HomeMy WebLinkAboutBuilding Permit 03-0030
~~~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please !YO!: or Drint and sim at bottom)
ADDRESS
It! '1// Rr oci:/Nl-f='K R L--vd
. . '
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
. LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK '1 ADDITION /U-e(7(J ~IV vJt:/I'-
OWNER /' J~ /} J
(Name) c-r!'n'"feJC f-ft':)"",.,.,.r
(Address) /:J ~/) O~1;V".J..r
,
BUILDER r'
(Name) J ,.,...-e
(Contact Name) ~D-C
(Address) ~,,~
TYPE OF WORK
o Mi,c.
(Phone) 9~::J- 9,? 6 -7 g]'f
12rrw; (ttd:!jJ..0 /J1 /nVl~n1-,,/ /1(/ /V .> $"..? '13
5-fvJ II / rr...
')ZI""New Construction
OLower Level Finish
~Ck
o Fireplace
(Phone)
(Phone)
..sg_~
Y'S)- 7"".1-6;) Yo
OPorch
ORe.Roofing
ORe-Siding
Dutility Connection
PROJECTCOSTIVALUE (exc1udingland) S (?S / CX?CJ
OAddition
OAlteration
,
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:rer~';___J to..::.~dmspectiOn' ;:) 0 t776 7] 7 g-';; 6-0;;J
~ Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Pennit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
01.,(1
.\Z~ onB
Buil' g
, '2 c:; . (Xl"" c!B..
$ . !/~"2 . 715"
$ ')7,& . qq
$ Ii] . ~
$
$
$
$
$
100.<:96
//)~.cD
uo . tXJ
mes Your Building Permit When Approved
1-'7-02-
--,.
Date
$
$ I, 2I/J.c:t)
$
$
$
$
$
$
$ 4.~~. IJJ
I R.eoeiPtNo.I..r--S'ILfIJ
By ~C/.
Park Support Fee
SAC
#
#
,
1.~.C8
?M. ('01
-
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.
~4-:Rp
- . Planning Director
Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
/lI:1/oz- ~. ~
- ~
f 'Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 441-4245
\6200 Eagle Creek Avenue Prior Lake, MN 55372
I Paid
I Date
is 5~r~ t i1
J-" .7-2>~)
~~
White . Building
Canary . Engineering
Pink . Planning
Thr Crnlrrof Ihr I..kf<:ounll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~vJ~
C;-/o-C)-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
JI/I//! ~. gU
Accepted
K
Accepted With Corrections
Denied
Reviewed By: C.1Q ~
Comments: ,),
~~.~
Date:
7-17-CTl-
~II
"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,"
~~
k- ~ rf:Lrv
Th~ Crnl... of lhpl..kt ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARtMENT CH,ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/7
~/t-<- (/
Cj-/v ..-'--..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1111/1 /;'1oYI!)V1( iJlt/cf
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
Comments:
~ '1~f--
k ~ ::t-.:.L.-
Date: /0/02--
i'
,
"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
pre,suming to give authority to violate or cancel the provisions of this code or other
ordmances of the jurisdiction shall not be valid,"
,
"
Thr C',nlll'fOf Ihe' I...., ('Olln'I')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rbxfel<.. y/~
c;""-/O- d--
Accepted.
. Accepted With. Corrections
Denied
"
/iJ4-(7,
S"(.~ Me.;~ {:,' 1<
.Date:
9-2.0-C7l
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,"
,.
..
.Permil#
.Job_~'
:~~~ ~~N1iPING
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TWO
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Time
P""....
Pressure
-Gas Une
Pressurized
'- Inspected
.... PEFtFORMANCE TEST
.P.rcenIC~ ~ .P..cenICO~
.PereentC7 . ~ .Stack Temp. ~
Finallnspeclion
Dat.
/
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10/07/f~02--12~. 5
... n u, r.ICII L6II
PAGE 08
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, 9,22,758.6247
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APfiJCANTIIONIIl.1UU~A V DAD
APPLICANT ,LUR COMPUTE BELOW
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D:lte Rcc'd
CITY OF PRIOR LAKE PLUMBING PERl'\IIT
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(Phone)
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DATE
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J//lAL ' !J.j
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APPLICANT PLEASE COMPLETE BELOW
/..
I Type of Fixture
I Rough-ins
I Water He~ter
I Water S"tiner
1 Stand Pine (W~sh,"g IYbchinc\
r.....-"..........."..--......--..
I :iewatte Ejector
I Backllow Assembly
I' Backflow As;;embly Test
Lawn Sorinkler
I Other
I
i
!
I Type Ilf Fi:l:turc
I Bath 1 ub wIth or without shower
I Dishwasher
I F ioor Dram
f I L:lvarnl"; (Balhroom Sink)
h,,,,..~_~~/._._..,, -".:' I;-urlJ;.y "l'r:l~~'tit;r-:-~()nl'!):,ln.iTi~~ilt $1 n I,
,. I Shower Stall
/ I Smks
I Bar Sink
I Water ClllSet IToil.t)
Qu~ntit'Y
I),
I
Quantity
J
I
,5
fH SCHEDuLE
lnd\1~..tn\lL COITltT1t:rCIJI &. Ml.IJti.f.:!.mily ) .~.'u ot'job Ct)St with.3. $39.50 minimu~
Residenti.l, New One'" Two-F:lImly S99)0
Rcsidcnciill. Additions &: Altcr.ui"ns $39.jO
Estimated Co,t $
Building PeO'Tuit #
PLUMBfNG PERNlIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
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"',,_,v'In...
. :-< ~N
(Qll'it.:l: V~l) Onlv)
! To;, APPli~'tlOn aecume. Your Building Pennit When APprr[f~~
11;1 ~-. Date
BUlldin.Offici.1 D'le II I) . A
[fJ re Fnli
1
I Receipt No.
I By fJ /
.::.. "'lur nocicli \"I.u":lll inSptc.tiun.:o ~ :51) +.l7~9H50. f:1:(. (~:5:).j. :.JS
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JNIOJ~NlaWnldA3ll~n
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FROM :HEATING-COOLING-TWO
FAX 1,0, : 7634283682
Mar. 14 2003 07:54AM P2
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please t"!P<< ororint me! sim atbonom)
ADDRESS
1-</-</1/ Becokrtlw- ~JyJ du),
l: ~ ~:~, I PERMIT NO.,rn -3 D I
J. V.1Iow ^PtIICIM ( ./ 0
ZONING (o_use)
LEGAL DESCRIPTION (olllee u.e only)
LOT
BLOCK
ADDmON
PlD
OWNER
(Name)
'~ ~~A1~
I
~M}:"'\
(phonc)
(Addre..)
APPLICANT
(Name\
(Address)
(Phone)
(Contact Person)
L;f.4iJ!~C; & COOLING TI\!O H~.
,.-. ,
(AII~';C."UlIll"'\.i'C'
-J r: "'r.- ~ ~", ~
Maple rove, MN ~S3o~'""w,
f'JCt,,"! \, l?P..1~7""
(City) (Zip Code)
(phone) ~/'!) ~. "?i~?""", '1:5 {','7
DATE .3-1-<1-113: '''::,
,-~ 0onK...
\" -,
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL A2.,t--:;""'"\-. 0/)('1 t//Ora FUEL
FLUE SIZE \>J (I ~ RETIJRN OPENfNGS >> fNPUT Ih bO~ OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
" [gIl1'um Air Plants 0 Steam
OOrdvil)l 0 Hot Water
OJ>fcehanical , 0 Radiation
, ~Ajr Conditioning 0 Special Devices
[id'Vcnt, System 0 Other Devices
APPLICANT SIGNATURE
7itJ()(J
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
, FIREPLACE MAKE AND MODEL
Industrial, Commercial A 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
Re.idential, Heating A AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
Estimated Cost $
Building Pennit #
13lJ,';'-1IO "'-
"lva ~ If
7i~".
HEATING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
~~~ - ~
This Application Becomes Your Building PermIt When Approved ][i;~ ~ a I!1Jf ~ \
.' " _ 1 -1 ZEJJ ~ I
Buildla, Omelll nlte II J
.50
...1"'.
"
Receipt No,
By .
~
24 hour notice ror 011 Inspection. (952) ~f850. rax 19~1' H7 1215.-;:.
,
\
" J~~~Pci.p
DEPARTMENT 0 -
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1c.J Lf I J f(r-c~:k ~ ~tI~
NATURE OF WORKAJ.2.A..1
USE OF BUILDING 'S&=A-
PERMIT NO. rJ:5- t/030_ DATE ISSUED 4- /7--c:JL
CONTRACTOR ~ PHONE 'i52--t(O? -G. 2 C{CJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING I I' .I 1~M/.p~5::"" IA.!JV\~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS ~ r ~O ~~..t(3
~ o(~ot~
c:s;u.-
/blb-
3/~7 .bL
~
..::::..~
'3/1..<7/03
'3/~7IeJ
-
GRADING (Prior to SOdding)
BUILDING W Ie-
ELECTRICAL rt1'L..
PLUMBING ~
HEATING (VV\;^M~ tM ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
f7 g led
1Jt%d/e13
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
Ql;tmftrau of (JDcrupanry
CITY OF PRIOR LAKE
t J}tpartmtntot .uilbing Jn~ptdion
Final Pennitted 0 Conditional C.O. Expires .
is Certificate issued pursuanJ to the requirements of Section 307 of the Uniform Building Code
certifYing that at the time of iSSllll/lCe this structure was in compliance with the various ordi1lll1lces of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 02-1265
C.",..., Type
R3
Type Construc:tion
VN ~ Fire Zone
BId.. Permit N"
Zoning Distriot R2
..
. .
Use Clwificatior
t
Leplllescription LOT 7. BLOCK 2. MEADOW VIEW
OWnerofBuiJdi"ll SiteAddreu 14411 BROOKMERE BLVD
ContnclOr',Nome&Addreu CENTEX HOMES, 12400 WHITEWATER DR, 11120, MINNETONKA, 55343
,~
~
"'"..
...
/
Date:
City _ nON RVR
Date: ,
.~,
POST IN A CONSPICUOUS PLACE
"
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I ',' ,"" ~,. II. ,
CITY dF PRIOR LAKE
INSPECTION NOTICE
.
DATE TIME
ADDRESS
t t{Lt!Jl
SCHEDULED ~7w/tJ?
~r'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-; ~(5)7cQ
o FOOTING
o FOUNDATION
o FRAMING
9 INSULATION
l!. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
I!. PLUMBING FINAL
yI MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
iA~
~
,
~w K SATISFACTORY, PROCEED /) _ ~ .. <~ oj'] e /.d3
RRECT ACTION AND PROCEED ,~~
~ ORRECT W~~OR 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