HomeMy WebLinkAboutBuilding 02-0184
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2-/2-02-
~i~i~e ~:;y I PERMIT NO. 02 -01 124-1
Yellow Applicant . l2.. .
315~ tJ;J1 ~ ~l1JuJ
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Deck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
ZONING (office use)
e/
./
PID 25<3
-0
(Phone) t-s, ~ i 0 &'~ Xs-
(Phone)
(Phone)
9S:J... ~r.- <8' '-I Y ~
~# JDG)..
~..:3 oCa
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
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 or
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th ptoperty to perform needed' spectio
,
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
.00
.00
35. S-O
,00
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
omes Your Building Permit When Approved
a-IS-(J~
Date
OAddition
OAlteration
~-I/-t)~
Date
$
$
$
$
$
$
$
$
$
c~Lts Zense No.
Park Support Fee
SAC
#
#
TOTAL DUE
I ~;eiPt NOif/3 d
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 document
=;" ,d by n" Ci~ Plmocr ,,,",ru~ , "_'" Ccrtifi~" or z_ ~p""'~ "d '"~~ ~~. &fure 'j"'" . C""",,," ,r 0=_ =,,"
Irector 2-1U;:(<-Q'L... speZ'co~~s, lany~~N\O\<'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter Size 5/8
, .
,
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I Paid Y; ~lo~. Y'-(
Date ...... c6- 09--
1: 18PM METRO ~frY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PEIWIT
NO. 652
P.l
Dale Rcc'd
1. "Iok
~o.~
J. Ytll..
~~ I PERMIT NO. 0 - &'41
"~_Ii.~~l ..l I
I ZONING (....~ =l
UlQAL DESCRIPTION (office use only)
.
Lj)'f
BLOcKS
ADDITION
~ ~\ ~~
.)a,",~
PID
{..~Il "
()u...."" ~
(phone) "\ 0._ 'i? 'i.. -'8 '\1.\ \I I
So C;){) ~
OWNER
(Nll1TJc)
~
, \ \a
APP(..ICANT .N'\ '" I ~-
(Na'llC)" '~~r~ 't~, - -\_ n l;
(AtJd~'eSS) \ ~ q )S tJ "-l, \ l (J ~ !t \! '-
: (Address)
(C'-'n}act Person) N L.~ V\ L-\) S L.'-' ~ '- \ \..
APPpCANT SIGNATURE "-Pf\vvv.-...b ~'.ok
(Pholle) ~ S :~ '--\ ~ 1 - ~ \ :). -=-(
"1\ ~)- l~\u.. fit\) Ss., '~'I d.
(Cily) (Zip Code)
(Phone) '9 ~ ~ - "\ Y ,. ~ \ t). '\..\
.
DATE
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTrON 0 REPLACEMENT
FUttljACE MAKE AND MODEL ( "'....."'" ~- \"\\J P \ ~~
FLlJ~' SIZE ~ \! L RETURN OPENmOS \ t\
TYPE OJ? SYSTEM
INPUT \~\\. CHlD
HeATING OR POWER PLANT
o AL TERA nONS
FUEL l\J C\t
OUTPUT .9 1, ~
. , lSlWarm Air Plnnls
OGraviLy
iCMech311/c81
Air CClIIdilioninc
cnl. System
o Sleatu
o Hol Waler
o R:adialion
o Special Devices
o OUlcr Dcvicl:S
PLEASIC NOTE:
Air Conditioner Units
Cannot Encroach illlo
Required Side Yal'd
Setbacks
FI~E LACE MAKE AND MODEL
IndllSllillll. Commercial &. Multi.Famlly
FEE SCIIEDULE
1% of job cost RCllidenlial, GIS Fireplace
S3~.~O Ininimum
$99.S0 Resldchtial, Addilions & Allcralions
$64.50 Residential, AC Only
$J9.S0
Re~jd~f1tial. HCllting &. NC lNew COllstnlcllon)
Rc~id':fliD'. Herating Only (New ConsQ'UcliOfl)
3;39.50
S3'.1.50
ESlimated Cost S
Building Pcnnit #
HEATING PERMIT r~E $
STATE SURCHAR.GE $
TOTAL PERMIT FEE S
.50
r--
.I'!l PAlO I..
l. gO/Lo'N vVlf'!-r
I G PC.
(O/',i~e Un Only)
C~i AppliC>l.lolI BeCOMes Yo.. Bnilding ronn" Wh.n App.-...d
Bulld/nl Omcla' Dille
('oi
Dale
By
a
Receipt No.
24 'lour nolice (01' lllllns.,_ction, (9Sl) 447-9850, ru (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
3- 2.5-{r2-
Green File I PERMIT NO
Yellow City. . 02 - DIU A_
Gold Applicant ,.J'&,--
ZONING (office use)
.3 ,~1. w r LI'J /I Orl! L C,E.
IV . v..J ,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) tJ:i--",/ tJ w 0 C' 0 JI om AfS
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) V/?. [SJ./bt
{xc.
(PhOne)C9.(2,) f '12 -, c/ () [.
(Address) I f.o Jig J OPL:X:r,J w,4Y
(Address)
(Contact Person) ~ ~_ 're H
APPLICANT SIGNATURE c..
L ,4/LE tI..LLU~
(City)
sS"o iI tj
(Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=-- feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line L/ () feet.
Clean out (if required) located at.,,- feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
0(,)
Estimated Cost $ 9 () () .
Building Permit #
() 2/ (JIB4-
.50
'h'l(
._~ ~l
;;[)~ .
(/()/J 't~t.J
1)%/,'"
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Use Only)
\pplication Becom s Your Building Permit When Approved
! ' 7-\ - ,< l.-
Date
lJuilding Official
Date
'3-. -Z (' -,' '-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
, I
1ITY 01 PRIOR LAKE PLUMBING PERMIT
\ i Ii I I. B~ f'le I PED1t>.'lIT NO
i.f I :. Cui.! c," nJ."t' '. . /)1_ / r; II
ii' V.llow ."P!'liQnl (/~ ?l:J.
. lit bottoml : . I
I ! I . ZONING (Om~..sc)
-*~ ~ r1ui;) ."/W.
I
.>Y~~
LOTi'
OWNER
(Name)
(Address)
APPLICA
(Name:)
(A.ddress)
MATTHEW DANIELS,INC.
423 3017
P.01
&.Iale Kec'd
PIDi
;/.;J..!J' I ~'1:'< D
(PhOne)' i:.5"J.
DATE
Q-)
APPLI~ANT PLEASE COMPLETE BELOW
Quanti~ i I Type ot Fixtjure i Quantity Typ~ of fixture
..:J.. Bath lfub w~th ~f without ~hower I .,. Rough-ins : .
.
I Dish~asherj i i I I Water Heater j
I Floor Drail1i 1 I i JILL Water Softner ,
I ,
S Lavat~ry (gathf~m Sink~ ! J Stand Pipe (Washing ~achine)
I LauR~ry Tr~y (11 ~r 2 compartment sink Sewage Ejector .
I Show~r Sta~l 1 : I ! Bac:kflow Assembly :
i
J Sinksl ! , Bac:kflow Assem~ly lest
I
Bar S~ I Lawn Sprinkler :
~ Wate~ Closet (Todet) I . Other :
I l I
II! : . FEE SCHEDULE
Industrial. Fommercia1~ M\lhi-rartiily: 1% ofjo cost with a $3950 minimum
.' I I I
Es~matedCost S
I i ~
I .
! . PL MBING PERMIT FEE
I 'I StTE SURCHARGE
I . T TAL PERMIT FEE
(omce Use O~IY) ! I .
This Ap ,lic.tlon Be~omesl"o~r BUiJdiDgrermit When Approved
.' I'; I
I ~ :. I
~ildlllg Omcia' I nate
'./
R.esidentlal, New One &. Two-Family
R.esidential. Additions &. AlteruIons
S99.50
539.50
Building Permit #
$
$
$
.50 .). .
/1)1). i;lJ ~ lJ~h ~ I fcx.
. · ,: 'j....D'~
! :. ,)\.'
Paid Receipt No.
Date
By
-, r;nn?
i 2~ hour nO*ice for all iaspections (951) "1~9ISO, fa:lt (951) 441"'145 .
!. I . ,
I
I
TOTAL P.01
~~
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct'nler of tht' LlIkt' Countr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~; ; )
J J"'i // \ \
; l
i..
I ,
,. Ii
. I
-
c
(
. / ---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--~/ ~..,.-
. .
r! i-
.-
,.-'
,
Accepted
Accepted With Corrections
~
Denied ~
Reviewed BY:~ _ _.. .~~
Date:
J-/'2!tIJo 2-
Comments: J
~'VLt& 3D, VI' ~
n__~~ -- ~ ~~Y'ee~~~ .C),..
u:N\ e... 11
MIV\~Vt1U~ ~ zrL9~lJ ~
~~ VJ~~ .. .~.LJ V\
"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
Pink - Planning
The ("{'nter nf tht' Lalu- Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\N/NDwaoD H0t16~
.
z- /2-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/52. WILD HO/2-sf:/
~Ie~
Accepted
Accepted With Corrections ~
Denied ~
Reviewed B:- - ~k-
Cnts:
oQl a~~ ~dLoJ:c
Date: ;(... 15 - O~
"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."
62- /gLl
White - Building
Canary - Engineering
Pink - Planning
.-,
The Cf'nler of 1he Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\V I tV /) vV (JO f) rl Ot\~1 E ~;
z- '-2- 02-
I' .'
The But/ding, En~neering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(, ~3if5 8. ~' V~(I~;I&. L) ~i OJ2- :==--E C/ I tc:CLA~~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Il/XJij
Date:
Z-/$-OZ-
Comments: See Reverse Side for Additional Information!
~:
,-.'f
;1>
'~ -..
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
.. ... ..... '. . ...
crTI OF PRiOR LAKE
Impervious Surface Calculations" '. - "
" .c-r:o. be :Submitteti w:ith B~ildjng Permit .AppfiClticn)'. " . ,
For All Prop~~es.Locate.~ in the Shore land District (SD).
The Maximum Impervious Surface Coverag~' P~niiitted ill :3 0 Percent.
Property Address
8/52- MLI/ d.8!iC (J/,Ject-E AI.' w
Lot .Area /~. 744- Sq. Feet x 30% -' ......:.~.~... 5323, Z--
*****~****************************************~******~******************
HOUSE
LENGTH
"WIDTII . SQ. FEET
x: =
AITACHED GA.R.A.GE
x:
x:
=
TOTAL PRINCIPLE STRUCTURE._._.....___...
DETACHED BLDGS
(GarageiShed)
X;..
X
'24-tJtJ
1"vCl.VI'.)('J fl'hrr 'p~c,l.1
TOTAL DETACHED BUILD IN GS..............._......
~EW AJh~A YED 'AREAS
(Driveway-paved or not) ,
~id~arking Ar~as)'
,,1/4
&'9 X 25"tJi) - ZS- =
'. . x'
-ztJx:4-
7tl'1,b
=
pc;
,
=
TOTAL P A YED AREAS .........................................
7 g 7, t
P ATIOS/PORCHES/DECKS
(Open DccXs' ~.. min. .opening- between
boanis. with a pervious surfa~ below,
are not considered 'to be impervious)
.. .....
x.
.X:
=
x
=
TOTAL D ECKS.....__..~_._.._.._._....._.___.. #' #
. '. ..
OTHER
x
=
x.
=
TOTAL OT.HER......-..~__....._.._._.__.............
. ,
TOTAL IlYIPERVIOUS SURFACE
~OVER_ .'
Prepared By . ~ L
Company I~L Z;~~7 ~..
Phone it 437.. - S OOD
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .3Jsa kif"&- Har~. Oh- 1
NATURE OF WORK 1...)-Pl./J
USE OF BUILDING Sf:: D
PERMIT NO. ()2 --O/g4- DATE ISSUED fl..-16-aL
CONTRACTOR. W;~~ ~ PHONE Cj6;;>'-~8c.;q6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
~.
, FOUNDATION (Prior to Backfill)r~ lb 3/.:>.) j o"'Z.. I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 0:).
FRAMING 801-
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST K. ~'l ~ C\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Stocco L.o. ~ I I
FINALS
I FOOTING
DATE
I 3/ Z b / tJ ~
GRADING (Prior to Sodding)
BUILDING '1(, 0 ~-J- V
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, car4 shall De placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850