HomeMy WebLinkAboutBuilding Permit 07-0359 NC
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I. White File
2. Pink City
3 Yellow Applicant
I PERMIT NO. 07. OJ 5/ I
I
~~~'..m ~d :"bott~)
II '/ ferc, uif'U
I~Nf
Nw
LEGAL DESCRIPTION (office use only)
r:-
Loui BLOCK / ADDITION J
J'r Cl't/pI
Date Rec' d
5/~7
ZONING (office use)
OWNER
(N ame)
- ~:/- OJ'J-O
(Phone)
(Address)
(Address)
lJ e N:fh1q/lI.N
/-Jom {lJ
(Phone)
(Phone)
~s/-~()t -~YOiJ
(p /.2 J'~ 9- 7~ /.2...
-:5/.2';""
Jil-
DO
TYPE OF WORK New Construction ~Deck OPorch ORe-Roofing
OAddition OAlteratfun OUtility Connection
QMisc.
ORe-Siding ~Lower Level Finish
CODE: '&1r.R.C. DI.B.C.
Type of to~struction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
B
S U
JIJ Fireplace ( ')
//OJ()D()
./
cJCI
V
M
4
A
R
5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have fl1rnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the ow , uthonzed agent for the
above-mentiOned property and that all construction will conform to all existIng state and local laws and will proceed in accordance with spans. I am aware that the buildmg
:ficial can voke this permit for'~ I hereby agree that the CIty official or a deSign; y;:'F the property to perform n5[~'r;tl:s() 7
Signature Contractor's License No. Date
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 #
Water Meter Size 5/8"; I";
DO. DO
00,00
3S',~o
,{JO
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Otlicial
5/1 ~(> 7
Da e
\'i
-........
$ .,.
$l(P7S,oo
$
.....
$
$ 5'0 0 (:)~
$ 000, D D
$
$
$ y
Th[s [s to certify that the request in the above application 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,C.!,Hpmence. Bef'1\.OjlancY,~ certlfic"~~lpancY must be
ISS~ ,~ 5/;7~7 ~,See lV.alDrl e
PlannIng DIrector (Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
~,~':~ ." -,~ 'i~i'
~ee IVI.
~llc
~ - BUildi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WbNSMANf\J
5. z .07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J~(q I PAlG1c-~/ Ie vJ ~N.
Accepted V- Accepted With Corrections
Denied
~ ~0?J
Date:
5h7/a?
f '
Reviewed By:
Comments:
2;ee. [Vl~iir,F~ire
"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 ~~ile
White - Building
Cans.." - ~;;::neering
<;:pink - P ~
,
t
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\. \. C I.. 'C I'" i f\ f',; r,j
f-:-' ~ 67-
~~--- - .~ ~ -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.' C~ I. t. I
' , . .
, '.
,
,.jl\' I( Ii I L \.; L 1\..1 .
Accepted
/
Accepted With Corrections
Denied
rj) - -:-,' 'f~ '[) LV
Reviewed By: ~~,-Q ~
Date:
5;;7 /() 7
!
Comments:
See IVlain. }'iJe
~
.
"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."
S.ee lVlainltile
BU'~DlNG PIS8MIT APPLlCAT.ON DEPARTMENT CtleCKJ;;.t!5T
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSMAN~J
5. a,07
TheBuifdipg,.EI'l9in~eriQg, and Planning. Departments have reviewed the building permit
application forcQnstruction. activity which is proposed at:
I~r~ / rA~(:vJ LN.
)(
Accepted
Accepted With Corrections
Denied
Reviewed By: .
.1YJ9(j.
ScclYl./'n Ale
Date:
~"'I '1-ai)
,
Comments:
~:,ee .. rvltl.iD.Jj~ile
"The issuance or granting of a permit or approval of plans, specifications an~
computations shall nQt be construed to be a permit for, or an approval of, any violati~;
any of'the provisions of this code or of any other ordinance of the jurisdiction. Pe .. ..'.
presuming to give authority to violate or cancel the provisions of this code or other.
ordinances of the jurisdiction shall not be valid."
(@)
~/NNESO't'"
l4J 017/033
Date Rec'd
08/04/2006 FRI 7:44 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLUl\fBING PERI\1IT
; ~~~ ~~~ I PERMIT NO,' ~.' I
3. Yellow Applicanl , , '
.PLty k V\e~V .~V\
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I ~:;:~R UJp\1\ SnnU Y\ I') "---
I (Address) I kg 5 {~l 0. w-- Dv.-. :fF 200
. (Phone)w~l-qOS.- 3/{f1
flAgavVl tJlN 65f~r)
~~~~~ANT G~11Z- - l2,f>f C1J1
(Address) 21-00 \lV..1 H"'\J Lit 1..3
(Address) -'
L~ ·
(Contact Person) ="f"\ \ rY\ (Phone)
C:!5A1Y\... 'f)!J1JJ-1J1.
