HomeMy WebLinkAboutBldg 05-0522; Mech 05-0688
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
6-.. 3/. 05
White File I PERMIT I
Pink City NO. O~. 05:Z1-
Yellow Applicant
(Please type or print and si2Jl at bottom)
ADDRESS
IS:; 6'5' ;;d,tlbt-"r~l-LJ J. ~<-
LEGAL. DE~C~TIOf (office use only)
'35 1- r-t' o. 30
LOT- BLOCK ADDITION /7t9P?6 ~/1~ SftO/2a 11M6S
ZONING (office use)
ICISD
PID 25: 03t? 030.0
OWNER
(N ame)
/J;l tt I'~ L,n r-f
v
[/, '/ e~rl
(Phone)
95')-2:Jt., 6'CYr/
/ 5 J.. /;5 f:lh j C'I'P ~(j J,
BUILDER}. /'
(Company Name) '~.<:lt ~ -h, ~ Z-tr/O)L""" S
(Contact Name) 13 \ I { B/.iL4v,.-.J-
(Address) '2- 'L i Ii /h..-'1 / C ")111'11,0,,,,1;
(Address)
4-v~
.<' f..
(Phone)
(Phone)
.5'5/1 'L
1 t j '- ?/"tf ,-?,j i'V
6 I J. - 2_iD J - 6 0/ j i
/11 j./ :P/I ~
I
rc>v. 1'1}J
"
TYPE OF WORK 0 New Construction ODeck !&irorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.c.
Type of onstroction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $ 17. J t? /J, /' C'
(excluding land)
I hereby certity that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorized agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
~ficial can revoke t~.;:;>cause .::=ermore, I hereby agree that the CIty officia~ ~d~n/ 'S-Y :;; ion the property to perform need;:;,;;?;~ S
" - Signature Contractor's License No. Date
.I(
~/~. OOtJ, Of)
$ '/'JI,!:;O
$ / Z 4(, 'I;
$ 5'"".(10
$
$
$
$
$
$
$
$
$
$
$
$
$
$ SZ-Q,9r
Receipt No. LIS/fir;
a
0-
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Pressure Reducer
Penalty
Plumbing Permit Fee
Sewer/Water Connection Fee
#
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE t~ ~ 3.65"
Paid .~~ "fP- .-.
Date ~-/-?-?
This Application Becomes Your Building Permit When Approved
g,~~ ~ G/3/0r-
By
Building Official
I Dale
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
when signed by the City Planner conSl1tutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~ 1-~
Planning Director
~/~/e5
1 Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7. 19.05
FI [,6 /;J -#0--5: 052...2-
~. ~~n ~!~. I PERMIT NO. 05. () G:> 88
3. Yellow Apphcant
(Please type or print and siJtll at bottom)
ADDRESS
/5205 cD (/t/60It:/J,/6rJ
ffVE,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLIcAN11\J \ J'
(Name) A ~.-t..r:J~{" ~ b~"'-t..
(Address) bl~l.{ \!_L~,-lV\ ~.
(ContactPer.lon) ~<;.C'" ( p,~. .r I
APPLICANT SIGNATURE __ "-. ~2~
-- r--
-
ZONING (office use)
PID 25 03~. 030,0
(Phone) (;.. 'S l.. :3"'.> L.t - ~ II S-
(City)
(Phone)
DATE
-....
(Zip Code)
~O~
I-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
GAS LIII/E
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
os,o(o&e
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39..5{;
.50
+0.0 c)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid~O. 00
Dat7 /9. () S-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NO: -1-98/7
BY~
1
-
(~hitA - Buildinv
anary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENT Cl:IECKLlST
NAME OF APPLICANT D/lK.tJm S'(/N~oris OF MAl
APPLICATION RECEIVED 5. 3' I. 0 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/52hS' cVIN80K..()(/GH /It/6/'JUC
,
Accepted
Denied
Accepted With Corrections
/
Reviewed By:
Comments:
~~
~ a.L(
~
~,
Date:
Co ('3 /~~
liThe 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
Canary . Engineering
7lnK . Plannln))
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
- '.".' (,'
I..-..f/ ft:..{) [)-I:'- {,//v I" C, (II:: C;:-- / I.AI
APPLICATION RECEIVED
/-, ,) / C c:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I -2 '. r- j: .. /'.J'" -
.:...... . ({ _:0 {~!j! /' L (j(,:'" c I., t't / I (,I t., 1./ V c>
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
r
~
Date:
~(3lo 5"
>.
"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."
,
PRIOR LAKE
INSPECTION R-ECORD
SITE ADDRESS JS ~G,S I:;, DuJ'BJ) ~. .
N~UREOFWORK ~~
USE OF BUILDING ~ . . _.
PERMIT NO. CiS 052-2- DATE ISSUED ...IirJ..3JO$
CONTRACTOR ~A ~",al PHONE~f-6m
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR ... DATE
FOOTING I !;MI) (, -v"f-cJ~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~/f
IYI/7-
. 7/~~
I /
,/#/t-
" r
/ /27/u.h
/%'1
~
, -.
F~4r<-
~1J~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
;tq/
,.2/z/66
Ill#'
I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 sha~1 be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED ~~~
/. '
7/h~()r~ v9L'
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/$';2 6-5"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~e&
"- ~ - 0,2:2-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
11/ ~/ I / J
/tt/ b-/-e-&--rr-/"~.;. U/c)/I'-
...~."."~
/~/ /( /
V' ,/e::S~ n /-
..AfWORK SATIS~Y. t"t\.v ....Cg
/ ~RRECT ACTION AND PROCEED
o CORRECT WORK. CAL FOR REINSPECTION BEFORE COVERING
{', 1 A I /'
~ d e.. /:J ~ -f ~ c./-P r"-S
./
/~
r?)z~
/
I
/
o/~
UI{
Inspector: "'-----Owner/contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/iOTI