HomeMy WebLinkAboutBldg Permit 05-0252
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'3 . I CO. O~
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(Please type or print and sign at bottom)
ADIIftJr: 3
J2ktlC'1
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LEGAL DESCRIPTiO (office use only)
LOJ . BLOtK ADDITION K (\ () &
PERMIT NO. os, 0252-1
l A/< e. .s~3.k-
L White File
2. Pink City
3. Yellow Applicant
fit, .1J'l
11,1'- 5
~......c.."
ZONING (office use)
ft/
PID ZS. ::S&t~ . 038.0
(Phone) .If'b- /f/1t~ ~~:\'
~S-3' L t_~$r( J-
~~e~R fV\-" <..a ~ -r S- \>\ <<- U""'" .... ~5 ~ VL
(Address) / t.f1 S- 3 fLA J e. ~ G,.. ?_ L . V""'-.JJ.
(Address) 30 \
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'Is 2-
(Phone) 8C,Cf-,'t f(d
(Phone)~~~
IS\!
f11A1
BUILDER .p
(Name) l J 1\' L\... e '--1 _ o--D L<.
(ContactNa~e) ~J ,~ J) -
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TYPE OF WORK ~w Construction
/ :-.-.;<, ~ , ~Lower Level Finish
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I hereby certifY tha 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 fi e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. a are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter UPOj; ope ' p needed jpst'"rricu:u:. .3) lZ I "0 j
I '-/ { ~re Contractor's License No. Date
II
1,/~ /)t!tJ,O-o
$ , /t,z.. 2.-~
Plan Check Fee $
I State Surcharge $
Penalty $
Plumbing Permit Fee $
I MechanicaIPermitFee~'';;''$ "h
~n" 7U,OO
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
o Deck
ORe-Roofing
OPorch
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
Permit Valuation
Permit Fee
-
500
~-Z;;:Wng:;J~-
Building Official ' bate
3 Jat~ \ C)s
, V'v\..~
Planning Director
I Park Support Fee
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 ~
~ '~3..
55ls7
ORe-Siding
OUtility Connection
I ~ Ot:J a
I
#
$
$
$
$
$
$
$
$
$207. Z-5'
#
#
#
<1-- . s-. 0 j"
I Paid 207. Z- ~ Receipt No. ~if9..,)-
I Date 4-. 13..c~ BY.d~
~ ;Jnrr ~~J-;
Spe~ Co
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CAD CAM ENGINEER SYS
valley rools 'ncoH-4934
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REQUIREMENTS FOR SWIMMING POOLS
PRIOR LAKE t.:.ll i CODE
~tJ.tS SECTION:
403.500
MINIMUM REQumEMENTS:
,. (1)
Fools shall not he located within ten feet (1 Ol) (m~ horizontally) fro1J1ll1:1detgtound or overhead
utility linos of all types.
(2) ~ools shall not be: located wi1:hi.D an)' priv~ or p~blic utility, dtaina.g~ walkway or other cas~ent.
(3) Construc:ti.on o!pools shall b~ undertaken so as to avoid hazard, damage or ~iderable inconvenience
~ adjace~ P{Op~.
(4) The lot owner sh.aIl beJiable for damages to any business or pm-ate property caused chuing pool constrUction.
(5) To the ~tent feasible, back~fIush water or watar f.......... pool drainage shall be dired:ed onto the O'M1el'S' property
or oP.m approved public: ~age ways, md shall not draln onm adja~ent private land. Drainage onto public; ~;'..,i.S
or other public drainage ways shall require pemUssion cflh~appropriate local City ofli.ejak.
.g'
(6) ,Any.poollighting $hall be direr;:tecl 'I:Oward the pool fIDei not toward a4jacent property.
(7) The pool alelll shall be endos4;d with ,. nOll<llinbable type 5afety fence at least five (S') in height to prevent
tUlcOIlb'Olled a~e5i to.the pool area, and the fence shall have a gate self-closing, aud llelf-lll1l:hing with the la.tch
inaccessible ~o Stna1l ch.ildre.o. and at least four fe~ (4') from the ground level. The fence shall be "......r-1etsly
i:nsmI.led before filling th~ pool.
(8) All wiring. iDstallation ofheatiDg lttlits, gra.cling, iaatallation of pipe or otb~ COUStr\lction shall be subjea to
inspl!lction.
(51) Nuisances, such a,; UDdul!I noise, lightirJ.g of adjacent proptJ't)', health and safety hazards, damage to vegetation
on adjoining propfnY, and the. like, shall not be t:I~.
(10) J:illing of pools from fire hydnnm or other publit b.cllities shall .require the pennission of the appropriate
low City officials.
I UNDERSTAND lt1J!, FOREGOING AND AGREE THAT....ra. SWlMMING POOL wn.L NOT BE FILLED
'" .uJ:1 WATER UNTn.. ALL OF THE ABO S ARE SATISFIED.
SIGNAtuREOFQWNER .)uL Q DATE 2>IJ~J~ ,.,
- j V '-
POOL CONTRACTOR ,^..fl (,?-") DATE J./lf/oJ
ADD~SS I~tf S~ ./2J+tle'1 ~ Alt fllt~ ~~ JJ1N' ~37t-
The City reserves the right to order (in writing) the removal of the water in the e\lent any oftha above conditions
are not satisfied.
~ ~g1a Creek Ave. S.E., Prior Lake. Minnesota 55372~1714 / Ph. (612) 4474220 I Fax (612) 447-4245
AN sQUAt. OP!'ORTl.JNITY EMPLOYER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lKEPLACE PERMIT
(Please type or orint and sie;n at b~~~u~)
ADDRESS
/Vh/OV e::r
I~J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT~. ,1 '
(Name) -,J.J.- Irf GPr ~ S (;12\l' C~S
J4JJ.. ~ &(;(0
(Contact Person) .--:JOlt......
~,
(Address)
APPLICANT SIGNATURE
Date Rec'd
f-. "Z z.,.,OS"
L Pink File PERMIT NO
2. Green City . r-. ? 5 ?
3 . Yellow Applicant ::::> . '"
(Phone)
ZONING (office use)
PID z.s: 3(,8. (j"J/, 0
(Phone) 7((;J - 5)}. - "tjiY
GoCDb.~ J A LLc-'t rr4). J-
(City) (Zip Code)
(Phone) 7~'1-- (1.l ~ fttt(f r
L/-J). 'Or
DATE
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
I
Dflt\Jf
(Address)
[00 ~l f:.t
~~
\) - "..J
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TlONS
~URNACR MAKE AND MODEL G,K,J (". III/&- Po/C.. roo L- FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % 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 & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
$ /
$ /' .50
$ /'
<;
Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
10 rJ1
(If 11 ~.
tf.iY
Receipt No.
By
~ite - Building:>
Canary - Englnee~'lng
Pink - Planning
Th". C"f'nlf'r of 'he- L.kt CounlY)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VA[,~e Y POOf-S
,
.3 < I&;. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4--45..~ RAVe-IV C()UR-~I
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~ ~(-;
Comments: ~ r~ ~.
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E?..f2rui, ___~. ~ . ~(X) 11 'l,) .
Date: 3/2.. {(os-
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"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."
The ("~nler of the t..kr Counlry
White - Building
\Ganar~ : Engineeri~
Pink - Planning
BUILDIN'G PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I /;'-1 J ;' /.:: y/ 0/ (....\ / c.,
.1 I {,/ v U' r v J L.-- -'
f
;3 . / &: . 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /f 4' .r";? 1/; /~;L:J I/t.';'-;" j\ ,// /7 j') i ,'f>) /
/ q~' _.J ~ ) '-~/ . \I ,/ v G l/ L/ fe__/?
Accepted
x
Accepted With Corrections
Denied
Reviewed'By:
/WJfS
Date:
3-.2tros-
Comments: See Reverse Side for Additional Information!
'-
See Attachments: 1) Gradine Plan_ 2) Erosion Control Measures
"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."
Th(' ('tnt('r or Ih(' I.ake {'ountr}'
White - Building
Canary - Enaineering
<:: Pi.....\(, - Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t;-/ L L [; y/ jJC (, L :::.
I
r-?& ' _
" / ' /11,
,---". '. v "--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ . ,I ;--7 / I ' " ," I (
t'l"'-l -../ ' /,--1 V {~ I C 1./ I I<
Accepted
/
Accepted With Corrections
~"7Vc. c ~~/"1. (7-
,.
~ Date: 1!1!as-
Comments: ~ ~ ~ ~ ..fa ~K- ~~ ~
[~II)((~I')(I:'~ ~ p~ ~ ~ ~
~ ~ ~ ~ p-rrr~ Jf ~ ~ ,~~/
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Denied
Reviewed By:
~
"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."
PRIOR LAKE . DEPARTMENTOF
, BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS JJ/~s;1 6\V~ c,'r, A_
TYPE OF WORK A/6JtJ IIJ .."..Q CBI",
USE OF BUILDING s.~ /). -
PERMIT NO. . C$""". 0 2.. ~2- DATE ISSUED ~ /~ tl!s-
BUILDER ~LE" ~LS- pHdNE ilf.lZ'f"H-/II1d
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ~AJr ~ ~.L //t....( $'- INSPECTOR _ DATE
~ FOOnNG ' I &:r' I 411110> I
PLACE NO CONCRETE UNTIL ABOVE t\~S BEEN S)GNED
~ FRAMING BR1'. ,.I.II\C&STtft'J~. 1/'1/) . ~/'Z.I -I
~ lS'~IW1&(Af.,-."AtaI.&rItJri... f~;.Jbi".s. ~
FINAL !r'(J, II ~(2//~
~t- ~L~S~;~I~ (~2;~~-~~;O~-~
~~, p- ~~rDj2n-G
~~.
DATE TIME
CITY OF PRIOR LAKE t12~~
INSPECTION NOTICE SCHEDULED
ADDRESS I '-I~53 ~C-f
OWNER CONTR.
PHONE NO. PERMIT NO. 5-025.2,
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
. +Q r--......
.. /1_
(1 o5IU '-L \:i \-t"
....::J WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
ORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
V 7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYI
~ INSNOTl
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