HomeMy WebLinkAboutBldg Permit 05-0136 & 04-1190
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
Date Rec' d
2.3. oS
PERMIT NO. 05.013 U?
(Please type or print and si~ at bottom)
ADDRESS
/5271 (J'7'eu/;k- (Jrtk ~E
LOT :; BLOCK J
LEGAL DESCRIPTION (office use only)
OWNER v1
(Name) r lark + f'a.Aa
(Address)
ADDITION rla.rJ.it'\Son'S Po In+
ZONING (office use)
Ie/SO
PID ;1.5"- fY/2oo3-0
ga " t.{)(,k.
(Phone) (j52) l.Z1o- St,jb
BUILDER II I J
(Company Name) HIl();~~ H~wu >,. -:r;, 1_
(Contact Name) M Q.J...J. !-IOYJ l.f h
(Address) /1:1070 P"rtl"kJ:.... -r;aj ~ f ~v.'.k /1oC
(Phone) (!lSZ) 'Ii//)- 7a,~
(Phone) (9!iZ) tI'1()-7C!03
Pf'lor-l.tJk. MtJ ~s:J72 ~r;tl-95Z-2qZ-7~15
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition J(A.lteration OUtility Connection 0 Misc.
CODE: ~R.C. DI.B.c.
Type of a:~truction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 S
OLower Level Finish
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
/7. DOD
[ hereby certity that I have lhrnished Information on this application which is to the best of my knowledge true and correct. I also cellity that I am the owner or authonzed agent for the
roperty and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
this permit for Just ca Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed inspectIOns.
. ZoZOIE3tJL/:< f(boB
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'-
Contractor's License No.
W/7f)tJO,01)
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
'-
,.;:;q~7~
/'1/.59
f1, $""0
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
10, () tJ
Water Tower Fee #
Builder's Deposit
Other
TOTALDUE f~ 2-.2.3.('0
This Application Becomes Your Building Permit When Approved
~7~
cJJd-~ S-
Date
Paid ..!:3 ~. tJl---
Date 2--, 2-4 tlJ
Receipt.N_o. HP/2-
BY~Y
Building Ollicial
Date
$
$
$
$
$
$
$
$
$ 53+.64-
ThIS IS to certity that the request in the above applicatlDn 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
iSSIQ-tiL M.r~ ~ 1'd-::1/ C~
Planning Director I D\1te 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
CilllJ}ite - Buildi"D
Canary - Engineering
Pink - Planning
lh(' ('.-nler of Ihe take Countr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
flAN/sH 110116.5 / INe-..
z.. . 3. 05'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/527/ 5"066W,.q,cJe. C/;e~L,E .56
Accepted
Accepted With Corrections V
Denied
Reviewed By:
~
~
l"
9~1-
&.0 ~ ~
~ ~ ~...~. -.*fl ~
~/~ptt?~4JJ ~,~
- /
Date: ~O~5
~ /34.~).
--
&Jot
~
Comments:
01
tJ
"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 - Building
Canary - E:naineering
42rtk - P~niiiiiy:>
The Ct"nlrr of tht> I.akt Counu',..
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:
!~- / / / /
./ / /... !~~,. C
,,,.- -~.-
,.....
.---
Accepted
/
Accepted With Corrections
Denied
Reviewed B~."'.~
Comments: ~...J~
Date: ~~
"The issuance or granting of a permit or, approval of plans, specifications and
computations shall not be construed to bea permirtor, 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."
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
II Z'l~
~ase type or print and si~ at bottom)
r\.DDRESS
~. ::~n ~:~. I PERMIT NO. 04- ~ 1/ a 0
J. Yellow Applicant I
/5271
CZ/ ~yV,4723e-
~;L-
LEGAL DESCRIPTION (office use only)
LOT :$ BLOCK I ADDITION /'1/f;t:./17 tJ../t:Jt</S
.....-
POI IV I
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
ItA'J 0
PID z.s-_ tJ9J ~ 003. 0
APPLICANt' I t - , II
(Name) ~€#JctSl <;. ~Ol~\W \ (Phone) qS-J.....'\4,.. ~'l\c, ~
(Address) \ W ~l Man\. {,u. {lc ,- p~(~ ~ 553- iJ-..,
(Address) (City) (Zip Code)
(Contact Person) ~ (Phone) q)j..~qC{) -~ (~)-.
APPLICANT SIGNATURE -li{ DATE ll- d Dt-otf
APPLICANT P~SE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
tJ~~/11()
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J' J()
.50
.y{), iV
(Office Use Only)
T'his Application Becomes Your Building Permit When Approved
Paid .A4 A J
"7 ~ - t,[/
Date IIA , II-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39,50
$39.50
Receipt No. ff3l.)-/
BY~
/
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS .151'1/ C/JGe-6J ~_~r
NATURE OF WORK ~~... ~
USE OF BUILDING , J1.F: D.
PERMIT NO. _.:_ {1!?,,:-O f3(P DATE ISSUED _ ~S
CONTRACTOR NNJl6H ~-" ~, PH N ., · "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPA" I RlENT OF
BUILDIN~ AND INSPECTION
.
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
fI1"f"
',w
?-q~
5-4-15)
~
,,ivy?
r
Y/,2!7 JS../
].. 4 -OS-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
..
lit! (/
(/vy)
I~
OCCUPY UNTIL ABOVE HAS
~OT ICE
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.
s: YO':)
1
/
Li
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
f [;)., (
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o !t'SULA TION
...JiiYf=INAL
o SITE INSPECTION
COMMENTS:
" L;Io5c
-----
SCHEDULED
DATE TIME.
s:. 3~J....>-
e '-/~r !,A/;,f.Lv
CONTR.
PERMIT NO.
()~- I?,
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 GASLINE AIR TST
o
---
1;/ ~\
rr'L )
/
~
----
/" ~
/ OJ.~ /1((0 ~~
( . rJ 1
\. rl O:>c I'~/
----- ---------
*~ORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WOR~&- FOR REINSPECTION BEFORE COVERING
Inspector: ( I r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INS/>/OTl