HomeMy WebLinkAboutBuilding Permit 03-1590
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec\
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT llJ JS'" 03
;~:' ~::y I PERMIT NO. QI'2./L'"'O/'o I
J. Yellow Applicant !....7 J 7 V
_ q'lease ~ or Drint and sUtn at bottom)
ADDRESS
~" '5 rb')< -r A-; l- ''lod L
ZONING (office use)
~I
LEGAL DESCRIPTION (ollice use only)
LOT \ BLOCK I ADDITION -IN- u); \&0 LP ~
PID -o.'S-lI12-001-0
OWNER .
(Name}~M,,\ ~
(Address) \ ~14~,
\klH. Co 0 10v)
f>'\~ -r{'~
(phone) -W:L'. (P'l\(q
~O(LML...
BUILDER f\
(Name) ~tJc...l" \~ ~.
(Contact Name} ~. 1l,.....~I~,1
, '~v
(Phone) ~~ '\QgS,-5P1S'q
(Phone) ~~2\qQS.-S9Sq
't~~q;)..... i otiS
(Address)
..
TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
OPorch
OAddition
ORe. Roofing
ORe-Siding
o Fireplace
OAlteration
DUtility Connection
o Misc.
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 troe and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned y....y"'nJ' 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon Pie property to.perform needed inspe~ctions.
X ( '~(}. flD:t.l . a.v.- .Qolf> C#o.b'/ \ \! I ~ late()3
S"ignature ..J Contractor's License No. T-f
-
1 Pennit Valuation "~/. tJO().OD I 1 Park Support Fee # $ I
I Permit Fee $ 1~'7I. -:is 'I I SAC # $ /~75'.()O I
....--...
1 Plan Check Fee $ /OS'~ I Water Meter Size 5/8l !."5J $ .!Joo,() 0 1
I Stale Surcharge $ 1/0.50 . I Pressure Reducer $ 7/J dJ D 1
I Penalty $ - I I City SAC and WAC # $ 1;;1.00, Oll I
I Plumbing Permit Fee $ /OO,ot) 1 I Water Tower Fee # $ '"lila, 00 I
I Mechanical Permit Fee $ 100. 0 D I 1 Builder's Deposit $ 150().0(') I
I Sewer & Water Pennit Fee $ 35- so I I Other $ I
I Gas Fireplace Permit Fee $ ~(). Ot) I I TOTALDUE ~l) /2.-.n.aJ $qJI'~. 73 I
/1
This Application Becomes Your Building Permit When Approved I Paid [(: I U .' /.J I ReceillWo. 4'(,o7tJ
r I Date I By ::J....
~ ~Lc./2f-J /~~..:2h~ !z- 17-0 1
()
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
~
Manning Director
.
~JJ../
/.;;/;~7 /f./lJaU ~~
I Daie Special ConditIOns, if any
24 hour notice for all L., ,.:.. .JS (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht ('tnltr arlht ".Ilt ('OUlIll')'
White - ~ullding
q:an,!rv - l'ro.!l!neenn!L.I
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTft.\E.NT CHECKLIST
NAME OF APP~ICANT
~'7 f" " ./
'<'({ /Q. ;:./ f,r \
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0: fA ,. J'
"1'",,- ; / 1~"f-1,:- ,'f ./'j .""
j ".I! ...."''-..'.c.,.............
APPLICATION RECEIVED
//~ ;7 "'i"" 03
1 .....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2' 'J i!5- -t.. -7/" ?
,_/c7\ -- oX ,. O..-f/{....
Accepted .)(
Denied
Accepted With Corrections
Reviewed By:
MI3
Date: /:J- /? -0 S
Comments: See Rever~Fl ~irle for Arlrlitinn::.1 Infnrmatiof'1
tI'De"" ~rV"'L. Ny,"to hul 1/-- i word.
~ee Attachment~. 1) Grading Plan, 2) Ero~ion Control Mea~nre~
"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."
~~
......../h't~_ - Bu~
Canary - Engineering
Pink - Planning
Th~ {'..Ol., of lh.. L.k.. ('nunt..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ''1?~16 ~
APPLICATION RECEIVED f/-~5-0.::3
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<-3J'I5- 1-e;X /tU~
Accepted
Accepted With Corrections V'
Denied
<-
Reviewed By: ~ t;lv~P Date: /..;,//.;;-/t!::r
Comments: ~ o..fl--f ~. ~ ~J
~ ~ ~ ~e'-d-..
