HomeMy WebLinkAboutBldg Permit 04-0168
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvD~ or Dlint and sign at bottom)
ADDRESS
2:b~ ~()~CcU~(~ t-::l~
LEGAL DESCRIPTION (office use only)
Date Rec' d
3 -~-o L/
; -::i~i:' ~:~y I PERMIT NO. r-vl.. 0 (/~C.
J. Yellow Applicant \...Lf'" 1GfO
Qr M \M<<<-
ZONING (office use)
g(
LOT3~BLOCK \
ADDITION ""e W\~d.S Su:i\+
PIDZS. 382.. 033. ~
OWNER
(Name)
~'fiS ~ U"" L'I ~
I~rc Lj 1\..." b.. ~
I
(Address)
~lc?~
(Phone) (ct$i3..)
H.J
BUILDER (). r^ ~
(Name) t.Q\.T~<<:r\ t+~ ~c.
(ContactNam~ G,\\~\ ~':;;j"pP (~
(Address) - 11 ~ . 't,t'r-lI,S dcl?,() rio''! olU>. f'wa, L-
lP,'u'01\\> m,.) ~DW
TYPE OF WORK
~New Construction
DLower Level Finish
o Misc.
(Phone) (q<:do") CN/.Q,_ Sq"q
(Phone) - fi\~'\ GI'Q"'.,- Y \ Il,
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $
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
;t?tonAth; :e'tnytoa;;~n~eeded r:;;;~ ~IB tQ 3 07
~ S'''--atu - '3bhatce/o'-(
~l Contractor's License No.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
.p/~2. MO ,OfJl
/50/5.5>0 I
loot.{, ~y I
9/.0D I
I
I
I
I
I
$
$
$
$
$
$
$
$
/00,00
100.00
:'35. Sb
4o.()G
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
JIi l/ao/
Date
Building Official
Park Support Fee
SAC
I
I
I
I
I
I
I
I
~$~. e B 0. 5aJ
/) .
RecedJA'lo. ~feO L-
By
G
#
#
$ ~RSt'J,oo
$ (3so.00
$ ~dO.OO
$ 70 . 00
$ 1'2...00.00
$ rr()O, D 0
$ 1~(jD'OO
$
~
I Water Meter Size 5/8''{!''; J
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE I'J!tIA.Btl1.""'" . D 4---'
#
#
I Paid
I Date
9 a.fl{ q . s"B
. r, zr.rJ a--
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
"S~ngD~ 3/(~'i fiJ ~Ciali~
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
"'1
Th..C..nt"''''lht'I..bl"Ounlry
~&lIlIl"Ii"~
- Enqlneerln
. Pin - t'Jannlng
B.UlLDING PERMIT APPLICATION DEPARTMENT CHECKL!.SI
NAME OF APP~ICANT
APPLICATION RECEIVED
12.f-\T-l: LA r F H 0 t-1ES
-:7 /1 /4-'
"--" . '-1-. L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'? ( A f) l)' /) /l /.j- "'"'"'/7.) A I'
...__.'l./'"+t./ .......1(../ .",",r11 11(../ l--/
NvY
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/J1!J-t3
Date:
3- /fJ- 0'1
Comments: :c:"'''' R.H/",r.cu:~ 8ide for Additional Information!
IJriveway Must HaveA C',oncrete Aporoach
~
See Attachments: l) Grading 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."
.~
~~
White . Building
~. -c-~ing
~k . PlanninjP
-_/
lh~ Crnlrr or lhr L.kt Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;. ! \ I y:- L-I \ + j..
/ (" L.i--
. "---t-, . I
f I ( i I [ /'
"-_./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,
,
--
i (' t\ I
i I t' \ I [ ~
i
i" . ',,/
1\ IV
'r
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~ V".'Jbt--
/?~ a.R..f ';.,t,;/I07 ,-+-:-1
lI,c.~~~ ~.~
V
~.
Date:
:J/ 17 loy
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,"
.~
~~.
rvvhite - BU~
~ni:IIY - 1;;;11~hIO;;:,",IJng
Pink - Planning
-.
"Ihef.enlernflhel..ke('Ollnlr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RAT-l:; LAFF HOMES
.3.4-. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
304-0 30Bf'A1 ~I ( ~
Accepted
Accepted With Corrections
NW
/'
Denied
Reviewed By:
~~
.~ed
Date: 3/ I 7 /0 <-j
-d~~.
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 typ~ or print and siJID at bottom)
ADDRESS
3olfo ~O{?,CA-r T/L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) R...A-r C!...Ld,c,c
(Address)
(Address)
APPLICANT
(Name). V{Lff'H-&e. t; l<..c..
(Address) , , 1I.t> ~ (\ P L 'C..v
(Address)
wl/;-'f
(Contact Person)
Q", '1eN
APPLICANT SIGNATURE
~L \J~
u
~;;::w ~ii~ I PERMIT NO. J J~! (;, VI
Gold AppliClln! ~ 0 I
ZONING (office use)
PID
(Phone)
(City)
(Zip Code)
(Phone)
LILlIL.
(City)
9.JJ. -~ 9:2 - &, If at-
.5.PJ I.f 1./
(Zip Code)
(Phone)
DATE
</h/o'i
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC 1 ~ pvc 0 Cast Iron
Estimated length of sewer line 40 feet.
Clean out (if required) located at - feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'I & Multi-family
$17.50 Water connection only
1% of job cost with a $39.50 minimum
$17.50
.c,
Estimated Cost $ 't eo .
Building Permit #
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
$
$
$
.50
. A.. 6/JJJ
pafji1 .1 Receipt No.
. Date 0-,;1.~ O'-f I BY0---
u
CITY OJ!' PRIOR LAKE
HEATING/AIRCONDITIONlNG/FIltEPLACE PERMIT
Date Rec'd
~ ~'" ~:~ I PERMIT NO. LJ _ 11 CI.
a, YvlIO'I' .\ppliClDt ." , l.I:!J1'
q'leuc: erne or 'Orint and si!':J1 at bottom)
ADDRESS
:<rYYtl
~h(,1J I-
-r; AlIAL
. LEGAL DESCRIPTION (o!He. Uo< only)
LOT BLOCK
ADDITION
~=~A" fA-PD
.
~~
(phone)
, (Address)
. ~~r ~ lzfolfp D
(Address),.:)/~/(") ..so~^)
(A<ldre>s)
(Conta<:t Penon) , /
. APPLICANT SIGNATURE -s/';!::z:;4
() J r'1
Alt"'. (
(Phone)
~,:;:;()
k~_
7~J
(City)
I ZONING(o_=J I
PID
- C-.t"'i.Q 'J... .
S""'S:<.Q L/
(Zip Code)
(Phone)
. PATE .-d - /"j/ - o-Y"
____ APPLICANT PLEASE COMPLETE BELOW
.,.-{:JNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS .
FURNACE MAKE AND MODEL 7/"AAIP 7,;""x: O((>t'\ FUEL AI,q~
FLUE SIZE ~ If ~ RETuRN OPENINGS R" INPUT _(",t,~~ OUTPUT 7,~. ~Cl
TYPE OF SYS'IEM HEATING OR POWER PLANT
OWiIl1l'lAirP1ants OS1emn
jE. D HotWal<:r
honical D Radiation
. Conditioning D Special Devices
ent. Sy8l<m 0 Other D.,ice,
FIREPLACE MAKE AND MODEL ~/ i,.)--.Gh Sc.. - 7.~
Industrial, Commercial & Multi-Family
Residential, Hoating & NC (Now Construction)
Rt!i~.ntial. Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas I'ircpla.c.
$3950 minimum
$99.50 Residential, Additions & AltcrMions
S64.~O Rcsidonliol, AC Only
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
STAttSURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Olli.. U.. Only)
This Applieation Becomes Your Building Permit When Approved j., Paid
BnildiPlOmdal D... 1 D'~PR 2 7 2004
24 boor oolic. for an inspections (952) 447"850, fax (952) 447-4245
16200 Eagle Cl:tek A'mlle, Prior Jl.3IIe. MN 55372 .
L--.-~._~._. ...~--....-
'[00 ~ lilY <la110l:L1NO::> 9,,~909t'[S9
PLEASE NOTE:
Air Conditioner Units
Cannot Enoroach into
Required Side Yard
Setbacks
$39.~O
S39.50
$39.50
"
".\'ft\,\?'~ ,-,.."
,,(-" . \:1\,\ _._.,-. ,.
'i"\',;'0\l <fo"--""
\!~JJ. \"J,""-."J~'
.. '\. ~ -.. ",>:\',\~r:1 '0 ---"
.'-'\'\\\~'~'i
\;;)v"
Receipt No.
By
fJ;--
/1
i/
XYd ~O:S,[ <laM tOO~/'[~/to
05-12-04 03:28 PM FROM FGTN PLG RTG
TO 9524474245
POI
Date Rec'd
,a
CITY OF PRIOR LAKE PLUMBING PERMIT
C Pkuc ~ or PrinllDd si"" :U boftoml
ADDRESS
&:>bco.~
JO LjD
r LEGAL DESCRlmON (om.... only)
i ~~;R K~ 7. \ ~ ~~ }-bV\.1~
, '"
I \ \ ' (\
I (Addl=) ;)..1Y?:J,D H<!>\~(')~ I-tviL.-
I APPLICANT ....~ \
'I' (Name) Mo;.ov'\ ,'v'cJe ~ Ifl.., C'>- ~J2. \-teo.:"ti ",." (phone) jpl-YCo -:)'-7r\;;l.!t
f) v J
(Addn:ss) ~IO~~4 C ~,,.p<Lle.. A"e.,. ~(""'''Vl1..~''' ,C,SC)::;tl.{
i (AdddJ) (City1J (Zip Code)
(Conw:tPClSOo) .1; VV"\ LDo.V'. (phone)
I APPLICANTSIGNA1URE1 D~J2 L ~
: LOT BLOCK
,
QUlllity
7-
I
\
Lj
I
:&
-'.{
ADDmON
.to
; ~ ~:,~ I PERMIT NOrl_ I) 01' /11..<6 .
I V.llo.... APfli~ I J "1.. _~
I I ZONING (olfic< UK) I
PID
(Phone)
~
" .c
'11
DATE .S - I {-O'-+
5
APPLICANT PLEASE COMPLETE BELOW
Es1imWd Cost S
B~ilding Permil _
Type of Fixtwre
BaIh T\Ib with or without Ibowcr
Dishwasher
Floor Drain
Lavatory (Balbroom SinJc)
Laundry tray (I or 2 COmparlmenl sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Qaaqllly
3
f
I
l
Type of l'b:tare
*
,.,.~.....
Rough-ins
Wskr Heater
WaIer Softner
Stand Pipe (WashiDR Machine)
Sewage Ejcdor -
BlICkflow Aaembly
Backflow Assembly Test
Lawn Sprinkler
Other
ii
...
"
::..;,
-Jj
~
II
..
FEE SCHEDULE
Indusulal. _...... _.':11 cl Mulli-flll\lly I%of Job cost wllh. $39.~ mlnlnllllll Rtsidcndal. N.... One A. TwooF....Uy S99.~
Raldential. Additions A. AltcnlllOlll $39.$0
PLUMBING PERMIT FEE $
STATESURCHAROE $
TOTALPERMlTFEE $
"
.so
~ot:@)) fJr!%YN
. . ~@ {?!.~~,;."".
'. , '. . '. _ ,~,.. ;~t.;v'I;!' i'
. . '.II-'.J. :.t.. ;, " -',
'J'~M~"',' '.-:;~ .'.
".~ ~- "L'~~: -~,.. .
(otic< v.. 00Ip)
TlaIoApp'atloaBeeolllelYoarB.UdlDcPcraIlWb..Approved ]" ~ 0 \r~ ] ~.~'M' I'i
· JJaIe ISy " , ~7
Bddho( 0GId0l Dak MAY 1 9 2004 , '. II J
24 ...r .olln for .Ulupcctlo. (lm)' 7-9'50, far (951) "7-4145 LJ L{ /
By V
ra
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~"fJ ~ Tt-L. ~.~.
NATURE OF WORK WIP~ m. u.Q'I.'"
USE OF BUILDING So. P: 0 .
PERMIT NO. 04-, 0/& B DATE ISSUED
CONTRACTOR ~ LAFF ~S' . ,~. PHON -,..
. .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING INsPEvin1: I fJijOATE 3-::tt\
'FOUNDATION (Prior to Backfill) I f:r.y, I 4I,"'/D1{
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG'NED
ROUGH -/7JJ.!S .
SEWER I WATER I SEPTIC fit>,y. ~
FRAMING (/' h
INSULATION pI)
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~~
COVER NO W.ORK UNTIL ABOVE HAS BEEN SIGNED
/~l71I/l.0S11J~ /'t? I ?y
~ \l~t;V\\~ · FINALS
GRADING (Prior to Sodding) liP n. s. ". 'f--.
BUILDING &.fA'I( \J\t"'- (I< nt'7-.\i<I; ~4 Q?- 9ULI"q.:"
ELECTRICAL ~-
PLUMBING rL? c:9.;.s;-
HEATING J4a
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.
DEPARTMENT OF
BUILDING AND INSPECTION
G~?
{p -IS -
(116 ~-2~
iPb
uP/5
6:3
QT
lrf7. 11 \\ \ G>~
rid-I ..
fi/tc/of
FOR ALL INSPECTIONS (952) 447-9850
~
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 1t//D ~k j
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_0 )NSULATION
~INAL
o SITE INSPECTION
COMMENTS:
\ ) t.,tJ/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~, \:/~
sfl-
TIME
Lf.
J{f)~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ ~~~IR TST
X WORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
o CORRE CALL FOR REINSPECTlON BEFORE COVERING
Inspector
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
30'10
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
B-!!iSULATION
""""INAL
o SITE INSPECTION
COMMENTS:
(7;"&,,(, - ,~t6
DATE TIME
SCHEDULED
l(r~O'I
Bobc< -I- of, !-
CONTR. f(..lzIt.C..f2
PERMIT NO. D4-IMJ
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
[...J / ~ J2.en< - b t:-
\tWORK SATISFACTORY, PROCEED
4d'CORRECT ACTION AND PROCEED
o CORRECT_~~~R REINSPECTION BEFORE COVERING
Inspector: 7 ~ ---,. 'JYmer/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,.-n
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
tf//o/a(
,
JDcjD ,406cq-J ~/
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
..a..if- /~r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
g"FlNAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,,)tMECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS; _, .
~C~/("--- / *"....1 /),~
"l/ J
r!ltJL~;, 14:i 4~
o/,. .. /' /
~~t. /-;Pf~ / 0,1(.
'/ 'I _ J' /7 j?/ / _ ./ /
~... . ;;, fI_ .-hJ /) ~ > E-1'Mf'/c (I!Y' /7/CH r
mt1/J -1-. /~d -fku T-CO/'~c; ,
G /.5::J ~l/I"'-oi u I~,- -1-1,..+ I
,j'LQrl,. ~~/P<..Jq I .
~ - ..., , 1/'. / ~/
/..."" ~.r?, (JU" C/u ~ - ~ /:! /O-z ,
/2h~ .b?h'r 4~h' r- ~,!-:f~_r -~_gLslj
~RK SATISFACTORY, P~OCEED --r l.--
/'5...CORRECT ACTION AND PROCEED
o CORRECT WO~Y7-"EINSPECT10N BEFORE COVERING
Inspector: /-- c,.../ ~ Owner/Contr:
.. ,
~/s?y
.../
"
CALL ~7-985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
StJ40 ~('V. ~
OWNER
PHONE NO.
CONTR.
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
Z"PLUMBING FINAL
o MECH FINAL
;:~L~ \ O~
0Gt(~.p 'f'Q......:. 5:J;
7,. n~ t"~~~f<,.
DA. TE TIME
e~
l/ -/ c,)
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRE ~rzCALL FOR REINSPECTION IlEFORE COVERING
Inspector. /, OWner/Contr:
CALL\.4. 5 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ .
CODE R UlREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
INS1IOTI