HomeMy WebLinkAboutBuilding 06-0441
5" 0 ~~ (') o~ooo "tl 0 ,. -0
'" 0 :I: ~ C z_
"0 en"TlZ"Tl"Tl"Tl 0 c ~~
(1) s: z
~ 0 !l o 0 =izen~OO z m ;Q mo
,. 0 ;Q ;Q s: ~"C:5:~S m ;Q m ~"Tl
I::l r- :-! ;Q '" Zr-!;zoz Z en
t'l r- m en m 9 en -"tl
:oa t o ,. Z ~ ::!(i)~(i) O;Q
-t -t z-
t'l -I m 0 - zO
~ ..... ,. - en o z 0
S cD o en -t z o;Q
-t "Tl
co - ,. 0 ::!~
~ 01 '?' o 0
0 Z -t Z 0",
"Tl 0 ,. 0 mm
~ 0 ,. z ~
;Q r-
j' 0
~ -l "Tl "tl "tl
:t... J: 0 ;Q ;Q
~ m ;Q 0 0 000000
z ;Q 0 0
~ m m m m 5:"tlen~5:"tl
>< z m m mr-~>mr-
-t 0 0 oC: -tOC:
VJ
" C5 z ~ "tl J:3: mJ:3: "tl 0 en
~ en m "Tl~;Q;Q;Q~ m 0 0
~ "tl ::l 0 zZJ:J:-Z ;Q Z :I:
:::! m (1) -t ,.(i)OO (i) 3: -l m
0 ~ 0 r-"TlOO ;Q =i ;:0 c
~ ()
-l 0 Z -"'''' - Z c:
0 ~ to zc:c: r-
~"tl"tl 9 m
Z m C
C "Tl
~ N 0
"..
J: ;Q
m
~ 0 0 :f
c:
;Q 0
< 000000
en m
5! z ~ (i)"Tl"Tlom ~
,. Z ";o;oO~ ....
Ro (i) ~mm5:(i) m
c
~ < _"tl"tl"tl~
~ ,. rfi!;~!;o
Z ,.ooz:;;
0
""l !T1 _mm-t- ....
~ ;Q"Tl;Q r-
-t-- r- i:
enz z m
-t~ (i)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5.'z (). Db
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0(,.04+/ I
n at bottom)
/bJ-7~
1) 2- _
(" J.
.J.._ .
'A_~V!ht0
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PID ZG.~ I'" 0 '7_l>
OWNER
(Name) G~
(Phone)
l .~...n c Ie....
ll- PAUL
(Address)
(Phone)
(Phone)
-.) &-12-D~_0
~-Zbl '122.1
Z6/ ~r2-2..1
3))...
BUILDER
(Company Name)
(Contact Name)
(Address) /2.Db
~CL:).JJ CJp0<;TR..Vc\)O~
k-~""- j 6 J.-J.1JS ID "-.J
& urit....JlJ-L Y L--""~
..;y') "....)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection
ORe-Siding ~ower Level Finish y..FirePlace
Z eAtS.
CODE: DI.R.C. DI.B.C. o Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S V
Division: I 2 3 4 5
PROJECT COST/VALVE $ ~ Da:::>. vO
(excluding land)
I hereby certify that [ have fmOls 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
at all co struction will conform to all eXIsting state and local laws and will proceed in accordance with submItted plans. I am aware that the building
for Just C .e Furthermore, I hereby agree that the City official or a deSignee may enter upon the propel1y to perform needed InspectJons.
x
ZOS-,/o~3
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
z. z,S
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
/" If)
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I)" 4 0
Gas Fireplace Permit Fee
4'~ ()
TOTAL DVE
This Application Becomes Your Building Permit When Approved
Buildlll!! Official
Date
.) - 3~") - 06
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certifY that the request In the above applicatJon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested. Tim document
when signed by the City Planner constitutes a temporary Certificate of Zoning complIance and allows construction to commence. Before occupancy, a CertJticate of Occupancy must be
isslIed
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.JUt~-15-2006 11:02 From:D&D MECHANICAL
9528904650
To: 19524409678
P.1.1
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~:~ ~:~y I PERMIT NO./ -_ ~ 1il11
J V.II*'" ^PIlIIOllll . ~_~
ZONING (ollicc use)
J~
",.r kv 1'~vJ
~.
LEGAL DESCR1PTION (office UBC only)
Lot BLOCK
ADDITION
PID
(Address)
.VI~C~:;. . _~ =~ ---
APPLICANT i . ' \
(Name) J~ t j) ~ u"h ~N I r. A Cn
(Address) -..9.o~5 W H~~ S frSjr 8 e.-
(Address)
VQ.. s+ k~ .
(Phone)
~hOne)
'151~-~g()- g2-~~
tS537g
(Zip Code)
l
.
OWNER
(Name)
(City)
APPLICANT SIGNATURE
(phone) ~52 -Z3D- ~2...'8g
DATE C, -J~
(Contacl Person)
Quan tity Typo of Fixture Quantity Type of FiJ.turc .-~.-
Bath Tub with or without shower Rough-ins ..-
DLshwasher Water Heater
- Floor Dram
Water Softnor
7 Lavatory (Bathroom Sink) Stand Pipe [Washing Machine) --,~..,._.-
Laundry Tray (lor 2 compartment Sl11k ~ Sewage EJoctor
7 Shower Stall Backtlow Assombly v
Sinks Backtlow Assembly Test
Bar Smk I..own Sprinkler
I WnlerCloset (Toilet) Other
T
APPLICANT IlL EASE COMPLETE BELOW
FEE SCHEDULE
InduSIri~J. Commercial & Multl-fumlly I % of job coSI wilh II $39 ,~O minimum Residenlllil. New Ono & Two.Fnmily $99_~O
RcsidenLllll. AcldltiLln& & AlteraLions SJ~UO
Estimated COSt S
Building Pemlit /I-
PAID
.~UILDING ~1'H
:t:: A Iv1 r,.
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL P,ERMIT FEE $
(Office Uac Onl)')
This Application Becomes Your Building Pcrmh When Approved
nulldlnll Onici.t
Dall
- ~- .~~-- ~~----~
I
14 hour notice for Allln.poction. (931) 447.985~L~9S~) ~47"'_Z~S:....___..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3 Yellow
~~. I PERMIT NO.? It--- t/L/j I
Applicant i
-
ZONING (office use)
ADDRESS
J t.278 PARKVtEW DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
~~;~~ANT VIERECK FlREPlAC[ 511L[5
''''/51 MAIN AVE Sf
(Address)
~ TEVE Rl VERA
(Phone)
~ 52. LJ'ID.. ,-, 'lD
PRIOR lNl 55112
(Address)
APPLICANT SIGNATUR
(City)
(Zip Code)
(Contact Person)
(Phone) 95Z- 'I'll} 51.20
DATE ZZJl1LZ!XJt,
DNEW CONSTRUCTION o REPLACEMENT IE. AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL MAJESTIC 3.3 LDVRRN.
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & A/C (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Industrial. Commercial & Multi-Family
Estimated Cost $ " b 95. IJD
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
3 C; 150
.50
LIt} ,OD
(Office llse Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUll-DING AND INSPECTION
SITE ADDRESS /&'278 fJrI,l!:K.v/t;;UI O~.
NATURE OF WORK L..()WGJt..., L-e'1/~L-
USE OF BUILDING ~J ~//<.
PERMIT NO. O~. 0 "DATE ISSUED &'. Z~. Oc,
CONTRACTOR /8&1CLJ~ PHONE UI. 922-1-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ L r
i r- Uo r [~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- - -
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BU~LDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
'01,
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