HomeMy WebLinkAboutBuilding 06-0324
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CITY OF PRIOR LAKE
~tparfmtuf nf ~uil~iug Jfuspttfinu
gFinal Permitted
D Conditional C.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:
Use Classification ,-:: lAy i. t:. j..-/.I /'J/ ~ Bldg. Permit No. C{,,, . {; ..? 2-4-
Occupancy Type 1:.:.3 Type Construction VN Zoning District /::: .If-
Legal Description L..?.c 4--, JVe/V,S/tl H /1/ AI -f TH
Owner of Building Site Address Z 5 Z 4-
Contractor's Name & Address tVE NS/"I/1 AI /1/ /ftJ/'-'/t5.s
Ic.::'':; d t lei II L/lC H / A:S /? (: City Planner v'/I A/E
Building Official I
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Date: 1/1 / U )
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fi~~~e
Date Rec' d
4. /7. O(P
File
City
Applicant
\ PERMIT NO. O~~03Z4-1
3 Yellow
Wit('
/1!tJ
;1..5- ~ y
LEGAL DESCRIPTION (office use only)
BLOCK Y ADDITION
ZONING (office use)
e4-
fA.
PID"l5'""- r/I- g]3-{)
tJWJmti'
LOT
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) Iff
;Jon?tpJ
(Phone) (, .5~/ - if tJ {, ~ r ~ (J 0
(Phone) /'/,2- 361'- ?(,/:2....
:5/.2..2..
41ft.'
/3r
TYPE OF WORK ew Construction ~eck ~Porch ORe-Roofing ORe-Siding ~ower Level Finish ~Fireplace
OAddition o Alteration OU{il~ Connection
CODE: ~.R.C. DI.B.c.
Type ofi:o~stmction:
Occupancy Group: A B
Division:
o Misc.
~-
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJEC~UE $ /y()~ () () ()
(excluding land) "
I hereby certify that I have turmshed mt(lrmation on this application which is to the best of my knowledge true and correct. I also-cCrtlfy that 'am the owner or authOrized agent for the
above. mentIOned property and that all construction will conform to all existmg state and local laws and will proceed m accordance with submitted plans am aware that the bUIldmg
official can 'voke thiS permtt fo ust cause urthcrmorc, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspec
/y5K'
.
x
\ Paid
Date
Contractor's License No
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
1" ;
Water Meter
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~ ~J:. -; r"
s". ,ala
li(tNO
This Application Becomes Y o}ll.!3uilding Permit When Approved
~~ 'I(~;/""
$
$
$
$
$
$
I $
$
$"
15'<;;0,00
z.~O, DC)
5"0, 00
ISO 0,00
looo,oe
512.- 77
ThIS IS to certify 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
when signed by the City Planner constItutes a temporary Certificate of Zonmg eomphanee and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must be
\ isslIed . ,...... ,~ '!ii'4 ...~'l ';";
~ ~ #~fi~ ~ee rvlaJili 111le
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 IVlaiD File
White - Building
~nAry - ~;ginee~
Pink - annlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WE IV S tvl A N tJ
4-.17.0Co
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2. 5 2. +- W t1 TE-/2F r1 &'- vv It V
,
Accepted
r7<...
Accepted With Corrections
Denied
Reviewed By: IYdB
Comments: 5t:~ /IZ,,~ f,'~
Date:
LI- X,d
See Nlain 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.11
I" Fele
!,...~ . )~.,
~ee 1'/' :illll . I
White - Building
Canary - Enaineering
c::P'nk - Planni~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
" t,
/ I / /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<-.-
( !
f-iJ LL
/ '\ ".
Accepted
./
Accepted With Corrections
Denied
Reviewed By:
r&~
~
Date:
~?~~
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."
See Main File
qitP- - Building-=:;:>
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSMAAlN
4-~ '7.0 Co
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
252.1- W~Tf;tZFrJ LA- WAY
,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
r-
(70~
Date:
11;}. 71()~
Comments:
See -[Vlail} 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."
04/26/2006 WED 13:07 FAX 952 767 1900 GENZ-RYAN
!4J 004/009
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMJT
Date Rcc'd
LV C{ i-i!)/fiC[0(
waf)
.J
H;~~\V Jl~"an\ I PERMIT NO.O& . 0321-
" ZONING (office
uso)
I LEGAL DESCRIPTION '0''''"'' o"'y)
LOT BLOCK ADDITION
PID
OvVNER
(Name)
f fi~/.-{)hc;-3JDCi1
(Phone) lJ! .-' 7U
(Address)
W1Ja(l, MN56t2'G
~~:~,~~ANT G-Olt...-
lJJ
'r)
k.JjOYi
t-h)~ LJj I /3
(Address)
(Phone) q!)(A~-l 1f7 - (OOO
(Address) tJ. 'l.r' .,1.....
0<;>\GU
T'') '7;-7
'- -)~) ~
(Contact Person)
~
APPLlCANT SIGNATURE
DATE
AP LICA TP "EASE COMPLETE BELOW
~WCONSTRUCTJO~ "~rRErLACEME~T . 0 ALTERATJO~~._ ,
FURNACE MAKE AND MODEL Lenn 0 A G:2lOtJ H -')\./'& q~, , FUEL I ) eLl c2fvJ , ,
FLUE SIZE _ __ RETURN OPENINGS !3 _____ INPUT U, (J() _ OUTPUT ~;) ,f'e:u I
TYPE OF SYSTEM HEATrNG OR POWER PLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
ReCluircd Side Yard
Setbacks
:-0Warr~ Air Plants
vt:!Bravlty
f{echanical
I ir Conditioning
: en!. System
o Steam
o Hot Walcr
O'Radiation
o Special Dcvices
o Other Devices
FIREPLACE MAKE AND MODEL
Indtlstrial, Commercial & Mulli-family
FEE SCHEDULE
1% of job cost Residcntial, Gas Fireplace
~39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Conslmclioll)
Residclltial, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit If
$
$
$
MID WITH
,50 BUlLD~'~
(Orfice Use Only)
lluildine OfliciaJ
I:MA Y
I Receipt No.
I
By
This Application Becomes Your Bllilding Permit When Approved
Paid
Dale
24 hour notice for all ins[lcctinns (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
7
'-"7 (7
.' ....'
.'
..:.,.....
/
1 Green File I PERMIT NO "7 1 Y
2. Yellow City . .....} t.::::1'-
3. Gold Applicant.
ADDRESS - I
232,2--. ?C7
ZONING (office use)
i i/ I ;' / ': .: c;-) / L. ( llil/I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)
/ t Iv) /'/"'/" /,./ /!c'/./(
(Address)
/ P c'1( /'t."/k'/J
. t. I /
(Address)
1../ /'___.
(Phone)
-11Z .)
,I' _.' {, t'-"""'"'
/ ,/'
J I
. r-".; / ;.. J
'f ,~ 'r ~- r ~I ; j
(City)
,..-
! l2-
(Zip Code)
/~. I -7_
,I l~ I '---
(Contact Person)
/'f
]i>/ /A..j l I~../
/lJ~
(Phone)
/. i /
PPLICANT SIGNATURE ,
DATE
:?
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 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
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
L i/.
/ .50 :1' , ; V
(, ('IL~/)(~::/
~"'-__.J-~/
,/.
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date.
'.f' ,/~!
I U /
By
Paid .--_
--_.,.,.
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I'
.., I
fj
-. - -- -..-..-----..-.-------~---..-.------.-------~----------c-.---.-____~_'_____...,_---____~__.__,___.~_.___ ~_~____,_--------___ __."__ __ _______________~___,.._______..__________ __,._
04/26/2006 WED 13:07
FAX 952 767 1900 GENZ-RYAN
f4J 005/009
(W)
~;""NE50~"
V.:lI.'t.-.1.,...."" \.J.
CITY OF PRIOR LAKE PLUI\1BING PERMIT
; ~~~ ~:~y I PERMIT NO.O'. D3//t,-
3_ Yellow AppJic.an1 . "" t:::-~
ZONING (office use)
Wftt) Iff' Qjj{
U )(L{ J1
)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
~':e~R WPYI9V',0 [AiU0
(AddreSS)) . C16 p, fAw~ 'If .
(Phone) vt;r- C/O 5-. 37()LJ
rV El5/~J)- ,
~~;~~ANT Gt,)11- - l2-/,.f CU1
. ) .
(Address) 2200 \N. H\~/ ~I L3
,(Address) J
iODO
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture ! Quantity Type of Fixture
-:J Bath Tub with or without shower , .,-=3 Rough-ins
1 Dishwasher , Water Heater
. ) Floor Drain I Water Softner
-LI I Lavatory (Bathroom Sink) [ Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 ' Water Closet (Toilet) Other
FEE SCHEDULE
Industria!, Commercial & Multi-family 1% of job cost with a $39.50 minimum Rcsidential, New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
BUILDING PERMIT
(Office Usc Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
I
I
Duilding Official
Date
~y 09 2006
. By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
P R I 0 R LA KE DEPARTMENT OF
BUILDING AND ~~PECTION
INSPECTION RECORlYail1l!iJe
SITE ADDRESS ~" ~
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR P ONE ~ ~IZ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) ~"'-,~' 'Z.J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
ORK UNTIL ABOVE HAS BEEN SI
GRj~DING (Prior to Sodding)
BUILplNG
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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