HomeMy WebLinkAboutBuilding Permit 03-1366
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1- 2..03
I. White
2 Pink
3. Yellow
PERMIT
File
City
Applicant
Please e or rint and si at bottom
ADDRESS
\ l11 Co ott-e Ci RLI e-
OWNER
(Name)
(Address)
BUILDER
(Name)
(Address)
TYPE OF WORK
DDeck
New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
OAlteration
o Misc.
DPorch
ORe-Roofing
ZONING (officeu,,)
/GI
- 2/&?
I hereby certify that I have furnished information on this applica.tion which is to the best of my knowledge true and correct. I also ertify that I am the owner or
autho{ agent for the above-mentioned property and that all construction will conform to all existing state and loca11aws and wi 1 proceed in accordance with
su ltted p s. I am aware that the building cial can rev this permit for just cause. Furthermore, I hereby agree that the ty official or a designee may
en r upon the roperty to perti n sons.
Si ature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
100,00
00.00
3'5, 0:;-0
.00
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~~/-.J ?/~tf3
#/7/b
Contractor's License No.
Park Support Fee
SAC
#
#
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr
when Signed by the Clty Planner COnstitutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a
~.. :~ning1~ 1P(!3
Water Meter Size 5/
"-.
,
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
, if any
SpecIal Conditio
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
$
$
$
$
$
$
$
$
$
/2 75.00
00,00
70,00
f2DO,Oo
'Oo.tJo
-:>00,00
ed as requested. This document
ertificate of Occupancy must be
,
~~
Canary
Pink
Thr (-rnttr or Ihr 1.&"" ('aunt!')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HOUs/ Ai
9.2.03
The Building, Engineering, and Planning Departments have reviewed the buil ing permit
application for construction activity which is proposed at:
4/77 ~o orb 6/e~LE
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~~
'Ye-Ji)
Date:
Comments:
"The issuance or granting of a permit or approval of plans, specific tions and
computations shall not be construed to be a permit for, or an approval of, any iolation of
any of the provisions of this code or of any other ordinance of the jurisdictio . Permits
presuming to give authority to violate or cancel the provisions of this cod or other
ordinances of the jurisdiction shall not be valid."
I
~1
White Building
Cana n ineering
Th.. ('{"n'..r or Ih..I,8kf Couotr."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T /e/
'7 z.
/./ '( . ~- I r-.
( ,/ ~- !\, .......
"7
C"---'
The Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activity which is proposed at:
/4/77 Ie i( Ie ih_CCS
Accepted
,/'
Accepted With Corrections
Denied
~
Date:
r
7~~
afi.t'
Reviewed By:
~
"The issuance or granting of a permit or approval of plans, specifica ions and
computations shall not be construed to be a permit for, or an approval of, any iolation of
any of the provisions of this code or of any other ordinance of the jurisdictio . Permits
presuming to give authority to violate or cancel the provisions of this cod or other
ordinances of the jurisdiction shall not be valid."
Thr C"rnlrr of Ihr L.kr ('ounl.,.
White
ana
.n
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
FjiTI F-.' liD LiS /
'/ z, 0.3
^ ,(<-
I \,j ~_.....,l
- Building
n Ineerln
- annmg
,
The Building, Engineering, and Planning Departments have reviewed the buildi g permit
application for construction activity which is proposed at:
-
(1-/77 (',(j\ '0 It:: e,IK~:GL-e
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
1>>48
Date:
{;)-9-03
Comments:
formation!
See Attachmen . 1
"The issuance or granting of a permit or approval of plans, specificat ons and
computations shall not be construed to be a permit for, or an approval of, any vi lation 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."
. €@~!
....1,\',nso1:,..
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
e or rint and si at bottom
L Pink Fij~
2. Green Ci\y
J. Yellow Applicant
PE&'\1IT
)4177
ZONING (o/li" ",,)
I LEGAL DESCRlPTION (office use only)
I LOT BLOCK ADDITION
PID
(Address)
(Phone)
DATE
i OWNER
(Name)
APPLICANT
(Name)
APPLICANT PLEASE COMPLETE BELOW
w CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL -2r<i1J.,J;:::: ~ ,/wy.. /,JtJ FUEL
FLUE SIZE RETURN OPENINGS <t INPUT I;) o,tTXlV OUTP
!F..sYSTFM HEA'IThlG OR POWER PLANT
arm Air Plants
~o ity
o ~ hanical
~onditioning
0V~n; System
o Steam
o Hot Water
O~tion \I, - '
g--special Devices f,1U Mi 1') I fJ"ItJi-L
o Other Devices
PLE SE NOTE:
Air onditioner Units
Cann t Encroach into
Requ red Side Yard
Setba ks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1 % of job CDst Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Officiflf
DatI'
Receipt. o.
Bv
----.---..... ----_.-' ._.__._--,_._--"-----_.~------~-
FROM: WELTER & BLAYLOCK
PHO~IE NO.
612 8828573
Mar. 24 20q4 12:06PM Pi
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(phone) 95,;;-
u ' //-e;
(City)
-
.j u 1" ,(PhOne)
, .u..~ DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
at bottom
CoYo TE C/~c..t..E'
LEGAL DESCRIPTION (olliee use only)
LOT
ADDlTlON
BLOCK
OWNER
(Name)
(Address)
APPLICANT
(Name) fA j e.1+e>'" <>t- 131"'-1 loe k
(Address) ISO 9 !:5-' rI w y 3
(Address)
(Contact Person) /!J ! l... L /) r
.
APPUCANT SIGNATURE
Qu,mtity
..3
I
~
e:2
~
FU SCHEDULE
Induslril1l. Commercial & Multi.fnl1illy \ (1/<) or job cost with a $39.50 minimum
l.Blue File
1. Cold City
),'(eJIO\I< "pPtiQllll
,
PERMIT
ZONING (offi" ""')
Pro
(Phone)
Type of F xture
I
Rough.illS
Water Heater
Water Softner
Stand Pipe (Washing achine)
Sewage Ejector
Backflow Assembly
Backflow Assembly T t
Lawn Sprinkler
Other 0-<-
Residential, New One & Two-fa ily $99,5-0
ResidentiaL Addition-:; & Alter:lti s $39.50
Estimated Cost $
Building Permit #
PLUMBING pERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(OMu UJe Only)
This Application Becomes Your Building Permit When Appro,cd
OLlildillg Offie:i:l;1
Dl.l~
.50
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".' ". .,
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Paid
",Il.cc~i~ No,
L'::: :;: i
...,..
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,.
Da~
MAR 2 6 20
24 h.our notice [or 1H inspection~ (952) 441-98501 r ~ (952) 447-4245
162(lO Ea.g.le Creek A'Vc.. S.E.. Prior l~ke. M~l'7.~':';:=-.__.,._""-':"':'-'~
FROM :BUTLER H0MES
04/~9/~004 13:1 FA! 6123375325
FAX NO. :9528908408 Jun. 15 2004 02;59PM P4
IlEYI!R BORGMAN J,UIINSUN IN lilIuu~1 UU,~
, '
: ,-.,i...;.",~."."."i:,,,..,,,,,
"IVlBU"
M~YE~, ~ORGM"'N AND JOHNSON, INC,
CQNSULTIN;c ITRUCTUIU,l E~GINEER5
.'.'
" ,.
i i : I : i
1,"OUT~ ,5\'.1" $THIT. 5U1T1810,
til1NNlipOLls. M~i"Q2:i'i~ ",-
lil:,61:2,3.3Ilil07.IJ
f....; 612.337..532'
wWWim"jtnl,OCltrl :. .
" ,
. foIlf-/d,,,'\)L!,'1 OIHU1"
April 14. 2004
Denny Butler
Butler Homes
P.O. Box 24597
Apple Valley, MN 55124
l' t '3(Pv
RE: 14177 Coyote Circle
Prior Lake, Minnesota
Dear Mr. Butler:
, "
, I ~'NI!~ E MUIPH'. "
....- " '.~lcH~'iiL'i'ji'AM~.TH>PE"
As requested a visit 10 the subject home was made on Aprill3, 2004. We were aske to obscrvemid
comment on several cracks that had developed in the CMU basement foundation wal . FolloY!ins lITe
our observations and comments:
. A vertical full height crack had developed in the south ex.terior fowlClation wall, e width of the
cracle was about 1/32".
. A vertical full height crack had developed in the south foundation wall common ith the gar.ge.
The width of the crack was less than 1/32".
. A vertical crack had developed in the partial height CMU north foundation wall. The width of the
crack was less than 1/32".
. There was no sign of differential lateral displacement between the wall sections n each side "fthe
crack, at any of the three (3) location..
In our opinion, the three cracks observed have no measurable effect on the structural tegrity ofth~
walls. We do recommend, however, that corefill with a #5 reblll' be installed each si e of each craCk or
a single core fill be installed along each crack line. Cracks should be sealed 10 limit Ilter intrusion.
If you have any questions, please call.
Very trUly yours,
i~;3~
Richard E, Wiehle, P.E.
BI690104.434.0
03/01/2004 08:55
3528353334
ALLIED EXCAVATING
I
f:'AGE 02
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMh
PIeuo 0.' ._
ADDRESS
IL.\ 11"1
1. 0... Wll,
I. y..... tilt'
lOll' "'""......
L O.
ZONING (aIIlcr "<I 1
PlD
OWNER
(Name)
(AddreSll)
z Code
=:J
APPLICANT
(Name)
(Address)
(Phone)
(City)
! (Conma Person) e
! APPLICANT SIGNA
PLICANT PLEASE COMPLETE BELOW
SiZCl of ter service inches.
of any couplings from strUCture & feet.
sewer pipe. 0 ABC M PVC 0 C.,t Iroll
Estilna d lenp of sewer line (;et.
ut (ifrequirlld) located at feet from strU~.
Estima d Cost S
FEESCBEDULE
~S.50 Inclusuilli, Com'l '" Muhi.famil~, I % of job coBl with $39,50 minimum
S17.50 Water connection only S17.50
Building Permit /I
Resiaential sewer and water line
Sewer connection ooly
EWER AND WATER PERMIT FEE S
TATE SURCHARGE S
OTAL PtRMl'T FJl; S
.50
). .,,",
;, ~l~~'"'Jd~'''''
i';;'/.'!J: ">e11kJ__
". "i~", v''in,'
{'-.,.~~
'I~"j~
".J:;:
D~
(om., u.. Ooly)
Tlli. AppUa.ion .001llell Y II' Blllldin. Permit Wilen Appnlved pai
,.H410. Om".'
D...
24 ho.r ootlce for ollln.pell1loo. (9~2) 447.~~~~, rMMl) .JtJilQ4
l
,
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.....-..--.--:..
_..,.o_.._~_~_.~-=="';:'..J
PRIOR LAKE
INSPECTION RECORD
.
I
DEPARTMENT OF
BUILDING AND INSPECTIO
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTION
THE PERMIT IS BY SEPARATE DOCUMENT
OR
FOOTING
J u .Lc
FOUNDATION (Prior to Backfill) /I-U CO
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
5 ~ -'2' ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING Lv G-
INSULATION
ELECTRICAL
PLUMBING is()(.lP -2C,
HEATING (if required) ~ =?AJ
FIREPLACE
GAS LINE AIR TES~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE
l
GRADIN Prior to Soddin
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
AID
7-2)
P/
BEEN SIGN D
UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspec ions
and maintained until all inspections have been approved. On buildings and addi ions
where no service cabinet is avail~~ card ShOW be placed near main entrance.
~ w..f;\I1'
FOR ALL I SPECTIONS (952) 447-9850
(tlrdifirafr of @rtupanr\!
CITY OF PRIOR LAKE
~tparfntlmf of 'liuilMng Jlnspcdilln
,gj Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code ce tifying
that at the time of issuance this structure was in compliance with the various ordinances of the City Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FA11ILY
Bldg. Permit No. 03-1366
Occopancy Type R3
Type Construction
VN
Fire Zone N / A
Zoning District
Legal Description
L12, B4, THE WILDS NORTH
Owner of Building
Contractor's Name & Address BUTLER HOUS<J~
Site Address 14177 COYOTE CIRCLE
CORP., POST OFFICE BOX 24597 APPL
ROBERT D. HUTCHINS
/(j/',-' (_ /~'I ,Building Official
,I !
,
/i
I'
'I '
City Planner
DON RYE
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE ~;~r
INSPECTION NOTICE SCHEDULED
ADDRESS ~I/l 0~
OWNER
PHONE NO. PERMIT NO, '3 - I?(,C/
o FOOTING o PLUMBING RI o EXlGRADIFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ;)If. PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
.J. t2.0lJ.. _~_ r!2c.J --\~....p~
2.G~ '"~ -, .
3. 0.... ~~Xt;-iV:;,..
o WORK SATISFACTORY, PROCEED
,)(c:ORRECT TION AND PROCEED
o CORRE ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD
ENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7--zt
ADDRESS L 4 } 11--.C Cl~' c..c r
OWNER CO .
PHONE NO. PERMIT NO. 3-13~L
o FOOTING
o FOUNDATION
o FRAMING
o .!lISULATION
..Ji!"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FtNAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. 'hv-J. c,hr:>........ ,,\ ~ f(J
2., ~ ~\J'w.4
'I:~'-:r
a.lS>tb
ft:>
IJc.LI-76P<f'
~ ~~t (~
~
~ ~t~4::.
o WORK SATISFACTORY. PROCEED
o CORRECT CTION AND PROCEED
~CORRE T . CALL FOR REINSPECTION BEFORE COVERING
Inspector" Owner/Contr:
CAlC 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /1.{/77 CO,'f()k C,'r
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6rt;d< -() t:...
(.Jlb (~]C,- 0 K:.
.
DATE TIME
to -91)11
{5..Alu Hrmi~.
63-13~
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Sr:f-'J-
YWORK SATISFACTORY, PROCEED
"d-CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
lnspector:~
-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.-on
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
j/f/ 7 7 (VJ Ii 0'1""5' (!"/IC...
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
o PLUMBING FINAL
o MECH FINAL
S()D/T1'~6
,
COMMENTS:
(6/'o;;X/
~
TIME
3. 13&&
o EXIGRADIfILLING
o COMPLAINT
o FIREPLACE Rf
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~~A~
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
HaNDTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI