HomeMy WebLinkAboutBuilding Permit 03-1057
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'7. z.Z-. 03
1. Whi~ FiI. !pERMIT NO. Q13 -/05/
2. Pink City _
3. Yellow Applicant
(Please ~ or orint and si2;l1 at bottom)
ADDRESS
fJ.R: <, '" LV ;J.k L,,-~ ALLtJ.
I ZONING(officeuse)
Pt/D
LEGAL DESCRIPTION (office use only)
s:....;j/\ ,
LO'~OCK I ADDITION Sl--e Q..I:~
m 0 Q-J J (! 0;"-\
PID.25: sO 7 _ 0$. ()
OWNER
(Name)
(Phone) ~-Lr?~ - ") ~I
(Address)
BUILDER /2.? /1 (
(Name) r { ,-( h"....,_ J ()r~ ~.., ,
(Contact~ame) _T I?,t ~ ~
. (Address) '/ (.Of (Lt,-)-t:- ,7" c..,,_!::..1
(Phone) (j~::1- q.s~~ ?(" 0 /
(Phone)~ . 4'?'7..- ?.bo I
IIMJ.....utjL /U.'__ :-)...-(~y
'./1 ~ -
~ew Construction
~ower Level Finish
~eck iJ(>orch ORe.Roofing ORe-Siding
lS(rireplace DAddition DAlteration ^~~connection
PROJECfCOSTIVALUE (excludin21and) $ ?b~~~
TYPE OF WORK
o Mi,c.
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 I"'~Y';'''J 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 fol' just cause. Furthermore, I hereby agree that the city official or a designee may
~tetlil/uP n prn::~eededmspections _is e _ 2)37 ~
I Signature Contractor's License No.
W
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Date
~\.:3aS?_ 000.001
$ 2/5g.<;'5
$ JI{O~. Dre.
$ IStJ..oO
$
$
$
$
$
I Park Support Fee # $
I SAC # $
~
I WaterMeter Size5/8"C:V I ~..~; ,$
I Pressure Reducer i..iiJa $
I City SAC and WAC # $
I WaterTowerFee # $
I Builder's Deposit $
Other $
'ir5i:J. 00
/Z7~oo
.:!/JO. (70
70.dO ~
I~I
7ao~ "~
IS; 00. 00'+::--
I
$ 1. ?J~~. LLJ
,-
..--
ItJa .O~
100.00
3S. c;;-o
4a,oo
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
TOTAL DUE r'.A!A.W
Qiii.,ii
1--
1311.01
I ReceilltNo. crS-?I}
By AI
r1"
This Application 3........~..... Your Building Pennit When Approved
~~
I Paid
I Date
Fj~/o :J
Date
Building Official
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 signed by the City Planner constinyq..a .----r--<-. Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
:~ninge~ i1?~/' -ff~ ~ond~
24 hour notice for all L.., '"~. _" (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
White - Building
Canary . EnR,ineering
,..-...,nk . Plannin~
Th. ("fnlf. of lb. 1..11. C-'OIlnlr)
BUILDING PERMIT AffLJCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rvle-DGNA LO
l.zz.03
,
C uNSTK.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ze35 \V/L-D::: LN NvV
Accepted
Accepted With Corrections /'
Comments:
Denied
Reviewed By: ~?~
&L,
_ .......; V I 6'
~ ~~ ~ A c., 1~.s ('~~~
~JM db~(j~/~.
ID'~.
Date:
, I .r
4"~Q. -4- / _ n n...J- - ,
,,-~~
~jp<j J
"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."
~~
c;White - Bulldiiia-:>
Canary - Engineering
Pink . Planning
Th.. <"t'nlt'fof lht' 1,.ktCounlry
BUILDING PERMIT APPLICATION DEeART~T CHECKLl~T
NAME OF APPLICANT
APPLICATION RECEIVED
MtrDol\IA LO
I. ZZ. 03
C 0 NST12.. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2035 WI~D.s uJ N vJ
Accepted
Accepted With Corrections
/'
Denied
Date: pi ~ '$
- I r .
~ ~;...: .') r.uJ:L /O/~
~r>"'~ .~ ~~ ~#'.)'
~~tJ ~-~J
~tZ~1 .e-
?~
Reviewed By:
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."
/. 0'1 PRIOR
~1
Thf C"fnlf't "flllt I...t Counl" I
White - Builc::Iing
0'anarv - Eni!neerm.s.::>
Pink . f1lannlng
mm-DING PERM.lLAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~'1 ~ DOf\J/~ LO
I. ZZ. 03
c 0 ~J 5T12.. .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2035 'vV 1'--'0:: LI\J N I/J
Accepted X
Accepted With Corrections
Denied
Reviewed By: ~~.fh1.~ Date: 7(1.,.1.,.. (03
Comments: "Drivewav Must Have A Concrete Approach
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."
._ _SE!.I~'?.oO..L06:15 651 633 8884
FIRESIDE CQRNER
#2692 P.006/006
CI.TY OF PO~ LAKE
HEATING/AIR CONDJ.TI~ l! GIFIREPLACE PERMIT
F IJ.(ESIDB~ J;~_I PERMIT NO~_ /06t
Da.te Ree'd
l!'I""" CU!: ar .rlnt...~ 01... ..1>onoml
I ADDRF..sS
2835 'WILDS LANE
HEARTH&HOME"
I ZONING (oflke uo:) !
LEGAL DP..sCRIP110N (office... only)
LOT BLOCK
ADDITION
PlD
. OWNER.
(Na.m~ ~~Ar_nCnNSTRUc,;TrON
(Addres,)
(Phone)
APl'UCANT
(Name) AI.I.lF,D F'l.llJlS!P~..AR.TH & HOMP
(phone)
651-633-25M
(Addxes,)
2700 NORTIi FAJ,RVlP..W AVENUE
(Address)
(Contact P<rson)
BRENDA HUSTON
ROSEVTI.J.F
(City)
(phone) _651-633-2561
55113_
(Zip Code)
APPLICANT. SIGNATURE
BRENDA I-fUSTON
DATE
9/11103
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AJ.TERATlONS
FURNACE MAKE AND MODEL FUEl.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE Of' SYSTEM HEATING OR POWEll PLANT
OWsnn Air Pl'lllls 0 StCllm
OGt.vity 0 Hoc W.te,
o Mechanical B Rodlation
OAIr Conditioning Spaoisl DevIces
OVent. System 0 Orb or Device,
PLEASE NOTE:
Air Conditioner Unit~
Cannot Encroach inlo
Required Side Yard
Setbacks
FlREPLACE MAKE AND MODE1.
HEAT N GLD 6000TR-OAK~_
FEE SCHEDUU;;
J llJa of job cost Residential. Gas Pirq,llce
$39.5Q minLmum
$99.50 Residential, Additions &. Alterocion~
$64.50 ResidOlUiaJ, AC Only
$39.50
$39.50
$39.$0
Indll!'triol. Commcrciol &. Multi-l'omily
Residen!l.I, Henting &. AlC (New ConsllUerion)
Rcsidenl.fol, Heoting Only (New Con!trUction)
Estimated COIlt $ Building Permit # ~ J:J.
HEA TrNG PERMIT FEE $ ~ ~/O
STATE SURCHARGE $'f) 1l: ~ e:;Se \!J ~ l O~G' ~
TOTAL PEBMIT FEE $ U i 0 ,()$'.9,
(om.. TJ.. O.'y) ]) C::!::P 1 'I ?nn~ ~/i'"
This Applltlltlon Becomes Your BuildlDg ~'l'Il~r)%~ME~IJIII' loci ijtJR..."d- - Jl. 1Ceipt No. _ I
c~ BIII'lder DMliG' I ElfIe R, (0 1_
~ n..UdJrn:OIll<MlO Foirview Avenue North Ra~lJII1!lc, MN 5511.3 ~bo~c ~"-\'''--,.~b! rox ~~1-\",-88l!4 '" Y()
.u"....~.-c;;:u;, 3850 West Histhwnv J3 Burnsville, MN 55337 PhOne 952-890-0758 h~ 1~52-890-5408 '/ f'JII~; ,~~_ <..~,
U ho"i' .otiee for oil i..pe.tlo.. (951) 447-9850.'01(951) 447-4145
,.",,,,,,nn,M.IIIII.(tlm MI"l' CJ)fltI1l<I"r J.I~tt'II: # '11JMiWfl
______.____--..:.~....... r.f'l...turt LAKE
~001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~ S;;. ~,~..m I PERMIT NO. :3 - / oS 11
CPkz,;e ~ or rmnt Ul.d. sin. at bottom)
I ADDRESS
.d~~ < I, 'vIrO~
ZONING (0"", .k)
M,U/'" Mk) .
LEGAL DESCRlPTION (olli.. Ole ollly)
LOT
BLOCK
ADDmON
PID
OWNER ~ r\ j(\
(Name) / '.fl ,to-.....' (')Awll.l
(Address)
c.,;.r;,1
(Phone) _,1,w ..: ?fJ:l/
. APPUCANT ")/ n
(Name' r..Nln.N'I""fl,) n//1
(Addloss) ...Q/::;) 1(", .c;:;~,,) Are.
(...dd=s)
(Phone)
~
- bOor~
5'd,-;J~
(Zip Code)
1}/AJ
(0<)'1
(Contact Person)
/1r-h
-Zb~~
(Phone)
DATI,
q -/2 .;.o":!;
APPLICANT SIGNATURE
/' APPLICANT PLEASE COMPLETE BELOW
,.eTNE'WCONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~r mi!2l...A /6(') FUEL AI.41-
FLUE SIZE ;:\ If IJIJ(', RETIJRN OPENINGS ~ INPUT L'a4r,l'lC'l OUTI>UT !JI:). ror.
TYPE OF SYSTEM HEATING OR POWER PLANT
OW.,mAirPlnnts OS""",
oa",vi<y 0 Hot Water
~hanic:al 0 Rodiatlon
~ir Canditloning 0 Special Dcvicc~
~ent. Systc:m 0 .other Devices
PLEASE NOT.E:
Air Conditioner Units
Cannot Encroach into
Required Side Y.rd
S<tcaola
FIREPLA CE MAKE AND MODEL
r
Industrilll. Comm.ercial & Multi-Family
FEE SCHEDULE
1% oFJob tO~! Ete,ldl;:ntle..1. Gu: Fh'eplac.e
S39.50 minimum
S99.10 Residentia~Add.itions & Altera.tions
S64.50 R~o~nti'!l: AC Only
(
, $39.50
Residential. !leatlng &. J.JC (New ConstrUction)
Resid:ntial. Heating Only (Nc:",lo' ConSlroctiQn)
.$39.50
$3950
Estimated Cost S
Building Permit #
Buildln.1 Offi~iAI
liu. PAID ~
1l..DING A 'f17.t
'ERAfr!-
ml~ l0 i~ U8 ~i' Ifaoe;pt No. '
jl,?ate I lay
~u SEP U 2003 j
14 ho~r noth:e for.II inJpectibn.:l (952) <<7~. SSO, (.n. (95.2) 44~-4)4S
By
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
tome! USe' Only)
Tn;" A~p[icatlon Becomes Your Building Permit When Approved
Date
t(
100Ii!J
lIlV mn10HJ.NO:>
9LZ909tlS9 XVd OZ:SI nRL COOZ/91/60
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
I a,", ",. (PERMIT
,.,." 01.,.. NO'3-/Ol-/'1!
3. YIlIow AppU,,", . ( j ..:J /
r~ "'1!!E''Il'i!lt Illd .llllatboaom)
ADt>1UlSS
Q ~0 r #!t. fd.s Ian e
NW
ZONING (ofllceUlOj
LEGAL DBSCRIPTION (olllc__ 0111).)
LOT~LOCK () 1 ADDITION
s -!-B r )/~ j -S:;j~ +~
&w::e~J!1}JO'tld 11 c'rurruct;dh.:J hC;
(Addtess) '7 /:;0 I ) mh st. ltP.s+
, /
APPLICANT ,. ('-I-. 'fJ/ J' ~ /
(Name) nve "';:'/0.(' I J4l1,(){YJ(j. .J-nC', (Phone) IIJS"/'-Y.r9'--- tr'/J>o
(Address) 1.ill..9 ~I.I/P.L4.VP ,g,' G,!Ioq e &f'OJl6? ,.11n S-S-OI6
n (Addms) / v (City) (Zip Code)
(Contact Person) -1Jo,.JJ.P "c:h, ,'-I- h (PhoM) .in - y~- ~ / <90
APPLlCANTSIGNATURE -c,,=.dd~c.ti '~~DATE___ ~LL~O--:S
QlWltlty
.:.:.-? '
1.
I
'1
I
I
I
I
,:: -('
. f
I
I
PID
(phcne) 9sy~ YS()-'76o)
Jt,t:f/r~ Ya/lf:,~ }:J h ~~/C) Y
APPLICANT PLEASE C~LED: BELOW
I Type of FIxture
Bath Tub wit!! or Wit!!out shower
Dishwasher
Floor Drain
I' Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
I Shower Stall
I'Sinks
Bar Sink
I Water Closet (Toilet)
QIlIDtlly
I Ty~ ofFtx",re
I Rough-ins
Water Heater
Water Soflner
Stand. Pipe (WasI1ing Machine)
I Sewage Ejector
I Backflow Assembly
I Backtlow Assembly Test
I Lawn Sprinkler
I other
!
i
I
I
f
/
FEE SCHEDULE
IndUSlrial. Commercial &; Multi-family 1% of job cost with l $39.S0 minimum Residential. New One & lwo-Family $99.SO
Residential, Additions &; AlIllI'&lions $39,SO
Estimated Cost $ / l ~ 0 8uildinll Pennit # () -3>...... J ~ 7
PL~ING PERMIT FEE $ #17'\- ~ ,()-f~
STATE SURCHARGE $ \ .50 D~ I1?h
TOTAL PERMIT FEE $ . G,() . 'Y
10tllc:. U.. 0.1,) ~ ~~
-.~ r- r-- :21.~
ThlaAppUcatlon DecolII.. YouI' Bufldlng PermltWbea Approved ,rn~ 1J6 ~ U l!J u:: I cOlptNo, .,.. 1
.all4l..OIIkIII ' DI.. U1l SEP 2 3 2003 I "'_ ~ I
14 hour Jlotlce for .n iaspectio.. (9&2) oM'7-98! ), ,.~ (H1) 447~~5 ;",,; - "'l U:, '-
By ...___.-:---l
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS l8 3 s LJi L.bSLA.N~ ~, W.
NATURE OF WORK WI"&U ~&UCr1tA
USE OF BUILDING S. Ii=: O.
PERMIT NO. 03 - /057 DATE ISSUED
CONTRACTOR sor. PH NE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING
I FOUNDATION (Prior to Backfill) I M/ I '? - 1-1 ~03
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
(lh
P/J -d.J~er
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST~"<):>
alu,bJ~
~.~~
fJ-. fZj
-
CO~ER NO WORK UNTI.L ABOVE HAS BEEN SIGNED
~ IC/ltrlJ&l1J J1a~ ~
, FINALS
GRADING (Prior to SOddln~ 1118 /1.12..0-1-:-
BUILDIN~\..Ao\IJ +. lJ+ot.! 11 JZ-'8 . . it>
ELECTRICAL
PLUMBING
HEATING
DO NOT
12;'/<) j dJ
I . /
1'..0_- 1~'''2.
{1'15 /2. - t't
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QIttfifiraf:e of @mtpanrl!
CITY OF PRIOR LAKE
~tpartntlmt of ~uil~ing J/nsptdion
J:1 Final Permitted
I
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:
D Conditional C.O. Expires
Occupancy Type
R3
SINGLE FAMILY
Type Construction VN
Fire Zone
Bldg.PenuitNo. 03-1057
N I A Zoning District PUD
Use Classification
Legal Description
L56. Bl. STERLING SOUTH
Owner of Building
Contractor's Name & Addres)lCDONALD
ROBERT D. HUTCHINS
- 17/IJ I At Building Official
Date:~1
CONll;rR. .
A/i!)
V
Site Address 28:1WILDS LANE N. W.
7601 145TH ST. W.. APPLE VALLEY 55124
City Planner
DON RYE
Date:
,j:}
:,-,'r
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 12-:!-~
ADDRESS 27'S 0-5'" (j) l'j,9" L iA
OWNER CONTR.
PHONE NO. PERMIT NO. < - IOc::7
o FOOTING o PLUMBING RI o EXIGRADlFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA liON o SEWER HOOKUP o FIREPLACE FINAL
o FINAL .Jlf-.PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I. 'D....-O--;~ D.-bl"'_~....,
..z_!.P~l b-- LU.c l_) ,*,7-1~~
~ V::1l.....,~ ~ ~"'7
V ,
A- Otc;'k>"'" Ql\.
- I
o WORK SATISFACTORY. PROCEED
X'ORRECT ACTION AND PROCEED
o CORR\.~~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 .) . Owner/Contr.
1----1'
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETYI
UiSNOTl
crrt OF PRIOR LAKE
INSPECll0N NOTICE
SCHEDULED
ADDRESS
~$3S- ~,11.J LY?-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
r.:iil.FINAL
V 0 Stre INSPECll0N
COMMENTS:
G~tI<, c:J) f{..
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Cvl'o /)tP/ -C) L
PATE nile
jJ-/l ~
IIU1YIMI/
(!) s - /t>s-7
~~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
a5(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 INSPECll0N 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 1 '2. (Cf - 0 "3 If):(b f::J
ADDRESS .,?p,,~~ Ct);(~ L ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"5 - Ic.<;L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)K(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
I. h'~ c;-~ liA9.f>"'{,""'" bC\J "5?cxJ2
Z. ~ ...L '1h",,^~.....Jl.,._..Jl (.?t..........
~ fDhu -;.a. ~.
4 . tt1...:...:x-~ -9,p-<C: _ .~.:.. ~ f...
r/~ o..fo -fo
r
8-I-oCf
,
o WORK SATISFACTORY, PROCEED
o CORRE 0 NO PROCEED
;J( CO CT K ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'ODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOtl