HomeMy WebLinkAboutBuilding Permit 07-0144
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CITY OF PRIOR LAKE
~tparfttttnf of ~uil~ing Jf nsptrfion
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jiFinal Permitted
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D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential I 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 / /v c:i (f ;:;.;-I/'/IL LJ Bldg. Permit No. 07 G (4-+-
/
Occupancy Type / C ? Type Construction V't'J Zoning District J-' U .::: 0
Legal Description
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City Planner
Owner of Building
Contractor's Name & Address G I' I f- If /~I F. (' ,
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k.:~-.. c t) LI u. flu! Cti I;J !]j)/
Building Official if. /
Date. ';h~I' Ir /
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. 30, OJ
at bottom)
~i~~e ~:~y I PERMIT NO.6 7, 6 / A .A I
Yellow Applicant ' ~
ADDRESS
1"10
(l
01 "-
'\'10('-
LEGAL DESCRIPTION (office use only)
LOT <0 BLOCK
ADDITION I-+-r ~
s~
OWNER
(N ame) R u-i \ &...II i"":<<"
PID
ZONING (office use)
PJJD
(Phone)
l{ S- J- - 8 tlc9 - III (J
.~~~~/ Cr
(Address)
BUILDER
(Company Name) VCe.y
(Contact Name) ~C'-l'-~
(Address) 4/1
"(1 -'
(Phone) ~ ~d - '-{ YO - ~ "-t 0 :L
(Phone)
New Construction ODeck OPorch ORe-Roofing
o Alteration OUtility Connection
ORe-Siding OLower Level Finish
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
~.fr:6/2-
m IV V A
HIM R
2 3 4 5
B
S U
I
E
II
F
I
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
()~
1'6/ZA?11'--
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also cerl1fY that I am the owncr or authOrIZed agent for the
above- l10ned property and t 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
offici ca revoke this permit Just cause,Flllthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspections.
x
Park Support Fee
SAC
Contractor's License No.
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
/- /,;l-O~
Date
$
$
$
$
$
$
$
$
$
Paid
Date
Receipt No.
By
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 Celtificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerl1ficatc of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
2. / 0]
White
Pink
Yellow
I PERMIT NO.
07. 0/441
File
City
Applicant
at bottom)
~N~1T G.:Lv&
LEGAL DESCRIPTION (office use only)
LOT II" BLOCK I
ADDITION
PID ZS--. 4<;:6. 01 & .0
ZONING (office use)
PUSo
OWNER
(N ame)
(Phone)
(Address)
(Contact Name)
(Address)
'Jl;;2
vJ
!;Sf 2
TYPE OF WORK &New ConstructIOn 1SjPeck J8porch ORe-Roofing ORe-Sldmg ;RlJ.-ower Level Finish
C]Addluon DAlteratlOn Duuhty connectlO "",
CODE: "I&1I.R.C. DI.B.C. ~ Mlsc
Type of &nstmction: I PROJECT COST IV ALUE $
Occupancy Group: A B E ( I d' I d)
Division: exc u lUg an
5f1'1Cc
Fireplace (l.)
/iQ {)V0
I
I hereby certify that I have Ibrnished mformallon on ich is to the best of my knowledge true and COlTec!. I also certify that I am the owner or aUlho!lzed agent for the
above-menlloned property and thai all construction ill conform to a exisllng state and local laws and will proceed in accordance with submllted plans I am aware that the buildmg
for Just cause Furthermore. I hereby agree th tthe City official or a designee may enter upon the property to perform needed mspectl ns.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
4.JJ755J7
Contractor's License No.
o
Park Support Fee
SAC
#
#
Water Meter Size 5/
Pressure Reducer
Sewer/Water Connection Fee
#
IOO.llCP
aD.D()
3 S". So
4o.t} 0
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
.. . I
Blllldlll!! OtlicJa
~(Io!fJ7
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certify that the request in the above apphcallon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner conSl1tutes a temporary CeI1ificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued :l--/J~P7 ~ee IViairj ~1ile
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
~
f....
