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HomeMy WebLinkAboutBldg Permit 06-0004 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Mai.nJ1-'ile (Please type or print and sign at bottom) ADDRESS A c..c.. L~""~ 14~lO Pc,.r~ ""tw L IJ Nw LOT I BLOCK I LEGAL DESCRIPTION (office use only) OWNER (Name) (Address) BUILDER (Company Name) (Contact Name) (Address) t Jot .~ Bu: lJt'r ADDITION 'Se.{./..(~s. Wei'"'S Mp.4"\~ ^ '. U ~,...". :s Q. J..l 0",,- ~ <:. .Sr),^~ ,Llu~ B...; \cL"'j Date Rec' d 11.'4. oS- White Pink Yellow PERMIT NO. OG.ooi?4-1 File City Applicant ZONING (office use) f()rJ F"ors -I- AJL.....,.'o'"' PID~5"- 'i ~7..()Q\- 0 (Phone) (Phone) b5"J - 'i 0 ~ '- f../ '10 0 (Phone) bl).- 3lA - ")q;}tt ~tIL~~.- /IAN S Sf;} ~ J g(l~ pJ"..') A (\r'JL1 .s""~ ~O~ TYPE OF WORK iii New Construction lXoeck OPorch ORe-Roofing ORe-Siding RiLower Level Fimsh ~ Fireplace OAddition OAlteration OUtility ConnectlOn CODE: ~LR.C. OLB.C. Type of Construction: Occupancy Group: A B Division: I E III IV H I 2 3 V M 4 o Misc. A R 5 B S U PROJECT COST/VALUE $ j '0 OD().OO (excluding land) , II F 1 I hereby certily that I have lurOlshed 1OformatlOn on this applicatIon which is to the best of my knowledge true and correct. I also certIfy that I am thc owner or authorIzed agent for the abllve.mentloned property and that all constructIon will conform to all eXlst10g state and local laws and will proceed 10 accordance with submilted plans. I am aware that the buildmg nfflcial can revoke this permIt for Just causc Furthermorc, I hereby agree that the cay official or a designee may enter upon the prOpeJ1y to perform needed mspectlons X __0,.......: tL QrL~ 14S-8 " -B--D.s- 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 ,r/3/) ()O(j, () 0 $ 1dJ..~9. $""0 $ ~, h8J $ 105', 5"0 $ $ $ $ $ lOt), () d loo~{)a 3s-: 50 411. ()~ I ~n B~dlngp=" W/ren Appro,,' -O(~(OS 13ulldll1g Ofticial Park Support Fee SAC $- # # $ 1,a5(),~o $~' Water Meter " , Pressure Reducer $ $ 1500. {) 0 $~OO $ $ $ c,.4~. /8 i" .' Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE / Paid ;; ~J (, 16 Date 2.. Z- 7. .. (; /' Rece~o, ~/ 12---6 "l ThiS IS to certify that the request III the above applIcatIon and accompanY1Og documents is in accordance With the City Zoning Ordinance and may proceed as requested. TIllS dllcument when signed by the City Planner constrtutes a temporary Certificate of Zon1Og complIance and allows constructIOn to commence. Before occupancy, a CertlfiCale of Occupancy must be '~ ~ /z/~/(fS- See Main File Planning Director '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 'Vla~" . . l'! 1. " ~'t'~ File White - Building Canary - Eneineering ~k - Plannnlg:> ""=- ~- 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: Accepted / Accepted With Corrections Denied (' Reviewed By: ~I., ytL~ Date: g-/;t./~s- / ' Comments: ~ r.. "l" !\ if ,n~ ~ _ ~.: I ~ ~ I.ITilnl ~ "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, 6:l..'.; ~.~:'\: lairt T~'ile C White - B'lildin~ cana'fy- Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHt:CKLlST NAME OF APPLICANT APPLICATION RECEIVED /AI 6llrn 4 rJ Ai / I. /4-, 05 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /427 0 PP/UCV/~W L--~ . Accepted / Accepted With Corrections Denied Reviewed By: ~~ Date: ~~ , / Comments: "..\tlamJille'''.....'..>> ' ~.' ~ A '. ,<1 '" . \'1-..".... ,c' ...,., ,j , ~ ~\ . .,~,!I,' .,' ,. "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 White - Building ~anary - EnglneeFlnse> rnk - t"lannlng BUII.DING PERMIT APPUCATION DeeARTI\ENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ?tJ 6 ;V FI'7 ~ ;J AI //./+,05' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14-210 PRIGK- t/IE~1/ t-tJ. Accepted Denied )<. Accepted With Corrections Reviewed By: Comments: Mtb $t,c", IYlc,,'''1 1=;', ( Date: lI....Z$-OJ See~ 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 12/08/2005 THU 10:40 FAX 952 767 1900 GENZ-RYAN 1aI 009/029 Date Rec'd LIT1:' OF PRIOR LAKE PLUMBING PERMIT t:At:J'I (P1nse ~ or Print Illd sian at bouDm) ADDRESS . L.l2l0 ){)J tv i p V\J Lfln t/ i ~~ ~ I PERMIT NO'" ~, .' J, yon- AIiPIk:oM IiII' ~ ZONING (olllae,*) LEGAL DBSCRu:- uON (office use cmly) LOT \ BLOCK \ ADDITION PID . &:R [ JUft'S \ry)(l Y'H'l \1nn'lC5 (Address) I ~q0 PIG\70... Dv. ~ ~) APPLICANT f\ _ 1) J (Name) Oe.n'l-- ~JaV1 (Address) 21-00 W. I-h.'\/ IA L3 ~f~ M.N '7-;l":)~~37 (Ad";~ (City) (Zip Code) (Co.tad Person) k(J...v<\ r ~ II ~ fY\ 1lV\ (Phone) CM 1- llJ 1- } X:"i 1 rLlCANTSIGNA~Ov'-'\()\1"-nUr\.l.Ll(C J DATE ~ Dl~O~ APPLICANT PLEASE COMPLETE BELOW Type of FUture Quantity Bath Tub with or without shower . I Dishwasher \ I Floor Drain ~ ~ I I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) (phone) (tf5i-Crf5'~ 37tH PO 0\ IlV") rvl N '75 i J d- J (phone) q02- ,lJi1 ,.. {ODO Quantity I I I 2 I I I Type of Fisture '1. Rough~ins Water Heater WaterSoftner I Stand Pipe (Washing Machine) I Sewage :&jector I Backfiow' Assembly I Backflow Assembly Test I Lawn Sprinkler I Other ' ~l!i)!;Sl,;.tl.I!;DULE 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 t J!.J.UWT FEE $ PAID WITH kt)1NG PBNT (OIDC!C! Use O.ly) This AppUcatJoD Becomes Your Building Permit When Approved :, '" IPaidf'- i U, l_~_] I,y-~ i ! -.I '~j Receipt No. .,1 :_~, IBy ;) Bulldinc omcial Date!:' Ifj~c 0 9 2005 14 hour DOUce for all inspections (952) i9~O. fax (952) 447-4245 [!2.,>~_-n_. 12/08/2005 THU 10:42 FAX 952 767 1900 GENZ-RYAN li!J 013/029 Date Rec'd L1TY OF PRIOR LAKE SEWER AND W A lJiil< PERMIT ~-oO()'1 Q1.eaae t'{I;!e orrniDtaudlilmlt., ,,,,,,) 14ii 0 P(ifl(...~1 (vJ La n e / ~ =... : PERMITNO.~ ,. Gold AppIlant ~ ZONmG (otIlce1lle) LEGAL DESCRIPTION (otlice use only) LOT , BLOCK I ADDITION pm '~= II lfl0S, \'YvlY\vl \-tni'ftCS (Address) I ClQ5 Plam,-, Dv-. S1cdC() (AddRss) (phone) (n J - q(J5- 51 D0 fllUQ,n tvlN 55/;)) (titv) (Zip Code) APPLICANT fl, n ! , (Name) \;l(lIlr,- 10'1 a III (Addtes.) 1- 11?O .\~.' Jiw1+l3 . (Contact Pexson) _ -t 0. h~) h'L J'r lYlC/ 11\ . . !>LICANT SIGNATURE ~v(~ ~LlJUY:J)..J0 V " (phone) It 02 - 7/Pl- (DDD f3u tJI1) Vi (If./ fV\N q;~ 7- (City) (Zip Code) (Phone) q tl2 ~ l.1.aJJ.E51 DATE \ { I ~qj tf) . , APPLICANT PLEASE COMPLEtE BELOW Size of water service inches. Location of any couplings from structure feet Type of s",,,*~ pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet Clean out (if required) located at feet from structure. JlU SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Pcnnit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .SQ (OOiee U.e Oaly) I Thi. ApplicatiOD Jlec:c)mes Your BuOdiag Permit Whea Approved fWD WITH 'ftYtL0ING PBNT BuUdilll omdaJ II If,, ~ '; iJ 1"7 r:' ,.':-,cceipt No. 111'-C, .:...' L, IJ, L:.11" I h , ,~ ~ , Date I ~'P!EC 0 9 2Dfl~ II fY 4 L' I u ./ 24 hour notice for aUlnspectioDl egg) 4-47 -'8g, fax (952) ....7-f24S '! ----.......-._,~.~..- 12/08/2005 THU 10:45 FAX 952 767 1900 GENZ-RYAN ~ 026/029 t".'-) ..... . CITY OF PRIOR LAKE BEATING/AIR. CONDIJIONINGIFIREPLACE PERMIT cp!eue tn'.a or1lrinl aa4 ala at bottom) ADDRESS \4210 \)(\ft.\/( 0 \1\1 ltVlt. Date Ree~d , -oOOIf ~~ ~ IPJmMITNO'- 3. YolIclw """_ ~ I ZONING (of&e -> LEGAL DESClUPTION (offici _ cmly) tar \ BLOCK l ADDmON PID ~= ~_~(YVl Yii'l Hnryy:t; (Address) I gq5 PI Q.liJ.." Dv-: S1c?DO (Phone) CP'5/- ctc~- 370g e Eaqan~ APPUCANT G 0 I J /) V"I 00 " (Name) :;rOIl. - ~ I (Phone) ~ -7l.tJl- ( U (Address)~~ W. Hwv1 r3 RurffiVi"llf, 1J53?;;7 < · ( d~) - - - ca~ ~. (Zip Code) =~::~ . (YlU~.w~:;:~~~~jl~c)l APPUCANT PLEASE COMPI,.-!I.I.1l1 BELOW FURNAalMAKE~~ QL8~~'~0~~ALTIlRA~Q+. 8(/\ FLUESIZB RB'I'URNOPENINGS INPur JOlL1'O{)_ OUfPUT Jlln()()_ 'IYPB OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants 0 Sleam OOravity C Hot Water ~chanica1 C Radiation . Conditioning 0 Special Devices VenL S,_,...~_.I 0 Other Devices 55/ ;x)- PLEASE NOTE: Air Conditioner Units Cannot Bnoroach into Required Side Yard Setbacks PI REPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial &: Multi-Pemily 1% of job oost Residential, Ou Fireplace $39.50 $39.50 minimum Residential, Heating &: AIC (New Conslnlctioo) S99.s0 Rcai.clcnti.I, AdditiOJllS &: AlIer.lions $39.50 Residential, Heating Oal)' (New COUlnlction) '64.50 Resideolial, AC Only $39.50 (Olftee U. 0.1)') lb'. - ........ V....1luIIdlac ......,w... .......... ilH~r~ r;; n ITI [); r No, BalkI.. omell. Date. r- DEe e ~ 2.005 .J IT i i . ) :u hour Dotlee for aU illlpeCti... <'52) 441.91.50, fax (952) 447-4245 -. 18V I . Estimated Cost S Building Pennit # HBA TING PBRMJT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE S ?AID WITH i.~(l.UILDING PERMIT PRIOR LAKE INSPECTION RECORD r:ErARTMENT OF See Main File rUILDING AND INSPECTION SITE ADDRESS II/~"o RAi<l{ w~~ I",ANE" tJ: IP. NATURE OF WORt<1!iru Cl-Wr)7<<1M:T1,j~ W".... "-'11,'111) , USE OF BUILDING .S) f:':A. PERMIT NO. D~.0604-' . pATE ISSUED /L./2.hI$' CONTRACTOR IAJ/i}JrllVfN4I t:Mrwn~.p~-.!'-' -,~~ NOTE: THIS IS NOT A PERMIT FOR hNY OF 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 J PLUMBING WCjl.)C.tJ.l.ittCl u. Co f.b HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ILATH6 / HI"r~ ,.J1IA,o I I FINt~\LS u ?Jll!' . ~ ~ ",IV! I ) ~/2cf'/b~ . v;- J,. > i1, GRADING (Prior to Sodding) BUlt-DING ELECTRICAL PLUMBING HEATING DO NOT Vl/ kJC I Ib './~J,/ vl1/ (O'(t{/q~ OCCUpy UNTil ABOVE HAS BEEN SIGNED NOT!CE I D"'It(.'(j~ 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 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS IL-fL to ad ilJ ":A j , OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL .JjiPMECH FINAL COMMENTS: ----- ( /' I,Xr \L-/ '-............ -'=---=:-........ r-~& ) ~ -- DATE TIME (0-(t1--o;. 1... U0 L1' o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ,,"WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED IQj ("l~~ ADDRESS \4'll}D ~-tku~ OWNER CONTR. PHONE NO. PERMIT NO. Co-oot( o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )IL rLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: \. ~ R~I\J~ "2, ~ f_.I{1C~/}"'i ~. C:.lv.,. C t..e-.. ~ o WORK SATISFACTORY. PROCEED ~CORRE7j[T TIONANDPROCEED o CORRE , CALL FOR REINSPECTION BEFORE COVERING Inspector: ) Owner/Contr: CAL _ ~-9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. U1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI