HomeMy WebLinkAboutBuilding 06-1115
:;- o o~
C/l
("") ~ o 0 ~
g !l goo
0
h'l :-! ;0 ;0 ;0
~ m ~ =" 0\0000
o 0 CIl
-I -I >
S ~ > :j CIl"TI- "0 ~
~ ~O 0 CIl =ni: z ~ "TI "TI :::J: >
~n m>CIl 00 0 0 :in
_r-C:3:C:o Z Z 0 !g:<
~ \ 0 Z -I ~ ~-~:j m m ::0
z ;0 m mo
\ > 0 "0 :j~>Z CIl
~ ~ Z ;0 m 0 -IG) P CIl ~"T1
~ C -< o Z 5 -"0
~ o "tl "tl :j Z 0;0
0 z-
;0 ;0 ;0 zo
~ ;0 g 0 Z 0;0
m m 0 ::!!;
;;; ~ _ m m
~ ~ c 8 o="
~ ~ mm
<:> "tl
::! ~ m
(D 0 ~ 000000
~ :::t -I
() 5
~ 0 3:"tlCll
3- Z " mr-~~3:"tl
l:ll oC: )>Omr-
~ :-! "". :::J: 3: -I 0 c:
m
~ "TI "TI1:11;o!a:::J:3:
0 zZ:::J::::J:;o!!!
~ ;0 >G)oo-~ CIl
m
0 r-:!!OO 0
0 z="=" ;0 :J:
>c:c: - m
~ < 0
m r-"tl"tl
;0 c:
Ro z r-
~ m
G> 0
~
3 000000
G)"TI"T1
>;u_om Cl
CIlm;oo~
c"O~~G> \ ~
~~>~~ Jiil
>00-0
;ummz:;;
" -1- .,
-1-;0 r-
z- r- ,J
CIl> -
-Ir- ~ -i
i:
In
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I
wIIJ"f"i'\~
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
II ndreq
""
fj " I (Jmm~ )'0
(Phone)
~ /; -~;O~-' - 'ifS~
(Address)
BUILDER
(Company Name)
f'r
(Address)
Date Rec' d
I c:). - d--0 -() b
,
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0& 1/131
ZONING (office llse)
5F
PID \
{J- 0/'7-0
(Phone)
(Phone)
0/2 - 7~c9' ~f'~y
~~lPol(
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAdditlOn OAlteration OUtility Connection
p{Fireplace
.5 roo In-S
CODE: }S1..RoC. DI.B.C. o Mise ----...------
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlfmshed mformatioo on this application which is to the best of my knowledge true and correct. I alsu certify that I am the owner or authOrIzed agent for the
ab"vc-mentll1ned property and that all ellostructllln Will cuntllfm tll all eXlstmg state and lllcallaws and WIll procced m accllrdance with submItted plans I am aware that the buildmg
"mClal can rev\;kc tlm permIt tin JUS cause urthermore. I hereby agree that the City llfficialllr a deSIgnee may enter upon the propeny to pert(lrm needed mspectlllos
x
Permit Valuation
O{)O..-
g/!,J-_~
o-v
Permit Fee
Plan Check Fcc
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
I~~
I Ilurldlllg OrtiClal
/2,/2- 1/0 ~
I Date
1.o~ >~ S P"
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE eHu-e...f) Il,. 2-1.0(, $ /(oCJ,ZS
~~ f~ ~? i Receipt No S ~S-~ c,L I
/, _ _ {;, ..(, By .~
'/
Paid
Date
ThIS IS to certlty that the request m the above applrcatron and accompanyrng documents IS rn accordance WIth the City lllning Ordinance and may proceed as requested. Tim dllcument
when signed by the City Planner ClJl1Stltutes a temporary Certificate of Zonmg complIance and allows constructlon to commence Before tlCCUlMncy, a l'crtlficate of Occupancy must be
Issucd
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (9:;2) 447-98:;0. fax (9:;2) 447-424:;
4646 Dakota Street Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
z.lS.07
;:~ ~:~y I PERMIT NO. OL. { II c:T-
3 Yellow Applicant , \JI ~
ADDRESS
ZONING (office use)
II llCf
vV (~D6tGNE55 Tl2I\l L-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm 2S.
I OWNER
(Name)
(Address)
(Phone)
(Contact Person)
(Phone)
/3',1-- 8:Jt:1b rcJ)?
/oPT::; 7/?
(Zip Code)
APPLICANT
(Name)
(Address)
.-.~
(Phone)
APPLICANT SIGNATURE
DATE
/'
(
!
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 I % of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39~\. I
Building Permit # v'1
/ P f\\ 0 e.-\2-
50 ~I)\J)
$
$
$ .//
/'
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
P~----
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date Rec' d
CITY OF PRIOR LAKE PLUMBING P,ERMIT
~~/
~,1. 01
~. ~~~ ~:;y I PERMIT NO.O / .. /1; n
3 Yellow Applicant , ~ - __l2J
ZONING (office use)
/II/fj flJ/t,ut-:JZ/L/c.;)f' /~l/,-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
[ OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name)
,)IA{\.[
6--i l ~ t -(/
IrA-')
(Address)
fjyq(p G-o~~~ 1/1
(Address)
ff1A-;""K 6-;/S.f-f/
(Phone) (,; i 2- - 110 ,- 3 ~ 'I ~
6t II~ /J/QI.I:~ '5"~(H I
(City) (Zip Code)
(Phone) 4: /7- - ,1" ~ S'3 99'
(Contact Person)
APPLICANT SIGNATURE
t lb~
DATE
/ Z .. Z 7-~ c;
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower I Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
Residential, New One & Two-Fa - y $99.50
Rcsidential, Additions & Alte IOns $39'60\ J / 0
Building Permit # 0 vI t:l'r-
p AIBUIVO
$ ~...
$ .50
$
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447- 245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building PermiT Chedilist
Ba.:seme.::n Finisb. or Imer10r Altcntion ro Single Family Homes.
q '~17"
BY:~~
Dare: IJ-dl-o~
Building Permit #
Site Address /7/! 9
\ Pill: Zooing:
iJ~(;'f~ ~
Le-~11: L
B
Subdivision:
E.risring Scruc:ure: @or NO
I. COi:'iF.ORl."rIS ..TO ZONGG
. ORDIi.'fAl'fCE
I@I
NO
YES
NO
Is chJ.s an e;~ar:sion of:te e:-is-...ng IOOq:r.r:.t or
building heigh!'?
Reie: ~a Plan..~-:g
NO
Is me propeIT'j lecate:! 'N'irhj,", me flood plain?
Re{e: to Plarring
Does th.e aJcention include any additional kitche::s?
Refe:- m Plarm.mg
o
No \r1;<J-r-
Does the orm:ose:::. alte:-ation include an'! oms-ide
. . .
em:rances oche:- than patio doors?
Rer~: ~a ?lar~ .,...g
NO
Is the pro-posed ll.Se or"' ct:e ~.sne-i spac~ cr
alte:"ltion for a.-:yrbng or.b.e:" d::m 2. r.or:::al si:J.g~e
f~~'''l'; ',.,O.,.....~ (or.::Cca ,r"""ll,...... '-c1"'"""'.a ,,..:j"1.; c""1~~ ~..,.~ )'"
-......."...., c. .....'-> --- '->, J'""'''' "' ...'->. ~-. -. ~,_.'->. .
Re:'e:- :0 ?b.IT."'''''g
NO
Tms CF.IT.C<l.lST:'II1JST BE CO~LPU:TED A.J.'il) INCLUDED IN ;:-rr BL1LDLNG ?~RJ.y[1T mE TO
MA1NTA1N A RECORD OF' THE REVIEW.
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
cR \ 2,-7&0 - S<618H ~
t-::> ~ #?\ _ ~. ~~~n ~:!~y I PERMIT NO.O t -illS-
-- :!--l 3, Yellow Applicant
e or rint and si n at bottom -'
ADDRESS .---, ZONING (office use)
171/1 '-I tI'-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
ADDITION
IJ / /0 r" /'\'") tt 5 ~
OWNER /
(Name) Ie rl. ~ -f i-l11Uff {' t\
(Address)
(Phone) klJ - (;C'S- ,. 7V j-e,
APPLICANT
(Name)
(Address)
(Contact Person)
fflArk
"6 qci(:,
(5. h ~ r
- :S3Vq'
(Phone) U rz.. - -, I"
t/t 1 / ~ I:?/Gi ,,1,./ t'
(City)
6c.-..c;1t (!,J Tr ~, L
(Address)
-So&:, 0 ( /
(Zip Code)
67'/~I-~ .-
Q,oi-{... (.. hI-.
L
APPLICANT PLEASE COMPLETE BELOW.
?II;P- ~';Y""
~2--27-Pk
,v] ,4 , Ie-
(Phone)
4,/ -z -
APPLICANT SIGNATURE
DATE
DNEW CONSTRUCTION D REPLACEMENT i:a"A.L TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants PLEASE NOTE: Air Conditioner
D Steam Units and Fireplaces Cannot Encroach
DGravity o Hot Water into Required Side Yard Setbacks.
D Mechanical o Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System D Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
Industrial, Commercial & Multi-Family
$39,50
$39,50
$39,50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $ Building Permit #
.../
Ob'~III~
PAlO \}\J~:!", t.MT
'M:--:; l-')::-.fh.-
.50 0.." ilL(W-"
{;:~wJ .j
HEATING PERMIT FEE $
ST A TE SURCHARGE $
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
81/88/2887 11:45
9524925085
GLOWING HEARTH:/HIGH
PA(:;E 81./ l11
",;;:
, ,... >' "';'~;.~;;;~:~ii'~~'L< "
;e4.~Y 'Q]1fJ~1L~] ; ~:!Ib,~<KE .
;lLE~~r~t~v.~*~~~~NDi~~jfi,j~m;;,~~i,.."':::~;t:REPLir~~1l\ERNII~
.. ' ' . ,~;/::;~.,~"
D''':t.:' ,.",n'",,,.' I
~': '-~\:~~~
( '\
,',,-:1'
..~
filii: ;,;:;-;.~."~~~~~'" .
CW' .('J j.'il~E'~ILT NQ, .
i:iP:~::~::~;;~i;~~, , .. ,~~~~ :~
. . '.,.. ,oJ.. ..' ..'. l~dj;(lNG)(OffiX."i
. ...,' (
.,
-_~7'_~'~"'~ . . --.;--:-__---":.1-
.,,, .
,.,,'~'.~ .
..,'.. I. riok
,:~> ',',",.. 1. Cr..~
""."".,- "''''~.~ >, ,,,,-
-r; .0;(y(.:!}~(q hz--
. ..!!<~i",).J1~,~~~,;'" -
....'~J'-l~.x:.;..:~lo_~L,;~1,;
.;~" ,: ,,:~~,
I"''','
Ic;t..\(:' M~,iirlJlt itill1"~i~:':i:tbdt\fimj1;.."..J",,-' ". '
kDDRE'SS' .... .-".... .
r: I 0 11)("~ ,j;"
7 .1_J1~~J'ttU'-~'?? '
,""..L.;........o)i:U;UirL..!-c..J.
.~~~'"<f.,l._,...,"
LEG}\L tJ.:e.s~11t~:li~.:?.c,'rrir:e:\\k0'/1IY)
LOr
BL00K AibPITl0.N'-
,!_~_,,-_~~_~ .---od>d - -,,' ....:~.....J_~~~:;~17.::.:.;....'~
Pl~)'
.~~~
."-'.' .
----'~_ ~",----,,_,......._~............-...o:..-:'''''''-''''L~'.-r:~~~~~-''''';'~:~
~OWNER J" S ' (,p -,. '2 ():2 2{
(Nomoi 0"", (! dl_(!-"~~-~"".~--~"t!{"~- (Phone) ,/;) - ,&tJ - ;? if;;
(Mdr~") f~I/~,~~:Jd:d"t!!:~~&:.!i.=~_J&~~L. __~~:-:=~
~;~~~= (;;.,1N;.!-Ji ~~ill().rxii--. (pnbh~) .&.? -'f9cJ - 9 J / &> --~
(Addres~) /fY) pldl:2itido, .j)i.~~-~., "~JQujo-'.~b.J!UJ~---" ,55,3S'd~
_ _.(A:tl\;fr~'i!,j lbicy) C:0ipG&~c)
. -j_ C'/' '~/7 L) 1/./ I .... IAc:J- U Q':J - o,-?(
(Cont~ct Person) J.-!_2::1-...)...:J:J.dd:..Kl...L,~c.L~~~w_.,,~ ~(r~ho'i1e) --.:L~ ( 7,~ ? <.7 I .0
___~ <: . .?>J' /..
APPll~ SIDN'ATuRE7~?~~~'e!-',,~,L-.L)~~ / f;/ 02~_
'. ~~- ..~t~~:'~~~;>;;~~t:~'~~ .. [Er"h~fX 'ltm~:m'~~6m;~';V ,. '
__-"~ ' . " ,,~~',:;i!'~~:""i~~~jtJ~'?;f~)fP.fl;i~~t~&L\!g,~ '!f1"~>~'~,L;~tt,,2;~~~:~~~' ...,-'~~",~,"~~~"~'--------
;;Cl~WiQOm)'rF;jJilim4~l@T: :- ;)D~j~iN~*GEtv1f.)r.\1;u; . .'. . :iGj]1,1AL'r.ERf~,TIQN8.' I
fURNk~EMJfu.n,..l~q':.o,~,~~t.. ',>. :: ,.. . . ;1';\"'"
.. J". . =m.~.lYIY:l-'I.c ""-,,~"~'-"2;~:"{.'~.:'~'"--'-'--"-=i"''''',",,,,'-' ~~- n"''l;.'L ~
fLUE srzB '~"-,,_' 0" , iR.:BTrJR.N,!}~IUf;W~i', . - "f",-,~,'1N,pUT , \1Hi11~PUr
'1'!J;!:gi0ttSY${t;~M a'E1N1~H~8:;rt0Ei~dWBH. Pt,AJ~1'
.,. . . - . -," . ".", ',' '
o~V;.!'r:(~l';~>!o;li,iftl3J1ts Cl'Srci<i:f1 '
.~' m~M~)iY :~,.. .~Htrl'.\\'n.Ttt
~ 'j.I~~''-.ll''~:t.i'.' ''':) ; ";h." .,j'.;
'U,nJO~ll'il~!~\\' ' \ ,.) :'.l,adJ~trbh
DAir:G.l?,~tJlf\()IHhg , ,"Tie$.17Fcfi~Fti:~~i~A~'"u~ '
{JVCtlt;s.x~t"etri . . . . .' ::,'~m1iOlr\'lif'}jt'VJ\;&'. . .. '
FIREPL~CEMAEE *Nl0lil?iiPL~UK;.;-~&~E q I Q
-_..-......~-'-'....._~-
Pl:iEASE N0;:t,E:
Air Condlrloncr Units
Cnnl1 QtE D trO'uch,in to
Requ.lt~'d'8Ide Yard
. SLltbatb
~
In dustrinJ, COl11rnerl:li'l!.i&MIl'rtPPliml~,y
, , . ,,,,,J}W~~:~~n1DPJi1b..-:. ...-----.--.---
'~\o/aO:fijd,P'I.,~oi.r ,(""Rfs'iMlitlol:C1!lS' Fin:;p la.cl'c-~
$3\j;SO;jTi\~milrti. ----..-.--..-- -.---
$9~..~tJ: ... ':Rdd~ntial, Additions-&' Altcratlons
$'64,5b ti:t'~iiJenlib.l. AC'tm.ly
$.39. ~O
Residel1till:l, fhtiilg.,&NJC (1Jew.Corcitil~~t'(6)l)
Rcsidcntial. BMting OTily(NeXv 'Oot1'!;Ifllcti ~Il~
339.50
:r.39,~O
/ '~.I '1./,.09-
BstjmM~d.Co~t:$' _! iLk' --
[1oildihg Penhi\: H
~~-~ \ <( lJ
(1 \ 09) rev '\
{)JY~ w ~
,J \
$}~trMm;;v.siU\ht!JJf.E$ '?i,SC)
;stA~E\i~{tfRG~~dE. .. $ 50
. Tt)'i\)ili';BJ?:i.mll;r~!Fjj;t $ c/.:fl. f)l )
(OfficeUic'Ohly) .. .. ., ' ~-
, ,_~~~~.1......l" . '.J I '~'..", L'~~.. ..
THi' ARPIIM]lJf'n'<onl";";1Hir1!u1)a,(I\t)~,,ij>>t~~j;j,Ir.;j.r\l>;by~ , ~ ~ Rece,pl No
ati"~".J>m"" ", ,~@f':~~~C!:8~:-_ ~y , ' ,
'24;h~lll' .t\~]i~e;IOt'BIr,:lflsjj~f.tJ [jlUl';I~9.$~rlt47 c9850,ri.1X (952).,441.4245
l~2.tjOifo;llele'G~~~I{::~\y,en\l~" l'r(o t'L:nlce I,MN: 55372
J
)
PRIOR LAKE
INSPECTION RECORD
t ~~ T~~
--
DEPARTMI::NT OF
BUILDinG AND INSPECTION
DATE ISSUED
INSPECTOR
DATE
~
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
...--------- --
,
... ---------.---------..... ~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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