HomeMy WebLinkAboutBuilding 06-0283
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(PI<: 0' pDO'''' ... "bottom)
I ADDRESS
/ /0/ 0/&V 5
,
LEGAL DESCRIPTION (office use only)
LOTJ7BLOCK
ADDITION
7-027-0
OWNER
(Name)
See Main Fl.1!d.i~e ~::y I PERMIT NO. 00. 28 I
J.~i',ow Applicant 0 3
I
~Tl+
e/ /</~ M../l.v ~
4771-
(Address)
(Phone)
Date Rec' d
3.- ;).9-- t
,/
ZONING (office use)
R
(Address)
..
t~
4-()~ #00
ZZI /b'Z-2?
(Phone)
(Phone)
^lrJ
TYPE OF WORK D1<iew Construction ~Deck OPorch o Re.Roofing
DAdditlOn OAlteration OUtility Connection 0 Misc.
CODE: OI.R.C. [Jr.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
I~ ~I IV ct h/{ u
I 2 ~ l7
~ower Level Finish ~Fireplace
I
$ /~{J/L
ORe.Siding
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have furnished mformatlOn on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner m authonzcd agent for the
above-mentIOned pl'llperty and that all construction will conform to all extstmg state and local laws and will pl'llceed in accordance with submitted plans. I am aware that the buildmg
official can revoke thIS pC' it for Just calise Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed InSpectIOns.
X / 1-5'8 -3~- ,,23~ot,
Signature / Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
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
BuildUH! Otlicial
1/17/o{,
Date
$
$
$
$
$
$
$
$
$ .,5/7.
':Il~~;f I ~~CeiEtNof~(gcf' I
#
SAC
Park Support Fee
#
Water Meter
1" ;
Pressure Reducer
#
-----
...;.:; ~~~~~
ThiS tS to certify that the request m the above 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 Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must bc
IS~~
Planning Director
Sewer/Water Connection Fee
#
Water Tower Fee
Other
Builder's Deposit
TOTAL DUE
Paid
Date
1/!71o~
. Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
\.
See Main File
White - Building
r Canary - =nglneerlng=:>
Pink - lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W tJ.A1...oA1(a Nil)
APPLICATION RECEIVED .3 - d 9 - () 6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/f//9 (j~Ah& paZ(,
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
Comments:
At/1tJ
Set 1J1.,"~ F,tl
Date:
~-II-() 6
See Matn-Fite
"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 Iv1ain Fiile
~hite - Buildinu
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W tJ/l1AL/YK..a)UJL)
APPLICATION RECEIVED 3 - d q -- () 6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~/19 !v~& PaZA-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
r-
~
Date:
~7~~
Comments:
See--Ma-hrFtle
"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 - Engineering
C "Ink - PlanninO
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
I
/1:.. I
, ,)
, "
I
-"v I'
. y- ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;' 'I i !
:' ) / "
j' /j..J ..f
/'
Accepted
~~
Accepted With Corrections
Denied
Reviewed By:
~
.:f--e.J2I-
Date:
if; 7,;{; 6
Comments:
S e
"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."
L_----.--.".---,..,...
06/27/2006 TUE 11:01 FAX 952 767 1900 GENZ-RYAN
[4J 002/021
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I Pink
2 Grecn
~ ':t'~Il(lw
~!~ I PERMIT NO., · ~"
Appllcanf
ZONING (office
use)
\ lIds
',J 0vH~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER LL! \ r} "'l (' . 7]et '1/' 'I --i:.j /i 'll vt..__
(Name) ~~t.1 .) I .' J I '-t- '. ul / l._)
')!UZ{L ty-, SU.#
(~ L16L() ___,_
J
._ (Phone)
(Address) I gC16
) 'j I';/ /1, /07 \( FFj
. / 'LtWI r V ,-) (.,
(Phone) 46~-'7(;; 7- /(y)O
l-lJiJ l j I ,3 5.u- (f Il S" V; /) ~ &3:;;;
. (Address) l' (City) (Zip Code)
(ContactP=Ott) +v~c--: ~ (Phon'l4-j3- 7~~- HJ(/~
APPLICANTSIGNATU E 12'-' ); /.. _" DATE _ CfZ/:.;{3/{L',/
APPL C~, T PLEASE COMPLETE BELOW
~NEW CONSTRUSTI~~ i.' 9: ~E:L~$E~";N]~fQ. 9 AL TERA TIO~S r _ "I. /
FURNACE MAKE AND MODEL \ tnt ICI Ci / n i d Pt - .2 &;0" 0 JU _ FUEL n(/~LC1~~~......-
PLUE SIZE _._.._. RETURN OPENINGS .. 2_. INPUT ~LDUD OUTPUT ,.;fSS\~ld_
TYPE OF SYSTEM HEATING OR PO\i\TER PLANT
~Varil1 Air Plants 0 Stcam
D9ravity 0 Hot Walcr
IMeChanical 0 Radiation
'. . ir Conditioning 0 Special Devices.
cne System 0 0ther Device<;
APPLICANT (~f' I '7_
(Name) I I L..
(AddreSs~~~_OO
LV
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residcntial, Healing Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commcrcial & Multi-Fami])
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit II
S
$
$
Residential, Additions & Alterations $39.50
Residential, AC Only A $39.50
l!JU11.. ~/D ~
DItvG 71J..t
PS~lI4rr
.50
(Office Usc Only)
~. ~___.~~ ..-__ ---...-- -'--1
: '
This Application Becomes Your Building Permit '''hen Approved
'Paie!
Buildinl!: Official
p<lt~
Date '
I L~
24 hour. notice for all inspections (952) 447-98~~a~_(~52~~7~~45 _,.._.~_...;:.J
06/27/2006 TUE 11:03 FAX 952 767 1900 GENZ-RYAN
I4J 013/021
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~~ ~:; I PERMIT NO. /. ,,\--o-g
) Yellow Applic.anl , ~ ~
I ZONING (office
use)
I LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
(Phone)
APPLICANT SIGNATURE
(Phone) Li5:;A -7 f.t; 7- I CCf)
J3LtYJlS'\I; Jle.g:)337
(City) (Zip Code)
._._ (Phone) (5), -7&,7- j OW
_ l'l~ J1L R!.ll/.AjJ.~-b} DATE LfL~ 3/ (j to
APPLICANT PL'EASE COMPLETE BELOW
APPLICANT ( ':-f.'"7 I) l j C\
(N,m,) LI /l VI J'J', !;~l . >')
(AddreSs).2.?/)( I OJ. --WL}. rJ
. (Address)
(Contact Person) _JiUJ}
Quantity Tvpe of Fixture Quantity Tvpe of Fixture
--.., Bath Tub with or without shower I Rough-ins
>"-
\ I Dishwasher \ W ateI' I-kateI'
i Floor Drain 1 Water Softner
1_/ Lavatorv (Bathroom Sink) - Stand Pipe (Washing Machine)
- I
I Laundry Tray (1 or 2 compaliment sink Sewage Ejector
I Shower Stall I \ Backflow Assembly
1 I Sinks I Backflow Assembly Test
Bar Sink 1__ Lawn Sprinkler
3 Water Closet (Toilet) __J Otber
FEE SCHEDULE
Industrial, Commercial & Multi.family 1% of job cost with a 539.501llinimum
Residential, New Or1!o.& TWl6Jil~!!, $99 50
Residential, AddllicIJh?le:....tr.TtI/) ~ 50
Estimated Cost $ Building Permit # DltvG p,71'J...,
PLUMBING PERMlT FEE $ ______.__._____ '/2'~/1 ~
STATE SURCHARGE $ .50 'viI.,.
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Pea'mit When Approved
Buildln2 Official
Date
lP~irt!
I
lDi'te . ~Y'
i JUN 2 8 20061 i I
,
1.4 hour notice fOl' I,ll inspections (952) 447-98' 0, fa.x (952) 447-4245
16200 Eagle (:l'cek Avc., S.E.) Prior Lake s-y'i 5537~-1714
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT o~ef~ J~lla~in l~llt:~
BUILDING AND INSPECTION
~~TEU:D~FE~~RK N ~tf!,~Jt:'t~-:~:~t",r."')
USE OF BUILDING as F If
PERMIT NO. Of;,. OZB3 DATE ISSUED ~~ 0
CONTRACTOR W, IV~ MA iliA.) PH N _ .. ;J;U. /"-:10
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE (fI1()';~)
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l~rHElr Hdll.flrlAJltA,tl1 I
I FINALS
d- crt' 07
GRADING (Prior to Sodding)
BUILDING 1i \M.o
ELECTRICAL
PLUMBING ~c..
HEATING
DO NOT 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.
FOR ALL INSPECTIONS (952) 447-9850