HomeMy WebLinkAboutBuilding Permit 07-0888 (chiropractic)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
t-t
Q.. 0 ( 0 1"4\ d 0
Date ~ec 1 J
I White
Pink
Yellow
File
City
Applicant
.st-
5u l-k 'J... 0 \
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
s,,€\ \~
LO~\.
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
<-
~\ 1- - ,~D-<6q7
(Phone)
t' f'f
ft-1>r ~
(Phone)
(Phone)
() uf l
1\J S-~ 4\.\
fJ I d-- - J- =3 , - s- ('-(1 D
rOu
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
ORe-Siding OLower Level FinIsh 0 Fireplace
Act~ d
,~
t-.f' ( (j t1llh---1- ~ r
b5D
~od
-
CODE: DI.R.C. DI.B.c. o Mise
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
,,'-~
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have turOlshcd mformation no 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
Joovc-rncntlOncd property and 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 building
~tiCl"1 can revoke thiS per~~~se_ Fllrtherw hereby a 'ITe that the CIty official or" deSlgne::c;n er uVthe propel1y to pert(Jrm nel;;s~_ecJI(~ (') 1_
Sign Contractor's License No. Date
Permit Valuation
Permit Fee $ 6
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ f)) .l{p;
Paid
Date
~tK)
,DI /I ~-
I
~~nt No. 'S'-{O?G
TIllS IS to certlty that the request In the above apphcatllln and accompanymg documents IS In accordance With the City Zoning Ordinance and may proceed ;IS requested TIllS document
v"hen signed by the City Planner Clll1Stltutes a temporary Certiticate uf ZOI1mg compliance and allows construction to commence. Before occupancy, a Ccrtlticatl' of Occupancy must be
L\Sllt.'d
Planning Director
Special Conditions. if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r.7.07
White
Pink
Yellow
File
lily
Applicant
I PERMIT NO. 07. 08BB
(Please n at bottom)
ADDRESS
11.,16 &itraC/1) Sf. PVt'trl ~ / m.A.J 5:537 J-J
ZONING (office use)
Rl
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Company Name)
PID Z5"~ DOf. 103.0
Bra cI ",uh / !e.,,/S/'et /~ wh i Iu
S'/..~
DoPY!~~' y,trt.
'Dawn ScjuJ~ (f'reH1rer~~.JtYPhOnC) Cj:>d-4tf7-57H
Lfbl L~ Sf, PYI"-1 L~
(Phone)
(Phone)
~ mAJ
95:<- ~~()-Lfi/3~
b/.J. -7S0-f"97C
5 5" ?i?
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
CODE: DI.R.C. ~I.B.C. 'BLOG.
Type of Constmctior I II
Occupancy Group: A E F
Division: I
III
H
2
IV~
I M R S U
3 4 5
ORe-Siding
OLower Level FinIsh
o Fireplace
"I" cjl/r~pra0c-
, c/ / n I c..
IO,ot!)o
,
$
I hereby certify that [ have hlrmshed Information on this applicatIOn which 15 to the best of my knowledge trut.' and correct. I also certIfy that I am the owner or authOrized agent for the
abllvc-mentwned property and that all construction WIll eontllrm to all eXlstrng state and local laws and will proceed rn accordance with submItted plans I am aware that the buildrng
"tfiCl.ll can revoke tillS pel mil tm Just cause FUllhelmme. I heleby aglee that the City otfiClal or a deSIgnee may enter upon the propelty to peItOlm needed In~tlOns
X ~~)~ ~~/07
SIgnature Contractor's LIcense No Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
~
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
,
This Application Becomes Your Building Permit When Approved
~~
,,fis/i:' 7
Date
13uildll1g OfIieial
DfMisc 1e;,a.n f hn ISh
PROJECT COST IV ALUE
(excluding land)
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIon Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
ThiS IS to certIfy that the reqllest In the above applIcal10n and aCCllmpanyrng documents IS rn accordance WIth the City Zoning Ordmance and may proceed as requested. TIllS document
when signed by the City Planner constitutes a temporary Certificate uf Zonll1g compllance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
isslIed
~-//-C77
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Phone) iIJ. g),S~v 6gb 7
~S. Y
(City) (Zip Code)
tlJ/ gg.5 v bgLj
DATE If) ._~O ~cJl
1. Pink File
2. Green City
J. Yellow Applicant
ADDRESS
J;~/~~ (b<t>//4IJO ~Ileer
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
Date Rec'd
ZONING (office use)
PID
9~-- ~'I7-5?~
APPLICANT PLE
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
COMPLETE BELOW
REPLACEMENT L TERA nONS
FUEL
FLUE SIZE
RETURN OPENINGS INPUT
TYPE QF SYSTEM jAJ..O .~a;~ HEATING OR POWER PLANT
~ Air Plants (),!flli){l/l,fi PJJ<i 0 Steam
OGravity SSu(f(l~l 0 Hot Water
o Mechanical '5 (L'fr,I) ~ 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
:13 ?,-'
Estimated Cost $ ~ . 001 .. ~
Building Permit #
~r~
.50
~l~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No. A
Z22..TZ
By
~UL-~~-~~~~ ~~.~J
,_ 1 I ( Ur 1""'1"; 1 UI"; LHKt:
9524474245 P.~~
Date Rec'd
I. Blu' VIle
2 Gold Cil1
J. Y.l....., II.ppliQ/lI
(please tYPe (lr-prinr and rilll1 at botIDm)
I ADDRESS
4 biG:, CD\c::>~oCo S I
[ZONlNG'_=> I
LEGAL DESCRIPTION (oRio:: use onlY)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) W~'rI~ c.J.l \r d? r~C,;-t"1C::..-
(Phone)
(Address) l.,(6 lb
Co \c.{c,.,lc> s-r-
APPLICANT "'\
(Name) l),c..~.a.. ~..--~~'--
(Address) ~ --rs- foM, ~kA.... ~.......c:...... c...J
(Address)
(Contact Person) ---:$7'",,- ~~
APPLICANT SIGNATURE /'?
