HomeMy WebLinkAboutBuilding 02-1165
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9--~; -()7_
1. White File \ PERMIT NO
2 Pink City . 02-- ! /05
3. Yellow Applicant .
ZONING (ofliceuse)
PrJ~D
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 2- ADDITION
VI/I N'D.50N6
,
PID z5 - 2_3&-- ()O~- 0
OWNER
(Name) G I <<? +eu-.
(Phone)
(Address)
BUILDER 1/
(Name)~ "- ..,..."" G{, I "l
(Contact Name) C?CllA- \
(Address) ) (p fe, 5
~ "'-Y ~ "'., Jk> ... G~
K~~~w>~
eel. ~ Lf WIG I JlJv1
TYPE OF WORK
:L,^~. At.\-,
o New Construction
ODeck
o Misc.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ lfo.o
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
tj',(]- tJ2--
Date
(Phone)
(Phone)
7IP S. L{7s-//t&.o .
{p 12- sl.G" &:,1).9.
~~~
ORe-Siding
OUtility Connection
Date
$
$
$
$
$
$
$
$
$ q55 04-
the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
OPorch
e-Roofing
f/--Iu-OL-
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
Contractor's License No.
Park Support Fee
SAC
#
#
OLower Level Finish 0 Fireplace o Addition ~Alteration
p,.~ 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
SUb?:1itte lans. 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
ente pon e property t perform needed inspections.
X .. 9 ~ 5" ~ o~
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: eo..
Date: q -5-oc....
Building Permit #
Site Address 4(f~ lc) ;-~~ ~
Legal: L 3 B L
Pill:
a.. ,..-
Zoning:
Subdivision: U,~ ~~ (~
Existing Structure: YES or NO
I CONFORl"IS TO ZONING
ORDINANCE
I
I
YES
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? AJo
Is the property located within the flood plain? Refer to Planning 00
Does the alteration include any additional kitchens? Refer to Planning lJo
Does the proposed alteration include any outside Refer to Planning ~I.c.. ~'~"1J
entrances other than patio doors?
~O
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single IJ-a
family home (office, group horne, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PER.J)UT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
.
.
UIT?v CP LA TE\AL TeReZ.DOC
White - Building
Canary - Engineering
Pink - Planning
The Ct'nlrr nf 'hl" r.ah COunlr,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
K-AI7-i Erel to E TAYLOR- HOMES
j-,S -o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4//5 VVIND50N1
CI e(.Cf:;
Accepted
Accepted With Corrections X
Denied
Reviewed Bf),} ~-,J...
Date: 1'-13-<Y'"L
Comments:
I. Up 9W\ab &~\edot-:-s' l~Jc;L ~ ~ ~~
"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."
~.., vr rn!u~ L^hc
IgjOOl
CITY OF PRIOR LAKE PLUMBING PERMIT
n.te Rec'd
LEGAL DESClUPTI0N (omcc ,,'c onl,)
;:..': ~;; ("'ERJ\ffTNO. (. _J_ /1 / rr--
J ...11.. "JIll",,""' ~ _ 2l. L:. (CJ:J
ZONING loffl<y ".c)
LOT
BLOCK
ADDITION
OWNER
(Name) _
pm
(Addl-ess)
(Phone)
APPL!CANJ:.. .
(Name) 1--'1 UMh~n~ --Rl\J~
(Addre$s) -340 ft1 ichL5.Clt"l ~O'i 1~f..
(A'cIdrcSS)
(Pi"...) - ~ ~ Q- 2 3 ~- !'l '1~ 5"3
-.lI u idili. Sc 11 ~ f\
(Ciry) (Zip Code)
(Phone) (PI Z - 1510 -I A@ c:r
DATE /0.- 3i!)- 0 C.
=--
(COlJtllct Person)
APPtICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Type of Fhrtlll"C Quant ty
ath Tub wirh or wirhour shower
ishwa.s er
Floor Drain
Lavarory (Bathroom ink)
Laundry Tray (J or 2 com nment sink
Shower StaJJ
Sinks
Bar Sink
Wlter Closer (Toilet)
Type 0 Fixtllte
FEI: SCIlEDULl
Induslrial. Cammer',al &: !\.fulli-family 1% ofjnb Cost with a 539.50 minimum
CO
E9timated CO~I oS -5nr"l
8uildinB Permit #
Rl:Sidenliql. N~ One &: Two-PamilY S9950
Rc,idcnrial. A.dditlons oS: iUlenlliDns 139.50
rOilier tile Only)
~h~ APPIl,,'" ........ V... ....IRe Pc..." Wh.. App..... ....
PLUMBJNG PERMIT FEE s
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
~
./. "-'-- -
',.
guild/lie omci.'
Dale
By
Z" hOllr notice (or III inlpfctienl (951) ""7-lII50, '11 ('51) ....7...l..S
J4200 E.,.. Creek A..... 5.1:., PrlDr Lake. MN 55)72-1714
r - d
SEvOvE202E
~~I Sn,d ~~I8Wn,d
e2s=rr 20 DE ~~O
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i~ ~.."' rPERMITNOom-l/fog
Lf//~/
~J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name)
ADDITION
PID
(Address)
(Phone)
T I~,.-z..(),,,,
(Address) ~
(Phone)
S~ ,. H
(Contact Person)
(City)
~5'3'i(A
(Zip Code)
. <:ANT SIGNATURE
(Phone)
DATE
ONEW CONSTRUCTION ;I)lZ!J1;::~ :2f:~I~
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING 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
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% 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 $
Building Penn it #
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -HII)" U)I'uu!~ Olr-
NATURE OF WORK -~/\\<L<-~ -'?>(l"l.",y ~ e.",~
USE OF BUILDING S~()
PERMIT NO. 02 -//~5 DATE ISSUED 1-CS-o"2-
CONTRACTOR ~I.."",~ \"... }.\.,.,."1 PHONE (.11.- !t., -1./'27
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
~
~-- -
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
o-~~-~
/-/-OL.
(-/-UL
I~ / - cr-c
r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
FINALS
1
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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, card shall be placed near main entrance.
({ - h-- c/?,
r J-- -(/)
SIGNED
FOR ALL INSPECTIONS (952) 447-9850