HomeMy WebLinkAboutBldg Permit 05-0909
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
file
City
Applicant
I PERMIT NO. ~ 5. 0 '1 (Jq I
(Please type or Dlint and SiJ:R at bottom)
ADDRESS
tl2f2J 2-
W / L1>CVJES5 er-.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID zs: 37() _ 011.0
OWNER
(Name)
U6J-- SusA-tJ 612J~6
/1-lfJ 2... t)J I ,-,'j)C]J.fiJ E5>S
(Address)
Date Rec'd
11 [~/o>
ZONING (office use)
;e(
(Phone)
qSd-~ WCJ - '1-5 C
CT.
~~~~~~Name)~-r1.-JY .~ (Phone) ~("l-.5?'{;/~TZ~<f
(Contact Name) lJtA:ruf- 5P~ . _ (Phone) 0/2- ,f?IJ/-1~Y'l
(Address) I(;'f--Z,) !.-jJ'-/1.v ~ ---~ j/If,/vl.{e;. - )5'3'1(..
,. J r
TYPE OF WORK D New Construction ~Deck lBPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
~ DAddition DAlteration OUtility Connection
D o Misc.
CODE: I.R.C. I.B.C.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
III IV
H I
2 3
PROJECT COST IV ALUE
(excluding land)
$ ~(CJct). 0'0
I hereby certify that 1 haw furnished information on this application which is to the best of my knowledge true and coITrc/. I also certify that I am the owner or authof]zed agent for the
abuve.mentlO 'd property and t[ all construction wiU conform to all exi.~ting state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
ufficial can r ke this permit fo Just cause Furthermore, r hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
9-1() -OS
Signature U Contractor's License No. ' Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
V
M
4
A
R
5
B
S U
II
F
I
'H "7"
, -y J. 0 (Jf) .()o
$" t./r;9, S-o
$ 3:J'>JJ"
I~,oo
$
$
$
$
$
$
$
$
'I. z.I.Or $
I Rec;,2 No.
I B...r
I
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
$
$
$
$
$
$
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
.l(tJ, (J tJ
TOTAL DUE
~
,
This Application Becomes Your Building Permit When Approved
~ ~ 9;/9~S
Paid
Date
YZ"T. (,1'
" JO, (;J
Buildllw.Oflkial
Date
8"~ '3, 0J"
!5W!> _ ~
ThiS IS to certify that the reqUl'Sl 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 Ccrtiticate of Zonmg compliance and allows construction It) commence Before occupancy, a Certificate of Occupancy must be
iSSlled
Planning Director
Date
24 hour notice for all inspections (9:;2) 447-98:;0. fax (9:;2) 447.424:;
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
White - Building
Canary - Engineering
rPonK - t",anmng...>
~
BUILDING PERMIT APPLICATION DEPARTMENT CHe.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
.!/{-:;/7/v (/ Ile./'; E
/
(.;'"1. I Z.- . r, ,.,.-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/2(2. tVILOC/./vS::; ~ C (UA (
Accepted
Accepted With Corrections
/
Denied
r? '....-f rn. \
Reviewed By: ~ ~
".. - / . ?? /
Comments: ~--<t ~ --> <:....
t/
1 952,/' - ...t:,L; ~4
y~ JO/~.
Date: 9//510 5
~
~
Hv.JL ~
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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,"
cJjIhlte - BlJlid~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.{)E;5T7 NV HoI'1~S
I
q./z,oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7202- w'1L--06K-N65S (!.OUIC(
Accepted
Accepted With Corrections
/
Denied
~
Reviewed By: ~<--<-.C' ~ Date: 9//~.s-
Comments: ~ a-d ~>/~.,...~,
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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."
CITY OF PRIOR LA~E
HEATING/AIR CONDITIONING/FIBPLACE PERMIT
Date Rec'd
;;;:" ~:~ I PERMIT NO.
3. Yellow Applicant
(Please '!vpe or orint and si2l1 at bottom)
ADDRESS
I:; 20 L (u((/)C/.'i./LSC, C7-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
'(Address)
ZONING (ollieeu,,) I
PID
'B65 y j U--;i2-Iv G[INDt..
11 ;/02... {vl(1jLf/'v'l.3S (7-
(Phone)
9s?- (tf/{)- 7Sf)
~;;~~ANT/)[_, /fvY Hcn~c5>
(Address) III is L l TT A-(d ?vflA-t
(~ontact Person) 73 ( 11 C f( (A5;Tr;2f../V{ E: iZ-
r~) !
APPLICANT SIGNATURE ~<...MJ. ~------
(Phone) (, ,) - EO! - 1 L </V
I.. rt.4< Ibl/cft: It1r~ 5 <; 3~(!o
(City) (Zip Code)
(Phone) (rf2 :;{);-t2vV
7- jU - c;r-
DATE
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
DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
nVent. System
~~CEMAKEAN~
---- .', ~
Industrial. Commercial & Multi.Family
Residential, Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
S217~'; /fJ \:h"" ~..,~,,~
, - ,
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
t
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:lei'
If'-' r
pgzrt
Estimated Cost $ Building Permit #
(Office llse Only)
~ B~:: Building ~~i~ i:~Approved II :::
Building Official Date
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
. Receipt No.
By
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS -/.2!J..IJL lAJll./)tJt,J~~ ct,
NATURE OF WORK 'I!lJ 7J~ I DEeJ(.
USE OF BUILDING S,F:D, ,
PERMIT NO. tJ509.09 DATE ISSUED !lIBI1..S
CONTRACTOR J)~ 11AJY ~,"ES' PHONEW'Z --8tJ /-7l,,'fl/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR D-o/fE .
I FOOTING /f/tJ/- I /t7 /6~S-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ,~/I.
INSULATION
ELECTRICAL
~
~
~
/ftf:-
J#-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
. I
/tJt!29'ftr
/O/?-J-};.r
/O/~o/lJr
/o/~f'/".r
1,y'.L~S-
/c#-rloS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I /-bv'l-€.- [.ural) I ~ I /0/ P;';V
,
FINALS
,
IftJt--
BUILDING
ELECl' I AL
HEATING A'Jf---
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
I/~~.
12-/~7/CJ~
. J
1/1/(66
BEEN SIGNED
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) 44?~9850 _ ..........__..__
DATE TIME
CITY OF PRIOR LAKE ,,/./L
INSPECTION NOTICE SCHEDULED f 1'tJ6
ADDRESS /7...1!.0;2. u./, .t/e,-/t.Lr':'i ~-/-"
OWNER CONTR.
PHONE NO.
PERMIT NO.
,~-PC)9"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,..a1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ "'
- MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENT?:
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/ 0 ~RECT ACTION AND PROCEED
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INSN07'I