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Home My WebLink AboutBuilding Permit 04-0582 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd s: 7,0'- I.Wllite 2. Pink 3 Yellow File City Applicant I PERMIT NO'Otf. 0582.1 (Please tYDe or ,rint and silll at bottom) A>> .......,.,5 IS)..)tJ F""'II'"" 10 lUjI\. Shore .s ZONING (office use) j::.lrL) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 25". 93"'. OJ'S. 0 uW~' ~e~1t E lea. '"l-'t-V"" .L- ~ <'I: eLC S 0 VI. V<"lJlev I (Address) J't'D "- V I e.-.v Or. (Phone) .:r () vd...a. '" ~ I d- -711 - O~l-j) ~S ~ s-:>- j BUILDER (Company Name). (Contact Name) (Address) :c-- <; Gt (.L C. S t? V'\. t:{/ ; 6,^,-+.,.~hV',\ LLL(Phone) 61;}..-1"N. -0 ;).. I "\ (Phone) :,:,:,i:..,..~..", WOIU{ ~ew Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection D Misc. CODE: ~.R.C. OI.B.C. Type of Construction: Occupancy Group: A B Division: I E II F 1 III IV H I 2(1) @A@ MdClsu 4 5 PROJECT COST IV ALUE S (excluding land) ISO) ()t) 0 I hereby certify thaI 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 ;""'':;:'"0 th~ p"mi,??," Furth,nnore. I h,rehy agm that th, dty offidal;.a~3'9~ '; ;?-P'Oprny to p,,'o,m n"d'~n7;~ It> Lj r' SiJnature ,(__..~...". . License No, Date I Permit Valuation .;/e:J"Z ()()t!),orJ I I Park Support Fee # $ I Permit Fee $ 1&35;S-t!J I I SAC # $ - I Plan Check Fee $ I ~'? OJ! I I Water Meter Size S/8C,SJ '2 $ "30t:l . eO . I State Surcharge $ C1f(',!5"O I I Pressure Reducer $ 70,00 I Penalty $ I I Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 100.00 I I Water Tower Fee # $ Mechanical Permit Fee $ /00.00 I I Builder's Deposit $ 15"O.~O I I Sewer & Water Permit Fee $ 35, S-" I I Other I $ I I Gas Fireplace Permit Fee $ ~a. ()tJ I I TOTAL DUE I $-f/142.ofJ I t-i.:t q 0<. '.:J ii ---- This Application Becomes Your Building Pennit When Approved I Paid RecztNO. €-fbY"'.:J I ~ ~ .5 Ar10<</ I Date r.,.,. / t/--- t.J By ';I i t7 Building Otlicial 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 a... 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 b(' '''7:m". n _ Q - ~ I)U '(1+ . f ntiL- ~ i>lannin~Iiirecio,' ~;. ~condi.e,ll1 V 24 hour notice for all inspections (952) 447~9850. fax (952) 447-lUM; 16200 Eagle Creek Avenue Prior Lake, MN 55372 02:27, Centraire HVAC Ji~llii ;.....". 0 · .:......". :::":::::::;:), .t:.'j:;!;::!:, . ,,:, t. . ? l'~~'y:jr .'. . 'rc~ ~JC-o Pre ~!r :~.~}..'::..;;.,.::'i,i;:.';.' .....1!f:t. ., ~ ~f.!...in' JlJA. <f i:&:}) .~ "",lVi'I''' ~n~~.or, VI rr ~~\~~\;::). ;!t:!J"ii:~lj:::.' . .' . ..' ,';:!!:j' ~w f41-ItA1::.:" ..' HOUSE HEATING TEST RECORD ADORfU 15.2..30 fiUri&J1A. aJ_~ APT._FLOOR OCOJPANT T....e.s.IN.~~.. OWNER HEAT LOM OAT~G. )NS1", /~Pf . Sa.O B'f <~~ _ e..yl"'<;t - INSTAL.L.EO IY /AIf'ffiJ.Iir'P- EI....lcol Work Br an Lt... .. -,,- if TYPE OF HUT GA -,-FA ~HW _STUM__SPACE HTR. _UNIT HTR. _OTHER GAS OUION CONVERSION Nov 03 04 MAKE ......1 S.i.1 INPUT A~ ,r~~Sl?FJ5 CONTROLS THERMOSTAT ~ H.., PI", V.I.. _~~*'" LiMI, ~ ~ li",lt s.."ift' _~ F So, ..'" L... II" .llnl . Pil.t Typo tfli/ PII.,IIo~. ~.. .OJ#( .P,lot"..1 ' ~ PII., Tirllin. ' L.W, Cot 011 HA- P'.lIlIt. _~~" w.e P.rnnt co] _~ 1"111 CFH. /,fX') ,.."..... 0 , 1- - Steck T.",,,. ' ile. . P.ce"' co b 'AA J:.. ..':' "' :,:~:' ,.::::" ';; 952 941 1967 p. 1 . .:>",',.. , " ~ '. .",. _~:'::~:l::::.:'. ';:":: ;<., ",,:,: "','" ...... .-: :: {:; ~; "':,". ';. .. '" .. :' :'.', ',~ : i: "." .Jfr;b "/7074C11t CITY SUBURI fW'~ .....u OF BURN ER' 110..1 M.a. BTU Rotl", MAKE OF FURHACF 1104.1 .. '- ----- ---- ....... "_n' $i.. ~ ~ KIND OF LINEA PI//:'; SIZE NOHF C.t1k H..4f R.,ul... Flit... SI.. .2I)I\ZSlCL Ny...., I Odm..., Loco.lon In.I.... W-- 0ut.1";: o,i",ner C.".tructiDn f I'b-~.A.I-L! s....k8 Sa",. On" Door Pt........ -- ...... Do.. T ...... . eo...."" T..'i", H.... .f T....r " Wlrln, /' T.., T_. - tarsL'....I.. 1.", ~ /.Ii' 1i1t- .. N..17 A .' " ....o____..n.._.,_____ __ ::';:::;';:;:;'.::': ':::; ::': 'y;;;IHi::;:' .;;"< ~.. , } ,-",. . ~\ White - Bulldinll ~aQJrv_ .. Enqlneerl~ Pink - Planning , " Thf ('fnltr nf'lhf L.b ('ounu, mnJ..OING Pe:lMIT APPLICATION OEfARTMENT CIiECJ(L1ST NAME OF APPLICANT APPLICATION RECEIVED , .2--:.,:-;>/ I- ! L.":'~ {J;J i ,', ,"'''1 "'~7)"- .,/' ,;/' / I- .:-//";' .<A / /,- /v / IF{_,r, <..>./ ..... t<:.._ .' f.... (." ... ..... ":7.(4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ) ::- L. .3 () /";-11 Ii L rI //\/ t~J,Ntlli>6S Accepted Denied )( Accepted With Corrections Reviewed By: IJJ9J3 Date: t:-/o -04 Comments: ~pp Rpverse Side for Arlrlitinn:lllnfnrm::ltinnl See Attacbments: 1) Grading Plan, 2) Erosion Control Measure.1Il "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." , .. ~~ Th~ CPnlft of Ih. 1..".. ('ount.,.. White - Building Canary - Engineering ( P,iJ'K - Planning) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLlCANT.[-> I/' I ,-/, / i (/ I. -':/. ,jl it '- -:1 I'il I I APPLICATION RECEIVED " 7. ( ~-~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I~..:......( />1//< tli!! I -'1.I"'. . -.- ,r'..()h-:;.-_ Accepted ,/ Accepted With Corrections .. Denied Reviewed BY:~ Comments: U Date: J ~1tUj(uUU ~ JX. ~ - <o/((!C5Lf I · "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." ~nlt. _ Buildma--., Canary . Engineering Pink . Planning Thr(.rnlrrl'lflh~ l.ab('Ollnlry BUILDING PERMIT APPLlC.ATION DEPARTMeNT CHECKLIST NAME OF APPLICANT ..z-S/l"rrasoJJ 60A/'7if!.A~ /1f/(,.kSII'1~Af / APPLICATION RECEIVED ~ 7. ,,4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J S 2-30 PA-/ /!.,.l..-I'tW JJ .>f#t2.6S Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Date: ~</c:018Io<l Comments: I!I'J.a.Lf' -'It .1~~ - I?"II c:.... ~...:.J ~~ ~......,~ a.U~_ ~,~ ~~ \.f.o .- '_+.11 ", ..~ ~ .1<L.t..A~ - ~ /f.... ./ T. c . t'J . -I'~ --4-4 .A. . j7 . - J ~ ../I.-.j} ..d" ~ ' ~ , ~ ~ )'-e v "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," . llo/Lf -cHI CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. P8rm~ No. Prior Lake, MN 55372 04-. 0582- Block Add~ion Owne(sName :r.5 ClC{~_<.o.A/ Cl!')--U.~,:f-"ID' 1-roA/ Address '/ 8:3S 'Te ~ra k1h P d - l3/a:x;,lM.1r:U./J Heating Contractor t' .e.",~"'" Y"a {-).,o J./i6 JA/c. '-"" .s5if.3B Address /Yt>~ U/~,he;i?:J,(/A-{/... EP S.s33Lf qsd-qC{(-.......'b4'1 . Lot Telephone # Furnace Make & Model Qrre.-Ff D Model Size / <~ Conn. Load lid. Fuel.LJ/ AT Flue Size Supply Openings .3 t(I"Vc. Return Openings Input/IJO. ceo Oulputgd ()Of) . . Edr. Cfm. ,. ~ 00. (;X::) F TYPE OF WORK Merations Replacement Repair TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Condkioning Vent. System HEATING OR POWER PUUIT Steam Hot Water Radiation Special Devices - ../ l/' Other Devices v New Construction .5 e,af ~ f.{ 04-.0582- FAtO~ 'I; ILD!NG \","j,"l['!;IT .;f~ -- Est. Comp. Date Est. Cost $ >- 0 DO.. 00 Building Perm~ # . HEATING PERMIT FEE $ q 1J~r::;- 0 STATE SURCHARGE TOTAL PERMIT FEES $ .50 $ /00,00 Receipt # , Single Family Commercial TYPE OF STRUCTURE r/ Two-Family 1. Pink 2. Greon 3. Yellow File City Contractor Multi-Family Industrial Public Other Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Rreplace Residential, Add~ions & Merations Residential, AC Only 1% of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with buildin9 ~ number before build- ing certificate of occupancy will be issued. !:!fM CALCULATIONS REQUIRED with number of supply and return openings listed per room w~h CFM's per opening. New structures or add~ions send floor plan w~h supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-9850 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires.,review and approval of plans. 7/J-)/ol( Date 8. 5,04--. Date Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT 8, 20,04-- ; ~::w ~\~ I PERMIT NO, OA- (Jse? I ). Gold Applicant T ~ ~ Q?lease!Y.PCI or mint and sim at bottom) ADDRESS /56;13D rndnl''\r'"\ s:.h()(,~ 17/];\ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION P!D_;;l",q ~1.1l35(') OWNER,-, (Name) \"\; \ \. \ c::... N"\ OV\ (Address) /Q5015 ~(d (Address) \\1' (phone) lf1:;l j),' _. I _ I, ~ ~- (City) -:b./ .-li3Jl.p ,15:'?:~ 7 ~ (Zip Code) APPLIC~T \ (Name)Jjru11 Avarlp nl' (Phone)q5~-;;>33- /:;J..{){) (Address)'::SI~ W1a"Q.<::" S+ru+.:it-J SnCLko(v... 5PJ,'=<.jQ (Address) . (City) (Zip Code) (Contact Person) JJ1)YW\ i P ~l' .11 \l1i(}VY\,<::; (Phone) Q5d. -.::l~~-I..;v>/') APPLICANT SIGNATURE ~AU.; ~~ DATE c:?/ I:' /~~ / APPLICANT PLEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from structure Type of sewer pipe. 0 ABC ]gPVC Estimated length of sewer linoS feet. Clean out (if required) located at ~ feet from structure. feet. o Cast Iron 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 SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building pe~it # () 1--, ~ 0 8 f $ ~ .50 0/1' v? ~ $ ............- r' 0'.........-. " gl/ Estimated Cost $ (Offiee Use Only) This Application Becomes Your Building Permit When Approved -- Building Official Date Ipa~ I Date~, U J f' By 24 hour notice for .11 inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS I sz;:."3o FJ.j tu.AWN SiIOltes 1'RA.iL. NATURE OF WORK ~ Ce~p.'ai~ USE OF BUILDING S.F": b. PERMIT NO. 04.0.5'e2- _ DATE ISSUED ~ CONTRACTOR ~ l)>>.1r~-Ure.PHONE~-~n r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT "INSPECTOR OATE. 'FOOTING Ji,pl ~: JIH' ~;,/.rr1 #H- I '/~~If 'FOUNDATION(p;l~rtoBaCkflll) I ~ I J/?~r- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS" . / SEWER/WATER/SEPTIC -. ~ _ fi';..s/pf.- FRAMING /fIY- # %~/o1 INSULATION ;/'ypj. ;>-1f:J/"'./f ELECTRICAL A ?/J/.r PLUMBING /'t?- dY/L//'.<7_ HEATING (if required) /ff..4 P~'/6Y FIREPLACE __\ t.. /., {. -=,1 ~ "1; Jlflft~ GAS LINE AIR TEST &:#~: if ~.'Z: ~7#'Vr .7~Z~ ~ ' . . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ./~..fta.tl4' I J FINALS GRADING (Prior to Sodding) 1V.L5 BUILDING !i:Jt;t/J. L:tJ. V,.!,'! /1L-fL,J ~ I' ELECTRICAL I PLUMBING .#f.#- HEATING ~ DO NOT OCCUpy UNTIL ABOVE HAS NOTICE DEPARTMENT OF BUILDING AND INSPECTION cO . I I /1. z..#~+--. . Yif4 /1/.J-!t''I ?~p~y. /~/..2'-A'; "tJflC h~ , BEEN SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and malntalnad 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 @~difitat~ of @trnpautlJ CITY OF PRIOR LAKE ~tparfmtuf of 2iuilMng JJnsptdil1n ,#Final Permitted 0 Conditional C.O. Expires This Cenificate 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 04-0582 Bldg. Permit No nx R1SD Use Classification Occupancy Type R3 Type Construction VN Zoning District Legal Description Owner of Buildil"~ 15230 FAIRLAWN SHORES Site Address ISAACSON CONTRACTORS, 240 VALLEY VIEW DRIVE, JORDAN 55352 Contractor's Name & Address ROBERT D. HUTCHINS .,uU /~ City Plannpr /~Xrcial DON RYE Date: Date: ~ , .. ~,~ ~, ::'~ f', , >' .. ~j.'",:,',"';_,i'l,:.., ;..'<i" "r""Iiii" , ',- ~,-~-", ",../ .'\'......., ....." '-.,. .;',-,.,<...... ,Iio DATE tillE CITY OF PRIOR LAKE ~~ INSPECTION NOTICE SCHEDULED ADDRESS /573() k;,. ~(;Y"" ~y" 1;/ OWNER CONTR. PHONE NO. PERMIT NO. tlL.j-S"R2- o FOOTING o PLUMBING RI o EXlGRADlFILUNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP ,Al"1!iREPLACE FINAL ~NAL ~UMBING FINAL o GASLlNE AIR TST o SITE INSPECTION ECH FINAL 0 ~"ME.NTS:I ~/ / cVd-r~ hk ~ / !~i/~/?h4:/ I~I/d $t'''tO~ e-fi- -/~J r ~ /o~~ , /I'J-e c /, hI, 4. /, I ./J ~~i..-e f<-sh ii,.,- ~/f// r-r: -I- ~/VL ~~ ;;"") /' .~ I I I / ()/J (h; /-4-# U;,Stt T Tt'J r /dCJff/c c... PI ,,#~d h;.,~/ tf'r..c1c. #;;,4~1 /"::; f},,- c:!~c,,:"'a,n";. t:;. (}t!'~'.,I (J,y A/~ed W<:,d.!vY'-#'.,t.. e.' .t:J;. v<.......,y -n::> /1-161. r; C?J u.....,l; / //h~ ~ / --, , /" ,. r o WORK SATISFACTORY. PROCEED U//C ~ CORRECT ACTION AND PROCEED l' ( o CORRECT WOW;-'., CAL'-jOR REINSPECTION BEFORE COVERING Inspeelor: ~ Owner/Contr. o V CALL "7.9950 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! r;~ UWiDTl fS.2~ ~rl- L/2'/S-' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /S-...2 30 p;;~ ,d"'-'l OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION JOlI.fINAL -'t5 SITE INSPECTION o PLUMBING RI o MECH RJ o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE nilE /~4/~ Sl"'reJ 7/-/ eJo/' -S?..2- o EXlGRADlFILUNG o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GASLlNE AIR TST o .1/,/ ~ "" ~tI".r "c~/';(''''~ -T't!'JT ~ .zy. ~;t, , f?S..2 - -Y'7"7 - -Y..2 9"r ~~/ Ut'L ~~ -,~ (c:7~c5~ A 7e --- . /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO.~ ;.~OR REINSPECTlON BEFORE COVERJNG Inspector. ~ Owner/Contr. ~ ./ --- CALL ..7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. -, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEA.LTH & SAFETYI jS23() ~/'r~V"'l ~L.u",j 1" / J:S44LSO ., PERMIT NO. (7'f -s8 2..... CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION iH'INAL o SITE INSPECTION COMMENTS: j)r'.VLV...., , DATE TIllE SCHEDULED t!-~ CONTR. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL )ll.~NG o CO INT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ,/'L /)l(WORK SATISFACTORY, PROCEED - 0 "CbMECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING InSpectOr.~ ~_ Owner/Contr: CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH. SAFETY/ INSNOn