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Home My WebLink AboutBuilding Permit 01-0017 CITY OF PRIOR LAKE BUILDING PERMIT, I TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I AND UTILITY CONNECTION PERMIT ,~ It;; Of) L Wh;" F;'o I PERMIT NO 2. F;,' CHy . 01-""'" 17 3_ Yellow Applicant VV' (Please ~e or orint and si2Il at bottom) ADDRESS 322'8' Lc..,~e.. ~h,...~~ C;rc.l-e.... ...u. UJ. Date Rec 12.-15-0" I ZONING (officeu,,) I f?/ SO LEGAL DESCRIPTION (office use only) LOT3Z.BLOCK I ADDITIONNor+hwoo~ Oc../L.~ Z::s.J.c..-ks .;I. ^1: PID 25-37/- 032-0 OWNER, b I \ ) (Name) l"(',~s oro~~ NC:ll"leS (Phone)b5/-l/"?O-/~f5' (Address)~7:ro - '1D~ 5t. 5. C1:,f1-c.qe CroIl!.;)A,.{/ ..JJo/' b~/- 7t 7'- Z;7.J(F) '-J ' , BUILDER (Name) <::c..Ii"\.e.... (Address) c::.....':;;. G:,..k,I/.e........ TYPE OF WORK ~ew Construction OLower Level Finish o Misc. I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee ODeck o Fireplace ~ 'mI-.. Becomes,r Building Permit Wheo Approved L J;;;] .AJ t--.... I:J. <20' ~ Building OJdal - Date , (Phone) OPorch ORe-Roofing ORe-Siding OAddition OAlteration OUtility Connection PROJECT COST/VALUE (excluding land) $ 19/:', Z/D # $ ASO.Oj $ I ~5o.fJt) I $ } I '2<'. 001 $ 45. OQ $ I, <;;2 co. eJa , "~:~ $ J Ie::; $ $ '6: 4-70- 23 I I I 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 Y~""Y"'HJ 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 "I' ~esi~ee may enteru.r~nthe7i... t~performneededinspections. /-7-. - ,J -00 ~~/L-~ ,)..o()5'8'S30 /-91>,"2>10- '" .;... Signature '<""~ Contractor's License No. Date VQ.\ue ,ql'D,ac::o 1$/,53/.30 I 1$ qq.s:38 I 1$ ql,./l{J I $ I $ J 00 . CO I $ I DO.DO I $ 35.S~ $ 40.00 I Park Support Fee SAC # I Paid ~14-7D. 7-~ I Date f- 11. .1'1 f I Receipt.}lo. :s~e(. () Bv I j.(h 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 ::~pmnnaconstirutes a temporarycertifi~;;mic;ance and al102::cti~co::e BD:~erti;;:foccupan'Y must" . ~-r.:c;;- D!te. - ~.rconditiOnS,ifany . C/)/V'1J:iifA 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 Water Meter Size 5/8"; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # \ DI.601'1 TIle Cftllft' of ... taU C.,.BIr7 White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPAflTMENT CHECKLIST NAME OF APPLICANT J<: / AI G S eo te.. 0 U (5 f-I He: iv/ F.S , I APPLICATION RECEIVED / Z. - /5- 0 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 322..8 v-J/Ct:.- Be- UFF (!./R-CA.....6 N /tV N~ Q,IQI E~..., z..,,,, AcomoN AcceptedV' Accepted With Corrections Denied Reviewed By: LLL Date: ~ Comments: ~E:E< fe::J/A25~ ~IOt:;" FQf A("J{)I77/J1/JRI (/wj/n,c-}/.!rS. l.)o17!::: Df2Il!IIJArl)':: ~AJAIJ:' mu~r AF: BrABUc,#et:) /JJJr,l/~ f)((f'rWIlVJe E~ 1)dIJ.le- L.Ot L/AI~ B.t:7tIe:JI::1IJ /.073 31152. ~e A 7T11CHmF-ft/r3.: i) nRflO illlf., Mill z) c:lZa5ION CnnrrRtJI... m;::n~ 3\ FRDS/nlli f-'JH7Jenl. Pu'tN , '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.' ~\ DlwOOl1 Th, C"nler of Ih" Lak" Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /< / AI G 6 Bo 1<.0 U 6 H HoP16S . i APPLICATION RECEIVED I Z. - /5'- () 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 32.2.8 L-A/C6 /3(., l/PF (!,/JeCA.....6 N W Accepted Denied _ Reviewed By(;LJJ j (... Comments: Accepted With Corrections ~ / Date: 1~':20-~ I. ~ QII Q.ttQ~&l lI\~oul-s. "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," .' ff~~ bl-OO l~ Thlf ernl... of lhr Lakr Country White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /< / N G C U /<. (; U (5 f-/ He /L/ EC . I APPLICATION RECEIVED I L - /::; - () 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .2 22c> /...-/-Ikt:.- L.L 1/ FF elk: eu::..- N ~V Accepted f.~ Accepted With Corrections Denied ~~,~~ Date: t1-/2-?/6b Reviewed By: Comments: ~ ~U"l-'4 ~~ (AJ~ Sfr~ ~~ ~\n/Wu t/l.C)tl-tJ o/~b.. S:9~, M1W~ -' ~~_ ~ r..AVll\o.-v- rv~~O ~ L (Q e 4) ~IV\.O' /II ."10;.:, ----------- ;-." "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." ,,' ..... ~ ..... .euow 0 -_n GOLD . or'" CITY OF PRIOR LAKE S.W.No. D 1- 0017 SEWER AND WA~ER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPL: CANT: l)LOL)(( tAlk,\...w n~ ~ ~l,rp& WA IG,J;'c.. PHONE: J&I-U ~() -$?l.JS/ ADDRI ss:~\-I&~8-ftf'..):'(~1h. ~ Bil3;bATE: 1-10--01 SIGNJrURE: fi)VJ4~( /~"":::> V BLDG. PERMIT # 0/--00/7 SITE \ODRESS: ~~rl.2..J...o.tC"_ ,~\l.ft c',rc..\f' PIO' ! P'I LL IN THE BLANKS I 1. 11 ltimated length of water service ~[) feet. 20 El cze of water service \ inch (as) . 30 1\ ,cation of any couplings from structure feet. 4. 11 'pe of sewer pipe. ABS_ pvcL Cast Iron 50 E: ,timated length of sewer line ,t:::;O teet... 6. cl ean out (i f required), located. at feet. from s ructure. FEES: omes your permit when approvid. OATE: 1--11-0 I I ==G::::-=:;' :::S:;;:=3I;;; ~=c=~=z~~=z_cz~_~__~~____#_==a.C~=_Ea__E=B_~=_~~== .' , This 'i pplic 8'i_. ===~1!lo.==:~, lac==_a _~==~C==G=~_=S._:__C~~_=_~~3__~~___=_~==~a_===~;=._#=~ $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * F,!! tor either sewer or water individually is ~.5il plus $ ,50 surcharge 0 ' * s.! ~er and water permits issued for new construction must be r.! lorded on the building permit card at the time of issuanoe tc: insure that no duplicate sewer and water permits are if! ;ued. OAT!:: I' .ID RECEnl' # AMOUNT PAID REC'D BY . -~of~ 'C\j\~O\~ 16200 Eagle: :reek Av. SoB., Prior Lak.e, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal opponunity Employer CITY OF PRIOR LAKE MC . 16200 Eagle CreekAv. S.E. perm~No.O/-~rJ/1 Prior Lake, MN 55372 .TYPE OF STRUCTURE I. Pink 2. Greon 3. Yellow File City CoottacIo< Heating Contractor (1OOf)(' JJ: Address ~/.tr , Skrd; (~p AlII (qjJ.&, 7&3 - 7R(O - 834/ HcD.:fA/ 6ft> Furnace Make & Model lDooo--n?, Address Telephone # Model Size (o1Jr:1) Conn. Load Fuel }fO:flJt11.l .Flue Size Supply Openings Return Openings '" ,QOC)- Input ..341mD Output Edr. >? ,I Cfm. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Cond~iening Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices TYPE OF WORK x AReratiens . Replacement . Est. Comp. Date Repair Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAl PERMIT FEES $ New Construction J4-4--ol Building Permtt # CR.5/:) V.50 Lfo.\:c PAID WITH BUILDING I-c;,,:~.'-r Receipt # Single Family Commercial J( MuRi-Family Public Other , Two-Family Industrial 1% of job cost ($39.50 minimum) $99.50 ~ I) 1\))\ $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 buildina IlmIIIilIllllllllir before build- ing certificate of occupancy will be issued. I:IfAI CALCULATIONS REOUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or addttions send floor plan with 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 447-4230 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 buildingfmechanical 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. I ~hLb_~v 3-C!)9-0I . / ApplicelJl)f Signature Date 0,( / 4, -:s-() 1 /'~ jBUilding OfficaJ's Signature Date ~~ CITV OF PRIOR LAKE MC 16200 Elgie CfHkAv.S.E. Pelml' No. ill-()() \ I Prior Lake, MN ~:t'2 HEATING APPI.ICATlCNJPERMlr Dale tJl- ;).q- OJ PlO. S" AddJess 1:;;;.8 l..t:.UeJ3kt ff I' /,,"'./, Lot _ Block Addition Ow/ltlr'. Name K i IIq{; Y1tJ r ()~ h !