Loading...
HomeMy WebLinkAboutBldg Permit 05-0472 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ./'" AND UTILITY CONNECTION PERMIT 7 )C/-OJ (Please tyoe or orint and sillnl at bottom) While Pink Yellow File City Applicant I PERMIT NO. (/5'- L/ 7 ~ ADDRESS [lfv I fJ/J(?-~~ /2 L:;~:::::T~N~O;:I:;~:;~j; I)-e /Il~'?-- - I ~=R /f1rl Jr'l-.aJr) G?~ J-. I Lf ~ J-h.- s:: 11.iJ ~ 1: PCf-r-~ PID 25. sol o4ef.O (Address) ?{..,(J I (Phone)Q~-'I3').., 1/'0 r .AJXJJ-<- !.iJ/";7c.- (Phone/1 c-:l ,~'?. . 7 {o I '- (PfonfJf..,/"}.-70 f- f<-"6 Lilt .1- ;JJI o.LfJtJI~ ss-~ Lf ORe-Siding ~owe' Level FmlSh J)(FI"Place PROJECT COSTlV ALUE $ lfr?t:7J 9,f;;Y (excluding land) BUILDER f11tn Jf!:ff '"" (Company Name) '/Jf"Y-> I ~ I ~ (Contact Name) l ~ ~ (ll.12 s,..., ~ (Address) 7 fcO-( I Lfl,.-j-J.. <' T ';Icc:T TYPE OF WORK ~New Construction .'ofDec~ ,.DPorch ORe-Roofmg ~dditlon DAlter~ ~tility ConnectIOn 0 Misc. CODE: I)(h.R.C. OLB.C. Type of &;"~sl1'Uction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 5 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 ownef or authonzed agent fOf the O1>o",d O~~Od Ih'l ,11 con>lmetion will confo,m 10 ,11 exi>lm, "", ,nd locall,w, ,nd will pm"'d in ",cold'n" with mbmillcd pl,n, I ,m ,wm Ih" Ihc b,ildlO' X n m , I'{ ,.1: JI "1';':llh"mm',~ h"'by "~CO, Ih" Ih,,,~ OffilJ '~'I':':i ~ OP5(:;P"~ 10 p"fo'm_~d'~:'j;: () S- \ ,j Sit{ature - Contractor's Ucense No. - "'ate # # $ $ /4S-0. () tI $ 300.00 $ 75. eo $ /5"aa. 00 $ /000.00 $ 1$00.00 $ $ j J I I I I I I //W)3.1'l/ I 1f'L/f?t".DOO.OO Park Support Fee Permit Fee $ ~.~t,,~.~O SAC Plan Check Fee $ .;)/90, Ii' Water Meter Size 5/8"@ State Surcharge $ .5l--l3. 0 0 Pressure Reducer Penalty $ Sewer/Water Connection Fee Plumbing Permit Fee $ /00.00 Water Tower Fee Mechanical Permit Fee $ lot). 110 Builder's Deposit Sewer & Water Permit Fee $ S$'". So Other Gas Fireplace Permit Fee $ '-/0, 0 0 TOTAL DUE # # This ApplicatiOlll Becomes Your Buildiug Pennit When Approved ~ ..!:b . ~ - _. ~ Buildmg Ollici2l'l S/Z.S-A,) Paid Date ...., //Cft),"f -f'?1" t1 -::). (A r(YJ -I Receipt No. ljVI ~ By ~. I Date- ThiS IS to cutify 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 L)CCUpancy, a Certificate of Occupancy must be i'~ ~ sh Sl~S Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any Planning Director White - BuildIng Canary - Engineering ~1I11\ - ~llUulI.!:fI--:::> BUILDING PERMIT APPLICATION DefARTMENT CHECKLIST N~ME OF APPLICANT A~PLlCATION RECEIVED I //(. V'{ A/ / L (.) (~ tlv'J/7c:::.. . SI,/CS- Th~ Building, Engineering, and Planning Departments have reviewed the building permit ap~lication for construction activity which is proposed at: 2 j- U / C {{/ (j I ; /~ /~j--/ 711 . Ac~epted Denied Accepted With Corrections / Reyiewed By: Cotnments: ~ p~ r/e. d);t- Date: '- ")/2 s--~r cd.--! ~.. ~7'-~ ,. A. '"' ->~. ~;r. ...,OIhuuoner an':: Ollie: r :M:edlanica!, Dmt.q C':nm(J'~ AllCl!"(-)areh rn" - n. . . J ,0- . , .~' ...;\., ..I>..<lo'-''':I.............. '...... t~IIrle 1{Er'ii "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." ) ------- ~hite '~~tfin({----;' Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DE~RTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I1~OCN/1L-O e,c/llf17<?-. S /9. oS- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Zg 01 (!.J)(/Cj/lJe p/17lf Accepted Accepted With Corrections / Denied ~ Comments: .-v ' Reviewed By: ~ ~an ~ # ~ ~ ) Date: .:) hS-~:5 ~ ~~ ~ , ~ ~ "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 - Dl'U!llng ( Canarv. bn9,"eerin9--'> Pink - Planning BUILDING PERMIT APPLICATION DEfARTMfNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1'1c: OO/V/'1 cO [1,OII/J712-. s: /9. oS- The Building, Engineering, and Planning Departments have reviewed the building permit apJlllication for construction activity which is proposed at: 2 9 0 I (!.J.i (j G ;:.112. ;;./ .F-l71i , Accepted X' Accepted With Corrections Denied Reviewed By: mfJtJ Date: S-2i.J-or Comments: Se'" R",""'r~p ~de for Additional Information! See Attachments: 1) finding Phm, 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 ofl 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 PLUMBING PERMIT I. Blue File r PERMIT NO I 2 Gold C;<y ;,.r'_ / /;1'0') 3, Yellow Applicant '-- J ~ ., ~" (Please ~ or rorint and siml at bottom) I ADDRESS d-80) L~L t\jP_ Pf111l rJ \~ I ZONING (office use) I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2~. 1-04-. 0 Zi'. () OWNER (Name) (Phone) (Address) , APPLICAI'fT "" . ) (Name) ! D L" Ii>.. / -0) bft (r., e./:"1/-{-' . '-t- , (Address) {, Lj.. f)-.,;J l? )::s ~\ C1 (Address) (Contact Person) C L,; -?: () J ,,') i.-J APPLICANT SIGNATURE ~ 1._ .//~ (Phone) "bU 7 fl \ g~ f<Rfl,t \/,~ LL~ V ,<;~ )~ L./ (City) I (Zip Code) (Phone) DATE ~_,~/v tU Quantity APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Type of Fixture Rough- ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler 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 & AIteratioos $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ,5~~ ~\AP I Paid '11- I Receipt No, I Datf9. ri-l- D? By Cf( (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 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd : ~~" ~:~ I PERMIT NO. JI-. ~.,.. 3_ Yellow Applicant ~ . .,... r...... (Please type ot -print and siltll at bottom) ADDRESS ZONING (office use) 2801 COUGAR PATH NW LEGAL D:\,SCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MG:DONALD CONSTRUCTION (Phone) (Address) APPLICANT (N ame)HE,4. RTH AND HOME TEC'HNOJ .oGlES DRA FIRESIDE HEA RTH & HOME (Phone) 2561 651-633- (Address) noo NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 6/23/05 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical DAir Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks --- FIREPLACE MAKE AND MODEL Industrial, COIl11mercial & Multi-Family HEATN GLO 6000TR.OAK X 2 FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ ~ $ feceiPt No. ,By CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT ;:=;; tAJ , )% 1. (J (ClIy) (Phone) . ~ h:tL/J DATE _ APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURN~CEMAKEANDMODEL ~1??'~r>)-h7~f1 cq~/(l(') FUEL vn/-- FLUE $IZE _<: rf P{/('. . RETURN OPENINGS / / INPUT /fY), rYlC OUTPUT C){Jdd', TYPE OF SYSTEM HEATING OR POWER PLANT --EJWarm Air Plants 0 Sleam DGnvity 0 Hot WIl10r ~ohani~ 0 Radiation ~liOlling 0 Special Devices ~t. Syst= 0 Olber Devioos f!'I<ase ~ or DriN aDd llllon ot _ottom1 I ADDJttsS rV?5Cl / (;,,<()ca(),{l LEGAl. DESCRIPTION (office use ccly) LOT BLOCK ADDmON ~~R ~J::-K~h n/cD (AddIes.) . ~~~(1"'Ullr>~//AiJ (AddnsS),..{) / ~ f (\ 4.~~ (Aildre..) (Conta~ Person) ~~ APPLICANT SIGNATURE FIREP:l-ACE MAKE AND MODEL _ Date Rec'd i ~~::,. I PERMIT NO..z- J///L..,'. J. yallgw AJlpllaat ~.~ %/h ?? I ZONING (_. usel J.I fA). pro ~ruJ~ ! . (Phone) -r3C).- 760 I (1)/"1 (Phone) C, 5"/ - _<:..;..; - -YOOs-' ./J,ll"? / ~~;:# (Zip Code) C,-/7-0s:' PLEASE NOTE: Air ConditioDer Units Cannot Encroach into Required Side Yard Setbacks FEE SCHEDULE IndusttW, Commercia] & Multi-Famlly t % of job cost Residelltial, Gos FireplAco $39.50 minimum Residealial. Hoo>ing & A1C (New COI1SlrUctioa) $99.~0 Residential, Additions & A1~ons ResIdential. He1lllng Only (New Con5lruction) $64.50 Residential. AC Only $39.50 $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATESURCHAROE TOTAL PERMIT FEE Building Pennit # $ $ $ PAID WITH ,508U'LDING PERMIT (Offic. v.. Ooly) This Applicatiou Becomes Vour Buildlug Permit Wheu Approved 1I1dIdllu! OIIidAl lla.. .- ... --I i [\;)1 t!W~.~ \ \"1; 'I, \'ij !~ r\ "~ Receipt No. I Djtk 0 6 Z005 iJ I By " i'- 14 bour aotice for.1I in,pection. (9S1) ~-98S0, fox (9SZ) 447-4245 -- - .- ----.- -'~~ 100~ lIIV a::!110ll.LNOJ 9L.909t1S9 XVd &&:90 IlId SOO./L1/90 09/08/2005 18:04 9528815975 BOB JECHE PAGE 01 .j .~,;;, ""'. . '!.> .~.' ~,~j .' CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd Q b lJ-@fl ,.., LEGAL OESCRJPTION (office u.. only) (Please: CVDe Dr Drinr and mw at bottom) ADDRESiS dC@ ~. ~:w ~:~ I PERMIT NO. L":.. , Jn~ ), Ot>Jd ^~pJleant t. ,- "'7' ,~ f.], -f~ ZONING (olll" U"') LOT BLOCK ADDITION PID . OWNER M. fl.. 1 I (Name)-U-J~ 000 t;t _ (Phone) . (Address) (Add",,,) (City) (Zip Code) APPLICANT (Name) JECHE EXCAVATING .(~ I U JUNtb ~LA(;t (Address) BLOOMINGTON, MN 55431-2R~4 (Add,...) (Con~~ Person) ~~ 'friL 1- ~ APPLICANT SIGNATURE ... i -' o (Phone) (City) (Zip Cod<) (Phone) fi! L~ f)<< f\ '7 <1 ~/~ DATE q, q - ('l~- APPLICANT PLEASE COMPLETE BELOW Size of water service III inches. Location of any couplings from structure Type of sewer pipe D ABC E1 PVc Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. D Cast Iron FEE SCHEDULE Resident..1 sewer and water line connection $35.50 Industrial, Com 'I & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE PAID WITH BUILDING PERMIT ~ @ ~ ~ ~7 .' '.~eIPt NO{j 24 hour notice; for all irupcctiol1~ (952) 447-985 I, fAX (9~2) 447-4245 ~ By ____ $ $ $ .50 (Offict the ani)') Building ()OiciaJ D.lltr This Application Becomes Your Building Permit When Approved PRIOR LAKE INSPECTION RECORD SITqADDRESS ,AJ;(JI ~L~ /JJ4rN . '-- NATUREOFWORK ~ ~ .AJ~'. RNIIN .. USE OF BUILDI ., ~ PERMIT NO. DATE ISSUED r CONTRACTOR r. PH NE ".~, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILPING AND INSPECTION INSPECTOR , .DATE I FOOTING We.. I (/1J I ~/2.7J.y I FOUNDATION (Prior to Backfill) I fI1AI7 I ( ".. yo5 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS/, tfl~ -5/ "':?.- p{l) :2 SEWER I WATER I SEPTIC FRAMING -INSULATION ELECTRICAL PLliJMBING HEATING (if required) FIREPLACE GAc LINE AIR TEST ",,:,'1.\ I..JI".':I FP ,.. F... ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~I "'~I~ I - (gf)\)I~ d-Av-it/J. )-.) , FINALS I GRA. DING (Prior to SOdding) /I/..L? /J'1- 7. f..r I BUILDING -r-~ to lH -&::; Prfl 1111 ELECTRICAL PLUMBING , HEATING DO NOT )-/1-5> y~ ~/ L$ ft4!4 f III yrr ~_/}ave- t (/ \!I:; I()c. /../~/~ , lig ~-~a .. fJ6L, OCCUpy UNTIL ABcr((E HAS NOTICE . . 0,/7106 , . BEEN SIGNED 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 J CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 2&> I OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION 'liA<INAL /0 SITE INSPECTION COMMENTS: q tAl _r- SCHEDULED y-'-j ~~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL TIME ')- 472... o EXIGRADIFILLING o COMPLAINT o FIREPLACE R1 o FIREPLACE FINAL o GASLINE AIR TST o I. M...i...~ '5'~ 'lo~ - 2. ~,~V L\w:>h \\J<..<:;. r. <" ~,& rr:\hQD~ ---I ..e.~ . IJ /1 l1,J 0 +r) 11- 1- {b o WORK SATISFACTORY, PROCEED o CORRECT A N AND PROCEED X CORREC we C LL FOR REINSPECTION BEFORE COVERING Inspector: OWner/Contr: 7.9850 ForiHE NEXT INSPECTION 24 HOURS IN ADVANCE. ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNO" DAT! TlME CITY OF PRIOR LAKE INSPECnON NOTICE SCHEDULED Cj - 7.0;- . ADDRESS 2.,~C)1 (.f'X~~r A-U, OWNER CONTR. (Ylr]), .",.;1' PHONE NO. PERMIT NO. ",...r-4/7L ;:..- C FOOTING C FOUNDATION C FRAMING C INSULATION ~~NSPECTION C PLUMBING RI C MECH RI o WATER HOOKUP C SEWER HOOKUP C PLUMBING FINAL o MECH FINAL ~ ex...,,,:;:;-....,I.L1NG C COMPLAINT C FIREPlACE RI C FIREPLACE FINAL C GASUNE AIR TST o COMMENTS: Gt'..k- ell Cu(bk~-()L ~~KSATISFACTORy.PROCEED o CORRECT ACTION AND PROCEED C CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING InSpectOr.~ OWnerlContr. CALL "7.985Q FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI ...."" CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 2BOI OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o ..)IlSULA TION .;ll FINAL o SITE INSPECTION ./~t"'~ SCHEDULED '=r~ ro.J~f~ CONTR. TIME PERMIT NO. 5-q12 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL )!t<"MECH FINAL 0 Ie:.- o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: --l,"--.. M",...k~. ~/'cM:, ~ ? 4-.~ (;'.._..in /'1A<s:f' ~~ d- / /LtJ~...l:J . ~w-u ~W~ ~:-+-- <. 4. o WORKSATISF o CORRECT TI fiORRE we Inspeclo ORY, PROCEED AND PROCEED . CALL FOR REINSPECTION BEFORE COVERING OWner/Conlr: ~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI CllY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 'JRo ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED ~ - 30-6 0~~ Q.~ CONTR. PERMIT NO. ':)-412- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ::II(lSLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS:,., ' I. Qf ut_ 0- \.eo...... ~ ~~.~ Vaf 2. ), ~ , (I ~ ') ~ u.r~ C1..p. \ 0 ~SATISFACTORV, PROCEED ~ORRECT ACTION AND PROCEED o CORRE K, CALL FOR REINSPECTION BEFORE COVERING lnspe or: Owner/Conte ALL 7- 50 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI