HomeMy WebLinkAboutBuilding Permit 99-0615
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~'I CITY OF PRIOR LAKE ~;"~
.~ !:" Jltpartmtnt of ~uilbing 3Jn~ptdion ~i"~
~~: ~ Final Pennitted 0 Conditional C.O. Expires
-, This Cenificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time a/issuance this structure was in compliance with the various ordinances a/the
City of Prior Lake regulating building construction or use, For the following:
Use dassificatinn
Single Family
<IdS. Pennil No. 99-615
Fire Zeoe N I A Zooiog District IU SD
Occupaocy Type
R3
Legal Descripti()f'
Type Construction VN
L2, B2, Northwood Oaks
Con~'s Name & Addres..Deerbrooke,
{f7:f, Robert D. Hutchi'",
P /"4/ ~r;,Cial
~ile Address 3046 Kno11rid2e Drive
5120 Edina Industrial Blvd., Edina, 55435
Jenni Tovar
rity Planner
Owner of Building
Dale:
Date:
i(
"-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 304-&
~(;{V~L
<.I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
_ D)NSULAT,lON 0 SEWER HOOKUP
"\liU'INAL tI 0 PLUMBING FINAL
o SITE INSPECTION 0 MECJ:l FI"IAL
COMMENT~
,hL
DATE TIME
~AN
<79 - G, t'{'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SA TISFA 01", PROCEED
o CORRECT A TI N D PROCEEO
o CORRECT W C2-L OR REINSPECTION eEFORE COVERING
Inspector: Owner/Contr:
CALL 441.985:;' R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
SCHEDULED
,ATE)
~~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
I: 1<;""
ADDRESS <:O~oLl. e...Oe;r- ~
OWNER CONTR.
PHONE NO. PERMIT NO. 11- ""Ie;
o FOOTING o PLUMBING RI o EX/GRAD/FilLING
o FOUNOATION J. 0 MECH RI o COMPLAINT
o FRAMING tR..WATER HOOKUP o FIREPLACE RI
o INSULATION A A"HlEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS liNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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o CORRECT AC
o CORRECT R
Inspector:
TORY, PROCEED
CEED
CA l FO REINSPECTION BEFORE COVERING
Owner/Con!r:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
Il'fSNOTl
DATE TIME
CITY OF PRIOR LAKE ~ q:~
INSPECTION NOTICE SCHEDULED
ADDRESS .B(;4k, ~< p~~,
<:.)
OWNER CONTR.
PHONE NO. PERMIT NO. qq-(nL~
o FOOTING 0 PLUMelNG RI 0 EXlGRAO/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
vHSULATION ~EWER HOOKUP 0 FIREPLACE FINAL
INAL LUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~CH FINAL 0
COMMENTS: rAT" l<. ~yZ..- ~ 0tL.-
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o WORK S IS FACTORY, PROCEEO
o CORRE T CTION AND PROCEED
o CORR R . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
I
~
, ~~~n~[g \
PRIO ) r ------ - ,
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~'\ 1 b YJ9~
l" O'tkMPORARY
lTY OF PRIOR LAKE
:5UILDING PERMIT,
TIFICATE OF ZONING COMPLIANCE
I .ITY CONNECTION PERMIT
1. White
2. P;nk
3. Yellow
File
City
Applicant
1Q'615
/ ,NG-
Permit No.
1. DATE
ECTlONS
~CES NUMBERED 1 THRU 17 MUST BE FILLED IN
'ORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
ilTE ADDRESS
r;. },/- 'J'J
30 '-ftf ~11/~vt.J210q E: D!Z-
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
~~. ~, I IDe~O'
12. NO. OF STORIES
~
~.
LEGAL DESCRIPTION
IT J.. BLOCK
)DITION~/J
OWNER (Name)
~/bl&otL
(Name)
~
(Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
~ OCCUPANT~
T. TYPE OF WORK Fireplace LI Septic LJ Heating LI Plumbing LI Reroofing LJ Porch 0 SEATS
New construction)( Alterations LJ Addition 0 Finish AtticLJ Residing(] Finish Basement 0 16. ESTIMATED VALUE
ChimneyCl Misc. I~:t'~ r-
8. PROPERiY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. FI. /~,SZO Width /Z2. I Da<;Jth /(,0 r Ves No )C '1-/'i "'9 _
I hereby cerlitythat I havefumlshed _w ~,.:.l on this application which Is to the best of my k . ., :lj.' true and correct. I also certtfy that 1 am~9 ownero~..:f...:..___.:. 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 suL.n:tllJ plal'lS':'" I am aware that the
building official can k this It for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ed inspections.
X ' , ~O OJI2- V ---5 "U~'79
Uc8nse No. Date .
PIO .25-,3(,0 - fJo5-D
13. TYPNt:::ITRUCTION
14. FLOOR AREA APPORTIONMENT USE
/0/0(,.+ itz...
(Tel. No.)
$M ~,I#4t tJll4P
(Tel. No.)
f"ty..yjy}
(Address)
Co..I. 'I ~
~k>
(Address)
ARCHITECT
BUILDER
FOR ADMINISTRATIVE USE
(
SETBACKS: Required
Actual
MATERIAL FILED WITH APPUCATION
SOIL TESTS Cl ENERGV DATA Cl
PILING LOGS (] PERCOLATION TESTS (]
PLANS & SPECS Cl SETS
"".
"..
""'"
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING .sm
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 14''''-=.1')0
o COPIES
Cl
SURVEY
PLOT PLAN
Amount Brought Forward .................. $
Pam S~port Faa .........,................. $
SAC .....................................,... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
UcenseCheck Fee ......................... $
Pressure Reducer .......................... $
TYPE OF CONSTRUCTION: I II III IV V
City:
p,~ . 00
It}f$tO .t"\('J
Occupancy Group A BEl H R M
Division 1 234
I. '!.c."2... 7.C:-
~~5.td?
9t'J. ",0
loo ,fJD
IEla .00
~5 . .'51)
40.00
Permit Fee ................................... $
Plan Checking Fee ......................... $
4!::;.flO
State Surcharge ............................. $
1'onaIIV'....P.~z,......,..........,........ $
~9Fti"1J',~I"'"1 ...M.~.................. $
<JlIlef-....,......,..S,~.\0.....,.........., $
Ial ......F..P.:.......,........ $
MeterHom................................... $
Water Meter ................................. S-----L;:;! c:- . Cl D
Cl Sewer & Water Connection Faa ........... $_L '?-rl(). CD
Cl WatarTower Faa .........................., $ . '7 t')('j . eo
Check If
Deferred
W_Tap ,.....................,............ $
Other ......................................... $
Other f,>li.~..~J............, cL..5fllJ . nt;L
TotaJDue.............................,$ 0(')QO.7 L
Paid 1:) oqo . t / ReceiPlN,,;;rc... </{:, 9'.
Date /1/Z&/<I'1 By .t.fr-....
that the request in the above application and acoompanyklg documents Is In accordance with the City Zoning 6roinance and may proceed q;1equested. This document when
ner S 8 temporary Certificate of Zoning compliance and a/Ia.vs construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
I OJ t.f:l1j Spedal eon"",,,, ony
~\q
I 0\/1 q
Ing Permit When Approved.
Date 7 -~- '1'7
!
24 HQUf notice for all inspections 447-42309:00 a.m. -10:00 a.m.
.------
o FOOTING
o FOUNDATION
~RA G
DILATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~;~
;:;;0/1 rl/qP j)~
CONTR~ /)e,.rbrmk ~"hafq.,
'l9-ffiY
~RAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
30ft
OWNER
PHONE NO,
PERMIT NO.
COMMENTS:
(~/rP6o)(' 1$
OK...
~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CA~>>REINSPECTlON BEFORE COVERING
Inspector:~/~ ontr:
<...-
CALL '"7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
IIVSNOTl
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. Blue
2. Gold
3. Yellow
File
City
Applicant
#
99-(0/5'"
Th~ (:..nl..rof lhf' l..kr Counlr)'
Applicant:-L21, d. ed:i--/'ft..r~ (l6r,D Phone:~.:!-7.51~7/t1zJ
Address: ffld -1 '~"""4.ptT"....f :"fyi. A/ <'::..
Signature: __ ~ _
Legal Des . tion: Lot 7_ Block z.. Sub----LV'6""7'1fWl,vN7 hf1:::.-S'
Site Address: ,~ ()'It. A). K"M /1f. -.J 9',.) Af7 S L1
Building Permit # 99-&1_~ PID# 25-.3(,,0-111'6-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower 3 Rough-ins
, Dishwasher I Water Heater
I Floor Drain Water Sollner
4- Lavatory (bathroom sink) I Stand Pipe (washing machine)
Laundry Tray (lor 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plum?l/ring ~ amepdm']'ls thereof.
- R '7/4/trO DATE
"'-- - ArrEST
Call for all'~ctions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
GREEN - fILE
YELLOW - APPLICANT
GOLD - elT,.
CITY OF PRIOR LAKE S.W,No. 79-b/~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:GPrf2.-1 {JA.5ftY.-5
ADDRESS: I ~'i(P lJl-f{!E: tI-1IL \7((',
SIGNATURE: {~~
SITE ADDRESS: 3(;'11" 14<100- Jf.-IOL1b: PrL
PHONE:. tol L 44~ - '72. { z..
{I4As,~A 57)I!DATE: II - ( 0 -I' '7
BLDG. PERMIT # qq-~/~
PID# Z5-3~- 065-0
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVC
5. Estimated length of sewer line
Cast Iron FtJD W~:!:'
_. .,.. h:::,,,,~'\T
feet. E:ll\U~"''-'
6. Clean out (if required), located at
structure.
feet from
Fl', ~:'\ '
======================================================t~~~~=======
::~~C:l becomes your permit when approved.
==~=~:==(==~=~============::::~===~~~:=~~=~~========
FEES:
$
$
~
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $t11.~ plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water, pe~~~!T~~ .
issued. "U\LDING pc..(\.D
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::~:T B:A'F'" 0,"0 ,~,
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DATE PAID
RECEIPT #
16200 Eagle Creek Av. S,E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
..':'11 ur fl\1,J1\ u."lJ.l..l:.
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Thr Crnlrr of lhr L..k, Counl!'}'
White - Building
Canary - Engineering
Pink - Planning
IDllJ..DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 8 6 R r3 ROO t::..-t:::.- (I-P) rJ S TF:.- .
5/25/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections _ ')(
Denied /It! Il I
Reviewed By: (4J1.v A
Comments:
~cJl6~~
Date: ) -f.p-7?
"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."
~
-----..---___'41.
Q9- ~.IS-
Th..(......Uuflh..l..k..COIlnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST:
NAME OF APPLICANT
APPLICATION RECEIVED
DEE-I<:.. 0f<OOCC !"2()rJS T~
5,/25/QQ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3()~(o
*' tv'ot-v /2 106, 6. Dte-
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: W^'TEf( [HIlES'IVI"''''
Date:
, I
/0/"",
Comments: .sEf:
liVF"ftrY\A-rloAJ OA..! 'l"J.-lt:' i<cJF'J2.sE- "slOE"'".
_<:;'r:F' 4"T"'1"')'~~_~~=_-.JT'S ~ I. F;'"..Jl'\l- ~n..AOC II\J<;pf..er,nr-] l.,uroru-r,qT/<1^\ z. ~a.A-f)'N"".. R.4N
.3. E fl..t:lSI aN C.I'JN-rn..O L }A.1rn.5l.N1..E.s
4-. fitOSIDN C~A,J"'Trt..(J1 ~ 'K_aN
"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."
"~~-------------- --------
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~
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Tht Crnltr of Ihr L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
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:
30 ~(o /CAJOt.-G !2JOCi6 De....
/
...........,.........
Denied () /J) j .
Reviewed By: ~' 1/,,1/) . ~
Comments:
Accepted
il.f'f'ontod With Corrections
Date:
lof ;J-&/qc;
. '.
"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,"
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '3N-l (0 K \NJ Ill' I' k>>
NATURE OF WORK /Jell) (Jmfc..1T1=Y Ie ~ I~
USE OF BUILDING sffi ..
PERMIT NO. (Fl-{pl~
CONTRACTOR ..DPRr~hk C~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED 7-&'-7/
~ECTOR DATE
LFOOTING '('11 I % 7J ~0
I FOUNDATION (Prior to Backfill) I f3) /~>.f,. I \
PLACE NO CONCRETE UNTFi'ABO'vE HAS BEEN SIGNED
ROUGH - INS
,1/ 11;/7;1'/)
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V/.5. ,h/o"ij)
v
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
/ - /'f~(f:)
(d) I ~~! /7'
U ; J
~l'
L \l1.r ~
\ \ 1'\/ J.Ur
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1~..iD I I
FINALS
~.'~'
GRADING (Prior to Sodding)
BUILDING 1V)fO g ( 110 D
ELECTRICAL
PLUMBING
HEATING
DO NOT
D2
VJ
OCCUPY UNTIL ABO~E
NOTICE
'?/ J.J / tJV
j/4/~{) ~,o. ~
2/ZZ/n
~/2-7.(db
BEEN SIGNED
HAS
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850