HomeMy WebLinkAboutBldg Permit 06-0209
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or print and si~n at bottom)
ADDRESS
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N'tv
LEGAL DESCRIPTION (office use only)
LOT 3). BLOCK
ADDITION 'SeJ hrS
OWNER
(Name)
Bu; IJt'r
(Address)
Date Rec' d
3.9,0 (,
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OC, ~ 0209 I
j
ZONING (office use)
PV.J:l)
(l",-J f:,'rS f AJJ; t-"ll"
PID .}5""- "13/- O~).-O
(Phone)
BUILDER
(Company Name) \-J~S 1Vttl.^"
Den,,: c. R.. S~.JL,-
Bu, kl(~j. Ig<<:;.)' PIAu:' Dn~v,-. Sv:-k .iDOl
~ /)"",-e $
(Contact Name)
(Address) Q HS
(Phone) bSI-1..f 0'" 4 't 0 0
(Phone) _ b I.l.- 3t. q - I q ~ l{
EA.j&>^ MN SS- U..~
TYPE OF WORK ~New Construction ~Deck OPorch ORe-Roofing ORe-Siding ~ower Level Finish IXFireplace
DAddition DAlteration DUtility Connection
CODE: ~I.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
o Misc.
A
R
5
B
S U
PROJECTCOST/VALUE $ 13D.bO<.' 00
(exduding land)
I hereby certify that I have hIrnlshed informatIOn on this application which is to the best of my knowledge true and COlTect. I also certify that I am the owner or authOrIzed agent for the
above-mentlOned property and that all Cllnstruction will conform to all eXIsting state and local laws and will proceed in accordance with submItted plans. I am aware that the building
official can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed inspectIOns
X S ~ TL !lLA...u:L~ J 1.(<;" ~ ~ - ~ - 0 ~
Signature Contractor's License No. Date
Permit Valuation ''t/ /~l 0 I) (J, "-rJ
Permit Fee $ /~39. ~()
Plan Check Fee $ ~as;'1 (,1'
State Surcharge $ /tJ~, 50
Penalty $
Plumbing Permit Fee $ too, ()()
Mechanical Permit Fee $ 100, 00
Sewer & Water Permit Fee $ 35'. $""0
Gas Fireplace Permtt Fee $ '-It) ,t:) 0
This Application Becomes Your Building Permit When Approved
~~
Buildlllg Ofticial
~~,,0~
Park Support Fee
$
$ ISSo,co
Water Meter Size 5/8"; I"; ,,$,
~~ IJrlA' ~ c:: ~ --
Pressure Reducer ..:> """........ ...,. - $7 { ""'-
#
SAC
#
Sewer/Water Connection Fee
#
#
$ /5iJtJ, dd
$ /O(JO, 00
$ )500, tJ 0
$
Water Tower Fee
Builder's Deposit
Other
I
I $fp+..:!(P. /8
ffI3-ec 'No.3i",7"
1'13 .
/'
TOTAL DUE
/
Paid (;. // .J c , I' 0
Date 4- 1'.3 ~)~
ThIS IS to certify that the requcst in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
~""""" ;'}i:""" C""""" 0';; ::~e:' "",," "'"''''''''' "See"":" OC""3:1 ii''''Fife' m"." be
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
L.. ~.'\l@ 'lel.
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<White - 8ullla'u,~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WttJst1ANA/ !fOf16S
3,9,O{o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-/75 Pff~VI6N ~tJ.
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
3/2.,3~ "
( .
Comments:
See _Vlam-Fik
"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 l~\;lalnFile
White - Building
Canary - En ineering
C Pink - Plan",n
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:
." ,;,_ I
/ '
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
.
~
Date:
J/~5/o to
Comments:
SeP .~~'~ . ·
'. 1\ .., I/l~;~ . .... ,
~ ., I!~
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 lVlain File
Whjtp - 9uiIcIiAsJ--..
c::: Canary - Engineerina ---....,
1'iii1( - Plannin-g
BUILDING PEfUIIIT APPLICATION OEPA... I .",ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I;VENSI11-)NN IfOf1e.~
:3 .9.6&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J /4-/75 Pr//e-f::-VI6f'V f-,/V.
y
"
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~ 1)1.,;" h'lr
Date: 3 -Uc6
Comments:
See Main 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."
@017/037
Date Rec'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)
ADDRESS 7 ----- n
fL.-I;' s H)ykU/~1J.) Ln
~. ~~~ ~i;y I' PERMIT Ncr:'" _ ~~ 0
3. Yellow Applicant ~ ~ ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
~~~R) ))tf7fjYYIJlJ/f) d}()rY)2-:) (Phone)!/5!-{}05::s m
(Address) (g;qS PI /JZW Dr. /f-20() f221J21J, UN B5J:J;)-
APPLICANT ~ - "11 1) I/:'
(Name) Clv 1.-~ ~1'JdYl
(Address) ) 200 V\J. 1-1\,,\/ 0(
J ~ ,(Address) -
(Contact Person) 1>\ 1m i /. '
APPLICANT SIGNATURE ff"SV/y)
(Phone) Cl0'-~f{f1 - 1000
L3 h{AJlf1~V I (Ie.. M!'\j CJ5337
(City) (Zip Code)
_ (Phone) 0f:5R-7/p 7---/tJIiJ
W J~ DATE $/q j(J (~
'---
Quantity
J
'J
f
APPLICANT PLEASE COMPLETE BELOW
Quantity
3
/
/
/
Type of Fixture
Rough,ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
Backflow Assembly Test
i Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-faintly 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building pennit #
PLUMBING PERMIT FEE $
STATESURCr~RGE $
TOTAL PERMIT FEE $
~- PAID W
t:SU1LDING dTH
EAMi1'
Receipt No.
(Of lice Use Ooly)
This Application Becomes Your Building Permit When Approved ' Paid
nuilding Offieial
Date
I Date ~"'AR 2 g 206bl By
24 hour notice for all iospections (952) 447-985Q, fax (952) 447-4245
03/09/2006 THU 12:40 FAX 952 767 1900 GENZ-RYAN
I4l 018/037
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERl\lIT
Date Rec'd
(Please t'ype or print and sign at bottom)
I Pmk
2. Green
3 Y~II()w
~:~ "PERMIT NO. /. _ -""'I1nQ
AJlplu:~nt f() cx..t.r 7
ADDR/S~/1j PfLrkl J/fa)
Lh
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
,
~':~R W~f)9m({J1n ~J()me5
(Address) I f(q~ Plazw JJy-. -tt2W
(Phone) &5/~Q()5-3-701
I
/3Ja[!u) MN 55/~i--
.J
. (Phone) qJ=);A .:.7 {IT? - IOOD
APPLICANT (' Q
(Name) c:rCn1.. - <.J A (J Yl
j
[3 Ltn(\svi j Ie :-5S3'~"'n
(City) (Zip Code)
~ . (Phone) 4~-707-/00!)
)J:J7~~ DATE -3/c? /UU'
I APPLICANT PLEASE COMPLETE BELO\V
, )QNEW CONSTRUCTJON " ,p ~LACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL ~()~X (tU()(JH-31d0-/)QO _ FUEL nO!:, Pi?JjJ
FLUE SIZE RETURN OPENINGS /-j INPUT ff1])/) OUTPUT J/J 7l111/)
TYPE OF SYSTEM HEATING OR POYVER PLANT
~arm Air Plants 0 Steam
OGravity 0 Hot Water
~eChanical 0 Radiation
'r Conditioning 0 Special Devices
'enl. SySlem 0 Other Devices
(Address):A,?CO UJ. t-t'Wl-'1 I ~
. ./ . (Address)
(Contact Person) n J r1J ./
APPLICANT SIGNA TURE (cj2~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Mulli-Family
FEE SCH'SDULE
1 % of job cost Resldcntial, Gas Fireplace
~39,50 minimum
$99,50 Residential. Additions & Alterations
~64.50 Residential, AC Only
$39,50
Residential, Healing & AIC (New Constntction)
Rcsidcntial, Heating Only (New Construction)
$39.50
53950
Estimated Cost $
HEA TTNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
_50
PAID WITH
BUILD'NG PERMIT
(OfrLce Use Only)
This Application Becomes Your Building Permit When Approved
Ilu ildina Official
Date
I Paid
I Dat~v1AR 2 9 2006 By
Receipt No.
--.J
24 haUl' notice fa" nil inspections (952) 447-J850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1'-117 S fAfLf(. V,.~ Ur,Jr IJ./J.
NATURE OF WORK I/D.J C:'Ntr. (1tJ/I..l.., F)trlrlf" /:)ft.J(lJI~ fafI.eH
USE OF BUILDING S: F't A.'
PERMIT NO. Ou;.02-09 DATE ISSUED 3/z3JtJ. '
CONTRACTOR LUDJ~ H-~ PHONEGtZ.-M-2!lzt(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See,Vfain ~"'ile
BUILDING AND INSPECTION
I FOOTING /(?r I t{ II f jo"
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V~ Ur. ~/6t:tI
HEATING (if required) )
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,A _ J
'LATH~ IE' 1/"lJ5e-JAJllAfJ klh;~6/:26It:h I
, FINALS'
(?h
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(jJ /.;
I~/ )
I T/0/o.f>
I t- 7J/ ty (;f1
I .
I g; -J:; ,1
18~cfJ;/b
,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
_ A
Vt7'/
/0-- Iq~
-
oM//
j~
UNTIL ABOVE HAS
NOTICE
(0/; q~
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approvedo 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
O....TE /;.' ~ I TIME
tu'(...,'c./V
SCHEDULED
ADDRESS
11.1/75-
Dwlct/dAA/ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(~ U; "I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o 3 EWER HOOKUP
Ll PLUMBING FINA~
~CH FINAL Q/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
--~~_.-----
...--...--- ,
( t-1ik
-----
-~\
,f-- ; G. ./
----
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~K~~ FOR REINSPECTION BEFORE COVERING
Inspector: 11 V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI