HomeMy WebLinkAboutBuilding Permit #00-0362
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
APR \ 3 L\)~n TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESJ /,-...
/.!Ii; 'tV ~lv'Lj,i~J 1/1; Jt!C_
3. LEGAL DESCRIPTION
I .1.-,. r BLOCK . f
tl-fiO-P tfr' '- L
1i~ S / 0
R\SD
PID .~S- 5J O-CBl-O
LOT
ADDITION
4. OWNER (Name)
GrM tfO..kA- R V I,-J?<..r.)
5. A~HITECT (Name).,. ~
~'Yl{1 ;1/(,V B 6 ~ 5T
6. BUILDER (Name)
C-V-M
(Address)
~
~v'L_
(Address)
)VI EtJFr:>M
(Address)
)11.111
(Tel. No.)
760 -'fLI'-
(Tel. No.)
SS'oVCJ
(Tel. No.) ·
{~~ lJv l~{""->
-J60 '-V'-tL
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OQ:D?;/P2-
o
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H~htY ~Idth)
12. N~ STORIES
(Depth)r V
13. TYPE OF CONSTRUCTION
'5/~'ilfL At,..../ L. 'I
14. FlOOR AREA APPORTIONMENT USE
~
~
/' -
15. NUMBER OF OC~R SEATS
OCCUP~
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction'" Alterations 0 Addition 0 Finish Attic 0 Re-sicling 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. / S() ( (lj D
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. , 2../ 3 1 <-- Width' l' Depth (3,-- Yes ~ A v 2...o~ ~
I hereby certifY that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that 12 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
~Uilding official canl4.:.. e t ~~" F"p~ agree that the city off'dq:S-iS'tee may enter upon the property to perfoy7i.i7o:!:'""
.~. Signature License No. ( oite
V FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
. PERMIT VALUATION i~.C2C!)
USE OF BUILDING
S'FD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Plan Check Fee ............................. $
I , l "3~. '2.5"
ry 31 . '2.1
>>15 . 00
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . .. . .. . . . . . . . . . . . . . .. . . .. . .. . . . . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.(/_ t. $
Pressure Reducer 1f'-..................... $
Meter Horn................................... $
Water Meter ................................. $ /2 r;; ~"l!:J
Sewer & Water Connection Fee ........... $~t!)t!> . C!:J(7
Water Tower Fee ........................... $ 'lo~ ., e>O
Water Tap ................................... $
Builder's Deposit ............................ $~..(JJt!?
Other......................................... $
Total Due .............................. $ ~ '7f.?b.7h
Paid "7 70& . 1 (.; Receipt t'J?) /3 7'-1 ('j -:/
Issued I ' JE.t
Date r7 2{) 161) By' ~L-
This is to certify that e request in the above application and accompanying documents is in accordance with the City Zoning drdina~ce and may proceed a r~uested. This document when
sig b t .' PI nner constit. ut..es. a temporary Certificate of Zoning comPlia~nd allows c struction to commence. Bef e occupancy, a Certificate of Occupancy must be issued.
. A/-<.A_ ~ ~. ~~t~~
City' lanner . - .. ~ Special Conaitions if any
24 hour notice for all inspections 447-9850
R S U
City:
State Surcharge ............................. $
Penalty ....................................... $
~~
Plumbing Permit Fee ....................... $
I ~(J · 00
100 . 00
35".5"0
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
come our Building Permit 'JI9l~:~p~ov~. &
~ Date '-f - (,. ~- t.t::>tP
By
$'0 .c:>Q.
I, 1"0 .00
t{~~ t'JC)
JDvO~v
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT __ L ~ _V\
APPLICATION RECEIVED Aor\ \
- \
,-\ om~ R )-\ \deA'~ \ IlC,
\'~) ~OQ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 ,Q6 ~/ueh, ('d' \ rrk~') \JE
Accepted
Accepted With Corrections ~
Denied /)/)(} /
Reviewed By: tc::.{!~~
Comments:
I. U cJ!J eJt-~LJ.
Date: 4-1e:r- /dC:::)d
~~
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."
<'~
O()-03~V
The eenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT" C t. 1"'\ \-\ ome. ~ ;, .rh:: 12:. \ r\C.
APPLICATION RECEIVED . A \,"1' \ \ ~; rl 0(')0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'-/~q6 ~K/ve~.)ird'\-f(J\) Nt
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~A.ll~
,. ,
Date: ,,-,. i/..dO
Comments:
Q,.;'\ttMA' A~ ~~Pl ~ ~~ L/r?t .
S- ~j,A~~ -~~~\
r~U~~ pe4'"M\ I ~_ ~A ~~~~.
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."
"
(ru J b30 v'
White - Building
Canary - Engineering
Pink - Planning
The (-enler of Ihe L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ C ~. \'v/\
APPLICATION RECEIVED 1-\ ()1', \
- )
\) '\) '\' \
r\ ome, ~ )\ rAe.1S r'\c,
\~ j 80()D
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/LI h 96 nl ue, ~'-)i ('C) \ yr.k-\) \J E
Accepted
v'
Accepted With Corrections
Denied
Reviewed By: J,JN..I€~ EuttES,.."'I'IJ,J
Date: 'lite/loa
Comments: SEE. INFoAMA:T/DN ON IH6. R€.vt:/tJc Stt3f.
SeE flrn.1erlMfl.lTS: I. f:/oJ~'- GIfIt~E. INSPEaioloJ ~r/o,.j Z. QlIfJJt~t,. R../-l#
'3. EItC~coN &wrAOl- tt1€A~
cI-. &o~'''AJ ~DNI11..o'- r:.,"AJ
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."
.1
.
'<t
'"Permit#
,"JObAddr...~~ ~/tI
'"Heating Contrector' METRO AIR
%vi'
lOT esters/Signature
Date
Time
.Gas Une
Pressurized
Inspected
//"
Pounds
Pressure
PERFORMANCE TEST
.Percent CO2 --2".:;J % .Percent CO 0%'
.Percent 02S-.. ~ .Stack Tem~:;Z3'O
Final Inspection
Date
\
\..
, , .{~t-. _ 5.,20~0 11: 30RM METRO RIR
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CITY OF PRIOR LAKE
I'LUllIIINCI ,.",,"
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JUL - 6 2000
I.IIIr8. Wi-r .N 553721 PIl. (612) "'7-4230 I F."-X (612) ~7-.a::.a5
M .....~_ ~". ....,..,.
rat 001
UON 08'02 FAX 6128621223
06/05/00 m .
03/:11/89 _ u,: Z-t F.!Jl Gl%il..T .1245
JD EXCAVATING. INC.
rm of PIlIOJt LaIE
111001
if: PR~
0/ /1. ~.. '\
~I / t\.\ \~\
-f- / .",.
- JI: . _.
v I \ ._._-~. ..... .--.
~..._-. .,.: r;::-. '1==: ~. \. / i !.~' I
~ .~~.I.I:' '., ...~~~::;: ~
1 -'tv ,., Ii. SO, . JUN - 5 21m
NOTE:
_--.E
.......... .. -, ....r
.... .~
II.
S.1'-)Io..oo- 03f:>~
SeVer and 1tat.er
contractors .uct
be reg1,St:ered
wi!:b ~be city.
)I( APPLIcANt': J D EXCPl V RT I N c., , IN C - ~ dORE: T-~'" - 43 ~ Z.
~. . .
)( ADDREsS: i142.. - i:~ ""Nil COON ~R-P'~DATE: r",;,-s-.(D
" SIGNA'l"_1JlE' l1. SLOG. PEIlHI'l' f 00 - 0 3 6 -;J
-X SITE ADDRBSS: '4,-,~ (p (O\op-~'- ~& U~.P!Dt 5lS- 3'0- 00>)- 0
FILL IIiI THE BlANKS,
1. Estimated lenC)tb o~ ,,,'ater ser.riee.. ~
teet.
2, Size of water 5ervic:e
incb(es).
J" Location o~ any ~cuplinqs f'rom s1:ru~\lre f.ei:..
4 - Type of sev.;r pipe.. ABS PVC X Cast: Iron
5. Estl.a~.d length of sewer line ~() feet.
6. Clean out (i.t rlaquired) II located at
strUCt.ure.
feet
from
----=-==-=~~...._-'--===z__".........._,,_........ .. ...~_... ,.____..' .,.. ..,,, 11....__ 'II ~".~"___"______~I "-......--___.........
This 3. ==tiQ:J A~es y~.~~ ".::rllli t. wit.... awrQ'II'.~ d -//1
BY ( '-f /..1..1 cJ.,4.""~_ ~ DATE: 6/ ~()
~~--:~~L_:::::~::r l~n. ::=:::~:-~rJDi:~
S_..... .50 Sureba Z"ge
$ 35..50 TOTAL
* Fee for either sewer or wa~er individually is 520.00 plus
S .50 surc:harCJe_
4:
Sewer and w.~e~ pcrmi~s issued tor nev COft5~ructigD aust be
l"ec~rded on tJle buildinlJ p...it 4:ard .~ U\~ tl1'!. oof :iJ!ll.~.nee
~o Insure that no duplicate S.Ver- and vate. perai'ts are
J.ssu_d - ./ lTH ./'
DATE "uo /'''':'~:~ERNlIiHotJN'1' PArD /
RECEIPT. ./ ~ RBC"D By .~/
/' ,7
16200 Eagle Cnrk Av. S.E.. Prior Lake. Minnesoca 55.312 I Ph. (612) 441......230 I FAX (6J2) 441-4245
AD Equal OfIpnnuIlliIY ~...
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ill Cf(p n lueJot~ +r-
NATURE OF WORK New Ccrvt~~l'\.l~\''c.fv"'
USE OF BUILDING ~~\)
PERMIT NO. 00 - 03fo2- DATE ISSUED Lj - 2t:J - 2000
CONTRACTOR (~ ~ M ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING fit /'/v/OO
-
FOUNDATION (Prior to Backfill) (/j) &eflq6 d
PLACE NO CONCRETE UNTI~"ABOVE HAS BEEN SIGNED
ROUGH ~ INS
-~. ~
rn-, l
I
_ W/7.ilH)O 7J
_V~
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DATE
~l~~
., 'W..~
7/~/ /IJD'
. I
---'
r- .
'JI/'I/~
J WI'
~ 'fA.. 1;'l'l;d"
,.,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
~Aft.,
FINALS J I
~/O/'?/{x) be;,
~,. I ~ /. .,....., _ _ d
r,~ . '^""~~ /() .~z. (JC)
v - /
GRADING (Prior to Sodding)
BUILDING't.(,~ \0\,,\00 ~. '/1,1,/,.
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.
~{
OCCUPY UNTIL ABOVE HAS
NOTICE
1/~~ r'
1 It?- ":r! 1m
. 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Q!;trtiftcau nf (Occupancy
CITY O.li' PRIOR LAKE
Iltpartment of .uilbing 3Jn'pection
~ Final Permitted 0 Conditional C. O. Expi~e~
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 I
City of Prior Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No
QO-0362
Occupancy Type
R3
Type Construction
VN
Fire Zone
NfA
Zoning District .' R1 SD
Legal Description
L1. B3. KNOB HILL
Owner of Building
Site Address 14696 BLUEBIRD TRAIL NE
Contractor's Name & Address C&K HOME BUILDERS JI 2849 86TH STREET. MEDFORD MN 55049
ROBERT D. nu 1. CHINS City Planner J .e"'l~ I TOVAR
;Mr ~~. / Z- . (JQ Date:
POST IN A CONSPICUOUS PLACE
Date:
""'j.,.>'-;' .,,',
~'. ;'~~:.:':\~.~~'i,;!.~" ;.;,:,~~~;:,'. i,i,i1,~~;,1~l~ii~~:.~~~ji~, ~~~'i};~ ~<:~i;'(&;cl.~..'-'":~k~j ,. ,~.'~. ~;.~;tt.:,~ ;\Z~i.'fl:,,~ ;.'#., ~S~t,~~~:i j.;: ;'!';':~\' 'Il'i-.;' ,3,'~;"-i r." ',i ,io" ';~ri~~'i, ,~.. ',j'~. ",_~ ,.' /,- ;..
CITY OF PRIOR LAKE
INSPECTION NOTICE
DA TE TIME
SCHEDULED lo-lif--a] A.J..
ILf(PCj~ rf,/Ue-6/rd Tr-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tI-3'~
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
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: $ +- / PMx~
/)
~~&- Fr~ /~
G:5/.~
IiJORK SATISFACTORY,
o CORRECT ACTI A D
o CORRECT W
OCEED
EED
SPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE '91 l.2/0() 9: IJ()
INSPECTION NOTICE SCHEDULED
ADDRESS I~" 1/ /, ~ /...J,( lESt fU) } rL
OWNER CONTR.
PHONE NO. PERMIT NO. t:)- 8,,~
~tL~ ~ V(l~~ l.J.;d.. · ~
~ ~~-~.~;/
MacL - (b ~~L ~ ..-- RJ-.t:c;u ~
y--J. ~~-
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATIO@) 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKU=I 0 FIREPLACE RI
o INSULATION ,,' A 0 SEWER HOOKUP 0 FIREPLACE FINAL
R FINAL " ~PLUMBING FINA 0 GASLINE AIR TST
o SITE INSPEC ~ MECH FINAL 0
COMMENTS: 'BUGJ .$ ~ ~ -~
+0 ~ ~ -~~.Jf-.
~ ..Jri2.. e~~ ~
{!}~ ~
(1)~
- ~
o WORK SATISFACTORY. PROCEED
"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ;I Owner/Contr:
CALL 447-985~lR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/4j' " -
SCHEDULED ~O^ /l)tfJG
nL uc:BJ R41 fJ.--
OWNER
PHONE NO.
CONTR.
PERMIT NO. 0 - 03(1" ,
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
o FRAMING .)l' WATER HOOKUP
o INSULATION . ; ~ SEWER HOOKUP
o FINAL I,:: \ PLUMBING FINAL
o SITE INSPECTION' 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: I / .J ! Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl