HomeMy WebLinkAboutBuilding 06-0325
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-./1. 0 fp
See Main Fil~ew ~~~licanl I PERMIT NO. OtR. o3z~1
w
25~t
LEGAL DESCRIPTION (office use only)
BLOCK i ADDITION
~.T~
tJf'#JJ71 /v/V
PID
080
'/i"~-V
LOT
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
~+
/..Jo rn f' J
BUILDER
(Company Name)
(Contact Name)
(Address) /F
(Phone) &S/- ~()t .- "-/YOO
(Phone) (,/2- 3~ f- 7~J.2-
1\' 55/,).;J-
I)"
ew Construction ~eck ~orch ORe-Roofing ORe-Siding rifT .ower Level Finish p('FirePlace
OAdditlOn OAlteratlOn OUtility ConnectIOn ,...-
CODE: ~I.R.C. DI.B.c.
Type of,tJnstnlction:
Occupancy Group: A B
Division:
o Mise
B
S U
A
R
5
IV V
I M
3 4
III
H
2
II
F
1
I
E
PROJECT COST IV ALUE
(excluding land)
$
a-d
J yo I O(Jt)
/
I hereby certitY that [ have furnished mfl1l'mation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoIlzL'd agent Illr the
above-menl1oned propcrry and that all CllnstructlOn WIll conform to all existrng state and loca[ laws and will proceed in accordance with submItted plans. I am aware that the buildrng
official can r 'yoke tIllS permIt for J t cause rthermore. I hereby agree that the cIty official or a deSignee may enter upon the property to perform needed inspectIons
x
TOTAL DUE
/YSr
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
o
1 ";
Water Meter
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
00
o
00
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Buildlllg Umcial 4( ~~(O ~
~-/7-()'
Date
$
$ IS'!;O, 00
$ ~s"o, 00
$ SO, 00
$ I~OO, OD
$
$
$
$
-
I t!)t:)O. Do
~
ThIS IS to certify that the request m the above applical10n and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested Tim document
~= ~;"~"""~ ::E:-"'"~ C,,@,," ""#;;"'~.: ,",," '"'''''''''''''' 'See "Malfi"'FIUt m"" be
P1.""~"m ~ S",,'m C""d"',,~, ,[ "",
24 hour notice for all iuspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See IVlalflFile
White - Building
Canary - Enaineering
~k - Plann~
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 I I ,
'" ' l_.~. j
t- /-1 L. (p
, '1
i
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
,.
~r-J
Date:
L(/~7~~
.
Comments:
I'~~ ;1:' Iii ... Eilf
~ee i~vlaln .. ~
"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 IVlaln File
~Ite - Bu~iiib
anary - t:ngmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
WENS MrJNN
1(/7.()(P
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
252&
WftTbtZ-Plt~ WA Y
Accepted
Denied
~
Accepted With Corrections
,.
Reviewed By: ~ ~
r
Date: 1/dJ 7/0"
Comments:
See Malli 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."
See Mail) File
~ i:d~
ry : E~ ineer n
Pin - ann ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WSfVS ;V1/~A/N
1./7.00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
252& WrtTStq:;+LL, WAY
Accepted X
Accepted With Corrections
Denied
Reviewed By:
IYJf}(!;
5~ !J1&,;v-. F,'{(
Date:
4-z.s;()6
Comments:
See Main 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. II
.:!"
04/26/2006 WED 13:06 FAX 952 767 1900 GENZ-RYAN
@ 0021009
.LJ'a...."" ~......"'\..o 'U
CITY OF PRIOR LAKE PLUMBING PERMIT
;.~~~ ~~~ 1\ PERMIT NO.'. ,~
3. YeJlo\V Applicant W ~
ZONING (office uso)
I LEGAL DESCRIPTION (office use only)
! LOT BLOCK ADDITION
PID
OWNER \ l If) ('
(Name) VV \ 'vI )Xi\f\, ex YUf)
(Address) ) 8 C1 C; PI tA~ IV. $" ZDJ EN1 {tn
(Phone) (j~r- (j05-- 371)[;
fv1 rV 85/ cd )-- . ,
APPLICANT (\ _ . 1)
(Name) q-e.112-- ~qaV\
, ) .
(Address) ?~1--{)O \/V . 1-h,'\1 [A k'3
.(Address) )
(OOG
(Contact Person)
APPLICANT SIGNATURE
DATE
'0
Quantity Type of Fixture Quantity Type of Fixture
.;) Bath Tub with or without shower ! ,3 Rough-ins
I Dishwasher I I I Water Heater
I
. 1 Floor Drain I r I Water Softner
.Ll i Lavatory (Bathroom Sink) ( Stand Pipe (Washing Machine)
/ Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~':::S Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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 #
PAID WITH
Bi31LOING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
, By
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
04/26/2006 WED 13:06 FAX 952 767 1900 GENZ-RYAN
[4] 003/009
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
; ~~:n 2:~. 1 PERMIT NO. ~- . 3."~
3. Yeliow ^rpl1t;!.n\ . .. ~~
rint , . aign at bottom)
,ft}) LV () It//Il cttt
waif
--'
r=:::-:-;
\ ZONING (ollie.
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PiD
QlNNER
(Name)
ltlV1YfnOf/fl dJornfs
([) ) a 2(;(. / (ft-. ;J-OC)
f /1 <1- tJ(j' 't;- 3 'lQC11
(Phone) (jI.- I'
...1--. I -
Lll.l/ Ovtl, }J1 N6S12'0
(Address)
APPLICANT SIGNATURE
B UJ'T\Svi 1 k . r:fC)'S7
(G,-) aM' 7~ ~~')
/.. (Phone) -I ~ -( I., -. J
. DATE 4/;) III _
f I
AP LICA T PLEASE COMPLETE BELO'"
, NEW CONSTRUCTJON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Lenn 0 L.fE1l)U H '~\ tr<. - qu. I '. FUEL n{lj.' ;iVJ ~
FLUE SIZE RETURN OPENINGS_ 5 _ INPUT J1 (, 6l[~ OUTPUT __Jj~CJ.L
TYPE OF SYSTEM REA TING OR POvVER PLANT
r2.lj/l J\
t~WL/l I /~
(Phone) qF~;){7 LF7 -' {OOO
APPLICANT r:
(Name) crCn1.--
(Address) :J-]LO W.
(Contact Person) 4d
(Address)
- I
.--I2fWarm Air Planls
vLrGrav1\y
i1CChanical
ir Conditioning
, ent. System
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
_J
FIREPLACE MAKE AND MODEL
--------.-
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Conslnletion)
PEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39.50
lndustrial, Commcl'cial & Multi-Family
~39.50
$3950
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Sui Iding Permit #
$ -- PAID WITH
$ .5€sulLD1NG PERMIT
s
(Off<ce Use Only)
This Application Becomes Your Building Permit When Approved
\ R"cipt No
By
I
-'
Dale
I Paid
I Date
nuildin~ Orneial
24 hour notice for all inspections (952) 447-9850, fax (951) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
2,1. 07
I. Green File I PERMIT NO
2. Yellow City .
J. Gold Applicanl
'7 cf J"- /1
ZONING (office use)
fll/lIDL/71l-L WI^!
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)
!'v C) v j /~l~? /VrJ lIP/"7 d-T
It 7J /'?/&/J O/L--
(Address)
-r'S-j l .?-
(Zip Code)
(,/2.. lL,1, 1""1
PPLICANT SIGNATURE
(Phone)
l' ZA/U
(City)
(Phone)
DATE
(J r( - if 0 (
1-1./{.V
(Address)
(Contact Person)
--.
'--'" ..
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
P~~
Dat~Z.,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION REcoifit'ail1 File
2S?~It~IIJ" WltY
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE ~ ~/Z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BLOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) (~ '-..2.1'. ~
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
~, >~
C~~K UNTIL ABOVE HAS BEEN SIGNED
lZm&f ~ I
. - F"/o/$1..uJ.. bM I N A L S
~.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLU~BING 'E' G:::. ~-
(' . .'~
HEATING
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