"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'
Th~ ("pnfPfaf Iht' I..kf Counlry
White . Building
CanarY - Enqineering
~ink - Plannlr,'9>
BUILDING PERMIT APPI.ICATIO~PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l~"1( ,.,16
-'
.' .. I
, 4-/
/. ,
/ ~ /
.I .-
0..'
.c-_ _'...
"j .~
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'^. 3d. L!5-/0.A ;;2'Z
Accepted
Denied
/
Accepted With Corrections
Reviewed By: ~.
~./_..
I
..~ J~~
-i..'
Comments:
,..
~,D Date: 1~~~3
~~~~
J
~ "e,,1,"W. -/-1J~,
2-'(
,
-
-~
,,,';;'.,1
'Jl~ ,-
"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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Ree'd
n:Z... 9. OJ
l =.. ~~~. [ PERMIT NO. 03. / .co/ll
3. Gold Applicant ;,J., VI
(Please tvoe or orint and sian at bottom)
I AD;~~~ Fox il1:rL
r d..-, J1J, I.J ,
LEGAL DESCRIPTION (office us. only)
LOT BLOCK
ADDITION
OWNER
(Name) a.. A,~L-oH }..\())N\.€-S
(phone)
(Address)
(Address)
(City)
APPLICANT
(Name) Ol.t:.r~EIl ,",'he....,
(Address) 1ft, IJ.8 rop/..~ ~
(Address)
(Contact Person) G <A'rc-U
APPLICANT SIGNATURE
ZONING (office use)
PID
(Zip Code)
(Phone) 'to. - R'1) - ~ 't () (,
Lttltbrfl ~/'e . W\ tV. ...roLj '-'I
(City) J (Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC . ~ PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial. Com'l & Multi-family
Sewer connection only $17.50 Water connection only
OJ
Estimated Cost $ g aI), Building Permit #
I % of job cost with a $39.50 minimum
$17.50
03. /590 evf
/ ptrl 0 06~
gulV
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ '--:;0
$ .......-
/'
(om.. Use Only)
This Application Becomes Your Building Permit When Approved
v-----
I Dit.t. ~q ,OJ
I
\
Building om".1
Date
24 hour notice for all inspections (952) 447-9850, fox (952) 447-4245
Receipt No. - I
~/J~
B'f(l~
FROM :FARMINGTON PLG & HTG
FAX NO. :6514637835
Aug. 112004 02:13PM P1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
8. ((,O~
; ~~ ~:~ I PERMIT NO.03 I c::a 0 I
) 'I'd.. AftlIiUIIC ~ ....rJ
(P1a.tc.!"Et or Driat ud .im at: boftoml
ADDRESS
,l~4C; ~'"' 1.....: I
I ZONING (oll\e,,"..1 I
LOT BLOCK
LEGAL DI!SCRJPnON (o/lla:... ....y)
PID
ADomON
&-:~R '4tj h\+ ~ Mec,
(Address) La.k ~ V:'l 1(...
(Phone)
~~~"W\l"'il\.O':" Pb 0......,0 H~ (phone) Itbf-q~-75).4.
(Address) ~4 CLtI~('\e...d.J.. ~v(> _ ~""'i"d"." c::?oo.4-
(Addica) (aT (Zip Code)
(Contaa 'moo) J; '^'^ } <;""). ""- ~}
APPUCANTSIoNA~Jl f"\J..v....O t ,~Q....
1lIcIuIIrlaI. CoaunolciII .. Mulll-fomUy I'"
Q...utJ
;,l-
1
y
l
I
I
.3
DATE
~ - \ L -() If
APPUCANT PLEASE COMPLETE BELOW
Type of Flxtlll1l
8aIb Tub with or wfthouIlbower
ol.iiawNitor
FioOr Drain
LavatOry (B1IIuoom Sink)
Liimclry Tray (I of Z COIIlpartment link
ShOwer stall
Sinks
BarBink
Water CIOIet (fOlld)
I
I
I
I
I
I
I
I
Type of J!b:tIIre
Qaa.tlty
J
I
I
I
R.oadl-iDs
War<< Heater
Water Softner
StIInd Pi~ (Washing MIdline)
s.waJe i!lel:tor
8Iclcfiow Assembly
BlCkf\ow Assembly Test
Lawn Sprinkler
other
FEE SCHEDULE
COOl whb. 139.50 IIlinlIl1lll1l
.. T.....omily S99.50
AItnlIonI Sl9.50
Estimated COIl $ PAID wmJ
BUILDINGPSMT
ALPERMlTFEE ~--.sD:'"'''''''':''''~'>'' i,t'
(OIIceu.OIII>> . . ":'_,~': . ~_;'" "~:';';,;:'~~:;.'..t.:"~.~.;':.i..~,tf:",;:':."
nit "'plica.... Beco... Yo.r ..IIdI.. r_lt WIle. App......ed ], ~"tgi IE U W~ ] ~.~~~,~"... < '/
· iV~ OIIc' . 111 'l
.......0lII4I DIlt ; AUG 1 1 2004 '.'
2A '..r ..CIeo for.n ...pee..... (HZ)" I j ISO, rl. (952) 447-4W
IBY
_ ___--.=.~...". Kr...LUZ( .l..A.ltE
rq; 001
CITY OF PRIOR LAKE
:a:EATING/AIR CONDmONINGIFIREPLACE PERMIT
Date Rec'd
q>~""" or"o,,< .o4.iloliUbottDml
~~S; /.'.-/ r X
~ 7S /7) ~/! '/;
~r:;~ ~ I :PERMITNO..'"J~ /59bl
,.".... I\p!tR~ ,7
1I), W I
ZONINGCoffiooOle) J
, r"r:.. r, DBSClUPTION (offl.. ... onlY)
LOT BLOC;C
ADDmON
PIP
g;:~~/-z I,q- J2-/l
.
~P?C'Q,
(phone)2F<-'&{'Q ~q
(Address)
=~ANTG'-,.II/,l\t1/~() au>'!
(J;.a~ess.,:J/;:;) 1(') .ca "c", .~n /tur'f "
t/l.ddron)
(phone)
.-?Ie. ('\
- c..t"l:::l ::l
'~~~4
(Zip Co<lt)
(COllto.Ct Person)
drh
--z~~
r& 1--. , .
'0 (OOl')
(Ph~e)
APPUCANT SIGNATURE
DArE
/--:>- /q.- ~'Z
..-" APPLICANT PLEASE COM:PLETE BELOW
...ld'"'''' vi CONSTRUCTION 0 REPLACEMENT 0 AL TE1<A TIONS
. FURNACS MAKE AND MOPEL ~~. ~)( /MC FUEL AIJ;.-(
. FLlJESIZE ,~If PVC- REro:aNOPENlNOS . R 1NP'UT 1,-." tV'lo. OUT.PUT 0;) (')(':l('\
; , - ,"
TiPB OF SYSTEM HEATING OR. POWER.l'L.ANT '
OWIl'll1Altl'lants 08=
Q'!!;;vi'l' 0 HOI Water
~cohanieal .' ~ll.AdiatloO ~
~ CcndillcmlnS pecial ne-.i= ....c:l...
~em. SyOlom Oth...Pevio..
FIR.BPLACEMA.KEA}lDMODRL~(j f AJ a ~.ff/l
p\ II" \
-7J?('
n.EASE Non:
Air Conditioner Units
Clumot Sncroaq,. into
Required Sid. Yard.
SctOao1cs
jn.<.iSU'iel. Commercial 8< MQI~.i'llI1lily
FEE SCHl!.DUL'E
J"- of job eo~ R.c.tidcn.tial. Qu Fir~plaec.
$39.S0 minimum
, $~~.SO !le>id..m.l, Addili<>o, &: A.II.".tion.
Ss-..SO ~d..ti.(" AC O~1y
s:l9..I0
Rosldonti:.l. H~"t e AlC (Now Cons<nlOtion)
ll...idontieI. Henin: Only ('11<'91 CllTIstrvc1i.n)
>39,50
rl9.S0
Bs1ir.lma Cost S
S"Uclmg """",it #-
$
.50
6>~ ~~ '
ZghtrG ~
~-9~",
HEA'ro{O PERMIT FEE
STATE SUR.CHARGE
TOT},L PERMIT FEE
,$
$.
(Om.. 0.. 0011)
l'pi:! hp,plioatiOll Becomes Your Building l'ermit When Approvecl
Buildlor otnc:W
DatI;
Ir;I' [i,Ji; ;~~ ~: B/ If 1:1\:, Rocei~ N~
lI) ~ ",. -" I!. '1 ..
Jll, ~C 2 2 2003 i' I By
2.4 halJr raot;lc. for all il1!prdions (95') 4-t:-~~SO, ;-u ('S~) _"7-4;;45
100 f€J
l:IIV <<3110l:l.1NW
9LZ909tlS9 IVd St:Ol lad tOOZ/61/Z1
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS $2.45 FOvTJ\"L- T~'.'-
NATURE OF WORK NeW ~~~~crIG~
USE OF BUILDING S',F tD , .
PERMIT NO. f13. /590 DATE ISSUED .12!.U.107
.. CONTRACTOR ~T~lA.r-.. t-4dD~'!. PHON~ .7'lZ -r:fl/S
, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
(II)
, FOUNDATION (Prior to Backfill) I f//J I ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I cn~~
(~ ^ ~-~
. ?~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TES~ FP~~
./
COVER NO WORK UNTIL ABOVE HAS B~FN SIGNI;D
I {-'~ I p. t-! I ~/17 /04-
FINALS ~ uvJJ'VJ
-J(J3 . 11./P.c4-
Ji'1~ 7'~o ~~\
I '
r~i;;>('
I FOOTING
.
.
GRADING (Prior to Sodding)
BUILDING ~ l. S~I-o'l
ELECTRICAL
PLUMBING
HEATING
DO NOT
INSPECTOR
DATE
t,), I
/2-- 22-
/-~
>,~
f;r:1}
jK~lO
r-/
3'".c:;- _
(.
5'-Z
"
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In Inspections
and malntalnad until all Inspections have been approved. On buildings and additions
where nD service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QJ:rdifieatr of @etupane\!
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug Jlusptdiou
~ina1 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 of the City of Prior
Lake regulating building construction or use. For the following: '
Use Classification
SINGLE FAMILY
Bldg, Permit No. 03-1590
Occupancy Type R3 Type Construction VN
Legal Description LI. BI. THE WILDS SIXTH
Fire Zone Nt A
_ Zoning District Rl
Owner of Building
Contractor's Name & Address ~TZLAFF HO~
ROBERT D. HUTCHINS 1;111
C -' 30 ,ul'lding Official V
Date: J -t'J
I '-' I,
Site Address 3245 FOX TAIL TRAIL
INC.. P.O. BOX 1135. LAKEVILLE. MN 55044
. City Planner DON RYE
Date:
~.,;.; .:j.,~.;"...',.~, ,," '"" ""~'~ ,'.i<:W:""",:~;.,:~h;'-~.j.",
" '~'" .,. '\ ;'; /~~
"i'~'/;"'I
,;,,,..,-,~." ~~.'!;',~";;<'~, ',;j.'J>';:.,;,;.... ~jW ..~..;:..;:.,~..";.;,,~ > '." '",,~ t ';"~:"
DATE TIllE
CITY<lF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S-t't
ADDRESS '3~c.fs" };x tc.J.. Tr-
OWNER CONTR.
PHONE NO.
'(- 1c:;70
PERMIT NO.
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
)d"1'lUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I 0... (ILl ~ ~
2. IM..~......... , .'.,./,~ ~
:l. Oe..r ~ 'UL-.
..o::'h-
o WORK SATISFACTORY, PROCEED
"'b(CORRECT ACTION AND PROCEED
Ic;~ORRE CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CI L -~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~UlREMENTS A1IE FOR YOUR PERSONAL HEALTH & SAFETY/
UiSNOT'
,
,
.
.
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- ~o -1? If
ADDRESS ~ ~5 !="'....lr +.0: ( ""f.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 1510
o FOOTING
o FOUNDATION
o FRAMING
o JllSULA TION
)7FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. r:;~ C6......L. tlA.C;p. (~
0Jl\a.II~ tJL~-'L
o WORK SATISFACTORY, PROCEED
)(CORRECT ACTION AND PROCEED
o COR K. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
7 50 FOR THE NEXT INSPFCTION 2. HOURS IN ADVANCE.
\}
REQUIREMENTS ARE FOR YOUR PERSONA/. HEALTH & SAFETY/
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 32'1> FQ~ +e;,' I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.. FINAL
.....D'"1TtE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
b/'ai'b_ ~ t-
I'll (6 150 J' - (') It:....
DATE nilE
/1-10-0"1
.
7/-4"/
t3 ~ - 1.00
,~UNG
v 0 OOaPI:liNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ -,. Owner/ContT:
CALL ..c7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
'"""'"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-
"
Job Address 32..% F'/ U 1./1
Heating Contractor Controlled Air if). ~
Name of Tester
Date
Po
.s/ /7/;-1/
t f ,-
~,qz.
g/~z
D~
I/f.)' F
Percent O2
Percent CO2
Percent CO
Stack Temp.
--
----
321t) F;~~"f f/Jr,,'/
CONTR. t.1,/.{'P fhM6
=i -~~ }
j( /FILLING
o CO INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Aft ,Ai:-
DATE TIME
'/~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!