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.
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"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!