HomeMy WebLinkAboutBuilding Permit 06.0123 l
1 F ; Crrftficafr of Orr1pattr r
/ '" r � CITY OF PRIOR LAKE
N
} Prjaarfturuf of Puilbing jittsprrfititt a
(`` -- ( . Final Permitted E Conditional C.O. Expires �'
si This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ Internationa
, 7- Building Code certifying that at the time of issuance this structure was in compliance with the various
1,' ordinances of the City of Prior Lake regulating building construction or use. For the following: .1
I' S //UC 7, 4., f .-,
Use Classification it/C/66, �/ y Bldg. Permit No. ' z
c
t Occupancy Type ��" Type Construction N Zoning District /C �`-� U
j ' Legal Description L / / , 2 / 5 7E /t //767 .. r� U �� 6"
„pr,,,_.,-; Owner of Building Site Address l�r ¢ `= / t` /t /��IC/t.' /ct /U �� ,),
_ fi
Contractor's Name & Address 7"661,- L'le 6 .� /5 0 �'/i'/c (- l G�c , /`I ea. , e t/ /� le. 4// ; 67/9/--1/V 55/
/LLL%'Ek >T. F/ uTC N N
( (f} ; City Planner J/1 NE /Ci /Erie..
Building Official
0 Date: - - 1 /l
(Orin 7 A ! U i i ff �� • ��� i ,.,.,r ��:. : POST IN CONSPICUOUS PLACE Pa 1 -; � •; Pa r;� -; :a. •;��� ; err r, °• .
1�1 , ' 1,. Ii q 1 1 1 1 111 h +,. 11O u - e h ,0 11 ,'1 a X 11 1 4" 1 h =; 1;,. rte- ..
i t - I 71 i 1 ' ` , `111 1 ' i , l 1 1 `1 �nl 4 1 : I N II l i l �� l l l l ll \ 1 11111! ,.11111 11 .: + �II III ; 11 ,4 1 11 1111 �11 1 1'AS 40 . 11111 .11 11 {'.. .�+ �;, ;
i �n.•h�� 1�M0 ; r ..1m900�, ,1 ' 1 �y.. .� 11 1, 1 / 1 1 irl 1 r. 11 � I lll it 11 1' r � il l ll� �i Jltillllk JI i V ��ii /111/1 / l l l;;ll ,,.. ollll �l. a 04.4,40'.., . 1� p. 111111 111 4 I li 1 11'1 � :��11
\ V4.1 + . .•i - , 1•.c✓ 44. . : - .4u •..! .�. P 1 1 l i - 1 1 :' .` N l t ' 4.MX ` .• J ..• .i �Y'Ut=1y .1 �a.r 111 ". 44 9s1..1� . 1 * : l .�i.. rl • .I �Vi �i
vv •.. i_ , v .. "M a,. r M1 . . , . � .✓ M1.M1 ' • " ✓✓4 4. J. A.. A•..:...: �• ��� •�:...1..�.........r........:? .nG.:R�p ••.4 .4V . h�4.. .1.�. ..4'Fi/
e } _ h %- - s ""- �'.... ..Z N_ .:.. ... ... .J....e -. .x }.'_l ....::::•f 7,' J��. 1 }.........h: , 14 - " / !r. -,, A�1 }JJJ.:.M }.A
.,._�;. �� .•.is -.�. � t � -:/�- �/\ ;, . �*'� ri •-- _.r _ -,._Sr/ s _ 7**-- f a.� � -- o _�yfs s_s�;, E!
J
III Z Z w 0 44
6.
~ LL Z U U a Z
g5Z �, Q
1 M 0 Z
III w 0 O fr
z
(NI WUu.LLC7 w N r
❑ ❑ ❑ ❑ ❑ ❑ OU
D 6t4
� I/ u.
