HomeMy WebLinkAboutBuilding Permit 03-0042
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CITY OF PRIOR LAKE
~cparfmcnf lIf I!IluilMng c3Jnspcdilln
'dFinal Permitted LJ Conditional C.O. Expires
This Cert(ficate issued pursuant to the requirements of Section 307 of the Uniform 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
SINGLE FA!1ILY
Occupancy Type
R3
Type Construction
~
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0042
Rl
Legal Description L 7 t B3, WILDS SOUTH
Owner of Building Site Address 2873 BOBCAT TRAIL
Conttactm'sName&Addre" DEERBROOK:E CONSTR.. 10340 VIKING DR., SUITE 105.
ROBERT D. HUTCHINS
~~L
\
;) 7 Building Official
r, 1
I
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City Planner
DON RYE
EDEN PRAI RJ
55344
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE s- ~.()::t Jl:oo
INSPECTION NOTICE SCHEDULED
ADDRESS ~'7~ ~ '1;
OWNER CONTR.
PHONE NO. PERMIT NO. g - OOt/?
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
B::FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION .J'MECH FINAL 0
COMMENTS:
I. F;-). ro~ _ bc,~ <;.~ 1<
cJ(?, 'Lx-.t......,'..." (';o,../V"~-... ......
6"-"J. ~~~:~ J4db~
4. ~J.L Th'U'c:.. .
C;. i!ol'<~ pw.,.,..,., r: II . C. ) \
*' 10. {\ ..~ 4-0 ;~ ~;l'-- ~"'"'"'r Pv...v
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* s- ['.:,Jl {;., M ru t{q?- 'iff '1~
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.
o WORK SATISFACTORY. PROCEED
o CORR7f5C A N AND PROCEED
)( CORR CT) K, CALL FOR REINSPECTION BEFORE COVERING
Inspector if. Owner/Conlr:
/- .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ?8 7 ,1 ~ rc. J
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
fi"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
o ECH FINAL
DATE TIME
y <.") .<[1 r:a:::>
o 'S -r')(J C/ 7.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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/",. f '7
11-' -u;;.
o ~ SATISFACTORY, PROCEED
/CORREC~TION AND PROCEED
o CORRF T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: V Owner/Contr:
CALl.\l., (850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
"'SHOO
..-.---......--.-...--...-.. .._- .-.---....---....---..,...,., .__.~-----_._._-,----,.- . - -_._-----,------_._--_.._._-_.._._.._.__..~.._.,-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OAT...."""
S,2f-03
TIME
ADDRESS ~873 Bo6(.C,T Tr
OWNER CONTR. f)t'!.~},HJ6/('
PHONE NO, PERMIT NO. ($13' (!)(!)4 Z-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LLING
- 0 CcSl;;P[AlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
&f'~. <pIt..-
L'/Ib f3(!)f - L91(
('K. S..ttof). J.{.O~cJ lJD.
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
8-t/ -03
ADDRESS O!A I ~
&t,~ \r~
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
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GMLI!'!IO.AIR TST
oS"',
COMMENTS:
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C"" P_J l'ioO.A I'?tV
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o -7'Ji~" ~ ,~~=O,.~" '''''''''
Inspector: Owner/Contr:
CAL . 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(please type or Drint and sign at bottom)
ADDRESS
2r73
Bof!;,~ T,tZ;9-; '-
LEGAL DESCRIPTION (office use only)
LOT7 BLOCK '3 ADDITION Wd.';'!
OWNER
(Name)
Date Re
1_ White File
2. Pink City
). Yellow Applicant
/;;) -/1-0 d-
I
I PERMIT NO. 03 ,064- Z-
ZONING (alike use)
1(1
f"o ~7'-1
PID,~5-,~gJ..- 0101-0
D~(OolCa- (]Ot-J~ Tl-lc.-
/O?'VD Ut/~>tJlr b~vp .5....A--<..
(Phone)
c:r6t- It 1-17 t /
(Address)
BUILDER ,..... _
(Name) ~ A.(,...
(Contact Name)
(Address)
,..
TYPE OF WORK
~ew Construction
DLower Level Finish
~ck
o Misc.
tor-
(Phone)
(Phone) '9S1- 41.9-77//
OPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $1 :;, Sf, 000. 00
OIr.,q ~dc.ool
$ /9/2./~'1
$ IZ<lz.9d,1
$ /3 Z-.o 0 '
$ -IP-
$ /t'J(7. tJD
$ /of). Do
$ 3":i. $"0
$ 1*1. d~
~ ~jJ~
This Application Becomes Your Building Permit When Approved
I hereby certify that I have furnished information 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 above-mentioned property and that all construction 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 y.vy....~J to perform needed inspections.
X ~/J_
.,.~ -
/ / _ Signature
y
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
1 Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Building Official
1.;0,/dt-
,
Date
CjIZ~
IL-"1-o 'Z-
Contractor's License No.
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTAL DUE
1
1
I
I
I
I
I
1 $ I
k:?J~OJ 1 $Q457. 551
I Receipt No,H 3-, U c:; I
By ((2 f ' I
$
$
$
$
1$
1$
1$
~50tt)o
1?:1S: Of1
~o. {)O
7c,oe
J 2M. D~
7c:1O. tUJ
150(7.tJo
#
#
#
#
I Paid
I Date
ClhtfD
tj-it'_?-J,55
J- 17 -n.:1
,
'"his 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
hen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consUllction to commence. Before occupancy, a Certificate of Occupancy must be
u~~~
Planning Director
/..yI~~&-- -4J #~~~--X;'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
f~:
""'''/ll'f:tO''tt-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
l.P'ink
1 u.....
" Yfl10W
,
~:,', I PERMIT NO. ' J... --U...-vl:
AP'fII'eIfll ..J 1 C7
(Please tv'D~ or oOn[ and sig;n at botmrnl
ADDRESS
;)"EV13 130~ T..A-. /t)U
ZONING (ollie,",,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER .
(Name)~ ('~ (Phone) 9S;;l-??d.9-77//
,
(Address) /03<../0 U~./J~ n...- .1;./0...". ~ p~~.f) /??n S>S3<i<l
(/
APPLIC.f.,NT '
(Namef .b:l::rrm.nL r--,<'lM"l..,O.o ~ + ~oQc~ (Phone). ;"'jl~3'3)5'75CO
(Address)\:{::)IO l.J( 1Crr\'. n3. tj I -e. D. (?;.~ LY">'"" ~0t rnn S'::::;l;'<'/C;
. " t)'ddre"l' CJ (Cuy) (Zip Code)
(Contact Person) ~ ':-,,,,- - hi, (Phone) '10>3-315-75/ G,
APPLICANT SIGNATURE '7f:u:;;;' LJ/}, -">cJ).7'>"G:'~ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL F;UEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
ITPE OF SYSTEM HEATING OR POWER PLANT
" DWann Air Plants
DGravity
D MechaniCllI
DAir Conditioning
DVent. SYStem
FIREPLACE MAKE AND MODEL ;/J1.n';LJ::&-r -
u
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Deviees
PLEASE NOTE:
Air Conditionet Units
Cannot Encroach into
Required Side Yard
Setbaeks
DV3(' oO.efl.J
Industrial. Commercial &. Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fir=l'lace
$39.50 minimum
S99.50 Rcsidential. Additions &. Alterations
564_50 Residential, AC Only
539,50
Residential, Heating &. NC (New ConstrUction)
Residential, Heating Only (New Construction)
539.50
S39.50
Estimated Cost S
Building Permit #
HEATING PERlvUT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
S
a PAID Iu
tJlLDl1V< rr'/7"H
G PERMrr
_50
(omce Use. Only)
Th;oA':.:::::.. yO.'.""' p~;~:... App~" ~ i ,~: ~o~1
7.4 hour .otiee for .1I1"pe."o", (9~2 447-9850. fIX (957.) 447-4245
,By_
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:;
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X31UIHd 3~VHV~-SI1VWO~1V
<:OLOSlCns XVd s<::n CO/SO,'CO
FEB-25-2003 10' 44
CITY OF PRIOR LAKE
9524474245 P.01/01
va.le J:'l"C' U
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i =.. ~Il;. I PER.:MIT NO. ....-:2. ....-) ;-, Y
~,~ ""pI",1 J r-r~1
q'tl!!lUCI Npc Q'f 1Wi:at aDd sim"~ boaICm~
I ADDlUlSS
~<g:F~ ~~IVCl'J
I ZONING (omo.....) I
LEGAl DESCPJPT10N (oill<< dO< ooly)
LOT aLOCK
ADDITION
PlD
OWNER
(Name)
/".
,Jol\'Y.s, &\cwor+
SloD0 Cit.\-\i. tnif' N
(A.w....)
(Phone)
r"I\"f'fMf"\d
.. ....
(eilY)
lla:,-4Dlg-llo&?
M (() C;S~'l
(Zi. CodI)
(Acldt.")
APPLICANT~'
(Ne'''' ~) I.ffi
(Ac!dtIs.) ~in[){o
S\t-1.l1Q(t (Fhone) 10~- 4Cl ~/ 1\0& ~
qL\~ .(J(\Je.. N C-:\(tmf'le-\d tJ\\\\ c::s::,"?:,S'7
(A_l (Cl'l') (ZIj> Code)
(Conue,Per.on) \Tim ~k Hi ;1. (l'hone) lia3..L{QV7(Q_'{("
APPLICANT SIONATUlUl ,( /l~.I /Z~ I DATE 5- I lite 0:3
-'-- ~ -
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any COUplini$ from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Castlron
Estimated lenath of sewer line feet.
Clean out (ifreqllired) located at _ feet from stnlcture.
-.
FEE SCHEDULE
llMiden'i.I......' and wat., line conn.ction /53',50 IndU01l'ial, Com'l '" Multi.fomily
Sewer conn.clion o~ly ~ S 17,:lO Water collllccDon only
Elitlmated Cost S 35. SO Building Permit #
I % of job cool wilh . 539.50 minimum
517,50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s ~
S ,_~,,"n
LlSV
) [ . I :.C'iP' No
j~ <}\-) I y ()L/
14 bour nOlio. ror.1i In.p.oli... (9!~) 447-~'50. t.. (9~) 441"~45 I
r i1LV hJcok-L
(Olllo, U.. (017)
Thi. Applicalion Becom.. Yo.r Bulldlnl P.rmll When Approved
BuUdln.omcllll
D.te
I !'oid
I I Date
I
I
. I
TOTAL P.01
~'t
While - Building
r.~""!O..y cng~g
r Pink . Plannin
The- e..nlt'. nf Ih..I.8k.. COUnl11'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
1-
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
If ULe!
7~1- Date: I.J.-/;'/o-r-
J,t ~~
.A'~ he- ~
'iJ,...J- ~ ~ '-
tI
/a' ~. -,.c
Comments:
~
~ J crvu
/' "
-()
"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."
~~
White - Building
Canary - Engineering
Pink - Planning
Tht'('f'nll'rorthtl.lbCounlr,-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /7)eeyb rooKc (' y)j(j c:f/~
.
APPLICATION RECEIVED I;::) .-'/ I-OJ..-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~
"-) 5('7 3-
-\
B/J hu1. +
Accepted
Accepted With Corrections V
Denied
Reviewed By:
~~L)
~~ a...L-/
Date: /.? ~t.jtJ-'7--
~~~.
Comments:
"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,"
,
"-_.-_.~--
6~~
White - Building
Canary . Engineering
Pink - Planning
Th~ Crnlrr of lh~ I..lot Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
F
,"
(';' ;'"
-, "
APPLICATION RECEIVED I:) -- ,ii"
1
--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.- '/-"~
,-, '".--' "'<,-
\ \.' I) . '
X:?
, )/l
'f-- i r
-''''i'-'
~/
r-/
Accepted
,()(
Accepted With Corrections
Denied
Reviewed By:
~
Date: I ').-/g-oL
.
Comments: SAA RAverse Side for Additional Information!
See Attachments' 1) Grmiine Phm. 2) Erosion ~ontrol Mp"~Jlr"~
"The issuance or granting of a permit or approval of plans, specifications and
computations shalt 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 shalt not be valid,"
,
PRIOR LAKE
INSPECTION RECORD
~73 "RoRrA.T'TI.AtL.
N 6.~ifffa.uqIGN
USE OF BUILDING S.I=". I).
PERMIT NO. (2r,O(J42- DATE ISSUED '~l.1J.(.t. ----=
CONTRACTOR ~ Q)NCT. '~'PHONE~,.n,(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
,
I FOOTING
~~9
INSPECTOR
DATE
I .1 c''') 'J'"
f( .- - _...~
, FOUNDATION (Prior to Backfill) ~r<g0ll" !Vl-- 31 / I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - Iti,S
SEWER I WATER I SEPTIC_ /jJS 2 - '/
FRAMING J J.2 fY, (itJ 6 ~)O _ A
INSULATION
ELECTRICAL
PLUMBING j/'"CKA./ I r+ .J;;.l.1<eI F Io.:v- 6 ~I A;:\ c::::.c iA
r~ - ~...l. "0.' *" \ ):l ~ c..:>"'""
HEATING (if required) .. Il g ..<{ -)0 I
FIREPLACE /
GAS LINE AIR TEST ~ +- {:-,u ~
f./J
j/b - ;,-/"<-
~1l9lfl7,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'LTUltDJ 'troltlE ~1It!7 9t~~
FINALS
N~ S,Z'1.'!j'
\"
GRADING (Prior to SoddinQ)
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.
tftQf.,-VC
.I,,'
p15'
s--/
FOR ALL INSPECTIONS (952) 447-9850