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HomeMy WebLinkAboutBuilding Permit 04-0187 (Please .!VP~ or orint and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd 3. 17. D4- ; ~i~~' ~::, !PERMIT NO.O A_. 0 I 0,1 3. Yellow Applicant I I (I ~<?33~T~;t)0 ~ LEGAL DESCRIPTION (office use only) LOT ~ BLOCK. ~ ADDITION 4)~~..J ZONING (office use) RI I PID 25. 382.. 05<t" 01 OWNER J- / (Name) ('LJ~ c~,I1- L.-c7i " 'I' {'o' f I (Address) 'H?.3:l.. ~_(' "'....J'()~,f;. BUILDER 2. I L ...I (Name) t{ '-'VI 'LII'J -"". . (Contact Name) ~ A e./1 (Address) J '-1.3/1 ~ .A.J ,6~~ TYPE OF WORK ~w Construction , o Misc. DLower Level Finish ~:A (Phone) 3-<~ f?'iS~ S~ J-..~ ~~. i~ J i /Y) /I ) ,C..( If.:3../ (Phone) 9c::'d... ~~~LJ.!:1J<) (Phone)3s~ ~f?'1't Q~~ "- I /fJ rr.J SS S DC:. t!.ur/~ IIrz. :7'3. 78a OPorch ORe-Roofing GeL(... ORe-Siding ODeck o Fireplace OAddition DAlteration DUtility Connection PROJECTCOST/VALUE (excluding land) $ /, <. ~ Ot)O , I 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspectio ( " . \ X"!') y-,__ I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ~/CJB.ooo.oo $ $ $ $ $ $ $ $ 1;,.,'-/1.5'0 1 10t,.,,,,.981 - '19.001 I 100.00 100.00 ::'5; .'50 C-{ o. 00 This Application Becomes Your Building Permit When Approved . C3;u~:g~ciaf.ulJ~ ~o'f ~ L9 'J Contractor's License No. Park Support Fee SAC # # .'3 L,-slV7' Date I I I I I 70Q.00 I f'S::YL 00 : $~ bS-Z.,fJ I $ Fj'S0. 00 $ (:<;C:;o. 00 $ '500.0" $ 70. 00 $ , LoO. 00 $ $ $ I Paid I Date fO 52-. '16" #'/;./o'f ; I Receipt No. Cf '" Zo By ~ -;f.....J p 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 ~ ~ 3/3d/o'l ~J an ~ , Planning Director . Date - Special Conditions, iflny 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 I Water Meter Size 5/8~0 I Pressure Reducer I City SAC and WAC # I Water Tower Fee # I Builder's Deposit lather I TOTAL DUE ~ 3.:JO.D4- J'lbit.. - EluildinL c:::::.caoarv - Enqineelll1!T"") Pink . Planning Tllr (""lrr nllll, 1..1et ("Oll.fry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APP~ICANT APPLICATION RECEIVED VV IN 0 V,_ OOD .----, .~ --.4- - I ' ---, f,e 1-1' >. - "'-- f t'\ 1\..1 l.- --- l) I l ./-..J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Z 9 33 e)o BeAT '-rk.F\ I L N 'vV Accepted y Accepted With Corrections Denied Reviewed By: /tMf) Date: 3-~,-oY - Comments: ~E'!E'! RE'!verse Side for Additional Information! -- See Attacbme.T1t~. 1) GrlHiine Pl:m _ ?) 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." ~~ CW,!i~1! . B.illdInD Canary . t:ngineering Pink - Planning Tht' (.,pnlll'r nf lhll' t.h('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHE,CKLlST NAME OF APPLICANT APPLICATION RECEIVED W, NO WOOD H(jfvlFE 3.1/.04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2~33 BOBCAT TeAlL NvV Accepted Accepted With Corrections ~ Denied ,. ~ ~N Date:...3/ 30/0 '-I , Comments: R~ a...~( ~'" _ ~ ~ ~m~ , JZ.; v /S.~..o~~ ~ ~ ~ f)A-L '-1-0 I ~ /.:J.,. ~ I- P:} A-t, I Reviewed By: ~/~ r&~ ~ .... . '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." ~1 White - Building Ca/lary - Engineering C1""K . t"lannln!r;:> Thr ("tlllt' of Ih..l..kr Counlry BUilDING PERMIT APPLICATION DEPARTMENT CHECKUSI NAME OF APPLICANT APPLICATION RECEIVED ~ \ 1/\ 0 l \ COD H nfvll-<= ~.I-l.C4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2~.=3 eC>CcAI TI~f\IL t\/vJ Accepted Denied Accepted With Corrections V" I~ SJ.:A)n, t/I~ (j ~~ ~oU f4~ ~~ ~~. ,. ~ , Date: :3/"$ tJ;{, <{ I A.C. ~ /Ul-q~ p f - Reviewed By: 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." . Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please type or orint and sie;n. at bottom) I ADDRESS i.~3.! VloBC.~r TfL. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) L>-l;:"'" b v./'Cl>1l <l (Address) (Address) APPLICANT (Name) O(l..,f.,Q ff4t t j( L . (Address) f& Il~ J'OPl..~ WV'r'i (Address) ~"'-'t'c..N APPLICANT SIGNATURF tl......... L \)..........~ (Contact Person) \I ~;;::w ~ii~~. I PERMIT NO. OU_/ g11 Gold Apphcant -/ ZONING (office use) PID (Phone) (City) (Zip Code) 'is.). -f?'J:J. -b '(0(. S-S-04'/ (Zip Code) (Phone) UL V L-. (City) (Phone) DATE L/ fj/'4 APPLICANT PLEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from structure - feet. Type of sewer pipe. 0 ABC. [2g PVC 0 Cast Iron Estimated length of sewer line I./. Cl feet Clean out (if required) located at ~ feet from structure. Residential sewer and water line connection Sewer connection only $35.50 $17.50 '1 bo ~D FEE SCHEDULE Industrial. Com'] & Multi-family Water connection only 1% of job cost with a $39.50 minimum $17.50 Estimated Cost $ SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Building Permit # $ $ $ .50 B \ cYJ 0)i ~ 1. 'R' N ~ t VI. ecelpt o. ~ ~ J, - L-( I Paid I Date .~- _APR. n 2004 11.00AM ;: r.~'-~ CITY OF PRIOR LAKE 5. G(~ HEATING/AIRCONDITIONINGfllIREPLACE PEH.MIT \""(I"~no'<to . METRO AIR 952-447-8126 NO.2 9 6 P 1 lJlIte Rec'd 1,l'lnlc 2.tM.e11 3. V~lI11"" ~~, [PERMIT NO.U:' /'e1"h ^Jl~ll~nl 1- -, (6"~ tPt;;lI~.E ly~.e or Drl.nt :U11.! sim at bOllom) At;JQRESS Q ? '6 s:, ~ \) ~ (,~-\- -Vr~.\ ZONING (om" 'le) LFldAL DESClUPTlON (om" Ule only) LO'~ BLOCI<~ ADDITION ~ \..J," t~ ~ O~ PID OWNER (N~"lel (Mdless) ~ " ,,~~ '')I\~ ~~(".l.~ .c:-~', "\ ~ ",-, ~ (Phone) ,,\~J,_~~~_~\.\\.\~ , '\,,~ \., ()\A.-",\.\.\, \\9 '5 <;"?li:J In AllP{.JCANT ^ I '-,' (",a'J1e1 \1\~~^, ,,,,,... -\_ y\ l, (A~d,ess) \~<\ ')(\J \.j '<..\ ,l(j!'\.\ ~\I "- (Addre,,) (C~lllnC[ Person) N L, V\ '-\/ S L-~ I; ....\ \. APP~JCANTSIONA:rURE ~w~:~,J;) ~~'_' (Phone) C\ S ;),.. '-\ '\ l- ~ \ ~). \.{ ~f)(1- \.<"\u.. {'II\) S.s~I~ (Ci!)') (ztp Cude) (Phone) . "1 ~ "), - ,,\ \.\ ,. )5 \ I) '-\ DATE --- -- ---... --.--, . Al'l'LICANT PLEASE COMPLETE BELOW ~EW CONSTRUCn~N QRE~L.,ACEMBNT 0 ALTERATlON,\l1 It- FU~1iACa MAKE AND MODEL C 9-.....~, h.... \""\ \f y? ,~ FUEL \\J Y FLi1~SlZE pv c.. RETURNOPENINOS l\ lNl'UT .l.9t>. 000 OUTPUT q, <m\:) TYPE OF SYSTEM HEA 11NG OR POWER PLANT . .