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HomeMy WebLinkAboutBldg Permit 06-0003 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File (Please type or print and sign at bottom) ADDRESS A c...o. c- ~""- I 4 ()..b 8 P o.rl:-tJ: ~w L^ Nw LOT cl BLOCK I LEGAL DESCRIPTION (office use only) Date Rec' d " . ! t. 0 > White File I PERMIT NO ~ Pink City . 0 /:..: () D(J3 Yellow Applicant ttJ ADDITION -s~t(.t/,j PD,1 First AJJ i~"b"'" OWNER (N ame) 8,,; li"r (Address) BUILDER (Company Name) W~.s /tA/J.Il"- (Contact Name) --.f)~... ^- .'r (Address) (lH S ~:fd"^jl (Phone) ~ o""'~ (' Il.. (r-h,..t'.~J.'...... ,.,qr PIAlA Dr."ve. \ SUI"'~ JDo (Phone) ~51- '-IOb- Lll.I.O 0 (Phone) b I~- 3t;<1- ..,q~~ E~,'l.._ M# s-rl;).~ ZONING (office use) PID c).S"-437-oo~- e TYPE OF WORK r)I New Construction [lDeck OPorch ORe-Roofing ORe-Siding E-ower Level Finish )(1 Fireplace DAddition DAlteration DUtility Connection CODE: baI.R.C. DI.B.c. Type of Construction: Occupancy Group: A B Division: I E II F 1 III IV V HIM 234 o Misc. A R 5 B S U PROJECT COST IV ALUE $ llD; 000, 0 0 (excluding land) I hereby certifY that I have hlrOlshed information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg :cial can r~ =it /i.ust~ne, I hereby agree that the City official or; ~;;maY enter upon the propelty to perform nee;:~l;~:;' Signature Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee u "31. OfJO .(JtJ $ , 1~3t:t. '5-"0 $ Vo~r $ ID-r: r '50 $ $ $ $ $ ID().O{J /00.00 35. s-o ~o. 0 it This Application Becomes Your Building Permit When Approved ~om~ J2f~!dS Park Support Fee SAC --- Water Meter (Size 5/8'~"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE Paid Date / C, "'.1 (, .I tf ,..l. ~1. Uv , # $ . # $ /V~O, {)O $ 1 # $ JSaD,(JO # $/000. 00 $ .- I $ I $ , . 4.5 ('. ~ /~ ,.., ReceiptM"o. ~llvP I By I. (. I 0 IS to certifY that the request in the above apphcal10n and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document signed by the City Planner constlt es a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cel1ificate of Occupancy must be l~ /2-../~ft ~ .. Planning Director ' bate 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 See Main File White - Building Canary - 1;~9ineering c-PllIl\ - ~lannliiD::> BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI NAME OF APPLICANT APPLICATION RECEIVED / ////,// ,/ .I 'j... ~' " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /' " I /_~, l I i / ":;',' /\,1 Accepted / Accepted With Corrections Denied t' r- ~~,~ Date: ~~I tffi7 / I Reviewed By: Comments: ~ t See Main File "The issuance or granting of a permit or approval of plans I 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." See Main File C:~ ::Ultd::' . , !!W,~ . iliig:) Pink . panning BUILDING PERMIT APPUeATION DEPARTMENT CHECKUST NAME OF APPLICANT APPLICATION RECEIVED hll-~ N"S"/7 rI ;tJ;J / /. /1--. oS- The Building, Engineering, anci.Planning. Departments have reviewed the building permit application for construction activity which is proposed at: / 4-Z G,. 8 ;?~ ~ 1// C I/V' ?/l./ . Accepted .f)Z. Accepted With Corrections Denied Reviewed By: Comments: ~ ~c.... M",,~ 1=,',<- Date: J !-2,j't:e . . 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 ofthe jurisdiction shall not be valid'" 12/08/2005 THU 10:41 FAX 952 767 1900 GENZ-RYAN !al 012/029 CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd 4)' -03 (Please type or print and sign at bOllDm) ADDRESS IL/~C1~ ?~(lVf( Vv .-QV)f ~ . ~: ~ ~I~ I PERMIT NO.~ 3. Gold Applicant ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT 'A BLOCK I ADDITION PID , ~=R [1 jf:v)~ \/YY\J'\~~ I-to t/VIL S (Address) I<lQ5 PiOtZa.J Dv. StcdC~) (Address) (phone) -EClD CUI\ !V1 N (City) (nJ-. q(J5.~ ~-f7(j) 551)) (Zip Code) ~;;~~ G, rj.n1.- [2-u a Vl (Addre..) 1- 'If f) \~' ":1-hf\!) 1 (Contact Person) 1P a f\ . (f) l,{ n . ?LICANT SIGNAWRE,/ ,- ,'I,J., V APPLICANT PLEASE COMPLETE BELOW /,~ Q.r\ . ,t, 1R.,f)j,fkN (phone) f; 01- 7lf7 - (DDt) P1JA Jt)/J ( Vii !-G, MN (7;837 . . (CitY) (Zip Code) (phone) O~2' 7 (i7 -1~,fJ 2 . laC1I\c.~ DATE U. 7 () } 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. FEESl..'.t:lEDULE Residential sewer and water line connection $35.50 Industrial, Com'} & Multi-family 1 % of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE $ STA TE SURCHARGE $ TOTAL PERMIT FEE $ .50 PAID WITH BUILDING PERMIT (Office Use Only) I This Application Becomes Your Building Permtt Wben Approved Paid Receipt No. Building Omcial Date ~[ 0 5 ZOOJ By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 12/08/2005 THU 10:44 FAX 952 767 1900 GENZ-RYAN ~ 022/029 CITY OF PRIOR LAKE HEATING/Am CONDITIONlNGIFIREPLACE PERMIT Date Rec'd 0'-- 03 {Please trP! or print and si~ at bottoml ADDRESS ~ , Lf'2_(jJ ~ ~(lr t L~' f \N ~:~:. ~~. I PERMIT NO.~ 3. VolI"", ApphClnI ~ taX) f , . ZONING (office use) LEGAL DESCRIPTION (office use only) LOT 1- BLOCK \ ADDITION PID ~~e~R \ k jev,S\ry\ n rWl \-\orvLS (Address) I gq5 PI U7Cc, [)V-. Stc ?-oe n ~ 3'1 " " (phone) r.t5/- l4Cr)'". ,U<-J t=.Ol1 (,(.(\ !'vI f\/ - '.J'" C-::Cf'J"- . T) , ,.-J '.- -) ......., e APPLICANT r 1\ a ..--1 10 ~ (Name) l::::rent.. - 1<-, j (JY1 (Phone) ,F;J. -7 {j I_of () U (Address)~:JW UJ . t-h),)vl 13 B u.Yn)vI j Ie '353'?>7 \ 0 (Ad~ress) (CityA (Zip Code) (Con",' Penon) .-1' 0. Y\ :::;CVl:l~ ~~Jl ill (Phone) \() 1- II 01-1 <&' C) 2. APPLICANT SIGNATURE :~ D 13...", \ ()l(t-VlOJ'V\.Rlv DATE lL~(1 ()~ ~:LICANT PLEASE COMPLETE BELOW' I ~EW COl'1STRUCTION t . 0 REP~,~CEMENT 0 ALTERATIONS. ". FURNACE MAKE AND MODEL J,-'e V\1lC.7-. I:i::{-O.l J ~. ,,\\C p,,--- OCJ 0 FUEL l\}o..t. H c.~ \. FLUE SIZE RETURN OPENINGS INPUT if) l l-/..QI) OUTPUT .1JJoOO TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants 0 Steam DGravity 0 Hot Water o Mechanical 0 Radiation DAir Conditioning 0 Special Devices OVent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial. Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Constnlction) $64.50 Residential, AC Only $39.50 $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH .50 BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit Wben Approved Paid Receipt No. Buildine Official Date DM:C 0 9 2005 By 24 hour notice ror all inspections (952) 447-9850, fax (952) 447-4245 12/08/2005 THU 10:40 FAX 952 767 1900 GENZ-RYAN 14I 008/029 ~ :~~~ ).~ Date Rec'd CITY OF PRIOR LAKE PLUMBING PER1\lIT 01.- 03 CP1ease type or print and sign at bottom) ADDRESS . L-fl~~ Par CUj"e hi LQV) ~ 1. Slue FU. I PERMIT NO 2. Gold Chy 3. Yellow APP~COIlI 1 . - ~ . ZONING (olftceuse) LEGAL DESCRIPTION (office use only) LOT 'JJLOCK i ADDmON PID (phone) f rnl-CftJ5- ?-;7tPr FTI 0i fA YI rV\ N CfS f;).;l j Quantity I \ \ "2_ I \ \ Type of Fixture '1. FEESL..tI.EJJULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE 3> .50 PAID WITH BuiLDiNG PERMIT (Omce Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date D1fEC 0 9 2005 By 24 hour notice for aU Inspections (952) 447-9850, fax (952) 4474245 , PRIOR LAKE INSPECTION RECORD SITE ADDRESS E 2. ~l 1ftI1t" V(;':' ~C ~.IAJ. NATURE OF WORK M~ e'~S1:llM~r~,,. (IJ/I.,I-, ~ USE OF BUILDING S.F:A. . PERMIT NO. 0& - 0003 DATE IS~UED I'I Z /-. CONTRACTOR I!!~NAJ ~I- ~. PHONEill -lid- 7'-'tI NOTE: THIS IS NOT A PERMIT FOR ANf OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMEMT OF See Main File BUILDING AND INSPECTION INSPECTOR DATE FOOTING I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING Vi'ioJ.. U.~ 11I./16/011 HEATING (if required) FIREPLACE GAS LINE AIR TEST J I . (f ^ ~/t?!I~ ~ 0/0/ l,./ tit f/~rft~ v /,,~/t;v , " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED Lmfc~IAJU.' I 'I FINALS tMr~~ ~ (?6 VJ ~_ ((ka/-i 1(6 j r' GRAt>ING (Prior to Sodding) BUllOJNG ELECTRICAL PLUMBING HEATING I I ~/ I f.,/ tJ/ Ii 1/' j "G PI; l,jr/ / ~ 1f:tJ" UNTIL ABOVE HAS 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. DO NOT OCCUPY , I (III {&/ dUl BEEN VSI~NED FOR ALL INSPECTIONS (952) 447-9850 QIerfifitafe of (0trupantll CITY OF PRIOR LAKE ~tparfmtnf of ~uil~ing Jlnspttfion ..EJ Pinal Permitted o Conditional e.O. Expires_ j, This Certificate issued pursuant to the requirements of Section ii 0 of the 0 Residential / 0 international , 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 followim.!: ; UseClassification:::'I/i;(/{ 6 ;:-:""r/r//L Y Bldg. Permit No. {'y..O/)03 VN v-::C. ,......-.; Type Construction Zoning District P (/..::: f.-; Occupancy Type . Owner of Building Site Address /:::r 1-1 z(c8 ;J;-IKKv'lt:.. t-v L IJ Legal Description _ L 2, {] / I J"t.-Fr:: E/~ .::: ? U-.J.{') Contractor's Name & Address tliE IV'....r/./rl/'VY'$ }-I()n &5 k'ut:tN..-r V. IItflCII1ffs(r1j_ City Planner JIiNE ;-...:rl;V~ Ic;r~ / I Building Official V ; Date: {- _I (0 0 0 Date: - / I POST IN CONSPICUOUS PLACE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS p../ '2 ~ ~ OWNER CONTR. PHONE NO. PERMIT NO. D FOOTING D FOUNDATION D FRAMING D INSULATION ..a1fINAL D SITE INSPECTION D PLUMBING RI D MECH RI D WATER HOOKUP D SEWER HOOKUP D .IN::UMBING FINAL ~ MECH FINAL COMMENTS: DATE TIME ~ ~ - t:;?t.) "S D EXIGRADIFILLlNG D COMPLAINT D FIREPLACE RI D FIREPLACE FINAL gG~a.:::r~ ~RK SATISFACTORY, PROCEED D CORRECT CTION AND PROCEED D CORRE T ORK, CALL FOR REINSPECTION BEFORE COVERING Inspecto : Owner/Contr: C L !;t-98S'070R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE.MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE ~ INSPECTION NOTICE SCHEDULED I L/ L [,3 ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. -1~~~3 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~LUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPlAINT o FIREPlACE RI o FIREPlACE FINAL o GASLlNE AIR TST o COptMENTS: I, ~~ f?J. ~ z. Q,~ ~l....~~' o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED o CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING Inspecto : ~ Owner/Contr: CAt. -9850 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~ JiQUI~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI J INSNOTl Job Address Heating Contractor ~~ Name of Tester <;;" ~ Date (,- /h - /1b Percent O2 '7. ~ ~ Percent CO / f 1'1' J1'J Percent C02 "'7 J' -, "7.. "3 ;.I Stack Temp .3 ~S /I Combustion air is adequately supplied per UMC Sec. 606 V ~ 5 I Input