Countr)'
~ite - Buildin0
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
<
-r~ /&?1
~~d-L{- '-/
()eU
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.
31
Accepted
v--
Accepted With Corrections
Denied
~
~
Date:
9/~y
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."
.....:""
.....
...
,
I
,/t
,
~,. .
....
~
See Main File
White - Building
Canary - Engineering
(""'Pink - Plann~
The Crnlf'r of Ihf' tikI" Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
j1-
~/ " /,,:.~,
NAME OF APPLICANT
/
.~.'.~.'" /' '11 / /) ....1
".,.. . /.: I.
/ .
I,' '", / "
"" "#-~ / ..
'-' '.-L/
APPLICATION RECEIVED
('-.
,
)
'- I;, Lj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:::3 /) e7/; j/l?a:J-;,;J~?ZV ') './"J'Cc.:...---
'J
Accepted
Denied
~
Accepted With Corrections
~~~~
:1;1 ~r
Reviewed By:
Date:
. .
Comments:
See Main File
"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."
The Cf'nlf'r of Ihf' L.kf' ('ounlry
See Main File
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(
NAME OF APPLICANT
APPLICATION RECEIVED
..../)
~~~f(i.,t/))t.-C;'}/ ~;/~~)-?]
/
c' ) 1.1
/ '
1;_.:f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: \ "
\..,_.l
~'? /7- [~.;(/.., }/Z<?/#.' ;k.i .;:/./!;-"'7'/-~. '~.._)(..,.. r..
~ L r ~ - 'r: _" !~ ..A~' ~ \--,"") ".-':;;:,.---;,~"~_,_<"--
.-../ ./. / .. !'-'>.-; <:'->1.'
,
Accepted
x
. "'
Accepted With Corrections
Denied
Reviewed By:
M'r&
5 ( <.. #/e:,;/l
.
71
~
Date:
1-/~~()r
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
4- /3 - () y
t ~i":w ~l~icant I PERMIT NO. 01-. 09*
ADDRESS
37fO ;?14JEStl~
ZONING (office use)
L~c
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
+- J A-1.r A/L~r
~ 124
(Phone) t/l. - ~ - /Z 2. Y
(Address)
APPLICANTr L ~ - / / . (
(Name) "'>Co U . I nP~~5D1/ btHoS ffH L.L~Phone) 5'"07~ 373-2.~~~
(Address) 22.0 ~l i:-z....th~~ ~r /11~ ~ 5b<<:>7
(Address) (City) (Zip Code)
(Contact Person) . ~~~ ~ (Phone) SO?...a€'3 -7&7'i>
y"- 9-0 ,
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION D REPLACEMENT
FURNACE MAKE AND MODEL JJp.+YIf 3S'5"CA-v oC/2.o'3Ce.
FLUE SIZE RETURN OPENINGS INPUT
D ALTERATIONS
FUEL /l~{ ~
,
;/qoOo OUTPUT ,"1,~Ot>.
TYPE OF SYSTEM
l'i1Warm Air Plants
DGravity
IKI Mechanical
JgAir Conditioning
~ ent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
E / i dlh'L. {'1_,,-
tJ~
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.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$49.50 minimum
Residential, Heating & AlC (New Construction) $149.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$49.50
.50
$49.50
$49.50
oft' 0 ~~
r 0J'V
Estimated Cost $ Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Buildin!!: Official
Date
Date4'" . 13- 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
FROM
FAX NO.
Apr. 02 2009 03:30PM P2
CITY OF PRIOR LAKE PLUMBING PERMIT
+~t3..(/'
. and. ai#!!llt bottom)
~
I. HIli< F;!. ,PERMIT NO
2. <ioU (':lly ..
:1. Y.llow "Pl'u.....
ZONING (offICi! ,,"')
.37 ttt> VV\.'W.j-fjJ::C L-o. jr..'L
\ LEGAL DESCBIP'I10N (,m~';" oalyl
LOT BLOCK ADDTTION
- . .
(phone) _.
~
J
PID
~
~=~YY\i ~~'" CJ~v~(()~,._
Address ;;2... :i:.Dccg Cc:L.n. .}.~ c..o \,.Li' \-
APPLICAm I - 4~J...S
(Name) \-O.~Ml~4-0.~ ~\.4-~\c~ ~ &. "(p.4IjPhO"e)1c6\-4~';}'::1-J
(Addre~ll) :;2.l03'-l C-h: D/J e~l~ A:",,~ . ~ t~Jto~ .._ 550'~ 4
(Ad~'- ~) (ZIp Code)
(Contact Person) ~~ "'" __ (Phone)
APPLICANT SIGNATURE J:)o^^~~Q \-~ DATE ~~:)..~D~
AP~LJCANT PLEASE COMPLETE ~.ELOW
Type of Fixture uanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink) _
~undry Tray (1 o..r 2 com arlment sink
Shower Stall
Sinks
Bar Sink
-. .... .~..- .... ...
Water Closet (Toilet) . i .'
W:t \.-\_, '" ~ ,^&~Q met.,A) {) r (:to'! V\
cd '<:j~EE SCHEDUT.E
lndu~trinl, Commercial &: Multi-family 1 % of j,~b cost with a$4<).~O mininl\lm
!ype of Fixture
Rough-ins
Water Henter
Water Softener
Stand Pi .~ (W...!~hin~ Machine).
Sewage Eiec~9r
Backflow Assembly
B~ckf1ow Agsembl~Jest
Lawn S rinklcr
Other
~i P'\A~
Residcntiar~ew One & Two-Fllmily $149.50
R.e.tidential, Addition, 8L AltcTation~ $49,50
Estimated Cost $
Building Permit #
PAID WITH
"BUILDING PERMIT
.50
PLUMBING PERMIT FEE
ST ATE SURCHARGE
TOTAL PF,RMIT FEE
$-,
$
$ .-
(Ofrltt Use Only)
This Appliuti.on Become, Your Building Permit Wben Approvod
Dlte
t;
Dale
,
-''',
~
IMldlnll OffidAl
24 hour nlltiu for all InlI*Ooll. (9~2) 447-9850, fax (952) 447-4245
4646 llakllta Street S.t.. Prior Lake. MinntliotA ~~;l72
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF See Main Filt
BUILDING AND INSPECTION
SITE ADDRESS 3 ,eU '
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 04. 09~ DATE ISSUED
CONTRACTOR ~.,., 'bS.[L. Cc./fJ!.bIONE .. SS- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) // '/~ .~.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 'o~c; /Z5a
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST A
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IlATHS' J ~(l.rE~ I I I
,
FINALS
GRADING (Prior to Soddin )
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.
t
FOR ALL INSPECTIONS (952) 447-9850