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Home My WebLink AboutBldg Permit 05-1047 (Please type or print and sign at bottom) ADDRESS lf~ LEGAL DESCRIPTION (office use only) LO~BLOCK , OWNER (Name) (Address) Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main Fi_e ~i~i~e ~:;y 3. Yellow Applicant ~ ()r. ~ ADDITION ~ r~~ V TYPE OF WORK o Misc. \ j2.t L · . ~ew Construction ,cLower Level Finish . (Phone) PERMIT NO. D 5" lo4-7 ZONING (office use) PID25.4zk. tJo!>_ 0 (Phone)~,..9 'b5- t~/6 (Phone) C159~~..lf7'b~ ~eck DPorch ORe-Roofing ORe-Siding ~ Fireplace OAddition OAlteration DUtility Connection PROJECT COST IV ALUE (excluding land) $ I /$ q 2:l:) 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 above-mentioned 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;'?1lffJ}..<O~ ~ q--/(,.Ob Signature Contractor's License No. Date I Permit Valuation I Permit Fee Plan Check Fee State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee ,;, 7o.tJOo,OO $ 1'113, '5>0 $ ''J~, 72 $ S'S ,00 $ $ $ $ $ 100.00 If}t) ,. t:J 0 3S,.~o l(o,t)o , This Application Becomes Your Building Permit When Approved ~.~ lOis/as Building Official bate Park Support Fee SAC -- ~..) I WaterMeter ~ze5/8)1"; I Pressure Reducer I City SAC and WAC I WaterTowerFee I Builder's Deposit Other TOTAL DUE I Paid I Date ~ 7 tJl./l. 7 r I d.1 'l (;{' # # $ $ ,t.fs"o. 00 $ 2~O ,DC> $ .s;a, l) D $ ISol), 06 $ I(JOO, 00 $ $ # # $ 7()4'1- 7~ S/J 1 'UP /" Reclwt No. ~. rf 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 ~~m,c:~~~~~:;~::_md'-SeeMaiii~rrefO=~~=.~ Planning Director . bate Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 See Main File c::: _ WhU . Build~ Canary - Engineering Pink - Planning .BUILDING PERMIT APPLICATION DEPARTMENT CH.E.CKJ,..IST NAME OF APPLICANT APPLICATION RECEIVED D. R... Hot< IoN The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7500 O~6R-~/6~D D~. Accepted ~ Accepted With Corrections Denied a , Reviewed By: ~ .. 0 ,. ~ Date: leJ/s-lOs Comments: See Main }~ile "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 :Main File White . Building Canary . En~ring ~k . Plannl"l):> BUII.DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i. : '. "', r i j APPLICATION RECEIVED ., The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / I ( / [I-~. ( C L) I i___ Accepted ~ Accepted With Corrections Denied Reviewed By: ~ . n co ~ Date: Ie; /S-/<r s;- , Comments: . 4,_ See Main File , i .... .' ~ ., - 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 Pink - Planning BUILDING PI;RMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED "r . II. .--7 ) [J. /< . . () /<. ( -..-\ r" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1750() Ot.cr2_~/ELO 0/2. Accepted x Accepted With Corrections Denied Reviewed By: Comments: /J/tM (~e- j}1C,I'vt F,-/ L Date: l(!)- /3 -t)) "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." 10/31/2005 MON 9:54 FAX 952 767 1900 GENZ-RYAN - ~ 005/008 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (!llease me or "Print and si2Q. at bottom) ADDRESS I 0?{)J """ ..('. d ;)~~f-J .(;1 \;;!nVL LEGAL DESCR.u-uON (office use only) LOT ~LOCK ) ADDmON f)ffyfl f} d . ... ~; .., - OWNER DO \ L ,(.1....- (Name) I, -rr)\\V() t}(, C1 ,. ('. :)9 In' A rlC r' n ' (Address) f7'l )" t II ) ~CJfj. JV ,ll k... (;:;t-. . (Address) J S~tlw - / APPLICANT (l n (Name) 0lflllr.- 11.-11 a II] (Address) 'L 1J)O W. ~ ^ (ll I ,~ '/ (AddreSS)~ (Contact Person) .,)r~ ) ;LICANTSIGNATURE_'~l/ 041J.J1J/ --- ( '\...---' .. i: =.. : PERMIT NO..r 11.&-'1 3. Gold Applieam ~ ZONING (office use) "~ih Pill r~5"'"\ (){",r- -7(11-.., (Phone) l..o1: cl- VI X ,,:).- (0 U ) I.hJ(lJJd I~, 1750 Y L} (Ci1;y) (Zip Code) (phone) 11 VJl- 7 LI/7 - ! uDD ~SViJl{" f\AN r-7;337_ (City) (}::::. . (Zip Code) (phone) l{; Jfh-/(o7- (CYl) r()/~i/1J:5 DATE 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 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STA TE SURCHARGE TOTAL PERMIT FEE (Office Use Only) I This Application Becomes Your Building Permit When Approved _C.- Buildini Official Date 24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245 $ $ $ .50 Paid r ReceiptNo. By Date FAX 952 767 1900 GENZ-RYAN ~ 006/008 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~- (Please type or print and sign at bottom) ADDRESS '" (; n I rJ0IJ) 'Jftt<1f}d )rJ vt I) ~ ~cef( =--j fA (; ~:~ ~~ I PEKllfiT NO.~ I ~IL-t. J. Vellow Applicant ~ . ZONING (ollice use) LEGAL DESCRu- LION (office use only) LOT;3 BLOCK ADDITION [,;)tb PID OWNER D I') .I .lV' ~L ..... (Name) . "\11 Y -\ on (Address) ~O ~(~D KeY, b ~'1 (( 0 f (o~- ~.-fe. I ()f '; ~~~ANT b€111- ~ ~ilaV\ . J (Address) . '21/)0 VV. H\,v Gj k3 (Address) (Contact Person) '" <\m /.,.1 r } , APPLICANT SIGNATU~tfi./fu / f~/~ji/AU t1 '"--' ' I (phone) yC)) -Cj yt:)-7g()'J LC0<-fVI II f_. 5...F)O '-/ L/ (phone) QSi-/tf1 ' {ODO [./)tA.tl.l1C,V ,'f If./ M N ~':J637 (City). (Zip Code) (Phone) cr)~ "7 (p 7- JaD f{)j3//0 #.) DATE APPLICANT PLEASE COMPLETE BELOW Quantity I Type of Fixture I I Bath Tub with or without shower f I Dishwasher I I Floor Drain ,,z Lavatory (Bathroom Sink) ! Laundry Tray (lor 2 compartment sink ! I Shower Stall I I Sinks I Bar Sink ~ I Water Closet (Toilet) Quantity .;? Type of Fixture Rough.ins f I Water Heater I I Water Sotlner { I Stand Pipe (Washing Machine) I Sewage Ejector ;2 I Backflow Assembly I Back.t1ow Assembly Test Lawn Sprinkler Other FEESCBEDULE Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building pemit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (Office Use Only) I This Application Becomes Y OQr Building Permit When Approved Paid I Receipt No. I By Date ,..... ..-.,. Building Official Date 24 hOUT notice for III inspections (952) 447-9850, fax (952) 447-4245 . ... ' C~TY OF PRIORL~ . ::;i:t.I.~}~.,J;;~t;tAIR CONDrrlo:NtNG/~iKE.PLACE PERMIT :.'>.. . . ~~~9l9 .. ,':Dllt~"{ec'd ....::; ." ,Z~i~1 t.PE~!::;~'l!!!!f!!~ ..... . \\-~~ ;~',~~\l~)"'iQ~(~~#R . . . 'Estiln~ted Cost $ Buildmg ~emiit # ....'::...:' . . . . . . '. . . .", . . HEATING PERMiT FEE STATE SURCHARGE TOTAL PERMIT FEE . . . $JiJ/~e.'PAI[j'WITH '. ..' . $ . .' . .5tsu'LDtNGPERMfT .' . . $ . . . '. (Office Use Only) . This Application BecomtsYour Building Permit When ApprovedP-aid Building OffiCial DaYAN .1 9 Z006 1 '" '" ..24 hour notice for all inspections (952) 447~9~50. fax (952) 447-4245 . Date Receipt No. . ByJ PRIOR LAKE INSPECTION RECORD SITE ADDRESS I?SIJo ~~"e~ ~i'6.J:6'. NATURE OF WORK ~W ~ ~rrJtM er;.,;J (IJ /~. L. FiJ.I,JIfI!IJ) USE OF BUILDING s-: F:' A. . PERMIT NO. 0:5./047 DATE ISSUED ItJ/~/iI.r CONTRACTOR /). ~. INtt., fJ,.J PHONE1Sz".l2~ -'tZJ'L NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Vlain Fil~ BUILD4NG AND INSPECTION ....;, -.,. GRADING (Prior to Sodding) BUILDIMG ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE J/N~~ ..T /1"/0.<; J/f//)6/ {.sY~~ r BEEN SIGNED 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 Qh~rtifitatt of @ttupantl! CITY OF PRIOR LAKE ~tJlatfmtuf nf ~uil~iug Jluspttfinu pinal Permitted D Conditional C.O. Expires ., This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D InternatiOJ1!aI Building Code certifying that at the time of issuance this structure was in compliance with the varitlus ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification .SIIt c;L6 FH/~I/'- V Bldg. Permit No. 05, 1047 . , Vi tJ /e' z.... Occupancy Type k:? Type Construction Legal Description L-3 / C/, /JEE lc-flE-LV Zoning District /2 TH Owner of Building . Site Address /75 {; 0- D E..t/.:!i~ 16- LV j) t<. . Contractor's Name & Address I) /<.). HCfl/ZIJ ~ City Planner < $ b p/: ~fficial Date: Date: . to"" :.:.:.:.......'~ _w'~..'..,.;,.,-.".....~....'i:"'...;:~ . ........... '"" ""-..t.~ .L"'" '.............. - DATE TillE CITY OF PRIOR LAKE "7~,~/L INSPECTION NOTICE SCHEDULED -y,21'~ ADDRESS /?St?~ <4<Y/!~{/ .a. OWNER CONTR. PHONE NO. PERMIT NO. s--/C)y'7 o FOOTING o FOUNDA liON o FRAMING o INSULATION ,JrPINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ,..B1iECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI ,a-FlREPLACE FINAL o GASLlNE AIR TST o COMjIIIENTA: n~7~'d:~ ( ~eJ(~ / / ~//()/,,' - / ~ ~ ~C~, /l hh./ ., Ci'e. ., ~~; 'U-4' J c:!Jrsar- 7~ r- ""f\ / / - I / , /' / /) ~-./ (fJA/((.?J mtH-7- S/c;~ ~/A/cf(J/#:~ b/~~ @ -&~~ 7/.e~ /~~-" &~ ~~ _ , , /1 /) ~ /..t) ( ",.j /" /pt;;.- ~.I;;J,{ ~--;, 7-4:../ u ~ 4' - '~ ~e~~/- - _-- C~~C~ fP~,4 h;;' ~~'~~ ~ ./:". ,/ ~ /,-,,", C ~CJ~ /7~;) ~ wORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TillE CITY OF PRIOR LAKE /. / INSPECTION NOTICE SCHEDULED? /'7/ a: /J // ADDRESS /7";00 k!1'f'/tr~~// /,- OWNER CONTR. PHONE NO. PERMIT NO. -.5--/0<1/ ? 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 ~UMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS:/,?./ / /V/U~~.rlC ./~ //kc~d~ "'k// . ~/c. ~_// ./ ~./ //~.q .. /' ~A ~ L/'F~ o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR';;~..; )I'R REINSPECTION BEFORE COVERING Inspector: ~ - Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! /JIiSNOTl . l'PPLlANCE PERFORMANCE TEST, Attach to gas line adjacent to regulator Heating Contractor ~. t1. Jt!:./-f Name of Tester C!... ,(., ..~ Date "";/~ Job Address )7<;fJl) ~~(\-:: tIel Heating Contractor ~It Name onester C l,od }//e!~ 1'2., ~, 1.// ~ ~ ~tJf ~~ Date Percent 02 Percent CO Percent C02 Stack Temp Combustion air is adequately supplied per UMC Sec. 606 "-e-. input WlJ &., ~II J