HomeMy WebLinkAboutBuilding Permit 04-0056
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJm at bottom)
ADDRESS
2Ur..
tDu~
t>4f-'f
LEGAL DESCRIPTION (office use only)
LOT I.{ BLOCK ~ ADDITION
OWNER'l.....
(Name) ~b(O'D 14.
(Address)
/O'J I{D
. .
V,,,"r:t
,
BUILDER
(Name)
(Contact Name)
(Address)
';;;,4tv
w,LO" !oJOf-.N
Ih IWJ.
LLC
~.t-{
101\
Phi..
TYPE OF WORK
~ConSOllctiOn
DLower Level Finish
oDeck
o Misc.
J.R.(l" CoD~
Date Rec'd
/. 2-/, 04-
; ';:;~~ ~:;, I PERMIT NO'OA. 005 L I
3. Yellow Applicant ...,- ~
(Phone)
E-OtH
;~~ 111"
.
ZONING (office use)
I€./SD
PID us: 4-04-. 0:57. 0
'fn- IlS.77S.c,
I JRe.Siding
o Fireplace oAddition oAlteration D' 0
PROJECT COST IV ALUE (excluding land) $ 27 5, .J2-
(Phone)
(Phone)
DPorch
oRe.Roofing
I JUtility 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 cen :fy that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and loca11aws and will p 'oeeed 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 p e to perform needed inspections.
x
'II ' Signature
.. li.i
I Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
1 Penaity
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
,"d7S.t)()o,~1
$ ZIC>3,5ol
$ 13t..'7,281
$ 1'37,501
$ I
$ \CD.I!JO I
$ 100,00 1
$ 35."SO I
$ '10.00 I
~
This Application Becomes Your Building Permit When Approved
~
/ /3~/o -I
,
Building Official
.Date
6(!n~041 '2.23<1
Contractor's License No.
-/1'03
Date
&
& 1350.190
& 3190. /!lO
& 70.00
& I Zoo. 00
& 700.0D
$ I ~O,OO
$
2.5,04- . $ ~ 003. 7PJ
Park Support Fee
SAC
Water Meter Size 5/8'( !"';~
Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTAL DUE f''fiUGO
"t)()J. 7Y
Z,2-~,.;~
[ Paid
I Date
#
#
#
#
I Receipt;N l. ,y(u;J-C,.:J
By .;r _
d
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceel 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 Ce tificate of Occupancy must be
issued. (
~~
Planning Director
1J'oA~
Date Special Conditions. if any
Z4 hour notice for all inspections (95Z) 447.9850, fax (952) 447.4Z45
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
Ue(
White ,Building
r Laqary . Enq,ineerlnJr:>
Pink . Planning
Th~ ('tnrn of thr I..k.. <':ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP!-ICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activity which is proposed at:
Z,8'Scc CC(j'GrtK r',4i'ff
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
#5
Date:
:l-C -t:) ~
Comments: s~~ Reverse Side for Additional Information!
S",,,, A tt~c.hrl1",nt~. 1) Gr~il;ng Pl~n, 2) Erosion C:ontml Measures
"The issuance or granting of a permit or approval of plans, specifical ions and
computations shall not be construed to be a permit for, or an approval of, any v olation 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
Canary
...-JIlnk
. Building
. Engineering
. Plann~
-
Th~ ernlrr of lh~ l..kr COU"lr~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/-- /_'
~',/ j.~'--
((/~L.
/ '
,I. ..;..._ I
~:'I-' "-'-"
The Building, Engineering, and Planning Departments have reviewed the builc ing permit
application for construction activity which is proposed at:
(/
/'
" / I !'-
/ 'j / H
/
Accepted
Denied
/'
Accepted With Corrections
Reviewed By:
~
.
~
Date:
~30~
Comments:
"The issuance or granting of a permit or approval of plans, specificctions and
computations shall not be construed to be a permit for, or an approval of, any 'Iiolation of
any of the provisions of this code or of any other ordinance of the jurisdictiorl. Permits
presuming to give authority to violate or cancel the provisions of this cod 3 or other
ordinances of the jurisdiction shall not be valid,"
.~
\6~
CWhite .. Building')
.Canary . ~ng,"eerlng
Pink . Planning
lh~ ('tnrrr of tht I....t ('oun,f"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D b 6/2 15,e,() (')1::: E
/. z/. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z- B60
~OUG,.q.1e.
