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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