HomeMy WebLinkAboutBuilding Permit 04-1033
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main File
Y,)-37JU
PERMIT NO'04. 1033
at bottom)
White
Pink
J Yellow
File
City
Applicant
s
S.E/
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK
ZONING (office use)
~ I ~j;)
ADDITION
PIDZS. J/-zS. Oz..3. ()
OWNER
(Name)
(Address)
(Phone)
I BUILDER . j
I (companYName)hl-~~CSt'1'I'f'~ + ~U>I1.f:>
I (Contact Name) ~ ~ ~
(Address) 6t51 . S
(Phone) ~S2.-# 1 . O'S-S-
(Phone)
ORe-Siding OLower Level Finish
TYPE OF WORK EJ New Construction ODeck OPorch ORe-Roofing
, [jAddition OAlteration OUtility Connection 0 Misc.
CODE: MI.R.C. DI.B.c.
Type of l;;'nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I hereby certifY, at I have furnished mformation on this application which is to the best of my knowledge true and COlTec!. I also certify that I am the owner or authonzed agent for the
d property an that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buiIdmg
thiS per for JUS cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propeIty to perform needed mspectIOns
fJl zo I 04.
Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
2olh2307-
Contractor's License No.
Park Support Fee
SAC
#
#
1" ;
Water Mete
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
I Paid
Date
& J'~r,. 1!
It), "d
This Application Becomp Y O~Uilding Pennit When Approved
~~)U /O!t,/O..(
Buildlllg Otlicial I Date
TOTAL DUE
ThiS IS to certify that the request m the abovc application and accompanymg 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 Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
~~"i:df-J /u/tlt.~'( See M~'!'!tyFile
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
C-White - Building:,
Canary - Engineering
Pink - Planning
Th(" ('rntt'f of lht' Lakt' Counll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ (! ~JL ~ ~ ~
APPLICATION RECEIVED g-- 2.3 '- 0 i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/ ( '" 3 ~Q)';f:,-, 6-/
Accepted t/
,-
~;:; . ~ 0~ ~J
Reviewed By: ~~ ~)'~
Accepted With Corrections
Denied
Date:
/0 ;; ( /0 c(
I I
Comments:
See Main File
"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."
See Main File
White - Building
Canary - Enqineering
Cfiink - Plan~
Tht' Ct'nlt'r of thE' Lakt COUnl'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.}
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j( I / / ---::> -'1 / , .".{ -+ I
~.- , v.-- IF'.- < . ~~!J ~.. '..-i-0"-7-'-~
Accepted
/
Accepted With Corrections
Denied
r--..
~
~
Date:
/0 /; I fa (/
I
..
Reviewed By:
. .
. ..
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."
~~
M File
.# at...
White - Building
~~;t ~- enqlO~ring'-::>
- Planning
Thr Crnter of Ihr tlkr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ : i / 'l""~'-"",
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Accepted
"\"'i""r~
/ "-
Accepted With Corrections
Denied
Reviewed By:
If14tJ
Date:
/() .,- /l/ ...
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."
11-12-2004 04:00PM
MATTHEW DAti I ELS. I He .
423 301 7 P. 02
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl"lIT
I. B".. P;l. I PERi.\-lIT NO'Oflag
~,Gold C;N
I. v <110'" "~Qlie''''
at bottom)
ZONING (officeusc)
~/b5
LEGAL DESCRIPTION (office use only)
I LOT J~ BLOCK.:L ADDrTION
OWNE
(Name)
PID
(Address)
APPLICAN~~. ~
(Name) ~ttlIJJ~ 4; ~ dl:1J .' '4/( (iJ' (phone) bS"1.
(Address) 1'i?J..~ (J...IIJtlt A.JJ Jt'l Ii J ~ lh . qtlJl2J /"i A.Ii. J. r. "-tJ.;).
(Address) q (City)
APPLICANT SIGNATURE
(phone)" 65'J.
DATE
4.:L3' ..3'1? 0
-SSOb8
(Zip Code)
~ . E'1.3O
1/ J/~()4--
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower , J1 Rough-ins
I Dishwasher I Water Heater
I Floor Drai,n IL Water Softner
-~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) I Other .-:>'. ~ -
, , I
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & ~[Ulti-family 1% of job cost with a 539.50 minimum Residential. New One & Two-F3mily $99.S0
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
~. ~ !" '.
" ,':"0\' .'
.' ~:.-
qq~ .~...,.
"", ".,.. ,~- , " ~
50 . .' '.. '
140-00 ~ -
PLUMBING PERMIT FEE
ST ATE SURCHARGE
I TOTAL PERMIT FEE
$
$
$
(O(li~e Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid Receipt No.
Date 5 2004 By
NOV]
Building omclal
14 hour notice for all inspeetions (951) 447-9850, fax (951) 447-4245
,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.
at bottom)
ZONING (office use)
q/G 3 >"'1 -/;~ k./ An,ncJl.!/ V
() 0
LEGAL DESCRIPTION (office use only)
c.,-
~ . f:::
LOT
BLOCK
ADDITION
PID
OWNER
(Name) .-;:( 0 c....-I<.
~~:: :::,n~5
L)t:/ /f} . S , IE"
(Phone) qg. Y'V7-{)P~-~.-/
(Address) /6 Y /
APPLICANT
(Name) A)?6el/...,I{}I,u~ T~~__
(Address) /;;(.,.2$? /Z/,'&~.//~/'\)~ S;C/v! ~
(Address)
(Contact Person)
(Phone) 9 s;:) - ?'y~- t(..;-;;2.od
-;:;;/'r4 .5,1/1/ b ~S; '5 '5-;7
(City) (Zip Code)
(Phone) 9s';;) - :7Y't' - S;;;2C/ d
DATE //--/S-~c/y
APPLICANT SIGNATURE
~EW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ..-g~~~3~/n7,KJ,t/'O ~6okc:7 FUEL /1/)(} j-
FLUE SIZE d2 ':~I/t/ RETURN OPENINGS 7 INPUT g- q c/e;7e7 OUTPUT -:77(51:::7 c:::;:/
~ ./
TYPE OF SYSTEM HEATING OR POWER PLANT
{[.Warm Air Plants o Stearn PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
-BrAir Conditioning o Special Devices Required Side Yard
~ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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 Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid
Date
I ::ceiPt No
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~~~~;rim~::'~::e~
I. Green FiIe I PERMIT NO () tl- t{}.~'
2. Yellow City .
). Gold Applicant
l ClV"' e
Sf
ADDITION \.\e 'f ~ -\ a 5 e.. l II V"\ (h n 3
OWNElf')
(Name) ~CJ:::- c.v e-e K \..\-ovne <. l_L C.
(Address) l ~<iS1 f")Du. \\\4-\, f\V.oV\ \\ E'_ ~f_
(Address)
LEGAL DESCRIPTION (office use only)
LOT I1BLOCK
APPLICA,Wf
(Name) r\(\Cl\ e:t'CC'..t..d.e-
(Address) \ l "'3 \ S \\J\.a.J l\..s,
J (Address)
(Contact Person) D '{\ Y\\
APPLICANT SIGNATURE
\Y\L
S\--f Le A- % I
ZONING (office use)
PID
(Phone) QS';;)-+.'+-7-cASS
?(~ ov \. a..ke_ 5S37d
(City) (Zip Code)
(Phone) 95'",;;) -d3'3- ):ti)()
<S\rw \( 0pee 5587<1
(City) (Zip Code)
(Phone) q 5d -d 33"-/d.DO
DATE )0 J' ~
APPLICANT PLEASE COMPLETE BELOW
Size of water service , inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 ABC -g.pVC 0 Cast Iron
Estimated length of sewer line 55 feet.
Clean out (if required) located at- feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
.50
BYe
-23-2006 11:25 CITY OF PRIOR LAKE
tmiI'.lIIl1lIf.J~l/';9j;<;<,~' " ", I '.r..'
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; I gll'tba:d~g
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$39.50
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TOTAL P.02
07/20/2005 13:39 9524925005
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GLOWING HEARTH:/HIGH
PAGE 01/01
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APP]~XC.~~SIGNAT~tRE';
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,f'ttililASE NOTE:
Air Conditioner UTl'lts
CanllQtEncrOl1chinto
Reqtl'ii"odrSJde Yard
S Il'tbat:k:s
FIREPLACEN1AK~AN1?~~ji.)~E~ .
In dm:trial. 8ommercl131& MI~JlJ~ain11}'
Rcsid clltlaI,.H'e:uln&,.& :1'JC (New'.Grcll'rSlt,ti~tir:itl}
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$39.50 .
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 41~ '3 JtJi1&~ . ~i s.e,
NATURE OF WORK r oi:)
USE OF BUILDING ~F. ".
PERMIT NO. ~ DATE ISSUED ~_
CONTRACTOR ~ ~ PHONE · ~7.~
N.OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PE MI IS BY S PARATE DOCUMENT
orci t-tJ~c H J I~ {j
FOOTING
DEPARTMENT OF See Main F
BUILDING AND INSPECTION
FOUNDATION (Prior to Backfill)
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I . /It6
HEATING (if required)
FIREPLACE
GAS LINE AIR TES ~
Fi f
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~v
HEATING ~c
DO NOT OCCUpy UNTIL ABOVE 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