~Wbrln Air Plants OOrovliy o Mecl,u,,)c,1 . ~^ir C011l1itlunhlg ~Vcnt. Syslem o Sle.1I1 o HOI W.ler o l'la(liotioll o Special Devi,es o Othel' Device. I'LEASE NOTE: Air Condition.,' Units Cunnol Enct'uueh into Required Side Yard Setbacks Flp,Bj/LACE MAKE AND MODEL.. , - FEESCUEDULE lI1U\15I,;ul. (;ommerclal &. Mnlli-I'amlly 1% urjob CO'I R";uell!ial,O..I'II'cplace SJ9.~0 minimum l\esld~l'li.J, Ilealing &. NC (New COlIstruction) S99.~O R,sldelllinl. Mulllolls &. Alterntions l\esid~l'ti.l, He.ling Only (New COllstruelion) $64.50 l\e.1dellllul, AC Ollly Estimated Cost $ \ (::) ,(\~ Buildillg Permit /I $)9.50 SJ9.50 $J9.50 HEATING PERMIT FEE STATE SURCHARGB TOTAL PERMIT FEE $ $ $ ,..;. ,50 (01\'" U.. Ollly) Thl~ AI11lllcaUon Becomes Your Dulldlng Permit Whe" Al'proved -,-. D,lIdl"~ ornel.' II'Rld I Date APR ? 7 05-06-2004 09:34AM MATTHEW DANIELS. INC. 423 3017 P.01 !.late Kec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~. ~~ ~:~ I PERi\UT NO. 1"11. o/t!t7 I J. YdLo... A,1lP!iUllt ~ CJ (Ple:LSC ~ or Drint and sUm at bc::lttom) ADDRESS Ji'm ~ed ~~-}: ZONING (offi<:< ""', I LEGAL DESCRIPTION (office uS< only) I LOT A BLOCK ,Q ADDITION Ji'r~ ~ OWNER _ L.' ~. J "\ (Name) ..).VLJ~JII~~I.1f)) (Address) /4011 ?1111'lft, aJb _ -,2;). APPtICAN:r.J~L. - --..., (Name)~?l 111/ , 111:1 ) . ~lfl _ (Phone) t,SJ - -I.:L."S' ~~:J3o (Address)...f5!J_~ (lAkJ.AJlkl.J. -Ja'l-: q~'lJlr~;) .,$'"OMJ (Address) f/ . (City) (Zip Code) (Contact Person) f1A L ; J fl ) If-\.. ~ ') (Phone) ~ (.,!,J. ~. J?'13/) APPLlCANTSIGNATURE ~ '-rJ. ~~ DATE '-fk.u-. Go..:l.tX>f U . APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity I Bath Tub with or without shower ,'-3 I Rough-ins Dishwasher I i Water Heater Floor Drai.n ) h.L Water Softner Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink I I Sewage Ejector Shower Stall Backflow Assembly Sinks Backftow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) ) . Other Quantity .;l... / ) !J J ) I /0- ,-'1' PlD (Phone) <}67). ~-5'- ??#l? ':6u.JdXU~). fu, .!i!RE'1 Type of fh:ture FEE SCHEl>ULE InduStrial. Commercial & Multi-family 1% of job cost with. S39.50 minimum R..idontial, New One &: Two-Family S99.50 Residential, Addition. & Alterations $39.50 Estimated Cost S Bu ilding Permit # _ PLUMBING PERMIT FEE $ ST ATE S~CHARGE $ I TOTAL PERMIT FEE $ ~'IWtm tUn.Dl~j~ ~~Mcrr (Ofli.~e Use Only) This Application Becomes Your Building Permit When Approved Buildl"l Oflklal Date ~~dL~ I~ 1I ill ~ r'ifAv 11 2004 w 'j ReceiptNo. I By r %4 hour notiee for .11 inspeetions (951) 447 9850, fox (951.) 447-4%45 . By. .- TOTAL P.01 06/08/04 11:34 FAX 7635530887 _ _. _ .GUYERS BU! LDERS SUPPLY \...11 r Ul' t'KlUK LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT 1aI002 Date Rec'd ~w~ .'''lfUO'''''' ~E:w ~p~\ePll PERMITNO'~/~~ <!'1....l'!I!e or orint and ,il!;n at bottOm) ADDRESS d 6 7:, ~ ~loCCt-r ,--- I \''-<.1 I ZONING (olliceuse) I LEGAL DESCRIPTION (offIce us. only) LOT BLOCK ADDITION PID OWNER (Name) to, ~ J (.()Oed (phone) (Address) GIJ'i<e.\'e. !bo,IJc(' SuPPI'j (Address) /,3405 /,S-rf1. rff/CY1.u-e \ (Address) (Contact Person). Do "'- APPLiCANT SIGNATURE. 'l::>---. - APPLICANT (Name) (phone) 71b3 -(P'jY -51{'6 3 P fYYJ1l?ufJ-, ss: 'YLj / (City) (Zip Code) ~ " d' (phone) ~~/H..t:?(, DATE APPLICANT PLEASE COMPLETE BELOW :F. I ~cp.l '"<- c -e ~EW CONSTRUCTION 0 REPLACEMENT 0 At TERATlONS MAKE AND MODEL Le,'lI'lO)(. E bl/'iO ~S-- FUEL k)c,.J- q.Ct.3 FLUE SIZE ::;- { J RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Stearn OOravity 0 Hot Water o Mechanical 0 Radiation DAir Conditioning 0 Special Devices OVen!. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Y llld Setbacks FIREPLACE MAKE AND MODEL Estimated Cost $ FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.~0 $64.~0 /OCO%.- $39.50 Industrial. Commercial & Multi-Family Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 ~;J.~ Building Permit # f;j;"''''~' $~ V r;;)~ nfl ~ ]'~~ *~..~. I r ~'IA4-. . This Application Becomes Your Building Permit When Approved J~ u t.UU't Receipt No. st Date I By (it u Residential. Additions & Alterations Residential, AC Only HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Oflic.ellseOnly) Building Official Date 14 hour notice for ,II inspection, (951) 447.9850, fa. (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 28~~ ~8CAT Tfl-A,'L ,J,W, NATURE OF WORK tJe:::w C'-~~Ttt(t ~14 ~ USE OF BUILDING :!a. F: O. PERMIT NO. O~,6/fZJ7 DATE ISSUED ~(J''''I CONTRACTOR \JUI'N O~Ob ~ ~S PHONE 6:ilt.. !", "?B..r! NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~}PECTOR D~ rY/C7 -~' I FOUNDATION (Prior to Backfill) I n V <:'0 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS i'ff y- ~ 10 c- r:?!) /;1( ..J C"- 7~ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE 0<:. (f'f, ~0 -Ie; . GAS LINE AIR TESTIMlXl"'l fv{1 S-1) fp COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~~ uk~~''''" I "TIS 8-2.5 I FOOTING GRADING (Prior to Soddinq) BUILDING ~ Ie. 11-/-00/ ELECTRICAL . , PLUMBING I.a...~k.ol<. HEATING DO NOT OCCUpy - vw-: S'v/ ro~O(.J J " We.. r/i5 ? - 2..c::;.. 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 I J CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 2833 &k..+Tr/ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 6&dJL - tf)Y c..A:> ~~ DATE TIME 8rl,.S-tY-( t1J,~j M....J'J 8/./-1 fl7 ~~ILLlNG o CO~NT o FIREPLACE Rl o FIREPLACE FINAL o GASLINE AIR TST o ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 4- f~ Owner/Contr: . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE. 'NSNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ;2 2><,,, '1:... L~..u-y, 1 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )!(.pLUMBING FINAL o liIECH FINAL COMMENTS: U...,vi&t ~A>.Jl- h,~ 2.. ~ .'_AJ &~ p~ ~. ~ .(:"'.. 'i'!UJ \ u. r~l~.., 0Dr:)fl~ a.. DATE TIME 7- 2L--Dt( cf - i~7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o w~ .::;.J+~ 4cf,-'j777 .J: ~g..... /':>k:. o WORK SATISFACTORY. PROCEED )(CORRECT ION AND PROCEEO o CORREC W CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. IJIISNOTJ