HomeMy WebLinkAboutBuilding Permit 03-0339
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
..3 - 2-4-- ~ cD
I, White File
2 Pink City
J, Yellow Applicant
I PERMIT NO'03-03.39 I
(Please tyoe or orint and sign. at bottom)
ADDRESS
31310
to bcca-"\~
ZONING (otlic,",,)
;1::(
LEGAL DESCRIPTION (office use only)
LOT ')..BLOCK J- ADDITION
Ii
,. -
!I~
Cu I /rl>~clh
PID 25 -.38Z-04S - 0
OWNER
(Name)
~J J Li6JQ l111icA.-
2> 13(q Bc&CCI ,\(a:.J
(Phone)
Lf~ t/tfo 6 V1cr
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
\2.a-T-JeCtf }\>fV"'::l::.h.. <- (Phone)
~ (Lo:ru~ C %2) 4S7-t'~
or C",[C;:V,-- \Lv-nl0-~ Lc.f1.2e(l:",- (C('::,L)
C q'SL) Cf6S--SCJ'Jj
(Phone)
Y'2S -\.{ \ It;:,
DMisc.
D New Construction
~er Level Finish
^ ..:3 /i'..Plr.
ODeck
OPorch
OAddition
ORe.Roofing
ORe-Siding
TYPE OF WORK
o Fireplace
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 am aware that the building official can revoke this permit for just cauSe. Furthermore, I hereby agree that the city official or a designee may
~'eru(}(:Q~ope'fO[cadedinSpectio~~lJ3)7.-'t/63 lj)I~Gyf7 -Z / 7<//I.J_~
~ CYSignatu:.i~,-, . Contracto,'sLicenseNo. '-Ibate \.
Permit Valuation 3,000.00 I Park Support Fee # $
Permit Fee $ 7475 I SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ /. 5"V I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ 40.00 I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ lathe, $ I
Gas Fireplace Permit Fee $ 4-0 .00 I TOTALDUE t/lUe/7J 5~j..5-oJ $ '5W 25 I
/.. .
?-.2f-o'}
I Paid /5({. ?-b
I Date .,j..~i- -o?
/
,
I Receipt}'O'o.
Bv A--. .
U
~-?{p
mes Your Building Permit When Approved
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
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. f-cq cJ L.L.
Planning Director
&>1JIJrf/
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
.-,. _ ___-.- .__ ---::-~-... rr.J.IJ1t, LAJiE
141 001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Dat~ Rec'd
(Ple:2s~ t'roe or i:7rinr a.nd. sim a~ bottom)
I ADDREsS
;5 / 6 C, ~~ b('.() f-- 7/1 '"
~ ~~:. ~:~..I PERMIT NO. ~ - 3--:>" Q I
).'1.11".., Applksllt 0 J -I
j
ZONING Coolo, '''I
LEGAL DESCRIPTION (offioc '" only)
LOT
BLOCK
ADDITION
PID
~=W~/4g~
<:tI-..ri? l"?_ ~
(phone)
q ~ <' '- s-tf5"'q
(AddIess)
APPUC~ n,
(Name) LI'"r>-o ~ A._tftJ4Je / (J '-./
(AddTess)~1 c;) /("\
P:7J.~ ~
(.'\d.dress)
(phone)
~ A(Z~'r
(Phone)
-ye,o - ~Qd
-CJ'sf-, to .1./
(Zi~ Code)
(Contact Person)
APPLICANT SrGNATURE -Lt;;h -ZZ.L<--wJO
DATE r\-.;9~...;.O~
~E-. ~.
~ r \
'1?>~ do.,":, 0 ",:,AlrPIOllts
,~ f" GruVIll'
,leo- tv Meohanical
\ 1".p..e OAir Conditioning
'-. OVen,. Sy.t"",
FIREPLACE MAKE AND MODEL ~ I-
APPLrCANTPLEASECOMPLETEBELOW~
DNEW CONSTRUCTION 0 REPLACEMENT ~i.TERA TlONS
FURNACE MAKE AND MODEL FUEL
RETURN OPENJNGS ,,,< INPUT OUTI'UT
HEATING OR POWER PLANT .
o Stown
o Hot Water
o Rodiotlon
o SpecIal Devices
_~ ~OO'hcr~;: 7~
PLEASE NOTE:
Air Conditione, Units
Cannot Encroach into
Required Side Yard
Setbacks
Tli.duwial. Commercial &. Multi~Pa.mlly
FEE SCHEDULE
1% of job eo~t Re:!idr::ntia.l. Gas FiTeplat:e
$39.50 minlmum
$99.50 Res\dentinl,_Addiuofls &. Aiteruions
$64.50 Resfd~ntial: Ac Only
SS9.50
R;;sidor.tisl, Heating &. ide (New ConsitUc.no\1)
Residential. Heating Only (New Construction)
S39.50
i39.50
Estimated Cost S Building Pennlt II
HEATING PERMIT FEE ~
STATE StJRCHARGE $ .50
TOTAL PERMIT FEE S.
l1lJ'I.~~'D Wn-..
""G pi;. 1"/
- FlAtt,.,.
(omc;~ U$~ Only)
Thi. AP.pliOlltlon Becornes Your Building permit When Approved I hid '1 Receipt Nc.
,,"... ~.., """ .,,,- ,", :,::,,~'"" .." .~:;)~l~: II" 7'
100~
lllY mrnOlLLNO:J By
n i..3~qQH~Q IId H: 91 UHM COO1:l91:1CO
PRIOR LAKE
INSPECTION RECORD
/. !~/L-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPE
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
FRAMING 'lit ~J}l
INSULATION
ELECTRICAL I
PLUMBING I )
HEATING (if required) I
FIREPLACE I /.I
GAS LINE AIR TEST >J;> C/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Vi> I
I
I
V
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
'. b -()'
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
/1/06"
TIME
ADDRESS 31 3(" ~"'cc&
OWNER CONTR.
PHONE NO.
PERMIT NO.
o"?-o~
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(il~ \?t(k
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRTJ)' CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl