HomeMy WebLinkAboutBldg Permit 06-0176
(Please tJ'1Je or print and silt11 at bottom)
. ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
A~L\a
3 . 3-Db
See ~ain~FikRMITNO. /l/ /1
3 Yellow Applicant t ~ (/(P . () J 7 'Pi
ZONING (office use)
t 4~4 ~
PA""'=-V'~~w' L^~ ,AJw
pus 0
LEGAL DESCRIPTION (office use only)
LOT' 3 BLOCK' ADDITION "Set(trS Po~ J:: rs +- ;:J.JJ. ~ l '~D^
OWNER
(Name)
13 CJ'~ \Ju-
(Address)
PID ~S"- C.{31-0\'~- 0
(Phone)
BUILDER
(Company Name) W~S ~"^ J..lo~e.S
(Contact Name) D '^ ^; S P- sch^f.;k,.-
(Address) R.~.s 8v;ll:"j I J~~ PJA"Z...A. ~r"vt.. J $v:-k )OOj
(Phone) hs, -1I 0' - l/l.{ 00
(Phone) 'J.\.- ~b '}- 7 q~l(
~G." MV s-s'~)..
TYPE OF WORK !X'New Construction ~Deck o Porch ORe-Roofing ORe-Siding ~Lower Level Finish IStFireplace
OAddition OAlteratJon OUtility Connection
CODE: rxlLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $ lJ 01 00 Q. 0 0
(excluding land)
I hereby certifY that I have furnished 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
;cial c~v= ~m~r jus cm:e. Furthermore, I hereby agree that the city official or a d;si4;agnter upon the property to perform 3~ed ~nsp:ti~s,
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/3/.000,80
$ I~()
$ YlIJ ~ . lD(j'
$ ~5.S'o
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$ lS~o.oa
$ ~\
<::' i::.C- ~I N
$ -Ai-I: I
$ l!j()o, tJO I
$ IOOO.DD I
$ I
$ I
$ (,/~3('. /~ I
I Water Meter Size 5/8'(;,) / ty..e,C/1"
Pressure Reducer nfL. r u,lJlT:S'
Sewer/Water Connection Fee #
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
100, () 0
/D 0 ,00
35: S-"
~(),tJo
3/t! /0 ~
Date
"
Paid (, 4- .3t, ./ r
Date
/J
'iPtNO> 5111tJ-
This Application Becomes Your Building Permit When Approved
~~
Buildinj! Ollicinl
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
~~'~""~?;."~~ c'm'~"m~7;;70:' OID",~'_ .oroSee= :w> .~m"~"pro:~ m"'~
Planning Director ' 'Date Special co~any- 'ire
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
(\Vhite--- Bull~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLlC.ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/~ ),tYJto./fl/~
3'~-OCo
The Building, Engineering, and Planning Departments have reviewed the building permit
applk:atlon for constr~;~ a:;; which isp::;~ /~ LA!
Accepted
v/'/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
Date:
3/2,//0 h
, I
See Main lille
"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."
, ..~.,- "....,..- oor-'--c'O'.......--.. ....,--
/'
S@@ Main File
White . BulldlnJl--::o
~"""'ng )
· .. PInk . Pli'iiiiTng
BUILDINGP~MIT ~PPUCAnON DEPARTMENT CHECKUST
NAME OF APPLICANT ?(}~./111~
APPLICATION RECEIVED 3" ~ - 0"
The Building, Engineering~ and Planning Departments have reviewed the building permit
appl~lon IorCOnst);~~whk:I1iPJ~/~ LtJ
Accepted
"
Accepted With Corrections
Denied.
Reviewed By:
hWJ,
See. 111.,'... A1e
. Date:
l"'lo-o~
Comments:
See
"The issuance or granting of a permit or approval of plans,specifications~d
computations shall not be construed to be a permit for, or an approval of, any viorltiol'1bf
any of the provisions of this code or of any other ordinance of the jurisdiction. PeiT'ttit$
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shalt not be valid.R
1'+
;......----
t::~~
.., .
,iI
l
..
~ee Main File
White - Building
~ - ~nqineerlng .
