HomeMy WebLinkAboutBuilding Permit #03-0289
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CITY OF PRIOR LAKE
~~parfm~uf nf ~uilbiuB Jfusp~tfinu
lriinal Permitted D Conditional e.O. 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
SINGLE FAMILY
VN
Fire Zone
Bldg. Permit No.. 03-02~9
N / A Zoning District -R2
Use Classification
..-r
Legal Description
L3, RI, MEADOWVIEW
.~-
Owner of Building _
Contractor's Name & Address CENTEX HOMES, 12400 WHITEWATER DR., 11120, MINNETONl{A
ROBERT D. HUTCHINS ~, City Planner.
Site Address
2453 STONECREST Pj}TH N~W.
5,534~.
DON RYE
Date:
Building Official
j)- :I-63
Date:
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
-1J--]-rJJ
24.f3 <hl'lc/~-I- Yb.. ~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-)...8'~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
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COMMENTS:
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..crWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J/l~ Owner/Contr:
, .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY!
INSNOTl
I
.JR LAKE
,uN NOTICE
DATE
~3
.'2...J-(S~ t5r~~~\ (->MH
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-D ;, ,.1..<8 't
o EXI~/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
1:1 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
0~f... - O~
(' -'.Al,:t;:. '6c'J X .... O~
l){} ~ 0<. 'l~(:.jG' S
o 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!
INSNOTl
I
DATE TIME
CITY OF PRIOR LAKE I,
INSPECTION NOTICE SCHEDULED (o1'l...3 LQ3
......
1. J J, ~
ADDRESS v-T,,~ /^B'\Aef~
v-- ~ .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3(~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J!" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;S MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~~$
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o WORK SATISFACTORY, PROCEED
o J9RRECT ACTION AND PROCEED
~ CORRECT W':L;(?L FOR REINSPECTION BEFORE COVERING
Inspector: r ~ _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY!
INSNOTl
-.'-y-......-.. ,-, ....-.....-,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
a, ILl /f}1
.
OWNER
7- '-{ ~ ~~~\O ('V'\~~ ~
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
~~~q
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
J!. PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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tu' VJ{~ VV\Ji~~_ '>lev 'l~~
~VL ~t/)~\ Lt.~ ~
o J'ORK SATISFACTORY, PROCEED
~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!
lNSNon
ADDRESS
Z~~)
DATE
'!>/3L /01
L~.S;"
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
)-%q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
~ WATER HOOKUP
SEWER HOOKUP
l PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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'f/ WORK SATli:.v, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ CtLL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 't'~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
T
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
dl/53
SPn{Jcn6T fAl;"
LEGAL DESCRIPTION (office use only)
LOT.5 BLOCK I
ADDITION
In yt3GC.kCJ II; zCYJ
OWNER ./ ,)
(Name) [_ ~I7T Y?X ,/":tAn-PS
(Address) /02 f/oo ,/{'; 4 -/~!:.lc.l""r /J~
BUILDER <' ..-. h1 ~
(N ame) c::::....:>U, r
(Contact Name) ~ ,~/I
(Address) ~ 111 fJ
--5K,'I:J7C'7/1/
/
TYPE OF WORK
~ew Construction
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $ ./6f( (j(j(7~ a:;/
OUtility Connection
o Misc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ODeck
$
$
$
$
$
$
$
$
Thn?fan 7lJ::..OOWngP=ll~::;;;d
BoodID, 1~ D,"
Date Rec' d
d-/8-8
PERMIT NO'D 3 r ott(;q
I
ZONING (office use)
t2~
I. White File
2, Pink City
3. Yellow Applicant
riD.
0:;3
PID ::9s~_S?/--o;;;:t;-o
#/dJ:;
(Phone)
.hJ,II/1 t'/o" 1:: ~
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c;s:;> -d~ ..~SC/3
/HA <... '"')Sq 3
(Phone) C; C:;-.,;l -d.3'.3 -d-.5~
(Phone)-5~ --J0 -d}5;-q5
. ..rl
;; -
ReceiPt No.lItfV/ I
By ~
(/'
OPorch
ORe-Roofing
ORe-Siding
$
$
$
$
$
$
$
$
/2 7S. 0,)
.l.{'() I dO
t..j .s: ,,'"
I )()~ .00
700 .00
/S(X),OD
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 buildin offi . I can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupon8'grmneededin e . ns.~/ #dV:xP7$ 7 rJ~iJp~?
Signatbr(' , ..., Contractor's License No. - ;' :E1'ate
/~r. ffrtJ-vv
I'LJ, qOo.ool
I ~ 557, 'l;-I
'~Yl.{"21
g-). ,ro I
I
IOO.OrJj
I (J O. OD
ls. s-v
4o.ou
OAddition
OAlteration
I
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$ '1t~. z:zJ
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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
'~':M;r' 7Z[:wm, .--., Cfitifia"'f;~~::; .m,"~ R:;" :711;~O=P:~" ;::::~~ ="oc
. Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I
I Park Support Fee
I SAC
I Water Meter Size~; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE tAtAA3rJ 3 -10 "O~
I Paid ,,-j; '756[: d-'?
I Date . ~ -~o-03
#
#
#
#
'r
The ('enltr or Ihe take ('ounlr)'
White - Building
~ - El'1.9.ineering
Pink - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is woposed at:
J
,
L/ <; ;)-
. .,"-; ,,~./ .....-'""
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Mi f2j-~
, i
f2cod qJ( f1d~ (;
Date: ) - 2t; -O?
4//1 J ~J ()(}f s
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."
_'T~ T-
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lh. ('.nl.. of Ih. I..k. ('oonlF)'
WhiUt - ~uildinp
C CAl:)SlIry - En!=llneer~
Pink - 1-11&11111I19
BUIWlliG Pt;:RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,"f
'/ .- / /j
i' ..J/)(,,-.l!.-zi 'A,t!J?1--t),:.)
-.- .
'~" .-}
APPLICATION RECEIVED .~2" j\'. ,.::)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is t;2roposed at:. '
- '1/ r ~ '~ /L,... 'J i - .1-.. ,.?
~7 ... ...,.. -.... #' ,/ .~....~." /.... ~,' /' '-j '/..-... ,,~:-",? i(
1/\ --) --.j .,,0 (,.:f) /v{J.!' .,.., i\..'-(" ' I (f._.J' -..-'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ41;
Date:
3-lg-03
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion rontrol MeasrIrPC;:
"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."
I I
I
The Ctn.er of Iht l.akt ('ounlry
<$hite - BUild~
Canary-=-E. .,~i.. "'\;;I(lng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!l~~.,
- I <
~-:;. - /51 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is woposed at:
F:J is 3- x:5?~f2u;L
Accepted
Accepted With Corrections
v-
Denied
Reviewed By:
IU ~L Date: )-2+0)
Q,t"oJ all Ylo!-r:s t?v1J H-U/lj"uf.s
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
I
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D:lte RCt;"ct
CITY O.IF PRIOR LAKE PLUMBING PERMIT
~' ~~;~ ~:;y I PERL'VIIT NO. -:r:'d--g--9-.-.-....11
l Yellow Appli,,", c.J
(Plc:a$l: (V~'e or Dllnl :U1d. (;if'll 'It b(mom)
ADDRESS, / . j ~ i
,..._;!..((:ff.".....;::iiIJPI If,[{..~_......,.,, /10
ZONING (clf;;::,;~'l
I
-__.__..".~... ___.._.J
LEGAL DESCRiPTION (1)luce IJSe only)
LOT
BLOCK
ADDITION
PID
OWNER /1 t
(N;Jml:) 1,4111 f v.'
(Phone)
( Addn:ss)
A.PPLICANT () J //1 . /) ~/)
(Namd ,/(} II t tl ?' II!. 'f.4.
(}\ddress) $"jtJ fha/fll' Wbf
(Addres~;)
i\P?I.fC,\]'fT SIGNATURE
~~A
.11.. vv1 II. /1 /~
(PhOne)...1.fr1. tI{J~- J/ J/
"RJrR.A .. .-5'6J'.5bL.
(City) (Zip Code)
(Phone)
DATE ~.IAI...i r2 t Ai
--.-.----....,....-
(Contact E'cr;;on)
APPLICANT PLEASE COMPLETE BELO'V
Quan tit)' I Type of FixtlJ)'e
.;; Bath Tub with or without sho...ver
! I Dishwusher
i.--.,.-:f..".-....."-" ..~~~~:~~a~~c1throom S inki-"
I \ Laundry Tray (1 or 2 cQmpartrnent sink
__._L._........ ; Shower Stall
i I Sinks
I \ Bar Sink
1__3 : \Voter Closet (Toild)
Quantity
,'.(
/
(
I Type of Fixture
i Rough-ins
I Water Heater
I Water Sorner
Stand Pipe (Washing ivlachine)
Sewage Ejector
Backflow Assembly
Backflow Assembly T!':st
Lawn Sprinkkr
I Wer
I
I
..-..-.-......,
___--1
I
I
FEE SCHEDULE
IndlJ~tri<d. CI,mmc:rcilll &. Multi-famil)' 1% of job '~(Jst with \l $39.50 minimum Residentia.l. N-:w OM & Two~F;J.rnily $99j()
Residential. Additions & Alteratlonl; $39.50
ES'lirnated COSt $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl'VlIT FEE $
/Jill! P;I4ID ~
.50 DING 71).,
P~IIA,fI""
(omc~ U~C Only)
Thi:; Application Beco1l1es Your Building Pt:rmlt When Approved
Paid
Receipt No.
D,:lldll1g Officltll
D~lt ~1rl~ @ ~ 0 ill ~ 'r
" b.""",;,, ,."" ;.,p""'"'' (952) 447-'~ I, - ".'" 1*7l"11i03 _.L '-7' -,-', .. 'H , -
!li200 li!:.1glc Creek Ave., S.'E., Prillr L:l.ke ~I.'J 55372.- 1714 .J
Jt~ I OJ:Jt~ I 8H ~{<~iier, -=-
R~~60 ~00c-8c-d~W
;:'0/]:0 . d
FAX ~,jO. : 7634283682
Apr. 15 2003 02: 1 9Pt1 P 1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
~: :~n ~:~. I PERMIT NO. 3- 'I g1
3. V.llow APpl",.," 0
(Pleue tYPe or PMt and siltll at bottom)
ADDRESS
c::2 ~!:r3 __~+an;-. ('fl.;,,)
. p~, t-J/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
~ Y 4'Jk-+-
~ (
~C\ M).- \'
(Phone)
APPLICANT
(N arne)
(Phone)
(Address)
4t:.ATIMG & COOLING TWO H~G.
(Contact Person)
c ........-(' ..... w' " ','
(A/jtit~'i~ \JU"II~1 I"\U. 0 I
Maple Grove, MN 553'3S.~:;2'1
I'I.~.'" L?? .'1~.7-
(Phone)
(City) (Zip Code)
~ /d ., -=?~,3 -<"i,5 t.~ '7
,
"1- if) -() ''1 '
...
APPLICANT SIGNATURE
.,- ~ Q ~.(LK
\
APPLICANT PLEASE COMPLETE BELOW
;gNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ./<~f\\- ~35~ tf!aro FUEL
FLUE SIZE ~~~ RETIJRN OPENINGS R INPUT ro.005 OUTPUT
,
TYPE OF SYSTEM HEATING OR POWER PLANT
~nn Air Plants 0 Stenm
. OGravlty 0 Hot Water
D)1eihaniclll . 0 Radiation
0'Air Conditioning 0 Special Devices
~nt. System 0 Other Devices
DATE
J va 0
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
"FEE SCHEDULE
1 % of job cost Residcntial, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions &. Alterations
$64.50 Residential. AC Only
$39.50
Industrial, Commercial &. Mulli-Fllmily
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
8T A IE SURCHARGE $ .50
TOTAL PERMIT FEE $
b PAIl'
dlJll..O IJ~,..,.
~^'G A ',.,
~~MI"
(omCt Vie Only)
This Application Becomes Your Building Permit When APprovedD ~ ~d~ 0 [J [1: 1
BuiJdlngOfficlal Date ~PRel 62003 11)/
24 hour nntlce for all In~pectlons (952: ~47-9850. fax (952) 447-424S
Y . ".
.....
,..
Receipt No.
By .
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.
~
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<-.4
.Permitllf
"Job Address
"Testers/Signature
"HealingContractorHEATING & COOLING TWO
"Gas Une
Pressurized
Inspected
"Percent CO2
"Percent O2
FinallnspeClion
Date
Pounds
Pressure
Time
PERFORMANCE TEST
( () 7 ".0 "Percent co ~
.. u"'6 10 "Stack Temp. lZt' A
Date
"
.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1..l/0 S1t:)tItt!.. ~NS-r P.+I\
NATURE OF WORK Nt-tAl UJ.~1'1#,,'f/~'
USE OF BUILDING S. F. D.
PERMIT NO. 03-ozf).Q DATE ISSUED
CONTRACTOR c....~ iH,."s PHONE 'Q- zn-J.r-I/)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BU~LDING AND INSPECTION
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING ( p / t-~<bv\~
INSULATION
ELECTRICAL
PLUMBING
. HEATING (if required)
. FIREPLACE
,.tGAS LINE AIR TEST V~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ tt.2b. D~'
I
FOUNDATION (Prior to Backfill) I ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~
~
;;1.4r
FOOTING
'$ Is c ~
t.{ t~h3
~/3rotoJ
fU
.....
~
~~
.....-
vi- J1A5t0:3
r / , /n-?
l/ / U~ ~
, ....
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~ ft If{ vpl4.~
HEATING '^N~~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
.
.- ;M
c C/-, '
blq{AJ3
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