HomeMy WebLinkAboutBldg Permit 05-0068
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See i\ll~d.n l1'ile
I While File
2 Pink Cily
J Yellow Applicant
Date Rec' d
I /1, oS-
PERMIT NO. Os: (iO (,8
(Please type or )rint and siJtll at bottom)
ADDRESS
11'-\-30 D....rl\-c\J.... D;~ Sc
LEGAL DE SCRIPTION (office use only)
LOTX BLOCK d- ADDITION
~<~S0 '<-lLQ \ \~
PIDz5. 1v7. 04-8.0
OWNER
(Name)
(Address)
BUILDER --...... r-., I \
(Company r lame) \..J. \<. tlo.Ao,"",
(Contact Name) \^.A;~ W()~"'oJ\I ~.. -'
(Address) qO,,8~~..:i::(~~o~:!'
(Phone)
ZONING (office use)
K2-
(Phone)
(Phone)
q"59-Cj~-'l~05(
qg-d-~-U-O~'A-
. .
TYPE OF" {ORK. ~ew Construction ~Deck DPorch ORe-Roofing ORe-Siding ~ower Level Fimsh 0 Fireplace
DAdditlOn DAlteration DUtility Connectton 0 Misc.
CODE: ~IJR.C. DI.B.c.
Type of on :truction: I II III IV V A B
Occupancy ( rroup: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
KLl- tiAft:~
11/',33(F
W/o,
I hereby certify t tat I have furnished information on this application which is to the best of my knowledge trtle and correct. I also certify that I am the owner or authOrized agent for the
above-mentlonec property and that all construction wi1!Aonform to all existing state and local laws .and will proceed in accordance with submitted plans. I am aware that the building
:"~ ~,"eo"," f91'j:":"~ ~~h;m;'. '-"bY ",ee .hot th,,,~ om"" 01' d'~~:;P;'Z~:; to pcrfolm oeeded \7\~n'a So
'---' Signature Contractor's License No. ' Da~
1 Permit Valua tion "/<.fl. 000 .00
I Permit Fee $ JZ.'~'1.50
I Plan Check lee $ ~'i '-I. f.Dr?'
I State Surcha ge $ 70.50
I Penalty $
I Plumbing Pe mit Fee $ /0.0. Do
I Mechanical 'ermit Fee $ 100.. 00
I Sewer & Wa :er Permit Fee $ .:55;. S;-o
I Gas Fireplac t' Permit Fee $ 40.00
This Applicli tion Becomes Yow Building Pennit When Approved
~J~
Bu lding Otlicial
I /19 /(')~
Date'
Park Support Fee
#
#
$
$
$
$
$
$
$
$
$ ~7""O.lr
I'-{so.ao
2':>0. 0"0
50.00
t Soo.o~
I OQD, 00
.,
~1.--
ThiS is to certi~ 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
i~~ ~ ((,<i/os See Main File
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
SAC
~
Water Metet( Size5~1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
,
~ 7 ~.' y
/ cd.-<i~
I ReceipfNo.
By A
o
1l~~
Ue~
See tVlainFile
White - Building
~'Y - Engineering
. - Plannirtg>
Th~ C~n rr of Illr I.akr ("oun..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'c
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7C ~ \. ~/>(Z/./I .~
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Tle Building, Engineering, and Planning Departments have reviewed the building permit'
a Jplication for construction activity which is proposed at:
/'1 r/ f ()
, I . I
/'((( tFI/: cC,. j
I I ~
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A ~cepted
,/
.,
~
~.
",
.
Accepted With Corrections
~enied
eviewed By:
omments:
~~
,..
./o.-<b
Date: ;j'l<J~S-
See IV~
.
"-he issuance or granting of a permit or approval of plans, specifications and
c Jmputations shall not be construed to be a permit for, or an approval of, any violation of
a lY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p resuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.~6fJ:()1l~
......., 'y
!5 ~
-~----/
rh C~nl r of I.... 1.&1<.. ("nunl"..
See tVl~n.n rIle
WJ'oile - Ruil~
,",am:"1 y ~-'E:.;;glneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N, \ME OF APPLICANT
APPLICATION RECEIVED
f(fl '-jf ,JIo-ttAtJ
. ,
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Tt e Building, Engineering, and Planning Departments have reviewed the building permit
'''U''~~~g~I'OC~:;:01i~ d [)
I JI - - /
Ac cepted
~
Accepted With Corrections
De nied
Re viewed By:
~~~
Date: -1/9;6.s-
Cc mments:
See Main FIle
"The issuance or granting of a permit or approval of plans, specifications and
conputations shall not be construed to be a permit for, or an approval of, any violation of
an} of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre ,uming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
~~
See Main File
ThO' Cr"..r ur In.. l.ak.. Counlry
~ - Buildina
~anary - Engineering)
Prl1K - "Janiling
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
A "PLICATION RECEIVED
,{II.
t\f.
---4;/ /1 /-----'-- I
/L., /-r7.lf,.(/!J},.../
III c5""
T 1e Building, Engineering, and Planning Departments have reviewed the building permit
al >plication for construction activity which is proposed at:
/...-,,~
/7 .f;3 u lJ;;g.(/1.j<<li~l__ IJ1.i,~ 't c-.f..I., //;
. I / ,/
A, :cepted
)(
Accepted With Corrections
D 3nied
R',lViewed By:
C'lmments:
.1k20J
5v /J1.,rL... r:;1<
.
Date:
/-20'~S-
"TI e issuance or granting of a permit or approval of plans, specifications and
cornputations shall not be construed to be a permit for, or an approval of, any violation of
an~' 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
ordlinances of the jurisdiction shall not be valid."
01/19/2005 WED 9: 41 FAX 6513226147 GENZ-RYAN
~ 005/009
Date Rec'd
CITY OFPIDORLMrn PLUMBfflG PERMIT
I. Bille File
2. Gold City
tV_low ^,pplicarll
, PERMIT N05..o0r,a
I I ZONING (officeus.) I
Q?lease h'p~ )C orint and sim at bottom)
I ADDRE~~8()
(t..-,+,' l' IJ lr4-k
. . .
LEGAL rESCRIPTION (office use O.D!y)
LOT;J.Ij BLOCK J., ADDmON E1-c..r4t~ /,.1 /i f1r--
PID
OWNER
(Name) I'R Horton Custom Homes
(phone)
%2 - Q'ift1-715DCJ
(Address)
2.01.(00 iUV?B~Il::lGe. CD S,e IDO
wluvi/IG .UN .56b4W
APPLICA'IT
(Name)-G;, ".-lIya" l')"",biog ~ !I~oP'~g
(Address) ,4745 So Robert Trail
(Address)
(ContactP,:rson) (}\J-.(-;,t-i F;..VL<J
APPLICAI IT SIGNATURE ~U/tw58 ~~ ,( I>n
(phone) <<LL?'-' ,t.!,
Rosemount
MN
55068
(Zip Code)
.
(City)
(phone)
651-423-1144
DATE
1/ iq lOb
APPLICANT PLEASE COMPLETE BELOW
I Quantit: ' I Type of Fixture I Quantity I Type of Fixture
I -;.t, Bath Tub with or without shower I ) I Rough- ins
I i I Dishwasher I I I Water Heater
I j I Floor Drain I yr I Water Softner
I .:!-. I Lavatory (Bathroom Sink.) I j I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I ! I Shower Stall I I Backflow Assembly
I j I Sinks I I Backflow Assembly Test
I I Bar Sink I I Lawn Sprinkler
I :l I Water Closet (Toilet) I Other
FEE SLJ:1J!;lJULE
Industriall ( :ommercial & 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 $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 :~~~:~RMti
aut\..LI'
(Office Use On: r)
This Appli :ation Become. Your Building Permit When Approved
Paid
. I Receipt No.
rBY
Bui ding Officilll
D...
Date .
JAN 2 7 Z005
24 hour notice for .Uln,pe,tion, (952) 441-9850. Cax (952) 4474245
'--'-'
tL_,.
0-.-________..._______
01/19/2005 WED 9:41 FAX 6513226147 GENZ-RYAN
~ 004/009
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
~lease'!yp~ IT print and sim at bottom)
ADDRES 5
/74 Sf) Dt:7'I-li<:.-U Dr. C; r:;..
LEGAL r .ESCRIPTION (office use only)
LOT ,l{1 BLOCK l.- ADDmON &d.-,(.-,. LJ i I~
,
OWNER
(Name)--J:p u__.~" C".tQ~ IlQm.-
(Address)
20&.00 Ke.vle>i<-Ib6e Cr Sn--. 1N\
(Addm,)
. APPLICA IT
(Nam~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trail'
(Addtl:ss)
(ContactP,rson). (l\r\J'~{~\J~,
-..ICAlITSIGNATIJRE _.-:J.:;-:-~l:':. _L ~/)
: ~ ~~. I PERMIT NO.5 0""-11
).. Gold Applicult . l.M' IJ1
Pr.'"" Let.. , !1/tJ
I
I ZONING(offic.",.) I
PID
u ___ (Phone)_
La~\rill~-,
(City)
Cf5.2-Q85-,8,v,
0'E:i:lYU
[Zip Code)
(phone)
651-423-1144
Rosemount ~ MN
(City)
55068
(Zip Code)
(phone)
DATE
651-423-1144
/ //1 /fJ0
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. OABC OPVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential s ,wer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer conne :tion only $17.50 Water connection only $17.50
jl'aid
I Date .
.. JIlN 2 7 200S ,
,..
24 hour notie. for all inspections (951) 447-r!50, fax (952) 447-4245
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offi,. Use Onl: )
I This Appli, ation Becomes Your Building Permit When Approved
,
~-
Buill :ing Official
Da..
Building Permit #
$
$
$
.50 ?~\O ~~~~\,.
e\l\\..O\NG .:
I Receipt No,
I By
I
I
[:.:i;
L___",~___.___...._.~ ~-
~~~
""'l(&ESO~ .
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(please ~~ or >n'n tand sian a _t b(;
ADDRESS . .~
'l\I~~ .;.,:; ~r." ~;~ .
, '. \ I. \.'" _ '<. ,'>
'- .' 1""
,~--
LEGAL'DE SCRJPTION (office we only)
I.'Pink
2..GTeen
J.Yello-iv
~:~ I PERMITW"; }-~... .
Applicant, . _~I .:;>.Ql
ZONING (office use}
.~
\ \~?_'7'\~'_-'\\
\k,
--"'."-.-
~-:-.....~---
,'"
,-":.:.,':.:':'::'-,,,
LOTB(LOCK " ADDiTION
PID
~=R U'?-,~""'~~'" Cl>-S,,\C,jI\ ~o~ (phone) q_~~-5iX'~ 7()1~
(t<~ili~~,) ~(}~0~~~ \\ 'n~,A ~~~.., C:\ ,L-.c"t~'-l~ \\€. ,-0: i! :S502:.{L;
$~~~t~~~~";<- ,,~~;:t -~~::::~;\~~
.:;:~:tS1GNA~R~~/~~~. '(Phon~A~.~1 -~I~'~~II~~..
I . . '~WCONSTRUCTION
, FURNACE ~ 1AKEAND MClDEL't'S1? YA.('1l
PLUF: SIZE S;l',' iiErtJRN OPENlNGS
;~::~~M
OQi.vity
. @:~ech~ica! .
',.i~:~A~?~?ff~fg:
'f~~:~t,..,.;~:_:;:,:,~.:,.,:"\,\:,,:,:.,, .
, _,' _, _,' _.:_'::::::};,\-;:',(~:~_i:i::Li;.',::::'.:,> ,):"
FIREPLACE MAl(E,.@'J;lclY!QDEL
o REPLACEMENF,: . DAL TERA nONS' . ,'"
"3lni.l~.\!o~2c:>(k) . FUEL'tJ~ui;;..S.
C-,INPUT 'D '6: ono OU1PUT'7~;'1P()
HEATING OR POWER PLANT '
o Stearn '.
o Hot Water
o Radiatioo ,
o Special" Deyices
o -Ot1H~r pe~ices
..!~~~~;~~t~nits " .
'. camiot Ericfoach: intO
R:equir~d. Sid~:Yarci
Setba~ks. '. ..
'-'.'- '. r I"~ -,. ,
:":-:,,,;,-,,,,.,,,:.:,.'.:
.", '....:'-.< >-'
Industrial;, Cor lme:rcial:&:' Multi;"Fiurlily
Residential, H :ating ~- A!_C,CN,e;w. qc,nstruction)
Residential, H :ating Only (New Construction)
"
""."."".",--".-,,,,.,"'-
Estimated Cost $
FEE SCHEDULE
1 % of job cost ReSid_ential:; Gas Fireplace
$39.50 minimum '
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only ~
B 'ld' P . # ~(It,'I
Ul ll1g enmt ~ ~-
~ ~)/\:\'~ ~~ec ~ ~
$39.50
'$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Olll)
This Applif3tion Becomes Your Building Permit When Approved
I,
Btlii ding Official
Date
I Paid \ Receipt No.
I Date FEe 2 4 20051 By
24 hour notice for all inspections (952) 447~9850, fax (952) ~47-4Z45
"-1 e IJ,e.
DEPARTMENT OF SC(~ l\/(aln 11.'1. e
BUILDING AND INSPECTION
PR OR LAKE
SITEhDDRESS /?~8() JJttR ~ Dt.;,)C' .1':&.
NATUnE OF WORK OOJJ ~LCtnOl\) ~ L..L.
USE C F BUILDING Sf F:" A. . .
PERM T NO. OS OQ(P 8 DATE ISSUED
CONT={ACTOR I).ll. K61C..1b~. , ..~. PHONE .~172
NOTE THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE,;
, FOOTING I ~ I ~/...z/Oj-
'FOUflIDATION (Prior to Backfill~",-,,~y ~// ~ I ::t2i;';l'::'
PLACE NO CONCRET'E UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS ~
/Rf4
7ltfJ
..2//</ J.r
0/ //t!tJ 5
Jf 1J/d5~
t//s/5S"
$/j. .1~A5-
/1-'1./f t( /tlb:;-
Jk~ ti ;jf 10S;
GAS LINE AIR TES~/,-i r/:; R ~ 7"/7/<<5"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
I LATHE / HftlsG"t.J1lN' I
I FINALS
SEWE:R I WATER I SEPTIC
FRAIV !ING
INSUI.ATION
ELECTRICAL
PLU BING
HEAT NG (if required)
FIRE LACE
GRAD ING (Prior to Sodding)
BUlL ING
ELEC RICAL
PLUM ING
HEATI G
DO NOT
vvf'
. -
i/Vf/
f/l1//
OCCUpy UNTIL ABOVE HAS
NOTICE
{;~(,-os
.5 ~ (r-OS'
f.- (, . cJ5
BEEN SIGNED
Th s card must be posted near an electrical service cabinet prior to rough-in inspections
an ~ maintained until all inspections have been approved. On buildings and additions
wh~re no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
'.."..,.,
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED C-G.~
ADDRESS hll'W o,tr& k.
OWNER CONTR.
PHONE NO. PERMIT NO. s:- c; ((
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNOATION o MECH RI o COMPLAINT
o FRAMING o WATEIl HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
,J!(fINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(Q ~ a.- rr- V'e.t 5" p.- d~!rf"-- r
(1.:) ~/IKf"<<1,r 5'/do ",""""L ./- c!".,.,.. t.uk I
cyP,..~ I ~_ .4 #f/JJ)~ / '
{:t""'(
t ~ d...
o ~K SATISFACTORY, PROCEED
ftCORRECT ACTION AND PROCEED
o CORRECT WORK, ,C:PFOR REINSPECTION BEFORE COVERING
Inspector: ~r Owner!Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lN$IIO"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
r- (7~d..r-
ADDRESS
!7'-irr.)
~u~ td
OWNER
CONTR.
PHONE NO.
PERMIT NO.
L~--C;~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
;iM'LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o f .'f t\ir:4.<- /78r-~s
(WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~;~ ~OR REINSPECTION BEFORE COVERING
Inspector: V vr - OWner/Conlr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY/
UlS1IOTJ