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HomeMy WebLinkAboutBuilding Permit 04-0458 (Please tvP~ or print and sign atbottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT J~71 t"VIft fh1l't V.tV LOT ~ BLOCK? LEGAL DESCRIPTION (office use only) W,l-M ~,p:ffl hMffiJ ~~~. . 7" (0 ~r II 11 Mt- ~"U I1t6 11r.,1l1lV ~,J~r""t-T1aJ~, lpc. Wi'j"t -?,.ie.mplu 30ft) ~Mr ~~ ~ / ~New Construction OWNER (Name) (Address) BUILDER (Name) . (Contact Name) (Address) TYPE OF WORK ADDITION ,,,/,/. Date Rec'd I. White File 2 Pink City J. Yellow Applicant Lj- 3o-oLj I PERMIT NO'04-.o45f; I ZONING (office use) Ifl~o PID ;)1;- i{1J4- n3'i5"'1) (Phone) q~~- 1/1'-3...qrct> t1v. 4;;1'1 (Phone) (Phone) N,J. ~11 '~z. -4M....I(f()J II " 4~e.p~ DDeck o Misc. OLower Level Finish /.e.C, ~ o Fireplace PROJECTCOSTIVALUE (excluding land) S 252-, C>~ OPorch ORe-Roofing ORe-Siding OAddition DAlteration 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-me .oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with sUbmitte~nP~7ll'" m aware th the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ~teruPofr4 rtytoper~ nee dinspections. 7.2::21 h~<f-- Contractor's License No. /' ~ ~a: I I Permit Valuation I Permit Fee I Plan Check Pee I State Surcharge I Penalty I Plumbing Permit Pee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ ;::;!."5"d, , ()O () I 1c/1",.~,54> I;:) /7. <)',? (~_-t I I I lor> , - /I')/), - ,9c; ,'7D Lit>, - This Application Becomes Your Building Permit When Approved ge""", <,~ t,,:o~ Building Official dt7j'-/ Date / Park Support Pee /: $ I SAC $ / :qC)/), - I I Water Meter Size 5/8"; I"; $ .7fcYJ.- I I Pressure Reducer $ 76 - ~ I City SAC and WAC # $ I~O(). - I I Water Tower Fee # $ '10t),- I I Builder's Deposit $ 1500- --r lather $ I I TOTAL DUE ~ C. n. 04- $AIlt24-.5"B I I Paid l Date 6,7(,,". fl' <r. U; II #--" I ~~~r9'- 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 ~ ::z:e~ S!t7;&~.&J ad ~~ Planning Director D"ate Special Conditions. if any 24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~\ c::]'?Ii1lA ~ ilrli iIif-. Canary - Engineering Pink - Planning -- rile (.enln "f tile I..ke CounlD'. BUILDING PERMIT "PLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~a.ncl~ ~~ APPLICATION RECEIVED q-BQ -otj The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;::)~7L(-() frZ<<tCU) ;J~ . - U Accepted Accepted With Corrections / Denied Reviewed By: ~~ ~ ~.'/7."J Date: 0/I?h </ a...U ~.....:::t= 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." c- $~1 rhf('fnlrr nllhr J..kr Counlf}' While "Building Canary - Enqineering r- Pink - Planniii!'i--> n. a BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST .I " NAME OF APPLICANT APPLICATION RECEIVED , . (/ '/ I... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections ~ Denied 14. e. K.12-4 , ~ ~.up Date: 5j/7~cf ~!- ..... ~ // ~J"-" ~ J,IJ#~ ~D ~~ ~ ~ . , ~~ ~.-a.JL/M~v' t9' ~ - , , Reviewed By: Comments: d.A/'\#' h~ Re.J A- cJ-f.:f / "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." &~~ fihit~ - "\yilding ~~~ary ~ EnglneennYj Pinl<- - Pla'lrllng Thr (rnlrr or lhr I.akr ("ounlr} BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST / NAME OF APPLICANT APPLICATION RECEIVED (~~Y it"' ,. .<.:'f~...t."j (./ - ~-::~ ,....,.\ ,~__." \._J Ij The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: "',)[/-ic[) / I / /"\ Accepted ~ Accepted With Corrections Denied Reviewed By: /J!1IJfl; Date: [;-LI-Oi/ Comments: S~e Reverse Side for Additir\n~1 Information! . . See Attachments: I) Graciing 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." 06/04/2004 14:45 952-233-1202 FINAL GRADE INC PAGE '" Date Rec:'d CITY OF PRIOR LAKE SEWER AND WATER PERMIT : e=.. ~,: I PERMIT NO. ~ 1_' lro If> 3, (;OW ",,!10llll .,. ..,.. \.I 0 1)'1use!'a!! or DriDl1D4 &lon ot bottoml ADDRESS d~ '1& (l(,)I1~..Q."'" PIl4-h fJ IJ) LEGAL DESCRIPTION (ollie< UIe only) LOTS BLOCK 3 ADDITIONThe.. LVi \d.s NOr-\-h ZONING (0_"") PID , OWNERc. _ _ (Nam<!) .....Ja..f\ d a..u (Address) '301 0 E.o.~ Con'<'\-'-'. .."" 4-, n h ~ t:\u "_1'\.\ ~ e- ('0 11"\ '- (phone) ShA.ko~c;L.<" (Citv) 5'337'1 (Zi. Colle) (Address\ APPLIC;.NT I (Name)\-ll".l\\ Gro...de.. \1'1L. (Phone)q5;)-~3"3-/~ (Address) 13\'5 Ma.tI'Q..s. S\-rL-e..+- ~O<l2...""'-. 5=>3,'1 \ f (A44m.) . (City) (Zip Code) (ContaClPerson) VOYln,p .~ln""'~ (Phone)Q!?;;l-;;"'30-/;)..DA APPLICANTSIGNAT~~.I:af7tlg)/dA'dP./7 DATE MICJJ~4 / / APPLICANT PLEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from structure Type of sewer pipe, 0 ABC ~ PVC Estimated length of sewer line5S feet Clean out (if required) located at feet from strUcture. feet. o Cast Iron FEE SCHEDULE Residential sewer and w.~ line connection $35.50 Industrial, Com'l & Multi.family I % of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Emmated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE S TOTAL PERMIT FEE $ .~~ Recei~~. .pt' (omte Ule O'Dly) This Application Become. Vour BuildIng Permit When Approved I Paid 0... m ~ ~~~ II \il ~' %4 hour nolle. tor.n Inspection. (~5 ~'JUtil to. ~5tP1\l17~ Suildilll 01lk1,,1 ~ By IBy Jul 06 04 02:38p Chris Bergman 952-492-5996 p.l CITY OF PRIOR LAKE ~ ~:w i~_, Applicant. ;~~~~::!N~l~~~~~ Phone:95~-~ Address: D Jl. 9t'/ Y f.o l\ A UL J (~(" bc<.", Signature: . #.1 A~ ~ x--::': . p Legal Description: lot Block Sub Site Addres.' ~<r7t.1 (ou<.:;<>>.\ Wc+h Building Permit ~ n </-6 Ii <; ?/' PIO # NOTE: This permit will not be processed without complete information. FIXTURE UNITS Th( emfllT flf 1M ulr.t' Couoll)o Quantity C) j 3 5 :J 1 I '3 Type of Fixture Bath Tub with or without shower Quantity Type of Fixture Rough-ins Water Heater Water Sollner Stand Pipe (washing machine) Sewage Ejector 8ackflow Assembly (RPZ, Double Check. PVB) Backflow AssembJ(Test ( lawn Sprinkler ~ Other ~~ $ $ $ $ .50 Dishwasher :5 / / / fi.fijQ il~]d{ $... ..'-"~","""G~[r b1ijIJW~~ I.\l~\"1\'/r ',: L This permit is grantd UV". n .h, 't:' "i..'ir~t'i:'i.said contractor. shall con~' ~ t{F'.~ t~ . ces of the State Plumbin: n~h endments tI f. R 'w'Jffi. 9 2884 TE \A J SST Call for all inspe w~ns 24 hours in advance'J 16200 Eagle Creek Av. S,E., Prior Lake, Minnesota 55372/ Ph, (612) 447-4230/ FAX (612) 447-4245 An Eoual ODDortunitv Emolover Floor Drain lavatory (bathroom sink) laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Industrial. Commercial & Multi. Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residentiai, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL , ,.',- CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd 'I - L-/ s-f? ; ~~" ~::y 'PERMIT NO'd TJ'~-1 J. Yellow Apphcant I - ,. I f?lease type or print and siJm at bottom) ADDRESS d <61t; ~Qa-u rad I ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ~~.~ A ~ ~Q."J/l."; G.....-<.+fI/(:,1,Oo"\. (Address) 6>. '1-1'\.<--. (Phone) {N... - &,.7.j),.... G,,+rc~lk(-<, ,T~ (~~/d-5'cR-q;JJb ~ddr~ 0'll J-b-,z.:J(". ~r::UL ~;;~/~t4~P;~,... S-~!.~~, (~n) j}J;/~ ~~N\ /h---cp..//1-5Qe-rJ,].b APR J /iW ?/7/()(/ APPLICANT ;LElsE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS .URNACE MAKE AND MODEL Fr;'1;J.~,\.... F 6 GTe 09 J - v E FUEL .#:4- FLUE SIZE ,j'" RETURN OPENINGS INPUT 1A. coo OUTPUT 'it'/, tJOo TYPE OF SYSTEM DWarm Air Plants [;Jg.ravity .k:f~echanical ~ir Conditioning DVent. System HEATING OR POWER PLANT D Steam D Hot Water o Radiation o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks CE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50~/pJ I paidM Recei~ No. I Date7-7~ll By C-1 r { V ----- (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 16200 Eagle Creek Avenue, Prior Lake, MN 55372 PRIOR LAKE DEPARTMENT OF _ BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS q8'11{ r ~~.-. 7>4:/:Ja NATURE OF WORK AJe.w USE OF BUILDING L 51= (:) _ PERMIT NO, ~l./- 04-5~ DATE ISSUED CONTRACTOR ~'t.:::IAu. ~~HONE~Q(j NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 0'2 -'5(;3 <5("l..0 /? II!!lPECTOR DATE I FOOTING Y J/f IS. 2~ , FOUNDATION (Prior to Backfill) I J) I (,'- ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - I~ "17 rJ>~ t.1~ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL - PLUMBING fZJ HEATING (if reqUired) 1Jc... fjj FIREPLACE Furi,,1p V~ 6lLlj fl, J-/...t. GAS LINE AIR TEST '^-{IO COVER NO WORK UNTIL ABOVE HAS Bt;::EN SIGNE?/ ~nlf;/Ctt,ru/lGJ)m~. I ~ - #ti- I 7/zrtr;1 , . -;;...-...-A, ~ FINALS _ rP".H~ (fhfl-M'~aI GRADING (Prior to Sodding) N.J5 9 - '1 - () y BUILDING 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, vie u-3 "Z-fJ ?'-I-b 7-9 1-0 - '< FOR ALL INSPECTIONS (952) 447-9850 --------..,--------.- ..--..---.----..----.-.--.-.... 'c"" QIrrfifitafr of @tmpanty CITY OF PRIOR LAKE @.rparfmrnf of ~uilMn~ Jlnsprdion B Final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the D 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 04-0458 Use Classification Bldg. Permit No._ Occupancy Type ~ R3 VN Zoning District R1SD Legal Description Type Construction L5, B3, THE WILDS NORTH Owner of Building: Contractor's Name & Address SANDAU CO~sr.~' ROBERT D. HUTCHINS ill, 2874 COUGAR PATH N.W. Site Address 3010 EAST 4TH AVE., SHAKOPEE, MN 55379 DON RYE City Planner Date: (\. (" BUiing Official ",-I J-(J , , Date: - DATE TillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7-7- ot.j ADDRESS :;J.~ 7'1 Ca/Cta,.r ()41h v f CONTR, OWNER PHONE NO. PERMIT NO. 6/- ~r) o FOOTING o FOUNDATION o FRAMING o INSULATION ()(fINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL }( ~ILLING , 0. COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: h/'b././e - nIL r ..LIdo ~ - ft)}' )( WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector#~ Owner/Contr: If ~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ '''''"''' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 22>1 (j OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING o INSULATION J2"'FtNAL o SITE INSPECTION COMMENTS: DATE TIME Ou,~ CONTR. 7' -{o..<)< GJ JJ-, SCHEDULED PERMIT NO. 4 - q,c;g o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o I'l \c ~= d """'10 ..LL".. .C' ~" /' ~RK SATISFACTORY, PROCEED o CORRECT TION AND PROCEED , CALL FOR REINSPECTION BEFORE COVERING Inspeete Owner/Contr: CA 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~UlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! .-0" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ? S-r4 ~w 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 7MECH FINAL DATE nME <=t -7- e>f 4 -(nS~ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: I,~ ~(JJV....I> ? M~~ oMIT) ~ O-c .' -.t;... ~ IOn.. ( ~ ,"X 17\ J...D ~l~~ (,. , \-"1- ,"?-~-61 d"n \,) 2.1 {' ( o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED X.CORRE~CCALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ""NOn DATE nilE CITY OF PRIOR LAKE 't-Cf -oS' INSPECTION NOTICE SCHEDULED I ADDRESS 2!fLC/ Ch,~ (j)~ OWNER CONTR. PHONE NO. PERMIT NO. /.{ -0 <.(~ o FOOTING o PLUMBING RI o EXlGRADIFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL ".c-FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: d;;::;:-LN-l-S,;.;:...._1" /. MID '2.._ ~ Le. t:-n-.c..J' ~.~.~ -io/b''''.. ...f . ~ b... r 3:!...J...:.-I LA.......... S.oll...k~~' o WORK SATISFACTORY, PROCEED ,... o CORRECT ACTION AND PROCEED llJ&:~.:t.I""t"""",,- RK. CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 44 85 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~EMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY! t.-n