HomeMy WebLinkAboutBuilding Permit 05-0386
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~D UTILITY CONNECTION PERMIT
~ee Main File File
Pink City
Yellow Applicant
Date Rec' d
t/-d6-S
I
I PERMIT NO. OS. o-38~
~~~:er;' md :"tt=>
I I / 5 /L-M
--7
(/" fir-
LOT
LEGAL DESCRIPTION (office use only)
P{ II{
PID;!<;-- '!/8-~j7--~
BLOCK / ADDITION
ZONING (office use)
RI/
OWNER
(Name)
(Phone)
(Address)
M~~
(Phone) ro S/-{lt?~
,
(Phone) (Of Z - ;!.--2-/
n
0":..
t/ fOD
//!. Z-~
,
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility Connection 0 Misc,
CODE: DI.R.C. )ZIl.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
IV G5 A,GV
M Q9 S U
3' 4 5
PROJECT COST /V ALUE
(excluding land)
$ /6&?/ g~ ---
/
I hereby certify that I have f\!rnished Information 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 for the
above-menl1oned property 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
official can revoke this 'mlt for JU t cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed inspectIons.
/~~B ~~~~~
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
III
H
2
Contractor's License No.
Park Support Fee
SAC
'00 , 00
DO.Od
35".. ~o
<fo.oo
Water Mete
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ 'p
Buildll1!! OtliCi'~
#
#
#
#
Date
$
$ / SOt 00
$ ZSO, ~a
$ 56,00
$ / S-OO. 00
$ (JOO,IO
$
$
$
ThiS IS to certIfy that the request in the above applical1 nd accompanYing documents is in accordance with the City Zoning Ordinance and may proceed as requested. Tlus document
~~ "'~m","~ c""r"", ,r'~m'" mz;'" ''''",'"m'''"'"'' See 'Milin""''File'' m,"",
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
s ," M'", Q " p~
, ee.t., alD. f., lIE'
CWhite - Buil~
Canary - EngIneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1/").d'itAJ.../J71C;L/t/V
APPLICATION RECEIVED Ij ~ d ~-S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ed at:
(L/~~
Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
r
Date: 5/ ~ S-
~-A' ~b-;
"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."
,~eeMain File:
White - Building
Canary - En~ineering
c:::;;:e:rnk - Planniilg)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
5/9'/d~
Comments:
t,
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."
'-''']
" M Q L:"
~~,ee 11.~' ,aln r~ 1p,
. "','::..e" ...l..to.l..t ~..'~ wL~.,(",L <:-:~_'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ :
.<< ~i -.j ,~:.:~./ ... '~:>~'.',l--~\-'.:'#~~'
~,-" '."
/)
I -
I .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/<~:'7) ,./ l.. /':S:'
,,', .1
,:~~ '7//At..f>;"//'~ :..:., ,
. "\
..:j!..J
l
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
/VM
S< ~ /J'4, ...,
Date:
S--3-oJ
Comments:
h/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."
08/16/2005 TUE 10:48 FAX 952 767 1900 GENZ-RYAN
l4J 023/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Green File I PERMIT NO
2. Y,lIow City '05 038<0
], Gold Appliwlt '
.LV ,I cis
POcHr")
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PID
OWNER '[1' 'Pj"" \ "'\ '\ ",' '\ '\ \.. ' ,,?> S
(Name) )~;( ,\ '\ \/ AJ 1\ ! -\Ul It ~
j "f'r~ pj 'Iil! f) \l:( (' 1(' ')fY1
(Address) \ ,j VtLvu j \, ._) - v-Vv
(Address)
(Phone)
{ rJ.:.,) i - (1/i::;. ':7)'7 [.{;!
Y' 1 1\./._/ ~.. :
F){:; i).}
.,- ,.-' J '.'
(Zip Code)
~;;~fANT Gw~L- I~
1'1()1) 'Aj "
(Address) L--/_' \/ \i .
(Contact Person) kJ ;:;;e~) , 1< en IA'I &
(Phone) 11 "71 ~' 7 b7 - (ODD
It vi i ' !f" q;-33
(City:-) . (Zip Code)
(Phone) q~-,)-7(;7-lkt.{i I
ryLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC D Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID WITH
SDILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
,
..
24 hour notice for all inspections (952) 447-9~(}, fax (952) 447-4245
08/16/2005 TUE 10:48 FAX 952 767 1900 GENZ-RYAN
14I 024/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
;: ~~~ ~~~ I PERMIT NO. 60, oj'G; (, I
] Yellow Applicant . () .
ADDRESS
flJ )43
,/.
~:)
ZONING (officeU$e)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER I, UP rr A^ ~ r\ "1' - s
; , If' \.! \ _ 1\ i, \ " \~""\ '
(Name) I I '!..j' \) f \ d A J II i r)l {i{-
(Address) j ,<{1 IS Ii) \ C\ 10-- D (, );+c
( ~, I'IJ~C- ':2-7('--~'
(phone) Cf)i-lf/)" ,) ,_/ 1
j\j\N
IT)') -
_ .' 1" C
(Contact Person)
I\PPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
~.-;J Bath Tub with or without shower Rough-ins
I Dishwasher \ Water Heater
Floor Drain I Water Softner
..?-/ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall i Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
'0 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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 $
Building Permit #
PAID WITH
~~ILDING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
. TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Dale
eceipt No.
Building Official
.DatAUG 2 4 2005
24 hour notice for all inspections (952) 447-'~50, fax (952) 4474245
08/16/2005 TUE 10:49 FAX 952 767 1900 GENZ-RYAN
[4J 025/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
J. r,nk
2 Green
3 Yellow
~I~ I PERMIT NO. O~. D ] err I
Appltcan.
PtV10
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER \ j ; PI !'(.>\.I'\ ," I" '1'\
(Name) \,i\) l.r'1 ,~)\ I \ i, ~ /, i
l..1"" 1, If-'''f'~
\ It .\ ' , ,.:;>
.....,1 l ....'
(Phone)
'r ;'('{'
Lei,) (- l>i~) ".J'
~:)~7 [; '1
I 7'1 r- '/", fJ
(Address) (XC,I) j,)tCCZCl,., /~{.
(~ ,
. "",(, .'
"\.."'... ' J ',.' '.
~. i.... v'Zvl)
j'-'r' (',1'1-' (," ~ '
C. ,JL'! LU': \/'\ \\1
~,
r:::.c ' 'J'-'
.j) ) f ,>",_,,)
APPLICANT ("
(Name) ll'crrz-
Ir)la ~.
j / j: i
'-- ~I , .
)
(Phone) C/lY3\ ~7 f.f)' 100D
(Address) ro "(,I' ,
tAJU...,1
B !JJy\sVi i i c ~~f3'~)-7
(Cityl. . (Zip Code)
(Phone) 45:)-7ftJl-l~ I
, DATE ( ~. OS
EASE COMPLETE BELOW
'EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL LeJlla\ (i-.L{OUH -~--O:(). \ FUELI~. ~t~?
FLUE SIZE RETURN OPENINGS -4 INPUT lj){j(j1J OUTPUT5;),8Lu
TYPE OF SYSTEM HEATING OR POWER PLANT
I : \
t/'u,
;/J
l~
(Contact Person)
APPLICANT SIGNATURE
~ann Air Plants
OGravity
[lMechaniC<l1
~r Conditioning
OVen!. System
o Steam
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
J% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39jQ
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
~ILDING PERMIT
--~--:~,
(Office Use Only)
I
This Application Becomes Your Building Permit When ApprovE\'!
------
Buildin!! Official
Date
, .
~2 4 ~oo;
......,1 :~iPtNo
24 hour notice for all inspections (952~4,47.98S0, fax(~~::!-~~4]~"~,_..
AUG-29-2006 15:10
CITY OF PRIOR LAkE
9524474245
P.02
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Ree' d
l:~~: I PERMIT NOS' ..-00'-
3. y,llo'" ^pplIUl" ~'
ZONING (ofilcc
u.sc)
LEGAL DESCRIPTlON (offic~ \JJil! only)
LOT BLOCK
ADDITION
PID
(phone) L,SI-YD~ .yLlC)o
-~I~ SSldd.
(Address)
APPLICANT
(Name0l.~~A.,J.l:C..J ~NC"ll~rrr.A' do
(AddreS5~
9CD /09J-1., (h re_ jJ ..j)./rrl{;
F ..
(Address)
(Contact Person) j( ("'\ S ~'" e J/"r'\D ("""'t
F P (Phone) ~lo~- 5'11- dS~S
r), n/YhfJl~:"" .11'11'1 SS3JlB
~ (~ity) (Zip Cod~)
'(Phone) q(~~-S'lvrldllo
. ---,""--
....--
APPLICANI'SIGNA1URE DATE
APPLICANT PLEASE COMPLETE BELOW .
,0IEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA nONS
FURNACE MAKE AND MODEL PUEL
FLUE SIZE RE'I'URN OPENlNGS INPUT OUTPUT
TYPE Of SYSTEM HEATING OR POWER pLANT
OW&m'I Air Plants
OGnlVity
o Mechanicll!
OAir Conditioning
DVenL SYSlem
o StelUtl
o Hot Water
o Radillion
o Special De"ices
o Ocher DC'IIicca
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
SetbacKs
FIREPLACE MAKE AND MODEL
'.
"'-
Residential, Healing &: Ale (New Conslr\Jction)
Residential, Hellting Only (New Constrllction)
FEESCIIEDULE
1% of job cost Re4idennl1., Gas Fireplace
$39.50 minimum
$99.50
$64.50
S39.50
Il1dllstrial, Ccmrnercirll & Multi-Family
Estima.ted COSt S
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
Re5idenlial, Addilions &. Altcl11lib". ~J!t 139,50
Resid.enti.l, AC Only -U/{D'11/) ~O
Building Permit # ~G j,~ '7t
~ .SO ~""1'"
$
Buildin\! Dfli,i.l
ii~~d"'-"" I,~-
i\ \C;~ \ L--.: ! _i~,
:'1 I ,._! ~..' '
\, \
DR" \!i!\\Pa~EP 0 7 2006 \_ I Y
24 hour nolice for 1111 inl1l1ctions (952) 447r~~OJ CalC (952) 4~~-:1~S;==:.:,=:.J
~."._......-";."~,.,.~.~~.,-,,,~,~..^,.-,,,,. .-
(om,c Use O"ly)
This Application Btcomes Your Buildiug Permit When Approved
....~^^" "~'t1'\TVI"'\ ,,"Y"1D'(\TnV
RR7J Q/C: ~~/, yv." S10:trt 90/6(:/90
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS III / JI:J fA) I ,-f!t. ~ ZH . ·
NATURE OF WORK N=v.J CIJ,.Jsr t:r~oAJ /ft,J fl..'. 1=i~';"Jlr
USE OF BUILDING $ If/': A .
PERMIT NO. s;DII DATE ISSUED mills
CONTRACTOR WC-,JS~)JN I1dll1rS PHONE'/Z-l2/-/',1'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
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
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~rH4' / fi~uS'6' /A.ItA,:J I I
FINALS
we f1;
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OJ tt"/A;
'-.s
'/r%
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