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HomeMy WebLinkAboutBldg Perm 01-0682 FP 01-689 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd ,-9-9/1 // ,~1 L Whi~ FiI, I PERMIT NO. 2_ Pink City 3. Yellow Applicanl (Please ~~ or 01 int and sign at bottom) ADDRESS ~(57/ HfJHI'1/tv'QI3//ZO 71eRIL-- LEGAL DES CRIPTION (office use only) LOT (p BLOCK I ADDITION K.N 0/3 H 11.-'- 3 !eO OWNER (Name) 13t/,e6SH. ,eICH~R.LJ SJ:lM 6 (Address) BUILDER (NamF\ (Contact Nan .e) (Address) TYPE OF W)RK o New Construction }f(Lower Level Finish o Misc. PID Z"'l -34'f-IJO(.,-() (Phone) 9Sl..-i/oz-- 0(,58 (1-/; ~ I/S-S'/4z.. (Phone) (Phone) DDeck DPorch DAddition DRe.Roofing ORe-Siding o Fireplace DAlteration Dutility Connection PROJECT COST IV ALUE (excluding land) $ I hereby certifY t lat 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 t'n'y,,"nJ 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 ;teruZ~~fo=nspections 7- 9--0/ ~ature Contractor's License No. Date I Pennit Valuatit.n I Permit Fee $ I Plan Check Fe. $ I State Surcharg. $ I Penalty $ I Plumbing Pern-it Fee $ I Mechanical Pe mit Fee $ I Sewer & Wate] Permit Fee $ I I GasFire~lace:'ermitFee $ ~o.oD I ~!rA. /"lecom ~ourBuiIdingpennitWhenAPProved '1-1- ~I -v ngl~1a1 Date , .3 ..~ . (!)O , 7 <(. "'}c:;- 1.50 </0.00 I Park Support Fee # 1$ I SAC # $ I Water Meter Size 5/8"; 1"; $ I Pressure Reducer $ I Sewer/Water Connection Fee # $ I Water Tower Fee # $ I Builder's Deposit $ I Other eUM~,ICA L.. $ 1.00 I TOTALDUEMIuO) 'l.In -fll $ /o57.2S I Paid I Date /57. z.r -;./~. tJ I I Rece~1};... -f'tJ1/S- Bv J- '-- This is to certify th It 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 tht City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. IPlanning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ,~~)-It,J L: ..;,,"- CITYOFPRTORLAl<E wn ~}4S S LJ. ~ HEATING/AIR CONDlTIONING/FIREPLACE PERMIT A,'NNES('('" Date Rec' d (Please tvo~ ~ r orint and sign at bottom) ADDRES~ . ; ~,",:" ~:~ I PERI\1IT NO. 3. Yellow Applicant ONING (office use) 12,1 '-T' .s '7 't H U rYJlI/1/N fr fJ I ~JJ --- / f!-, N/G< LEGAL D ~SCRIPTION (office use only) LOTb 3LOCK I ADDITION /:.noh 1JeU\ 1~ , PIDd3"-3 L!'1-O/~J OWNER n (Name)--.,leHIJ..m (Address) 'l'.....\~ I IJu () ~<* . AI U fYl fill t '" tr-/l3 I R-JJ (Phonef'?\L-(fO 2- -DbS?, ~. N.c.... P{2..IM..-,Lft~ ,S-S3'7z.- \h~~ h ~PL7'le..."'- (Phone) qSL-V'fO -S(o?-D AV'l.-' P(l--U>IZAII'\(.,~ "<.-':;-S3'7 L- (Address) (CIty) (Zip Code) (ContactPmon) ,IJm t/; _J-:;rr.V/c.AiZ.-...--. (Phone) tlS7....--YLfD--,r:::Io1-D APPLICA]/TSIGNATUREC.. DATE 7/3/D/ 7A/ - A LICANT PLEASE COMPLETE BEl,OW t:::;.. fl.,; ONEW CONs'tRUCTION 0 REPLACEMENT ~L TERA TIONS Eu~er.1CE1~AN~~ODEL ~~ P-'-{L-.. FUEL JVflTI. ~ FLUE SIZE l./:!(b:sJ<b RETUR.N OPENINGS INPUT~~DOO OUTPU~ ~ , APPLICAI -IT (Name\ (Address) /10/5/ 1"r7 19 r 1\1 TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical DAir Conditioning OVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACI: MAKE AND MODEL Industrial. Co nmercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace S39.50 minimum $99.50 Residential. Additions & Alterations 564.50 Residential. AC Only 539.50 Residenrial. (- eating & AlC ("New Construction) Residential. 1- eating Only (New Construction) 539.50 539.50 Estimated Cost S 3SVD- Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PER.Y1IT FEE $ $ $ .:i q "..:n5 .50 C/ 1)-06 (Office UseOn'y) This Appl cation Becomes Your Building Permit When Approved Bu lding Official Date 11>~Lfo 00 I Date < 0 I 7- f(,r I Re~~t~gq 7 IBY~ U 24 hour notice for all inspections (952) 447..9850, fax (952) 447..4245 ~~ White - Building Canary - Engineering Pink - Planning Thr ('rnl.., 01 lhrI.ak.. Counlrl BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST N) .ME OF APPLICANT AFPLlCATION RECEIVED Et/~, BI~ 7, 9'01 The Building, Engineering, and Planning Departments have reviewed the building permit ap plication for construction activity which is proposed at: 457/ JIv /'11'1//11 q 6//20 7?;2.FI / L-- . Accepted Accepted With Corrections~- De nied (~ Date: J- 7-~/ Re viewed By: L,..() w 51Z- ~~~ 7h'[; t-!3V€L/b17VOOVr Cc mments: "The issuance or granting of a permit or approval of plans, specifications and co nputations shall not be construed to be a permit for, or an approval of, any violation of anv of the provisions of this code or of any other ordinance of the jurisdiction. Permits prl\!suming to give authority to violate or cancel the provisions of this code or other orcllinances of the jurisdiction shall not be valid." ~ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS L/S-ry I /-It) IAA W\ I'I~ h"....J. (1- NATUF E OF WORK Ale t.<'; . L. L. C17:'-.........~.c USE 0= BUILDING SFD PERMIT NO. /7/-0f.t&Z- DATE ISSUED CONTFIACTOR -13cir.e<; ~ PHONE 8SS- -g/(/;:::> NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ I I I I F LACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS J I FRAMING INSUL ATION ELEC'rRICAL PLUM BING HEATIING (if required) It FIREALACE GAS LINE AIR TEST OIl? It' 011/1 71.nhl 7b7/1>/ . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~ ~. &::t, t ~ ~J~t I Y II '/ j GRAqlNG (Prior to Sodding) BUILDING ~ ELEC-RICAL ~ PLUM BING HEATING /~y - 4v ~ [10 NOT OCCUpy UNTIL ABOVE HAS NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections an d maintained until all inspections hav!! been. approved. On buildings and additions wI ere no service cabinet is available, card shall be placed near main entrance. ffJ/3ottJ 2- ~tdtJ( f)2 ~ I-~{) I tJ:J-- . v ' BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL 1f\'e"':lECTIONS (952) 447-9850 CATE TIME fyho/8t- tJvtMV1A~L~ .a.-A LL F~, PERMIT NO. [-3i8, C-,gz \ (;,81. o FOOTING A 0 PLUMBING.lU . o FOUNDATION ~ ~MECHRI ~hi<., o FRAMING 0 WATER HOOKUP ~ ~~ INSULATION J. .(\ 0 SEWER HOOKUP FINAL ~~ 0 PLUMBING FINAL SITE INSPECTION 0 MECH FINAL CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 4;;7 t OWNER CONTR. PHONE NO. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI if FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: -S~ ~ = C-~J/1P_ fZ~-vq j P<:::RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED :S:::O:ECT WFREINS::::/::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ''''SNOTl