HomeMy WebLinkAboutBuilding Permit 07-0361
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
Jkf1
TIME
ADDRESS
1~(Cj~ tZk,/{€LJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
/,\'
\ '/lCJ
-- \- -
CONTR.
PERMIT NO.
7"'3'(;,1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I f\ (' I
+r t1 ..l -\ /
/ - -.... . - -,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ? r, Owner/Contr:
CALL A7-~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/lIlC(5-
rPWlt('/d...~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~INAL
6 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENTS:
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DATE TIME
Of - J-S- --1/7
;- "jt.t.-(
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
m
-nV7Jr
/1-/-0:
o WORK SATISFACTORY, PROCEED
460RRECT ACTION AND PROCEED
~ . ~ORRECT W~RKrL FOR REINSPECTION BEFORE COVERING
Inspector: /1 vn Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSliOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS J U I qZ;: Q.A-l} I~ )
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
.- 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
l)I..pLUMBING FINAL
o MECH FINAL
COMMENTS:
I. ~O.~.) I4..o
~.~~~
~. R~ 0.L~ ~
DATE
~
TIME
-, - ?-..~j
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o ,K !l::Jl.TISFACTORY, PROCEED
~ORREC~AND PROCEED'\
CORRnEO .~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: / /J Owner/Contr:
CA_L ;;l-lI: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~IREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
._,~ec
(Please type or print and sil!:n at bottom)
ADDRESS
1 White
Pink
Yellow
File
City
Applicant
It':,
1'719 ~-
f1o,1" V,'I'/...>
NtJ
Lr/V(
LEGAL DESCRIPTION (office use only)
LOT~/BLOCK / ADDITION::[PFh'o- ~/ye/ jJr C//,1
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Company Name) t..Jf'Nf';n4'/V/'-' /./~:h1 If-' l'
(Contact Name) (.;a r .."
/
(Address) /~9> !7/",ze;... Dr St.f/Tf
Date Rec' d
~z/o 7
PERMIT NO. 07 03~ I
ZONING (office use)
PU~D
PID OlF- 'YJ' 7- OJ//-o
(Phone) PS-/- ~tJ t-- Y'Y60
(Phone) ~/";-,367- 7v/.2
C a yel"/V /J? /\/ S 5/..2;J.
oJ
~~ ()
TYPE OF WORK ~ Construction I>>oeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish ~ Fireplace (\ )
OAdditlOn o Alterii'ion o Utility Connection
CODE: ~.R.C. DI.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
o Mise
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
ufJ
$ //1/, t7~()
-'
I hl'l"cby certify that I have hlfnIshcd mformation on this application which 1$ to the hest of my knowledge true and correct. I illso ccrtlfy that I am the owner or iluthoflzed agent for the
.Ibove-mcntwned prupcrty and that all construction WIll Clln!(Jrm to all cXlstmg state and local laws and will proceed m accordance WIth submltted plans I am aware that the blllldmg
oftici;ll car;:.:roke tlm permIt t'Yust call Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propeny to perf(Jrm needed lI1Spectlol1S
X /J~ f~ /Y5-t!' .5-;;-07
- ~ ;/ V Signature
Contractor's License No.
Permit Valuation
Permit Fee
1-
YIl{~1' oOCJ,oa
$ 13'2....'1. 5D
$ gte.41 Ii'
73,00
Pressure Reducer
Park Support Fee
SAC
Plan Check Fee
Water Meter
Size 5/8"; 1",
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
$
$
$ ItJ~,lJ't)
$ 1()(},Ot!'J
$ :SS; SZJ
$ ~t),~O
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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5'//7;1;7
Paid
Date
11lllldl11g OffiCial
Date
Date
#
#
#
#
I SaC), 0"
$ {tJf!)eJ. 00
$
$
$
J'
1/
Rd'eiPt No,
25
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ThiS IS to certify that the request in the above applicatIOn and accompanYll1g documents is 111 accordance with the City ZLJning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner conslltutes a temporaty Certificate of Zonll1g comphance and allows constructIOn to commence. BeflJre occupancy, a Ccrtlficate of Occupancy must be
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any
S-//7/67
I bate
24 hour notice for all inspections (<)52) -1-17-<)850, fax (<)52) -1-17--12-15
4646 Dakota Street Prior Lake, MN 55372
Planning Director
"-'u
,_,e...
. G.:::"~-".'.i
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White - Building
Canary - J::n ineering
Oink - Plan",n
\..- .
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:
Accepted
1//
Accepted With Corrections
~,_ Denied
Date:
/i
/..
Reviewed By:
\ i c.,
.. \.~ ..~ .
-'7
., Comments:
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"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."
~o~ PRIO~ ~
!:: ~
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~
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:, .'-.'
,; ~ 11;)' 1'" i>
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White - Buildin~
~rv - Engineer~
. Pink - Planning
BUILDING PERMIT APPUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
\A/F ~~s /'v/ AN tJ
5. 2.. 07
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4-1 q 5 PA~V (t:'v\J LN.
/
Accepted X Accepted With Corrections
Denied
Reviewed By:
Comments:
M1t>
~~ HI",;" Fl'l(
Date: ~ ..f'f-{))
,
et'
11~~
"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."
08/04/2006 FRI 7: 45 FAX 952 767 1.90(; GENZ-Ri.\\T
@ 020/033
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pi.,
:2 Green
:3 Yellow
~~~v ! PERMIT NO. ~II
Apphcanl I I · "-lJ
(Please type or print and sig-n at bottom)
ADDRESS C -
, 1-\ ) ~
pClr~v\t\v I.-f)
ZONING (office I,
USp.)
I
I
I
I
PID I
(Phone~ Lo5j-y't)5- 3701
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
lU.QJ~S\'Y\DJ\\f)
~ getS Pr C1ZA- J)r # 2{j)
~CLV\
f\J'j N CJ51d-~
(Address)
~~~l~~ANT Grenz.- Q.unJl
.J
(Phone) qr~J.,~7 if'? --I OOD
(Address),;tXO UJ, r-tD-.JLJj I'~ 13 Llrnsvi j Ie r-~f:r}:n
v' (Mdress) (Oty) (Zip Co~e)
(Contact Person) 1\ I r)-'\ . J ____ . (Phone) _ C15'd. - -; Cor -=___ i CJJ2,.____
APPLICANT SIGNATURE (~)tJ_::- kJl?lWf II DATE -Xl-3/ () ~
. Ai>PLI CANT 'P'Ck?ts-Ir COMPLETE BELO'V
~EW CONSTRUCT10N '. 0 R~PLACEME~T 0 AL TERA T10NS
FURNACE MAKEAN~ MODEL ler~rvX (l:L1D uH .- 3ltl::s'-O~ID ,_ FUEL (\~~~ C;\ C(,)
FLUE SIZE RETURN OPENINGS __~_.__,__ INPUT D b'U.L> ____ OUTPUT J1JI.Hlt.._. I
TYPE OF SYSTEM HEATING OR PO'VVER PLANT
/
fQl'\Varm Air Plants
-0 Gravity
cj~L~6eGhan ical
~.ir Conditioning
~ill System
o Sleanl
o HOI WaleI'
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
InduSlrial, Commercial &. Multi-Family
FEE SCHEDULE
1% orjob cosl Residcntial, Gas Fircplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Rc~idcnlial, Heating & A/C (New Conslmelion)
Residential, Heating Only (New COnS1I1Jction)
$39.50
$39,50
Estimated Cost $
HEA TINt] l)ERMTf FSE
STATE SURCHARGE
TOTAL PERMlT FEE
B'lildmg Pt.; mit if
S
$
.$
.50
PAID VVITH
8UllDING PERMiT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
lluildio20rticilll
Date
D'MAY ii 1 200i
By
24 hour notice fOI' all inspections (952) 441-9850, fax (952) 447-4245
08/04/200ti FRI
7:45
FAX 952 767 inUU '.~t;NZ.-HYAN
@021/033
Date Rec'd
& PRl~~
~~
CITY OF PRIOR LAKE PLUMBING PERMIT
\. B-lue File
2. Gold City
j. Yellow Applicanl
I PERMIT NO.-,:3t.I,
(Please tyOe or print and sign at bottom)
, ADDRESS
\ J \ (\VS
ZONING (office use)
\~1.Y \<v\e\J\)
L)')
! LEGAL DESCRIPTION (office use only)
I LOT BLOCK ADDITION
PID
OWNER
(Name)
UJp.n ~nnQ 1t,1\
I QC15 Pl QU D\r. 4t 200
(PhoneltS j - CI ("'5.- 31 (H
~OX\ iv1N 65f~r'J
(Address)
~~;~~ANT (If,j1'l-- '(2J.laV) (Phone) C/167_-ilf1 - 1000
') 1-0 -) '. IVi ) ['J, I ( j ''7 D ' P, r-r--'--'..--, -
(Address)'- C \j, -l \/\i />' k') \)(AJtI1 ~\( J (I f_, /\ N '.--:J ::>::"y-:"'j I
(Address) ) (City) ,__ (Zip Code)
t../ ' 0'(-,\ 71 n-t (-. ')
(Contact Person) ='T'\ Hry-) ~ __ ,,(Phone) T)cr w I~ OLA;
(~i))~ IN!./!LlJlb DATE '6/31 O&;
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity i Type of Fixture
;Z:::-' Bath Tub with or without shower
--,- Dishwasher
\ Floor Drain
,3 I Lavatory (Bathroorn Sink)
I I Laundry Tray (1 or 2 COnllld!1.~lf,!1[ SIl1K
\ Shower Stall
--'--r- Sinks
I Bar Sink
~) I Water Closet (Toilet)
---r-
I
Quantity Type of Fixture
'3 Rough-ins
J Water Heater
! I Water Softner
i I Stand Pipe (Washing Machine)
I Sewage Ejector
2._ I Backflow Assembly
I Backflow Assembly Test
\ Lawn Sprinkler
i Other
i
I
I
I
-l
]
i
\
I
I
I
FEE SCHEDULE
1I1duslri?.I, Commercial & Multi-family I % of job cost with a $39,50 minimum Residential, New One & Two-Family $99.50
Residential, Additions 8:. Alterations $39,50
Estimated Cost $
Building Peml1t #
PLU~,~Jt~U ?U'Z.'\1IC f2E
ST.\ I : <::JRC]-LA~,-,JI::
TOTAl, PERMIT FEE
r
<:'
.1\
$
.50 PAiD V/1n~
DlHLDING PERMIT
(Office Use Only)
Dale
f,Paip
I
1-~lY 3 1 Z007
Receipt No.
This Application Becomes Your Building })ermit Wilen Approved
lluil ding Official
Ji By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
1 " M' fl Li 0 I
DEPARTMEN1'" OF ~~,)ee ., - ,a1n r I C
BUILDING ,AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS I'/I'S PAIt/lYlew LAAle ~,AJ.
NATURE OF WORK N8J CO~ C",J/ ,.~. F.N'''If~IC,; I-~A)
USE OF BUILDING Si,c; A . A0 'tllI.~ES'
PERMIT NO. 07. 03(P/ DATE ISSUED $/17/d ?
CONTRACTOR W~rIKlf1llAJ #~/IlEr PHONE."...J~''''7'/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING 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 V;fjcd ~, '12..c;/o)~ ff
, v
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVE~ NO WORK UNTIL AI!30VE,.~~S BEEN SIGNED
________J /",III TN~ !" H4MStF ~~ HA.k;! If -~) I
FINALS
GRADING (Prior to Sodding)
BU"iLDING ~ IN\1, I Il~ /1)1
ELECTRICAL
PLUMBING LuG
HEATING
rr/~
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8/~}
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~'17-rJ7
JIlN/
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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