HomeMy WebLinkAboutBuilding Permit 03-0833
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1~2'f '-f
q'lease tvp~ or Drint and si2ll at bottom)
ADDRESS~
/5;!_ iJo~ 1J.,ei
~;/ N. W.
- LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK 2.. ADDITION
OWNER
(Name)
/,.AYs
Date Rec' d
~. 1-.03
; :::. ~::y I PERMIT NO'aJ? -0t23 '2 I
3. Yellow Applicant ~ U V
I ZO~~(Officeuse) I
~I<
PID2.6 -?BZ- 053-0
13ft',,; I- Slam!" j.t'/~"~
(Phone)
(Address)
BUILDER J .
(Name) /l'krNn ~15tYI
(Contact Name) I Rf'II/n ?lJt'j,etW
(Address) t,7/~ ,h-,:;)I.,..r .s~"'~ jJr.
1~r>L"'s
(Phone)
(Phone)
~~
(.Ik r03~07ZC
---
~V4~t' /7J/I
TYPE OF WORK
ctNew ConsbUction
o Misc.
OLower Level Finish
PROJECTCOST/YALUE (excluding land) $
DAddition
S-.s-'J7rt
,
ODed
DPorch
."-..
DRe-Si~
DUtility co~n
~~O, OIfO
ORe-Roofing
o Fireplace
DAlteration
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 r."l".;.nJ' and that all construction will conform to all existing state and locaIlaws and will proceed in accordance with
submitted plans. I am aware ..,that ~e buil~g of~.cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupontheE.~~mspecl1ons '3/ ( 2.. thlo:J
, j Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
,1.;2.8"'0;0 CJ a.olll
$
$
$
$
$
$
$
$
ZOOl.7S I
ISoI.,'I I
t'fo, O'll
I 00. Of)
100.00
35". 50
'1tJ,C/O
This Application Becomes Your Building Permit When Approved
~ ~ d/:J3/d3
Building Official
Date
I Park Support Fee # $ !3 5t!J. 0 0
I SAC # $ /2-7S. 00
I Water Meter Size 5/S"<e; $ f( 3aCJ.oa
I Pressure Reducer $ 70, 00
I City SAC and WAC # $ 12at:r7, (J D
I Water Tower Fee # $ 10tJ, (Jf)
I Builder's Deposit $ I ~CJ(}.O 0
I Other $ I
I TOTALDUE Ih//d G.'Z-r(.~ $ 9. ~ /3.3C( I
d' ,
I Paid t7.t;/33Q I Receiy,VNo. -r~(p7?... I
I Date (P. e4-~? By I _ I
()
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 con$titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 1.u:of-; e:,!Z3!o 3 ;:::"4,Jl d-Lt A; k.. ..~~
Planning Director Date Speciai Conditions, ., any
24 hour notice for aU im,. ..~ .... (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.~
Thf(fnlfr ..rlh, 1..1111 ('ou.'fJ
White - Building
,.- '-"dna~' - .::....~...I,;JIg'.:..;a.>
Pihk ::- I"lannfng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/VI (::, ;(. u,J f\J
( ?~ .
I . (..t~-
,'; J
/, "... ,-. I' '
"I .-.......; ''<.,1
\. .. ~. ,
,
~,+ (Jf-~l (:::c-;
/'-;
( )':,j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction actiYity which is proposed at:
I' L-==-j 7/CL1__. /,\ ; (r) () L'-) r.-) ( ,/ {t,/{(' -~T,. .7<"',L\,. t.. !_
....._ t:;,-.. -T' --,. 0' ~ .,....~ . \,' 1,..... ..... -... --r _
Accepted
;<-
Accepted With Corrections
Denied
1:d:.:. -S;de fo. AdditiOnall:~:t;~:( (l ! 6~
Reviewed By:
Comments:
. See Atfachrri'ents:
"'u
1) Gradin~rPlan, 2) Erosion Control Measures
3) Erosion Control Plan
"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 - Building
Canary - Engineering
The' ("pnlC'r of lh, 1..Jr.. ('ountry
~111l'\,
~'ClI.I'III'::t"'::>
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
NAME OF APPLICANT ---11E.k:. L\.0\J 0 LS (J'~ H () rl F~
APPLICATION RECEIVED {[ . (~_ 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 524-4- lVOOD DUc!AC. TlzA { L-
Accepted ..----
Accepted With Corrections
Denied
Reyiewed By: ~
,.
