HomeMy WebLinkAboutBldg Permit 05-1182 & FP 05-1230
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
3:Jo y
LJ4);,
6'/v// 4zo~
Date Rec' d
J /-- 3tJ ~ 0,--5
I. White
2. Pink
3 Yellow
I PERMIT NO.O 5- f/~4
File
City
Applicant
ZONING (office use)
leiS D
LEGAL DESCRIPTION (office use only) . .. ~
LOT~~LOCK I ADDITIO~ mriL.tux;el (l)_Jt!CJ Est eX PIDd_5' ,3 b()- 0/9-0
'-
OWNER
(Name)
~/s
3020 V .L,#L;..
X>c9~e~
6/v# ~/t~'
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~ ~~/~y/
~A/ ~/r
9'?0? ~~,,~A ;#H:.- ~
,
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
o Misc.
A
R
5
B
S U
(Phone)
qS- d - j/W-S it;.S
- -
(Phone) 9'~~ -SY/-;2-?p7
(Phone) 7~.,7 f'.). - j/e-n z-
es/"o,.,/~ /"" .>-r~
ORe-Siding ~ower Level Finish 0 Fireplace
PROJECT COST IV ALUE
(excluding land)
$ --?~ ~
/'
I hereby certifY that I have fllrnished 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-mentlOne cny a that all construction wil on form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:ficial can r ke this It for t c Furt er b ee that the CIty official or a designee :;:~o~ p~ to perform needed ;ihv /~
Signature Contractor's License No. , Datt'"
I
I
I
1
1
I
]
1
Gas Fireplace Permit Fee $ A.-t"'. 1&"0 ui..Jtf I !OTAL DUE
( 1\)0 I 1"'i!!:C: {'l)u.E'c.... '"'~ '\
This Application Becomes Your Building iferlnit When Approved tfaid
Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
~- ~ #'
~~
Buildlllg OtlYcial
$
$
$
$
$
$
$
'-IOOQ, -
f?1r(J.S
Size 5/8"; I";
# $
# $
$
$
# $
# $
$
$
IZ--",.()> /J I $
Rec~ No.
BY/1
tJ'
bfJo tJ<1
/
SAC
Park Support Fee
,/"-",,,
Water Meter
Pressure Reducer
/
Sewer/Water Connection Fee
Water Tower Fee
Other
Builder's Deposit
~
I:J- q, 0( 5"'
{J.OO
1-/0,---
/;;.!, /()S
. Date
/zt:t z,r
I::J.:J~~
ThIS IS to certifY that the request in the above applical10n 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 Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued
Planning Director
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
Lt} Y OF PRIOR LAKE
REA TING/AIR CONDmONlNGIFIREPLACE PERMIT
Date Rec' d
(Please twe or orict :md sinn at bottom)
ADDRESS
is:. EL I PERMIT NO. 05.12301
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L..-W\ I L . I )\ \ I L-l- . \ '/ ill....~.
v\".....,. n " \-.., .,; , l! I .,.1 ~ _40
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ZONING (offICe U3C)
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LEGAL DESCRu- liON (office use only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
(phone)
. APPLICANTGZ,....". ".r~\... .....( '.-r,..~ (JC~" L\ 'J-, t'~i.,:;;Oi
(Name) 'k A;n.~ In iLl \"1 lV..nLJ~)dY:;........1--t\.tV .-J' (phone) '1')(:::::>< -- ,::Joi-L,\[.)_){t)
(Address),.:)\ \?s,\,J'if fy'\ ,L\\)\-c, (j --)Q((.:{a,lL Lt~f ,~S5"?{);~.)
(\ [\,0 'c'. .-i:.~)~ '-y' n (Ci~r"!:-'l .\ t-7' (ZiP':~J')X)
(Contact Person) \ ....; \ ,r I::> . :/~:.v /;VY Jl1l!::,., .;' (phone)? ; ),.-,1 - c~ ( ).- 'J...J I
APPLICANT SIGNATURE ,L'k-'11 'I"l:JA \'--.:~+(-l /(il,l~/ DATE ;~~ Ii?) 0(0
APPLIC~ PLEASE COMP~E~'BEL~W "
[}NEW CONSTRUCTION 0 REPLACEMENT 9{ At TERA TIONS
FURNACE MAKE AND MODEL ' FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Steam
o Gnivity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
OVc:nt. System '1 0 OthcrDcvices
f
I
... ,~..._~-
PLEASE NOTE:
Air Conditioner Units
CarolOt Em;roach into
Required Side Yard
Setbacks
/' ...........
/ FIREPLACE)MAKE AND MODEL
\,
',,-
---
rndustrial, Commercial & Multi-Family
FEE SCHEDULE
1 % or job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions &; Allc:rations
564.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Rcsidential. Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA UNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(Office Un Olll,)
Tbi, AppliatioD Becomes Your Building Permit When Approved
I Paid
Date
Receipt No.
By
Baildll!f: Oflklll1'
Datr
24 bour notice fOF all jnsp_~~._ (952.) 447.9850, fax (952) 447-4245
16200 Eade Cftek Annue, Prior Lake, MN 55372
I . d
SSSS-2Str-2SS
eSE:TI SO EI qa~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Phone) ~-6 ~ I?I?I? L)LJy2)
$/P04/ 53y~r
(City) (Zip Code)
(Phone) 9 -.5 ~- PG>P L:J~ j/2)
/;?-~/-L2~
,~ lease tvue or urint and si~n at bottom)
ADDRESS
'1~DY
J.t1J;~ 1lkEf ~J~r
LEGAL DESCRIPTION (office use only)
LOT J,~LOCK (ADDITION 1J~wtJcJ dJJft;x1
est-
OWNER
(Name)
;<p At1-L k""
t/1~- .11) PH' LY/',
APPLICANT Ll J... L1...k-: ,A/J J
(Name) / T:IJ r,.7~L, ///~ ~/} ~ I-
(Address) /f/1J 7 / /iTh ~y~ 3:p
, .. - (Address)
(Contact Person) ~f1~ ,
APPLICANT SIGNATURE _~~~
f2"/.,j!J
rj ~D'/
(Address)
,." , ,
/l
V
\/1
v
Date Rec'd
~.~;':n ~~:y I PERMIT NO. n5- '."'.-:21"
3. Yellow Applicant (/ (d"~U
ZONING (office use)
cl '
c.::J IV PID ;2 5" - 6 J /... 0 02~-0
(Phone) %~ 17.1/'7 J Jf>ZJ
DATE
,-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT E"AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64.50 Residential, AC Only
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWaITn Air Plants
o Gravity
D Mechanical
OAir Conditioning _ .J..J.
J21'Vent. System lJlT7///'~
FIREPLACE MAKE AND MODEL
o Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices _
~1IJi:tWP ~~ p
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'ffice Use Only)
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
$39.50
$39.50
$39.50
.50
Paid L//J..~
Date I ;;J'" d- i- "'5
;his Application Becomes Your Building Permit When Approved
Buildin2 Official
Date
Recei~cJ'5 '8 OL
--
By 0--,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE ~: ~~1L ~~~ucmlt
Applicanl;cBt:j~~~~J:h~':1f' Phone' q~ ~lJ ~~
A~dress:d\\gl 'f:(1)~ _ m.. ~-ID.~t\r'n 4--l'AI\! 5S3JCL
Signature: . J!4.(,'7l/'Y1J J ~.(117 e
Legal Description: Lot (Bloc-k- ~b
Site Address: ::Sci 04- LtLfu.J' 5\ l.A~.~ L-t rc_J-e.,. li I' ov L.t1Ji
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The- Cenlrr ar the- Lak~ Cou"try
Quantity
Type of Fixture
Quantity
Type of Fixture
J
Bath Tub with or without shower
Rough-ins
Water Heater
Water Softner
Dishwasher
1
Floor Drain
Lavatory (bathroom sinK)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
This -permit is granted upon the express condition that said
contra<.'tor. shall comply in all respects with the ordinances
of the State Plumbing Code and the ame menls thereof.
~ - - ~ 1 9 Z'"l(j.RECEIPT NO. DATE PAID WITH
JAN u 0 ATflUfLDfNG PERMIT
Call for all inspections 24 au in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
1 . d
S66S-G6tr-GS6
eEO:SO SO 01 uer
Residential Building Permit Checklist
Basement Finish or Interior _~tGrJ.tion to Single Family Homes .
r
BY:
~
1-~
Date: ! / _ \'3 () --- {)S
PID: ZonIDcr:
~
)0- K:E.--131 kT ~ rt/ vel e--- ,..i
Subdivision: ~ EJ~ ,;.
Building Permit;:; .
Site Address ,,3 (;<f) <-j--
Les-al: L ;19 B /
Emring Stnlcrure~r NO
c7YW
NO
CON"FORLyIS TO ZONThG
ORDlli.AJ.,{CE
Is this an exoanslon of me existing fooe",,,;"': or
. .
building height?
:rES
R~re: ~o Planni.J.g
Is the property located withi!l. the flood plain?
R~re: to Planning
Does the alteration include any additional kitche::!S?
Rete: w Pl ,,~iT'l g
Does the proposed. alte::anon include any outside.
entranc~s othe:- than pano doors?
Refer to P1 ~,.,,.,m g
Is the proposed. use or me furished. space or
alteration for anything othe:- than a not:nal 3ingle
, fa:rruly home (offic~, graua heme, ciay care, etc.)"
Rde:- m Plan:cing
THIS CB:EC1G..1ST MUST BE COMPLETED A.l.'fD lNCLTJDED IN TID: BtTILDI1'4'G PERl'lIlT mE TO
l'/{)JNTA1N A RECORD OF THE REVITW.
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS 3z..o4 LAME BLUFF CIil.cU-
NATURE OF WORK IA"J~ t-SVI!1, Fi),J/rH
USE OF BUILDING s: pr; D ·
PERMIT NO. OS //82- DATEI.8SUED It-liltS
CONTRACTOR /"AI/EM. C'/fII:'T8ueTllitJ PHONE1s2 .1"- ".",.
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
E UNTIL ABOVE HAS BEEN SIGNED
FRAMING
INSULATION
. ELECTRICAL
PLUMBING
.
#?f--
~
. /
////~b
/~~b
/z/~k-
~
~
h' /,IS e . .
h f,{ ~ //~b
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
i
/ h/ /ot:,
~
,
. ~'"' ;
~
BUILDING
ELEC"'fRICAL
PLUMBING
HEATING
DO NOT
A ~
~t
f (i
51es/~
I r
--1
'\J
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~D4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
L~ 1;\J'J
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-.
~~_ ~~/\o
!/~
t
C1-
TIME
~ - }(~2
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector: _
..-. Owner/Contr:
~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CALL
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl