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Home My WebLink AboutBldg Permit 05-1161 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and siJtll at bottom) ADDRESS ) &, 11/;< Date Rec' d i J~~~~ ~~;licant I PERMIT NO. /).t;- / I" I ~d !J>t!dhf; d~ ZONING (office use) LEGAL DESCRIPTION (office use only) --. ~ LOT I BLOCK d. ADDITION~~ YJcrl/J(I4/' d PID?3R- OO:;--D f OWNER (Name) :J6l1tJ L (Address) BUILDER (Company Name) (Contact Name) (Address) ~-H (2.t;\!J 5~!--y 9)~ -105 --;A.3 3 C? , (Phone) (Phone) (Phone) TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace DAddition o Alteration OUtility Connection CODE: DI.R.C. DI.B.c. Type of Constmction: Occupancy Gronp: A B Division: I E o Misc. II F I III IV H I 2 3 ~t)() ,- V M 4 A R 5 B S U PROJECT COST /V ALUE $ (exclnding land) I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authoflzed agent for the above-menl1one properry and tha II construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can v this I'm' cau Furthermore, I hereby agree that the Ctry official or a designee may enter upon the property to perform necded mspectlOns. III ;;.~I ~005 AI x Date Tw'1J:17tE....m. P-", ::;". BlItldlt1g Otliclal Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee ~AJfr. Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Contractor's License No. /}lj. ~\~ Park Support Fee SAC # # $ $ $ $ $ $ $ $ $ /~-t, ~ Receipt No..:::>7}5 ~ By e:(" ~ $ $ $ $ $ $ $ $ 1,60 Water Meter Size 5/8"; 1 "; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee # # 1.../0- -- Builder's Deposit Other '10.- TOTAL DUE Paid Date I~-r;,. ~- , II -- ,+ ':;). ---S-o ThiS tS 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 constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued t."j ~ I~ul /+z..,.d()~.J- Special Conditions, if any Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ~ (lJ-. Date: /1- ~d--()S Building Permit # PID: Site Address I' / _ ~ /J - d' /~?ij:)- ~'fl- B Legal: L Existing structur@o CONFORlVIS TO ZONING ORDINANCE I Is this an expansion of the existing footprint or building height? Is the l'HJl'erty located within the flood plain? Does the alteration include any additional kitchens? Does the proposed alteration include any outside entrances other than patio doors? 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.)? Zoning: {~~ Subdivision: ~/~ lYE~ YES Refer to Planning Refer to Planning Refer to Planning Refer to Planning Refer to Planning NO NO ~ ~ ~ ~ ------- ~- ~ THIS CHECKLIST MUST BE COJ.\iIPLETED AND INCLUDED IN THE BUILDING PERlVIIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLA TE\AL TCHCK.DOC CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd /'L.CI,OS ~. ~;':n ~!:y I PERMIT NO. 05. /I/:../ 3. Yellow Appltcant . I ~ (Please type or print and Si2D at bottom) ADDRESS /(,74--2- tJ/,/If/O ~~ ~ se ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID20. 33B. 009. 6, OWNER (Name) (Phone) (Address) ~C~r;~IJ~~'.s U>~UVb .~ qSd~~t(I-~7"~ (City) (Zip Code) APPUCANTStO'NAfUrtE ld-~Lt-OJ ~~~ APP ~ICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FLUE SIZE TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System RETURN OPENINGS INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices FUEL OUTPUT PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ $39.50 $39.50 r3Y pAlO ()6~ B() I V Estimated Cost $ Building Permit # .50 (Office Use Only) BuUdine Official Date P~ Daiz.1. oS Re~ A BY~ / This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 CITY OF PRIOR LAKE ~~ ~~L ~;~liC3nt APPIWard:_Y;~:~$f::L:~~f phone:,_ {J,~d;~~~30 Address: c~\\t\\, ."'-f.on ~~~.. -.J" ---JoV"da.n. l'vl N .:J5a5 ~ Signature: . ,,,/1-r..:Y1/IUA ~JA.t..r: (J' Legal Description: Lot Block Sub Site Address; )(0 J4-~~ f~Jfndlr/i;J PY-/Oy LtL)t) t. Building Permit # PID # NOTE: This permit will not be processed without complete information. FIXTURE UNITS n. ern.., 01 th. lak. Coun.., Quantity Type of Fixture Quantity Type of Fixture Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPl, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other J Bath Tub with or without shower Dishwasher ) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL $ PAID WITH BUILDING PERMIT ~l .\lfrw-~r,is,tr~lfO u~on~hc express condition ~at said '.! ;1 F~Il,'tIt~p.l ,~h~ ceJn~. 1 ~:an respects .h the ordmances !: ~~ ,bf the State Plumbing COl :~ i~d the amCl )nenlS thereof. Ii ill IAN 1 9 200&E1f1jil"O_., DATE le.!LI _/: .L ~ ATTEST i-jl/ _~aJIJor~~~~p:~tiOIlSf24 hoUn advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 J Ph. (612) 447-4230 J FAX (612) 447-4245 An Eaual OooortunitY Emolover Z"d ssss-ZSv-zss eEO:SO SO 01 uer PRIOR LAKE INSPECTION RECORD SITE ADDRESS if. '1~. i5JiACI ~~. NATURE OF WORK L--...J,.. . USE OF BUILDING F PERMIT NO. D JE ISSUED I f- ~~..as- . CONTRACTO f' PHONE~. ;tn'1 NOTE: THIS IS NOT A PERMIT FOR ANY 0 THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION ~ ... __or to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE ~ FRAMING ~ INSULATION ~ j ELECTRICAL PLUMBING {j-t- c:- //?'J' //!z,,/;r ~ I HEATING (if required) ~ . I FIREPLACE ~., I GAS LINE AIR TEST ;1fJt-. I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS , . /2/Zf /vJ /Z-/~~/ar 1~/yjbS"-- / )'/I</~ /Z-/4/cr /,# ~ I r/j- 1~;i2/(!)5~ BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy / / I' '~k /tJ~ s7~~ ~ Y/~~ ,I ~ ~C/o6 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 DATE TIME I/M6 '1 ,- _~~~. ct ALe 1J/ SCHEDULED ADDRESS /h ? Y ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o ~LATION "...a"FINAL o SITE INSPECTION CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~LUMBING FINAL ~CH FINAL ~DlMENJS:, " ~ ff ~cfrf. OJ f?~' /- h~~/J/:c~ . / ~C/{'c ,4~--6~L.f ~/ ~~/ , .. ---- /' ~! ~ h~/ h~/' / ~/'-- ~5-- //~ /'" o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI ",.it""FIREPLACE FINAL o GASLINE AIR TST o -' / t'"/.2,1A'~ / - /" C{c - /' 0/<-- ;- Ci /<- ---- ~ ------- /" " / ,/1/ " ( oase H I-L--, ) ~ORK SA~eRY. DAOC~ED ,~ ~RRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ,..) Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ I1fIl/IIOTl