HomeMy WebLinkAboutBldg Permit 05-0250
(Please tvue or unnt and si~ at bottom)
ADDRESS
04-44
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
Date Rec' d
~./7. oS
PERMIT NO. 05".02.50
I5DIH
SI
.
E, IO() I of 11/, 3"0 fr () T
Irtl(T Ii l R L, 5 -#---; ~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
ADDITION
cHt./> ; JuL., E
(Address) (, 4- 4 Y
BUILDER
(Company Name)
(Contact Name)
f'1.,
/9.1 -
ZONING (office use)
R. /~D
PID2$ 154-.009. 0
J!GLSOtJ
(Phone)
<;T.
KElTHf$ 4(t;77J~
KE 1m I-I/bJN/f5(J!
.:2 0 L/3U Boo we AvE
(Address)
BL.b/!.- s. Lv (./
(Phone) ~.- &/2 - 9&1-{)" 7l.f
(Phone)
Pe../of2- LAILe;-,!t1N
TYPE OF WORK 0 New Construction DDeck DPorch ~e-Roofing ~Re-Siding
JXJAddition ~Alteration DUtility Conne/tion JXI Misc.
CODE: ~.R.C. DI.B.C.
Type of ~nstnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
DLower Level Finish "PlFirePlace Z-
a.c.
PROJECT COST/VALUE $ c2b5oo0-
(excluding land)
I hereby certifY that I have fiJrnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
abovc-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
'x'fficial V rev.o"7 )?is pe' t for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectllms.
11.-Wf :l-ooL/-1t./-12 3 -/ 7-05
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I
'-'Jfc5? to 5. t)o 0 ,0-0
$ 'Lo 4'3, So
$ /321, Z?
$ /3Z,50
$
$
$
$
$
Signature
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size5/S";1";
Pressure Reducer
Sewer/Water Connection Fee #
'1tJ,t!) tJ
-r~, 0 tJ
Water Tower Fee #
Builder's Deposit
Other
1a, 00
TOTAL DUE (J/-tUe:?J ~...r: tJJ,-
This Application Becomes Your Building Pennit When Approved
~ ~ 3/zs~S
Paid
Date
:qt;24-. z.g
4- t.. d.s::-
~~cei~~6t~ 6-
/
Build1l1g Otlicial
Date
Date
$
$
$
$
$
$
$
$ I
$ 31 (P2-+. Z8 I
ThIS IS to certifY that the request in the above applical10n 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 occupancy, a CertIficate of Occupancy must be
'~
Vh'~J
pianning Director
<<6f: {:(J1~ Q ~~on~~s,~~ ~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 ~
16200 Eagle Creek Avenue Prior Lake, MN 55372 ~
MATTHEW DANIELS. INC.
423 3017 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please ~e or P!'il2l and. sien at bocto~)
ADDRESS
tiN'I -/5oY-h ~
~. ~~ ~~; PERl\IIT NO. C- _::1 5=,()
l. V.l~ Al'pliclm J (7' r
ZONING (olf~ USc:)
LEGAL DESCRIPTION (offic~ U!e only)
LOT
BLOCK
ADDITION
PID
OWNER ......... Jr'},. J :. \.J ,
(Name) (I ~ ),'- ~' '"'t!Jt"J.6-K. j
(Address) 1t!i!.I:...J/-- /5lj\J.h ~J~, Q'LA~.
APPLICANT
(Name) Mtl+.H1~w :Do..ni~I-6, J.,,...
_ (Phone)
'rI1\ .
(phone)
~51-4~--3~~
(Address) 152250 ~Y'rntiAOl Wo..j
(Address)
R^",~o~
(City)
~~
(Zip Code)
(Contact Person) ~ie.J~. " l'l." n. . (phone) ~ ~ - ~2~ - ....~~~()
APPLICANT SIGN A TURE . . ~~ .J, ~ uLl L/'=>_ __ DA TE 1J'llJ.: 1. ~ .tlL1O..1!)
.' - . U r
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drai!l I Water Somer
Lavatory (Bathroom Sink) / I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink i Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
Quantity
I
Type of Fixture
~
J
I
~
l'J!.J!.SLJ:1.t.DULE
Industrial. CommerciaJ & Multi-family 1 % of job cost with a S39.'0 minimum ~identiaJ. New One & Two-Family S99,jO
Re:lidenliaI, Additions & Alterations $39.50
Estimated Cost S
Building Pennit #
PLUMBING PERMIT FEE
ST A IE SURCHARGE
I TOTAL PERMIT FEE
$ ~q.~
$ .50
$ ~1~
(J
(Office tJs< Only)
This Application Becomes Your Building Permit When Approved Paid
Building Oftlclal
Date
Date_....., ~
? - 0'- --::>
Receipt No.
:----
By
tl___
J
24 bout notice for all inspections (952) 447-9850, fax (952) 447-4245
,
TOTAL P. 01
White - Buildi.mt...
f. ~n_arv - Enqineeiiiig:)
Pink - Planning
The Crntf'r of lhr l..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I .' I .' /j' /f',
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Accepted
x
Accepted With Corrections
Denied
Reviewed By: /IIJ(ff) Date: L/ - 5" '{>-.)
Comments: See Reverse Side for Additional Information! :
See Attachments: 1 ~ Grading Plan~ 2) ErosimJ Control Measllrp~
"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
~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."
~te - Build~
\"1fmIry - engineering
Pink - Planning
Tht" ("tnltr of Ihr Lakt Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ /5/dw
APPLICATION RECEIVED 3 ~ ) g- - ~s
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
& LjIjLj- /S{) z:A ~r-
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ ? ~~ Date: -i;:3-ftS-
tcomments: ~~ ~ "J~~. ~ ...g
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"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."
r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5:12~ tJ.)-
(Please type or print and sign at IN.'"''....)
ADDRESS
I. Pink File PERMIT NO
2. Green City . 05,(267)
3. Yellow Applicant
(Phone) ~ (Z- - 38te - 5.:3 73
j'6:5cMCu/UT Nf-/ S-5C6 B
(Address) (City) (Zip Code)
Mc-7V 6e-"71-< }hA-U> r--LC.- (Phone) (, 1 Z - '} t3 t.. 5'" 3 7 :3
APPLICANT SIGNATURE ~~--r:-:J ~ ;A~ DATE 5fi -z.. /0 .:;-
t'
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL ;411At:-u...lLi4-~ S~t~ FUEL )Jl4-r 6~
FLUE SIZE 2" r' J/ L RETURN OPENINGS ::;- INPUT (,,0 dO 0 OUTPUT
$39.50
$~9JO
Building Permit # :zro r7f~yID BJ~
~ .50 r 6'UI u
b '-/ if Y 1.56;r- Sr;u-c,
bJff~ r
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLICANT~ / /
(Name) / tfo""C-D ftl514-TlN L:. ~IP A IlL
(Address) f, (), l30x /
.-
(Contact Person) / If ~'/1-1
TYPE OF SYSTEM
~arm Air Plants
o Gravity
~ Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
I1tt.n3 II ~/'
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ /'
/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
pai~
Date5""'/Z ' 05--
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (office use)
PID
,
Ap1?lnll"-'
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
R~eceiPtNo.,
~lr!
By"
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-.....
PR 10 R LAKE DEPARTMENT OF
BUILPlNG AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~&4,-\ c.( \~~ -sr. I
NATURE OF WORK __rrl.~ ., '/#'*",
USE OF BUILDING ~
PERMIT NO. . DATE ISSUED 3!2,C lfj~
CONTRACTOR PHONEII~ ...,.....,..,_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING I/W/ . I L1 ~ (5~Q1
, FOUNDATION (Prior to Backfill) I 1/1;V/ / I ?( ~/q-~'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
RAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
. GAS LINE AIR TEST Pb:u. ~ flrflJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I/.A.~WMP I /0./ I &'0-0-;
FINALS
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j/tr/
,$ !:-tJ--as /
~--/"<C!J/
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s:. q,.o{
I. -5:"/>-0:1
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
"/ --/<rOs
~
VV'{/
V1/V?
OCCUpy UNTIL ABOVE HAS
NOTICE
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.
7/11-0<
.
(- 1~<(<6
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
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..------
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
C1I41/ (S7)~ s~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ti! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
f&Jrt$5 /lVJA.1~
tkr~ +- ~irfi.s
v .
~
//
. / I ()e",
l ~ ~ y-
---
--
DATE TIME
?-(S~
ex=- J-sv
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
e:, c,ht;'V"
- -
o WORK SATISFACTORY, PROCEED
11 CORRECT ACTION AND PROCEED
o CORRECT WO~K, ~"R REINSPECTION BEFORE COVERING
Inspector: 1/ VV Owner/Contr:
CALL 447-9850 FOR THE NEXT INSpECTION 24 HOURS IN ADVANCE.
INSIIOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
?-II~
ADDRESS
(pf.{I.(l.{ 1S1J~ sr
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(J)
'-'"
(l~
CONTR.
PERMIT NO.
J-lSV
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D~RHOOKUP
.ePLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
/7J/)r-UP?
r
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P. CEED
OR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(
-
White - Building
Canary - Engineering
< t"mK ..- "'Ianning~
Thr Cf'nler of Ihe I..kt Counlr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT; -'
~.
---./' -
I
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~--
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;' </1/- f
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~
Comments: ...if ~
d .
ZJfUd 1,(lJ~~~
~~-~
,
.~~.
Date: 4/5/oS-
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.
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"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."