HomeMy WebLinkAboutBldg Permit 04-883;Mech 04-1105
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Zu,\~,\G COMPLIANCE..
AND UTll..ITY Cu, \, I.!.CTION PERMIT
Date Rec'd
8.1"3,O+-
CPIaN ~ or _ ...._at_1
ADDRESS
/11.2'-1 /7}/JIU/focJ #'d.;t)c,
; a: a... I PERMIT NO. Ot,t. 086:31
ZONING (oIIIce...)
el5D
LOT
BLOCK
LEGAL DESCRIP110N (olllce we only)
AD,Li.U.l.V.L.J'
PID dS-~~Jt,- O)"j-::>
15;2.-Ljtf/}-s.Y:?1
~1f;t- ~ t,
./
&':: /{;''p1/'.II/f Ifc/J?.P'E/f'
(Address)' )r'1.;l.'f; /nA/'I'~'} /?P1 /1/G,
(phone)
BUILDER
(CompanyName)C/P-rK C'U'j1-1hY> Ht7mi?r I. CC
(Contact Name) l:? '" h 1"'1 o-r J<
(Address) /49010 hlah,n,tt;ell #6
(phone) t?~- LN'J ~~ 990
(Phone)
TYPE OF WORK D New Construclion ODed< OPorch ORe'RooI!aI 01le-Sidm, OLower Level Finish D Piropl...
.J&'dd1tion DAI_tion DUtility Connection 0 Misc.
. CODE: Igb.R.C,.. DI.B.c.
TypeofE.:."'....on: I n m IV V A B
O<cupancyGroup: A B E F HIM R 5 U
DlyWoa: 1 % 3 4 5
PROJECT COST/V ALUE
(exclodlnlluul)
s ~ II IJ7:TO
,
. I ba'c!by ca1ify lhall have fumished information on this appUcadon whleb iI to the belt of my knowledae true and aJIRCt. J also mtify thai I am thC' owner 'X' authorizt'd. apt fur tile I
above-mel1boned property and thai aU .. .",., ..-,.. will c:onform to aU exisIini srate and loc:aJ laws and. will proceed in IC'COfdana: with submitted plans. l.m IWarc 1hIt the buUdinI
:mJ~~~ ~"-?a~~;;)~omcwOf~:'Y;;~;~;-""7;i.~ /& tL
- 5___ . ConIl'ldOl". License No. 0-" .
"';~'f ~O(). 0 II I ParkSupportFee 1/ S
S '~()(J I SAC 1/ S
S .,.,. '5'&...70 I WaterMoter Size 5/8"; I"; S
S I Z. l> . I Pmsuro Roduc:or S
S 1 SewerIWater Connection Fee 1/ S
S Water Tower Fee 1/ S
S Builder', Deposit S
S I Other S
S I TOTALDUE S 10 tD R.' 70
I Permit Valuation
I Permit Fee
I Plan Check Fee
I StaIO Surcharge
IPonaJty
Plumbln8 Pennit Fee
Mechanical Permit Fee
Sewer &: Water Permit Fee
Gas Fireplace Permit Fee
~A ....... .Bo<omo.YourIlulkllniPmaltWlooDA"..,.e.
~ '
, Buildin~~ y/~~'1
I Paid fI& J!l. '70
I Date '- 7.04--
II
~ ""7"'1
1'hII is to mtify rhat Ihr request in the above application aad ...."...'''. :..,.1 documents is in accordanc:e with tbe City Zonin, Ordinana' and may proceed as rcqut'lkd. Thil doc:umenl
whm sipedby the City P1innercOnltilutcsa ..". '''. ...._......_,..ofZDnin.compUanceand aUowsCQl1S1nlt'tiontocommmcc. ~foR... '.... ,,"... Ccrtirate oI'Occupancy mustbre
lss~ . d '/'1
.:oz........ . <<- ~J:.., P!;t,;;o."Ie"
'PlamDiba.iiOr '/"" _~lflllY
14 honr noder lor IlIlnspeedon. ('151) 447.9811O. III (m) 447-4145
16200 EaJle Crook Avenue Prior Lake. MN 55372
I
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
iE:.. ~~;'m(! PERMITNO'IJt.j_I/as-!
~ase.!VD!: or orint and sien at bottom)
I A~~q~ ~ rY1aN Ct~<A- eD
~
LEGAL DESCRIPTION (ollice use only)
LOT
ADDITION
BLOCK
OWNER k
(Name) If
. (Address) l LfC1 d- '{
KeM.~
(Vlcl n ~4>CA.
(phone) q S~ -L/tfl-g,3 3 7
P-o iJ~
[G.N.{~ ~1) (Phone) q Q.-4<{,.. ~ 7 to ~
flD POlf)QL4e ~ ,)....
(City) (Zip Code)
(Phone) 9n~4l('') ~ ~%"l.
DATE 10 rJ.S'~()~
~PPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
'APPLICANT,^,- 1..._
(Name) f'I\..\I.-t'
(Address) 150(\ ~
ktL.
Nbtl\.l.<<.
(Contact Person) tV) lV-~.
. APPLICANT SIGNATURE
~.
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
I FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3'.5"0
$_ .50
$ 1.f(J, Do
(Office Use Only)
r J.
"his Applicati'll' Becomes Your Building Permit When Approved Paid r~, tJd
.;;e..~t1, ~ /(}/ZS~<7 -Date ~t.._/
~J~ Official ' Date /tJ VS(tJt(
14 hour notice for all inspections (952) 447-9850, fax (9 2) 447-4145
16200 Eagle Creek Avenue, Prior Lake, MN 55372
I ZONING (olliceuse) I
PID
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39,50
Receipt No, 193/ <f
By 1fn
I
.",j,,,,"-',; .."",
~\
White - BuildlnQ
~ ~anarv - t:ng1neen"V:::>
Pink - Pillnm"g
Tht ('tnltr of ChII' t.kt Country
BUILDING PERMlI..APPlICATION DEPARTMENT CI1ECKlIST
:\'.;.' \
HOt--iSS
NAME OF APPLICANT
APPLICATION RECEIVED
~LA R Ie.. (:.,U.::To ~I
0,13.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-0 24- tvlANITOU RoAD tJ. E.
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
tyYJ[?
Date:
S -.]b-6C./
,
Comments: See Reverse Side for Additional Information I
See Attachments: 1) Grading Plan, 2) Erosion c.ontrollV{ea!illlrPlI
"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
Canarv - ~n'Ji~:::ring
r- PiQ'ls _ .. Plan ~~
Th~(.t'nl..rorlht' l.abCounlry
IDnLDlNG PERMIT APPLICATION DEPART~NT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(2,Lt\ r::: 1<:::' l.-lj ~o ~ I HO~I r:;c;
c 1-:> C'4-
C. -....-', ..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 4-0 24- ('c I 1-\ (\) I T C () R Cf\ D N ' E.
"
Accepted
/'
Accepted With Corrections
Denied
,~~p
Date:
Pb{; h <,/
.
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,"
~~
~-
it - Building,,:)
anary - engineering
Pink - Planning
Tht ('''nlt'r of lht' I.."'" ('ount.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~L...Ag~ WS[ot--1 HOH~
B./3.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-Cf 24-- MANITOU R.oAD f\L E.
Accepted
Accepted With Corrections
/
Denied
Reviewed By: . ~ ;tA. ~~J'-'
Comments: ~ 11.1.1
.---I..Y-u ~.
r
Date:
r~~hy
,
~~
"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,"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS III,%' 'I ~. .. b_. ~~
NATUREDFWORK ". ~tI"
USE OF BUILDING ~'. ..
PERMIT NO. 011 . O~P/3 DATE ,ISSUED ~"
CONTRACTOR . , PH6N~. ~I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING ~. 7/f(i" l
I FOUNDATION (Prior to Backfill) I 11#- I 7/ kJ /0,/ j
PLACE NO CONCRETE Ul>lTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
we. (I'b
h{/;)
"0- 7:9
--
( .J(jS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
~h
(
I
(
\)?
IZ/ I / t}l/
. y-
ATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elelltrlcal ;ervlce 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
llo\TE TIllE
t# 3:l0
ADDRESS
1<<I1:<c/ /14/11' /.00
Rot
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-893
o FOOTING
o FOUNDATION
o FRAMING
o INSULA 1ION
el'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRA1lIFIWNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
/'
~RK SATISFACTORY, PROCEED
o CORRE~ON AND PROCEED
[J CORREJr Wi Ii ~ FOR REINSPECTlON BEFORE COVERING
Inspector. V / OwnerlConlr.
CAlLZ::~50'OR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUJREMENTS A.RE FOR YOUR PERSONAL HEALTH'" SAFETYI
1N8NOT'