HomeMy WebLinkAboutBuilding 02-1091
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g-/5-0~
1. White File I PERMIT NO
2. Pink City . 0"7 - / / ) [1- I
3. Yellow Applicant . CC L
LEGAL DESCRIPTION (office use only)
LOT BLOCK ~ ADDITION
ZONING (office use)
~,
7JI
PID~5- 31~~ 03}
OWNER
(Name)
(Phone)
(Address)
4'77g;~
BUILDER /J /
(Name) /7/6'7/20 C-~s Ie:..
(Contact~ame) ~C-}~
(Address) 5B~ /~~ c:S7-=
TYPE OF WORK
ODeck
ew Construction
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Addition
o Alteration
o Misc.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
OOdJO
00.00
sS. 50
O. () l)
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
('
~~~~
Building Official
8/2-4 (OL
Date
(Phone)
(Phone)
.srz~/(j 2-
A.V
ORe-Siding
OUtility Connection
OOO,t)b
B-<j' -0",-
Date
$ ~50, tJ~
$ I '2...00 I 0 Cl
$ 1. 56, b1)
$ >, {) 0
$ I 2-00, 0 0
$ 7CJo.oO
$ /500. ()-o
$
$
Builder's Deposit
Other
TOTAL DUE
~ 0 z...
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
:::; sig d by the C" Planner constitutes a temporary Certificate of Zoning ;mPliance and allows construction toc ~o~mence. Be.fora OCCUP)~nCYc, a Certificate of Occupancy must be
q Iii! f) 1- _ _ ~C /4 !J,-+,~ \ . D/~{\X tfYi,1.5
Date pecial Conditions. If any ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
OPorch
ORe-Roofing
c.js Z?-
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
I Paid to tf:z 77
Date fn 0 'Z-
~t
White - Building
Canary - Engineering
Pink - Planning
--
Tht' Crntt'f of lhe Lah Countfl'-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~ (!l~u ~Q/
g- /5- ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which .ls proposed t:
350
~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments: J( IE74 j)
~,J/e mOl
ALL An A~HRJ
Date:
8f,,!D-z-
, .
NI'fAJ{)()UrS
"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
Thr ('tnfff of the Lakf Countl1
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
" ,~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,:/
./ 1'.: r
,
Accepted
~
Accepted With Corrections
Denied It A
Reviewed By: ~~ Date: e/U?D2-
Comments:
~ ~~ 1z:0Jl\ .t=
~~~i LAMe~ V<<c!J:0
_~ ~f~ ~r
"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."
,r--~-'._'. ':I.
White - Building
Canary - Engineering
Pink - Planning
Thf' Cf'nln of Ih~ I..k~ Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .c.,~.. ()J~ VltnlUl-<J./
APPLICATION RECEIVED g- /5-;{
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propos~.
330g (jJdc.e ~
Accepted
>(
Accepted With Corrections
Denied
Reviewed By: /}Jq 13
Date: (j...J'7-oe
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 b~ valid."
Sep 23 02 05:52p
JD Excavat i n~, I nc.
763-862-1223
p.1
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I Green File , PERMIT NO
2. Y.llow City. .02 -I Dq I
J. Gold A.pphcnnt
ZONING (office use)
0. td \.w-.,x- ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
'{\\D\.'i\D ~\o-~S tC- ic\~
(Phone) '\~ -CfS3 -9q~J_
(Address)
(Zip Code)
(Address)
(City)
APPLICANT
(Name) .....) () l;=:_')c..L r~ lo.. I OLJ\-t--C'
)
(Address) vel ~~ L-l '6 6 ~ 1
(Address)
~
,V\A..c
(phone) 1 b3-1fo l-~~ 'bd..
C'C::>GH\ ~i.D; de::, MY\. S 5 44.~
(City) " (Zip Code)
(Phone) I b"?> - f 67-Lt"3 v-;t.
DATE q #-3-o.:t.
(Contact Person)
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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial. Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ Building Permit # ~
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ - PAID WITH
BUilDING PERMIT
(OUice Usr Only)
This Application Becomes Your Building Permit When Approved Paid
Datc
DarsEP .~. u ~L'~-
Building Orficial
24 hour notice for all inspections (952) 447-9850, ra~ (952) 447-4245
8:49RM
NO. 407
'-P.l
METRO RIR
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~ ~I~ lPERMIT NO. \ C1 \ J
J. Ycllow ^~lillllnl _ 0 ~ - a "\ _
,-
~~ \ ~ \l ~I/'.s~ \. '" ~ L ~
ZONING (olTicc use)
'-',
LijOj\L DESCRIPTION (om~ use only)
LP" - l BLOCK '" ADDITION \....t -.\ ~5
!
S'~
prD
O~ER f'\ ~ ~-r~
(Njl~e)
S~'l S
I
l\u~j., l
\~~~
\\. 0 ^"l~
.5 \... \ lr", \ ~ -:l...
(Phone) q ~).. '1 ~S- <i ~,j \
S- ~ \ ~\.\
(A~d ess)
APP~ICANT '^ \ --r-.
(~a~~c) ~~ ~~ ""' '\,..... -L h l
(A~q~'ess) \ ~ ~ ~C) \.j ,\ L<J~ 11' V '-..
. <Address)
(Conl,e, Person) N L\ if' ~ 50 ,-I, l1 '- \ '-
AfI.PI~ICANT SIGNATURE , ...~ 1 L.-~~~
I ,
i
(Phone) c; s :).. '"' \.\ l- ~ \ ~ ~
~("\ ()- l~\~ \"~ Ss,'~""-a.
(City) (Zip Code)
(Phone) 9 ~~_. \:\'-'1 f. C6 I Q ~
DATE
; NEW CONSTRUCTION o REPLACEMENT o ALTERA HONS
FU~~ACE MAKE AND MODEL c..v..or,....~ l. r (t\~Pr\~ FUEL \\\ ~ '""
FL!J~srZE i>V,- RETURN OPEN1NOS \\ INPUT \~, ,'aD OUTPUT '13., a~
,
TYPE OF SYSTEM HEATING OR POWER PLANT
. ~Warm Air Plants o Steam PLEASE NOTE;
OGravity o Hot Water Air Condititmer Units
~ Mechanical o Radiation Cannot Encruach into
..: Air Conditioning o Special Devices Requited Side Yard
LfvcnL System o Other Devices Setbacks
FI~E~LACE MAkE AND MODEL
.-
"")J
APPLICANT PLEASE COMPLETE BELOW
rndllst~ial. Comrnen:ial & Multi-Family
Re~ld~rlial, Healing & Ale (New ConSlr\lctiOll)
RI:~id~j1ljal. Heiuing Only (New Construction)
FEE SCHEDULE
I % of Job cosl Residential. Gas Fireplace:
$J9.:m minimuRl
$99.50 Residential, Addilions & Allcralions
$64.50 Residential, AC Only
$.19.50
$J9.50
.$39.50
Estimated Cost $ ~ ~~ () ~
Building Pennit #
(Or(lu Use Only)
l'hl~ Application Becomes Your Building Permit When Approved
'i
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
-.-~
Building Omelll
Dille
r~id
Datc
. --,jay
"-'
l
Z4 hour "otice ror all inspection!! (952) 447-'850, fu (9S~) 447-4245
10: 48RM
MRTTHEW DRNIELS, INC.
423 3017
P.02
Uate Rec'd
i
CITY OF PRIOR LAKE PLUMBING PERJ'1IT
I. Blue: ftlld
:. Gold CilY
J, 'l'cllQw "'ppti~nl
~~~~
i LEGAL DESC$PTION (ollke use only)
I . .
I LOT BLOCK ADDITION
: rID
OWNER .
(Name)~
(Address) 5'8$s-" -
~JI~L~) .~~.(J)
~
(phone) 9G~. 9.5'18" 993J
i
j
APPLICANT. J . ~
(Name) ~l 0/1) 111.1" J Jj~ J. -..,Al-fJ_
(Address) .I~~ (h){.J, .A.Jl ~ JJJ _ )}n 11-
(Address) : - r
I (Conract Person)
, APPLICANT SrONATURE
(Phone) l::SJ - ~~. ...:57.-!<n
~)rtA.n1r ~;)
(City)
(Phone) ~ 6S-/ -
DATE
Quantity Type of Fixture i Quantity jfype of Fixtute
.2., ~ath Tub with or without shower T 4 Rough-ins i
I I Dishwasher I Water Heater:
, I Floor DraiJ1, J A..J' Water Softner
if Lavatory (Bathroom Sink) I Stand Ptpe (Washing Machine)
I Laundry Tray (lor 2 compartment sink i Sewage EjectQr
I .:J- Shower Stall ! Bac:kflow As~embly
I J Sinks Backflow As~ernbly Test
I Bar Sink I Lawn Sprinkler
..; Water Closet (Toilet) Other i
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commcn:ial & MUlti-family I % of job cost with a S39.S0 minimum
Estimated Cost S
Building Permit #
Residemial. New One &. Two.Family
Residential, AdditiOn~ & Alterations
i
i
,
S99.50
$39.50
PLUMBING PERMIT FEE
5T A TE SURCHARQE
, TOTAL PER.J.mr FEE
$
$
$
9tJ.-5Z) , ~UNfl~."~O WITH
50 I ~~ii~I<'G p",",~_,
)41J.d() -'tt~." k;;J~. r.~
. i
Receipt No.
(Offie", Us., Only)
This AppliutiOn Becomes Your Building Permit When ApProved
Paid
.90~";~llildlnt O.ffiC:ia.
.,6
Date
(I;T I 6
Date
24 hour notil~e for all inspections (952) 447-9850, fu (952) 447....145
,
TOTRL P.02
11/07/02 02:02 FAX 7635530887
_ GUYERS ~UILDERS SUPPLY
III 002
--.------.
BEATING/AIR CONDmONINGIFIREPLACE PERMIT
. .
; ',.
~~~_..._~:&
r ,~08 0- &-uu
~ =- E......\ PERMIT NO.d-.- 109 LJ
~ I ZONING ,ow.u>d I
LEGAL DESCIUPTION (cffi~ use only)
I~B~AD~ ~
. (Add=')
PID
(phone)
APPLlCANTG fJ. A ()~~
(Name) ;'r ~~::~ .. -
(Address) /_ oS /:- J9__
[)._.....-... (~ddn:ss)
(Contact Penon) ....- '-
~
(phone) 7~ 3 -to?Y -- ~ f#tJ 3
P ~"jA -:;;::!~
? ~ ~-(, rr-yt,~ ~
///z
DATE
APPLICANT SIGNATURE
\)~
~
(phone)
.
ijgNEW CONSn.UC110N o REPLACEMENT o ALlERATIONS
FURNACE MAKE AND MODEL . . FUEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
.'
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants OSt~'. PLEASE NOTE:
OGravity o Hut W8k:r AiT Conditioner Unit.'>
o Ma:banic:a.l o Radhllion Cannot Encroach into
. . OAil' Conditioning o Special Devices Required Side Yard
aVent. SYSlem o Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~ _ . ...... A _ .- ~ ~T5()O ..
--,-
APPLICANT PLEASE COMPLETE BEI.OW
Residential, Heating & NC (Ne", ConSlJUc:tion)
lUiSidential. Hearing Only (New ConstnJction)
FEE SCHEDULE
1% cfjob cost llcsid.ential. OIlS Fireplace
$39.50 minimum
$99_50 Residential. Additions &. Alterations
$64_50 Residential, AC Only
$3950
Industrial. Commercial & Multi-Fmnily
$39.50
S39.S0
Estimated COSt S I tll70
Builc:ling Permit #
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
p,.", ~1"0.
~c'!.lq 6"... t. i.J t~ r;,?-
t;;~ ii J.l:!;' "'''' ,y', 1 i"!
.J:~ f:;-:-
k.-,
,,~ ~ "(j
(Office Use Only)
This Application Becomes Your Building Permit When Approyed
Paid
Receipt No.
D.t"
Buildinl: Official
~4 \lour notiee for all inspec:rions (952) 447.9850. fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 6308 vJ, L-D
NATURE OF WORK tJew ~
USE OF BUILDING 'S. 5-D,
PERMIT NO. (jz... /0'11 DATE ISSUED fJ,/~r-o oz...
CONTRACTOR ~o CU\S-S;C PHONE ~l-<J53-"~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~o Q\~e.-Le-
'S' F. b .
INSPECTOR
DATE
I FOOTING I ~ I q/l J lOL-
I FOUNDATION (Prior to Backfill) I 6:, I 'l/"l,~!iJ7,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST I fib L-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING {Prior to Sodding
BUILDING T <-
ELECTRICAL
PLUMBING
HEATING
DO NOT
1-7-o'!.
'1-ZS -o?
I
OCCUpy UNTIL ABOVE HAS BEE
NOTICE
/' <> -?-o
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, 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