I
J?A-YH
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~ ~ Date: (/30/a..;
'K~ ruf ~
~~ ~.."--. ~~
~~
Comments:
"The issuance or granting of a permit or approval of plans, specificE tions and
computations shall not be construed to be a permit for, or an approval of, any 'Iiolation 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 cod 3 or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
Z, -z,5, c) 1-
(Please ~ or mint and sien at bottom)
ADDRESS
; ~;:;w ~;;:;. I PERMIT NrJ'04-.ooSfc I
3. Gold Apphcant
? fP8(P ~O(/~/l1'Z--
ZONING (offic,u",)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2. 5" .f-04-.0 n. 0
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANJ:.,.n (lOW ""h-l
(Name' ~ '<;:.I ~
(Address) S 08<1 s:~ 1"1 ~-f.\,-.....Qr
L-o (Address)
(Contact Person) \ V) '">>-~ _
APPLICANT SIGNATURFc;?(r~./I-
(Phone)
[V\ ~ Vlv0
(City)
(Phone)
qs;:.;t.L..f7J..'&-31 ~
fY\^ <; S ~ to\..{
q S" d- '\.~-:). . :LJ cr~
1::.~ 't 'Otj
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure
Type of sewer pipe, 0 ABC [1j-PVc
Estimated length of sewer line ';1S feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17,50 Water connection only $17,50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # tJ ~. oOSb /J 'i
~ ~//J
~ .50 (JrJ 0 V'
$ /t ~ l/
~ It.
/l...
Ipa~ IR~V
IDat,U..o~ IBY IV-
24 hour notice for all inspections (952) 447.9850, fax (952) 4474245 1
$
$
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
t'F1ease.!Y.2'= or'OriP[ and 8Uu:t ill boaom)
I ADDRESS
~ ~"iS<.o ~ ~
;. ~-:. ~:~ I PERMIT NO.AL ^^1lIU...
3.YdI_ Apphoanl ~.~
I
I I ZONING (o_we) I
LEGAL DESCRlPTION (0= use onl,)
LOT BLOCK
ADDITION
PID
~~AQ.....~.. (phonef1S'd.-'&}.Y-f,ll
(Addless) I~ \}:.. ~-~ 0...... it lOS ~ ~ l('r\r\ SS2:.4tf
APPLICANT . ~J ~
(Name{l..l..:h-".,., -""."LA:~ ~.op 0 D:Y-A.. +- r-.P (phone) lla '3"
I;J
(Awhess) '-'-"6. 9..00 _.LQ9.:::t:b ~.,p /0.. . rh ""~u,>Il.'~ . rnr") _. .~-.s:J.../.~.
. (A) -""""-~'~tyf" ..- .ZipCock)
(ContactPexson) y~."" ~.....Q.KY\C".:J (phone) Iln'3.S'7/-c):~;;JS-
. APPLICANT SIGNATURE ,~.A.;:;) J..LrV>-7~ DATE
APPLICANT PLEASE COMPLETE BELOW
pEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE.Jm MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air PlanlS 0 St<3m
DGravity 0 Hot W1JJ.er
o Mechanical 0 Radiation
DAir Conditioning 0 Special Dc,ices
DVent. Synem 0 Other !levic..
FlREPLACE MAKE AND MODEL (Y\~ - DV:::'CnDe~
V
I>LEA~E NOTE:
Air Co ,dilioner Units
Canno . Encroach into
Requir ed Side Yard
Setbac ~s
Industrial, Commercial &. Multi-Family
Residallia!, Heating &. NC (Nevi Constnlction)
Residential, Heating Only (New Construction)
FEESClf.EDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Addilions & Alteralions
$64.50 Residential, AC Only
S39.50
$39,50
$39.50
Estimatod Cost $
Building Permit #
HEAID<G PERMIT FEE
STArn SURCHARGE
TOTAL PERMIT FEE
S
$
$
:0J:\r~ ~(~.~ p'
v c-t.-=, ',,',_C:k, ;
sa ~ r"~ ~~Y""" r:"',~1 .......:t-
... ..,!..""\,."l :"""=',",., , i
(Officc Use Only)
Tbis Application Becomes Y ollr Building Pennit When Approved
Paid
I Receipt '0,
I By
Buihling Official
Date:
Date
APR 0 1 7nn4
24 hour notice for.1I inspoetIoD:l (J/5Z) 447""'SO, fax (952) 447-4:z45
16200 Eagle Creek Avenue,l'rior l:l.ke, MN 55372
~oo/~oo Il'i
,lOoa a:~V\lV~ ~IlVWO.LJlv
66~./. O./.S CO./. XVd t .: It tOlTe/co
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Ze8to COU~~L PATH
NATURE OF WORK t.JeW C:.t;:tt-J~a.u.c:nD~
USE OF BUILDING 'S,F'.O, .
PERMIT NO. fJ4.00S?? DATE ISSUED Jl3.~/O&(
CONTRACTOR 'DEE OS L.,t., CPHONE~Z~ - 774/&/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
;YjjEt:rOR .:< _.:< .:P
DATE
I
I FOUNDATION (Prior to Backfill) I '1/}f7 I r.)r- .S'--dC(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN ED
S~ ROUGH - INS
SEWER j WATER I SEPTIC f//j - 1'.~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
;d-/l y_/
-
)-ZJ
S"-.?/
GRADING (Prior to Sodding)
BUILDING - /..A-I 4.-, 8 -i. 0 i
ELECTRICAL '
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGN ED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspec lions
and maintained until all Inspections have been approved. On buildings and addi lions
where no service cabinet Is available, card shall be placed near main entrance,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I - I c l
FINALS .."IJ)~u,)/~
flto
V (I~ 'r-'fl)
le.l r'
~~
1Jc.....
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S:/1'
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FOR ALL INSPECTIONc:" '" ..", 447-9850
Ql~difitaf~ of <mttupaut\!
CITY OF PRIOR LAKE
@.tparfmtuf of ~uilbiug JIusptdiou
'0Final Permitted D Conditional C.O. Expires
/.,e. C.
This Certificate issued pursuant to the requirements of Section 307 a/the :[}llifarm BKilding brule eel tifying
that at the time of issuance this structure was in compliance with the various ordinances of the City ~ t Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
04-0056
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R .SD
Legal Description
L4, B3, THE WILDS NORTH
Owner of BuiJdil"~
Site Address
2886 COUGAR PATH
105,
Contractor's Name & Address DEERBROOKE HOMES)'
/ ,..,
10340 VIKING DRIVE, SUITE
DON RYE
City Plannf'r
Date:
,
i (/J-
Building Official
I '
/
ROBERT D. HUTCHINS
i(
Date:
.~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED '1-I~~
ADDRESS '2..82.Co
~ U)o.:ik
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Lf -00 ~-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
MFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
, -
o fL -\-0
Ok,. -Hu !~.(O
/"
~ORK SATISFACTORY, PROCEED
o CORRECT TION AND PROCEED
W RryALL FOR REINSPECTION BEFORE COVERING
Inspector: J OWner/Contr:
o FOR. THE NEXT INSPECTION Z4 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED c.:.e> ,O~
(\"'rr ?.J>-
10'30
ADDRESS L p'g~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C{ - oSGe,
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
frl'INAL 0 PLUMBING FINAL ..QI:"l;ASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0 ~.:.. I ""b-t-f
COMMENTS: ...,.
p~,.,..r~ ~iJ..l<- 2.4~f~.J;"'/l
f1~. ~,.....- t r--~ ~'^<;"'!:lIl.A..~ ~~ <;~
6~, ~ ~1n.QL.C.. ~~~ ~
~. : ~ ~<,\....c;..'i.
. pVt..5, ~..u;~ ~.-.. (\~.A
lA' S'..r-..LJL f'\..,..b l-4:>r~rH- -f-... q.sta I\".....,...r LkPf-
T: (+....
8':"/-/"J cf
I
Jl.~ tl.-..- -:gl~.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
"'''''''.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
c -ZJ"1JIt
ADDRESS
?~U) ~-' Pe,11,
CONTR. l1euh~!t..
PERMIT NO. r,4 ~()s.b
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
QB:.flNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Illl" EXI~ILLING
"D"tollll'cr:lln
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
hr~
DK......
Lwb
;;~- r)1'
\
/II f) C,d'1
~ORK SATISFACTORY, PROCEED
/I' 0 \oRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ ,_ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"",<<m
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S--l"l-t!)(/
f
ADDRESS ~~Co ~(}~ ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
It- -$; L.
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
J:!N'LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.,. Dc.r' !:'v~<
2.. Q\ul' IMo.~"':' 6\~~
~. ~... R-t ~I<.
r ,7
o WORK SATISFACTORY, PROCEED
~DRRECT ACTION AND PROCEED
'D'beRREHC~~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: I. I ) Owner/Contr:
CALL 7 ./sSD F~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'ISNOTJ