11J 2
0
J o W
W O » % Z U U g
J Z ? a
O F- 0 0 0 u- -1 F- c a - i Li,
0 W z 1Z Z _ x 2 Z ill 0 c z z
U w m�WWtmu O
N 0
a 0V~ =V _ w w Z x c
J W Q w J W W W re Z
a �3v�a� Ce w
"��// '� } Z J c W 0
vl \ O 0 z U o W
U p a • '4104.. �
a U O a
- Z J ` O Z W F N U U ' J W
W O Z Z z p Q 0
u. W tt w D O O U O U a U U
�tnZl- ` 3f
W '� 0 0 ❑ c
>-t a. Q Z O 00 Li- O
U?
0 o Q 0000 ❑ U
P
■
J ui ,-,,..,
l` -J � LL� U
� - u.Zw0Q \� Z
(A 2gg ��. o a
aaaJ
02ww z ?
w J �o��Q 2
% w0LLLLC7 Ill (
000000 0
� � ,� 0 o
0 \ W = N
v
01 p
0V a a J ` w 133 o 0
O a z rz
J Z YY -` p/ � o U U -
0 001 I%
a, a - o
w F - - 5g C9 0o0 ��� w 3 w 0 z
= Z w z - = = Z - Z
0 w mCeQ' "'�—' 0 cn e4
N 0 a �2W 2v ���_ �.����. • ` w w Z X w
� wQ � w -'''/�' '�'��_.�R w w w w
a � 3 v�a 2 ���1 ■ 0 U Z 44
q
�� 0 �._ 0 44
. t 1 0 Z ,al o W
Y w z `t Q Ps.... �► m
ft U _ 0 0 z i a 3 \ N. a
oz o o w I-- i a
Z C7P0- Z N w w J A
2' � N o Z Z W r4 CL ° Q o
►- c z 1 - z2 — n o t U
o z Z z o0ce�z 2 I 0 o 0 a
a 0 = 0 u. u. u. ? lL , N
Q _ ❑ C
U — a 0 a 0000 0 U
0
_ <c §
IL
:-.3 re ' { §
�® ww - w
� J \
\ \\ re \ ■ z <
2 z b
< q wo�L0 »/ ,, OO 00E1000 > re
0 R 2
. � w I
` 0 m §
O d § §< ` \.. 03 § _ § I ll $ z 0
E EE §§ -- 0 0 ®
X z _ 2_222 _ 7 \ 0° 0- - k
O ' 0 a ����� % 2 \ a / co 2
� § § §§ / 00 z R 0
a� J % \§ W El § w
O 00000
‘ \ 0 0 w AC
. � o I M
a a e •q
Lo o c
_ . o < ^ 0 %
n § � IS \ -' 0 o § \ ] 2 § ° C '' } $ a 0 k
w w & ® 2 q
C °a § z < � ° w
o d z » ) L -I q
o f \ , . § § o § E
§ z § oo§� 2 .2 0 -
m 0 ■ _ O .
u? « 0 a. ceE 0 U\�, r O 2O /
J
Q
W Z _zE W 1.....
a 71 I= 2LL
LL Q Z (y
U U ;CI y �g�5 � z a aa❑ c9 c� z c , �� ` W U IiLiC7
f� ❑ ❑ ❑ ❑ ❑❑ 0 fn
--t.) 0 O'
` w =
c4 v
C
-` J N
w Z °
w ~� \ Z D =a Vk CO o 0 PC
Q' t 2 QOti J O N W j ''
x Z i x Z_ S S Z? w 3 N 0 ., N ( O W mzu X ti u) ) 0 ? QC
1 _j 111 Q w ^!- ^ ° w w W w °
\ /\ J \ 4,,, a �3N � U U Z 44
0000 0
V J
`� Q a U
0 ILI -T
°� - 1- Z o W
P z P � 3 a a
OMz o z w h a ►- E - 4
O Z � F - U - a Z N U U J W
a v = °z gJZ
re CC 8 Q °
0 a o z it w oo� ?LL V ~ - 200 N v
• J
w n z z F -
u.zl"WWQ k 0 w
` _'r 2 g 5 J o Gl a. � 0 W Z 0 Q 4$
w <
z
o -- wULL. LT. C7 J I W z
00000 ❑ • '\ O �
J U 0
S W =
t ` o N
W z
w z »Z ti Z o O
Q F- N a
U Z w Z_IIZZ S 0 c N O y
lL 3 ,.. P 44
v) 0 a °° =w�°°x �" a 0 z
� Uf - DU , Z_ E' O
-I
a. 2 W< -II W `! l w w W W L
O 000❑ a �`� 0 0 re W
0
gP 0 a Y co a
re O z z 3 cn co Q g. a
• z o W I_
P w
GC 0 p Z ozO Z z S c v w w � J Li,
u. �" N Z F - z �� J - s a o
\ o
oa o z o oo� zLLN S o o a U
U ? Q O a 0 000 ❑ 0 ❑ ❑ C
en
ti
0 0 �1-
W • z aco
❑ z f-
H J M
f- LL re W
LLZWWQ E.
