HomeMy WebLinkAbout06-0104, 06-0115, 06-0124
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'lfLL. $11f7e INS'.
ADDRESS
/'73/
HI6HWAY 13
Date Rec' d
Z . /3.0(0
White File I PERM I
~~~l~w ;~t;licanl IT NO.~. 0104-
ZONING (office use)
e4-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
(Address)
BUILDER ~
(Company Name) hAlE.
(Contact Name) jQC
(Address) I
~D/~E 2A/L
I
SoLP!.Z2c-i
ML-
PID Z5. f/CZ. ~Z.I. t)
(Phone)
(Phone) 7!;2
(Phone)
5352-.
'2r~ --53?/'2
TYPE OF WORK
o New Constr~on oDeck oPorch ORe-Roofing
oAddition j'lAlteration oUtility Connection
o Misc,
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group:
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
B
ORe-Siding oLower Level Finish 0 Fireplace
A
R
5
B
S U
fitl<-~4/I r.9!-/C. AVp W/4rJol.,) . U/U,;t/r-r
, ,
PROJECT COST /V ALUE $ 1. ff 0 ()
(excluding land)
that I have furnished 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. men ed proper nd t t all construclion will eonform to all exist1l1g state and local laws and will proceed in accordance with sub milled plans. I am aware Ihatthe build1l1g
I' voke this per t for 1st cause F1ll1hermore, I hereby agree Ihat the etty official or a designee may enler upon Ihe property 10 perform needed 1I1specttons.
Q.j/~ J 010
'Date
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
omes Your Building Permit When Approved
2,.. IS-a/,
Dale
Contractor's License No,
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
ThiS IS 10 cerlity Ihatthe request in the above application and accompanying documenls is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Cerlificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy mllst be
issued
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE ~
;;'-6:t:< ---1L~q d ~cJh.S~cial ~ons~-;-' Ie. (k~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
il)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
/} UfTJtj-[;
/&73/
/-IrVy
13
Date Rec' d
;)..~d(.Ob
White File
Pink City
Yellow Applicant
RU w'. ~~.Olo4--
PERMIT NO. OW. () / /5"'
ZONING (office use)
e4-
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
PID ZS, 10 l. OZ./. 0
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
?/N6 60~
,,77)0 SOt-pG~
z9Z
:s .r <1- 2-
(Phone)
(Phone)
TYPE OF WORK 0 New Constr~n oDeck oPorch ORe-Roofing
oAddition (~lteration oUtility Connection
CODE: DI.R.C. DI.B.C. 0 Misc,
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding oLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
z (, OD
I hereby certify that I have fi.1rnished mformation on this application whieh is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above.mentl d prope' an that all construction will conform to all existing state and local laws and will proeeed in accordance with submilled plans. I am aware that the buildmg
otlicial can v ke this mit I' Just c se Furlhermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed ms ections
x
Permit Valuation 2GW c.y
Permit Fee $ W~
Plan Check Fee $ !)7 l (,
State Surcharge $ I S-V
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Pennit When Approved
'7-]~o(,
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /'-1-7. ~
.
Paid I+-7. /1
Date
I ~;c~'t:
ThIS IS to certify that the request in the above application and accompanying documenls is in accordance with Ihe City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zoning eomplianee and allows construetion to commence. Before occupaney, a Certificate of Occupancy must be
issued tud
J1d~.5
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE ~~G PERMIT
Date Rec'd
2.2-7. 0"
I. Blue File
2. Gold City
A Lrl-S-rrJ T6 / /l/s. ] Yellow Applicant
n:;)./ R/V I
/-1 W,/ /35.
~/'-e tv. ore, .0/04-
PERMIT NO~(p . 0124-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Zs. 9()z.
I OWNER
(Name)
(Address)
(Phone)
APPLICAN~
(Name) ,.....qcti tJ)JeCH ~1Jc.
(Address) 7/ D ~JI A f't/ J t/t:t-Jf i~ flu e So
(Add&ss)
(phone)
J C,~/efeK V~J/'elf bS-~~
(City) (Zip Code)
(Phone) ~ G-/Z.... S~"!::.-"3 ...s.-S-6
DATE 0<0
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink .-- L-l1Wn Sprinkler
Water Closet (Toilet) ...... Other {Jt/("/! ~
FEE SCHEDULE
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 Pennit # t)ft, . 0/2.4--
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
?--yO&
Date
Paid ~O.OO
Date ~ ~ 7. ()f,
Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
t
CITY'S COpy
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;/A/~ ED96
2,Z-/.OG
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at~
/&;73 / H wy /3 ~/.,f.,JI?J~)
Y
Accepted
Accepted With Corrections
Denied
Jutlk
r ,
Date:
7'?- 06
Reviewed By:
Comments:
~)
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.
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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."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
F;#6 6DGJe, /N~.
2.I3.Dfo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/073/ HIGHWAY /3
Accepted
Accepted With Corrections
(#/Ij
~
Denied
7AA/t
Date:
2'-/-J-t/6
Reviewed By:
Comments:
~ S e (?-V-#'f k CJ~, .-M j 1- r-e, (/~ J (;...
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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 - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
..
I _ .I -.,___;.- ,
,.., --" I
. ' (~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/./ 7 ~7 ;' if ///; f.li ,II V /
/, '. . .' ,,'.. {' ----
I
j/ / ,I -; j
/
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
#~
Date:
~ -IS -(/6
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."
PRIOR LAKE
INSPECTION RECORD
'4?.~~':::l 'bJIS&lij
USE OF BUILDING " "1
PERMIT NO. O~ .0/04- DATE ISSUED 2_/5, (Ho
CONTRACTOR --F,;'.. ec!~ r-C PHONE~. ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
I f68llUo I
J rlUIJL.lJfl81J ('.1_.4... !J~o;UIII) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/J..t ~
ELECTRICAL
...-.
HEATING (if required)
a .. ._. _. _ 1..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
---------
- - .
)
- ]/(LO(,
BUILDINP
ELECTRICAL
HEATING
DO 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
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
1&1J ~-,tII,~L,?
3-J-~~~
ADDRESS
,rz ~
OWNER
CONTR.
&-IOl~ d- (; -1.2.'1
~- I!
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GAS LINE AIR TST
o
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
10 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(j2 ~d s,;:, ~~)f/ft75!L d~f.
o WORK SATISFACTORY, PROCEED
VCORRECT ACTION AND EED
o CORRECT WORK, C OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J. -2/~1
ADDRESS
/fg 73(
/fvr.r I .J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
G -10 '1
o FOOTING
o FOUNDATION
~MING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~?u/.t, ~ (
Wt.f II ;:::-y-~
2f'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: j .~
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSIiOTl