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HomeMy WebLinkAboutBuilding Permit 09.794 O J H w Z Z0 2 J f. J u. cc W LL Z U U a 0 44 ° QgS5gz w (Imam > y ( W W Q 0 a W o M � W 0 0 2 Z 0000❑❑ > CO v CV U D w = _' nr w O �' V w z cn m H c7 Y Y LL J z 0 0 4 _ Z fz Z -SSZ U c 3 d a c N 0 w 0°xw�mx w O Z 0 ., DWI -- Ilk 0 0 z H p 0.2500.2 w w w w �` 0000❑❑ 0 0 (I rt Z w • a a 0 w Q ~ re W e r� 0 a 0 o Y V Z R. f' Z 0 V O i° rY se U , O Z V 0 Z 0 N ® � co Q OI c O Z P O (I Z I. Q F- 1- -- � 04 aI N ° z Zo L w Y W W 141 O w w z O a s o ILL ai ° 0 00 w =Mvo 2 3 0 0 °' v a? as O a 0 ❑❑❑,❑ 0 '❑ ❑ ("1 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE il��.. 'a �. Q A, , AND UTILITY CONNECTION PERMIT U +, , iv- I. white File . C/' pi_ 2. Pink City PERMIT NO .F_ 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) SSor g ( ;�`J D9 Col) E p LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER„,----- �* (Name) / f[& / /US (Phone) f 21.2 J�0"</S (Address) 5.32 ( ' „ 9 . e ) b / ee I/ E i i s Pe/0z_ L i e . .4,0,---- � ,. "'” f ^ /A.3 Phone (Company Name) �- r �-- r r,rr —.� ��J�(� �' � (Phone) ".�� v _J C).? (Contact Name) /4',"1//.J ,tciet = 6. c •LJ (Phone) (Address) J 1 /7 0A>A ‹r C.L) �0,..2) 4 c(7rt Le �MJ TYPE OF WORK ❑ New Construction ['Deck EPorch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace K Addition ❑Alteration ❑Utility Connection CODE: ' I.R.C. D.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ �/ � .7� Occupancy Group. A B E F HI MR S U Division: 1 2 3 4 5 (excluding land) 1 1 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 1 am the owner or authorized agent for the above-mentioned • nd 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 r' • mit for Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. d e''' e Contractor's License No. Date Permit Valuation Park Support Fee # $ -- I Permit Fee $ t221.�iG SAC # $ Plan Check Fee $ - ( Water Meter Size 5/8 "; 1 "; $ ,... State Surcharge $ 6?4 } - Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ So - Water Tower Fee # $ Mechanical Permit Fee $ © — Builder's Deposit $ .... Sewer & Water Permit Fee $ Other t7 pie 56r' --v o ,/ 12 S pp Gas Fireplace Permit Fee $ 5 0 • TOTAL DUE t C� ..at $ Z - a This • (t ' at'. t BecomesYour Building Permit Whe A [roved ' aid / ' ' 5 c et • o. __,,,...ram Date /0, G, CI y Bu ding Official - Date II This is to certify 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 ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued A% /0 — 1 a7 do4 ��tre repjacerytevt& reecoreei P • 'ping Director Date Special Conditions, any 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 STO R Iii® Twin City Testing Corporation Materials Technology T mw • , .4 (4.4.,t/V � � ®�/ 7 '�' �` + Ai"'- T (651) 662 Cro 645 -3601 ell • Avenue Fax (651) St. 659 -7348 PaulMN 55114 -1776 PROJECT: VI 5? rs /PROJECT c NO.: PROJECT CITY: P7 'v r (.•E-e• REPORTED TO: 4 U FIELD OBSERVATION REPORT le x0 S o Observations by: / 4 J —?- - r-� " f-e rvt. Subject: /`-�� S� I L lJ � Date of Observation: /U 1 4 `0 Time: i A k Weather: Personnel Contacted: /k -'),' f /k ? Remarks: e , (5 6 al-we-3 c--(/ A / 9 / (14 . . c-. (v i /L& J J f � r � .1/4„ ,E j Z--.--4 c- 3 ( 7° �� /- � G: \FORMS \FIELD \FIELD OBSERVATION REPORT.doc (! 0 ; VV ' 4N fi f,0 jit.• O4 . ( h u , x White - Building �� Canary - Engineering Nnss° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /6V ffz, & P/1f9 N^ APPLICATION RECEIVED 7.. 0.0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 530 Cfig9 ✓c 712411------ . Accepted ✓ Accepted With Corrections Denied J'� P Reviewed By: I L Date: / d !/ o y . v , Comments: ' ONTrWC- SUS (aAJ t: 014 �L64o✓ 6' r A * 4 f44T/tle "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." 0 P RIG, a U q t White - Building 4-4,-„, �P Canary - Engineering -NEso Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT F:, If / Aj if/ 6 . 67 r t ' -1 iV tJ APPLICATION RECEIVED 7 oil The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ` #) ' (` f ./ ('' f ve. / -I i L- _....., —_ l Accepted Accepted With Corrections Denied J Reviewed By: � l /G Date: Ad /VQ 7 Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Measures See Reverse Side for Additional Information! "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." ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed ith n the roadway a wy and /or to the rear of the lot in drainage swales easement. All bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. The silt fence required by the erosion control plan must be installed prior to any earthwork being started. The builder is responsible for maintaining the erosion control measures until the turf is established. The rock construction entrance must be installed of the time of backfilling of the foundation. G: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc .j Rlo V O 61i � � wee 1,,, White - Building Canary - Engineering 41 INNESO• e ' Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted / Accepted With Corrections Denied Reviewed By: f Date: //- a Comments: - Mgt " a tr ref lacement reeuil A . Z "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." . VRlp CITY OF PRIOR LAKE Date Rec'd =, HEATINGIAIR CONDITIONING/FIREPLACE TIONINGIFIREFLACE PERMIT l , . 10 a i1 INATEso�t` '. r �z Fri' PERMIT N � ��� 1 3 YeIhrw Applicant (Please type or print and sign at bottom) ,?DRESS ( r s ,� ZONING (office use) `� * &J) Vic.. rMtt , t" - , -r f LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) >CA P""),' » (Phone) ` ?/z - , t ` "-- (Address) r 1:0",09/c. APPLICANT (Name) - ? 5A/ 61 7 r'i:0 i- G (Phone) %72-215-- . '`' Zt (Address) _ PC) ai . ,r v c.- / 4N 021 (Address) ity) (Zip Code) (Contact Person) _ (Phone) ' °, - 7o APPLICANT SIGNATURE � _ ." DATE I "' /C' ZCr/?1 APPLICANT PLEASE COMPLETE BELOW ENEW CONSTRUCTION ❑ REPLACEMENT CI ALTERATIONS st NACE MAKE AND MODEL l'1/ FUEL r'' FLUE SIZE ,/ RETURN OPENINGS INPUT OUTPUT -'-- ..sd PE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner (]Warm Air Plants ❑ Steam [Gravity ❑ Hot Water Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation 4 [ Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent. System gOther Devices , _ w''t„r lik. Cantilevers to the Outside of Buildings " Require a Building Permit. 'EPLACE MAKE; AND MODEL i FEE SCItEDULE t strial, Commercial &Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum '. idential, Heating & AC (New Construction) $149.50 Residential, Additions & Alterations 549.5() 1 idential ; Heating ©nly(New Constction) $64.5fl Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ G STATE SURCHARGE $ TOTAL PERMIT FEE $ ice Use Only) his Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine ()Metal Date 24 hour notice for all inspections (952) 447 - 985U, fax (952) 447 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 (- R Date Rec'd ) ...p4p .ep. B CITY OF PRIOR LAKE PLUMBING PERMIT 7 Ca) 41I1VNES0'°' 1. Blue File 2 . Gold City PERMIT NO. O 9 07274_, 3 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) .Sj' ' 6cA/ (;: 7,a1// free,- laic( M4/ fJ,1 nz LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) t7 4 ✓ /7/4ir/Y-7k� j - LG G (Phone) 6/a ` 7, `7 - D6 c l/ (Address) ) / 4 /! �C, A. / /O/c-I vP k✓.s i A'c.:l'M,r,4.✓/ X SciS, (Address)�� / (City) (Zip Code) (Contact Person) t //✓ f Yi' / /e_ S'dn/ i (Phone) APPLICANT SIGNATURE /' DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # 1 () f' I � p PLUMBING PERMIT FEE $ , STATE SURCHARGE $ .50 1 v TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Rece • 1 B y Buildine Official Date Date I L, Ii / (� °0 7 I 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4111 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R DEPARTMENT LA BUILDING AND E OF ND INSPE TI C ON INSPECTION SITE ADDRESS c3 fit 6,- NATURE OF WORK AD/74 r/e)1.1 4' USE OF BUILDING 7)Z PERMIT NO. c 7-- '- DATE ISSUED v �' CONTRACTOR R-6psu p 5 /,ti/ PHONE 4 /52-21 - NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSTALL- ''rzosro..J ar�TP °L 1 P'fs ci.6.4n4 s -r�crs DOCUMENT ,a G T rr-ti €S INSPECTOR DATE FOOTING I o 1 / 6 /� FOUNDATION (Prior to Backfill) 1 /6A /6 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN ` SIGNED ROUGH - INS a uximosemse FRAMING /,/ , INSULATION fly / / - / [[ » ELECTRICAL PLUMBING p HEATING (if required) i /,?/#, FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lgou5t Wp-."p I-+am4 t 91 A 2 C/� l FINALS GRADING (Prior to Sodding) BUILDING V ELECTRICAL PLUMBING 1//6/iv 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