HomeMy WebLinkAboutBuilding Permit 03-0079
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ADDRESS
,'118'5'""
t'd.- 31-0)...;
I PERMITN01)?~ 607Q I
I
ZONING (office use)
12L1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White File
2. Pink City
3. Yellow Applicant
Hills
61
t="c.JtJlNT.....l ~
LEGAL DESCRIPTION (office use only)
LOT <1 BLOCK 2- ADDITION ~o<.u"rA",~
Date Rec' d
-z.Ni'>
PID.P5'!/10~ 010-0
1..J,I."s
OWNER
(Name) W"'^'5.......A.>~ l~s
(Phone) r;.rt- '16" -'1~()(I
d'.M AA-I "^'~ f> n ~ ';).
(Address) r?q~ PIA'l.... 'bIZ... ~U,lfY 1.00
BUILDER <' L_
(Name) ~d-
(Contact Name) &,.'7_ '17.j{UI~
"
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)~-Z.1-'-I"'Z.'f
o New Construction
I2IPorch
OAddition
OAlteration
ORe-Siding
OUtility Connection
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
authorized 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform nee~ inspections.
X 13 '). -;:~~;::--
, SfRnature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
''\\
I ~~ceiptNo.zj~ /~U
By fl-./'
-U-
ODeck
ORe,Roofing
OLower Level Finish
o Fireplace
FROJECTCOSTIVALUE (excluding land) S
7': tfflJO d9.
-'/
/e/52
Contractor's License No.
$
$
$
$
$
$
$
$
4.ooo~
Q7,JS
(.1.)../
:;'.00
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
#
#
Park Support Fee
SAC
#
#
TOTAL DUE
, This Application Becomes Your Building Permit When Approved
~ l-ll--03
Building OffiCIal Date
I Paid
Date
iJ2 J.- b
;::J- /1-rL"-,
JPl-3/-o 2-
Date
$
$
$
$
$
$
$
$
$
1(,)", ~
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
~e:~);d , the ~er constitutes a "'.....v._~" Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
fM I~ I-U-(J]
. 'Pianning 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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
cplease ~ or Drint and sUm at bottom)
ADDRESS
/~?s ~;' / ~/~/~/5 /?/
&r0
E!~i~' I PERMIT NO. (J5-007CjI
I. Pink
'.0....
). Yellow
ZONING (officeu,e>
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER )
(Name) ~, /iP-44./7"..d/?.--<'
/;r;;2-x /' <
(Phone)
(Address)/59 "'5 ~;::::'-L
APPLICANT /"J . / ~'/ . - ~ /
(Name) /7' ///dL-/- /' ./Z.e"'-/'<J<~~--e' (phone) &_~.;j - 4'-'5:2- ,27.7'5'-
(Address) ~~~) /4':./7,/C.e. .6~ ~_ /~" . <;""'~,.k / //;;?"(2.,'7' //l/L /
(Address) (City) J (Zip Code)~,:::5 /<. ;2..
(Contact person),/ .c; /~'-r"J,-/ ?"nd'~/':/~ne) ~. -57 - ;l!fr.d - /;? 77-"7
/1" ~.)
APPLICANT SIGNATURE ~/~ e.7"" , .~-" DATE
/
APPLICANT PLEASE COMPLETE BELOW
,
J&lNEW CON~UCTION 0 REPLACEMENT 0 ALTERATIONS / i
FURNACEMAKEANDMOD~I/~:/~~ :::fZ-<./c.'41/02/0 /Z'J FUEL /C.k",./f'J/L'cl:'
FLUE SIZE &~~::5A RETIJRN OPENINGS e/ INPUT '2J /r.V OUTPUT /-,2 /::Y2,.'::J
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~r ,Conditioning 0 Special Devices
~t. System 0 Other Devices
v
~da.J
~. I
c:.-:-~~
v
~/.:..j ,-53/.....?~?
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
, $39.50
Estimated Cost $
Building Permit t;
PAID WIllI
$
$ .5<tlUILDING
$ ,
- ~ T
~. V~ n ,w~"I',;~v. c9
~ QWoJ 2 4 2003 lU.J By .-J- -.
24 hour notice for all inspections (952)." ?ll50, fax (952) 447-4245 I 0
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Omclal
Date
ThO' ("O'nl<'f<>f IhO'I..b ("ounlry
~BUildi~
(;anary - c:nglllccllhd
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
..........
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I '-II ~5" P: tYtvit Idvn ' ~ a-;-
Accepted
v--
Accepted With Corrections
Denied
~~
Date:
1-22-03
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."
Thf('fnlnnfthf I..kf<"ountry
White - Building
~n"r:y - "'ngin....ring
Pink - Plannln!!)
BIJILDING PEFUMLAPPLlCATION D.EfM'TMENT CHECKLIST
NAME OF APPLICANT Ii /(~P. /if! /(}"/ X./(J7/U'J
APPLICATION RECEIVED
/.). -
() '.
I . j--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1// (Z) F~Jl/-t2:(~?1 1/( ll) i
Accepted
~
Accepted With Corrections
Denied
J1i;tk
I
Date:
I~ L'], as
y;.'
Reviewed By:
Comments:
".'
I~
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4/~S- hlvV/n./YJ }ftj/s C--r
NATURE OF WORK 6/1\t1:.-h
USE OF BUILDING <: ,1=, 4.
PERMIT NO. f)'? -()() 79 DATE ISSUED I-)..l;.-o'"?
CONTRACTOR Wl"'l1<;~a"'Y1 PHONE l3uz"l C./2.2.1/-/(,_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.. ..Ite 'J1.iJTlfl . al. ......
FRAMING
INSULATION
ELECTRICAL
rUtMBIIUl
HEATING (if required)
f'IAiPb.U[:
I.~I blrJi IJA TIit'ST
,
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
IA"llIlll!'.i . ~--'-"-!J)
BUILDING C.l~..,v...... 'lP-ib. '2 - ''UY SJ+ I 2 -a -p?
ELECTRICAL
rL~...~IJJI
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