U W
U 0
W
gg g
° ? a
�aa a� >
' , '�O��Q U Q ^ M
p � \ W ULLLLC7 r2 z i ,
❑ 0 ❑ 0 ❑ 0 w
N
�' O 8
U O
w
cc
`‘,) / O N
u. o
w p a a Q �_ w L Z O
D Z Y Y Z CO c O_
w 1- m (9 O O (9 a U z 0 W a,
O U
S Z ce Z- S S? Z 0 N W j
0 0 w m��Q'mLL J w co cz h III en 04
O
a �3 v� a� v z La i T i X 14.
0000❑❑ v
h..__ w
"'+.....-- a a OLL = •
►-
will � a a O W
U LL
Y L Z ` H Z
0 0 10 04
O Z 0 Z w F es - ` a 0 a
Z �- 0 a �Y < W
CC co p z0Z z Z V v
f- Z 0- .J z W w W "! W
O w w z on .c =Zw
} QQ r O O o a p
ai o &- 0 OLLOLLLL 0 O 0 U a 0
U? < 0 a 0 000❑❑ 0 k' 0 ❑ c
of PR 3 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ���
AND UTILITY CONNECTION PERMIT
v I ;C
��n' S��P I. white File PERMIT NO .
2. Pink City 06, . 0/23
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS p'� � ZONING (office use)
/L1— c •nc.� )�' C, g k , 1(A . /z / )
LEGAL DESCRIPTION (office use only)
LOT\ BLOCK ADDITION 1c'i R. c . PIDS- c eIS
OWNER
(Name) TA. gr ,s J-./,- (Phone) <C41,e_
(Address)
BUILDER rr -
1 k Rft;41NrirlS � L , (Phone) (Company Name) I C / 343 -- 0 -S S (
(Contact Name) t _Pe.ske,C.S ".s.1 (Phone) I 7 `1
/ / 6
(Address) 1 t c 6„. i.... GCt. 6.41-u e 50 s 4-c_ (i b Ic.✓∎ 1t4 . crl a
TYPE OF WORK ] New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding yfLower Level Finish %Fireplace 2-.
❑addition EAlteration ❑Utility Connection
CODE: ,gI.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B _.
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ c-- i Lf a
Division: 1 2 3 4 5
(excluding land)
1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized 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 building
official can evoke this pe - it for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X � � Zo q s t o Co z- i -gj -c:,
Signature Contractor's License No. Date
Permit Valuation OS d d o , 00 Park Support Fee # $
Permit Fee $ (7? /to 3. se SAC # $ /550 Jet
Plan Check Fee $ /796, Z8 Water Meter Size 5/8'0 $ 3 ZS. o O
State Surcharge $ / 9 a . 5"o Pressure Reducer $ /X) 00
Penalty $ Sewer /Water Connection Fee # $ /500,00
Plumbing Permit Fee $ /00/00 Water Tower Fee # $ /000. 00
Mechanical Permit Fee $ /0 a 00 Builder's Deposit $ /SOD. 0 0
Sewer & Water Permit Fee $ 35.s-0 Other $
Gas Fireplace Permit Fee $ 4 (0, 00 TOTAL DUE W40 2...17.0 $ 1 1 00 Z , 7 r
/
This Application Becomes Your Building Permit When Approved Paid J/, 00? _ r r Re t No. s// JJ
0 1.4.4...4. 2 11_ 1 1_4 ; 1 (2 4. j Date 3, 3_O1 B
Bui ldinu Official 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 C y Planner co st utcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued /A/ , , 0‘.
