HomeMy WebLinkAboutBuilding Permit 07-0360
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.sjz-;0 7
I PERMIT NO. 07. 03(PO I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.~ -i ,:
jl.a ;:J-~,
3~
1 White
Pink
J Yellow
File
City
Applicant
(Please
ADDRESS
l<jl
LEGAL DESCRIPTION (office use only)
LOT 't) BLOCK
Jr
ad/ PID
ADDITION
Date Rec' d
ZONING (office use)
JsD
'1..17- 01 t> -01
OWNER
(N ame)
(Phone)
(Address)
(Phone) t,~/- ~tJl, #- ~YOd
(Phone) t.1;2 - .3~9 - 7C/.2
q', IV ;l ;)...
BUILDER
(Company Name)
(Contact Name)
(Address) I ff7'5-
/-.lom(JJ
Or
TYPE OF WORK ew Construction ~Deck o Porch ORe-Roofing ORe-Siding ~ower Level Fimsh ~Fireplace (jf)
OAdditlon OAlterat'io~ o Utility ConnectIon
CODE: KJLR.C. OLB.C.
Type of t~struction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ //(), O()O
r /
c:ro
I hereby certify that 1 have hlrmshed mf"rmatHln on this applicatIOn which IS to the best of my knowledge true and correct 1 also certIfy that 1 am the owner <It authorized agent I"r the
above.mentHlned property and that all CIlnstructHln Will conform to all eXlstmg state and local laws and will procced m accordance with submItted plans I am aware that the buildmg
official can rev kc this permit for Just cause Fur crmore, I hereby agree that the CIty official or a desIgnee may enter upon the property to perform needed inSpectIons
x
TOTAL DUE
/YS-K'
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
DO.oO
Dt!),OO
3S; SZJ
0,00
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I~~
! Ilurldmg Urticial
S-(l7/o 7
Date
~ ,,2- (.)'}
Date
$
$
$
$
$ 500,00
$ {) 00, DC!)
$
$
$
75,f)~
Tins IS to certify that the request 111 the above applicauon and accompanYll1g documents is in accordance with the City Zoning Ordinance and may proceed as rcqllcstcd ThIs document
when signed by the City Planner constItutes a temporal)' Certificate of Zonlllg compliance and allows construction to commence. Before occupancy, i1 Certificate of Occupancy must be
'''''~,"""'"~ 5/11<::7 -_'lee iYl,.f!~I~J~'ile
24 hour notiee for all inspeetions (952) 447-9850, fax (952) 447.4245
4646 Dakota Street Prior Lake, MN 55372
1\
e.""t'
L.i4 . , -,,,
i,._J' .., -
il;. ;
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it ~.
White . Building
Canary - Engineering
cf:!!!! - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
t/
i ,-CoOt
'-,. ..J,. /:
~jL.{.~~j /-J
Date:
I.) /1
/{17
. /
. /~.... ./i
Comments:
3ee rVi~idln Fiile
"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."
.~... ...'.'....
ee !~\l~
:.].n [j'l'i'~l". Ll
,~fi1 '-'
White . Building
~~~~al y . EnQfneetln9:J
In - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\/VENS MANtJ
.
- Of
S.L.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~3 rA/~\/tE vJ LtJ.
X
Accepted With Corrections
Accepted
Denied
Reviewed By:
M1f>
Set' tII~~ F('/~
Date:
6-' /l{- 0 '7
,
Comments:
:~t'i~:. ~i i ..
;li ~ ~ if..'
\:,' i'1\\ ~....
"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."
08/04/2006 FRI 7:44 FAX 952 767 1900 GENZ-RYAN
[4J 018/033
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
I, Pin:'
2. G1eep
:; Y!liow
File
Cil)'
Appl,t.~l
I PERMITNO.~
I ZONING (office I
I use) ~
?o / ~\ v\e~l\)
~y)
I LEGAL DESCRIPTION (ofliceuseonly)
I LOT BLOCK ADDITION
PID
I
i
I
I
J
J
OWNER
(Name)
\,(Jj~S \rnGJ~1)
\ gqs. Pram J)r # 20)
~DJ\
(PhOne~ LoSj-C1tYS-3701j
MN 05i'd-;) I
(Address)
APPLICANT I:....^\ ''J, .
(Name)_~1 0. f1..- L~yLD'1
f''P. "\ .7' ~-J I '", "\ '"
(Phone) ".! ")ill=-,_~- c.X.JU__
(Address) '~J /.1/.1\
t7'\ ,-:7'Gt.l
\ I" t'-.-l-1 i If I,
\.A) , \ '-',.hJj
+< Irr\ (iHldress)
Ii /1, "', I I r-',.-.I'J ") .-,
I ~) __..____bu..n'l~\Ll~,c.: ~"JJ)J /
(City) (Zip Code)
_~ (Phone) q5~ -; CLJf - I [)JJ
(jP) DATE g/~jJJk.. _
APPLICANT P 't 'COMPLETE BELOW
( lEW CONSTRUCTION 0 REPLACEMENT a ALTERATIONS j ~I
FURNACE MAKE A~ MODEL !:::i'1I'OL1r:f1DJll:l - 3 v t3 -Q~lO~_ FUEL .0. i1 %J(:-
FLUE SIZE ________ RETURN OPENINGS _.~I .__ INPUT o'Ci...)J) OUTPUT~7 C U
TYPE OF SYSTEM I-lEA TING OR POvVER PLANT
vtJWarm Air Plants 0 Steam
[Jeravit)' LJ Bot '.'Iatcr
C>(],Mechanical 0 Radiation
~ir Conditioning 0 Special Devices __.__._
~enl. Syslem 0 Other Devices
(Contact Person)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
--.i
InduSlrial, Commercial & Multi-Family
PEE SCHEDULE
1% orjob cost Residential, Gas [<,ireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residenlial, AC Only
539.50
Rcsidcnlial, Healing & Ale (New Construction)
Residential, Healing Only (New ConstTllcrion)
5:39.50
539.50
Estimated Cost $ ._____
HEA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
S;
$---~
$
PAID "VITI"
~lJU..OING PERMIT
(Office O~C Only)
This Application Becomes VOUI' Building Pelln,! Wiler. Approved
nuildin!! Official
Date
I Paid
I
r-
,DaAAAY ~-\ 1 2007
, I Receipt No.
:I By
J '
1
-~
-.J
24 houl' nolice fOI" all inspections (952) 44HI850, fax (952) 447.4245
08/04/2006 FRI 7:45 FAX 952 767 1900 GENZ-RYAN
@019/033
Date Rec'd
CITY OF PRIOR LAKE PLUM:BINGPERMIT
~. ~~~ ~!~ I PERMIT NO.~.. :,
), Yellow .Applicant ,
l=tlvkviCVV L\~
ZONING (office use)
I LEGAL DESCRIPTION (office use only)
I LOT BLOCK ADDITION
pm
I OWNER \ I" c:,
(Name) Vi \ ,n,' VVjQ n 1'\
I (Address) I rC15 (:)IOU Dr, #= 200
(Phone)UDI- q CS'- 3; c'Cf
tzkgaJl tv1N 65i)c~
APPLICAi\lT r-- './(1 PI (- /1'1"\ /'::[ -
(Name) C::l{:', 1Z- - .-I/f U J I (Phone) v' 1--)7-- f{f1
r) () ), 3 F:
/<'/ ,,- 'Ai '-t' (
(Address) .-1- () \; V. i \/'\/ [:( '~ )(A.rlt1C,V III f., M N S5337
(Address) ,) (City) (Zip Code)
(Contact Person) *lm d:iiJ ,,'~U~{',~ ';-'1 /,(phOn,) Of5J.-707-!CQ:1
APPLICANT SIGNATURE ~~ --,-1~ DATE 8'/3/ [Jfv
- I ,
10DO
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I Type of Fixture
'7 I Bath Tub with or without shower I ~ Rough-ins
I
r I Dishwasher I I Water Heater
( I Floor Drain i Water Softner ,
__ '91 Lavatory (Bathroom Sink) I ) i Stand Pipe (Washing Machine)
11 LaundlY Tray (] or 2 compaltment sink
! I Shower Stall
Sinks
Bar Sink
. j Water Closet (Toilet)
~
I
I
[ Sewage Ejector
Z! Backflow Assembly
I BackfJow Assembly Test
I Lawn Sprinkler
i 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 Petroit #
PLUMBING PERMIT FEE $
STATESURCtMRGE $
TOTAl PERMIT FEE $
PAID VvlTIi
.50 BUILDING PERMIT
(Oflice Use Only)
Thl, Applka';,. B"om.. You, Building Poeml' When :;;;;;4
Building Official Date - I
24 hour notice for all inspections (952) 447-~8S0, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
\. Pink
2. en-
J. Yellow
~:~. I PERMIT NO.' . 3fDOl
Applu:uU
ZONING (office
use) r
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
pm
OWNER
(Name) l.A \. \) f"r\.. fJrr-Y"\.... ~ f'r.,. I"'t'\
\~q'::l ?~\t~ DA-, #~t)
(Address) ('~,-, Irr-.~ SS \ d. d--
(Phone) CaS I ,... Y ~c.o "'1 y CD
APPLICANT
(Name0l.~hZ'~D Orr-A. d-
(Address~
9cn /09.tJ., a, Je~ ).J #JcrIO
(Address) ,
(Contact Person) ~c-\~ ~"'e.(hOr
F.R
(Phone) ~lD3~ Sr, l-dS'dS
('j, n/Y)"l.fJ1~'.n-,(J"tyrn) 1'1 S53/(p
~ c (Zip Code)
(Phone) ..cJ~3 - S'lv-,'J I \.0
APPLICANT SIGNATURE
FURNACE MAKE
FLUE SIZE
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
MODEL FUEL
RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Waler
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
~ a:f.~ C?J ~
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
S64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
~, .,',
~..;...,
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I: I
i
I
.50 PAID WITH
BUILDING PERMIT
Receipt No.
Buildin!!! Official
Date
i '
By
~ :__ i
I
I
24 hour notice for all inspections (952) 4411~50, fax (952) 447-4245
ZOO~
Hooa a~VHV~ JI~VWO~rrv
66ZL 9Lg C9L XVd tt:OT LO/TT/90
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS /'119.3 ~,C'. v'/~ t.!W.e MW.
NATURE OF WORK #..CW c.IJ~' AJ/"t,..FiJ.JirN D~/:. I-F.,.,)
USE OF BUILDING tF; ~ I ~ J~I2CH~
PERMIT NO. ~~ DATE ISSUED '1
CONTRACTOR . 'S"'lfNIIJ I"NM65 PHONE 16-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~Se{' M.nin ~"ilc
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
I FOOTING I I
I FOUNDATION (Prior to Backfill) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING I-vc:.
INSULATION
ELECTRICAL
PLUMBING tI,~v~ v.~
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST
tf1()""...c~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~r': ,l{atiJ"(!," ~MI"I!tV Pi'> &;?~k I
, FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
B~tl.4i~Bd 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