HomeMy WebLinkAboutBuilding 06-0773
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CITY OF PRIOR LAKE
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Final Permitted
D Conditional C.O. Expires
Owner of Building
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or useo For the following:
Use Classification ,....S ; 1/1 / ~ H ill! I /;/ Bldg. PermIl No. 0 G - 7 'l3
Occupancy Type f( 3 Type Construction V A/ Zonmg DIstnct lJ LA S D
Legal DescnptlOn L (.0 J !3l 3 ,--,j e.. rrc.-;> r _<; /?J ;1./.J I) l-
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City Planner .oJ 0.. /.-;(.. lu A/ ~) / e r
Contractor Os Namt; & Address
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Building Official
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main Filei,e
2. Pmk
3 Yellow
File
City
Applicant
q-II-ob
I PERMIT NO. ~- 773/
(Please
ADDRESS
py IA..J
ZONING (office use)
/JuJ
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK '3 ADDITION
--
rI f::-FP' l:3e.s
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PID ;715 - 437 - ,,?~
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) V() FAJ5 MJtf/1/N j...f PME
~
(Contact Name) I fJ,v{
(Address) 1$ 7 ~ PLAzA- [:)R.. ~ v t:70Q
(Phone) ?/~ 41J(j, .4400
(Phone) CRt;}. %~-. 7~3/
AI
TYPE OF WORK 01'lew Construction 0'6eck OPorch ORe-Roofing ORe.Siding ~wer Level Finish
OAddition OAlteration DUtility Connection
CODE: 01.R.c. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
Fireplace (-z.).
o Misc.
A
R
5
B
S
U
PROJECT COST /V ALUE $
(exduding land)
I 7P, (JOO
lication which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authonzed agent for the
on form to all eXIsting state and local laws and wIll proceed in accordance with submitted plans I am aware that the bUIlding
e, I hereby agree that the CIty official or a deSignee may enter upon the propeny to perform needed Inspectlllns
~ 14?~ ~~ 1!-lJ(p
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Scwer & Watcr Pcrmit Fcc
Gas Fireplace Pcrmit Fee
This Application Becomes Your Building Permit When Approved
~~
Buildln!! Urticial
Fj~/o ~
Date
Contractor's License No.
Date
Park Support Fee
SAC
-
Water Meter Size 5/8"
Prcssurc Reduccr
Sewcr/Water Connection Fec
#
#
Watcr Towcr Fcc
Builder's Dcposit
Othcr
TOTAL DUE
ThIS IS to certIfy that the request in the above appltcatllln and accompanYing documents is In accordance with the CIty Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIOn to cosence. Before.occupancy, a CertIficate of Occupancy .must be
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Planning Director Date Special Conditions, if any
24 hour noticc for all inspcctions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
~~:- - ~Uil~~
a ry - ngmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT i{,} EM..S- /J1 )f-,l//"f) 1tr:J111 <55
APPLICATION RECEIVED S-/ /-cJ.f:,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-3? ?:) W4d /J&-(j
/'
Accepted
Accepted With Corrections
Denied
~
~~
Date:
?/z z.-/06
, {
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 M. pel White -Building
aln ,Ie, c ~~nil~- Engineerl!'BD
,.., Ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !t..) EJ/5 /f1 )f ;VA) 110m ~-S
APPLICATION RECEIVED S -(I-{l.b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30?:;- W~4 JJ&-(;
Accepted)( Accepted With Corrections
Denied
Reviewed By:
Comments:
~
5-e.l. 1Y1,;, /., F"/~~
Date:
$]" Z 2 ~ O.h
"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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10/17/2006 TUE 11:35 FAX 952 767 1900 GENZ-RYAN
@004/005
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I r,l'lj.;
: G/ccn
~. Yellow
File
Cil)'
f\flflhcwlI
encase type Or print and si~n at bottom)
i ADDRESS r- {[t
I S(Jr7J vt .ys
J
PKu)u
/
LEGAL DESCRIPTION (office use only)
I LOT
BLOCK
ADDITION
pm
I
i
I
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i
__..-.-1
I OV,lNER IW'()/ ~. , 11 ''1 . '(}/"{::;_ 7IfY]
I (Name) ~ I) ~ ~/1GU f\ (Phone) Lo 51--V-IU _) J IV/
) - . ---
I (AddresS)} Zqt) f'J)(]?JL Dr ' ~ Z(JJ BqrlJi M f\J 5519(?
(Phone) cr)(}{7 in -I DOQ --=l
C\ r--.c:: ~ .
\...L.' I Vif\e''-: \ I > t----y)/,-/-...-7
_)(A.I . I~)\j/! Ie '- - j,-!-.!-
(City) (Zip Code)
---!:J-- (Phone) fJ5J7f/2-!{fjJ
. _ '. DATE __ .. I (i( (S/ {)fJ;
/ APPLICANT EASE COMPLETE BELOW '
I ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
I FURNACE MAKEAND MODEL LeI'IIOX' G1-r')Ur- 3ltJG o::JD . , FUEL nCiL-t~tS ~_
FLUE SIZE _. RETURN OPEN1NGS INPUT QL)+ OLtJ -- OUTPUT , C1..J)
TYPE OF SYSTEM HEATING OR POvV"ER PLANT
APPLICANT i' I
(Name) Gj-errt. - rz.\j (1/,,\
(Address) 0 ~C.,~.!
,/v;/.. U
'll', I-.._L. , I. r " ,'.'?_..)
/\_, . r \ ~.)~~:lj
4\Jin (~d""~1
(Contact Person)
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
ffiarm Air Plants
~ra\'itY
, leehanical
, .ir Conditioning,
. 'ent. System
o Steam
o Hot Water
o Radiation
o Special Dc\,jees
o Otber Devices
FIREPLACE MAKE AND MODEL
-~.......-
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job r,oS[ Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Ol1ly (New Construction)
$39.50
$39.50
Estimated Cost $
-.-.--------..
HEATiNG PERMlT PEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit If
$
$
5;
PAID V\1ITH
.50 BUiLDING PERMIT
(Office Use Onl)')
This Application Becomes Vour Building Permit When Approved
1 Receipt No.
I By
I
------,
i
--,
,
B\liJtljn~ Offidol
D:tlc
I Paid
I rrr~T ~ 4 2006
24 hour notice fcll' all inspections (?52) 447-9850, fax (952) 447-4245
10/17/2006 TUE 11:35
FAX 952 767 1900 GENZ-RYAN
[4] 005/005
Date Rec'd
(~~
~/"'IVESO~I-
CITY OF PRIOR LAKE PLUMBING PERMIT
;. ~~~ ~:,~.i I PERMIT NO. 1_.. -r--r-2
:'I, YeHow Appiieacnt , W ~
(Please type or Print and sign at bottom)
! ADDRESS
, '~lOl5Jfgevs
ZONING (offico use)
.\.)t/ 'I
... l)UU Li,
I LEGAL DESCRIPTION (officc use only)
I LOT BLOCK ADDITION
PID
i ~~~R \ )J.8i\SVV~OJf\V)
(Address) .q1j PlalO~ VV--
..J...I- J ")\ f/j /.
11 i?\.. LJO r::uJ.1(JJl
.J
(Phone) 00) --YOs. 3)()q
Iv(f\j 55j~~r~
. ,
APPLICANT ("- lJ If; 1)1" /.,. r
(Name) q.c, 1'L - ....1/lutJ \
I
/) /2 0"-) V\I. i-h
(Address) 1- - C . V. II J~j [,.I
~ (Address) )
(Contact Person) l~iv}
k3
(Phone) C[02-/(f1 ' I [JuO
DIAP 1:1 Sit II r c/ \vi N S?5337
(City) (J' _ (Zip Code)
(Phone) )5J.-h1- (aD
DATE 10 /-7 l~
APPLICANT SIGNATURE
Quantity I Type of Fixture Quantity Type of Fixture
I I Bath Tub with or without shower I .5 Rough-ins
I I Dishwasher I \ Water Heater I
.J
. \ -I Floor Drain [ I Water Softner I
-- ;2 I Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
i I Laundry Tray (] or 2 compartment sink Sewage Ejector
\ I Shower Stall I I Backflow Assembly
\ I Sinks I I Backflow Assembly Test
- . .___._....:.........l
APPLICANT PLEASE COMPLETE BELOW
r=
I
I Bar 5111k
Z-I Water Closet (Toilet)
i Lawn Sprmkler
! Other
I
.--J
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Rcsidential, Additions & Altcrations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
.50 PAID WITH
BUiLDING P:::RMiT
(Office Use Only)
Building Official
Dale
I Paid
lIRa.' ~ 4 2006
I Receipt No.
I By
ThiS Application Becomes Your Building Permi"l When Approvea
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
08/09/07 11:40 FAX 763 576 7299
AUTOMATIC GARAGE DOOR
[4]002
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~w ~~iQOI [PERMIT NO.OW~ 0113\
I ~NlNG (0....
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) l.) 0 ^^ CVVV'-~ /Y'\.-,",,"--,
I~S po~~ ~I ~ ~
(Address) t:~ \(Y\Y""\ SSI d-~
(phone) <..0 S- I - If 0 c.o- <-/ t[ CO
APPLICANT
(Name0 1 . ~~~I ~JI.O ~ frr--A... ~
(Addres~
9CD /09~ (h1l'_ /J #JmO
(Address) ,
(Contact Person) t r\ ~ ~nen'\a ~
F.R
(Phone) 'llD3- 511 \ -dS"dS
rJ. n/Vh-I'J.I~~ .rn~ 553/(0
~ (City) (Zip Code)
(Phone) !J(p3 - Sr""J<..o- J~ / lo
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION D REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
D Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
c:.D
FEE SCHEDULE
I % of job cost Residentia I, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
S64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
$39.50
$39.50
::':];,.
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID Wln-1
.fJU1LOtNG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
;-,
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)
P~i "Receipt No.
Pa}fW:; 1 6 2007 By
Date
Buildill!! Official
24 hour notice for a\l inspections (952) 44~9850, fax (952) 447-4245
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