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