HomeMy WebLinkAboutBuilding 02-0231
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.3 - /2- 02-
I. White File I PERMIT NO
2. Pink City -.-- . Qz~ r 0 '/ ?, f
J. Yellow Applicant . ~
ZONING (office use)
Ici-
~590 1I{//V;;VII/vG;I3//~ 710/ L-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 3 ADDITION K/V 0 tJ )1/ c..-L- .::3 ~
OWNER
(Name) Q\e \-\-0J}'::>00,
(Address)
\\' N.E.
BUILDER
(Name)
(Contact Name)
(Address)
PID ;z5 ~3 +1- {}~ ."
(Phone) c; 52 - Z 33 - 2- oC; e
(!,eU (,.; f 2- - <a 4-() - SCl57
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o Misc.
o New Construction
'~Lower Level Finish
4- 12-f'1S.
ODeck
OPorch
ORe-Roofing
o Fireplace
OAlteration
OUtility Connection
DAddition
PROJECT COST IV ALUE (excluding land) $
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 uPo,nl pr ~e"9' ~perform needed inspections.
~ :5 ~/2JOZ-
X
Signature
Permit Valuation 9-1000.00
Permit Fee $ 87.25
Plan Check Fee $ .---
State Surcharge $ 2.00
Penalty $
Plumbing Permit Fee $ 4-0. DO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
]-11-0~
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTALDUEM1Jy,n 3-/3.02- $ /Zo/. 2.5'
~ 1~5lt.5
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
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
issued.
Planning Director
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
\:
The ("enln of Ihe t.kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/I,qIV5011l~ VA L-E:
,
3 - /2 "()2..-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4690 lIul'"1n /llGj 13/ /2{) ~ / L-
Accepted
Accepted With Corrections
Denied ~ ~_
Reviewed By: ~ ...
Date:
3-13~o--c
Comments:
iJel7v THE L-U !Iv' Ek LEI/6L..-' rl/vjS!-/
Ifm,; D OvT-
"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."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
~
\
BY:
Date: -.3 -- / 2 ~ 02--
Building Permit # PID: 25 -3/,(,9- 018 ~ U Zoning: !2-1
Site Address 4---590 1!f//V;/"1/ll/q e/~ 77W7! L-.
'7
Legal: L ---"
B
.3
Subdivision: IQJOb H/tA- 2: J?~
Existing Structure: ~~ NO
I CONFORMS TO ZONING
. ORDINANCE
/~-
0:/
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ;L
Is the property located within the flood plain? Refer to Planning ;L
Does the alteration include any additional kitchens? Refer to Planning ;L
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ~
Is the proposed use of the [mished space or Refer to Planning --f
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED Al'lD INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TE.MPLA TE\AL TCHCK.DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
'"::rp~(Xz,,' _.(jz;S't
Date Rec'd
3--2/-02-
~. ~;':n ~~~y I PERMIT NO.'O..., -6 2/-/1
3. Yellow Applicant . c.- (k'.
ZONING (office use)
+590
Ht//1r1/ NG/5'/;eO .~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I OWNER
(Name)
(Address)
(Address)
(Contact Person)
APPLICANT SIGNATURE
PID2S- -.]~9 -(1/9-0
(Phone)
(Phone)
BkRltS(),/ltJ
(City)
?O.k- 8'?8 -;11'-1
/J(#{ \55387
(Zip Code)
(Phone)
DATE
j-jl-()2,
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
AKE AND MODEL
IndustriaL Commercial & Multi-Family
ResidentiaL Heating & AIC (New Construction)
ResidentiaL Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
ecomes Your Building Permit When Approved
3,. Z~/-o?_
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Building Permit # {j Z - 0 Z(p /
$ ..3Cj ~O
$ .50
$ 4O..dV
Paid 10.00
Date
3- z. 1- () 2-
Receipt No-,t. . C ?
I. ~/,,:>"Z.>
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3-6 -OZ
1. Pink
2. Green
3 Yellow
~:~ I PERMIT NO. 0'7 - 0 7)11
Applicant to- c--
ZONING (office use)
~.tu
LEGAL DESCRIPTION (office use only)
LOT
BLOCK ADDITION
PID25-349- Ole -0
OWNER
(Name)
'lxl \. Q . ~JI~DY\
(Phone) CJ69-- ~~?:5-.;lCA 'd
(Address)
(Address)
(Address)
(Phone)
~x=
(City)
? ..0"" (J
(~~ It>
(Zip Code)
APPLICANT
(Name)
(Contact Person)
(Phone)
Cfs;)... 5l9/;~COcC
APPLICANT SIGNATURE
~uWY'
DATE
3.- 7--0~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ / CJOO ' oc)
Building Penn it # 0 Z - 0 2ft}
$ 3(1. $D
$ .50
$ l.iD.DC)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This App,I~/t~~:ecomes Your Building Permit When Approved
~/YJ- > -~ ---01-
Building Official Date
paid4-0.00
Date
3~ ---0 z..
Receipt ~/2 8 q
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
OEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4590 HUILJNI;Vyl3/I<f:.) ~I L---
NATURE OF WORK LOW6~ L6V6L-
USE OF BUILDING I2ES /I /~
PERMIT NO. 02 ~oZ3 / . DATE ISSUED J -13--c)~
CONTRACTOR H/1/VsoIV/ D/itA5 PHONE 0/2) 84-0 - 59S1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
..... IT
I~. l I'll" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- . - .
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) iJo.v.
FIREPLACE
GAS LINE AIR TEST r~. . ~ Z ~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'NP
q"~7
r:v~1
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
it,LhJ)
I~/
t
((- v(-u(
i / t.J -0,-
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electric&.l servi;:;e 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850