HomeMy WebLinkAboutBuilding Permit 03-0382
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3~7-03
I. White File
2_ Pink City
3. Yellow Applicant
I PERMIT NO. 03 - 03~zj
q?lease!Vlle or Drint and si2ll at bottom)
ADDRESS .,/
~817 rOX I?UvL Nw.
I Z~7;~Dfficeu~)
LEGAL DESCRlPTION (office use only)
LOT tj BLOCKJ.- ADDITION -rkiul Ids In-
PID2l5-Z97- 004--0
f{) he.rt- ha,~+~
,
OWNER
(Name)
97':<~E8 '1- 3CJS";;l
(Phone)
(Address)
:;R /I1eM'~f5/7')aL .5ItI/tlcrs. :lite.
(ContactNan:e) Yil1ct" l'LT- Birrl5/C.Y
(Address) 1,101 F~/J,f'fS/?J;1<- Dr.
~-;?~-B8~9
("-tot,... L. ')
(Phone)
(Phone)
. 5t?ti'a~, #AI 5"5"g 7f?
.
...
~ew ConstIUction
OLower Level Finish
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $.r~~. ct:>
~J
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correet:. J also certify that I am the owner or
authorized agent for the above-mentloned property and that all constructlon will conform to all existing state and loca11aws and will pr0cee4 U~ .......\,.V~~
SUbmi~~ am aware that nil. . ffiaal can revoke thiS permit for just cause. Furthermore, I hereby agree that the city olcii. or a designee may ............
enter~enytop ded ~~ "'-
X - fdaZ IgDattrre ::7 _ _d03ltZst~seNo .:; ~ ~3
K~tJ. OdO. 0'0 I
$ LI13.7S1
$ I ~ 7 .5. 9'?'1
$ /';=;O,()o I
$ I
$ ID(J. 0 (J I
$ /o~.O(J I
$ . 35". $"0 I
$ ~d. tld I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty '-
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Park Support Fee
I SAC
I Water Meter Size S/8"l!::;)
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE ~ 4-'~-1l.3
I paid,~~' /'-f
I Date J/-,-!-?'-
$ %?So.Of)
$ IL7S.oo
$ .:300. (J 0
$ 7a.oo
$ 120~. 0 D
$ 700. (Jt)
$ IS-OtJ,lld
$
#
#
#
#
$ ~ fJ(Hl ft!
I ~i: </~"7
, This Application Becomes Your Building Permit When Approved
~ ';t'~~ ..r/U/03
Building Official
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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~,t.J SAI/o3 tfiJ ad _~+ _ ..~~.J
Planning Director Date Special Conditio , if any
24 hour notice for aU inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
\
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/
.
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White - Buildlna
rcBn'"l:Iry - ;:::;'Q!!,eer'"lD
~ . . 'Janning
Th~ ('Poll" or I.... ....or Coan.".
BUlLDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H FA [)OV~ BRC,cK. FJ) II J)r k C"
3-7-()3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
20/1 r::OX RUN N vV
Accepted X.
Accepted With Corrections
Denied
Reviewed By:
A/14[1,
Date:
Lt-I -03
Comments: See Reverse Side for Addition..' Infnrm~tion'
See Attachments: I! rTl""rling 'Pl:m _ 2) Rrosion Control MP.l'IS11TP.S
"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 . ~!1!llneering
(..-,n" . ;>,ann,n9::>
Tht Ctnlrr of lhr l...kr ('ounlry
BUll-DING PERMIT APPLICATION DEP,ARTNlENT CI-tECKLlSI
NAME OF APPLICANT
~IEf\ l)C\~ EI(.(('\(. Ll lUX I.G
-;>, - ~1 - C 7
-- .--I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2011 ~OX RUN ~~ IV
Accepted
Accepted With Corrections
/'
Denied
~ ;?~~ Date: 3p,103
2tf' ~,.~~...-~, ~ ~iaJ ,etJJw'
( ~......,
"--:~ (id. _ ~..:I- ~~.~(.a. ~ ~
~.
Reviewed By:
Comments:
~,
~L
"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."
.
QxbD@ - Build1iig:)
Canary . Engineering
Pink . Planning
Thr C'fnlfr of Ihf L.b ('ouncl'}
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT MEA DOW BRObI(' 151) II DE'r2S
APPLICATION RECEIVED 3 -7- 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
7,011 1=0)( RUN N'tV
Accepted
Accepted With Corrections
1///
Denied
Reviewed By: ~ ::;~I-J Date: ~1/"'I/03
Comments: ;eA.Il aLl ~ ~-~.
r
Lfr(~-f::-..) ~ ~ r '1 L,6_
I
.~~ /A_ W
- v
"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."
A r 16 03 10:58a Jim Llo~d
p UU/141UO 'rBU 1::08 FAX 812.474245
952-440-3036
CITY OF PRIOR LAKE
p.2
III 001
_. ....
n:u.ow . A"""""'JlT
1lICIUI- eny
CITY OF PRIOR LAltB
SEWER AND WATER PERMIT
3-3ga,
S.W.No
NOTE:
Sewer and Water
contractors .mu.t
be reqis;tered
with the city.
APPL: CANT: l-Jo"/,,} 7~r:o I/~ f,rlli-
. ,;.
i\DDR:!;S: f:().~ SIyR~, .JI.il"
SIemi: rURE:.~ ~.,/
SITE \DDRES? :J ~i'1 F,,.Jf f.. II."
FILL !N THE BLANKS
PHONE:
DATE:
;;:'.,';) - ~rt:-? 1i,Xi
'1-/1.: . 03
SLOG. PERM!T II
PID'_
1. }1 ftimated lenqth of water service
So
feet.
2. fl ~ze of wAter service
I
inCh(es).
J. 1. ,cation of any couplinqs from structure
Hit feet.
4. l' 'pe of sewer pipe. ABS_ pvc~ Cast Iron_
~. F: ;t'imat..d lonqth of .&"..... line
~'O
feet.
6. c: ean out (if required), located at AJ./I"
S .ructure.
feat
from
.!.._===, '__===-::a;:=~=_S~===;:;::;:=...==:ssI ___, .=;:;;;;o::::::;::=;;:;=-_=o_====l=========_.....""'==.:lil=-=
Thi.. '. ppUcation becJ}"es your permit when approved. .,'
BY_~*j/Y DATE: '1-/'" -{,?
="'=;~I .=_~====~__====~=~~__M_==_-=~ ___.~~=_~~=~-=~~__u=====
FEES:
$
$
~
J5.00
.SO
J5.50
Sewer and water line connection pp.rmit.
Surcharge
TOTAL
" p"" for either sewer or water individually is ~..6l\l plus
S .50 surcharqe.
" S., ~er and water permits issued for new construction must be
L~,~orded on the buildin~ permit card at the time of issuance
tr: insure that no duplLcate sewer and water permits are
i!i ~ued. t
DATE I: \10
AMOUNT PAID
q"~~
""'''''''' """' "" ,"" -.............. """ "'. ('~1Ilil'" y "12~H~.
An 6qual Oppoltunity Employer . D ITlIl .",I't
I APR 1 6 03 ~ _
RECElfr.
REC'D BY
By
- -
FROM : SOUTH MECHAN J CAL
FAX NO. :952 492 2446
J~n. 04 2003 11:26RM Pi
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
~. ~~ ~:~ I PERMIT NO. .~- 3 o'-'j'
,. V,II_ ~pllCllnl ..----:'J 0 t?--
(l'fea.te rtt'! or "rUtt .l"Jd liv.n at bottom.)
. ADDRESS ..
"z'-g'/7 'F~,e~
ZONING (om"U")
LOT
LEGAL DESCRIPTION (office use only)
I OWNER
. (Name)
I (Addreu)
APPLICANT
(Name)
(Addrets)
(Contact Person)
BLOCK
ADDITION
PID
lVU.....d.~ r;:).. _ ,Ie:. 7> -, \~
D ~ ~ . (Phone)
~#.-
I~.......:..J . (Phone) 9~-Ll92.-z..l./WJ
~'^1~c:::I ~ ....j er-.J___ M.... s:.s.:zS'l
(City) (Zip Code)
(Phone) u,l"l..-Z.:z...l- s:c:;'tS
'5:.....t....L:_1::" _ DATE _~:: ""'-O~~
-z...r 00 5
(Address)
Ro-.
Y2. ~.... -
APPLICANT SIGNATURE _
Quantity
'L..
I
;
~
I
I
I
I
~
APPLICANT PLEASJl: COMPLETE BELOW
I Type of Fil<ture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 companment sink
j Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
I Type of Fixture
Rough-ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
j Sewage Ejector
I Baektlow Assembly
Backtlow Assembly Test
I Lawn Sprinkler
I Other
I
. FtESCHEDULE
Indu.lri~1. Commercial &. Mulli.ramily 1% of job CO'l Wilh a $39.50 rni~irnum
comel: \J~c Only)
Residenlial, New On< & Two.Famlly $99,50
Residential, AddUions & Altera,ions $39.50
E.timated Cost $
Building Permit #
/31J/~,qID ~'" ,
'1NGA .,.,
~~J7'
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
This Applicltlon Beeomea Your Building Permit When Approved I Paid
aulldl"lomdal DOl. II ~
24 hour notice (or.n in'pectlo., (9S2) 4.7.0.5' I (oWN49..t.!2003
I Receipt No,
I~
Sv
FROM :SOUTH MECHANICAL
FAX NO. :352 432 2446
Jun. 04 2003 11:27AM P2
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FlREPLACE PERMIT
Date Rec:',
l ~ ~l~ I PERMIT NO. '2 ~ 3 Q>-:J ,
), VellM ^",11Cltl/ ~ 0 ~1
{Pl..",.!Ye" or orintand.1.tn at bOttom)
I ADDRESS
Z. '1!. \ , ~ 12........ ""'-
I ZONING (orr." Ult) I
LEGAL DESCRIPTION (office us< only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
M.e",,"--..l.~ Breb I~
6 V::. ~ .L....6 (Phone)
. (Address)
APPLICANT 60
(Name\ ~ -t-1-- tv'\..A.~ - -, ~ ~J.. . (Phone) Cf5z.-41 z.- ZJ../40
2J OC>5 L."........~ r:_-d Y"\ -"'L. ...J _..l.-.. l'\..'
(Addre..) (City) (Zip Code)
R~ -- . (Phone) _L-'("Z..--"Z.."'2::.....I- 5"<:J"l S
1'......""--"'-1 ~k.C'....IL:- PATE ~ - '-t- 0 ~
APPLICANT PLEASE COMPLETE BELOW
,
. ,(lNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL p......!' \-IL c=t C) "l. I ac:>,' oe~ ~""'-l'VEL V\.-<>t .
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
.,OWarmAirPIMIS OSle3J1l
DOraviry 0 Hot Water
o Meehanical 0 Radiation
OAlr Conditioning D Spccial Oe.io~
OVent System 0 Olher Devic..
(Address)
(Contact Person)
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Re'luirod Side Yard
I Setbacks
FIREPLACE MAKE AND MODEL
loduSlricl. Commercial & Multi.Family
Residential. Healing & Ale (New Con_clion)
Residcntial, Heating Only (New Coostruetion)
FEE SCHEDULE
I % of job eost R.sidenticl. aIlS fireplace
$39.50 minimum
S~.~ Residential. Additions & Alterations
$64.50 Residential. AC Only
$39.50
$39.50
$39.50
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
kilb ~-4tl> frn.....
W/I\'G ;':'11
p~~
~11'
Estimated Cost $ . Building Pennit #
(omc. u.. Ooly) I
This Application Decom... Your Building Permit When Approved I ~ ~j~ ~ ~ -:jJ ~ ~ Receipt No.
II... 'I ni DS\3N 04 2003 j I. By (K:/
Bulldl"g Officl.1 UU...,
:4 hour ooliee for.II ;n......'... (9$2) 44 '.9850. fu (95%) 447-4245
By . _-_
-)
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 2.8 t ? F"'OJ(~,J tJ_. ~ ·
NATURE OF WORK ~ (Q8ST~.6'-'
USE OF BUILDING ~ .
PERMIT NO. ~.3~tJ382- D~~.JI~~UED 31, ilJ. J
CONTRACTOR ~W 'SIi.M" ~ P~z..~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ~
, FOUNDATION (Prior to Backfill) I P'" LJ ~:>-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~#-</...I~
t{ l"v f9j$
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST ~~I ~ a RI$ (;.--d~
l,l- ..
COVER NO WORK UNTIL ABOV~AS BEEN SIGNED
LID/Ull/AllIF I I flh I
. .
FINALS
GRADING (ptf"r to Soddinp) W f:>
. BUILDING(\: 1, 11.-- v-01' ~
ELECTRICA .-/ .'11
PLUMBING /'fly _
HEATING ' . ft/tJ
DO NOT OCCUpy UNTIL ABOVE HAS
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.
'-
,Pp ,~
./
p~
tD -/-0
,'J/7/ ~.
//~Q/(J</
rt'-ta
9-/tJ
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
L
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'f'-Il-~ "').:30
ADDRESS ~Blt)
Fox
e.;V\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.3 - 0"7,9..?_
o FOOTING
o FDUNDATION
o FRAMING
~NSULATION
INAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COM.MENTS:
dC-.-{' ~r,^^hA~.\::~> AJU)JlJlCl",.~ .
Z. H~ e:.l-cl\AI. \'I.A.S\~I'b-..A \...,{:'~
~. I
:!- S.m IN! ""'--'c:. \.p,..O,.. 0'1'"' +-:- 'f~o ll,6..~L'oIA-
4 ':;''"'"t'".0 ~ \1.I.g..., I J-1J>~ ~ Rr.~ p~j
.....-
---'--r .Jo
~ tf;,v\'_
Il~ 1-~1"
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORRE R E' CALL FOR REINSPECTION BEFORE COVERING
Inspector. OWner/Contr.
\5
CALL.u 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
INSNOTI
DATE TIllE
CITY OF PRIOR LAKE
INSPEcnON NonCE SCHEDULED 1:2-~-O)
ADDRESS 2sn ,f""ak Quill
OWNER CONTR.
PHONE NO. PERMIT NO. S - 38~
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH R1 o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE R1
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS~IRT~
o SITE INSPECTION o MECH FINAL ~ F.' ~
COMMENTS:
~I/ t?f--
~SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~~. -- Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
uaNO"
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9'- ro.o~ I():{)t)
ADDRESS ;J8f.l h,X qw L^
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'5 - 58t
.'
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
J1f PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ ~~~NE ~~. Tf-V
COMMENTS:
I. ~> R..:.~ ~
2 _ '?_ulv-L I.....:.,.. I 1," ~~
:,,~t.c,s> c+- <x....~-d- __... ..I.,~"".
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr.
CA 7 50 FOR E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~lRE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/ uaNOTl
-'
m~difitut:e of <IDtmpunqz
CITY OF PRIOR LAKE
~:epartntlmt of ~uilMng Jfnsp:edion
~inal 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:
Fire Zone
N/A
Zoning District _
03-0382
PUSD
Occupancy Type
R3
_ Type Construction
SINGLE FAMILY
VN
Bldg. Permit No.
Use Classification
Legal Description
L4, B1. THE WILDS FIRST ADDITION
Site Address ~817 FOX RUN N.W.
Owner of Building _
contractor'SName&AddressMEADOWBROO~_~~l}DERS, 6701 FEATHERSTONE DR., SAVAGE 55378
ROBERT D. HUTCHINS /~ City Planner DON RYE
/~~ftrgOfficial Date:
Date:
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