HomeMy WebLinkAboutBuilding Permit 07-0146
QLerfifitafe nf @ttupanty
CITY OF PRIOR LAKE
~eparfmeuf of ~uil~iug J1uspetfiou
gf Final Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification S I IV 7 L E ~ rf 1"// L 'I Bldg. Permit No. (j 7. 0/4-&
Occupancy Type IC..:J Type Construction V j\) Zoning District P u !: U
Legal Description
L /8
U/
/-1 {L.K. 0/c:.y S HOIe€-.':.,
Owner of Building
Site Address
/7ore3 IC61v,AJcTI C-UfC II E
.5T. vV. r1f..}pl-[ ~f.)Ll
Jf1tvt UlfJS ICf<-
Contractor's Name & Address - 1'/ f/ (/~/6....t:> . 4- S7H
ICE.' lJ.) f Ie T D. fI (.// {lI / IV.iSi I City Planner
Date: (i./. O( Building Official V J Date:
'! . ( , POST IN CONSPICUOUS PLACE
-
w
:I
j:
~~J
Ww
lI::o
:5t=
,,0
OZ
-Z
"0
a.-
11....
o~
~~
-z
0_
o
W
..J
;:)
o
W
:t
o
U)
U)
U)
W
0:
o
o
c(
Ii
...
z
o
o
0:
W
~
C) ..J...
~ _~f!!
..J "11."
g;!~~;c
Ojjj!i!
~a.a.a.::i
C):lWWU)
~O!!:!!:C(
wou.lI.C)
000000
o
Z
...
i
0:
W
a.
a.a...J
;:):;)0(
lI::lI::3:
a: ooIl...J
C) OOC)o(
z_:t:tz3:
iiia:a:a:iiill.
:I:x:w~:I:X:
:;)0'" :;)0
..Jw:;S ..JW
a.:I;>U)a.:I
000000
o
Z
W
Z
o
:x:
a.
z
o
z t=
Q ~ fd
~ !;( ~ t=:5 ~
_0- z
"'z:l ..J-
o:;)o(~~~
~~e:3:U:U)
DDDDDD
C)
Z
~
W
>
o
o
w
a:
o
II.
w
III
Z
o
t=
o
W
Il.
o 0 ~
W W iii
~ ~ a:
o 0 a:
a: a: 0
a. a. II.
o ..J
~ Z ..J
00(0(
... Z
o 0
0( t=
~ 0
t= 0(
0( ...
U) 0
lI:: W
a: g!
~ 8
o D
L.:
C
o
c..>
1::
Q)
c:
~
ui
o
Z
~
c(
3:
U)
0:
;:)
o
:x:
...
N
Z
o
t=
o
W
a.
U)
3:
...
><
W
Z
W
:t
...
0:
o
E
~
~
olj
i5
~
~
c
~
ll.,
~ ~
~ !i
~
li,
~
~
~
15
~
:::;
c:lI
8
w
:I
j:
rl
Ww
lI::o
:5t=
,,0
OZ
-Z
"0
a..-
11....
o~
~~
-Z
0_
o
W
..J
;:)
o
W
:t
o
U)
v
'"
V
U)
U)
w
"
o
o
c(
Ii
...
Z
o
o
"
w
~
"-Jl.
~
.........
I
C) -I...
~ -~~
-I "11."
g;!~~;c
~jjj!i!
~a.a.a..::i
B:I~~U)
0__<
01l.1I.C)
DDDDDD
en
~
Z
w
::E
::E
o
o
o
w
w
o
o
a:
a.
~
o
...
o
c(
II.
U)
t=
<
U)
lI::
a:
o
~ 0 0
~'l(D
C)
Z
~
W
>
o
o
w
a:
o
II.
W
III
Z
o
t=
o
W
Il.
U)
Z
iii
a:
a:
o
II.
...I
...I
c(
L.:
C
o
c..>
1::
Q)
c:
~
ui
o
Z
~
o
c(
3:
U)
a:
:;)
o
:t
...
N
Z
o
t=
o
w
a.
U)
3:
...
><
W
Z
w
:x:
...
"
o
II.
o
II)
1IO
en
.
....
;
E
~
~
olj
i5
i
~
~
~
~
~
llI;
~
~
~
~
~
~
:::;
~
llI;
~
8
I
I'
o
Z
...
i
"
w
a..
1l.1l...J
:;):;)<
_ lI::lI::3:
a: ogll...J
C) 0 C)<
z_:x::X:z3:
iiia:a:a:iiill.
:I:tw~:I:t
:;)0'" :;)0
..JW:;S ..Jw
a..:I;>U)a.:I
DDDDDD
~
L.:
o
1:)
8-
III
.5
c(
o
o
Z
W
Z
o
:x:
a.
z
o
z t=
0_ z 0
o w
~!;(~~ ~
_O--I..JZ
b~:I:;)c(W
00~~3:1::
II. II. 11._11. U)
DDDDDD
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. 3,0 ,OJ
at bottom)
White File I PERMIT NO I
~:~I:w ~~';Iicanl . 0 7. 0 r4-(p
~vu..:t+
~
M
~
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT (
PIDZ~. ~... 0'&
I.H
ADDITION
OWNER
(Name) Kv ~\.krs
MDr--~ ~JL-/' Co,
(Phone) q '0 d- - <-<. 1..(0 - 9 '-lo 'A-
(Address) I U
SOO
BUILDER
(Company Name) ~;t _ !-..-,...dI ~"""-I :cr
(Contact Name) ~r--I So ~V'\.V"'., ~
(Address) "'-11 (
(Phone) q ~~ - y \{O - q '-l0 d--
(Phone)
-s-.... ," -k- ~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc. ~jJSFGL or
ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OUtility Connection
/e~1 f
III IV
H I
2 3
V
M
4
A
R
5
B
S U
I
E
II
F
I
PROJECT COST IV ALUE $
(excluding land)
I hereby cert'. that I have filmished mformation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authOrIzed agent for the
o ed property and that all c nstruction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
r oke this permit for Just e Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns.
Contractor's License No.
Signature
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
#
#
I Paid
Date
Receipt No.
By
/ - I d -0 1
Date
$
$
$
$
$
$
$
$
$
ThIS IS 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 commence. Before occupancy, a Certificate of Occupancy must be
issued
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
See Main ~~lle
eU~LDING PERMIT APPUCATION DepARTMENT CHECKU$T
NAME OF APPLICANT qrJ i:foM SS
APPLICATION RECEIVED Z. . j- 0 7
The BuQding, i:ngineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
QOGJ3 UtJNETl cuwE:
Accepted
x,
Accepted With Corrections
Denied
Reviewed By: ~
Comments: S~.t mer, it t=:v
Date: 3 -2<:;." 'J
See-Main ~~1J.c
liThe issuance or granting of a permit or approval of plans, specifications and
~putEl!ion$ shall not be construed to be a permit for, or an approval of, any violation of
any offhe.provisions of this code or of any other ordinance of the jurisdiction. Permits
presurrling to give authority to. violate or cancel the provisions of this code or other
ordinances ofthejurisdicJionshall not pe valid. II
9.:;~te
~11t,
C:White - Buil~
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
911
tfoM S5
2.q 07
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-/
17 CI 0!3 ~Je:-tJrJE\l C))K~t:,
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date:
:- '.-: -it ":..
, ,'... '.1" r~~ ' ~ lr:! ~..,,_, ~
,~J ~~; l\I.I~".. .i'..I.J~ ..lL AA___
"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."
..."~e lV'. w; $I Fe)
.{., , tv C~>" .,~ ","
~ (:, ,.~jrJH!n I e
White - Building
Canary - !ngin.ee. rin.g
cJ:tink - Planninsr:;>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( 1\,,' tt (' ,"-' I r- c/'
---:/ I / .' "')\ I / --/ _
, ,_., '...--..i ( 7
/' I /
<:'--. I'"
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"/i ( (7 '/.- ,,:::-~ I', ' ,--
I J -' II "'-" Lt i"'/I'Jt~ \ I \ \/lvL.
I
"--
Accepted
Denied
Accepted With Corrections
" "",,,'
Reviewed By:
Comments:
Date:
"
,I'
, .,'~"'" "j '.~
/u~~
."f> "I
i '..". ." . "."~'.' t"H" II!! ~".,
10/ " "j' i:"d
"~, ~~:4 Lf Hi ,\ ~) " "1-"'-
-1.::L~,'::'.::.J.'. ~
r
/
"The issuance or granting of a permit or pproval of plans, specifications and
computations shall not be construed to be a rmit for, or an approval of, any violation of
any of the provisions of this code or of a 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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.1.o1
I Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO'1_ /4-0
ZONING (office use)
te
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT ~
<:::) ~:':~~:2~~C
(Address)
(Phone.) '1S-- :;.-::;.;;. - 011 ~ I
~o~~ J- SS3'S"':<
(City) (Zip Code)
(Contllct Person)
(Phone)
..-
DATE
~ '/-0
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
CANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & TWli-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
r ~ ~tJ I L/P';yv
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Official
Date
(Office Use Only)
Thill Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E" Prior Lake, MN 55372-1714
FEB. 19. 2009 9:29AM METRO AIR 952-447-8126 NO. 120
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
P. 3 :> \
D~ltc Rcc'd
I. rl.k
2. 0...1\
3. YellD"
~~10Illl \ PERMIT NO. ~ t-C)~ i;;:.;'
ZONlNG (olru:c ute) ; ,:':'
~ - :
LEGAL DESCRlPTlON (offICe use only)
LOT BLOCK
ADDITION
PID
\l',) l ~~,~~).).
> . ~...
,) I'";
APPLlCAN~ ~ (\ \ -
eN ame) \ ''\ '" ~ ('" \) n: '\ r ..l...-.n \....
(Ackb:ess) ~~ C\ ~~ \-.l ,,\ t u ~ ~ "
(Addlus)
(Contact Person) ~ '" '"' "-'I <; ~ Q -\\ ~
APPLICANT SIGNATURE
(phone) C1 r ~ - \.\ ~ J ~ ~ \ ~ \.\ '
(J1'~O~~~ f\l\)
(City) (Zip Code)
(PhOne)~ S d -" \'\" -)? \ ~ '"
DATE' - \
--
~~31~
DNEW CONSTRUCfION o REPLACEMBNT o ALTERATIONS
FURNACE MA.KE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING On. POWER PLANT
OWllllD Air Plallls o SlWD PLEASE NOT:E: Air COlldHiollCl'
OOI'Qvily o Hot WaLel' Uuits 8llCllru'oplRCClI C:Ulllot EJlCrUQcb
o Mechanical o Radiation into Requlnd Side Y llld SctbllcliS,
DAix Contlttiolling o Special Devices l~h'eplsu:es with Bux AdclitiOlll or
OVenL. 8ys~elU I8t OUict Dc:viceJ '5'('\01.\ t;v;;t Cl\lltilevcn to the OulJidc u1' Dulldl11gS
Q. 'f\\tno~"'" RCqllll'c u Dullding Permit.
FIREPLACE MAKE AND MODEL .....1. .
APPLICANT PLEASE COMPLETE BELOW
^
FEE SCHEDULE
Jnduall"illl, Conunorcial Be Multi-Family 1 'Yo of job COsL Rc~idl!lllial, CillS Fireplace
$49.50 mwi1nwn
Rcsidelltial, HellLing & Ale (New ConsLruellol!) S149.50 Residel1Lill~ Addilions &: AltolnlioJls
lteside!ltirJ, Heatini Only (New Conltl"Uction) $64.50 lwilleulial, AC Only
$49,50
. r.
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATESURCHAROE
1'O'l'AL l'ERMIT FEE
$
$
$
PAID WITH
,50 BUILDING PERMIT
(Olliee \l.. Ou1y)
Dulldhlll Official
Ilnll!
eceipt No.
Tbl. Appliclltion DQCOlnell Your lJulllling l'crmlt Wheu Approved
14 hour notice (01' 1111 bupcc:lluuI (952) 44 SO, fax (952) 447-4245
4646 Dlkolll Street S.E., PriorLllk
MAR-03-2009 11:53 From:D&D MECHANICAL
9528904650
To: 9524474245
P.3/3
, .~:;, '.1
~~~
"'~~"'''I',,,,O"'''/
~..,:..;.,...'
))~Lh' H(.'l:'d
CITY O.H I)JUOn. LAKE PLUMBING PERJ\11'f
. (1'1101'" IYl'I' .1.~.r.~IP.lll~..1.!;Jll!1 !'! .!'!t\Ht!.t:'~ll ' ._.. __
^ nDJU~S!)
...J 1 oJt' ~~_)(g!J(J ll-f Cv!lV ~
: ~:. ~;~" ~~IWj1" No7l-1~,',
/fIP!L;ke _~~- -~_~.=~.::
___.... .....___w......_.
.--~_=~--l
l.FCiAI. )Jf=.SCR1JllJON (olfice u" unly)
J.OT BLOCK A1JDlT10N
--":-"-.._---""~-
PllJ
~~~~l~~~~S .., .__'.~__
\ .~~~dre~l1:/..1.J_~L.:er 1:-._ 0 I ( ~dJ..:;-:U~.~t :s v I J-t.
'__. (l'honc) . % :.1 -49"0" q:/~;O. ~ --.'l
2 2-D .pI ,.{;( L,.. k,e. M N ~:r;; ~ 7?:. . ; ,,'
APPT~JC^NT /I '
(Name) h& D n eel, (I'N J( po J L j) , :r:/J c.
(Address) qO'Z~-; LJ 1i~!JL J/J) 1.5v,-J7. S
(Addrtss)
(COOl;'!CI PC:lson) -1:JF t J 0 S J CPt. fro . .
APPLICANT SIGNATURE :I!,,-.1:/..J!- ~~
APPLICANT PLEASE COMPLETE BELOW
(Phone) CJ57 .~~jp - g215 g
S'4t1AC..C :::i5' 3 )8
(City) (Zip Code:)
(ph.one{15"Z -'8'70,-,~Z~/~
~
DA TE .2.:J.i. -OJ
Quantity Type or Fixture Qunntity Type of Fixture
--- I Bath Tub with or wIthout shower 'I Rough-ins
Dishwasher -. I WaleI' Heater
J
r Floor Drain - Water Softncr
-. ~ Lavatory (Bathroom StOic) Stand PIpe (Washing Macl,ine)
-/ Laundry Tray (I or 2 compartment smk . Sewage ~iector
_..~. 'I Shower Stoll Backllow Assembly
9. Sinks Boclcflow Assembly Test
Bar Sink Lawn Sprinkler A
:J 'y!ater Closet (Toilet) r Other 'lJ.J4fl J1LbtA ...-,..-
,r
"
'.
~, ...
FEE SCHEDULE
InduSlri:ll, Commcrci:ll &. Mullj.f:lnllly 1% of job COSI wilh II S39.50 minlmul1l
This ApJllieslllon Becomcs Your Buildin~ Permit Whcn Approved
Rc:sidcnlinl, New One &. Two-Falnll)' ~~
H.asidcnlinl. Additions &. Allc:r:lIions ~") , ~,.1
E8timnled Cost $ Buildina PcrmiL # - ~) rI
PLUMBING PERMIT FEE $ J / F\ ~/~!o/ ~~
STATE SURCHARGE $ ~ I J 'If 0
TOTAL PERMli FEE ~RMIT
O\!1~
Buildlnc Official
Dale
l.
(Office UIe Only)
2.4 hour notlte! for lllllnspectlons (951)... SO, fill (9S1) <<1..4145
By =
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 0 tJtJ Il.ff'.
NATURE OF WORK W L.t.. F,W.S
USE OF BUILDING . F: .
PERMIT NO. 07. O/4-(c; DATE ISSUED
CONTRACTOR-t:'''_-_ _.~O ___.. PHONE -4-~";9iHJt.:.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF ~....~:C(~ tViit[uJn l~;1
BUILDING AND INSPECTION
p,)
INSPECTOR DATE
I FOOTING fit1/? ~C;-II$1
FOUNDATION (Prior to Backfill) ./ )'1/cf7
PLACE 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
- O~
Q-(L'1f7
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
11-.A.T7:lE ! ~ I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELEC'"TRICAL
PLUMBING
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