HomeMy WebLinkAboutBldg Permit 06-0198
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.s.IO,O(P
See Main File
WA,
(Please tYpe or print and sil!:n at bottom)
ADDRESS
A c...c..c...,~
'4~~ ~
.Po.rLv~Pw L ^,
NYv'
LEGAL DESCRIPTION (office use only)
LOT Cf BLOCK
OWNER
(Name) B<J. IJe.r
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) R~.s
Whitt,:
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 (, . 0 I qf)
ZONING (office use)
PUff)
ADDITION :5"e f-+<rS
Po"'; h-,-s t IJ).Jt lio,",
PID J..S"- I.{ 37- DO q - 0
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
(Phone)
.~c.. jel..... ~
h~I-l{O'.- 4400
bl~ - ~€. '1- 1'1 d l{
MN s-s'~~
We" ~ Mo."'.... j.1 cr--e <.
D~"t\.: (, ~ 5J..,,~-:Lj'
Bu:Y.-,,~ I 1<6'l~ flC\."Z-l'_ Dr,-v~l Sv: h. ~ .
(Phone)
(Phone)
TYPE OF WORK ~ New Construction l(IDeck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish }{ Fireplace
OAddition OAlteration OUtility Connection
CODE: ~I.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
B
S U
PROJECTCOST/VALUE $ 110 COO,OO
(excluding land) .
I hereby certify that I have furnished mformation on this application whIch IS lD the best of my knowledge true and correct I also certify that I am the owner or authol!zed agent Itlr the
above-mentwned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the hlllldmg
official can revoke thIS permIt for Just cause Furthermore, I hereby agrce that the CIty official or a deSIgnee may enter upon the proper1y to perform needed InspectIons
X ~~ tf ~l~ IY S-g 3-'1-0'
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
\'/L~/J 00 {) tOO 1
$/ Z/~9..5() \
$ 96$-, 19W' I
$ 105, s-o I
$ I
$ 10/),00 1
$ J 00 ,OD 1
$ 35.50 1
$ 'forOO 1
This Application Becomes Your Building Permit When Approved
~~
Building Oflicial
.s/ c:J.~ 10 6
Datl
$ -=.-l
$ /550,00 1
Water Meter Size 5/8"; 1'" . $ t I
Pressure Reducer Sa,..,~ ffi;'c \
1
1
Park Support Fee
#
SAC
#
Sewer/Water Connection Fee
#
$ /500, 00
$1 OO() t Do
$
$
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
$ (,. 4-'.3&'. /8
I' ReceiNo.;I,r ~
BY;; ,
~
Paid fA, ~.f r..,y
Date
ThiS IS to certify that thc requcst in the above application and accompanymg documents IS In accordance with the City Zoning Ordinance and may proceed as requested. TIm document
~~"""""' ~~'~ em"",." ;/;m7)~":""" ",,,..mom" ,,, 'See""'VIali\'UFile m," oc
~ Planning Director I Date Special Conditions, if any
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
While - Buildin9
(" ~anAry ~ Engineering..::>
Pini( - ".8nn.n9
BUILDING PERMIT APPUCATION Def,ARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t, V tlvJ;11 11 tJ lJ
"J./U.()0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/425 Z- PI1 rll< V I DtJ L,~.
Accepted rx Accepted With Corrections
Denied
~ Reviewed By: ~ Date: .3 .lj.o,6
Comments: St:~ #I./~ Filr
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.11
See Vlain File
~hite - Building----;
l,;anary - I:.ngmeenng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W et'J ptlt '" ,J
J.ju.O&
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 Z5Z
PA rLK V I f)(J /,~.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
3/21-/ ;{;~
Comments:
See r\1am~~ilf;
"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\llalll ~'Ue
White - Building
Canary - 'neering
~k :..Plannin~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ii'L \
Accepted
/
Accepted With Corrections
.P'
Denied
Reviewed By:
c;a~
,...
~
Date:
3ft'! jJ(p
Comments:
~fig., ...";' i,"; .~.
~ rw-atn .~'JI\;
"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."
4lJ 02,.
Date Rec'd
03/09/2006 TIIU 12:42 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
)wd5J-- H]/rkulf.LU Ln
i ::i.. ~:,,~, I PERMIT NO." - 19r~
ZONING (oflke use)
LEGAL DESCRlPTION (office use only)
, LOT
BLOCK
ADDITION
PID
&~e~R IVtJlf5rYYJJIJ/1 dJOJIflS CPhone)I.6/--C!05- 37m
(Address) / fqS P (I1ZW])V #:2!J() [ZL42/) UN B5)?:d-
- .~ I .
~:;~~ANT Ge.11L - 12-DIOJ"
! }.
(Address) ._7-00 \/V. 11\,,\/ fA
j.) ,(Address) )
(Contact Pcmn) <I') 1m J /'_ .
APPLJCANT SIGNATURE ~
(Phone) C1CJ1.- f(ff1 - {OOO
k'3 P>(/Lftl.1~\( die.- M N S'"J6?J7
(City) (Zip Code)
(Phone) ~-~7-- Iv!))
fi7/~ DATE 1/q //J(/
'---
Quantity
J
J
I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I 3
I Dishwasher I I
I Floor Drain I I
:3 ~ I Lavatory (Bathroom Sink) I /
i I Laundry Tray (lor 2 compartment sink
/ I Shower Stall
I I Sinks
I Bar Sink
3 ~ Water Closet (Toilet)
Type of Fixture
l
1
1
1
]
J
J
i
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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 $
.50 PAID Wrrn
RunO'NG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid
Date
MAR 2 9 2006
Receipt No.
By
24 hour lIotice for all inspections (952) 447-9850, fax (952) 447-4245
03/09/2006 TIIU 12:42 FAX 952 767 1900 GENZ-RYAN
[4] 028/037
CITY OF PRlOR LAKE
REA TING/AIR CONDITIONING/FlREPLACE PERl\lIT
Date Rcc'd
(Please type or print and sign at bottom)
ADDRESS ,/!!l
I L)~D?-
~. ~:~:n ~!~ I PERMIT No.6 - I Q f
:3. Ycliow ApphCll.."'It ~
p(Lrkl)/~U)
Ln
I ZONING (office
! use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~':~R {))pf)Gm!2J7,n ~/(}me5
(Address) ) yqr:; P/tlZrJ/ Dv. -tt2W
(Phone) U6j-Q{6-3'701
I
ll7jCftJU) MN 55/dJ-
,J
APPLICANT r 'f)
(Name) crCnL- k_LI(JYI
J
(Phone) qr~::A ~'7 IE? ~ 1000
(AddreSS)J"XO UJ. t-itJJL)i [~ 1.3WfV'fSvill-c 553'j'7
(Contact Person) K1 ~Addre~ (PhOne~Ciq~-70 7~ /OajOdel
APPLJCANTSIGNATURE (1::2-~ ii}A,ti2~ DATE -.....:J/q/tJU
. I APPLICANT PLEASE COMPLETE BELOW
)QNEW CONSTRUCTION . _p ~LACEMENT ,D ALTERATIONS
FURNACE MAKE AND MODEL JJ.XJC1LlX h--UO{Jn-31ll!?-aQO FUEL fiat-, (7zJ()
FLUE SIZE RETURN OPENINGS r/ INPUT ff1J)J) OUTPUT %IJ ~1i&..1J
TYPE OF SYSTEM HEATING OR l'O\NER PLANT
~arm Air Plants 0 Steam
OGravity 0 I-lot Water
tf,eChanical 0 Radiation
. 'r Conditioning 0 Special Devices
'cnl. Syslem 0 Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
-.~.......
.......,.---
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Resid.::nlial, Gas Fireplace
S39.50 minimum
S99.50 Residential, Additions & Allerations
S64.50 Residential, AC Only
539.50
Residential, Heating & Ale (New Construction)
Residential, Healing Only (New Conslruction)
Estimated Cost $
HEATING PERlvflT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
539,50
539.50
PAID WITH
aUILDING P~R
1: Mli
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
I Receipt No.
I By
I
Jluil<.lin!! Orflcial
Date
'0
i ~AR 2 9 7nnh
24 hOlll' notice for all inspections (952) 447-9850, fa): (952) 447-4245
DEPARTMENT OF See _Vlain File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
.
SITEADDRESS 1~~ P~a.~VI~ L^NS N.W'
NATURE OF WORK NEll.) c.oMST. I'~I &.. &.. F1,.a;s If. DEeIt.. No Poa.c.tf
USE OF BUILDING ~.F'; ~. _ .
PERMIT NO. ()r;;. 0 fCJB DATE ISSUED 5/2..'-f low
CONTRACTOR ~M~N Ho,t\q PHONE~CJ - I"'Z~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I 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 fE llft-O.,.-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
L~ (
/ ~
I Pit .1t~/~
~ ~~~l~_
/).~
/1/ t/ /2/6 r;,
I
~/ / :J'u
,. "
8 l~(f,
I v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
U\-:rHE" ~ \-\OcASE ~ fZ AP I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,.,
&:li
GfP
/ I
18/18/~
~ ;
.(
f/p. B~8.tJk
I if>
Itlh..~
. ,
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~~
TIME
ADDRESS
1~;tS~ PctT~4.lt\~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{p -/'i~
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
O'pLUMBING FINAL
!l MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
XGASLlNE AIR TST
o
COMMENTS:
l)\~A 1', G,
- - \
~ORK SATI CTORY, PROCEED
o CORREC AC;pJND PROCEED
o CORRE T W ,ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .lfl? <:;?...
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(~
SCHEDULED
~~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
() /J
~
c~
DATE TIME
~-~~
&-(10
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
)l4:0RRECT TION AND PROCEED
o CORR TWO K, CALL FOR REINSPECTION BEFORE COVERING
Inspe r: Owner/Contr:
(AL.kf,-9JO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Job Address IC./l (z n4f~i--
t
Heating Contractor~,.,..,7' ~r"'-
Name of Testerrf:" c,..
Date g lit /~"
Percent O2 7. 2 ~"
Percent CO !:/rr'~~
Percent C02 7, ~ %
Stack Temp ~2l...
Combustion air is adequately supplied per
UMC Sec. 606 J/~(
"/ '
~
Input