HomeMy WebLinkAboutBuilding 06-0524
~ertifitate nf OJ)ttupanty
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing c1Jnsptrfinn
qFinal 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 .5 F A Bldg. Permit No. 0 <:0 - !J-J 1../
Occupancy Type R3 Type C;onstruction 11 Iv Zoning District F) U S D
Legal Description 1- . ~ / l~i L! //;J..k!;1?f~A/<>-'1 :'~~~l(~/ / j f-
awner of Building v Site Address / I J / 1 /~;)/L.k'"1..:21L)
Contractor's NaIT)e &, Address , ,~1./?~0..I) c':-: il/;':{i,i -1;;'[1; . , ./)
f,() ~,,21 f f.,.}ti /1 Ii / " ~1 / ~ City Planner
Building OfficialJ
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'...... , 1\'\ Ii. '.~-, G
,'" I' : ilt, ~11, Frle
". ee _~ JaIn i' J.JF c,ty
B b ~ I . -- . ~1!f!!iw Applicant
0. f.,rr I'C"t-
I PERMIT NO. ~-5;Jf
Date Rec' d
6- :2~ -Ob
(Please
ADDRESS
Po.rk.v:e.. N'W
LEGAL DESCRIPTION (office use only)
LOT;)\ BLOCK I
,'l.o"
PID ~-'i37- 0.,).\-0
ADDITION
::r e..fl\:,-
ZONING (office use)
P 5JJ
Bu,' lder
(Phone)
OWNER
(Name)
(Address)
BUILDER
(Company Name) We t" 0;" 1V\e.",^ Ho......c ~
(Contact Name) R. S,-k"e..,'J,.r-
(Address) R. Jot
(Phone)
(Phone)
&5 I - '106- '1 '100
b I ).- :H, q - 7 q 6 t.(
N
TYPE OF WORK ~New Construction ~eck OPorch ORe-Roofing ORe-Siding '6(ILower Level Finish ~ Fireplace
DAddition DAlteration DUtility ConnectIOn
CODE: ~I.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise
V
M
4
A
R
5
B
S
III IV
H I
2 3
I
E
II
F
I
U
PROJECT COST IV ALUE
(excluding land)
$ J 30. 000. () D
I hereby certify that I have hlrmshed Int()rmation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent for the
abovc-mentlOned property and that all ccmstruction WIll conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
otlicial can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a deslgnce may enter upon the property to perform needed InspectIons
~~ /L ~4
Signature
x
) '"I S- S'
Permit Valuation
Contractor's License No.
Park Support Fee
SAC
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
-
Builder's Deposit
Other
Sewer & Water Permit Fee
5--0
Gas Fireplace Permit Fee
TOTAL DUE
Paid
Date
~ S1J-.,1'
Ivz,...t,j~
This Application Becomes Your Building Permit When Approved
~~
~fi ?~ t.
Buildlll!! Official
#
#
#
#
iftNO
5'"- (-1 -0 b
Date
$
$
$
$
$
$
$
$
$
-
0.-
'5/r-if/
. /
ThiS IS to certify that the request In the above applicatIon and accompanYIng documents IS In accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of ZonIng compliance and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
ISst~ ~ 1011'/~at()e'' r-"
Planning Director ~
24 hour noticc for all inspcctions (9:;2) 447-98:;0, fax (9:;2) 447-424:;
16200 Eagle Creek Avenue Prior Lake, MN 55372
I4i 031/033
Date Hec'd
08/04/2006 FRI 7:47 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLUMBING PERMIT
L BI'J~ Filr
2. C'JOld City
3, Yellow AppliC2T\i
(PIcase type or print aJJd sign at bottom)
I ADDRESS
1 ( .[1 " ,\ D
\ '-. d.. L..\ \
1)OJr/< VI ru.)
Lr\
I ZON1NG (office use)
i
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
.O\VNER
(Name)
UJp.\'l Snt\un If)
I fCl5' (:)) a Dr- #= 200
- 5 q ('\h ,-;>.~ H
(Phone)l.i/ 1- ./ ')-- :J (()
ElJJ) {LVI tv] N 6.
(Address)
~:;~~ANT Ge.ltL - 12-t-f {IY,
(Address) 21-00 \/V. I-h'\/ fA
(Address) )
(Contact Person) =i<\ y\r)
k~
(Phone) qr.;'7--/{f1 -
BtAll~1Si/ /'! re.r M N
(City)
lODe)
APPLICANT SIGNATURE
DATE
AJ>PLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I Quantit)' I Type of Fixture
'2 Batb Tub with or without shower I S I Rough-ins
, Disbwasber I i I Water Heater
'I Floor Drain j \, I Water Softner
-1 Lavatory (Bathroom Sink) '- j \ I Stand Pipe (Washing Machine)
l ) Laundry Tray (1 or 2 compartment sink I I Sewage Ejector I
( Sho,ver Stall I ),_ , Backflow Assem bly
I I Sinks I [ Backflow Assembly Test I
I
, Bar Sink i ! Lawn Sprinkler I
,
-3 I Water Closet (Toilet) I j Other
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 $
:=tuilding Petmit Ii
PLUMBING PEIUvIIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.soPAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
I By
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
See Main p'l. "
-'. ~ e.
~ Jl .'
;.;.w
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
CPmk - Planninb
..
NAME OF APPLICANT
APPLICATION RECEIVED
/ I
, l
i J
~1J
.;~ ./; .-J." "
.- h
l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.1/.) II'} / ../> .//,.' /U
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
~~
Date: ~(/~/00
Comments:
SeeMairtFite
"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."
//,;!}
pF
~/
See Main File
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '.
NAME OF APPLICANT (jj_f12Y.:J./jJ1(jV;-~ J.Ie;~~
APPLICATION RECEIVED ~ - d ro - b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whictL~ proposed at: '
r "'i
IL/~'-19 -?{)4'v~ ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
.St~ ~,~
Date:
6-ly()-6
r;:;'/(.
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."
See Main 'File
c-Wnlte - Buildinj(:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APP:!.ICAT:ION D=EPARTMENT CH~CKLlSI )
NAME OF APPLICANT iLJ _ u ~
APPLICATION RECEIVED ~ - d-~ - b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi~ropose. d at: .
,ILj~L/9 ~Cu./~V~ ~
Accepted
V"
Accepted With Corrections
Denied
Reviewed By:
~~~~
Date: fe,(t 1/~ (,
Comments:
Soo--Main--FiIe
"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 7:48 FAX 952 767 1900 GENZ-RYAN
[4J 032/033
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
OC"x\<v j lU)
lJ)
i ~;~v ~l~;IC'''1 I PERMIT NO'. 5 z4-
\1 ZONING (office
, use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID J
,a i ~5i-yjOS-37D11
(Phonej<\ UI
EZZgLlJ\ 1"--1 N '35 i';).;) i
OWNER Uo () \! c. r;. \
(Name)__ 'u'la"f\u~.{\\f)
(Address) I gcrs tor (Am ~Dr # ?~)
APPLICANT (' ')
(NameL__._l5Cn1.- !clJLLtJ----------- (Phone) i1~l;)\~7L(r7-.IOOO
(Address),):!?CO_Vj ,t-h.Ul-,j ! ?) ..__ B\lVT\SVi I Ie r-=(~)'~-n
[/' (Address) (City)' (Zip co~ic) , I
(ConlactPo"on) T\1(y\~. .' [Phone) CJ5"d-7Coi- 10lX)_ I
APPLICANT SIGNATURE _~ _ (dill DATE -Z.../..S 10 ~ _J
, APPLICANT I J ~ !, COMPLETE BELOW
~EW CO~STRUCTIONO REPUCEMENT .,0 ALTERATIONS ~
PURNACE MAKE A~D MODEL ,"f. \lnn;\ G-;~.pu H - 3.Lu~- cr-dQ--- FUEL v\(&t-;::-~~?2-
FLUE SIZE __.__._ RETURN OPENINGS __ Sd.___ INPUT _ 0 8()~rL._ OUTPUT. 70J-JfhL_
HEATING OR POWER PLANT I
I
\
I
...J
'EVE OF SYSTEM
TIWarn1 Air Planfs
i-raVilY
chanieal
'ir Conditioning
en!. Syslem
o Steam
o HOI Waler
o Radiation
o Special Devices ________
o Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
~---_._~._--------_..---
. .
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % orjob cost Residential, Gas Fireplace
$39,50 mirimun~
$9950 Residential, Additions & Alterations
$64,50 Residential, AC Only
$3950
Residcntia\, Healing & AIC (New Constnlclion)
Residential, Healing Only (New ConSIl1Jction)
$39.50
S39.50
Estimated Cost $
HEATING PERMIT fEE
ST ATE SURCHARGE
TOT AI... PERMIT FEE
BuildingPerl11it #__ _
S;_____~ID WITH
i Bl?JILorNG PERMIT
(Ofnc.e Use Onl)')
Date
i Paid ! Receipt No. ~
I
I
i Date I By
I
I
This Application Becomes Vour Building Permit When Approved
nujldill~ Official
24 hour not.cc [t.r ailll,snect'ons (9::;~) 447.9850, fax (952) 447-,n45
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
ADDRESS
\Yd~q .~~
;:~ ~~, \ PERMIT NO. ~
1, Yellow Applicant , ~
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
pm
OWNER
(Name) \A)OIV'~
\C~~ R~~, ~ H-~
(Addre>5) ~ ,fY'..... S~\~d-
(phone) (pS'1 - If OlD - Y'IOO
APPLICANT
(NameJll .-l-rtYY\.^-h:c..J~)"\f-..~~-,? f'rr--A. ~ F. P
(AddreSs~
9CD /09..t1, (h Jt>_ IJ ..JIJrX"JCJ
(Address) ,
(Contact Person) ,.t ("-\S \.1...v,w'\e.f"""O,......
(Phone) 'llD 3 - S 'J 1- 'dS'dS
rj, r")/Y)u',j-,,~ J/1'11'1 553JL,
~ (Lity) (Zip Code)
(Phone) .Q(p~ - S'l(o-/~ IlL'
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT o AL TERA nONS
FURNACE MAKE, MODEL ~o~ ~ O~ f:'t\. ) C"J'PFL(ce FUEL
, \
FLUE SIZE RETURN OPENINd s INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam , PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical ~ o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Firepla.ce
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
't.~~.,~...
$39,50
$39.50
Estimated Cost $ Building Permit #
HEA TlNG PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
PAID Wln~
eu'tOlNG PERMiT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
R.eceipt No,
! By
Dale
Buildine Orfidal
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
66ZL 9L9 C9L XV~ LO:SO LO/CO/gO
zoo rrJ
HaaG ~SVHVS ~I~VWO~OV
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT See Main File
eUILDING AND INSPECTION
~ .
SITE ADDRESS I ~ 41 ~ ~ ll'leuJ ~~ Nt~.
NATURE OF WORK ~(';~n: - _ jJ It.. t.. ,;',J/#"" /JI;"f:;.II!.) JJo f?!/II:H
USE OF BUIL~~ ~
PERMIT NO. - ~~ _DATE ISSUED fDll~
CONTRACTOR PHONE (., (IJ C.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING"ts~~ (' Io.. .
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~~
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