HomeMy WebLinkAboutBuilding Permit 03-1084
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
:Jf'r17 BnJ.o_ 1",(A~
LEGAL DESCRIPTION (office use only)
LOT l S" BLOCK ~ ADDITION W,L t)>
OWNE~ ,
(Name) ~/c>D \UL...
c.,~5"t\4.~/~
,
IJ H<./IJ& 't>.4lN.
(Address) {05 'fo
BUILDER C".
(Name) ~tM.L
(Contact Name)
(Address)
TYPE OF wdRK
'5",A.L
~w Construction
DLower Level Finish
DDeck
pFirePlace
o Misc.
Date Rec'd
I. White File
2. Pink City
3. Yellow Applicant
1- 30 -()3
rPERMIT NO. 03 ~ IO~4- I
ZONING loffice u,,)
~o,.lo\-t.t
RI
PID,.95"- 38.1-00QJ
':C"" c.
~ \o~
(Phone) -3S"z, tz.<rn"
~ IIJU.,~' ~" 'SS' \ 'fll
(Phone)
(Phone)
DPorch
DAddition
DRe.Roofing
ORe-Siding
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) S
?-(P"j..ODD.OO
';?C:.tf,OOO.-1
$
$
$
$
$
$
$
$
/tI'ItJd5 I
IA../.L/IO I
/34,50 I
I
1/')6.-1
't'?f),- I
. .~c:;--60 I
'-10,- I
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....} 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 the property to p~rm needed inspections.
X /~... Si~atu:e
/I{~/#
I Permit Valuation
I Permit 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
~7~
This Application Becomes Your Building Permit When Approved
P/#~7
Building Official
Date
9/2-'7"
Contractor's License No.
1-U'c~
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"<2.::)
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
$ l?5'O.-
$ /.;2 ~S. -
,: 00. -"fIG.
$ 70.-
$ j;;J()O.-
$ /]00.-
$ /.,Ot"'J,-
$
#
#
#
Paid
Date
CffJLJin , ~ j
k--::J.~-~
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
~~
Planning Director
?'J ~/t) ~
, 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
t;~~
White . Buil<ling
L rs:ln:anl _ s;naineerin.UJ
Pink . Planning
Thr ("..nlprof lht' l..kr ("ounlry
BUILDING PERMIT APPLICATION DEPARTMJ=;NT CHECKLIST
NAME OF APPLICANT
,I
/71 ! l-, .( .Ay'"U
,/ )t-.-_./' /' 1-.-",. ,"Ii "_
..~_.. ,"_.-.~ ~"~"-"',.
~ - ."
s~':~;~.r-/;V.<:r-"tL_
/-
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APPLICATION RECEIVED /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is/proposed at:
"', ,-; ,r7 c;<' ... /""1>'
_ ,_ ';' ~ -,,_.._' :':>""," " '~:"""l
Accepted 'X
Accepted With Corrections
Denied .AI fI..~
Reviewed By:' IT\~
Comments:
Date:
e II 10'1
. .
See Reverse Side for Additional Information!
See Attachments: I) Grading Plan, 2) Erosion Control Measures
"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."
*
C'White - Buildi~
-c&riary - t:ngmeehng
Pink - Planning
The ernlrr of the I..kf Counlf}.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
dJ~~
APPLICATION RECEIVED 7-3 ()-,
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru:;9~v;~hiC~;J~~~
Accepted
Accepted With Corrections V"
Denied
Reviewed By:
~
&~
=7~
k.J. - ~
Date: ?J 1-1 Ie 7
/112.<:', ~.
g
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."
&~)
....-/
White - Building
Can::u:v - I="gineering
nin~ - Planniii!j)
l'hr('rnlrrnfthrl..kr<.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/
!
; J I .'
'.. . /
//1
/!}"
,
"'-z'
\' ,.-1
,.' '"--,
/ )
-(.,
APPLICATION RECEIVED '_'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is/proposed at:
, ',f'/ / j'_
, ,
,
.'
t.r
Accepted
Denied
Accepted With Corrections
/'
Reviewed By:
~
~
7~ Date: J/;c.f r0 '7
aLP ~~
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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
"'~"
Yellow
Gold
~::~. I PERMIT NO. 1)"2 - JA O/J!
Applicant l/...:J U1'17
(Please t:YJ>l: or orint and SilUl at bottom)
I ADDRESS
2ql"l GObCc\.\-
\r
ZONING (offie,use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Oee.rhr",,., L
(' A "\ 'S.
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT \ {
(Name) c...oQQ\rv Se~Lr ......W,...~ (Phone) (1<:;')",'4/),'~'3 '<:>
(Address) S O'8'r1 S"" ,:H(. \J -- \)../" (Y)oQtH"J S~',) i.oLl
(Address) (City) (Zip Code)
(Contact Person) LC\ V\c ~ (Phone) ~ S' ;)... L( f~' '}... ., I '0
APPLICANTSIGNATUREatlAAA..'\..4~, . DATE R\. d-..~ O'"":J
v
APPLICANT PLEASE COMPLETE BELOW
Size of water service'''' inches,
Location of any couplings from structure
Type of sewer pipe. D ABC [B'1'VC
Estimated length of sewer line <S 0 feet.
