HomeMy WebLinkAboutBuilding Permit 03-0464
........
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.::3-/3' 03
crlease!VD~ or orint and silm at bottom)
ADDRESS
.:304-8 /3OBer; T
;';:;~~ ~:~ IPERMITNO. Q3_0A/AL
3. Yellow Applicant I - ~
~l/L !IIW
ZONING (o_use)
lei
LEGAL DESCRIPTION (office use only)
L0134BLOcK / ADDITION 7716 WIt-OS .souTH
PID 2~Z- ()31 -0
OWNER
(Name)
(Phone)
(Address)
I BUILDER
(Name)
(Contact Name)
(Address)
T C. et)NS77C..U077C)fJ (Phone) -.!l2z - 410/ -39~4--
-rlM (Phone)
f
PfJ. LJ6Y C;/ eLk~'(} nil! 5SfJZO
TYPE OF WORK
I
~New ConstnJction
OLower Level Finish
I
ODeck
DPorch
o Fireplace
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
o Mi,c.
PROJECT COST/VALUE (excluding land) S
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 confonn to aU existing state and loca11aws and will proceed in accordance with
submitted plans. I am aware that the bu. ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruponthepro~nee ~ 107 & s-- "-O~
Si2nature Contractor's License No. Date
I Permit Valuation 1.l/0, d()().OO I I Park Support Fee # S &'JV./k>
I Permit Fee $ I, n7.7,jJ, I SAC # $ I). 7.r.oo
I Plan Check Fee S J./.JJ.~"'C.I-t I Water Meter Size 5/8"{ 9 $ 7~.&o
I State Surcharge S - /).() .oc>-I I Pressure Reducer S 70.(J/)
I Penalty $ I I City SAC and WAC # S /200.()O
I Plumbing Permit Fee $ I ()O.tJO I I Water Tower Fee # S )()() . Of)
I Mechanical Permit Fee S I(M .~O I I Builder's Deposit $ / S-O() .00
I Sewer & Water Permit Fee $ JJ':g) I I Other $
I Ga, Fireplace Permit Fee S 40.0Q I I TOTAL DUE CJl:W1lJ 4' --1/?-f!J $9;223.711
Becomes Your Building Permit When Approved I Paid :4'-q~ ;;""3. i1 1~~irJ c.i t-f./j { J l
t.{-~ I Date ~ - / - - ()....:j I
Date
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 sigged by th i Planner constitutes a t.......w.....J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Usued.
Planning Director
4-7-oJ e.,.jQfI ",,{..,:S 4- fI--:/()()-f-
Date Special Conditions, if any
24 hour notice for all ill!, ,.:. , (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
-'
~~
White - Building
r.:arullry IiRS;-~
("""Pink - Plannln
Thr CtnlC'r 0' IhC'I..h (.'ounlry
NAME OF APPLICANT
BUILDING PEflMIT APPLlCATJON DEPARTN\eNT CHIiCKLISI
T c. COIVSTk:.UCTIOA!
.3 - /.3 - ()3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.3 (; 4- fj 13 (13 ('A 7r- 71c.A I L NP/
L--
Accepted
Accepted With Corrections
Denied
/Iti ~
Reviewed By:
Comments:
.
e~qd air I/IJ/~';.
Date: L(_(()-Q3
-+ /--/-cv.cJqll f-
"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~ C~nl~r 0' lh~ I..h ('oun!".
<'hita - BUil~
".mary - I:nglneering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DWRTME.NT CHECKLIST
T C. CONST/cUC-TION
,3-/3-03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30473 {30Br'AT //cAIL NN
Accepted
Denied
Accepted With Corrections
~.
Reviewed By:
1M IlL
ff'Qd' t:i/( /ldf-r..s
Date:
+ f..-kMc1t1d f r
q-rd-q'),
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 - Bulldlnjl
C r.....1'\I - En9.lneerlng::.
Pink - PI8ni11ng
TItt ("tnl" or Iht t.b Coaln"
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
T c. CONSTICUCTIOA!
.3 - /.3 - 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at:
,3 048 [30BC/17- //<:AIL A/W
X
Accepted
Accepted With Corrections
Denied
Reviewed By: NJq-f) Date:
Comments: See Reverse Side for Additional Information!
Gl-J-/-OJ
Driveway Must Have A Concrete Appmach
[VII" &,'i- IVIUl,+ hr.Vi. ,,{;,.,(,4-:J- Cove/'..
~ee A ttllchment... 1) C'Tt'ading Plan, 2) Erosion Control Measurfi'l
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.' .
CITY OF PRIOR LAl<E.
SEWER AND WATER PERMIT.
\ . Date Rec'd
j!
~ _:~;,_-~:G}:;~:~,i,:.;[~)',;:' .
.... 7"c~mororiuIlDd 11m Ilbol1Om'
ADDRESS ... ..
gf)~<6 rA~h CLI1 t T"'(I;(
t. E- ~u...1 PERMIT NO'f)~;~4L. '1 \
. ,
ZONING(__) I
," eo"
LEGAL DESCRIPTION (office use only)
L01'~ttBLOCK I ADDITION
~~~ (> ., C,^,~:\+
u ')~ LL
Shl)tlA..
pm
(phone)
i;;:~,-,'::;;~' '--,)-A~\i<,,: ,., .
',~)....'.
':' ~.:j~~:~:~;r....~:_,::"
tAPPiiCANr-.-
K(Namer~"';ve.e.h.e... f.y(',
~~X~~~!~3Lf) J~@_
; ."'Ii Y;';"; ." (Addzess)
" ,t 'f';l't",;,~:~_~},::- ," 'J
:'(Co~ta:ct Person)
~';\::!-~'<"",;. ",-,:,~,,<
"APPLIc:ANT SIGNATURE
(Addn!ss)
~'i',/,..:,,:>~..:,,<,,;,.;,,<.: 'i';~0t.~;,:,>
(CilY)'I",. . _..'. ...,..,CZIoCode)
.. , ' ,
.-', .. "
t',,- .,_,
~\~~ ./
\ v U
APPLICANT PLEASE COMPLETE BELOW
Size of water service l inches.
Location of any couplings from structure 0 feet.
. Type of sewer pipe. 0 AIlf:.L. 10 PVC 0 Cast Iron
Estimated length of sewer line Diti feet.
Clean out (if required) located at '0' _ feet from structure.
(phone) tJ i1 "J:J{) '7~
81f)flW17~Ji8V7 .M1J 1if74.?1
. ( ly) (Zip Colli)
(phone) fill '7~ 0 ?'1J""t,
~__,,_' DATE ...,--::19:"-01:.. '.
Residential sewer and water line connection 535.50
Sewer connection only 517.50
Estimated Cost $ ~/)
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50 .
BuildingPennit# (}.f-O~ eI
: ~5~ pAlO O~f2-
$ /" Y2 Ull/
/ v..
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.. u.. Ooly)
Thu Application Becom... Your Bulldlnll Permit When Approved
Bulldlo. om.laI
D.te
I Paid
~
I f:j~ ?-IJ. f)?
.~~-
BY~.
U ""
I
I
24 hour notl.. ror .11 Inspections (952) 447-9850, r.. (952) 447-424$
-<
;,.,.
-.
5873344811 CANNON VALLEV ~~TORS
CITY CF F'1<10f< L~E
.I:~.G.~_Q_1.
95244"/4245
F'.0V01
CITY OF PRIOR LAkE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
D.le Ree'.
(PIc... tl'PI or..".. and rial 11 bolZOm.i
ADDRESS
I 3 (JtfP .~ 'ai,'}
l:~:.. ~~,"" I YERMn NO.3" tj!o L( I
ZONING,,,,,,,,,...) I
LEGAL Dl!SCRIl"l10N (ollie.... ONfl
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(Acldtcls)
/';-G r --d7'Ji',
(Phoncf.fz1t I :If.11/
APPLICANT 11. ( .......
(Name' ~ .c~_( -14._
(Ad4rc;rLJ~cI_77tL!t: ('JJW' ~ t;;
(A~~l
(Contact Pmon) )} M (1'/;: .
APPLICANTSIONATURE ~ _ ~
/ .
L..~ APPLICANT PLEASE COMPLETE BELOW ..
~WCON~T CTJON OREPLACEMENf DALTEItATlONS
FUkNACE MAKIl AND MODEL \ Ftllil.
I'LUESllB 3"'_.(IL .U RNOPENfNOS /~ fNPVT 14JIb OUTPUT
TYPE Of'SYSTEM HEATING OR POW2R. PLANT
Os......
D 10101 Waler
o "ldi.tion
(J 51'<<1111)Ivl,..
o 0tII" Dlvicel
(Phone) 1lS'2-7f!2-7.rr
t1/w ~V~_ ttlJl ..r~~7/
(Cky) (ZJ, COIle)
(PhOlle) ~Si.7~jJ 2..7~7
DATE b~-P~
JJp-
7.r;64J
Ow..... Air Plant:!
JOtl\'it)'
ii.McehlllicaJ
jAir Conditionlne
fiiJVM', Sy.tem
nr.ASI: NOTI:
Air Condition.. Unitt
ClUI.ot e""rolC:b into
"'eqlllre4 Side Yard
SetblCkl
FIREPLACE MAKE AND MODEL _
nE SCHEDULE
11"Idll:rtri.1. Cornmerc.i.1 A Malu-F'amil)' J % of.;ob cut Rqtdenli.l. C.., FbcplKC.
SJ950 min""'m
R..ld.nlial, Ilellinll ., AlC (N<o.. ConalN<tlo.) $99 '0 RuidOlllial, Addilion. ;10 "'teration.
Rc.ld",lill. Healin. Oftly (NO'. COMllllction) ,~'O RUidonti.l, "C Only
SJUO
$39,'0
539.'0
Eetim81.cl Cotl S
"ulldln. Pormll .
HEATING PEAAiIT FlOE
5TA TE SURCHARGE
TOTALPlllMITJU
$
S
$
_~o
,om.. Uoc Only)
1'1111 Appllatle. JIkonla. Yoar Bundtn. 'or.1t W.... Approved I POId
..lIdl..~1 JHoaraodcoror ::u..... (,r. [;li~ ~2;t~J'~
~TI JU 2 7 2003 ~
~ tLt~.::c%,~
...., IN~
BrA
t
TQTF't.. F'.01
By
07-14-03 04:40 PM FRO~ FG7N ?LG HTG
TC 9524474245
P J 1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please rypc Clt print Add SIRn.r bottom)
I ADDRESS
JO'tS <bob CQ-t
Ir\
lOT BLOCK
LEGAL DESCRlmON (offi<< u.. only)
ADDmON
OWNER
(Name) TC_
('''',''~+rl.Lc..+lb",- _
(Address) E I k.t)
APPLICANT I
(Name' "'Fr....(" r"V'\ I V\~- <P I ~
(J . 0
(Address) ~(..j l:hlo,oe",Ale
(A~
(Contaa Person) '"J)o. V\
APPLlCANTSIGNAroRE '3J ~.()\
Quantity
~
i
I
l..j
..3
r'V1 ~
~.....,.Q
: ~':: ~:~ I PERMIT_,
J't'collowAppllWll ~
-ZONING (ol!i';;~;:;;'
PID
(Phone)
l..J.~ (phone) (,,<;i-lIlo"? -7gllJ.
~r !-v-...~k _C;c;()~lj
(CilX)) (Zip CocIe)
(phone)
~"e .
~~J
DATE
r"}, r4.0'2,
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture QuauUty
Bath Tub with or without shower 3
Dishwasher I
Floor Drain 1
Lavatory (Balltroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Waler Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Waler Softner
Stand Pipe (Wuhing Machine)
Sewage Ejector
8ackflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
. .IV;\,("l~~:'~L~1l , cwOneUwo-Fomily $99,50
ial. Additi~ "AII_ioos $39.50
it t: (' y"-"\, -r-
..PAID WITH
_ OING~
Industrill. Commercial '" Mul
f
,
PLUMB ERMIT FEE S
ST URCHARGE -S
TALPERMlTFEE ~~ (fJ Is g
(om" v.. 0.") U G LS
ThlJ Application BeCOlDft Your B.lldlal Permit When Approved.! I ':1f1I. J 5 2003
10.le
'.IIdI.. Ollie.., Dlk 3 Y
3ft
w CE'-I~il
,iil
, ...'1 K<<oIptNO.
".
..
By
14 hu, ..Ck. (., an 10'po<tI... (951) 44'-9I!O, r.. (952) 44'-4245
PRIOR L E
INSPECTIO ECORD
SITEAo[;~ESS ~"'t' ~., r,..J I
NATURE OF WORK --'11.-~
USE OF BUILDING r.EJ).
PERMIT NO. tJ3 -0 4fo4- DATE ISSUED '1- ,.. II'
CONTRACTOR 7:.t.. '-rltS~""''''.." PHONE$.l- ~PI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I f/J/P
, FOUNDATION (Prior to Backfill) 1&" $'ifl "",~b6
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
~
, FOOTING
~-lt-tfJ
.
.
SEWER I WATER I SEPTIC
FRAMING ~~ ~ 2J~kr.,...
INSULATION lJf(\.v \I~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST _ VI> _
COVER NO WORK UNTIL ABm(E HAS BEEN SIGNED
, '-.~.. / r'U~U I fI/ J5 ~-:? /"> I
, FINAlS-'
~~
lr ~~
~
WIIJ
. ~
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
-
NOTICE I:~ (,r~- 2'2.l-S"(,tf::>
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.
.'\/ ').f;, / ~~
~ ;:>.;y
_ ,(in
~.l~
, GRADING (Prior to Sodding)
BUILDING ~ -In !J-l-Ilt.!
ELECTRICAL lJ . (
PLUMBING W ! c..-
, HEATING
DO NOT
p6,.>-7,Itf.-'
14
ut/7 te'b
[1,. ~
FOR ALL INSPECTIONS (952) 447.9850
(!ttdifitl1ft of @ttuPl1Utl!
CITY OF PRIOR LAKE
~~parfm~uf of lIJuilMug Jlus:p~diou
IZf Pinal Permitted D Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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
03-0464
R1
Bldg. Pennit No
N/A
Occupancy Type
R3
Fire Zone
Zoning District
VN
Type Construction
Legal Description L34, B1, THE WILDS SOUTH
Owner of Buildin. SileAddress 3048 BOBCAT TRAIL N.W.
Contractor's Name & Address T.C. CONSTi~~~ION, P.O. BOX 51, ELKO, MINNESOTA 55020
ROBERT D. HUTCHINS \ Ii \ City Planne' DON RYE
Building Official \ 1
Daleo l-n_-f)~ _ Ij Date:
.......
, :;'; ;Jo;i{,,J,'~ '.' ',. ,.' ''''';~;';<. . ~.i.';i~,:''''"~t''!di~;,;;~''o\'~';\~{~''~i~>;.i.,,-'....::~"..;a;Jj ;,;,.
',,'~':'
'.,"
~, "':."
l'
(,
o
,","
DATE lIME
CITY OF PRIOR LAKE ;;t3 c)
INSPECTION NOTICE SCHEDULED /0 -)7-()1{
ADDRESS 30 fB ~f f/l
OWNER CONTR. T /c. CrN7~1.
PHONE NO. PERMIT NO. n?- oo/'~'r'
D FOOTING D PLUMBING RI )( EX.~('ILLlNG
D FOUNDATION o MECH RI o CO INT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
tJ!.I='IWAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
)ldrvo! It... t91(
5fr
1){ WORK SATISFACTORY, PROCEED
V 0 ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector. ~. Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AJIE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
J\}7 k'&
ADDRESS
.3 ~ Lf.~ '00'<1 (~x-
OWNER
CONlR.
PHONE NO.
PERMIT NO.
yo H~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
.
[j PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
IA PLUMBING FINAL
/ci MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-/;. C~~.r.^-la./ t'~^~
-k. V~O <:::f I_~ j/Js-t'/~ ~
_31 y~~ V~~,
pr:.;WORK SATISFACTORY. PROCEED
It CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
V
CALL 447.9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 30 <{ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
O..JllSULATION
,.r:r FINAL
o SITE INSPECTION
SCHEDULED
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
"..s'MECH FINAL
DATE nIlE
,,-~.~ 9:('},.r
s- ~-{
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COIft.MENTS:
W""f'-A.P. .J- ~"lil.~~A ~r-d\A.- O~ .P
2. a~ C.. tiwJ ~~ t'~L....~ _ \.
~ ~ TtuI. ^ ~~ dl_'l .~..k pfL. __
../
" I..p~
I t
I
-h:;
8 I 1
, -/- Oy
l
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORR~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J (\ Owner/Contr.
CAL~JIs8S0 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
J
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI