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Home My WebLink AboutPermit 06-0061 & 06-0068 (Please tnJe or print and sip at bottom) ADDRESS G:>'1 <)0 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERIUICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3 Yellow File City Applicant I PERMIT NO, OW " O(t)t;; I A.~c R~ LOT IOBLOCK LEGAL DESCRIPTION (office use only) I ADDITION OrJ~ ff}J 0 t1Cl'JtJH 6?li OWNERO (NameLJ~~ ( (Address) G? 7. ~(') ~~- ~~Q- Rus-l.'-c- ~J)~ (Phone) ?L Date Rec' d /_/2_ Oft:; ZONING (office use) )?./~f) bPA~,KI^, PID2S_J~.OIO_ 0 Ll4o- '?l C{ ~ B~DER ^ (Company Name}:r~ ~ (' a.c;c..~c_~_ L~<;.t-. (Contact Name) .'"1"......~ R. c...Co\"S~ (Address) ~J"-\. GC'-~ l4~ Tr.\. TYPE OF WORK 0 New Construction liiDJeck 1Sd:J'0rch ORe-Roofing ORe-Siding OLower Level Finish IZbFireplace n I - DAddition @Alteration DUtility Connection 0 Misc. 2.'IC &..:r~ ~ p~ -fa ,., -S'~- ,JH.J... CODE: ltiI.R.C. DI.B.C. PROJECrtOST/VALUE $ ~S;Oa? Type of d;;'nstruction: I II ill IV V A B (excluding land) Occupancy Group: A B E F HIM R S U /) -'- - IJ J 4- . D Division: I 2 3 4 5 r~ ~ RL..~J~@. r~ (Phone) ~d- 44-0"" S-(CO~ (Phone) (ot.}.,... 94: 0 - 11 O~ RL I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also cel1ifY that I am the owner or authof!zed 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 ;cial c rev e this it fo~~;:::rmore, I hereby ~ee that the city official or a d4~ ~ 7ter upon the property to perform nee7d mSP,70: oc, Signature Conttactor's License No. Date . r Permit Valuation I Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee I. Z1.~~_ If 'Pt No .s7J8FJ7 ~ eJlj (J (J 0, () tJ $ 33',00 $ z.. 2-D .~S' $ I D, Ot!) $ $ $ $ $ ~,OO I Park Support Fee I SAC I WaterMeter Size 5/8"; I"; I Pressure Reducer I SewerlWater Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE MU6I:J This Application Becomes Your Building Permit When Approved ~~ JJ';)~~6 r 'Date Paid Date I.., Oq ."JS- -/ .:?o.lJ~ Buildinj! Otlicial # # # # $ $ $ $ $ $ $ $ $(P09 3~ ~ I I ThIS IS to certifY that thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issuedaLL ~~ ~ ~Director 1- ~7- Pt' Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 See. ~.M,^U.~ s/~ Special Conditions, if any CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow ~:;y I PERMIT NO,/ ..../ LJ_ Applicant ~ (please type or print and sign at bottom) ADDRESS to,50 Qu~c- gD ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK X ADDITION x ........... OWNER ~ _ __ 11 (Name)~~ tfl~O (Address) l.P...., ~O Ru~L / R.mJ f P-p PID~-o (Ph~~ (p I C. - tt'(-G,<a APPLICAN'f""" ......, I. I (Name) l....,P~ "i-.Pa-\t~O-J (Address) l S Dd \ N\aAJ,-U- (Address) (City) (Zip Code) (Contact Person) M\k. ~ (Phone) 1J(~-~--1S3-7 APPLICANT SIGNATURE ~..'" DATE I - "30 .f:) (." 1PLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ~PLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL PVct::t ~120 Q>r>lJP II FUEL FLUE SIZE ~ RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ~arm Air Plants D Steam DGravity D Hot Water D Mechanical D Radiation DAir Conditioning D Special Devices DVent. System D Other Devices (Phone) -9,j...~~~ 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 1 % 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, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL jRMJT FEE $ 10- ~Y~rBUudl7tk;enAPproved :,:jJA.- -B'lIdiol! Official '-:.-- / (Date ~ \... --- .- 24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 Receipt No. ,?~1 By /&J. I White - Building Canary - E;nqlneering r1Sink - Plannln~ BUILDING PERMIT APPLlCATION.j)EPART,-,ENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED -:--(..'.:/'-1 I.! 1./."; "'-"'1'1" /1' i I/'LJ v',/, j I '/,.f I) v V v r I lIZ.C& The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ~7' C,/) . ./ '~-"'7' ~'i 1-- . l.? ....:.,.' L/ ;:-..~ I G I'.......{.-/, Accepted Denied )q Accepted With Corrections Corriments: Reviewed By: . ?~ Date: /~ /.......-'..'. M ~&-U,e~~:&/~ O~ I"e-t- ~J~ ~C! ~~ YO'- sede..ek. /JeJ: ~~':'If J~d 1'1. ds c~e 4r. /-J-C-OS /'.' 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." PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~O tUJT'~ RO^O NATURE OF WORK · +. "..r~ ~ USE OF BUILDING 3 .F.1) , , PERMIT NO. 0&, Qf2W / DATE ISSUED J} &"'.~ CONTRACTOR · r. PHONE"'.~-1Jd NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I I LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED OUGH - INS I FRAMING INSULATION LECTRICAL HEATING (if required) FIREPLACE GAS LINE AIR TEST DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR J;1./V / } DATE t-(~ ! I1If!/T }/I'/ t~.()(j) 1---- J.-OJ /) 1,111'1. /i1/V/ " JI1If / ]1.,/0& V0-fJ(, VG-CIL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ItArNcr I H..r, IJI4IfI' I I j FINALS t BUILDING " VVYI S - )..t~ ELECTRICAL . /W 3-/"-~ NOT 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 DA~ TillE CITY OF PRIOR LAKE ~ 1.",,6 INSPECTION NOTICE SCHEDULED ADDRESS ~7S1) (lO$h(.... fZc OWNER CONTR. PHONE NO. PERMIT NO. GJ-a:s.r o FOOTING o PLUMBING RI o EXIGRADIFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP ~FIREPLACE RI o INSULATIO'W o SEWER HOOKUP FIREPLACE FINAL ~FINAL ' o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPE o MECH FINAL 0 COMMENTS: --- ~----- / /~) ( (/l 0 Se- ~ - ..- -- -. ~ r,/ tiff.- "" ) ./ hORK SATISFACTORY, PROCEED "P'rJ CORRECT ACTION AND PROCEED o CORRECT WO_RK;,~R REINSPECTION BEFORE COVERING Inspector: VV,// Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl