HomeMy WebLinkAboutBuilding Permit 05-0391
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1// d t3 ,-s
See Mainl File File
2 Pink City PERMIT NO. /\6. ('I? 9'1
3 Yellow Applicant U ---'_
(Please ty~e or print and sign at bottom)
ADDRESS
LII ~/ (~/'- D~
~ nA--
LOT/lf BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION Wr:../IJ'Sf'v>." ~.J...J
ZONING (office use)
p
4-
PID :;l V
~o
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) 1..../~IVStv\"',J,J (+.).~
Ou7-"L-
c;- [) L/ (j-
(Phone) c.)" { ...... If C.? -q'l t.)O
(Phone) c.fZ---Z;?-( .-I(.~;>--g'
rJ
/A/'w
:?-
TYPE OF WORK )~'New Construction ODeck [JPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
. OAddItlon OAlteratlOn OUtIhty ConnectIon 0 MIsc.
CODE: DI.R.C. .eri.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
~V ~ ~ Pu
3 4 5
PROJECT COST IV ALUE
(excluding land)
$ I/)O ~O {)
I hereby certify Ihat I have fill"Olshed mformation on Ihis applical10n which is 10 the best of my knowledge true and correct. I also certify that I am Ihe owner or authOrized agent for the
above-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with sub milled plans. I am aware that Ihe buildmg
official can revoke t rmll for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon Ihe property to perform necded mspecl10ns
c 5-e? f
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
This Application Becomes Your Building Permit When Approved
~ r~
. ._~
l3ulldlJ1!!. Ofllclal
~/v/os-
Date
I L( z:e;
Contractor's License No.
Date
Park Support Fee
SAC
#
#
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThIS IS to certify that the request m Ihe above applical10n and accompanymg documenls is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the CIty Planner conslltutes a temporary Certificate of Zoning compliance and allows construction to s:~mence. Before occupancy, a Certificate of Occupancy must be
iSSI~ ~ ~S ~ee -Main 'Pl]f'
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
".')
ee -1\1ainTI?1tlI
White - Building
~~anaOl.-->- EnQlneerfri9'>
Ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j
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1/'1 /~e"'f,<t.-\..,;..- j/j[ ,;::<t.~1,"Z-""'-_'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed1at:
, I I I J I /, / {it"d) }::)
I <-I I v"=> t..1../-:.LCU...-4. if
I
Accepted
x.
, ,
Accepted With Corrections
Denied
Reviewed By:
MJt;
~C mC" ~ r; / (
Date:
5-3-0)
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."
t, M.. o. 1t;'.l-3'
",.ee I.. ,aID ..~JJJf:
C \Illhite - Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
u/~~~
I-/~ ~ 0- ,S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo;e<;tt: ')C)
IL/ /~ J Wd~ tI
,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
=7~
Date: 05;1; f s-
"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
~~ry : =~~~g
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1/1/, " . ."~' / .
I/t"".:>'1.' t._ . / .';' /./.. 17.....-""---'
/ '1 .-"
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,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed ,.at:
III / & l ?c,Wa4?
f
Accepted
/
Accepted With Corrections
Denied
~
~
Date:
s/-v ~~
,
Reviewed By:
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."
08/16/2005 TUE 10:46 FAX 952 767 1900 GENZ-RYAN
[4] 014/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~: ~:w ~\~. I PERMIT NO. tJ5. 030/1
J. Gold AppllCllll -f
tu', l as
P (,l-tj"
ZONIN'G (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER:\,! . r-"^~ I ,\'\ . '," '\ \. ,^-<>r-
(Name) ,UrJ' 1~ n If AlII I ,-mn lL~
i I f~ (),' 0....71; \~):( <4''''' ,,-fY)
(Address) I. _/ I, U\.CLiV 1./ \ '"J I\. ,::,.-Il/\../
(Address)
(if') j - q cr::) - ~n elf
r;c::; i ~) ')
__/' _"" I c/'i :::-
(Zip Code)
(Contact Person)
"LICANT SIGNATURE
APPLICANT 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.
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
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
StALDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
feceipt No.
By
,
l..
24 hour notice for all inspections (952) 447;9850dllx (952)441::1245
08/16/2005 TUE 10:46 FAX 952 767 1900 GENZ-RYAN
~ 015/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blu. File
2. Gold City
3 YeHow Applicanl
I PERMIT NO. ()5. 039/1
II ZONING(_~) I
~dj
Path
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER I I 'I " ^G' ' (' '"\ \ \
,Pl. LA!\ 1 ,r\" .-"'.;r /L
(Name) \ IV ! ji r I i J\ J :i 1 t{ )I \'1C :)
, ,'/ (l .,' () 'j (i, - . \'''' " ( r-
(Address) / ,,/ /-) ,'..- v~ 1//" ~) v, 2;--rc
(phone) ([J~I-Cr'~)' 37Cl~1
"J [tiN Ff5 ')/\
( 0 Dc)
(Contact Person)
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower Rough-ins
\ Dishwasher i Water Heater
t Floor Drain \ Water Softner
4 Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
, Shower Stall T Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
,3 Water Closet (Toilet) 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 $
Building Permit #
PAID WfTH
BtlILDING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
--~. -- "'I
, Receipt No.
Building Official
By
24 hour notice for aU inspections (952) 4417-9850, fax (952) 447-4245
08/16/2005 TUE 10:47 FAX 952 767 1900 GENZ-RYAN
l4J 016/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~;.:., ~:~y. I PERMIT NO. 0- 5', 0371
3 V.llnw Appiltanl .
ZONING (office
u,e)
~ t1~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ! \ '/?\,~C \'\'\," ;.,,'n l\_~\"I,'-':\...\~,"r~r_
(Name) \)\ h..- \>>\ I \ I), " !i I ~ C -;-
(phone) Ccrj [- Ci US. 3~7 C' '1
. (Jf) ,-- .......\ ; ('')''-- . 0
(Address) \ 6i..t) jjlCrZlL --,/t"-. ~)'rC ',)'(;
r~-:::' 'J')
,._} J I,> c"
APPLICANT G-- - :;:;; -; . Ii. j I.r.
(Name)1 t'/l t- - k_IJ O.f I
(Address) ~~XC l)J . t--tLt.ll/) I~)
(Phone) qf)~ ':'-7 {f7 " f 000
(Contact Person)
r:::r')? -)
.,,]~) J
(Zip Code)
71
APPLICANT SIGNATURE () DATE
APPLICANT P ASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL Lf!lV,C5'A C{t-IOUH -~ 010.. FUEL7"Y'J,. 0}}' ':>
FLUE SIZE RETURN OPENINGS ~ INPUT (df!lll) OUTPU~~ ~
TYPE OF SYSTEM HEA TING OR POWER PLANT
~ann Air Plants
~Gravity
J2t'Mechanical
OAir 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
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
539.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAID WITH
n______n~!JILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin~ Official
Date
Paid Receipt No.
DateAUr; 24 2005 By
24 hour notice for all inspections (952) 447-9$50, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~;w ~J~icant I PERMIT NO.OS:- ~:j 9 A
ADDRESS
~I ~ ( W\U~ rdL tJW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Wtt1 Sk-\t{I-1j,{,/ + Me)
(Phone)
irt-40t--4VoO
(Address)
~;;~~AN~AdMt~(C 6A{~1t
(Address) 69 00 r ()q tL
f)f:;1) 6
(Zip Code)
(Contact Person)
&.ll( -g~{Jiv
(Phone)
(L(i>k(( .~
(City)
7t'5-~7( -- 2S-' l-':J-
(Phone)
76]- [/6 ~7___~./t
It D6
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~?~1:3b
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
\~OD. t.D
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ",-;1,Sl)
$
$ ~0. (j I)
.50
Building Official
Date
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS /~/&I W/LI)S' (p-~I( ·
NATURE OF WORK ~ rt-.~/2J,(07~ w/t.L. FiNl:rH)-
USE OF BUILDING ~,:; A.' ·
PERMIT NO. s: 39l DATE ISSUED ~fI tJr
CONTRACTOR lUOJ~tttLt!-'JJ IHM~ PH NE~'~" 22/-;JKJ
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
11..Ar7?l4r /1f~"Sir~ I I
. ,
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING V\Jv1 \ \ ~ 1.--~'lk
HEATING
DO NOT 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