(Phone) q01-101 ...
B(AJ2. t1 ~ if I ( f C. M f\!
(City)
( ODd
APPLICANT SIGNATURE
"<:--z:::::-'-"? .-(
".J ....x~~)
(Zip Code)
0f5J,-707~ I OeD
DATE 8"/3/00
I .
APPLICANT PLEASE COMPLETE BELOW
Qualltit)' I Type of Fixtllre I Quantity ! Type of Fixture
I
. ~- I Bath Tub with or without shower I .~ I Rough-ins
i -, Dishwasher I I I Water I-Teater
\ I Floor Drain I 1 -1 Water Softner
51 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I
\ I Laundry Tray (] or 2 compartment sink I i Sewage Ejector
t I Shower Stall I 2-. I BackfJow Assem bly
LI Sinks I I BackfJow Assembly Test
, Bar Sink I I Lawn Sprinkler
I
"31 Water Closet (Toilet) "- j Other
I
_._--,---_..--
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost .$
Building Permit #
PLUMBING PERMIT FEE $
STATES~~CI{ARGE $
TOTAL PERMIT FEE $
.50 PAID \fIlTH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building }>ermit When Apprvvell
Building Official
Datr,
i rr!~ ! f!I'fOOiPI No
'I:': ~.tt\1AY 3 1 2007 I i~r
" II 'I
I
!
24 hour notice for all inspections (952) 447-9$50) fax (952) 447-4245
08/04/2006 FRI 7:44 FAX 952 767 1900 GENZ-RYAN
[lJ 016/033
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERl\lIT
Date Rec'd
(Please type or print and si~ at bottom)
I ADDRESS
I \ 1_\ \ C1 \ P(~r K\/\ eVJ
I
I '
\--f\
~.~~~ ~l~v I' PERMIT NO.,. tell
3 Yoli.," Appllcan' . ,~
I I ZONING (offict I
IL I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
prD
l. GiNNER CD () t! S OJ-----
(Name) 'u"'\" h'\ f\L)
(Address) l gqs tor OrZtl :Dr # Z(J)
(Phone~ lJ;5 j-yDs- 37011
~OJ\ MN esi'd-d I
APPLICANT (''--'''' ,,.... -J _ ,,) I . " ry: '\ .// --1 I'j '\ '\
(Name) CI Cr ![..~1j..o..n (phone) -.:1:12\- ((j) - L--t.,()
(Address)),(')CO LJJ. t-h.t)L'11 '~) bUJT\Svi I k_. :T!?'~-7
t/' (AddrCb'S) (City) (Zip Code)
(Contact Pe"on) "In~ . __-.=._ (Phone) (1"5-;) -70{- i OCD I
APPLICANT SIGNATURE .. '/(/)J~ ..);) '~ DATE -XIB-JD ~ ._-_J
I APPLICANTP !- L "COMPLETEBELOW
I ~EW CONSTRUCl J~~ ). 0, I(-~PL'0yMENT -0 ALTERATIONS I '/-~
FURNACE MAKE AND M. ODEL J<el\r'Q1, U2ID vH- ~wf3 = (j{fQ _ ~ FUEL nAi ~a ~ -,-
FLUE SIZE __.__ RETURN OPENINGS ~_._,__ INPUT oK'(lJu_,._ OUTPUT.. 'rJ2.<1w_ i
TYPE OF SYSTEM HEATING OR POVVER PLANT
16warm Air Plants 0 Steam
DGravity 0 Hol Water
"lSl,Mechanical 0 Radiation
~ir Conditioning 0 Special Devices _.___
~enl. System 0 Other Devices _______
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% orjob cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
S39.50
Residel1lial, Healing & AIC (New Consiruclion)
Residential, Healing Only (New Conslnlction)
$3950
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # _______
$
$
$
PAID "Vlnt
"~'~ljJI4DING PERMIT
, Receipt No. '"I
i
~
By
.50
(Office Use Only)
This Application Becomes Your Building pcrm~t. Wh_~ Approv'" ',.......1" hid
Building Official Date." \ I
24 hOllr notice for all inspections (952) 44i.f)850,fax(252)!t41~41~.:.::::::-j
;,~-~.. .-:~- -_..""-_..".,_...__...__.._~----_.__..~-
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS I I ~ 12~ YIt:-zJ e #.tJ.
NATURE OF WORK ~C/,A.J ,. ~. IN' -~I'! ~A:)
USE OF BUILDING ~ tTr
PERMIT NO. 07. 03~ DATE ISSUED
CONTRACTOR ~~ 1JAI IId~ PHONE · 'i:llz..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ M lllL-'.1
DEPARTMENT OF ~~l)ee .310...,1 e
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACF NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~ f tflJu.jC~~ I I
FINALS
GRAD"ING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
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