HomeMy WebLinkAboutBldg Permit 05-0385
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and si~ at bottom)
ADDRESS
See Main Fil~+: ~~,;_
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PERMIT NO. 05. 038S-
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT / 'i BLOCK I ADDITION /, /~AI~ IJ/t.o ,JJ
4nr
PIDc?7~-....II/~-(/1 ]-rJ
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Company Name)-Ls../f'/A 1< n,,, IV,.) ~
(Contact Name) ,6u v?-
(Address)IY7~ P(;j.vr-,L..- ~ /!AG..A--N /lA.-J
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(Phone) ~ S- /-t/~b "- 'I <lilt>
(Phone) cPl Z- ,- 2-ZI-jt... 2-P
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TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing ORe-Siding
L1Addition o Alteration OUtility Connection 0 Misc.
DLower Level Finish
o Fireplace
CODE: DI.R.C. 0LB.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II III IV {)f A <Y
F H I M(Jf S U
1 2 cD 4 5
$ /tJo.. t?~o
PROJECT COST IV ALUE I I .
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authuflzed agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;ficial can revoke t~just ,cause Fmthermore, I hereby agree that the city offi/~~iaY enter upon the property to perform nee3:~~~
- Signature Contractor's License No. Date
-"
Permit Valuation fll/ /)J OOO,tf)O I Park Support Fee # $ .-
Permit Fee $ jI13,5"o I SAC # $/qs;o.OD
Plan Check Fee $ 7.:l3,7? I Water Meter<.!ize 5/8jr"; $ - Z!;'O.Oo
State Surcharge $ 55.D 0 I Pressure Reducer $ 5t!). DO
Penalty $ I Sewer/Water Connection Fee # $ /!S:Od.O-O
Plumbing Permit Fee $ /tJOrlJO I Water Tower Fee # $ / tJ (J Or f) 0
Mechanical Permit Fee $ 100, Of) I Builder's Deposit $
Sewer & Water Permit Fee $ .'1~r ~O I Other $
Gas Fireplace Permit Fee $ ~~,&O I TOTAL DUE $ "-,4-17 .7ttL
This Application Becomes Your Building Permit When Approved Paid t. tl7. 1L Receipt No_ -I'eJ/"} ~
~ ~ s/fI',h s Date ...., . '7. tJ r- By y.
f
Building Oilicial Dale
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
~~"~i}l:='=ry cmFfin"or;;;~; .'o..roo=oFoo "'See~Ma1n~ :~rem"" ~
Planning Director . , 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
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White - Building
\.. C'anary - Elliji;"..;erinaJ
t'lnK ' - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHeCKlJSI
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I I ...-'? /"" ,~~ ,.4 " /1 ,1.'..<)
;' 1< /i / .p,. c.,./' ,; .l' ./ .#r.r:.J /'~;".,'l
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Accepted
Denied
X,
.,
Accepted With Corrections
Reviewed By:
~fJ
5e.e. ;il/~ FIe.
Date:
5- - s'.os
Comments:
"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'
/Whit.. ~ulldJ!!!j:)
canary - ~nglneering
Pink - Planning
-
BUILDING PERMIT APPLICATION DEPARTMENT CMECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/13? .dJ~ P
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
~
~
Date: ......<;f!~~
Comments:
"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."
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See Main File
White .. Building
Canary - Engineering
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BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.7
.//. / / ;;;<'I':~ / 1/ /J r-::://' ill
1/ ,j / ././ .-(_.A. 1..- ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By: _ ~ ~
Date: sf"7' ft~
Comments:
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."
08/16/2005 TUB 10:49 FAX 952 767 1900 GENZ-RYAN
~ 026/031
Date Rec'd
L1T1:" OF PRIOR LAKE
SEWER AND W ATEK PERMIT
(Please Me or1)rint and sil!D at bottom)
ADDRESS [
\L\\:~ . .IUi cb
I. Gr... Fil. I PERMIT NO I
2. Yellow CiIy . 6S- o:Jb~
3. Gold Appli....l .
P~}i)
ZONING (otlic:e use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER'l'l' '.[....(\r . "f\'~',\ '\ i, . jPC
(Name) j( j; l,:., n \~ .d \\; I ,'Of]' IL ',J
(Address) 1)(0 tS PI OtZOv D v. ~k~ )Cf)
(Address)
(phone)
{LLQrcn r\/ll~
(City)
(rn i - q Cfj- ~~n U:'7
r-::.,c-..-) " -j).
_'.... ,/1....
(Zip Code)
APPLICANT (1_ n .
(Name) t::l(lnr.-' lL.-U a (11
l1'1h'\ \^' I .t., 1'7
(Address) 1- t-UU ,I V . h If\, }) I:'}
(Contact Person) . <( h~~. .. 'f nJ'l \ ~
"LICANT SIGNATURE -trf1YD ~ JILt} JJ
'-' I
(phone) 1102 - 7 Lt/7 - (000
PJJ.A Ilj/! ( V J'II-t- ftv^.N cJ~'33 7
(CitY) ?:- I '" .' (Zip Code) .
(Phone) C~.l{IJl-IX1~ I
DATE f /((rJn<;
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABeD pvc 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEES{;fjJ!;DULE
Residential sewer and water line connection $35,50 Industrial, Com'l & Multi-famiiy 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Penn it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50PAID WITH
FRJJLDING PERMIT
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
Building Official
Date
i\,S~Ii:;D\!J~~
r ~ I; ~ ~'''iPtNo.
I at~Ufi 2 4 2005 IJf
J '_'
24 hour notice for III inspections (952) 447-9 B9. fjI~ (957~ 447 424S
08/16/2005 TUB 10:49 FAX 952 767 1900 GENZ-RYAN
f4I 027/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sim at bottom)
. ADDRESS /1
4 ~C1
I. Blue file I PERMIT NO
~. ~~ ~~rjCMI .0 r-. 03 & 5"
L~ h ,Lks P~+t'\
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PID
~=R IJ)fV'f_NYVl r)rl \--~)(Y)(5
(Address) \ X q I) P {G\-Z[A \) V. );+c ;;rn
(h' {} "r- '2'-7{'""?1
(phone) . ()/- K))' ':) >1
p..,;:::' ;'J.~)
_),) If," ..... '\
Fil ~J (1 J'l f'L!\ N
. APPLICANT f'-.'p 11 1) ( a f\ C1 ,.-:: . { CD"'
(Name) CI'-'I 'l. - ~(,'J. ~ I (phone) l '"'JU- fw1 - ) ()
(Address) 21-00 \/V. 1-h"J t"j 1..3 BtitflVl~V J (ff. M N ~5337
...,/. (Address) ---:; .. . . . (City);. (Zip Code)
(Contact Person) '\j I'YJ ') ~ 1\\11 0 (phone) Cf5 ~ -llP 1-- \ &lP I
APPLICANTSIGNA~RE (.~ r~cpLl4Al1J DATEJ//{()/C5
~ ..
Quantity
t~
I
\
~
I
,
\
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture , Quantity
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
-3 I Water Closet (Toilet)
Type of Fixture
I
I
I
I
r
I
I
Rough-ins
\ I Water Heater
1 I Water Softner
\ Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
Backflow.Assembly Test
Lawn Sprinkler
I Other "
FEESL..tJ.j!;DULE
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 Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
BtJ1l0ING PERMIT
,(Office Use Only) n '1 rt~ ~
This Application Becomes Your Building Permit When Approved 111; ~\ f1P~~ \} \~ l1 \' \ I Receipt No.
. :~ JA\YG 2 4 2005 l! By
Building Official Date, \ \ \ ---'
24 hour notice for all inspections (952) "'l~~~~O. r~E~~L-,
08/16/2005 TUE 10:49 FAX 952 767 1900 GENZ-RYAN
~ 028/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
(Please tv1Ie or print and siltJl at bottom)
ADDRESS . f)
IW \ 3Vl LUi clS
~.~:. ~:~ PERMIT NO. OS. ()3B5"
'Yellow Appll<lllt
.JOl +t~
ZONING (oIfice
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER \ I ! n ~r. ~
~J/I! '... If\: !. ,r-..i
(Name).i\) \j\ \~\ ,'l,il.! ['\
L'\n'''yv---C;
\ ,./1 L-
) r 3'1""
(phone) Cc51-' (,10"), ~ ilf1
(Address) I gqS rJICrllL, f)r, S-\e ;2()O
l'~~"ar;j r; 1'\ 1'\ .'1 ~\i
-' .v L.\, , v' I \ ,
- oJ ~ -
r:;c:,' :
.j J I ,~);)
APPLICANT r Co ,'r;. I n
(Name) c:rdrYl- - <.Jjf.lJr I
(Phone) qF)d, ~'7 If?' 1000
(Address) y'\,?IJj t).J . t-+Wvj i~) B llynsvi ) Ie ::fPJ~)
,/, . (Ad~ /). '. .. (Ci~ " (Zip Code)
(Contact Person) ~",Jn~ ; y.nJ1 v _ (phone) 'l.J(}.-707- t K'(111
APPLICANT SIGNATURE ~(~.LJLqjf}jl DATE ?/((IJ/(f;
/ --'-APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT. 0 ALTERA nONS . .'
FURNACE MAKE AND MODEL ,t ff),\OX (--r4Ct)H.....~r010 .' FUEL rat :,<~L-~
FLUE SIZE RETURN OPENINGS.Li INPUT UXl( 11) OUTPU6=)..~ j)
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
DGravity 0 Hot Water
o .Mechanical 0 Radiation
~ 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% orjob cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $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
.BUILDING PERMIT
(Offite Use Only)
BIlildin2 Official
Date
~J 'N~ Is II ~~ ~ ~ R",e;pl No.
1 IllftfG 2 4 2005 _ JBY
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This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 1!7-9850. fax (952) 447-4245
. ,By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /1./ I~ W~~J)S- ,/'A-rH . -
NATUREOFWORK UCJ,.J ~rl2.li~~;.J /~/i.L. hAJI.i-",)
USE OF BUILDING SF: A. - '.
PERMIT NO. .IS. -~ DATE ISSUED .:S/'I,!eJr
CONTRACTOR ~AJ,tJ ~~ PHON~/&.nl-11JI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, See Main File
DEPARTMENT OF
BUILDING;AND INSPECTION
INSPECTOR
DATE
, FOOTING
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 '('4J. "1 -1-l--rk
HEATING (if required) Il P; L{/(c.I/Ob
I I
FIREPLACE <l ft
GAS LINE AIR TEST fr() OC{W
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lA71IE:/ ~Ilg-""MI' I I
FINALS
Irt;
f' Jj o/~~
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0/ I/<J/u(
/ /
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING W l.
HEATING
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN 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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1!:IJ:3 9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~I ULATION
FINAL
ITE INSPECTION
COMMENTS:
-JDATE
SCHEDULED "1'~~4C
Wilds /2f.R..-.
L
TIME
CONTR.
/
t;,~
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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(\ ( < '" n ',- ~U'..-~ .J(
\ / \0 }A-/-
~ORK SATISFACTORY. PROCEED
o CORREC~ON AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: i / 1 Owner/Contr:
- -1/
CAL~"'7.98~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
- .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ L.\ ~ 3\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~ TillE
SCHEDULED
\~<5 Q~~
CONTR.
PERMIT NO. 5-385
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
rl ,() I ~
_~DU r'-L- VL4 ~
-1f WORK SATISFACTORY, PROCEED
n COR'rG~CTION AND PROCEED
./0 COrr-EC , CALL FOR REINSPECTION BEFORE COVERING
Inspec or: Owner/Contr:
~j-98\O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
~REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl