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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 () /tv VS-P l . --------- ~ /) () /" III r IJ/ 1'/ ( I d;{?Jj r \{ i-\ . () ""-,,l.- ..' . 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 1<... 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 / /1/ C"I , l The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which ispr()posed at: / ( 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 ~~qk'7c JJ{'?J) )(~ _'-:>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, I. , l ,~/.' j L.J NAME OF APPLICANT APPLICATION RECEIVED , I " ;'~~,. /O/C r-;:) .'" ,/,t....' ',~ .-' -y(( 7')L D ~, I i 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