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HomeMy WebLinkAboutBuilding Permit 04-0381 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd If. I( 04- or rint and si at bottom ; ":;~:' ~:;y I PERMIT NO. 0 A.. . 03 c;, J 3_ Yellow Applicant '1. (/ ADDRESS ILJlb7t.J~~ LEGAL DESCRIPTION (office use only) LOT IOBLOCK .::3 ADDITION PID 26. +04-.04-3.0 OWNER~ (Name) ~ ~A~ (Address) ZONING (office use) 1</ SO (Phone) ?.s;J.. ~ a ~ ~,it D BUILDER (Name) (Contact Name) (Phone) (Phone) ~~;::f:tt~ tV TYPE OF WORK ODeck DPorch DRe.Roofing DLower Level Finish o Fireplace DAlteration DAddition DMisc. PROJECT COST IV ALUE (excluding land) $ ORe-Siding OUtility Connection 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 ptope to perform needed inspection I } L X \ 9./'1; ~~~J)'1 Signa Contractor's License No. Date $ $ $ $ $ $ $ $ 5,'iv(./ $ 2ft ..s ,f$t~_o~I;'''''~: <J6t'1d-1 Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee TOTAL DUE Park Support Fee # SAC # Water Meter Size 5/8' . 1 "; Pressure Reducer City SAC and WAC # Water Tower Fee # 00.00 /0 o. 0 3'S". S-O (). EM Builder's Deposit Other ~paid Date This Application Becomes Your Building Permit When Approved ~~ --1' Building Official #,;>-P/or 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 rous e ~ann;n~ #~'I ~ ~c1f~~ \ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~~ While - Building Canary - Enqineering '-'-pint<. - Plannin~ Tht (-..nl..r "r lh..l..".. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \\11[\..(((/ l--I(liC:~- 4-7. (4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: )4,/ (/7 r.r.D,Jli,Cj<:" Tl"j-\IL Accepted Accepted With Corrections / Denied <"-;) ~ ~ Reviewed By: ~ ", 1"~ Comments: At2, ~ ()~ ~'l~.1' 0:1-( Date: rPt:,,4tf ~ ~. -dd~ ~~ ....&1 ~A_,~..-:tJ . --.,.,- "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." ~~ Thr Crnlrr of Ih. I.ak.. Count.,. ~ - RlIildina:::> Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED WIND WOO r:L):jQM 5S 4- .7. 04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J4-/&J7 Accepted WOOD C-,HUCA<:- TRAI L Accepted With Corrections / Denied Reviewed By: ~ R~ ~ {!( ~ ~ Date: .y/c90~ 'f 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." t~\ TIlI'("..nll'rllflh..l..hCounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT V',; 1/\; D v\~ () C () H 0 I'i E~::, /1 '-'7 (1 L" . ). jLr~"'" APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ,-1 / G 7 I, i I (' fj" /1 j,"ll . /1 v -'/-'1 i ;J II 1-' I {- If \/ t~j j..~ t....... ,./ L-1-_. {,-..r~ . \.- Accepted Denied x Accepted With Corrections Reviewed By: /Y1t16 , Date: Lj-;?'j-o LJ Comments: See Reverse Side for Arlrlitionallnformatiofl! < See Attachments: 1) Grading 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." CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd 5. / /. II- ; ~:;':w ~;;; I PERMIT NO. 0+ O..3t.l/ 3. Gold Applicant , 0 Please or rint and si at bottom ADDRESS ZONING (office use) K4ftJ ~/b 7 W cOb 01 tl\C.1L /2-, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIDZS-. +04. ()4.r; () OWNER (Name) vJ:::.-J,DWO~ HOMIf.!' (Phone) (Address) (Addms) (City) (Zip Code) APPLICANT (Name) O/l.-.f:rIf6e- rf, XC. (Address) ---1 G, Ii R "S 0 fL. z;.J (Address) (Contact Person) is \..\, Ie.. f../ APPLICANT SIGNATURE /.oS /+"'1 (Phone) "1 S.). - J' ~.2. - ~ ? () l. UCUL. SJoqy (City) (Zip Code) ~ (Phone) DATE S- "'-/ APPLICANT PLEASE COMPLETE BELOW Size of water service ---t-!..:- inches, Location of any couplings from structure ---==---- feet. Type of sewer pipe. D ABC, ~ PVC D 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 1% of job cost with a $39,50 minimum Sewer connection only $17,50 Water connection only $17,50 ~ cJ Estimated Cost $ Cj DD . SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # 04-. 03[3/ jJ Y .....- pfrlO ~ __________.50 ,,)II/ocr $ $ $ ~ ,,<' (Office Use Only) This Application Becomes Your Building Permit When Approved Receipt N Building Official Date Dat,'3": II, 0 4-' By 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 MATTHEW DANIELS, INC. 4233017 P.01 Vate Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue F;J, :. Colli" Ciry I. Yulo- AitPii<:1ll11 I PERl'\IIT NO. 1/.. 381i I (Ple3.$(:' type 01" print md. slm a.t boaom) I ADDRESS 1';""01 J..h , J {l ; 1..1 0 k..; '-.Jt~ .IL LEGAL DESCRIPTION (oflice use only) LOT to BLOCK.,3 ADDITION .k~ OWNER (Name) (Address) J..;.all PID Uu. ~ . Y<ft)- '8~ 5~-d51 APPLICANT ~ (Name) ~t+l,,?l /1,; 1 ,,~ L '-..AM (I,. (Phone) bS'1. .j.).?j. (Address) 1'i:'l.'YJ (lMJ,},AJJYld. %Jh qVlI ri 1.111 1". \.tJ;; (Address) 1/ (City) d'1.:{() APPLICANT SIGNATURE (Phone)' Mil. DATE S!;OMj (Zip Code) -b . ,g'1..~ +, O1.tJo 1- (Contact Person) Quantity Type or Fixture Quantity Type or Fixture .).... Bath Tub with or without shower ...3 Rough-ins 1 Dishwasher I Water Heater I Floor Draip I Water Softner "- Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector J Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink lid Lawn Sprinkler ..3 Water Closet (Toilet) , Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial. Commercial &. Multi-family 1% of job cost with. $39.50 minimum Residential. New One &. Two-Family 599.30 Residential, Additions & Alterations S39.30 Estimated Cost $ Building Permit # 8uildhlg Offi~i.1 Due PLUMBING PERMIT FEE $ I STATE SURCHARGE $ TOTAL PERMIT FEE $ (Offie. Us. Only) This Application Becomes Your Building Permit When Approved 24 hour noti.e ror all i..peetioD. (95'1) 447- rax (952) 447-4:245, , By cr' TOTAL P.01 : ~";" ~:~, !PERMIT N(Dtn'J.. *:rill 3, "ullow ^JlllUCM\ L ~.J:... ~J ] IZONI~G(,rn"'''l 0"",,) ~n.I!%-.~"~ ~ ] 0\;,....V'\~1.)\ \~ C; s 3J).k.___ (PhonG) ~ S ;)" '1 \\ l- ~J 0.23__ ~ (, ('- \..'.,\u.. ~,~ .s.s~~T~ (CiIY) (Zip Code) (Phone) "'I S; ';),. "\ ~ {. )5 \ f~\ DATB 1)!I~ e Or rint nncJ Sikll at blJuolnl. At} ~RESS -''' \ \,. I~ 0 CJ ~ ~\.-. '^ ~\.. \rt.-t', \.. LnOAL DnSCRIPTlON (omee us. only) LO" \\)BLOCK :, ADDITION \A" \ ~ I.)-~ PID OWl-lER (N~"l.) ,(;,. \,-",,', " ~ AllPpCANl' , I (Narpe) \<\<t..-'<;:~ ~,r -1::"1"\ l.. (A~d{ess) \~a. ~~j \J '1.\ llll"4, A,v'-. (Md",,' (C4n\aet Person) N (,\ If' '-\1 S L-" ~ ... \ \. APP\,ICANTSIONATURE ~wv.-\ ~ vl\Jv.. API'LlCANT !'LEASE COMI'LETJ~ BELOW p, 1 Vfl(e Rec'o ] r--- )<INEW CONSTRUCT/ON o REPLACEMENT o ALTERATIONS FUfHjACE MAKIl AND MODElL C. c:.. yo r; \- ~\J Y' \ G(::) FUEL N <iT' FLl)ij SIZE ')" )? V L RETURN OPBNINGS \\ INPUT J t:JCi J ()~ OUTl'UT~ "S, oCia 'roll OF SYSTEM HEATING OR POWER PLANT . OWanll Air 1'(ol1llJ DSt"1\l I'LEASE NOTE: irovilY o Hal Woter Air Conditioner Units Meehalli"l , o Radintion Cnllnot Encroach imo 'Air COlliJlllon!Jlg o Speeial Devices - Re'luirad Sldo Yo,d tut. SY$lelT1 o OUlel Devices - Sethack, FIIIEI'LACE MAKE AND MODEL - 1 Indl"ljinl. Commercial & Mulli-l'amlly I"I1,E SCHEDULE 1 % uf job cost Residential, Ous Fircplllce $39.50 minimum $99.50 Rcsldelllinl, Addiliun, &. Aller.l;ol1' $64,50 Re,ldellli.l, AC Ouly Re$ld~lli.l. Healing & NC (New COl1strucUon) Re~id'l'li.J, HeRling Ollly (Ncw COIl'tlucllon) E,timatodCo,t$ ) l'). \.')\)0 . BuIlding Pennil /I HEATING PERMIT FEE STATEStJRCHARGE TOTAL l'ERMIT FEE $ $ $ .50 (Ol~" U.. Ollly) 1'hl, Al'pllcalloll ne.omes Your Building rel'llll! When Approved Paid R.ceipt No, -.-\ nulidllllorOcl.1 Dnle 24 bour nollce rOI' nlllll.poellon. (952) 447.985 . r.. (952) 447-4245 8 $39.50 $39,50 ,i. $,19,50 'i>", '~ c~?,t)/l "'II/.! c/O {')ll <-2>- /0:'1.""~' .("'/,~<-' ~~ )~~2 S> PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /lj / b ? tJtJ ~D OH~ G~ T/2.A I L NATURE OF WORK ~aJ 1'.4IN'fr'rI!U.c:r-/GIJ USE OF BUILDING S,I=": (). PERMIT NO. (}4. 036 I DATE ISSUED AI /11Jt'" CONTRACTOR WI.tJIJW'~ HtJM~ PHONE Z ..a4/s"lJ"'''~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING kJC ~ 6""- ~ I FOUNDATION (Prior to Backfill) I to s:-=: .::> J.. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - I 5 SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ,u.....- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ILAnlE /STtI~e~/~IJt.721JeEtJ ~ ~) -?.....1 i. ~~ "B~---* ~"t~FI N A LS GRADING (Prior to Soddin ) BUILDING-!. ~ -Z~ ",,-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 have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. We.... ~..?r FOR ALL INSPECTIONS (952) 447-9850 -"------_..,~--'-----,.'" <llrrfifiratr of ~rtupanrll CITY OF PRIOR LAKE . ~rpadmruf of ~uilMug cIDusprdiou )1 Final Permitted D Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / D International 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: SINGLE FAMILY 04-0381 Use Classification Bld,g. Permit No. Occupancy Type R3 Type Construction LID, B3, THE WILDS NORTH VN Zoning District RISD Legal Description Owner of Building WINDWOOD HOMES, Contractor's Name & Address :-:1 ,__ ROBERT D. HUTCHINS. I Site Address 14167 WOOD CHUCK TRAIL 14311 EWING AVE S., #200, BURNSVILLE 55306 DON RYE City Planner Date: \ _ t'. '} _ OItTding Official , \\ Date: CITY OF PRIOR LAKE INSPECTION NOTICE DATE nilE SCHEDULED ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION --4!fFIN1.L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~'LLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: V'\~d'<- b/( (~J (f, L-~- C)/r l( WORK SATISFACTORY. PROCEED 'd CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING Inspector. ~JiV Owner/Contr: - CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! uaN<>n CITY OF PRIOR LAKE INSPECTION NOTICE DATE nME SCHEDULED e -113. c:fo- W~l'l~du.,~ tI -Se,\ <; - 18 r ADDRESS J 4 Llo 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 ~LUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: t~[{:::~-,~~, -!:I, CA-il ~t- M..i"LJ 't~2. W.,-t:j~cre q!vo~ o WORK SATISFACTORY. PROCEED )(CORRECT ACTION AND PROCEED o CORRE K, CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: ,,.,..,., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS l!:lJ C J OWNER DATE TillE SCHEDULED r-;J:J. -oCf ltY~ CONTR. PHONE NO. PERMIT NO. 4-3b1 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLI~IR TST '> en / ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRE K, CALL FOR RElNSPECTION BEFORE COVERING Inspector: 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,NSNOf1