HomeMy WebLinkAboutBuilding Permit 04-0956
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~-dl/-DJ
S"MO PO!IWh'
'.. ee" aID,. 1 e~~i~ew
File
City
Applicant
I PERMIT NO. *.095fo I
at bottom)
(Please
ADDRESS
'Ie
l '\J.<.-
1\JU
M
JC
LEGAL DESCRIPTION (office use only)
LOT \, BLOCK \ ADDITION E){..q.. \)+-. v.(.....
fc;.J Y\id
PID ~ s-: q-
ZONING (office use)
OWNER <""' ' , ',f) . \ ~
(Name) r~eM'.iI.Il J (;~ l..I<""(., "PJ---1I)..;
(Address) L Ii .J+..t,-lJ L.+
(Phone)
(;s /--- "/h] - Lj~S-
:c n;(.
h-Jw
Gd
I ~~~~~~ Name) r A vL ~ '~ :'1+ vJ 0., V ~ J~~~ {;u,.
(Contact Name) r..vf---<--- ~ -t-;-}nd
(Address) ~ DC ~ (, .A. -c..~ tA-
(Phone) G:$ {- <../ (.,J Ll8 <.J>"-'
(Phone) ~5-'. 7(-:}--~@9Y
TYPE OF WORK I)jJ1New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration OUtility ConnectIOn 0 Mise.
CODE: fY1I.R.C. DI.B.c.
Type of &nstruction:
Occupancy Group: A B
Division:
PROJECT COST /V ALUE $
(excluding land)
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
-1CX1 QcJU
I hereby certify that I have nlrOlshed mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner m 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 buildmg
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Signature Contractor's License No, Date
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00.00
Mechanical Permit Fee $ 00.(J0
Sewer & Water Permit Fee $ ,3$. $"0
Gas Fireplace Permit Fee $ a ,() 0
1" ;
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
kom~ '1//Di/~'I
$
$
$
$
$
$
$
$
1'3'50.00
~SOrO 'f}
Lts,OO
.00
00.0 D
-
ThIS IS to certIfy that the request 10 the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
, ~ "'''m':;::p :m., C,"""""I '":'"t;~": ;"w",coom"~o" See "Mam"flFii~" m",,"
Planmng Director l) ~ 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
See Main File
Thf' ('("nCrr or the- L.',,~ Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'~,'t-')""/'.;/ ".l ....,.i....'../"'.,/ :,4 /", ,/ iy'.'"j/l
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(:-._ i.' / /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-- F' -' ~ /> / J/ J i--. '
~: " II \'?/ )t.' // /,"'/ ;' l j i" !,/ (.' ,d , :i- ~ '__ . ./',. ....7,...{_....1l.l.-..-.".
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_ 6'-} f '. ;.- "
i
Accepted
x
....
Accepted With Corrections
Denied
Reviewed By:
MI3
5~~ lYl~f~
~f.
Fi/~
Date:
.'l-({ -Otf
Comments:
"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."
See Main File
~te - R'lildin~
Canary - Engineering
Pink - Planning
-
Thf ("rnlt>r of the I.akt Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11Z~-1'#-<~i;;X I)~J
f- Lf -Lf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
9t -
Accepted
/
Accepted With Corrections
Denied
~~
~,G
Date:
:t // '-/ ~ '1'
/ /
Reviewed By:
Comments:
See-Main File
"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."
See Main File
White - Building
Canary - Engineering
c:-P'nk - Plan"!. I~
-
ThE' Cfnlt'r of the 1.1Ikr ('ounlf)"
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:
Accepted
~
Accepted With Corrections
Denied
..--.
Reviewed By:
~
ge4J f-
Date:
jf~~'7
Comments:
See Main File
"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 LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT 'L .,
3r~/o7
I. Pink File I PERMIT NO
2, Green Cily .
3. Yellow Applicant
ADDRESS
ZONING (office use)
15'
(11 'es/;G-
Ie", e
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
I OWNER
(Name)
(Address)
APPLICAN'y,
(Name) l.9C...r
(Address) ;'~r:;(
(Contact Person)
(Phone)
it: :.e- j?(G<~
/-<->/\Jckle- ~/t/tJ
(Address)
(~i:.
(Phone)
,#orf(g~kC
(City)
s-s.oS-?
(Zip Code)
(Phone) & I' 2 ~. ~-- y< y .s
DATE J - .:22-O?
APPLICANT SIGNATURE
.~
x:[NEW CO
FURNACE MAKE AND MODE
FLUE SIZE RETURN OPENINGS
APPLIC NT PLEASE COMPLETE BELOW
TRUCTION D REPLACEMENT D AL TERA TIONS
/kc{--,I/ -G~ 7 sa --ne. FUEL uqlr
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
OUTPUT
HEATING OR POWER PLANT
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.
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
(Office Use Only)
Estimated Cost $ Building Permit #
fJ- ~/f/
;:Ii- 0'1 ro-O'J 5" ~
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
~ ~ 1/1-"'/07
Build!n!! Official Date
I Pa;d
Date
l~c;Pt No
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~798 MA.3'E~ic. LA~E ,-J.W.
NATURE OF WORK N~~ COr-'$'ttl.C,a C.tlb~
USE OF BUILDING Sf F:A.
PERMIT NO. ~.~ DATE ISSUED
CONTRACTOR I~ Dna. &. PHONE'SI - 7~G-'(;',/
N.OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
FOOTING //: ~ (/.
FOUNDATION (Prior to Backfill) //. /t, CJ}/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 15t! 1/ 0
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l~nf6j H~G'~ I I
FINALS
~ ~i
GRADING (Prior to Sodding)
BUILDING s= 2 ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy 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