-:t e ' 1Lf--
Date: ~/,,~ '3
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."
,
~1
C Wl1ife - RUllfllnp
Canary - Engineering
Pink - Planning
Th~("fnlfrO'lhf I..b<"ounlry
.BUILDING PERMIT APPI.ICATION DEPAflTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MEk:G4'N OLSON
(0. 4-. ()3
t-+OM6S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 524-4- WOOD DUCUc..' I f'2Al/L-
/
Accepted
I
Accepted With Corrections
Denied
Reviewed By:
~
77i 6-<- ~
~~ .~A:....
7'Lc-IlI--
Date:
6/~3
I./C,c,
Comments:
~ }u1..-vJ
~....~
..
\
"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."
Jul 23 03 02~59p
_~ .. ~__ J_'~V
Jim Llo:ld
~....... ............ r .,."""''''
952-440-3036
",n~ U~' t'K1UK L~
p,l
~OOl
_. ....
...u.o- . pft,1eAIIf
..... . cn~
CITY OF FRIoR LAKE
SEWER AND WATER PERMIT
S.W.No.
~ -~3 '3
NOTE, Sewer end Water
contractors.ust
be registered
with the city.
APPL: CANT: "\} 0..'.(\ ~ H(\.V,^.\-1\".~) . +X'.'
ADDR:! ;5: \'C~) ~ 5 I Y. \,~'\i;)V tOX.C
SIGN; ruRE: .-\\\).(\,~\ ~.\ \l.. \"\~dl.\-,,--
SITE \ODRESS; \5J. 'J.:..\ \l'.C'f<")('\ \)\)..(v\y.
PHOliE:.0\c,.~. \",i.~O. ~..,).O
DAT!:: '1- 2..3 O?>
BWG. PERMIT #
PlOt
FILL IN THE BLANKS
1, I[ ,tlmated longth of water service '--\ '0
feet.
2, S cze of water service \
inch(es),
J. 1 ,cation of any couplings from structure 0 feet:.
4, ~"pe of sewer pipe. ABS_ PVC 'X" Cast Iron_
5. F: ;timat"d longth of "~.."L line \.\0 teet.
6. c: ean out (if required). located at pj ) fir-- feet
s .ructure.
from
...._=....: .__===;::;:;=t!:;=== _ _~___ ,;;o;:;::!:!!!!i::a==- _.' ____la;;:.==;;::=!e~=s___==___==_==;:::=___I:;iO;;==....
Thi~ " pplication becomes your permit when approved.
BY
DATE~
=_===~,_____=~~_.~_~==~~~___=s___~_=~~==___~==_===~=.==--c===_~
FEES:
$
$
$
35,00
.50
35.50
Sewer and water line connection p~rmit.
Surchargo
TOTAL
..
y"" for "\~- 1t'>J'~'!ri~5"J~. ,r individually is ~,a plus
$ ,50 su~ ~~~ U ~ ~
S. ~er an'" I ater p#I;lI1it!1oil led (or naw construction must- be
J:'i :orded t:N"L~~dlll~ I :-mit card at the time o! issuance
to,: insure !i~- no dupllC . sewer and water perlnit.. are
i~! ;ued. I
...
MOUNT PAID
REC I 0 By ....,L;r- 1!Iu/~I4ID Wrr,.,
LY JIVG PCFlMn-
16200 Eagk Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (6J2) 447-4230' FAX (612) 447-4245
An Equal OpportuDi ry Bmployer
DATE 1: UD
RECEH r .
By
FAX NO. :952 492 2446
Aug. 20 2003 i0:4iAM Pi
.liMn"...,...... ..
CIT\' OF PRIOR LAKE PLUMBING PERMIT
: ~~ ~:~ I PERMIT NO. 3- 0 ""3 I
tV,U... "JlIIIIUfl1 6 v
(Please Me or Drinr and sim:H bf)ttom)
ADDRESS t../
/ tr~/YFJ.. w t'~d )jtf~.e /rA./"/
ZONING (ollkt UR)
tOT
LEGAL DESCRIPTION (ollie< use only)
PID
OWNER
(Namo)
(Addross)
BLOCK
ADDITION
~"~L ~./5;::111_ ~.J-
....
t-7/_?~ ~ +.(;;......J""",..A..- ~,-v<.
~. "'(Phono) .;).:;J&.-?oz..3
,W~(/f!..
APPLICANT
(Name) ( .~u+-:t.... ~A......;':'.:J
(Address) Z./~0.7 UtI"?? /.:.-/ /h<
(Address)
,ifO/74L d'
/7~~ ~A.b~
(Contaol Person)
97/--YJ',;l--?~~c:?
;U....- 7F~5,:1-
(Zip Code)
U/Z-zzJ-.?"995
~- ztJ~tt7 3
(Phone)
.:::r;;.-d--
(City)
(Phone)
APPLICANT SIGNATURE
DATE
I
I
I
~
I
I
I
I
I
Qu~ntity
~
/
I
iT
/
,r
/
~
..:3
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heator
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 companment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Waler Closet (Toilet) Other
Type of Fixture
FEE SCHEDULE
Inriustri.l. CommcrelOl It Multi-family 1% of job cost with a S39.S0 minimum Residential, New One It Two-Family $99.S0
Residential. Additions 8< Alterations S39.S0
(Office Ute Only\
Estimated Cost S
Building Permit #
DlIlldll'lllomcl.1
O hlfff..o-i.'1D. ~
.5""1
' /",
.. ~
~~Jt
~U IjJ ~ ~I; Receipt No. .... AJ,~
DOlO r,ID"'UG2720031~rBY /h
2C hour notice ror an in.pection. (952) 44 ~~50. fax (952) 447~245 (j /
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Thi, Application Becomea Your Building Permit When Approved
FROM :SOUTH MECHANICAL
FAX NO. :952 492 2446
Aug. 20 2003 10:42AM P2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
lPleue tvDe or DrUlt uad silll at hettom)
'ADDRESS . t.f
/ ~.?~~. h/~c/ 2Ju~
LEOAL DESCRIPTION (office u.. only)
LOT
BLOCK
ADDITION
OWNER
(NameJ
//7b-k-c "'- LP#&7<-- /7b~
I"
/; 7/"fJ ~.A~-f~.~_ )h...-
(Address)
APPLICANT /
(Name' c.A?kY--.,(..
(Address) 2/ C'Z',
~~....._;~--L
L~~,C .=/ ~
(Addrl..)
(Contact Person) ....,cP ~ /7 ~ cd
APPLICANTSIGNATIlRE ---= /':?A1_......~ ..:F,.
Date R.c'd
: 5:. P5,_ I PERMIT NO. 3- g-3J
~ / , ZONINO(olli<<ulO)
/ /"4/ -
PID
(Phone) ..>>.t--,?t?..7"3
, 5d.iY' ~&-f'
(phone) 9.t?...;1- -$/.-; -:z - ~Ve:P
- /
-.J ......... ~.- . ,A..t.-.... 5;::;".i: 7'.,;t..
(City) (Zip Code)
k/Z-Z-Z-/-f?9-S
?~2..c - .:f3
(Phone)
..I /-..L
T'lA. TF:
APPLICANT PLEASE COMPLETE BELOW
.J31'lE~ONSTRUc:!J9N 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~~..... AL ~ .,,(.... / t!!) ~ FUEL
'./ .
FLUE SIZE RETURN OPENINGS INPUT OU11'UT
TYPE OF SYSTEM HEA TINO OR POWER PLAN!
oWarm Air Plants 0 Steam
DOravity 0 Hot Water
o Mechanical 0 Radialion
DAir Conditioning 0 Special Devices
oVenl. System 0 Other Device.
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditionor Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Industrial. Commercial & Mulli'l'amily JJ4 of job oost- - Residential. Oas Fireplace
$39.50 minimum
Residential. Heating & NC (New Constn,ction) $99.50 Residential. Additions & Alteralion,
Residential. Heating Only (New Construction) $64.50 Re,idcnlial. AC Only
H.'limated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(omce u.. OnI1l
This Application Decom" Your Buildlae Permit When Approvcd
$39.50
$3950
$39.50
Building Permit #
. PAID ,,,,,
t:JU1I.O/N, rrl"f1.l
G PeRMrr
$
$
.50
..