See Main Flle
White - BuDding
C:C-.IUII'V - :=rlng~
Pink .. n 9
BUILDING PERMIT A~PUCATlON QEP~RTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ql1 HO/16S
Z~. C; 07
1
The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which i$ proposed at:
/705; jCetJtJe-t/- CUleVE:
Accepted X Accepted With Corrections
Denied
Reviewed By:
~
~C:t 11'1.,,~ F.'le
Date:
3-z,d).~ )
Comments:
See-MaW--Elle
liThe 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."
. ~ 'lVi'~' ,.,-, '"
" ,,'.... r' t-H' · ~
~ee. - .(j.ft.~J .ltl lIe
6Mhit.. - Buil~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ql1 HC)116S'
2,107
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
170Sj /L6;iJtJ67T (UK'i/C
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
~
Date: d-/I Co ,I 0 7
Comments:
- .. i'c", ~i II .
· . ,- .," T"' ~
~ee 1\. ~I ~.jJ. ..~. He
'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 M:a.iri j1'ile
White - Building
~nar:y - Engineering
'nle - Planning:::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
U/lr/
,
Z
lie 'v''''- r
.' /1 / C. -
.r"''' /..-;
'/. L /
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ -J ( :; q ICc' jiJ 1\./6- TI C C'/. vE:
/ /
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date:
See M'~~iIi ~~ile
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.1. 01
I. Blue File I PERMIT NO. '1~ (Lf..A " I
2 ('.old City ~
3 Yellow Applicant
ZONING (office use)
11u~
te
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
.
I OWNER
(Name)
(Address)
(Phone)
APPLICANT ~
~ame) ~:~-e~p,-j,'rc,
(Address) l..{cu/-e,.-
(Address)
(Phone.) q~ 2-:: ;;. - en ;;;II
00~~ J.t 653'S"':<
(City) (Zip Code)
(Contact Person)
(Phone)
...-
DATE
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 A~sembly
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 & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
r tt} ~J I vP~1'V
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
Building Official
Dale
(Office Use Only)
This 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
~
9:29AM METRO AIR 952-447-8126 NO. 120
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
P.
Date Rec'd
~.~":.. ~Ua<<al I PERMIT NO. ~ 1- \:) ~ ..
ZONlNG (office uac)
LEGAL DESCRIPTION (ofi1ec use only)
~ ,'.
'\ '
',: ; ~- :~~
LOT BLOCK
ADDmON
PID
V \ ~ t ~~, lr--.... ).'~ ~
~'. . ..
APPLICAN'tt.. L 'l\ . -
(Name) \'"\ \. " r~ ~".,.. .l....n (..
(Address) , \D ~ ~~ \-l \. \ LC~ ~ f\ i ~
(AddrcSl)
(Conl-act Person) ~ '" ""I \,..: ~ ~ Q ~ ~
APPLICANT SIGNATURE
(phone) q r ~ - \.\ ~ l- ~ \ ~ \.\ '
(> (~ (.)... ~~ ",I\) "$'~ "3 ,~
(City) (Zip Code)
(Phone)<1 S d - ,,\.\.,... 'X \ ~ ~
DATE ~-\ ~-q
. .
, ,.;.
. .
~ .. ~. ";
ONEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TY.PE OF SYSTEM HEATING OR POWER PLANT
OWarl11 Air Plal1l.li o S telU11 llLEASE NOTE: Air Conditioner
Units llnd Fireplaces Cllnnot Ellcronch
OOnlvity o HotWalc1 luto Uequircd Side Ynrd Setbacks.
o Mechanical o ltndialion
DAh' Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System ~OtherDevlcCII ~\'J"\~ \ C',)~ Cantilevers to the Outside of Duil(lIugs
~ ~tn~~~'" Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
FE)~ SCHEDULE
Induslrial. COl1\lnereial &. Multi-Family 1 % Dr job cost Relidcntil1l. GIlS Fireplace
$049,50 minimum
Residential, Healing &: Ale (New Construction) $149.50 Residential, Additions &: Allc:rations
Residential, Heating Ouly (New ConsU'uetion) $64.50 Residential. AC Only
'49.50
$49.50
$49.50
Estimated Cost $
Building Permit 1*
.50
~,,'.' .' '~fO WITH
t1U1L!r3fN'~' lpt:Da M
\j .. :...:rt'MfT
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Offieo Uti Only)
1'h1l AppllcRtiou Become. Your Building Pel'mit When Approved
Dllte
eceipt No,
DuDdlnl oniclAI
y
24 houl' notice {Ol' .1lInspec.Uons (952) 44
4646 DAkota Street S.E" Prior La
MAR-03-2009 11:53 From:D&D MECHANICAL
9528904650
To: 9524474245
P.1/3
Date R\lc'd
CITY OF PRI,OR LAKE PLUMBING ])EllMIT
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AD IJRESS
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L.EGAL DESCRlPT10N (office u,c only)
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LOT BLOCK
ADDITION
PlD
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OWNER \ IJ
(Nl\me) 3~,,:..c..Of")e:S
(Address) !:L1J q ~.rk.. ~'c..o.lJ_~+ A-lit. ~v I .h
O"hone) % 2 -I./L) () - qi..f.oq_
ZZ.O Pn'vr0-ke. fAN ~S7~.
APPLICANT
(Namc)~ & D () cd, ft-N J C pol (\.:en Co.
(Address) qD2~ t..J N u)~ )IJ). ~j)I'h S.
(Addr 55)
(Contact Person) })A- ~ J 0 oS 1 CPt! It'
APPl,.ICANTSIGNATURB r.l.,1:/.. t2~
APPLICANT PLEASE COMPLETE BELOW
(Phone) Q52. -gq~ -K215 g
S~';AGt: 553 78
(City) (Zip Code)
(phone) q 5:.2- g"7 () -,8 2 ~.g
DATE .,2-/2-09
Quantity Type or Fixture Quantity Type or Fixture
f Bath Tub with or wIthout shower 4 Rough-ins
Dishwasher /{ Woter Heater
I Floor Drain Water Softner
~ "'[8";atory (Bathroom Sink) Stand Pipe (WashinR Machine)
I L.'\undry Tray () or 2 compartment sink - Sewage Ejector
" Shower Stall Backflow Assembly
d.. Sinks Bnckflow Assembly Test
Bnr Sink Lawn Sprinklor
:J. Waler Closet (Toilet) / . Other ) u.A1~ IfItI ht,.!/') . -----:-
, f/
FEE SCHEDULE ~
Induslrlal. COO\l\1clci:ll & Mulli.f3mlly 10/. of job cost WiLh D $39,50 mlnhnuln Rcsidenlilll. New One &. 'rwo-Plllmly ~j~ .-
ReSidential. Additions &. AllcraLions S ~
} .
Estimaled Cost S BUilding Permit II . ~
PL.UMBING PERM1T FEE ~~;~
ST A TE SURCHARGE
TOTAL PERMIT FEE
nul/ding Ornc:la'
I)...
(omec UfiC Only)
Thil, Ap(llic~lIun Becomes Vour Duildine r'ermlt When Apllroved
:z.4 hour notice ror ulllnapecllons (951) 447 SO, rill (951) 447-4245
y=
.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS"O ~E"T
NATURE OF WORK ItJ ..,.
USE OF BUILDING ,
PERMIT NO. () 7. 0/ +-f- ..-o~E JSSl.(ED
CONTRACTOR ~ O~ PHONE~-""'- (JO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DE.PARTMENT OF ;\~~~~?~ rvl:r"~ll ~111f
BUILDING AND INSPECTION
"
~R
.
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOV
ROUGH - IN,S
11-0;
HAS BEEN SIGNED
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~(t~
HEATING (if required) 4 (' 'L-rr?
AREPLACE 1 8
GAS LINE AIR TeST r: ~ ('
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ILAmE U()u~WIlAP I I
LL~ .. FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING tJc-
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