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HomeMy WebLinkAboutBldg Permit 05-0396of PRID CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMITa-O 15 v 7 M"NNE501 I. White File See Main File.ci" Ilow Applicant/ Please a or riot and sipat bottom ADDRESS ONING (office use) LEGAL DE CRIPTION (office use only) LOT B OCK -4ADDITION Ale ?/A/v A PIDo?`j `/1,?- -U OWNER (Name) (Phone) BUILDER / ' / (Company Name) L.' -r4'NN NOAn Pf (Phone) JPA / - yU G yy0 0 (Contact Name) — Gla /� + (Phone) /0/ .2 — ?oi— ;,L /.a— (Address) Z (Address) X-9.5 /" d z A A/' C ra, Al /WAI ..3-S/.2 2 < TYPE OF ORI{ 9TI�ew Construction ❑Deck ❑Porch ❑Re -Roofing ❑Re -Siding ❑Lower Level Finish ❑ Firep ce $lc7 prt 5^0 ❑Addition ❑Alteration ❑Utility Connection ❑Mise. State Surcharg CODE:I. C. ❑LB.C. Penalty # PROJECT COST/VALUE $ Type of ons ction: I II III IV V A B (excluding land) Occupancy G oup: A B E F H I M R S U Gas Fireplace Division: 1 2 3 4 5 I hereby certify that I have furnished information 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 existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offcial can rev Ice this permit foriue cause F hermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x y-.2.2 - OSS Signature Contractor's License No. Date Permit ValuaC n /�OQO Q� Permit Fee # $lc7 prt 5^0 Plan Check Fee $ 2 State Surcharg $ , 00 Penalty # $ Plumbing Per it Fee $ 0O Mechanical P rmit Fee $ Q O Sewer & Water Permit Fee $ SQ Gas Fireplace rermit Fee $ 0.00 Becomes Your Building Permit When Approved Park Support Fee # $ — SAC # $ A ,%, © a Water Meter SizDlI,,; $ 7-S0.00 Pressure Reducer $ 5-0,00 Sewer/Water Connection Fee # $ Sao O� Water Tower Fee # $ �QOO. 00 Builder's Deposit $ Other $ TOTAL DUE $ Paid Ox- eceip o. 3 Date G_ 0 -US B This is to certify tf at the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when .signed by th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence- Before occupancy, a Certificate of Occupancy must be 1e _ See Main.,file e Plinine nDirector Datetu Sciar Constitute., anvT 16200 Eagle Creek Avenue Prior Lake, MN 55372 0 1� in ��t'41 ry _Engineern b���& l Pink amm�g �ITIIQh<I. • _ . . It a OF APPLICANT RECEIVED Building, Engineering, and Planning Departments have reviewed the building permit cation for construction activity which is proposed at: ,, , _ Accepted With Corrections By: M6 Date: e At ✓\ F le - issuance or granting of a permit or approval of plans, specifications and putations shall not be construed to be a permit for, or an approval of, any violation of of the provisions of this code or of any other ordinance of the jurisdiction. Permits uming to give authority to violate or cancel the provisions of this code or other lances of the jurisdiction shall not be valid." ® White - Building see Main ai Fi e Ca�nar _ E enneering � � it • ►. � li 1 i. E OF APPLICANT �/ E �, '(r ✓F ' / -ICATION RECEIVED -' Building, Engineering, and Planning Departments have reviewed the building permit kation for construction activity which is proposed at: Accepted With Corrections By: �c , -, f 'U Date: Js/ - issuance or granting of a permit or approval of plans, specifications and putations shall not be construed to be a permit for, or an approval of, any violation of of the provisions of this code or of any other ordinance of the jurisdiction. Permits uming to give authority to violate or cancel the provisions of this code or other lances of the jurisdiction shall not be valid." OF APPLICANT PLICATION RECEIVED Building, Engineering, and Planning Departments have reviewed the building permit cation for construction activity which is proposed at: Accepted With Corrections I By: C�cd� Date: issuance or granting of a permit or approval of plans, specifications and putations shall not be construed to be a permit for, or an approval of, any violation of of the provisions of this code or of any other ordinance of the jurisdiction. Permits uming to give authority to violate or cancel the provisions of this code or other lances of the jurisdiction shall not be valid." e - Build n See Alain File Canary - l n 9ring Pink - Planning PLICATION RECEIVED Building, Engineering, and Planning Departments have reviewed the building permit cation for construction activity which is proposed at: Accepted With Corrections I By: C�cd� Date: issuance or granting of a permit or approval of plans, specifications and putations shall not be construed to be a permit for, or an approval of, any violation of of the provisions of this code or of any other ordinance of the jurisdiction. Permits uming to give authority to violate or cancel the provisions of this code or other lances of the jurisdiction shall not be valid." 07/01/2005 FRI 13:21 FAX 952 767 1900 GENZ—RYAN N DESCRIPTION (office use only) BLOCK ADDITION CITY OF PRIOR LAKE SEWER AND WATER PERMIT Z005/025 Date Rec'd I, Grnn Fits PERMIT NO. Gold 2, Yed Airy J. APPliesnt ZONING (office uve) 11 Icy Sewer (Office Use This Al Person) IGg a (' I (Phone) J� ` / Ll (— t UOU2 (Phone) APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. [:] ABC F� PVC [' Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. 1 sewer and waterline connection $35.50 lection only $17.50 Estimated Cost $ FEE SCHEDULE Industrial, Com'l & Multi -family Water connection only Building Permit # 1% of job cost with a $39.50 minimum $17.50 SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 PAID WITm { TOTAL PERMIT FEE $ _ -UjLjD+t4G PERMIT Becomes Your Building Permit When Date1111 0 9 7005 �4 ^, lln �J�"r)' tL�(Phone) y 1�/�yl" r(Add&res) 60') k-1 551�;L (Address) ('ty) (Zip Code) Sewer (Office Use This Al Person) IGg a (' I (Phone) J� ` / Ll (— t UOU2 (Phone) APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. [:] ABC F� PVC [' Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. 1 sewer and waterline connection $35.50 lection only $17.50 Estimated Cost $ FEE SCHEDULE Industrial, Com'l & Multi -family Water connection only Building Permit # 1% of job cost with a $39.50 minimum $17.50 SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 PAID WITm { TOTAL PERMIT FEE $ _ -UjLjD+t4G PERMIT Becomes Your Building Permit When Date1111 0 9 7005 �4 ^, lln Receipt No. Date By 74 hour notice for all inspections (952) 79850, fax (952) 447-4245 's 07/01/2005 FRI 13:21 FAX 952 767 1900 GENZ-RYAN CITY OF PRIOR LAKE PLUMBING PERMIT Z31/I II M; DESCRIPTION (office use only) LOT I BLOCK ADDITION Z 006/025 Date Reed I. alus FitPERMiT NO� 2. Gold ca, ). Yellow Applimt ZONING (orate we) I�t •o (Name /n1 � I i 1 ��R1tf �11111nos (Phone) � )i ��'r�'-3-7C4'1 (Addre s) ��vl D V. e .q q}-,' PTI 6 !,i 1 1 Vi i N L -Y 5 i APPLICANT PLEASE COMPLETE BELOW � 4jan22 q52 (ODO (Name Dishwasher Water Heater (Phone) ---2r - (Addre s) 2U0 W • !Ay (r l 13 rzrz f �11z mL/ -1 oe-. MN 5337 Shower Stall Backflow Assembly (Address) (City) (Zip Code) Bar Sink Lawn Sprinkler I N tVI I (, Water Closet (Toilet) Other (Contac t Person)111'1 F. (Phone) APPLICANT SIGNATURE . ` / '� % ,I DATE .I ' APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industri I, Commercial & Multi -family I%ofjob 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 $ PAID WITH STATE SURCHARGE $ .50 SUILDING PERMIT TOTAL PERMIT FEE $ (OOtteuse nly)This A plication Becomes Your Building Permit When ApprovedI I� id'� !,,Receipt No. Date 24 hour notice for all inspections (952) �0, fax (952) 4474245 tity Type of Fixture I Quantity Type of Fixture °i Bath Tub with or without shower 3 Rough -ins Dishwasher Water Heater Floor Drain 12,11 Water Softner �' 1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) F Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industri I, Commercial & Multi -family I%ofjob 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 $ PAID WITH STATE SURCHARGE $ .50 SUILDING PERMIT TOTAL PERMIT FEE $ (OOtteuse nly)This A plication Becomes Your Building Permit When ApprovedI I� id'� !,,Receipt No. Date 24 hour notice for all inspections (952) �0, fax (952) 4474245 07/01/2005 FRI 13:22 FAX 952 767 1900 GENZ-RYAN CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT (office use ordy) BLOCK ADDITION a-, fie z IA007/025 Date Rec'd I. aoa ills PERMIT NOS 3 3. Green Cay 3. Yellow Ayeli�, • r� ZONING (off.. use) PID (Phone) (05(- C(0'3_ 3 Uc QIZ MAKE AND MODEL FEESCHEDULE Commercial & Multi -Family 1%ofjob cost Residential, Gas Fireplace 539.50 $39.50 minimum I, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50 I, Heating Only (New Construction) $64.50 Residential, AC Only PAID WITH Estimated Cost$ Building Permit # BUILDING PERMIT HEATING PERMIT FEE $ STATESURCHARGE $ .50 TOTAL PERMIT FEE S Use Only) This ', - I' EREW CONSTRUCTION ❑ REPLACEMENT El ALTERATIONS FU _wan (Phone) FL E SIZE RETURN OPENINGS Vv�(1J'✓5 FNT I �� �U I is1/) f ����� TYPE OF SYSTEM HEATING OR POWER PLANT (Address) (City) 7(Zi/p Code) ❑ Steam i�'�%) l I (Phone) i<(kj Air Conditioner Units TURE i7-'' - i I l' DATE Cannot Encroach into MAKE AND MODEL FEESCHEDULE Commercial & Multi -Family 1%ofjob cost Residential, Gas Fireplace 539.50 $39.50 minimum I, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50 I, Heating Only (New Construction) $64.50 Residential, AC Only PAID WITH Estimated Cost$ Building Permit # BUILDING PERMIT HEATING PERMIT FEE $ STATESURCHARGE $ .50 TOTAL PERMIT FEE S Use Only) This _. APPLICANT`P-LEASE COMPLETE BELOW EREW CONSTRUCTION ❑ REPLACEMENT El ALTERATIONS FU NACE MAKE AND MODEL L -CFV' ;X ( / -t1'1i `UI — ;�')` �`( FUELI� t(, - -, Ij -5 FL E SIZE RETURN OPENINGS 5 INPUT i � % ! ' � OUTPUT Z,<5' . TYPE OF SYSTEM HEATING OR POWER PLANT §Warm Air -Plants ❑ Steam PLEASE NOTE: ❑Gravity ❑ Hot Water Air Conditioner Units ❑ Mechanical ❑ Radiation Cannot Encroach into ,Air Conditioning ❑ Special Devices Required Side Yard ❑Vent. System ❑ Other Devices Setbacks MAKE AND MODEL FEESCHEDULE Commercial & Multi -Family 1%ofjob cost Residential, Gas Fireplace 539.50 $39.50 minimum I, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50 I, Heating Only (New Construction) $64.50 Residential, AC Only PAID WITH Estimated Cost$ Building Permit # BUILDING PERMIT HEATING PERMIT FEE $ STATESURCHARGE $ .50 TOTAL PERMIT FEE S Use Only) This Application Becomes Your Building Permit When Approve Building Official Date U A* 0 6 2005 i' i i I Ey 24 hour notice for all inspections (9521,1Q7-9850, fax (952) 447-4245 CITY OF PRIOR LAKE Date Redd J e HEATING/AIR CONDITIONING/FIREPLACE PERMIT oo 00, PERMIT Ne) ). Ydlow ApplicM e tya or print and !10 at bottom ZONING (otOr< W �) LEGAL DESCRIPTION (office use only) LOT I BLOCK ADDITION (Name) !M (Phone) (ps1-f/Q(p - yyao APPLI ANT FURNA E MAKE A MODEL FUEL (Name d• F. P (Phone) 7�c3. 5� I -rias (Addres ❑Warm Air Plants ❑ Steam PLEASE NOTE: zr n 553 (Address) (ty) (Zip Code) (Contac Person)rt5 ihYtexnor i (Phone) �(�3-S�(O-%ol 1(O APPLI NT SIGNATURE DATE $39.50 minimum 24 hour notice for all inspections (952) 447A850, fax (952) 447-4245 z0op 21000 TDVHVD 0L1VX01flV 66ZL 9L9 £9L YVd 4B:6I SO/0£/80 SEW CONSTRUCTION ❑ REPLACEMENT U ALTERATIONS FURNA E MAKE A MODEL FUEL FLUES ZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑ Steam PLEASE NOTE: ❑Gravity ❑ Hot water Air Conditioner Units mechanical ❑ Radiation Cannot Encroach into ❑Air Conditioning ❑ Special Devices Required Side Yard ❑Vent System ❑ Other Devices Setbacks FIREPLACE MAKE AND MODEL 1 &tELiDO FEESCHEDULE Industria, Commercial & Multi -Family 1%ofjob cost Residential, Gas Fireplace $39.50 $39.50 minimum Resident at, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50 Resident al, Heating Only (New Construction) $64.500 Residential, AC Only $39.50 Estimated Cost $ IM -1 Building Permit # HEATING PERMIT FEE $ STATESURCHARGE $ .50 TOTAL PERMIT FEE s PAID WITH ( ODSCCbe Only) pplication Becomes Your Building Permit When Approved Paid81111 Ell c This Date By Buildine Official Date 24 hour notice for all inspections (952) 447A850, fax (952) 447-4245 z0op 21000 TDVHVD 0L1VX01flV 66ZL 9L9 £9L YVd 4B:6I SO/0£/80 DEPARTMENT OF See Main File PRO LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE DDRESS ONY f4•W' NATU E OF WORK NEW UIN&r a urc*r 6A LW I L. L s &&J@#j USE F BUILDING 2T0" PER IT NO. C).S_ 0- 1/v DATE ISSUED CON RACTORPJM&MAdd /,/OMf iLS PHONE619-30 T NOT : THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING FOUI DATION (Prior to Backfill) LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH -INS SEWER / WATER / SEPTIC FRAMING a Pm i INSULATION k.? 41 ELECTRICAL wr 14 PLU BINGLt .Sro- too i3.22 13 ' c9Zlo HE ING if required) FIRE LACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS GRADING (Prior to Sodding) BUILDING 11Vr ELE TRICAL PLU BING wr 14 HEA ING O NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE s card must be posted near an electrical service cabinet prior to rough -in inspections I maintained until all inspections have been approved. On buildings and additions are no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 30V1d snon0ldSN00 NI Md :aIEQ � / :aIEQ IEIJI�Q 8elpllll8 :8u?mo/pof aqJ aqq 'asn do uoijxu suoo 8utplinq 8ugvin8aa dot .mud fo wj ayl fo saouvu}pao snouVA ayl ql!m aouvildwoo u} svm aanlonals vnp aouvnssi fo awg ayl Jv joy) QU1q!ldd0 ?POO 8uippng ]vuotivuaalul El / ]v?xuaptsag [] aql fo 011 uotloas fo sluawaainbaa ayl Ol luvnsand panssi alvoi,% DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 9 ADDRESS /ASn I/j/G�a�fZt�1 �/ly7 OWNER PHONE NO. O FOOTING O FOUNDATION ❑ FRAMING DANSULATION A"INAL D SITE INSPECTION COMMENTS: CONTR. PERMIT NO. S7- ,3 Z G ❑ PLUMBING RI ❑ MECH RI ❑ WATER HOOKUP ❑ SEWER HOOKUP .,OCH FINAL CH FINAL ❑ EX/GRAD/FILLING ❑ COMPLAINT ❑ FIREPLACE RI ❑ FIREPLACE FINAL ❑ GASLINE AIR TST ❑ WORK SATISFACTORY, PROCEED CORRECT ACTION AND PROCEED ❑ CORRECT WORK, C FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr. CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQU/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY1