HomeMy WebLinkAboutBldg Permit 05-1034
(Please type or print and si~ at bottom)
ADDRESS
1. White File
· i~'
Date 6'd
q'rP"
I PERMIT NO. as'. /034--1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 4lbJ.
PCW'lVle.w' LN. Nw
ZONING (office use)
PrJs:f)
LEGAL DESCRIPTION (office use only)
LOT~4 BLOCK I
ADDITION .:s~f'f~rs po-! J:' ;rS+- A JJ; \-;0"
PIDdS'- ~3,)-O~4- 0
OWNER
(Name) Bu; 'Au-
(Phone)
(Address)
BUILDER
(Company Name) ~S "^~,,- &J.()noL s:
(Contact Name) ~I"I":S ~ sJ.",e.~J.~,-
(Address) 12 U.s ~J,'",,~, " ~S" PJ&"Lc>" (J,:vL. _~u;+~ ~Oo I
(Phone) in 1- 406 - "4 ttoo
(Phone) b ')- 3~q - 7 Cf~'"
~"'IMN.s51~
TYPE OF WORK KNew Construction .ogDeck o Porch ORe-Roofing ORe-Siding IILower Level Finish JC Fireplace
tjAddition OAlteration OUtility Connection
CODE: X1I.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECTCOST/VALUE $ 1 JO. 000. of)
(excluding land)
I hereby certifY that I have furnished mformation 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-menl1oned 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
:cial ca~=:tr J~cJ:?J:' I hereby agree that the city official or a ;e~n; ;y enter upon the property to perform ne~: ::~~
Signature - Contractor's License No. Date
Permit Valuation t+D.O(J().~O Park Support Fee # $
Permit Fee $ /I 73, sO SAC # $ IcjSO,~o
I Plan Check Fee $ 7h Z ' 7 f Water Meter Size 5/8"(!J) $ 3Oa,oo
I State Surcharge $ "0 .00 I Pressure Reducer $ 7'S, 0 0
I Penalty $ I Sewer/Water Connection Fee # $ IStJ~ .00
I Plumbing Permit Fee $ IDO,O.o I Water Tower Fee # $ ItJ ()O , 00
I Mechanical Permit Fee $ IOD.OD I Builder's Deposit $-
I Sewer & Water Permit Fee $ :J~. S-O I Other $
I Gas Fireplace Permit Fee $ '!tJ.OD I TOTAL DUE $ ~5'''. 7Y 1
This Application Becomes Your Building Permit When Approved I Paid r, Jytj,. 7l/ Reef-NO. S(JJ""4-
~ ~ /d/l8/tJS I Date 11../ ,.,r By .
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~
Building Otlicial . .
Date
ThiS IS to certifY that 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 City Planner conSl1lutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~ ~L. 1()1t~1o~ See \1ain 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
See Main File
c... WhIP . Bujldln~
Canary . englneirmg
Pink . Planning
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/!iENf' ~/ftV tV
ClU.6S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ?--I ~ Z- P/I Je.,t::. (/ I ~ L-tJ.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date: 1~4 ~ S-
f .
Comments:
See Main-FiIe
liThe 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 - Enqlneerlng
~ - Plannl"D:;>
BUILDING PERMIT APPYCATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I'VE /\If' ?/ ri IV IJ
C/ Z /- (j, t..~
"V .~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I f"/ f::, Z- PrI /G~ V I 6l Vi L- tJ.
'"
Accepted
Accepted With Corrections
~
;,.
Denied
';'~eviewed By: ~
Comments:
JJo
~t6
~
,...
~ f-I-c-
rl
I
~
Date: ~~s-
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See Main--FiIe
't~..-
"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]lain File
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B~ft~~ -'eAPPUCATlON DEPARTMENT C$CItUII
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NAME OF APPU~r
APPLICATION
The Building. .
application fOr'
I ?-I/'Z-
:';'_"'(e,.. '.,
~Ph:u1ning Departments have reviewed the building permit
. aGtiVity which is proposed at:
P/l~ VIe1.v' L-tJ.
Accepted
Denied
^
~,With CorrectiQns
Reviewed 'By:
Comments:
Date:, Ii:) - 6 -OS'
~;~: Ifl't~ h'I:!
See"MainEle
"The . issuance. or granting of a permit or approval of pJansJ.. .....
comput$tions shall not be construed tQ be a permit forj()ran~VafQ~CIlttt
8l\J!"t~ provisions of this code. orm any other o~nceQfIbe Ju~,;',
p..."..togive, authority to. vioklte . or cancel the Pfov{lfOflS of '. t~,_\~<,
ot1l~of thej"risdiction shalnot be valid:" ";~'~ "i.,:.,,!>
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11/17/2005 THU 9:03 FAX 952 767 1900 GENZ-RYAN
~ 007/013
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/.liu<EPLACE PERMIT
Date Rec'd
(Please type Ot print and si$tll af bottom)
Aln;;j~ )~(VrM Lvl NW
I. Pink File
2,0..... Cil,
3. Ydlow App1iCllll
'PERMITNO()S.lea~
ZONING (office
use)
LEGAL DESCRIPTION (office use only "
WT2~BLOCK l ADDITION ...~~ (lfW
PID
OWNER \ \ !PIf\C '\ ,
(Name) i\ J VIi \.)\,,\'1,1), YII'!
\-\n(\~
(phone) (/5/- G10r-s.. 3700,
(Address) I gq5 PI u7CL- fA!', StC ;),00
~~a.C1 nll [\J\ t\1
- ../ - .
t:-f5/ d~-
APPLICANT r.. Q
(Name) creVyz.. - \..J j (11'1
(Phone) q'l~ --7 if7 r 1000
burnsvi rl~ 5533-7
(l . . , (Ad iIfss) (City) (Zip Code)
(Contact Person) V A tUSh -a f( ~ _ (phone) I1V1L-1lJ1-( ODD
(In. ~'-f'~ I ;...-
APPLICANT SIGNATURE _tU..lL1LQ...:t1I/\ DATE r 1-/1--oS
, APPLICANT PLEASE COMPLETE BELOW
. JQ..NEWCONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL J..u1.i1DX -h~OUtl' -~1I.fJ ..rf10 FUEL nctf-tjtl<>
FLUE SIZE RETURN OPENINGS L{ INPUT ~, ODO OUTPUT 7b t 400
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address) (') tifF" I,',
t/"-v-<J...)J V\j .
~I 1'3
'-;'., . \1 ~
, \.A..JV I
[)iSVarm Air Plants
DGravity
o Mechanical
.5!rAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industria~ Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
S39.50
$39,50
$39.50
(Office Use Only)
Building Pennit #
$
$
$
~'\ It'
I n i r'
This Application Becomes Your Building Permit When Approved I Ii) cPaiCf
I [,'I . I' '" --
'rl Mrn: i ZJUJ
i Ii I J}!~.
Date : n' U
r
24 hour notice for all inspedions (952) 4~t.98.so. fax(952t:~~?~45
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PAlO \H~tAf{
.50 ~\..O'NG
1 :",
~eceipt No.
i,: ,~y
J
r
BuUdinl Offidal
11/17/2005 THU 9:03 FAX 952 767 1900 GENZ-RYAN
~ 006/013
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(please ~e or print and siltO at bottom)
ADDRESS .
,~\fP~ Pa~Lvltw Lv1 AJV\J.
P~wi~
LEGALDESCRtrnON (office use onIy)
LOT'2, 4 BLOCK ( ADDITION
~=R ItJft'S vY)O y)(\ MnnflCS
(Address) \ ~qt-) Pi OtZCl~ Dv, );+c
APPLICANT tl_ n
(Name) a-tA1'l.. - ~(,J CH1
(Address) '2-11JQ W. 11\'\J ~-( 1..3
f"J ",A~~~S) -r ~ t (r
(Contact Person) \.AI I r U\ v, I tV\. '>
n
dCtJ
APPLICANT SIGNATURE
I. Blu. FII. I PERMIT NQ~~.~Uf-
1. Gold City
) v.n_ Applleonl
ZONING (office use)
PID
(phone) (l(51-0rf5- 37 Cf1
F7JCJ (1 vi l\Ji N 55 iJ d.
J
(phone) 0(C;i- f(f1 , i ODO
~(A.t2J1C,V (( If., M f\J 55337
(City) (Zip Code)
(phone) q ~4ft1- (ODD
DATE Jt.Ll=-O~
APPLICANT PLEASE COMPLETE BELOW
Quantity
I
I
I
1.-
,
\
I
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
']",..
Quantity
,~
r
1.'ir
I
-.
I Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with 11 $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offiu Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) "'7-9850, fax (952) 447-4245
PAlO VJ\11'"\ tA'"
....,\.D\NG PER
~_.,,,--T~--- -"",
I ,.-- \ i
l1>lUa ': '; ::
Receipt No.
~ 1 7 2005
By
11/17/2005 THU 9:02 FAX 952 767 1900 GENZ-RYAN
flI 005/013
DateRec~d
CITY OF PRIOR LAKE
SEWER AND WAtER PERMIT
(please type or print and silDl at bottom)
.ADDRESS
I L./ (Pi Pa~kVi t\N LY\ NvV.
LEGAL DESCRu-uON (office use only)
LOTd..L BLOCK I ADDITION fJa)QtV( eA.N
&:R i 1 )fY,S, \"tv)j'WI \:-tDi"VILS
(Address) l <la5 P10LZDu Dv. Stc:dO)
(Address)
APPLICANT (). n
(Name) t:l(lnr,- lLA;{ {{II)
. .' I
(Address) 11})0 VV. ~-hI\O 1 1:3
() I A ' CAcldreSj -
(Contact Person) VVt~~t1 '1lf (~ ,f) .
~LICANTSIGNATI1RE~~_~
i: ~ ~;~ 1.r'Jj.AMITNO~ I~""""-
3. Gold AppIiCllll "., .I~
ZONING (office use) I
PID
(phone)
.FaDa Y'I r'v1 N
- (City)
(tf)J- qas- 5,(fJ
55/ )1)
(Zip Code)
(phone) f1t11- 7!Pl- (eO{)
~) Vi {f-(/ fV\N (Y;33 7-
(City) (Zip Code)
(phone) ~ vll-1lJ1-( DCO
_,_ DATE _.U~. r1-0~
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 minimwn
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAlO WlTHRM'T
au\LD'NG pe
(Office Use Only)
I This Application Becomes Your Building Permit When Approved . Paid
Building Ornclal
Date
24 bour notice for all inspections (952) 447-98~, fax (952) 447-4245
1_ ~
, \
Receipt No.
paNOV 1 ., ZUUJ \ i~Y
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS J!llfll PI'f~~I'/CIAJ i.AAJe; #.W.
NATURE OF WORK MEW o~rr"'cFI4> ~.t,. fI!i',JlrH)
USE OF BUILDING ~F7A . . _
PERMIT NO. 05,1034- . DATE ISSUED I'/./~.r
CONTRACTOR }J8N~MN!AJ ~IM~ PH6NE "I' - '" 9 -1f. ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
"
INSPECTOR
DATE
I FOOTING
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 II') h UI~ 2'1
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
...
1M) ..
J j/l/V./
?- ~ ~t"
'j.." VJ-O (p
.
qfil.116/#
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lLArNe- / H'~J'''~P I I
FINALS
f/5 _/ 1/IO/tf/j j
vv/.Y' I
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071)
-..0
GRADING (Prior to Sodding)
BUILOiNG kJc.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
ft!f
rb
, I
t..I I, 2/ fJb
I ,
-
V~ _ I~II{Y I
I (If I" ,I 'II tV' /tj{~
UNTIL ABOVE HAS BEEN 'sldNED
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
~~rtifitat~ nf (0ttupantll
CITY OF PRIOR LAKE
~epatftuenf nf ~uil~inll JI nspetfinn
~Fina1 Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use ~sification _ S 11'./ G (,. C F~II ~/ / L V _ Bldg. Permit No. U :;;. / {)31-
, /
Type Construction ~. IV
Legal Description _ L 2. 4-, G I, JE. F F t:: I~ S
Occupancy Type _
1< ..:::
_ Zoning District
POND / ~T ..'
.,.
Site Address /4/ (; z.. P rile: K t/ I e:. tV ?/\I.
iVCII/51"/r)N/V /-/o/'-/c-s
(If
Ft/SD
Owner of Building
CO~Pftor's N1TIle &, Address
iJr L )J IL rt VLC
. J ) / Building Official
Date: 'i I 2 6 ( "
{ -
_ City Planner
Date:
111'"
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~Jt~:~ nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
Q,.(<u~
ADDRESS \41~
OWNER CONTR.
PHONE NO. PERMIT NO. S - 163t.f
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL o PLUMBING FINAL ~~ST
o SITE INSPECTION o MECH FINAL
COMMENTS:
Sera ~'^-. -.\; (,p ~or t'~ ,,~ a.
."
~.t.t.
90 1M..o \ .'ct
or
~ \ 0 ~
cto~ ~ ~.lP
)
o WORK SATISFACTORY, PROCEED
l!. COR~:b;" ..ON AND PROCEED
o CORj ~ RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto. , Owner/Contr:
CA .L . -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
v/ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/
IItSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS / ill ~ 2.
02rkU/~ )
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
.0 PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
~OL: H ~
- - . v I
z. Q(".p rl~ ~X-
DATE TIME
t/#v
~-JO~q
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORR~K' CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CAL: 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!