HomeMy WebLinkAboutBldg Permit 05-0739
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7. 18.05-
AND UTILITY CONNECTION PERMIT ~
~. ~~~e ~::y I PERMIT NO. OS: b7.3Q I
3 Yellow Applicant I
PID?~ 47J.o /)'240
,OWNER 1/1 ^ _ " ,~ f\ _ l . " ___ f) . Jd ~ Q
'(Name)~ L~\Y1J..t~ (Phone) '-152.'Y4'1. L.AJ<JD
(Address) ,1L06 c:,. )1n~ ~" ~Lm- 1 ~J ~ ,PfJ~rJ?-,
(Please me or urint and silnl at b. ..".,)
AD~.
~(J
Jld)~
Yd SL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Date Rec' d
ZONING (office use)
t::-I
BUILDER ~ A - J1 "-
(Company Name) JV{Pcya.'1""hi/ll'~ (-'1n~1ruchav-J
(Contact Name) s....\O~ N It...9-.f' h...J.-,r)~~
(Address) 'Yll.o5 (:., - 12F5""; ~. allty L.axe ""'^~
, .
TYPE OF WORK 0 New Construction o Deck o Porch ORe-Roofing
DAddition OAlteration DUtility Connection
CODE~' I.R.C. DI.B.C.
Type of 0 stmetion: I II III IV V A B
Oecup Group: A B E F HIM R S U
Division: 1 2 3 4 5
mished information on this application which is to the best of my knowledge true and . I also certify that I am the owner or alllhonzed agent for the
conform to all existing state and local laws and' ceed in accordance with submitted plans. I am aware that the building
~fficial 3i1n~ upon the property to perform neen~7Y:()5
Signature ~ Contractor's License No. Date
#j sr;;; , 1) tJ
$ /~ .5t)
$ ~8. loe
$ 7 . ~O
$
$
$
$
X
~it v:ation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/00.00
I"l) .ao
3 $", so
fbdr. $
This Application Becomes Your Building Permit When Ar r- ~ " ed
~
~ Ji?. va S
Building Otlicial Date
(Phone) Qf)2. <./t/'1, ~pX)5?
(Phone) 1t2L7 . f!:/1,;? . f!.Ra)
~^'12-
ORe-Siding OLower Level Finish
o Fireplace
o Misc.
PROJECT COST /V ALUE $
(excluding land)
I Park Support Fee
I SAC
I WaterMeter Size5/8(;n";2)
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~ .,. 'V1., /)S
I paid~: /.2'
I Date ' ~-B-D5""
#
$ eSO,DO
$ 14~o.oa
$ &0,00
$ A5: 00
$ I~o.~o
$ 1000,Ot)
$ l~(J(J,O 0
$
#
~
#
#
."
$~ 2~/I
Receipt No.O-UL,...i~
By a
CJ)
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
~: ~":""'~'" C.rt"= ,f ;i;~i: ';- ='~ft::1-=a: :'';9.i:8'~ C;:;'. :~3'"w b<~,.j
- Planning Director Date ~ ~C~COnditiOnS' if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
v
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Th, ('.01., of lh. "ok. ('ouolry
BUILDING PERMIT. APR,U~~~DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1./ E
/,/ [;'.k::'.-l / \/IC:.
I" I" ,-----1
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'7 ' 1"' / (; /. '<llI _'--r". .- r-
_' ......... 1,-, \_.' .....,r ,',' _J ~ c::... .
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ ~ Date: }/~'7ftS-
i?A .J / II . -J- ' ~ J) ....-f}
Comments: r~ d - d~ u.l~/a..#~ .....<AA.. -'I ~ ~
~~~ ,~~~
rJ ~-- , ~ .
~~,
.,
1
;~
'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."
Th. (',nl.. of Ih. tlk< ('ounlry
~e - Bulldlnp
__ . PI - t:n9Ineerln~ '
Pink ,~ Planning
BUJ.l.,DING PawrlT APPl.JCATION DePARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lj /,':' c":, f..~ t / L'? '.<4' " \/ L/'
/'". '-', c,j 1....- /V " /<.., ,', ",-,.
