HomeMy WebLinkAboutBuilding Permit 03-1379
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/0. /0. 03
~;~:' ~::y I PERMIT NO. /1'2_1'2-'10
Yellow Applicant V.-J ../ I 7
(Please tyPe or print and sim at bottom)
I ADDRESS 34-Z-0 fVOOO OUeJ<- O~.
uvJ
LEGAL DESCRIPTION (office use only)
LOT,t9BLOCK / ADDITION Wlt.-DS 3eo /IDOtJ.
OWNER
(Name) /J/71/11.:' IS, ? 1/;(' /1/";---
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~Deck
o Fireplace
o New Construction
OLower Level Finish
o Misc.
,
ZONING (offi,,",,)
PCZD
PID 25'. ..n7. OZq. 0
(Phone ;-----7'5:..< . - "I ~ ,,- 39 ") /
te:.(k ~ (,12-. $-(}3, 061 (PO
(Phone)
(Phone)
,
~orch
DAddition
ORe. Roofing
DAlteration
L/
PROJECT COST IV ALUE (excluding land) $
DRe.Siding
DUtility Connection
I hereby certify that I have furnished information on this aPiJjliC tion which is to the best of my knowledge ~and correct. I also certify that I am the owner or
autho.rized agent for the above.mentione~ p~operty ~nd that all ons~ctio~ will ~onform to all existing state d local laws and will proc~d in accor~ance with
submitted plans. I am aware that the buildmg offiCIal can 'YP" permIt for JUst cause. Furthermore, I h eby agree that the city offiCIal or a deSIgnee may
enter upon", property tOjle~ neede~">lions. / '. /'
X 7---. ~__~~j';;?; -,A,,",~,-.. _ IC~t:/ h'J~
./ /" Si~ature , - Contractor's License No. /" ' ~ak
L/
I permitValuation#'/z..,"<x>,cf>o~1
I Permit Fee 1(209.:;!.S ~I
I Plan Check Fee $//,,34>, DI $ ~
I State Surcharge "("D" $ ~l
I Penalty $ I
! Plumbing Permit Fee $ I
I Mechanical Permit Fee $ I
I Sewer & Water Permit Fee $ I
I Gas Fireplace Permit Fee $ 44.dO I
This Application Becomes Your Building Pennit When Approved
~~.D
Building Official
~,,1.f;&3
Date
$_:Jtl/. ? (,
I Reced~Y/
BV!
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
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.
I Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE l'lh.Akl'.)
#
#
Planning Director
Date Special Conditions, if any
24 hour notice fnr all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
ILI4--.63
I Paid
I Date
5~
/0.11.0"5
Residential Buildin~ Permit Checklist
~
Deck .-\.ddition~ to Sill~j~ Family Hom~5
,.
BY. ~ ~t/
Date J 0(1"3' (0 ';J
Building Permit II
Site Addm~ 3C{2P:J
Legal: L L~ B I
Pill:
W~~~.
ZOOlllg:
Subdivi5ion:
~ '3~.
E.Ii5ting Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~YES?
NO
I Yard Setback,: NOT Al'PUCABLE
. MEETS CODE
. Side Yard
(2j' ifabuttlllg astre~t. 30' ifabutting a street in
C ardinal Ridg~)
Side Yard
Requirement
Proposed
to'
\,
"
10'
2lJ1
~Io
34'
Rear Yard
) -.
_J
, Townhouses
Must be consistent with
approved plan for
development
rJl'\-.
ANY PROPOSED DECK NOT MEET!l'IG THE ABOVE CRlTERlA L'iruST BE REFERRED TO THE
PLAJ'll'lll'iG DEPARTi'<fENT. ALSO, A..l'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR A..l'fY
OTHER LN1JSU.U CIRClfMST.",'iCE ",ruST BE REFERRED TO THE PL.\i'INu'iG DEPARTl\oIENT.
TliIs CHECKLiST L'iruST BE COMPLETED MID Il'iCLUDED 1.1'i THE BUUDIl'iG PERi\lUT FILE TO
L'ilA.lI'ITAlN A RECORD Of THE REVlJ!:W.
L :'TE;)/ll'LA IT' DE CKCHC(.DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I . 5: 04--
;~~~ ~:~ [PERMITNO. ~..,~:?q
3. Y~llow Apphcant ~ r
3::1.)../)
WMrl ()/Jrk' ~
1)'1ease!VD~ or orint and si"" at bottom)
ADDRESS ZONING (ollieeuse)
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
tJrJ , j e-
PID z5.33/. Oz.9,lJ
'Z LJ...A/? (] F" 6='
(Phone) QS1- 8'87 -3Cf<t)
(Address)
54wt.~
APPLICANT --:7 I,^
(Name) llilJP.lA<)\J, tit' ~Y01JP "t- H"b>~lrll'l'" (Phone) q,r) 1 ~ ~q<;r- /17<-/
(Address) I :2 71i' ('''' (?J )..{ ~ /v 3wetA.<>w ht) ~ ~7
J I (Addr~ (City) (Zip Code)
(Contact Person) ~ ~ 7IJ':/I?:5t1//l (Phone)
APPLICANT SIGNATURE A JIJIl.UhAA jJ.t/Iu~ DATE / - -5 - t1 ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
$39.50
$39.50
"",,:",'::::f-'OO'~~ 061~
$$ .50 r 0" \ t'-'
-KJ.OeJ \Y
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Fihl'Ylbc e
FIREPLACE MAKE AND MODEL
rpy ~ I
,
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
Estimated Cost $
"
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Us. Only)
rpi4-~i
I~s~
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for aU inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 31./20 Waoo 1)ucJL .p~cJC
NATURE OF WORK \J6'W Po t
USE OF BUILDING ~.f:'": 0 I
PERMIT NO. 03- 87q . DATE ISSUED -'0' (:1/~~
CONTRACTOR D.,.\J to z..~ rtA.FF' PHONE'-!2.. 20" -tJl.t.t'J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~OR
/I/!?-
//.~
DEPARTMENT OF
BUILDING AND INSPECTION
OATE
I FOOTING
I 2t -.1>)7
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
FRAMING
INSULATION
E TRICAL
/.u L ,{/ D
~
2( fA toe!
HEATING (if required) ~
FIREPLACE ~/ r
, GAS LINE AIR TEST nr~/lI~ v14? 't-lq-uL{
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Iitl) I
V.'/ I
l
? ,... f-'7
BUILDING
ELECTRICAL
I
EATING
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.
SIGNED
"
FOR ALL INSPECTIONS (952) 447-9850
DATE TIMe:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 7 -I'l-o r.
ADDRESS :3 tj 2D LJo-vO (),)(" k_
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J - 131q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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 GASLINE AIR TST
o
COMMENTS:
~ )l~
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE"fEK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALl 7-JsO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~U[REMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
""""n