HomeMy WebLinkAboutBldg Permit 06-0002
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1/./tf.O>
(Please type or print and si~n at bottom)
ADDRESS
See Main File
A GI.1. ,-;" 0...
White File
Pink City
Yellow Applicant
I PERMIT NO. or;~ .00,-0 z.1
ZONING (office use)
ll.\ }..b 6
p().rl:-- v: e...v L IV )J tv'
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK ,
ADDITION :Se.f.I(r~ porJ
F:-r.!+ Ak1;-IrOr\
PID ~- 437-0.0~-o
OWNER
(Name)
fkLjJpt'
(Phone)
(Address)
BUILDER
(Company Name) \.A/e....~ M6-^ ^" J.l /\__~ ~
(Contact Name) -1),,,,..:- ~ fJ... SJ..oUJ~ r-
(Address) R.l-tS Bu:IJ;':} i 1f?<'i5" PIA"ZA Dr.-",t..
(Phone) bS'1- "101,- Li "100
(Phone) b\)-- ~6 ~- )q~l./
Sv:k ~OD, E~o,... I /fA IJ S-S-I >>-
TYPE OF WORK 12I New Construction txDeck OPorch ORe-Roofing ORe-Siding IifLower Level Finish IZ Fireplace
OAddition OAlteration OUtility Connection
CODE: .kII.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST /V ALUE $ I \ 0, ont)o (,) ()
(excluding land)
I hereby certifY that I have hlmished 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
official can revoke this permit ~. ru usrst c/le !'lf~ermore, I hereby agree that the City official or a designee may enter upon the property to perform needed Inspections.
X ~ N~ LYS ~ 11-8-0S-
- Signature - Contractor's License No. Date
I Permit Valuation fJ 31- oaa, C 0 Park Support Fee # $
I Permit Fee $ 12.3', t5 t:J SAC # $ I$So,OO
..... --
I Plan Check Fee $ V'a s-, ", Water Meter (Size 5/~ I"; $ )
I State Surcharge $ ,~.S'O I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $ I Sf) lJ, O't)
I Plumbing Permit Fee $ 10 {J. 00 I Water Tower Fee # $ / DoO , 0 0
I Mechanical Permit Fee $ /t)D.DO I Builder's Deposit $
I Sewer & Water Permit Fee $ 35: s-'D I Other $
I Gas Fireplace Permit Fee $ ,/o.(Jo I TOTAL DUE $ ~.43 (J..I'b
/ f)
This Application Becomes Your Building Permit When Approved I Paid &-1-J"./4 ~tNO SlIU
~~ /2/~/~S- I Date Z , Z 1, () (" B .
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 constitutes a temporary Certificate of Zoning compliance and allows consl1uction to commence. Before llccupancy, a Certificate of Occupancy must be
iS~ f.-~CQv /zll5'D~a{Jte 5 See ~lfpecln~ ..,. S,' V y:-I.n.
Planning Director ._~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See IVlalll File
White . Bulldtns.-. .
~8"t . ~neerJiRt>
Pink . Planning
BUILDINGPERflIT~PP~.4110NPEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECElVED
tt/G f\J::: nr/N IV
/ I. I +, 05"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/42 0~ P~/C--K1//6 t<V ~.
..
Accepted X
Accepted With Corrections
Denied
Reviewed By:
~
Sc,~ /J1. I" F' I tk
Date: / /-l '-0 r
Comments:
.....~-'!'
See lVlalD File
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. II
See~V1ain File
White - Building
Canary - E!1Qineering
~nK '-=-plannl~
,BUILDING PERMIT APP'-ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;-- I
/ / 4.<
r~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ / l L,,//
Accepted
/'
Accepted With Corrections
.i'j.
Denied
Reviewed By:
~
,.
~
Date:
I:H;;-/, S-
f /
Comments:
~
See Nlain 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
~hit~ . - Bu~
Canary - Eng~~";1ng
Pink - Planning
BUILDING PERMIT APPUCATION DeeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WGNSnANN
Ill+. tJ5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/42 Gb P~~V/~W~.
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: ~ ,;J
~
Date: ~~/O S-
f .
Comments:
Set; MaiB-We
"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."
12/08/2005 THU 10:43 FAX 952 767 1900 GENZ-RYAN
~ 018/029
...~
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
()'.OOD~
(Please type or print ancllliKn at bo"om)
, ADDRESS
4 'l.V lP 'Mlr L V \f v\/ La YI.~ ~
~: =.. ?!,._.I PERMIT NO~
3.VelIDW """,_n ~
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT j BLOCK I ADDITION
PID
OWNER I \ ~ Pl/"f\(\!"I'" , f'\
(Name) \)\ J'L.-I' I..')\, I \/) {II I
\--\()n'L~
(phone) (115/- C,lC0- 3'70S
(Address) i gq5 rJ(CrlCL- f)v, Sic ';)00
c~ag C,l\ fVI 1\1
(Phone) qf)~ -7/J7'- (000
r.-..t::: ' .-",\"
..,.,J-;) I ,:J-r.'~'
APPLICANT (' n
(Name) uCVit.. - 1.<::..1),(1 Yt
.J
fa
(AddresS)~:J[j) W' t-h0U113 bllYn)vi lie ?J533-7
0f'ddress) (City) (Zip Code)
(Contact Person) )_ ~ C\\0 C .~. . f)(Lf) (phone) ClVj2- ~ tll ~7' ! g.~7_
APPLICANT SIGNATURE 1+!-.Q,k')U'i,{,A.J1V.f)Il,(Uv DATE \ \ I d-Cf ! O~
APPLICANT PLEASE COMPLETE BELOW
, K!NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS .
FURNACE MAKE AND'MODEL t-~ II nO'i h-=tQU {-I ,:;>-{ 12.... p-. ,-oq () FUEL 11(\ t - (-,.I~~'
FLUE SIZE RETURNOP~NINGS' ~ INPUT 'lO.:qoo OUTPUT -0-: lonG
TYPE OF SYSTEM HEATING OR POWER PLAN!'
OWarm Air Plants
OGravity
o Mechanical
JZ1Air 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
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$3950 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
S
t'AlLJ WITH
.5lBUtlDtNG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
, Paid
~EC 0 9 2005
ate
Receipt No.
By
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /LlZt." fJhe""/.'; LAtJC 1-1.11}, .
NATURE OF WORK fJ~ ~~Ir-&kCf7;~ u.t.~.". RM)-IftI7L
USE OF BUILDING ~ A.. .
PERMIT NO. {J U. OO~ DATE ISSUED a../ah.r
CONTRACTOR 1fJ6Jh'~~ ~B~ PHdNE~/.-_-~,/
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
FOOTING
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONC~TE UNTIL ABOVE HAS BEEN SIGNED
Ll ~L~~ ROUGH - INS
SEWER I WATER I SEPTIC I I
FRAMING ~c. Ii ffzvA,~
INSULATION fl3 o//2.~1 t:J;b
" ..
ELECTRICAL
PLUMBING l )-11" rffJ t.1rGuv
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
fh t//z.e,/o'vl
~ . fl21f~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'LAT/ltr / N6"'rllJftA~ I I
FINALS
,
GRADING (Prior to Sodding)
BUILD!NG
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
tv{/-
Jf!
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if' ,..j,. ~/ Y '..
, II
lA/l5.i/ (YD
I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J42v~ ~k:I"'~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
, INAL
o SITE INSPECTION
COMMENTS:
.. .(~.
(~i~$D \jfA1
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
( ) I
~j,'f e
, r;j J / TIME
~
(l) - 002..-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE WO(P
INSPECTION NOTICE SCHEDULED
~~V10
ADDRESS J<tL (, ~
OWNER CONTR.
PHONE NO. PERMIT NO. t; - eJo1..
~ -
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION ~EWER HOOKUP o FIREPLACE FINAL
o FINAL PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
n /J /J"
), ~ I~ l1..{)4
, /\( U 7'
ZG(~e lL~~(
. \
~RK SATISFACTORY, PROCEED
o CORR~~I07AN PROCEED
o CORRE~;RK. CA FOR REINSPECTION BEFORE COVERING
Inspector: j Owner/Contr:
CAL 1.~v.;,,50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNon