HomeMy WebLinkAboutBuilding 06-0284
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
Date Rec' d
6LQ-Ob
See Main Filp~i~i~e ~:~y I PERMIT NO.oG,. 028+-1
'-f Yellow Applicant
(Plu~ ~ ., pd.' md :; bounm)
I ADDRESS
I 12,. { i It-iJS
LEGAL DESCRIPTION (office use only)
LOT ZJJBLOtK J ADDITION
?A-n--r
ZONING (office use)
J!!-Lj
If rlt
PID
s--'II-g-t>"] -0
OWNER
(Name)
5~
!5f-!-LOW
(Phone)
(Address)
BUILDER
(Company Name)
(Address)
(Phone) b <;7--- 40(;. - 4-160
(Phone) t../7-"-';2;2. -/10 -2 g
.::- 2- GD G-.A =:7
TYPE OF WORK I::}1.Iew Construction DCIDeck OPorch ORe-Roofing ORe-Siding pCILower Level Finish ~ Fireplace
DAddition o Alteralio""n OUtility Connection 0 Misc.
CODE: DI.R.C. EJf.i.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II
F
1
III rG~0
HIM S U
234
PROJECT COST IV ALUE $ !tlClJ It:...
(excluding land)
I hereby certify that I have furmshed mformal1on on this applical10n which is to the best of my knowledge true and COlTect. I also cerl1fy that I am the owner or au than zed agent for the
,1bove-menl1oned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the build 109
official can revo ermit for Just cause Furthermore, I hereby agree that the City official or a destgnee may enter upon the property to perform needed mspecl1ons.
J f~8 .7- 23-C)t.
Signature / Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ -
Mechanical Permit Fee $ -
Sewer & Water Permit Fee $ ,sa
Gas Fireplace Permit Fee $ L/O.-
$
$
$
$
$
$
$
$
$ (p S- I 7.
I ~~";Pt No;fL/b 'J'
#
Park Support Fee
SAC
#
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
1/1 7(a ,
Dat
I ~~~ 01-(3 &
This Application Becomes Your Building Permit When Approved
~~
Buildlll!! Otlicial
-
ThiS tS to certify that the request 10 the above applicatton and accompanying documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrllticatc of Occupancy must be
"'~ ~ ~41t& (lo See Main File
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
~anary - Engineer~
Pink . - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I)) .M14 Y1? UAvtLJ
\.3 - d- 0; - Db
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILII ~I IL/~ ;Jea;L
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
5t't /J1e,ln h'lt
Date: ~-II-O-'
Comments:
See lVlain File
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.'1
,-' '1:\1. ..........--1
, ' . . f" . !H'll 14_,
~ee r v alnt)~ .:..lE.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-,1
L,.~/
i '
.... ....
, I
., ./!'
" ~ ,...-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/J ';' I /.
I I " / / j
i
/'
Accepted
/
Accepted With Corrections
Denied
~
r-
~
Date: ~I/ 1 ~ G:,
Reviewed By:
Comments:
See Main File
"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
C::White - Buildiiiii>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IJ} ~<J rnUM/tU
('3- 6-9 --Db
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'-// ~/ @~ fJo11-
Accepted
V"'.
Accepted With Corrections
Denied
Reviewed By: p~ ~
Date: 117;; ,
Comments:
See Main File
"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."
06/27/2006 TUE 11:03 FAX 952 767 1900 GENZ-RYAN
I4J 014/0~1
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1, Blue File
2. GQld Ci{\"
:\ Yellow AppheMH
I PERMITNO.~. ~fIrI
ZONING (office
use)
n,L+h
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone)
APPLlCANT SIGNATURE
':= 1 '(1
(PhOne)L)IS)-707- / (If) __
J3 (l__(JJSV/) Ie '55337
(City) (Zip Code)
_______ (Phone) CtSJ, -76:7 - J D(f)
l-11,?2f ~~LL1-LL-t) DATE
APPLICANT PL"EASE COMPLETE BELOW
APPLICANT (:-f) 7 ~ me',
(Name) LL.I . c. U .
. .' \ '.' 'il. 0
(AddressL2.~D() !/U. L0lj /:J
(Address)
(Contact Person) I~<, ITl
~lltity Type of Fixture I Quantity Type of Fixture
2. Bath Tub with or without shower Rough-ins
( Dishwasher I I Water Healer
I Floor Drain 1 Water Softner
~-J Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
i Shower Stall I BackfJow Assembly
I Sinks Backflow Assembly Test
Bar Sink -- Lawn Sprinkler
,i) Waler Closet (Toilet) I Other
._.-
FEE SCHEDULE
Indust.rial, Commercial & Multi-family J% of job cost with a $39_50 minimum
Estimated Cost S Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
11{ '-It.~/() ~
-------------------:so V.-1tG' j::)~
~4t/.,.
(Office Use Only)
Date
This Application Becomes Your Building Permit When Approved
Buildin!! Oflici~1
24 hour notiet fOf all impertio/ls (952) 447-9850J fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lal{e, J1N.~'i372-1714
1 '
06/27/2006 TUE 11:01 FAX 952 767 1900 GENZ-RYAN
I4J 004/021
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I Plok
1_ Green
3. Yellow
File
City
Ap?hci!tlf
I PERMIT NO. ".a-~I/
(Please type or print and si n at bottom)
I ADDRESS
I ~. Ii/cis
ZONING (office
use)
~J OJ-{;j
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~~R LU{JJ_SJ.J'lCU'1 f J
r)-ra ZCL j)r-
r~L1aj)
J
.fdiJ /JJ /3
(Add~-
on-jes
StifF '
(Phone)
/' go c...
(Address) I Yj
APPLICANT (jP 'j '[._
(Name) -_L I
(Address~]{)
(Zip Code)
(Contact Person)
0')
__ __'_ ~ 'J DATE
APPL C~ ~T PLEASE COMPLETE BELOW
NEW cm~SVUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL ~~)\ no 0 G:L/3 U [- ::z?13_:_~_D_J 0 , ._ FUEL nUt: ~1(l;-\
fLUE SIZE ____ RETURN OPENINGS ___ =1 __.._ INPUT lJiLJ 000 OUTPUT FiJ7iJ..J__ I
TYPE OF SYSTEM HEATING OR POWER PLANT
~Iann Air Plants 0 Steam
OOravity D Hot Water
I. echanical 0 Radiation
. ,ir Conditioning D Special Devices
cnt System D Other Devices ____________.
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
n~E SCH~DULE
1% of job cost Residential, Gas Fireplace
$3950 minimum
~99.50
$64.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Residential. Additions & Alterations $39.50
Residential: AC Only el.J~ IJ~/D $39_50
BUil~ing Permit ii_m________________ 1...D1tvG ~/"'J.f
$ -.-- .50 'S'f::/41I.,.
$
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Buildinl!: Official
f-, h.d--..... __c. .._--. - ---,.-..,---..t.-ReceiPt No_
i ': ... .. . ' I [
It:ate - . ...- j ,. By
( ... JUN 2 8 20Ub
24 hour' notice Co I' all inspe~tiom (952) 441098.50. fax (952) 447-4245
!
L:~ 'y __".~~,~~_ ~---"...-~-'~~~~.
This Application Bec.omes Your Building Permit When Approved
Date
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~: ~e~ ~~~. I PERMIT NO. " ~
J_ Yellow ApplJcant . - · ~
ZONING (office
use)
ADDRESS
\ Y La I ~J
PavLh ru w
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNERLJ
(Name) , 0 /YV'V)"Y1 ~ /YV'"Y"'\
1)(9.<\ ~~ ~. i=laero
r fl r.J>')/n h s.s-n:l ~
(Address) -"'7/- ./
(Phone) (oSI -</OCtJ - (/L/cD
APPLICANT
(Name01.-l-f"'rn-'.~h~, ~ -<a 0 fX-rA~ d- F,R
(AddressJ?
9w /09~ (h l'l'~ IJ -JJj('f"JD
,
(Address)
(Contact Person) j( c\ ~ ~ne.YnD ~
(Phone) '1\.03- Sll \ - "dSdS
rJ,n~jj~(.il.tyrn) 1'1 553/L,
I.... (Zip Code)
(phone) flG,~ - S~<..Jr Jd llo
APPLICANT SIGNA TORE
DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION o REPLACEMENT o AL TERA nONS
FURNACE MAKE A MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
o Warm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~ - j\)O yd,3<.o
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.50 BUILDING PERMIT
(omCt Use Only)
This Application Becomes Your Building Permit When Approved
Date
Receipt No.
By.
Buildine Official
24 hour notice for all inspections (952)4~1-9850, fax (952) 447-4245
Hooa 3~VHV~ JI~VWO~ilV
\ \,'; '.~'
lOO~
66lL 9L9 C9L XVd It:tl LO/Cl/CO
PRIOR LAKE
INSPECTION RECORD
\.)t:t; J Vlalll Jt-11Je;
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. J,)]~02f37Yi DATE ISSUED
CONTRACTOR . ~ J'I.AMJ PHON ;\.. - "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 6. 10
COVER NO WORK UNTIL ABOVE HAS BEEN SIGN
l-'Ar,HE f' H(JI1S'''I4J~A~ I I
FINALS
GRAI1ING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING we....
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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