HomeMy WebLinkAboutBldg Permit 06-0017
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
/2. /6. ()S
File
City
Applicant
I PERMIT NO. 0(0. 00/71
I White
2. Pink
3 Yellow
(Please type or print and si~ at bottom)
ADDRESS
\1517.- (rafie~ DYI v'{;
LOT 5 BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Address)
ADDITION f,7e'f) fte:td \~th
ZONING (office use)
I JeZ'
PID Z5. 4Z4-. OOS-.O
(Phone)
~~~~~Name) OR, tWritY1, '\110 . (PhOne)!15?/ ~1) -lJ)13
(Contact Name) M\"~(" wOvlmAt\<1L (Phone) U151---ll1P- ~
(Address) 1fJfJlgO ~\oYI~~C rl1f\()O VAk'eMI \I( J jV1N t15Dtt
TYPE OF WORK ~w Construction DDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration OUtility Connection
CODE: '5lILR.C. DLB.c.
Type of &nstnlction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV
H I
2 3
A
R
5
PROJECT COST /V ALUE
(excluding land)
$-Dj))O~
I hereby certify that I have filmished mformation 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 building
:licial can revoke this perm; T JU;t ~~u::. ~Ul:e:m:re, ~erebY agree that the City officia'!fze ~a~n~ I~yn the property to perform neCder :rl~tllo:s/l'l'-
~ ~~r}...wt Contractor's License No. ~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
B
S U
V
M
4
/70, f)()t), ,,()
$ 147.3. 50
$ f:}Sh 73"
$ ZS'.tJt:)
$
$ /fJO,Do
$ /(J~, "0
$ .3~t)
$ ~O,DO
Park Support Fee
SAC
.-
Water Meter ~ I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
/2/ z.8 / OS'
. Date
TOTAL DUE
~ /
Paid II "If 7J
Date I. ^Jf Oh
This Application Becomes Your Building Permit When Approved
~~
Building allicial
#
#
#
#
11
Req'e>f>t No.
d~
$
$
$
$
$ /5'00.0 tJ
$ 1t)(!)O, Of!)
$
$
$
",2St>, 0 0
So, 00
7(4-1,.1/3
3V;':;:!
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
1i: ':' :~ -~-'"' C~ifia" "f;~;;;;:;' ,Uo.,,"",_"" '" See'fuMain~:a;ne mw. b,
Planning Director ' I Date Special Conditions, if any
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 - Engineering
("PinK - t"lanm~
BUll.-DIN(2 PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/---), /" / / (' /... ,i ( /\."
/ '> I' (C-
. ,- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/../ ,/~ / 2_ E. ('. /'___:. ~~'/C:- I- .!,--' l.-J I- .
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
Date: / ~ jc:J-?'As-
See Main 1?ile
/..
". -I,
'/#
i
.;. ',F~I
I~
"
"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."
/'
See ~ain File
~hite - Building')
Canary - Engjliee~'lng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
O. R. HOle/ON
/2.ICP.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75/Z D6t3,€F/Gt-O De...
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
,
~
Date:
/,/~~),S"
, I
See Nlain File
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
S@e }fain File
1 Wh. ..11e - BulldlnL--
<:&Ill!'rv - t:n91ne&rlnSJ:>
~. - Planning
BUlLDING PERMIT APPLICATION DEPARTMENT CHECt<'-IST
NAME OF APPLICANT
APPLICATION RECEIVED
O. R. HOk/OI\!
/2. /&,05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75/2. D6E~/ELO De...
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
AtJ:6
s 'c. lY1",,, F, '/e
Date:
12 -2,- Dr-
Comments:
.~
I.r
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.tAKE..
..:'::~lIt&:~'.~~ft/Am coNJjJ:J;"16N1NG/~il~F/PLACE PERlVu.[. :.:.:. .
:~ . ; ~ . : "...
.'."
'\'
. .
. ~ ..'
:.......,;.::..:.., ',.'
HEATING PERMiT FEE
. .. . STATE SURCHARGE
TOTAL PERMIT FEE
.tli)~~~A1DWiTH. . .'....
~. ... . ..5~ILO'~.PER~~.
(Office l!se Only)
. TlilsApplication Bece>iiles.Yi>ur Building Permit When Approved.
Paid
Receipt No. .
Building Official
Date
Date
: MAR 0 1 2006
By
. . . . . .. 24 hour notice for all inspections (952) 441-9850, fax (952) 447-4245
. . . , : -...~ "
01/05/2006 THU 10:29 FAX 952 767 1900 GENZ-RYAN
1aI 008/009
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
. ADDRESS
17,C)/d- 1)eu-.Jf"f? fdJ 0r J\ip
..:. 4 . v ..
I. Blue File . PERMIT NO.O' . fXJJ7
2. Gold City
3. Yellow Appllc:anl
ZONING (office use)
LEGAL DESCRIPTION (office use only)
. LOT t BLOCK /. ADDmoN.D dAf' J( 'p i d i::/~
I
OWNERD ''J -~;:j ;
(Name) . k r I UV TLAI)
(Address) ~O~UD kCV\ b~l U0f (OJ >.: -{-e. l(")(l
APPLICANT f\, 1)
(Name) ae-I.11_ - ~iJ ~H1
(Address) 21-.00 \N. HI/v Gj L3
(Address)
(Contact Person) rV\ '("CJU:. IAJ Vl(.v 1;J./1/L
APPLICANT SIGNATURE 1]11A~/dt. I'~A/.:!
u
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower ~ Rough-ins
I Dishwasher \ , 1 I Water Heater
I Floor Drain (2...tJ'dak';v'\1 Water Softner
I Lavatory (Bathroom Sink) , V I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink I Sewage Ejector
Shower Stall ;-;;... I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
pm
(phone) YC).). - q fC)'-1 flrn
LDJ<t.vi J I f., 5~O 4 Lf
(Phone) q r::J2--./li1 ' IODO
BDttl11C,V (( re~, M tv %337
(City) (Zip Code)
(Phone) OJ ~rJ - '76'1.-1? '17
/ l.c;- Joe-,
DATE
Quantity
I
I
\
0-
I
!
I
Type of Fixture
::;..
FEE SCHEDULE
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 #
PA'D WITH
.5~'LD1NG PERMIT
PLUMBING PERMIT FEE $
STA TE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
r'.v~-~ ,.'. -----' -----~--
~: I.;. r i'l';
l' I I ' ~ i~~'1 : I __, :
:, 'j' ;Date'
'. -. J.~N 0 9 zoo~
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
01/05/2006 THU 10:29 FAX 952 767 1900 GENZ-RYAN
III 009/009
Date Rec'd
LIT}:'" OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please ~e or print and si~ at bottom)
ADDRESS
) 70i:;; . J)ee'A f.e Id Dr ti/-e.
~: =w ~ PERMIT NO. N"" . 0 0 IV
3. Gold Applicant W
ZONlNG (olliceuse)
LEGAL DESCRIPTION (office use only)
LOT 1( BLOCK i ADDITION 7) UA .h ..p Id J;) .1-z,.,
OWNER D')i) \ L..1(lO'
(Name) / ~ I( )\\ ()
(Address) J()Xi D() \-<C:Vl \0V\c\QC &-. S\t lCO
(Address)
PID
(phone) Q5d,- Clx-5 - '7~uj
lJ)Jllvdlt-. 550YW
(City) (Zip Coda)
APPLICANT (1. n
(Name) w{1.0!,- If...{~ a/I]
(Address) 1, 11) () VV. I i1\,l\f} If C3
(Address) ) .
(Contact Person) A)('C()); INn 1(" ''Md .
"'LICANTSIGNATURE-'llii~ ~.#1
U
APPLICANT PLEASE COMPLETE BELOW
(Phone) 1 VJ1- 7lP1- (000
SJA tlll \ Vi f [-(., f\AN q;~3 7
(City) (Zip Code) .
(Phone) Q5J. - 7t-~/ ~ /:JOCi
DATE 1 /.r:; IOh
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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39,50 minimum
Sewer connection only $17.50 Water connection only $17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
24 hour notice for all inspections (951) 447-98SO, fax (952) 44'1-4245
$
$
$
.50 PA\OGW~~M\T
8U\LO\N
R~cei It No.
By
6
FIRESIDE HEARTH AND HOME
#6800 F.001/00l
Date Rec'd
(Pleue tvJ)l: or prinUIlc! siJm at botlOm)
ADDRESS
/75(:) iJ;Mf{d.J iJMUGS~
/I
LEGAL DESC'R.J..r.'l.LON (olBce use only)
~:~ ;,_1 PERMIT NO' .oot1
ZONtNG (offict use)
LOT BLOCK
ADomON
PID
OWNER
(Name)
f2.K1ia,t-lrn
(pb.one) !J5~" (]()is rpJ:)
(Address)
APPUCANT
(Name) ALLIeD FIRESIDE DBA FIRESIDE CORNER
(phone) 651-633-2561
(Address) 2700 N. FAIRVIEW~ENUE
(Addte"l
(C ..._ p ) BRENDA h'USTON
on........... ,erson
APPLICANT SIGNATURE ~ ~Y1
I\QS!lY. Tr.r.F. MN
(CIty)
651-633-2561
. (Phon.e)
DATE
'\5l.l.3
(Zip Code)
~ APPLICANT PI/EASE COMPLETE BELOW
NEW CONSTRUCTION. 0 REPLACEMENT 0 AI.. TERA TIONS ^ _
FURNACE. MAKE D MODEL . FUEL
... " .. . -
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM RBA'I'lNG OR POWER PT-ANT
OWarm Air P1Jl1lu 0 Stellm
OGravit)' 0 Hot Wa1.t:.r
o Mechanical 0 RadlntlDn
OAir Conditioning 0 Specill! Devices
OVcnl SYStem 0 Other Devices
FIREPLACE MAKE AND MODEL _ ~l.fJ-~ lit -7Stl{12.p
PLEASE NOTE:
Air Conditioner Units
CBJ1J1at Encroach in.to
Required Side Yard
Setbaclcs
lnduSlrial. Commercial & Multi-Fam!.')'
