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HomeMy WebLinkAboutBuilding Permit 03-0472 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3. Yellow Applicant (please !yp<:. or orint and sis at bottom) ADD~Oo::' 13ohcgnr1tU.( Date Rec'd 1j,,:J.-OJ I PERMIT NO'O+q'i~ -. ZONING (office use) 1</ 7tu, w~9-urf, ~rf101IDd5-:~8J-D/]~-b cg..v::.e~~f It:r YsMu6 f/11SJ.--Ch/J tl-tcd7m. (Address) f D, ,!;Ox 24911r:~ vafPet1, !11d, _ I' V , 1.../' '~~~~)ER /!;ut/.er~cXJ1ij rfJ&'1IJ. (Contact Name) rl e YJ n L1 f:::l~ ' (Address) f? (), ij-;;x 2-LJS'ct 7. ~/!et? . Vi)) LEGAL DESCRIPTION (ollice use only) LOT IBBLOCK.:3 ADDITION TYPE OF WORK OM!sc. }It'New Construction OLower Level Finish (PhonefbIZ) 3z8-ZIM 5512-<f (Phone(0/2-) 32-8 - 2-/1>'3 (Phone) ((p/2--) -3~ - Z-/'6ff 111M 5512-f , . ODeck OPorch ORe-Roofing OAlteration PROJECTCOST/YALUE (excluding land) $ o Fireplace OAddition ORe.Siding OUtility Connection 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-'.J and that all construction will conform to all existing state and local laws ud will proceed in accordance with submitted plans. I am aware that the . g o:~ revoke this permit for just cause. Furthermore, I hereby agree that the city ollicial or a designee may enter.o er._r__:Jtope ~. SfJe~ # /7/S- 4/1 k3 XC J (Signatu - Contractor's License No. . Date \ . 1f2..ZI) 000.001 $ I CD 7/. '3<;. I Permit Valuation I Pemtit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ lop,t...~r IID.60' I I I I I 100.00 100.00 c~S :>0 '1o,(JO This Application Becomes Your Building Permit When Approved ~~ "i!L.~/-J Building Ollicial 4/~31o;1 Date I Park Support Fee I SAC I Water Meter Size 5/8'" 1 ". , , I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTALDUE I Paid I Date qOJY.?( L./7.4,,/]7 7 , 'T / # # # # $ ~. tJ(J $ /Z,7S.00 $ 300.00 $ 70.00 $ / Zc(j,(!}O $ 7tJtJ. tJ () $ /'5CO. (') 0 $ - $Cfm3 5(. I::J n I Reoeipl}(o. "i:iJr~ c..- By L. o 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. nus 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 ~ 9~P ~3/t;3 ~~ ad ~*':"J ~ Planning Director 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 / ,/ ~~ Jhite - Building anarv - En9ineering '.. mk - Plannh~ Th.. ("..nIProf Iht'I..kt('ountl'J' .B.UU-DING PERMIT APPLJOMlOMDEPARTNlENT C~ NAME OF APPLICANT APPLICATION RECEIVED (~>.Lta.A---- / i;';' ~Ju;t-. (~(;r~. 1./- j -(.i .3 " The Building, Engineering, and Planning Departments have reviewed th", building permit application for construction activity which is proposed at: ' .) ..- ~1;' + -r ;;:.. 0 C ! - 0() ....- /1 '0/tV I Accepted Accepted With Corrections l/' Denied Reviewed By: ~ A (! , t. ' _ .~ ,. ~~t-, &.- ~ '(- Date: ~JA8lQ3' ~ 1~'1l.;;-J) , '.1\'" Comments: ..dd- ~ e.L.-J . J "The issuance or granting of a permit or approval of plans, s~ecifications and computations shall not be construed to be a permit for, or an approval ot 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." . ~\ ~te . Buildln9> Canary . Engineering Pink . Planning Tht'(".nlt'fuflht'l.abCountry BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ (j- d- -0 3 (]~. / The Building, Engineering, and Planning Departments have reyiewed the building permit application for construction activity which is proposed at: 3003- ~tJ~~-t ~ Accepted Denied Reviewed By: ~ --:j.fJ i 12t.J Date: _ tI/.;l.JM:;> Comments: ~.AJ ~ ~ ~ - .o.-::io. Accepted With Corrections ~ "The issuance or granting of a permit or approval of plans, sj:pecifications 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." TIle ('Nt.... .., _ r..1I. e....., ~Ite - auIfdUla arv . Engineering.) fiik - t'lalllllllY 6UILDlNG PERMIT APPLICATION DEPARTa.tfNT CHEC~L'ST NAME OFAPPLlCANT ,,>, itL1J ,. r -I" ( ',"-.- . f!.~,1.-- ':4""/;;-0; _' "; .' ...~., /' / ~ l... tL ~L...ep" ,.O' ...-J.._ .i"'---) /' I -~ , ,~7/\ \..~I ~ {/ ';...or i- f APPLICATION RECEIVED c/- .;( -0 3 The Building, Engineering, and Planning Departments have reviewed tHe building permit application for construction activity which is proposed at: . .:::;; . 'J i -'- _. ~) (:)Ci ,~, - /..\:) I~i(.~/.l C ~",j/y..J Accepted c><. Accepted With Corrections Denied Reviewed By: A74 fl> Date: Lf-I S'i()_~ Comments: SAe Reverse Side for Additional Information! See Attachment'!. 1) Grading Plan, 2) Erosion C:ontrol MP.~S11T"~ "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." . 05/02/2003 09:54 9528959394 UC'1I,u2 tt.:E I) 10' FAX e1ZU7UU ALLIED EXCAVATING (; 11. 0 F PRIOIl WE PAGE 01 lZIuol CITY OF PRIOR LAKE SEWER AND WATER PERMIT D8te Rec' II ~-"'_...!...._\ I ^OOIUlSS -- L3c::n ~ f6 j p co. -t '''' c.. \ \ Pi ; ~--{ Lc; tr UlOAL DBSC~N (._.. GlIb) LOT I&JLOCX~~ Al)l)moN\l-...t- lJ.) ;\cb S ~=Il R..l.L!u ~\)::>iY\C.. '-.J J....;.~. I P'" D......... :'=-~... ~..,O'6~'41~ I ZONINO_J P10 I (Ph~) ~1;:):.~-dlB2L (.\d.dIa.) ,..._, lelM tZlf CMt) APPUCANT Y\.\ " ,..S C' (Name' ..... ~~.L.~l\.(!...o.\IC \-\'l'\P.. (Phon~) 9Sd -R9l/..:..R3<U\ (Ad4NII) J '-I a II iL,...:)l d lo -\'~ 'S.* '-' ~\ta9 C) Y't'\(,U S",<;BI?J (Adn~ (CIly) \J . ' (Ji, c:.l (CoIltac:t Penan) ~ \ c.... , . (Phone) 0, ~ A APPLlCANTSIGN.t . .....~!.'0. . DATJl_0-";>-o.:? I APPLICANT PLEASE COMPLETE BELOW Sluofwaterservlce --L,inchea. ~ t.o.:.!I. OIl of uy couplillllS frolQ mact\lJc teet. type of Woftr pipe, n ~ PVC 0 CUI (ron Bttinutted 1.ngth c1_er Tin. . Clean out (irNCjulred) Iocaled at feet from ~e. PlK SCHEDVLI: Rft\cllnt'tl_.r IIl4 . "'IIM ~ullon 533.50 lJuIuttrlaI, Com'l'" Millti.l'amll)' 1% of)ob ~ wlrlla S)9.'0 mllll_ SOWerCOl\llaetlOllonly SI7.50 WtW_etllclnoaly SIUO EstIm.ttd Coat $ SuUdin. Permil tl ..- SBWBIlAND W A il!Jl. PElMJT PEE STATE SU1CHARGE TOTALPlItMIT 81 s s S .'~ ~~~() Ith... ~Q o:...'1t ~-9..f,~ (0lII0c \lit OIl/JI Thlt 4pplk.lloa ... .... v_ ........ Pentll Wh.. 4pp....... ........ Olio.. Dllt I 1'1I4 I Jl.I<<IPt 1'10. .I~ lB)".' ('5S) ~J,i.&a~~] R MAY - 5 2003 . //1- vV' a4 hn,._ ....II. " By_ " CITY OF PRIOR LAKE . HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd !Please tvDe or mint and sim at bottom) ADDRESS ~OD~ ~t~rl ~lIk 1. Pink ,."- ]. Yellow ~:~ I PE~T NO. 34'7,;)- I AppheNll ZONING (office...) LEGAL DESCRIPTION (office use only) LOT BLorK ADDITION PID (~.Al6t HtusliJ6 ~IJ,~ ,14517 - APPLICANT J J "" ~ I () (Name) 1""\,... 11../u /). (Phone) #tI/:<-s'a.s~6?l-7 (Address) L{1"~1 HICIf& l1 f? -JJ1~ f. MAl ~5~7 \~'A.' /~dm;S~ L. (City) (Zip Code) (Contact Person) ~)(!.1,1lnL.JVl. L (Phone) "If), -'f',-'(;tzW APPLICANTSIGNATURE~0~ :! ~A DATE -. ~PLlC~NT PLEAS~MPLETE BELO; [3NEW CONS~CTION 0 RliPLACEMENT 0 ALTERA rtON~ I. L). FURNACE MAKE AND MODEL ':]...;f!U J~ 7/..1'1...1/J..i) FUEL iV/J..1 GIS _ FLUE SIZE J /I f v..L RETURN OPENINGS ? INPUT I ",p;1J1IZ> OUTPUT I~i/oab TYPE OF SYSTEM HEATING OR POWER PLANT , , ~arm Air Plants 0 Steam Dyravity 0 Hot Water 0')Aechanica1 . 0 Radiation g'~r Conditioning 0 Special Devices 0Vent. System I!V A~b ((l! /JI...J.JIIJta 0 Other Devices OWNER (Name) (Phone) 9$~ - -4' .;r I. 4'/ 3:J. (Address) PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential. Additions & Alterations $64.50 Residential. AC Ooly $39,50 $39.50 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) (Ollice Use Only) This Application Becomes Your Building Permit When Approved HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ . PAID w.-. SOILO/NG';;':' ,., t;;;RM/T Estimated Cost $ Building Pennit # Building Official Date n1 trc; ~ n nn Ie ~f' Receipt No. ~ . . I~! < Date By J R -'IIN III ZQQ3 J c;r- -9850, fax (952) 447-4245 J By 24 hour notice for an inspections (952) CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd q>1~... ~ or Drint and slm at bottom) ADDRESS 3003 BOBCAT TRAIL ~. =.. ~:~ I PERMIT NO. 3- 1 rJI t 3. Yellow Apphcam ....., O"'-'f ZONING (office use) LEGAL DESCRIPTION (ollice use only) LOT BLOCK ADDITION PIO OWNER (Name) RUTT,RR HOUSING (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOM" (Phone) 6<;1.633.2<;61 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) (Contact Person) llRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 'i5113_ (Zip Code) APPLICANT SIGNATURE BRFNDA HUSTON DATE 6126/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATINGORPUW~APLANT DWarm Air Plants DGravity o Mechanical DAir Conditioning OVen!. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks . FIREPLACE MAKE AND MODEL HEA TN GLD 6000TRI Industrial, Commercial & 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 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 $39.50 $39.50 I3JJI~AID W/77.i tNG PEFlM". Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) BuUdlnl! Official J!~.@ [E~WreiPtNo. -Iije .JUI'/ :/: 7 Z003 I J, /J Date .:J ( ,I}) !i I/J" 24 hour notice for all inspections (952) 447-98 )ta. 1!l5J) H?.oI'45 (Office Use Only) This Application Becomes Your Building Permit When Approved FROM: WELTER & BLAYLOCK PHONE tlO. 612 8828573 Jill. 02 2003 11: 58At1 PI CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Plea~e ~ or onnt and Sb?,A a.t bottom) ADDRESS 2003 J30h e Q.-t -r;.Q; / LOT LEGAL DESCRlPTION (office use only) BLOCK ADDITION OWNER f3 (Name) u fleY' (Address) PD /30 \( I-I-D k S. WJ C!'lJ 1";0 ~l/S97 j)t/,/e r/4//e,!, mAl APPLICANT . (Name) LJel-l-er Qj. Bfa-v /0 ('.k I . (Address) lS'oq c: J-/lA,)" /3 (Address) . /.3/I-!- ?>r (Contact Person) ;~~ ~::, Ir.l!.l<..lvlITNO. 3-J./7"JL-.. J. VdJow ,4,pllliC/lrll 7 c:r--- ZONING (offic,u"l PIP (phone) '175-'- 43)- tjJ.3 .:t _ ~ S"J cJ. 1/ , (phone) 9'S..:l-??'/{ d - Rt, 2'1 f3 U. 1"11 S u ~/l'C) S-S:? "<; '7 (City) (Zip Code) (phone) 9'.5;J - 9'% d - '2? b g- I DATE 7- ::2-0 3 -:Jud../ I U),-,'~ a. '1f~ , u ~ APPLICANT SIGNATURE Quantity o:?. I ..:J.. S .:1 / I 3 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower ~ Dishwasher I I Floor Drain C I Lavatory (Bathroom Sink) .I Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Smk I Water Closet (Toilet) 3 FEE SCHEDULE tndustrial. Commcreial &. Multi-family I % of job cost with a $,39.50 minimum Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backtlow Assembly Test Lawn Sprinkler Other &<< S -7're""I"e~. drller 4 tt .f;'repIQ eoCJ ' Residential. New One & Two-Family $99,50 Residenti.l. Additions & Alterations $39.50 Estimated Cost $ IS ooc"O(:;) " Building Permit # 03- '-17 .;l. PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ .50 \ . J $' d/V y,,~\ I Paid vVI j-' . Receipt No. (Olfice V" Only) This Application Becomes Your B~i1ding Permit When Approved Buildine: Otfi<i.1 Dllte IDa~_I_ 'i By Ur(/ (j 24 hour no'l.e Cor alUn,p<:<ti... (952) 447-9850, Ca. (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 PRIOR LAKE DEPA'RTMENTOF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 300 ~ , _ r Tee. NATURE OF WORK '-l _ ~~ . USE OF BUILDING 4J- ~.ff ~. PERMIT NO. -123- 4/'7;?