Loading...
HomeMy WebLinkAboutBuilding Permit 03-0812 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec\ (,r IJ-.# I PERMIT NO.a.? - 0 B 12- I Wh.ite File Pink City Yellow Applicant (Please type or print and sign at bottom) ADD~ IJ'1tfO Or;o~~(RlU<-) LEGAL DESCRIPTION (office use only) LOT iJ BLOCK a ADDITION r9n -,,_.d ~~L7;;}~ g,':'e~R HlAfhex ~ ,(;;in fif;;ce>e- (4-600_ ) ~~;~)ER Ifleak h-wk-/ 1{.tJ rJ/5 (Contact Name) -r;"" K-iit.5 LJ.-- ',1'},"A - p'Ydr~ ~~. I (Address) 1(110L 6.h~ ..r'51-o~ D... - ""&-UOJ.. .~ (Address) TYPE OF WORK o New Construction o Misc. DLower Level Finish o Fireplace ~ddition DAlteration PROJECTCOST/VALUE (excluding land) S ~t1t10. I hereby certify that I have furnished info aUthori~ed age t fOf. e above-mentia submitted . rq,..aware that th bu. enteru ,.,...J tor-nee X ~-.__c:- SlglliJ[Ure 3....d (Phone) I I Z?~crDse) I PID d~~3/1.,-IJ>>-') 9/}p< -'1,/ 7-bY'3 A'(Phone) 115/- ;?5a- gp~ 9 /" (Phone) ....JjZ- ffI-c,:?5Y 7 AlN DDeck ~Porch ORe-Roofing DRe.Siding DUtility Connection on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or a at construction will conform to all existing state and local laws and will proceed in accordance with ill oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may t,/zJo '3 ! Permit Valuation I Permit Fee $ I Plan Check Pee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I Mechanical Permit Fee $ I Sewer & Water Permit Fee $ I Gas Fireplace Permit Fee $ / Ufo, ()IJO . tiLt J. 1S' ).k7/.!1 I s.-.()Q This JjPJcanyr Bec~mes Your Building Permit When Approved 1M (I./;;;.., 6-(J-cJJ - Building Official Date Alo37911:;' Contractor's License No. I Park Support Pee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE ~ ' /..;s. :ri (,,- 'd-.3- -03 I Paid l Date $ $ $ $ $ $ $ $ $ ~43 fJ1 I ~~cei~LJLiYlf # # # # Date 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 ~hen Signifad y the CircLer constitutes a temporary Certificate of Zoning co. mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ISsued... . _ . _ (; tJi.1) R..ad Y1J~l Planning 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 $~~ ~ite . - B;;;ldinn ~ Canary . Engineering Pink - Planning Th~ (-..nIp. of th.. L.k.. ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT )17~/7l$vf ~~ {;,- 1;)..-3 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for constructi05t9~;iCh i~ P L Accepted Accepted With Corrections v- Denied (M {2L f2...ac.l t1'~'5> t'J>"1 Date: 0/4 V\ I (r J -:s.() <.. 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." ~~ _"'C', ;__,.<"~ - Tht' ("t'nlpr or lhrl..k.. Counl.,., White - Building Canarl' - E:"~' eering ~Pink ;..Plannin -- 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: "...., ';>'/ I '--::~",,. /, <.'"c ~ Accepted Accepted With Corrections ~ Denied Reviewed By: 1M f2L~ O....a) YldL. J ,),./\ Date: 0140/\ 'I {;,-/To3 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," . , "0, .--- Wllite - Building r- r~"'!2"! - EnctlneennQ....I fo.nk - Planning ThO' C.."'..r 0' Ih..I..k.. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ''v~1 ".""-.'.. 1 /. .," / ,"'/;.j C~?... .1..:c~.~V .,' r:' ,./,'-. ; J" ,..'1" "/" ',.J..' .::: .' " -, ......- ,'. " /.. I .' " 1 -- '-0(... .~~-~... I:, . .:;>. , ;./\ .~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ...."; r'O, /--..., ,,,,.,. ~ '7[,/' ./ ~'l <'0 .'---', . ..' ) ,I .,;_.~ ::=- -. :1_. Accepted X Accepted With Corrections Denied Reviewed By: ~~e:J" ~ Date: f'- Comments: A..A:~ -revSā‚¬:. \..::)0\' A\....\...o~l$J) See Reverse Side for Additional Information! &(11103 ~f.~<.,f~ . See Attachments:. 1) Gradinq Plan. 2) Erosion Control Measures 3) Erosion Control Plan' "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid," FRDr1 : SOUTH t1ECHAN I CAL FAX 110. :952 492 2445 SF-po 03 2003 11:30AM Pl CITY OF PRIOR LAKE REA TING/AIR CONDlTIONINGIFIREPLACE PERMIT Date Rec'd (Please.!\1)e or Pri.n~ 8J1d siJDl allXlttorr'l I ADDRESS '-- <F9t"O (.'r/dk I. 'ill. 1.0- l V.llowrt :~L, l PERMIT NO'.3 - e /2- i .P/4c...e... ZONING (0"", ",) - LEGAL DESCRlPTIOI.r(~'llic, u" only) LOT BLOCK ADDITION prD OWNER (Name) - / /7/n /fo6!L/C- tJh'cb ~.hG.<' (Phone) /?--/~ ~./b ~ ~.. , (Address) c.!?''740 . APPLICANT - (Name) Ut:9U ?'~A 2-., c:c,<;7 /n<. c.ha '''- ic-",.-< L.::t /-, "'l.,t::;,... c./ (AddrC!$S) (Contact Person) Rqt"L"LW APPLICANT SIGNA TURE_ _ ~..-.e "7GL.-:r ~n:h~-&hone) //?e? -,;;w/"/tJ ..-0--< .Jt9~A- h.t..Io<- SS37".;1... (etry) (Zip Code) . (Phone) V/2.-2.Z"/->99'S' ~ ^-..c..'u.-e.. DATE 0/-,3 - 0 3 (Address) ~ APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEMENT ~L TERA nONS - #.....,1. .2~ FURNACE MAKE AND OOEL FUEL ""t "",dd,'/;;~. FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWIlIlT1 Air PhlJlls OOravity o Mechanical DAir Cooditioning OVen," S:rsl:;m o Slearn o Hot Water o Radiation o Special Devic.c! o Other Device. PLEASE NOTE: Air Conditioner Units CAnnot Encroach into Required Side Yard Setback. PlREPLACE MAKE AND MODEL Residential. Healing & NC (New Construction) Residential. Heating Only (N'ew Construction) FEE SCHEDULE .l". orjob cosr - Residential. Gas Fireplace S39,SO minimum S99.S0 R.,idential, Additions & Alterations $64,50 Residential, AC Only $39.50 Industrial, Commercial & MUlti.F!IJT1ily $39.50 $39.50 E:ilimaled Cost S Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S ,50 (1/. A ,v/t.() "I/O ~G' ~~ ~-94f1}- (om.. v.. Oaly) This Application Becomes Your Building Permit When Approved D) U; ,'faid II SEP 0 fi 700i Lbate i:' :! " G U G: 'l" " IReceipt No. , I iBy i iY If Bulldlnr omclal Dalt 8, 24 hour nOllce ror allln.peetlon. (952) 447. iit':. ::.. ::52f4-4"~24j; "-.~ --- PRIOR LAKE INSPECTION RECORD SITE ADDRESS S'f9o (Jnlh (}/.~C NATURE OF WORK iI~tw ~'-M fft,wt, WI. USE OF BUILDING ~. 1;.0 PERMIT NO. _ ()J-0812-- DATE ISSUED './"3- 67 CONTRACTOR lAht!-- ~"t fJIJ PHONE~ - 2ttc.H'" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECJOR DATE I FOOTING ~~~\i1,\ /Q~ I 1 / ~-(.-O)I I 1 .i FRAMING INSULATION ELECTRICAL ..-- HEATING (if required) wp _ IIW~ fI- ;.q ~ d3 '1-'3-0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I J FINALS GRADING (Prior to Sodding) fiI,d" 1':,.,1- BUILDING .k'# fir O~y' ELECTRICAL PLUMBING 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 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS S7n7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .-a1'lNAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED ~~$~~ 8/"/;, ~ ;J4LC CONTR. PERMIT NO. 03 -rY/2- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o r / ~/ /;/1q/ ~cle /I //1" ( ~pe-rCnl / --- ----~ (~/ \. L./C6"S e --- ;~~ /'l /p ./ ~ .tC~ORKSA~~ / ~RRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~. Owner/Contr: ;r CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY! '''''"''' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 0~6 OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING o INSULATION Nl"FINAL "D" SITE INSPECTION (')1'1'tJ!~ PI ;?'J~/'6r('joK tf>~ - gll_ SCHEDULED CONlR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: r; /2; ,/,., .... ~ //_ - ~ DATE TIME <DiaJ ~ -6-0'( ~LLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o KWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING lnspector4~ Owner/Cantr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOn