HomeMy WebLinkAboutBuilding Permit 03-0031
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CITY OF PRIOR LAKE BUILDING PERMIT, - Date Rec'd
TEMPORARY CERTIFICATE OF Z'u.\u\G COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File I PERMIT NO
2. Pi,k c;<y .
3. Yellow Applicant
(Please ~ or orint and si... at bottom)
ADDRESS
/ tj 'I If., R r o~k m-Pj-f
g tvd
LEGAL DESCRIPTION (office use only)
LOT 7BLOCK '2 ADDITION /1I).p/tJOwl/j t'-
J 1;7 - CiCl J
PID1)S- ~ ,C"1.k()
OWNER I II
(Name) (..;>1'1 --H")( ~n.-tD r
(Address) !d f/OO W/'rrW'a-!r-r
(Phone)
9[;')-936-76'"]5
A."Irl"/ .sV/~_J)V; A1 /h..-e-h,nJ-,,:,..LJ1# 55:? 1I}
BUILDER r
(Name) .'J d' h1-e
(Contact Name) --.::-\-0-('
(Address) S q~
,5;-fvJn/ Ct.".
(Phone) ~ t:>""-e..
(phone) 9'~)-'10(~ 6;)!/Z)
TYPE OF WORK
~ew Construction
OLower Level Finish
~eck
o Fireplace
OPorch
OAddition
ORe-Rooling
ORe-Siding
OUtility Connection
OAlteration
o Misc,
PROJECTCOST/VALUE (exdudingland) S
/?-~/ 00 0
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.-r-~i and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p . I am aw~ bui1?ffis o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo property to ~..!~ 3 mspections.
X ~ -' ::JOtJ767~7 g-;)-6-o;)
Simature Contractor's License No. Date
I Permit Valuation '7t;'~&1 Park Support Fee # $
I Permit Fee $ (I, ~.J~ SAC # S {,21J'. (f'j1(' I
I Plan Check Fee $ I~~ Water Meter Size 5/8"; l"j $. , I
I State Surcharge $ (p2. I Pressure Reducer $ . -
I Penalty $ I Sewer/Water Connection Fee # $ 1. '2..0? .ex::>
I Plumbing Permit Fee $ /I)~. r96' I Water Tower Fee # $'i"/M.OO
I Mechanical Permit Fee $ I~, ~O I Builder's Deposit $-
I Sewer & Water Permit Fee $ l1o~ g. I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE , $53-Po ill
(j@--" y-.....~-;;-;;; I Paid . ~ ,,:)H'fi d . r'), IIi'
I Receipt No. U.-c, I')
I Date - 1-' 0- ':S-n<i Bv g,,:- '/
.
uiI' ffi~ D~-
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 consnuction to ~~"_._."~_"~_. Before occupancy, a Certificate of Occupancy must be
issued.
~~, ..', =t~p
Planning Director
J ~ h,4 r.--
White . Building
Canary - Engineering
Pink - Planning
Tb, ('rnln of Ih, L.k, ('ounl"..
BUILDING PERMIT APPLICATION DEPART~T CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(P tMf-fex ~
Cj-IO-(;)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/1//3 ~ f3/udJ
.
Accepted X
"
Accepted With Corrections
Denied _ - f
Reviewed By: C-If/;)
Date:
1~(7-CTL
com~~" ~4JL
"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,"
Th" ('''nln n' 11lI" l..k" ('ou..ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST
NAME. OF APPLlQANT
APPLICATION RECEIVED
(fO/U+-ex ~.
C/-IO-;;;-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'" '- .,.. "'-''';i)~31M1~niaDA/utV
Accepted
)(
Accepted With Corrections
Denied
\
. Reviewed By:
Comments:
IIIf(1,
5t'~ #74/" F,' /<
Date:
1-~~z-
"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,"
" '
., 0'" PRIg.,; ~
~\
~ 1v\~ 1-()v
Thf C",lt'r 0' lht' 1.lkt' ('ollnlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING P~MIT APPLICATION DEfARTJ,1ENT CHECKLIST
NAME OF APPLICANT
(t)fh+-eX ~/.4
{j-/O- d
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t/4Ijf)yfJ;n UUf
Accepted
Accepted With Corrections
I~/ urL,
V'
Denied
Reviewed By:
Comments:
~1~?
k- &~ '4:/;'
Date:
/o;j/DY
"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."
,.
-Permit.
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PERFORMANCE TEST
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PAGE 138
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, 9,22.758.6247
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a..t::1 Tut; "'\i!C:l,)r w;rlhJ.t: ,)hc~"";~ J:/ {
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I Se".v~,.e EJ",;;or
I 8:1cktlaw As"e:nolv
I Backrlow Assembly Test
I L:rwn Sprinkle,
IOche.
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fE:L SCHEDl;U
t:~r.!u:;:7::L CI;Jr,"';fil'::~~~! .t ':Vhllt;"f~ily 1% ,)f )0::' ~Ojr with.:t Sj9.50 min:mur.1
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PLrJMBrNG PERl....UT FEE :s
STA TC SURCH.~GE S
TOTAL PE~"Irr FEE S
,...
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~., V!.JjltvG~~
'l:i?, ;:;..,....
.50
(Of1icc: L.I&'\' Only)
Ti)i~ :'ppliC:lCicHt Become::$: Yl,)Ui Buildin:z P~riJlit \Vh~n Approved:
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--
FROM :HEATING-COOLING-TWO
FAX tn : 7634283682
Mar. 14 2003 07:54AM P3
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT '
Date Rec'd
i~ ~~ I PERMIT NO. 7'\3 - J I
3. y.!law ApplkaM V, J
_lP1etl..'Je ~.~!: or nrl.nt and. !hm. atbaaom)
ADDRESS
/ '/1/3
f>eOo ktTIUL ./3IVd ;J U),
ZONING (0_ u..)
LBGAL DBSCRIPTION (omee ute only)
LOT
BLOCK
ADDITION
PID
OWNBR
(Name)
(Address)
(l1"-t1~
,
~"N\J:"
(phone)
",;
.
APPLICANT
(Name)
(Phone)
(Contact Person)
l.lEA i11~~ & CC>:J~'I-I(l TVt'O II;~
(A~~~ ~l,ll';' ;".~.:;
MapJe Grove, MN 5535%2: ~
('?(;'-\~ 4?P...'lB7"T
-r~ Co..aK,
'\ - --
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION U urLACEMENT 0 AL TERA nONS
FURNACE MAKB AND MODEL .I<e'j;:j,r.\-. ~I'\ l(J'd8"O FUEL
FLUE SIZE :vI) 0_ RETURN OPENINGS R fNPUT'%, 00(3 OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~nn Air Plants 0 Steam
, OOra.lty 0 Hot Water
o }!echanical , 0 Radiation
ErA!r Conditioning 0 Special Dc.iee.
~nt. System 0 Other Devices
(City) (Zip Co"")
(Phone) ~/..:l -, "'?t..1' -, '1.5/", ,~
DATE ~:;>- /~-a.L_
(Address1,
APPLICANT SIGNATURE
~ fl'dd II
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKB AND MODEL
Industrial, Commercial'" Multi-Family
'FEE SCHEDULE
1 % or job cost Residential, Gas Fireplace
$39,S0 minimum
$99,SO Residential, Additions & Alterations
$64,SO Residential, AC Only
$39.S0
Residential, Heating & AIC (New Con,truction)
Re.idential, Healing Only (New ConstrUctinn)
$39,SO
$39,50
Estimated Cost $
Building Penuit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~~
~Ii.t,,,.
.50
(om.. UI. Only)
This Application Becomes Your Building Permit When Approved
Bulldlns omell'
DAtt
I ."~-
.' ~ceiPI No.
t 4 lUUj ~j By ( Jr
I 1/
24 hour notice tor IUlnlp..tion. (952) 44 E\!Il<o, toY (9S21 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF L ~~..Qte
BUILDING AND INSPECTION
SITEADDRESS ~l~ ~~ok.~ ~W
NATURE OF WORK ^J.4.J J
USE OF BUILDING ~FA
PERMIT NO. 03 ~ (J{)31 _ DATE ISSUED 9- t7-QZ-
CONTRACTOR ~ ~ PHONE q~...I.(o~-~'l.1.("6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
SEWER I WATER I SEPTIC
FRAMING ~~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
"llV
~Jr-
3/"5I/D3
y/G1{~
S /~t03
tV
:'t l' ~ 1/t:13
.
~
GRADING (Prior to Sodding)
BUILDING UJ Ie.
ELECTRICAL /$It(
PLUMBING" ~ t.
HEATING I ~ I'9Yt-
v'
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
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.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS ~ ~ ~V reLl t03
~
~ ~ tlt'Yk?a3
0-<" kf!.
,<1~
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
,"':~,.~:'~~...C~".,,',; "'",
'~. -:r' . ,.~:'i """'.. "'~'''''l:'.'''''''' ,".~ "1':""1
I.L, ,.~.r"1.":\\!I :ill. _.....,.!J
11".
;~~~ ], Q!trtiftrau of QDccupanry
I~" ~ CJ..J. i OF PRIOR LAKE
;i I t 1Department of .uilbing Inspection
~' ~ '; Final Permitted 0 Conditional C.O. Expires
. Certificate issued pursU41lI 101M requirements of Section 307 of 1M Uniform Buildillg Code
certifying lhat allhe time of issuance lhis slructure war in compliance wilh 1M various ordi1lll1lCtls of Ihe
City of Prior Lake regulating building construction or use. For 1M following:
Use Classificatie-
SINGLE FAMILY
02-1266
Bldg. Permit N"
OccuponcyType
Legal Desc:riplion
'D ':l: . Type Construction ....JlM Fire Zone
LOT 7, BLOCK 2, MEADOW VIEW
Zoning District D?
OWner of Building ~teAddreSl 14413 BROOKMERE BLVD
Con_'sNome a:_, CENTEX HOMES, 12400 WHITEWATER DR, 0120, MINNETONKA ~5343
Date:
~~ HUTCHTNS City Planner Date: nON RVF
III ~ POST IN A CONSPICUOUS PLACE
I,';
:'",-
"L:.41.-.Jc" ,'';' ,..;.... j; ,."',,.;~...' 'h"... ,:.,- -...,
I-
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,
.,-.
t "',<
DATE TIME
CITY Of)'RIOR LAKE rJ"LJ / ~
INSPECTION NOTICE SCHEDULED ~ J
ADDRESS ~ t~ ~1Wh
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'5..03 {
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
rii FINAL
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
YMECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
?_v
3..
<qy~\p (--, ~ u e,.c -o:~
o ~RK SATISFACTORY, PROCEED
VCORREcT 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 .l SAFETY!
UUNOTl