HomeMy WebLinkAboutBuilding Permit (Addn) 06-0111
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2#J-
ADDRESS I f7, \ 8?-
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()~ -11/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(i ( ./ /) ". /
~,~ fill ~~ V
/" r
No t-t"t-e /:~-l
o WORK SATISFACTORY, PROCEED
rORRECT ACTION AND PROCEED
o CORREClK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -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
/ z3 .O~~
File
City
Applicant
I PERMIT NO. 0 (; . () III I
Whitt':
Pink
Yellow
(Please type or print and si~n at bottom)
ADDRESS
.'77;:/1 / L-
/'7/ 8 Z --S-{//[/...s-6i
LEGAL DESCRIPTION (office use only)
ZONING (office use)
IC/~O
LOT
ADDITION
PID z5 /34- OO~,. ()
BLOCK
OWNER
(N ame)
~Ohl1
11 !;;Aic:;r II in
(Phone)
0/)' ?J~q- /S"7L/
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK ~ New Construction ODeck OPorch ORe-Roofing
1l/Addition OAlteration OUtility ConnectIOn
CODE~' .R.C. OLB.C. 0 Mise.
Type of on truction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $../tlZ1(?()
(excluding land)
I hereby certify that I have furOlshed 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 Il)r the
above-mentlOne IOpelty and that all cm~tluetlon Will conform to all eXistIng state and local laws and Will plOceed In accmdance with submitted plans I am awale that the buildIng
~liClal can r~~ll ~~il. I heleby agree that the City offiCial or a deSIgnee may enter upon the proper1y to perform ne;,e~;~ee;~
r/ .. $.gnom" C""",,,', L.",,, No Y ~""
mit Valuation
~/()o.ooo_oo
$ la57. '5CJ
$' VlE'? 3S>
$ ..5(:;- 00
$
$ L(a,.tJCj
"$
Water Tower Fee
Builder's Deposit
Other
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee ~,
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Sewer & Water Permit Fee
$
$
'1-.17. () "
Vt) _ 0 0
TOTAL DUE Mf.,U:;O
. "
/E"J7q-,,{d
,.)..:.::11. (.! (r
Gas Fireplace Permit Fer!~.
/1
~:tNO.
(J
This Application Becomes Your Building Permit When Approved
Paid
Date
.~~
~/I'-~b
Dine
Build1l1g Ollieial
$
$
$
$
$
$
$
$
$ /~ 74-, B1!J
~11/7
ThIS IS to certifY that the request in the abuve applicallun and accompanYIng documents is in accurdance WIth the City ZUnlng Ordinance and may proeeed as requested ThIS document
wht'~ned by the CIty Plannel constitutes a tcmpOlary CCltlficatc of Zonmg compliance and allows cnnstlllctlOl1 to commence BefOle occupancy, a CCltificatc nfOcclIpancy must be
"su /2.~ ,2 -/S-d6
}7 Date Special CondItions. If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Ca~ary - Engineering
CPink __ - t'l~n",np
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
/1'J ~s -C-
~ n?~ t2 _/.r-_ /1/
//~ Date: ..j . V'b
", /'
Ex;,S-cIi.tJ rrnp~rl/"I"~.J ~ ~t'~ ~ 99 'f L..s~. fit:~
v ' ~
hq~ be I'm:..rea.sct!
Reviewed By:
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 of the jurisdiction shall not be valid."
L
-1-_.- --------.--.....----.--
/"White. - Buildinp
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RUBIS eHKO I LlOf-/tJ
/ Z3. 0 (p /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/82- SUA/56/ lRA11
/
Accepted With Corrections
Accepted
Denied
r
~ ~ Date: Z!/t, !a 6
/
a.LP ~~, )/0 ~ ~
~~~~~~~
~--UA~ r?-~ ~:~r ~ .A"~~
I - -- ~ J 0
~ ~ ~ oJt ~ ~ fo be AJt._ ;.re..f(
I '
~ tHL6- ~ ~_ '~t/~ ~ 50 ~ #
o v / ~
~o~. ft' ~ ~ ~ ~ r-JP
~~~r~~~
~~1J t? ~ ~,
. rJ - ----v-- ---- J'
Reviewed By:
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 of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~;:en ~:~y \ PERMIT NO.a / _ 4f 1\ J
3. Yellow Applicant 0 ~
k;v:;er c9d
(Please type or orint and si/(n at bottom)
ADDRESS
11) td
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
&:R IliI~jf/r~cY\
eh,~t;{l a to
(Address)
ZONING (office use)
PID
(Phone) o7/,;;' -6t{,0. 757V
(Phone) (01;) ~ {~,. 757l(
R)rl1ltdP /J1V ~S57 :1
(City) (Zip Code)
(Phone) (Of/}. ,f;~0" 7S 7~
5/.71 }!cr(J
~~~~~AN~Jt)' 11 eJ b ,e; t" A tn
(AddresS)-! 7,lJJ. ~~' \f~
(Address)
(Contact Person) -1ohY1 m (Qubis.C~ t
APPLICANT SIGNATU~ 4$~1 M I ~iJh~J
f>' APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
(!....URNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DATE
HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
TYPE OF SYSTEM
vIlWarm Air Plants
Th}ravlty
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
"ffice Use Only)
.'his Application Becomes Your Building Permit When Approved
Buildinl!: Official
Date
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.
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
$
$
$
.50
Paid Cf()-
Date e. ,""2 -Z - I.
':7 r-) ~.,
. Re~~1ij 0 7
By rJ.--
(j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
i/I~:2
(Please type or print and sign at bottom)
ADDRESS
S LAtI\S-e f
+f' ) .
LOT
LEGAL DESCR1YIION (office use only)
BLOCK
ADDITION
OWNER
(Name)
(Address)
-:.r 0 ~ -".
Q v' ~., ~ $ k C/
APPLICANT D
(Name) CAA.CA..
(Address)
(Contact Person)
1. Blue File PERMIT NO
1~ ~ ./__//)
3 Yellow Applicant l.9
ZONING (office use)
PID
(Phone)
t\- 0 "'- J \ A '" c{ -r \ '^ ~ b \ ^ .) (Phone) (~~ 5 I] (5 5 ~ l..t s .2 ~
(Address)
\.~ e , b
IAP~
~~~-
APPLICANT SIGNATURE
Quantity
\
I
I
1
(City) (Zip Code)
(Phone) ~ \ 2.) [ 70)- 8 g f?7
DATE 3/A ~ 0 lJ
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower \
Dishwasher ~
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray {lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Office Use Only)
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$ ,50
$ 1\ ll~l~
papA kJ
Date)j' ;)q- DiP
Receipt No.
By Q-
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
i ." '-_..-.__.~_.._._
!
, CITY OF PRIOR LAKE . i
~~~\~r Impervious SurfacE~ Calculations I FER
(To be Submitted with Building Permit Application) /, \f
. For All Properties Located in tht: Shoreland District (SD):" ..... "..-....
rhe Maximum Impervious Surface Coverage PCHuitted in 30 Percent.
Property Address L~ e, ~\f~ ~ q l f)UNs.e+- S~Ori>
Lot Area \ l ,.."2..\..t"1 C\'o~u.p_ <7J..._ <\\1...~q. Fe'et x 30% = .............. '-\<=\.o 4 .
********~*~************************************************~********
;'lf1b.
L.U .,
LENGTH
WIDTH
SQ. FEET
HOUSE
AND
x
x
x
:;:
, " .
ATTACHED GARAGE
=
=
TOTAL PRINCIPLE STRUCTURE...................... ---z.. -z...'-\ l.p
DETACHED BLDGS
(CJara~
x
x
TOTAL DETACHED BUILDINGS.......................
\~lo
DRIVEW A YIP A VED AREAS e,\~.......~,.e.
(Driveway-paved or not) G Ft.'" \
~ Me.
(Sidewalk/Parking Areas)
x
X
X
=
t...~oo
\..I:2.:!."X)
=
=
TOTAL PAVED AREA:~.........................................
~tt>uc
PATIOS/PORCHES/DECKS Q~\).e11. ~.D"c.. X
(Open Decks '14" min. opening between r--I. X
boards, with a pervious surface below, .
are not considered to P:e. impervious)
=
-~\ \ \f)
=
X
=
TOTAL DECKS........................................................
i\\p
OTHER
X
X
=
=
TOTAL OTHER.......................................................
!
TOTAL IMPERVIOUS SURFACE
.UNDE~..
Prepar~dBy j)"\>-L 1<" ,,~
/ \
C\qL.\e>
e) 0 l.\ \~\
"'~~""
Date -Xl -\.. J}$
Company ---IT,,' , or. ~l' ""'''yi'' g . r." p f:..
Phone # (Q,\?) uu7-2570
CITY OF PRIOR LAKE
Impervious Surfac€! Calculations
(To be Submitted with Buildinll Permit Application)
For All Properties Located in th~: Shoreland District (SD).
rhe Maximum Impervious Surface Coverage Permitted in 30 Percent.
,
Property Address \ ~.\-~ 2>.\ '2;.)' l~ (" 0, ~. S~~~ ~ \..\Q*.-e~
R~.,.",o
FFc~
Lot Area ~\~~1 o.~ cz..L ~\L' CC Sq. Feet x 30% = .............. '-\.'\0 '--\
*****************************************:~******************************
LENGTH
WIDTH
SQ. FEET
HOUSE
ANJ)
ATTACHED GARAGE
x
x
x
=
=
=
TOTAL PRINCIPLE STRUCTURE...................... -2- 'Z-\.\ \,p
DETACHED BL~
(Garag~
x
x
TOTAL DETACHED BUILDINGS.......................
\~(a
=
.zl.,OD
~~O -
s-e S'l.t+-~
\.~\~~J
l.o .., 4- <t)
DRIVEWAY/PAVED AREAS ~',~-..,lo\o'J.;. x.
(Driveway-paved or not) G",p..~' X
(Sidewalk/Parking Areas) X
=
=
TOTAL PAVED AREA:S .........................................
.. ~
PATIOS/PORCHES/DECKS ., X
(Open Decks I;''' min. opening between.. X
boards, with a pervious surface below. .
.are not considered to pi impervious)
=
I\\P
=
x
=
TOTAL DECKS..............,.........................................
.\\1
OTHER
~to~D
eo N... '^ x
\\.\ x \ \.\
=
=
\ q\.p
TOTAL OTHER.............".........................................
TOTAL IMPERVIOU.S SURFACE ~~t1l 1cO ~<'~.~. ~~ C\'\~D
... . ...(; t:lt..'~~.\ \O:J Q .t"'At,)-tJ) ,
UNDE OVER ... . ., ~... I ~03~
;::::y:,.,,~. o..~:a~~ A. p:::e~~~~~:.~~,2L- ~:&
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /7/BZ- SUtJ.56T /K/l1 L
NATURE OF WORK ~ DOrT} 0 Ai
USE OF BUILDING /2eS /lIte...
PERMIT NO. 0&. Oil I ' DATE ISSUED 2-. th. ()~
CONTRACTOR !f{//fI.:5U1K.O PHONE t,/z-. 889. 7si-l-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
INSPECTOlJ1
I/W
DATE
7/ Zl.,1J1, ~
I
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
FRAMING 1/ )\'0-: ~ , f//dPC-
INSULATION # t./ / k/~
ELECTRICAL :3/JtYbf:.
PLUMBING 111"1 3p-~/{jb
HEATING (if required) ~ I ~h-oft,
FIREPLACE -. A . Alo p,'t4. flo.c.(/ ,. -;
GAS LINE AIR TEST ~;'h, u/;; to)!:/' t~ #~ t;lkW"ab
, , - ....
COVER NO WORK UNTIL AB9VE HAS )3~EN SIGNED ..
~~ t0~ III/JV;M f,4~t IL.,((/ Ms-)/)f
\ .
FINALS
BUILDING
ELECTRICAL
PLUMBING tUll1A-L
HEAT'NG
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