HomeMy WebLinkAboutBuilding Permit 03-0254
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
312 L( VJ{}(}/J /Jt/CK- /){I ~/L )Ill!
I. White File
2. Pink City
3. Yellow Applicant
3-5-'03
.~
PERMIT NO. 03 -0 254-'
ZONING (office use)
p L/.; 0
LEGAL DESCRIPTION (office use only)
LOT.J BLOCK / ADDITION n!Z U(ILI)5 ) 3M AIJIJ/nOlt./ PID ZS - .33700SV
I
~~~R KuT/f iZAlJ/A./1( (Phone) ?r5Z-ZZ)P-C?7SO
(Address) 31 z.t/ MM ,tJt/o( 1JI1J1I~A/.t<J) ff<ltJ"tA--l 'L / IVJNI ~0.5 72
~~;~~R 6~vv/fl<;( ~~lIC77O>1/ .z;:Jc. (Phone) 75Z-.!9Z-77()lj
(Contact Name) Icrvt ~ - (Phone) &I Z. -7L/7-{) ~9h
4Address) IO..6ox/S/1j LAJ(:z:tIIU2/Il1IJ" ~2>(}W' C4L-
, 1/
~eck ~porch.5-~ ORe-Roofing
o Fireplace OAddition OAlteration
PROJECT COST/VALUE (exc1udingland) $ 39. 100
. I
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, e that th 7f:Uild' g official can revoke this permit for just cause. F. urthermore, I hereby agree that the city official or a designee may
enter up e p rty to perfo de pections. (
X . ,0l.Z5 , ztXJ 1ffL/ 3 Il1tftClf 5/ &XJ3
Signature
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
Permit Valuation
Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
:JIl7JJ;:.mB..mngp;~;;:
Building Official Date
S -7 -tJ?
,
Receipt 90.
By y-
O
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I WaterTowerFee
I Builder's Deposit
I Other
I TOTALDUE ~
I Paid
I Date
~~ r. ~V
7-~4~()J
#
#
#
#
ORe-Siding
OUtility Connection
Date .
$
$
$
$
$
$
$
$
$ ~~ 9. z,(p
/'
//
f1f ,'I
. 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
:~;n m'~rtim~. --., c-.,; ~;: ;;- md._ ~~::~o 00:;+:: ~""".'~' of 0="",, mo" ti,
'planning Director 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1.f=R-
5-/5"' 3
ADDRESS :-=31 Jt.J ~ W("JOd ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
S-~NSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I j
/\ Ie _
v l I !'It;-(
f)) v -,-..' ~
,-,' V(' .
I
3-;;st/
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~IKEPLACE PERMII
Date Rec'd
#7070
L Pink File PERMIT NOS _q
2. Green City ,-j .::.:;
3. Yellow Applicant -,...~ -I
(Please type or print and si~ at bu"".....)
ADDRESS
3/d~ ~d /2L!~ ~.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
&./7/UZ/ t:b//,s~.
/?o ~y /3/~
(phone)
OWNER
(Name)
C~~//~
. APPLICANT SIGNATURE
APPLICANT/?/ / /U ,_ / /' -I /
(Name) _/7///~ /" /LL~~ ~r~ (Phone) CR'57- 4;'6-1'- c:::?7.7-:;-
(Address) r:2;,.!!7ZJ /~/L.P'~C!. a ~~~ ~..::5/d~
d (Address) - (cft:If (Zip Code)
(Contact Person) /-:;;/// /?J/~ (Phone) ~5/- q~-~.?7"
~// ~//e...-.- DATE #7/03-
e::-;7'/G
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
~ther Devices ~ ~ It 11:A-
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
$~/~/~
$ /! .50
$, ~
~~ @ U; 0 W IE '~l'reCeiPtNo.
Date 'L ~a1APR 1 0 2003 I ~ (BY ~
24 hour notice for all inspections (952) 447~O, fax (952) 447-424. 5 L, I V
--==- _J
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PAlo IAn'I.. .
80/LoINP" '"~ ,,.,
\:I Pt:Q..I"..
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
The {'enter of Ihe take ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,Are...M/U~r CovSfr-.
,::;~~- ()3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
0/;;L/ I~}~{)r/'/Jc..
I
Accepted
Accepted With Corrections
t---
Denied
Reviewed By:
iUA(2L
Q.. ("f,f cd r1d h 5
Date:
:]- 7-() 3
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
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
The' Cf'nlf'r of Iht' takr Counlry,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f"
,8re.A/AJe--r CO~/Sfr.
.1 - ~ - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-S1d-t./ I J ) ocdcUL~jv (] r J'!J c..-
I
Accepted Accepted With Corrections t---
". 1'. Denied f2L
Ik~
Reviewed By: Date: :]- 7-03 $1',';,_
#
Comments: Q. r"'tA cl (l(J~("5
"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
The ("eonlrr of the l..ke ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/-7
,..~,') l '_. / /
,~
1_)'1' (..
" - () ...;<
.. lp 1-....1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
":; /) tj / .J') //, 1,--:"-__ / /1,,,
Accepted
Accepted With Corrections
.._.c--"""--
f ,;
Denied
Reviewed By:
!4 .I
.J} I
(' ,_,'\'/i../1..,J\
.'j I
i I).
/ /' i /,
I ( C ,.1., '-
Date:
..,-...."
.'
.J
/ (j
./
Comments:
( ;'
:/.
. i.. J
i of
liThe 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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS j1).~ W~ ~... N.W.
NATURE OF WORK ~,,~~.... / D....lt
USE OF BUILDING ~.'M ~~
PERMIT NO. . ()3 ~ DATE ISSUED
CONTRACTOR -8'e~n ~ e...,.rt: PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
....,!~PECTOR DATE
I FOOTING //..h . I 4-)- ~J
1 I I r 1 - I fIIl~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - ~NS
)--..- -----.
FRAMING
INSULATION
ELECTRICAL
--
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
WL
~
IIi2
Iii '1- 113
~-- ) 7
('$
4/-./ ./
BUILDING
ELECTRICAL
~
,,(I L~!ff)
(~
HEATING
DO NOT
A
0{k:
OCCUpy UNTIL ABOVE HAS
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.
I
,5 jt5/0!?
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850