HomeMy WebLinkAboutBldg Permit 05-1158
. ~'~'''''l
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
11./. ~S
I. White File I PERM ()
2. Pink City
3 Yellow Applicant IT NO. 5-
I/~
(Please type or print and sign at bottom)
ADDRESS
//f/~s-.k .k C//CCLL-
LEGAL DESCRIPTION (office use only)
LOTI.3 BLOCK / ADDITION '/#~ ~.(tj ~~LTJ-I.
~y
OWNER
(Name)
b,RU&vYdL'
(Phone)
(Address)
BUILDER ~ /
(Company Name) ~ 1..7 #aw1'-,
(Contact Name) HE.rlz:1
(Address) 2/9'5'3 6-.e&V.;h;1A A..I1;..,
ZONING (office use)
Je/SD
PID2S: 4-04-. 0/3.0
'7AL- (Phone) 9S"Z-9~-s-q~ ...,
(Phone) '-T:>L -9~ - ~ /79
~~/~. H?~ .~9'
,
-
TYPE OF WORK ~w Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration DUtility Connection
CODE: ~I.R.C. OI.B.C.
Type of 6nstruction:
Occupancy Group: A B
Division:
o Misc.
I
E
1lI IV V
HIM
234
A
R
5
PROJECT COST /V ALUE
(excluding land)
$ ~.~~aro
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also celtifY that I am the owner or authOrIzed agent for the
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:cial can 0this per t r, r just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform n;e;:z~.
/ ~ Contractor's License No. -'0, Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
B
S U
II
F
I
r 4..fS 000, O~ I
$ 3o~. 5;"0
$ I ~ ~, . 2..~
$ "2...t 7. ~o
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"@
Pressure Reducer
Sewer/Water Connection Fee
100,00
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE~ lWJ4
u j,
/ / ,S-/(,J.. -/0
/~.J. (fA
400.. 00
3S'. SO
Y-o.OO
This Application Becomes Your Building Permit When Approved
/1/7;':>
I Paid
I Date
~~
Building Otlicial
Date
#
#
$
$ l'-Isa.DC)
$ 3tJO. , D
$ 7S.D D
$IS'oO.Oo
$ fOOO.Of)
$ !s;"OO.IJ'O
$
$ J/:3'1J... 7g
#
#
!7 - _
~;ttNO. 50d/U
o'
ThiS IS to certifY that the requcst in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by th it): ner nSllt tcs a m orary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
11,...21- OS-
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
White - Building
CanarY - Enalneerlng
<:e!I!.k - Planning)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/~.1-17 -2 l rJ;:;-' /-!tP/E--':
//./c:::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 41" j e-
X
l<1-1 rl,' L- 1"1 !'-- c..,
, ! ~
l-.. / / "'. c-~<:::....
, Accepted
Ac,?epted '4Ifth Corrections
'.. I
Denied
Reviewed By:
;j/~
Date: //-/P-~
Comments:
~
Units CalUI0t Encroach into L;;eqIDli."ert
~~i~.,~'f"t",91 g-~.'k~~
/
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
B.UJlDING PERMIT APP~TION Def.ART'4):NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/d-lT ~ L/~}FF 1ft;/76S
//./.U~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-/3.c HH t1 r L/1/C-6 U I~ Uh
;-;
,-'(1'-'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IJ11i!J
Date:
11- 22 ~().5
Comments: See Reverse Side .for Additional lnformationl
No (,r..rf,.vt~ /V\ Ioluff ~-I0"l--f(. p4u ~,/i r:(~l (, CJ.;1 &'(.fbrc./(
r
[,'1 th,r r;rlf.e/,~ L/M"/;. G./I '~J ~a,r/~I a,p/, f" / J", ~!<<-.1'/A,
o.{.' ~(' / 1- r:'Vl { (.
~p.p. A tt~r.hment~. 1) ,.Grarlin g. Plan, 2) Erosion Control Measures
"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."
~ - BuilsllDW
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!dITZL-PlFF IftJn6S
//./.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-'/36 HA-ft 5" t-rrlc.b ~~
Accepted
Accepted With Corrections V-
Denied
Reviewed By: ~ ~ Date: 11/8Ias-
, .
Comments:X~ df. ~" ~ ~o-I)
d'tn<<.J-e-.t ~ J.e-f ~ - ~~ ~.. ~ ..., tt;F~4o-:G
~. ~ ~~ kr"~~
, Jf .~ '
_~ ~~ ~ 4P' i~~ ~ 4:z4~("Q
~ ~, AA, W"lhL. A:!.4 _ -k ~ ~
, ~ ~.--. c.. tr7 .....:.-z:- ..w-;,i"
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 LAKE
HEATING/AIR CONDITIONINGJFIREPLACE PERMIT
Date Rec'd
i ~ ~~ \ PERMIT NO~ .1~1!t
3. y.ltow API'll""'" iiiiI "U.iiI..R
~ l'fpe or print and r;ip,n at bottoml
ADDRESS
/?13 ~ ~().~
iAJle
c//!
ZONING (office
USl')
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PID
~=Y291-2/A PJ!
~ J??~'
. (Phone) q~~-<5q~9
(Address) L~/ /.
. APPLICANT /. J) _ f\
(Name) U,A 9r~ "-.)
(Address)
:;;2/ fO. /(')
/1ifl
(phOIle) _ ~h0 - (,..,00) 0.
;::;(> J-o n) {Joe-
(Address)
~T___
'cr
/
~;
(City)
.<~~t./
(Zip Code)
(Contact Person) / . (Phone)
APPUCANTSIGNATURE ~~ -;z~ DATE I(-d 7. -(j~
./ APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL )0"8 Jt)P 7/i'Jt Cl ~(j (! q "(OJ FUEL AI.41-
FLUE SIZE .~( I' p~ RETURN opENINGS INPUT ~NV'> OUTPUT 7~. bee
TYPE OF SYSTEM HEATING OR POWER PLANT
..
OWaJm Air Plants
OGravity
~echanica1
ZAir CooditioninS
::..event. System
. FlREPLACE:MAKE AND MODEL .py(qnl-
o Steam
o Hot Ww.er
o Radiation
o Special Devices
o Ocher Deviccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yani
Setbacks
Rcaidl.'ntial, Hc31ins &. Ale (New Construction)
Residential, Heating Only (N~w COnlitrUction)
j/ ~iD Sl~7dJ
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplooe
$39.50 minimum
$99.50
$64.50
$39.50
lndustrill1, Commercial & Multi-Family
Residential, Addjtions &:. Alterations
Residential. AC Only
$39.50
$39.~50
Estima1ed Cost S
HEATING PERMIT fEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building pennit #
$
$
S
. ,.,AID WITH
.sO BUilDING PERMIT
(omce Osc ODly)
This Application Becomes Your Building Permit When Approved
8uildlDl! Official
Daft
"
P,I1id' '
Rat(}EC 0 1 2005
II ~cei~t No.
!B*
lTii
-~ I
1
24 hour Doti~e for aU iDllpeetioDB (951) 447-~~p, fall (952) 447-4145
TOO I2J
MIY cr3110M.LNO:)
9Li:9091'TS9 XVd 9f': 60 cr3M SOOl:/Cl:/TT
05/02/2005 18:15
9528815975
BOB JECHE
PAGE 01
Date Rec'd
ell i OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and Ii"", af botlXlm)
ADDRESS
iL./J3ty ~
~. ~~:'w ~j:I;. I P~1<l~ITNOS."1/~i-
). G>ld ^ppJ,,:ant
Q .~vJ~
ZONING (office use)
LEGAl.. DESCR1J:" liON (office use only)
LOT l:~ BLOCK) ADDITION Tk e-
~=~~:.2...a ~ H- ()~ ~ - S
t-v'{ , ~ <.
-~
1\/ od~
PIP
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT j -
(Name) Top ('.Ada -_ ~ 'l. c.... (Phone)
(Address) )JJ D :r-~. ~<. Ck ~ , Q- f3J ObrJ1 ~vc. 1...... It nu fis-t 1/
(Address) (CiF ~ (Zip Code)
(Comact Persoo) ~ ~~~ 7, A (Phone) {P I J ~ 1J/J N,~
APPLlCANTSIGNATUREJ It-/L.J ~ - DATE ~1-J"'liJ6
/
APPLICANT PLEASE COMPLETE BELOW
Size of water service \ l \. inches,
Location of any couplings from structure feet.
Type of sewer pipe, 0 ABC [}fPVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
,50
Bulldlllg Oftldlll
Dille
^ I.~~
. Paid ~ I 1'\ f J Receipt No.
Da~"':' I~-h By
(Office U~C Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for aU in,pec:tions (952) 447.9850, fax (952) 447.42"~
PRIOR LAKE DEPARTMENT OF
. "BUilDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I~ I~S IIAAJ, Liflcfr C/~
NATURE OF WORK AJE'A,J c:=._,. (Nil L.', FJIJI,,,,;
USE OF BUILDING S,J:: tJ~ lA!/J ~Cl&' )
PERMIT NO.I'J6''"tlZ-B' DATE ISSUED 1I1'!Jtz.~
CONTRACTOR ~ I/dlHE'S PHONE. -'nJ(;-'1lZ'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
~ PLUMBING
.. HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ",.~ ~ j
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1JJf71l€/HiJUFIJItAJI I iM/}-~ I#~ l~
u..~t't~ ~ FINALS ./
GRADING (Prior to Sodding) N ~ ~ .1. O~
BUILDING ~ 8-1-~", ~~~ uc r~
ELECTRICAL I
PLUMBING LA>C
HEATING
DO NOT OCCUpy
FOOTING ~-\1I-V)
FOUNDATION (Prior to Backfill) I /1 > I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
vW" .
f IJ / /~t'fi,~
I~ - (/~~
fjJ;
1/
INSPECTOR
DATE
---
J
I V Il---<A
/~~G. I
1/.e:J JD' J
/llz~r{, I
i..l\-~ ~
j?f:5 ~/1l~'" ,
I HJ" 16/t~
UNTIL' ABOVE HAS BEE'NJ 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
Certificate of Occupancy
CITY OF PRIOR LAKE
Department of Building Inspection
~inal Permitted
DConditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the []Residential
[]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 .s i /"vet , e. Fa., M i J U Building Permit No. () 5- J / 5'?
Occupancy Type f< :q J TYPe Construction! JZJjj .) Zoning District ~ J S 1J
Legal Description L 0 + /3 M to 1 I LI/t J d F. A/ CU- 0!1 /
OwnerofBuilding . ' , SiteAddress-J.-#.l.~ <:- !dLlLJ <::' ~K~v...lr(__{e-
Contractor's Name & Address Y a:T2 ~ 110 P1e.c,-rJ.-l!::I ~~.- ~Ma.-.fL.1L"'.: ,550 V</
1?~~. ,f J). tJ I/L~: 5 City Planner
8fdt I ~ilding Official
Date: t.V Date:
J
J /LIVe
kav~/er-
POST IN CONSPICUOUS PLACE
DATE TIllE
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS 1 '-I \.3 <" ~~. (\~-
OWNER CONTR.
PHONE NO. PERMIT NO. 5"-11 c;-~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
J. E&vJ. (.;~ ("'~. - I
2. l-IOJd ~..t" d~l\teu~... UAn>r. a." at- 'fJlrJP (;~
3. ~ do- T~c;
~t'^ ~_ ~ ,~~\ -Lt~ ~ esloL.{I~
___ I
-- 1 -/.....
I~ ~
8r/- {; (p
-
K+~ ~ 1J.$4
- r
o WORK SATISFACTORY, PROCEED
o CORRECT A N AND PROCEED
)<. CORREC , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAt: 44 -98So/0R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J413f:::'
~'i L<
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
E)NSULATION
~ ~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/,
f:.~ ~ l~~ J J,tJ.5f
DATE
81J~
0,' t
TIME
5" - IJ~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASl..,IfiE-AIR TST
o -SJJ:,..J
/l
(Au,
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT r.?K. CALL FOR REINSPECTION BEFORE COVERING
~,\,
Inspector: _ Owner/Contr:
CALL 44 d~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE... ~ENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
J~/3S flVd 4ft. e,'r
. CONTR. -Be. -Jz.h{lP /-b1tttS.hf.
{9 S'-I.MJ
~~ILLlNG
o cormAlm
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G~.,(e - "K
Cu,1t, B~ .. ~(.
DATE TIllE
g--]-d,
Y WORK SATISFACTORY, PROCEED
1; CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor:~ Owner/Contr:
r
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
3/~Cf~
ADDRESS j <..{ ,~ ~~ l.~. ~
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~PLUMBING FINAL
o MECH FINAL
COMMENTS:
I'(~Y~
", R6U~ (2) f ~.
'3. Ptl2.ll.L,t. . lk.t': ~ ~ '4
~-IIStp:J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
flf' ~
u.t/
I
~I ~o,J
o WORK SATISFACTORY, PROCEED
)(.CORRECT ACTION AND PROCEED '
o CORRE~;r.. CALL FOR REINSPECTION BEFORE COVERING
Inspector:.J I ~ Owner/Contr:
J V ./
CALL 44Hestr FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
/N$NOTl