HomeMy WebLinkAboutBuilding 02-0785
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT t, --' 7 -0 ;j-J
y
LEGAL DESCRIPTIOYoffice use only) I If /.
LOT BLOCK' ADDITION f VI
~?'1Ir-
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
ew Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST /V 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
o p OIl and that all construction will conform to all existing state and local laws and will proceed in accordance with
uil 1 fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city offi ial or a designee may
eed ections. 3/ ft l
Contractor's License No.
o Misc.
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 $
es Your Building Permit When Approved
fs,-{8 -o?
Date
1. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. 02 -0 78st
ZONING (office use)
PIDt) !J -32$;2- (3 ()-
(Phone)
f7;J-;r;?r;~6;?2-
-
(Phone)
(Phone) f?J r J50 /&)~ J
OPorch
ORe-Roofing
o Alteration
ORe-Siding
OAddition
OUtility Connection
Park Support Fee # $
SAC $
Water Meter $
Pressure Reducer $
Sewer/Water Connection Fee # $
Wat r Tower Fee # $
Buil er's Deposit $
~~ $
$ q? ~.
I ~~:. 899 ;~=-tU~eiPt1~~ <1
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
~~~ by~the~City Planner constitutes a temporary Certificate of Zoning compliance and_ ~='.rct.ion to ;Am~ence. Befor; occuPnncy, a Certificate of Occupancy must be
<-:?f-( . ~~4'l~ 7 IlCmi()/'. ~ ~Wl[ e.~(v C(1)~)R\iLOy.~{
ning Director ate ' 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
Th~ ("~nf~r nf Ih~ I.ake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Lt1~).A ~ (]}kJ-L cfJ, ~
APPLICATION RECEIVED &-' d
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: a'
~ 110 Gruuse /V' )JvJ
Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
MJ8
Date:
~-d 9 -o.:t
Comments: See Reverse Side for Additional Information!
See. Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control PI~n .
"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."
Th. r.nter of Ih. I.lk. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~Ar' ~ ~
APPLICATION RECEIVED &,- -d.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: a. II' \
~/(O 0rouse _I'r j\JVJ
Accepted
Accepted With Corrections ~
Denied , f) L
Reviewed By: ~ ~"""
Comments:
J<e~ Q II Q tt-o.c W
Date: ~-18- 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."
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
<"" -..~, ",(.4._4:
C~;I
~: ~~-:.. EJ~'..n, I PERMIT NO. d.-7 g,) I
ZONING ((lmCe us,,)
/' - -'~ l ~
(., .-", ". <. _, .,c:.~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADPITION
PIP
OWNER
(Name)
/1'~,(' r,.,...{ "'-
(".,
\
...-" /_-
",-...' /.> ~., ''-.
~"'7'''''''''C-' :.L-
(Phone)
(Address)
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(Address) 2/ C"[: ,.~. ~:;;a.,.. -,> s,k:---c::/ ~_.-t:
CAcllSress)
,/7
(Contact Person) /~C;Y7 a:. :~d
APPLICANT SIGNATURE ~~t!:j;u"/ _-;;; ./:.:.E'; ;"..~
(Phone) 7~::? - 7"'7 J7- .?"V'!/i'; ,
. ~- c..,;(.,.-~-, "t..I..~~ .~-;.~~5_~"2:
(CIty) (Zip Code)
/_I7 ~ ?Z/ -, ~~1"9''''''--
(Phone) ~~L:- ,L." /./ ,_/
~. DATE :;?-, 4!Z_ _. d 2_
APPLICANT PLEASE COMPLETE BELOW
FURNACE MAKE AND MO:~~NS~1~C?~J~~~~~~~~;:ca';::;&2c;,~~:~';;tNS "7. C:; .
FLUE SIZE REl1JRN OPENINGS I ~ l'NPUT OUTPUT
TYPE Of' SYSTEM HEATING OR POWER PLANT
. DWann Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. Sys~em
FIREPLACE MAKE AND MODEL
o Steam
o Hot Waler
o R.diation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Eneroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Pflmlly
FEE SCHEDULE
I % of job cost Residential, 0115 Fireplace
$39.50 minimum
$99.50 Residential, Additions &. Alterations
564.50 Residential, AC Only
$39.50
Residential, Heating &. AIC (New Construction)
Residential, Heating Only (New Constr\lction)
$39.50
$39.$0
Estimated Cost S
Building Pennit #
(Office lIae Only)
This Appliclltlon Be~ome.!i Your Building Permit When Approved Paid
HEA TING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
BYCU
./ .
