HomeMy WebLinkAboutBuilding Permit 05-0392
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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