Loading...
HomeMy WebLinkAboutBldg Permit 01-1404 (Please type or print and si2Il at bottom) ADDRESS \. .l'Y OF PRIOR LAKE BUILDING 1_ ~tMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd /1-2 r ~I 1. White File 2. Pink City 3. Yellow Applicant PERMIT NO. O/-!I/{J4-' ZONING (office use) 142173 ~ roo~n-t~ hI vtf ' 1<:2- LEGAL DESCR.J.t'TlON (office use only) LOT I BLOCK l. ADDITION OWNER (Name) ~ 1l-4(J~ (Address) BUILDER (Name) (Contact Name) (Address) 17 W t)lA/v /E!.M./ PID ZS- - 39'1-tJ6.r-t:1 1/,; h1 e,., IAJ!t,,' -hwd-er j)r, . I (Phone) 9'S2. - 'i'3~. ~$J 3 5u.: k jU;J 11,'"" d,;~JfA/.~.n't3 / / / ~1Jfi1 t>. UdI- ~ 'UIII1 tAl 5tu11 e- (Phone) (Phone) ~~ro '~/l-m-369~ TYPE OF WORK ",0'New Construction OLower Level Finish OUtility Connection o Misc. I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee o Deck OPorch ORe-Roofing ORe-Siding ...!2fFireplace OAddition OAlteration PROJECT COST IV ALUE (excluding land) $ lIs-. tfJ~O , $ $ $ $ $ $ $ $ , \~ 000 ,Q51 1,07'), IS- '10('),<;</ 5'1 .51> .---. # $ $ $ $ $ l;2-0~ . aJ $ 100.. cO $ $ # (be) ,~CJ o( 00 . (9(;) # # 40. CD $5Q75. 7'1 4ffOW - , I Paid S~.7 s- ., '1 I Date Iz./JA loJ . Receipt No. By JUJU This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document ~~.by" Citr """""'. constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,. ' c.rtilia'.e of Occupancy .must be tss~ l^ L' IJ'N - M ~ y ~-Plan~'n;~~-:'-"~ L1--1~!/~ ~~ditions,ifany /L~~~Vl~, 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 White - Building Canary - Engineering Pink - Planning Th. ('.n... of Ih. I.ok. Coonlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t6Nl ~X ~"OfJI f,S I J.:. zlj -D ) . I The Building, Engineering, and Planning D$partments have reviewed the building permit application for construction activity which is: proposed at: 14~v3 Beoo~M6r2--~ BLVD. Accepted Denied ^- Accepted With' Corrections Comments: 11MB Set... ~,~ ~"ku: Date: I ~"I()-o .I Reviewed By: 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." The (<enlrr of Ihr take Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED CBtv{tX HC~-IES 11- ZO-O' I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14t(P~ B~UO~IV/SI2.t BlV(). ~ Accepted Accepted With Corrections Denied . Reviewed By: ~~-4',p';e., Comnents: Date: l ?-It'-l It;> I . Q ~~,c.y~ 't . '!2> ~ r:'~i,l~.M< i~~ {'-il!Ji~. +--O(d ~~CL 9L11 ~A1 ~Mt~( - --4 "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." Date Rec'd CITY OF PRIOR LAKE PLULYIBING PER.J."IIT 1. Blu. Fd. PERvIIT NO.O {-/404-.- :. Guld C:ty _ J. Yellow Applicant (Please type or orint and sign at bottom) ADDRESS I It! a~ / $/t1tJbntli ~!JJ ZONING (office use) LOT LEGAL DESCRlPTION (office use only) ADDITION BLOCK PID OW"NER/I ~ (Name) (~jJ..A.l~~. (Address) (Phone) . APPLICALJa/~ 1)/1/) (Name) (J 0: 1"/ {Jr' (Address) iUO tJ()ab r .!})f (Address) (Contact Person) (Phone) tJ{:2'~~~ J r J/J/ ,,0/'hlL ,1-;;~5~ ..... ~ ('C~ity) (Zip Code) ;:~~ ~ (Phone) a/df/)! Jvl'J.A~ APPLICA:-.iT SIGNA.TURE Quantity ..1 / / ...? / ( ( -.1 DATE APPLICANT PLEASE COMPLETE BELO"V Type of Fixture Quantity Bath Tub with or without shower .. ? Dishwasher / I Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink I Water Closet (Toilet) Type of Fixture J Rough-ins I Water Heater I Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector Backflow' Assembly Backtlow Assembly Test Lawn Sprinkler . Other " " FEE SCHED ULE Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Rt:sidential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost S Building Permit # PLUMBING PERMIT FEE $ STATESURCK~RGE $ TOTAL PERMIT FEE $ '. ~\O W~.xt\T .5 NG "",,".' l BU' (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE BEA.l.l.L~G/AIR CONDITlONlNG,~udPUCE PERMIT Date Rec'd MAY , 5 2fll2 t =- ~luaI I PER.~ ~v. / - 1404 (PIe&sl! t.:flt or oriDr: m4 slID &I: baaDm) , ADDRESS ZOJ.'lcl.l~lJ (alliin..) I~ ~ t'- ~ q,,..,. f4. ~~ LEGAL DESCllaz "...ON (oIIeeUleonly) LOT BLOCK ADomON PID OWNER . (Name) _C (~111~. V ;-Jc..,....~5 (Phone) .(~) APPUCANT (Name) ~e.C',f.' ",.f '9- CO;;) I ,. t'_~ -ri.v.#-J (Phone) 7& 3 - t;,2V';'. ~"71 .' (Add:ess) I' Sf'S-:S-Q c... "CO"...", T'-#' ~d (Addresa) 8'/ /-./- /)':1.., .~/~ G ,"" A S- r.1 & '1 (City) (Zip Code) (phone) C-' 2- 3~ 3 - S-.s-.~ 7 DATE ,s-"'1f'.. 0)/ (Contact Person) \ C bn it:- ~ APPLICA..~T SIGNAn.TRE --' _& _ .. ~ APPLICA.~T PLEASE COMPLETE BELOW [QNEW CONSTRucnON U REPLACEMENT 0 AL TDA nONS FURNACE MAKE AND MODEL J3.c;;fC4t'. t-~'i' 3" ''3(ar'> 70 FUEL G <It .$ I ' FLUE SIZE 4J' REroRN OPENINGS f.p INPUT ':?n j "" arJ OUTPUT .....J..So.~ r::J TYPE OP SYSTEM HBA1nJO OR POWER. PLANT . ~arm Air Pluta 0 Steam Gravily 0 Hot Water MechanicaJ . 3 Radiation ~lr Conditioninl SpKi&l Dovicc.s Grlenl System 0 Oth. Devi", --- / ~ r.,..., PLEASE NOTE: Air Conditioner Units ClDDot EDc:roacb iaco Required Side Yard Se!bleks FIR.EPLACE MAKE AND MODSL Resi4ential, lie.tinl "Ale (New Construction) Residennal, Hoating Only (New ConsuucUon) PEE SCHEDULE 1% of job COlt Raidential. Gu FirwpllM:C $39.50 minimum S99.~ Residential, Additions &. Alt=ratioM $64..50 Rosidentla1, AC Only $39.50 S39.~O S39. SO rndus1rial, Commercial a: Multi-Family Estimated Cost S Suildin& Pcnnit 1#. .! MEA TING PERMIT FEE STATESURCHAR.OB TOTAL ~iJ.AMIT FEE s s s .so ,.,~ f~,,!~ J)1'o~ . I) .','..... 7"r1-' ..,.....~ - '.~, '7 .JteceiptNo, . (omet v.. OaJy) This ApplicatioD Beeomll Your BalldlDC Permit WIleD Approved PaId Dee >>MI. , t:' IIII!) PI"" ;J "-u.~" BllIell. OIIIcia' Da_ By~ . '"1 I 24 hour notice for all t..peetlo.. ('52) 447-9850. fu (95J) 447..4245 20-d ~8928~1:>29.L OMi ~NII008 ~ ~Nli~3H W~ 1:>S=.L0 ~0-St-^~W 10/07/2002 12:00 5 __.OI'ZI/O:!-.!!U U::lT.JM IUUUUI CItY or PRloa UKS PAGE 02 ilOll o.t. ..... '-a L ( or PIUOR LAd SEWD AND WA.ft. PEaMI1' t5-= ~~J~6,~ I r ZOJIIJ)Ic:) c---- I I tfBiM"....... II- 1 \ LJ!j).{J/-f.t7 ~~/vd /3I(t,J ~ ,- t..aOAL UI!S~CJ!f (.-.......: :.oT BLOCk Al)..... .ON PJD !~=~ f'eMa' Ihn?es C~J .idf()(} tdh;bh~'. SA /;){) ~) (hall) 95:< 9~ -7i33 /Jl;ah2 h;"klL-,MIv 553 tj.i (0Ir) CD c-i - I , i ! : API'UC.~ ! eN...) I K &.. R Contracting, Inc. 3245 Lake Avenue .. (A.d4MI) New Prague, MN 56071 tClfr) (II, c:o.r.) I (C__l E2J~.62'17 ~ Q!f';1-7S-r-t..;z.'fj I AP'UCANTSlQN"~~f'-"""~ DATI ~() 17/'; APPLICAA. 'LEAD COMPUTE BELOW sa. of,..-1II'Yia ...ll\- ""w. L~" of., coupliap rr. .tI'\JI:Dn.leO ... Tn- ~... pi". 0 ABC DlPVC 0 C_IJaD !>Ilt. ~...., ... of _11M. ~O &;t. a.. 0__ otnquind) located at g,.. fIan!a ~ (ftOaa) '-..,...,....... I'D s...a..DUU Jai...tal....., ..I... liullllllDllClklD $3,.JO J......w, e..'I. MWd.....iIy 1" fIIj. - -t1ll. 13..50......., s..er ~..... CIIl~ 11'7.50 Vi.. CI:lIlDdial.11 111.30 L~ VTd COlt S BIIIWiaI'......i.. lEWD. AND W" T!Jt. P!U411' JI'E.! $ STAT!. S'U'lCHAJQE S a OT AI. ,DMIT I'SZ S J2 (~ u.. 0lYt) nil A.l'.ll..tI8a "CftI- VHI' a.u-. 'wnd W\a. ""..,... .-... . ~.l'I., ...... Of...... - P A....JIl-.... T. I I' l' LJ I _...!_~ .L.~ U ...,. .....r .Il......... (,a) ,,'...... fa. (911) ..,..q~ U 1LD IN' G u.. .. 1'.hKMI l' PRIOR LAKE INSPECTION RECORD SITEADDRESS 14':lto~ ~V'J\A-fl_ $\Jcl NATURE OF WORK J)~w USE OF BUILDING S~~ PERMIT NO. A 0/- / Lf(!4---- DATE ISSUED \\- 3c - 01 CONTRACTOR ~~,oW\~><- ~S PHONE-!oL?,.. ~"3f:i3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST DEPARTMENT OF BUilDING AND INSPECTION INSPECTOR DATE .3. 4.0~ .6 .~ 08- ~ . f ...v;;).. -g , ()~ _~ \ 10 oiL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS I FOOTING #lt4~J FOUNDATION (Prior to Backfill)~o"'vo I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~~ \ ~\jH ~ ~ Q.A.Cq' I \. fj<< g ~~ ~q GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy .~~~ f) Ii, ~~ . v ~ \\~ 4:\~~1111. . I~ \\~ . f( L"\f)';l 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, car~ shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 " ADDRESS ILl).' '3 DATE TIME SCHEDULED 1-). 3-0' f ~/ooIc,,~-c CONTR. PERMIT NO. /-140'-/ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. COMMENTS: 2ad -i- o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ . ~lS 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 o PLUMBING FINAL o MECH FINAL /~i.-, ;\) l c..----L V~ ~ ~'-/ Je""WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: I../l/ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! UtSNon CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ^~ 0 INSULATION 1'1' FINAL ~ITE INSPECTION COMMENTS: CA TE TIME.--, \ SCHEDULED S-/fl-~:0 ';.00 /L};;th3 0rO()I(t/YI.'C~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 'blA ~ 0\ \ ~ , ~4 ~.J O~ ! +r~e5 J- /~a" , o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~., Q..u.l Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ADDRESS / ~~to3 SCHEDULED ~~~~~ ~ jl:'3 ~ OWNER CONTR. PHONE NO. PERMIT NO. ~l -1'IdLf o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP .A-Z SEWER HOOKUP I \ ~ PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: MtUAO 1M. e +e.r-- - / /J.<. - . , /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK~CALL FOR REINSPECTION BEFORE COVERING Inspector: 'b.,l \..aMJJ Owner/Contr: CALL 447-9850 ;;R ~k NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN$NOTl