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HomeMy WebLinkAboutBuilding Permit 10.0512 ( 1 N z : au. ui ��, U w ^! 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Pink City /O 057 Z 3 Yellow Applicant /// (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1(0111 dl4iorJAs.‘c 14 1e) Cta.cLE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) D ny Name) ' tQ. • U - �eee ! (mil. d .l'7 Phone) 42/07 - �4v�s �-0 (Comp Y (Contact Name) e ` -I L "^�4 ,� l (Phone • (Address) 7"<G'' , �p�C f° / 1r / 4 f M/ �' . ' 6 V TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing EIRe-Siding ['Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ❑Utility Connection �/,c� e�l Misc. ! � 4-el 1 A 1 ��� (. 4 R61- P1 tom' i k�,,)" 1 1 r CODE: I.R.C. DI.B.C. ` ovr 1.1 t i Type of Construction: I II III IV V A B .4%.'r s b+TS Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 10 ____I 000. Division: 1 2 3 4 5 (excluding land) J SM t C 4 (0 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 c. . - c —No r • se. fili,r more, I hereby agree that the city official or a designee ma y enter upon the property to perform needed inspections. x; - [ � • 0 — :,e /0 Sig • - .re Contractor's License No. Date Permit Valuation 60p Park Support Fee # $ Permit Fee $ t , ` 5 , p SAC # $ Plan Check Fee $ (24 . AS Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5_ - Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other �� (/ � $ Gas Fireplace Permit Fee $ TOTAL DUE eate , /5. /y $ 320 .15 This Applicatio Becomes Your Building Permit en proved Paid . • 9j eceipt No. 60574, Date (n, /es , /0 ' . , ea /j /v / Building Officia Da e 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. Befor y, a a Certificate of Occupancy must be issued. 6- f - /!J /Pe,da,e Vet- P1. `'ng Director Date Special Conditio , if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 0 PRi3 ti x U t r1 White - Building Canary - Engineering �INNES Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 57'"/ C;NS c.c.TT APPLICATION RECEIVED &Q /� / k' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2 )1 1 V 5 /0/v ev c,2 C.4.6 Accepted / Accepted With Corrections Denied Reviewed By: 1 141/. Date: & 71r7io Comments: 1. f? 4-, A.__ /N ,<'�c- .�'►.� -�-r� 2 _ (502.4- i nn'EerE— to T-/-1 51L$ 7 r7 G 3 . v r E(v E-�6,.,vj Tr) PER r1 &4s & 2.Av 1 1 V (5 trs A to /f' 4-L. IQ&'e» r - 7 V62.1r -7 u -'A-Li._ 6,9", -a G r io,J_ "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." C PRio � t r1 White - Building Canary - Engineering �� NESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ri NAME OF APPLICANT / `;/-/ C.,- 7 / T c. APPLICATION RECEIVED ;f - , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /(;)31 1 V N /0A/el4 7 /c2r -f -s C., �. Accepted p ted Acce ted With Corrections `� Denied Reviewed By: Date: Co �-o— Comments: �, c c s P s, b . a do.,. -�� V.s. o ---- - Nei 1--S % a "scSu 1 }- r • - d v .. s%` 1 + re t--....: , L e _ �-�- a 11 p r-0 /� roc 3''F- 4 1' 7., ., i - ,+ — �.'g. .` .9 ` c"-..... ..J . . .4---- .. GC._ p (c-. L C c ....5 , /'1/l. f u.e r res , ( , .'°"" 4 -. , , — s L la . �.C, /.-,PJk 5 v/ a..- Gtoees.3 o ve.. V:/ L- usf c, .....e._ Cro s •-- c..0 --01 6(w,ta4 "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." SPECIAL INSPECTION AND TESTNNf. SCHEDULE ULTEIG PRO J. NAME The Bluffs of Northwood Meadows SRW ULTEIG PROD, NO, 10.00695 LOCATION Prior Lake MN PERMIT NO. SPECIAL INSPECTION SCHEDULE Section Description (2) Firm Type Report Frequency Assigned (3) Finn 1704.7 Soils (Periodic) TA Periodic Braun 1704.13 Foundation Structural - Retainin: Wall S1 -S Periodic MIMI i n TESTING SCHEDULE 1704.7 Soils (Periodic) all Per S )ecification Braun 111111111111 I= Notes: (I) The permit number is to be provided by the building official. (2) Section and descriptions per International Building Code (IBC) Chapter 17, as adopted by the State of Minnesota. (3) Testing Agency, Special Inspectors - Technical, or Special Inspector — Structural, ACKNOWLEDGEMENTS Each appropriate • presents ive n • •'vi below: Owner: ,� ' ,, "tf Firm: ,., i 1 (r ° .. Lib ate: 4)- 1 , I1) Contractor: F Date: • Architect: _ r � Firm: Date: I i jr!7 SCR: n 7f4 < Firm: Date: . . to Sl -S: 11r Firm: Ultcig Date: 6 -8 -10 S1 -S: i Fr rna: Date: TA: Firm: Date: TA: Firm: Date: F: Firm: Date; E. Firm: Date: If requested by engineer /architect of record or building official, the individual names or all prospective special inspectors and the work they intend to observe shall be identified on the reverse side of this form. Legend: SCR = Structural Engineer of Record S1 -S = Special Inspector - Structural TA = Testing Agent I -T= Special Inspector - Technical F = Fabricator kcceptec] f or the Bu Department By Date: /S /a From: Trent Johnson < trentj @fieldstonefamilyhomes.com> Subject: FW: Retaining Wall Reconstruction Date: June 14, 2010 4:02:45 PM CDT To: "jsmith @rosticonstruction.com" <jsmith @rosticonstruction.com>, "bhutchins @cityofpriorlake.com" <bhutchins @cityofpriorlake.com> r 1 Attachment, 607 KB Here is the inspection card with all the signatures except Jeffs. Jeff please sign and forward to Bob at your earliest convenience. Trent Johnson Fieldstone Family Homes Direct: 952 - 469 -8800 Fax: 952 -469 -8803 www.FieldstoneFamilyHomes.com Trentl@FieldstoneFamilyHomes.com --- -- Original Message From: Cameron Roberson [ mailto:croberson @mortarless.netj Sent: Monday, June 14, 2010 3:21 PM To: Trent Johnson Cc: Jeff Smith Subject: RE: Retaining Wall Reconstruction 0'I., oal :riort ` l /0 l'ounriation SLID ut o: ∎1 C c S(7,1 (E1 UL1; 10 1 Soils ('. J IIU) Pe ,i c ficR opt Brawi (I) l'he permit number is to he provided by'lie ImildinP vlTieial. (2) Soctiou and descriptions per International Building Code (113(!) Clianwr 17, as adopted b}' the Siam; of irlinnesola l)r (wing tkgency,zI)CChUmspeetor -1 CII1Ca1, orSpcctalIn6spector _.; {;4rtdt:gsVs,L;F3C3F?ivT�?id'F' liach appropriate representative must sign below: Owner: }' _ Firm: Ual Contract(,. Y ot .a, r/ Iitm: Sate. �t�s t _6 " /5(--/C? Architect: Date -- — Firm: — SIR _ I irnr' Date Si -S: � - — firm: — Ditch!, Dale. _ 6.g -10 SI -Sc Firm: Date. A. Firm: Date: Firm: — — — Date: 1 Firm: Date:. — — h ' ------- -- --._.— �._._..-- --- --- _. - - - -- Firm: -- _— .�.--- -. - -'-- Date., If requested by engineer /architect of record or building official, the individual names of all prospective special inspectors and the work they intend to observe shall be idcnti lied on the reverse side of this form. Legend: SIIR = Structural engineer of Record Sl -S = Special Inspector - Structural TA = Testing Agent SC-T= Special Inspector - Technical F = Fabricator accepted for the Building Department 13y __— Dale: _._ _