~~ I~ (L11-~ II I(ic
PaId
~II~ 2 7 20n~
at -
~II Receipt No.
JIBY ~
- I
8ulldln. omclal
DIU:
1 J,V
24 hour notJce ror IlIlnJp,ctlonJ (9.5:1) .., rn . IRlI \"..il 'r ~
,.
v
'.'-"'-..
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS , ~ WOOD b~" -.....,. ,',
NATURE OF WORK T~ieti.~
USE OF BUILDING -s. . . -
PERMIT NO. 03.-:.oaTI DATE ISSUED ~
CONTRACTOR ~ PHO~~-a?u-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
)N.SPECTOR
DATE
I FOOTING I /.-/LJ ... .? ~ I
I FOUNDATION (Prior to Backfill) I t?~ - 7~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
VvrJ
#17
j'A
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TESTM-... i=" P / " c:f.:W
... COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"II; _ A
1//1-;
7'" 2lJ-o'}
" /
.
~~ c9',~
GRADING (Prior to SOdding)
BUILDING I.e-P-b S-/-o'/
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 haye been approyed. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
\1-. \.04...-
7-'
~~
/.... ' ~
FOR ALL INSPECTIONS (952) 447-9850
~~
QItdifitaft of @ttupantl!
CITY OF PRIOR LAKE
~tpartnttut of ~uilMug Jlusptdiou
KJ Final Permitted D Conditional e.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 afthe City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-0833
Occupancy Type
R3
N/A
Zoning District
R1
VN
Type Construction
Fire Zone
Legal Descriptio' L10, B2, WILDS SOUTH
Owner of Buildi"" Site Address 15244 WOOD DUCK TRAIL NW
Contractor's Name & AddressMERLYN OLSON HOMES, 6714 FEATHER STONE DR., SAVAGE 55378
1./
ROBERT D. HUTCHINS j" City Plan"'"
~ B')l%i. Official ,:
/', "';. /) L. A
Date: ~J .~' 2 . '7 (j ~ Date:
POST IN CONSPICUOUS PLACE
DON RYE
.,jA~
.).
DATE T1IIE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /O~S 10:00
ADDRESS /5d..~~~ '[)r}cl.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;:&.FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. t\AI...t-.:..-.-~........... {b,~f
:l. Fl...J G~ ,'I.-...~{...",..,
::r. S.J,l_~~
'f"---t +0-
~
B -l- 0 tf
I
I 1lA..c.."^-<,~
.~- ~~3-~
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
O~\.
rRKSATISFACTORV. PROCEED
o CORRECT ACTION AND PROCEED
j.. CORR1RK. CALL FOR REINSPECTION BEFORE COYERING
Inspectoc Owner/Conte
CAL 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/
"""""
OATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I)'-/~
ADDRESS l ~2tt:! WttJ '/v~ 7/1
OWNER CONTR. P7tr~"n (pL.",,,,
PHONE NO. PERMIT NO. ~ ~-~J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
[J MECH RI
o WATER HOOKUP
[J SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
[J COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(/tk - "-Ie., ljt- ~ IL
1t!WORK SATISFACTORY. PROCEEO
Va boRRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
~#
Inspeeto . l.~ . --=.. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SltFETYI
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 'O-a~.d:3. :< ::so
DATE TIllE
ADDRESS 15:;{l...\U
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
o SITE INSPECTION
[] PLUMBING RI
o MECH RI
[] WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
o ECH FINAL
C?M~NTS: y _
~~. sF
'2., ~c..t.L r",!"""" ~
.?-ffi~
[] EXlGRADlFIWNG
o COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
o GASLINE AIR TST
o
~'t~ ~
~
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
[] CORREcmwo , ALL FOR REINSPECTION BEFORE COYERING
Inspeelor: OWner/Contr:
CALL ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~IREMENTSARE FOR YOUR PERSONAL HEALTH" SA.FETY/
"""""