HomeMy WebLinkAboutBldg Permit 06-0208
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bottom)
ADDRESS
{)&..y b u'i
vJ/o
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 (, . 0 Z 08
Ill'7~
P c.tr',k V l- ~\Iv' L ^ .
Nw
LEGAL DESCRIPTION (offtce use only)
LOT 31 BLOCK
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) R..wS
ADDITION "SeFfv-J p"..j (::,"rS j. AJJ.- ~l'O''''''
Bc.,:- lle:-
Date Rec' d
3, 9.0~
ZONING (office use)
PUJO
PID '}"5"- lf37- o:~ I - <:)
(Phone)
\N'!A- oS "^ t:'1'1 '"' ).A e 1'h.e <;.
Dt",.,~;- ~ (L S"),,,t.:kr
Bj,J-~IJ\.'j . J8<1S" P)A'2C<<. (Jr;v~)
(Phone) bS") - 4 0 ~- L( 'f 0 ()
(Phone) b 1.)..- ~-b!J - J ~
~'it!," ,MN 5'r I;}..).-
(v\-~D\
TYPE OF WORK ~New Construction ~Deck OPorch ORe-Roofing ORe-Siding ~Lower Level FinIsh ~Fireplace
OAdditlOn DAlteration DUtility ConnectIon
CODE: txlI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
I
E
II
F
1
III IV
H I
2 3
A
R
5
B
S V
PROJECT COST/VALVE $ 130 000. () [)
(excluding land)
V
M
4
J hereby certify that I have furnished mtilrmatlOn on this applicatlOn which is to the best of my knowledge true and correct. I also certify that J am the owner or authof!zed agent Iilr the
Jbove-menlloned property and that all construction will conform to all eXlstmg state and local laws and Will proceed in accordance with submltted plans I am aware that the buildmg
omoal can revoke thIS permIt for Just cause Furthermore, J hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectHlOs
X C8.Q~ L !)~ JL{~S' -\--q-Dl.
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
$
$ 15<<5:0, DO
Water Meter Size 5/8"; 1"; , $ ,
Pressure Reducer :5 Glf"' MA1 t-J r7 ,-C
$ /SlJtJ,1J ()
$/tJOO,O'O
$
$
$ fs, +3(,,1 r
~1..3/. ()dO, 00
$ 1'2- '3 '1, of)
$ } V'o S"', loR
$ ~<;; , 5'a
$
$ 100, 0 eJ
$ JDD,Oo
$ :3 5".5""0
$ '-la, 00
Park Support Fee
#
SAC
#
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
~~
Building Orticial
3/2--:1/0 f,
. Da'ie
Paid
Date
{JqJ' I/"
~:/_,/C:&.
Re~ipt No_ $1'..>":; C---
!J
This Application Becomes Your Building Permit When Approved
..
ThiS IS to certify that the request 111 the above applicatIOn and accompanY1l1g documents is m accordance with the City Zoning Ordinance and may procecd as requcsted TillS document
~~~~ ='~,',"o,. w~:~ C.n""" O'3/:";;~';' ,"om wo",,",m "'See" NliirtFifi mort oc
Planning Director - . Date Special Conditions, if any -
24 hour notice for all inspeetious (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White . Building
LCana{y - Engineer1i1ip
Pink . Planning
~}
Tht ("rnlrr or Ihr t.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!;VE IV~;v1;-7;JN f-/0116 ~
3.q.u~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-/73 ?/-IK,e VIE W LN.
Accepted
Denied
.x
Accepted With Corrections
"
Reviewed By:
~
See h1/~ hie
. Date: 3-l.8-o~
Comments:
See lViain 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.1I
~
See Main File
qhite - B'uilding )
Canary - 81gmeermg
Pink - Planning
Thf' C'fnlrr nf the I.akf Counll1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W6AlSfl1f1;vtJ H0l16S
3,q,O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?H~~V/b W uJ.
Accepted
/4/73
/
Accepted With Corrections
Denied
Reviewed By:
~
r
~
Date: .5/2-7 /0 "
Comments:
;i---' .. iIT\Llw-n-FiIe'" Ii':' .... ',e.
sec..,. l . Ii'~
, ."
. 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."
:r''''llt;. ,,;,; L""1 "'I
~et: lVlaHII I: 1 e
White - Building
Canary - Engineering
c: Pink - Plannln~
Thf Ct'nft'r ()f Ihr Lake Countf)-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
." A
11t!lir!
__ I I " I
// /';
APPLICATION RECEIVED
/ ,
/
I I ( /
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. I
1 I
/ I / (I (:
L__-/"
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
~
Date: 3/2--:J/a<p
Comments:
-'-"'>,j
~et fVlalj] 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."
03/09/2006 TIIU 12:39 FAX 952 767 1900 GENZ-RYAN
~ 016/037
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1 rillk
2_ Greeh
:3 Yt.liow
~~
~:~ I PERMIT N(f~ _
Appllr.:.n\ ! -tV
(Please lype or print and sign .1t bottom)
ADDRESS L
/L//J~3 jJ{Lrk/ )/I/)) h
ZONING (offio.
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
, ,
~':~R WPYl~maf},n ~jO)IJes
(Address) ) yqr:; P12@ Dv. -tt2W
(Phone) ffiJ-c;{6-,370q I
I
I
(!1)f1{1U) /JiN ~/Jj--
J
APPLICANT r Q
(Name) c:rCnL-' c\jf.U0
(Address) J,(),cD UJ ' t-J(WL/l ['3 {3 LlJ'Y\Svi lIe :-J53'~'7
(Contact Person) ~~Addre~ . (PhOne~Ci4~~70 7~ /O{fJOdC)
APPLICANT SIGNATURE (nrn ,Ii} /vtfffi DATE -Slq//Ju
_ t APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION " ,C ~~LACEMENT D ALTER.A.TIONS
FURNACEMAKEANDMODEL Lfm~X (-rJJ.OjH-3&PrtLQO FUEL flat; ezw
FLUE SIZE RETURN OPENINGS r/ INPUT Yfl.lJD OUTPUT %0 OJ)elJ
TYPE OF SYSTEM HEATING OR POvVER PLANT
~ann Air Plants 0 Steam
DGravity 0 Hot Water
~eChanjCal 0 Radiation
"r Conditioning 0 Special Devices
'ent. System 0 Other Devices
(Phone) q~)~ ~7 liT? - 1000
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
S ctb acJcs
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job C05t Residential, Gas Fireplace
$39.50 minimum
$99.50 Rcsid<::ntial, Additions & Alteratiolls
$6450 Rcsidential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TfNG PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUtLD'NG PERMIT
(Office. Use Only)
This Application Becomes Your Building Permit When Approved
Iluildinl! Official
D.te
I Paid
I Df'M~R 2 9 Z006
Receipt No,
By
24 hour notice for all inspections (951) 147-?R50, fax (952) 441-4245
I4J 015/037
Date Rcc'd
03/09/2006 TIIU 12:39 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRE1LII/~ MjrkulcUJ Ln
;
i ~~',~ ~:~v I PERMIT NO./...._ -),~
3. Yellow Applim, 't" 0\ (,AO
ZONING (alike use) i
i
I
LEGAL DES CRt!" nON (office use only)
LOT
BLOCK
ADDITION
PID
~~e~R 11Jf31fJYYJJ1l1 dJ(jJYJJ:) (Phone)L6/-{}053701
(Address) / xCI!) P (;Jza; Dv 4t-:J!J() [;!142JJ MN doJ:J;)-
. ~ /
APPLICANT (0- j) f "r
(Name) Cl-e/ltl~ - ~D] CH \
'I "'70' ~) , ^ J ".
(Address) 1--1- C \; V, ,-h'\! fA
I) ,(Address) )
(Contact Pmon) 1') 1m ~
APPLICANT SIGNATURE
/)1 r:::: ,.
(Phone) v_ ../1- {un - r DuO
(,3 B{;lJt~1~V ({ le.- M !f\,l CJ5337
(City) (Zip Code)
. (Phone) ();58-7jp7-- /IJIJ)
7sl /~ DATE 1/q /tJ &
I '-- '
APPLICANT PLEASE COMPLETE BELOW
r Quantity
I I
I . J
I I
I :-)
I i
I i
I /
I
I d-
I Type of Fixture
I Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
3
I
I
I
Type of Fixture
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 witl] a $39,50 minimum Residential, NlOW One & Two-Family $99,50
Residential, Additions & Alterations $39,50
Estimated Cost S
Bllilding Permit #
PLUMBING PERJvlrf FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
.50 BUilDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid I Receipt No,
I
DatMAR 2 9 2006 By
Building Omcial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS JL/17~ ~JI/~ ~ J/.tJ.
NATURE OF WORK)A-W ~ WL L..... FiiJl'''' ~ DRII.JJJ' PiiieH
USE OF BUILDING ~ A . ·
PERMIT NO. Of, . 0 z08 DATE ISSUED -:t/'f,.}IJt.
CONTRACTOR ,WDJrIt\A"'~ ~a~" p~. "" - '111. "l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee JVlalll }'ile
DEPARTMENT OF
BUILDiNG AND INSPECTION
INSPECTOR
DATE
I FOOTING
I /~
1
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
I 'f118';0~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL ,nt1J+-
v ; ...".
PLUMBING LtG:> lllc;o
HEATING (if required)
I
FIREPLACE
GAS LINE AIR TEST
_ ;;0
f'$' 8,641
t /
I /
8;1 {( 9""
I \.
-""l .
~b ~.J(a~
9/
I / I
18/(~/p'
I " ~
,I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, " ,.
IlATH' E' fl4uS6WIlII~ ~ffi'I J1I ~~jJ~ I
. '
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
V\t1J
I 0 ~I q ~
! (//J
.Io/:r/" '"
1M!
10.14'(,.&
"
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~',O~
ADDRESS I L.\ \ -,."
~k\~"')
OWNER
CONTR.
PHONE NO.
PERMIT NO.
& ~ 2.08
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
:Jil PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I, Gl~ ('k~ ClcJ~
7. lk~ U (\..y
(
,
,0 WORK SATISFACTORY, PROCEED
)c CORRECT ACTION AND PROCEED
o CORRE~ORK, CALL FOR REINSPECTION BEFORE COVERING
'n,pecto"(J- h OwneclContc
CALL 44;tz FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ILtI7~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
~
(L UJ5<'
----
SCHEDULED
(?w f.cLi:I-bt ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Ip'MECH FINAL
~~
~)
~
DATE TIME
,; " n-c'C
'U'-
to.2-0 K
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.c,.owORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ;p- FOR REINSPECTION BEFORE COVERING
Inspector: / M Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETYl
INSNOTl