HomeMy WebLinkAboutBuilding Permit 03-1381
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvP!: or orint and sign at bottom)
ADDRESS
1Bl1
CoJ&A;(1. Ptlft/
LEGAL DESCRIPTION (office use only)
LOT )~ BLOCK I
ADDITION
OWNER
(Name)
~ANlftU
1010
(Address)
TYPE OF WORK
~ New Construction
DLower Level Finish
o Misc.
Date Rec'd
9- /)-()3
I
1_ White File
2_ Pink City
J. Yellow Applicant
I PERMIT NO. 03 -13e I
ZONING (office use)
R-/5D
PID ,).5;- 'lOt/-I'} I q~6
(Phone)
q?:t- 403 - 1100
f1(11, 7'?'? 7'1
(Phone)
(Phone)
~I/}J. '7??1I
DDeck
DPorch
ORe-Roofing
~He 1~l/Al1 ~o~11f
(u/J.J,1fVVTlorJ c,. {Ilv
F 41A Aut 4t1fl~t6
I
BUILDER / /' /' I
(Name) PJf,.NPIt(} ~J(/TltJ1J ( ", I~C
(Contact Name) . WA{I"'~ -7~f-1T I~h -
(Address) '1DIO t~'J1 4-f~ Ave 411~l7e~
/'
o Fireplace
DAddition
DAlteration
cr
74?fW .
PROJECT COST IV ALUE (excluding land) $
Q'f2- - ~3 -qloo
f1?2-- 40?- -qf(x)
ORe.Siding
Dutility 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 a are that the b ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope perform ne ed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
(
'1\ z....c.rs, 00 o. 001
$ 1~5. 7s1
$ 1173.7'-/
$ /Z.:Z. So
$
$
$
$
$
~
Sewer & Water Permit Fee
loO.t!Jo
100.190
s;'5' oS" a
ifo . 00
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~Cial~ -!6-/:;/6 3
I ~~cei?o.
J
~I
Contractor's License No.
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"~
I Pressure Reducer
1 City SAC and WAC #
I WaterTowerFee #
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
[-1 4 z,7-, 'l ~;.
II) /1./ C?
1/1;:/03
Date
I
I
1
I
I
700. D~ I
I S"tJA.Qa I
I
$ e. 4- z:. /kl I
$
$ 12...75.{)0
$ 300.00
$ 70. 0 0
$ Iwo.oo
$
$
$
,
'/":/..f'{J
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. ::t-
o:; 10"0'Ob I.l.eJL ~K
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
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
/o./r. 0..1
; ~;;:;'w ~ii~;. I PERMITNO.l)?~/.'?I'J/
3. Gold Applicant V0 ~ u
(Please type or orint and sie:n at bottom)
ADDRESS ZONING (office u,,)
d:? '11 (' Ol./r;/lfi? A<Jrf!
. LEGAL DESCRIPTION (office use only)
LOT} 9 BLOCK I ADDITION {tiE W)L..tJS lJ/o,.(l71v
PID
OWNER
(Name)
C:;IJAJj)ltu (!:JA)srfi!IjCr//)A) Co
r:?O/D k/J:; T ~rff /J tJEAJ LI E
(Address)
-::eAJ G (Phone)
Sjff7KWEE
(City)
9M-./}/lQ-7/00
-55379
(Zip Code)
(Address)
~~;~~AATJJIh. ~#Il/JE .JA)c- (Phone) 7./i~-d'.33-IJlLt>
(Address),t-? II; rtJll-ll/lf; S,lfEL3T SJfI1W/FF 6537'/
(Address) (City) (Zip Code)
(Contact Person) VO,uAJJE /l)i/)/LL!/J#<, (Phone) Cj'.5~-~33-J2DD
APPLICANTSIGNATURE~~'/.7/J~ DATE jIJ/IEJO,"?
,
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC IZI PVC 0 Cast Iron
Estimated length of sewer line 5D feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Building Permit # ()] - / J Ii
/
/" .50
./
V'
$
$
$
0\;1 IV
P~l/O
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
.-'
Building Official
Date
~
DalJ'l\ -
/u,/:>. ,01
R~.
By V~
f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
!;~~
~hite - Build~
~nary - I:ng'l."aring
Pink - Planning
Th.. ('..nl'" nf lh.. I..k.. ('ounlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~tPn~~~
GJ- /:2-3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c2?77- i!3~PdlJL-
U
Accepted
Accepted With Corrections
~
Denied
~~ 4~1-- Date: /(jln,~?
;f.c~ a.d --'-a-J~ 'i"' ~~
- ; f
~ ~1~~ h he ~ f~' ~&f!
~;...r /2~ ~ ~ ~
. V LJ V/'- ~
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."
~
~1
White - Building
C ~~nary - cng....::'=1 ;..'!:I ../
~ - I'lannlllY
Th.. ("t'nlt'rllflht' t..kt'Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"'c.:::.fC<:--<J'>'
.p~ /. .". "r..
{ ....4- '--",~,;t., - /-<-...'., .L-~'
-- -....---
APPLICATION RECEIVED
./1 I" ,?
-:_/- ,>I.. - ..~-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~:7::; !:?"'~7? ,-
~)
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
1J#113
Date:
/(')~/-o_~
Comments: See Reverse Side for Additionall'lformation!
See Attachments: 1) Grading Plan ?) Erosion Control Measures
"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."
~~
White - Building
Canary . Engineering
~InK - t"'lanmng ~
Th{'('{'nl..rnflhfl.abCountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED I. /) . .")
/
,. (--~",
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~r'
/
I
,
,...
Accepted
Accepted With Corrections .............-
Denied
Reviewed By:
~
~~ ~ Date: JQ!h/a?
;&~ ~ vIr./ -.~
,
-/ l~ (r~) ('v> /> 0 rl.(.. UIJ +nc-- 0C1UA0---
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m UA-1" ~ re QJ 0 0 tL..c( I 0 /'jOO-t ~ tf:JO--i: t.- ,
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v Plvpoa~.d Lnll~ICJ\MJ 1l-u-rfre<CJ2... Go Gq Gj'7o-
CO QQ. (~ rcrn~
v C'1r~)- w l>r--V h~d If\ bl.LL{r6-
,J
Lrn pad 2LVT€- - 9{) I I \Y lVYI C1l30 ( UV> tu-v-r
v ~tG\....(..aQ V"vIU4-t- n&...t Q.F\cfvCLm UI\O ,;lr=::,'
b Lu.-hA /d-Q..J-bOcJc-.
vv
/ A / c, y &i h-u-- ~0Jl1 (IJlLQ Q.1) L.U..p{YYLn t-
C..1Lnr&-t -frICfVCtQYl LnIO .Il-Zc..k ' 11 ()JZ}..... ~~.
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
/1.1.-1.03
~: E~w ~l~icant 1 PERMIT NO. 03. /3t!J I
(Please type or print and sim at bottom)
I ADDRESS 2-~ 7 7 CJ)()q,~ "o/t77i
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT I ,1
(Name\)h"t.rrn G""ttl),Jh.... rl'\L
(Address) "i?IQ'7 1-hr1'Z.,JI'\ I\rt~- '"
. (Address)
(Contact Person) ;tJ~y I(,"bar ;/
APPLICANT SIGNATURE
(Phone)
ZONING (officeu,,)
PID Z5. -f"tJ4-. tJ/9. 0
(Phone)
5M.~
h/~ -'5-0~ - qJJ6
;5-S-3?Cj
(City) (Zip Code)
(Phone) h'/,) - 5"OY: - '1J 96
DATE /1 JJIIo~
APPLIC~~T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
03.13M
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .---?'
$ ~ .50
$~
./
(Office Use Only)
This Application Becomes Your Building Permit When Approved
---
Building Official
Date
IPa~
I Date
I/.Z/. 03
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
(3~
Pfl'IO
() (L- .
B~V
. Recei~
t
1
I
By
~
" YH10~
s~:
....,""..q:$o....~
CITY OF PRIOR LAKE
HEATING/AIR CONlJITIONINGIFlREPLACE PERMIT
Date Rec'd
i ~ ~:~ I PERMIT NO. .:;:>-/3 8 } .
). YcJl_ ",,,r'~1"'1 .....J
(?1eaJe!Yt:e or orint and sir.o at bottDm)
ADDRESS ZONlliG (,"',,",,)
d1S'l1 ~ Fb.~
LEGAL DESCRIPTION (otliceulC only)
LOT
BLOCK
ADDITION
1'10
OWNER
(Name):::Ao~" ('~.
,
(Phone) QS:}-lIC53-Ct/OO
S~,q
I (Address) 30\(') C. Lf.t.h D..ue_. ~lU., I'hn
APPLIC,e.NT \ _ r _ '.L 1':'" .. _ :-1 - _ - ,= _ <""" ,
(Namei.' ~:\_,:\:nT".r>x~,~ \..,.{1JcCl-0Ji Cr=~ ., r......<L;:..O.c.~ (Phone) ,[ ,,3.:)/:::l 7~CO
U
(Address\Q:)\O (.J(pY7\ln~~ Ul-f.C, (ly1.rdd'':..(''"'R::,..J~ Mn S.SliL/C:::;
. ., t::;rddre,,) () (City) (Zip Co&)
(Contact Person) -k':, <::;, . ~J, . (Phone) 'J lc3- 31 S-7Sf G
70-Jj "-
APPLICANT SIGNATURE ..U-"-" ..""u..,."Q.r-...;; PATE __._._._. _ I
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL F;'lJEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravil)'
o MechnniCllI
OAir Conditioning
OVent. Sys<cm
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditionei' Units
Cannot Encroach into
Requited Side Yard
Setbacks
Residential. Heating &. AlC (Nrw Construction)
Residential. Heating Only (New Construction)
-?'h1:io,o:h,; , 3(..ODv's';:>.e,..t)
FEE SCHEDULE
1% of job cost Residential, Gas Firepla.ce
$39.50 minimum
599.50
S64.50
539.50
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
Residential, Additions &. Alterations
Residenti.l. AC Only
539.50
539.50
Estimated Cost S
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
S
$
.50
- un '/11\11" rT
;~ ~ pE,p.tJ;\,
;;dil,.~ -- Receipt No.
(Office Use Only)
This Application Become! Your Building P.rmi! When Approved
nllilding Official
I Paid
10ate .,
Dote " rll::(' ~ 29Bj
24 hoqr notiot ror.1I inspection, (952) 447-9S~O. er.. (951) 447-424S
.By'
(6'
l~",:
~-_.~-----
.00 lEi
Xa1UIHd a~vHv~'jI~VWO~1V
.OLOS,C.,O XVd SS:., CO/.Of.,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 287, ~ ~,..w
NATURE OF WORK t-.Je.w c.o~~-rQ.u.c.ir O~
USE OF BUILDING S. t="':1) . .
PERMIT NO. a3~ I'?~/ DATE ISSUED 10 f~ ( b :I
CONTRACTOR SMo~c.t r;O~' CA. I~. PHONE~-.qO~()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION I
. ELECTRICAL \
.
PLUMBING ? rs
HEATING (if required) fJfl
FIREPLACE fb
GAS LINE AIR TEST 2:: r-~ I /3:!f
COVER NO WOR-K'UNTIL ABO~..HAS BEEN SIGNED
lLAlH4-C_ttLTuetD ~tJE I ~ /-7'> I
FINALS ~II...~
~. GRADING (Prior to SOdding)...-;!,... ~l f, . 8-l.( '0'1
.~ j BUILDING .-/.).e,~/).J.... ~I-D\/ 8'0'1 tI h I{ -4 -oJ{
~J~ Q, ELECTRICAL '
&. PLUMBING !bJ /-27
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.
I"SP~
/ fff/.
,
I FOUNDATION (Prior to Backfill) / ~t? .......L/C7 ~?r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,/Jh
ri5
~6
DATE
, FOOTING
I~~
I
J
/d-Q?
IZ-.q
t'a-~-
/z-?
12-'/
1'2 -<-/
FOR ALL INSPECTIONS (952) 447-9850
r. ~.
, '"
"
. ~;
DATE TIME
CITY OF PRIOR LAKE 8'-<'/-0'
INSPECTION NOTICE SCHEDULED
ADDRESS d8rJ C'~r C? ~
OWNER CONTR.
PHONE NO. PERMIT NO. S -1""'3~{
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
,,~Yv9
\..r
l~
.J.r(,WORK SATISFACTORY, PROCEED
o CORRECT A ON AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Cantr:
CALL
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
ADDRESS ~ 71 {"'fry pt;,./1"
OWNER CONlR. .s. "'~, J
A ~-l WI
~~ING
D~
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~'''',,,..AL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
r>" .i3f.,;< - t'~ IL
G/i,.rt.~ f'? ie...
OA TE TIME
8-'1-ot/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector...$~ V-? Owner/Conlr:
--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1-"J."'t-a4
ADDRESS JAfl ()rmav ~
U
OWNER CONTR.
PHONE NO. PERMIT NO. <-I~r)1
o FOOTING o PLUMBING RI o EXIGRADlFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~LUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
1.J~\op~
~'" ~,"",\"('.Q-t
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORflORK' CALL FOR REINSPECTION BEFORE COVERING
Inspect r: Owner/Contr:
CA L60 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""