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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--- _~ J m UA-1" ~ re QJ 0 0 tL..c( I 0 /'jOO-t ~ tf:JO--i: t.- , I - 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/ """""