• . ning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
of PR/ 6'..? CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE •
1 AND UTILITY CONNECTION PERMIT y7—
C1
M r'y'Neso� P �'sG -C� r. -+/‘14 ci/
I. whin File PERMIT NO.
3 Pink City �° �� /', (/ n M1 l
3 Yellow Applicant („/ 0 I / /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
i‘g 5S C am- R.re_ 1
LEGAL DESCRIPTION (office use only)
LOT t( BLOCK 3 ADDITION fr .r e PID .95%41 t10 -CIS -0
OWNER 'N
(Name) ��� 11 �� Ct1 G( -�C • (Phone) • Lf y�yt
,S'.
(Address) 14 00 (rbrYc.,\t__ (Cn t r Cvide. Ste. k H 6-5. c.„ tVw 537 ?(
BUILDER
(Company Name) KA-t (Phone)
(Contact Name) �[�, Ut� C>lS� (Phone) `', 6S( 7y6— 9, 'i 6
(Address)
TYPE OF WORK ❑ New Construction [Deck Porch ❑Re Roofing ❑Re- Siding 1,ower Level Finish / 1E1 Fireplace
❑Addition ❑Alteration DUtility Connection ❑ Misc. ` ������
CODE: J,]I.R.C. ❑LB.C• PROJECT COST /VALUE $ `!S - C)C
4111 Type of Construction: I II 17I IV V AB (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
^
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the
above -m• ironed property nd that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
officia an revo e this p/ ii'.rjust cause. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x _ � / ' a 7- /S - 0C
Sig .. • re Contractor's License No. Date
Permit Valuation
Odd 00 Park Support Fee # $
Permit Fee $ �i� L5 SAC # $
Plan Check Fee $ 00 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 2 0 0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 4'a 00 Water Tower Fee # $
Mechanical Permit Fee $ 7 Builder's Deposit $
Sewer & Water Permit Fee $ Other ' $
Gas Fireplace Permit Fee $ 2/ , vo TOTAL DUE $ /67 / 1
This Application Becomes Your Building Permit When Approved Paid ( v 'd Receipt Na) (../54-6
Date " , ge) - ,,. By G i
°
tL -�
Qit- -cea ` 3 fa 075 to
Building Official Date
al This is that the in e abon d e m o p documents is n City Zoning a s q i currn
when signed to by certify the City Planner request constitutes th ove a tempor applicati ca an rtificate acco of a Zoning ing compliance and allows accordance consw ction the to commence Ordinance Before occupancy may proceed , a Certifi re of O ccupancy ueste This d must e be t
issued i
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
(r PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIAN 7�5 t AND UTILITY CONNECTION PERMIT W . 0(9 0126
White File PERMIT O. ( 0 2 (
.t� ,�P 2 Pink City
�A' NES � 3 Yellow Applicant
(Please type or print and sign at bottom) ZONING (office use)
ADDRESS
1 b 5'S S'E'EM P E2 Rii _E
LEGAL DESCRIPTION (office use only)
PID
LOT BLOCK ADDITION
OWNER (Phone)
(Name)
(Address)
BUILDER (Phone) �� �� - �°� `S�
(Company Name) - TOLL "c�t
(Contact Name) ,S E Z2Sn) NA (Phone)
(Address) l cS/ * EI /`101r A 0 C
TYPE OF WORK 0 New Construction ' eck ❑Porch ORe- Roofing ORe- Siding ❑Lower Level Finish 0 Fireplace
EAddition OAlterati n OUtility Connection
❑ Misc.
CODE: I.R.C. ❑ I.B.C. ❑ �vvv
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F III MR S U (excluding land)
Division: 1 2 3 4 5
1 hereby
above-mentioned P
certify at
roperty and that d all construction r this ill conform to all existing stat best
and local laws and will proceed in certify
with submitted owner
d plans. I authorized agent for the t awarethat the building
abo
official can rev k ° t er it for cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necd�inspections. ce
X Co ntractor's License No. Date
Signature
W Park Support Fee # $
Permit Valuation
Peripit Fee $ gr yS SAC # $
Plan Check Fee $ .0 36 Water Meter Size 5/8 "; 1 ";
State Surcharge $ i Sv
Pressure Reducer $
Sewer /Water Connection Fee # $
Penalty $
$ Water Tower Fee # $ I
Plumbing Permit Fee Builder's Deposit $
Mechanical Permit Fee $ $
Sewer & Water Permit Fee $ Other $ y �
Gas Fireplace Permit Fee $
TOTAL DUE ("'l /
This Ap cation 13 X 1-7 es Your Building Permit When Approved Paid l/ Receipt o. .5
Date , 7 , 0 6 By
7 -GUS,
Build ng Official 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 requecsted. ed. This This Occupancy must document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence.. Before occupancy, a f
Certificate of be
issued ,=�4- 04 ( �"u11/1
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447 - 985(1, fax (952) 447 -4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
O, P Ip
R „,,,,et
U ,,; to
1
qiff
`"/INNESOo' Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7bz L , 'k errnC
APPLICATION RECEIVED 2 * g • 6 6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/645,S / , i6 7 . ,e4'i 06 •
Accepted Accepted With Corrections
Denied r
r
Reviewed By: Ze v?/a -7 %4
Comments: 40-ea . 02' c 2 - ) .
Gt,L , G � -D- G�� -•-d( oo
c �c,�a -z, a, o. c
s e,241-4.4-Le4 9 . 2Dk -ems. D, Ca- 7 -
�.
r i
trea ..-& e..e.4-4-6- -a-rer/,44.4 -4--tc t2
a
— —. .0 ,t_)
"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."
Oe . PRI
x m
White - Building
` - 1 /NNEso ' Canary - Engineering
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 Accepted With Corrections
Denied r
Reviewed By: Date: 21 Z- ?A C.
Comments: c; .. 6 <94 w e -
c-R7-,.,---1. /2-t-cAy-I - l i b e.Le._..,tu Oae-cro.,—co .0
4 /5 - 46 .0 , d . 0 it,
"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."
t ritio trf
White - Building
Canary Engtr�trt Pty
M'Nr�ESO�� Pink - Planning
BUILDING PERMIT APPLICATIQN DEPARTMENT CHECKLIST
NAME OF APPLICANT �(/z,. (- Lf'e,e)k._k'
APPLICATION RECEIVED 2, 0. Q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'' C/5 l it? (e— „eI,C:)c 6 ,
Accepted k Accepted With Corrections
Denied
Reviewed By: irAg Date: — 67 y - 06
Comments: See Reverse Side for Additional lnformationl;
Driveway Must, Have A Concrete Approach
Prola i /r,r f 'vcw Sevier gni Wklr Co ce.-{o-, cpff
0 slum r {T g4 a ,"y, „t. w4P, 6,,,,,«s
r'c. 4VV,; ,,61,_
See Attachment 1) rJ ailing Plan, 2) Erosion Control Measures
"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."
04/06/2006 TIIU 7:38 FAX 952 767 1900 GENZ -RYAN il002 /002 .,.,_..
; o f p R f o, Q DateRec'd
vit � q CITY OF PRIOR LAKE PLUMBING PERMIT
PO
r t
' %f I. Blue File
2. Gold City PERMIT NO. O� , 0 1
q ^ 3. Yellow Applicant
E?F t Please type or print and sign at bottom
!