FEE SCHEDULE
1% oCjob cost R.esidc:ndllJ, Gas Fireplece
$39.50 minimum
$99.50 Rll:sldentiaJ, Adr.lltion3 &. Alterarjons
$64. SO R.esfdcndll/. AC Onl)'
539,50
Re!idcntial. Heating & Ale (New Consrroction)
ResidcntiaJ. Healing Only (New Con:strUction)
$39,50
$39.50
Estimated Cost $
Building Permit #
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
PAID WITH
BIJllDING PERMIT
(omc~ UIC Only)
This AppUClttioD Becomes Your Bllilding Permit When Approved \ -sr~-
1 :~_'_~ :
\ 'bar.e .
I 11 MAR 0 1 2006 \ i
Receipt No.
By
BuDdln,Omdll1
Dlte
OJiJ
24 hllllr "otice for alllIJIpect:fonll (952) ....h-9~, fllx (~2) 447-4245
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS ~I 'Z. ~r=-/~LD t)R,,"E _
NATURE OF WORK ........ C.d~~"*c:n',,.., ~...t- L.L. J:t'Nir II)
USE OF BUILDING St6:A. _ .
PERMIT NO. CY;'.00/7 DATE ISSUED 1IlItIOS-
CONTRACTOR P.tZ. tUtlJlJ~ ,..JfJc.. PHdNE~ -22,." '!rJ'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILD~NG AND INSPECTION
INSPECTOR
DA~E .,.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
- .I ,
PLUMBING th ~ ~ .i'~~&
HEATING (if required)
FIREPLACE /" II
_ GAS LINE AIR TEST /I?;~ 1-1: II
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1t.A.7Hr/ Mo-SEI.fJ,A,P I ~ I .37V,k.6
FINALS
I ~. ~,~
I FOOTING I ~ I ~2~c..
, ~
J FOUNDATION (Prior to BaCkfill~ih'</"-I.Jt~( ~ ;~4)~ I ~ /b~/c6
PLACE NO CONCRETE UNTIL ABOVE RAS BEEN SIGNED
ROUGH - INS n ,,,
f//?1; ij~S/~6
~_ .7/2-24'
/j///Y j/ .2-.1.(/ db
Ji:~
J/2~6
..?/~,
Pz/~
. . I
7ft/-
~
~
Q
GRADING (Prior to Sodding)
BUILDING
ELECTRIC~L
PLUMBING.
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
. ,I
ffpy-
,q
~'
hk-,
qr/t16
-.q2-~6
S/LjD~
~~"
BEEN SIGNED
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
dlerfifirafe of @rtupanrl!
CITY OF PRIOR LAKE
~tparfmtuf nf ~uil~iug Jluspttfinu
~inal Permitted 0 Conditional C.O. Expires. .. f
This Certificate issued pursuant to the requirements of Section 110 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 following:
Use Classification SI/I/C4 /. E hl/~11 (.,. V Bldg. Permit No. 0& . U 0 /7
Occupancy Type R3 Type Construction V Ai Zoning District /2 2-
Legal Description . L 8 I 13 / / oeeer/&t.-LJ 12 7lf
Owner of Building Site Address /75/2 L)EE~6'-:O LJt::,..
Contractor's Name & Address D. I':', rIOk77J~t/ //
IG,/)/J,t;7t..T D. IIt/17!..111f1./5d City Planner ::J1i/V6 J::ANS/6Z
-:;-. / _ fiylding Official r
Date: S/' 9/t:fh Date:
I /
l~ .._
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMJlEN1;S:
&/.r~t.~CI(/
SCHEDULED .~~
d.~~,d 4/
Tille
CONTR.
PERMIT NO.
6-/7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ J
h-k I'
/ /
d" /..-2.;/ ~
~ ~
~r4 (' //h-~/./ _
~r'..,A h',.! ~r.("~r-
//
~,I'e: .A4r &,,~. ~ d~ f.,~4--V {.. ~
,-,,({e~/k ~ 6~A' ~./- ~/f~/
r:? ~.r /~~ ~e~ ~~ .67~
~ /"
/-7 h~/'
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/'
/
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~ /
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/
/
/
OC-
~ATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
, v
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSliOTl
~.,,-~---_._._."-~--,,---,--~_.., ~._-,~,~"--~..-._-~....._-'._'--'~~--'"~~--
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED S/tAb
4uai/ D-
ADDRESS //:5"/ A
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t;-/7
o FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
~MBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
[J
COMMENTS~/
o /' ~/L- ;7'
#~"CI~'f-et/ /'-t!!fr ~
4{
.~
hI'-, ~/
/ ry,..-_
/' ./
~/ 0 /( ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J CORRECT WORK, CAL 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!
INSNOTl
-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name ot Tester
Date
~ft,~ /I(~
,.,;k-l
~ /~hG,
Job Address !7!'/Z ~~
Heating Contractor ~')tf-~
Name atTester ~
Date ~ p)..
Percent 02 !z,2Z.
Percent CO
Percent C02
Stack Temp
8r,J'~
~?2D
s3/~
Combustion air is adequately supplied per
UMC Sec. 606
~
-?~ hJ 13,./
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