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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