-Itln] (I." Addt_ Healing Conlnlclor 8/trlt'/ P'/1.i:li1g <14/ r AIl<<ISI ~ lIdfr/mlln Avi' /J. S;S" ~"-'DJ,' TeJepI\ollll' ~., J - '-Ie::.. , -KJ R J Fur_ Make & Model Tia ~ 7.cuCYJ JVlE OF SYSTEM Warn Alr PIlInls GI..i1y Me<hanIcaI ,.. :ondl1onlllf 4. ~ TnlnP_ VerI. System VtJlr'l?O,1r HE\11NQ OR POWER PlANT 51.... Ho'W_. Rallalion SplClal Devices Mode' Size Ion ...IT'D B.i1.L CoM. Load FlHll~FlueSize ~.. SUJllI/y OptInlngs ilp.p r D'f- I P, ReMA Openings ~'l. q InpuI Output Edt. Olle. DnJcas elm. "YPE OF WORI( Ah.81ions New Conslrudloo )( fleplacelrtlnl EsL Com,. Ollie ~Permftl RepaIr Eat. CotI' () 1- DOn PAlD~ 9U\\.D\NG~. . HEATING PERMIT FEE' STATE SURCHARGE . lOTAlPERMlTFEES , .50 a8C4lpt . IYPE OF S'RUCTURE f....... Ale- 2.0_ Cl\r !. Ydlew c__... Single Family C<>mmen:JaI J( Two- Family Indulllria.l Fee ScheduCe IndusIrial. COIIIrA&Il:iaI & MuIi-Femlly Realdential, Heating & AI; ResidenUaf. Hlaling Only Reaidentlal, Gaa FiIepIBCe Rellidenll8l, Addilions &. AllellUona Residential, AI; Only Mulll-Faml1y PLbllc O",er t"" of job cosll"9.60 mInimum) 191.50 $61.50 t39.50 $3'-60 $3iI.5O Remember Co add the SIale SUrehalue on 1/11 boIIon oIlhie IpplicatIon. The price 01 yollf heating pennil includes onuough.1n and one final i,_. . ..;,.n. Addillonel',.." ,.:'. ." will be billed all35.DOII6CII. House ".,;. ,Tesl Reconl mulllle submltlll wllh :wIIIIJmlJllllllJlllllllll: bIIoIe build- Ing C81l1licel9 01 OIlCtlp8ncy will be Iuued. l1fAI CAlCUlATIONS REQUIRED wiIh nunber oIlUJ1P1y allO mum apeninQllIsIed per room wiIh CfM'e per openIflv. New slNCIune or Itdillone eendtlllor plan wilh lUppIy and I8hIm localJ_ ehown_ HEAT LOSS CA.CUl..lJlOOS, PAVlIIENT AND API'UCATIONS MAY BEMAIlEDTOTHEOTYOfPRIORlAKE.1l12OO EAGlE CREEK AVE. 8.E. PRIOR lAKE. MN 55372. City Han business houlS I.a 8 a.m. . 4:30 p.ll. AU WORK MUST BE INSPECTED IROUOf.I\I AIID FINAL)- CALL em HALL 447WO , hereby Ipply 'or a mechanical .YII_ paml! and Illclmowledga Ihllt the inlGrmallon above Is eompJet. and ICcooI.; IIlll th. work will be In conlo,mance with the ordinllllCel and codes 01 the clt end Nlltllha etele bulldlng/mechanlcl' codes; that this lo.m does not becomn plrnll until "lined by the BUILDING OFFlelAl; Ihat the _rk will be In aCCG'danca wIth the approved plln In !he cas. ~olk hlctI re~Als .evlew lAd a,proval of ~8". /~ tJl-;J.q-O/ AppIlc~ Date /~ /-Zq.O/ ~ Olftcal'a Slgn8Iure Dale .,.. ;0 ~ D tII - z /fi ;0 D Z t:l Ul o z ~ Iii z p '-4 ll< ? I\l lD I\l ~ .... .... IS> ~ 3: "ll .... PRIOR LAKE INSPECTION RECORD DEPARTMENT OF . BUILDING AND INSPECTION SITE ADDRESS 3 ~:a.8 RrA.F.e.. ~ltJ~ Q.r. NATURE OF WORK t\Je.J USE OF BUILDING S fC'l PERMIT NO. 01- 00 n DATE ISSUED ~ - ~O~?~ CONTRACTOR ~ltQ~ PHONE ('SI- ~R'1-I88L NOTE: THIS IS NOT7PERMIV FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~PECTOR I DATf. I FOOTING ~()"".. d'f{l8li~" I 15. \!/~ I / / I~lol 'FOUNDATION(PrlortoBackflll) IF t/iC<jol/'l>v' I~II' d;).~/ol ;gr/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH -,INS , SEWER I WATER I SEPTIC) 'Ft .VQ.\Nt I lQ.41 el FRAMING W V ~( ~~I INSULATION · ~ . 'I4J~ J l~~lot ELECTRICAL PLUMBING -C'Y;f'LV..PJ. ~)61t101 HEATING (If required) (' ~. \ I ' FIREPLACE <R 1/111" 01 'I GAS LINE AIR TEST tt\(;(~>\ 19.'bh3V~ rr~~e, 41a31\?>v' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS Nfi 1.I1.pJ '~ .\Xw.f GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT S-}:;l}b( t..~~ OCCUpy UNTIL ABO~HAS NOT.ICE. 4 'JI n\ 5 ~tll . BEEN SIGNED 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 entranee. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 of (Jrropanry CII r OF PRIOR LAKE Ilepartment of .hdtbinll .Jn~pedion III Final Permitted D Conditional C.O. Expires This Certificate issued punUQlll to the requiremelllS of Section 307 of the Uniform Building Code cerrifying tlral at the time of iSSllDlU:e this structure WOJ' in compliance with the various ordinances of the City of Prior Lt:IJu regulating building co....truction or use. For the following: Use ClassificatVn Sinde Family Bldg. Pennit N', 01-0017 O<:cuJllllCY Type R3 _ Type ConslrUc:lion VN Fire Zone N / A L32, B1, Northwood Oaks Estates Second Legal Description Zonins District R1 SD Addn. 3228 Lake Bluff Circle NW Owner ofBuildiDg ~i.. Addrell -..., Con_r',Nome&:Addresl<ingsborough Homes, 8750 90th St. S., Cottage Grove Robert D. Hutchins 'AN'l V V, - City Planner BuildiDJ Official J 1-)..,- (fL 55016 Don Rye Da..: Da..: POST IN A CONSPICUOUS PLACE " . ' " ,.~ .. ~',~'_. .. .t...,....:.,. .L "'.;.~,.'..~ ,--.~"..,...~,. ..:.. ." ',,,, ,,'..;c, .-..:J.',_,:';';'.":'.'Ji',',......,',._.r_,,'," '" . ;. .","...-.:, "-'-'~ '..:.. CITY OF PRIOR LAKE INSPECTION NOTICE A1: L 11ME SCHEDULED ~{ ~ ~8 {M:~~c'~C~ ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. 01-/, o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP 1\ ~EWER HOOKUP ~~LUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ( . v'J^lAM.-ttMJOlP A'- (~ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, "LL FOR REINSPECTION BEFORE COVERING Inspector: ~ ~I~ Owner/Contr: CALL "'7-9860 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/ maNDTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 32.2..& t.c, k~ Siva C,l, OWNER CONTR. PHONE NO. PERMIT NO. 0(-/7 o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP lJ PLUMBING FINAL lJ MECH FINAL ;JiI(EXlGRAD/FILUNG lJ COMPLAINT o FIREPLACE RI lJ FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: (..Ir~ hf'))( - t') k (;, rrul,' h ~ ,.... at X WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspectorh'i -' r=. _-~ Owner/Contr: ~. CALL 447.9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/ /N3NOT' CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED S - ';;-0/ :3 ,~30 ~g-;)fl ~ 6)~fp ~'r ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. 01- f'/ o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI /l..- 0 INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL r> $FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST o SITE INSPECTION Pr p'MECH FINAL 0 COMMENTS: I ,-tfMIJ10tarLj Of' fecw'll1~+ d.8ve..-l-IMz.ll /fI,., ",1'(,'0' \ \ ~ - . t~ib~ &~~f"""" ~ ~ srJ ~ *-1%<' fev develofev..&i\-t- ~ ~lfI1)..J- be- "VI e~e.Mp~~~ +~ GO ,.uv\,~1 F3!c:,l~ /WORKSATISFACTORY, PRO D o CORRECT ACTION AND PROCEED o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING Inspeelor: ..B. , J (J>>IJ Owner/Cont.: CALL 447.98~O FOR kE NEXT INSPECTION :u HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ """""