HomeMy WebLinkAboutBuilding 02-1508
fP) S (/A~ 1/ ty.5'
PR10.p 2) IZR /liS CITY OF PRIOR LAKE BUILDING PERMIT,
~ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~
I>l AND UTILITY CONNECTION PERMIT
/33c?-+ ltl{.~K {)/~y
/tvc: Al6
Date Rec' d
//_./? /t7/~_
I. White File I PERMIT NO I
2 Pink City . 0 z, --Ie:. 0 d
3. Yellow Applicant ,/ 6
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK....3 ADDITION
Tl77.j.s~ I 5/- /t GUN'
PID zE-c72-030-0
OWNER
(Name)
(Address)
~~~~~)ER /l1 () IV IV E I/S
(Contact Name) ~/ vVl
(Address) 2
(Phone) (9~2)
.
t/9S- -/20,/
:J7Z
ClJsToJ11 8Url/)EIs
/Vlo tVtV~AJ5
We S. T )3 -r-IJ
(Phone) Cj S 2. - '196 - () 9 Z I
(Phor4f 612 - 85"9 - '16 /8
Z .5hq /co/ee (1J S-s-3?
TYPE OF WORK
T 50 Ire
o New Construction
OLower Level Finish
o Misc.
DDeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
.Addition
o Alteration
DUtility Connection
PROJECT COSTlV ALUE (excluding land) $
o
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 th~ property to perform Q.eeded inspections.
x~~ 'I96tJ //-//-02
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
~~
This Application Becomes Your Building Permit When Approved
Building Official
11i?j 'Z--
I Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ /1-/ q -'f) l- $//9/. 29
, ,
I ~~~ fl~/~~o~b
:.,./
I ~;cei~L/d<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
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. .-
~"1LA.i)j:..,
Planning Director
11/1 r/o"L--
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
..
White - Building
Canary - Engineering
Pink - Planning
o('.~.
"
Tht' ("..nltr of Ihf' l..k.. Couner)"
...
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
mO;1J/VeIVS CtASfu.i1'1
j/- /d-~r
old rS
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~3;?-{/- f//c/(orl/ If te.-
I I
Accepted
C>(
Accepted With Corrections
Denied
Reviewed By:
/YJ9i3
Date: J 1- I~-.~
Comments: SP-P- RAverse Side for Addit~onallnformation!
See Attachments: 1) Grac1ine Pl:m, 2) Rro~lon C;ontrql Measures
"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."
:---..
G~~
White - Building
Canary - Engineering
Pink - Planning
"he Ct>nlt'r nf the Lllkt ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/lJON/V elV!; C2(A<9i-n111
/1- /d--{)'J-'
fj 101 VS
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
163;;...(/-I-!/daJr~ 11 lie--
7 I
Accepted Accepted With Corrections ~
Denied
Reviewed By: ~~ -:(e..JJ /-J Date: 10 .P ~-e..-
Comments: ~~ off ~ ~
"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
Th... ('("nfer of thf' Lab COUnll")-'
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:
,.,..~.......~-
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~I-
Date:
Comments:
"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
ordi.nances of the jurisdiction shall not be valid."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~~ ~!:y I PERMIT NO. J"\ t n_ /5~?'
3 Yellow Applicant U ~ ~
133~L(
~
ZONING (office use)
f~ (
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID, 5"- O"?d-{).3 -V
OWNER ..
(Name)
jYJf)/jW'1'? brtl~ ~'fr] kldM--
(Phone)
(Address)
(Nfl;~~ANT5~dM' ~ //HJ~~ r ;/;, 'J:/VC-
(Address) &I,l Nt> b/'t't:?dPtbu
(Address) ~
\' ~~:o::~~~
{", .
(Phone) ~-~,7- 3~
~/dt'b1 #11/ G5s-G-2
(City) (Zip Code)
(Phone) q~-#J- 33'11
Z:'3
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
ReceiQt No.
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Official
Date
-7-03
Date
24 hour notice for all inspections (952) 447-9850, fax (9 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. F.~~;w JJ~icant I PERMIT NO'(}~_/s-ogf
I 3~'~4
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
PI
~=R ;J1pnll.im 'orp"5. ~A-r. bt1.tld~
(Phone)(~5'''' O/):2 - D3o-o
(Address)
~~;~~~NTjC~/t? P1.d-o I/Wlb9 o/~ ~L
(Address) up-;tIt'. b/d44~~
(Addre s)
(Contact Person) ...o.t'J? #~-.;;;,; t;i;.
APPLICANTSIGNATUREc/'J~ ~
(Phone) 9~-~J- 33tif
~n:ld/J ;11 /J ~ tG'!:J ~L
(City) (Zip Code)
(Phone) 9f:JJ--&/7r 33tt:}1
~ATE '-I/71t)~
.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. 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
REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
. 5~~ e1dfJ
Estimated Cost $ Building Permit #
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
(Office Use Only)
Building Official
Date
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 ~;2...-'l Nk..,eo~v AcI~. MC.
NATURE OF WORK AD!)/ 'r/o,.j - IfD' X ,;>.q!/
USE OF BUILDING ,FO,
PERMIT NO. () 2 --- /50 fJ DATE ISSUED
CONTRACTOR J11tJ,uBNS &~ tU/Lo~ PH NE t,1z..-8'S?-i61?'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J FOOTING ~ 1(- J.S .,(])-
FOUNDATION (Prior to Backfill) ty; 1 . (I 7~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
l-{-{7-0)
2- c3
4'11 'oj
'" - (/ _ ri"7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
-
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(, -- (1
-(')
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
~~--
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-C3
OWNER
/7 ~)..'1 A-tc.k'( ~
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
:J.. - /..)0 ~
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
rzr FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector: " 11- 0 ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl