HomeMy WebLinkAboutBldg Permit 06-0520
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Vlain ~ilee File
2 Pink City
Yellow Applicant
Date Rec' d
S' d-b -Db
(Please type or print and si~n at bottom)
ADDRESS
Bl'>." hurv
, ,
vvlo~ +-
I PERMIT NO. (){;;, 5J{)
ZONING (office use)
I ~ ~"t\
Peul..." e.w
LT\.,
NW
PI) ~j)
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK ,
ADDITION ::S-elf~..... pJ I=:....j + AJ.J; ~ Or\.
PID a.S"- ~ 31-01"') - 0
OWNER
(Name)
~v;. 'i.....-
(Phone)
(Address)
BUILDER
(Company Name) We^",
(Contact Name) -.D~",,^.~J
(Address) Ru.s Bu. iJ.~ "
.J ·
~t>....",
R.
J..t ^ ^,-e (
f)! h,,~ .'l.-
t b' q 5" Pie.. 't.C'A. Dr; vc, i .sv~'J.e.... ~o
(Phone) hs j - L{ 0/..... Y 11 0 0
(Phone) -'"~ \ ~- ~"'1 - ICl.l L{
~ (\....... I tv. AI S'S I )...)..
TYPE OF WORK IiJ New Construction l8Deck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish ~ Fireplace
OAdditIon OAlteration o Utility ConnectIOn
CODE: OOI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
2 3 4
A
R
5
B
S U
PROJECT COST IV ALUE $ J ~J 0 Ol'. () 0
(excluding land)
----
I hereby certify that I have htrnished mIiJrmation on this applicatIOn which IS to the best of my knowledge true and colTect. I also certify that I am 'he owner or authorIzed agent IiJr the
above-mentIoned property and that all constructIOn WIll conform to all eXIstmg state and local laws and will proceed in accordance with submItted p . I am ~ that the buildmg
~li~ = ,-mItf;l~JJ::J..more. I hereby agree that the CIty official or a de,sl~e;; enter upon the prOpeJ1y to perform ne;~t~p~~I~' \
Signature Contractor's License No. Date
h
Permit Valuation I oN'I46>!}1 Park Support Fee # $ I
Permit Fee I $ i56S" 5 SAC # $ /550.00 I
Plan Check Fee $ 84'1, Water Meter Size 5/8"; I"; $ I
State Surcharge $ 7~"d4 Pressure Reducer $ -
Penalty $ I Sewer/Water Connection Fee # $ / 560 -QO
Plumbing Permit Fee $ 100 01.) I Water Tower Fee # $ IOOO,(J()
Mechanical Permit Fee $ loO~C?6 I Builder's Deposit $ ~,~
Sewer & Water Permit Fee $ 35, '56 I Other $
Gas Fireplace Permit Fee $ 4o-fYO I TOTAL DUE $ 654()-: 16
./ 11
This Application Becomes Your Building Permit When Approved Paid /,~;)...I r ~tNO. 5lJ' 1 /
~ ~ Date ~. )/u.41 (,
folt 7/(J" 0 -
Buildl1lg Official , Date
ThIS IS to certIty that the request in the above applicatIon and accompanymg documents is m accordance wIth the City Zoning Ordinance and may proceed as requested TillS document
~ I"'""'~"" C"fin"" of ;;;1'''70":''''''' nSee"~<V(ain'''PHt~;'f 0"",,",, m,,".
Planning Director . ~ate 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
,See .MaI.~ P~]D
, .. AJ\ ..L__ .Jl.ll"\-'
White - Building
Canary - En ineering
~in~ - Plannl
\
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1
NAME OF APPLICANT
/,..K
~
APPLICATION RECEIVED
..-:-:"
".,
t The Building, Engineeri~g, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/
. ./, A ,~-; :-_" I.' l'-
~{
Accepted
/'
}
Accepted With Corrections
Denied
Reviewed By: .$~
r
~
Date:
~/;Lj~c,
Comments:
See ~Iajn -File
IThe 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
Whim - Bulldln~
C CI~ary - EnaineerinD
Pink - Planning
BUILDING PeDIIlT APPLlC.ATION DEPARTI\IJENT CHECKLIST
/
NAME OF APPLICANT /LJ ~!/.J./f11 ~Jc/
APPLICATION RECEIVED ~ - ;;{ G::, - &,
/
:(io-n/'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//./~ ~/ 'f(M~/1M- I~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
AN
5~( l11o/~ &It
Date:
{,-IS-'1J6
Comments:
See Main-Eile
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."
"",,,'. ~VI' Cl .....,'~"\J
.. , . -". .~ 11 Ii r
,:)ee J., ~,aln ~lJd~Lt:
~hitC - BYildi~
CanarY :et,~iFle8ring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/L)~[/..1/J11 tVk/hJ
~- ;;(c:o-~
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~/Jtil 'f Il/',~ ICJ.-.;
I
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
~~
Date:
~/;3~~
f f
Comments:
~ ~~ile
"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."
08/04/2006 FRI 7:46
(~)
":''''NESO'''
FAX 952 767 1900 GENZ-RYAN
I4J 025/033
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERi\1IT
- "
i ~~~ ~::y II' PERi\l1T NO. L .5,'0,
1. YellC')Y!' Apj>iiC!nl "c;,1
(Please type or print and sign at bottom)
ADDRESS
\ \, i I
\ 1_\ 0(-1' \
ZONiNG (office use)
nfl" vk/ 'vI f)l^ I
r" (" r 1 \ L- i V
_,Ai)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~
OWNER
(Name)
VJfYiStf\t\Q X, v\
I S7Cl5 r~l QZ$, Dr.
4t 200
. . (Phone)ld51- Q05.- 31 (}::1
f]jt~ all fVl N 65/:) d
(Address)
J
'"
APPLI CANT (l. "/1\ 'p 'l /1 . r el{ r~ -) f ;:..:-. . 0 '
(Name) Ot'I'L- .--qvd.' (Phone) ""':;1-- IU/ I -- r DC)
'10 J. 3 r-'
/ <') 'n '\ ^ 1 I.J... I r I /-. J. 1/1 (' ( ( 1J II II 1\ r ~-r"l'7 ,-
(Address) .-1- l...' ) v. I-I \/\, vi .'~ )Cd- "t" I I L' IV \ ! V ~~ -:::>::)._/ I
(Address) ) (City) (Zip Code)
i ~ · Or', 71 n-J I Cl/'!"
(Contact Person) <=-1'\ \YV\ j, "_ .,.. (Phone). '/ .JCr VJ I~ U)
I APPLICANT SIGNATURE (fjrv"-- i:~J{jJ1J.L DATE 6/3/00
APPLICANT PLEASE COMPLETE BELOW
Quantity
G,
(
\
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
i Floor Drain
3 I Lavatory (Bathroom Sink)
f I Laundry Tray (lor 2 compartment sink
" I Shower Stall
I I Sinks
I Bar Sink
.~ I Water Closet (Toilet)
Quantity
'3
f
I
I
I
i Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
'2- I Backflow Assembly
I Backflow Assembly Test
1 Lawn Sprinkler
I Otber
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost wi:l\ a $19.50 minimum
Residential, New One & Two-Family $9950
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #.
PLUMBING PERMIT FEE $
STATESURCI{ARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
aUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
flllilding Official
DalC
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
08/04/2006 FRI 7:46 FAX 952 767 1900 GENZ-RYAN
[4J 024/033
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
~,~~~~;, ~l~;".", I PERMIT NO". 52,Q
(Please type or pril1t .md si~n at ball om)
ADDRESS
\L\;)L\\ p(~Vt~Vlevv lA'"
ZONING (orli(~
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~~~R \/UQJi)S \f\('\O.y, \I)
(Address) \ gCfS fOr fJZ{Jl- Jx #= 2(J)
i-:a . .::::',. (- ;,o..~- 37(Q1
(Phone)4 Lo....J -'-../1 ~- l.) II
~O,OJ\
,...1
f\Jj N t:J:) /d-)
APPLICANT (- ./)
(Name) l.:y()"YL - \ <..l) (l,/'1
j
(Address)<9,{?CO UJ, tc-h)JlA! ~) B It\'I'\SVi I Ie- 353?:-n
"/' (Addres,~) (City) (Zip Code)
(Contact Person) t\ WI\ . f ___ . (Phone) _C15~ -70r - 1 (XX) ,
APPUCANTSIGNATURE c:!S!dl^'- k~2jiLiafj DATE -X13JD..L-.--,,-----
APPLICANT'~E COMPLETE BELOW '
m&EW CONSTRUCTION D REPLACEMENT 0 ALTERATIONS
FURNACE i'AAKE AND MODEL 'L C)lnoJ\ a~o UH - 5.,DB-Clfq, FUEL ~t lI). 0 ?-',.---
FLUE SIZE RETURN OPENINGS __,~i INPUT oWl) OUTPUT-'UVLL
TYPE OF SYSTEM I-lEATING OR POvVER PLANT
(Phone) C!F)~.~7 LiT 7 - 1000
C:t;1:~/arm Air Plants
laVity
1eehan ieal
-:-r Conditioning
cnt. S )'stcrn
o Steam
o Hot Water
o Radiation
o Special Devices ..,-----',
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE MAKE AND MODEL
_ .__~U_________.__.__ .--. ---- .__._._-~-' ----
-- -- -~.
------"
Rcsidcmial, Heating & AIC (New Conslruetion)
Rcsidential, Heating Only (New Construction)
FEE SCHEDULE
I % of joh cost Residential, Gas FiI'cplac.e
$39.50 min;,num
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Industrial. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #.
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Use On II')
This Application Becomes Your Building Permit '''he,n Approved
Paid
\ Receipt No.
I By
Buildill!! Offici:!l
Date
I Date
I
24 hour' notice fo,. alt in~pcctions (952) 447-9850. fax (952) 447-4245
DEPARTMENT OF See Main. }-'ile
BU!LDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~~411 ~YIt:U ~e~,w. ,
NATURE OF WORK w;:ra'J~"71tJ/~". ~;Vi.r~ /)E~)I-h li~t:..If
USE OF BUILDING ~ S I 1='"; A . .
PERMIT NO. rx,....6~O. DATE ISSUED t.11~/~" '
CONTRACTOR ~M.rIf&/IV' 11-,...&7' PHONE-'lZ- ~'-~f'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
J FOUNDATION (Prior to Backfill) I ,I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
C( (( 1: tf?~ )oj./--t R 0 UGH - INS
. SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V'\~ <1.~ pp
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
I
I 'f/~?/~
~~l. I ., '
(p ,.~~t' i,
if> 1{lz7~
~ ,. j'/1
fty d(J~/'1
fJJ5
111
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~rNr ~ Hdarr~~ I
f;~ t:'r'lrM FINALS
GRADING (Prior to Sodding) I
BUILDING I
ELECTRICAL
PLUMBING
HEATING I~A11AC)~ lry II-({,UG J~
DO NOT OCCUpy UNTIL ABOVE
NOTICE
- ..
1/1/
f'~
HAS
J /
/1/;~/6-/-'
I / I
/ i
If' flY / I~
r J "
BEEN SIGNED
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
@trtifiraft ~ <IDrrupaurl!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jl nspttfinn
~ Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
/ r-A ()/ -- ,/:::;'"'0
'- ") /- , Bldg, Permit No, _ J ( 0 J (:j.,
Occupancy Type _ 11) ~ ~ Type Constructjon, 1/ J/ Zoning District .P II 5 0
L' / /(, I;?,J~L I ',:I~ r r t:-;F S lr) AJ D / Sf _
Legal Description _
Site Address j/IJ.LI/ IJI(((/( (//!..;"/{/ L/V
/JJ/'j;1~I!"!c11l11/]' / >l/urC'or1."L r /1'''711 ,-'/') ;:;:'1' '1 '
Contractor's Name & AddreM/t IV ') f / 7 iJ 11/ ,/1'/1(( t: ,} I () J PLrr 1-' IJ (. 0~ ()/ ;. ./
;:"/'/";;' I [7 h' ///7- {~ h/A / < "'J' 1- " ;',r- V','! J /(, /~' )::J
I'; ij ./Ci\ . I., n" v ~, ,City Planner "_ I( r" L- A ,IV,,' '-
, Building Official \ \
{\ ~ I
I
Use Classification
Owner of Building
,
, ,
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I LI Z Lf I
2rkVi~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~LUMBING FINAL
o MECH FINAL
COMMENTS:
~.
fJ 0....-- ~ VAl
~ Ii 1
DATE TIME
#~
& - 520
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .
Owner/Contr:
CALL 9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE ~ QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
./)
(r~/LJl V1-,/
ADDRESS
/~ L-Y I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
~ECH FINAL
Jilt (/\ () IM.fIb,.,
COMMENTS:
DATE TIME
II-It 01
(I) - ~M
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
6RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK; CAL~ REINSPECTION BEFORE COVERING
Inspector: /; ~ /............... Owner/Contr:
f/ II
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INmon
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
l~
ADDRESS lL4 G-..41
f6.tk () ; -e.l.L)
LV\.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
u - 5:::(0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,tit FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP J
o SEWER HOOKUP'
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
,--; I
, J) \- 1\
(1/ \(9 4'p ~....wt_j l \.~J/?
- ,~/
? WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ :ALL FOR REINSPECTION BEFORE COVERING
Inspector: ! 1( ) Owner/Contr:
CALL ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl