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HomeMy WebLinkAboutBuilding Permit 09-0020 :J o.l<o (') ~!~ ~ ~ ~ "0 0 > -0 In :J: ~ C z_ -g o 0 ~ 0 0 c ~~ 2 000 i: --z~oo z ;;u 0 Sl -tzen co m mo > 0 ;;u ;;u ;:0 i: !!!>C3CZ-t m ;;u m 0.." tl , ~ ;:0 ;:0 " z'>-Cz z en :::1" l'rl , m m en m en -ti!5>Cl ~ en O;;u lIlI 00> Z -t -t -t " - -t z- l'rl -t m 0 - 6" zO =: > - o Z 0 ~ o en en O;;U S -t .." -t Z va - > 0 :::1> ~ o 0 0 ~ Z -t Z 0" > 0 a mm ~ 0 , Z ~ ;;u , c ~ -t ." " " . :J: 0 ;:0 ;:0 9 ~ m ;:0 0 0 000000 z ;:0 0 0 ~ m m m m 3C"en=:3C" >< z m m m'~>m' :s. -t c c OC -tOC ~ z ~ en ::r:3C m::r:3C " en ~ ~ " ~ en m ..,,~;:o;:o;:o~ m 0 ~ " :J 0 zZ:J:::r:-Z ;;u :J: ::! m (1) -t >ClOO Cl 3: m 0 ::t (5 ,..,,00 ;:0 =t c ~ () -t 0 Z -"" - z C (5 a. Zcc , ~ tD ~"" ~ m z ~ m c ~ ." 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Zcc , ~ tD ~"" 9 m Z ~ m c ~ N ." .. 0 ~ :J: ;:0 ....0 m ~ 0 0 C 0 t~ ;;u < 000000 }J en m S! z ;:0 Cl"'''''O~ 0 Z >;a;:u0 Ro > Cl ~mm3CCl ~ C -"""~ ~ ffi>>>c ~ z >ooz=i; ~ 0 _mm-t- !'l ;:O"";;u , -l -t-- , i enz z m -t~ Cl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Dlte Rec' d 1Lftr/CfJ I White Pink Yellow File City Applicant I PERMIT NOoC1J. 00z..0 I ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID2. . 2-$!$ o~ (.0 OWNER (Name) T j" OI/Y1 t'( .s 1- E: fa fr7 -e JOh17$Dr1 (Phone) t 5-/ - 5- g-7.- 0 '-1/8 (Address) BUILDER f- 11 tJ r fh enl1 R e c; OL.l,c.e > (Company Name) (Contact Name) f:ul (Address) or'" h~ rvr Ave TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing OAddition ~lteration OUtility ConnectIon CODE: bG.R.C. DI.B.c. !Si:Misc Type ofl;;'~ction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ORe-Siding OLower Level Finish 0 Fireplace ht"~ PROJECT COST IV ALUE $ 21 ~ . (excluding land) "0 S- t (- ) ~:.? I hereby certify that 1 have hlrnished mt(lrmatlon on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIze,l 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 submItted plans I am aware that the buildmg olTtcial ca evoke thIS perml~lSt cau Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspectlOns X t~ 2()2-7J 3/'1 /l-Z3-t?8' Signature Contractor's License No. Date # # - Permit Valuation 2-1~~- Park Support Fee Permit Fee $ .$"~ SAC Plan Check Fee $ 8 Water Meter Size 5/8"; 1"; State Surcharge $ Pressure Reducer Penalty $ Sewer/Water Connection Fee Plumbing Permit Fee $ 5"0, - Water Tower Fee Mechanical Permit Fee $ - Builder's Deposit 572- Sewer & Water Permit Fee $ - Other Gas Fireplace Permit Fee $ 'br I#C. . TOTAL DUE Paid Date - - # # - - - - ~8 ThiS IS to certify that the request in the above applicatIOn and accompanymg documents is in accordance WIth the City Zoning Ordinance and may proceed as requested. TillS document when signed by the City Planner constitutes, tern orary Certificate of Zonmg complIance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be issued /-9--P'? Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 ""'. Special Conditions, if any White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT GR~ REo ~9S5 l7-( C>~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted ~ ~ c:::::::::'-^-> ~ \ / ~?!orrections Reviewed By: ~rr Date: I ~^'1/l-c:1 c..- ~ (~ ~ ~~ c;;:~ A-r- Denied ,z-hl loa r I -fJ,A-r/Vr7'l-[.-J '-c- 7C /h. b:5' 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," ~-BUild~ anary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST - -~, NAME OF APPLICANT APPLICATION RECEIVED ;,,_,,_::-~'~'_l--t"C":\ ;-. '~\.,\ ~/"'-\ I,', ,_,,'{' __!~_, t'-,:. ". 'C'>'_' /"~ ,. ! f ! , 'I, II' , . ",...- ':: ..-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: "'-fl~:."- ,',:-.c-:"...- /~,-~.:-~::) ...____-----.c-". "',.....) ;~- . ('... '''1 \ Accepted Accepted With/Corrections i'~"\\ / / , ! I f / J.' '--1"- -h .! I -.....--.,..r/' I Denied Reviewed By: Comments: /- /' Date: I I I /.::: /"\' \.--." '-'" j ( /" j"-, o";I_,(...,~ c...... ;-' C/' <-, ~-;;"<\I'-j - -~~ ( / ~--:..~::(:: - ( > '-1 ," .x' , "~J. , {i ;iliA t/v T ".....1 ,,,/'-' /1 /-J I / / '- C..... ~': ,1" "-_ {_, '~' c._,(~..:.....';~ / C_,f'",-' "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 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: Accepted x . Accepted With Corrections Denied #~- Date: 1-1-(;7 'I Reviewed By: Comments: 'I. tt"<<,," "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 CONDITIONINGfFIREPLACE PERMIT Date Rec'd ! Z 1. ['1 ~. ~~:n ~!~y I PERMIT NO. 0 0, OO? J\ 3. Yellow Applicant L, ~YJ ADDRESS (p?:tJQ Con rOl ~ NS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) ~:;~f~i jr)p C~(p;. ~:fk,11c.tt I ~~><PhOne) 95;;),-'1 33 I~'if . (Address) 43ttf2- 6 ~ctkl Ot.Ll<.-J J2.J I-kfJl,,/l S /Ylt1553<f :5 \ (Addre~) (City) (Zip Code) (Contact Person) 'J D Ct.-.rt..A" (Phone) APPLICANT SIGNATURE DATE j- APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION !lrREPLACEMENT ~ AL TERA TIONS" FURNACE MAKE AND MODELl nLn€- TJPICIlXJIt9;fYA FUEL t;;/ FLUE SIZE RETURN OPENINGS INPUT IDb . <fDO OUTPUT 1~") 0tY.:) . , TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner SWarm Air Plants o Steam Units and Fireplaces Cannot Encroach DGravity D Hot Water into Required Side Yard Setbacks. o Mechanical D Radiation )dAir Conditioning o Special Devices Fireplaces with Box Additions or jaY ent. System o Other Devices 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 $39.50 minimum $99,50 $64,50 $39.50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39,50 $39.50 Estimated Cost $ ~Cll> - Building Permit # !- l~ ) D HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ r ~. ~,.. ; ~.1 ,~ ~,. . .. (Office Use Only) Bui/din!! Official Date P~ Date.; z.. J., CJ This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT A+{-,,'( ~ "" J. '\. I. DIu. 1'11.. 2. C.old elly 3. Vel/ow AI'f'IIC<III PERMIT NO. N~ LEGAL DESCRIPTION (office u~c only) LOT BLOCK ADDITION PIP OWNER (Name) ~So^ '?;;IJO (0(\ ro (Phone) /J11r (Address) stree...t" IV IE Pr?ur l't ke.. MV APPLICANT J d ~ (Name)~e,l 01\. 5~ (w.JIJ~ CON\p~y (Address) -:3y lo k,l~<..r- ~~ Ai . (Address) l ~ IV\. ~t:) (OVV"\.. b?--- (Contact Person) (Phone) 7lo'3J{7~~07-q~ IVY! %"WI (Zip Code) 7 b 3-Lf75 - 6 L.. G(" 21 (Phone) p ) jMO<A+h. (City) APPLICANT SIGNATURE DATE Quantity Type of Fixture Quantity Type of Fixture Ol... Bath Tub with or without shower Rough-ins A Dishwasher J Water Heater 1J ~ Cc-\.Ilof\ Floor Drain I Water Softner L.I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly I Sinks ."... D;-5~oS4L. Backflow Assembly Test Bar Sink Lawn Sprinkler ~ Water Closet (Toilet) I Other -r::c.e... r{q k..er- APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial. Commercial & Multi--fdmily l% of job cost with a $39.50 minimum Residential, New One &. Two-Family S99.50 Residential. Addiltons & Alterations $39.50 Estimated Cost slC,.,J 00() Building Permit # fJ () Fee- - ~((.A.ktJ w ~~~.e.- ~ .50 buJtJ..~ perMH-a.lr~ , $ J;SSv-eJ:-fo ~kU1'\.. PLUMBING PERMIT FEE ST ATE SURCHARGE TOTAL PERMIT FEE (OfJiC( U,c Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Bulldln!! Onicial Date SUI Dllte 24 hour notice for lllJ inspcctlon~ (952) 447-9850, fax (952) 447-4245 16200 EI1~lc Creek Ave., S.t" Prior LAke, MN SS372-1714 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS tb '3t9t"') L:oJ'-l~1 ~e&\ NATURE OF WORK r<..e-~~N\~'" ~ L-::" or f'\~ P4"'\-A- _6 USE OF BUILDING ~,..s A/.2... PERMIT NO. (Jr. oozo DATE ISSUED CONTRACTOR G~ N~l"~ {Z~ PHONE C\~"t... ~,~ ..,~ \"2- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT r -~ - PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE FOOTING r--- - FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ . We. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1~wM-P tk /X I I F ALS () r""" ===--------- - -- BUILDING ELECTRICAL PLUMBING f'\.lU"'4.\"~ S- 2.7 ()c HEATING 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