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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 / . J~' 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 ../0 1.<.... I. If), (/~ f Ji 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