HomeMy WebLinkAboutBldg Permit 04-1082
ADDRESS
~q~7
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
{2. . i(,. 04-
White File
Pink City
Y cHow Applicant
I PERMIT NO. o+./oez-I
at bottom) '..
~
LEGAL DESCRIPTION (office use onfy)
ZONING (office use)
t2-15D~
LOT
(Address)
CODE: llII.R.C. DI.B.C.
'1'ype of 6'nstmction:
Occupancy Group: A B
Division:
ADDITION
PID 25.4-04-. 0 II. 0
CJ6~X'9S 1?tt't ~
')..<~ <?~??'T't~
ew Construction DDeck DPorch
DAlteration DUtility Connection
DLower Level Finish D Fireplace
I
E
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $ ~ Dt)/ roo
(excluding land)
II
F
I
I hereby certifY that I have furnished 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
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 buildmg
official can revok\< this permit for Just cause Fu hermore I riby agree that the City offiCial or a deSignee may enter upon the property to perform needed mspec JOns
X ( ~l'17
Contractor's Ltcense No
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"
".
00,00
00, 0 C>
3~r $"0
0,00
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
. 'Z Ar:=;-
I . I ' v:::>
This Application Becomes Y q&U' Building Pennit When Approved
~ffi~ II/ajar;-
$
$
$
$
$
$
$
$
$
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
:'(5.'" ", C'" "'"'" """'"'" , "mp<>"~ c..m"tr ,r "":" ';m';',"" "j ';~'=troc"," '" "mmrn" a,[oc, ocrn,,'o, , c,"";...",, 0",,,,,, m,,' '"
~Pl~gt~ ~ Jt\o~ -~e~nditiOnS'ifanY
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
@,.PR/O/]',/
(f ~'~,
The Center or the I.ake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Il/ I II I) / ii(", c: D /':..//) .fl.-"J/::':,-:-'
.r'ir'.!lv~~/ rv.....,.I, tFv/l.(......<<.-.~~
/' 7 I t_-:-:- /,4---
...... .-"'-v
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
........') /" r-V
..' 7"'.' (.,.!. I
... ,r,
~ ~."..' -"
,., t / r;: r"1>'; ;;';:'
'J v (-1 '-'
/':'"7:;7/...-J
r#' /.,--,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YI9-b
Date: /;1. -;( 9-0'1
Comments: See Reverse Sine for Additional Information!
See A tt~{'hrnp.nts: 1) Grading Plan, 2) Erosion Control Measures
"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."
The Cf'nff'r of Ihf' L.kt Counlr)'
White - Building
Canary - Engineering
CPlJ1k - Planmn:g,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I vi /~ 0 I V C' 0 0 If 0/1 E. ~
/2. /:;-. (,4--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z f E 7 C (, u (3 fi Ie /-:.4 7H
-
Accepted Accepted With Corrections /
""" Denied
Reviewed By:
Comments:
~ ..:3a I
,.
~
~ ~~ ,
"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."
-
Thr ("("nler of 'he l..kt COUnlf)
~hite - Building)
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WINOWOOD f!ol1e.s;
/2. /5;-04---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2887
~o u qfl/C..
,o/1/H
Accepted
Accepted With Corrections
/
Denied
r
~ 1~ Date: /c/l/::l'1dJ'Y'
.
~4L(~~~
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 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."
02-22-200511:15AM
MATTHEW DANIELS,INC.
423 3017 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~,~~ ~~~y I PERi\UT No.M "Z' ~'""\
l. Yella'" Appliant . ~ ~ d---
I ZONING (..~ =l
LOT I BLOCK I
PID
OWNE~. -~
(Name) 11.11....1. L
(Phone) CJStl- ~9S"- 'g4J-/r
(Address) J4
APPLICANT
(Name) Mn.-Y41p\I'\( Th.n'ie.I.5. J r'1L' .
(Address) I~O ~~Ynll~l W"'J
(Address)
(Phone)
b51- ~~-..3"2>O
J? AlII\" ""'~~
(City)
~&.J!
(Zip Code)
APPLICANT SIGNATURE
(Phone)" tsl - ~2..~ - ~~
DATE Vd;. Z2. f<uJC
(Contact Person)
Qua.ntity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower Rough-ins
I Dishwasher J Water Heater
~ Floor Draip I Water Softner
(,p Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
J Laundry Tray (l or 2 compartment sink Sewage Ejector
2- Shower Stall Backflow Assembly
J Sinks Backflow Assembly Test
I Bar Sink J h.i- Lawn Sprinkler
4 Water Closet (Toilet) I Other
APPLICANT PLEASE COMPLETE BELOW
This Application Becomes Your Building Permit When Approved
Industrial. Commercial & Multi-family 1 % of job cost with ;;~.5~:~~~LE R.:sidential. New O~~iIY $99 .SO
Ro.id<nti>!. A""itioos ~ "'.l<)
Estimared Cost S Building Penni' # ~c;\ ~
PLUMBING PERMIT FEE $ <jq.taJ ~~
STATE SURCHARGE $ 50 .
I TOTAL PERMIT FEE S Ild.~tJ ~ '-td.lJ
I; ~ 4 1005
Dlle
(omce Use Only)
Bulldlag Official
24 hour notice tor sll inspections (952) 447-9850, fax (9S:Z) 447.4245
~
TOTAL P.01
3: 48 PM METRO ~l!... ~5 ti~ I-J,~2jR LAKE NO. 380
HEATING! AIR CONDITIONING/I?IREI'LACE l)EUMIT
P. 1
JJnte Rcc'tl
at bOllOJJJ.)
i: ~"'~" ~!~y I1!EltMIT NO~f(J,
l. \,,11... ^ppll..., L ~
-J [ZONING (,rr~,.)
(> ~~"
~:\~~ \J~,",\~ ~_J
( C::lv. ~ ~~
L~OAL DESCRlPTlON (,m" u.. ..,.,)
LPT \~LOCK \ ADDITION
.
OWNER '\. \ \ t\ \\..
(N~\l11c) \N '''l 1\ Q\ ~ \)~'\ '\\.~'Y'\.)..~
,
(A\ld ess) " '-\ ~ \\ -G:. ~ I, "\ f\ .,J'\. ~
AIlPI,.ICAN r If\. \ ._-~.__.
(}{arilc) \'\~ ~(\) '1~',,..... -\_ n ~
(A~d{(!ss) _~~" ~CJ \J 11..\ Lllh-J. \I '-..
(^C1dre~s)
(CI,JIl\lIct Person) N L\ v\ ~ S L.-~ ~ ~ \ \.
Afl.P{IICANT SIGNATURE '-"(\ WM. 1 ~).k
(Phone) CZ\ S J.- ~ \ s:- ~ ~ "\ ~ ~
0v....."" ~ ~ \ \ \t s s .2g_~____
(Phone) ~ S ;~ ~ '-\ -1- ~ ~:.:i__
~ r, ()- \.l.'\ll ~\~ s ~~...d':' -d.___
(City) (Zip Code)
(Phone) _ 9 S;";.1, - ~\ \-\ {. ~ \ \J..~
DATE _ cl- ~~
Al)!)LICANT PLEASE COMPLETE BELOW
- ~BW CONSTRUCTION 0 REPLACEMENT 0 ALTERATION~ I
FU~1'jACI1MAKEAND MODEL S~~r< ,- ~"'f -\ ~~ r:VEJ,. ~\LC\+' ___
FLl.)ij SIZE {.>" l.. RETURN OPENINGS \ \ INPUT \ ~~ . ~ ~ OUTPUT ex 3L ~~
'lYPE OF SYSTEM HEA TINO OR POWER Pr..ANT
PLEASE NOTE:
Air Conditioner Units
Caullot ClIc\"utlcll inlu
Reclull'ed Side Yurd
SClbnck.q
, .J8Wnl'ln Air I'll\lllS
'OGrnvilY
o Meehl1nlclll ,
l!JAlr ComJlllolllng
~VCIlt. SYSlcln
o Steam
o Hol Wnlcr
o Radiation
o Special Devices
o QUler Devites
FII~E ~LACE MAKE AND MODEL
.
FEESCUEDULE
Indllstlial. (,;ol1uncrciul &. Mulli.(lsfTlily 1% ofjob cost Rcslclcnlilll, OilS Fireplace
$39.50 minimum
Re~,llc,\til1l. HCllling & Ale (New Construction) $99.~O Itcsillclllilll, Al.hliliolls & AlteratlOIlS
Resill~Jltjl\I, Healing Only (New COllslruc;lioll) SM. SO Rcsidentlol, AC Only
$39.50
.$39.50
$39,50
Eslirnaled Cost $
Buildlug Permit #
HEATING PERMIT PEE
STATE SURCHARGE
TOTAL I)EIlMT1' FEE
$
$
$
PAID WITH
.BUILDING PERMIT
(OIV~~ Use Only)
~: AppUCOtlull B'<OII1" Your BuUd;.! Permit WII.1l Approved
l= Dul/tllllg Olliclnl URic
DfAR 1 4 2005 I
~:c;:p. ~..- J
24 hour llolice fol' nil hlJlleclIul1J (952) 4~'t~850, fAX (952) 447-4245
f'
1- _.'._' _ _. _ _.,_._..___
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ;. Bf7 ~ Uc$tfJe, /A7H. t
NATURE OF WORK NEtA) GoJJsr,t,,~. fJ
USE OF BUILDING · ,
PERMIT NO. 04. I CSZ- DATE ISSUED /.;
CONTRACTOR W(J.JrJ ~.I.D 1'i~>>tOS PHON B
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEC;rlC. NS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT vl \( ~
INSPECTOR DATE
I FOOTINqr/ ~ tJC:l f(7
I FOUNDATION (Prior to Backfill) ~, ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
GRADING (Prior to Sodding)
BUILDING .A" () \ {)
ELECTRICAL
PLUMBING U l/
HEATING
DO NOT OCCUpy UNTIL ABO
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.
"
DEPARTMENT OF
BUILDING AND INSPECTION
(-2'
-0?: o..s-
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
2~87 ~/ f...,-f~
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
COMMENTS:
(,nlh &/-- OK..
Grork- r;(
DATE TIME
II~-oj
n'i-/o9 L
"btEX~L1NG
OCbMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ d-r
"WORK SATISFACTORY, PROCEED
~ORRECT 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.
lNSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 2.6~ 1
OWNER
DATE
SCHEDULED ( t/iJii
Cou~ CIA
CONTR.
TIME
PHONE NO.
PERMIT NO.
'-( --/ooZ-
.
o FOOTING
o FOUNDATION
~F MING
o SULA TION
.' FINAL
, SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Lfi~ a~~ ,llA-~F{'~ ~'-
~
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIUNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 2893 ?
OWNER
., I:;)~ TIME
SCHEDULED ~ _
QK)~12. r V2J1-
CONTR.
PERMIT NO. q -lcBl_
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
~~
L~ 7~n~
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Ins r: Owner/Contr:
to- /-rtiS
46
'j QJ (f
(~~
7-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'/REMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
/NSNOTl
DATE TIME
CITY OF PRIOR LAKE I~ /1/ It')'---
INSPECTION NOTICE SCHEDULED ~
ADDRESS 2Mi (J,.y r ri2!&.
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,>d:PLUMBING FINAL
o MECH FINAL
COMMENTS: (\. M tt
I , Q~ P 1 {sf'"- )
~' Fz:; Qt! :'1'-
't. Di.~~-L- - I'k~t
~I - foB~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,/</7- i8f<8
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
/0 c?oRRE ORK ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/