- pATE ISSUED !/Z2,(j2 CONTRACTOFrlSf,lT...eR KcaSrW'\ caa,. PHONEGt'~".n~"Z(ft NOTE: THIS IS NOT A PERMIT FOR M OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOl' DATE I FOOTING .,v /b 1 I t/ --.;(~ I FOUNDATION (Prior to Backfill) I p-(' I S/;/~ PLACE NO CONCRETE UNTIL ABOVE HAS~BEEN SIGNED ROUGH - INS . SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL . PLUMBING g 6 I 1-,...) HEATING (if required) j/i5 I 17-/ FIREPLACE I I GAS LINE AIR TEST /1!> 17-( COVER NO WORK ~NTIL ABOVE HAS BEEN SIGNED 'C/U.17MDJ ~1IJiJ./~ I , FINALS ~ 13RADING (Prior to Sodding) )~ rBUILDING.....,:e....., -.1- 0 t I ~ 1 ~ tJ '/ v~. ELECTRICAL' ''/ PLUMBING HEATING DO NOT We fI~ PC /~Jli 1 R,)/j S' h/~ )-J vA~ f\\9 OCCUpy UNTIL ABOVE HAS NOTICE 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 INSPECTIONS1952) 447-9850 dtrrfifiraft of OI)rrnpanq! CITY OF PRIOR LAKE ~tpnrfmtut of ~uilMug Jfusptdiou ~Fina1 Permitted D Conditional C.O. Expires _ This Certificate issued pursuan, to ,he requirements of Sec,ion 307 of the Unifonn Building Code certifying that at the time of issuance this struc'ure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use, For the following: Use Classification SINGLE FAMILY VN Fire Zone R3 Occupancy Type Legal Description _ L 18 , _ Type Construction 03~0472 Bldg. Permit No. N/ A Zoning District _ R1 Owner of Building _ B3, THE WILDS SOUTH ADDITION Site Address 3003 BOBCAT TRAIL, BUTLER HOUSING, P.O. BOX 24597, APPLE VALLEY, 55124 Contractor's Name & Address Date: ROBERT D. HUTCHINS , Ii )Building Official !.;II I' , , , City Planne" .~ -.'.-.. ~";;~'-'" ~. ,"-'-.., 'j ,~,~"",,: i;,i; ~,j,,' _~. "-',,,';:'.;- ;,-;. ...' -1.;~~':';':'\a""""',..'",''':'I)' y' ',:,;_ DON RYE Date: ":..".,, , ." - .'",'. ~. ',-, .:' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS :)003 '"& Ioccd- OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .ir"FINAL - O'sITE INSPECTION cONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~~~I~ '2. ~ rt- \I n.JU/j ~, \ - to DATE TIllE 8~ <fl\ f :Otl b~ -l./~2 o EXlGRADlFILLING o COMPLAINT o AREPLAcE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~\"-L Sa....{ I I I If - ~ 03 - ( / \. t>>.-t \~ ~,,~ v---~ Yuor ~Y'''-(# o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED )(,CORREcT WORK, CALL FOR REINSPEcTION BEFORE COVERING Inspector: Owner/Contr: o FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE. lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ ,"""'" DATE Tl1IE CITY OF PRIOR LAKE INSPECTION NonCE SCHEDULED ~',l.{~ ADDRESS ]()6J ~bift OWNER ...-...^. PHONE NO. PERMIT NO. '?~472.. o FOOTING o FOUNDATION cr FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP @ o SEWER HOOKUP )iI"'l>LUMBING FINAL 'MECH FINAL o EXlGRADlFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ^ ((J ~ (4) \.../ !+onl: v{? ~VWl t? chi,,,,,, ~ hllVJ o;p~ '131 iN:-/( 94,fro' -&'n-r ,( 11t:.) f,~ i V ~ dtlt?~ t'----1J.- S';k1 ci-- <('J.-v.....~ r.:4- e:-k1A{1/1?~.,,-r- 0,,:.... l/l~'-'^' v eKt'rrcl r 2'1' it j ;)..Y' art- p,u.;;'r /,;... I lLo.. (oIL J 3U- 4(/-{TJ , o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~ CORRECT ~R51ALL FOR REINSPEcTION BEFORE COVERING Inspector. f vr / t r J 7--v1 Owner/Contr. CALL "7.9850 FOR THE NEXT INSPECTlON:hI HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,..,.,.,