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HomeMy WebLinkAboutBldg Permit 06-0114 (Please type or print and si~ at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d y- 1- ()~) I PERMIT NO. 0 (0.0111- White Pink Yellow File City Applicant /'1307 5hadlj t &tAc/h Tv41/ ;t/'E LEGAL DESCRIPTION (office use only) LOT 9 BLOCK ~St,()ntA ~t>>j PID~;(S--- Q L-l tJ" ()(J --0 / J. 3"oa",t'e :rO<Je.J'ls.e~ (Phone) <qS2 -4-4 S - J ~l f) -:; h~ ~~ -rl('~ \t.Je )~(i .~r--r k~ m tJ S~~'1 'L BUILDER N . c" 5 /n - ,. " (Company Name) ov~ J~V t~S./'<..e..VVI oJJ'''j:LL( €phone) ~'3 '1_;7-'" "'"lo<c:.l (Contact Name) Q.e e-d. Cl~r> 1 . _vV' (Phone) It:, '2 - 8e~ - 5'117 C8.A- (Address) "L?::> \2 VV\ p\ re.l)rl \J e..) $\-, ?~~\ rYJ"'-.l C;SJ O~ OWNER (Name) g rU <..-e. (Address) \~~O, ADDITION D()e.. I Lj CJ 0 l/ / TYPE OF WORK 0 New Const~.on ODeck o Porch ORe-Roofing OAddition ~lteration OUtility Connection CODE: \di.R.C. OI.B.C. JtVlerJ '0 r 0 Misc. Type of J!o"~stnIction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ZONING (office use) ~'15D ORe-Siding OLower Level Finish 0 Fireplace PROJECT COST /V ALUE (excluding land) $ 2~'2. _ [.")00 , I hereby certify that I have hlrnished mt(lrmation on this applicatIOn which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent flll" the above-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg :licial ca e:)~e tlm pe~ hereby agree that the City Offi~~ d;Sl~e ;:/S;,the propelty to perform ne~ ~:S/ct:; to Signature Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ;/;5 d (/(J(), 00 $ \ '353. 50 , $ 87'1,78 $ 7t; . 00 $ $ 40 . QO $ $ $ omes Your Building Permit When Approved :J. /'7 t tJ , / Date Park Support Fee SAC # # $ $ $ $ $ I $ I $ I $ I $ 2.34-!J. zaj . I I .$"'/IIV ThIS IS to certify that the request in the above application and accompanymg documents is in accordance with thc City Zoning Ordinance and may proceed as requested. Tlus document when signed by the City Planner cnnstttutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy. a Ceruficate of Occupancy must be issued /7.# ~ Plann. Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE C/fUEO Z, A7. 6 fa r Paid I Date ~ :J~ 1'1'. i'-d Z. Z-EJ (,.C; Receipt No. :Y~ :J--/~-~ 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 c:;;Jihite -_BuildinQ::::> Canary - E~ineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST NAME OF APPLICANT lJ1 ffdA Jti~ S K~ ;)- /-010 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4 ~3 () 7 ~f,a,cl'1 !&AelV4AL -~ Accepted Accepted With Corrections ~ ::::::ed By: C:I ;A, T Comments: Date: z/nt, c., t J, H.,l~ \I.,r~ ~i} b Lf L. ~ ~ SL-\Aol~ 3. ~ eott~ C.~\du...~ sW,NJ. ~kc_~ ~ f (0-- c:; "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." ~ - Buildina Ccanary - Engineeri., t"lnk - t"lannlng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '7.. l i"'l I~~t!~ ~~,:,/ .::> to The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1,1 / /, f) "'_---' Accepted ~ Accepted With Corrections Denied Reviewed By: /'Y ~ Comments: Date: ;2-/.1-06 "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 Date Rec'd HEAl11~G/AIR CONDITIONING/~1KEPLACE PERMIT r/~e y.//O~. 01/4- ~.~:... ~~~. I PERMIT NO. Of&J. 0 I z.=J I 3. Yellow Applicant (Please type or print and si~ at bottom) ADDRESS // /f .:3 o? S it Cl d'':J..- /3 e t:i [t<.-- / L--- c;(. (. ( v LEGAL DESCRIPTION (office use only) LOT BLOCK ADomON q 0 DC \ \.S h6.; . OWNER. - -.. ' (Name) R y(A.{ of? "'" ~ 0 a l,{. fA. e... J (I t>c.. e u. S () LJ - J ZONING (office use) pm 25.0+5 01 z... 0 (Phone) 95;J.. - 7'5-5--/8/8' APPLICANT (Name) k (:) II? (Address) /9 j 2. 5' k. ~ d:J /) t:? Cl c:: {-<.../ V " /. " " / 'ILl Vt-L hiJ Q.t...//et:P-f {d S1, Ua (.0 A ~-e u u e... 5'7'. Pad' . (Address) / ~/3 6' '} 71/a t'. ( 3- ~-3 '/ :J... (Phone) (;; 3-/-{'o 9 y -- / A 3 :2. ,4t.d/ 557~ (Address) (City) (Zip Code) (Contact person)/) ~ ii, #' I?, S'K 0 G S1 _ (Phone) cO 3'; '- (0 99. - ( ;)... ::3 :2.... APPUCANr SIGNATURE ' ~~~iEAS~MPLETE ~~~~W :l-//Z VU 0 DNEW CONs;ry..ucnON 0 REPLACEMENT ~AL TERA nONS VI T.Dl A C'f ~fAKE Al r::; Mel*:L k'1k- c 1/' ~ 45 /<!AtP/;:.;c:...... FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPilOF SYSTEM OW t\irPlants OGtaVi . OMech ical (DAir Con 'tioning OVent Sys em HEAT.~" G""ORPO~RPLANT DSte o Hot ater D.R3di . n (J Special Devices o Other Devices 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 Residential, Heating & A/C. (New Constru~tion) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # ()(P. 0 ( z 6 $ 3~~- $ .50 $ "YO, 00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid L! tJ .--- Date], ~-Co Buildine Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 Recei~~6.5 0 b By V U" CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd 2./7.o~ ~. ~~ ~~~ PERMIT NO. O~. 0 1/4 3 . Yellow Applicant (Please type or pr:iut and sign at bottom) ADDRESS ,,/7/3 (,) 7 S It a c/ y /'j e a c./r...7 trc:t r' ( ,~(jVc.'l eu 8 d/1(phone) 9'''!}~ - ~o/'7- -~<?/'y J (Address) /?/3CJ '/ SA ody /5.,e?/u~ /t/c:t,~ /)/ ,'Cit/kke /,.4I6~ _5,j.- '31.;<. APPLICAJIiff (NameL..<'l'~ /1; //b/ t.ph/~t.~ r~. -/,.'e:<.,f- .L./t,... L (phone) r;; t' {/ /"'"'/ 0 . s~. ..:2 /1~ ./ / -......5- (Address) _I 7 3 2_ ,';' a f bt 1'- ~ a ,.( tA ,/l_R.fLtt tL e r- , r::l fL-..( ./ l:'f...tLl/';:; {' 0 S- (Address) (City) (Zip Code) j"/j., ;//.1;;;' P. 5;'~(')0''1- (Phone) &.5-/-I"/? 99 -/;;::{ '3;;<" / 0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION ~=R /;~!/?l1' f/ J ~ ,~\ rJ a 1.<. to( €... (Contact Person) APPLICANT SIGNATURE ZONING (office use) Pill DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Bath Tub with or without shower .2 Dishwasher Floor Drain , I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall 2- I Sinks I I Bar Sink I I Water Closet (Toilet) Quantity Type of Fixture Rough-ins / Water Heater Water Softner I Stand Pipe (Washing Machine) I Sewage Eiector I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other FEE 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 $ t CJ 00 s=::- f Building Permit # ,0 ebe- P~UfVO PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .39: ~ .50 l/O..aL (Office Use Only) This Application Becomes Your Building Permit When Approved Buildio2 Official Date Paid --- Dat2 / J 7. 0 (, Receipt No. - I By g(ffi / 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 14~ ~)-'-lf"'-F~cJ,~r !~, NATURE OF WORK ~ IMOC-~.cJ.. USE OF BUILDING S\="D . PERMIT NO. O(P. 0//4- DATE ISSUED iJ.1I71{)u CONTRACTOR .r\)o~ Shv- . P~' lJ,1'l-8"89'- s-lf (7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING INSPECTO~ DATE I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .j1.N/ L '} )/,rdb - VJP . ~r I $'~Uv FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~"'t~ II!r(tr II . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I Hov<:;~ It)~ I l~ I 4~((,()& FINALS ;1~ . " ..j / r /P,6 , , ~ J/9p6 BUILDING ELECTRICAL . PLUMBING HEATING DO NOT v~1 'VVV) .. ([Ilf OCCUpy UNTIL ABOVE HAS BEEN 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. Jl-/~/{)" I( /IS'-~ {(-(~ HI SIGNED FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS l~/]O 7 S Iu. '-, I OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION )a'FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIME /1-fJ"'4 lJ~ cd / t, ~ - G:rltL( o EXIGRAD'FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o / J /~{ (he "'-- --...- ~J ") /-/~ ~ ------- plWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~~L ~SPECTION BEFORE COVERING Inspector: r r V Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!