HomeMy WebLinkAboutBldg Permit 06-0166
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT \ j.~ ;;2. _ {J~
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 to . 0 / ~ hi
(Please type or print and si?;n at bottom)
. ADDRESS
/53 {) 3 [7:) l.YcvJ./tnSL-
i )
( ' "..
1.../ 1 at. 1-1'::;
ZOlt!s(lS use)
LEGAL DESCRIPTION (office use only)
LOT f3 BLOCK \ ADDITION N A<<:TI {ISor--1
T ?l.-,,-\NO (See 0)';') PID.:1 S- - () r; / - U()Cj-{)
OWNER \/) C--lAN/:)T Jo H~l 1 ~7
(Name) - { C A (Z{Z-(..IL- (Phone)
-
/5303 E Dc.,., EvV f tn=..-r.:: /' /' .
(Address) L.- Il?-Lw:;
~~r;~;~Name) M~ Pr=-TEa~t-J DES\~~ &)1..:.0
(Contact Name) _ \ A:>orJ kou.etc:o~S
(Address) {,7 1(;;' \z I nDi),D,/TLE AvE: FL.)"vA
(Phone) cts 1-t115 - L\ OCl{p
(Phone) F~..,... dQ S-
/Y7" J 55Lj 2'-(
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish
~ddition OAlteration OUtility Connection
~ 0 0 Misc N et.J ;;U~\T
CODE: .R.C. I.B.C.
Type of onstmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5 (excluding land)
o Fireplace
ToyU ;: .5t--'!~C E.. O,.,f5;/Z. &plI7t1\&f.
,:;)3'5. 000 . 00
I hereby certify that I have furnIShed Information on this applicatIOn which IS to the best of my knowledge true and correet. I also cerllfy that I am the owner or authonzed agent for the
Jbove-mentlOne~A')pcrty and that all construction will ~"rm to all eXIsting state and local laws and will proceed in accordance with submItted plans I am aware that the buildIng
:I1Cial can 7'r JIS p~mll for Just C_~Furthermo e)'11eIeby agree that the CIty official of;:lgneeZ:~7e~~on the propelty to perform nee3 ~n;:I;'(j({p
/---~ Signature Contractor's License No. Date
~-..."..__.....
Permit Valuation j~3S'. O()(),DJ I Park Support Fee # $ I
Permit Fee $ /86~. $;"0 I SAC # $ I
Plan Check Fee $ 12'l"s I Water Meter Size 5/8"; I"; $ I
State Surcharge $ 117. So I Pressure Reducer $ I
Penalty $ I Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ ~. (J 0 I Water Tower Fee # $ I
Mechanical Permit Fee $ ~()# rib I Builder's Deposit $ I
Sewer & Water Permit Fee $ I Other I $ I
Gas Fireplace Permit Fee $ I TOTALDUE~ S. 21. all $31272. ~
This Application Becomes Your Building Permit When Approved I paidJ~2. 7 z.., ~ Receipt No. 5/1 f.D 7 I
~ ~ s!Jtlo~ I Date - ~t)1D By ~ I
Buildlll!! Oftlcial I Date
ThiS IS to certify that the requcst in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the Cit anneI constItute,V'mpOlary CeIl1ficate of ZonIng complrance and allows conSl1uctlOn to commence Bel' Ole occupancy. a CeItlficate [)f Occupancy must be
'''"'d~, PI"~ - 3 - ~~ - 0(' See- ~'"~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CWl1ite ._ - Buildinv
canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)hI!- Pe+e-r-soAJ :J)~s-11/V lJiL/ld
9-~--{)b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53C' 3 C dF /;Luli-<- ri!f-~ I
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
~
Date: 3!f c( (e; '=-
r~~
"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."
~'------~,--..."
White - Building
( . Caria.'i - i:ligirieenng.-J
Pink - rsrannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)f;/f Pe-fe-rSOAJ ~6i4/V 13<</ld
1....../
9- :d-Ob
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L-dG-(J~ ~ I
f
/~ 303
r -
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/JIYM
Date: J - 2 0 -!6b'
Comments: See'Reverse Side fur Additional Information! '
i
See Attac~1nents: 1) Cvading Plan, 2) Erosion rontrol 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."
White - Building
CaniQ' - Enaineering
C Pin'" - Plann!P9>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
./' ;/
I,
/~. /
(~ 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
y
Accepted With Corrections
Denied
Reviewed By: ~ ~ Date: f- f- t16'
Comments: /' ~ drv'Q"-J ~" f ~e. ~#W"er~ MIA..S-r 6c.
'l v
k.J$ ~ dree~ ~ exJs-6j;t7 /~t!"V1~ 5~~e ~Q~~
,,12 f .2,,? 7: ..
"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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
f ;) J: CJ G.
(Please type or print and si?;Il at bottom)
ADDRESS
l. Blue File PERMIT NO
2 Gold City . Qt.... (.< / (;, ~
3 Yellow Applicant
/5J()j-' 67.J&~W/1/~/L &/.:.-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLICANT j J i / f,.? .~ ,....,." . I. dB J~ a ,- 1
(N ame) ./1/ y /.~ (f /:1.-I--l <- re -::.r/ /1/ 1'1 L tIILJP ; (Phone) J/7 do
(Address) ~(()& ff5.r- )~O 5f W..ii..b<:i-t'.rf
(Address) (City)
(Contact Person) /j 1/1/1 _~/(#{/ (Phone) 3t:J~
~ JvL
/'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
APPLICANT SIGNATURE
DATE
/ ~
Quantity
ZONING (office use)
PID
Lt~'1 ;) 7l/Cj
~?-C7(r <:'1>
(Zip Code)
,It:) Iti/~
t:-/"--- ,JLJ Cr C
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alte~ $39.50
Building Permit # ~ /J I J ,-()./
/ (JA1D {7i)~I--
.50 (6 JIV
. -----
Re~
. By /PJ/I ____
T -
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
",,""
.,
/r
<.
(Office Use Only)
.-/
P~~
Da~1 "\..,- 'I J .
~,./J. \ {, U
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
~ PR10-s>
s~~
~NESO'\~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. ()fo- I"~
l
ZONING (office use)
(Please type or print and si?;n at bottom)
ADDRESS
tJx; e / ,/ n.J-t"./"
(!l)9(1.~ >
J 5:,,-~0-~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address) ~
t:'
~~;,~~m 'P /f)N/J JjcrJ I 0j /J (Vhone) ~ - if tJ). . ~ ~
c-. (s) (City). (Zip ode)
(Contact Person) , ?1m L / / (Phone) ~ / ~ - t t t} -: .t-.:2 J ~
APPLICANT SIGNATURE ~ __ ~L/df DATE' 1j IILJhiA--
7 P 1 /...-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT iXALTERATIONS
FURNACE MAKE AND MODEL J r-:n/M~ 4 ~ () lrfJ j) JI.fl tJ ? D FUEL JJ 4L ~
FLUE SIZE lc I RETURN OPENINGS INPUT 76) m(J OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
OVent. System
:x ~URNUCJ2)
FIREPLACE MAKE AND MODEL
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Buildine Official
Date
Building Permit #
50~~~
- < J.~
Paid V (Y
Datet-/ ' /3- 10
$
$
$
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
BY~
....,
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /5.3lJ' 1iDcSaJ~ C/~I'. .
NATURE OF WORK ~mJ' AI//iff- "DttCM~,...
USE OF BUILDING ~ r~1'
PERMIT NO. OtP. 0/(,(, DATE ISSUED
CONTRACTOR ~ tJ Dair.t.l "CT. PHONE.tU -9&C-Yoo,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR.,
##-
'r
, FOUNDATION (Prior to Backfill) I VW/ I L+ Llru0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I FOOTING~. 1\"~r
9'ATE '/
J/?b~b
j/I/J/?
1A/J/f
VVy'J
,,'VI
S--l~
<; /(& 0.,
FRAMING
. INSULATION
ELECTRICAL
PLUMBING
HEATING if re
(y{ (, L
0'{0{,
yif
~~.~ing)
BUILDING --
ELECTRICAL
PLUMBING
HEATING
/f
VW
10' (,-ut
DO NOT
V11l /1 fO~~/a
/ifV ! ~~-Gt,
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
DATE TIME
CITY OF PRIOR LAKE /(J-6 tZ
INSPECTION NOTICE SCHEDULED
.
ADDRESS IS 30 ~ I:; d'-Jt" t...A/1~ 4-1
OWNER CONTR.
PHONE NO. PERMIT NO. ~-lfoC7
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
fl FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~ ~
/' .---
/ / ) /1:::.,
~ ( ~ l/JL
, \-------
f'/ ')
/--1 (Q /
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, ~R REINSPECTION BEFORE COVERING
Inspector: II VI./ Owner/Contr:
o I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI