HomeMy WebLinkAboutBuilding Permit 04-0187
(Please .!VP~ or orint and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3. 17. D4-
; ~i~~' ~::, !PERMIT NO.O A_. 0 I 0,1
3. Yellow Applicant I I (I
~<?33~T~;t)0
~
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK. ~ ADDITION 4)~~..J
ZONING (office use)
RI
I
PID 25. 382.. 05<t" 01
OWNER J- /
(Name) ('LJ~ c~,I1- L.-c7i " 'I' {'o'
f I
(Address) 'H?.3:l.. ~_(' "'....J'()~,f;.
BUILDER 2. I L ...I
(Name) t{ '-'VI 'LII'J -"". .
(Contact Name) ~ A e./1
(Address) J '-1.3/1 ~
.A.J
,6~~
TYPE OF WORK
~w Construction
,
o Misc.
DLower Level Finish
~:A (Phone) 3-<~ f?'iS~ S~ J-..~
~~. i~ J i /Y) /I ) ,C..( If.:3../
(Phone) 9c::'d... ~~~LJ.!:1J<)
(Phone)3s~ ~f?'1't Q~~ "-
I /fJ rr.J SS S DC:.
t!.ur/~ IIrz. :7'3. 78a
OPorch ORe-Roofing GeL(... ORe-Siding
ODeck
o Fireplace
OAddition
DAlteration
DUtility Connection
PROJECTCOST/VALUE (excluding land) $ /, <. ~ Ot)O
,
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 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 for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspectio (
" . \
X"!') y-,__
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~/CJB.ooo.oo
$
$
$
$
$
$
$
$
1;,.,'-/1.5'0 1
10t,.,,,,.981
- '19.001
I
100.00
100.00
::'5; .'50
C-{ o. 00
This Application Becomes Your Building Permit When Approved
. C3;u~:g~ciaf.ulJ~ ~o'f
~ L9 'J
Contractor's License No.
Park Support Fee
SAC
#
#
.'3 L,-slV7'
Date
I
I
I
I
I
70Q.00 I
f'S::YL 00 :
$~ bS-Z.,fJ I
$ Fj'S0. 00
$ (:<;C:;o. 00
$ '500.0"
$ 70. 00
$ , LoO. 00
$
$
$
I Paid
I Date
fO 52-. '16"
#'/;./o'f
;
I Receipt No. Cf '" Zo
By ~ -;f.....J p
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
~ ~ 3/3d/o'l ~J an ~
,
Planning Director . Date - Special Conditions, iflny
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Water Meter Size 5/8~0
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
lather
I TOTAL DUE ~ 3.:JO.D4-
J'lbit.. - EluildinL
c:::::.caoarv - Enqineelll1!T"")
Pink . Planning
Tllr (""lrr nllll, 1..1et ("Oll.fry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
VV IN 0 V,_ OOD
.----, .~ --.4-
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1-1' >. - "'--
f t'\ 1\..1 l.- ---
l) I l ./-..J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z 9 33 e)o BeAT '-rk.F\ I L N 'vV
Accepted
y
Accepted With Corrections
Denied
Reviewed By:
/tMf)
Date:
3-~,-oY
-
Comments: ~E'!E'! RE'!verse Side for Additional Information!
--
See Attacbme.T1t~. 1) GrlHiine Pl:m _ ?) 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."
~~
CW,!i~1! . B.illdInD
Canary . t:ngineering
Pink - Planning
Tht' (.,pnlll'r nf lhll' t.h('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHE,CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
W, NO WOOD H(jfvlFE
3.1/.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2~33 BOBCAT TeAlL NvV
Accepted
Accepted With Corrections ~
Denied
,.
~ ~N Date:...3/ 30/0 '-I
,
Comments: R~ a...~( ~'" _ ~ ~
~m~ , JZ.; v /S.~..o~~
~ ~ ~ f)A-L '-1-0
I
~ /.:J.,. ~ I- P:} A-t,
I
Reviewed By:
~/~
r&~ ~
....
.
'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
White - Building
Ca/lary - Engineering
C1""K . t"lannln!r;:>
Thr ("tlllt' of Ih..l..kr Counlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
~ \ 1/\ 0 l \ COD H nfvll-<=
~.I-l.C4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2~.=3 eC>CcAI TI~f\IL t\/vJ
Accepted
Denied
Accepted With Corrections
V"
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SJ.:A)n, t/I~
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~~.
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~
,
Date: :3/"$ tJ;{, <{
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A.C.
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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." .
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or orint and sie;n. at bottom)
I ADDRESS
i.~3.! VloBC.~r TfL.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) L>-l;:"'" b v./'Cl>1l <l
(Address)
(Address)
APPLICANT
(Name) O(l..,f.,Q ff4t t j( L .
(Address) f& Il~ J'OPl..~ WV'r'i
(Address)
~"'-'t'c..N
APPLICANT SIGNATURF tl......... L \)..........~
(Contact Person)
\I
~;;::w ~ii~~. I PERMIT NO. OU_/ g11
Gold Apphcant -/
ZONING (office use)
PID
(Phone)
(City)
(Zip Code)
'is.). -f?'J:J. -b '(0(.
S-S-04'/
(Zip Code)
(Phone)
UL V L-.
(City)
(Phone)
DATE
L/ fj/'4
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC. [2g PVC 0 Cast Iron
Estimated length of sewer line I./. Cl feet
Clean out (if required) located at ~ feet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
'1 bo ~D
FEE SCHEDULE
Industrial. Com'] & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Permit #
$
$
$
.50
B \ cYJ
0)i ~ 1. 'R' N
~ t VI. ecelpt o.
~ ~ J, - L-(
I Paid
I Date
.~-
_APR. n 2004 11.00AM
;:
r.~'-~ CITY OF PRIOR LAKE
5. G(~ HEATING/AIRCONDITIONINGfllIREPLACE PEH.MIT
\""(I"~no'<to .
METRO AIR 952-447-8126
NO.2 9 6
P 1
lJlIte Rec'd
1,l'lnlc
2.tM.e11
3. V~lI11""
~~, [PERMIT NO.U:' /'e1"h
^Jl~ll~nl 1- -, (6"~
tPt;;lI~.E ly~.e or Drl.nt :U11.! sim at bOllom)
At;JQRESS Q
? '6 s:, ~ \) ~ (,~-\- -Vr~.\
ZONING (om" 'le)
LFldAL DESClUPTlON (om" Ule only)
LO'~ BLOCI<~ ADDITION ~ \..J," t~ ~ O~
PID
OWNER
(N~"lel
(Mdless)
~ " ,,~~ '')I\~ ~~(".l.~
.c:-~', "\ ~ ",-, ~
(Phone)
,,\~J,_~~~_~\.\\.\~
,
'\,,~ \.,
()\A.-",\.\.\, \\9
'5 <;"?li:J In
AllP{.JCANT ^ I '-,'
(",a'J1e1 \1\~~^, ,,,,,... -\_ y\ l,
(A~d,ess) \~<\ ')(\J \.j '<..\ ,l(j!'\.\ ~\I "-
(Addre,,)
(C~lllnC[ Person) N L, V\ '-\/ S L-~ I; ....\ \.
APP~JCANTSIONA:rURE ~w~:~,J;) ~~'_'
(Phone) C\ S ;),.. '-\ '\ l- ~ \ ~). \.{
~f)(1- \.<"\u.. {'II\) S.s~I~
(Ci!)') (ztp Cude)
(Phone) . "1 ~ "), - ,,\ \.\ ,. )5 \ I) '-\
DATE
--- --
---... --.--,
. Al'l'LICANT PLEASE COMPLETE BELOW
~EW CONSTRUCn~N QRE~L.,ACEMBNT 0 ALTERATlON,\l1 It-
FU~1iACa MAKE AND MODEL C 9-.....~, h.... \""\ \f y? ,~ FUEL \\J Y
FLi1~SlZE pv c.. RETURNOPENINOS l\ lNl'UT .l.9t>. 000 OUTPUT q, <m\:)
TYPE OF SYSTEM HEA 11NG OR POWER PLANT
. .~Wbrln Air Plants
OOrovliy
o Mecl,u,,)c,1 .
~^ir C011l1itlunhlg
~Vcnt. Syslem
o Sle.1I1
o HOI W.ler
o l'la(liotioll
o Special Devi,es
o Othel' Device.
I'LEASE NOTE:
Air Condition.,' Units
Cunnol Enct'uueh into
Required Side Yard
Setbacks
Flp,Bj/LACE MAKE AND MODEL..
, -
FEESCUEDULE
lI1U\15I,;ul. (;ommerclal &. Mnlli-I'amlly 1% urjob CO'I R";uell!ial,O..I'II'cplace
SJ9.~0 minimum
l\esld~l'li.J, Ilealing &. NC (New COlIstruction) S99.~O R,sldelllinl. Mulllolls &. Alterntions
l\esid~l'ti.l, He.ling Only (New COllstruelion) $64.50 l\e.1dellllul, AC Ollly
Estimated Cost $ \ (::) ,(\~ Buildillg Permit /I
$)9.50
SJ9.50
$J9.50
HEATING PERMIT FEE
STATE SURCHARGB
TOTAL PERMIT FEE
$
$
$
,..;.
,50
(01\'" U.. Ollly)
Thl~ AI11lllcaUon Becomes Your Dulldlng Permit Whe" Al'proved
-,-.
D,lIdl"~ ornel.'
II'Rld
I Date
APR ? 7
05-06-2004 09:34AM
MATTHEW DANIELS. INC.
423 3017 P.01
!.late Kec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~:~ I PERi\UT NO. 1"11. o/t!t7 I
J. YdLo... A,1lP!iUllt ~ CJ
(Ple:LSC ~ or Drint and sUm at bc::lttom)
ADDRESS
Ji'm
~ed ~~-}:
ZONING (offi<:< ""',
I LEGAL DESCRIPTION (office uS< only)
I LOT A BLOCK ,Q ADDITION Ji'r~ ~
OWNER _ L.' ~. J "\
(Name) ..).VLJ~JII~~I.1f))
(Address) /4011 ?1111'lft, aJb _ -,2;).
APPtICAN:r.J~L. - --...,
(Name)~?l 111/ , 111:1 ) . ~lfl _ (Phone) t,SJ - -I.:L."S' ~~:J3o
(Address)...f5!J_~ (lAkJ.AJlkl.J. -Ja'l-: q~'lJlr~;) .,$'"OMJ
(Address) f/ . (City) (Zip Code)
(Contact Person) f1A L ; J fl ) If-\.. ~ ') (Phone) ~ (.,!,J. ~. J?'13/)
APPLlCANTSIGNATURE ~ '-rJ. ~~ DATE '-fk.u-. Go..:l.tX>f
U .
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity I
Bath Tub with or without shower ,'-3 I Rough-ins
Dishwasher I i Water Heater
Floor Drai.n ) h.L Water Softner
Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I I Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backftow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) ) . Other
Quantity
.;l...
/
)
!J
J
)
I
/0-
,-'1'
PlD
(Phone) <}67). ~-5'- ??#l?
':6u.JdXU~). fu, .!i!RE'1
Type of fh:ture
FEE SCHEl>ULE
InduStrial. Commercial & Multi-family 1% of job cost with. S39.50 minimum R..idontial, New One &: Two-Family S99.50
Residential, Addition. & Alterations $39.50
Estimated Cost S
Bu ilding Permit # _
PLUMBING PERMIT FEE $
ST ATE S~CHARGE $
I TOTAL PERMIT FEE $
~'IWtm
tUn.Dl~j~ ~~Mcrr
(Ofli.~e Use Only)
This Application Becomes Your Building Permit When Approved
Buildl"l Oflklal
Date
~~dL~ I~ 1I ill ~
r'ifAv 11 2004
w
'j ReceiptNo.
I By
r
%4 hour notiee for .11 inspeetions (951) 447 9850, fox (951.) 447-4%45
. By. .-
TOTAL P.01
06/08/04 11:34 FAX 7635530887
_ _. _ .GUYERS BU! LDERS SUPPLY
\...11 r Ul' t'KlUK LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
1aI002
Date Rec'd
~w~
.'''lfUO''''''
~E:w ~p~\ePll PERMITNO'~/~~
<!'1....l'!I!e or orint and ,il!;n at bottOm)
ADDRESS
d 6 7:, ~ ~loCCt-r
,---
I \''-<.1 I
ZONING (olliceuse) I
LEGAL DESCRIPTION (offIce us. only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
to, ~ J (.()Oed
(phone)
(Address)
GIJ'i<e.\'e. !bo,IJc(' SuPPI'j
(Address) /,3405 /,S-rf1. rff/CY1.u-e
\ (Address)
(Contact Person). Do "'-
APPLiCANT SIGNATURE. 'l::>---. -
APPLICANT
(Name)
(phone) 71b3 -(P'jY -51{'6 3
P fYYJ1l?ufJ-, ss: 'YLj /
(City) (Zip Code)
~ " d' (phone)
~~/H..t:?(,
DATE
APPLICANT PLEASE COMPLETE BELOW
:F. I ~cp.l '"<- c -e ~EW CONSTRUCTION 0 REPLACEMENT 0 At TERATlONS
MAKE AND MODEL Le,'lI'lO)(. E bl/'iO ~S-- FUEL k)c,.J- q.Ct.3
FLUE SIZE ::;- { J RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Stearn
OOravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
OVen!. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Y llld
Setbacks
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.~0
$64.~0
/OCO%.-
$39.50
Industrial. Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
~;J.~
Building Permit # f;j;"''''~'
$~ V
r;;)~ nfl ~ ]'~~
*~..~. I r ~'IA4-. .
This Application Becomes Your Building Permit When Approved J~ u t.UU't Receipt No.
st Date I By (it
u
Residential. Additions & Alterations
Residential, AC Only
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Oflic.ellseOnly)
Building Official
Date
14 hour notice for ,II inspection, (951) 447.9850, fa. (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 28~~ ~8CAT Tfl-A,'L ,J,W,
NATURE OF WORK tJe:::w C'-~~Ttt(t ~14 ~
USE OF BUILDING :!a. F: O.
PERMIT NO. O~,6/fZJ7 DATE ISSUED ~(J''''I
CONTRACTOR \JUI'N O~Ob ~ ~S PHONE 6:ilt.. !", "?B..r!
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~}PECTOR D~
rY/C7 -~'
I FOUNDATION (Prior to Backfill) I n V <:'0 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
i'ff y- ~
10 c- r:?!)
/;1( ..J C"- 7~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE 0<:. (f'f, ~0 -Ie;
. GAS LINE AIR TESTIMlXl"'l fv{1 S-1) fp
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ~~ uk~~''''"
I "TIS 8-2.5
I FOOTING
GRADING (Prior to Soddinq)
BUILDING ~ Ie. 11-/-00/
ELECTRICAL . ,
PLUMBING I.a...~k.ol<.
HEATING
DO NOT OCCUpy
-
vw-:
S'v/ ro~O(.J
J
"
We..
r/i5
? - 2..c::;..
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.
FOR ALL INSPECTIONS (952) 447-9850
I
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
2833 &k..+Tr/
OWNER
CONTR.
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:
6&dJL - tf)Y
c..A:> ~~
DATE TIME
8rl,.S-tY-(
t1J,~j M....J'J
8/./-1 fl7
~~ILLlNG
o CO~NT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4- f~ Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
'NSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;2 2><,,, '1:... L~..u-y, 1
OWNER
CONTR.
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
)!(.pLUMBING FINAL
o liIECH FINAL
COMMENTS:
U...,vi&t ~A>.Jl- h,~
2.. ~ .'_AJ &~ p~
~. ~ .(:"'.. 'i'!UJ \
u. r~l~.., 0Dr:)fl~ a..
DATE TIME
7- 2L--Dt(
cf - i~7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
w~ .::;.J+~
4cf,-'j777
.J:
~g.....
/':>k:.
o WORK SATISFACTORY. PROCEED
)(CORRECT ION AND PROCEEO
o CORREC W CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IJIISNOTJ