HomeMy WebLinkAboutBuilding Permit 03-0041
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QIrrfifirafr af <IDrrupaurl!
CITY OF PRIOR LAKE
. ~rparftttrttf af lIiluilOittg Jlttsprdiatt
~ Final Permitted C Conditional e.O. Expires _
J;:' 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:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Bldg. Permit No._
03-0041
Type Construction
VN
Fire Zone
N/A
Zoning District
Rl
Legal Description _
L22, ~1, THE WILDS SOUTH
Owner of Building _
Site Address
15378 BOBCAT CIRCLE
Contmctor'sName&Addre"BUTLER HOUSING CORP., P.O. BOX 24597, APPLE VALLEY 55124
ROBERT D. HUTCHINS
} l.fuiJdinr-Offi;.ial
I , I '1 I I ,vi
I 'I }
J
City Planner_
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
r~7~
~o I.occvt-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J;l FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
1- (<):. d~
~,
'$- ifl
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA~LINE.AIR TST
j4. S;./ _
/ I I /)
>>{L 1.::' Gl~ ,~~
n1
i"IU
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRtJ..K' CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CA 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
COnE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lJIt$NOTl
I I
..,-'-....._.....,~-._.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
t..-2C<>?
:J: ItS
ADDRESS
J 53'] E ~ <Jr:-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"'FINAL
o SITE INSPECTION
COMMENTS:
I.H~~..
2.
<.
..r.
S.
CONTR.
PERMIT NO.
s-oot{{
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
:ta'PLUMBING FINAL
"p- MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o '2aEPLACE RI
,...B"l'IREPLACE FINAL
o GASLlNE AIR TST
o
IIA c;.pl' A.'zIl" \o.J'..JI.L cs..l
M" ('" ~ ~ ~ f'.vl'<..l7"1vI o~
~.1 ~ -rr;oa .<;;. l"E!al (4) Z~ It., ~
~nlM:~:fi- Md.;,~i: fot;~
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r \k .\-~Wt
I. i<'o~ ~ c..'f' ..
J;-f
~
;,...: I -()c.,
.-/"
~t1r- I~r~'
o WORK SATISFACTORY, PROCEED
o CORRECT A ION AND PROCEED
)( CORRE W CALL FOR REINSPECTION BEFORE COVERING
Inspecta
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
I I
UlSNOTl
T'----.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
':iliM
ADDRESS . rs:n 2> vy'!'-{'",A-J ~ l/~C.\.-E:-
<"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Ii '1....-()(}L-{ I
o ~Y~'LLlNG
D~~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
'- 0 JNSULA TION
;e;,FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(?>Q.A~Jh~ () 11\
r { ,It! {I-.. 'fl....tt1( ~ 0 ~
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~l Owner/Contr:
CALL 44~-9~50 F~R 1E NEXT INSPECTION 24 HOURS IN ADVANCE,
COnE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
."NOT'
II
._.... ....u..._._....._._.u.._.._u..............,........_..,... __._._..._
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
2. Pink
3. Yellow
1)..-- {'1---oY
I PERMIT NO. 03 -004--1 I
File
City
Applicant
(Please type or print and sign at bottom)
A/537ts I!>tJb($f
--- ,
#~4~Y~11~
(!/~6-
ZONING (office use)
J<l
LEGAL DESCRIPTION (office use only)
LOT~LOCK / ADDITION J kWti..Jb ~7J,
~':'e~R Bt-vt/er ~ ~ {fjh/lfha:v~ (PhOne)~ .328- Z//JE'
(Address) '/ () 8pJ{ 2Jf.r;;11, Iit/11ft ~ Iff;/, oS/vI
. .. i , J I
~~;~)ER ~jJ7/i' .. ~ (Phone{{i;/Z) 3~.--2-/~<?
(contactNam~jI~-'W~ ~" . (Phone)~/2-).:3zIJ -21P/$(
(Address) I? O. .ZaK 2J/S~7: ~~/)I;/ 65/2-JI
PID ~.'5"-::?fr;). - ()J()...-'O
TYPE OF WORK
~New Construction
DLower Level Finish
ODed<
o Fireplace
DPorch
OAddition
ORe.Roofing
DAlteration
ORe-Siding
DUtility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $
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 s. I am aware that l1e bui g official c revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up n roperty to perfo leed i pection.
#/7/5"
1.z-//rc/€J2-
Contractor's License No. I Date
I Permit Valuation 1/',,;2/~ tJlJtJ.()f!'iJ 1 Park Support Fee # $ KSo. Do 1
I Permit Fee $ /(P '5'f. 5"5" f SAC # $ /275,00 1
-
I Plan Check Fee $ /0 7~ c{r.. .1 Water Meter Size 5/8'@ $ .300.0" '~
I State Surcharge $ 10 9 . ad -I Pressure Reducer $ 70. fJ 0
I Penalty $ 1 Sewer/Water Connection Fee # $ / Z,.oo, (J 0 1
I Plumbing Permit Fee $ /00.00 1 \ Water Tower Fee # $ 700, .00 I
I Mechanical Permit Fee $ 100.00 I I Builder's Deposit $ ISao. (J 0 I
I Sewer & Water Permit Fee $ 3S": So 1 lather $ I
1 Gas Fireplace Permit Fee $ *.~o 1 1 TOTAL DUE ~ k'D ,O? $ 9. tJo9 ,.5LJ
, '.:r:1~/
This Application Becomes Your Building Permit When Approved Paid 7tJtJ'r. .r / I ReceiJ'~o.
1i~ I'~ /-'/~ ">- Date /-1'-03 By ~_____...
{;
Building Official Date
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
issued. roo<
~
9~
,gp~~
01te Special Conditic.1Ws, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
~~
Planning Director
-,.'-.
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White - Building
Canary - Engineering
Pink - Planning
Th~ ('~n'~' of 'h~ l..k~ ('oun'".
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:
;;: "7- '-;:'- f---
I ~/. ~ ~
Accepted
>('
Accepted With Corrections
Denied
Reviewed By:
1>>7-8
Date: /2-;; 7-02-
Comments: See Reverse Side, for Additional Inform<'ltion!
See Attachments' '1) ('trading Plan, 2) Erosi on ~ontro.l 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,"
l [
~~
<'White - BUil~n9)
~arldlY -l;;llyIIILe.I.I~g
Pink - Planning
Thr (-"nltr or tht 1,.kt' Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _ ~~.-/ # 1JtL,u/Y/C;
(J'
APPLICATION RECEIVED /,:) - 17-0 r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~37~- 4bca.r-~hJ
Accepted
Denied
Accepted With Corrections
~
Reviewed By:
~ ~~u~^-- Date: /d4.Y4~
~~ a.-LP dJ~~ K~
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."
II
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J... __ ~,.,_.,_,..
,.,!;i.
;\
~\
White - Building
CAn""}' E"!lin~~g
('Pink - Planning
Thr ('.,nlt'r of Iht' tlkt' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructiOj;;; fi~h i~2;;/r ~
Accepted
v'
Accepted With Corrections
Denied
f3.~v
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~~~.#-
I r
d<( ~ /~~
,/
..0. ~ ~~ .
Date: /d P 3~-V-
~~ ,e?tJ_W fa
Reviewed By:
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."
FROM WELTER & BLAYLOCK
PHOt,IE m.
612 8828573
t1ar. 10 2003 04: 47Pi1 Pi
Th'l' C,.IH.f d.'I' IAk, Co....11'J
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant},J e I-I-er '+' 1310. 11/0 G/<..' .Phone: 9'5:1. -l?Z.;;l-S-~ /<' /
Address: ;.509 E l-hn'l/3 (Jar ~ S ,-,~I /-eJ./U;V SS..~:; 7
Signature: _l0 ,'1 ~ ~_ 7- 11j ~
Legal Description: Lot .;2 .'- .Block j
Site Address: /S37'f( 136 hf'." f -r"a i J
Building Permit 1/ 03-06 </1 'pID 1/;;;.53'8'.:.t Oc.l.::l--O
NOTE: This permit will not be processed without complete information,
I. blue Ftle
1 Gold Cif)'
3. Yell;:!...... Appbcul
3-L/!
PPNo.
Sub w/lds $0"''+(,
FIXTURE UNITS
I Quantity Type of Fixture
,
I
I ;:( Bath Tub with or without shower
\ / Dishwasher
,
-
I .;( Floor Drain (/..;..... 1<'-"'''''''}tJ )
I
I S Lavatory (bathroom sink)
,
,
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
.;Z Sinks ( /.....:...... ~)
Bar Sink
3 Water Closet (toilet)
Quantity
Type of Fixture
3
I
J
I
Rough-ins
Water Heater
~
Water Sollner
Stand Pipe (wash'ng machine)
Sewage Ejector
Bacldlow Assembly (RRZ, Double Check. RVB)
Bacldlow ASSembly Test
LaWf\;Sprinkler
Other.:J-tU> ~ +F~~"~')
II '
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
$ ..' "-.----
$
$
$ .50
G'"''O''' ,~~,
MAR 1 1 ?am
By (,
This perm" "granted upnn the e'pre>> cnodi,;on 'h~-- - .
,untt,etN. ,hall cnmply In .11 r.'pCClS wilh the ordlllances ~--J PAID WITH
of ,he Slate Plumhlng Code and the 'rilcndmCnt, ,hereof. BUILDING PERMI
RECEtPT NO .. ___ DATE
^TrEST
Call for all i",pections 24 hours in advance
iT
16200 Eagle Creek Av. S.E, Prior Lake. MN 55372 I Ph (612) 447-9850/ FAX (612) 447-4245
AI'I Equal Opponunity Emplnycr
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tyee or I)rillt and sign at bottom)
ADDRESS
1~18 ~-f
:::. ~:,~ I PERMIT NO. :2. ~ [I (
3, Yellow Applicant ____ d
-'!""'" .
/IfAIl
ZONING (olliceuse)
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
PID
I
J
OWNER
(Name)
tiA..k
J!t5q1
. (Phone) 1'52. 1;" J. ~ / J;{
/J/~(l IJAI(8-1./ ..
~:;~fANT K ~lJel W ~ If -It, (->4 (Phone) V
(Address) 4J,31'~1A: ;7 ~ IJ1/1<S.lmlJ. .s5<!o7
...(" (Address) (City)-
(Contact Person) (to~ d~~;:"~Il. '~ (Phone) ItIA' g~5...
APPLICANTSIGNA';URE ~ ./J ~ .' DATE ~,,//)'{)3
-- /
APPLICANT PLEASE COMPLETE BELOW
~w CONS~TlON OREPLACEMENTu OALTERATION~'I
FURNACE MAKE AND MODEL "'1j(tI~f!; 11A'l..11>() FUEL ~U
FLUE SIZE J'/ 'l.v.e. RETURN OPENINGS q INPUT /~/)!~ OUTPUT ~anl
HEATING OR POWER PLANT
(Address)
(Zip Code)
TYP)' OF SYSTEM
. ~arm Air Plants
~ity
echanical
Air Conditioning
OVent. System
o Steam
o Hot Water
(],Radiation 11 4
~ Special Devices 11\ 'II> III
o Other Devices
PLEASE NOTE:
Air Conditioner Units
f1 Cannot Encroach into
~H l Required Side Yard
Setbacks
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
Building Penni! #
Building Official
$
$ .50 PAID WITH
$-,~ -~ BUILDING REo
1~)~U9lfll-\ilrelnl .,MIT
'maiMAR : ~I Ol~"~ C i fI receiPt No.
nate e, ate ~ry /);
24 hour notice for all inspections (952) 447-'1l~0, fax -(952)4474245 I /
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
I I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ;;;::, ~::y I PERMIT NO. 3 - 4'/
3, Yellow Applicant
(Please type or urint and sim at bottom)
ADDRESS
ZONING (office use)
15378 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
BUTLER HOUSING CO.
(Phone)
(Address)
APPLICANT
(Name) ATURD FTRRsmR DBA FTRRsmF HRARTH & HOMR
(Phone)
/\51-/\33-25/\ 1
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-256'
55113
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
5//\/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
FUEL
OUTPUT
FURNACE MAKE AND MODEL
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
Buildine Official
Date
8UIl.~~~ W,7H
PI2I1~rr
r~1<' [~ ll: D 2:::? ~'I-'" No
WDij'AY - 11 " By 1-
~50, fax (952) 447-4245
=-- -----
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 4
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I ~ 3 .., Q 130 ~, ltd'L
NATUREOFWORK_ --.tf~. ~~DAJ. ~
USE OF BUILDING .., t::'
PERMIT NO. 03 - 00 / .. DATE ISSUED .1IJ.2. 'I/OL
CONTRACTOR T'1IX C& t~" ~ PHO~i .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING r !M"/ 1--.l.:B -6)
I FOUNDATION (Prior to Backfill,) I ,J?:f, -df~ .s--_d>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
l~..<7
wel ,:j).
'I -10 ; p~
I
I SEWER I WATER I SEPTIC
FRAMING
INSULATION L.L. (JIJ
ELECTRICAL
PLUMBING
HEATING if required)
FIREPLACE
GAS LINE AIR TEST
0<./-/(')
.
G-y
I
1
Ic::?...y....
1~-tY
I
I
6I-J>.
~
'"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
0/. fj
IIJ, ~I~~/~
FINALS
IRK.. 7.Z.0]'
I
I
I
I
I
,I
, GRADING (Prior to Sodding)
BUILDING r~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
P(7
I
V
1
I
I
I
I c.'~E',
I ~
BEEN 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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
il