HomeMy WebLinkAboutBuilding 07-0005
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10./.3. ()(P
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 7, o,oo.5J
(Please
ADDRESS
n at bottom)
ZONING (office lIse)
?l/D
LEGAL DESCRIPTION (office use only)
ADDITION
e:1 /VA t:r/ eI
PID...zr- 'Y'~:>~ - 0;)./- ()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
'(;.f/llfJm 9N/V .tJ6I'n {'.I'
4ry
/
do"
(Phone) &.5'l- Y()6- "I-Y/JO
(Phone)~/..2-" 1&1 j- 7t./;)...
/. .2.....
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditIon OAlteration OUtility Connection
CODE: ~.R.C. OLB.C. o Misc.
~
Type of onstrnction: I II III IV V A B PROJECT COST /V ALUE $;u.O, o ()f)
Occupancy Group: A B E F H I M R S U (excluding land) ,/
Division: I 2 3 4 5
I hereby certify that I have hlrnlshed mformatlOn on this application which IS to the best of my knowledge true and correct. I aIso certIfy that I am the owner or authOrIzed agent Ill[ the
above-mentioned property and that all construction Will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
official can re Jkc thiS permit for ust calise 'urthcr -c, I hereby agree that the Clty official or a deSignee may enter upon the propelty to perform needed inSpectIOns
x
/ Y5-r
C~ntractor's License No.
/u - /..1- 0 (,
Date
Permit Fee
000.00
o
52,78
(),~O
Park Support Fee
SAC
#
#
Sewer/Water Connection Fee
#
#
$
$.
$
$
$
$ o(Je,aD
$/500,00
$
/& 7S ()
3IS-.UO
7000
/Sot) It) 'f)
Plan Check Fee
Water Meter
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
~ ':f~
lluildllll! Ul1icial
/o/,?(ofp
I Dat
Paid (.
$ 9,37~ 19
5
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Y OUT Building Permit When Approved
~
t....-J f-t.c-
ThIS IS to certify that the request 111 the above applicalion and accompanYIng documents is In accordance WIth the City Zonmg Ordinance and may proceed ,lS requested. ThIS document
'I ~'" ",~"~,,ry c""""" ;;fi ~A":' '"' ,",,'" w"'''~'"'':;;''''''';: c;~ ~
Planning Director Date Special Conditdfs, if any
24 hour notice for all inspections (952) 447-985ll, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
(White - Building)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WGNSMA N~ Hones
(6 , 13.0 &
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1504-3 JEF~ER-5 PASS
Accepted
Accepted With Corrections /
Denied
Reviewed By:
Comments:
~
~a.U
.'-1 r '"
~ Date:
~.
/{}/t7;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."
White - Building
Canary - Enaineering
Qlnk - PlanninD
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments: \ ~
-
~
~~
I~
ci..tu..L ~. ,AlQ ~ c..P I
/.4 ~ ;"....
Date: I (j/I 7/0(#
f '
, (I II / -J- _ _ _
~'~ '/'1 ~(H:.Jl.., ~
1 ~,~~ ~
~~,&~~
~-L~ ~/J,
~
fJ.A.u-
~
"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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v~ S N 5' I"I!-\ N N r{-Oll ES-
IO.I].OCc
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(504- 3 .JEFT-=EJ<-S (/~~S
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/VJ&6
Date:
?(!) - :/1-<<;
, ",..- ',~;~:~:~;-:.-:.~.?::::.. .
Comments: :. See Rever'58' Side for Additional Information!
See Attachme~ts: 1) Grading Plan, 2) Et6.#pACti~trOJMeasures' .
.-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."
06/04107
09:56 FAX 763 576 7299
AUTOMATIC GARAGE DOOR
[4] 002
, CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
L Pin~
2. Green
;. Yellow
~.~, [PERMIT N.O: '1 ()Gog
ZONING (office
use)
p()..I.J.Q
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDmON
OWNER
(Narne)~~~~?O----I ~';)mO
(Address) I I'Y\~ :3S \ d d-
(Phone) tJ,S I - 4 Olo -~4 00
APPLICANT
(NameOI.-l-rI'rY\^h:(j~~ \n---^~ d- F.P
(Address3?
9cn JOq.J,t, (2,Je.; JJ ..JJ1rt)CJ
I
(AddIess)
(Contact Person) Y c-\s ~Y"\e~ ~
(phone) '1\.0'3>- Sfl \-'dS"dS
rJ. n/WI./JjJ~ .rnl'1 553J<.o
~ (~ity) (Zip Code)
(phone) ..!Jttl-:1- Sr"7lo-/~ t La
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE ANb MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devicl:s
o Other Devices
,- c:.D ~'-eR.. 1--
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
'. ...~.
:''''M-.'-''
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
PAlO W1TH
~ILD1NG PERMIT
Date
Paid Receipt No.
~ 2 0 ZOO; By
(Office Use Only)
This Application Becomes Your Building Permit When Approved I.
Buildinl! Officill
24 bour notice for all inspections (952) 447-9850, (u (952) 447-4245
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed bY:~ ~
Building Permit # PID:
Address: 15~~J 9~ ~
Legal: 'L cJ I , B I Subdivision:
Existing Structure? YE@
I CONFORMS TO ZONING
ORDINANCE
Date: / d;/ 7;{; e:,
Zoning:
~,tJ.
~;9~ cl-.p~
Existing Nonconforming Structure? YES@
~
NO
Yard Setbacks: NAI FAILS(COMPUE~ Standard Proposed
. Front Yard (can be 20' if ava. w/in 150') 25' 25'
. Side Yards 10'1 ( I
25' if abutting a street ~.'1S 0l1CI) 15'
~ -'I"
.
. Sidewall exceeding 50' requires additional side 2" 10' setback +
~ I . ~
setback for every l' over 50' in lenath 2"/1' over 50' .'/ +0 PoL. f,' ~l
. Rear Yard 25' .~o'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatina no deck will be built in the future 25' rear ~A
. From 100 year flood elevation of wetland/NURP 30'
pond NA
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no NA
less than 50'
I..,. ""',
.30 Maximum
~ Z. "7D
Standard
Pro osed
OrJfT
NO,.JC
/~
Tree Preservation:( I ~A) FAILS 1 COMPLIES Standard Proposed
. Total caliper inch es -~
. Permit 25% Removal
. Calioer Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLlST.DOC
FROM WENZEL PLUMBlNG & HEATING 651-452-0367
(TUE) 10, 17' 06 9: CO, 8T. 8: 55,1\0, 48600539:37 P
Date Rec'd
C[TY OF PRIOR LAKE PLUMBING PERMIT
i ~~~ ~~~ I' PERMIT NO,' -, - nfi
J. v.,uow Al'Pliaot . ~
I ZONJNG (0"" ""1
LEGAL DESCRIPTION (office use I n1y)
LOT BLOCK
ADDm( IN
Pill
~~ ~~'\'\'\\ ~~:-~-?'
(Admess) ~. C>:I~~Ol)
APP(N amDeCANT) \. '"-",, "7.--', \ ~~ . ~ & j! Cl tj ("lJ I br--
~y.~ ~. (phone) (.0./ .- 'l..::>d---- S .::>
(Ad"",,) JZ1D I\\~~v -. ~. ~,,_ $51-2\
(A~~ess City) (Zip Code)
(CO""'ctp=n)~~~ . (phone) ~)~qS:;2.-15~
APPUCANT SIGNATURE ,:: ~~ - DA IE /'01 /'T lOb
..( PPLlCANT PLEASE COMPLETE BELOW
Quantity ~.. Type
, Bath Tub \\ith or w
Dishwasher '
Floo~ Drain
LavBtoJy (Bathroorr
Laundry Tmy (1 or
Shower- Stall
Sinks
Bar Sink
Water Closet (Toilet
(Pbone)(Q5l-'tOb~L/1I'{) ()
~ \J\Yl4
)f Fixture Quantity 1)'Pe of.Fixtllre
thout shower Rough-ins
I Water Heater
- Watei Softoer
Sink) 1 Stand Pipe (Washing Maphine)
! compartment sinJc '. Sewage Ejector
Back:f]ow Assembly
BackflowAssembly Test
, Lawn Sprinkler
) Other
FEE SCHEDULE
Industt1.1I. Commercl3.1 &. Multi-f:unily I ~ of job ~st with /l. $39.S<J minimum
PLUMBING PERMIT PRE $
STATE SURCHARGE $
TOTAL PERMIT FEE .$
Residential. New One & Two-family $?9.50
Residential, Additions & Altera:tions~ $39.50
SUI; ~0
Zb/~') 't'~
,-<:'-
"1Y~1I.,.
Estimated Co;t $
Bu.ilding Permit #
.50
(Office U'IC Only)
This Application Becomes Your Buill ling Permit ~hen Approved
-~ ----".._~--_.__._.- -. --
'.
IMldlllg omdal -
D;If'C:
Paid Receipt No.
OCT 1 0 2006
~
Date By
.24 hou) notice (or lllllnq)ections (952) 447-98S3, fIlt{952) 447-4245 .
16 !OO Eagle Creek Ave., S.E., Prior Lake, MN :55372-1714
(TUE) 10.17' 06 9:Cl/ST. :j:55KO. 4:j600539:j7 P 2
Date Rcc'd '
FROM WENZEL PLUMBING & HEATING 651-452-0367
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i~~ IPERMlTNO.~
3, Gold J,pplicmt '
I [WNlliGC_,
..
LEGAL DESCRIPTION (office use on y)
LOT BLOCK.
ADDmOH
Pill
OWNER \ \ n... '" vv.. "" M rJ
(Name) ,~~l\u.\.'\(\ -~'S
(Acldrc3s) \ ~9S' ~\~ ~ i\ &.},~;ft.[ltj)
(.A!Idres.s)
~ne) ~-4Db-lfttbD
-~~ ~(
<000 ~p~~'
~ ~'l.~ ,\\:~:) ~ \\\~ ~. /fthoOe) .
.(Address) ~'T)D ~~~\V~, ~....~.- Mn, SS-1~1
~) ~ I (Zip~
;~~P'-') ~':\.~. ~~~:f5I-~~~~b
ABrlICANT PLEl\.8E COMPLETE BELOW
Size ofwater' ~ e~ce inches.
Location of an, V co~plings fr;, om.$J.:Ucture~", tJ Pr feet
Type of sewer pipe. OAaG, PVC 0 Cast Iron
Estimated leng th of sewer lin~ '
Clean out (if rt quired) Ioc~ted ~, ~ :teet from struc.;ture.
FEE SCHEVULE
Residential sewer and water line co.nnectil IJl $35.50' IndustriaI"Com'l & MnIti-fumily 1 % of job cost with a $39.50 minimmn
Sewer connection on.l:y $17.50 Wata (;(l)lDection only $17.50'"
Estimated Cost $
Building Permit #
!!JUI!.. ~/D
DIIl'A 117.,.., .
.50 " ... J:)~ rt
,.1:[1111.,.
SEWER, \NO WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL ?ERMIT FEE $
(OtIice Uge oQ./y)
This AppUc:atiOD Becomes Your Bnildi 19 Permit When Approved
I~NO
Date
rwu
. oQtT ! r. 2086
JlQilding Otlitill.l
24 bonr J'otice for aU insped:iOl.tJ (m) 447..9850. fax (952)447-4245
10/17/2006 TUE 15:44 FAX 952 767 1900 GENZ-RYAN
[4] 002/002
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Datc Rec'd
i ~~~n ~!~, I PERMIT NO, (, . ~I
). Yeliow Apphtonl , 7 .., ,
I (Please type or print and sign at bottom)
I ADDR~; · . ([r
I I - '\lJ3 elt -fyS
JDQ 5'5' Ivt(J
I ZONING (ollie; l
I \lse) J
I LEGAL DESCRIPTION (office use only)
I LOT BLOCK ADDITION
PID
l
.-1
I OIVNERUJ ~tnf\
I :Name) -'
LAddressl ~~EJZ1-7JL Dr 4t~-ZW
~rM~ MN
(Phone) (JD'/~Girfi~-- 3~ql
I
~
-l
APPLICANT r
(Name)___<,;rCiTt - r2J.lQ..(\
)
____________ (Phone) CJF)J) -; [![}:.J ()(JO
(Address);A,J{O I.JJ. \:~ltuL"11'-~ __._ 8.~~!J3Ni lie C.J.)3'~-n
(Address) (CQ'!V (Zfi J Code)
I \ ~--\ 7( -)7 {" Yj
(Contact Person) . _ (Phone) ~CX - (jJ /' l .L
APPLlCANTSIGNATURE ~. DATE ._.. (() / r7/~
~ / f
-4 PPU CANTPL lASE COMPLETE BELO\V
~J'lEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS . -I
FURNACE MAKE AND MODEL let:Jr~ OX Q!d5UE~_-YflL-l1JQ-DTi FUEL _nat_~j~
FLUE SIZE RETURN OPENINGS _. INPUT --.15_9._"UO. OUTPUT _""Et9._~
TYPE OF SYSTEM HEATING OR POvVER PLANT
PLEASE NOTE:
A ir Conditioner Units
Cannot Encroach into
Requircd Side Yard
Setback s
~arm Air Plants
~avity
..Mechanical
- 'I' Condilioning
I enl. System
FIREPLACE IvlAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices __._.._.________
,,_ ._.___-..,..._~~...___u._..____~_._~.
~. --.-----.. ---
FgE SCHEDULE
)% of job COSl Residential, Gas FiI'eplace
$39.50 milli.nlll11
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
I
i
I
I
I
______________--.-.-J
111dus(r;al, Commercial &. Multi-Family
$39.50
Residential, Heating & AIC (New ConstrLIction)
Residential, Heating Only (New Conslmclion)
$39.50
$3950
Estimated Cost $ Building Perlllit II
HEATING PERMIT FEE $ ~=------ PAID WITH
STATE SURCHARGE $ .50 BUiLDING PERMIT
TOTAL PERMIT FEE S________
(omce Use Only)
This Application Becomes '1'0111' Building Permit When Approved
Paid
Receipt No,
Jlllilctin~ Official
Oate
DatOCT ~ 4 2006 J By
24 hour notice for all inspections (952) 447-9li50, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
/S(}tf.r3 :If!f w.s::.r
..s.
DEPARTMENT OF
BUILD~NG AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. -01.
CONTRACTOR
NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED /(9/;1,6 ~
PHONE Vr~ *' . d
FOOTING
v'C-
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING " PI/.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
~ ~~~
J
GRA..oING (Prior to Sodding)
BUILDING .. - 07
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