HomeMy WebLinkAboutBuilding Permit
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT / / -d-to -oj
~. ;~~~w ~iilicant I PERMIT NO. Oi--;O()(Jtjl
ZONING (office use)
1<1
LEGAL DESCRIPTION (office use only)
LOT.
ADDITION
PID
OWNER ~..
(Name) ~ -<1a
(PhOne~~ &,0 34 OS '2 SZ3
(Address)
. ...s .:;jt. II DO
BUILDER
(Name)
(Contact Name)
(Address) 14 -3 II
95~<61084lff?
)<. \ f) a.
~-..5" <3 ()
TYPE OF WORK
ODeck
ORe-Roofing
ORe-Siding
o Lower Level Finish
o Fireplace
OAddition
OAlteration
o Utility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 may
enter upon the Plfoperty to perform needed in ections. I
\
Permit Valuation
~ t~ /
Contractor's License No.
~
Date
x
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
Water Meter Siz 5/ ; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
#
#
mes Your Building Permit When Approved
{( -28-01
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
3Q::;/g~ed by theC ~ity Planner constitutes a temporary Certificate of Zoning compliance and allows Ctruction to cA:mence. Before occupan\, acCertificate of Occupancy must be
.C->o\ ~<'.L-7~ il2/LeI&1 ~f..tWlr ~^tMQ\~~l~
Plan g Director Date Special Conditions, if an}
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'rl ,\ ::.r.'(' .11
Thf ("fn'f' or rhf t..k. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ii//d/Lm cf(()-y-,1.Q~
APPLICATION RECEIVED 1/- ~-() /
..
The Building, Engineering, and Planningf Departments have reviewed the building permit
application for construction activity which is proposed at:
~ /5 ;};)-'l -;t~ -r--UI q /..c ,~~ . (~-!--'
5Z-~ Z- - : .J/ fJ-
/ '\... .',.
Accepted X . Accepted With Corrections
Denied
Reviewed By:
11#I13
Date:
/1- ~9 - 0 I
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control 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."
~
White - Building
Canary - Engineering
Pink - Planning
The Cfnltr of the L.kr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W/.d-/1~ c/f~
APPLICATION RECEIVED i/- ~ -(::J I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/:; ;) d-?::;',uW--ZUl c/ 4:~ (!r
/-524'Z- (7 Pff
Accepted Accepted With Corrections ;;<
Denied ~ A---
Reviewed By. _ ~
Comments:
Date: 11~8-0 (
t{~ ~~
(ko1Lail
"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."
White - Building
Canary - Engineering
Pink - Planning
The ('t"ntt"f or Ihe takr Counu)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,,/
APPLICATION RECEIVED
. ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!f"
/52--~z..,
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~J.2<~
Date: t 7--/ 7 /c9 /
"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,"
02-08-2002 08:52AM
OWNER
(Name)
(Address)
APPLICA
(Name)
(Address)
MATTHEW DANIELS,INC.
CITY OF PRIOR LAKE PLUMBING ERMIT
423 3017 P.02
....au:; I'.CC'O
~Jif ~.*".
ADDITION
~/w
(Conract Pc: son)
APPLICA T SIGNATURE
Quanti
I
I
,;..
I
..3
APPLICANT PLEASE COMPLETE BEL W
Type of Fixtllt'e
Bath Tub with or without shower
Dishwasher
Floor Drai!,
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
FEE SCHEDULE
Industrial. ommc::rcial &. MulLi~family 1 % of job cost with a $39.s0 minimum
I
I
I
~: ~~~ ~~~ l PERi"I1T NO.OZ_ OO,r--,A l
J. Y<<Uo- ~"" l _ L..L+- J
ZONING (offiCI:: w:eJ
PID
95"'.;1.,. S9S-- 3"'41
(CitY) I (Zip Code)
(Phone) ~/. ~. ..s1-!Jl)
DA E AJ8/~~~~
Type of Fixture
Rcsidcnti I. New One &. Two-Family S99.50
Rc:sidcnti I. Addilions &. Alterazions S39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
ST ATE SL4RCHARGE $
I TOTAL P:ERMIT FEE $
This Ap lication Bec:omes Your Building Permit Wben Approved
Dlut:
24 hour lIotice for all IlIsp~tions (9S) 447-9850, fax (952)
"
'1 ,"" .'."
2:53PM METRO e:frv OF PRIOR LAKE
HEATING/AIR CONDITIONING/lflREPLACE l)ERMIT
NO.081
P.l
Date Rec'd
~. ~~:, i~~. IPERMJT NO. a::)- ~~t:>1 I I
J. YoIlo.. ^pph..~, L ~
\ \ \~ L I I ZONING("~~w,'
S; (A ~ <"" \,..[ ~ ~ ,,'-\ \~ Y\'~ _--'
L1~'G'AL DESCRIPTION (office use only)
LOT'3 BLOCK ADDITION
\~-t
~ '- ~ s """" c.... ~ :;;..---
PID
OWNER
(N/ilT)c)
. ~~',,,
() "^ .... ""' ~
(Phone) "\ n_ "<!. 'I" -~ "1\\ I? I
s S)() la
(A!1dtess)
~
~ \ \t
APPl-ICANr of\. I -r--'
(Narpe) \,\,,- -\: f\.) ,~, r- _\_ \'i (.,
(A!,Id,.css) \ ~ ~ ~ \j '\j ~\ lu",- (\, \I '-
(Acldn:ss)
(Cl,m,act Person) N L\ V\ C\) S, L.'" ~ \.. \ \.
AIlPCICANTSIONATURE '-P\\~ 1 \...l,..l~
(Phone) (, S :). ~ 'A l - ~ \ :), ~i
(' n 0- \.'-I\u.. ~~
(Chy)
(Phone) ~ ~.~~. \r\~" ~ 19 .~
DATE \-' "5 \- d.,
S.S ~'I~
(Zip Code)
APIJLICANT PLEASE COMPLETE BELOW
NEW CONSTRUC1'ION 0 REPLACEMENT 0 ALTERATIONS&, l -+-
FU~l'iACE MAKB AND MODEL C ~ r-r; (.- \"\ \J f - ~\)... ~ 0 FUEL IV ~
fLVij SIZE of V l. RETURN OPENINOS j Q INPU'r 1D a ~~ OUTPUTI ~ 1 () t'j\).
TYPE OF SYSTEM HEATING OR POWER pr.-ANT
, , )swarm Air Plants 0 Slealll
OGravilY B Hol Waler
J:J Mechlllicnl RlldlllUoll
-fSAir Conditioning . 0 Special Devices
~Venl. System 0 Olher Devices
PLEASE NOTE;
Air Conditioner Units
Cannot EncI'1l8ch into
Requil'ed Side Yard
Sethacks
FI~.Et~LAt:E MAKE AND MODEL
IndllSllial. Commercial &. Multi-ramily
FEE SCHEDULE
10/. ufjob cOSt Residenlial. Gas Fireplace
$39.50 minimum
S99.50 Residential, At.h,lilions & Allcraliolls
.$64.50 Residential, AC Only
~j9,50
Rc~ld'=f1lial, Hellting &. NC {New Construction)
Re~jdl\f1lial. Healing Only (New Conslruction)
$39.50
SJ9,50
HEA l1NO PERMIT FEE $
STATBSURCHARGE $
TOTAL l'ERMIT FEE S
02."'000 4-'
'\1\\
-r "'p..lOV'i .....f
, r NG pEh,>j.,
.50 ~\
Estimated Cost S l3uildillB l'ennit II
(Ort.ltt lbc Only)
l'hl~ Apl)licatloll Becolnes Your Building Pern.it When ^Jlproved 81
lJuJldlnr Omclal
batt
D:>>tH 3 I lUUZ
J3y
:l4 hour notice rot 1111 inspections (95"> 447-9850, ru (95") 4117-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
. &FS C 7.
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK
tJ
(Phone)
ADDITION
OWNER
(Name) I..U :t:'i.J D we ('I () N 0,1,1 :f S:
(Address)
.'3m
Green File I PERMIT NO
Ye!low City .
Gold Applicant C) 2 - C!J-l--
ZONING (office use)
f2--
I Sl\
1-
PID Z
(Address)
(Zip Code)
APPLICANT
(Name) 0 (2 r;. S: /loGl! E X. (
(Address) 1 b II (V.J () p I j:",) LV /1-1
(Address)
(Contact Person) tl4. T c it
APPLICANT SIGNATURE C;)
(City)
(Phone) (9 ,C2 .~ ,f9.1 . ,() rJtc,
L Ii- l/L.
(City)
S',.)O 'I '-I
(Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service --L-- inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe, D ABC I2:f PVC D Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at - feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $ {? 00 .' ,)
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
~ .5?
? Ad) c..,Vl pelAVI (-(
I :::: [ :~';Pt No
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
JRIOR LAKE
INSPECTION RECORD
/52.42..
SITEADDRESS .l5~LfOirwCa.~~'~~~ ~+r
NATURE OF WORK Mell '\
USE OF BUILDING S~[)
PERMIT NO. 02--0004- DATE ISSUED JJ -2'1- Df
CONTRACTOR ~J:\N-\.~. ~ PHONE 152,. B~S. fJ((l/8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING ~ tt o~
FOUNDATION (Prior to Backfill)'.'~~:-' / 8/~v ~ Q;2-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPT C
FRAMING :V
INSULATION
ELECTRICAL
PLUMBING v,\<;WJ.\ ~# 1_ O~
HEATING (if required) ..VI-.
FIREPLACE
GAS LINE AIR TEST -a..'l ~ \
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
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 sha'.1 be placed near main entrance.
ci
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL ~NSPECT'ONS (95?) 447-9pc:O
. '. .. . ,. -.-'.' n_
ern OF P RIO R LPJ<:E
Impervious Surface Calculations" ~. ..
.. .CT:o. be :Submitted with B.~iiding Pennit Appliction)'. '. . .
F or All Prap<<:~es. Locate.d in the Shoreiand District (3D).
The Maximum Impervious Surface CaverageP~r:rIiitted ill 30 Percerit~
Property Address / ~ 229 ,P"tJ-/ /Z#..", /m~~ &b'/Z7 p't'L/
Lot Area / ~.4t7f' Sq. Feet x 30% -' ......;.~.,;... 5S"Z'Z, 7 .
*****~****************************************~*************************
LENG1R
WIDTH .
SQ. FEET
HOUSE
x:
x:
x:
=
ATTACHED GARAGE
,
,.. .
=
TOTAL PRINCIPLE STRUCTURE.___..----.
Z6ZZ--
DETACHED BLDGS
(GarageiSherl)
~.
x
TOTAL DETACHED BUILDlL'lGS...._...._.._......
)/4
A VED AREAS
1.7 x 3Q
x.
=
gltJ
=
u x 4- = //1..-
TOT.AL P A YED AREAS ..........................._.._........ 9 t. 'Z
p(~;2~~~:~
boards, with a pertious surface below,
are not considC'Cd'lO be. i~pcr:i~us~.
x.
= "/,+I<;t.vPIiI? 1# /1(;'14'('
..~ .,..
x
x
=
TOT..AL D ECK.S._.~.:-_...;.__......__---:-____ #',()
OTHER
x
=
x
=
TOT.U OTHER......_._._...._.._._..__.._..... ,(./,1)
TOTAL Il\tIPERy'TOUS SURFACE
~TI~ER. .
PreparedBy .~. -;?L, .
Company t~L t;~-M~ O.
I 35""44-1
I /17tf', 7 I
Date II-It -CI
Phone if: 437.. - S ()OO