HomeMy WebLinkAboutBldg Permit 06-0200
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
3.,O,o~
White
Pink
Yellow
I PERMIT NO.O~ .02. 00 J
File
City
Applicant
(Please type or print and siltn at bottom)
ADDRESS
1'-I;}.Sb
ZONING (of lice use)
.pU S J)
P aA::.. V; eiN' L 1'\..
A/w
LOT 7 BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) a,""J
~u,' lelt.r
ADDITION 3ettr.5. P~,J. /=:-rSt Aj)<~+;oro....
PID ')5""-~))-oo')- D
(Phone)
l,.J b-.s /lAp.,.. '" J-l c r---..e ~
[) i>"" ^.-.~ R- SJ.. ;"\ ~ .-;L .--
~t}: Itt-"-j I &'lS'"" fI6"Z.t:Jf. D"-leV~\
Signature
Planning Director
(Phone) ~I- l.{ 06 --I.( t.( 0 0
(Phone) 6, ~- ?>6l\ - 7'7 ~ L(
.su. fc.. ~, E:~~...'\: /'AN SS,)..1.
TYPE OF WORK IXNew Construction MDeck OPorch ORe-Roofing ORe-Siding !)(lower Level Finish IS{Fireplace
DAddition OAlteration OUtility Connecl1on
CODE: ~I.R.C. DI.B.c. o Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S V
Division: I 2 3 4 5
PROJECT COST/VALVE $ "0 _ ODI1.1) {)
(excluding land)
~
~R'
Contractor's License No.
Date
I hereby certifY that I have hlrmshed mformation on thIS applicatlOn which is to the best of my knowledge true and correct. I also certlly that I am the owner or authorIzed agent fiJr the
above-mentIOned property and that all construction will conform to all eX1Sl1ng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke tillS permit for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns
9~ 1'2- 9-,.L~/....
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~~9-()t.
1113/. IJ d d ,D(J
$ / 2.!f:J, ~o
$ Bos, /DV
$ J, S. S"D
$
$
$
$
$
Park Support Fee
SAC
Water Meter
S ize05+:J", ;
$
$ 1~5f), dO
'5L1& ~~.J fit$'
I $/501!),DO
$ /ODO, d{) I
I ~ i
/;~~ ttJ.3.(,. /6 I
ReceiP(~. 57/YZ- I
By ~. I
()
#
#
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
100, i)~
#
Builder's Deposit
Other
100, DO
3S.5cJ
~O.~O
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
.
(, ~.3(,./y
~~
Buildlllg Official
3/Z,7/o~
Date
ThIS is to certifY that the request in the abuve applicatIOn and accompanymg documents is in accordance with the City Zunmg Ordinance and may proceed as requested TIllS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg complIance and alluws constructIOn to commence. Before uccupancy, a Certificate uf Occupancy must be
iS~ ~j;~ 3/27/c~ See Main File
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
tlo~ PRI~
~ ~
U t!1
~NNESV
SetMiMtt1ile
White . Building
c canary. Engl.ltlUlli'ijj:)
Pfril( . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{)J b)vJ ~l I'jN 1\./
S. /0. Oft:;;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4Z-Sb PItIC/~V(6lV t..-/J.
Accepted
~
\
Accepted With Corrections
Denied
~ReVieWed By: tn1f,
Comments: S~ Mil,'... I'l(
. Date: 3 -2.,/-ob
Set r"'[aiIJFile
"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 I\1ain File
~e - Build"liiiD
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(}1 G)uJ "11'7/J tV
.s. I 0 . 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 4z.5 G PffI4G(/lb--W ~fJ.
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~ if". /u.J
. Date: ~ 7~~
Comments:
See Nlaift---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."
S 1\,/1" FG}
~. . i " €), 'I!.. '. '
. ee it ,Q(41,;~.n .." 1 e
White - Building
Canary - EnQineering
~nK. - Planni~
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f.
, /- ./ 1\., /./'
/ c>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! ..:-/
/-' /
.-' (e:':
.' L i
Accepted
Denied
,/
Accepted With Corrections
r
Reviewed By:
~
~
Date: 3/z 716 "
Comments:
"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."
[4J 031/037
Date Rec'd
03/09/2006 TIIU 12:43 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLUM:BING PERMIT
i~~,~ ~:~ I,' PERMJTNO.'. ') A7\
). Yellow Applicanl D ~ ""~
(Please type or print and sign at bottom)
ADDrr~ ?) V
I I (l\-~
PJ y ku/~U) I~n
ZONING (affic,use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
. ~~~R IVtJ7f1yyy)ll dJ()fYtS .' (PhOne)!6I-QIJ5- 37m
(Address) I g;q5 P (112OJ Dr #-:J!J[) RJa2;;, MN B5J?:J-'
APPLICANT (\ ~ .'. 1) . J
(Name) lJ -eA~ 1- - ~ij Cd/'\
(Address) "LI-00 \IV.} 1-1I,'\J [;
I) ,(Address) -
(Contact Person) c:f'\ Jm 7
APPLICANT SIGNA TIJRE EM
(Phone) C/. Gi--I &r] -- IOOG
c3 Dt/LflI1~V I' (IG M N %337
(City) (Zip Code)
(Phone) 0f5lJ-7jp 7-//}IJ J
,~ DATE ~/q /IJ (f
Quantity
)
J
/
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity I
Bath Tub with or without shower I .3 I Rough-ins
I Dishwasher I / I Water l-Ieater
I Floor Drain I I I Water Softner
3 Ii!9 I Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I I Laundry Tray (l or 2 compartment sink I I Sewage g,jector
I I Shower Stall I Backflow Assembly
/ Sinks I Backflow Assembly Test
Bar Sink \ Lawn Sprinkler
2) P-I Water Closet (Toilet) I Other
Type of Fixture
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 #
PLlJMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.50
8U/,1 ~/O ~. rt-. ..
I..Dl^-l." . · , ,.,
Receipt No. -.;J PI2AM/~
By
I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid
I
Date
MAR 2 9 200e
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
03/09/2006 TIIU 12:43 FAX 952 767 1900 GENZ-RYAN
[4J 032/037
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGfFlREPLACE PERJ\1IT
Date Rec'd
(Please type or print and sign at bottom)
'. ADP/R.7(~S ~.. //1 .
(~/r1t-./V/ jJOv( K() !(U)
~.~:: ~:~ 'I PERMIT NO. t,.. ~
). Y~llow A?pll~( _ JIiI"" ~'-t' '--'
Lh
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
I
~:~R WPf)Q-ma.f),r; ~jO)71e5
(AddreSS)) yq;;; P/iJZLu Dv. -1t2(jJ
(Phone) L6/ -Q{J5-,37 01
01u(JU/ IJrN 55/d ;,1-
J
APPLICANT r= ')
(Name) ,,::TCrrrZ-- r<-JAOY,
,)
(Address),7"XO UJ ,t-A-u.JLJi [?~ B U.yV\svi I Ie 55?)'~-7
.. ...... _...n
(Contact Person) KI ~Addre~ ~ . (Phon~~7J~-70 7~ / c7~ Code)
Al'PLICANTSIGNATURE l ~ ~~ DATE3/cVo~
I APPLICANT PLEASE COMPLETE BELOW
JONEW CONSTRUCTION '. . C ~LACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL lfjjrJflX (fU() JH-31L1PrfLQO FUEL LJdf; Cizl.o
FLUE SIZE RETURN OPENINGS r/ . INPUT ff(11) OUTPUT to U; It/)
TYPE OF SYSTEM HEATING OR PO'vVER PLANT
~ann Air Plants 0 Stearn
OGraviry 0 Hol Water
~echanical 0 Radiation
'r Conditioning 0 Special Devices
cnt. Systcm 0 Othcr Devices
0(-1 '7' '::-'7 /0 "'0
(Phone) ,-!'jO\- UJ - UI
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side 'Yard
Setbacks
FJREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job COSI Residential, Gas Fireplace
~39,50 minimum
$99.50 Residenlial, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Constnlclion)
Residenlial, Heating Only (Ncw Construction)
$39,50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
5;
$
$
,50
8UIL~D ""'7H
G P12AMrr
(Office Use Only)
This Application Becomes Your' Building Permit When Approved
nlliJdin~ Official
Dale
Date
-MAP. 2 9 ZQ06
I Receipt No,
1 By
I
I Paid
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS II(';'SIiJ 11f~~ Y/~ L~ MAl.
NATURE OF WORK IJG1.J ClWSr, '1tJ/4..L. Fi~Ii',., ,".J)€rlClNo fb./l.(
USE OF BUILDING S. ;:; A . ' I ,
PERMIT NO. oCt .02.00 . DATE ISSUED 3lz. 7(0" -
CONTRACTOR v.lfJU~~IU~ t+Dft\.f:S'" . PHONE'tZ -"'I.' - "'ZI(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING WI) 7- tj-ffl
INSULATION f~ 17J?t1~
ELECTRICAL I I ~
PLUMBING l~fi u"ki / i A I
HEATING (if required) PI? I 7/er j)'
FIREPLACE .-,. II I "1 . _
GAS LINE AIR TEST lfP tt/22./tftI
COVER NO WORK UNTIL ABOVE HAS BEEN/SIGNED
lur/HE 'Ht:JtJSrwttlf,tl I I
.
FINALS
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
l\ ) AI fJJ j)
fl/J ~
(~
OCCUpy UNTIL ABOV-E""HAS
NOTICE
, -
i~ (J c..
I 1
?/ j)J2j ~
BEEN s'lGNED
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
@erfifirafe nf <IDrrupaur\!
CITY OF PRIOR LAKE
~nlli perrnille~tpn:::::it:~a~cu:.~;::r~ "r1::;: (/
! l
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 Classification ,'-:/ Aie; r... E F/-i /' / I [~l Bldg. Permit No. ((r. { 2 C (;
v~ V/J I~(S'/
Occupancy Type _ ^ Type Construction Zoning District ,/ _
Legal Description _
Owner of Building
/1-25:-- Pr-t/cK. VIet v L/iJ.
Site Address
--=,
/IIIJ-- 11~/,')'\I-I(I'i'---I'-
Contractor's Name & Address v - ,v / II' 1 '11 r . v_,
- .-:. ";/
;\ ( I t I,-.T /../ I hie j-/ / 1 ~\ j~ ' Ctty Planner
Building Official V V
\,T/I/ "e /C//!l0J16K
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
mt.;~ G?skUtt~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMM~NTS:
" fJr4\hc~ ~Q,aJ.r\D
DATE TIME
crJ~oY
,. ::co
o EXIGRAD/FllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
hGASLlNE AIR TST
o
,~ { .~~ -
( () ") (
('\O~ ~ -\) ~
Inspecto : J Owner/Contr:
CA _ 447-~JO F95rlHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/NSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS lL\2.S~
tJ~kvl~ Lv.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
n 0 INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
tx. PLUMBING FINAL
o MECH FINAL
COMMENTS:
() /J 1
,. /KP~_J~~~ lJ4M
L-.G(~ - C\~ tJeJr
~"t~
TIME
Ct>-o~~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
}x CORRECT ACTION AND PROCEED
~ tORRECT ORK, FOR REINSPECTION BEFORE COVERING
Inspector: /'7 Owner/Contr:
CA L 447lfs~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
---\1""--- INSNOTl
",-- ,
Name of Tester 2.:..i:r .
Date ~I 'J /0 i
Percent O2 7. Z ~
Percent co ~.A
Percent C02 7 11 ~
Stack Temp ? Z 71;)
Combustion air is adequately supplied per
UMC Sec. 606 yef"
Input . - -