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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