Clean out (if required) located at feet from structure,
feet.
D
Cast Iron
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% of job cost with a $39,50 minimum
$17.50
Estimated Cost $
Building Permit #
~
'50~~
.,~
r1/
, Receipt No,
-
-
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
. Dateq_:5_Q3
. By if"
u
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
10' d ltllOl
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APPUCANT PLEASE CDMPLETE BELOW
T_"i"~ II f F';.'ttur~ I QfJ::ndC"'1 [
e.1:;, Tt..d, V"IC~~ \.Jr W:C~HJt..:~ $:'cv..t::' I'? - I
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i Sr::t;.t: P:r:",:,'('~'v~,'lr::; .\.ilt.:~~l:":::'
i ~c:-.v~~,,:: Eje-.;:~r
I B:\c:k:low A.:i~e::lc;ly
I a:\c:krlow Asse:nbl~ Test
I L:1wn Sarirlkle:'
I Otlte~
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--
-
-
FEE. .:iCfiEDliU
rL1d;~~-::~.=J. COr,:"iI7.e;:;:.:.! Jc. .....{ultiat=.r:1ily (% of ico C:;lst '.wit:' 3. .'S:i9,j{) minimut:l:
(Q(1;'ic~ t:.f,c O"'=-'
Raidc:1ti~. Nc:"." One Jc. T.....c-(=''Unil~ S;9.~Q
R..:::::~==:t~:1l. ."'~c.:::cns J: .J,.:;~:-=::c:r..:: S]9.}t',J
E.;:cim.:.:.c~~ ClJ$~ :S
SL:il~i~g P~~ic.~
A .
.&(J~ ~/D .
.50 _ .O~G ~~,
:c:-
.,,<';141.
-..'---
PU;r.CBrNG PER."UT FEE S
STATE SURCHARGE S
TOTAL P~"'!IT fiE S
ll\&ildin( OlTio::1Il
l~:1i~I:P 2 !! 2003 I; Roe.:pt No.
ilDlltc --___J B:- ~f'
;.. tWill" l1uch:a: f~".211 inspc<:riof'ls 19:::) ,u-:"-9.:1SiJ. (.:I.r (~:):) ~7-J,::.L) U
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T?1i.1 AppHcu:on Sccoma Your Suiidia: Permit Wben Appraved
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'u
; ~ ~:~ I PERMIT NO..-:2 ~J/lg) I
J Yolt""" "ppllUl'1 ....; { t./ 7"
(Plea.si: type or DTil;lt and si~ a.t bou:ora)
i ADDRESS ZONING (om" ",oJ
i ;)979 13obccJ-/~
LEGAL DESCRIPTION (officeu.se only)
LOT
ADDITION
BLOCK
PID
OWNER ,
(Name) _f'l OO/l~~fJ. r~ (Phone)QQ -Frc)9-77/1
(Address) / AVO (~9i f)~~ #/ex:;-
II I
APPUC~'lT \. r . + '
(Name! ,tu.mrr\P"" -<" l -,;Q,/'J'l.:Q9 f'r:6u ' SA.Q.;~C~ (Phone) ""1 (03-3 i 5' 7:SCC
(Address)ct::lIO [JUCy,,'i-Art t-il-f'.iJ: (l-Il.n"1e.O;r-- R....Je /I'ln S<:;l<i.!C)
. ': (9'-ddre,) Q (City) (Zip Code)
(Contact Person) ok' ,-, <::.:. .lJ, (phone) r'Jlc3-31 S-75/LP
APPLICANT SIGNATURE 7f:r-<.:;:' U?l,,-,,,noC.';::' DATE 9 /.Jt:::lI01
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENrNGS
TYPE OF SYSTEM
OWarm Air PlantS
oGravity
o Mechonical
DAle Conditioning
OVen!, SYSlom
o REPLACEMENT
o AL lERA nONS
~UEL
OUTPUT
INPUT
HEATING OR POWER PLANT
o Steam
o liot W.ter
o Radiotlon
o Speci.1 Devices
o Other Devices
PLEASE NOn::
Air Conditionet UnilS
Cannot Encroach into
Require<! Side Yard
Setbacks
FIREPLACEMAKEANDMODEL ~OA~-0 IJvY.dYIC-AJ
v
FEE SCHEDULE
l % of job cost Residential. G'iS' Fireplace
$39.50 minimum
S99.50
$64.50
lndlJSlrial. Commercial at Multi.Pllmily
Residential. Heatin~ & NC (New Construction)
Residenti.l. Healing Only (New Con51nJclion)
$39.50
Residenti.l, Additions & Alterations
Rcsidenti.l. AC Only
S39.50
539,50
&/. ,0
~o. :';'0
~h tv;.J'J
~..o I)'
<::'-$>411)'
Estimated COS! S Building Permit #
HEATING PERMIT FEE S
ST ^ TE SURCHARGE $ .50
TOTAL PERMIT FEE ~
(Orrier: Use Only)
P id
OCT fJ ~
_I~_, Date
ReceIpt No.
By fA
VG
This Application Becomes Your Building Permit When Approved
?nn'J
.0
lluilding omcl_1
~ ._-; '/
24 hour no';.o for.11 in'pe.tion, (952) .tl'r.:i85u:';r"y{!i5Z~u5
Ollr:
too~
X31aI~ 3~VaV~ )IIVWOlfiV
<:OLOSlCns XVd OO:t1 CO/OC/60
PRIOR LAKE
INSPECTION RECORD
2. ~ ~'~~
~&.ua"O"
SF: I),
PERMIT NO. 03 --/O~4- DATE ISSUED
CONTRACTOR ~Jt. ~'INC..t PHON I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OATE
I FOOTING ~ o--~~~ I ~ ~(U/a3
, 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 /;%l ~;-cf
HEATING (if required) Y If( to/! (). V']
FIREPLACE vir1 jl)Jj ,Uf!,
GAS LINE AIR TEST tl\;f' (0, 0 ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I/.ATHI bITIIID mil. I I
- FINALS ~ Hf,l::oI
tit}
(.)f)
r'Jf -:/2 7e....
//2}
VVY/
r-"i)
IDv I() rf1,
...
6 -.A~
-1. ,r. 0 f/
)-1--tJ(
GRADING (Prior to Sodding) AI'
BUILDING ~ J."" 8'. r~o3
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
,
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~trfifirZttt of <IDrrnpanql
CITY OF PRIOR LAKE
~rvarfUtruf of ~uilMng Jlusvrdhru
L1 Final Permitted D Conditional e.o. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinancef of the City of Prior
Lake regulating building construction or use. For the following: . !
c ..-
SINGLE F&~ILY 03~084
Use Classification
Fire Zone
Bldg. Permit No.
N/A
Rl
R3
VN
Occupancy Type Type Construction
L15, B3, THE WILDS SOUTH
_ Zoning District
Legal Description
DEERBROOKE
2979 BOBCAT TRAIL
Site Address
CONST~., 10340 VIKING DR., SUITE 105. EDEN PRAIRI
DON RYE :;5344
!/
_ City Planner_
Owner of Buildin..:r
Contractor's Name & Address
ROBERT D. HUTCHINS
Date:
7 I BU?d,ing Official
- - C7,/
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~~LATION
~~NSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~
73- fa r...J-- Jr-
CONTR.
PERMIT NO.
'C., - JOSrf
,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I. F=iu.-.Q rOt~ 0 ~ {J
. I
~ /I - 1
~ JJ- ()tl.J..;""A-~'t ,4)
o WORK SATISFACTORY, PROCEED
;f. CORRECT ACTION AND PROCEED
o CORRE , CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
CAI 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
",SNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 12-2~-()'J-
ADDRESS ~C;71 UcJ
OWNER CONTR.
PHONE NO. PERMIT NO. J-/{)8V
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
XFINAL ~LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
~";,^I,,..:. fr.,o<;~/Lbd
e:z. fiw:..O Gtad.o ilo\o;.lllrJ.,"CM ~IU s....f
~~~.lT~f-'~ ~
--(I, ftod,.J2R . y'J~,-QC:-c I -k, ZJ. fl. b.R.tL,
...:.~ U,A~fu,,~=b.J - \!fun ns.;~)bd
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORR WORK, CALL FOR REINSPECTlON BEFORE COVERING
Owner/Contr:
50 FOR THE N':XT INSPECTION 24 HOURS IN ADVANCE.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 1:< -/2 -0) / ~ ~
DATE TIME
ADDRESS ;2. ~ 71 ~c..I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
.II!:( PLUMBING FINAL
o MECH FINAL
COMMENTS:" . 1
I. ~ ffl"
2. l~ ~
3. ~l.'< n I~
~. .T~~.h u~L~~
:?- loa V
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l/ (f 7- "'I81J!:>
o WORK SATISFACTORY. PROCEED
M.ORRECT ACTION AND PROCEED
o COR C~ }RK. CALL FOR RElNSPECTION BEFORE COVERING
Inspect r: "- (:. _ Owner/Contr:
<~
47.3 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-/S~
,
ADDRESS
~ ~ B,.jv'_c. 4- Tr I
CONTR. De.e('hrtCJ~
PERMIT NO. b ~ - JOg'!
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
-0 COM1ll:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~, at:..
Lv/b 3t:>-I. tD~
tvWORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
InSpectOr.'#~ ~ Owner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""n