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