HomeMy WebLinkAboutBuilding Permit
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO.
(Please type or print and sign at bottom)
I. ADDRESS ~ Us J/3
. L+ ~ U01J& a+ /l/c-
LEGAL DESCRIPTION (office use only)
LOT
ADDITION k:-.
srr
PI
I OWNER
(Name)
(Address)
/V1 t7/~ /
(Phone)
BUILDER rr
(N ame) I aft-'!
,
(Contact Name)
(Address)
!Ic- /~'1 e
~~
COM~
(Phone)
(Phone)
TYPE OF WORK
IiiaNew Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ I
CJC2;/
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 local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee-lIlaY_ r-
enter upon the property to perform needed inspections.
7zv ~ 11 Cf6 7~ /t/-/IJ-O/
Signature Contractor s License No. Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ /OO~ 00
Mechanical Permit Fee $ /(;)0 .00
Sewer & Water Permit Fee $ .35". 50
Gas Fireplace Permit Fee $ l{O.OO
Park Support Fee
SAC
#
#
Water Meter Siz 5/8 ;1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
ames Your Building Permit When Approved
(0-1,- 7.001
Date
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 si ned 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
_tL0(:2'~/<!"/\ <<k ~~.J''4.1 r~i~,1.-~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
01- cxn (0
The Crnlt'f of Ihe tab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT u'-rZ'l/l /\/'('(~1.U f~!-:~2f!/l,;)tC
APPLICATION RECEIVED /0 - /0-- () )
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I {f :3 11~3' ,. I ;,,,,/'\ '\
Accepted
)(
Accepted With Correctiohs
Denied
Reviewed By:
NAP:>
Date: II-/~t)'
Comments: See Reverse Side for Addition~1 Inform~tionl
\' See Attachments: 1) Grading Plan, 2) Erosion Control Measures
~) Frosion Conlrol Plan
'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."
Ih(' ('('n'('r of 'he takt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '/{}7JJ I/~ ~
APPLICATION RECEIVED (0- /0- 0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IIJ 3 '1!3 /J() uc:- Q"\
Accepted Accepted With Corrections ~
Denied ~
Reviewed By: [ ._ .
Comments:
~O(QQ a-(/ClcW
Date: 10-{7-01
~~
"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."
'-" ...1'-...
Tht Ctnf.. nf Iht I..kt ('ounfry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --/1''/}7 //fJ(:J 1CR
.
APPLICATION RECEIVED ( () - /0- 0 J
.' )
,'<.'/ ,.,J... ., ." I!-
(f 1.<:' 'J; .\.j 1'L-
..-~.' /c
The Building, Engineering, and Planning Departments have reviewed the building p~r~t/ I~- !r'
application for construction activity which is proposed at:-
Il/) 1/3 i'" ('""\
Accepted
~
./
I I
Denied
Accepted With Correctiorlp, \
I \J"
//
CJiu~, ~?~-:..,
Date:
to/t~~
Reviewed By:
A C-- ~JN~F.&Q .~~.&Ll'l; ~~
:f~1~W&t9V= ~~~rct k<
"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."
3:45PM METRO RIR NO.5SS
. CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
P.l
Dale RCI:'d
2,
Ilnr
WI,
~:~:.. ~:,~. I PERMIT NO. ~;z -GoO ~)
]. V.\low Appl'..nl . 1
ZONING ((,lm~~use)
'- -\- -
LaGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 5-;}108'-6/0
OWNER
eN ~m(;)
Tp........ \-\-~\~
\
\.\ "" -, ~.\ ~
\... (.)~.~ .
s \ ~ \\.,0' ~'-
(Phone) '\ ~ :1- d (, ~- \ '-\ ~~
(A\ldress)
Y"'
APPLICANT '^ \ -r--
(~i1mc) ~~ ~('\::) t'I;,,.... -'- Y1 ~
(A~dress) \ ~ ~ ~ CJ \j" \ \ U,,",- t'. \I \.....
N <Addn:u)
(Cl(nmcc Person) L\ V\ L. \) S L-~ ~ '- \ \..
A~,PLICANT SIGNATURE '-./'{\~:1 ~\~
(Phone) ~ S ;),., \.\ \.\ l- ~~~
~C'()- l~\~ \'\\\) SS'~'''''d
(City) (Zip Code)
(Phone) q ~'A~ \:~ ~ ,. ~ ~ Q>\
DATB \.\- ~ - ~
APPLICANT PLEASE COMI)LETE BELOW
, ~EW CONSTRUCTION 0 REPLACEMENT 0 ^L'rEl'lATIO~SJ
FU~NACE MAKE AND MODEL .~)c f\ h \~~. \ \, FUEL .uL l\ T
FL\JE SIZE' 'I C RETURN OPENINGS "& INPlJ'r' ~~ J \\ ~ OUTPUT C1 ).. a 'i.\ ~
TYPE OF SYSTEM BEA TINO OR POWER PLANT
. . ~Warln Air Plants 0 Stearn
Oaravity 0 Hot Walcr
-fid Mechanical 0 Radiation
~Aif COll(lilioning 0 Special Devices
OVenl. Syst.eln 0 Other Deviccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Retluircd Side Yard
Setbacks
Flf\EPLACE MAKE AND MODEL
Indllslrinl. \..:ommcrclal & Mulli-11arnily
JiEESCHEDULE
1% orjob cost Residential, aas Fircplace
$39.50 minimunI
$99.S0 ReslcJclltial. AcJditiolls &. AllCl'aliullli
$64.50 Residentiol, AC Only
$J 9.S0
R.e~ldenlial. HCaling & NC (New Constructiun)
RCll!dc:ntiaJ, Heating Only (New Conslruc;lioll)
SJ9.S0
$39.~O
Estimated Cost $
Building Pennit f/
,..
.
.50
r'
Ifll r. / . c.)
" i'o:'J~D'\t.
1.\",
HEATING IJERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
(Ol~cc l/u Only)
Thill AIJplicatioJl Becollles YOQr BuildIng Permit When Approved
Paid
Receipt No.--'
Dulldlnl{ OfOci.1
Date
R _ 2 2002
By
I).It
24 hour nDlice for.1I inslJedlo", (952) 447.9850, fll.l (952) 447-4245
Date Rec~
CITY OF PRIOR LAKE PLUMBING PERMIT
l' - 4 -() L
I. Blue File I PERMIT NO
2. Gold City .0' '2 _/1/"/) /,
3. Yellow Applicant . VVL Jc
LJovE:
&1 .-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
(Address)
(Contact Person)
ICANT SIGNATURE
Quantity - Type of Fixture Quantity Type of Fixture
( .8:iIDlTub wi!hor without shower ? Rough-ins
/ DIshwasher I Water Heater
/ Floor Drain Water Softner
L/ Lavatory (Batly:oom Sink) / Stand Pipe (Washing Machine)
'J Laundry Traf(!)or 2 compartment sink Sewage Ejector
I Shower Stal1 Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.) Water Closet (Toilet) Other
.......
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
6Z-00~0H
.50 Y?~1J)r .
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
Th;, Appli'aY7~'1'" Yoar Bailding Porm;t When Approved
t!!!~ 4-/~~-~
Building Official Date
--c Z-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
RPR-22-02 MON 11:02 RM KLINGBERG CO.
4473982
P.01
GIIEU - Fft..1
,eLLOW - .""UQjllCT
GOLD - elT'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. ()2- 0600
NOTE:
Sewer and Water
contractors must
be reqistered
with the City_
APPI,ICANT:
ADDREss;~_13
SI'GNATURE:
SITE ADDRESS: /4343
~tv\. ~~.
~2.i:f;~,_.Lj:.~ PHONE: l/ Y7 -:A ~~-Z,._
,.-\ ~~:-btJ__D~TE: J61/p;;z. ~:T
PERMIT #
FILL IN THE BLANKS
1. Estimated length of water service
5tJ'
feet.
2. Size of water service
II'
inch(es) .
3. Location of any couplings from structure feet.
4_ Type of sewer pipe. ABS PVC~ Cast Iron
5 _ Estimated length of sewer 1 ine ..stJ' feet.
6. Clean out (if required) I located at
structure-
feet
from
=~~~~~~=~=========~=====~=~=~===~~=~~=~==~=================~=;====
This application becomes your permit when approved.
BY
DATE:
'c'" 2 3 ?nm
..'. K . ! '
===============~===============:=~=~~~~~=-~~~~~=========~=======~~
FEES:
$
S
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupllcate sewer and water permits are
issued.
DATE PAID
RECEIPT #
~ (!t~
~ O,#rn-\
AMOUNT PAJ.t'_ ~NG pE
gU\ ---
R~C;U ~y ~---
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (6121 447-4230
AN EQUAL OPPORTUNITY EJ..\P\,.O.....ER
Fax (612) 447.424-5
\"
\-
651 633 BBB4
FIRESIDE CORNER
#4571 P.DD1/DD2
Date Ree'd
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FJREPJ...ACE PERMIT
~: ~CJW ~~jGOM I PERMIT NO.OZ - 00 00 j
I ~~li~:;;~;:
ZONING Coffice use)
eI-
I
LEGAL DESCRIPTION (offi,cc: Use only)
LOT
BLOCK
ADDmON
prD
I oWNER
(Name)
(Address)
-j/Jh
~
~
(phone)
- I
APPLICANT
~a,m~) AIJLIEO FIRESIDE DBA FIRESIDE CORNER
(Phon.e) 65J..633-2 515),
(Ad.dress) ;4700 N. FAIRVIEW AVENUE
(Ad,dn:~~)
BRENDA HUS'l'ON
(Contact Person)
RDSEVTJ..LE MN
. (City)
65J.-633-2561
(Phone)
S<;;1 , 3
(Zip Code)
APPLICANT SIGNATURE .
DATE
APPJ..ICANT PI..EASE COMPLETE BELOW
EW CONSTllUCTION 0 REPLACEMENT 0 ALTERATlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENJNGS ~NPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~wnnn Air Planrs
Orll.viry
Mcchaolc81
Air Cond.itioning
Vent. System
FIREPLACE MAKE AND MODEfJ -1J.€GI-&!. Cf.R
OSt.l:sm
o HOI W Jl!;er
o Radilltlr.m
o Spechd Devicc=s
o Other Devicc=s
~1jl)
PLEASE NOTE;
Air Ccndidoner Units
Cann(Jr. Encroach int.o
Required Side Yard
Setbacks
E.stimat.ed Cost $
FEE SCHE;DU'..E
J % of job cost Re.sldemlal, GIIS Firephl.cc:
539.50 minimum
$99.50 Residenriijl, Addit,ion,s & AlteratIons
$154.50 RcstdeodoJ. AC Only
Building Permit # 0 Z -- 000 &
$39.50
industrjpJ. CQmmcrcial &. Multi.PIUTl.ily
Residential. J-fellting & Ale (New CmlstnJctlon)
ResidenciaL HC/ilting Only (New Construction.)
$39.50
$39.50
"'l:"1.J
f!! \I'J' \, "
t'p.~O ~~
gU\\P~N~
~---
HEATING PERMIT FEE
STATESTJRCHARGE
TOTAL PERMIT FEE
$
$
$
(OMcc Use Qn'y)
This Appl.icati"n Becomc5 Your BuildIng Permit When Approved
Paid
Recetpt No.
Dille
Date
APR 2
B'lihll"g omcln'
14, hlJur notice for nil ill~pcc:~lon8 (951) 447-9850, fu (9~1) 447....,:zc5
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..l!13!:13 D-w.JL C--\- .
NATURE OF WORK jJe.t.0
USE OF BUILDING SFO
PERMIT NO. Ot--0o6fo DATE ISSUED fO" 17-ot
CONTRACTOR TaM ltd."", e... C~. PHONE ttSJ. - 2' 2~ I 'f~f!j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING ft B,
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BE
ROUGH - INS
DATE
OZ--6()(J(,
~gJ OV
N SIGNED
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
fl
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
'61_
l5ICT.~
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 se placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850