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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