HomeMy WebLinkAboutBuillding Permit 03-0086
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CITY OF PRIOR LAKE BUILDING PERMIT, . Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIAN~E
AND UTILITY CONNECTION PERMIT I
i\
I. White File
2. Pink City
3. Yellow Applicant
1(7.",B O-cJ~
I PERMIT NO. Qt,OOPJ{o I
q?lease !\'PC or mint and si2ll at bottom)
ADDRESS
/C(~, ~CV~kM) I-hils c;-
I W~~rceu~)
LEGAL DESCRIPTION (office use only)
LOT t8 BLOCK {) ADDITION J:"OUJ".J),A iN kI.:/k ~
PID .:;l.\-89o-nl9-O
OWNER I. I ~
(Name) vvCNSmt:!.NN
(Address) 137~ P(.A:Z,A
I-/D~
1) t2- -it ~c)V
(Phone)
6'.A~AJ
MAl
~I :;J.$l
BUILDER.::;:
(Name) ^.IN1A-
(Contact Name)
(Address)
_ (Phone)
(Phone)
TYPE OF WORK
. New Construction
OLower Level Finish
DDeck
DPorch
o Fireplace
DAddition
ORe-Roofing
DAIteration
ORe-Siding
DUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ 1130'2. 9
,
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~....y..nJ 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
enter upon~e y~erform needed inspections.
X-e9,......-7"" /~\y
J'/ Signature Contractor's License No. Date
I Permit Valuation 811~_lJoo. 00 I I Park Support Fee # $ 8'50.0"
I Permit Fee $ - .}C ~(P. 59 I SAC # $ /2 7':>, o~
I Plan Check Fee $ t..'3.u.1 I Water Meter Size 5/8"; 1 "; $ 'Z-5(J, ~O
I State Surcharge $ ..,-t.. , 5"" GO I Pressure Reducer $ I/5,Ot)
I Penalty $ I City SAC and WAC # $ /ZCXJ,Od
Plumbing Pennit Fee $ loo,cd I Water Tower Fee # $ 7tJt!:J.Oo
Mechanical Permit Fee $ /0",.01') I Builder's Deposit $
I Sewer & Water Pennit Fee $ , 3~5o I Other $
I Gas Fireplace Pennit Fee $ ~,()O I TOTAL DUE $~. if/I. fJl
d ~LI-mNo!l/d/
This Application B_~~__J Your Building Pennit When Approved I Paid C7l?- (,,0 y- tI '
~ "1~ 1j,Wo.Y I Date z7~11'" "< By' --/
'""" - .: --
Building Official Date
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
issu2?"c...~; ~ /f'-~h3 ..L,~ ?v14- _J 4-
Planning fi'Tr;ctor - 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
u
.
"
Job Address I~kv...t,_, .J'.;!
Heating Contractor ~;JW7 N~
Name ofTester ~ JJ.
//#4/0:1
~o
~w
CJ/d ilJ2
Date
Percent 02
Percent CO
Percent C02
,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~-?5
input l30 t!MrIl>-oJ
/
"
"~
.' ~~
~
Sh- /Y7,D(IN r7~
-, ~
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t-
'l White - Building
g.an'lrv - Erlglneering.' ,
c...J!ink - Plannl~
Thr ("'nlrr of lhr 1..Jr., ('ollolr}'
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/ / ) ,~:/u 4A'U/t /!.{.)
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l' .- ._,' ',..,. _. ,~./ 0'--
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:. I
~ )LI?Oc;~O/f./1jL/~ AAjf~:J r:;!-!-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~ <;j~1--
Date:
0'~!' 3
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."
Th.. C..n'..r of lh..l..k.. COllnlry
White - Building
~ry - t:ng,"eerln~I")
fiInI(" - I"lahnlng
6..UILDING PERPr'IT APPLlCATI.ON DEPARTMENT CijSCKLlSr
NAME OF APPLICANT j~)~ua)'t<'1 ltJ1Ud,,;./
APPLICATION RECEIVED 1;.1- ,S 0 - .OJ....
The Building, Engineering, and Pla.nning Departments have reviewed the building permit
application for construction activity which is proposed at: .
of ).. '1 /~ j
) LI:;;'(~)c) :-:;L1J11-71]a-bK-. I~Jh L.!7I-
Accepted
.>Z
Accepted With Corrections
Denied
Reviewed By:
Comments:
M'TB
Sc ~ mqr)..,
Date:
I~ 6 -03
F,/(.
"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."
FILE No.174 05/09 '03 06:42 ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 13/ 13
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'.....'!'I"'N'sa1~<,
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CITY OF PRIOR LAKE PLU1\lBING PERMlT
Date Ree'd
fPl!:Z1Sl' lI'[lE 01 orinl ilJ\d siArl at t'lOt1NTl J
, ADDRESS
-1 ~ dnS F () (~II'\+.(\.{ 1/\ ~ ( l '-,
i ~:. ~Si~" ~~RMJ~ NO. 3-~(P
ZONn-.JG Inlfll:l' \l.~~1
II LEG~.L DESCRlPTlON ,,,fl',,, "" onlv,
LOT BLOCK A[I[\)TJON
~~--
OV{NEI, .
(Non,t! \^I~I:\':; ,'1/: 'il'~l'\ 'l-+vV\;V~
IAddress) f'1,C{C'j .(Jfi"W~ (V, ,:-"I,.{{' llt{)/ 7~fN~ I--<u CjSI.'.11
- -
A PPLJCANTpI .;'\ I '\. I
INs",.' JlII.\r',c..-tl. V l..VVI/\''''j (Phone) l::?(cj,)~),~~"Lr?")5""'7
IAddresl,j I.CI C' q \",1", VI r i h... A 1'-<' l: f!Y/I[ll.l,,\,/1 A.\( r)C;LI~_7Z
I <'ddresol ICiry}) (Z,p C<>de)
,Cnm'L' Person). .-r: l t :";..r ..t'\..u O{'dlA (,( f /I .f '&p 0M) .(711;)) 'j "J.;?-y. U.;;1.,",'S '7
...-......,. . ,I ..::. I l ,7 -"
. APPLJO.N"; SlGN...:IURf'1 J! y \ ~11AJJ/l A DATE Fjq -{; -.2.,
:J Al'PLlCANT 1'LEASE COMI'LETE BELOW
PID
(Phone I
J-Hf 0 -4LKI)
QU""t.l)' T)'p.ofFb:tu,'. Quanti~ T~I:. ~f Finurl'
.1 Eiath Tub "",'Ith or wlth,'"1 shower ,") Rough.jns
I DishwlIsher I Wuter J-le~ler
a.. I Floor Drain I Water Sottner
.~ LJvatnrv (Bathroom Sink) I Sl~nd Pipe (W;,u;hin~ IvlUcilii,e)
I LS1Jnd.I:'; Tra)' I) ()t 1 cOn1partment sink Sewagf ~Iector
--I
t
I
Shower Stall
I Sinks
, Backflow Assembl\
I Bacl;flow Assembl;, Tes!
I ,,'UI '-'11"\
.-~
I WUrCl Ck,sell T"iiell
I ........... ....1... .,..~.....
IOtlm
.i
.1
FEE SCHEDULE
111(111$111;11. CommerclIJI A: Ivillljl'.I';lIllil~' Il~,,, 'If,illh ~(jS: with ~I $jy,:so I11lnln)um
J:'llm"od COSl l; '74LJ 4. OJ
Rc:sldcntlal. New (1m: 0: l\Y~'.b.Ollty S~Lj,5n
RC5Idr.::rui.:J1. AddjLI~\n:i &. t\llcJ:Jl111nb S:.~Y,5'1
8udd,"~ rem", N
PLUMBING PERMIT rEE $ _
STA TE SURCHARCr $ ~Q
TOTAL PERMIT FEf-;j R fi;:' _ ,
Illlf." lI" Ilnh I II D J Ii; Ib It 0 l!! ~ I n II
I This Appll""l",n Be",,",., \ ""' llullcllll~ I'o,.,"i, When APl'I'II#m IM4Y'l~ 1
I /UU I [lalt
! U-UUlldlll:.:.IJrrll'l,d .-. - !I,lh IR)fJ ~__.___.
-'. - ._,,".
~.:j hUlll' 1l()!jCl.: fllr ;.dllflSJl&:diHIl~ /lJ:'~~.7~iBII,"fil-(9'S~rW'..:j~4~
J;,~IlI, r:;I:":)I' ('n'l:li """.. '.,r..."l'llI'"'.:d;l./, NIT\,' ~::"-::.I"IJ
PAID WITH
BUILDING PERMIT
i Rocoipl 1'0.
18.
I
I
~~~!
un' OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1. Pink
,."'->
3. Yellow
#7/,?,;?
~:~ I PERMIT NO. 3- 0/ I
Applicant 1) fC'
q?1ease tYp!or mint and sien at bottom)
ADDRESS
/C/c;?05 ~~-4,/,c
d//..; LV
I ZONING (o_u~) .
,
LEGAL DESCRIPTION (office ~ only)
LOT
BLOCK
ADDmON
PIO
j
OWNER ./ - / / L
(Name) c...</~.$/:H'_4L /' -'AC.tII'5
(Address) /?9..:5'" ~~ 2~ .c:::;...
(phone)
C~----
...;; -
APPLICANTA./. ./ ~ ~ ~./..
(Name) _/~/h~" . ,J_",?,'--~ (phone)"'l""/- y5-i'--?77..5-
(Address)~ /L''''~~tI!''' ~. ~~~ SS/-?-('
(Address) (CitrV (Zip Code)
(Contact Person) ~A./y_~/-< (phone) ~S/- ~ -...:?7?~-
APPLICANT SIGNATURE. - DATE c::;tLJi".,""2,.
, ,
APPLICANT PLEASE COMPLETE BELOW
1
~W CONSTRUCTION 0. REPLACEMENT 0 ALTERATIpNS
FURNACE MAKE AND MODEL -p.,l2. ~ ""'f2:,<J-,JY1AV o-z-L/o&O FUEL ~
FLUE SIZE -z, I' l=V (.. RETURN OPENINGS '\ INPUT I-r; I"!"'('l OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants OSteam
O~~ O~W~
~eChanical . o Radiation
'r Conditioning o Special Devices
Vent. System ODther Devices
t6A.S
~s: Ol:r).
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % nf jnb enst Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Constructinn)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
. O/~,~~
.50 -.C:/~
.~
I '>'
ill) ~ @ ~ U \II ~,j"'No ~
t:~J MAY 2 1 2003 ~ {/---
(Orne. Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447.9850 fax (952) 447-4245
By
Date Rec'd
\....h i OF PRIOR LAKE
SEWER AND WA..I!..A PERMIT
~hJ!!."---"_\
ADDRESS
, .'
~ =:.:: I PERMlTNO. .,. . I
1...... _ . 1"J~-Cl6~'---.J
. .
~.I...u.i11IU(aIke_)
fl(Z i)) y:.dU'\'.kIL..... LlI{1 t t!....,-
LEGALDBSCR....< u'u.. (....~ouJy)
LOT \{BLOCK V Au....:u~N ~u~~ !d:i.lJ<
1..AU
PID.3s-<?<;o-,,}t\- .,
OWNER.
(Name)~eN5-AJAJ .l::/FM~
(AddJess).J.M~ 7:J/./.?:tA lft..
'(AIi.a.)
I:fjvr.ArJ
(CkY)
(PhoDe) ('~kt/b" ''111'0 .
n-/~
(Zip Code)
APPUCANT C_. _
(Name\ ~ M ~ (Phone)
(AddJess)
~ ~ (Zip~
<<>-_9;;.1 ~~(., ......, "'7.-nd::../HV
APPUCAN'I'SIGNATURE DATE
APPLICANT PLEASE COMPLETE BEWW
Size of ..~... service / inches.
Location of any couplings from structure ttr feet.
Type of sewer pipe. ~ ABC 0 PVC 0 Cast Iron
E..:'.,.,,,j.llengthof~.;il,...line .9~ .
Clean out (1f...~.:".1) located at feet from ,,:....~:.ae.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer ..__..,:':l)n only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID IIVtTH
BUILDING p".".
'=nMIT
(0IIke u.. OIl"')
DisAPl.., :,. r.".
.......~
- YOIIrBlliIdilllPenlitW!lellApproYed ~@ -lE 0 \TI ~l~NO'
Ollie PldeA 11 r:. 1 'illD.L J f-...
24 boar notlcerorlllla... .0..' (952)447-! ,rU:(9~)447-424S V'
By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1~'2tJ3 tOUtJ~~:h) ~;L"'S C,.
NATURE OF WORK ~ 'C,..;J
USE OF BUILDING , . .
PERMIT NO. .. 1~~.:qP.ltf... . DATE ISSUED :I.
CONTRACTOR ~aJ t4OMD- PHONE tJD
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'r~1' ~;N
DEPARTMENT O~ H , ~..
BUILDING AND INSPECTION
F,..c
.... "
-
..
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 1:5U L/ lP,~
FRAMING ~6<.-,"'t~ W/~MS ~ qt6~
INSULATION ~ ctJK-je3
ELECTRICAL
PLUMBING !A)/~ ~ /~
HEATING (if required) ~ 6fL~ti:::3
FIREPLACE
GAS LINE AIR TEST 4J.-? f~ft7.1
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
. FINALS
GRADING (Prior to Sodding)
BUILDING CU~ C tf. () a.(tJil ~
ELECTRICAL . - /)-L,.
PLUMBING W t c-
HEATING
DO NOT
c,;1A--
~1k.
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.
I,,{; 111/ an
iljll7 m
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-1850
C1lrrfifiratr Df Q1}rrnpZturu
CITY OF PRIOR LAKE
;!El~pndm~ut of ~uilMug J1usp~diou
~Final 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
VN
Bldg. Permit No.
F. Z N/ A Z. D. .
lfe one _ omng Istnct
SECOND ADDITION
14205 FOUNTAIN HrLLS COURT
SUITE 200, EAGAN 55122
03..0086
R4
Use Classification
SINGLE FAMILY
Legal Description
Type Construction
L18, B2, FOUNTAIN HILLS
Owner of Building Site Address
Contractor'SName&Address~NSMANN HOMES,~95 PLAZA DR.,
ROBERT D. HUTCHINS ,/l ~ C. PI
V~'.. _ Ity anner_
f . . Building Official
J - (&. U"! Date:
DON RYE
Date:
.
~
/L{U)b~ 1~lL:_
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
I1'FINAL
ki SITE INSPECTION
lJ PLUMBING RI
lJ MECH RI
lJ WATER HOOKUP
lJ SEWER HOOKUP
~ PLUMBING FINAL
YMECH FINAL
DATE TIME
'11 {}flo
lJ EXIGRADlFILLING
lJ COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
COMMENTS:
l~ I: LkJ 'V4f 4-1 ~ co.C .
Z)[~~ A
~L ~/'~f J)AhjJ~~'M rj(:y.u("~
~ l~:1A ~~
- ^
3, U~D~~~furktl~
~;~~.1 ~-r=
lJ WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
lJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
4Ac
Inspector.
Owner/Contr:
CALL 447-9880 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!