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
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! 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
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).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..' .::: .'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ....";
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/--...,
,,,,.,. ~
'7[,/'
./ ~'l
<'0
.'---', .
..' ) ,I
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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