HomeMy WebLinkAboutBldg Permit 05-0168
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2.. z.5, oS
I White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 05. 0/ (p~
(Please type or print and si~ at bottom)
ADDRESS
J{'/9L/ Lifll-iE 51f>!? t;lIc
?lZIt! IG.- t.4/cE
ZONING (office use)
te IsD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. oC/re,. 007.2-
O~ER .
(Name) La~ey I (a-rll e VrJ
1> i IIJ.1 J/V1 &AI
C4T#-rz,yA/
(Phone) <:'61,- 301- 5 L/ 9'5
(Address) fIR I Cf4
L-4ta3;S;/p/3 A--iJb
P 12.-/ UII'l. L 4t?iE
I
BUILDERIe.~U{OOlfPW/l.. I -1
(Company Name) lilt / ,_ - 5e?R 1/ > I/VC-
(Contact Name) ~1Il-'-1 & AI OtZ-(oA~b/\.l
(Address) ! z0 <;- /1-P,:JJ4-L~/pj?"\/ 772-4-//_ ,
r
C6 ""-
(Phone) h5/- 965~ '-178 'I
(Phone) >4-1/V1 t:.
tUi9?Man.JT; p&4/V 5500R
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition ~lteration OUtiJity Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of onstmction: I II III IV V A B
Occupan y Group: A B E F HIM R S U
Division: I 2 3 4 5
OLower Level Finish
)ii{Fireplace
PROJECT COST IV ALUE $
(excluding land)
7 ~ {JoO rt:'JCJ
I
I hereby certify that I have fi.lrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above.mentlOned 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 building
otlicial can revoke this permll for Just cause Furthermore, I hereby agree that the Clry otlicial or a designee may enter upon the property to perform needed mspections.
X bt )I\J/I"'RA~_ 20'-/2./909 Z,/I~-/O~
/ Signature Contractor's License No. Dare .
I Permit Valuation d!J,zs, DOO, 0 ~ I Park Support Fee # $
I Permit Fee $ tt(i,?~ I SAC # $
I Plan Check Fee $ 2.Co~, 2..9 I Water Meter Size 5/8"; I"; $
I State Surcharge $ 12.50 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ tM,80 I Water Tower Fee # $ I
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ Lf~, dl!) I TOTAL DUE dI'I/AAiD .J. 3. oS $ 1/3.54-1
This Application Becomes Your Building Permit When Approved Paid 773. 54- Receipt No. f-'eeZ9 I
~~ ~ e?3/ z/c;s Date 3. .3,0 S BY~~ I I
1 --
8uilding Ollicinl - I Date
ThIS IS to certify that the request in the above applicallon 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 Cel1ificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
~Pl~'-' 0,/':,.; ~ ~,,~.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
C-W.,it,. - B~
Canary - Engineermg
Pink - Planning
Tht" ('rnler of Iht" t.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W/L. S6,€-V, IN~.
Z, zs-. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~ / q 4- L-{q/q5.s/ D6 A V6.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
Comments: -.f{;~
rg~ "
/JJJ
?~
~.
{./
Date: J /"2.- /0 S-
f ,
r :;{--; _ ~ _
"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
~ing
'-:.Pink - PI~inD
The Crnler of the Like Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. ."- ,.~ .'
j: IlL' t.. /... l' ,I
i;, - /
".~-' .
/' / I, /
i.- ~_"~ , , -"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(~ / (74- l 1/1/& ! // C ;1 t t-
Accepted
Accepted With Corrections ~
Denied
r-
~~
I /'
~ ~ ~nt.~/~
f b~ "3 Arf ~I .l-d,J}o{)
'f-t.-i 0 ~. U
Date:
~/2-/(JS
Reviewed By:
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 othe[ 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."
03-10-2005 10:39AM
MATTHEW DANIELS, INC.
423 3017 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Ple~ type or Drint md sie.:n at bottom)
ADDRESS
1'- JCJ~ e:1~ ~.
I
~.~ ~~; I PER1\UTNO^~ ",,_a..
) Yollow A~OlitJl\\ u..L.UI IF U
ZONING (o~ use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
an nl , .JlJ
I~Jq,.J ~
(Phone)
fLli lLJJJ . :~.-~. Y.l6,-.
APPLICANT
(Name) Md-bl-Y!pw ':Do...nie.l.6. J nl'..
(Phone) "-51- 42...5-~
(Address) 15'2...~1""l ~\"'~i.Ir-lpJ 't/.o.J RI'l.....p l"Y1ou.nt .5'5b~li'
(Address) (City) (Zip Code)
(Contact Person) .1hnl~J If. ~~n. . (Phone) I< ~ - 1-1'2.3 - ~'1M
APPLICANT SIGNATURE '1}~ u.rL.t'-nT~u..IL",.J.~J.VA.""- DATE vJ"
~- I U 'r~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture QU3ntity
Bath Tub with or without shower
Dishwasher
Floor Oraifl
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fb:ture
Rough-ins
I Watf!:r Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
. Backflow Assembly
Backflow Assembly Test
Lawn Sprink.ler
I Oth:c:r
- '-kL+,J,l'J )~
FEE S\.,.t1.t.DULE - ~.{4..~J '-J.....A.LI~..~ ~ .
Industrial. Commercial &. Multi-family I % of job cost with a $39.50 minimum R Idential. New One ~Two-F3.mily $99.50
Residential. Additions & Alterations $39.SO
I
/
I
Estimated Cost S
Building Permit #
PLUMBING PERMlT FEE $
I STATE SURCHARGE $
TOTAL PERMIT FEE $
'-5q.5a PAID WITH
auLDING PERMIT
*.ooYrt, ~ .
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
'Paid"
Iluitcl'ft~ omclal
Date
~aaAR 1 4 2005
By
J ! . I
,
2.4 bour notice for all inspections (952) 447-'SSO, fax (952) 447-4145
'I
TOTAL P.01
PRIOR LAKE DEPARTMENT OF
-' BUil,.DING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS l"AK C~, M:
NATURE OF WORK A71'~ / BU'}lJICee
USE OF BUILDING 31...Ff 1:> · - .
PERMIT NO.. . Df.TE ISSUED ~/:[:;
CONTRACTOR "'LL - ~ /N..t;, PHON .".1:1-"'71'1
NOTE: THIS IS NOT A PERMIT fOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ 72
(-1'$ ~..s
V~~
FIREPLACE I/vyf' 1/ Z:yct('"
GAS LINE AIR TEST t/vy?;r- tY;;-uf?
COVER NO WORK UNTILhBfiYE HAS BEEN SIGNED
IlA7lfE / """S'~ ~I~~Y I
, FINALS
FRAMING
INSULATION
ELECTRICAL
LUMBING
~-9'
BUILDING
ELECTRICAL
PLUMBING
/w-
)JtJfr
" r
b //i/~5
6/13/05/
G/IS/cJ::
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elftctrical 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
DATE TIME
6//~--
/6/t1" ~,.Ies/~ d~
CQJIJ/lENT~: .-;
C/~Pz-~'/ h~~1
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/
do-~
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-'--~~
/"
Otf-
-" /1' /'
&-~ftr__\
~S--/br
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
- / /
~.h,?/o.$-
.. -
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~_......~~/ ./ / ]
/ (!o.f-e /-/h J
.AWORKS";ISF~....eR~
o 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.
I//SNOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!