(I /',' ij / '--:--;-'''',.
~- _.1 \. '- c...,.
7 /(;;., /.'~
, i..../'. (.,/ ...,...-.'
The Building, Engineering, and Planning Departments have reviewed the building-permit
application for construction activity which is proposed at:
/'"'' ".:;';; / I~'\
.....",f. ,-.., ~~
/. ,i~=: I~_;' 7'rJI ~-
C.:".' \...... ~,~ f .
.~ E.
"
:.'~ .,
.~ . ........... .
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
rrd3
Date:. /-2/~
Comments:::: See Reverse'-Side for Additionallnformationl
..
See Att~chments: 1) Grading Plan, 2) Ermdon rontrol Measures
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permittor, 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."
(VVhite - R~liI~
Canary - ~nglneering
Pink - Planning
Thf Crn.er or thr take ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HeseJ/t3.te4 /1/1::::: ~ON~ / l::.-.
7. /8. os
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
52/6 /G0771 S/. ~_ E:.
Accepted
Denied
Accepted With Corrections
/'
ro,
~
~,
~.:~
~~~
~ o--U.
t
.~~~
Date:
7/~9~.r
,.
~-~
Reviewed By:
Comments:
~.
~
!~ f-~~' Q
~~"
eLl' t!'J .
"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."
09/12/2005 07:34
3206560312 JBERD MECHANICAL
..,.., \ I , 'J . '- 'f I'J l.)t'T'"'
PAGE 02/03
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIl
(Ple_ tnc or tda1: aacl ,qp. lit "110m)
Au1J~1 0 \ lOOTH S1 SE
:: SL ;" . I PERMIT NO. tl5.07..3./ I
ZONING (o!fiee 1Hr)
LEGAL DESCRIPTION (orrice use onty)
LOT BLOQ(
ADDmON
PID
&~:JOn \1\ /V1~\ovi \I\.k-
(Phone)
(Address)
~:;;~w:r BerJ MechCtvU coJ
(Address) Ci!i:16 Sol.l=:H1 W~ "1 0 V
(Address) Y
(Contact Person) 'V1~C'lA'I ...,1 D~OV~
APPUCANTSIGNATURE &./J ~
. -
(PhODe)( 82I:>)'oSb-c15'-17
9. O1ot..cl GIo301
(City) (Zip Code)
(Phone) {a::w) (p..sta-og t.f7
DATE ~-r:30~
I
\
APPLICANT PLEASE COMPLA!.IJi. 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 or Fixture
Quantity
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewa.ge Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
IndlUtriaJ. Commercial &. Multi-femily 1% of job cost with a $39.50 minimum
I
'Buildi\l2 OGIdll
Dllte
$
S
$ /'
-"
Pai~
Datetj It i pI'
$99.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT ...........
~
~50
(Office lite Only)
I This Application Becomes Your Jluilding Permit When Approved
.--
%4 bour notice for alll"apcction5 (952) 447-98S0, en (!}S2) 447~Z45
16200 Esp Creek Ave., s.t., Frlor Lake, MN 55372.1714
Receipt~
By 1m _I
09/12/2005 07:34 3206560312
JBERD MECHANICAL
PAGE 03/03
TRANSMISSION VERIFICATION REPORT
~ TIME : Be/26/2aaS 15:51
NAME : JBERD MECHANICAL
FAX: 32a656B312
TEl: 3206560847
SER.tt : BROE2J364264
DATE. TItE:
FA>< t-(). INAME
DURATION
PAGE (5)
RE9.JL T
MODE
88/26 15:51
19524409678
BB:ee:27
81
OK
STANDARD
ECM
-A'l' ''J . L'j NUfr
DAte R,ec"d
ell i OF PRIOR LAKE PLUMBING PERl\t.lll
i: =.;, PERMIT NO.
~. VcI_ IttJ"cW
,JrJcw...tm or wilt ..... lIoClftl)
ADD~IO 'lOO11f Sf bE
ZONING (aftlccUlll)
LEGAL DESCL... J,.~...Il (oftice IIH ouIy)
LOT BLOCK
ADPmON
PID
. &=:]0\1 V\ fJ1~k;vi v05-
(Adns)
. (Phone)
~~If~J MecV1!A.vU cO-O . (Phont:(B21:i)'oS'o-c;S'1{
(Address) ~ SDu.tYlw~ ~ Ov G. Q,tol,.b\ 6{o2l) I
(Address) ...J (City) (Zip Code)
(0mlad:l'el1an) M~OIA'12:JO~~ ~lIe) {~)(pSta-ogr..t7
APPLICANTSIGNATURE " DATE ?>--dJo~
..... ,
, .- -.---"
APPLICANT PLEASE COl\1PLJ!.l lit BELOW
Quantity TvPc of Ftltan QQ...tity T1Pe .of FlIture
Bath Tub with or without sbower . RO'Ilgh-ins
Di,hwlS~er Water Heater
floor Dn.in Water Softncr
Lavatory (Bathroom Sink) Stand Pipe (Walhin~Machinc)
'Umndry Tl'!)' (lor 2 oom~"'t sink Sew~e Eiector
. ~. ", .. Il...."+'l~ A.."'......hl"
09/15/2005 02:25
(P!$~ ~ or erial E.Sn &1 bottoml
....DDRESS
S-'!/I>
~ =. :~_ I PERMIT NO. S 7..5Q I
, . f
ZONING (oIfta: -) .
) LtJ ~ ~
L.EGAL DESCIUPT!ON (011" we 01l1Y>
LOT BLOCK
ADDITION
OW'N1m KJ _A. ~ L .J _ U
(Name) --f..!J.IIJI::I
! (Addless)
APPLICANT .rftlt S~A ~
(Name' ?,AZ" ,-, ~'Me.
...-,,4 E. O~UQ' c..8Ke Ur:
(Address) New Prague, MN ~71 .
~:>~i 73
(COR.."Pe:sOD) ~2-a
APPLICANT SIONA TURE
C--N\lY'."
(Phone)
(Phone)
PID
(City) (Zip Codt)
(Phone) -1(", ZfJ ~ 7
OATS -Iv- ~.. ~
I
APPLICANT PLE~SE COMPLETE BILOW
ONEW CON5T UCTION 1~.!t.ACEM!Nt 0 AL TERA TIONS....J........
F1.JRNACE MAKE AND MODEL I ~-- t.tJ FUEL ...lIIJl
FLUE SIZB R.E RN OPENl'NOS INPUT ?t/.,., OUTPUT' 51 A~
TYPE OF SYSTBM HBA TING OR POwmt. PLANT
OSICMI
o H01 Waler
B Racfialion
Special D.vic"
o Other Oevicg
8WIIrTO A" Plante
Oravity
~MeChlnlcal
Air Conditionin.
ent. Sy,tern
I F~REPLACE MAKE AND MODEL
RESCHEDULE
Indu,trJ.J, Co,. . ~1.1 A Mulll.Farnily I". of job COSf It.uidGlli.l. Ou PlreJlla<<
S39..5Q mll\ll!\llm
Rc.siclenliaJ. HQling .. AIC (New Conlcrucllon) 199.$0 R..,iclmLial, Addition. tk AllcraUons
Residential. HealinJ Ollly (New ConttrucUon) S,~.'O Reslcltnlill. AC Only
Eatimattd Cotl S 8uJldln& Parmi! "
MEA rING PERMJT FEE
STATESURCHAROE
TOTAL PERMIT J'EK
$
$
$
.50
(omC~ Uac 011")
This APPUC8tlon aeeona.. \' 0'" Bllllcllnc Permit Whe. A.pproved Pilei
Date
1"lId'" 011I$1
D.lc
1A hour noUaI r. III ...edl.... ('G) "'."Sc(" fax (9''> ...,~26i)
PLEA" NOn:
Air Conditioner Units
Cannot BncrOtCb inlo
RequWed Side Yard
Setbldca
S39.~
S)9,~
.p(f~~
~cJllI(}
Roocipt No,
By
TOTR.. p.el
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS d, () I&/J!t: STi $.~:..;:...,J"6611_ .~
NATURE OF WOR~ MItJ ~l" /..RJIUJD~-~
USE OF BUILDING S. ,:: 0 · ~
PERMIT NO. ()S-07$/f DATE ISSUED 7i,ll'r
CONTRACTOR _" CO,...,-. PHONE61i.-'f(.I--3Itdo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR, JOATIj
FOOTING ~ dr/os-
FOUNDATION (Prior to Backfill) I "I ~ //sfi,~.....
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-INS,
SEWER/WATER/SEPTIC Yc ~ c1-~;-
FRAMING _~ ;;>/6.r
INSULATION ~ 9/E5~Y
~~~~~~~~AL fl. rJ. PI1" r/nt;s- &4- f1lt;
HEATING (if required) .,1/// ~ 9h ~~r
FIREPLACE .,f' / /f ~ e "
GASLINEAIRTES~.k f-~"%;~ ~ ~ft~y
,
COVER NO WORK UNTIL A"OVE t1AS. BJ=EN SIG..NED ,~I/I
llA'17IC~/AJ/lItII 11/#: /I:fI/ Wr- I~t/: /JvJ!.JiJ
FINALS /
GRADING (Prior to Sodding) IV !5 II. z.3 .05
BUILQING ~UIr/J. C:O, ~ /tA ~r . I
ELECtRICAL . . ~ /I/IS/if
PLUMBING ~ i//Zz.Jo6"
.1 HEATING ~ /11:7~k
~~ ~t\"NOT .OCCU_TI~O~I~~Ytl H~y~G_f: e
This car~tod noar an oleclrlcal oarvlca cabinet prior to rough~n 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 INSPECTIO~S(952) 447-9850
(!1rrfifitafr lIf @ttupantll
CITY OF PRIOR LAKE
~eparfmenf of ~uilbing Jf nspetfion
f'inal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0739
Use Classification Bldg. Permit No._
Occupancy Type
R3
Type Construction
VN
Zoning District
Rl
Legal Description
~~//J
Site Address ~:ne 160TH STREET S.E.
Owner of Building
contractor'SNarne&AddressMESENBRqNK CON R., 7765 175TH ST. PRIOR LAKE, MN 55372
_ ROBERT D. HUTCHINS " City Planner_ JANE KANSIER
Building Official ' ,
Date:
Date:
, .... ',,;,.;.:. :' .,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS S''110 I~O.t::J-'-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
o FOUNDATION
[J FRAMING
o INSULATION
~NAL
[J SITE INSPECTION
[J PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
o PLUMBING FINAL
[J MECH FINAL
COMMENTS:
Gr'1 L -()1!..-
DATE TIllE
JI.23-o~
/J1~~A,,:, ~
~S- - 7.1'
~LLlNG
o COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
uqWORKSATISFACTORY, PROCEED
[J "cORRECT ACTION AND PROCEED
[J 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 & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
ADDRESS
~ 'i/()
/'tJr~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~NAL
[J SITE INSPECTION
o PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
~UMBING FINAL
,ID .ECH FINAL
COMMENT~ /.
Z:/~1/fUr_~, ( Hh-.. I
- -
~~.h. F:-k /
/11 / _ ~ J
;V/u~.t;~ ,h'k-, /
Lw / #- I:~ ~h..l(~
DATE TIME
1M/or-'
, ,
6;/
-s-- J'd'7
[J EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE R1
[J FIREPLACE FINAL
[J GASUNE AIR TST
[J
I /
~/ ~'-~ ~I"
J
r?~
/'
~K
,. rr- ; ~ Ir
7fe~ c:J,.L -I ~~ s~e-d ^~
#~/I 17~/~ (9~~ &~ (/
, ,
~ ~- .
~~ / C, '" 4-1" ~, /
. m~/--de ,,4- -7-~.
r
(//)
[J WORK SATISFACTORY, PROCEED
~ECT ACTION AND PROCEED
[J CORRECT WO~'.JC~.w~EINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_TI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAI'IH 1'1