HomeMy WebLinkAboutBldg Permit 06-0178
(Please type or print and sign at bottom)
ADDRESS
I 4 ~ '16
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3 _ 3 - 0 (0
See Main~~elil1fllPERMITNO. /y_ O/7a.
/J ~ 3 Yellow App1!tanl 'r \..<lP. fL..-
/"1 C-Gl... c.. \ 0\.
ZONING (office use)
PAr-I::.. V,'ev-/
Nw
PUJ.L)
L^
LOT' I BLOCK
LEGAL DESCRIPTION (office use only)
PID ~,)- 4~7-011-()
OWNER
(Name)
Bu.~'Jtr
(Address)
ADDITION 'St.tt~r.s p",..J 1='.'r!} AJjt h't'r\
(Phone)
BUILDER
(Company Name) Wt..,..S M(U\^ f...tD~$
(Contact Name) ~^:.~ fl. ~n.,tkr
(Address) eWS Bv:\JI"~', 1,2q.s- PIA'lA f).,..,'lJL I 5v,'"k ~Ol
brl -l{ot~ '-1400
bl~- 3'~ -/q).~
MN 5 S"' I ~ ).
(Phone)
(Phone)
~~-
TYPE OF WORK MNew Construction 3[Deck OPorch ORe-Roofing
DAddition OAlteration OUtility Connection
o Misc.
ORe-Siding ~ower Level Finish ~ Fireplace
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also celtify that I am the owner or authonzed 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 can r~=t;"jUS~u~:, I hereby agree that the City official or: d~g; ~aY enter upon the property to per: need; m,:o~ b \"-..4
Signature Contractor's License No. ~. Date-- ',.,
cf /31. 000. tJ 0 Park Support Fee # $ ~-~)
$ J~O SAC # $ /~S'6~oo I
$ i>~S". b~ Water Meter Size5/SC@ I ~tu. $ ~c: /ltAi~
$ " S' , 5 () I Pressure Reducer FirL 5 ~ $ r:==i' ~
$ I Sewer/Water Connection Fee # $ J 500. Do
$ /~(f)."O I Water Tower Fee # $ 1000.00
$ I a 0, () f) Builder's Deposit $ .
$ 35, 5"'0 Other $
$ 40. (Jo
CODE: fgJI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
E
ill IV
H I
2 3
A
R
5
PROJECT COST/VALUE $ J 10. noo. 00
(excluding laDd)
B
S U
V
M
4
II
F
1
I TOTAL DUE
$(" +3~ .Ie
.11
~;:ttNO. SI/7a-
(; .
This Application Becomes Your Building Permit When Approved
~~
Building Otliciitl
3/2../ /o~
, Datc'
[ Paid
I Date
/'"
to ~Jt.lo
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
:~gned by the City :lanner c::;:es a;e;:;.or~ Certificate of zon~ing compliance and allows construction to coSmmence. Before~occupancY, a ~Crtificate ~cupancy must be
'8~ ~ 3.2... _a" ~_.ee ;-i"-:
Planning Director ' Date Special Lonlb 0, r:!!-- e
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
Canary -.. En~rlg<
Qln~~ {Pla,:u'driy,"
BUILDING PERMIT APPL.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!J)...;J/!t,> /iJ'1Ct~
""3 "? - 010
""..
APPLICATION RECEIVED
-...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
_..t- )Ll'~L/~ ~p~U~U L/V
.-.
'"
Accepted
/
Accepted With Corrections
...
Denied
Reviewed By: ~
('
~
Date:
3(2//0 fa
.
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."
\
See ~Main ?i~e
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11J~/YYJ~
"3" ~-oto
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
} Lj ~ L/~ 17 ~C>>-iUV L;v
Accepted
t/
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
31 Z.l /a l.o
. c
Comments:
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 Main File
White - Building
c::.t-anarv - 1:!'"D,neer.ftiI)
Pink - Planning
BVltptNG {)E~"n:APPLlCATlON DEPARTMENT CHECKLIST
NAME 'OF APPLICANT
APPLICATION RECEIVED
~/YYJ~
"3~ ~-olo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
) LI a L/~ 17 ~(M..(UV L/V
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
5t~ /11,.;" Ft1c.
Date: 3 -la.."~
See MainJIDe
,UThe issuance or granting of a permit or approval of plans. specifications and
/ compt.ltations 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
presUf!ling to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid..
03/09/2006 THU 12:38 FAX 952 767 1900 GENZ-RYAN
llJ 012/037
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rcc~d
(Please type or 'Print and silln at bottom)
ADDRESS .
It!~L/(P PfLrklJ/fUJ Lh
~: ~~~n ~~ PERMIT NO. /_. I-7d
3. Yen.", Appli,..t " , , Q
ZONING (of/ice
use)
LEGAL DESCRIPTION (office use only)
LOT BWCK
ADDITION
PID
~~;,R (j)P ll2trJiU11J qJ()roes
(Address) I fCjI) Pw)/ ]))/. -tt2fj)
(phone) f/5/-q{J5- 3-701
IZ7Ja[!J) tAN 551;):.'--
J
APPLICANT r. n
(Name) ~_::ren1_. - I.e.. \ .A (J n
J
(Address) t') t//-J.....
(/'o(~U
W. t-tWv1!~
. ./ ' (Address)
/JIm /
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
_.. . ..
..--.-
Industrial, Comlllercial & 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
Residential, Heating &. A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
DlJtW'NG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
-Paid
~ ! ;Receipt No.
nuildin20Hicinl
DIle
Date
MAR 2 3 ZOOS
;By
14 h01l1' notice for all inspections (952) 4i47~850, fax (952) 447.4245 'u
03/09/2006 THU 12:38 FAX 952 767 1900 GENZ-RYAN
14l 011/037
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sism at bottom)
ADD{L!~tJ& RJi'kUltLU Ln
1.lIlue F;I. I PERMIT NO.r, .n-1J I
2. Gold Cily
3. Yellow Applielnl
ZONING (office use)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PlD
OWNER / I 1/J/I1Oh/"'\l0 . I /
(Name) )JU /61 / ,AJI)/0 qJ{)Jf}J~
(Address) I gtl5 P II1ZCu])r: 1t-:20()
(Phone)IhI-{!a5- 37m
RJ<<!;J. MN ~J?;)-
~:~~fANT be.111~ - ~&j aVl
(Address) 21-.00 \IV.) !-h,,\/ fA
f) ,(Address) )
(Contact Person) 1") JrrJ . j /. '
APPLICANT SIGNATURE FfSL1yj
(Phone) QS7_- ",(f1 - (ODe)
k3 B{A_fl-Vl~V die.- M f\/ S5337
(City) (Zip Code)
(Phone) OI5J?- ~ 7---IOti )
~~ DATE ~Jq/()(#
'--
",:..)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity I
Bath Tub with or without shower 3 . Rough-ins
Dishwasher I Water Heater
I Floor Drain I I Water Softner
I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
, I Laundry Tray (lor 2 compartment sink I Sewage Ejector
i Shower Stall Backflow Assembly
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
Type of Fixture
Quantity
I
. J
I
d-'
FEE SCHEDULE
Industrial, Commercial &. Multi-family 1% of job cost with a $39,50 minimum Residential, New One &. Two-Family $99.50
Residential, Additions &. Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
dOING PERMIT
(Oflice Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date
MAR ~ 3 1~a6
By
;
24 hour notice for all inspections (952) f4vJ9850, fax (952) 447-4245"
PRIOR LAKE DEPART~ENTOFSee Vlain File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J!I"'~" J/ieIAJ I"AJ-IC JJ'~I
NATURE OF WORK IJ€"' ~.~ .l)1'IL})Jo I"dllCH
USE OF BUILDING . · A. , J.
PERMIT NO. ()G .0/7 Y . DATE ISSUED 3/'" '/'!'- .
CONTRACTOR ~ .,..S~ f.W It\R 11Je. PHONEGl!J. -31."- 79l1.f
NOTE: THIS IS NOT A PERMIT FOR ANY bF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL / 1
PLUMBING tJ/~I.;J(f/ ~/t~/tJc, ~ I
HEATING (if required) p tlf c. A I ~
FIREPLACE /? ,"" f
GAS LINE AIR TEST I/' tJ 8 tp
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
../ lY/ItI€' ~ H~'tsclJlP ~~:r,l'# ~~/..6 I
/ FINALS
GRADING (Prior to Sodding) I ~
BUILDING WI)
ELECTRICAL j
PLUMBING .ili 1/~0"
HEATING I VlJ 8-ft>-a;
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.
plJ tkrfa
r"t ' ( -r.ft.
g-ro~
I
FOR ALL INSPECTIONS (952) 447-9850
(.",j,,,..;.
@~rfifitaf~ of @ttupant\!
CITY OF PRIOR LAKE
~tpatfmtuf nf ~uil~iug Jfuspttfinu
~Final Permitted
D Conditional C.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 vario,/s
ordinances of the City of Prior Lake regulating building construction or use_ For the following:
Use Classification ....5/.-'v6;t...E; ,t..-rll"'lll-l/ Bldg. Permit No. O&.l.4l'tJ "~
Occupancy Type );:!:? Type Construction_ V IV Zoning District rJ USo
Legal Description L /1, e I IE F FE.. I:::..J P () NO I r'I
Own81"of Building _ Site Address J 42 -1& PH Ie;; K (/ 16 I V L-I').
Contractor's Name & Ad. dress Irt /VflJ.lr~. I ?~(J/-;t-:;
k':.-t) tJ DCT U )/1/ lUll A/r. I/SJty Planner ::r II /1/ E IGrIlJ./ 1& K....
Date: .,> ) (() - 0 (;lding Official ..,/ Date:
POST IN CONSPICUOUS PLACE
,.
CITY OF PRIOR LAKE
INSPECTION NOTICE
~HEDULE. 0 1~
VU(~
-
TIME
ADDRESS llf2 C{ Y
OWNER
CONTR.
PHONE NO.
G,-/7e
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
kFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
/g'~~
.,C
COMMENTS:
A I /1
(I (6yf t1 A(
"-/
( ) JI
-\:b
.~ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRE K, CALL FOR REINSPECTION BEFORE COVERING
INSNOTI
...
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I ~ 2lf~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
,
..
SCHEDULED ")~~
Vl&oJl-e '<-1)
i,
"
CONTR.
PERMIT NO.
6 - /79
o PLUMBING RI
o MECH RI
o WATER HOOKUP
O~R HOOKUP
~ ~!:~_BING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/.
/J /J"
J . ~ .e. -"'-V -'-> r .:.- t
2. G:::> l\)~ Ck...- o,Jc
(~
J
~
I
"'-
'"
'"
\
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORR,- WO"LL FOR REINSPECTION BEFORE COVERING
Inspector \ J <~ ./I Owner/Contr:
CALU4&8~ FoITHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUJ~NTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
_OTl