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HomeMy WebLinkAboutBuilding Permit 04-0723 w ::I i= ~ " Ww ~O ~~ 0:::0 OZ -z 0:::0 0..- LLI- ofrl ~g, -z 0_ o W ...J :J o W :J: o U) U) U) w 0::: o o ~ Ii I- Z o o 0::: W Z == o C) ...JI- ~ <(I) ...J -~I- ...J O:::LLO::: -I-WW- !!:~OO< O:5:5:5~ ~o..o..o..::::i C):EWWU) XO!!;;!!;;< WOLLLLC) 000000 o Z I- :E 0::: w 0.. o..D.....J :J:J< ~~~ a: OOLL...J C) OOC)< Z_:J::J:Z~ iija:a:O:::iijLL :E:I:W~:E:I: :JOI- :;)0 ...JW~ ...JW o..:E:>U)o..:E 000000 o z w Z o :J: 0.. Z o z ~ _0 Z 0 o W ~!;(~~ g, _O-...J Z 13~~:J~W f2f2lf~~ ooo~o en I- Z W :e :e o o C) Z a: w > o o w a: o LL W al Z o ~ o W D.. (I) o 0 Z W W jjj ~ ~ a: o 0 a: a: a: 0 0.. 0.. LL ~ ~ ::l o < ~ I- Z o 0 < ~ ~ 0 j:: 00( ~ I- U) 0 ~ ~ a: a: o 0 ~~ i...: C o () ~ C ~ i...: o t5 (j) 0- IJ) C W o z ~ > o ~ Z U) a: :J o :I: .., N Z o j:: o W 0.. U) ~ l- X W Z W :I: I- 0::: o LL o '" CO en ...:. ~ ~ ~ ~ ~ 'l$ ~ ~ ~ C ~ Q., ~ ~ Ill: ~ ~ ~ ~ ~ ~ ~ ;;;) Cl ~ Ill: t<l 8 ;:: Q ~ ~ ...J ~ o CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please ADDRESS ''31 ~8 LEGAL DESCRIPTION (office use only) LOT3BLOCK t -' i-at! I PERMIT NOt) ~, 0 7.z..3~ ZO~G (office use) Ie /~ IJ See Main File~~~~ew M .. e f+~c. OWNER (N ame) File City Applicant L ~w t-kN 'tJ11W PID 5-lji9 ~ OCJ-3-- \ FA(l,VV\~r/1 tL'k/ Oev<Joffl1-u",4- )~ 0 ~t3 C~;J+Or0 (-t. (Phone) ~5 1- 10 J- ((B:L) (Address) (p 111JL B~DER ~ V I ' ~ (Company Name)f\dM. ~ I 1-,,-, ~,,< OfM~",k- L6 We. (Contact Name) ;{- (.. f Iv 0+-~ f{) })1.0 t6 ~ C-t- (Address) Date Rec' d (Phone) (Phone) 0)1- 'Ic,J- t{82.S- (, <;'(c ~s: "9CiC( MtJ 5")"0<" TYPE OF WORK [l New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection 0 Misc. CODE: ~I.R.C. DI.B.c. Type of &'nstmction: Occupancy Group: A B Division: I E III IV ~ ~ IBl HIM l!V'S 2 ~ 4 5 PROJECT COST IV ALUE $ (excluding land) (jOO I oW u ) / I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also cerllfY that I am the owner or authonzed agent for the above-menlloned propcrty and that all construction will conform to all existing state an local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official ~evoke thIS pe. I for cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform necded mspeclloos x Signature Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee II F I $ $ $ $ $ $ $ $ Oo.tJ~ OO.[)o 35.5(J .l/d.(JO This Application Becomes Your Building Permit When Approved ~ M~ to/ZI/ot/ Building Otllcial ' Date ~C10 b-?.-o'"'L Date $ $ $ $ $ $ $ $ $ ssa. 00 Z$"Q.OO 5..110 ~ 2eo. ()-o Oo~oO Contractor's License No. Park Support Fee SAC # # --......... ThIS IS to certIfY that thc request in the above applicallon and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as req~ted. ThIS document :z=""""u;:"" Cm""" of ,"/:m;2;,fW", ,,"m."i"" "SeefOMiiifi'"Fil'e m." oc Planning Director ~ I Date 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 Water Meter Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE ::!l'r~fC) I ~;C:}O Paid Date See Main File . White - Building c..., c.;anarv - FngineeriiTg') Pink - Planning Thr C"ntrr or Ihr Lake' ('ounl,.,.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~1 ,_t_.-. NAME OF APPLlCANT'-/(.:J,,'1/n-!/v".-;;': /i2J''f APPLICATION RECEIVED 6., -7 -'()i:.::~ /' " .. I"S ! (/tl /' /' ~\. ~\.,....,- - l'~ .. , / .. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .,' "."" , . -'.:~:: //; .<. f( -':I'1J' ~/^. .' i r-;- .... "f ",:f..,v. ~:2-N ~ li..._ ':-- . - (j "-,J 1/;-L;)-t./(),.-[.c..'C/ V' .-.._~ i'~/ Accepted x , ........... Accepted With Corrections Denied Reviewed By: JrPfb . Date: ;- /'1~OLI Comments: <~~ f!7t;('~ f;f<- "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 Pink The Ct'nll"r nf .he I..ke Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ':::J:,~1iN J ~ 0 ' APPLICATION RECEIVED 0 -7 - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is Rropased at: ~~5t -m~~ /' Accepted With Corrections Accepted Denied --n ' Reviewed By: ~~ ~ Date: !o /z-/ /0 L/ I 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 White - Building Canary - Engineering ~nk - Planning:, Tht" Ct'nlt"r of Iht" L.kr Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST /'..1 -I, - "'. -~1 \~ .' / / ~: "'.'1/ ' ,),--' , ,/ /,'.c'. ' '- /6 . NAME OF APPLICANT ,. APPLICATION RECEIVED / '}'" t....'., - ,-. ' . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .7.'.' /- ..-~ r' ", ,"t'1 ,,", /; - , /'.\ . f 11/ ." - I -) ;/ ;' iLl'.; \;: tC- I j' "': ',l<")(_,v~ Accepted ,/ Accepted With Corrections ,t~ Denied ~ ,... Reviewed By: ~ Date: folLIIa'! I ( 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." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd !Z, z%. 04- 1. Pink 2. Green 3. Vellow ~J~icanl I PERMIT NO.tJ+ .. 7)-:> I AD~RE1S~ / / -:) 4 '6 JI1/lJ6J77~ uJ. ZONING (office use) pJrJ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) h.r~:"fh"l f)-ef/e-~ M~"\.-~ t!o. (Phone) (Address) APPLICANT G (Name) ~ $ ,(~~e p7 it s (Address) c2.o rf S- .::j:::JCuA." ;;: (Address) (Contact Person) If t...cl.. ~. (Phone) qS.<- 'I~9 - ~? .76 -< ~(/ , . S-SOq''f/ (City) (Zip Code) (Phone) Gf2-C//'I'- V.2.V.:1 DATE 1.l-:l..F--c> 'I' APPLICANT SIGNATURE APPL ANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical DAir Conditioning Vent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: ' Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks ;/ed-,v- (;j(; 7s-;, TI? FEE SCHEDULE Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AIC (New Construction) $99,50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64,50 Residential, AC Only $39.50 Estimated Cost $ Building Penn it # $39,50 $39.50 fJi ffflO o'f%-- blJ1l/ \'( HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ ~ $ ~ .50 $./ .r (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date ~ Da ~ ' ?-(, 0 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 3'lSt A1iL;~(;tic L.A; tJ DEPARTMENT cSee Main File BU;LDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. SUED CONTRACTOR PHO~/" 75~. 'If1t( NOTE: THIS IS NOT A PERMI OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING {){u/ ~ I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ~uJ L)~ HEATING (if required) FIREPLACE GAS LINE AIR TES"F ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED flArN6/&unl~ I/lJN6 I I , FINALS 11-lJ' GRADING (Prior to Sodding) BUILDING 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