Loading...
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