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Home My WebLink AboutBldg Permit 03-0069 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd /- /3-03 I. White 2 Pink J. Yellow File City Applicant I PERMIT NO. a3 ~OOfo91 (Please ~e or print and si2ll at bottom) ADDRESS . I I ZONING (office u,,) [)()V6 /431-(p er /Vt5 ~/ LEGAL DESCRIPTION (office use only) LOT U BLOCK I ADDITION ,(:iI/()/f 1/1tA..- SW I . cg.=e~R/Uc""t:.L 'J~N l?-red: ...... PID ZS - .J'~~- "1J(d ~O If Z -402 -cJT Z-- f- (Phone) (Address) BUILDER (Name) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK oDeck oPorch oAddition ORe-Roofing o New Construction )(iower Level Finish +- .Ie tJ()ns' ORe-Siding DUtility Connection o Fireplace DAlteration o Misc, PROJECT COST IV ALUE (excluding land) S / I hereby certify th t I have '\tmished 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 a Dt or the ab4re-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted pi s. ~~. w ,that the building official can revoke this permit for just cause. Furthermore, I heTeby agree that the city official or a designee may ~ter upon I p ((( P: ~ ~eeded inspections ( -I] -0 :1 I . Signature Contractor's License No. Date "f!;()()(J.OO I ~7.l-5'" I I 2. ()C) I I 4-0.00 I I I I I Park Support Fee I SAC I Water Meter Size 5/8"; 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE ~ Paid /Z"!,?5 Date /..-/j-,O"] $ $ $ $ $ $ $ $ kI6~n~ $~ - II . I Receipt!Dto, ,tf~z..., I Bv L. () I Permit Valuation I Permit Fee $ I Plan Check Fee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I Mechanical Permit Fee $ I Sewer & Water Permit Fee $ Gas Fireplace Pe~it Fee . $ ~ Th~aJle'lH'''';.O~~';ro ed I Buildin~........... Jpate # # # # -------- 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. 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 Planning Director ~ tesidential Building Permit Checklist BY R6~~' ::,~ti~~ ;;m;~ Fomily aom~ Building Permit # iJ~ PID: 2.5 ...:st, fJ. ()tJ(,. 0 Zoning: I€ I Site Address /4-346 .u tJ V 6- er IV' 6- Legal: L (c B I Subdivision: Existing Structure: YES or NO CONFOR.1vIS TO ZONING ORDINA1~CE YES NO Is this an expansion of the existing footprint or building height? YES Refer to Planning NO Is the property located within the flood plain? Refer to Planning x :x >i- I- I Does the alteration include any additional kitchens? Does the proposed alteration include any outside entrances other than patio doors? Refer to Planning Refer to Planning Is the proposed use of the finished space or alteration for anything other than a normal single family home (office. group home, day care, etc.)? Refer to Planning >'- THIS CHECJG..IST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVU;W. UTEr"lPL" -rEVeL TCHCZ.DOC 5~~ .'NNESO't" CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd I PERMIT NO. -3 --b'1 I, Blue File 2. Gold City ), Yellow Applicant '~~r;3~:tj;:bo~T Ale. ~~ jI1d &-TF} 7 APPLICANT PLEASE COMPLETE BELOW Type of Flxture Quantity Bath Tub with or without shower ~ Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (1 or 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER j ~ f/ . : JvJ-~(( 'Ii:)- . It (Name) /!/I F-<- p. ~ (Address) IfJ4=l, ~ d- /J~, / J17" ct, APPLlCANftI Jj ~ame) n"d n 5" on (Address) / IJ 1/& <f (l.,., In rCL ell (Address) W,,(I2c:>t. (Gontact Person) J;;;iJ'! /I", '" <' t?" APPUCANT SIGNATURE U//-.1 () ~ flJ ~A1 /71)- - Quantity I I I FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum ZONING (office use) PID (Phone) 9SL-40l-of z.4-. (Phone) i I) 9<:;; 9' 9/9 MI1 . <'';-,{"1 P' (City) (Zip Code) (Phone) .PATE, {"' /, /tJ "J Type of Fixture I Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 p~IO ~~ hl)/V Estimated Cost $ Building Permit # I~ I Date Date 24 hour notice for all inspections (952) 447-9850, fax (~2) 447-4245) 16200 Eagle Creek Ave., S.E., Prior Lake, MN 5537!-1' 14 PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official $ $ ......------ $ ............... .--' ,50 ~ By CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT j,Pink 2. Green ). Yellow File City Applicant (Please tyPe or print and si2Il at bottom) ADDRESS /4-'3# otJve e:r LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) (Phone) (Address) APPLICA1'jIf. 'l F . (Name) I A l6;. l;:;;, ~r€.J")lA ( ::- I (Address) ;:)( (", r., J E. r ^<~ A v'';;'' (Address) Date Rec'd 5. f6-0 3 03' -(JOr, '1 I PERMIT NO.03- b~54t ZONING (office use) PID:2-5 -3t.Y- 00"- 0 (Phone) ~/ d-'-( /4 -'-F ri-4'l.. LA ILF.....\\.& (City) (Contact Person) L<;tu~ + ~\<F-k-\E-"" 5Y~ 9'/ DATE <\'50lfl\ (Zip Code) (Phone)q')~- '/(,f -I.:,J';J..O APPLICANT SIGNATURE S-~<.J-o J APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices D Other Devices OWarm Air Plants OGravity o Mechanical DAir Conditioning r- OVen!. System ( FIREPLACE M~AND MODEL " - ----~ 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 & Ale (New Construction) Residential, Heating Only (New Construction) PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39,50 $39,50 $39.50 Estimated Cost $ Building Penn it # 03 -0 (p 5 "/ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ :3 ,/, 5'0 $ ,50 $ 4-0.00 (Office Use Only) This Application Becomes Your Building Permit When Approved r paidf'tWV I Da~. 3D. 03 Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 Receip~Zr - ( By L U PRIOR LAKE INSPECTION RECORD SITE ADDRESS /4-34-fo DOV6 e.r;vc NATUREOFWORK' I-~W&R LEV5L- USE OF BUILDING g&.5.N I. /C PERMIT NO. ()3- OOtbq DATE; ISSUED CONTRACTOR .7S..71J;e~, ~E'L--.il:ZLrrJAlPHONE 40z - 092.4- NOTE: THIS IS NOT A PERMIT FOR A'NY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH. INS FRAMING '*r INSULATION I!n . ELECTRICAL PLUMBING #:r 5' !7!C,J HEATING (if required) a:r $/J~:; HV"(.!/(Qu i~ r: ,\-V; (~ (VI^{ ~ {,~~dJ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS r?/J () 5/7/D3 5/1ft3 BUILDING ELECTRICAL PLUMBING HEATING DO NOT & /za/06 . r I V 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 SCHEDULED ADDRESS 14 \ t.[~ ~ cl- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING O~TION ,,-CJ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: I !l) ()( ~O~ ,1"fV~ ~ V DATE TIME W '< - ooG:.J1 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GASLINE AIR 1ST o rRK SATISFACTORY, PROCEED o CORm I N AND PROCEED o cor ECT K, CALL FOR REINSPECTION BEFORE COVERING InspeDJr: I . Owner/Contr: 01\*850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI