HomeMy WebLinkAboutBldg Permit 05-1044
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and siJtD at bottom)
ADDRESS
{j,:J.3-rft
See.-'Jr~~ ~Pl.~ R:RMITNO. 05 I o A.. A .
Bo." I:H n"" y . ~ ~ V lUIYJg( A~~t ..c: .. ..,-
, /
ZONING (office use)
I ~ I b"") Po..... k",,;eYV l-n.. N IN
~P()...fO
LEGAL DESCRIPTION (office use only)
LOT cl9 BLOCK ,
ADDITION Se.f f~..._f,.
p~ F,....sl- AJ.)..,. .J;c_
PID ~S-4~7-0.).q-o
OWNER
(Name) Bu; Id.~".
(Phone)
(Address)
BUILDER
(Company Name) \,A/v~s ~I'\" J.-tD""es
(Contact Name) O(>",,:.s R- Sc..h,.~:k.-
(Address) Rf-ts B,,~'J.;^.j: 18q~ fJJo.."Uf... Dr;"<L.J .<;u; k ~O:
(Phone) 65" ,- 'I 06~ Lf 'i 0 b
(Phone) _l:d.) - "369-7 CJ c\.l{
EAQt/A."- I MAJ SS-I')'~
,J
TYPE OF WORK ~ New Construction laDeck OPorch ORe-Roofing ORe-Siding BLower Level Finish R Fireplace
OAddition OAlteration OUtility Connection
CODE: ti(1'i.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECTCOST/VALUE $ .30.ooo.on
(excluding land)
I hereby certifY that I have n.rnished mformation on this application which is to the best of my knowledge true and conecl. I also certifY that I am the owner or authorIzcd agent for thc
abovc-mcnl1oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awarc that thc buildmg
:flCial can 9=?~r J~~re, I hereby agree that the CIty official or a ;e~; m; enter upon the property to perform nee~d~;:c:O~S-
Signature Contractor's License No. Date
Permit Valuation 1/3/ (J ()6, {)TJ
Permit Fee $ 12..~CJ. ~CJ
Plan Check Fee $ -
8/1<".. tD f"
State Surcharge $ (p~.. ~ 0
Penalty $
Plumbing Permit Fee $ I OtJ, 0 tJ
Mechanical Permit Fee $ 100,. OD
Sewer & Water Permit Fee $ 3S", SO
Gas Fireplace Permit Fee $ 1(),00
Park Support Fee
SAC
Water MeterC Si~"'I";
Pressure Reducer~
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~Ol~ Lo~4S'
I
I
tJO
TOTAL DUE
Paid tJ (r J(,./ I
Date .11I.A'if. .f
~~
~
ThiS IS to certifY that thc requcst in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance d may proceed as rcqucstcd. This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certlficatc of Occupancy must be
issued See
1\ If n.:..... "I! ~ ~
Planning Director Date .." .1. ~ ':c
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 . -
16200 Eagle Creek Avenue Prior Lake, MN 55372
/'" Li....,.'l"......CO.~......l)Rt..~ <'.
./-rr. 1:.
(j Ig
~NNESV
White -~,..
~:.:n_msD
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(~)~~~
q, OL3-S-
The Building, Engineering, and Planning Departments have revie~ the building permit
application lor construction activity which is prop~ . .
/ I(/~ r l:::fJd.J{( /~~ "
Accepted
Denied
0(
----
Accepted With Corrections
Reviewed By:
M!}fJ.
~.tY4,'),. F:"/I'
Date:
10-~..t)S--
Comments:
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 . ~!1Rineering
~ . ~lannlnv
BUILDING PERMIT APPLICATION DEPARTMENT CIfECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
IjJ
0) /1./ ,'. .-7
,/ ,;.-~.....
,.. ~.''L
.....- --,-"
I --7-]. .~
. - _;;./ -J - )
The Building, Engineering, and Planning Departments have revie~d the building permit
application for construction activity which is proposed at=---
Ii. .. / I ~/\. /7. . (<--1./ ,,,:>' / / .A.I/U r--/
/ I t<~ /--' ,',..(/1 .~~- -",.,.",. l_, v
.
Accepted
Denied
Accepted With Corrections
/'
Reviewed By:
~
If) /; 7 /0 ~
I
~ ...
~ .~/-~ ~
dy~,
Date:
"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."
See\1ain File
~tR qwl~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPI,ICATION DEPARTMENT CHE.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
(t)~~
q'd-3-S-
The Building, Engineering, and Planning Departments have revie~ the building permit
application for construction activity ;;;~ ;po~V~ .
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~~~
Date:
/d/o3/aS-
, ,
Comments:
St~Main---FiIe
'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."
12/20/2005 TUE 16:20 FAX 952 767 1900 GENZ-RYAN
~020/025
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(please type or print and sign at bottom)
ADD~SS _
[lo<'l '~(lr k 1JI ~AN .-fAY)f i
~: ~-:,." ~~ I PERMIT NO. ~ ,~.J' I
" GoI4 "ppli"",,, "..:lJ - ... 'f
ZONING (ofliceuse) ,
LEGAL DESCRu- nON (office use only)
LOT~ (1 BLOCK \ ADDITION
PID
OWNER 'I l' \P'(\( , (\'\ . f~ ,'L", i"\PS
(Name) 11 IV \.~ n " A.l\~ I -1lJ(): IL.
(Address) 1 )?;Q5 Plo;zaJ D\f. Stcd(j)
(Address)
(phone)
EDJJ a Jf' fv1 N
(City)
(n J.. q(f5~ 5100
551~)
(Zip Code)
~~;;~ANT 01(1/)1_-- l2i,j Vi fll (phone) f/f)2 - 7 tpz- {ODD
(Address) 'LWO V\l, I ~~I\JL1 /,3 B1AiW1~ Vdl~ MN 0h337
, . (AddIe~ ., . (City) (Zip Code)
(Contact Person) -'~(~\I\ A \.)L] UV\f JVl (jJl) (phone) Q:) 1 ~'l01- l1EJ2
"LICANT SIGNATURE:d:J u. "--/; C ,h tlV\ P ldLl~DATE JJh. ~
,v ., ~ "'-J-" . .. ,. .' I " f
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
l~(jll.~~/l} ~
~I\IG ;"'.!1i
.b~~
~'"
Estimated Cost $
Building Permit #
(Office Use Only)
BuildIng Official
-------~....j
~f~ -~ ~.. \~I\~.~eiPtNO.
\ Ii \\ '1
:D~e osl ~V\.
. OEC 2 3 20 t\
. . I
24 hour notice for all inspections (95.2) 447-985p, fax (952) 447..4245 .
Date
This Application Becomes Your Building Permit When Approved
12/20/2005 TUE 16:21 FAX 952 767 1900 GENZ-RYAN
~ 022/025
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec~d
(Please typ,e or print and siltll at bottom)
ADDRESS
'LJIC11 rurtvLIW ,-1}V)U
~:~~:'y E~i"" I PERMITN~_ "1/11
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT ~C)BLOCK ) ADDITION
~~~R \J }e\(\~~\fY\n. ti(i
PID
U-r,,^./\r-S
r \~)1 1 L
(phone) Ct51- 000- 370S
. (Address) ! gq5 iO[ U.1J)..--- ()r, S+C ';){J)
t,CW (In [\;1 f\(
.,/
;::::.,"-"J"
,'J)f,,.,~
1~~~e~ANT Grenz- - (2u (J n
)
(Address)~JDJ \)J ,f-hUL.1 13 BtAYVlSvi lie 553~'7
~res~) (City) (Zip ~e)
(ContadPwon) JQh., ,)( ~~. ~~~~~ (Phone) JbJ-liol- 1C\5L
APPLICANT SIGNATURE 11dP.J1J~ ) DATE _..abJ {~~
V ' APPLICANT PLEASE COMPLETE BELOW ' I
')ZJNEW CO~STRUCTION CD REPLACEMENT 0 ALTERA TION~ f (l .
FURNACE MAKE AND MODEL _-f ~X q 40\) H -'~(/) ~-- q-D- FUEL l\.'Lf. . tfCf S
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants 0 Steam
O~~ D~W~
, 0 Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
OVent System 0 Other Devices
(phone) qf);.A -tl;i" {OOO
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39.50
Su ~~,50
. ~I..DIA14 11tJ)...
G ~i;;""
~41rr
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
r~id
R~eipt No.
BI1ildin2 Official
! .'
24 hour notice for all inspections (952) 447-985~;jta~ (952) 447-4245
Date
i
?a~ B,
m=r 9. 3 Inn 1 i
12/20/2005 TUE 16:21 FAX 952 767 1900 GENZ-RYAN
~ 021/025
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(please type or print and silUl at bottom)
ADDRESS
\ LH l{l \Jo..r ~ \J LL V\ }
1. Bl"" Fil.
1. Gold C"1lY
3. Yellow Applican.
I PERMITNOS.lOfI'I
l-\1 Y\ 0/
ZONING (office use)
I LEGAL DESCRiPTION (office use only)
LOT ~ C\BLOCK \ ADDITION
Pill
OWNER II \pi/\C' \lV"\ f) 11"\(\ IJ....", ^pc
(Name) JV!.R Dr I H.i\ . i~ I el( Xv IL,:)
(Address) I y:GJ0 {01 Ot7fA- D V, ~+L
.n'\1"",
",",,' 'r!
{/''V. /
{ ,c::::.' f\;;v::. 0'7 "'V'"
(phone) (; JI-Uir) )... J (J-1
C7i r: f. '^ 1\:' NI ;;::'.h./' ::J "
r J..), .lJ1rll I I \,; I ,j,_) o.cA
..J
. APPLICANT f. 1) q
(Name) 0e4'1l. - ~L.J aVl (Phone) Cj'2-/u'1..- I aDQ
(Address) 2UJO W. Ht'lJ fA k~ ~;lt2j1~l( J' (Ie/ M f\I 'S5337
(Add~) ) (City) (Zip Code)
(Contact Person) Lpn. ~ ~ch LlJ)f m tin (phone) Q,P)l ~ -lLPl ~ I '? 0 '-
A.PPLICANTSIGNATURE{~U.)~(hlJAVlYlf)..tJ DATE ~'J:L OS
V . - .
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I Type of Fixture
~, \ R \ I Bath Tub with or without shower I I Rough-ins
\ I Dishwasher I Water Heater
I I Floor Drain \ R \ Water Softner
(i. R I 1 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
\ I Laundry Tray (l or 2 compartment sink I Sewage Ejector
\ I Shower Stall I Backtlow Assembly
\ I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
{l, l R \ I Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residentia~ New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
Estimated Cost $
PLUMBING PERMIT FEE $
STA TE SURCHARGE $
TOTAL PERMIT FEE $
.50
~~
~
Building Pennit #
(Office Use Only)
This Application Becomes Your Building Permit Wben Approved
!P;liq
Receipt No,
i'; :1: ~
\: t'.1
Building Official
\~e DEe 2 3 200sfY
: JL\ .
24 bour notice for all inspections (9520) 447-981~,~a~_(~:2!~4~~~4~~ ""__,"""C"
. L . . _.~ ~-'''-'''-'-~ _...
Date
PRIOR LAKE DEPARrMENTOFSee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I'll" '/ I'A~/t /II~W ~U;:~CH)
NATURE OF WORK ~ _ flJO ~.t. ,-ttJrN
USE OF BuiLDING S'~ A. ' .
PERMIT NO. 05./044- DATE ISSUED ~I.'S- '
CONTRACTOR _~.. PHdNE>>I.J'~'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT .
INSPECTOR
DATE
, FOOTING I
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION W- ct G ~
ELECTRICAL
PLUMBING,,~ .r~ ~
HEATING (if required) ,
FIREPLACE
GAS LINE AIR TEST
ili!
. I
~e1 oJ.,
~/J .?+/~
f?;' ,
2/1~~z)
/ -
fOl'J 5/~ J ~ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
'lA"fZIC../..!J'lIlPJW I I
~ V~~WI~ FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRtCAL
PLUMBING
HEATING
)'b~
....
eiJl
I
J
~
I .
t.J I~I to
'I 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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QIerfifirafe uf @rtupanry
CITY OF PRIOR LAKE
~tpartmtnt of ~uilbinB Jlnsptttion
J2f Final Permitted
o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the vdrious
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification ,::;/ /vG t E- ;:;./ /L/ 1 L-J..-/ _ Bldg. Permit No. U 5. /044-
,
Type Construction_ t/!\/ _ Zoning District r ~~J..)
-;-;- J / rO;-
L 2'7 c;/ / .jcF;:t./~ (' !6fJu
Site Address / 4 / &- 7 j-.J;-/ /.! K. t/ 16 {eJ L 1'\'/.
Occupancy Type _
Ie' :;
Legal Description _
Owner of Building
Contrac'or's Name & Address
1/ r \~" + \J, tc \.. VJ~
Building Official
t Ii { I V )- / / /-1 /1./ /\/ /--!C'!"'l e-s
it
City Planner
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS litio'"J ~.'&.. ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'2 FINAL
~SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENTS:
l. f:~ G\~ ;-~.
Z. ~f".- [)",,"~
3. ~ J-lnD ,--"
ok b c(o~ +k ('L>
DATE TIME
~O(p
S- - If) <1<+
,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
0- ~~ 0a:u-~-
o WORK SATISFACTORY, PROCEED
)f[ CORRECT ;nON AND PROCEED
o CORRE W K LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI