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Home My WebLink AboutBuilding Permit 04-0003 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd /2,2 z. 0.3 1- White File [PERMIT NO 2. Pi,' Ci<y .rvL,0003 J.Yellow Applicant ~ (Please tvP~ or print and sign at bottom) ADDRESS U7t tCliJ/AF- fttlH ~.W. ZONING (office use) t<1.;sD LEGAL DESCRIPTION (office use only) LOT ~ BLOCK 3 ADDITION WlI,Y; NO(z-TH AoolT/o,) PID 2. 5. 4-04-. 039. 0 OWNER (Name) ~A "Wtv tUhT.fWkTIW ttJ J-N(' 7010 &11ff ,f1~ Au'~ ~HA,'t-PPt~E- (Phone) qlj~- fa j -9/00 MpJ. 0771 (Address) f ~;~;:R ;JtHJd1h) ~'npl&Jr(JfJ c:; //JG. (Contact Name) tllAvue. /}Ne:r/(~/.. 3rJltJ E,,~r 11~ AvE. ~It,~?{.t ) (Phone) (Phone) 971. -407 -9/cP q'l2-- 4d3- '1/00 (Address) ~{tJ . 1!7 371 oC DUtility Connection J.4-7ax;. , 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 m aware tha the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may :ter upon j~P ny to per6 needed inspections. 11 7 77/ ~ :.3 Signatui Contractor's License No. -----'4J&te .f ~New Construction bLower Level Finish ODeck OPorch ORe-Roofing ORe-Siding TYPE OF WORK o Fireplace DAddition DAlteration o Misc. PROJECT COST/VALUE (exc1udingland) $ " I Permit Valuation 'lIefJ,13,(Jr1().{) 01 1 Park Support Fee # . $ I Permit Fee $ /C/ 1/. 'f)() . 1 1 SAC # $ 13S0.00 1 Plan Check Fee $ I Z Lj 2 . L{S~ I Water Meter Size 5/8"(t0 $ "300.00 I State Surcharge $ 1'2..\, So.1 I Pressure Reducer $ 70.00 I Penalty $ .c-- 1 I City SAC and WAC # $ IZDo,OO I Plumbing Permit Fee $ \ 00. I!) 0 I I Vvater Tower Fee # $ 700.00 I Mechanical Permit Fee $ \00.00 I I Builder's Deposit $ I SOO . 0 0 I Sewer & Water Permit Fee $ 3<;. SO 1 Other $ I Gas Fireplace Permit Fee $ 'fo. 0 0 I TOTAL DUE ~ 12.31.l8 $ Fl (",,0.96 f I ..., This Application Becomes Your Building Permit When Approved I Paid .l(G:, -10 ! "1""6 I Receipt No. US Kb-j ~ ~/...J ~~'1 I Date )-/-- oil By d=- , Building Official 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 i~ningD~ 12/3~3 L!u..JJ ~wc~!::olr::-~ 24 hour notice for an inspections (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenu', Prior Lake. MN 55372 @~ While - Building Canar~' - "'n~ing CPink - Plannin!!:) Thr('t'nlrrMlhtl.lbCounlry mHLDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED -,;- i/ f.-,/F/ C/ , . . " ( / ,,_ ,.I /__... 1~.2,- ( 7 '-.'-- The Building, Engineering, and Planning DElpartments have reviewed the building permit application for construction activity which is proposed at: :2 ' ,~ ~=- /I f- / /j F)"1 Accepted Accepted With Corrections / Denied r'o Date: I';;"/.J~]" . , Comments: ~ ~ -"'-.1 r:J.o-,....:f.1, ~ (-M w~r' -+-v . . .:1-' , / / . - -. -- J ~ m..vr o-;J ~L.~...J..., ~, ~~ ~ ID / --A-(', I~ ('~.. - I-- .Lv-<~ ~;;~ ~~~ ~o~, Reviewed By: ~ ~w "The issuance or granting of a permill 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-White . Buil!ling) Canary . Engineering Pink - Planning Thr (-..nl... of lhrl.lk.. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .5I1N Or::tr..J c..OA).:. / K-. APPLICATION RECEIVED /2-, 22. 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2- 952- eo (/ c;,q/Z j:/ /7-77f Accepted Accepted With Corrections ~ Denied Reviewed By: r-. ~ ~ Date: 1OL/J>%:3' ..e~ ~ ~~ 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." White - ~ull"'ln!l C:C;"'~r~r - I=.nameerlnCD Pink - Planning Tltt ('{'nlfr nf lhf 1..llt (~OU"II'}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .~/j IV VI I C) C O/v.:7k:. 1'"7 / ../~ ()? ! ~'_'-. ~-'- c.-... _.I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .2 '352_ {" () I/t;, n,k:: /~t"1 77-/ Accepted .>( Accepted With Corrections Denied Reviewed By: /YJ4 J~ Date: /.2 - < 0 - Q 5 Comments: -.BPI" Reverse Side for Additional Information! s~~ h.ttachments' I) Grading Plan, 2) Frof>ion Control M~Il<mT~~ "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," Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT /. /4. 04- 1 G,,,, Fil, I PERMIT NO 0 I 2. Yellow City, o()t1- 003 ). Gold ApphcllJ1t - (Please !vpe or print and siJm at bottom) ADDRESS ZONING (offic,u,,) d,.15d r. ()u(o/flIC. ~IlTf/ LOT Ifl BLOCK 3 ADDITION THE W I)../)S AJoRt1-J PID z5. 404-.03'1. J LEGAL DESCRIPTION (office use only) OWNER (Name)~lJlIJ()lkl C()A)~lIC77/)/{.J (/J/J1/.!fJIV y / (Address) .::::j Olf) EIT5T iT/f jJ-JC:AJi.lE SII/l;::D/EE (Address) (City) (Phone) ?--'7d- -'/0.:1-7'/00 ~7'7 (Zip Code) APPLICAN1;- (Name) r 1.A!..fi.L.. 0/ J7LJE ~G (Phone) 7'...jd- d-i-?-/.,;{tXJ (Address) UP:; ;1}/lt!'IIS S~;-~l SIMKZJfrL= ,-'l-'J:-?79 (Address) (City) (Zip Code) (Contact Person) \)/JAJAJ IE ~U))LL//q7lJ<;' (Phone) 9'..-s-:GZ --dd3-/.::?fX) APPLICANTSIGNATURF;~4Yid/tl#M~ DATE I/;?/t# - . - / / APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure _ feet. Type of sewer pipe. D ABC fi?J PVC D Cast Iron Estimated length of sewer line .en-:- feet. Clean out (if required) located at -==- feet from structure. FEE SCHEDULE Residential sewer and water line connection $35,50 Industrial, Com'l & Multi.family 1% of job cost with a $39.50 minimum Sewer connection only $17,50 Water connection only $17.50 Estimated Cost $ Building Permit # 04-,0003 (;1 SEWER AND WATER PERMIT FEE $ oLYIO 06iL STATE SURCHARGE $ ,50 r r I TOTAL PERMIT FEE $ (3l1l/..1 (Office Use Only) Building Official Date I~ I Date /./4-,04- Re~ " If{ --" This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 3 J. dol- ~.~, ~:~ I PERMIT NO'04 000'71 3. Yellow Apphcant ~ U q'lease type or print and siJm at bottom) ADDRESS 2052.. COUCj~ ;::>/-1"171 I ZONING(officeuse) LEGAL DESCRIPTION (office use only) LOT h BLOCK ~ ADDITION Wrt DS A./O~ PIDZJ: 4-0+. OJ'i.. t. , OWNER (Name) (Phone) (Address) APPLICANT, I~ " I ii (Name) ~rz.Of\ u!'tt"((:\,:Kprs:I"L // (Phone) /:/J-S()'(,-'1J:J.b (Address) <?I'ti ~(rz.;;", 1\'- .,Q""Jdt>-<<- 5'l;;-319 ~/['I "'.1 ~tss(), ~/... (City) (Zip Code) (Contact Person) / '/1 1\4 T. .:)T~, ., (Phone) U-1 -~CX?- '1JJ G ~j, f/ ~II/o<f APPLICANT SIGNATURE _ DATE APPLICANT PLkASE CO~PLE;; BELOW ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Planls OGravity o Mechanical DAir Conditioning OVent System HEATING OR POWER PLANT o Steam o Hot Water o Radiation Di Special Devices 01 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Penn it # 0 ~ - 00 CJJ (); Y $ ...--- pfl1 t7 (V ~ / .50 (JvfJ Estimated Cost $ (Office Us. Only) This Application Becomes Your Building Permit When Approved Building Official Date P~ D" (. of- ReceiPt~ljiL By 1 24 hour notice for all inspections. (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 CITY OF pRIOR LAKE lIEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Re, ~. ~ ~~. I PERMIT NOAL I\~~ }.YdlCM'A.pplK:llr>1 ..,.........-.~ (PleaK: tyl)C OI'PJ1p.t a.o.ds11!1l atbouom) AIJDRESS ~'€;;~ ~ fu:0v ZONING (allic<\llC) LEGAL DESCRIPTION (olliee use only) LOT BLOCK ADDITION pm OWNER (Name) ~fY\rl.... ...,C'nv-^1.. r", J -:L~ (Address)3:)\O t:::~ O.......e. S1, l"\ b.&t""'J>" TY\(\ . . (phone) Cl c,:J. -lIC)''.., ~Cj) (')() 55 <.10 APPLICANT d _ _ ~. p .-, ... 3 ~ (Name~rYynh~:..,,:-,-clO.f\.DiJo C"r-rA..-\-I<. (phone). IL,,~' 1'S-J000 (A~esS)'Y~\(ll ,.11 \rv>v, ,'".,~ llil-€. I(). &{)O../.p~)./yY",\~..mn SS(/'-I~- (A~) (J (Oty) (Zip Code) (ContactPersou) \-(r, ~ ~".Q.Kv\O.,..:) . (phone) J l,,3-~1 'S-'7S'J L.. APPLICANT SIGNATURE ~.-(:;) .11..n/Y1 ,~ DATE ----- - APPLICANT PLEASE COMPLETE BELOW . ~w CONSTRUCTION 0 REPLACEMENT 0 ALtERATIONS FlTRl'lACE MAKE ANb MODEL _ FUEL FLUE SIZE RETURN oPENINGS INPUT OUTPUT TYPE OF SySTEM HEATING OR POWER PLANT .- FlREPLACE MAKE AND MODEL 1/11!;a:f,~ - - Dy<CorJ/!'.i==/lJ FEE SCHEDULE 111'/0 orjob Co:!:.t Residential. Gas flrl:placc $3950 minimum $99.50 $64.50 OWarm Air Plants OGravity o Mechanical ONr Conditioning OVent. SYIllem D Steam o Hol Water o Radiation D Special Devices D Other Devices _ PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $3950 lndusuial. Commercial &. Multi-Family Residential, Heating &. NC (New ConsIIUction) Residential, Heatin:: Only (New Construction) Residential, Additions &. Alterations Rcsidenti.~ AC Only $39.50 SJ9.50 Estimated Cost S /.;J5{ f? Building Permit /I HEA UNG PERMIT FEE STATE SURCHARGE TOTAL PERMlT FEE $ $, $ :::J.fiM' .50 /2'1".,,'.,:"'1). ~.'.; ~",,;\,,", J, --."j"4:.1~""''''''' '-.~."'r'l,"~""" ,;..,::' (om,. \J.. Oul)'} This Application Becomes Your Building Permit When Approved r Paid Receipt No. IM~R 2 a 2004 By BUllai~ Omcl:lol J 1.4 hour noUtt for .\1 inspeclioos (952) 447.9850, fax (952) 44741.45 l6200 Eol;le Creek Avon.., Prior Lak.e, MN 55312 D.", ~OO III X::l1<iIlId ::i~V~V~__J~:~~~.LI1V__ --- ~OLOmm XVd6S:0;-;:~~T~O-- PRIOR LAKE DEPARTMENT OF .. BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS z.BS2. CDue.A..~ PA~ tJ.W. NATURE OF WORK ~~ ~~crIQ~ USE OF BUILDING 'S.~ C. . PERMIT NO. 04,000.3 DATE ISSUED ll..tlJ f 0' CONTRACTOR ~Au. ~,... eo, ,'tJt.. P~ 403-'ttoo NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMEN~ (,/2.- "Sc.~, 0/20 ....., INSPECTOR DATE I FOOTING I Yl? /-1 I,~ I FOUNDATION (Prior to Backfill) I r ~ )- ? CJ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH-JNS . SEWER/WATER/SEPTIC I M -1-,2"0 FRAMING I Jtff) .? -M INSULATION! }tf, J"v..r I ELECTRICAL ~.I PLUMBING CR ,tj I J ~ tJ HEATING (if required) /?/IJ I ?:- J:25 FIREPLACE P/.5 ~'I'" I GAS LINE AIR TEST M'- .a- f(l .1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I 1 FINALS ~\~-.I ~t~ I .. I rio; .1 _u Ide. I Ifh .1 ~If 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 approved, On buildings and additions where no service cabinet is available, card shall be placed near main entrance. GRADING (Prior to Sodding) BUILDING I~ 3-\9 -01.1 ELECTRICAL PLUMBING HEATING DO NOT 18-IQ I BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 ............. - DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ -2.0 1:J'/ PHONE NO. 2gSZ Ca'y)c/ p~~ CONTR. 5ct"cAv COII'f ~ ). PERMIT NO. /:>t..! -CIOj ADORESS OWNER o FOOTING o FOUNDATION o FRAMING o INSULATION ~nNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~LING o CO~T o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: hrc-rk- Alt. L\J/b ~~.,L - () II L~ (".J) )t.WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: ~I/.... '" nwner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ """"n CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 2.~ (\~'I" ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: I. f=j~(9~""M- CONlR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL , ~AAO . ~- OATE TIME ~-lq-2Z:> 4-"03 o EXlGRADIFILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLINE AIR TST o ~cf) 2. a&J.;h~L b-I b ,'&.1., ~~(..._ l~~ ~. ~..ld--TC\.Q..SI...l., I ~ o .J:J -\-0 .II-I-OY- o WORK SATISFACTORY, PROCEED o CORRECT ACT, AND PROCEED X CORRF7 RK CALL FOR REINSPECTION BEFORE COVERING Inspectc': ..Jj TI Owner/Contr: Ca.J'44 -11&50 FOR THE "'EXT INSPECTION 24 HOURS IN ADVANCE. v CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ lNSllOTl DATE nilE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 8 .?6-c <1 ADDRESS ~5'Z. ~ (i)~ OWNER CONlR. PHONE NO. PERMIT NO, oLj- 00 ~ o FOOTING o FOUNDATION o FRAMING o INSULATION ,P"l=INAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~k Ls r~~C{n '\ y{ WORK SATISFACTORY, PROCEED 10 CORRECT ACTION AND PROCEED o CORREC RK, CALL FOR RElNSPECTION BEFORE COVERING Inspector: Owner/Contr: 50 JR THE NEXT INSPECTION 24 HOURS IN ADVANCE. 'REMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY! INSNOn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ~g.. (ll'lf Jc;(' r CONlR. OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIME R-~'f r~ 0<../ - (')()<.. o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~:.iA2t~ I " ....1:.\: I,.. c _ - ~ '"l 0:::;. ~ry'" ;.. +Ju t::-"":'Jt l",.,.J till J",...J.,. \~0 . C~L ~P.y.~L ..._~ ~."'""" ~ \..~ ~ o '2r ~..,__!, ~.~ 1'\\<:::. \- ' ..xr;oRK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED ~. LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 50 FOR THIS N!;XT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETYI ,"""'"