HomeMy WebLinkAboutBuilding Permit 03-1516
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or rint and si at bottom
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
t..
OWNER
(Name)~eedJ(Vl>L lJu ~~
I '" ...
D'7'1o \j v-pJ&
(Address)
Dale Rec'd
W' \ ~/ 3
; ';;:~ ~:;y I PERMIT NO. 03 _/,' cll~
3. Yellow Applicant ,;;;;ll &::'
'",vJ
ZONING (offi" U"')
/5-D
PID~g 6 - &(.,/-
LlL
~..L
(Phone)
li)\
BUILDER
(Name)
(Conlact Name)
(Address)
9.A-t\L
\t\t ~ ~(.f[1)rJ
(Phone)
(Phone) qS2-t't,-111/
TYPE OF WORK
ORe-Siding
w Construction
oDeck
o Misc.
OLower ~evel Finish
o Fireplace
PROJECT COST IV ALUE (exduding land) $
DPorch
ORe-Roofing
Dutility 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 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
enter upon the property to p rm needed inspections.
x
Signature
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
00, 0 tl
00.00
35:. S6
'fo.oo
This Application Becomes Your Building Permit When Approved
~~~
Building Official
1()12-~/o OS
D.{e
$
$
$
$
$
$
$
$
1/./2.03 $ 8 6(.,8. S'
I ~ !/~!'{~:/ I ~;ceiPtN~~ tz( d
DAddition
DAlteration
)lJ '7-03,
Date
2-75
'Soo,QO
70,00
'Z-DO 00
o 00
o
.
This is to certify that the request in the above application and accompanying documents i.~ 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
t
/d/Z!~')
/'be .'ZOLI/Z2 ~
Contractor's License o.
Park Support Fee
#
~
Planning Director
Date ~ ~cond~
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
SAC
#
Water Meter
Size 5/8" ";
Pressure Reducer
City SAC and WAC
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
@~
White - Building
C !;anary -Eng:meerlnp
PinK - PI....I."in~
ThO' ("""If< of lh..)....... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
;~
-
.~'-,....
,1< ----
'i ",1 (,L - ~"- <___...'
NAME OF APPLICANT
APPLICATION RECEIVED
/ i
:..,; -' r . ~
,
,/,./j._~" ":2
/e . -;- _..J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
./~<X/J'~; "l<.f 'Z:r.; .-' / ,,;':"_'{J-c:..,-~t(_ ~,<;~1-<--<' -L,(
Accepted
Denied
x.....
Accepted With Corrections
Reviewed By:
IV}9-13
Date:
/lr tJ 7-0 '3
Comments: 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."
~~
Th.. ('..,".-. nllhr I.a".. Countl")'
cWhite - Buildiii9)
Canary . Engineenng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (~JcC ~
'-----
APPLICATION RECEIVED I t)- /3 -3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructioi41;7 Wm;;;;;d~~j
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~ t-h'o j..J
f~a-4' ~-~t
Date:
I tJ /;ts!o J>
I
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."
~~
While - Building
Canary - Engineering
<""Pink ~ Planning,
Th(' ("..nIl" nr lh. I..k.. Count.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i~
"
I
NAME OF APPLICANT
. APPLICATION RECEIVED
I.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r
/
~
i. r
,
-" ( ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~t<~ ~ Date: /~~::fI~7
. I '
Com~ents: ZJ~ ~ ~ ~ ~
~ ~ ~ ~ ~ ~ -z....f. er
W-~ ~. ~. 'k ~~.
7 o-.~r-
"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
Please e or rint and si at bottom
ADDRESS
\'-\\~~ W~()J C.\\J\C
~1~w ~;~Ii""t I PERMIT NO,!) 3- I 'i I ~
ZONING (office use)
.r
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
o~~ ('''on.} 0 \c..
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT (" ~ f't \ ~ 1
(Name) '---J.J \' t V
(Address) <; 0 '\. S ~~ 0 lC-
(Address)
(Conlact Person) Lv... ""
APPLICANT SIGNATUR
(Phone)
(Phone) q SJ..' 4J ). . J-') I \0
Ol.\ 1 SSJ01
(City) (Zip Code)
Cj S d- -1-( 7 J..- . )... Jib
- u.3
DATE
,
1"'-l1....
\)..,
APPLICANT PLEASE COMPLETE BELOW
Size of water service I If inches,
Location of any couplings from structure ---.0.... feet.
Type of sewer pipe. 0 ABC ~C 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at _ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Mulli-family
$17,50 Water connection only
1% of job cosl with a $39.50 llrinimum
$17.50
...-r
.50 ~Jt ~
vJl
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Official
Date
Paid
Receipt No,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
.
CITY OF PRIOR LAKE
HEATI~G/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'<J
~ E:.. f;L, I PERMIT N03 - /5/ 10
ZO'NlNG (,Iliceu,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)\)9OAQ~~~"l'-11~
(Address) # E~ A
(phone) ~ - "?I d9 -'7'1 (I
5"'5
APPLICNlT
(Name
\ -
.',,^-,
) ( \
'..
F"hn
(City) (Zip Cod=)
(Phone) 'I<.c3-31 S'7S/~
DATE
(A/Jdress)
(Comact Person) +< (:., "'" . ~J .
.d-/ - II .....
APPLICANT SIGNATURE 7/ A...L-V ,(jf./iT .?\..J,mQ.r-....:;
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTIRAll0NS
FURNACE MAKE AND MODEL IjUEL
FLUE SIZE RETURN OPENfNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechonicul
DAir Conditio.ing
DVe.t System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other 00'1 ices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
$l'tbacks
FIREPLACE MAKE AND MODEL
In~uSlri.l. Commercial &. Multi.Family
FEE SCHEDULE
1% of job cost Rosidcnlial. Gas fireplace
S39.50 minimum
S99.50 Residential, AddUion. &. Altention.
564.50 ReSIdential. AC Only
S3950
R'Slucnli.l. Heating &. AlC (New ConstNetion)
"Residential. Ht::3.ting Only (New Construction)
539.50
S39.50
Estimated Cost S
Building Permit #
s. PAlI/:"
UII.;),. ,. '
li'.H,..;,~
.~;
'."
'..../7}~1Jr
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.so
(Office Un Only)
Thi~ Application Become. Your Building Permit When App.oved
I Receipl No.
.JAI'J 2 1 20u By
nt1tlding. omdlll
Da.re
I Paid
Date
Z4 hour notite ror.1I in~pee[ions (952) 447-9850, rar (952) 447-4245
.001Pi
X31Ullid 3~VliV~ )IlVWOlaV
.0LOStcne IYd o.:n l'll/StllO
PRIOR LAKE
INSPECTION RECORD
-
Ir
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /~OO~
NATURE OF WORK
USE OF BUIL~ .
PERMIT NO. · '5~:~ m
CONTRACTOR ;. HONE. 7 711
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING oJ
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
.
SEWER I WATER I SEPTIC /115 /1 - 2 f
FRAMING
INSULATION //1/)// 1- 2- 3-0<{
ELECTRICAL
PLUMBING Vi,u'-" f() , - N ~ - /- C?'
M. 0.Go
HEATING (if required)
FIREPLACE "
GAS LINE AIR TEST jr
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS '3.... ...i uVlr~\.M
/V
GRADING (Prior to Soddin )
BUILDING"" J.." -1-0
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.
- ?- /
FOR ALL INSPECTIONS (952) 447-9850
@rrfifirafr of ~rtUpant\!
CITY OF PRIOR LAKE
~cparftUcnf of ~uilMng Jlnspctfion
~Final Permitted 0 Conditional C.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 ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 03-[516
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1SD
Legal Description
L16, B4, WILDS NORTH
ROBERT D. HUTCHINS
r ~B.UildingOrCial
Date: -'-1 ' '1.' ! OU L
H6Mis,
(
Site Address 14186 WOOD CHUCK TRAIL N.W.
10340 VIKING DR., SUITE 105 EDEN PRAIRIE
Owner of Building
Contractor's Name & AddresPEERBROOK
City Planner
DON RYE
Date:
9-2o~
LU~ QbcH
"'"--
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ Bea \
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
,0 JNSULATION
,gFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
S-L'51~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~~
01<\.0
C"lo~ +w t:?t a
,
~lu:; i~'}o~~~oYr
{k-I 952- c.j(./7 - 78<;:S
J~\~
~~fiv;~
)(WORK SATISFACTORY. PROCEED
o CORRECT A ON AND PROCEED
. CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
C
lNSNOT'
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
A- lI-O<(
ADDRESS .11J 8~
wcdJO\-...,ch
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- {5/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
"{ 0 PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~H ~S
~. G\u~ ~\~......... &.-!-
~,Gr~]L- ~1- ~~.......~
\
o ~RK SATISFACTORY, PROCEED
~~~~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I-.n
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED J -5c:I-o y-
,
Jq I ~ro lUoa:9.c.~
TillE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
>-D/~
o FOOTING
o FOUNDATION
o FRAMING
. 0 JNS\JLA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,p PLUMBING FINAL
'o....,ECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
_l._J';'AIl Q G;'l-f...A o. :~. \n.t...,. ~
1: tt~:: ~~~~~:~P\~i:-f'of' h.l
L(. ~OT QOv'\cl\LL. ~ ~. .r\nl>....
1? , .er'M..\~, ~s ~\A ~..
{,. M...t",~.... ~l"'" c.....\,~l
'T~~
~-I-OY
~t5't'~" ? \"'tJ~.tII..~~.",a
o WORK SATISFACTORY, PROCEED
o CORRECT N AND PROCEED
X CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspedor:
Owner/Contr:
CAL
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"'SHOT'