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