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Home My WebLink AboutBldg Permit 05-0357 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File While Pink Yellow File City Applicant I PERMIT NO'05. 0357 I (Please type or P1 int and silUl at bottom) ADDRESS l"/3 ~V lJer'hr ;1/"/1 rT /tItJ LEGAL DES :RlPTION (office use only) LOT/<(BUCK ~ ADDITION tJ('Nffflli/VA/ ~T)... PIDoO-- '/IP - o9i-o OWNER (Name) (Phone) (Address) BUILDER I / (Company Nane) IA.J.fNSmqA//V Ndn'1 f'J' (Contact Nam,) Gar~ . To" A/.J6/l/ (Address) / J' 9 5' ~/'" 2 P'- .0 r Date Rec' d 1- /1'). oS- ZONING (office use) ~4- (Phone) t.S/- (PhoneL /'/:2- f' &: f' 11'/\/ ~,IV V TYPE OF W()RK ~w Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection 0 Misc. ~()f,-$Iy'O() cJ~~- ?~I ~ f5/.J. :;L s/.:J.S alJo .,... CODE: 25,I.R C. DI.B.C. PROJECT COST IV ALUE Type of onstrl Lction: I II III IV V A B (excluding land) , Occupancy Gre llP: A B E F H I M R S U Division: I 2 3 4 5 I hereby certify that have nlmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or Juthonzed agent for the above. mentIOned pr, 'perty and that all construction will conform to all existing slate and local laws and will proceed in accordance with submiltcd plans. I am aware that the building :lki'[ ""'/1 t= fm JUst;" Fmt "moce, I hee,by 'w" th" th, n'Y offici,[ m, d"ig"~m;;;;" th, pmp'''' to peefmm ""d;;:~;:' O~ _ / ~gnature . Contractor's License No. Date fII;8 f 000. 00 $ , IUI,;<:;"o $ R'32.. ~ $ (A. 00 $ $ $ $ $ Permit Valuatio 1 Park Support Fee # Permit Fee SAC # Plan Check Fee Water MeterQize 5/8';)"; Pressure Reducer State Surcharge Penalty Sewer/Water Connection Fee # Plumbing Perm: t Fee Water Tower Fee j(J(!),{JO lOt), 0 0 .ss. '5"0 ~O. 0 lJ # Mechanical Per: nit Fee Builder's Deposit Sewer & Water ?ermit Fee Other Gas Fireplace P ~rmit Fee TOTAL DUE This ApplicatiOl Becomes Your Building Permit When Approved .r - -,r-> /C (/ rt? IU!5 . -:( 0 ,")- .-?~ _...--...-::"l Receiot No?l"'ol ::J;/ By C {/J ~~~ #t-l;{.> Paid Date (3uildir ~UtliciOlI DOlte $ I $ /~s"o, () 0 1 $ ~.t:;O. 0'" I $ 50.00 I $ 19J".t)o 1 $ 1000,00 I 1 $ I 1$ --VI 1 $ (t;'JIJO b". tf'15 I This IS to certify thai 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 the I :ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be i~ ~L) ~7~S See Main File Planning 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 ....... ~.p? or" See Main File White - Building ....- "an~rv - En9ineerlnq~ t>tnR - Planning - SUILDI"IG PERMIT APPLICATION DEPARTMI';:NT CHECKLIST /. V t /II ..s:(~7 f-l /'/1\/ /-/{/ /',? E NA ME OF APPLICANT AP :)L1CATION RECEIVED d- o liC (../-- ) ." . -.r ,-,'._""^, Tho Building, Engineering, and Planning Departments have reviewed the building permit aplllication for construction activity which is proposed at: / /l :,;'/:L,::j- if/f. // ')7~-)/t:4/ lL,. / y- ___" ...,- .,'" c ---(" i ACl :epted >( Accepted With Corrections Del lied Re' 'iewed By: ME ~<.(' #14/"" h't( Date: Comments: See MaiaEile ~""'~/ )'1-21-o~ "Tt e issuance or granting of a permit or approval of plans, specifications and conputations shall not be construed to be a permit for, or an approval of, any violation of anl' of the provisions of this code or of any other ordinance of the jurisdiction. Permits pr~uming to give authority to violate or cancel the provisions of this code or other or~inances of the jurisdiction shall not be valid." See Main File White - Building Canary - !:nllineering ("inK - Plannlifn:> NAME OF APPLICANT B.U.\.L.DING PERMIT APPLICATION DEPARTMENT CHECKLIST ',(j'~;~/'I//I~lj IIC//E J API )L1CATION RECEIVED ., '1--- - , I...; (<-- '-t". .j The Building, Engineering, and Planning Departments have reviewed the building permit ap~ Iication for construction activity which is proposed at: If '?f"-j-" O/II(///-/;/'(.. .- I , , /V 1\/ Ace epted /' Accepted With Corrections Det[1ied Re' 'iewed By: ~ - rJe.dl ~ Date: 4/z7;;S COlnments: SeeMain-We "The issuance or granting of a permit or approval of plans, specifications and conputations shall not be construed to be a permit for, or an approval of, any violation of an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits pre suming to give authority to violate or cancel the provisions of this code or other ord inances of the jurisdiction shall not be valid." J See Main File C::White . Build~ Canary - ~nglneerlng Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NA IilE OF APPLICANT APPLICATION RECEIVED weN .5/'1 t1 /I/;vI )fo 1'165 4-. IS. ()S- ThE' Building, Engineering, and Planning Departments have reviewed the building permit ap~lication for construction activity which is proposed at: /~.3# W/1I{;;../~ e;r ;vtV Ace epted /' Accepted With Corrections Demied Rel'iewed By: :&.~. ~t-/ Date: ~. 7/oS Cmnments: "Th 3 issuance or granting of a permit or approval of plans, specifications and con1lputations shall not be construed to be a permit for, or an approval of, any violation of an~ of the provisions of this code or of any other ordinance of the jurisdiction. Permits pre luming to give authority to violate or cancel the provisions of this code or other ord,nances of the jurisdiction shall not be valid." 05/09/2005 MON 16:05 FAX 952 767 1900 GENZ-RYAN IaJ 008/013 ::YJW Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT Q'lwe tv(! ~ or Drint and sion at bot!l>ml ADDRE SS !Ll~) LjLj tAi o+r::v1JJ I (} /\ /It) . ,; I';' ..... :: ~ ~~ I PERMIT NO.AP A'~ 3. Gold Appjiclnl "'.;;I.~ I ZONING (ollice""J I , LEGAL DESCRIPTION (olliceweonly) LOT BLOCK ADDmON pm ~=R i I lrvl\ \'\'VHln HTj\'\YS (Address) I~Q~5 PfOllCL Dv, S+c.J(X) (Address) (phone) EMO n [\;j N (City) (001- qos- :-f)(j) 55iXl (Zip Code) APPUCJ NT (1 12 (Name) t:1(I~1--. .(A a II] (Address) lWO V'J.' l11^/U I~ t/. (Adch<ss)(; ) , I .' (Contact ~erson) f..-....l/,Yi /'-<- fn \// i f J ~LICA\.rr SIGNATURE -----11f/.dt( / ,~//!c?7lt? (phone) f/f/2 - 7 !Pl.. ({)()O Biu'JII <: Vi 11-6 {WI! q;7).3 7 . (City) (Zip Code) (phone) tl'5),-7h7- I k1 0/ :5 /Q/(XS- DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron FEE SCHEDULE Residential, ewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer COM' ction only $17.50 Water connection only $17.50 Estimated Cost S Building Pennit # SEWER AND WATER PERMIT FEE S -30t) STATE SURCHARGE $ iIil"ID WITH TOTAL PERMIT FEE $~Y:i.:~ - BUltDING PERMIT (Office Un Onll) I This Appll:atlon Becomes Your Building Permit When Approved '1'- Paid '[!ReCeiPt No. r , I ,DtMy 1 0 2005 li.}y Builling Offid.1 Datt . " I ../ 24 hour notice for III inspectio,,", (9~) 447 &f" fax (:~)_~7~2<l5_____1 ------_._-,.__..~--".__._-~~-----.-. -.-... --...--,-,.---"--"....- --..-.,--.-----..--- .._- 05/09/200$ MON 16:05 FAX 9$2 767 1900 GENZ-RYAN ~ 009/013 IOI/Y- CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd 11'1ease!\p : or orlnt and. sUm at boaom) ADDRE ,$ /.Lj 3LJU II I '1..L>, A!(j /1 ,,/1, fb::;tU/..h A (j, LEGAL JESCRlPTION (office uoe ooly) ,LOT BLOCK ADDITION OWNER i 1 (Name) 11JffBmO nn hnrvicS (Address) i xCV5 PI G\lO-" D if, ~k dJj ) ,1/((1 J 1\/, / l ~ ~~ I PERMIT NO.A I: () wC'17 .1 v&Uo..... Appliant UtJ. 'rI:!!tIt.JI ZONING (ollice...) PID (phone) (r,f)I-CVfS" 37(fi '--n r "f\ ~ ,; N ~' /' "" " r~.u III /j J I Ivl ~ j') ,."rel, J APPLICJ NT fl_ 1) (Namel tJe-J11_ - tc--&J Civ) (Address) 22Do \N. !-f1"J U L~ . (AddresA j (Contact Person) k 1m I~:t!)~; 11e;-; , APPLICA:IT SIGNATURE i ...N-Ill -_,/s-:::..(~cti::.r./g;, (Phone) qC;u/(f/ - 10DO P>WlVKIf 111[. 1\11 N ''':?'":")~~:;n (City) (Zip Code) (phone) cf:5;<-- 7&-7- /dtfl 5" ~_/()<) DATE 1(. APPLICANT PLEASE COMPLETE BELOW I Quantit 1 I .;2 I I I I I I I I I I Type of Fixture Bath Tub with or without shower I Dishwasher I Floor Drain ,2 I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I I Sinks I Bar Sink ,2. I-Water Closet (Toilet) I I I I I I I I I Quantity .1 Type of Fixture 3 Rough-ins I I Water Heater I? It I Water Sotlner -I I Stand Pipe (Washing Machine) I Sewa,ge Ejector .;2. I Backflow Assembly I Bacldlow Assembly Test I Lawn Sprinkler I Other FEE SCHEDULE Industrial, I :ommerciaJ & Multi,family I % of job cost with a $3 9.50 minimum Residential, New One & Two-Family $99,50 Residential, Additions & Alterations $39.50 Estimated Cost $ &d C!:!.. Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ Cf{jw PAJDW/TH I W"Y.- ~JlDJNG PERMIT (omu Ust Oall) Tbis Appli :ation Becomes Your Building Permit When Approved ,- .. '~"~-'--~~;I V=:.'.I ft-aid ;,', ' I, c, \ I i/i,.lReceiPt No. , "p'-" !.! Ji,DtlAy 1 0 2005 l~j:ly Duilllng Official D... 24 hour notice for all inspections (951) 44? 111150, fax (952) 447-4245 3 V _____ _____;=-.---- _n_ --- 05/09/2005 MON 16:05 FAX 952 767 1900 GENZ-RYAN ~ 010/013 M(}LG' ~r PRIO~ ::~~ - '" '-' '" -i-' <.'c />{BSO CITY OF PRIOR LAKE HEA TING/Affi CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Ple~ e tyre 01' print and. lSiCl\ at bottom) I ADDRESS Id~L)Lt !/UOJericd! ()- M(;J : S:. Sow I PERMIT NO'()5.tJ3S7 I ZONING (olEX. un) LEG \L DESCRIPTION (ollice use only) L<YI' BLOCK ADDITION PID OW1IER I l V'If" , f\ '" , r\ (Nan e) \ i, J 'J1 \,,\1) \I Llil I Hf)rY\~ {; 3'7i",c' (phone) &51- 400. l) I (Add 'ess) l fW5 Pi crw., Dv, S-\c ?.oc I~ILLA({n ['v11\1 - ~ ::-f5 I.~);), APPIlICANT (' I'> (Ns..e) ,-::rltIT. ~Vi (Phone) q{;~;A'7if7'1000 (Add'ess)", 'IN, lJ \ L I '0. ())' =0.:;)... 7 tAc?VcJ J HWV)I:.J oW'nsvi Ie :_u.n', . (Address) (01)') (Z;p Code) (ContletPerson) kin, f?,f'f'l\!il/u (phone) Q2:;,-7()7- Mit'/ APPLICANT SIGNATURE .0~fLWg'/!1/t)'l}, DATE, 5'/c7/{i,C;;- APPLICANTl'LEASE COM::J?LETE BELOW ! :;t!5NiW CONSTRUCTION D REPLACEMENT D AL TERA TlONS : FURN"CE MAKE AND MODEL L./J1Q!;V (:At/OW.f- s/"H'7/) FUEL /7td, r?l1:~ FLUE SIZE RETURN OPENINGS :j INPlrr 7{lf;-, OUTPUT':qj(/;) TYPE OF SYSTEM HEATING OR POWER PLANT Cl!9Wann Air Plants 0 Steam I"'vil)' 0 HotWater , Mechanical 0 Radiation ir Conditioning 0 Special Devices , t. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FlREP .ACE MAKE AND MODEL FEE SCHEDULE Industri~. Commercial & Muiti~Fam.ily l% of job cost Residential, Gas Fireplace $39.50 minimum Residen iaI, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations Residen ial, Heating Only (New Construction) $64.50 Residential, AC Only S39.l0 S39.l0 S39.l0 -7)'2/' ,- Estimated Cost $ '- ,A..l./ HEATING PERMIT FEE 8T ATE SURCHARGE TOTAL PERMIT FEE Building Permit # ~ID W $ qq,,>" r~ ITH $ .5<tiUILDING PERMIT $ levY<. (Office t It Only) - -~ I DaUdin; om~I.1 n 1 PJ.id! 1':.".' II c:; " \, I i ~ 11R. eceipt No. I) 1J;"'1 . L, 'i L::1 III \DlAY 102005 I ~t 1_' . L_/ 24 bour notice for all inspections (952) 44' .9850. Ca. (952) 447-4245 Dat~ This, lpplication Becomes Your Building Permit When Approved See Main DEPARTMENT OF BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD SITE: ADDRESS 1~3l.J1../ /AJt1l9. FJIILL l"~ult.r Mw. NAT JRE OF WORK IIfiii GtJ(U~rre"cf'7""J USE OF BUILDING _ _----S:1=': A. . '- . PERMIT NO. O!5"- J::>~ DATE ISSUED ~/I ~ ~ COI' TRACTOR ~ J.4!t..MD PH3NE · NOl E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FO ::>TING I FO LJNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 1o/1'i/c;O , Ii COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ItlfrN~ / IItJIISt"/AJ"" I I , FINALS B~ U\A.~~,\..W SE HER I WATER I SEPTIC -FR !\MING \-,) ~N~ ULATION L. t. /I{$.. '1!J;k EL: :CTRICAL PL JMBING HE !\TING (if required) FIF EPLACE GAS LINE AIR TEST . G'1ADING (Prior to Sodding) BUILDING ~ EL ECTRICAL PL UMBING HE ATING Gt> ~15 t:l-I -0) 9-9-Gr' lie> ~ -<.j-6 ./~ V~ 7 -I - (j';l, v fllJ I It) / III Ip~ , I I f)-(I -o( 10 I, 't BEEN S'IGNED ~ 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 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TillE (&1" [tJ1 ADDRESS / (/ 3(./ L-( IN" 1:..r-- -h.. U OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o JNSULA TION Af FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: /. P rv-vnO.., YJrJJ: S ~ . . :i.t'!.. . ('\1 (l~ 71'1A.. +~ \f 5 ~ )5} o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o EJREPLACE FINAL . ~~ o WORK SATISFACTORY. PROCEED )(CORRECT A ION AND PROCEED o CORR LL FOR REINSPECTION BEFORE COVERING Owner/Contr: LL 7-salo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~REMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY! INSNOn CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: @ fCrvtol/C- DATE TIME !CHI,.qr IA/,d._ h.Jt &r SCHEDULED !l{3W CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ..I!rPLUMBING FINAL o MECH FINAL /" rC1l)f--w!7 5" tt:r~S7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o D. ~ SATISFACTORY, PROCEED llCORRECT ACTION AND PROCEED o CORRECT ~O~~. "FOR REINSPECTION BEFORE COVERING Inspector: V vy . Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lliSNOTI Job Address l!I.1.!fY ,-".j<~- Heating Contractor E>-,.",-_~ Name of Tester r (;. Date 10119/.. 5 Percent a, g-i.. Percent co 'f~",,~ Percent C02 _7 ~ Stack Temp 3Y?" Combustion air is adequately supplied per UMC Sec. 606 ye.r Input