HomeMy WebLinkAboutBuilding 06-0177
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CITY OF PRIOR LAKE
~rparftttrnf nf ~uil~ing Jlnsprrfinn
ttFinal Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section J J 0 (}f the 0 Residential / 0 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 use. For the following: .
Use Classification ~ I Ie G (E ,L-r/./'il ,- Y Bldg. Permit No. { (,. . (/7 7
Occupancy Type Ie :.' Type Construction V ;J Zoning District 1-) {. c U
Legal Description L /2, L; I , Jf:: iIL/...,' ;/C/fj / Sf
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Owner of Building
Site Address /1-2 "14- ;J H k.K /l1[ ,~ LA./,
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Contractor's Name & Address
Ice;;, t..):::.:1 D. fl f.., i"(' f1 /I I r ! I
Building Official ' I
City Planner
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Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3 _ 3 - 0 '=
:' (-;:€~~ Ii~/f a-i:,..~ ~:~;1" .~ P-E, RMIT NO. /)/1 0 /771
~~;,t.L AJrli:ant> li~, _ (../((: .
(Please
ADDRESS
A L.':l<.'- ~,;...
IY
^
Nvv'
v :~."J
LEGAL DESCRIPTION (office use only)
LOT IJ.. BLOCK
i ADDITION
/Jd).i' J.;,,^
PID as--~3)-OI}.-
Date Rec' d
ZONING (officc usc)
PI/!.LJ
~".- }J~r
(Phone)
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) tws
Wer\$ /\I\~;'\,..., J,..(c~ S
R- SJ,^~ .'Jc-r
(Phone)
(Phone)
tS-J- YO{,~ Lf4DO
bi~-3'9-7q~4
/V\fV SS J~J-
eI._
TYPE OF WORK 00 New Construction .21beck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish ~Fireplace
OAddition OAlteration OUtility Connection
CODE: IXJI.R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $ 110, DC 0 ' 0 0
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hcreby certify that I have furnIshed mformation on this applicatIon which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIzed agent for the
above-mentiOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official canRoke tlus permit for Jlr-\alISe ]urthermore, I hereby agree that the City official or a deSIgnee may enter upon the proper1y to perform needed mspectHlns
X 'U.R_~- I- 'i> cJJ~ , y S-g- '3 - (. - Db
Signature Contractor's License No. Date
Permit Valuation
TOTAL DUE
Park Support Fee
SAC
#
#
Permit Fee
/~
FDA- S- /A..1U;i7r
SewerlWater Connection Fee #
Plan Check Fee
Water Meter
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
#
00.00
00.017
3S". S-O
~ O. t) D
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
I~~
Buildlll!! omcial
3/2-I!o~
, Date
$
$
$
$
$
$
$
$
$
-
5S0,40
--
ThIS IS to certifY that the request In the above application and accompanymg documents is m accordance with the City Zoning Ordmance and may proceed as requested ThIS document
when signed by the City Planner constitutes a tcmportUy Certificate of Zomng compliance and alluws construction to commence. Before occupancy, a Certificate l)f Occupancy must be
ISSu~ " r ""';_, ~ <Il
~ ~~~ 3/2..1/0" 'fE: ~\L:Jt~lrLl ~'1'1'1~6?"
Planning ~~ - - ., Date .. " ~~ '~spec~l\:oltdlfi~ " . . J t'
24 hour notice for all inspections (9:\2) 447-98:\0, fax (9:\2) 447-424:\
16200 Eagle Creek Avenue Prior Lake, MN 55372
03/09/2006 TIIU 12:38 FAX 952 767 1900 GENZ-RYAN
I4J 010/037
CITY OF PIUOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERl\lIT
Date Rec'd
~. 8~:n ~:~ I PERMIT NO. L ./"'-'
J. Yellow ApplteVlt rI ~
ADDRESS .
/ I-/d, 1-/ L
ZONING (orfice
u.e)
L-h
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OvVNER / I If) illrmfl n ' 1 J';-i r'
(Name) ~\.LGu.{f Ul/ ,n q-'\JJfJJe/J
(Address) ) P/a_ ,D/. -1t:2.lfJ
(Phone) iJ/S/-{}Cf5-3"70Q
~-I..J
(Phone) CV:)~ ~'7 LrF7 - 1000
\3\l.t'nsvl' Ie 5S-3~)'7
'(City) (Zip Code)
~~ (Pho",) (j1'Ji?!l!~/ OO!J
/) .~A ? DATE 0fqj{)~
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTI~UCTJON .0 I. LACEMENT 0 ALTERATJONS .
FURNACE MAKE AND MODEL L r? r'l.t / .-3 I' - O. . FUEL D.d.---L_0.ao
FLUE SIZE RETURN OPENINGS P1J1.) OUTP~ 0; IlL
TYPE OF SYSTEM HEATING OR POWER PLANT
~arrn Air Plants 0 Steam
OGravity 0 Hot Water
~echanical 0 Radiation
- 'r Conditioning 0 Special Devices_
~ent. System 0 Other Devices _
APPLICANT C"C' ('-7 n
(Name)_(::J l.J 1[..- I <...LjOY\
(AddresSl}\r.?CO LJJ, t-h)~l/l [/:j
, / (Address)
1)/;
(Contact Person)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
fIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHED'ULE
1% of job cost Residential, Gas Fircpl~ce
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Hcating Only (New Construction)
$39.50
$39.50
Estimated Cost $
BEA TJNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAID WITH
BUILDING PERMIT
(Office Use Only)
---.
This Appliclltion Becomes Your Building Permit When App,"oved I
Paid
I Receipt No.
Date
MAR 2 :3 200b
By
Duildin[ OHicilll
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
03/09/2006 TIIU 12:38 FAX 952 767 1900 GENZ-RYAN
[4] 009/037
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
; g~~ ~:~. 11'ERMIT NO.~ ./711
J. Yellow Applic,nl , fI_
PeLf k[) I~JU
ZONING (office use)
i
Ln
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(Phonelt6)405~ 37M
/:;J ;)-
APPLICANT 1':- Dr.
(Name) Clf,t1 z.. - v(/J [{YI
"<'/ I'i ,- ) , ^ [ I" !
(Address) /--I-UL. \; V . -h~i fA
(Address) ,)
13
Or C::"'7 -J I r-. (' [1 l' ,(,~)
(Phone) . ./ /-.- f lJ:1 f ~ u ,-
\-)tA.fJ-/.1SVI'(re/ M N S337
(City) (Zip Code)
(Phone) cr:~--7/;J7-;(lu
DATE ::5' ~/V&O
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
j Bath Tub with or without shower :s Rough-ins
I Dishwasher f Water Heater
/ . Floor Drain / Water Softner
c:?- Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
/ Shower Stall I Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
r9- Water Closet (Toilet) Other
FEE SCHEDULE
lndustrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
~ PERMIT
(Oflicc Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Dale
I Paid
I ~A~
Z 3 200b
I Receipt No.
I By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
S e(:::i;~Jfj"al TI\
i_I. -"'...............1
'" ,.'"1' 0;;
IL"~lf"
)~ ~l f" ~
-~- ~'_ ~t ,~
~Y'hite - Bu~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/I) O/l4A7J~
3- 3-()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: po
It(~ t/'I ?IJ./Lk()~
Accepted
~
Accepted With Corrections
Denied
~
r
Reviewed By:
Comments:
~u
Date:
S' /Z{ /0 (,e,
I
"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."
'~
1\I.!airJ._
White - Building
Canary - Engineering
<?ink - Plann!n:9)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r
.L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/ ,;
.'
it' ,: I
" /
, /'
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
Comments:
~
r
~ f...j
Date:
3!2J~G
(
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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v)~~
3- 3-()G
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ..
/t(~ t/'-/ ?CtA.kUJ..Mer-
Accepted
?(
Accepted With Corrections
Denied
Reviewed By: IYJ(fIj
Comments: 5~ Mil, -10'\ hIe..
Date:
.? -l~t:).
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."
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 1~.J.y~ 1'~v1i!7u l.IfN'e" Al.W.
NATURE OF WORK N~14.I fA~~r, ,.,. H'.vl;/Ij NC/C.) #J(J ~b:Jt
USE OF BUILDING .t=': ,
PERMIT NO. 0(; - 0/77 DATE ISSUED 2 I
CONTRACTOR , f.JC.., PHONE ..,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
See Main F'ile
DEPARTMENT OF -
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I]
. J
I FOUNDATION (Prior to Backfill) I Pb I __
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION Is 4- 2~ -tl
ELECTRICAL
PLUMBIN 5 (6) 'db
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~, ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
v:krHE t HouSE ~Il 4fifH~ ~~ I J
FINALS
GRADING (Prior to Sodding)
BUIJ,.DING 't;
ELECTRICAL
PLUMBING tv'-
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