1 h1 ( Please P )
f ADDRESS -- ZONING (office use)
k 1(.v�) S I i1'rniv ..( re GJ •
ri LEGAL DESCRIPTION (office use only)
h
L OT \ \ BLOCK ADDITION '1 Y ci L Ji.. � . . -( () PID
J
' (Name) R 1 V i) 5 )7' V C V Y 1 ` SI c ) � ' �l
{ 1
Phone ��
(Address) �� C } COTO C C / 7J J X CCi! I is C,k,T ! l� Lac) L ' MN 651 D
APPLICANT (� - P i I ��'� L)�U
(Name) ��� . (%' G9.6 (Phone)
{ ? n f
(Address) 9—� V T V • ( ,, i L 1.L ( I� (� M N .7 D.,��
(Address) - (City) "/ / (Zip Code)
(Contact Person) (Phone) or-)d, •' /f — t o
, __- m ..,
APPLICANT SIGNATURE 9` �',10 -� - DATE 'L
f _ ` _
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower 1 Rough -ins
( Dishwasher Water Heater
( Floor Drain ( Water Soffner
7 Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
'R__ Shower Stall c L Backflow Assembly
1 Sinks _Backflow Assembly Test
Bar Sink Lawn Sprinkler
G 1 Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi - family l% of job cost with a $39.50 minimum Residential, New One & Two - Family $99.50
Residential, Additions & Alterations . 0
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
(9 vo‘
STATE SURCHARGE $ .50 15d '
TOTAL PERMIT FEE $
(Office Use Only)
1 This Application Becomes Your Building Permit When Approved Paid Receipt No. 1
Date By
1 Building Official Date ,
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
f 11
1 .41
t 4
07/19/2006 WED 16:46 FAX 952 767 1900 GENZ —RYAN 0 006/006
o� FRIap Date Rec'd
t I l CITY OF PRIOR LAKE PLUMBING PERMIT
. f , VNES O� C
AP
I C: F C 1 PERMIT NO.�
z. cap Cil > • T
3. Ycllon Applicant 1
(Please type or print and sign at bottom)
ADDRESSS ^ l n v V� ( ( ZONING (office
I l �� —• S ei� 1'1 K i (lc( use,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER --- ft A .
n /
(Name) !() 1 �� I C.: (� (Phone)
(Address) 1 6 400 C O(9 W rat eenei ((Lf' f e I ( 1,., t A,K) / `�( �l� / fl
APPLICANT s d 616 :)\. -) KW
• (Name)_. cr. ' . OUV _ � (Phone) 61 :) 7 )
(Address) _ / CU_L U 4:- ..: L114 / 3 . alt S v( I 1 ? I L4l 4 J _J ,�. .7
(Address) (City) (Zip Code)
(Contact Person) t in
n. r (Phone) ? 5 7 7 ^ l v u `-'
APPLICANT SIGNATURE _.__, /�'�� �_ "" / fit „ DATE 7/ 11 �,,
APPLICANT' PL + SE COMPLETE BELOW
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 (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks ,,, Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi- family I% of job cost with a $39.50 minimum Residential, New One & Two - Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $ 06 L p' /O IA -
STATE SURCHARGE $ .50 ® /A, "V/ h,
TOTAL PERMIT FEE $ G �Q - ,7
(Office Use Only) i't?�t ^ .,
This Application Becomes Your Building Permit When Approved iti
lECHria
t j No.
Auildine Official Date. iii ( �' I1'I
24 hour notice for all inspections (952) 447 - 9851, ! . (952) 447 -4245 r
I6200 Eagle Creek Ave., S.E., Prior Lake, 1 1N 55372 -1714
By
K. , /
f •
• t -
APR -07 -2006 FRI 1 1 : 0 8 1 j RAY WELTER HEATING & A,C FAX NO. 6128252303 P. 02
o f PRt
CITY OF PRIOR LAKE Date Reed
HEATING /AIR CONDIT.IONING/F'IREPLACE PERMIT
� , Niveao tr
I Pink P i PERMIT NO, / •
2. Gean i., ] . , `ij 3 ■
(Please 3. Yellow Applicnet (./ (�
type or print and sign at bottom)
ADDRESS
1 6y 55 S m � � fame ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER /' ��
(Name) 1O�� 61101 S .-- fl A) J • a() (Phone) G 57 363 - QS S I I
(Address) .ti ii C t'I1 4 _2,J 9 L
VIP
APPLICANT Ci // f.
(Name) a I 1, I i� M , c (Phone) b/7 6"‘dryry
�
(Address) i l l 3 1 i't i L i t P a d 4 4. 3 , � ( , , < s , MO. . .5 7
(Ad. ess) (City) p (Zip Code)
(Contact Person) , ` r, 4 _ . K (Phone) ‘a• 60�3'‘6 p �a7
APPLICANT SIGNATURE - 1 i DATE 1 "1€ '
APP ICANT PLE • 'E COMPLETE BELOW
2 Pun el Di CONST CT) ON E REPLACEMENT ALTERAWYs
FURNACE M AKE AND MODEL tie lax Am 6 . - im. ki 41 J .mt. FUEL , 1 ig4 r
FLUE SIZE IV& RETURN OPENINGS 10 gt4Uti INPUT /dc OUTPUT 9,4,
TYPE OF SYSTEM 4 A )(TING OR POWER PLANT
arm Air Plants 0 Steam PLEASE NOTE:
C tvity O Slot Water Air Conditioner Units
1 e hanicatl [] Radiation Cannot Encroach into
1c Air Conditioning a 3 %Q ,Jy/J S 0 Special Devices Re uired Side Yard
❑Vent. System 0 Other Devices 9
Setbacks
FIREPLACE MAKE AND MODEL —
FEE SCHEDULE
Industrial, Commercial Y 1% of job
Multi -Family cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & A/C (Ncw Construction) $99.50
Residential, Heating Only (Ncw Construction) $64.50 Residential, Additions &Alterations $39.50
Residential, AC Only $39.50
Estimated Cost $ Building Permit ii
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
T OTAL PERMIT FEE S
(Office Use only) 1
This Application Becomes Your Building Permit When Approved Paid - w
I Receipt No.
Building Official Date
_ t -6 $ 9
nrrre
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
A
*1-, •
KO Rrop CITY OF PRIOR LAKE Date Recd E
HEATING /AIR CONDITIONING/FIREPLACE PERMIT
U , �
41 NN e SoS7C 21- Pink Green Fi C t= PERMIT NO. 6 ( . p 1 2
iry
3, Yellow Applicant
ZONING (office
Please .e or .rint and si; at bottom) use)
ADDRESS r' ', • '��
f lr
4
LEGAL DESCRIPTION (office use only)
PID
LOT BLOCK ADDITION
OWNER _ (Phone) (0.5 X3(0 5 — OAS /
Name} � i , 1 Plrl 5vrd'ol.
(Address) -
APPLICANT P (Phone) h l _ ✓ _ l 1 - o 1 SaS________--
1
(Address ii 5$3/
0 �� •' �I /t,/ . / _ �! (Zip Code)
. ; ( ity)
(Address) / _ � _
(Phone) _ • -59 1 �
(Contact Person) C\ S �` � '�
DATE
APPLICANT SIGNATURE -. _ L . - /
APPLICANT PLEASE COMPLETE E BELOW ,.I,ERATIONs
ANEW CONSTRUCTION FUEL
FURNACE MAKE AND MODEL INPUT OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:
❑ Steam Air Conditioner Units
❑Warm Air Plants ❑ Hot Water
Gravity Cannot Encroach into
nto
❑ ❑ Radiation Re
nn i t ed Side Yard
❑Mechanical ❑ Special Devices
❑Air Conditioning Setbacks
❑ Other Devices
❑Vent. System
FIREPLACE MAKE AND MODEL 0 r' ` FEE SCHEDULE $39.50
1% of job cost Residential, Gas Fireplace
Industrial, Commercial &Multi Family $39.50 minimum $ -
$99 -50 Residential, Additions & Alterations $39.50
Residential, Heating & A/C (New Construction) Residential, AC Only
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ Building Permit # y� r
HEA TING PERMIT FEE $ t �
STATE SURCHARGE $ .50 �,im PERMIT
TOTAL PERMIT FEE
(O ffice Use Only) Paid Receipt No.
This Application Becomes Your Building Permit When Approved
Date By
U 9 2006.
Date
Building Official
24 hour notice for all inspections (952) 447 -9950, fax (952) 447-4245
Z00� 2IO HDV2IVD DID /1110L1V 66ZL 92,4 E9L YV.I 40 :ZT 90 /9Z /b0
oa /o'Feb, 9 2006E:11:59AMx.95:TOLL B ROT HERS3twood Prof. s ere.
Feb.. 9. 9:07AM TOLL BROTHERS .. . ... No, 3870 ._. 2�joo2jooz
No, 3857 P. 2
CITY" OF PRIOR LAKE , . ' . - .
Impervious Surface Calculations '
(To be Submitted with Building PermitAppliea>ion)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage � Permitted is 30 Percent. ... '
Property Address k Ta // fcc c ,
Lot Area 2.1 3 7 3 ..
•
HOUSE LENGTR WIDTH SQ. FEET
x •
7-4-54.
x _—_
ATTACHED GARAGE
x � 5
TOTAL I'RINC'IpA.I,
sTRUCTYrR.,...........�...._. 3 z 1
DETACHED BUILDINGS
. ( d/Shad) x
x .
TOTAL DETACHED BTJLDTNGS ,,,�� ,; er,v - r , ALit'I
RNEWAY/PA'E AREAS .
()D ive 'ay _avod or not) , x — Z
st x�
( dca, jpazh ng m' )
x _
TOTAL PAVED ACAS
/ld
PAT IOS/PORCHES/DECKS
(Open Decks %"min, aperrieg bcrwc� c , .�
boards, wid3 a }3e1'vivus.siir{ ace below, x =
__ not considered - I
oasldatnd to be '�perviotr`s) �
x in
TOTAL DECKS
x _
• TOTAL O'DIELL..
T OTAL �EIW SURFACE
• �/ 93
UNDERJOVM2.
1 ParedBy `� �I/ - /z 18. b
//// Date 6 _
Company Gf/�y'�r� - ---
66s
Phone 2 - —s
7S 3 17 /sc
PRIOR LAKE DEPARTMENT OF
BUILDING-AND INSPECTION
INSPECTION RECORD
SITE ADDRESS A e iSSI frrehl 4 ' L' 4 ,40 4. Sr
NATURE OF WORK N - it , e4 112. -, ! ' OY Po a a )
USE OF BUILDING
1 4 ' •
PERMIT NO. 0a..012,3 DATE ISSUED Jar
CONTRACTOR mcz___agot____,,____ •
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1
INSPECTO •
DATE
4
FOOTING I A alilla .,-,
(
FOUNDATION (Prior to Backfill) 111111111MMINEINtalli
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS 4 .
SEWER / WATER / SEPTIC 111111111MEMENIMIRMI
FRAMING IMIIIBUIIIIIIIMIMIMIN
INSULATION
/////// W 741 11111L ....... _111MM111111
ELECTRICAL
PLUMBING /
ilinionmewini........... 111111111111111111/M1111111111
t 0 b-, t( 0 Vt m
HEATING (if required) m..........__IIIIIIIMMIIIIMIMMMIIN
FIREPLACE
Mil MIIIIIIIIMERMINMI
GAS LINE AIR TEST
1.1111 = 1 111111111111.111
COVER NO WORK UNTIL ABOVE HIS BEEN SIGNED
( -
FINALS aa
GRADING (Prior to Sodding) 1111111111/111811111M1111111111.
BUILDING / C 1 Ottfb immenin............_ IIPL INETAMIIIIII
ELECTRICAL
•M llIOMMIML wm2pn.... IMMIIIIIIII
PLUMBING
IIIIIMBRUIEW
HEATING
11111 /M1111.11.1111111
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