HomeMy WebLinkAboutBldg Permit 05-0212
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
3 _ q, 05
White File I PERMIT NO I
~~~I~w ~~:Iicanl . Os. 0 ZJ Z
(Please type or print and sip at bottom)
ADDRESS
,;2..)"7 S- Wee Tt/" h II
ZONING (office use)
01XY'
/
/lIW
~4-
LEGAL DESCRIPTION (office use only)
LOT/r'BLOCK .5" ADDITION W("/V5/nlf/v/v
J.j T)..,
/2.1
PID ,:2.f- Ylr- ~-o
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Company Name) t....JPNf h1q/VN
(Contact Name) G~/'.y
(Address) / f 9 S- / /~ 2 e:..
;J()In~J
f)r
f'11 ,tf IV
\I
(Phone) /'5)- Yo? - rr () 0
(Phone) 6/;1.-.?t 7 -7&).).-.
m /V .s'S /;). 2.
TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing
DAddition OAlteration OUtility Connection 0 Misc.
ORe.Siding OLower Level Finish 0 Fireplace
CODE: mI.R.C. OI.B.C.
Type of ~nstrnction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A B
R ,8 U
5
.' "'r.....j
PROJECTCOST/VALUE.....$ d~ fJ.P ()
(excluding land) ,
crd
JJo L. 1.... Fi~;'S' Ife-s
I hereby certifY that I have hlrnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or alllhonzed agent for the
above-menlloned 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
:ficial /I;;;;ermi7 ~erebY agree that the city official or ~e;;;nter upon the property to perfor3: ;:ct:~ ;-
- / f / Signature Contractor's License No. Date
V
,.
I Permit Valuation " /3i" () 0 O. 00 , Park Support Fee # $
I Permit Fee ) I SAC .- # $
$ / ?XII ro I ti ~O. f) 0
I Plan Check Fee $ y:z, 2-. q'p Water Meter('Size 5~:ll"; $ 2.'50, () 0
I State Surcharge $ (pq .l)t:J Pressure Reducer $ c;-(!). 0 0
I Penalty $ I Sewer/Water Connection Fee # $ , S'OO . 00
I Plumbing Permit Fee $ /0 a r a 0 I Water Tower Fee # :.;;::.oe
I Mechanical Permit Fee $ too, ()O I Builder's Deposit
~~
I Sewer & Water Permit Fee $ S $';. SC> I Other $
I Gas Fireplace Permit Fee I $ 'fa. 00 I TOTAL DUE 1$<0/708.76
This Application Becomes Your Building Permit When Approved Paid (, -{tiE? -rr Receipt No. 9-'e8t?s
~~ g/2.:?,h,S Date 9-. i. C./' By rY~
Buildlllg allicial Dale
ThIS IS to certifY that the request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
~~lanne7;:;;porary Certificate of;i :;~e;d allows construction to coseeore1V[caiii1te FIieust be
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
SeeVlainFile
White - Buildin~
CCanarv - Engineer~
Pink - PliiiWlIl!:l
Tht ("rnlrr ur Ihr Lakr ("OURU.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/]/8/\/.)"/>7 /:-) /~//\-//
-:::::- .~ r----
'_J (/ I) {..
. . L".,....,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 ,~ 75- (.1/ f7 7E]LIH~/L.-r VVl-'\ \(
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Date:
.~ -I ),.~
Comments:
.5~t: /J?lfl'n F,,/~
See '"ain, 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 l~~(Iain File
~hitl'l - Build~
Canary - Engineering
Pink - Planning
The Cf'nlt'r or Iht' takf Counlr)i
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NS?7AA/J
o,q.oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
257S (;1./ It I c-/z~ (Iv' f\ Y
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
'1~;:..
Date:
3P3~S
. ,
Comments:
See lVI~lin 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
White - Building
Canary - Engineering
(...!::InJ< - "'Ia~lng)
The Cenler 01 the l..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t/~,/{ III _" / '//) /\/ / J
.--:~ (;/ f) 1-
---. .LJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 ~ -;:;- { ~. rJ )'l=JLl~;;t-}I'--' t ~i }-\ Y'
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
=lr; .:IV-
Date:
J!dJ-3!o 5
Comments:
See l\ilalIl Ifile
"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."
04/22/2005 FRI 15:51 FAX 6513226147 GENZ-RYAN
~ 008/013
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please IVlle or PrW l~d SWt at bollom)
ADDRESS _
,~57!) LuCt+ty~! Cl \ l U.~lu j l'~ lJ)
i~ ~:~ I PERMIT ""OF. ~~
] Yellow' AppIJl:.an1 l~" GJII'~
ZONING (olfice
l15e)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
1
~~~R UJ ft/"tS 11~'{)J'-'-)I\
!
\u\( )\1\(5
1\/"\(1
(Phone) (J6H~,1C5 .- ,,370Q
(Address) I SQ5 P I QW. r~JV".
C _L~ .'\ ro.{)
_ ) j C.' ,'i'i,../t"
, APPLICANT r:..,.. . .--).
(Name) L.fen 1- f--<-. 0f [lX1
(Address) Il.ll1l5 ~;. RDi'Xvq-
(Address)
C IT) \1'1/)+ i -r~~tt 11:5
tv"I ,
r:'J){.1rAJ'\ . /'Ji N J:)5i :.A{~
J -
(Phone) lJ5 J - Lr~3 -- J I LJ U
Ru--5Ct'r1'.:un-t mJLv8
(Oty) (Zip Code)
(phone) Cf-5 I-UJ-3--11 L/ U
(Contact Person)
APPLICANT SIGNATURE _Cl')'U1i):'U) c;.f[{jj;j DATE .l~ I ;HJC6
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantitv
Bath Tub with or without shower . :3
, Dishwasher i
f I Floor Drain I /2 / /
I Lavatory (Bathroom Sink) I
I I LaundrY Tray (l or 2 compartment sink I
1 I Shower Stall I
I Sinks I
I Bar Sink I
~-:> I Water Closet (Toilet) I
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Quantity
"""
.OJ
Tvpe of Fixture
.LJ
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sew~e Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
BU/ PAID WITH
.50 LO/NG PERMIT
(Office Use Only)
This Application Becomes Your Building Pel'ro!t When Approved r -;1 ~irair-
I' '"Date
'Receipt No.
Duildin! Official
APR 2 8 2003
24 hom' notice fOI' all inspections (952) ~0.9850, fax (952) 447-4245
16200 Eagle Creek Ave,. S.E., PriOlt Lake, MN 55372-1714
F~ v'
Dale
By
04/22/2005 FRI 15:51 FAX 6513226147 GENZ-RYAN
~ 009/013
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and si9;n at bottom)
ADDRESS .
(;~ ~)-ft5 Ll)tlj-C{-(iL\ \ U ILL! N L\)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
~':~R LUff 'ci'fYl fl(l +--IClY'lCS III C,
(Address) 1 xQS P l Llz(} r)V. Str. ;)(f)
(Address)
APPLlCANt._~'I4I/\:7- it') l . iA .."
(Name) t. j) L-L_Y. - Ie' . J. uU \
(Address) \ L '1 LJ.t) S. }<()[:tv+ .ty (.
f' (:"-ddress)~...
(Contact Person) l~.flliY511 LLtl/:S
APPLICANT SIGNATURE CV/'utJ;lJiJ ~"(21j!J~)
I. a..... File I PERMIT N~- ~~
1. Ydl.,,' CI~' . till" "-
l. Gold Appli<llll
ZONING (office
use)
PID
-F1] na ('j
J(City) .
(Phone) {jj 1- q()5- j'7C4
55J~~
(Zip Code)
. .(phone) Un}- U(~3-1 \ L-14
<{y-fry)CU rH- 5:JJ{iJ'tJ
(City) (Zip Code)
(Phone) :5lf11\fL,/
DATE
LI /)J /05
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at __ feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39,50 minimum
Sewer connection only $17.50 Water connection only $17,50
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Orfice Use Only)
This Application Becomes YOllr Building Permit When Approved
B~ildinl! Officiftl
Date
Building Permit #
$
$
$
PAID Wmi
8t:JflOlNG PERMIT
,I Paid Receipt No.
'I DateA PR By
i' 2 B 200~
.1.,111
24 hour notice for all inspections (952) 44l?,~50, fax (952) 447-42451
L:"_:~..~:~:........ ...----..-.__,.1
04/22/2005 FRI 15:52 FAX 6513226147 GENZ-RYAN
~ 010/013
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please trP.e or print and siltIl at bottom)
ADDRESS
(;~57~) U )fkj'-f;VJ aJl (l)O,..L) (\J{~J
~: ~:~ ~~~ I PERMIT NO. ~., I .n
J VclIow Appliconr .., ~
ZONING (office
ust)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNERLu' J:J; '\<::'l""l (" "'1/\
(Name) L~l I) r , ,( J \' \
+-'lo(yY~ I n ~j'
)V. <;;'1{~. J{f)
(Phone)w51-t}CfT 3'700
--[ZtLl (ill f'v1 N 55/ X~
..J
(phone) W5 j -- L/~?r / 1 U d-
'jl05~'lIC)J(1i' 5:X1JJ8
/) :l {Apdress~._. I (City) , (Zip Code)
(Contact Person) c) )V1 ?jJ'7 ..... eLl IS . (Phone) ~-)J-.}vyl j
APPLlCANTSIGNATUR~ (lh~{,.0tD ,-/'(JJJjj DATE LL/JJ kYr
APPLICANT PLEASE COMPLETE BELOW .
eJ~EW CONSTRUCTION D REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND ~ODEL (((')("(;i- C\ l iCA. i \+- :~( d),....{1i.) FUEL l\Gl'l .(,(~l~')
FLUE SIZE RETURN OPENINGS ... . . INPUT (J,C(LD OUTPUT -'j)(.( ,( ~.
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address) \ ~q5 Pltlz:o
APPLICANT / '\. -. .- .' \ ,
(Name) I ---Ir:r'i?-- I! ( ,./ UAr')
~. . I
(Address) /l\ l 1f t) ~;.. 1~,('4 n/ .
gWann Air Plants
'D'Gravity
o Mechanical
ASJ(\ir Conditioning
OVenl. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Device.~
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 Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
$39,50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING Pf=RM/T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
.,
1.\ Receipt No.
!
'By
Buildinl! Official
~~R 2 8 2005
\ \
,,\
24 houl' notice fOl' all inspections (952) 4;'1-9850, fax (952) 447-4245
\.
Dllte
" .
"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~a5e type or print and siKJ1 at bottom)
J\.bDRESS
bJls:'1S ~~
~~:.. ~~. I PERMITNn.~- ~ J....
1, Yelluw Apphconl '(;J , t::iiJIIft,
tvL0
ZONING (oEfice
use)
L~GAL DESCRu- J JON (office use only)
I
tpT BLOCK
ADDITION
PID
, OWNER W
~ame) ~
I
Wv..~
(Phone) &5'/-lff.X.o- '-IC/OO
(1ddress) /'Ff9S" ~ !k,,#d(?;O ~ll"hn SS,~
i
!
APPLICANT
o/ame01'!-Q"n\.r'\'~~,,+ FP
(AddressL
i X9CD /09.tJ. ~ #/aJD CAamy;.L~ .rhl1 S53/~
I (Address) , (clty) (Zip Code)
(fontactPerson) -\( ("'"\~ ~np.rno~ (Phone) !JJ.i3 - Sfllo-/d' lp
~PPLICANTSIGNATURE k^A~ lJo~ DATE
APPLICANT PLEASE COMPLETE BELOW
, ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
I
~UE SIZE RETURN OPENINGS INPUT OUTPUT
i TUE OF SYSTEM HEATING OR POWER PLANt
DWarm Air Plants 0 Steam
DGl1lvity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
, OVent. System 0 Other Devices
~REPLACE MAKE AND MODEL ~ ~ .f2:~J C',..QFl. .i"",,
! FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
! $39.50 minimum
Residential. Heating &, AlC (New Construction) $99.50
Residential, Heating Only (New Construction) S64,50
I
(phone) 'llo3- SC"'"J 1-'dSdS
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
S39,50
Residential, Additions &, Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
'.Offlce Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildin~ Official
Date
I Date
By
24 hour notice for ,II inspections (952) 447-9850, fn (952) 447-4145
I
I
tOO/too~
Hooa 3~VHV~ JJ~VWU~rrv
66~L 9LS t9L XVd to:ll SO/tO/90
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS z~.,.s W~~f1\LL 1}JA~ ,.,.&v!. _
NATURE OF WORK tJ~ c",e~ST~CT/~~ ~ L,c." F1;J/;-"n)
USE OF BUILDING S.F A.
PERMIT NO. O~-: 0 z /2 DATE ISSUED "/1.'1 Of;
CONTRACTOR ~WtAtJN "''''E5 PHONE "It- M - WI,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See .VI(lin ITile
BUILDING AND INSPECTION
.
INSPECTOR
DATE
I
FOUNDATION (Prior to Backfill) I I
P,J,.~E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
LL p~ ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING VG "fft.~ We. VJ/; 6ftiob
HEATING (if requ'ired) ;vii" / ~/ ~
FIREPLACE I'b C!J I r;;
GAS LINE AIR TEST (j//J 8") ~ o~
: CO,VER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Ll411iE / flIJItS' IIJMI" I I
-/ FINALS
I FOOTING
~
c.14/Q
. ...
fi/l~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
-
(fJP
~;.. 7 -o~.
I
If!
I i
7/19feS'
9 - 3 ~S'
BEEN SIGNED
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
'.' 'r "'~;- ,;."
,;, ;a\;rl:i' ~l.;"... '_',,_'~,,~!~'::~ '~L ':"~.L.'c,.;.,,"~:l;_-__ ~.:~.&~ 'iI~.:...w~' '-~:.L._~:.!'''...Alt'::i~"^
~L-I~' J.. .........:......._
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS JW7.c;P-J
. .
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~~ULA T10N
~NAL
o SITE INSPECTION
COMMENTS:
Q \tKO
DATE TIME
SCHEDULED B- "1
wk-~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
() (') (
...~ t1- \ ()
-,
S--"2((
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
}if GASLlNE AIR, TS]
D~~.
~ l,u. ~"~~,:~ ~A
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C LL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\....;-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE 0 _ /
INSPECTION NOTICE SCHEDULED? '/fY~r
ADDRESS -2S?S tL4 r;~/I' ?b'~
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c;P-5- -2(7-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~BING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: .
~.4 /' / / 7
/#~ pt{J#"t'~ I c:r- 1 €Q /
Crl/
C//L
-
~ y,/ /' .--"-~-' --- ~ / / /'
~/ A'~6'-,d //7 /v ;.kkJ~//-c<{
/-::// k.r~^ @ #?-.??'?r
/).1 /.~ J/? ~ / (l
(;~ (a/ /G//d//lC
- . - ./
// "/
h~//
YORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WO~~.J.Lh"R REINSPECTlON BEFORE COVERING
Inspector: /~ Owner/Contr:
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI