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Home My WebLink AboutBldg Permit 05-1024 (Please type or print and si~n at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION ~ERMI):,o 1 See MaIn ~1 e, ~ ~,~'~e ~:~y I PERMIT NO. 05 10'1 L I J Vello\\. Applicant " ~ Date Rec' d q~d31 65 A^~~I :<:.0.. 3b9q :r~t(~r5 Pi.:. wY' , Nw ZONING (office use) PUJO LEGAL DESCRIPTION (office use only) LOT I ~ BLOCK .3 ADDITION Se.lle<S PoJ F." rS +- AJd. .r + " "'" PID ').5"- t.t3 )-()~~-O OWNER (Name) 6u.IJel"'" (Phone) (Address) BUILDER (Compan y Name) W ~ '<: """"''' "- )-I {)~e <- (Contact Name) [)e.I"';"\: S l S( J.. ^, [1,."". (Address) R.~~ 13;,1: IJ~~ I S?q.(' P Jt>-l..." (.\,...'....L (Phone) (.S' 1-<.(0 6- L/I./O 0 (Phone) J:J )...- 36'\ - ) q.,) l/ Sv. t~ ~oo Eo.jtv-.. I MN S-S-, ~ '). TYPE OF WORK IllNew Construction bZ!'Deck OPorch ORe-Roofing ORe-Siding ~Lower Level Fimsh ~ Fireplace DAdditIOn OAlteration OUtility ConnectIOn CODE: KlI.R.C. DI.B.c. Type of Construction: Occupancy Group: A B Division: o Misc. I E II F 1 III IV V HIM 234 A R 5 B S U PROJECT COST/VALUE $ 170,000.00 (excluding land) I hereby certify that I have hlrnished mfmmation on this application WIiICh IS to the best of my knowledge true and correct. J also certify that I am the owner or authOrized agent for the ahllve-mentllJned property and that all construcnon will contilrm to all exisnng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg ~rlClal can rg~=mIt Lust caV':;~l~ hereby agree that the City official or a de;i~e;~nter upon the property to perform needed I~:::_ C J Signature Contractor's License No. Date Permit Valuation #/780DO,t)"lJ Park Support Fee # $ I Permit Fee $ IS~', SO SAC # $ /IfSo, tJ~ I Plan Check Fee $"1'1','78 Water Meter Size 5/'(~ $ '3QO.I)O I State Surcharge $ 97,{) 0 Pressure Reducer $ 7$,00 I Penalty $ Sewer/Water Connection Fee # $ lJ;tJo,oo I Plumbing Permit Fee $ IOD. D't> Water Tower Fee # $ /fJO 0.00 I Mechanical Permit Fee I $ lotJ,otJ Builder's Deposit $ I I Sewer & Water Permit Fee $ 35,50 Other $ I Gas Fireplace Permit Fee $ 10,.tJO TOTAL DUE 1$'1. J&l'r. 9~ , 7"" q 1. t'" ("'. This Application Becomes Your Building Permit When Approved Paid 7~ /' Receipt N 0 C I t5V I ~ 1-~ JjoZrr:/o 5 Date (~/ .;:] l/~ /j By ()) I Buildlllg Official Date ThIS IS t[) certIfy that the request in the above applicatIOn and accompanying documents is m accordance with the City l[)ning Ordinance and may proceed as requcstcd. ThIS document when signed by the City Planner constltutcs a temporary Certificate of lonmg compliance and allows constructIon to commence. Before [)ccupancy, a CertIficate of Occupancy must be '~ ~ Planning Director ~/tJS- ~~iJ~." ~~ ~ ~~. 1 Date 'W'~ tlSpeeial Condition~, if apy .. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 1110 ~ /,0 ~ 16200 Eagle Creek Avenue Prior Lake, MN 55372 f'J The eenler of lhe Lakr Counlry ....JIIlbite - FUilldinQ ~narv - Engineering") Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~/v r:; /\j~1 L-j /) f\) /l/ C} 7/-;. /j<- / ~ f...,.,....-r+,..-.. v ....J APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , 3iP 99 'JE~;:67C) p ~ J Accepted >Z-. Accepted With Corrections _ Denied Reviewed By: ~ .See ;J1O>t/~ FI, . -. Date: /{J~ 13 -OJ 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 ( White-- Building) . Canary - Engmeering Pink - Planning lht' Ct'nlt"r flf the Lab Counl!")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED N6 tJS'r1 /J tJ IV 9 Zk. 05- The Building, Engineering, and Planning Departments have reviewed the building permit application tor :3Z;tq aCliv0 ~ed p,o# / Accepted / Accepted With Corrections Denied Reviewed By: ~~ Date: I tJ /~ /(;1 S" , Comments: See Main Ifile "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." 12/08/2005 THU14: 12 .FAX952.76? 1900 GENZ-RYAN ~]0!O/013 CITY OF PRIOR LAKE HEATING/Am CONDITIONING/li'l.l'{EPLACE PERMIT Date Rec'd ~:~:. ~!~ I PERMIT NO r- I A ., ~ - 3.Ydlow Applit8l11 ~ (Please type or print and si~ at bottoml AQ2..~E~S \" e ~ ~ \ Jt>tt( K\ -Prur ~A!\J 0 l. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT\ ~~BLOCK .~ ADDITION PID OWNER I \ ' (Name) \J\ j()i\s\"nl). YIlt) (Address) I gq5 IO[OZGL- D~r, Sic?DD honLr-t; (phone) (Y51- Q00.. 3iOS ~Ut1 Of\ rVI f\! - -,., - . 55 (;):;- APPLICANT (_ .~ (Name) uerrL- kJjflYl (Address):?-;}[[) W. HWvl i~) (Contact Person) -fQ\^\ ~(h~nf mClt!) - '-fh- nll\~J (\ APPLICANTSIGNATURE~~~))jUmulU DATE J ~LQ8'{(n . v APPLICANT PLEASE COMPLETE BELOW ' , ~EW COt!STRUCTION 0 REPLACEMENT 0 AL TERA TION~. n. FURNACEMAKEANDMODEL ...fllt!O\ 6LJ'?>Uf:"..~~l DQO FUEL1\Jl1t.t!O~ FLUE SIZE RETURN OPENINGS INPUT OUTPUT (Phone) qf)~ -i lf7 r 1000 BUJ'V\'Svi1 Ie 5533-7 (C?:~ ~p Code) (phone) L4lJ 2.,.110 1"' ( 652 TYPE OF SYSTEM DWann Air Plants DGravity D Mechanical \~,Air Conditioning }4Vent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH .50 BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit Wben Approved Paid I Receipt No. I By Buildine Official Date Btt 0 9 2005 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 12/~~/~q05TIIU14: 12. FAX 952 767 1900 G~N.~:-:~Y~~..,. i4l?,g~/ ~ 13 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT L /llue PiI. 2. Gold elll' J Yellow Appli..., PERMIT NOS: ( fJU (Please tvDe OfPnnt and siJ:ll at bottom) ADDRESS . OJ ) ~ ~\q \ t-r-FerS; ~nr ~wa4 ~ I) ZONING (office ....) LEGAL DESCRIPTION (office use only) LOT) ?-BLOCK ~ ADDmON Pill &:R (_JU~ff)vrY\(lY!n MnrVlC5 (Address) \ xQ5 \0\ a.m- Dv. ';;-k dJ) APPLICANT fl. 'j) (Name) qe,J1i-_ - ~l'J0~1 (Address) 211)0 W. l--h,v c. L.3 F){llt2J1 C,V 1- ( Ie.... !Vi N ~337 . , (Ad~s) _ (City) (Zip Code) (. Conlact PelSon) --fClh , \ (' ) '^'t'\f ~(Y'{U\ ~hone) Q:r{L ~ 7 iI/I -.R5 2 . APPLICANTSIGNA~P()L~\(J!J.Lllli!l)lo.-l^--7 DATE I ~.I ()y:: O~ VI I Quantity I t I f) I I 2- ( h" flIl'r::. "] -7('y;, (phone) {)/-vx) )-- J ./'"'1 FI,( [1 rUI [VI N Ef5 r;) ~ J (phone) qSL.-- ftJil ' i ODc) APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity Bath Tub with or without shower I I Dishwasher , I Floor Drain I I Lavatory (Bathroom Sink) I I Laundry Tray (lor 2 compartment sink I I Shower Stall I I Sinks I I Bar Sink. I , Water Closet (Toilet) I Type of Fixture I . R \ - \ \ Rough-ins I Water Heater I Water Softner Starid Pipe (Washing Machine) Sewage Ejector Backflow Assembly I Backflow Assembly Test ul Lawn Sprinkler I Other . ~.l!iE 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 Penn it # PAID WITH .~UILDING PERMIT PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid I Receipt No, By -W () g 2005 Building Official Dllte 24 hour notice fOf all inspections (952) ~7:,~850, fax (952) 447-4245 12/0J/2.00 5TlflJ 14:).l.fAx.9~2?~7 1.900q~~~.~gXA~... .~]008/013 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (please l:Vt!e or print and si~ at bottom) ADDRESS " ~~q Ci "Jtfrf~\ ~(\r.KV\faV ~: ; ~~ I PERMIT NO.C"' IA 7""- J, Gold AppliCUlt ftJ . IfI ~ ZONING (cffice use) LEGAL DESCRIPTION (office use only) LOT \ 1BLOCK h ADDmON '--..J- PID ~=R [1 )f:V\~ \ryvlnn \1mY1LS (Address) l<AQ5 PIOLlOu Dv, Slcdif) (Address) (phone) fMan fvlN (City) (hJ- qa5- 5100 551),) (Zip Code) . ~:;~~ANT GJ([~1.- [U( a fll (phone) '7Q1- 7 {pJ- (000 (Address) 111)() VV. I ~dwJ)1 13 3lAfWI S' Vi { I{/ {)Lili eX337_ , (~s;~ _' . (City) (Zip Code) (Contoct Person) If'iV\ ,,'{X\L J1lt1l0~'\ (Phone) q 51-1JL,l::JZ'5) _ OLlCANTSIGNATURE'f1JO-t l.~~ DATE~D~15 APPUCANT PLEASE COMPLETE BELOW 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 STA TE SURCHARGE TOTAL PERMIT FEE $ $ $ .5fbAID WITH SUttDfNG PERMIT (Office Use Ouly) I This Application Becomes Your Building Permit When Approved BuildIng Offidal Date I Paid Date OFf 0 9 ?OOii I Receipt No. I By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE IlEA TING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rcc'd I. Pink 2. Grtcl\ J. Yellow ~~. I PERMIT NOS. I ^.,A...- ^~~W · ~ (Please tyue or print and siq;n at bottom) ADDRESS ZONING (office use) -~qq ~ ~- LEGAL DESCRtr llON (office use only) PID LOT BLOCK ADDmON OWNER (Name) W O~ "'" rv--.._ (Phone) (Address) \~C;; e Q.1()a- 0-,4:i de:D. I cr~ .J""'" SSI:+?-- APPLICANT (Namerh..\-rt"wY\A'"I.h~c..J):k.~QD f'n-A. ~ F='. P"-- (Phone) ~103- S~ l-dS'dS (AddressL _ x9w /09.J.J. OA,e~ JJ -JI/aJO 0J.r>/Yt1/Jj.l~ ,mr1 553/L, (Address) I ......... "'o.V' . 7 fl (City) (Zip Code) (Contact Person) -\( (""'\5 \,1~,.vw,p..rrQ'- . (Phone) ~~ - Slft.p-/;) I ~fl APPLICANT SIGNATURE k^~ Uo~_!JATE. APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURN ACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants o Gravity o Mechanical OAir Conditioning OVent. System o Stearn o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL ~_ - Co \:}-\?3l DR-- FEE SCHEDULE Industrial, Commercial & Multi-Family 1% ofjob cost Residential, Gas Fireplace $39.50 minimum Residential, Heating &'NC (New Construction) S99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) S64.50 Residential, AC Only $39.50 $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ . PAlO W\TH .50~U\LO\NG PERM" Buildine Official Date Date ---JPJI ,,9 'l_GOb ReceilO' By C (Office Use Only) This Application Becomes Your Building Pennit When Approved Paid 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ZOO~ Mooa 3~VMV~JI~VWO~OV 66ZL 9LS C9L XVd ZS:ZT 90/f-O/TO DEPARTMENT OF See Main File BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD SITEADDRESS 3C.'., Jt:,.,....~ ~lLwy fJ,W~ NATURE OF WORK tJ~ ~Nl.T~i.~ (W{ L.A.. F/N(S,,1- USE OF BUILDING :S-. F": A '. . . PERMIT NO. 05. /024- DATE ISSUED ~!(JS CONTRACTOR t.tJ&-IS~~ ~M.S pHONE~, -my NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I , 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 t )tlr. vt{/ I/--I/' {" HEATING (if required) FIREPLACE GAS LINE AIR TEST ,... .I~ /~~k> c ...,,/ tfJ 13 I ~4- i'- , /1 I ~4 /~~ iPA" I , .1 AJe,.. I )2 /z~ I COVER NO WORK UNTil ABOVE HAS BEEN SIGNED . ltAnfG / fMMSe- b-JIeAfO I I , FINALS -cP GRADIf~G (Prior to Sodding) BUILDING T ~ tc ~ ELECTRICAL PLUMBING HEATING DO NOT OCCUpy ff We I _r~ L I (IP UNTIL ABOVE HAS 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. I ) II /I/~O / I 2/1 <:Qf;j) / . BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 .':.\<r"-:~!;;14:,t;. ..;,-w . :":;~Y!'-',; -:!t' .; -. . .'~ -- ,-:;~; .. ,:.i '~'I;:,;;S\.c".;..'" ..~ ..-" '.~, '-.#--,.; ,~f-. '. -. ..'; ,. ,'j-. . , ._. 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 ordiTiances of the City of Prior Lake regulating building construction or use. For the following: Use Classification .5 / IV c; (. E FrJ /-11 L Y Bldg. Permit No. {;::;. / (j 2.1- /C'3 V A / PlJ.50 Type Construction IV Owner of Building con~r's N~e '/~dIps rV [N-;:'~.:/ Ai A/I If IJ.j- t ,l(l~. 111/' , / Building'OffiltjiU Date: / I / Ii ju G' 'j I ;kf Final Permitted ,.", Occupancy Type Legal Description 1 i ~trfifitatt nf @ttufl'antlJ CITY OF PRIOR LAKE !ltparfmtnf nf ~uil~tng Jf nspttftnn o Conditional C.O. Expires L/t- Ie;; ? .-- ...;. I ::T[ FFE K5 PC,II/...Q Zoning District /ST r-ID/J/V. Site Address 3&'79 JEFFEk'~ PK.IVV. I / PlfS /JLI-IZI-I 1.)/<:'./ FJ1GI1 AJ ..55/2..2- City Planner Date: . . . .' ,". .' .;ii~::).,L~;~t,~:: ::.~;;;J,L);:';~/;ki;i,<<:;~1ii~~i~~;;Q'ii~.'t;::lt~,~t;';:.~),,:;;';;2i:{:f(i!,~-'.:,:,;!j::;.j{;l~. ;,;;t~:~'U'i;;';'iJli; ;,,:\",L; ~;;, ,;:." ).df.0L-':;~.., ;,..::;:i,;.i., ,~,,-".:!., :i", ",';;,~: ',\; ;"';~~<:: ;:;~ ,,:!..;~(~ill, ;;,/;,.;! ' ~. ~ ~ TI"- CITY OF PRIOR LAKE 118,($(. INSPECTION NOTICE SCHEDULED ADDRESS 3'(POff J J:'k~ OWNER CONTR. PHONE NO. PERMIT NO. ~ - 1(') 2.." o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI ~ULATION o SEWER HOOKUP o FIREPLACE FINAL FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: I (~ (h~ J \ i'r' 'V~ +! ( t. o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT , CALL FOR REINSPECTION BEFORE COVERING Inspector: _ Owner/Contr: CALL FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE ~/{o~ rkw~ , <:.J TIME ADDRESS 3~11 ..jeff~s OWNER CONTR. PHONE NO. PERMIT NO. s- - laz Y I o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL ~E INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 1. .~\,\&;\.-? t ~ ctu.h.. J- Dil~~P~ K' 'Z ~ ~Srn..u. ~ - (i? ..,,~ Ie. 1ft. v..o ) 3. F"l~ ~~ l~:t--r"""" ./" *9.... UaJl~ch. Do n,+ ~~~ ~i. $,.t--P 1-0 ~t"" 4c, Q, cl,..:r. ~ __ U lA...l-t- (5". .5~ Q {J CJJc. -b "-lo",",- itA ~l\^~ . -G'Ml\.6f OM +~\ ~ r~ O' o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED XCOR32EC K, CALL FOR RElNSPECTION BEFORE COVERING Inspector: . Owner/Contr: C J 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 2f..oQ, OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COM~ENTS: ).~ DATE SCHEDULED ~ · \"U~ ~~WO CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP ...p JEWER HOOKUP )a:::rLUMBING FINAL o MECH FINAL K-(1~ 2.. ~~ -C_~ s- WJ. ~ M '~l) I n ~ A ~ l ~r tlP \ l ~A' . - C?!J....;J - , ~ ~//J~ TIME Q-/OAlJ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o tj(j7-cm~ - "" o WORK SATISFACTORY, PROCEED ~ CORREC N AND PROCEED o COR CT ALL FOR REINSPECTlON BEFORE COVERING Owner/Contr: R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl