HomeMy WebLinkAboutBuilding 06-0175
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.3 -oL
A"-"L;~ee Maini I;t~,~ I PERMIT NO. Ofv.o/7S
ADDRESS
14d-."ID
Ln.
1Vw'
LEGAL DESCRIPTION (office use only)
LOT' '-( BLOCK
ADDITION -S-~.(
t "-;0.,
PID ~5'.t{37"'OI'1'-D
ZONING (office use)
OWNER
(Name)
Gv; IJe/
(Address)
(Phone)
BUILDER
(Company Name) \.Jt...S MA'''''''
I (Contact Name) _Dt-",.....~ So fL
(Address) ~H
J.-lo Ih e.. (
.s c.h r. ~ <~r
(Phone) (, 5""1-Y06-- I..{ttoo
(Phone) b 1).- ~b~- J q.}. l.(
0.;... M tV S-.s- I .).. ~
..-.~ ~'- 5 v .-
TYPE OF WORK [}{ New Construction llDeck OPorch ORe-Roofing ORe-Siding .l8!Lower Level Finish [)it Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: OOI.R.C. DI.B.c. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ Il 0 I 000 . 0 0
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
I hereby certify that I have hlrnished mformation on this applicatlOn 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 eXIsting state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke thiS permit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the propel1y to perform needed mspectlllns.
X Q,,~-,LQ.~ )l1S-~ 3- I -o{..
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
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
l3uildllH! Otticial
$/2.110(,
. Date
Park Support Fee
SAC
#
#
$
$/550.00
$
$
$
$ 000, &'0
$-
$
$
Water Meter
Size 5/8"
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. TIllS document
when signed by the Clly Planner CllnStltutes a temporary Certificate of Zonrng comphance and allows constructlon to commence. Befell'C occupancy, a Certificate of Occupancy must be
ISS~ ~ 3/~I/D~ See Main File
Planmng 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
Pressure Reducer
I~
nfL 5 ~
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~J4':JG,.IJ/
,
i~NO
03/09/2006 TIIU 12:37 FAX 952 767 1900 GENZ-RYAN
@006/037
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGfFIREPLACE PERl\lIT
Date Rec'd
i ~~~n ~!~ I. PERMIT NO ,- I~
3 Yellow Apphc.3J11 . " . ~
(-ity ~.( v(e LU
L.n
II ZONING (office
use)
.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~~~RW I gyYl(tVVl d 0 me:s
(Phone) Ltf..~/- OJ 05-- 37fP;
(Address)
j (r- [; ])v. .#:2(j) g~1 /), ~l tV /13/dd\
APPLICANT r
(Name) l::rCn1_-
(Address) ;J,(XO
['21] () Yi
t~:\)~L-'J I /~
(Phone) irS~':7 if) - {OOO
B IlYVlsvi lIe 353'~)-7
(C~c...... (Zip Code)
(Phone) V(.J/)7f/fl{f)J
DATE 3 a )(;(0
APPLICANT P ...-ASE COMPLETE BELOW
: EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL lenroJ/< 6,- )/()Ufj- :3&15- D1 0 FUEL
FLUE SrZE RETURN OPENINGS _ f INPUT j(fllw OUTPUT
TYPE OF SYSTEM HEATING OR POvVER PLANT
&rm Air Plants 0 Steam
iraVitY 0 Hot Water
, . echanical 0 Radiation
: . r.C. ,onditioning 0 Special Devices
en!. System 0 Olher Devices
UJ.
(Address)
(Contact Person)
'WJ_
7.) q0 .
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of Job cost Rcsidential, Gas Fircplace
$39.50 minimum
$99.50 ReSidential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residcntial, Healing & AJC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TJNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PA\D W\TH
.5Bu\LO~NG PERM'"
(omc~ Use Only)
This Application Becomes Your Building Permit 'When Approved
Paid
Receipt No.
DuihJinc Qmcial
Date
I By
Dale
24 hOllr notice for all inspections (9S2) 447-9850, fax (952) 447-4245
03/09/2006 TIIU 12:37 FAX 952 767 1900 GENZ-RYAN
[4] 005/037
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\'IIT
(Please type or print and sign at bottom)
I ADDRESS,. , .
LIL-IJLID ~){lV1<VltLu In.
~. g~~ ~~~y I PERMIT No.L .1""1 ~ II
3. Yellow Applicant . ~ ~ filii' _
I ZONING (ofliceuse)
I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
~~~RUj{J0C610if[U1J7 cjJorru~
I (Add,<ss) 114/) P lazii j)rr:ff2IJJ ilJ(j!1IJ /L1
C. ?! /ill?-~ 3J/V)
(Phone) ~JI-CfU -~ ~ /U.j
. ~f5IQ:J
. \
APPLICANT ("- '1,1 D 'J (,1 .
(Name) qe 2-- k/;j d-1
J </ 0' ,-) . / Ii' r
(Address) ._f_ L. \ V. Iii [,
) / (Address)
(Contact Person) -"f\ I f"()
(Phone) C'[r-77_-/0l1 .. ({JUc)
r~tll. .{ Te-- MN SS337
(City) (Zip Code)
(phonep/5;<:-7&J7 /(W
,.-~ //) ///
DATE "'-.~/C--t /Ur-J
APPLICANT SIGNATUR
Quantity Type of Fixture Quantity Type of Fixture
( Bath Tub with or without shower "3 Rough-ins
I Dishwasher I Water Heater
I Floor Drain I Water Softner
d- Lavatory (Bathroom Sink) i Stand Pipe (Washing Machine)
) Laundry Tray (lor 2 compartment sink - Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
C2 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, 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 $
STATESURC}MRGE $
TOTAL PERMIT FEE $
~ID WITH
BUl ING PERMIT
(Office Use On Iy)
This Application J3ccomes Your Building Permit When Approved
Paid
Receipt No.
I
I
Building Official
Date
rfAR ~ 3 2006
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
See Main File
White
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(L) J]/;t<VJ11~
3- 3-()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
jJ/d.-LJO Pt2Aku/~~ iN
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
~
S Gt: 1YIr./", F,,/ (
Date:
3 -2." -o~
Comments:
See Main 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."
.~'" T If" -"""1
~ee j~,]aln \~lJLe
C-White -.BuiIdin~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(L)~:J/)11~
'3- 3-60
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,17 d/1JeU/ ~~ J>>
/ J/J-L/O
/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~
~
Date:
3fz./ /0 ~
(
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."
~ If "
~ee_['rlaln
......., '-:1
M-q ,1
i )i It
White - Building
Canary - Engineering
c... Pink - Plannin~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i :"'/' ' )r.~~ -'~.
/
; ,
The Building, Engineering, and Planning Departments have reviewed the building permit
-,' application for construction activity which is proposed at:
/ ,1 /' " /;' ) , , ' /" I',i .~ /' /
Accepted /'
Accepted With Corrections
Denied
~~
Date:
31 ~ { /0 r;,
,
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."
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS /4./ ~ (;
NATURE OF WORK Alt:a.J (I,,.,,".
USE OF BUILDING
PERMIT NO. o~. O/1g' DATE ISSUED 1.1 0
CONTRACTOR-w~~rN Mo~ I~, PHONE~(~. '9-191.'f
NOTE: THIS IS NOT A PERMIT FOR ANY bF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main }"1ile
BUILDING AND INSPECTION
INSPECTOR
Q=OOTING I I
fFOUNDATlON (Prior to Backfill) Ii]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBINGt~ 6
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~(. 1h,,1"~1t.It1' JiI/:;I1h#" I I
I FINALS
'1-0&
.1AJb
GRADING (Prior to Sodding)
BUILDING
ELEOTRICAL
PLUMBING ~ C-
HEATING
DO NOT OCCUpy UNTIL A OVE 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