HomeMy WebLinkAboutBuilding Permit 05-0126
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2./".05
at bottom)
I White
Pink
J Yellow
File
City
Applicant
I PERMIT NO. 0 S-. 0 IZ (r)
Is-.
ADDRESS
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
ADDITION
PID
21(P- 03CJ-
OWNE~
(Name) _V~nl (' \
I-4-clh ()j r ~ I') (\
,
(Address)
(Phone) q~,;l-'-fl_/{\ - Lilt,H ~
-
I BUILDER
I (Company Name)
I (Contact Name)
(Address)
(Phone)
(Phone)
o Fireplace
ORe-Siding ower Level Finish
.3 JUt.>.
PROJECT COST IV ALUE $
{excluding land}
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection 0 Misc.
CODE: ,!.R.C. OI.B.C.
Type of onstnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby certifY that I have filrOlshed Information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
,Ibove-menuoned property and that all eonstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the building
:Ii~~ ~:m:se Furthermore, I her --agree that the CIty official or a designee may enter upon the propelty to perform n~e;;d ~:~~
Signature Contractor's License No. Date
Permit Valuation
:5 000.00
$ 7 S
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
t.
L(tJ,- ----
This Application Becomes Your Building Permit When Approved
~~
.. -- .
Buildlllg Oftlclal
&/t?/os
Dhte
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ,.' OUJ,uer 6/eG $ j.-C{)
TOTAL DUE $ /57,25
/f'~S- IRece~~ron
Z. . us' By ~
/1~~~ ~
I Paid
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 documcnt
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISSu~ --ft, r
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~-~~
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05--
Date
24 hOllr notice for all i spections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
I.
I
..
..
Residential Building Permit Che~klist
Basement Fmbh or Interior Alteration to Single Family Homes
BY:~~
Date: c;l./I 7/a 5
Bu:ildin~ Permit #
1:J
Site Address
PID:
Zoning:
Legal: L -3
B 3
Subdivision: vJ~ / ~
Existing Structure~r NO
I CONFOR1\'!S TO ZOi'ilNG
ORD lli.Al'1'" CE
YES
l'1- 0
I
YES NO
Is this an e:cpansion of the e..'risring footprint or Refe:- to Plamring
bui1ding heigh!'? AJo
Is the prope:!'f located wirlIin the flood plain? I Reze:- to Plamring I jJ()
Does the alte:':lrion include any additional kirchos? I Refe:- to P!ann:ing I fJo
Does the proposed alte:ation include any outside Refe:' to Planning
e:ltraIlc:s othe:- than patio doors? tltJ
Is the proposed use of the finished spac: or Re:e:- to PI~g
alte:ation for anything other than a nor.nal single ; Li'tv.. w&JJ
fan-,ily home (ace:. group ho!:::. 6y c:rr:. e~c.)? . ~ f(~~~M,
v
Tms CHi.CKLlST )Il"ST BE COMPLETED A..'fD r:L'lCU:DED IN Tb"'E BlllDr:"G P~R.y{JT FIlE TO
)L-VNTAll"l A RECORD OF THE REVTEW.
'-.
~
..
..
..
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~ -, -,....-
Y.~ -J (./,..)
I, Blue File I PERMIT NO I
i ~:~w ~~~Iicant 'OS, {i /2.0
ADDRESS
ZONING (office use)
/52-+5 Jl--:r/-::-t:;I& ~/7,jJ'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
,r
~~;;~~AN~(~_ / -- ~ /{ '-7 <~Ac _
I _ l c--...I,.
(Address) I~ {,>(' ,J{Cc/~ / r1---5
, (Add,<<,) 0;1 / ~"
(Contact Person) /7 -h "
(Phone) f (~') ~~~f .- :J fJ r/Y
(City) (Zip Code)
/J, . "J J /- L/"? <"":' --;1
(Phone) U'(,/ ""'J "'- -- I' / / <----
DATE' 5/~l')5 --U )~-
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Building Official
Date
Date__ ."> _ /. I /
_"'7.-'::-.1..'\
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Lise Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
JlJt~-08-2005 11: 37
VIERECK FIREPLACE
861 0456 P.01/01
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~:~ l~~~nl ~RMIT No.5" J -~ 0J
ZONING l"l(lc~
u.e)
~
LEGAL DESCRIPTION (offIce use only)
PID
LOT BLOCK
ADDITION
OWNER
(Name) DA N/fL J-lDHMAN
(Phone) '} 52 -11 q 0 -JUpB Z
. (Address) 151'15 JEFFER5 PA55
APPLICANT
(Name) VIERE (K FIREPL~fE stUD
(Phone) .~ 52- ~LlD- 5'-20
(Address)
1t~1 5 I MII/N AVE Sf
PRIOR LAKE
55372
(Contact Person)
(Address)
(City)
(Zip Code)
APPLICANT
ONEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RE"URN OPENINGS
TYPE OF SYSTEM
(phone) 952- 411lJ - 5~Z{J
DATE B IIJAY 2005
SE COMPLETE BELOW
o REPLACEMENT 0'"'Al-TERATIONS
FUEL
INPUT OUTPUT
HEATING OR POWER PLANT
FlREPLACEMAJ<.E AND MODEL l,1AJE5T1C )i,ORFN AND 3f-DDVSZ
FEE SCHEDULE
Industriul, Commercial & Multi-Family 1 % of job eost Residenlial, Gas fireplnct:
$39.50 minimum
Residential, Hearing & AlC (New COllsmletion) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (Ncw Con~l1uetion) $64.50 Residential, AC Only
OWarm Air Plll.nts
DGravity
o Mechanical
OAir Conditioning
OVen!. SySTem
o Sleam
o Hol Water
o Rauiation
o Spc:cial Devices _.
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inlO
Required Side Yard
Setbacks
$39,50
$39.50
$39_50
Estill1;\tcd lAst $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit ti-
$
$
$
.50
(Offi~(o Uge Only)
Paid
Receipt No.
This Application Becomc~ Your Building Permit When Approved
Date
By
I
Dille
BIIlldlne Officia]
24 hour notica for :111 iMpections (952) 447-9850. flAX (952) 447-4245
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /S Z 4-S JePfE:K-5- PASS
NATURE OF WORK L0l1)61C ~V6L/it~~L.L.-{)~
USE OF BUILDING ;ecs /-IlK / ~ uaLAA-> o-.J \'sI~I~ ~~~
PERMIT NO. os. D {Lfo DATE ISSUED Z. (fa. OS- "])wf:l.Lit--1j"
CONTRACTOR /fOHt-1;:JIV A.J PHONE 2/'8/o~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
- I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
---- ,~ -
'it
FRAMING
INSULATION
ELECTRICAL
PLUMBING J I; 1/
HEATING (if required) 1O _ V\ ,~{)
FIREPLACE
GAS LINE AIR TEST
------- "
~-- A
BUILDING "\ -~ \) \
ELECTRICAL CJ '"
PLUMBING
HEATING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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 r'! ~NSPECT!'"''''~ (QJ::2) 44"7-Q~50
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