HomeMy WebLinkAboutBuilding 05-1219
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/'1rr~~I t!~
(l~. /'1- +
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e:...."Ti
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5.C)oS. 0(11. 0
Date Rec' d
I Z . (p _ oS
1. White File
2. P;nk Ci.y
) Yello... AppliCllnl
I PERMIT NO. 05./2191
I ZONlNGc__> I
N'-IJI\-L.
PIS- '-/WO ,.J f
Ave.
OWNER
(Name) A-!c....o~ l>Ev~4-0fJK.MtL....J r
(Address) 1'~ 'Z r M Vt<.o B....\) t> . J" , .,.~ '3 ~o
(Phone) q 5 2.. 'd !,$ . c..fC:t e \
G. b I ~A-
S"S''i3c;
""'tV
BUILDER
(Company Name) To LA.. B.U"~~~ :r~c....
(Contact Name) -'2. \t,k.- ~ I trMl> Co'f,..
(Address) \qO() CJ)I ott.M"'- ~T't-h.. D.JA.\lE.. ~~,
(Phone) ft>~I- g~S. OS S-I
(Phone) <051 - ":#0':1 . A!>'l S- CJt \.L
\ \() E 'oA,.,j M IV S" S J l-I
TYPE OF WORK 0 New Construction ODeck o Porch ORe.R~ng ORe.Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 't'Misc.
CODE: OI.R.C. plI.B.C. IV .;6)V' A ~ PROJECT COST/VALUE S J \ ,..,-" G. C C>
Type of Construction: ~ I n ill (!..)/ UD (excluding land) I
Occupancy Group: A <-!v E F HIM R S U
Division: 1 2 3 4 5
~
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 ur authonzcd agent for the
above-mentioned property and that all conslnlction will conform to all existill8 state and local laws and wiu proceed in accordance with submitted plans. I am aware that the building
ufficial c ... ore, J hereby agree thalthe ciry official or a designee may enter upon the property to perform needed mspections.
l2lC..ac.'~ - ~O""'5" j 1D\D2.. !l/Z,!o.J-
Contractor's License No. . Date
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
~~~p;;::=.
Buildin Official =t-'-Datel
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other S
TOTAL DUE S ~70. tc~
r
(
11us IS to certify thatthc request in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requl'Sled. This document
when signed by the Ciry Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cl'rtilicatc llfOccupancy must be
issued )
/;2 -/!J- C!_-r MAJ.~ncc'rV Dtz.lfe' + lJrr. ~AVe' sflli~
Date Special Conditions. if an
24 hour notice for all inspections (9~2) 447-9850, fax (9~2) 447....24~
16200 Eagle Creek Avenue Prior Lake, MN 55372
Db
APR-07-2006 FRI 11:08 AM RAY WELTER HEATING & A, C
FAX NO, 6128252303
p, 03
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~w ~~~"l I PERMIT N~ OS / LIe; ,
. c;iU e ~ of Pi if;)
I ?LtS 5 '2sfbntn ~Il
ZONING (oll".ee Ug~)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
APPLICANT SIGNATURE
(Phone) 1/,5/..- ZitS/I} 65 /
5SJ:}.1
(Phone) ;;;~ gj,(vttb7
(City) (Zip Code)
(Phone) tl;;~ ~ ~ 5-- b %t7
DATE .... - jJ~
APPLICANT PLEA COMPLETE BELOW
EW CON~UC~ION 0 REPL^.CEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL '1 rlnJJE:.- 171'1. {)~{) 7P"j . FUEL
FLUE SIZE ~' I PI Uvt:A RETURN OPENINGS 't INPUT 6 PJ f)1JiJ --OUTPUT .5'1/ ()ZJV
"'~' TYfE OF SYSTEM HEATING OR POWER PLANT
. 'Ill. N'7tl cr ~Wa~ Air Planl!l 0 Steam PLEASE NOTE:
V V' / ~r!\IIJIY 0 Hot Water Air Conditioner Units
. Lr> . A 0 Mechanical 0 Radiation Cannot Encroach into
~h ~\..V\ OAir Conditioning 0 Special Devices Required Side Yard
o OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
139.50 minimum
$99.50 Residential. Additions &, AIt~rations
$64.50 Re1lidential, AC Only
Industrial. Commercial & Multi-Family
Residential, liealing & Ale (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
$39.S0
$39.50
$39.50
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Offict lI~e Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
DateY...-/3' 10
24 hour notice for alllnspectioUll (952) 447-9850, tax (952) 447-4245
16200 Eagle Creck Avenue, Prior Lake. MN 55372
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lOLL. /3,ec77lEA:.S
/2. (~.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I3f;Ll10Al/ e571775S - t./TVj KAJI1 J 13[l./'?ot-lT
Accepted ~
Denied
Accepted With Corrections
Reviewed By:
If1IIj
Date: IJ. -/~-t?'r
Comments: See Revef$e Sid~ for Additional Lnfnrm~tinnl .
i"
See Attachments: 1) Grading Plan, 2) Erosion Control MeaS1J.TeS
'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."
CWhite - Buildiiia:::>
Canary .. Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lOLL- !3,8{)7JIe;es
/Z~ & ,05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.
I3?;L41{)A!/ e.J/7/75J- - UV/ K/!J 11 r 8cz,not-fT
Accepted
Accepted With Corrections
/
Denied
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~~
).J()
~
Reviewed By: ~ ~ Date: /~t?/tJS--
Comments: S~ T~ ~4..-t .ire cs-t--J ~ (X)
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"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
C Pink - Planmn~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
I ,
. . ~. ~.
/
,....-
, :,..,..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
4/~
/
Date:
1).-13-tJ5
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."
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS :r~~EtTf~~ .F ~ @, I' ~ ~nMbtJT' ~i.
.
TYPE OF WORK S9\"-lAf' ~cl2~~ 'S'~L.€S -ri'.A.t~ea.
USE OF BUILDING 13... ~e.,e'-"t'''N~~
PERMIT NO. 05./ Z/~ DATE ISSUED -'Z 113(0 S-
BUILDER h&- ~st()td~SI 1tJl.. PHONE #(051 "7D7-ZS!l5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~ECTOR /? DATE
I FOOTING I ~YLfI Vl7Y/ I (- C'.O(P
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING d ~LI- ()~
E Lt:CTfl. If ~
FINAL ~ _ V-ac
FOR ALL INSPECTIONS (952) 447-9850