HomeMy WebLinkAboutBuilding Permit 03-0272
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CITY OF PRIOR LAKE
~rparttttrnf of 1iuil~ing Jfnsprdion
+ Final Permitted D Conditional C,Q, Expires
This Certificate 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:
"
Occupancy Type
R3
TYpe Construction
VN
Fire Zone
Bldg. Pennit Nc, 03-0272
N / A Zoning District RI SD
Use Classification
SINGLE FAMILY
Legal Description LI1, LAKESIDE PARK
.
Owner of Buildinp'
Contractor's Name & Address DANES CONSTRUCTION.
ROBERT D. HUTCHINS
r1lA, ' Building Official
71 ~1107
Site Address 16308 PARK AVENUE SOUTH
--\
110~,BUTTERFLY LANE, PRIOR LAKE 55372
DON RYE
City Planner
Date:
Date:
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APPLIANCE
.PERFORIIANCE TEST
Locate near the furnaCe! manual
....
~P ,Gas ; Natural Gas X
, Job Address 1.0 a c> cg- jJ"..f' I-r A U
Heating Contractor I-. '@ r il Ilea f; /I Cf
Name of Tester ~J ~ jJ ~ .
Date 7/,,'/03
Q10
090
Percent CO2 <is' 'l)
Stack Temp. / ~ 0 d>
.essure S tP 5' II
Percent O2
Percent CO
White. CIIy Copy Teg . Site Copy
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED LIlt, tJJ.3
ADDRESS ~ ~ Av.o .
OWNER
CONTR,
PHONE NO.
PERMIT NO,
'3 - 2-?-2-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
Ad MECHRI
,t.WATER HOOKUP
" SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMMENTS:
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o WO-;KSATISFACTORy.PROCEE~~~ vil"t, /03
o jORRECT ACTION AND PROCEED ~ t5t<... JI:-
" 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
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7-n
SCHEDULED
ADDRESS
it- 'JO?>
(j?",,/c
OWNER
CONTR.
PHONE NO,
PERMIT NO.
Y~J-7L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
D' PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
)t"MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
- (')ts~ {- ciM...
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1,...
o )'/ORK SATISFACTORY, PROCEED
..I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: N Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
,,,,,,,,n
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DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~
ADDRESS -/)c '::?.~~ ~,!'A-<,~--<
OWNER CONTR.
PHONE NO,
PERMIT NO,
~ ~~ 72-
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
ri' PLUMBING FINAL
rD MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: . ^
:!" ~~Q, Y'2--~~_,~~UY~
- _2-, <;1 UP-, ~~ ~ *V ~4~:
'b w;.. '7 ""-~ "f2L~ .
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 44s-
OWner/Contr:
CALL 0147.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
UUNO"
.-_-..--~--- .. .----.------.----
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS Ji.4 ~ ~ p ~
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
AD FRAMING
o INSULATION
FINAL
,go SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE nME
~I ');1 /fP;
~~1-71--
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~~() () 0'" 1,0, ,- ~ I C.ft9lHJk.Q
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: * Owner/Contr:
C::ALL 447-9850 F('R THr: NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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-'--'-'-~~-'-"'-'"--"-"'-". ---- .- _.~,_..,-------
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~
TIME
ADDRESS
1(/::1)<6 (J AA. if.. !we
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
---.,; FINAL
/[j' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
r? ?:,- 1:. iZ
o E~FILLING
o C~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ (~('-,. S1'oP- 0EfllS -+nRll ~-\ (",51'W(~
_klkrl_A0-,Li.. 8' f'R:-(fJp, ~ rf\M1S\. Nu::f('
- ~,J<!. ~ 0JUs:UJT'1:(~
>-JeJ 4.Jo DO... -\" ~(: c,
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WO K, CA L FOR REINSPECTION BEFORE COVERING
Inspector: / l Owner/Contr:
lliSl'iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI '
",,_u"'_._"'_._' .._._,__._~_~ "..- .
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'*Oe:n () 'p~1 T #a3-N..30
;:'1&a3V t/P 1-3/-Z003
Date Rec' d
/-/5-03
(Please tvDe or 'Orint and sign at bottom)
ADDRESS
I. White File I PERMIT NO I
2, Pi" C"Y '''''-::>-OZ7.''7
3. Yellow Applicant (,.I.-) ~
//" .?O ~
/Jar 1-
A/HI
.s:C)_
ZONING (office use)
/C./SD
LEGAL DESCRIPTION (office use only)
LOTII BLOCK
ADDITION t./J/a3.S 106 P/ltelt-
PID 2'7-09h - 007-0
OWNER
(Name)
~
(J ,,1 <..Ju- i
(PhOne)( <Ie;;: 1. ) g 'n - ot> (., I
(Address) JS'l..,o'l. ~jf:.'-(A-;2....tT Ab 6v,1I{-
BUILDER /\ N /I '
(Name) J'\.... /1":( /1fI.~ <' (~,/\ <:7(' I) <:- T IrJ^
(Contact Name) _;\/1 r~.r.k Va N~.5'_n__
(Address) / /OQ l3ut/er [:/> J.-~
LLL.
(Phone) tol;:)- ~9n ",<;"Cl~!)
(Phone)
TYPE OF WORK
KNew Construction
DLower Level Finish
oDeck
oPorch
oAddirion
ORe-Roofing
ORe-Siding
o Fireplace
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ "$ b 0 , C)O D
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 y'~y~"j 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
;rer1pt::. YC':-T~:.nspections Be _ ;)o?::lr. is'5 I _ / '-1- 0 ~
I Signa~ Contractor's License No. Date
I Permit Valuation 4f3 (J(). 0 (j 0. OD 1 Park Support Fee # $ --
J Permit Fee $ 2//3.7S 1 SAC # $ -
....
1 Plan Check Fee $ /37 '3,9<-(1 I Water Meter Siz~l"i $ 2-$'0,00
I State Surcharge $ I "3)tJ () 1 I Pressure Reducer $ ~.oo
1 Penalty $ ---- 1 1 City SAC and WAC # $ ~
I Plumbing Permit Fee $ JO().()t:J 1 I Water Tower Fee # $ -
I Mechanical Permit Fee $ 100. 0 () 1 I Builder's Deposit $ 1500,00
\ Sewer & Water Permit Fee $ 35.50 1 1 Other tr?ec P~€JVII..tio,:J $ 5"00,00
! Gas Fireplace Permit Fee $ I/o, ()() 1 1 TOTAL DUE ~A1Mro ;3.'2.03 $(" ZO/?, Jq
I Paid~1 0 .-fU6" ~I Receipt No. J _ . ~
This Application Becomes Your Building Permit When Approved l/4-U I f
Z~ ~~ /j:y//o:? I Date 3- JI-t- I B~
Building Official bate
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
~sued. , ~ Tre..e.. b-Lh~ tn~ lR. ~J
~ O.J... ) 1J . II . 0.1-; ~r/.2. lUl::. 1'l"-"--ILLLrTA t>r) n. I).,
o-rr - pian in"-D'ector """V Date t. Special Condltlorls, If any ~L.~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
.
~
RESOLUTION 02-017PC
A RESOLUTION APPROVING A 6.3 FOOT VARIANCE FROM THE 13.6
FOOT ADDmONAL SETBACK REQUIRED WHEN A BUILDING WALL
EXCEEDS 50 FEET IN LENGTH FOR THE CONSTRUCTION OF A
SINGLE FAMILY DWELLING
BE IT RESOL YED BY the Board of Adjustment of the City of Prior Lake,
Minnesota;
~
FINDINGS
i
1. Mark Danes, on behalf of David and Sheryl Colucci, has applied for variances from
the zoning ordinance for the construction of a single family dwelling on property
zoned R-l (Low Density Residential) and SD (Shoreland Overlay) at the following
location, to wit;
16308 Park Avenue, Prior Lake, MN, legally described as follows: Lot 11,
Lakeside Park, Scott County, Minnesota.
2, The Board of Adjustment has reviewed the application for variances as contained in
Case #02-110PC and held a hearing thereon on October 28, 2002.
3, The Board of Adjustment has considered the effect of the proposed variance upon
the health, safety, and welfare of the community, the existing and anticipated traffic
conditions, light and air, danger of fire, risk to the public safety, the effect on
property values in the surrounding area and the effect or the Pi'oposed variance on
the Comprehensive Plan,
4. The 13.6 foot building wall setback results in a difficulty and warrants a reduced
setback, because the buildable width is reduced to 27 feet,
5, The additional building wall setback creates a 13.6 foot minimum setback, which
means the sum of the side yards would total 23.6 feet, when the zoning ordinance
only requires 15 feet. The side yard setbacks of adjacent structures are only 5 feet
leaving the subject property to maintain two 10 foot side yard setbacks. This
situation is peculiar to the property,
.
.
1: \02files \02variances \02-110\approve resolurioo.doc
1
16200 Eagle Creek Ave. S.E.. Prior Lake, Minnesota 55372-1714 I Ph, (952) 447-4230 I Fax (952) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
6. A variance from the additional side yard setback appears to be necessary for the
preservation and enjoyment of a substantial property right of the owner. Without
some relief from this setback, the buildable width would be limited to 27 feet.
7. The variance from the additional setback for a building wall over 50 feet will not
impact the cb.aracter of the neighborhood, because a 15 foot building separation
will still be mamtained from the structure to the south. .
8. The zoning ordinance allows variances where reasons of strict application of
provisions would create an undue hardship. The strict application of the additional
setback creates a difficulty for the property owner.
9. The contents of Planning Case #02-110PC are hereby entered into and made a part
of the public record and the record of decision for this case,
~
.
~
CONCLUSION
Based upon the Findings set forth above, the Board of Adjustment hereby approves the
following variance to allow for the construction of a single family dwelling:
1. A 6.3 foot variance from the 13.6 foot setback required when a building
wall exceeds 50 feet. (Section 1102.405 (6) Dimensional Standards.)
The following conditions shall be complied with prior to the issuance of a building
permit for the construction of a single family dwelling on the subject site:
1. The resolution must be recorded at Scott County within 60 days of adoption.
Proof of recording, along with the acknowledged City Assent Form, shall be
submitted to the Planning Department prior to the issuance of a building permit.
2. The building permit is subject to all other applicable city, county, and state agency
regulations.
3, The driveway shall be a minimum of 10 feet in width,
4. Impervious surface shall not exceed 30 percent.
5, Gutters shall be installed on the north and south elevations of the dwelling,
6, A revised certificate of survey shall be submitted as part of the building permit
application.
.
.
I: \02fUes\02vanances\02-110\approve resolution,doc
2
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While . Building
Canary . EnQineering
('l'lnk - Planniiilr,
Thr (rnlrr of thr L.kr ("ount!')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
0/1 N c:. ~~:
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APPLICATION RECEIVED
The Bui'ding, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / ,:) / (":', I)', / j(/ 'I ,(,: '. i--:'~
v:, ,/' G/ /- '/ II',. , / v ' 'v l/ '-_- ,_.J
GLL{ (..t;Y\~...-::2...
Accepted ./ Accepted With Corrections
Denied
Reviewed By: c..n ~
Comments:
'b . II 02:>
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l...-' f/ ,~. _ '--"
Date:
./ M2.-r U-~C!Q I ~
fu ~ LJ'l9-f7O 0 0 r; n..{ LV\ ih<=-
on 0 I rCL:tuY)~,
cu-e. ~f LL.L.reo\
hurtf) 'i- ~~
Lr\~D 0 0 r~
"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 va'id."
,
$~1;
White - BuildinL
r- ~."narv - Engineermp
Pi~ - I",annong
ThO' ernl... or Ihr I,.kr Counl..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ t~~). -:~}/J~) /~/-}fr::IK~ /.} {,//~,Il/{~/E~. ~~:~)
Accepted
x-
Accepted With Corrections
Denied
Reviewed By:
JYJCf r~
Date:
J- sO" 63
Comments: See Reverse Side for Ariditionrlllnformrltinnl
See Attachments' 1) Gnlc1ing Pl::m ?\Emsinn f:nntrol Measures
"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 - Buildinu
-';allsry r;:;.n9I1n:~bl';ng
Pink - Planning
Tlu Cfnln of lhf L.h ('ounl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[)/J /'J6S CO~(7e..Ue..:t/oAl
/-/5-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ h. --q!Jf3 P/1!2/C /J 1/~N(/6 s
Accepted
Accepted With Corrections ~
Denied
~ ;?~
Comments: hd /'UP' /lff-~ -A~-~
~ 4P~_ ~ ~~J A4..~
'7 _ "'/7 ,...., /I n _ n ~ "1_ tJ ~ n
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7 "p, ,
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Reviewed By:
Date:
//303
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~
"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,"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ::;'" ~::y I PERMIT NO. /r7_ -1-1-t. ..
J. Yellow Applicant I/a ...-T' /~
q'lease ~e or orint and SiWl at bottom)
ADDRESS
It:, EO~ p{DV'~ /l-I/-P
ZONING (office use)
R/SlJ
. LEGAL DESCRIPTION (oflice use only)
LOT II BLOCK ADDITION ~ jJ~
PlodS -{}qfo-OtJ',/-o
OWNER
(Name)
(Address)
(Phone)
APPLICANT} ,
(Name) J.. l(; (11
. V
(Address) 5 7f'<)' z./1 rc; fit' ^ {p 5 f- 5 '-'1./
/J . , (Address) v
(Contact Person) Dra J II/)'=- ~~~. ~ I{J ,i y\
APPLICANT SIGNATURE ~!i.n~ se '//1" (
(/
APPLICANT PLEASE COMPLETE BELOW
'SNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL /I ElL FUEL /L/,.1 r;o~
FLUE SIZE ~ /1,iJUC:- RETURN OPENINGS 10 INPUT ~005 OUTPUT~ Ct:?d
f/@ (d I JI rP
(Phone) Cf)J.. - l./ t; 7..... cj'R' ").-
.4:0 r /-..a f'L :;-5"3")2..
(City) (Zip Code)
(Phone) (01).. - 3 66 - 3~ 34
DATE (,,/1// ()3
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
~ Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
DWarm Air Plants
DGravity
o Mechanical
~Air Conditioning
!)l:Vent. System H~ L/
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
Building Official
Date
1 ~4, )
I pai~~ ~ ILYV 'ReceiptNo.
I Dattln _ ~ ~03 , rvU
vJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
3-/2~o3
; ~:w ~\\~ I PERMITNO.rl?~O z.. 7-7.
3. Gold Applicant ~ Lf-
(Please .!YDe or orint and sign at bottom)
ADDRESS
/ ftJ303 lit Rk f}fJEA)L/ E SOl!iH
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT II BLOCK
ADDITION L./I J<ES 10 E fJlJj( Y
PID
OWNER
(Name) 0 It /IJ ~ <; (;OA)S r;o(!!u 6// ON
(Address) / / 00 8 LI TT.&~ j:J.. 'I
(Address)
(Phone) /;/d - Y'n> -, .,CJd:>,2
;::J/)l!.tJlf I1J 5535,.;;7
(City) (Zip Code)
APPLICAN1;j
(Name; P,AJIf-t... (c;#J4/Je .J,.IVC (Phone) 95,;(-,a3d-/,2oo
(Address) /315 JlJIfb'9-6 5T/&c=:r SJ-flJJ<O/E~ /2-1379
(Address) (City) (Zip Code)
(Contact Person) )/,)NIJ,~ ~_l/)/LLJ/I->>2<: (Phone) j?Ji;{-233 -/b!DO
APPLICANT SIGNATURE?k~~//j./~~..;., DATE / ) ~ '7 Jt:JL~
f /
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches.
Location of any couplings from structure -
Type of sewer pipe, D ABC ~ PVC
Estimated length of sewer line '1 t:, feet.
Clean out (if required) located at - feet from structure.
feet,
D Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ .",...,..-
/'
03 -' 02-72.... rJ~
.--- ffllOO
~o
(j IJ / /,;
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Omcial
Date
I~
I Da:!3-rz.-03
Re~'
B, fi~
.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
.3-2-5-03
(Please ~ arDrint and si2ll at bottom)
ADDRESS
II? 30g /!f;<K flUE /J/t/E Sf
I G,,~ FH, I PERMIT NO I
' y,lIow City ''''.::>- 02-72-
3.CkJld Applicant ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 1/ BLOCK
ADDITION /...f}KE.SIOE I/}/!?J<.
PID
OWNER
(Name)
o fWES coAJ 6'7'72 t/ c T7 tJ J1}
1/ tXJ I? () TT15t2 F L \! jJflU Z;
(Address) /
(Phone)
tN2 - .y~ - ~Z;?fi-
,7'7352
(Zip CO.kj'
(Address)
;:::r OICLJ /J1//
(City)
APPLICANT
(Name) FI /i);JL r;;~ /J-LJE .IAJ C
(Address) ).:J/!=J fJJjf-ftlls STJ<EEI
(Address)
(Contact Person) Vo III AIlE L., ;JJ u) J LLj !'l/Jl,,:;
APPLICANT SIGNATURE ~/V-IJJ..uJd~
(Phone) f5:<-43il-JdtJCJ
5!1IJKo,/JEE 55379
(City)
(Zip Code)
(Phone)
DATE
r5';~ cf33-/~OO
,.;> ) c?51a-?
/ '
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe, 0 ABC [ZJ PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure,
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family I % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit # 11? - () 272-
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ./.50
$ /'
/'
R'O
P 6~ O~
f5VII/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I~
I DaJe Z5 ?
3 - -0..>
---
.~ -I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
., BUlLDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ,,, a 0 t parK If: ~
NATURE OF WORK H~W
USE OF BUILDING ~F D .
PERMIT NO. 'f) 3 ~ 0 Z 12- ~ ~~l~SSUED - ~;-1 . ~ ..~ ~
CONTRACTOR ~s ~ r PHON~/~- ?~.~~......
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~~ ~ f"'~~ ~
I FOUNDATION (Prior to Backfill) I ~ I "l t ~ t 0.3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'1/~~~lJ-1P. ROUGH - INS ~
SEWER/WATER/SEPTIC ~A~
FRAMING ~ r3/_ ~
INSULATION'; ~
ELECTRICAL
PLUMBING --~~
HEATING (if reqUired)~~!'IW'Q I),WI. ~ 1:';11
FIREPLACE ' ~
GAS LINE AIR TEST
J
\
1,.// ~ 1/9 3
t; N/kf3
t, / I #/4:f3
~~~
~
(n t '11 tY'A
GRADING (Prior to Sodding)
BUILDING fA) It!.- 7/UI'Oj ~j.....
ELECTRICAL ~
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS T~p Lv ~ C9 \ ct-l~D3
~fl:-- ?,Pf,4 r -
~ ~1'Z-7to:,
l .
~.1.6-
Ijvf
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
'1/~--t /e7
1"' {y 1ft,
SIGNED
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 sha~ be pieced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
Rug 22 03 12:43p
DRNES CONSTRUCTION
952-492-5109
-'
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
p.l
Date Rec'd
~, UJ. OJ
;~;, ~::, I.i?EitMiTNO. oJ-Ol.T I
).Yellow APplteantj-- ~
(fleasc !V"~ or print and!il!ll at bonom)
ADDRESS
/fRJOJ' ,P/t2fG /11.16,
LEGAL DESCRIPTION (o!lice use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(phone)
(Address)
I ZONING(offi<<usej
PID zS". tl'1&. (J 07 0 J
~~;~~ANT At(..-\.A 1I E: K;~r/~~ -- -- (Phone) ~ 51. \ ~("I - (,-,/2.0
(Address) 1='.0 _ (60)( 1/4'-1 lAt./:;1IdlG l'/vJ, ~5o'-ft..f
(Address) (City) (Zip Code)
(Contact Person) <( n tt _..--.... ,(PhOn~ "'~<')~bl- brlO
APPLICANT SIGNATURE r-"hJ _ """. DATE i-ZZ.-D~__
APpLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ' FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
DGravity
o Mechanical
~~8~~n~O;::=ing
( FIREPLAC~ANDMODEL -LI>lJD '7'"rZ
o Stearn
o Hot Wate.
o Radiation
o Special Devices
o Other Devices
7) A.. k::
-
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
Industrial. Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
(Office liSt Only)
Estimated Cost $ Building Permit # .-/"
HEATING PERMIT FEE $ ~
STATE SURCHARGE . Y ,50
TOTALPERMITFEE./ $
This Application Becomes Your Building Permit When Approved
P'i~
Da~ ,7-0. 03
Building Official
Dat~
24 hour notice ror all inspections (952) 447-9850, rax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
-
10 g~
pf1 OlZ---"
~V
~
Rece'1flin
By !JI3(
f
--=' --
Au; 22 03 02:42p
Jef'f' Scherer
CITY OF PRIOR LAKE PLUMBING PERMIT
_moY\C \)o.MS~
-\ I L c:.c'\\-S \Y'.
(Please type or Drint and sim at bottom)
I ADDRESS \ ~ '3 O<t ~(l \" \\ (1 \)01 UJL
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Namel
(Address)
BLOCK
~;~~~ANT 'Sd,\lj"--V Q\u\Y\lolnc
(Address) L\qao f.\ drio.C\ Ci V cQQ ~ (
(Address)
(Contact Person) ~,~ 'SL.-\f\e.\rc.r
APPLICANT SIGNATURE ~<f-, AU
Quantity
;:L.
i
I
~
j
"
/
y
952-447-6735
p.l
Date Rec'd
i:: :::~, I PERMIT NO-3 .- '-4, I
J. Yellow A,p1iunl 0- I ~
I ZONlNG(offi~=) I
Pill
(Phone)
(Phone) o..'Sd.-Y4i-!o 13 'I
VII'Or Lo..\(Q S'~3 /J
(City) (Zip Code)
(Phone) 1012.... 7LJ 7- 30'J3
DATE ~ / Jd-! [) 3
I (,/'"
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
I Bath Tub with or without shower ::? Rough-ins
I Dishwasher I / Water Heater
I Floor Drain 'Water Softner
, Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry lfray (I or 2 compartment sink I Sewage Ejector
I Shower Stall I I' Backflow Assembly
I Sinks I Backflow Assembly Test
Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
Type of Fixture
FEE SCHEDULE
industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum 'dential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Office Use Only)
Estimated Cost $
Building Permit #
eu P-4/D
_50 1J..DItv. WI.,./-(
. I G P~f:iA4I'"
I i Co ';(~D \D U~iPtNO:
'~J. AUG 2 7 2003 ,~ i1 (Ji
U, .' 7J
24 hour notice for all inspections (952) 447-9851~a; ~ 447-42~5__._~
P ING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Perm.it When Approved
Building Officilll
Date
, ,
$
$
$