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Home My WebLink AboutBldg Permit 05-0866 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 10./Z.OS I. White File 2. Pink City ) Y cHow Applicant PERMIT NO. OS: 08(,(, I (Please type or print and silt1l at bottom) ADDRESS 3133 BU J J 6JeNuT el Je(!"~ LEGAL DESCRIPTION (office use only) LOT II BLOCK ADDITION tv IJ!f!:TH Ne aD PID 25. 1+1. ()08.~ OWNER (Name) , ~ {JAY' .JVOY PRl/sT .sANe (Address) BUILDER (Company Name) (Address) J,FI,1/jt/tJ# ~eJev/~ n/lLL; ,AlVA/ON 179{)5 JI1116,."oIAlAl JeO.~ , (Contact Name) ZONING (office use) J::./S.D (Phone) 'IoZ.~. 585.3 (Phone) ClIZ,. .3Z1J. z.4-04- (Phone) P.L. TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace i}rAddition DAlteration DUtility Connection CODE: ISlI.R.C. DI.B.c. Type of &nstruction: Occupancy Group: A B Division: illrv H I 2 3 V M 4 I E II F 1 o Misc. A R 5 B S U PROJECT COST IV ALUE (excluding land) $ Jl~5 dOO.()~ .. I hcreby certifY that I have flirnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authOrized agent for the above-menlloned 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 ;c~a for JUS ause Furthermore, I hereby agree that the City official;a :::; ;e;; the property to perform neeid;J;;1:;s / Signature Contractor's License No. Date Permit Valuation Permit Fee J~ S. (J () 0 . 0 0 $' 50 /,~' $ ''I.J8.~ $ . fiZ. ~ $ $ $ $ $ Plan Check Fee State Surcharge I Penalty I Plumbing Permit Fee ~. I Mechanical Permit Feetd AI,..,..,_ I Sewer & Water Permit Fee I Gas Fireplace Permit Fee 4-0.00 4-lJ . () () This Application Becomes Your Building Pennit When Approved ~ml~~-- /a/elor Park Support Fee SAC Water Meter Size 518"; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other TOTAL DUE # # # # $ $ $ $ $ $ $ $ $ 2. 5 4+. 'Z8 I I ,INO 8>3J/ 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 ~h' _C{i~~=""'"' C,,"'~" of ~~J ~;,,;:211o", roo_moo '0 ro_~ lkf= -p"" , Mr..">fO=""" mw' '" ---/,- - -- Planning Director ate Special Conditions, if any I I 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 V 16200 Eagle Creek Avenue Prior Lake, MN 55372 Paid 2,S~f'. z.e Date '/D./Z _ (;J!S' WhlW - Bulldln&......-- Sc::arv - Englneerlno - tllannlng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST r--- NAME OF APPLICANT L!7 f:/!.' C p -E ~~! f/" - APPLICATION RECEIVED X- ) /q / c;- -/ / / ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity w~. is proposed at: /f?':. ~/33- .JQ~ ~ ~ Accepted x Accepted With Corrections Denied Reviewed By: ~ Date: ~rJO-OS- ." Comments~, ..spp HIDler~P gidp. for Arlrlition~1 Infnrm~tinnl 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. II .. White . Building CanarY . Enalneering Ge!nk _.~ BUILDING PERMIT APP...LI.C.ATION DEPARTMENT CHECKLIST ,- L--~ /V /'t () II. NAME OFAPPLICANT... /~.~rn ~ V APPLICAilON RECEIVEOt/ o//~/< >" (/(!.,- r ,.J The Building, Engineering, and Planning Departments have reviewed the building pennl application for construction activity wh~ is propos~d at: AI :- . fE133 - IO:atU~--1f~'f ~ ' . / Accepted WIlh Corrections Accepted Denied .-----.... Reviewed & ~ fh. ~"_ Date: CJ I :'/,/ ~j Comments: 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." ('"'Whit,e - Buil9lng,:::> Canary . Engineering Pink . Planning BUILDING PERMIT APPLlCATIO.N...DEPARTME:NT CHECKLIST - NAME OF APPLICANT ~_~~I':.~ 2~ r!;:~. v APPLICATION RECEIVEDtY' ?; ) /q / c;- ./' I . . The Building, Engineering, and Planning Departments have reviewed the building permit application for CO;~3 a~ity whi ~proposed at: ~. Accepted Accepted With Corrections / Denied Reviewed By: J{~ ~ Date: r/JO/05 , I ' Comments: ~LJ-d/ ~ ~# ~ a--tJ ~/A")_~ 0 HJ1~~ ~~ ~ ~ '~~-I' 0 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." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd .5 - ~6~ 1. Pink File PERMIT NO 2. Green City .A& _, ). Yellow Applicant -! :11I'. (Please type or print and silt1l at bottom) ADDRESS ") <:5 J 33 g,^ 1t6f0NlAI C:L e:CU ZONING (office use) fL.' so LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID t.s. r4f'~OD8 "'0 OWNER (Name) lruy -"< ):-</ =? ~Q w<6J (} \tt rr f(.; W'fi:t C :L(?.GU N' f LVLml?/~ )3 ) 'SI t<}"f~ c-r "1 (Address) (Phone) (Address) APPLICANT L~ (Name) 0 l") (Address) f>4 tr" (Contact Person) ~ ~;J/.; APPLICANT SIGNATURE I';, L < IJ.J ~[L ,.J (Phone) b tA 7 b ) ~}51' ft (Ji) L6 VA 1t6'1 5',-< l,,}/l (City) I (Zip Code) J (Phone) _' )..t J b } q- J5'~ DATE ~.. ct 4,..... 6.6 APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION D REPLACEMENT PLTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE TYPE OF SYSTEM RETURN OPENINGS INPUT OUTPUT HEATING OR POWER PLANT DWaITn Air Plants o Gravity o Mechanical DAir Conditioning DVent. System o Steam o Hot Water .....gRadiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family 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 & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # t).- B"~ PAID W1TH iVl'LD'NG PERMIT 41). $ $ $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) ~ ThI'f:>>Iit:....._.m~ y~ BuRm.. P"mi. When Approved Bui dine ~) Date 24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 CITY OF PRIOR LAKE PLUMBING PEAAu.l Date Rec'd s- e(p~ I. Blue File PERMIT NO 2. Gold City . ...' --- r- I 3. Yellow Applicant ;;;:Ilji: __ T (Please tvDe or print and si2l1 at bottom) ADDRESS ZONING (ofliceuse) "3 I 33 Rv\ 1176 ~ VW'l C'LL t:Ui LEGAL DESCRI.t' lION (office use only) I LOT BLOCK ADDITION OWNER ~ (Name) .,.. 'ts)J'i pA W$Y <Address) :~ I.~:~ 1?\AJ1i)'~ f. Wv\ -r ~"J?; APPLICANT (Name) ~ L .l..' ~(J L\I\ l'l\~ (yb (Address) (~LJ.I)i) J'<.) ~7' s '1' 6-t -(Address) (Contact Person) b e: i\J Ir b L < v-..J APPLICANT SIGNATURE .~ .I~ PID 2J.I4I-~..() (Phone) (Phone) t.. JJ. I D I ~ IS~ ~ <Pi> L/; VA U?V l~.c; )2-0. (City) ( (Zip Code) (Phone) -iJj -; L) ~) -r: ~ DATE 1"''')' L/. .> " <. 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 Stall Sinks Bar Sink Water Closet (Toilet) Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Building Permit # S- - ~ PAID WITH ~ING PERMIT Quantity , 1 r FEE S\...lu..DULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use OJlY This AjJit a ' h~ildi ... Type of Fixture I t Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler I Other $ $ $ , umes ,our lIaDdlng P7f;;1Ci,pproved Paid did ----> ' Dale ~ ---- ...{:. bour notice for all inspections (952) 447-985 ax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake. MN 55372-1714 PRIOR LAKE INSPECTION RECORD SITEADDRESS ~"3 '8UII.~tJL(T c.if2.t!LE NATURE OF WORK A(Jl>lr"~J-:r~., . ~DCL USE OF BUILDING S.F:'O-' . PERMIT NO. (lS.O~. DATE ISSUED JI:Jtld$ CONTRACTOR :LP~ Aft' N_-?~I (!..6S PHONE-'5z. f"~ · '112.1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR I I FOOTING VVv' I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE ll-if~ h~ vVVf ~/lA/ I f1/V/ 2-~J~ >-I-~ 2- - 1/ V ffl., Z-/r~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I..ItI1J6:../-fO~tlJIlAP I L~h ~/t~/tJ~ I FINALS I GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT !;1 Atl - III/Y/ VV)t? (- { '-I.ll J OCCUPY 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, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ~' 3'7 ,,( :> ~11--.r1d J.- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ..."LUMBING FINAL 6MECH FINAL COMMENTS: DATE nMe 7aJCG. S-8U o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o AdcJ 5~~ ~h~ .. I / I /R_ - ( A UoC (. /- j"- r "-" o ~ SATISFACTORY, PROCEED /CORRECT ACTION AND PROCEED o CORRECT W01t~ FOR REINSPECTION BEFORE COVERING Inspector: II V I " Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI