HomeMy WebLinkAboutBldg Permit 07-0555 NC
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CITY OF PRIOR LAKE
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%Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification ..5/)/GtlC Hlrl/'-( Bldg. Permit No. 0: 05.55
Occupancy Type .e ~ Type Construction VtJ Zoning District I€ IS.o
Legal Description L 4- I 8 / I IV I LOS NO K.:T"H .3 t<L)
Owner of Building Site Address / ..{-o2.. 7 lV/Ll..l:5 f1 /1 TH /11/1.1
Contractor's Name & Address 22./.33 i-OG~AI /f ve. LI1UVIl,...LA:;: . 5SD#
j5(;t.J !-IU7Cl-!IN> City Planner ;Jfl/V& .c::rI;v'f/6/<-
'. 0_ i. Building Official
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
IL.{ OL}
WiJJ
C1,f1l
NfA)
LEGAL DESCRIPTION (office use only)
LOT '--I BLOCK J ADDITION \tJ; lJ
ortl
Date Rec' d
~~/~07
1_ White
2. Pink
3 Yellow
I PERMIT NO. 07. 05Sst
File
City
Applicant
ZONING (office use)
IZISD
3d ,4JJ~
PID2S
001-.0
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) Cj)z-LJb'1-I'1f
(Phone) tll-rz"f-l./rU
TYPE OF WORK rtJ New Construction ODeck o Porch ORe-Roofing ORe-Siding
DAddition o Alteration DUtility Connection 0 Misc.
DLower Level Finish
o Fireplace
CODE: ~I.R.C. DI.B.c. PROJECT COST /V ALUE $ '{)OJ 000
.
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
ation 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
lnlction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
~/'3/07
I / Date
offici
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
tJO.OO
100.00
3s-.so
f) . ()O
ecomes Your Building Permit When Approved
/J'9
Contractor's License No.
TOTAL DUE
Park Support Fee
SAC
#
#
Water Meter Size 5/8' 1'"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
'8
I ~::e IT;jj,~:~ ,~
I ~;ceiPt~O<(.3
ThiS is to certify that the request in the above applical10n and accompanying 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 be
issued
b-;l.tg-~7
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~c c;d1~ S~
Special Conditions. if any
gjjfhite - Building:::>
. Canary - Engineering
Pink - Planning
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:
14-0Z7 *~ t?a;t;tu'11,;1f
Accepted
Accepted With Corrections
;><
Denied 71! /
Reviewed By: f2.I ~p
CR;;ts~1t ~t~ W ~
Date:
(,/~il./ rFJ
I 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."
White . Building
c: ~If'iarv . =~gln~erlns:::>
Pink . ann ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
' . lc/
(P. /-.J. 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-02 7 JI ~ t2a:t:"IJ '11.;J(
k
Accepted
Accepted With Corrections
Denied
Reviewed By:
A/Jt1b
Date:
C -j 8 ~ 7
Comments: 'See Reverse Side for Additional Information!
..
.....
See Attachments: 1) Grading Plan, 2) Erosion Control Meas~es.,
liThe 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 . Enaineering
GPlnK ./ . Plannln])
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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,{ '. { C. C <'-1 (~J. I l_/'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'
I . -.;> -7 ! /.. ,_AI/I/
/ '::1 (L '.-,,!;, /(-'"~/ ,< . ~ crnvc/ / ~f
# /
;'~
Accepted
x
Accepted With Corrections
Denied
Reviewed By: /~ ~ Date: 6- :J!?-d7
Comments: -All ~~e~ MIAoS"C ~t!. ins-e-_IIe.J. ~~ CYOl'r~.,e.d
~n~ro/e flkl'\ ,.IOkA-t:- .$de~.Je pnlr -&0 Cert-;.I,e~ .n-,"",,-IIeY.
ttL
-,'rfI"
liThe 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."
JUL-12-2007 02:17P FROM:
TO: 9524474245
P.1/1
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Date Ret'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
. it bolTtltD)
t ~:. ~I~ I PERMIT NOtrtcJ55. ~
I. 0.14 ..."._ . ~
,
lfil-IGl~ Pu%'
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I ZONlNcrC;;;;~'l
I LEGAL DESCR.IP110N (otll" UIC a'\ly)
l__~ BLOCK I ADDIT10N ~:\J& s rA
I OWNEl\ r
! (Name) L,uJ.v~1o-n ~6-+zswt 6U.~\J. or..J
I (AGdms) ~a\.3j (01 c,/l' _ ~
L (A~dnu)
}
! APPLICAN+..
i (N.m,) l;'7 o.~<,r- Cia'" u~
l (Address) eg.S 7 S- uJ 7c.J+h. J2..Q.:f-
I' (^d~Jl)
(ContlC'l PellOn) S (i ^ 5l"rn.
I
[E?LICANT srONATUR.e
.
PID
(Phone) ..qS-~ - t;b ?- /ro( I
L~J&.... sm<tc; _
~ ~~
(pho..) _So7- 7'-1''-(- c ~,s...'1
LcJYlS.:;f~ ~~
leiI)') (ZIp COde)
(phone) S-eJ 7 - 77"''('''. ~6-
DATI! -'7 /..,2 -c) '7
I
,
APPLICANT PLEASE COMPLETE BELOW
Siz.e of WLler service -L-. i!\Ches,
Location of any couplings from ~lrUct\lrc --.. feet.
Typo of sewer pipe, 0 ABC g:p.VC 0 Cut Iron
Estimated lenith of sewer una .::1i:..u feet
Clean out (ifrequired) located at - feet from'structure.
I
I
I~
, i
,
FEE SCHEDllLE ' ,
Residential nwer l1ld water Jill. cOMcorlon $3 LSD Indulll"ill, Com'! .\ Mvlti.ramlly I ~ of Job eort with. $39050 minimum
St,\I.er cunnection onl)' $17.50 Waltr connection 01\1)' S17.S0
Esti m a.ted Cost $
BulldlDI Pennllll., ......
SE\l/ER AND W A TBR PERMIT PEE
STATBSU'RCHAROE
TOT At PERMIT FEE
$
S
S
8 r&AID Wln-t
Qj)ING PERMIT
IOmer r" Only\
"
i Thll Appllel\ion Becom~. Your Bulldfnll Permit Whltn Apprond:.ii ,l: iJ" '. ceo pt o.
, ,"\;'i
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. . 1)111 \~ r:i D~UL 1 8 2007 \ I .
I. :1
,~ hour notlc. ro~ alllnlp.etionl (9$2) Ht~9'i$O, tn 1M2) 4"~2d . !
l~,,~t~~d
Butldlol om.11
t. .
08/07/2007 12:35 9514401740
ALTA CLEARWATER
PAGE 02
Date KU'd
CITY OJ! PRIOR LAKE PLUMBING PERMIT
~=.. ;- " r PERMl't NO. 07. 05551
: J [ ZONlNG_~ I
l
1
oo-_<<""'!....;
I ADDUSS I 1- ~s, 1u-tlLl
l LEGAl. DEScRlP'IJON (.........."
LOT BLOCK ADDmON
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lllL_
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.(AddIes ~/) ~II~J . _~~
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t=JQ3/'i.
(2i:p Code)
(Phone) ,1 ~ + _ Zv3
-7'11]
APPLI
(Name)
(Addms)
(COllOId: PenaJ()
DAlE
APPUCANT PLEASE COMPLETE BELOW
UItity 'l)pe CI re
ldr:r HeMler
GI:r
S .
M4~inA
siDk
er'
lEE SCBJ:I)1JU.
InduJlriI'. Commm:ial & Mulli-flIIJu1y. 1% ofjGb colt with & S39.50 JlritllDmDI ~.New ODe A 'I\Iwo.p...1y S99.so
~~&A111!l~ SJ9.30
Estimattd. Cost S
BqiJding Permit"
PUJMBINGPERMITFEE S qq,60 PAJDWlm .
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08/07/2007 12:35
9514401740
ALTA CLEARWATER
PAGE 01
CITY OF PRIOR LAKE
HEA TlNGI AIR CONDmONlNGIFIREPLACE"PERl\fIT
Date Rec~d
f =- .?1:~ f PERMIT NO. 07. D555 1
J I ZONING O€~-) I
l=~N;;~cI~ 1tt-iY1
LEGAL DESCRIPTION (omoe use only)
APPLICANT
(Name)
(Addr~s) jqZ UO 1/ tiS:
(Acldn:ss)
I
l
LOT BLOCK
ADDmON
PID
19.=C~~1!1 ~s. (Phone)lJf~~~
. (Address) ~ ~ Lah;l1/ k~)___
::t - ,.__ - _;,n J ' ~e) L/L/o'377~
Wn ~v ~(jrlc:7/7b :.~~
(CIty) (Zip Code)
;;J?~ (Phone) .t/ xl-- ,Z,iZ.3
DATE ". tT7
...;""J.. .
(Contact Person) _
APPLICANT PLEASE COMPLETE BELOW
w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE A MODEL 6L1?J.AP--4~6-t'PI() FuEt. rJJot+67~
FLUE SIZE 3/ I RETURN OPENINGS --.J 0 INPUT CIUTPUT
TYPE OF SYSTEM IlEA TING OR. POWER PLANr
.
OWMmA~~~~ OS~
o Graviry 0 Hot Water
o Medlanical 0 Radiation
OAir Conditioning 0 Special DeviCf:S
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroaci1 into
Required Side Yard
Setbacks
/'
, 'J
. :~I;:i:(,:~{'
FIREPLACE MAKE AND MODEL
Industrial, Commercial Ii Multi-Family
FEE SCHEDULE
1% of job cost Rcidential. GIS Fireplace
$39.50 minimum
$99.50
$64,50
$39..s0
Residential. Heating Be NC (New Construction)
Residential, Healing Only (New Con..~ction)
Residefltilll. Additions &: Alterations
Residential. AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
(OfficI: lfs~ Only)
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITI-i
BUILDING PERMIT
.50
B"ndi~ Otnd.1
[
i
I:
Date ! ,
.... ........ ~~...... '-- ..lIl~...._tot^~.. IO~"'\ A1~7!~~n A.... 10C".1 U'7-d.,..c::
i"
l...~_._.._...,,_.,.."
Receipt No.
This ApplicatiOIl Becomes Your Building Pel1Jlit When Approved
By
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
t
~~T~~~D:FE~;R-(fO~2; (w1J.~~~ ~'~P'I ~~) IJo ~
USE OF BUILDING SfD I
PERMIT NO. 0 '1, 0555 DATE ISSUED ~ /~:J/tf')
CONTRACTOR' PHONE u12- ~a.4g2~
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SE ARATE DOC^UM~NTn
No ~S~"l::MS I "I~ DATE
FOOTING
FOUNDATION (Prior to Backfill) 7 J
PLACE NO CONCRETE UNTIL ABOVE HAS BEE
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMpING
HEATING (if required)
FIREPLACE
<if
GAS LINE AIR TEST cock
OVEJlNO WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to Soddin
BUILDIN-G h B I
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
UNTIL AB~E HAS BEEN SIGNED
NOTICE \
This card must be posted near an electrical service ca'binet prior to rough-in inspections
and maintained until all inspections have been approve~. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
)}r
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FOR ALL INSPECTIONS (952) 447-9850