HomeMy WebLinkAboutBuilding Permit 00-0728
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!VD~ or pnnt and SIgn at bottom)
ADDRESS
Ilf-l:lO OlfcAt:>-rd e rfc.A
I While
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO.
PI-I"';' M.a /1W I~'5/!;2.
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK I ADDITION TuPAS 1ST /lODN.
PID Z5~ 2C57-()()3~O
OWNER
(Name)
kavf
(Address)
v C? I.1/Yl C1t 11. J
I lJ
/ ct- (::J () I>t-d />-1.- ,{
fJA.'IJ..('.f2J2. pf...('-(JI'.J)aJ&. J M A) (-~--?/l J
(
BUILDER 5::.
(Name) - ~
(Address)
TYPE OF WORK
o New Construction
ODeck
OLower Level Finish
o Fireplace
o Misc.
I Permit Fee
I Plan Check Fee
I State Surcharge
I
I
VoJu~
$
$
$
$
$
$
$
$
"3;OGo.oo
74:'75' I
~P,.S'l I
I.c;n I
I
I
40.00 I
I
I
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ZY;??7{ecomes Your BUlldmg ;;'~::roved
~1:o cIal Date
Date Rec'd
(Phone) (/7 /d2 J r?&..< _/.)2<;L.,p
(Phone)
OPorch
~Addition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
/'/Clr /:;; 7 /'J.-.'">~ '0
Date
$
$
$
$
$
$
$
$
-
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 needed inspections.
X t.Jv Ct0tft1, P -<'4~
(j Si ature
t
PROJECT COST /V ALUE (excluding land) $
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
#
#
Size 5/8"; 1";
#
#
$/r04. ~4--
Paid /"4.8~
Date //./-{)O
I ~~c~m 3%4<8
I
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Other
)
TOTAL DUE
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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~1
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nl..r of lh.. L.k.. Country
B.UlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VoutJe=:, j<lf/!
I .
IO'27.()O
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~(]
Ole e.H,q 1'20
~/ /C e.tE
Accepted
Accepted With Corrections X
Denied
Reviewed BY:~U
f/
Comments:
Date: (0 - 30- 00
.. A<td.IcM. gL..o.Cl M~ ~ 2 000 Z'.....,~.t (),m&o
';2. Urt:W... u...... SMd~ c1a.t..E>c.h.J-. ~o+ ~ +l..L ~:..L
"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."
Tht ("tnltr of tht t..kt Country
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Y< /' r / ;'"j
NAME OF APPLICANT '. 7
..... '-. , ,
APPLICATION RECEIVED I( 2 / f (,
I ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/<4// ('
1-.i.,I.' / ( I
,"-, .' 1.~
, 11-
-
i . <-_
'. ~,
Accepted ;/
Accepted With Corrections
Denied
Reviewed By:
_~~J~~
,-
Date:
It? /gr"/ Yo
~';'
Comments:
_~~ ~.AJJ}1~ I~
i~~~W~_~~
~ C11/~. ~ L{ t::~:1:
"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."
. ~,.
Address
Telephone #
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Perm
Prior Lake, MN 55372
file
Oty
Contractor
AIR CONDmONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water .
Radiation
Special Devices
Other Devices
Model Size
Furnace Make & Model
HEATING APPLICATION I PERMIT
Date II-;{ "1- ~ PID# Zq- ~n7- no~-O
S~e Address /<It 20 o..r~ Cr.
Lot 3- Block / Add~ion~ 'c:: I...{... ~
Ownefs Name )I ~~"!': .~
Address ~n ~-1- (I ~ 12
Heating Contractor (}-.J. q S'~ ~..-
J97~7 lNau~ OAJ--"
'1~2...' ~92..d /.~D9
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
A~erations
Repair
TYPE OF WORK
Replacement
Est. Comp. Date
New Construction
.50
00 - 7Z.?J
~J bel "fc)~
Building Perm~ #
Receipt #
TYPE OF STRUCTURE.
I. Pink
2. Green
3. Yellow
Single Family
Commercial
Two-Family
Industrial
Public
MuRi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Rreplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64 50 PLEASE NOTE:
$39'50 Air Conditioner Units Cannot
$' Encroach Into Required
$339.50 Side Yard Set-Backs
9.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building Jm[!Ili1 ~ before build-
ing certificate of occupancy will be issued.
!:!fAI CAICl JtATION!2 REQUIRED wRh number of supply and return openings listed per
room wRh CFM's per opening. New structures or addRions send floor plan wRh supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fa.: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work whicb. requirell.. review and approval of plans.
_u___~_".~~ -----1-f- :2-9- 00-
;~nfs &iClnature _ Date
!~ A:::/ II. 2-'1 . 0 ()
i g -J!J1'iical's Signature Date
PRIOR LAKE DEPARTMENT OF
...' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1~I'd.o at"C'.~ D-.
NATURE OF WORK Md._ uw:lu- 1x,~!.,-,,- Pc<>~
USE OF BUILDING SF ,::::> 0
PERMIT NO. ()().07213 DATE ISSUED 10.3o'2<oa=
CONTRACTOR Youvc. .\<1'-"'- "O~ - O~q~
NOTE: THIS IS NOT 'A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I ~ J{ll4h~ ~I ~'JP~
. .
, FOUNDATION (Prior to Backfill) I~. VI !:rY/D/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, FOOTING
I ~ LM7~
l
FRAMING
INSULATION
ELECTRICAL
-
jk.,
l~.
l
I
11~/
, o//Z.~//)I
-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
j
"
(r:rl
7//1101
(
BUILDING
ELECTRICAL
--
HEATING
DO NOT
~ tR
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 E.'Pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
I
I 7//19/() (
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
7/!S!6( / /! 'Stj
fJ!ZC!-IAf)f) elK
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ Lf 1 d-CJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (2)
o INSULATION
'lZCFINAL
fD- SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
>~-'-"----.
--/~' .. . ..- . "-
(l.fl~ VL '\\
~/
(
~'''-''"''''''''''''''
DATE TIME
ro - 'I~?
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!