HomeMy WebLinkAboutBldg Permit 06-0241
(Please type or print and sign at bottom)
ADDRESS
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lIeAFlttb,;
CITY OF PRIOR LAKE BUILDING PERMIT,.. "":J W.tir\~~d
TEMPORARY CERIUICATE OF ZONING COMPLIAN~~ ~ ~ \'~ ~ J ~\\
AND UTILITY CONNECTION PERMIT \.' '.u 0 6 I,
I \' APR 5 ZOO I
S M. Fel \ \ ~
ee aID I eiEt E"." PERM\bN~a, ?W
w.
LEGAL DESCRIPTION (office use only)
LOT 2. BLOCK / ADDITION
OWNER
(Name) ~Pt~AI
fJBI~'()P/lvtfl.,,:r--
(Address) ~ (7^^ fJ1..- ~ ~
CJl..Ml) 1q../4 1kIl,.:1.
(Phone)
Glkptr . MJI
55"""fC3s
BUILDER
(Company Name)--'1L /1()JflC~ UL:
(Contact Name) f)E'~i.l Ue?<.lJ,{/
(Address) to8"()OjP~t? /If/[, s:
ZONING (office use)
12{ 6D
PID z5, 42$, I)f)~- ~
9Sl,3sZ t){p/6
(Phone) " ,sL. Z$2. 06/6
(Phone) 6/2-.3~~_ tPb:Jf/
e~ Hi'" b"51f.JS-
TYPE OF WORK ~ New Construction ~eck ~orch ORe-Roofing
DAddition OAlteration ouli'iity Connection
o Misc.
CODE:~I.R.C. DI.B.C.
Type of Constmction:
Occupancy Gronp: A B
Division:
I
E
illIVG)A
HIM <!)
2 0) 4 5
ORe-Siding ~ower Level Finish ~irePlace
B
S U
PROJECT COST/VALUE $ 19/)/tt/D
(excluding land)
x
I hereby certifY that I have fi.1mished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzcd agcnt for the
abovc-mentloned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
official can revoke t . permit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspectlons.
3-~/<)b
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
II
F
I
~. OOt),O'O
$ I ~(93. S-c
$ /oql./, La
$ !O'J_ _ So
$
$
$
$
$
1 ~ (), 0 'C)
.
/OO.DO
3'5'.S"0
J/cJ,o 0
This Application Becomes Your Building Permit When Approved
~m~ $~7f'
Z.~~3(P Z-
Contractor's License No.
I Park Support Fee
I SAC
I WaterMet~ Siz~I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
Date
#
#
$
$ JS5Q
$ Z.SO.O'O
$ 50. () CO
$ Is-ot), D~
$ 10 dO, Ot)
$
$
$
#
#
Receipt No.
By
ThIS IS to certifY that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planne constitutes a tern rary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Celtificate of Occupancy must be
issued
'1-/(- ~
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
t"1Niiite - BUlldln~.
~~~~. y - cngnr.;er.ng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTftdENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HL H0l'16S
4. 5.0 b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4() 25 /leR-/ '1//96 LN.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
IIf' 8 Eile
~ ~~ .~", .'~ .';.~.'~ -n, .
~.i\.A,"'4N..l..t
"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 Main File
White - Building
Canary - Enaineering
(Pinj( - Plannlnj)
BUILDING PERMIT APPLlC.ATION D.EfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/-/ L Ii (:i Ii 65
4.5.0 h
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4025 116/c'177i96 L;J.
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
/~~
Date:
'r-If/'- 0"
Comments:
t,">
,
See Main--m1e
.~
"
.'f
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
#()(P.021-'1
~ ...",:8Ultdlng
. .;-w - ~~nco
Pink - PIIijInlng
;.',,",j
BPl.......MIT APPUCATION DEPARTMI!NTC"ECKUST
NAME QF= APP~tCANT
APPLtCATlON.~CEtVED
HL H0l'16S
4.5.0h
The BUilqiRg,. ~,.rjng. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4025 #eR/lrlG6 LN.
.
Acceptec;f . J<... Accepted With Corrections
Date: 4-(l.G)~
UThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or anapprovatof, any viotation of
any .of tt1eProvisions of ~.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
ordinanc::&s of the jutfSdi8l0fl ShaH not bevalid~.
MAY-10-2006 08:49
CITY OF PRIOR LAKE
9524474245
P.03
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date. Rec'd
~. ~=. E'An\ I PERMIT NO., . Z~
(Plu,C! type or prinl and 5i~ al ballam)
AODLiJti15 l-Ien'1Me Lo.J?e,
J
ZONING (clIt1:D
u.w)
LEGAL DESCRIPTION (oElice IIse 01\1)')
LOT B1.0CK
ADDITION
PIO
~':~R ~ L +tQme6
(AddlesS)[jgD~~ + /7r ~ ~N (E.l/35
APPLICANT r: r2
(Name) l:n5"l1..- ,-~.o VI
(Address) :A,?l.D W . t--tWL~ I~) B U.f/fl\Svi lie 553'') 7
, ..J. (Address) (aly) (Zip Colle)
(ColltactPerson) 1\ 1m . (phone) ~-7(il:j(jjJ
A PPLl CANT SIGNATURE (4:iin & 1t{11h DATE 6/q IOCP
f APPLICAN:f-PLEASE COMPLETE BELOW
. ~EW CONrr~~~or): ~9 REPLACE!1ENT 0 AL!ERA nONS
FURNACE MAKE AND MODEl.. _U:J Jnfli.LQ""o VH- 'tiC-uP FUEL (Jo:i ~
FLUE SIZE n.f11JR.N OPENINGS J 0 . INPtrr/, I a. r1JJ OUTPUT IJ 84M
TYPE OF SYSTEM HEATING OR POWER rLANT
~arm Air Plants 0 Steam
i,ravlty 0 HOI Water
Mechanical 0 Radillliqn
ir ~nditionin8 0 Special Devices
enL SYSlCtll 0 Other Devic&$
(Phone) qJ5a... ~6~ - O(f;s5
(Phone) qr")~ .;'7 LrF7'" 1000
PLtASE NOTE:
Ai,. Conditioner Units
Cannot Bncroach into
Required Side Yard
Setbaelc$
FIREPI"ACE MAKE AND MODEl..
I1'n-E scrm>>ULE
Ind\lC1ria~ Commercial & Multi-family 1 % of job oo3t 1'l.~ldcnlial. Gas Firelllaoe
S39.50 miniln\lll\
Rt.~idcn\ia), Heatfng & ^,e (New r..oIl$Lruotioll) $99.S0 Itr.s:idelllilll. Addition!! &. Altel'ttiol\s
Resldemial, Healing Only (New Constmction) S64.50 R.esidonUal. AC Only
~9.S0
,t39.S0
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATESURCHAROE $
TOTAL PERMIT FEE S
,SQ fWD WITH
aJlLDtNGPERMIT
(OfTice UK Onll')
This Applic:ation Becomes Your Building Permit When Approved
DatI:
I Receipt No.
I By
Paid
nllildina ornCllll
Dalu
2" hour notice fOI- all i"sllcctioftJ (~5:L) 447-9850, (AX (~52) 447-4245
~
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CITY OF PRIOR LAKE
9524474245 P.06
Da1:c Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Pleue lYtle or Prin[ and siIn It bottOm)
ADDRESS 1-1
L/ 0;;,5 . Pki-Mgc lAne..
~: ~ ~~ I PERMIT NO.L.. ~LI
J. V.ljo,oo ...,P4lclftl .. . ."" I
ZONING (011"_ Ux)
LEGAL DESCRIPTION (o.fficc uS! only)
"
~
~
~
I
LOT BLOCK
ADDITION
PID
OWNER I L I I I '"
(Name) IT I,..- cp..wf'Y'e6
(Address) (pifJD +=Vance Ave. Q. :#= /7f
. (Phonc)qsa"a6~-O(P3S ..
rdena..- MN 65435
APPLICANT (L n
(Name) ~- ~t'ftiV)
. J
(Address) 21-00 W. !-h,'\] 1.,( L':$
I /. (Address) J
(Contact Person) f\ I rn
APPLICANT SIGNATURE (~ _~...e.1l
-
(Phone) q CJ1.." -UfT1 .. (aDO
~l..{ft/!lr.:,lfl'( le_, M N "S'::J:-5'37
. _L .. ~ '
(City) (Zip Code)
(phone) ~ '3 ~ -7 Cl7-1 Of1)
6/q It)(;)
DATE
r\
,
APPLICANT PLEASE COMPLETE BELOW
Q1lantity I Type of Fixture I Quantity
2. Bath Tub with or without shower I
I Dishwasher
II Floor Drain
I Lavatory (Bathroom Sink)
Laundry nay (lor 2 comparUnent sink
Shower Stall
Sinks
Bar Sink
,~ I WatJ!:r Closet (Toilet)
Type of Fixture
Jl
,
I
,
I
f
I
Rough-ins
Waa.r Heater
Water Softner
Stand Pipe (Washing Machine)
Sewap;e Ejector
Backtl.ow' Assembly
Backflow Assembly Test
Lawn SlJrinldcr
I Other .
)..
FEE SCHEDULE
Industrial, Commercial It. Mulli-flmily I % of job co~ with a $39.50 minimum Rl:$idential. New aile &. Two-Family $99.'0
Rl:slclc.ntial, Additions c!t AltCJa\ions $39.50
Estimated Cost $
Building Permit;l
PLUMBING PE..RMIT FEE $
ST ATE SlJ1\CHARGE S
TOTAL PERMIT FEE $
PAID WITH
dOING PERMIT
comCt Use Ollly)
This Application Becomes Your Building Permit When Appt.oved
, Paid
Receipt No.
Date
By
Building' Official
O"t
24 hour notice lor lllllnspDctloDS ~S1) 447-9850. fall (951) 447-4145
08/25/2006 16:15
9524926006
GLOWING HEARTH:/HIGH
PAGE 01/02
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Residelttisl,.Jttli:tinll&:NC (N~~~dS~Ati.~~ ~~Q <,Riest<<l;lIftal,; AU'dn~dll'S.& l4,!p}}i~/O I~~n-.. $39.50
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Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I, Green File P.ERMIT NO 241
2 Ydl"w C,,} . /\1 - . 0
J Gold ,\ppIi''M1 VlP
(Please type or print and sign at t.v;;v~.)
ADDRESS ZONING (o{fie.,
~4t.r ~#~ ~~ u.c)
LEGAL DESCRIPTION (office use only)
Lor BLOCK
ADDlI10N
PID
OWNER
(Name) ;7;AJJr>>~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) DSM EXCAVATING CO.
(Address) 2916 ENTERPRISE AVE. , HASTINGS, MN.
(Address)
APPLICANT SIGN ArURE
A/A-
(Phone) 651-480-1355
55033
(City) (Zip Code)
(Phone) 612-919-2729
DATE O/;L~-~
(Contact Person)
JEFF CHILDERS
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC WPVC 0 Cast Iron
Estimated length of sewer line teet.
Clean out (ifrequired) 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
Sewcr conncction only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
ST A IE SURCHARGE
rurAL PERMIT FEE
Buildinl!. Official
Date
.50 PAlO WITH
BtJ\LO\NG PERMIT
I~)~ @ [~ 0 ill lr c-~\t~C~iPI No.
-]'>atftAY 0 9 2006 :y
$
$
$
(Offil'e list' Only)
Tllis ApplicatiollBe4:umes Your Building Pemlit Wla~n Approv~d
J
24 hour notice for all inspections (952) 44'ie9f50, fax (95~)44 7 -42~\5
PRIOR LAKE DEPA~TMEN,.Qee \1ain File
BUILD1NG AN-~NSPECTION
INSPECTION RECORD
SITE ADDRESS 4-()ZS H6"111t~
NATURE OF WORK sFI'I
USE OF BUILDING "jf
PERMIT NO. ATE ISSUED
CONTRACTOR PHONE ~
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR pAT~ I
I FOOTING '. I ~ I ~~/~
, ... ~
FOUNDATION (Prior to Backfill) ~vrt-tl~// a. 4~ I ~ ~'4-
PLACE NO CONCRET-E UNTIL ABOVrt'.tAS BEEN SIGNED
ROUGH - INS /" "
SEWER I WAJER I SEPTIC ~ S~~/.,~
FRAMINGjl/frh~ WN-/'I;,/$( &),)'~ ~ bPJY~~
INSULATION '1 ~ tf;/X49~G,
ELECTRICAL.. .f' ~ ~ . I d~~ r.ot::J
PLUMBING t/t~ I!I!I S71'!~" f _ #:;, I ~/7F1c
HEATING (if required) ~.eA. ~~r ~ ~~~ //,.,/.,., (7rrJIJ
FIREPLACE _ .. I ~ I ~/~U
GAS LINE AIR TEST ~4 ~ h;!." ,//Vf- ~p~~
COV.ER NO WORK UNTIL ABpVE HAS BE~N SIG~ED I t
~ (I ~ 1~~.I'K1~~r~& Ih#/ !ft/7hrh'~
,,~ , FINALS ' ~ ~
.
~RADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~~
~Af',.p6
~ 7/06
r/d'tJ~6
\.
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
-
/H
, "
~
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
@erfifirafe of @rtupanrl!
CITY OF PRIOR LAKE
~tpatfmtnf nf ~uil~ing J1nspttfinn
JPinal Pennitted D Conditional C.O. Expires.
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D 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 AlG LC ,1/#1"11'- If Bldg. Permit No. ~. 6 z+ /
Occupancy Type _ K3 Type Construction V AI Zoning District Ie IS/)
Legal Description _ ~ Z I e Ii HER4771t:;6 L.A/JOINti
Owner of Building Site Address +{;z..5 116,e,-7AG/5 ~.
Contractor's Name & Address IiL ~rl~ "809 r;t!.l'7/l1t!e Rt/e. 5.., 61//#A SSfs5
/2,()1J6e:T D. J-/VTCf/IJJS~ City Planner v/lN6 KANf'IEIe.....
Date: ~ he;> ~6 Official v Date:
iit/do no,
~.2S- d,,~ ~~ ~-
. . -t
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
COMMENTS:
-/,/ .-- /
;Y ///""" (' Le, /'.h h.~ ( ~
_."c..eC e t ....? <. d O.rSe:" r
~ /
nA4/
/'
rYrc.
h .-.,2~/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/ /"l/' r'/)
\C-/6. \,.e.- /4/~/
'-- ~ -----
~WORK SATISFACTORY; r'rl.V\,oE;E;U
o CORRECT ACTION AND PROCEED
o CORRECT ~~./;,A~~INSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &: SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4/6?S-
v
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
nilE
DATE
SCHEDULED #
/kn~ ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
t;, - ,:<~(
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
~ ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
.
'--_/
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APPLIANCE
PERFORMANCE
TEST
Attach to gas line adjacent to regulator
Heating contract04 ~~41(
Name ofTesterl~ t '
Date ~ . J4-d,
Job Address~~.Il7*~~f('
Heating Contractor CHI; ~~'"
Name of Tester~c. I
Date (1;. .1-4-tJ(,
Percent O2 7.0
Percent co ,'I PI'"
Percent C02 ~O
Stack Temp rJ50-
Combustion air is adequately supplied per
UMC Sec. 606
Input