HomeMy WebLinkAboutBuilding 06-0109
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
(Please
ADDRESS
S l8b
'-r (- .-1
-.s~
LEGAL DESCRIPTION (office use only)
L:tew
I?d
z. . /5. Ow
1 White
Pink
YcHow
File
City
Applicant
jNCl.A..V6S c5./23
PERMIT NO. 0',; . 010
I\!u
ZONING (office use)
f<, /50
LOT Z BLOCK
I ADDITION /StANL) v/6w 3~
PID 25: 2z8. ooZ .0
OWNER
(Name)
~e"" ~ ry~p.er'.::.o.",
1 S I%b :Lo\~.,d
V;~iW lei
(Address)
(Phone)
AlL,.)
BUILDER leim 0 .
(Company Name) . bler IL~\u",,"hDr--....,
(Contact Name) ~b ~
(Address)
(Phone) qs~' ,e)' (~~--(,.
(PhOne~ b f,;L~ 3{.~' c %s ~
ORe.Siding OLower Level Fmlsh 0 Fireplace
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C. ~Misc
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
~l - ~b..-u id do-b flee
PROJECT COST/VALUE $ -.9<3, '4<6<:\}2
(excluding land)
I hereby certifY that I have furmshed mformation on this application which is to the best of my knowledge true and correct. I also cerufY that I am the owner or aulhorlzed agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
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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 $
es Your Building Permit When Approved
~/,{" /6 c,
f I D~tc
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE tA't-t60 Z, It,. ~ (p $ /1 e Z2.. 00
--,
i Receipt No!; V9!-
\ By ,
t-
\ Paid
L Date
1 ~J.~.~~
a r d - ) -
ThiS IS to cerufY thai the request m the above application and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner Cllnst!tutes a temporary Certitlcate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a Cerufleate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L & fVli157Ck!- /2eS7l)/Vf71 ON
z. /5. Ofo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5780 /SL"tfND V/6W EO /1/11/
Accepted
Accepted With Corrections ,'X-
Denied A
Reviewed By: f?~ It')
Comments:
Date: ). /Iu I b C,
I I
J. Up 'jtoJJn S"""*"- ,...MA.d,,}S -+bour-r
2.. H<\c\. "SU"i.~j aU Sh.UC\ll~
3 . All c~ ?\NJo....oJ... ~s S't......Q.t b.t.. t"~~~
I.L ~...J:.... ~;\s '"~. .\;,r ~\<.l..J.xG I \.kJ.:......y I elt:..
"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."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;
~
(
; ;
, i
I
- l' ( /'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L.._ ,.
, I
i i
Accepted With Corrections
,.~(
Accepted
Denied
Reviewed By:
Date:
/
,
;
I
Comments:
I.
J
....q
1
k
J- -
i ~
1.
.J, .1.
.. I
(_..'
"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."
651-452-iB67 (MON) 227' 06 14:C7. :H. 14:06
ftftn'/ LJ V'\ctC'l----J
~'~L'I'I!::"'1"2 n
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FROM :NENZEL PLUMB I NG if. HEAT!
Date Rcc'd
Cl TY OF PRIOR LAKE PLUMBING PERMIT
\ Uhar ..;I~
: Gdd CU'Y
, Yellow A?fllf';1~t
LOT
BLOCK
ADDITH IN
PID
l
-I
LEGAL DESCRIPTION (office U~ C ;1Iy)
OWNER
(Name) _
(Phone)
(Address)
APPLICANT
(Name) -pEJ/zEL ~t.,g{' t ~
(Address) /7/00 /?~j!-t1/J, ~I? ~CY
(AdJirC"5: )
(Contact Person) ~,l/I!L- /"C-f, c-.~ el..t
V~~
(Phone)
bS/- 96::2- /S"65 xzl.
$5/2/
(Zip Code)
L~/IIf-J
(City)
(Phone)
_ ,5,4,.(-( I
APPLICANT SIGNATURE
DATE
i LPPLICANT PLEASE COMPLETE BELOW
of Fi.unre ...---'~--
Quantity Type of Fixture
lithout shower Rough-ins
Water Heater -.------\
--
Water Softner I
n Sink) .. ( Stand Pipe (Washing Machine) --...... -...-
Tcomparrment smk Sewage Ejector
Backflow Assembly
Bl'lckflow Assembly Tcst
Lav,rn Sprinkler
:t) 2- Other .sf u... i:t;;JC./C..5 I
1 r t! ~/~7vR. 5 -J> I-JA ~R ;o:~p6 .,4..5 ~ALU6t:>
Quantity Tyl'i
Z I Bath Tub with or \
\ \ Dishwasher
~-- Floor Drain
I
:?- Lavatory (Bathroo
\ Laundry Tray (1 0
Shower Stall
\ Sinks
Bar Sink
z... Water Closet (Toil
~~/Yt. /ie-I! /),
.AA.-f 6 tJ ~
FEE SCHEDULE
lndu:miill. Commercial & Multi-f:m1ily % afJoh cost with a $39.50 minimum Rc~jdcnlia.l, New One & Two-F:unily S9'J.50
Residenti~l. Additions & A!tcrntions $39.50
E.;rim3.ted ('(lst :t
Building Penn it #
PLUMBING PEMllT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
A\ID WITH
BUtLD1NG PERMIT
(Officc U.c Only)
This Application Ikcomes Your B1 Jlldlng Permit When Approved
Paid
Receipt No.
Dak
IJA~K 0 1 2006
By
~
\
Buildice Official
2.4 t uur notice for IllIln.~pecdoll.S (9SZ) 447-9850. fax (952) 447.4245
16200 EJ\gh' Creek Aye., S.E., Prior Lske. MN 55372-1714
.~~
,/ "A,'JVlVESO"'\t-
( )
\
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~;;;:c" I:~:~y [ PERMIT NO. /)0"-/;) ?) ~
J. YC'!lnw ^rr1ic-anl (./ ~
e or rint and sign at bottom)
ADDRESS
07gto
LJ/b-U /m /VUJ
]
\ ZONING (om~,,<) I
(1&
I ) ;-.., J C/
_ c-L/ A' al1 ,--<;
..;1 ? f - () ()c;J -;1
LEGAL DESCRIPTION (office use only)
-1
LOT - BLOCK I ADDITION "il.:J./ /
,/
pm
(Phone)
J
(Address)
-IAJ~
APPLICANT tt6 ~
(Name)Co.a/"&;e ?oM~ . ~ Y/JJJ2
(Address) ~ -g;)7 7 ~3 /Jt/7~ .~~
(Address)
IjL
(Contact Person)
(Phone) /'::dl- .7//j-;?73/
tJ--l6::JLJ Ao.LY
(City)
(Phone) t:i:c!/-
DATE
("
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION )Z:ttt:EPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL WJ~_J.Jj;/JK 0 2~------------------- FUEL L{)1-/
FLUESIZE ,.."'!5",1 RETURN OPENINGS ____ INPUT .?~ pcP OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
~ Air Plants
DGravity
tzl-Mechanical
~r Conditioning
~t. System
o Steam
o 1I0t Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Residential, lIeating & A/C (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
::.;;? ,,-
$ -')'1
__-LL /
$
$ I.'/(j
r;-6
.50
/This Application Becomes Your Building Permit When Approved
Ice Use Only)
Date
('/0, ---
Date ~
(._ _ ,?J-i,
Receipt No.
/.-
)"
Paid
Rnildinl! Official
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake. MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDI~G AND INSPECTION
SITE ADDRESS l2!J.aCo :;;:., (~
NATURE OF WORK fit-e.- 0:--'""4.A-
USE OF BUILDING Sf A
PERMIT NO. 0 w. 0 109 DATE ISSUED 2 . Iv, 0(,
CONTRACTOR Le. Ma.s\.u- 2rn~~C'n. PHONE ('l 'Z.- !'~~... ~6B
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
u.;~
~'f~ r
,
INSPECTOR
DATE
fA!>~
~~ill) 1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ .,I~
.".,aY1l-' r ....r"'..... I
FRAMING
INSULATION
ELECTRICAL /J
PLUMBING VV1// ')..- - h-' OL
HEATING (if required)
FIREPLACE
i\f\o.' ",J\ J.- iL-v-tr-- (W }-L-vO&
GAS LINE AIR TEST t Y
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
we
9
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