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