HomeMy WebLinkAboutPermits 01-1361 & 02-0045
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2 Pink City
3. Yellow Applicant
()O '"
Date Rec' d
/ l--3 --01
PERMIT NO. O{-- /3fR /
(Please type or print and sign at bottom)
ADDRESS
42/ L IflDOb/ll rtNU
~q/L
LEGAL DESCRIPTION (office use only)
LOT / BLOCK -3 ADDITION k.I-JJ/J /211) {; 6' .3 EO ffl)o;J .
I
~ OWNER
I '(Name)
^
Dt{v(V
Lf~L~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Mise.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Gas Fireplace Permit Fee
20 NIN G (office use)
.EIJD
PID 26-342- 0/ B-O
Qj.2. / 'ftf7 - b vY;S>
,
'--4ke. M.'\. r f J)2-
t ~)
(Phone)
(Phone)
]f'[)$t'rD.~
H " dcL:J:\
P P f\d
....--- .
(('al/
(Phone)
Pr l~ {'
#
#
#
#
q:; 2- - .:./--1Z,
., -::>< '7
e--- '-'--
o New Construction
'!1-Lower Level Finish
I fLlot1
ODeck
ORe-Roofing
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 10ca1laws and will proceed in accordance with
submitted pia 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
~ter upon t e prop to perf~rm ne:dedl1.~~ \ i --? r J 10 (
ignature Contractor's License No. ~ate
l
$
$
$
$
$
$
$
$
$ 75 z.s
OPorch
o Fireplace
DAddition
DAlteration
ORe-Siding
OUtility Connection
es Your Building Permit When Approved
Paid -l S. 2..~
Date tZ-{t5; {o I
Receiet No. ~O'f1 +
By (2..() ~
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
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.
PROJECT COST IV ALUE (excluding land) $
{
/
$ ,
$
$
$
$
$
$
$
Park Support Fee
()OO.OcJ
3 tf- 75
SAC
Planning Director
Water Meter
Size 5/8"; I";
.,50
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
MtAhD tZ...5..o f
4-0 . CO
/'2 -~ -of
Date
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
1. Pink File
2. Green City
3. Yellow Applicant
(Please type or Drint and silm at bottom)
ADDRESS
+~I 2..
I-!rJ)t:JCN 'p()N'O
I fi!r11 '-'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
J~LICANl;.
(Name) ~'hr,r,~ c;;:,r {;..v;<:, r
Date Rec'd
1- f...02.-
PERMIT NO'4i:':OO~,-
rG(_m"
PID2.S- 3tfZ -0/9...D
(Address) /.,-~ i:.
......1
.~~.,I" .i~.
...... (Address)
(Phone) ~- o/"I~)- f;7~o
IJa CC,.. '~l S;:~i? '7
(City) (Zip Code)
(Contact Person) ..J.....e { n (Phone) t;;'/d
APPLICANTSIGNATUR~ .r- _~ ~ DATEV,
t .r 1
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # () Z- -oO~
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3f.!J7)
$ .50
$ Lf<J. cru
(Office Use Only)
This AppIiC~t~jAome~ Your Building Permit When Approved
f6'~ (-q...OV
Building Official Date
paid4-C . cD
Date, q
- -01----
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~ - O,;;Jc:../t>
/- 9-o~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Re~:4-1 , +--3
By tv.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: /2 -3-()j
Building Permit # Pill: 2..5~_?CPZ. (jIB, CJ Zoning: I~ /-S,L/
Site Address 42/ Z J-/ !OO[,/ij PO/\! u 7~'l-/1 t.-
Legal: L I
B
-:;;
~
Subdivision: !?.-rLY /_106;[; J 13'::
E.x::isting StTUcture@ NO
CONFORLvIS TO ZONING
o RD lliAl'i' CE
/-j
(YEh
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
J
Is the property located within the flood plain?
Refer to Planning
f
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside.
entrances other than patio doors?
Refer to Planning
/'
f
Is the proposed use of the finished space or
alte:-ation for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
f
THIS CHECKlIST MUST BE COMPLETED .-\J.'ffi INCUJDED IN THE BUILDING PER:.'YIlT FILE TO
l'tL-UNTAJN A RECORD OF THE REVITW.
L\TE\lfPL:l... TE\AL TCHCZ.DOC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 42/2- f/r.D!J6JJ POND //d/1/L-
NATURE OF WORK LOLIl/6R L_bVI?L--
USE OF BUILDING ~ ~~ 1/ R-
PERMIT NO. 0/-- /3 to / ATE ISSUED
CONTRACTOR 13120-S I 12/)M PHONE 4d"7 - 044-3
I ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BJ.HLDING AND INSPECTION
--
,
INSPECTOR
DATE
- - -.. -.~
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~,
&
I)' fJ/bV
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
L/iO/O<--
t ! l cYtJ 2-
I jllJ/t; z-
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
b"
~
BUILDING
ELECTRICAL
. ,
f1D/-.
.
..?/~7/6.C
, X /1Jft, <
-- - - "'" ~ - - ~ : -. ~ ~
HEATING
DO NOT
.
/ ,.
~ '&/J?ft(,
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical servir,e 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 INSPECT;ONS {952} 447-S350
DATE TIME
S/~7j(.
12/2 gj'ctx. ;I~j' /__1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
?~Cr:,C4 /. 4;/
~
r_J
,r---/ r.&-'7
/-
/
,
a;/ - ~1'/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/ /
~a7h6-
,
~/
C-/{<--
-~
~/ ~
h/e )
~.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!