(Phone) (;Q 1-45 /.-f-6. 6~
ST y.P.......'- ~
(City)
(Phone)
ss-/d)
(Zip Code)
~/--n~- 86--<~
10 /I-;}- 10/
DATE
Quantity Type of Fixture Quantity Type a'l Fixture
Bath Tub with or without shower Rough.ins
Dishwasher Water Heater
Floor Drain Wat.er Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
, Sinks Bacld10w Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commer~ial & 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 $ {j"e:t:J I 00
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
,--'j~. 60
~50
L-/-O. (;--0
(omce Use Onl)')
~Applic:~tion Beco~es Your BUilding permit When Approved
-~ ~ 1(J;;Z~)7
Building Om,ial Date
Paid ) I "
"'1(JrOO
Date
Receipt No.
l4 hour notite for all lnspecdolls (952) 447-9850, Cas (952) 447-4245
16200 Ea~e Creek Aye., S.E., Prior Lake, MN S5372-1714
TOTAL P.02
715/V/rA/T AN/Sf!
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
C-White - Build/nO
Canary - Engineering
Pink - Planning
NAME OF APPLICANT ~~..L./ ~f'.z;;./
APPLICATION RECEIVED 7. 7. 07
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicati:;{;i;;ction &;=ose~
/
Accepted
Accepted With Corrections
/'
Denied
r--
~~
Date:
f>>3); 7
~~~
~ ....
Reviewed By: ~
Comments: ~ ~ ~......~ M
~ /.A.-o ~(/ 11 elJ Q ~ ,- 4--,
"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."
.-- .' j
17
White - Building
Canary - Engineering
C"Pink - Plannn'9::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
,
,
i ,
,/'/
I '
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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:
1'-
/ I ,~
.;'
"'--'i~-'.. ....~..... N_~_"_
.,1 ,
,
Accepted -X-
Denied
Accepted With Corrections
j:J/o/--
Date:
~---#t:l7
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."
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CITY'S
~;
ALL SILL PlATES MUST
BE OF REDWOOD-CEDAR
OR TREATED LUMBER.
~l'\'
~'f#~'1 ~I
~ 5
CITY OF PRIOR LAKE
BUILDING PERMIT PLAN REVIEW
INSPECTOR ~~ ~1j;;jL- ,
DATE 9//~ 7 PERMIT NO.
o ACCEPTED AS SUBMiTTED
~ ACCEPTED WlT~ 1 CORRECTIONS AS NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT
Thesa comments are for your infonnation. All work shall be done
in full compliance with an applicable building & zoning code re-
~uirements including itoms not Specifically noted in this review.
KEEP TrllS PLAN SET ON Sr:E AT AlL TIMES.
"
)eparate permits are required
for Plumbing, Heating,
Outsid
Electrical, etc 5Pr2.-(N 1(.Lt.~
)
September 5, 2007
RE: White Chiropractic buildout
4616 Colorado St. ,Prior Lake
The existing space we will be leasing in the Premiere Dance Academy building is finished,
and we are planning to build interior walls to make private rooms. They are all non-bearing
floor to ceiling walls (dropped ceiling is 10'6" high) that will be constructed with 2 by 4 lumber,
with sheetrock as the finished exterior. The reception area will consist of a reception counter
which will include a 36" by 36" handicapped accessible section. All interior door openings will
be 30" wide.
See the attached floor plans for additional details.
Si~w~~
Sheila White and Brad White
Owners, White Chiropractic
12280 Nicollet Avenue South
Suite 104
Burnsville, MN 55337
Phone: 952.895.0660
Fax: 952.895.9408
Email: shedoc@integra.net
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '$', /(, fr;t.~~I)() ~~~., .
NATURE OF WORK 'T6A!4Mr Fi~'tN (l!HIM"AA(J1~ <<M)
USE OF BUILDING ~ "'Bl~ T~"~ .,. ~Ac&. '\ '8.'
PERMIT NO. &:l8b D E ISSUED ,!Jjll/lo l'
CONTRACTOR ~h~"LA /}JHirF PHONE 6/z"'~o -S'7tJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
/ ()~( (,~t!)
._ COVER NO WORK UNTIL ABOVE HA~BEEN SIGNED
S ffLI/-/ lG u::~ I /l1f I IO-fG~
FINALS
BVILDING
ELECTRICAL
PLUMBING
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