HomeMy WebLinkAboutBuilding 05-1058
DATE TIME
CITY OF PRIOR LAKE 0'/2(j1()~
INSPECTION NOTICE SCHEDULED
ADDRESS { (oF; OJ ~Q~ ~<lu
- ..J
OWNER CONTR.
PHONE NO. PERMIT NO. 05~J~~
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
;;B-FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
\. f~~th
H~~ ~ S~tr=>
2... Nc:>~ ~ \..o~ use ~
I
t:t.5 \ tV,'<I1\
'V
5fJtt.U
I
f\ \
l-:-) A
o WORK SAT!SFACTORY, PROCEED
}li.CORtffECT ACT ON AND PROCEED
o CORR cr RK, CAll FOR REINSPECTION BEFORE COV..'""
Inspect-r" ) Owner/Contr: ! J ~
# ~~ FOR THE NEXT INSPECTION 24 'HO~S IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
$ .-Zv.~
/ ?.sO L .r /l c"J'-1Jv "''' /3( <; c, ~
>V
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
IAI ~<t I
Pc;., f'~s
olk.
DATE TIME
OS'-/~-~
Y~'(f~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I
I,..,
57
)f..JiiQRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~. - Owner/Contr:
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0. 6.05
I White
Pink
J '{el1ow
File
City
Applicant
PERMIT NO. 05. /OSs
(Please type or print and sign at bottom)
ADDRESS
l (P5 c!)... :I V\.() l..~ a cto \A.('A
ZONING (office use)
~~o.c..~
,e/60
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs. 095. ~/4: 0
OWNER
(N ame)
lk. V\. ",}.s. ~-e VI f' h~ If"
(Address)
/bSt~ .1ivo Uo.~~o..
~caLL.-
(Phone)
c~tl
~ 1.J<j *)
" S I ~ 'it
"Ol~
lr[;Lt3?
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAdditiOn o Alteration DUtility ConnectlOn
ORe-Siding OLower Level FinIsh 0 Fireplace
CODE: ~I.R.C. OI.B.C. ~Misc
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
~fl.J ~.
If
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner O[ authOrIzed agent for the
above-mentlOned property and th~.t all constructlOn will conform to all eXisting state and local laws and will proceed In accordance with submltted plans I am aware that the building
:liciaI ~~t \.. U~ore, I hereby agree that the City official or a destgnee may enter upon the property to perform nib ft~7o 5
Signature Contractor's License No. Date
Permit Valuation #-:35: tJ 00. D"O I Park Support Fee # $
Permit Fee $ iJ-Zl3. 25 J SAC # $
Plan Check Fee $ 34-..~ Water Meter Size 5/8"; I"; $
State Surcharge $ J7.5D I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee .,k" $ Lf 0, f!Jt> I Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE (!A Uk,.J) /of/.tJ/(JS I $ CfZO.86
. .
Buildlllg Oftlcial
-&Ir'f,/OS
Date
Paid
Date
rz..o. e~
/o.Z-/.a~
i Recei~t No. .$3zq
I By "'~. I
I
pplication Becomes Your Building Permit When Approved
~~
ThIS IS to certify that the request In the above applical10n and accompanYlllg documents is III accordance with the Cily Zoning Ordinance and may proceed as requested ThIS document
~hcn Sig~t.'d by the '"ty Planner consl1tl1tl'S a temporal)' Certiticate of Zonmg compliance and allows construction to commence. Before occupancy, a Ceruficate of Occupancy mllst be
issued \
V /V-,).O-fl5"
, ,
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please type or print and sil1;n at bottom)
ADDRESS
1fe?50Z- //lICi{//lO()N~
8&//&-/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
"PCR&/CIC-
DeNN/s
(Phone)
(Address)
BUILDER I I
(Company Name) ~/to'1 H 1\.,(" j fib ~
(Contact Name) \N "-\.I 11\,-(,.. t:.t f\..~j
(Address) 7''- z. L. t L<...11 ~,.. ft... (.
(Phone)
(Phone)
50
Date Rec' d
H&C w' tJS.ICJ58
PERMIT NO. 0&. 1093
ZONING (office use)
t€ ISO
PID 25. a Cis-. tJl-I-. ()
(,51. :3 ""/. +4-37
fat 1.-8t.'-l.oC(t.-
~/1... -2-1.1-1(.0(,
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration o Utility ConnectIon
CODE: OI.R.C. OLB.C. ~MiSC. Hz-tJ 1'1 &/e: If:..
Type of Constnlction: 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 hlrmshed Int(,rmation on this applicatIon which IS to the best of my knowledge true and correct. I also certIty that I am the owner or authOrized agent for the
JOllve-ml'otlool'd property and that all CtH1structlOo will conform to all existmg state and local laws and will proceed in accordance with submlltl'd plans_ I am aware that the huildmg
~fiCl'llW1=-1S PjJ,lt 1m Just cause FulthelmOle. I heleby aglee that the City offiCial or a deSignee may enter upon the plOpel1y to pel form ne;d; W(~""
/ ~gnature Contractor's License No I 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 $
Park Support Fee
SAC
WaterMeter<~";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
/'
This Application Becomes Your Building Permit When Approved
.-'50(J ,
/.J- - I ~-- fc
Paid
Date
Buildlllg Urticlal
Date
#
#
$
$
$ Z5oO/Oo
$ 50,DC>
$
$
$
$
$ ~300.--
#
#
Receipt No. 5' d'?$U \1-
By C1
U
ThiS IS to certify that thc request In the abovc appltcatlon and accompanYll1g documents is In accordance with Ihe City Zoning Ordinance and may ploceed as requcsted TIltS document
when signed by the City Planner comtltutes a temporary CertIficate of Zoning compltance and allows ([Instruction (() commence Before occupancy, a CertIficate "I' Occupancy must be
issllcd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
('he ("enler of the Lakt Count'")'
C-:White -Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
P6ej?JEJe.., DENNIS
I
10.&.05
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ 5t)Z- /NqUrtOCJNrt BE-19M
Accepted Accepted With Corrections /
Denied
"
Reviewed By: ~ ~
Comments: ./o~.~ ~"....,,~
---~
~ .Arl ~ ~ ~ ...~. 41 LI--' ~
~,l ~~ np~-.~
~~~~~
Ak-J-~ ~I
Date: /Q;'l~~ 5'
-~~~-~ ~. ~
"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."
.
Thf' Ct>nl{'f or Ihe Lakf ('ounlr)'
White - Building
Canary - En~~ering
~ - Planl1'Tng,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
#
~
,
Date:
/C1-/?- ('IS
Comments:
"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 oj~ the jurisdiction shall not be valid."
...___._4..
White - Buildin
(C8narv - En~ine~
Pink - Planning
lhf (""nlff nf th" l.ah ("ounl11-'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
PE:t::.KI C J~ ( DE NIV I~
I
j{).u.O:S
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/C:"50L ;AlGUI-jL)()AJA /3Ei7rv-;
Accepted
\/
Accepted With Corrections
.,. "-
Denied
Reviewed By:
~
Date: I 0 -/5~Q~
Comments: B..eA Reverse Side for Additional Information!
See Attac~ents: 1) Grading Plan~ 2) Erosion (;nt\trol MeasllT'p'~.
"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."
CITY OF PRIOR LAKE
Imperviou.s SUrfaC€l Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in th~: Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
; ,
Property Address \~SO"l.. ~~__~L.~ G~
~,".'\.... 0 ~ Lc+ li .~, P 10 7.-:>'~"Z..\ Oi.boue' 'f...(...., 9 o~ ,D
Lot Area \t:., \-$'\ Sq, Fe'et x 30%= .............. 4t;"-\ l..
************************************************************************
~,,~~
HOUSE
..
AND
LENGTH
WIDTH
SQ. FEET
x
=
" ',':
ATTACHED GARAGE
x
=
;1 ~-"...&~'1 x . = -z..St..l
TOTAL PRINCIPLE STRUCTURE......................
'"2.. 'S 1..0 -.
DETACHED BLDGS
( Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
DRIVEWAY/PAVED AREAS ~ X
(Dliveway.paved or not) ~~\ ""'_ X
(Sidewalk/Parking Areas) X
=
=
ID4
=
TOTAL P A YED AREA:S~.....,...................................
-, Ol.t
PATIOS/PORCHES/DECKS ~tl- ~.e X
(Open Decks W' min. opening between X
boards, with a pervious surface below, \
lire not considered to 't>.e.impervious)\(;.. .~l._.....,. \ ~\\\..
~ X
-:2,.. \ I.:)
=
\5'0
=
TOTAL DECKS........................................................
~D
OTHER
t-l-M ftop~~[) X :
~c...c..e~i? o~ ~(l X - (~q
TOTAL 'trfHER........ .;......... ......................... ...... .....
TOTAL IMPERVIOUS SURFACE
~::l)~~ .~\~
Company V::l 11"r, C::".D.Z."y; l'\.g..,...C.n. 'P a.
'~l~.~,
l '-\ '\
4~
\ loll
Date , ~ \.g OS
. ,
Phone # (Q'1?) ~u7-?"'Ul..-
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
4-, / 7 (,It)
(Please type or orint and sign at bottom)
ADDRESS
fi {., {' f/V/ ()S i G'S13
Green File I PERMIT NO, ~
Yellow City. . (Jf; 0 Z 7'
Gold Applicant - ..
/&6'02
/ ,l\JCj 1./ /f OOA/A
6'El1(W C-/L.
ZONING (office use)
fi!-150
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25, t.'95-' ()i/f.O
I OWNER
(Name)
DCIV 11/ V //6 je..-tei 6 K.
,
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT r-: J
(Name) rill a .
.~~41
b /' t~ d-t'1
?1\d~\='
~t-
T\..', u .Q..
(Phone) q,CS') ~' 49 d - :)/0 tJ
Juyl (; Yl .') ') 3 (j :l
(City) (Zip Code)
(Phone) Cj SJ-qqJ- S/OU
,L.j.-J 7 - () fc,
DATE
(Address)
(Address)
(Contact Person) -)(.dY,\. t , 1~'~,\\.e r,
APPLICANT SIGNATURE ~ ~/,
-r-"J I J
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and wate:r line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 35.50
$ .50
$ ..f-(j. 0 0
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 1-0 _ f ('
Date J ',1- i.
~rllO'"
Receipt No.,,_ 23 a
. ::;1 ~ l
By ~v'/)IY
fJc.,U/(/
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ILD'50"2.. JtJGuAf:)I),JA.. -e.~eM
NATURE OF WORK ll~~,,"c...H€D &A1U\~e,
USE OF BUILDING V ... ~
PERMIT NO. OS.105B Di\TE ISSUED 10/1'1/0 S
CONTRACTOR ~rJ'~ eEQ(lt~~, PHONEtJ,~/-3"1'" t/'1J)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR .~ If pATEl
FOOTING !/prJ I ~{/jt;b
I FOUNDATION (Prior to Backfill) I fti! / t.w? I 4r )o-ou
.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
PIA'\(?~ .
-
)rV'(/
WJ1
UV
1-- J,- }-1J/
FRAMING
INSULATION
ELECTRI
) /
-zt (3 o~
GAS LINE AIR TEST
/ COVER NO )\'OR~(>UNTIL AEJP~E HAS B~EN SI.GNED
Il-fvr we L-V~/:) / L4fftl IlIjJ I N 7frfJb I kll;
, I
FINALS r 11 I I
GRADING (Prior to Sodding) ,1' :),1/ ~J.l:!!jO'tJ
BUIL[)lNG I(J. fj / 2tIlaJ
ELECTFJICAL , t
PlA1Bt. I
HEATING r I
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