~... - Plannt!!l>l t' (,
BUILDING PERMIT APPLlC.ATION PEPARTMENT CHECKUSI
NAME OF APPLICANT
/ /) . ,,~ .... ",,1..1/.f ,,)\ ". )
0_ y...//'/J,/,~ / fi.e.t 1./ V\...../
-) '2 )(
-~ . ') - (... ,~
..
. APPLICATION RECEIVED
..-----
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/7 l/:J. /"'/)rLk(j-l~J L/J
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~.:,~
Date: 3' h. / /0 (.:,
Comments:
See Main 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.1I
03/09/2006 THU 12:37 FAX 952 767 1900 GENZ-RYAN
I4l 008/037
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
(Please type or print and siltn at bottom)
ADDRESS '.
)J-/;)/-/~ P(})/~k(JlttO Ln
I. rink
2. Or.."
3. Ycllo\v
~~ I PERMIT NO. /.. . MI;;;.
ApptiUft1 fI ".,
ZONING (oUke
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~'=iR UJIJ7>>1la;1J1 (]Y;)ty)(!:;;, (Phone) (pS7-t/()!) -::Jlcq
(Address) /9tJ!J P / ti2tl !dr. #'2to (;;;(Ja~if) M!,( :S5Idd-'
. ~ I
APPLICANT t:...--,. ri ('r ^i ':'7' -7-/0 '0
(Name) <"':::1 en?> 'C.LI (,1 y, (phone) "'/)(p, l() C
..J
(Address)~:1 /)/'{"I I I '\, r--tWtA l'~ P \! f/IIIC'V: II'. TP?j-7
t?v,7'{}J VV 'I - .:)lJ\....1 '\,,) I C ,_ _ _ ".
/) \ (Address) (City) (Zip Code)
(ContactP,rson) "P)/tf) ~~ "4:] r;-. (phone) q-5d-Ml.~/!fJ~
APPLICANT SIGNATURE _ ( 'f:?f/Jr) rv~~ DATE --:eJ!J/O(/)
--~----,: -----~-
APPLICANTI)LWE COMPLETE BELOW .
~WCONSrl)l1~JON . DREPLAC;9~~~t ;Q"!,ALTERATIONS . '\
FURNACEMAKEANDMODEL LV )l1(~Y bL/()()fr-::;{II3--ujq FUEL/f'a~o
FLUE SIZE RETURN OPENINGS L/ INPUT 5 J' !.L'-) OUTPUT Xl)~,L)
TYPE OF SYSTEM REA TING OR PO\o\TER PLANT
jwarm Air Plants
Gravity
echanical
ir Conditioning
\1.ent. 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
Ind\ISlrial, Commercial & Multi-Family
FEE SCHEDULE
i% orjob cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
S39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAID WITH
au'WOO PERMIT
(Ortice Use Only)
This Application Becomes Your Building Permit When Approved ! l~ .'0'::: : c" .,' U; \1 i.R.Fceipl No.
j I' r 1_' .,11
: ',"Pate . ay
Iluildinl! Official Dale, ,:. i i MAR 2 3 2006 .
t:!l \
24 hou!' notice for all inspections (952) 447i~8S0. fax (952) 447-4'245
i: ,'_-~
FAX 952 767 1900 GENZ-RYAN
I4J 007/037
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(phone) qr:J1.- fin -
FSL-ttl~1('VI'{IG MN
(City) (Zip Code)
(Phone) q'5JJ -7dJ7-IUJO
,~/Q/O&
Ig/~2/
7C
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
I Bath Tub with or without shower ""3
Dishwasher /
Floor Drain I
Lavatory (Bathroom Sink) I
/ Laundry Tray (lor 2 compartment sink
/ I Shower Stall
J I Sinks
Bar Sink
&- Water Closet (Toilet)
(Please type or print and sign at bottom)
{L~Slr~ ~/)ClJk()/~UJ Ln
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~~:~R U )ift]y)OJV0 9J Ome6
(Address) /XQ6 (J falw 7)(. ~#20() l:;MaJ7
~ . J
APPLICANT (1_ D.
(Name) ae,111:.. - ~&l avl
J .
"/ <'10 -. 'l\)l l-h'
(Address) .~1- (j \'. /\/ fA
(Address) )
..;?'
(Contact Person) '=t\ j rY",) ( /,
APPLICANT SIGNATU(E ~1?'7
k~
Quantit.y
)
'/
)
OL
I. Blue File
1. Gold C;IY
3. Yellow Appli.'n1
PERMIT NO.~ ./7"
. ZONING (office use)
PID
_ (Phone) &</- Q(/5:'- 37{ff
frv1 N ~rn /{J;),
{ ODO
r~~I?'7
.-:J ._x5,_1
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Ii'EE SCHEIlULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residenlial, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
t\\IO WITH
BUttDING PERMIT
Receipt No.
Building Official
Date
Date
MAR 2 3 2006
24 hour notice for all inspections (952) 44!7-9850, fax (952) 447-4245
~ ....
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1~4/tA I?IA~ YIE)) l/fK4' ~U.
NATURE OF WORK CMWr. ~'.L. JI1)iJirJl - ~ flitcH
USE OF BUILDING S'~ A . . ' -
PERMIT NO. ()~. 0/7h DATE ISSUED 3J:z.' Jo"
CONTRACTOR W~~~ ..~, PHONEiJ'Z.-3,.,- my
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OFSee "Main File
BUILDING AND INSPECTION
+
INSPECTOR
DATE
J FOOTING I
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, 61 tS ~;;(o /a f(J
~ ~'/,"h,t
/ /
tI Vv I~
(7IJ GIr~
I. J
(liP 8-3
-
COVER NO WORK UNTIL ABOVE HAS BfEN SIGNED
I LI\TflC -I I-NJJlSncJJI/ftII ~Ii<'~ '~Pb I
, FINALS .~.~,\4,~ 1t'~jJ
GRADING (Prior to Sodding) 1/J!tJ
BUILDING #f/J \ 8':-'.5 - ftJ/
ELECThlCAL
PLUMBING
HEATING
DO NOT
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICA~ ....., / ,
PLUMBINGIY/O,JItfIf S;'l1p~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
c; -- :x /'(//.;
..f1J ~#~
.. --==)~
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
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
dIerfifirafe of <IDrtupaurl!
CITY OF PRIOR LAKE
~tflatfmtuf of ~uilbiug JfuSflttfiou
~inal Permitted 0 Conditional C.O. Expires_
'l"
This Certificate issued pursuant to the requirements of Section ii 0 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 Classification . .5/ /1/6; L C ;:::ri/"II '- V Bldg. Permit No. ()C: , td 7(.,.
Occupancy Type _ /C 3
Legal Description ----.L /3 I
Type Construction.
Zoning District
l.r,
JE rr EK..f /JtJIVO
I//J
PU$.D
e/.
,
Owner of Building
1;
Site Address
14242 prlK.,J~,VtEN W.
Contractor's Name & Address tll E NfI"Jr/ Iv ~ , /tlJ 1/65
jCj/3'Oi-7 L1 fl"'lC--flltJS / (!/) City Planner
# Building Official U V
Date: '1 ( / Date:
'/
...:r A IvC K../INf/ 6~
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS )!JZ I.j '2..- ~\ """'-)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NSULATION
,.zr FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;a MECH FINAL
COMMENTS:
ij}t
TIME
, ~ -- /{})?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o ~EPLACE FINAL
~ASLlNE AIR TST
o
n. /11
. fl. (/f ~
~~~A \1 ;U
":l'!-WORK SATISFACTORY, PROCEED
o CORRE AND PROCEED
o CORR CT CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
InspedQ :
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
1L/7_47-
.J
SCHEDULED ~~2'~
Qk\ll~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(o-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
D.
COMMENTS:
~~....- K-8 ~~
o WORK SATISFACTORY. PROCEED
~ORRE CTION AND PROCEED
o CORR CT I CALL FOR REINSPECTION BEFORE COVERING
Inspector ~ Owner/Contr:
CA~ IsS50 FOR .,tE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE ~~UlRE~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ lNSNOTI