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HomeMy WebLinkAboutBuilding Permit 05-0392 5" ~~ 0 000000 'tl ~ > -0 J: C Z_ III 0 ~~ al (Il"z""" 0 0 8 n- o 0 := ::jZ(ll~OO Z m ;u mo 0 ;u ;u 3: ~>CII:!2~ m ;u m 0" t::1 :-! ;u " Zr-!;zoz Z (Il ::!'tl ~ m (Il m 9 (Il ~ o > Z ~ ::!(i)~(i) O;u -I -I z- ~ -t m 0 - zO > - o Z 0 ll::) . 0 o (Il en -I z O;u S co -I " CD - > <5 ::!> ~ at ?' o 0 0 Z -I Z 0" " 0 > 0 mm ~ 0 > Z ~ ;u r- r- c _ ~ -I " 'tl 'tl . :J: 0 ;u ;u ~ m ;u 0 0 000000 Z ;u 0 0 ~ m m m m ~'tl(ll:e~'tl >< z m m mr-~>mr- -l c C OC -IOC ~ Z ~ (Il :J:~ m:J:~ 0 (Il ~ ~ 'tl 'tl (Il m ,,~;u;u;u~ m 0 0 ~ 'tl ::l 0 ZZ:J:::J:-Z ;u Z ::J: ::! m CD -I >(i)80 (i) II: -l m ~ ~ 0 () <5 roo" 0 ;u ::j ;U 0 -l 0 Z -"" - Z C <5 ~ zcc r- ~ al ~'tl'tl 9 m Z m C ~ " II.) 0 ~ ~ :J: ;u m ~ 0 0 C 0 ;u < 000000 (Il m ~ Z ;u (i)""0~ > z >:6:60 Ro c (i) ~mmll:(i) ~ < _'tl'tl'tl~ > ifi>>>c ~ Z >ooz:;; ~ 0 _mm-l_ !'1 ;u";u r- -i -1-- r- i: (Ilz Z m -I~ (i) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT iSee Main File White File Pink City Yellow Applicanl Date Rec' d q-- ~-~~~ I PERMIT NO. O!)~ O_3q2~ (Please at bottom) ADDRESS L~II~C:- (~iL.bS U I /-' i LOT LEGAL DESCRIPTION (office use only) ADDITION WL,'A/ t'h 4f1/rJ 177,.- PID cP<;> ZONING (office use) (<>lk:.. vL'l OWNER (Name) (Phone) (Address) (Phone) 0 l)/-I/p?' ~(/({)~ (Phone) r;, ( ). - 2-7-1 - /? '2..C3' /j- h m~ bA' TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace - OAddition OAlteration OUtility Connection 0 Mise, CODE: DI.R.C. 01.B.c. Type of Construction: I Occupancy Group: A B E Division: II III IV @A <i) F HI M\"g)SU I 2(Y4 5 PROJECT COST IV ALUE (exclu ing land) $//J~~t::7- / I her,ebY certify that I have furnished mformation on this application which IS to th,e best of my know, ledge true and correct. I also c 'fy that I am the owner or authorIzed ,~nt for the above-mentlOned proper d that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans, I am aware that the ildmg offiCial can revoke th' er for Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspecl1ons, 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 -'----- Signature /(/)~ Contractor's License No, Park Support Fee SAC # # Water Meter Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Permit When Approved ~oml~ Slit.> ,-=)- ,;?t/~ Date $ $ / 5"0 ao $ Z-S" arC) ~ $ 50,. Do $ 5"00.06 $ dOC) r O.:J $ $ $ ThIS IS to certify that the request In the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, ThIS document when SIgned by the Cny Planner constItutes a tempOlary CeIllficate of Zonmg comphance and allows conStIuClIon to commence BefOl<;"llecupancy, a CeIllfieate of Occupancy must be lSS~) 1~ ~M.> ~ef; liVlai : . --j -' Planning DIrector ' Date SpeCIal Cond' , 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ,See Main File ~ite - Buil~ anary - t:ngmeermg Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ;J ~ J1?& A/ A) APPLICATION RECEIVED tf- &0 -~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: It/lIPS II//!df:. f> / Accepted Accepted With Corrections Denied Reviewed By: Comments: ~ ~ ~ Date: S /:t ~ 5 \ " ---- "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 - En~neering ~ink - Dls "iii! BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED :L/ I /t1/'Jt\ 7 FYi; ; /'/1 / -- 1-1'--- ~ --j/-::> )( (, ~.~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ILII (",5 /(/ /1/ s f' Accepted ~ Accepted With Corrections Denied Reviewed By: ~~ Date: 5/'1/05 Comments: I .. ,,,..- <1J "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." M" '" ee - -,-a!!Jl ~'i~(" ft. 1_'1 lr"&~ rj :! !. White - Building rr""Rary-; Engineerin~ Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I I 'I t' ) I, , d:)t:::1 F'r. r;'"' If ./ I[ " f A_.~....+ ,~ ~, I {,J' {~~.' i ./ ~/'- (:::;{ c) _:.~ The Building, Engineering, and Planning Departments have reviewed the building permit . application for construction activity which is proposed at: /1-/1 &5" /(// kl (;. F Accepted )( Accepted With Corrections Denied Reviewed By: /I1f/3 ,~if /J//(A I 'v) r;/(- Date: 5-- j.. oS-" Comments: J 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. II 08/16/2005 TUE 10:47 FAX 952 767 1900 GENZ-RYAN ~017/031 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT ~: ~HoW ~\~ I PERMIT NO'~5", 030Z-! 3. Gold Appll....' f ',\06 ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 'll' , (' I ' t\;" '\ L" , /> ' (Name) Jon') r{li U\ll"'(uillcS I' '0 r~ n! t1zn {'-, irCi'F "1'",1" I (Address)--- lj i LA ,Ju U \', ....) \.. <7vl,./ (Address) (rF,:)J'- Qt"F)'. 25]/[' '.,J/ f ./ _ _. \...... / r:y::; i J ) __'" ./ I", 1... (Zip Code) APPLICANT 0../'i/\ _ . n, '1/1 ;/1 (Name) ld.u.t ?~ - !~/I/H1 (.:.J 1J"l()V) \AI I it-, i3 (Address) L, J..- U \/ v. 11 VV LA L Ki. (Address) n -: ' ' (Contact Person) \"() , ;/ nV11 /) "'LICANf SIGNATURE (phone) q /,52 - 7 (P7 - (OOD [3u JfJI S V / I [-L, fv\N q;-33~7 (City) (Zip Code) (phone) Q51-707- (&11 , ( . 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 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 I % of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Penn it # SEWER AND WATER PERMIT FEE STA IE SURCHARGE TOTAL PERMIT FEE $ $ $ Building Official Date .50 PAID WITH BUILDING PERMIT F;lh 2 4 ~~05 (Office Use Only) This Application Becomes Your Building Permit When Approved , '- 24 hour notice for all inspections (952) 441-9850, fax (952) 447-4245 08/16/2005 TUE 10:47 FAX 952 767 1900 GENZ-RYAN l4i 018/031 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~: ~% ~!~ I PERMIT NO. 05". 0]9'2-1 3 Yellow Appficant . . ~~DTI1~,d.""tbO_~ I (6 Lljltb ZONING (office use) Po dil LEGAL DESCRIPTION (office use only) LOT BLOCK ADDmON PID OWNER: I i - ,', .-- ,\ \ ; Ol/Y" VY" i I 1(\;" L--'\TV\";?C (Name) ;\JU' i')' i! A, 1I I \ )i,' L~) (Address) \ y,"o,/::) PI C\7l( \)v', "i>\-( (phone) (;{)/-Ck'f)' :-;7(C1 [\..j N {;'f5 ' :J. r', (DDO (Contact Person) DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture ~..).. Bath Tub with or without shower Rough-ins I Dishwasher I Water Heater J Floor Drain \ Water Softner LJ Lavatory (Bathroom Sink) l Stand Pipe (Washing Machine) \ Laundry Tray (1 or 2 compartment sink Sewage Ejector I Shower Stall \ Backflow Assembly \ Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ~3 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family I % 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 B~LDING PERMIT PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ Date : eceipt No, (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Da~lJG 2 4 2005 y 24 hour notice for all inspections (952) 447.1.98~O, fax (952) 4474245 08/16/2005 TUE 10:47 FAX 952 767 1900 GENZ-RYAN ~ 019/031 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ~'~:. ~!~ I PERMIT NO. 05 eye"> I 3 Yellow Apph<aJl1 , . I ~ ~DDRESS, L- ~ L\,_) w\ \ Lt~ POJii} ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pm OWNER ! \ lpi0(" , ,r\ /; !'\ '1\ (Name) \r\jl_'\ \,:-X, \(L! 11 I '\ ',... '1"\ ~(.;'/- '-1U\ j" L,L-;> , [;: I DO'" ~'''''-1 i-,;r'; (phone) fJ 7 _ - I -/1-), ::), c.. "7 (Address) \ gqr3 ()10.? fl-' Dvr (:,,117" 'j(/', ! \ V~L. v ' . () \." V'l./l) E-QfJ Of'\ [\j\ [\1 --- r- /-~. .' ..,'''''''' r, ::)~) I ,) "~'; 1~=~e~ANT G-O~L- ('2l~af'! ./ OF'r, :-1/ --'-: t-/Vi,." (Phone) 'j '")0\ - ( J) /--' v'LA) (Address),~ "It:', t/, iY""0l,l P . J v 1/1<::: 'Vi I J',p c--fJ' ~ 7)) --.JIAJ , l~) I \... '- _"- (PhOne~CittJ6~ -7 (07 - tlCl) DATE 05: LEASE COMPLETE BELOW EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL u2rl/\fJt G-;.L.(OUH-3.0- CliO _ FUELlntXt tjtL'S FLUE SIZE RETURN OPENINGS ~ INPUT LOlf;cLO OUTPUT ~i;)W TYPE OF SYSTEM HEATING OR POWER PLANT i-KlWann Air Plants 0 Steam -rnravity 0 Hot Water . ~ ~~lIlfaL 0 Radiation ~ir Conditioning 0 Special Devices OVent. System 0 Other Devices I 1 ... ~/\_) , i '?- ,,J 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 $3950 minimum $99.50 Residentia~ Additions & Alterations $6450 Residential, AC Only $39.50 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 # $ $ $ PAIIJWITH BOILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved BuildinE Official Date . D~JG 2 4 2005 24 hour notice for all inspections (952) 44H~50, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd I. Pink 2 Green 3. Yellow 7.. 7 o. 07 rf (,[; /101 0 ~> u3C/ d- PERMIT N . 07> oft; t; File City Applicant ZONING (office use) ADDRESS I L\ I S LJ..J..d-- Pcd::h LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER , (Name) ~....: ~ (\I\-J.:::)/'l''',-C./\-'V'Y) %~-=> l'i? -is P ~ C'L~ ~,-t:t= ~(:) ~----Qa../r-, I (Y\ y\ s 5 \.CYd- (Address) 0 (Phone)G,S I -l.{C'\Q-Y l100 APPLICANT (Name01.!:orn.^h;c../~ frrA. d-- (Addres:k <fro /09'u' DA X'~ JJ# Ja)O I (Address) (Contact Person) t C\ ~ ~ne{'ha......... F,R (Phone) ~lo3- 5'1 , -'dS'dS Cha~J~:.n(.il'tym) r1 553/~ I - c (Zip Code) (Phone) !J(p3 - S'l\iJ-ld I \.0 APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Steam PLEASE NOTE: OGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into OAir Conditioning o Special Devices Required Side Yard OVent System o Other Devices Setbacks FIREPLACE MAKE AND MODEL lkQ~oJ:.,O'V ~ CX:Jlf~:r~~'ic Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39,50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39,50 Industrial, Commercial & Multi-Family $39.50 $39,50 Estimated Cost $ ~ ClO. 00 HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ '3Q c:::; 0 $ .50 $ YO,('X.) This Application Becomes Your Building Permit When Approved Paid LfO No. ~iz,1& (Office Use Only) Buildine Official Date Date 7 J,) 0 .r. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD /J/. DEPARTMENT OF See Main Fil~ BUILDiNG AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. CONTRACTOR S" AM PHONE"2-22/-/~2T NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , I. .L, J:i,.vs-H 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 we:.. INSULATION 4Jc.. ELECTRICAL PLUMBING ~ HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEE ltAnr&,/' H~et~~A~ I I FINALS GRADING (Prior to Sodding) BUilDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE 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