HomeMy WebLinkAboutBuilding 06-0291
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
CA./ It.- D S
LEGAL DESCRIPTION (office use only)
LOT.) ""BLOCK I
ADDITION
..- c>Z V j)
OWNER
(Name)
'e"
.".,.. . ;,,~,,~
'" .,,' ~"",,,'
-,' J G;
? \" cr~
:,7 .~ln
. -' ,:~- -~ '., l.L
Date Rec' d
3..~q-t
h"! 'j
Nil .
: I,
- .......
I White File
Pink City
'.. Veil ow Applicant
I PERMIT NO. O~. 02.71
r/<t-
PID
(Phone)
(Address)
ZONING (office use)
(Contact Name)
(Address)
(Phone)
e..-A (.
(Phone) 6.17--- ~06 L/~ttfJ6
?/;;? - ;2~/- / h Z8
.557 do?
TYPE OF WORK [JINew Construction ~eck OPorch ORe-Roofing ORe-Siding PJLower Level Finish ~Fireplace
'OAdditlOn OAlteratlon OUtility Connection 0 Misc.
CODE: DI.R.C. J2Il.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II III IV RJ A fi7
F H I ~ @'?' U
I 2 64 5
PROJECT COST IV ALUE $ ,l' IJ() K-
(excluding land)
I hereby certify that I have furnished mt()rmation on this application which IS to the best of my knowledge true and correct. I also certlty that I am the owner or authonzed agent for the
above-mentIOned property and that all constructIOn will conform to all existmg state and local laws and will proceed in accordance with submllled plans. I am aware that the buildmg
ofticia! can revoke thIS rmit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to pertorm needed mspectlOns
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
--.
----
13uildllll! 01licial
f/; ?/of4
Date
# $-
# $
$
$
# $
# $
$
$
$ ~1 5/ 1
I ~;ceiPt No :r t( (9~
/L(~6
Contractor's License No.
Park Support Fee
SAC
Water Meter S'
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I ~~~ &'fL~'~!r~
.J - 2-3 -..0(...
Date
ThIS IS to eertity that the request m the above applicatIon and accompanymg documents is in 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 construq~on to commen~e. Before oec;;pancy, a CertIficate of Occupancy must be
ISSI~' - ,1' r 'V -''I .' ','
' ,... - '.... '0'. '..' , ~ " "
-'" . '~../ ~ . .. ' . ,~ <., 1-1 ;"...."
~~ ~ 907/0<, . 'eel -~~'/-~a.]J'J.L F-"'l.:.1c'
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
,~~ iet~A./r.. al.~" ::1 fj......'i C -;j
t \jl, J'!J ~ 7j I'
-, ~ I, ~J..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
1"/, ...
,.L, i ;
/ --
~,,-!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;'
. I /
----"
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~
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, ,
,,/~ .... <_/ "!~/ - ; _..~.-
- (._.--~
. ,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
'3fL~
,.
~
Date:
10~h
See Main-Eile
"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
~hlte - Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
U)~~I'V/l)
,,3-C?q-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /)
/~/~s w~;JcuL --
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,.
~
Date:
If/r7~~
I ,
Comments:
See iVialIl F'Ii!e
"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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White
a
Pink
NAME OF APPLICANT
APPLICATION RECEIVED
Uj~tl/1U1V
3-- 0(9-0~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo$ed at: /l __
/~/~S w~;JaLL-
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
~
5l( tIIflr'',.. F';I(
Date:
'1-//.()6
Comments:
SeeNlaiILEile
"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 011/021
CITY OIl PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~~~;, ~i~i'anl I PERMIT NO~. d. Cfj
ZONING (oUire
us.)
\ i Ids
~J OJ{.;--)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
, 7() c..
I (Address) I 6' J v...J
~:~e~~Uel'l S/)'lO.JlIJ 4) OnltS
~)(a2{L fr. SU.f/= ,'}()() fiJafl/7 /L1/'J ffi/J(~
J I
f:.:(L1().I; .___ (Phone) {?6~-7((;7- //)()O
J
(Address~~ 00 W_._llLLiY- / ~3____BU)/ 11 S' V I ))c/ .(fj3~7
. (Address) (City) (Zip Code)
(Con"'ctPmon) Ji1L2~7--- '] (Phon,/'I"5~- 7i/~-, ~J(~)
APPUCANTSICNATUI E poL - <(l/ DATE ' ;;{..;:z.rJlC?
APPL CA.. T PLEASE COMPLETE BELOW
NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL LQnnDX__&J.i0JlH - :1.01,0 - 010 . FUEL (\U,-i. Sf/O----.
fLUE SIZE __ RETURN OPENINGS ____.._.__2::,___.._ INPUT (J(jI...."YI1-.___ OUTPUT !55';}1..JJ__... I
I
TYPE OF SYSTEM HEATING OR POWER PLANT I
.J A PI I 0 St~"'n PLEASE NOTE:
~arl11 . ir an s ~w
O<;Jravity 0 dot \Vater Air Conditioncr Units
mMeehDnieal 0 Radiation Cannot Encroach into
. ir Conditioning 0 Special Devices Required Side 1: ard
cnt. System 0 Other Devices ___~___ Setbacks
(Phone)
APPLICANT (Tf }"'\ '7
(Name)___ U. L -
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of Job cost Residential, Gas Fireplace
539,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
,0,439.50
(J{jI{DI::~
Gp~
~1L11'"
Estimated Cost $ ______
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #____.____._
S
$_ .50
$.__.~~._._--,-----
, :,!
(Office Use Only)
This Application Becomes You,' Building Permit '''hen Approved
'Paid
>, ,
Buildin!! Oflicial
Date
{narc
I
I.':
24 hOlll" notice for all inspections (952) 447-9~;,'fa): (25.2):44r4)'4~: _ '"
06/27/2006 TUE 11:05 FAX 952 767 1900 GENZ-RYAN
~ 021/021
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i g~:~ ~:~ I PERMIT NO. / tI ~ ~ I
l Yellow ApplicMt , ~ ~
ZONING (oHice
use)
LEGAL DESCRIPTION (office use onJy)
LOT
BLOCK
ADDITION
PID
~':~RjU e. r, 5 J11{lll/lH Q/r7(5
(Address) rft'J.~- I~ !aZ/L 'Dr sk ff ,~OQ
(Phone)
A~PLICANT (~'j) ')7 _ I') I 'C' ,\
(Name)_Ll L I~ l. .~..:\ U -I ,
/)'J()(\ I I \ : J, I I ! "7
(AddressLZJ.-/I I I (,~ WLj 'J
(Address)
l~jTl _
APPLICANT SIGNATURE (it J2( . (, ) ='-~J DATE
APPLICANT PL'EASE COl\1PLETE BELOW
(Contact Person)
(Phone){l5~-7 07- I (XX)
13UYFlSv/ lie ffi33-7
(City) (Zip Code)
(Phone) C15~ -76 7... / Dw
0''/;),::5/0 to
, (
Quantity Tvpe of Fixture Quantity Type of Fixture
:.;2. Bath Tub with or without shower Rough-ins
1 Dishwasher j Water Heater
I Floor Drain j Water Softner
f--- ;-f Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
1 Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall r Backflow Assembly
I Sinks , Backflow Assembly Test
Bar Sink Lawn Sprinkler --
-
,~ Water Closet (Toilet) Other
FEE SCHEDULE
11ldustrial, Commercial & Multi-family 1 % of job cost wilh a $39.50 minimum Residential, New One & Two-Family $99.50
Residenlial, Additions & Alterations $39.50
(Office Use Only)
This Application Becomes Your Building Pcrmit When Approvcd
Estimated Cost $ Building Permit # _.,__________
PLUMBING PERMIT FEE $
STATE SURCHARGE S ,50
TOTAL PERMIT FEE $
~aidi .
R~celpt No,
Buildinl! Ofl1ciaJ
mat& JUN 2 8 200 B
Date
24 houl' notice for all inspections (952) 447-985~'.'fa.X..-..(...9..:l-2..).. 4..4.7.-4.245
16200 Eagle Creel, Ave_, S.E" Prior Lal,e'~~,~,~~!~~lp~:..._.__
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FffiEPLACE PERMIT
Date Rec'd
I. Pink
2. Green
J. Yollow
File
Cily
Applicant
I PERMIT NOfi;ZtlJJ
ZONING (office
use)
lYILlS ~J
PcoLh fU W
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNERLJ
(Name) 1J)/YV1/Ll':'1 ~
/?N-<\ '~~ .fJA-, #aero
r fJ..F"'A-P> ~ n SS/ 0. "'"
(Address) -~!7~. 'I
(Phone) (PSI -C;O<.o ~ lit/cD
APPLICANT
(Name~;{../~R Oc-rAJ 1- F. R
(Addres~
'fro /09,u, ~ ~ JJ PJOOO
. I
(Address)
(Contact Person) j( (""'\ 3 ~nerna ~
(Phone) 'llo 2>. S rJ 1- 'dS"dS
APPLICANT SIGN A TURE
~L~(Jl.tyrn) r1 SS31(p
C (Zip Code)
(Phone) rJG:>~ - S'I<J;-Id llo
~EW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE lvfAKE A MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLAm
OWarrn Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~ - J\JO Lfd3 <.0
DATE
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
S39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Rcsidential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
$
$
$
PAID \;VITI-J
r~(} 1"" -~,-r.' I · 'T'
_..j ':;,..; ~': rW ~!
(Orne. Us. Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildill!!. Official
6 2007 By
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ZOO~
MOOG 3~YMV~) :) IJVIWJ.OV
66ZL 9LS C9L XVd CO:ll LO/61/10
PRIOR LAKE
INSPECTION RECORD
I-lS n
/, · (". FJlJlr II
DEPARTMENT o~ee Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~OZ~ DATE ISSUED (!
CONTRACTOR M 1'H.J1h/IJ PHO b.JtI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ArN~ , IIdMS"eWBPl I
FINALS
GRA.OING (Prior to Sodding)
BUILOING
ELECtRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL AB VE 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