8111ldlnlE Offidnl
Dllt
/ ()~ cr-
D.lt
24 hour notice fat .11 Inspection" (952) ....7-9850, ru (952) 447....245
FROM :SOUTH MECHRNICRL
FRX NO. :952 492 2446
Rug. 02 2002 11:25RM Pi
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Ohle File
2 (laid (:lIy
). nil"", MplicAn'
I PERMIT NO. )-rgS I
]
ZONING (ofJice \lJe)
/' ., ./
r.~ ,." ""-'c.- _ L_ e
LEGAL DESCRIPTION (office use: only)
LOT
BLOCK
ADDITION
prD
OWNER
(N ame)
/? 2 (" , -....,..(' ~.t..
~..;t/'
o ..6:~ ..........
~~/-i~ ->
(Phone)
(Address)
APPLICANT
(Name)
(Address)
~. -. /
\ ::k::'")Z ( ';/-z ,# L r! C'../~ , r:. ,..C:~
~~ / c~-;.C~ /",>" 'L. ~-:- (-/ /'/-zJ <:
(Address)
(Phone)
7::7./ -. ~~:7 ~,/(/:fYo
-?;::.; k
~.. - ~
... 01:' '/' ~.-' If. ~ "'-.
-~:::::C~? -::::;".;".2
(Conract Person)
A-'> - /
. -...... ".
---, c- /"', r. C
(City)
(Phone)
(Zip Code)
//-/2--22/-' ~....?:?5'-
S::,/ ~-/-- Ct Z_
APPLICANT SIGNATURE
~;0'_ /"1/~;/
..-- - .
_::>: ,,(.c;.....< .,f:
DATE
Qu.antity 'fype of .Fixture Quantity Type of FixtQrc
? Bath Tub with Or without shower Rough-ins
....:>
I Dishwasher / Water Heater
/ Floor Drain Water Softner
.5" Lavatory (Bathroom Sink) Stand Pipe (Wa9hing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
--.
{ Shower Stall Backflow ^sscmbly
,/ Sinks Baclc;tlow Assembly Test
I Bar Sink Lawn Sprinkler
'/ Water Closet (Toilet) Other
-~-
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Irldll~trial, Commercial & Multi.family 1 % cfjob cost with a $39.50 minirnum
l~e!;idc:ntilll, Nc:w One & Two-Family $99.50
Rcsidenrial, Additions & Alterations $39.50
E~timated Cost $
Building Permit 1/
(Ollle. LJ~e Only)
PLUMBING PERMJT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
. \ ~IJov
d P()
This Applicarion Becomes Your BlIildlng Permit WhCh J\pproved
Paid
R.ecoipt No.
Ilulldlng Ornl:lnl
nll'e
Date C
0" d-
24 hour ntJticl! ror "II hlSPl!cflo'n (952) 447.98~D. rill[ (9$2) 447-4245
RUG-09-02 04:42 PM LLOYD
O"iU/OO I'Hl 12: 00 FA..l( 812UUUS
EXCR.....RTING INC
CITY OF PK1UK LAK~
952+440+3036
P.01
~I VI,IL
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CITY or PRIOR LAkE
SEW~R ~NO WATER PERM~T
NOTE:
S W. No. (}). - 78 t;"
. - .--.-
Sewer .nd Waler
contra.ctors ~1,1.t
be r.9ist.~t;c.1
with tt.8 City.
. .. ..._ PHONE: J.-2.) . .:Lf~! - JC()U
DATE: : _2.~_i' v...:.~?::
BLDG. P:tRMT'l' ,_____.___
l .
Ji ;tjlll~led length of wa~9r s9rv1(!f!!
~l ~?"l of' water. :JervicCl__ J. inchC..).
......L. ..,~ "Ie
l 1l.:Clt.ioo or any OOUplings from .tl'uotl,lr8pC?~_t'eet.
'}' 'pet (:Jf m;!wer pipe. ABS_ pvc_2-~ Cast Iron_~_..
'1' /)
fsst.
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I- it i mt;twd longth af O.........L 11ne_.
feCit.
,~. C' eall out (i t required), lecated at. __feet
~ .ruC't:\Jll;~.
from
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Pill ,~~:~tion l),Q~.:.rnl!!!s :~U' permit Wh.J~. approve,:, ~ ,_ ..... .-,
_:.~9~..~.~" lJ:iI~i'l:...- DATE. ~ -'1 (7.._.___._._
_.JII::'-.w.A . ."1,;;~.:::I._e::__:o.;...-.,.~_____.;:;;._IJ.:IrI..__~>====;__.___=..=~ ~~''''~=:O;;O:Q._iria==nt''J-_
~'EFf; :
$ :1~.Ot)
$ . ~O
? -. "'3" ~ . 56--
newer and water line eonn.c~lgn pprmit_
Surchitrg_
TOTAL
.,. j'., H for; eithfH' sewer or water individually is ~..6lD P],Ll$
~:; . '..0 .'~u~ch.~ge. -
~';'; tlnc one! watv.c.' permits 1:rU'u.d tor new conatruc.::t:ion rnust tm
n ~Ol:"de.lJ <.111 the buildin9 permit carel at the tilr1. of .1tH:Sl,Iance
l.t' ,lrumre that, no dl.lpl~ellt. seWer ana \later pertnits arc
n1\'!'Ei,;: :~J:d. )muUNT PA~D' t1 f3_d. # .
g~j..i?- ---q~
rU'Cfl.:lj r ff REC/D ~y _..__. ._._.__
..
16:'00 EHCI.' ('r~~iI; Av. S.IS., Priar L.alr.e. Minn~lot.. .5S372/ Ph. (612) 441-42.30 I FAX (612) 447-42405
Atl Equal Opportnnily E.lnpl())'er
Date Rec'd
(Ple;\se type or print and sign ac boaom)
I. ADDRE..SS,
. ("1,/ 1(;) bw"'-'iIC..
~. ~~~~w ~i~~;cant I PERMIT NO.,a -7~ ~ I
ZONING (office use)
"7
C",c..lc
J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
M (r l~ 1\ D\.~-.:.......
~ ") J ,) f. G.-~ u .s ~v,..<-
'H>""'~
(Address)
eft
(Phone) 7::';'2.- ,;22<..,- belLZ
. c.;:(., v c..c-<.
i}
APPLICANT
(Name)
(Address)
,IV') .,..."'-
,/ . (Address)
Hu.~""\..
(2-,rc. f i.. (.(.
1-iv<-
(Phone)
9.5 2- 4'7,;;;- SbZU
lJ, c..r 1::.,- \l
/(,/5i
p~- ;r
(Clcy)
J S-_S ~~ 7 <:
/-........k
(Zip Code)
(Contact Person)
(Phone)
DATE
t'2 :c 2 .- L , L.J Z
2- <~ 77'-:;' - ~;-l.. . b
&=-- -4 62
APPLICANT SIGNATURE
APPLICAl 'T PLEASE COMPLETE BELO\V
cBNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
OGravicy . i
o 1'vkchanical d-'vl' (-. (<f ",-,-
OAir Conditioning. _ 1"'''''(., \
OVent. System /-.c,LJ>l... -
o Steam
o Hot Water
o Radiation
o Special Devices
o Otha Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE Al'.'D MODEL
f/\ "'- ~ ~c.. {) v .3 b (;; J:Jv
+---------------
FEE SCHEDCLE
Industri:l!. Com~~~cial 8: i\fulti-F:lmil:
1% of job cost
53950 mtnimum
59951)
S6450
R~s:cential. Gas Flrepl:lc~
S39.50
Resldenti:li. l-k~i::r~g 8: .-\,C (~ew Co:,s:r..:c[ion)
ResidcntlJ.!. H:::l::-.g Only (i'\cw Cons:,'..;c:ion)
R("sij~:itiJ.1. Additior.s & Alt':l"u,tiol1s
R~sid:::1tial. AC 0[,1:-
S39.50
S39.50
Buiid~:1g Pennit ..
Estima:ed Cost S
HEA TI?\G PER\lTT FEE
STATE SURCHARGE
TOTAL PER.\IIT FEE
s
s
s
.50
(Office l"se Onh)
!,
This Application Becomes Your Building Permit When Approved
I
[
P;:ud
(j1t-'!~
9- 3 -CJ~
Receipt 1\0.
.--.
Date
Bv
-~
-
Building Official
Dale
24 hour notice for all inspections (952) 4r-9S50, fax (952) 447-4245