HomeMy WebLinkAboutBuilding Permit 04-0955
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :5 't qq
O~ER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~ ~!~AL
o SITE INSPECTION
COMMENTS:
SCHEDULED
Ma.cp<;t,- ~
<.J
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
a.~_':..UMBING FINAL
j)':J "MECH FINAL
DATE
!rl
Lvt
TIME
tj - 7/)~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.
I, 1-""$ f.oJJ ~ ~ II ~ 17 J. ~ ~w--o. . .
~ Cn~..('1
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CTORY, PROCEED
AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector: VI-f/ / Owner/Contr:
CALL 44;~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.../
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE ~-HD1
INSPECTION NOTICE SCHEDULED
ADDRESS 3~<i~ M;~h~
. -...J
OWNER CONTR.
PHONE NO. PERMIT NO. Y-7~'b
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
o FINAL ~ PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
/'\
1\ l(n. .~
U~
,
C'\ " .. _ ~
- .
~ t ~ ~lv.,~ -,.lu... ~l' ){~k.~
2.~(~
o WORK SATISFACTORY. PROCEED
A CORRECT ACTION AND PROCEED
o CORRE~T R, CALL FOR REINSPECTION BEFORE COVERING
Inspector: , Owner/Contr:
GAL 7-9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See -Main Fi~ei~~e
Y' t) L/'OL/
(Please type or print and sijtn at bottom)
ADDRESS
3 Yellow
File
City
Applicant
I PERMIT NO'04 .0 955)
J'l1ll
YI ~ \1:.H
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L"\tJ-<.
rtfJ1JU
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT i 0 BLOCK / ADDITION
Ey(.c ,J ~'. v <., ~~J
PID 2S- (iJ Cf - OlO - 0
OWNER
(Name)
r Fi'",",: Vj 1-,,"-\J {kv V\~f"" ___ A- (Q
;>-267i1 UtJ~ (,+. ~.hv
BUILDER 1 . V') /
(Company Name) r~""" '"'J. ,~ vc'-'''"' ~.~ lil,.
(Contact Name) ft+<... et/.q-lh"
(Address) ~ ~ 0 ~ e ( ~.yt-<--0-I L 1- T=fN
(Phone) b) 1-l/~5-l/f!I <.S""
(Address)
(Phone)
(Phone)
&;-/... Yt~. 1I8~
~:>I.. 75"' S- Yt,i 9 (, J
.. ... ,
TYPE OF WORK dNew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.C.
Type of t-;;nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV VA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $.) ~ ~
(excluding land)
I hereby certify that I have fi.lrmshed Information on this application which IS to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentlOned property and that all construction wIll conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
~11Cir ;e ~It ~or Just cause Furthermore, I hereby agree that the City offlciaI23~~3 ;er upon the propeny to perform neede;~p;l~n~C 'I
Signature . Contractor'sLicense No . Date .
Permit Valuation I~' 2;)0. fJ 0", tYD I Park Support Fee # $ -
Permit Fee I $ I ~S-3 , 5""'0 I SAC # $ 13so,oo
. - - ...:::-:---
Plan Check Fee I $ /2b9.7? I Water Mete(Size 5/~'; $ Zcs 0 . 0 0
State Surcharge I $ /'L~.(JC I Pressure Reducer $ 4<;;.00
Penalty I $ I Sewer/Water Connection Fee # $ Iz.o~, l)o
Plumbing Permit Fee $ IbO~'l)o I Water Tower Fee # $ 700,00
Mechanical Permit Fee $ loa. (J 0 ) Builder's Deposit I $ - I
I
Sewer & Water Permit Fee $ 3'5:. S"ll I Other I $ I
Gas Fireplace Permit Fee $ l.{a. 00 I TOTAL DUE J $ '1. / (, 13 _ 7~ I
- "' J J/ /J 'f
This Application Becomes Your Building Permit When Approved Paid / /~, ~ / i ReceipUoJo. &;rl1/./ l
~ ~ 1/1t( foe( Date ~,~,d I By I!/~
I
BlIildlllg Otlicial Date
ThIS IS to certifY that the request In the above apphcal10n and accompanYing documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
~,"~,,,,,,, ~'"~ C,uill,'" O''9;;om'''':';' ,rr,,", """",,",," ,,, ~efrJlfainO'~~:e m"" ~
P""m;", D;=w, .. I . Y~. S",d., CoruJ;ti"". ;f '"Y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See \fain File
White - Building
Canary - Engineering
(1"InK -~lanmn""9:::>
lhe Ct'nft'r nf fh... Lake Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
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C"I
,
l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which ispr()posed at:
/
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
~~
Date:
~I/'(~if
..
. ,
Comments:
.
~
See .\lain File
"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 File
CWhite - Bu~
Canary - Engineering
Pink - Planning
The Ct'nlt'r nf the I.a&i;f' Counlr~
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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)(~ _'-:>U -() (};'
vD'. }
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons~~ti~ aqt{hiCh m:;;;J- (c- a~
u
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~~
Date:
'7 /; S/~ ~/
I '
Comments:
See .-'4ain-FiIe
"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."
~~~ PR/~f?
!:::'" ~
U tT1
See Main File
~. - BuildinQ
nary - Engineerina )
ink - Plannn'ig
Thf' ('t"nff'r of rhe t.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
j.\
"
t,
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l
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L.J
NAME OF APPLICANT
APPLICATION RECEIVED
,
I
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/O/C
r-;:) .'" ,/,t....'
',~ .-' -y(( 7')L
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-j /"-' /'J If I it.'l. I
C""".',' /i '"~f />. 1/ /.'1"','.//.:/'/7-/'1""' ,/.....,.\:::iL...ZA.S--
..: r I .' /1 f.. ' i.(..(/ I , '..- _'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J19-[5
~~e /J14f~
JI
.
h'l(
Date:
tJ-lt-OLf
, ,
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
(Please type or print and si2l1 at bottom)
ADDRESS
<, 71 '1
~. ~i:n ~:~y I PERMIT NO.
3. Yellow Applicant
/1-14 j t:<:. +,-c..
La. '1 t?
AltJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Ft{(c/"1; 1. ~ 100/\
~
((\'''- .~"."'\
D00<Llo i..lV'\p "" \ (Phone)
, -
<:0..., + /!:,!V'1 ,~~ .-..,
APPLICANT [) K J . I
(Name) IF" ,1:Jc" 1:nc< of- ( ~. . '\
(Address) --.~ 0 I A.._ r ~ ,\.}p
(Address)
(Contact Penmn) :s. +. J.o"^' }...), ;+''; ./
APPLICANT SIGNATURE ~- (~_
(Phone)
/ I tu ... 1.,,,..-5. t'.......
...... (City)
c,::1 - ,,/, 3 -y gzs-
;tit} ~S6'2 r
7sZ - '10/ - / Its
(Address)
:2.. '2 0 q 5?
S~
(Zip Code)
(Phone)
DATE
96:2 - '1'7'/ - 172~
.
t!-/--b9
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL Ls..rr :<.../ ~g ~/Ao "'6 FUEL ---LtJr::;-
FLUE SIZE Y" RETURN OPENINGS c;- INPUT 7~,DO() OUTPUT ~j)IfO
TYPE OF SYSTEM
l2iWann Air Plants
DGravity
D Mechanical
@Air Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
I By
Duildin!!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
FROM
FAX "~O.
Apr, 02 2009 03: 30Pf1 P 1
CITY OF PRIOR I_AKE PLUMBING PERMIT
Date Rec'd
+ . 3 .01
<Please type or orlllt and lien at bottom)
ADDRESS
20 C{ Ll
I. Bluo rll~ PERMIT NQtL ~
2. Gol~ C:lly -r-
:l. VwJluw '''I'I,II'"n! . · ._
ZONING (office u"e)
Y\/l \. C2 $4 tc.....
L!.U&. J
Lc.t~ e-
LEGAL DESCRll'TION (office use only)
LOT
BLOCK
ADDITION
PID
~~~~J II'j~~ D ~ \le.~f' YVJe'!\-'+
(Address) ;).::.:l ~ q<;{ Co.. '^ +~J\/\ COL.\.I1"-\..
\ ^',-.....
~ <:>d\"J
(Phone) 10:5)- q \D"3- .,. ~
APPLICANT I ^
(Name) I-n.rry'l' d it\)'-'\. 't-' \ iA .^It~
(Address) ~A I Q ~ c. \., ~-f ~ eVl ~l e.
(Address)
(Contact Person) ~.. ) D~ V\
APPLICANT SIGNATURE
~ \+~
A~~
(Phone) lv~I.- ~ \.03 ,-, ~ '). 4-
1=Or~4-kV\. 5S(rd-4
- (City).J (Zip Code)
(Phone)
DATE
I
I
I
I
I
~.
Ouantlty_ __.' ...!xpe of Fixture
, Bath Tub with,or without shoVi.er
I Dishwa.~her
I Floor Drain
~ Lavatory (Bathroom Sink)
\ I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
APPLICANT PLEASE COMPLETE BELOW
QuantltI.
.3
I
J
I
.Jvpe o(Flxturc
~...
Rough-ins
Wa.ter Heater
.... _...
Water Softener
Stau9]iJ)C (Washin&.Maehine)
Sewage Eiector
Backtlow ASllembly
Backflow Asse111bly Test
Lawn Sprinkler
Other
FEE SCHEDULE
lndu~trifil, Commercial & Multi-family I %ofjoh c(j~l with a $49,50 minimum Rc~jden[ial, New One & Two.F~mily S 149.50
Residential, Additions & AJlcration~ $49.50
Estimatod Cost S
Building ['ennlt It-
f"'AID WITH
.ThUILDING PERMIT
rUJMBING PERMIT FEE $
STATF.SURCliARGE $
TOTAL PERMIT FEE $
l:Iuildllll! Of1ldal
Date
I ('aid
I Date
Re"t No
c'
(orli~ tJ~t Onl)')
Thill Application Becomes Your Building Permit When Approved
24 hour nntiee for all inspectiou (932) 447-9850, fn (952) 447-42-4S
-46046 Dakota Street /lE., Prior l.ake, Minnesota ~5372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
If 7J) 1
i ~~~:n ~~::y I PERMIT NO'04- . () ~
3. Yellow Applicant I....
3'77~
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
/JJ~ ,'~~-he-
J
LEGAL DESCRIPTION (office use only)
/(J r'=~ A
~~~
-r-<{
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
~Vent. Sy~
(~EPLACE MAK~ AND MODEL
_l ~
LOT
BLOCK
OWNER
(Name)
(Address)
APPLICANl/"J
(Name) C::>~$
(Address) ~ ('
(Contact Person)
APPLICANT SIGNATURE
FLUE SIZE
TYPE OF SYSTEM
k^-€.
ADDITION
PID
(Phone)
LeA~ ~/lc-f
k:.~ ck I~ 4Cvz;J
(Address)
(Phone) V2-'rLV- Y:2V:Z
/bA6';,tt ~p-; S:SZJs--?
(City)
(Zip Code)
(Phone) '/2-~cr-:- V;2<L.?
DATE 9C-7-o/
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
FEE SCHEDULE
] % of job cost Residential, Gas Fireplace
$49.50 minimum
$]49.50
$64.50
Industrial, Commercia] & Multi-Family
Residential, Heating & AlC (New Construction)
Residentia], Heating Only (New Construction)
(Office Use Only)
$49.50
Residentia], Additions & Alterations
Residential, AC Only
Estimated Cost $
$49.50
$4f-50
Building Permit # ~"
Iso ~0\ ~ VD (V
l ._~
- Paid~ -1teceiptNo
-
HEATING PERMIT FEE
ST A TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date Datz}- .1 . d 9
24 hour notice for all inspections (952) 447-9850, fax (952~ 447-4t45
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
, J
L--~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3'7QL.( MAJ~TiG LA.~e N.W.
NATURE OF WORK N.EU.) io~
USE OF BUILDING S.. .
PERMIT NO. <J~. 0955 DATE ISSLJ~D 'Df(
CONTRACTOR ~T&i:) ~. C4.flC,.PHONE--'S/-7SS- ~,,,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Filt:
BUILDING AND INSPECTION
7i779 INSPECTOR O.,.TE /
VK~L vvy //q' /'79'/cy
J FOUNDATION (Prior to Backfill) r ~~ ] // p6 ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I FOOTING
SEWER I WATER I SEPTIC iJJ
FRAMING Lt.JL- ;?/'I (~f
INSULATION f1J #}~~
ELECTRICAL / / '
PLUMBING 0svJ U Ej #"'/5 ~3' fj3 5)9/0/ ,
HEATING (if required) f/i? 4/:T/C"
FIREPLACE fl5 ClJI i/<7
GAS LINE AIR TEST Jl{c..:. J:7~ "
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
tATHE L/:JdlJS',-lAJbp I I
, FINALS l)~~:'~,'sW
GRADING (Prior to SOdding), / (
BUILDING 0C. G"t> , S:/If' f) 7
ELECTRICAL [,") ~ 'i'
PLUMBING r'!-z ,I ~9
HEATING I " 1'1/ o-lV/;J
DO NOT OCCUpy UNTIL ABOVE HAS BEEN' 9IGNED
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.
J
]o~
FOR ALL INSPECTIONS (952) 447-9850