HomeMy WebLinkAboutBldg Permit 05-1048
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See ~ain Fil~i.e File
i ~~~I~w ~~;licanl I PERMIT NO. 05. I O~
(J@1Pitfl fr. fE
~/~VJ,
(Please type or print and sign at bottom)
ADDRESS
1 'l5Df}.
LEGAL DESCRIPTION (office use only)
LOT qBLOCK I ADDITION
OWNER
(Name)
(Address)
ZONING (office use)
PID 2,5. fZA--_o (J +. 0
(Phone)
BUILDER
(Company Name
(Contact N
(Address)
(Phone) !15(). ..q~~ ~ 2-
(Phone) ~,. G.:tCo..l.f/~
TYPE OF WORK ~ew Construction ~eck o Porch ORe-Roofing ORe-Siding Jiltower Level Finish ~Fireplace
iE!Addition DAlteratlon DUtility Connection 0 Misc.
CODE: m.R.C. DI.B.c.
Type of ,construction:
Occupancy Group: A B
Division:
I
E
llIIVVA
HIM R
2 3 4 5
B
S U
PROJECTCOST/VALUE S/fd.q, cn<f
(excluding land)
II
F
I
I hereby certifY that I have Ii..mished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or amhonzed agent for the
above-me !loned 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
;cial can le t I'll\mit ~ j t caus Furthermore, I hereby agree that the city OffiCial~~7operty to perform nee~n~T~ns~OS'
'- Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/7a, 0 OD,cj 0
$ lit7 ~(J
$ -
t:jr;7. ,r'
$ .~S. DO
$
$
$
$
$
/lJd. t!)O
/1Jt:J.tJO
3S.. S-~
4tJ,tJD
This Application Becomes Your Building Permit When Approved
~.~
Building Olllcial
I()/o~.r
I Date'
Park Support Fee
SAC
$
$
$
$
$ ISa~, Od
$/~()O,OO
$
$
#
#
I~SO'() 0
2So, 0 ~
50' Do
~ ,
Water Mete<"" Size5ZJ;J.";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$70 +/. 7'tJ
Paid
Date
~
'7 tJl//. 7"
ItJ:/ ~,r
SD:J z.<,
/"\
ReciiPt No.
By( ,-
r
ThIS .S 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
when si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss ~ /~k/DS See Main File
Planning Director ( . Date 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
White - Building
Canary - ~..~. eering
(pink - Plannln
-
BUILDING PERIVUIAPPLlC.ATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
/......
;- i
I '
i
/
The Building, Engineering, and Planning Departments have reviewed the building permit
app-lJ~tion for constructio~ activity which is proposed at:
I ~_..> L L/E [. I-- If:.. Ll./ L) I~ .
t
j-~._.
Accepted
Denied,
/'
Accepted With Corrections
1(
Reviewed By:
~
"
~
~
Date:
/o/y~~
,
Comments:
IL
See Main File
'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," or other
ordinances of the jurisdiction shall not be valid."
.,,'.... ./
.~.~
See Main File
(jVhite . - B~
Canary. - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DI;P.ARTMENT CHECKLIST
NAME OF APPLICANT
D. R. HoR. ION
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lIS 0 L. DCbe.Ft6t..L) J)t!-.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~9~~
Date:
/t:)/S~S-
I .
Comments:
See Main ~-'ile
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.1I
./"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPI.J.C.ATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D, /<. 1-1 Ole:::::.. TC)(\.j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-7!J" () 2- iJE~4-!E t-D DIL.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
S-eL /J1c,; Yl hit
Date: 1(J~l?-oJ
Comments:
"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 9:55 FAX 952 767 1900 GENZ-RYAN
f4I 007/008
,.-
./
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
C!'lease tyPe or print and ~ at L ........}
ADDRESS
1'l6();)
'Df&{( AeJ c( QJ'1" ~~
../ -
~: ~ ~: PERMITNO~ IA~
l. GoIcI Appli.... ~
ZONING (olftcellSe)
LEGAL DESCRIPTION (office use only) '~,')
LOT j,., BLOCK ) ADDITION ,-~e(fi d c../
, OWNER DR "' (..to-
(Name) \-\1)\,')1')
(Address) d{)X1 of) \..(eV,i0V\cIDC Cd" stc iLD
(Address) oJ
Ie;) fb
PID
(phone) q5'~- CiK5" '7~tJ'i
Lfil(jJ/t' ff(./ 550 LJ Lj
(City) (Zip Code)
IMm~~ n, m-
(Name) ~(1~1.- Ibi4 a III . (phone) V(f12 - 71P7- (()I){)
(Address) 1-7.JJ() W. I ~ft^{JJ (,3 BuJtJI1S'V/fI-G-~ ~X?;37
(A~P ~ (City) f'k..- _ (Zip Code)
(Contact Person) 1"\ 1 rYJ. . . (phone) V['21Y 1&7-/!fJ)
~ ~LICANTSIGNATURE( 4:sC0L, k~~!.i,u:U' DATE /()/g/ /()5"
,
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 minimwn
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use Only)
I This Application Becomes Your Building Permit Wben Approved Paid
Date
Receipt No.
~
Building Omcial
nate
I By
24 hour notice for all inspections (952) 447-9850, rax (952.) 447-4245
FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLUMBING PERMIT
I4J 008/008
Date Rec'd
----
,
(?lease type or print and sign at bottom)
ADDRESS
I r;1l~~
OffVf, eid 1)0 ~ t
Deefr:ft tl d Q th
i:~: ~!~ I PERMIT NO.1 INIIJ
3. Yellow AppliClltl tiiiI. "'-,:::u
ZONING (o.tlice lISe)
I LEGAL DESCRl.t'l'lON (office use only)
LOT J-f~LOCK ADDmON
PID
~~~R D I~ ttDvtO{l
(Address) ~08tp.D KCI/"\\b~1 0t0c (t*
. APPLICANT fl.. n
(Name) t:J.id1l. - t:-lJ aV)
(Address) 211)0 \N.) 1-ft'\J D{ 1..3
f (~dress) J
(Contact Person) 'K 1m
APPLICANT SIGNATURE ( ~
~ -fe. I (JC)
(phone) qt.=),~ - q y&:).. (f()'J
LDJ<LVi II f, 5504 Lf
.........-..
/"'
l~eJuiUtJ
'--
(phone) QS1.-ttP1" (aDO
P>/A.tlVl'-V(fff..- MN 55337
(City) /) (Zip Code)
(phone) Lf~ '?le 7 -/(/jj
DATE I 6/ 511r)~
,
Quantity I Type of Fixture
I I Bath Tub with or without shower
i I Dishwasher
i I FJo
r~ I Lav
. II Lau
I I Sho
I I Sink
I Bar
~ I Wat
MPUCMIT~EMECOMPLErnBnow
or Drain J Water Softne
atory (Bathroom Sink) I Stand Pipe (
ndry Tray (I or 2 compartment sink Sewage Ejec
werStalI r5 Backf]ow Ass
s Backflow Ass
Sink Lawn Sprinkl
er Closet (Toilet) I Other
Quantity
3
f
Type of Fixture
Rough-ins
Water Heater
r
Washing Machine)
tor
embly
embly Test
er
.lfEJ:!,; Sl..J:l.I!,DULE
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 Pennit #
(Office Use Only)
This AppJication Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Building Ofiicia'
I Paid
Date
Receipt No.
~
Date
I By
24 hour notice for all inspections (951) 447-9850, fax (952) 447-4245
, :~ ~:?l.cn '..
, ":nilt~Rec'd
. l' :.i ;.: .~ ", .'
.. .
......,.
; .
.< .
I P~~!:N?S:;(/~
. 1. .,.~~~
",:, I.~..:t, ~. ,'t :.::.....:7,:~:.:~;,.:;.::'.:~..'.~......t
: '.!:,-:~o~~;(~~;~~~, .'., .
. -
R:t:Sid~ii~i;Additlons & Alte~tiori~q.:'"
RCsidenii~; At Only .' '. '. ' '
Buildmg ~emiit # '
(omCI! lJSI! OnlY)
. This Application Bec()mesYour Building Permit When Approved' Paid
, HEATING PERMIT FEE
STA 1E SURCHARGE
. , TOTAL PERMIT FEE
$J.6/\\~~.~~ID 'WITH .>:' . ,..,
$ . '". .s(8U'LPfNG ;PERMfT . . '
$ .' ".
Building Official
Date
I ; I ReceiP)
. BYd
. . ,
'24 hour notice for all inspections (952) 447~98?O. fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
,
~
INSPECTION RECORD
SITE ADDRESS _ ? ~ z. Dee:. R. F/a,o Dn iJc .J:G ·
NATUREOFWORK jlJG.J ~ne~/cw 'lIJ!pNTiNt:iIJ l.t'L
USE OF BUILDING s,1f\A.._
PERMIT NO. 05./048 _ DATE ISSUED 1~/s-/DS .
CONTRACTOR f),(l. f+olt.-n.:J J ,,,Je. . PHONEl)sa-le"-,,,.rL.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DA]E "
11/91ar- i
f FOUNDATION (Prior to Backfill)bJn~lU7~ ~ //AzAfrt I/#j... l2-f/lJj-
PLACE NO CONCREr'E UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC M I/bj/~J
FRAMING - ~ H' /~6
INSULATION yjv'~ //~/() ~
ELECTRICAL , . I ,/;)-/06
PLUMBING (/, C, lIP; ~//16 J1f/t- I ..2/II~t:'
HEATING (if required) ~ I ,2'/('h.b
FIREPLACE AI /;Lf I, l"
GAS LINE AIR TEST ~ h #1-- /1-1/u1,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.. .ft, 'I
UcTH& / /flMftFWAA/J I //?J-. I ,2/6~6
FINALS -.a,
,- -
_ (~e- ~~... h/~" .
/#f/ --S/?~~.
-! ,~(/;;4c.
JI/JI/ ~ JII '1 j~ ~
,I ~. ~k~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I FOOTING
INSPECTOR -1
~
GRADING (Prior to Soddin~)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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
-
..1 "l'''j . ~: "J.'~'."">>."'~ tt~~~'1b~.'i'~,'{ , ;,~.~,,,,!:~~;~r;,(~~:~,\:~_~t~ r3~,r'~""'~~:-:" ";"~tr-~- ";-~:J:r.:~
:,.
QItrfifitaft of <IDttupantll
CITY OF PRIOR LAKE
~:epat'fttt:enf nf ~uilbing J{nsp:eefinn
~inal Permitted D Conditional C.O. Expires_ , "}
7~ .~
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D lntentatjonal
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification ,-:S/lvCt E: 7,1/1'/1'- V Bldg. Permit No. 05. /b4-&
,
Type Construction V /J Zoning District /< Z-
L- <f _ t/ I, O[EIc'.-(~ /6.- '- V /2 7J-I
Site Address /75 () Z. 0 E 6~ I G.L.o f)A:::.
D. 1.(";.11 jlG.-n;t../
~~ City Planner
"'" 7" ~~uilWng Officiol v D...
d
Occupancy Type .
1/ "7
f,- ~
Legal Description .
Owner of Building
Contractor's Name & Address
DATE nilE
CITY OF PRIOR LAKE ~~~
INSPECTION NOTICE SCHEDULED ~
ADORESS /7Sa.2 4t!?---1l~// #
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S-/t!)~Y
CJ FOOTING
o FOUNDATION
o FRAMING
0_ It!JULA TION
.A:f"FiNAL
o SITE INSPECTION
CJ PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
o EXIGRADIFILLING
CJ COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
5~/
- /"
~~h ~r;k~/. '
_ ~ "tI'1UJ (!b--~r- ~ ~
,
II / I /l f/
~~~r .' rt/sv~r / -.e-.d~ L.~J -
~,,'-. ,-I ~ A~~ /.)'~.4'/4d.\
c? .~ ~ f, ~~'M~ Pi.-
CQ"'IJENT~ .
~ / 't!!07r" C~ /
, J
/ /'
jP7/",
, ,
/
ere
/'? / /
.H'h~ L' 25[e-
~ SATISFACTORY, PROCEED
CJ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
l~~o.ne'~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
ADDRESS
/7-3?)2
DATE nile
SCHED.ULED ~~~~
~prd/cf 4
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.~- /oyp
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
"JrPtUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /1J /
p"~~b/~
/'
_d~ /
./)7~~~e /'
~//
,
/ :/ .J"
ra,r- (Y~
~
Hji-~
-
/
/
~
~b
L-'/~
,
~ATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR.:y~FOR REIN}PECTION BEFORE COVERING
Inspector: /~L-----'" Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
II
-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ..AI ( ~ r \1 a f/ .
Name of Tester ('/W
Date ..",'" 3/''10((.
Job Address .mp,~ i)efrf:~tJ ()~
Heating Contractor -441:\ L-. ,.,..-
Name of Tester -tf
Date 1 /6'
Percent 02 (!) . ~ · ~
Percent CO (? {/ "'?
Percent C02 5. ~~"
_-1...... 1\ {J,t;
Stack Temp ~ ,
Combustion air is adequately supplied per
UMCS~.~6 V~
-'
input ~ UiJ ,r...J