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Home My WebLink AboutBldg Permit 05-0413 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,-/ AND UTILITY CONNECTION PERMIT ;j ./ / f- J (Please type or print and sign at b ,: _ ". ..) ADDRESS ~~~:~ew ~~:Iicanl I PERMIT NO. 05.04-/3 3s-0Cj- IJ/~cno ~ LEGAL DESCRIPTION (office use only) LOT I BLOCK e-jADDITION W~ /~.;-- ZONING (office use) PJ5D(~~ ;~ PIDG25 - ItJg-Od4-tl OWNER (") \ \\ (Name) 't<...a ,"-C'\., \' ec-..\<' (Address) '3 ~O q W \\O'-J ~ e..c:....c-"'- \' \("'Q..: \ (Phone) W Cl t--l<.. q S"d -'-\ L\., -l L\ '--l ~ ~S\ - "l9.\o - <Cd~1 BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) tesf'J1 TYPE OF WORK! New Construction ~eck OO,Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace Addition ~Alteration OUtility Connection ~ Misc. Z~ " A......,,' ", rf?::1.~e. ":;>\U,c.-'( ~lT(OI'-l CODE: 1'5<rl.R.C. DtB.c. PROJECT COST/VALUE $ Type of~stroction: I II III IV V A B (excluding land) Occupancy Group: A B E F HIM R S U /1 ./J_ L I Division: 1 2 3 4 5 ( ,/C/.A.{)O....p" l-t~A/ it t I hereby certity that I have filrmshed mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authOrized agent for the above-menl1oned 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 buildmg offici~n revoke this permi~ust cause FlIlthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections. X \-Z~ \--Q..~c:-2 ~'-l~-o~ ~ Signature Contractor's License No. Date $ $ $ $ $ $ I $ I $ I $~~57.3a Receipt No. .f-9r Err tzIJ(f I Permit Valuation tf:?tJ 1 ~ (JO I Permit Fee $ c{1J 7,c:;o - I Plan Check Fee $S89,~~ I State Surcharge $ ':1D. {HJ I Penalty $ I Plumbing Permit Fee ~ $ 40, d () I Mechanical Permit Fee ~, $ 40 dJO I Sewer & Water Permit Fee $ I Gas Fireplace Permit Fee $ LjO.DO Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTALDUE ~ 5./0.05 This Application Becomes Your Building Permit When Approved ~ ~ 5#/6/05: Buildlllg Ollicial . dale / (a,7 . 3fiJ <:;l 1"/ DC- , By Paid Date ThiS IS to certity that the request in the above apphcal10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document ~ "'""~mp<>,.~ C,"',,,,, 0' ;m~~'~; ,"ow, '""'''"'''"" <0 oom""o~ ""m, moo,,,,,, , C"",,,,, ,U 0="",, m""" p-" Of."", ~ "'" s""f,j C_"", ff "y , 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 C Whi,U! :.-9uildina> Canary - Engineering Pink - Planning Thl' ('frlltr of th" take- Counlfl'. BUI~.DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -P &'ilJ{li ? e.ctC APPLICATION RECEIVE~ .B -- If?-- ~ . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3$)09 liM-h;u) ~ ...... Accepted Accepted With Corrections /' Denied Reviewed By: ~'n' ~~ a-R-f' ,. ~ . pf.- Date: 0-/& I,; ~ vI.~ 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." - .., Thf' Cf'ntf'r or the Lakf' Countr)" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / Ie / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 7 / . ...... Accepted Accepted With Corrections /' Denied ~~ Date: c,J: s.4h S- f r Reviewed By: Comments: ..... J:iA ... "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 ~arv . Fnglne~ Pink . f5lannmg Thr ('f'nlrr of the' I..kr ("ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / .' '/ i __ .::.>- //~.~/- () .( I.... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ """'_.~ c..{ ..~.._) /0 Accepted X Accepted With Corrections Denied (i. Reviewed By: A11I'J Date: 3":;'-6).) Comments: See Reverse Side for Additionallnformatinnl : ~ See Attachments: 1) Grading Plan, 2) Erosion Control Measures liThe 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 a,ny 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 l. Blue File I PERMIT NO 2. Gold City . r' _} j ~ -::J 3 Yellow Applicant :J ...., f l -) (Please type or print and si2l1 at bottom) ADDRESS 3 5 09 {,J l LLo W ]Jeft ~h. ZONING (office use) -f-r LOT LEGAL DESCRIPTION (office use only) PID APPLICANT I'.:::> J d (N ame) D c. p I tJ "" b , .,..., 1 (Phone) b S' I - "f it:, 0 , ~ "3> ~ (J ~ E \J e ,e.. -ro IV ~ ~ afb'vI' "'-'r + O"J t",J (Address) . (City) 1 (Contact Person) u" ~^ (p~ h:c-R..Sc v0 (Phone) APPLICANTSIGN~TU~~. 4~ DATE -H J/- /<20 <:- APPLICANT PLEASE COMPLET- ....:J~v Type of_~ Q. : \ Bath Tub with or without shower ... Rough-if, Dishwasher , Water l Floor Drain I w~ .iner Lavatory (Bathroom Sink) -, / _dd .rIpe (Washing Machine) Laundry Tray (lor 2 compa 'er mki .Sewage Ejector Shower Stall ---\ B89kflow Assembly Sinks J-~ Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other OWNER (Name) (Address) (Address) Quantity ~ / /- I . / tJ. BLOCK ADDITION (Phone) r 303 L 550 ;)- ~ (Zip Code) , Type of Fixture t5 JlEE S\..-I1EDULE Industrial, Commercial & 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 $ \('\-(~ "P~/l'tt r ~ VOl(.tl..~ ~V-' ~v...'S\.,\.....i) PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) Building Permit # $ $ $ .so J ,,?J\.\ ~\~ / Receipt No. ""'" r B . '(-llv O!7 y () / c ~ ion Becom~ Your Building Perrit ~n Approved ./\ ( 0//5/ 10]-- 8 Ilding o~ I - bate Paid Date 24 bour 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 CONDITIONINGIFIREPLACE PERMIT Date Rec'd 7~ /.b: CJS ~. ~~n ~:~ PERMIT NO.Os. 04-/3 3. Yellow Applicant APPLICA~ ~ IL r- (Name) \y~~ ~ ~a-t\J\J~ (Address) {SOB" tY'c.~~-Ac (Address) (i (Contact Person) M\~ _ APPLICANTSIGNATURE ~:+-:. \ --- APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL (Please type or print and siWl at bottom) ADDRESS 3 CO 9 W /P"t..---/ J( WI LL-() tJ!31L/f// (/LL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) (Phone) (Address) ZONING (office use) PID Z-5. 108. ~ 2--4-". 0 (Phone) qsa~ 447-?>7loJ.- ~UL Lo.~ SS?:/I~ (City) (Phone) DATE FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ /' ~ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid -------------- Datej.15. OS Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 (Zip Code) 1.... (\' rC)'S: OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 D ~f /~ P81' Dt/ BVI v Rec~/ By ,fJ rJb.i~ I P R 10 R LA KE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 35oC) Wiuoc.,() 5~ A . NATURE OF WORK ~I ~ ~~tt ~ ~V MlUrro,.) USE OF BUILDING - ~ · PERMIT NO. (I.fS'. DATE ISSUED sf CeJ/oC' CONTRACTOR p~ -?!'--tal'" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT l!:J.ecl ~: J/# ~/r~'" INSPECTOR pATE /' , FOOTING ,t:;U#f1 ,.t~ ~: ~ 7;?JXs' ~ I 7/u/aJ" .. ; _ _ ~ r " J FOUNDATION (Prior to Backfill) I J1Ot- I F///4S .- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ~ lPo ~ %l~/~ INSULATION ~ i1(ZJ26s~ ELECTRICAL ;' 6'//,rf'/e>.j ~~~BING';"F).ff-~#~~~ //4 !//6/q~- ".I.D. HEATING (if required) , ~ p---/~tV/ FIREPLACE . GAS LINE AIR TEST~"hJ fifer, G:./; 1fJ- 0.) t/l ~ g/dc'D..-/ " I ./ COVER NO WORK UNTIL A~OVE HAS BEEN SIGNED IJ{THr:.! tW'E ~ III/tv #I ~/~l/~I FINALS Ie, /Yvf;e'.J ///I//O{ #l 1/ //r/;r/ /(//3//0$ f/M.. /t'/2p/oJ'oJ j1f)f- //II~/cJ~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 o t'f ~re no service cablnells avanable, card shan be placed near main enlrance. '", .. FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS .3 s-o 9 OWNER PHONE NO. D.FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED (OOo~- I' e Lut'/~ &e~c~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP c:J~R HOOKUP ~_':.':~.BING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: /7/7 / / /~;"Z-o #--?~_ h~ -- 1'/ 0) p~~ 'J.// ~te,r ~ei.A-r / .# ~J'r . o~ 4/'0<--'-'/ c Li-,/cS / /) / /1/ C:i,A.../ 1--"./ j-c:.-r~s -' A- I \'YJ4 C ~ "'.-"1. / (/ /- ~ A / C---t-;/ C o WORK SATISFACTORY, PROCEED ~ECT ACTION AND PROCEED o CORRECT WORK, CALL FO E SPECTION BEFORE COVERING Inspector: V CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE DA. TE TIME SCHEDULED 11.lg,,~r ADDRESS 3SOtt IN ," /fJV 8~~", OWNER CONTR. PHONE NO. PERMIT NO. os r I.J t3 J4xJ~LING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULA liON :Jf""PtNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 7f?Cld~ r O( V WORK SATISFACTORY, PROCEED ~' CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~. . Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IJISNOTl .-". ./") / .? / f~sf--:f--e/1 Me- e .. ~& ~ \ e ( ffi~/ - /.q;;/f> ~ dP/ #' & -Yb fir' <; ~,."d, (.%"~.CJ -~,,~//~ ~"k /4 ~ ../. / J, /' - ~ - ' "-t,.l , ./Sf, (e,,-/i r-~ ~ C"l_ /~c/ C'TY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS -S r-O? ~; /04.; OWNER CONTR. PHONE NO. PERM'T NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...-a--FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL )""'MECH FINAL COMMENTS: J~ /;:kf / ..".- #</ ~ P'?" DATE TIME ~~- ~q c>~ ~ - .y/J o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI .....zh=fREPLACE FINAL o GASLINE AIR TST o j / C)/f . ~ // d( ~ .~/ ~ /-1'" /e ) ---- /" -- /~ ( /' /o(-e AORK ~\..IV" I ;1''''''''''I:I:U o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING Inspector: ow;;'er/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!