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.""~'
.("'/,~<-'
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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