HomeMy WebLinkAboutBuilding 02-0391
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29
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4 --8... 02-
I. White File I PERMIT NO ill
2. Pink City . O? ,,- ^ ""L
J. Yellow Applicant . k V::7_
:S3~3 uUl~Wv M0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK 3 ADDITION
TYPE OF WORK
o Lower Level Finish
o Misc.
ZONING (office use)
12/
PID Z5-375- 02(,-0
(Phone) ~5~ -It "if) -13c;l ~
/l..J S-S3S
ODeck
DPorch
ORe-Roofing
OAlteration
o Fireplace
OAddition
ORe-Siding
OUtiJity Connection
PROJECT COST/VALUE (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 upon the property to perform needed ins ections. I
~ \
X
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
1,,0 .. (9 0
100.CJO
.~-CJ
t.( 0 . (!)O
Building Permit When Approved
tf-/2 -02-
Date
~r17
Contractor's License No.
Park Support Fee
SAC
#
#
if ~~ 1/.):)..
Date
$
$
$
$
$
$
$
$
$
Water Meter Siz 5/ ; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
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
~"\r:'~:=~;;;;;:rettd--~OOOO~~~~~~'~
Plann~ Date Special Conditions, i any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I ~-
White - Building
Canary - Engineering
Pink - Planning
The' Cf'ntC'r or ChI' I....r Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\1'11 N 0 ~v 00 D HOf'/j ES
4-':' B - '02.-'
. , ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33(03 ~iV IL-D l:JuK-\E c--/ 12US N~V.
Accepted
~
Accepted WithG,orrectiol]s
Denied
Reviewed By: -AI /1[3
Date: Y' -/ S - ~ l....
Comments: See Reverse Side for Additional Information!
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."
White - Building
Canary - Engineering
Pink - Planning
ThE' ('rntrr of 'hE' t.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WIl{DWOOD H0t16S
4- - Fj-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33&3 WIL-D HOI<SE C--l teU~S NvV
Accepted
Accepted With Corrections /--
Comments:
Denied 74;;; J
Reviewed By: ~p f1'>7.fi;;:::.
~ ~ lZit-aclted
Date:
{-12-a'2-
/-?J. ~
"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."
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Re
~. ~~I:':., ~:~~ I PERMIT NO.O''/_ ~q
J Gold Applicant. C1'- ~ {I
33'3
ZONING (office use
W;ZLtJ rlOI2-S
Cd. nI.W.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) u..}-.(j~J t) \..0 cOD
I-} 01\1\ f S
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA~T
(Name) ()-/t ts fI-&L. E XL.
(Address)
J &. i / g 'StPL ~.J
(Address)
Di..t.:)-L H
W,4y
(Phone) (J j- J ) f' c/:) !r.~ 9 Cl ~
c-lt. UL . .s-S-6ljl/
(City) (Zip Code)
(Contact Person)
-1)~A
(Phone)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service -L- inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. 0 ABC / ~ PVC 0 Cast Iron
Estimated length of sewer line ~ 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
$17.50 Water connection only
1% of job cost with a $39.50 minimum
$17.50
C\-C
Estimated Cost $ q 06.
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,bW)
Building Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
8:37AM METRO A~ITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE I)ERMIT
NO. 012
P.l
Dale H.ec'd
S- - 17 - d L
I. Pink
2. Orn"
J. Y.IIDw
1';.1.. (PERMIT NO
Clly . -r ill
"pr'lc.~' I:'.:)::t - 0 ,;l ~
I ZONING (""~ ~I
-,
w\\~ "()~,~ c.~ r-clt.
Lf;'QAL DESCRIPTION (omce use ollly)
LOT \ \ BLOCK ~ ADDITION '-l " \ ~
OWN,'ER
(NiirT/c)
\4 '\ ,,<\ \rl \) \) ~ \\ ~~>
, '-\ ~ .f.. ~', ~ f-\ .J
J
S'"~
1'10
(A dress)
~
o \.t.. ~!"I ~
(Phone) CZ\ S:J._ '6 ~\ ~ -~
s S3()l, _~
APPpCANr 'f\. I -r-'
(lIla~]e) \1\ ~ ""\: f\.J '"', \ r- -L y~ L
(A~dICSS) \~'i 'X\j \.J ~\ lu~ (-\ V '-
: (Addtes!)
(Cvnlact Person) N u.. VI L-\J S L'" ~ ll... \ \..
AP.~!ICANT SIGNA.TURE ~~ ~ --.~~
' \~
\ \ \v
(Phone) c; S :)., '-1 \-\ l- ~ \~
~ r \ 0 - l t., \ l\. (\ t\)
(Cily)
(Phone) 9 ~ ~ - "\ Y r- ~ l~\
DATil OS.... (/~ ~
Ss:, '~'I d.
(Zip Code)
,--...., -..
APPLICANT PLEASE COMPLETE BELow
llZiNEW CONSTRUCTION 0 REPLACEMEN1. 0 AL TERA TIONKJ
FUjl'lACE MAKE AND MODEL t.u.....~ '" l'"\ Ii ~ - \ ..." FUEL crt-
FqJijSJZE ~ RETURN OPENINGS INf>UT\~~,O~ OUTPUT ct ).0 ~~
TYPE OF SYSTEM HEATING OR PownR PLANT
'. ~arm Air l'lants
OGr8vily
o Mechanical ,
Ga.Air Condilioning
~erll. System
o Slea/1l
o Hol WOller
o Radialion
o Special Devices
o Other Devices __.
PLEASE NOTE:
Air Conditioner Unils
Cannot cncl'\l8ch inlo
Reljuired Side Yard
Scthac.ks
FIFiE~LACE MAKE AND MODEL
..
Ind\IS{lial. ConuncJcial &. Mll/li~FallJiJy
R.esjd~plial. Healing &. Ale (New Construction)
R.e~jd<<;Ptial. Healing Only (New COlIslruclion)
FEE SCHEDULE
1% of job COst Residential. Gas fireplace
$39.50 minimum
$99.50 Residential, AddiUons &. ^11cralions
$64.'0 Residentilll, AC Only
$39.50
.liJ9.50
,~J9.50
(Oft.l~e U5~ Ollly)
C":; Applln"D" Becomes Y 00' BDilding P"mit Who" APP'DVod
Bulldln.: omdlll Dalt
E"ilo'tcd to" $ \ ~ l <;l ~~ Build'". I'o""il II 0 Z ~Jl.,. /
HEATING PERMIT FEE $ . ~AI~~~
STATE SURCHARGE $ .50 P~I1I'61tr
TOTAL PERMIT FEE $
24 hour nOlh:e rOl'nll inJpecl/ons (952) 4~7-9850, ru (952) 4~7....f245
MRTTHEW DRNIELS, INC.
423 3017 P.02
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERiVIIT
jt[ !x)ctQm)
~. ~': ~~~ I PERi.'\lIT NO. ./} - 3.- 9/ J
1 V.llo... ..\l>plll:.t.I'tC . ~_
~~3
*~ u41tt4L ~ N.)I/.
ZONING (olfiw.l.Se)
LEGAL DESCR;IPTION (office lJSC: only)
lOT II BLOCK"'" ADDITION
sJ.h
PID
I O~ER . "' ~ _ J '\
I (Name) ~{L"'II~~~~) ~du (Phone) 9~. 89Jl-9#f.
! (Addw') ~:jJI l'''''f: D'44 . \.40. . >A~~ 4'4i;i~?-; .Y>0. .s;,.:"'''7
APPUCANT, J . . ~
(Name) ~ttl f)) 7) iJ//J J JjAj ) . "-4J. (i _ .
(Address) /s:J30 (J~~/dJj)(} JJ _ 'lh,1!J
(Address) If
(Conract Person)
(Phone:) '=Sf. ~;l.3. ..3'1:~ n
~Jri..LIlJf. ~;) $06;;J
(City) (Zip Code)
(Phone); 6$"/- .;~ . ,37.30
1
~
I
APPLICANT SIGNATURE
DATE
Quantity Type of Fixture i Quantity I Type 0 f Fi:uu re
~ Hath Tub with or without shower [ 4/ Rough-ins
I I I Dishwasher i I Water Heater
!Floor DraiI1 .. Water Softner
I I I
~ :Lavatory (Bathroom Sink) ! J I Stand Pipe (Washing Mac:hine)
I Laundry Tray (lor 2 compartment sink i Sewage Ejector
I Shower StalJ I Bac:kflow Assembly
I Sinks I Backflow Assembly Test
Bar Sink. Lawn Sprinkler
d Water Closet (Toilet) " Oth<!r
APPLICA~T PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $.39.50 minimum
Residential, New One & Two-Family $99,50
Residential, Additions &: Alterl1tions $39,50
Estimated Cost S
Building Permit #.
(Office Use Only)
This Application Beeome$ Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
I TOTAL PERJ."\1lT FEE $
H.~
.50 )
I~IJ.. ~~ ~ ~Jh... "
Receipt No.
Paid
_"Pf..;fiUIldinc Official
....
Date
!~
'.
By
Date
24 hour notice for all inspections (952) 447~9850, fn (952) 447-4245
1
Date Rec'd
File
City
Applicant
(Please type or orint and sign at boctom)
I. Pink
::. Green
J Yeilow
I PERl\lIT NO. nJ" -3 q / I
I
ZONIKG (office use)
I ADDRESS
3~3>
~.: IJ
H orbC-
c; I'G ( (
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
t 0 .",J Woot.O
J i..f .~ It
HoJc--~
bv.,r.J
(Phone) (1';- z.. - 89,s- - f5"y"tg
I (Address)
vt..
s
APPLICANT
(Name)
U " c..f '-<- j(
f-.'fc:.. fl,,-,-,-
jY) tt d'\
(Address)
/fvr..
(Phone)
Sf-
9::> L - Y'-/o- S-f. L C> 11
f r,~ ~k SS51
(Zip Cede)
(Address)
J hI '5 J
(City)
(Contact Person)
(Phone) CjS 2...- ~~o - Sb UD
DATE 6 " oJ I:, - C> '-
APPLICANT SIGNATURE
APPLIC NT PLEASE COI\IPLETE BELOW
BNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIm,;S
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURi"i OPEJ\'fNGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Otha Devices
OUTPUT
OWarm Air Planes
OGravity
o Mechanical
OAir Conditioning
OVent System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE A1\D MODEL jY\",'\ .,.,. \--.(.
DIl 3bc ~AJ
FEE SCHEDULE
rnJl.i:)i.r;~i:. Con-lrr:C:"Clai c..\.: !\'fUltl-FJmtl:.
1 % of job cost
539.50 minimuri1
599.50
SM.51)
Resi"':c~,tlal. Gas :=-ircplacc
S39.50
Rcslc!ear,:li. HCiJt:r.s 8: .,\.C (~cw Constr~ctlon)
RCSldc:d. Hcatr.g Only (?\c\, Construc:ioi:)
Res;jc~,tial. Adc:iClons & Alcc,,!.tions
R~sic::nt:al. AC Only
S39.50
539.50
Estimated Cost S
Buildi:"g Permit ..
HEATI:\G PER\lIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s
s
.50
I"", ..',
..:'5}f, f,} ~ if'"
I&. ~ ~'::'~Jb) ,< '_1,---
(Office l se Only)
This A,pplic<1[ion Becomes Your Building Permit \Vhen Approved
PaId
Receipt :\ o.
Date
JUL.
3 )firi:
..\.....,J,_.".
Bv
r;c
Bujldin~ Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
...... .. . ..-
crTY OF PRIOR LAKE
Impervious Surface Calculations" .. - "
'" " r~o. be :Submitte.d wIth 13~iIding Permi~ ,AppliC:1tion}, .. . .
For All Prop~~es.Locate.~ in the ShorelandDistrict (3D).'
The Maximum Impervious Surface COYerng~'P~n:iritted in 30 Perceiit~
Property Address 8306 Mt.1J //tJ;;?GE CI/2ac A/}(/
I
Lot Area / 4~o Sq. Feet x 30% ='......7.~.~... 433)
*****~****************************************~*************************
LENGTI1
WIDm . SQ. FEET
x =
HOUSE .
AITACHED GARAGE
x
x
I
." .
=
. DETACHED BLDGS
(Garage1Shed)
TOTAL PRINCIPLE STRUCTURE............_._..... 2 ~ ZB
/NC.(.vl.?€S" I"~I/
..;.. C.4.t17>.
x;..
x
TOTAL DETACHED BUILDINGS....................... 1/4
(~p It 2~3' +11.31-= 7tJ4-
r _ Zs:tJI?
. . x. =
'21- x. 1- = I//,
TOTAL PAVED AR.EAS.........................................
P ATIOS/PORCBES/DECKS.
(Open Decks-~" mIn. .opening- between
boards. willi a pervious surface below,
are not considered'to be, i~pr:r:vi~~~.
. ~t:7c:/
x.
x
=
=
x
OTHER
TOTAL D ECri......__...;._._..........._........_....._.. ~I/.
. '. ..
x.
=
x
=
. .
TOTAL IlVIPERVIOUS SURFACE
~VER
PreparedBy
TOTAL OTHER......_.__..._......._......................... ;/4
Company-
.~-/~
I~L t;Uy~7 t;..
Phone iF 4,7... - S OOD