HomeMy WebLinkAboutBldg Permit 06-0199
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
A,INNESO~~ See lY(al~ -Fj1e
(Please type or print and siJ:n at bottom) A ~,~ L' (.f.. D
ADDRESS
1l.(~5'-1
PERMIT NO. 0 ~ .O/9Q
.,
ZONING (office use)
.pUS!)
I White
Pink
Yellow
File
City
Applicant
Po.....lu.e.v-/ L^_ NvJ
LEGAL DESCRJPTION (office use only)
LOT g BLOCK
OWNER
(N ame)
(.t..Jo I d ~ ...--
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) R J.tS
ADDITION Self~rl",. p~ F;d-L.JjJl.~ ~"Ol""""
Date Rec' d
S,IO,OC,
PID J.5 - 4Y)-QOX'-D
(Phone)
W L", S Me. r........
(J t ,.. ~ : s l2...
{Ju~ (oC'''j .
~ () ""-c -S
.~...).'^~:~ -
, ~ Cf r P Jell"2c.. D."., vt.- I S v,' k .)..00 I
(Phone) (, 12.. - tIOfo - 1./40 0
(Phone) --'" :z. - '3~ Cf - "11 z.l.(
E'"A~(,~" . ;.AN S-S I,}. ~
TYPE OF WORK iXI New Construction t5aDeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish $Fireplacc
OAddition OAlteration o Utility ConnectIOn
CODE: ~I.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
I
E
III IV V
HIM
234
A
R
5
PROJECT COST IV ALUE $
(excluding land)
110, {")OO. Of\.
I hereby certify that I have furnished rn!,)rmation on this apphcal10n which is to the best of my knowledge trtle and correct. I also certify that I am the owner or authorized agent for the
above-mentlOned property and that all constructIOn will conform to all exisl1ng state and local laws and will proceed rn accordance with submitted plans. I am aware that the btllldrng
oftjcial can revoke thiS permIt for Just cause Furthermore. I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed mspectlons
X tj~1L Q~ J<1~~~-'i-O'
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
B
S U
II
F
I
,
Iff/Sf; /JCJ 0, O'CJ
$ Jd':ifC? ,~O
$ ~~, InY
$ to5:s-o
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size-ji[;"' H: ,.
Pressure Reducer ~ (::; /1fA /1\1
Sewer/Water Connection Fee #
Water Tower Fee #
/00.00
{Oo.oa
35,S-0
-'/tJ, () IJ
Builder's Deposit
Other
TOTAL DUE
$
$ 1S5(Jrf)O
$
C:::;f ~ ,.-
f$ I '-......
$/500,00
$ /000. O~
$ .
$
$~. 43'" .I?;
This Application Becomes Your Building Permit When Approved
~ ~/-J
BlIild1l1g Ofticial
3IZi~(a
Date
Paid
Date
()
i Rectfift No. $/1 r d0-
I BI ~
"'
(p ~3 (,.IY
ThiS IS to certify that the request m the above applicatIon and accompanymg documents is rn accordance With the City Zoning Ordinance and may proceed as requcsted ThIS document
when signed by the City Planner constitutes a wmporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate nf Occupancy mllst be
iSS~ ~ 3/2ri/t.DtJate" See r~vua II ~~\ile
Planmng Director 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
SeervlalnFile
White - Building
Canary - n ineering
c;:Pfrlk ~ann," .
BUILD'NG PERM'T APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
! ( \ I t I
f (C"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4- 7::::4--
I i\ i ~ \ ; I
,
l i i
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
~
. Date:
3~~),.&
Comments:
See 1VlainFile
"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 MalnFile
C White - fl.uiJ.!ji~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VV e,JJ fVl ft1JtJ
.:s ./ 6 . 0 (p
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4- 254- Pf\'t.1~V cbW ~tJ
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
~
. Date: 3/2-~~~
Comments:
See l\tlaln ~lile
"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."
,U":r.'~'. <~
..._.'....,:a...'1,., ..,..,~._-1i!','.:~."'..,
:'"
See Main File
White - Buildina
(" canary - Enaineerinp
Pink -P'anning
aUILDING PERMIT APPUC,ATION DWRTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~v t).J{ fVl If tVlJ
:s .1 6. 0 (c
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-254- PA~~VI8J LrtJ
Accepted
,X
Accepted With Corrections
Denied
:- )VieWed By:
Comments:
/lJ1iJ
.5t:t' 1Vt./.. hie
Date:
:$- Z3.0-'
SeeM~aJnFile
"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."
FAX 952 767 1900 GENZ-RYAN
f4] 029/037
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or PriDt and sign at bonom)
ADDRESS.. . ( 'Ih
/L!JQ-L H)j(k[)/~fJ)
I 81". F.). 'I PERMIT NCO' - f'tlt
2. Gold City --
j Yellow AppiicJllt
/~n
ZONING (officeu,e)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
pm
~~~R I JJfJl9YY'Vf)jl) dJOrrt5 (Phone)I/5/-Q0537tYJ
(Address) I tq5 P /I1ZW Dr #-2!J() DJt12/). MN ~/?d-
APPLICANT r- - 11 D I C., ~
(Name) q-e..) \t:. - ~(;( Lf, I
/ ) .
(Address) __200 \IV, 11t'\) [;
I), ,(Address)
(Contact Pwon) 1>'\ 1m j ~'''''';.n
APPLICANT SIGNATURE (f'SJ; / J' I
(Phone) Cr0'2- run ; IOOc)
l.~~ rs(AJlI1~VJ.lif. M.N 'S5337
(City) (Zip Code)
(Phone) ~-7b7-- 1/)/1)
tv} ~ DATE 1 Jq /J (/
'---
3 it)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I 3
Dishwasher I /
Floor Drain I
I Lavatory (Bathroom Sink) /
I I Laundry Tray (l or 2 compartment sink
i Shower Stall
/ Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Quantity
1/
I
-:'3 ~
Rough-ins
Water Heater
Water Sottner
. Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I 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 $
. 5J)j(j , ,~!a WrrH
lLO'NG PE:RMrr
(Office Use Only)
This Applic3tion Becomes Your Building Permit When Approved
Paid
I Receipt No.
Sy
Building Official
Date
Date
.-MAR 2JL1D06
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
03/09/2006 TIIU 12:42 FAX 952 767 1900 GENZ-RYAN
I4J 030/037
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvpe or print and sign at bottom)
I Pink
z. Grcen
3_ Yellow
-"
~1~ I PERMIT N~/}
Applte~( y
ZONING (office
use)
-1!1fI
ADDll;d)5i_l jJfLrkl )It/))
Ln
I LEGAL DESCRIPTION (office use only)
I
I LOT BLOCK ADDITION
PID
,
~~~~R WPfJGmaf}J1 cNOJ7jf!S
(Address) ) fCJr; PIt/au j))/. -1t2w
(Phone) &5/C;()5- 3701
(Z7Ja{JU) AAN 5!5/:J:,l-
J
OF: ')..:.7' ~'7-IO \0
(Phone) '-, )(J) UJ c"
~~:~~~ANT Grcnz- QlA(lJtl
j
r~U_YVysvi' Ie r35"3?:n
. (City) (Zip Code)
, ~ _. (Phone) 4~-70 7~ /()()()
_/vUt2eV DATE 3/Q/ou
- - ----
. I APPLICANT PLEASE COMPLETE BELOW
. )QNEW CONST~UCTION ,,0 J~J2'LACEMENT ,0 ALTERATIONS
FURNACE MAKE AND MODEL Lrf{]ilX (j-L-fIJ [JH - 3(/lPr fLqO . _ FUEL LJd 1:, 0?Jfl_
FLUE SIZE RETURN OPENINGS ,;-j INPUT ffi1lJ) , OUTPUT %(;71&/)
TYPE OF SYSTEM HEATING OR POvVER PLANT
~arm Air Plants 0 Steam
DGravity 0 Hot Water
~cehanieal 0 Radiation
.. 'r Conditioning 0 ~pccial Devices
enL System 0 Other Devices
(Address) J,t:?a) U-J ' t-h_tX)j ['3
. /J)~(Addres:
(Contact Person) TJ hi) ./
APPLICANT SIGNATURE (
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side '{ard
Setbacks
FIREPLACE MAKE AND MODEL
lndustrial, Commercial & Multi-Family
FEE SCHEDULE
1% ofjoh c.os( Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
S39.50
Residential. Heating & Ale (New Construction)
Residential, Healing Only (New ConstnlClion)
$39,50
.$39.50
Estimated Cost $
HEA TTNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PJ4/0
aUILDIN WItH
I R'''ip' N,G PJ::"~
By I
(Offrce Use Qnly)
This Application Becomes Your Building Permit When Approved ' Paid
Duildin!:' Official
Dale
Dr~~R 2 9 2006
24 hour notice for aIr inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I L/ Z S'I P A (lK.. v'i~ii.) LA IJc N · W '
NATUREOFWORK NeW ~. (wIL..... Fi,.;i~~(JL)JJD ftJttctf
USE OF BUILDING ~ ~ A. '
PERMIT NO. OG .O/qq DATE ISSUED ~ /27 fot.
CONTRACTOR ~6'N~~/~NN H~~E'S PHONEfDrz -3(.,- ~C(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
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
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'''''771E ~ H eJtAr~ I I
FINALS
/) .,
I/~ . ~~7/6k.
1'1; 7Jt.,/ejl'
. I
I
/r1'7 ~ /:;;>" ~ /
I
GRADING (Prior to Sodding)
BUILDING 01~ /U~/q#
ELECTRICAL , I
PLUMBING Ig f~/
HEATING vVY (Oft{---O&
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.,,:\",,,,1-:' ..;.<'I'...."'.'~.\o-
; !, .f,"",
~"', .;:, .",',,: ~
I
!')IiI.Final Permitted D Conditional c.o. Expires I, "
ur "
,
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 Intemationa[tl~ ...
Building Code certifying that at the time of issuance this structure was in compliance with the V61ri~us
ordinances of the City of Prior Lake regulating building construction or use. For the following:
QIerfifiraft of (trtupanru
CITY OF PRIOR LAKE
~tpatfmtuf of ~uilbiug Jluspttfiou
Use Classification
S/NtSLE r-F1I'1I1-V
1e.3 Type Construction vAl
Bldg. Permit No.
O(P.OI't9
p(/$.u
J
f
Occupancy Type
Zoning District
Legal Description
Owner of Building_ Site Address I~ZCtf PIi~t/IEJ4 /..A1.
Contractor's Name & Address IV € III S I'i rl Iii N A fI d 11 B S
~ffEICr D. HUICHIAI.s "{{ityPlanner JI1Ne t:;;t:/iJS'I&e.
II\~ujldi~g Official '
Date: !-U.Lf1 (j(, Date:
I
POST IN CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
fL.-{ Ls-c(
{)(/~~
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
~ECH FINAL
COMMENTS:
DATE '.} TIME
IO-l'f -~12
c,-! C( tt
o EX/GRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-----
//1_-
( 0-l U:X
\.
----
~;'
/(~
------..----.-------=----.-----.....
'\
)
/
------
Ji# WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K. ~~OR REINSPECTION BEFORE COVERING
Inspector: //1//- Owner/Contr:
..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J U[ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMfJlENTS:
1\ ~..l.
a J ,~;iA/'"
SCHEDULED ~
~~\I:~
TIME
CONTR.
PERMIT NO.
(p - ('1'1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.p:::Pl=tlMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
4 ~(?7
o WORK SATISFACTORY, PROCEED
~ORREC ION NO ROCEED
o CORR 1: R, CA FOR REINSPECTION BEFORE COVERING
Inspecto:
v
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl