HomeMy WebLinkAboutBuilding Permit 03-1370
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S "Il lND.UTILp:."~ONNECTION PERMIT
ee lVlalD .rue
Date Rec' d
9. 21,. a3
L Whi~ FHo [PERMIT NO. 63 _/.~ 7D
2. Pink City
3. Yellow Applicant
(Please ~ or 'Orint and sig;n at bottom)
ADDRESS
I Lt QS5'l Sd,-,.-. /1' (l :12~/rL Jiw.
ZONING (officeu,,)
PUD
LEGAL DESCRIPTION (office use only)
LOT<)aLOCK I ADDITION .s1"'~1 :,...,... -S,.-ul''-
C7-
PIDZS. 307. 07tJ.O
In pfh/LcJJ (Jr"l-,"7-; (Phone)CS-~- 4;Jd~ ?hO(
(Address) /(,.,/) I I C-(,)'-L "hAled-- )M) ~ rl..Jry
,
OWNER
(Name)
Jh-..
.-, .
'--'
BUILDER 1A/1 1\ \ h :t
(Name) I'''' ( ~ { J~__ p)r:/l vO.-A; .
(Contact Name) ~cf.1- 0..A \ ~....---
. (Address) ?(",O( I q J-"~ <:::;'---C..hc_df- /
(Phone) 9~-Lt~. 760 1
(Phone) .Gf;l- A:, ( - K b G{ {(
TYPE OF WORK
2Tt(ew Construction
~wer Level Finish
jj1lPeck ~rch ORe-Roofing ORe-Siding
~eplace OAddition OAl1t.tion ~tility Connection
PROJECT COST IV ALUE (excluding land) $ (~,.'t ()., (5 "2J- ro
.
o Misc.
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 all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
;r"/iffrup e -7}:;;~spections _/5, €.-f)-:Y7~_ _9,f).~-03
Signature Contractor's License No. Date
t A
I PennitValuation Q!Y0l1.;J. 6lJd.OO I I ParkSupportFee # $ ~~..cC
IPennitFee $ ~~.qsl I SAC -eo- # $ 12-7S.00
I Plan Check Fee $ /3'-1<(.9z...1 I Water Meter Size5/8'~ $ 30d.OO
I State Surcharge $ / L/ h. cf) I I Pressure Reducer $ "70 . a 0
I Penalty $ - I I City SAC and WAC # $ l2.ao. 00
I Plumbing Permit Fee $ ItJG,()O I I Water Tower Fee # $ 700.00
I Mechanical Permit Fee $ 100 . 0 d I I Builder's Deposit $
I Sewer & Water Permit Fee $ 3~. 5'""0 I I Other $
I Gas Fireplace Permit Fee $ L/iJ .00 I I TOTAL DUE . $ (tl..3D . "Z-7
J I
This Application Becomes Your Building Permit When Approved
I Paid i,.d. 3u, .;l L
I Date 10- I 0' ..::;
~
I ReceiptNo.UC,XVO"'
Bv (F-.
lJ '
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
","cd. See Main File
Planning Director Date - - Special Conditions, if any
24 hour notice for all inspeetlons (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
1"h~ ('t'ntn of Ih" l..lr.t' Country
White . Building
Canary . En~lneering
<-.r'nk - Plan~
BUlL-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rl (. DOfJl-\LrJ
q.2l.u3
tON 51lL .
The Building, Engineering, and Plann. ing Departments have review. ed the~ui ding permit
application for construction activity which is proposed at:
J 4QS8 SUf"lt'I' I G/~~ N .
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
,
~
Date:
/t) it /tJ 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."
See Main File
TM Cnt" of I,", I,.klr Co..,ry
~ - Builtllnv
anary - Engineering")
P n - rlallll_IIY
BUILDING PERMIT APPLICATION DEPARTMfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MtJJOfJAL,O
q. 2:~. 03
GoN 5112.. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I
J 4-q 58 5 U tv'} r1/ T tA Lr!..A..6 f\J vV _.
Accepted ><.
Denied
Accepted With Corrections
Reviewed By:
A14~
Date:
/ (') -t-o 1
Comments: See Reverse Side for Additional Information!
See Attachment~: I) CTl"ading 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."
~1
See Main File
Th~ (.~nl..r of lh.. I,.b {"ounlry
...-white - Buil~
Canary - engineering
Pink - Planning
BUILDING PERMIT ,APPLICATION DEEARTM(;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M (' ,O{)jJALO
q. Z 7,. 03
toNSTtl-.
The Building, Engineering, and Planning Departments have reviewed thee;yu. ding permit
application for construction activity which is proposed at:
J4-q58 SUMt11T CA~ tV .
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
-'
~ I'--
Date:
/tJ19103
I
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."
______._---:___,____.....:..::........' rl\,l"uK LAKB:
~001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
lPka_c lVDc or'DriAc and. ~ ~r boftDm)
ADDRESS
P/96'6 ::;11__)/- Cr/!. Al.t~ I
t~;.~ ~ I PERMIT NO. ~-/37~
~,y,n"", ",",,flew 0"
I I ZONlNGColilo,';;i
LEGAL DESClUPTlON (offiee os. only')
LOT BLOo:.
ADDITlON
l'ID
g.=~()N 111";
(Address) A, V,.
=~~,4./~D (J,I'
(Add=s).dgv/0 &5hJ !tit"!..
l,AoIdous)
c;..,Jo tC' f-.
(:Phone) ~::;;'-7f(J)
(Contact POISon) , /
APPLICANT SIGNATtJR:B /..; cr::h
~~"JtJ
(phOIle) 4:r. - (;0,9;;2.
A;,4) . e?'~ .Gl"i
. 0 (o,y, (Zlp Code)
(Phone)
DATE
//-d('-~
/' APPLICANT PLEASE COMPLETE BELOW
. ~ CONST.R.UCTlON , 0 REPLACEMENT 0 AL TERATlONS
FURNACE MAKE AND MODEL ~f'Cqk11:.r::J/''''-7s:' FUCL /\/,q.!-
FLUE SIZE.'\;( P>UC RE.TURN Url>ml'OS. '. &)' INPUT _7s"f'Y")("\. OUT.PUT ~ nN'l
TYPE OF SYS'I'EM KEATING OR l'OWBR.l'LANT .
OWBl'1l\Airi'lalllS 0 Steonl
OGraYit)' 0 Hot W......
~.ch..lie&l " 0 lUdl.Uon
~ CondiliONl18 0 Sp.ol,1 DevIceS
...-Ja"oa:. System 0 'Other Devle..
P!.E.ASX NOTIC:
A~ Cc:>llC!ltion~ UnitS
Calmot Euc:'O&eh into
Requlrod Side Y&rd
Scto..cla
FIREPLACE MAl<E AND MODEL
IndUStriol. Comm=W 8/. MoJd-i'llDily
Fii SCHEDULE
1% ofJob ~ ll.e:ri4onti.l. 0.. Finpl....
$39.5Q minim"",
$99,50
$~.SO
$39.'0
R..idootial. lidn. t,. Ale (New ConS1l'\lcQon)
R.o.ldentlal. H..,!n: Only (Now ConSlNelion)
Rooid..ltiai. A~dition. 8<. Alt<rotion'
~e:identla(^C Only
$39.50
n~.so
Bstlmotod Cost S l>uiiding l'omUt 1#
(Otti=: Ole' OnlY)
HEATING PBRMIUEE . $
STATE SURCHARGE $ .50
TOTAL PEIUr.crr P',EE $.
PAID WITH
BUILDING PERMIT
illlldlllJOlllelll
,
. ;~ R..elpl No.
~ /")
L~.'I 5)' Uf
Plte
24 bour no~.e rer &11 in$peetibn. (952) 447',SSlt,t'u(til) "'l'l"2~.-:.=1
fuel
:o*JV 2 (; ZSS-J
t'bi, h~plicatloa Becomes Your BIli1dlng Permit When Approved
100~
lilY <I::!110lLLNO:l
9L.909tlS9 XYd CS:90 llld COO./l./ll
Date Ree'd
CITY OF PRIOR LAKE PLUMBIN~ PERMIT
i:;: ~::, L' PERMIT NO. :::?- } ?7D I
l Yellow A.WlI~ ._ _.-::::!_~ ::;J
(!'I@,Imlr.lIlrilltI1l4....&t_)
IADDR!/lS JY9~~ SU~m;+ C;ru/e
NN
- zoiiiiNG"'7,....) I
I
LEGAL oBSCRlPT70N (ollIco .... only)
LOT 10BLOCK / ADDITION -S fe('lr,~ ~1.It 'fA
pr"
, i
I
~:~R/k{['/I1Il1l)J. (;'n-s11'tJ.~h'on .L.e.. (Phcne)9:H.:Y3o;~7{QL_
(Addma) ~( /Y~fA ,<)y: v//A-ftJe Jla/kv,/rJn_ ~Q~(<
'=~&YP ,-<::.iJLE/UJ1/61'flJ ::u,c (Phone) -.6.~xr-0-~/.fO
I (Addra.) 1if).:J JcP,we! AJLt,~. I Co~ae 61'0 tie .~ ,-cr'o/..6
, () (Addzess) ../ v (cify) (Zip Code)
(COIItactPenon) ^ In l/f? SfYt)-(A (Phone) 0..r/- ,YJ1-d')PeJ
APPLICANT SIGNATURE d-J~?%. .ff~ _ _ __ DAn _~/::..~ ~-(),J
---.. ---..--.--
QIIUUty
FN
/
J-
-N
I
. I
f
,l='
APPLICANT PLEASE COMPLETE BELOW
I 'l)'pe ofFlxture I QlWltlty I Type or FllItllre
. Bath Tub with or witl1outsbowor I I Roui/1-ins
I DJSlIwasner / Water Heater
floOr dratn I Water l)ottner
L.~ ~a~ ;~;. .. I / Stand Pi~ (WiiJimg Machi"')
Launory Tra}' (1 or 2 compartment sink Sewllp i;;e.:toJ'
Shower Stair Backflow Assembly
Sinks Backtlow Assembly nst
Bar Sink Lawn Sprinkler
Water cio.. (Toilet) I Other
FEE SCHEDULE
IndllSlrial. Commercial &; Multi.family 1 % of job cost with . $39.~0 minimum
(om.. v.. OJII,)
Resillmtl.~ New One & Two-Family $99,50
Raldentlal, Additionl &; AIIOl1llions $39.'0
EatimatedCOII 5/0. ~a;,0? BuildlngPennitll ().J....... )::J'7Q
PLUMBING PERMIT FEE $ ~~-rfr"-~/ ~AID Wt'11-t
STATE SURCHARGE $ iI .S~ o.vlIVG ~~
TOTALPERMITJ'U $ <::FlMIT"
"'......:, _V.....,.........,...._ 'l c' ~ 111 ~ d::....NO
Dlte \ ~' . I~Y ff
._1.. OftIclal , t U~ lJ lUUJ n _. -
a4 ho.r notl.. tor .1110.....-. (H2) ""09 ,.,. ~) "".41<15 :J
I
I
By _~__ -- ---
CITY OF PRIOR LAKE
HEATING1AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(PI!... !I'J'O or print and sip at bottom)
ADDRESS
i =..~::,. I PERMIT NO. 2. 1'3:'71\ I
3. Ydlow Applicant ~
14958 SUMMIT CIRCLE NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name~nONALD CONSTRUCTION
(Phone)
(Address)
. APPLICANT
(Name) AT T TFn FIRESIDE DBA PTRR~TnR l-fF AB.IH.4': l-:r()Ml<'
ZONING (office use)
PID
(phone)
651-633-2561
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRFNf)A J.lUSTON
DATE
55113_
(Zip Code)
12/9//03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEATN 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% ofjoh cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & A1C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
WlDING PeRMIT
(omce Use Only)
This Application Becomes Your Building Permit When Approved I'[:\+'~~~ ~';-:;I-~~N~-;-;;i
) I) ::; .0 ~) I l I ,I
L-< I I
Buildl\12 Omcial Date II~: 16ft 1 Ii 2003 I
24 hour notice for all inspections (952) ~7l850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~95B SU"'~;T C;~(JtG
NATURE OF WORK NEt4J C,./J16, ~<T1'.~
USE OF BUILDING S",F";A. .
PERMIT NO. tJ3 ~/370 DATE ISSUED /0/11 /d~
CONTRACTOR ~~t\l~~l PHO!<JE.b.1Z::.1C1 -Bto~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING 'NiJAV\ I
I FOUNDATION (Prior to Backfill) ~11. I I
f( PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
LL r ROUGH _ INS
fI'?
fIlJ
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ^
GAS LINE AIR TEST/<... I-/~-::>
..~ f~/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lLA,..+l E .I t!JJ L TIlIlED JfiJ~ I I
FINALS
Jig /a5.()~ _
ff!J 8-'4LLo'1
we
/d~~
12- -S}
t I ~ /0'-(
~
1D
1.;J.-1-
12-? J
IZ-9
.
GRADING (Prior to. Sodding)
BUILDING /f --f fe PI; ~-i't
ELECTRICAL
PLUMBING wi C-
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 have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
~
t-I.e~
"
FOR ALL INSPECTIONS (952) 447-9850
~ntifitaft of <Dttupanqz
CITY OF PRIOR LAKE
~tpar1.u!'.lf of ~uilbiug Jfuspediou
zr Final Permitted 0 Conditional C.O. ExpiTes
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
Bldg.PermilNo. 03-1370
Occupancy Type
R3
Type Construction VN
L70, B1, STERLING SOUTH
Site Address 14958 SUMMIT CIRCLE N.W.
. Fire Zone
N/A
_ Zoning District
PUD
....
Legal Description
Owner of Building
Contractor'sName&Addres~CDONALD CONSTR." 7601 2. 145TH ST., APPLE VALLEY 55124
- III)
ROBERT D. HUTCHINS II .. City Planner DON RYE
Building Official V /"
Date: R - 71(.0'( . Date:
POST IN CONSPICUOUS PLACE
.1
~
'.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Jl/"~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~~::"TION
o SITE INSPECTION
DATE nlll!
SCHEDULED
/rJ-8-oy
SC/rlru'l- c.,'1'"
CONTR. /flc.&V
PERMIT NO, "3' /3 70
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLlNG
'0 C~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
CvA f5t!) 'I~~- c<> Iv
~RK SATISFACTORY, PROCEEO
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpec10r~ ,_ Owner/Contr.
CALL 447-9S50 FO~ l'~E NEn INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
II'SNOT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J q 't 5~ Sv..... _.f 0",',.-
OWNER CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~INAL
[] SITE INSPECTION
[] PLUMBING Rl
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
~LUMBING FINAL
J<r MECH FINAL
DATE TIllE
2-1"1- O'f
03 - /3'/ Go
[] EXlGRADlFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASUNE AIR TST
[]
COMMENTS:
L-r~/~o 't"H-J<./~ (h.b-.~ ~ ('> leu.w . ~
2. ~=-& <?'Cl' c...,,,,, h...I1..o .J- f'x. ~
J. h'!4k J c;;,""~~ ~Nl <54/1<0_
4. ~A ~ -r_n.....
15. ~().i 0 <?.tur-......-,_
Q/l ~/
/'l~ Q,.,~n Le>
I
/
~ -{-Oc.;-
t..'"" v I
[] WORK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
J<...COR7J2RK' CALL FOR REINSPECTION BEFORE COVERING
Inspecto OWner/Contr:
, CA ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETY/
"'s,,,"'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIllE
?-f tD fe'/: {;W3<>
ADDRESS
I L/ 'is'B Su \;'VvIM-cr QI't
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ 'l3 70
a FOOTING
o FOUNDATION
a FRAMING
a INSULATION
a FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
a WATER HOOKUP
o JlEWER HOOKUP
""PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILlING
o COMPLAINT
o FIREPLACE RI
a FIREPLACE FINAL
a GAS LINE AIR TST
o
COMMENTS:
If.
O'c:J<< ?,a.J)..~I~~ 1~wU.,
I/l1XV ,
Z, ';L{:>~9-t'l?-tlt?~ ijg.(j,
- - - ,
~~~ oX ~~. ~
a J'DRK SATISFACTORY, PROCEED
51 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
_n