HomeMy WebLinkAboutBuilding Permit 04-0959
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File. ~tni~e ~:~y
3 Yellow Applicanl
Date Rec' d
g~a L/-OL!
I PERMIT NO. O~(J9S1i
ZONING (office use)
(2) -00
llib
w
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK
E)I~~",+~ vu
~o'~-5
PID )5-- tl/ '1 ~O()7-.-o
ADDITION
OWNER
(Name) rft(.J.. j .." J-,v
Oe..,l""~~~,, {- (J Ik/(.,
tIJv'-k ~J L --\- F. J-v
(Phone) (, St, t/{,J-t{fI 2j-
(Address)
BUILDER YJ
(Company Name) f,q tr-'.". jV~ ) cA/ g/-evc.,f'l'ro-.._"- Co
(Contact Name) -J?d....( E luA'S flQ,L..{
(Address) ~ 0 ~~ ~ -:h....,I
(Phone)
(Phone)
~,)- J - VbY - ClB-ZS-
'S-1-7~S-- l/B9</
TYPE OF WORK ClfNew Construction ODeck OPorch ORe-Roofing ORe-Siding
~Addition OAlteration OUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
CODE: [gI.R.C. DI.B.c.
Type of dJnstmction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
/) 000
erDO I
I hereby certify that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certlty that I am the owner or authonzed agent for thc
above-mentlOned 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
I "fficial c.an revoke this permIt for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspectlOns. ... .
I X ~~{ ~ 'J../JD 21200 6-)..o.-()'v(
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
TOTAL DUE
Park Support Fee
SAC
#
#
Water Meter
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
D
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
'Do,oe
loa, Do
3~ S-o
a,EJo
$
$ 3-S-o,OQ
$ Z.S-O, 0 0
$ 'f:;.CQ
$ lZA!Jo,E)O
$ 700,00
$
$
$
pplication Becomes Your Building Permit When Approved
,. ~ 9/tr~r
Date
ThIS IS to certIty that the lequest m the above appltcatlOn and accompanymg documents IS m accotdance with thea Zonmg Ordmanc
when s ed by the City Plannel constltutcs a tempOlary Celtlficate of Zonmg compltance and allows constlucttO.~e 01
ISSU (' r rd U \.I\.:f
~ ~r-l t1 t/
Planmng DIrector Date
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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3~f,()7
~. ~~~n ~i~y I PERMIT NO. O~, 0Ci.~1
3. Yellov," Applicant ~
ADDRESS
37?rr- n~ 'es;(~
ZONING (office use)
/~A€
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT/,
(N ame) 19 <...5
L~:e
~(G.5
(Phone) 6 (2-- - r?cr - Y":z. C;/,.Z
(Address)
4ve-
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
~-
-a?
APPLICANT SIGNATURE
APP ICANT PLEASE COMPLETE BELOW
CONSTRUCTION D REPLACEMENT D ALTERATIONS
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
FUEL
OUTPUT
FURNACE MAKE AND MODEL
HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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.
1\ND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $ Building Permit #
~vf
pplO Or;r-
gulf.;
HEATING PERMIT FEE $
STATE SURCHARGE $ _50
TOTAL PERMIT FEE $
(Office Use Only)
Buildinl! Official
Date
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
See Main FIle
White - Building
Canary - Engineering
~ink - Plann~
-
Th(" Ct"nlt'r nf fh... Lake Count'1
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"
-.'
1/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /~,
'II./'"
,
Accepted:
,.
/
Accepted With Corrections
.';.-:\
,to
Denied
Reviewed By:
~
,...
~
Date:
:l//V~y
/ f
..'
Comments:
MaiJrFile
See
;;
"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
-
rhe (fnlt>r nf lhe takl' ("ountW1
~ite - Buildins.=:>
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT P~'l7(;;, iJeu: {j!p
APPLICATION RECEIVED 8,- .d Lf --0 L/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;$ /l-1f- j}l/fJ~-f/C L.-"v
Reviewed By:
/
("~ .4JJ~
Accepted With Corrections
Accepted
Denied
Date:
r;pav
Comments:
See-Main File
IThe 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:
The Crntt"r or the Lake ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
_...~/.?,
I --,.-....
-'-'~:/'l':'.:<~'~"t---~'l'/""'/ ,) .<J' f~" }--}.,--\
/ .,"
,8- "-;) ", i ~. () LI
':
,/ ,/' ,-:-'~":'- ,-[.}'~
.:' t <'b
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--:;> /7/1 ,,-;, 1 /1 - .'. / .
--~. I / S,. / '/ /1 f .(~./. /' C.- <~,.,/L/
"":7 I / p", it,' Ie -~.-
.'. !.";
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
/YJ'J-6
S(~ /17c,1~
l'
Fr/(
Date:
2-/t-o,/
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."
.
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