HomeMy WebLinkAboutBldg Permit 05-1042
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Ei=e
B (10..'1 btr/ 3 Yellow Applicant
(Please type or print and sip at ", . .......)
ADDRESS
141 b3 p~ kv;e."'" L" _ N W
LOT~1 BLOCK I
LEGAL DESCRIPTION (office use only)
ADDITION :f'e...f.fLr!;. Pt\J 1= t rS t
AdJ. , -1-:",,,
OWNER
(Name)
aut Ider
(Address)
(Phone)
BUILDER
(Company Name) W~<:.A~ H..c^,-LS
(Contact Name) ~~;,. ....: c a... <'d.;,.L:-~'-
(Address)lH~u:'J;_ , gqS' PI_'Hi. t1:.:.JL.,
..)1
Date Rec' d
t.{,:) 3 --tI5
I PERMIT NO. 05'. 104/l- J
ZONING (office use)
PtJSO
PID ~-437-Qc).'J-O
(Phone) ~ - 4J;LJ.. - "f C( 0 0
(Phone) J:J ~ - ~- '7 q ~ \..{
Su~ fL ~. E~","^ . MJJ S- S-I ~
TYPE OF WORK a New Construction Ii(IDeck OPorch ORe-Roofing
OAddition OAlteration DUtility Connection
DMisc.
CODE: X1I.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
I
E
V
M
4
ORe-Siding JCJ.Lower Level Finish XI Fireplace
A
R
5
B
S U
PROJECT COST/VALUE $ 13l>.l1()o. 0 fl
(excluding land)
I hereby certity that I have filrnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed 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 buildmg
official can revoke this per for just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform necded mspections.
xQ~
II
F
I
IDlY
H I
2 3
B
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
TJ/3l00tJ,OO
$ l~CJ. 5'"0
$ ED~,,,~
$ "5:'.5'"0
$
$
$
$
$
IOo.D1l
'''0.00
35".5""0
4(),DD
I 'f ~,g'
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter ~5/91";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
~-~~-o.r
Date
*. ;~
#
#
$
$ /lf5(J,00
$ L.SO.OO
$ 5tJ.oO
$ I'SOD. D'CJ
$100/).00
$
$
$,,, '*3"./ r
#
#
# II
I Paid t.L.:r". , r Rec~t No. SlLIJr-
~~ !4/. Ie IDate ~1Jv:~r By!.
BUlldlllu Ollicml a~e OS /JO tA....~ 151 .f/.. , ~,.
--(J ~~W--
ThIS IS to certify that the reqllestlO the above applicatIOn and accompanymg documents IS 10 accordance with the CIty Zomng Ordinance and may proceed as req~d Th~S un:J~ ~
whcn Signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupa c ~
lSSll~ -~ /0/17105 See ~Jfn~~ PI-Ie
Planning Director ~a~ -"~anr
This Application Becomes Your Building Pennit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
see ~ain tile
White - BuU"lna
c r-An_'Q' -~rln~
Pink - P annrng
eUILDING PERMIT APPUCAnON DEPARTMENT CHECKUST
NAMEOf' APPLICANT
APPLICATION RECEIVED
.~
The Building, Engineering, and, Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'7/b 3- ~J/L;Ko~ /-IJ
/<--
".
Accepted
Accepted With Corrections
Denied
Reviewed By:
A,t6(
Su 4~ F/((
Date: JI)- ,-() .r
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shaH not .beeonstrued to be a permit for, or an approval of, any violation of
any of the provi$iona of. code or of any other ordinance of the jurisdiction. Permits
presuming to.. give '.,~ to '. vioJate or cancel the provisions of this code or other
ordinances of the jUtisdfOtton shall noJ be valid. II
~
..
.,
White - Building
~r:y - E:nClineering
. - Planninl)
See Main File
aUILDING PERMIT APPUCATION OEPARTIVlENT CHE.CKI..IST
NAME OF APPLICANT
APPLICATION RECEIVED
'-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'--1/& 3-7./,--K,U~k?!tr I-JJ
Accepted
Accepted With Corrections /""
Denied
Reviewed By:
~
-~
Date: / d /t 7/Os-
. ./J ;_ L1,' )
,.A.....~#...._~ 0/ ~~
(J ~
~ ~ ;/~.
Comments: IJtJ
~~,
~
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
See Main Fi~e
~hite - Bulldl~
Canary - ~~.=-;..";nng
Pink - Planning
BUILDING PERMIT APPlJCATION DEPARTI\dENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'IIb s- ~~Ko~ /--IJ
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
.....
-:;e~1'-
Date: I(!)~ ~~s-
'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."
12/20/2005 TUE 16:18 FAX 952 767 1900 GENZ-RYAN
III 008/025
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(Please tv'Oe or llrint and sign at bottom)
ADDRESS .
Jt-fUt?:> Pur k.UiJ \^J
i ~":'w ~ PERMIT No,~_/IA ...~
3. Gold Appli....1 ~ V .,. ...
.-.1). Yl ~ .I
ZONIN' G (olliee use)
LEGAL DESCRIPTION (office use only)
LOT ~'lBLOCK _I ADDITION
. OWNERiI1' 'P'I'\( t r\r)J '(\ '\ L. !\Ps
(Name) , Jl Y L:') (y v. ',\[1 I ~i"): ll.
(Address) 19:Q5 PI0lZ0v Dv. S1LXX)
(Addre3s)
PID
. APPLICANT (1. 12 #J r:::;; l"n ,
(Name) ~.LUll-.(,1 a 111 . (Phone) v (I' j 2. - 7 t1! 1- (OO{)
(Address) 'L If)() Vv,' l:bA.at 13 314 tI1) V i II~ Mfj 7S?J3 7
l' <A~) ~. . (City) <fPl Code)
(ContactPason) Nt O{~~, L . rYla.n . (Phone) Q,1')1- Jiil; lJJ02
')LICANT SIGNATURE f\.... ) . )AY~ DATE t d-v I 0 :)
,- J I -
(Phone)
-61~ (~ll f'v1 N
(tity)
tJJ5 j - q(f5- ~-n eeJ
55j)';l
(Zip Code)
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 '1 & Multi.family I % of job cost with a $39.50 minimwn
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
J;Jj ~ ~~ I~ n DIn [~r ,
,Sfi1vll .' ~f11.( " - i"... '
_ . ~~1t.1P05 lJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
_B~
RI,.,~..l... l./u.
Building Official
Date
I By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
12/20/2005 TUE 16:18 FAX 952 767 1900 GENZ-RYAN
@ 009/025
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please tvDe or orint and sign at bottom)
ADDRESS
4 /~:) ~Qr lVLe ~V' -1\V)f)
~::..~: PERMITN~_ ~A~~
3. Yellow AppliCllll ;;1- fJI''''' ".
I ZONING (oflice II$C) ,
LEGAL DESCRIPTION (office use only)
LOT~ lBLOCK I ADDITION
PID
Quantity
.JL. I
. f
I I
J I
, I
I
\
(phone) f d5i-C/(yS~ ?i7t'Y1
EU0tlYll'vlN 551d.~
I APPLICANT /I, 'j) IA
(Name) ~~- ~l.faV) . (phone) -lr?2-,1J11 _ (ODO
)
(Address) 21JJO \.N. 1-h/~1 D{ L':S PiAf2J1C"V d It'... M N ~'J:-5'57
' (Add~s) . ) (City) (Zip Code)
(Contact Person) -fOJf\ \.J(h\,~ ntv~f)(An . (phone) Q22J- IIp f.-/XE) 2
I\PPUCANT SIGNATU~"---\. \(~b.1)'J1Lrli~^" DATE I ~ 0:')
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Sta11
Sinks
Bar Sink
Water Closet (Toilet)
OWNER II i ^ f'C' I('(\(J ~ n Ll \. 'C.
(Name) _,Un Dr I { ;(1; J t r Ifl,\f){.-::;
(Address) 1 xQ0 PIOt7-CL Dv-. ~+e. (;(1)
Type of Fixture
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
~
FEESc.lt.I!.DULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost .$
Building Permit #
(Office Use Only)
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
.50
8tJ,,-';j;~D Wrn.,
G PERMrr
This Application Becomes Your Building Permit When Approved ~id eipt No.
. -~~ -- r
D'k . -~ C( ~ 3lOUS IUI
24 hour notice for aU inspections (952) 447.98~ x (952) 447-4245 U
Building Official
j~~Y~.
12/20/2005 TUE 16:18 FAX 952 767 1900 GENZ-RYAN
~ 010/025
CITY OF PRIOR LAKE
HEATING/Am CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or 1lrint and sistn aI' bottom)
. t),DDRESS ^
\ q \J '') 'Alr (V~VJ
~: ~ ~~. I PERMIT N4P:. UrV~
J. Ydl"" ApphCllll ~ - ,., rr ~
1J1 VIP (
, --
ZONING (0I1iee
use)
LEGAL DESCRIPTION (office use only)
LOT d.."'WCK \ ADDITION
~~~R \ J letl\~\'Y\(l Yji'l Knryy:",;
PID
(phone) (Y51- 4C/5- 3700
(Address) \ gq5 PI ()1Ov- Dv-, Sic XO
[;.QJA Cln l'v~ 1\/
c::r::;,' '.1'"'\
~_~.,) r;;l-rd-
APPLICANT (' Q q")
(Name) c::reY11- - ,-.-I 111 y, (Phone) 'f)~ -7 [i7', fOOD
.J
(Address)~;}[f) W' f-hUG1 i'3 f3 urnsvi lie
<- 'rA~ress) (City) (Zip- Code)
(Contact Person) ~ h , \.\C \'I W1~ 'X1 (1(1 (phone) 9.5-1 - ~/){~?_
APPLICANTSIGNATURr(1)} (l '\.) I'\Cl1JJ.1lQJJ1J!.f12 DATE I.~ U5',/ O~
" V APPLICANT PLEASE COMPLETE BELOW
~W COL~n~o~ 0 REPLACEMENT QALTERATIOli,S\ r:. ('
FURNACE MAKE A~ MODEL" . -y.. f:ty()uH -~-- qn FUEL t\l(t' ( t1 Q \
fLUE SrZE RETURN OPENlNGS rNPUT OUTPUT
TYPE OF SYSTEM HEATING OR POr\TER PLANT
DWann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
OVent System 0 Other Devices
!j53~-7
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FrREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-FamHy
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
-
$39.50
Residential, Heating & AlC (New Construction)
Residential, Healing Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
I4J.J11..1i4/0 ~
DING PfERAArr
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved ~\ I.~d @1,r;rDr]1c;-'\-1eceiPtNo,
\ 'I Ie Iln C, II \~ l!;
\ ~-:>ate \ E ' ,
Date I,) nEe 2 3 7005 Ij
24 haUl' notice for all inspections (952) 447;~ lb, fax (952) 447-4245
BulldiR20rncial
By_
PRIOR LAKE
~
INSPECTION RECORD
SITE ADDRESS l!i '"'' ~~" (i~f) /-AiJC fI,_W, ,
NATURE OF WORK NCAJ ~~e/~ r,.., "" Fi~+ "",t'1V
USE OF BUILDING S. P. A .
PERMIT NO. _tj?_/tJ~z... DATE ISSUED LV."~r .
CONTRACTOR LiJDlr~ /:N1IA'6 PHONE"..J',-71ZV
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
I FOOTING I
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
· SEWER I WATER I SEPTIC
, ,
FRAMING 1/)' i;kf/k
INSULATION : f'~ 7' i~ I
ELECTRICAL / I
PLUMBING ' f/ /..S "3%/; II
HEATING (if required) 1/1 y)~JI:/~ #' I I
'.L FIREPLACE ./ / J
I.{/:rt GAS LINE AIR TEST
t.L e:L COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Pb ~71t6' //fO"" IJJIlA' I I
.
FINALS
I
-.a,
GRADING (Prior to Sodding)
BUILDING
ELECTRI'~~L
PLUMB.Ncl
HEATING
DO NOT
I ~~r
I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Iff;}
. I
I
?
5)tl tJ ~
I ,
I ~
qo//~ {,
e /
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
-'i:, t
,~' ,'.,,!-.~...,!:'
"i,
dtttfifitaft of Q1)ttupantll
CITY OF PRIOR LAKE
@.tparfmtnf llf ~uilbing JI nsp~tfilln
/~ Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 Interntltional
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 5//I;GI e, FJ.-I/'-/lL.V Bldg. Permit No. (;5. /u4Z-
,
Type Construction_ t /V Zoning District P tI ~ 0
Legal Description _ L Z 7. I.J' I. JEr- ,c E, K'-5" 1./ () tV L) ;-= ;-
Site Address J4/~3 FrJ'I.!Kt,./6W ?N.
Occupancy Type _
IcY
Owner of Building
ContraCtor's N~e & Ad\lress
I '
i ! rl J
ji / Building Official \,
/ / I /
L vEIV-$:r/ r/A/ /1/ Ho/'1 e;s
1/
City Planner
Date:
Date:
DATE nilE
CITY OF PRIOR LAKE gpf(JJ
INSPECTION NOTICE SCHEDULED
ADDRESS J41111~ QarkU\~
OWNER CONTR.
PHONE NO. PERMIT NO. ~_- ~-Z-
o FOOTING o PLUMBING RI o EXIGRADlFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP D FIREPLACE RI
o INSULATION o SEWER HOOKUP ~REPLACE FINAL
~ FINAL o PLUMBING FINAL D~~T
o SITE INSPECTION o MECH FINAL
COMMENTS:
( )
t"'-
~ORK SATISFACTORY, PROCEED
o CORRE~T 10 AND PROCEED
D CORRE fI WO K, L R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL ~~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IJI/SNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ILl I V ~
OWNER
PHONE NO.
o FOOTING
D FOUNDATION
D FRAMING
D INSULATION
o FINAL
D SITE INSPECTION
SCHEDULED
~k lJ b-'e&..)
CONTR.
PERMIT NO.
o PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
,er-PLUMBING FINAL
D MECH FINAL
DATE
G~
TIME
s:" 1043-
o EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
COMMENTS:
It /) ,(1 1
I. ~- f.-u1 ~~----
D WORK SATISFACTORY. PROCEED
i COR I N AND PROCEED
D CO EC~ CALL FOR REINSPECTION BEFORE COVERING
Inspect r: Owner/Contr:
cU ...t.'OR THE NEXT INSPECTION" HOURS IN ADVANCE.
, I..UI.JtR:;UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI