HomeMy WebLinkAboutBuilding 06-0501
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
cF~ JI- h
See Main Eiie:;licant I PERMIT NO. Ow. 050(
(Please type or print and sign at bottom)
ADDRESS
//1- (/./7
W~
3G)"7
Te-rr~
LEGAL DESCRIPTION (office use only)
LOT L. BLOCK
ADDITION
\ OWNER
(Name)
(Address)
(Phone)
ZONING (office use)
-------
(Phone)
(Phone)
~rl- 7"06 ~9'f't7~
~/Z- ?z-! / b :;-~
/!.,A,N
.r:;"?-cJL')
ORe-Siding OLower Level Fimsh 0 Fireplace
TYPE O~F WORK ew Construction ODeck o Porch ORe-Roofmg
AdditIon OAlteration OUtility ConnectIOn
CODE: .R.C. DI.B.c. 0 Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S V
Division: I 2 3 4 5
PROJECT COST/VALVE $ lIS: 0.:;),1
(excluding land)
I hereby certity that I have hlrmshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or autl1Dnzed agent It)r the
above-mentioned properry and that all eonstruction will eonform to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the btllldmg
orticiaI can revoke t IS ermJt for Just cause Furthermore. I hereby agree that the ory official or a deSignee may enter upon the prope11y to perform needed mspeetlOns
/L/~g
, .
Contractor's License No
x
#
#
Signature
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
#
#
I~~~ r-;t174!t-1
Receipt No.
By
This Application Becomes Your Building Permit When Approved
///J~/~ ~~
BuildllH! Ollicial / ate
S-3C>
Date
$
$
$
$
$
$
$
$
$
--
'5 0, ()tJ
5'0 ,OG
50.,00
/500,,00
006 .(1)
15a; -06
ThiS IS to certIfy that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construetlO~commcnce. Before occupancy, a Certificate of Occupancy must be
ISsued ~ee · "
e
Planning Director
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
ci;:~-: ;~~~~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(t2 )tJ/J(~a/H/Yt. J
,J:)- '30-06
JJ~~
,
Reviewed By:
~
.
5-ee. IJi I~ Ff '; ('
Date:
~~~ S -O~
Comments:
"
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."
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(~)d/)(AJ4J1CVU/X) ~
,.L)- '30-06
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity ich is proposed at:
3&59- Pk-w
Accepted
Accepted With Corrections
x
Denied
~$~
Date:
b~~b
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering ,
c-"'n~ - t"lannlng y
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I
/ "
./
./
..",.....-
/~.,-,....~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
::~), .<) 'e) "I -
, ,
./
i
,I
J:.. i 1_, I
'1
)
/
Accepted
Accepted With Corrections
x
.
Denied
d~
-
Date:
&~~
"
Reviewed By:
Comments:
'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~ vv", vvv
07/19/2006 WED 16:45 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~.~:~.:,' ~l~;it3'" \ PERMITNO.~. 50V
ZONING (o[licc
\1$<)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone) lf~j I (.10:=--), '-::Y7 (]1
;\N
=~R lJ)Ql16W[WJ1'-----
(Address) -\ ~ eftS f') ;'~ (l Dv~ ~k 2CO f
~~~~~ANT U-el,'lZ - I~ ~~U~)
~). ~~uG\ I ?J
(Address) j
APPLICANT SIGNATURE
DATE
PLICANT PLE E COMPLETE BELOW
?EW CONSTRUCTION 0 REPLACEMENl,: 0 AL TERA TIONS .
FURNACE MAKE AND"-MODEL l ~ef\I"\Oh [.J1-I~Ur- ~{, {:r?D FUEL flU
FLUE SIZE RETUR,'N OPENINGS S INPUT ~J()cW--- ~ UTPUT
HEATING OR rOWER PLANT
(Phone) Qfi~'7(/Fl- (Crt)
,
'13Llff/rJ~vi [\L .._~l.N 55~~3'7
(City) (Zip Code)
(Phone) qSJ, - -70l-.JQl )
l'
/
(AddreSs~90D
(Contact Person)
fYl'E OF SYSTEM
,,~arm Air Plants
l,roVity
, lechanical
/ 'r Conditioning
Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices ____---
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, I'Ieatillg & AIC (New Construction)
Residential) Heating 0111y (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 #___
$
$ ,50
$
fJl.Jll.~/D ~
1NG rn.,
P12f:1A4rr
Dnle
Date
:1
comet Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
24 houl' notice f01' all inspections (952) 447-9~1~~~~~~)_:4~~~~~=:~~_=__ ,J
~ VVVI VV....
07/19/2006 WED 16:46 FAX 952 767 1900 GENZ-RYAN
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i~~~ ~:~l' \PERMITNO/ .L':o:\1
J Yellow Apphe",\ , ~.=:;J - -
Please type or print and sign al boltom)
ADDRESS
"?)jb" '/(1
....... ~ 1
........ ~-
-l'~:l<(' l' !
Jj ./
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
?~~~R \) j eL\ S1iYlOl1.n
(Address) \ ~CD r/OZLl t_ v1tZLO
APPLlCANTC' f"" ~ ~~ 'i\
(N'ffi') 2" -,,~' <~.J [--j -. ',IV, \
C;\ '\ :J U' I'j
(Address) . ~) U). f 0 1_
(Address)
(Contact Person) :1(1rn ------------.--'-.-.---
'11-. /) ;
Z~~ I!-~ DATE
APPLICANT PLEASE CO:MPLETE BELOW
I rL' Ii y::: ~- 3v"(
(Phone) l(J J I,-V'[ 0 -=> - /lj 1
\
(Phone) Q{5;1'11!i7r ((X1J._-1 \
BiU' V'l' '\OVII \ { t=-;,r-.r-__~';Y;:)~f
~ _ ' I) ,~-:)d;;LL- \
(City) (Zip Code)
(Phone) Cf~ --, (j;7/ ( (jl)
'r fU
APPLICANT SIGNATURE
Quantity Tvpe of Fixture Quantity Type of Fixture
\ Bath Tub with or without shower '?'J . Rough-ins
'1 Dishwa~her f Water Heater
( Floor Drain T Water Softncr
3 Lavatorv(Bathroom Sink) \ Stand Pipe (Washing Machine)
-/ LaundlY Tray (l or 2 compartment sink Sewage Eiector
I Shower Stall Bacld10w Assembly
i Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
2--- Water Closet-(Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cosl with a $39.50 minimum Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit # --.
PLUMBING PERMIT FEE $
5T A TE SURCHARGE $ ,50
TOTAL PERMIT FEE $
eull.~/D Wf11.J
'NG Pi::
-AAIf'!
(Office Use Only)
This Application Becomes Your Building Penuit When Approved
Paid
Receipt No.
Buildin2. Official
Date
24 hour notice for all inspections (952) 447-985~, ~~ (~Y4.t~7S5 2006
16200 Eagle Ct'eek Ave., S.K, Prior Lake, f\4Ni55372-1714
IBy
'.-.--...-._ ~..............- _~ __ ~__ _ M_ ___,~
PRIOR LAKE
INSPECTION RECOFtD1ain File
SITE ADDRESS ~U ~e.FFe~ ~~..
NATURE OF WORK k\ '(3: . ... 1T1"
USE OF BUILDING 6~ .'..... . .... .1 ...
PERMIT NO. W.'>~ DATE ISSUED
CONTRACTOR ~ ~I-I rHOrflfa.. ~.,,,. J'-#.i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT O~c :El If. "7-," .1
BUILDING AND 1~,'~TQtla]l] ~l E::
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCR~TE UNTIL ABOVE HAS BEEN SIGNED
lL~r: pf /l1~OUGH - INS
SEWER I WATER I SEPTIC
FRAMING t..ft.-
INSULATION
ELECTRICAL
PLUMBING Vtw U 0
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BtJlLDING
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