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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'