HomeMy WebLinkAboutBuilding Permit 03-1369
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec" d
q.22,03
;';';~:' ~:;y I PERMIT NO. /)'7_/.1':>1.0 I
3. Yellow Applicant UJ "....:) ft? 7
(Please tvn~ or mint and sign at bottom)
ADDRESS
14C;5(~ 5: ,~__;i C,'.iL..!." )z {,,/
LOT~ ~LOCK
LEGAL DESCRIPTION (office use only)
ZONING (office use)
r't/O
{ ADDITION Sr-e./2 { : j
g.':'e~R mbJd I-~ /J? p{b.,CJ/~~_ (Phone)C(<\:::J-Ld2.7<A Dl.
(Address) ?6()( (US-I..-L <;:.ic.v~';J ~./J/.e../)lr... ~p)-':::::"7a-~
BUILDER j /l I) ,r) --)
(Name) /7--7 e 'jo.- c;.)v~""'i" -
(Contact Name) ..::J'r-~p. r ~~
(Address) ?w( /4S:--"'''< sl'ev-=;.'-j-
TYPE OF WORK
o Misc.
~ew Construction
~ower Level Finish
~7~
PID 2fi 307 Of.:, q" n
(Phone)~<;;:::J -Lid.:J ' 7/..0 I
(Phone) (-,/;)." 701-Xb t..; Y'
t4f'7, Ll ( €-
I In.1L.~
. V
~eck ~rCh ORe-Roofing
~ireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) S r9.&9
ORe-Siding
43Q.:~Oty 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 1"""1''''''J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pI 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
~terupn rope1T:Z:::':~~ctions ----L?,e -'i):3 '7(/J 9-':';;,03
. ~~ture Contractor's License N"o.'""" Date
I II
I Permit Valuation
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
{&;:),.()otJ.i)O I
$ io I z..qS I
$ I 308. '1Z I
$ 14 (.00 I
$ I
$ fa(J,of) I
$ I"",{)(J 1
$ 35",50 I
$ "-/0, dO I
This Application Becomes Your Building Permit When Approved
I?~~~ .~
Building Official
/tJ!9/0.:i'
, -
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"(fl ~
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE rAlAiiO 16,ll,er $q &J32.87 J
'-If/) Q: 16: '7 I RB~o. ~ot/
117" I 'j - . "'>V -
#
#
#
#
I Paid
I Date
$
$
$
$
$
$
$
$
~tJ.CJo
JZ7S. fJo
300.0 ()
70. [) 0
/2.{Xj,O ~
700. DO
IS()O,OO
,
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
~hen signed by the City Planner consti~ a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ning~(.j ./O/~3 ~t1~ ~~c~c~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
$~'J;
Main File
White . Building
Canary . E!1qineering
,.-Pink - I'lanniD!P
T"~ Crnlrr of thr L.kr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tIc I)C/'v/l L-U (I (;(\j;-nC
(I '''--'7 ( '?
., .IA__ )~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J
) !..)- (/511 /-; u /-/ {VI / ( {i III l~A./f /\J V
Accepted
Accepted With Corrections ..---
Denied
Reviewed By:
~
r
~~
Date: /t? ft h s
~. ~,Ac.,~
,
~. ~ ~~,
cJ
Comments: ~...,p 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,"
ii~'?;
Main File
~hite - Buiuhnu -,
...c..nary - Engineering
Pink - Planning
Th~ ('enler of thr L.b ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11('/OoNltliD r j)tJL~'
CLZLD3
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatT;;q&tiO~c;UM~ ~s. ~ropos~d;t~_~ N vJ
Accepted
v'
Accepted With Corrections
..--
Denied
Reviewed By:
~~
~d-P
....
~.A.
I
Date: /0/ 9 ~J
.7;~
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,"
~1
Main File
...-White _ . BUil?in~
( CanA~n9In_
Pink - Planning
Thlf ("..nlt'rof IbO'I..k.. Counl",
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,l--i -- /;.
/ 1(' ()C /V 11 L,D (lJ\r:TI~
(I -;7 (,--:;
"I . /4,/~_ J__>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: i
J' ,J C/. ~){ / (:- f ) t /) {'l"l '-.--- (1/ I jl" I,,' it.' 11\.] I /\vl
r '.../,,~. ) v J I I ..', .L/V _ V
Accepted
k
Accepted With Corrections
Denied
Reviewed By:
/J14~
Date: /o-6'..-qs
Comments: ~PP RplIPrl::p ~ide for Arlrlitinn",1 Inf('lrl'n"tinnl
See Attachments: I) Gradimr Plan, 2) Erosion Control Meas:urP-ll
"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."
_ __ _"'~~-"" ~"'J.Vl'i. UXB
1@001
CITY OF PRIOR LAKE
HEATING/AlR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t'!'1e2.5G' tvQe. ~1'" t"cittr tJ:Id :ii~ a.t bct!l::l'a\~
ADDRESS " ,.
/~Q5t, ~ IY??/'>?/ I- C)/,
/30C7
t ~~':. ~~~ I PERMIT NO. 3-~ -
). V.II.... A9pl1n.nt .,..,.
N, /,j .
I I ZONING (.m""~
LEGAL DESCRlPTION (.ffice u.. oIlly)
LOT
BLOCK
AJJJJIHON
PIP
OWNER rO L()
(Na:ne) "I'lh flJAY\
COl'1.~!- .
(Phone)37,;;;l ~' 7C'.,r) (
(Ad.dress)
~~/"\^ll~fJ 0.,'1'
(,A.cidrcss)dL..::J/r, 6mA ~. A./J e r
tA<ldze,,)
(phone)
m.f",). '
. U (CitY)
-"IC-/\ ~ ?'O@d
<.<=:f,6.)2{
(Zip Code)
(Contact Person)
APPLICANT SrGNATURE .~ ',.-/; Z~~LJ
(phone)
DArE /./ - ~/-o3
. .. / APPLICANT :PLEASE COMPLETE :BELOW
. ;amWCONSTRUCTlON o REPLACEMeNT o ALTERATIONS
FURNACE MAKEA~ MODEL c.: 9MP~..J'\ 7<,Co;".~I-J~1' FUEL JJJl.1-
I'LUESIZE ..;;S" RJC-.RETIJRNOPENINGS ~'1' lNi'UT /~~' OutPUT e,9./"v"ll"l_
TYPE OF S.., ","M HEATING OR POWER PLANT
OW..-mAirPlllllts OSt=
Q9;D>-vity 0 Hot Warer
...Aa'"}1oehulic:a.1 .' 0 P.ndi~tlon
~ Conditioning 0 Spacial DcV'lccS'
AVent, S)'$t<rn 0 oOlber Pavl...
PLEASE NOT:E:
Air Conditione:' Units
COhnot Enoroach Int<>
Required Side Yard
Setbacks
, FIREPLACE M..AKE A.ND MODEL
---~,. -
- .._.
To.dustriaL Commercial & Mult\~?'amily
ll,,,tdonti.l. Heatlnll &. Ale (Now Con~<:t10")
:Rc3iclcfltiar. rr~tin.g Onl)' (Nc:i'f' Construction)
FEE SCHEDULE
1% ofjab co~t R.esidl;fttit.l. Gu FlrepI3::-:'
S39.50 minimum
$99.50 Re:sideo::i41I, Additions &; A]';l:r~tiCli13
$H,~O !l.esid'n~.(AC Only
S39.50
.39.50
SJ950
Estirnoted Cost S
Building reoni! i!
COmet O:l.~ 0"1r'
Tnu Ap.p!ication Becomes Your Building permit When Approved
REA TING PERMIT FEE. ,$
STATE SURCHARGE 5
TO'I'ALPERMITFEE s.
.50
PAID WITh
'- 8LlIL01t1IG pC:?~~!T
FOld
I ReceIpt No,
Builcfil'lg omdaJ
DaIO
Date
NOV 2 6 Z003
By
(K-
'--'"()
24 hOLlr MUce for all il'i&pcdions (952) 447.;,.98S0; l.t.x (9.$2) 447-4145
.00 Iii
lilY an10ll.LNOJ
9L.909tlS9 XYd tS:SO IlId COO.!l./ll
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\HT
i~: ~::.. l'-.PERMIT r:'o., ::::?_! 3t:. c I
J, YellDw .6,WU~l'lt _. _ -2 ,U
(Please ~~ f':t 'Drint and sign at boaom)
ADDRESS / V9 r"( C' J C I
I V (0 '01A mm iT ife> e
N,jf
-ZONINu'"(om"...)
I LEGAL DESCRIPTION (ofllce .... only)
i LOTtHBLOCK{)} ADDITION "'-<::;: -fefl/;h~ ~(), fh
~V:e~R N~j)Oil!A/d CoIJSf(lUtJr'QJ/},JA~_ (Phcne) ~-y,y;)..?h.L-
(Address) 1~J )YJJIh sf fPA\i..h/P I;/; !/Py / />fjJ S:~/() y
'W~;~NT gyP '--"far PJlJfI1~i'/)1:J Iht (Phone) t, \r/- Yr?~ cP /cRJ
I (Address) ?~9'J ;}fV.;f?) Av(:) ,5:>, VI GJI~~ 6rd Vp /1n S-\LQ!1?_
. 1\ (Addniss) ,/ (dIY) (Zip Code)
(ContaccPerson).-,1 J(}.I/P Shu.fh . (phone) _h\J1::-L:cl:-.9::/cPr1
APPLICANT SIGNATURE ;r{)~J./ ~ ,,1I'1u,;f( DATE LL -" () -6. --oJ
QU8IIti.,
/
I
/
y
/
:--~
/
J
,y
PI)
APPLICANT PLEASE COMPLETE BELO\"
I Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Ty:pe of Fixture
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machi:1e)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
I Lawn Sprinkler
I Other
/
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39,SO minimum Residential, New One & T we-Family $99.~O
.f Residential, Additions & AII.mio,lS $39.'0
Estimated Cost $ ) 0/ 00-0. 00 Building Permit # D 3 -- J J ~ q
$ ~4'v I.L JJ: P,AID
$ v ~80" WITH
$ ~ 1LalNG PERMIT
(om.. Us. Only)
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
, ,".-.-----~
ThO .:::-- YK~h~~:='~~::J!:~:, "~"~;'. r~'~~.
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO~1f1
z~
(Please tvtH:: or urint and siOl at bottom)
ADDRESS
14956 SUMMIT CIRCLE NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) AT.T .TED FTRFSTDF ORA FTRFSTDE HEARTH & HOME
(Phone)
651..633..2561
(Address)
,700 NORTH F AIRVIEW A VENTTP
(Address)
(Contact Person)
RRENDA HUSTON
~OSEVILLE
(City)
(Phone) _651..633..2561
';5113
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/12/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN 6000TR-OAK X 2
Industrial, Commercial & Multi.Pamily
FEE SCHEDULE
1 % 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUilding~~rml?'D WITH
$ tlullDING eE'RMfl:
$ .50
$
(Office Use Only)
Buildine: Official
Date
I Pa~d_ _
JD.w:L
Receipt No,
This Application Becomes Your Building Permit When Approved
I) /U!!1
By
24 hour notice for all inspections (952) 447:9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS 1'-/95(0 SUJ41tI..I r ~.
NATURE OF WORK 1J~14J CO~S.TJ2U.cr/aN
USE OF BUILDING S.I=: A..
PERMIT NO. (l3--/J'0Q DATE ISSUED lol'l/~z
CONTRACTOR I'K~ ()~#JAI.D (Y)NS"r. PHONEJ,!t.- ~~q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING /f ~ 'NSP(70) V(>D~~i,
I FOUNDATION (Prior to Backfill) I J/f/Y7 I I{).- .J,J..-dJ:,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIQNED
ROUGH - INS I
Rl5
DEPARTMENT OF Main File
BUILDING AND INSPECTION
'.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
"'0 ~2. '7
M7 / ~/'"
(0j
\
f'b
- /2':>~
flr" I
~
/-);>
I ,
~j.)
r/'~-t'
COVER NO WORK UNTIL ABOV~H~S~EEN SIGNED
IlArHC/~trtltU:1J STaN. I ~ ~J-l /'R
~
FINALS
NJ5 .
pvf-
GIiMlING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
I~
,,2..//f/)s-
Y//~~
s(6 . I
2' /lP/tVS-
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 entrance.
FOR ALL INSPECTIONS (952) 447-9850
QIrrfifieaft lIf @ernpaneu
CITY OF PRIOR LAKE
~:eparfm:euf of ~uilMug J}usp:edillu
IFinal Permitted D Conditional C,Q, Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Occupancy Type
R3
Type Construction
SINGLE FAMILY
VN
Fire Zone
Bldg. Permit No.
N/A
_ Zoning District
03-1369
PUD
Use Classification
Legal Description
L69, Bl, STERLING SOUTH
Owner of Building
Site Address 14956 SUMMIT CIRCLE NW.
7601 145TH ST. W., APPLE VALLEY 55124
DON RYE
City Planner_
Contractor's Name & Address !,!CDONALD CON~:~Rtf
ROBERT D. HUTCHINS~~
-.2 // yu~ng~aJ .
//"
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
.z;~5__TIME
~j#1~; I- (7y
SCHEDULED
ADDRESS
/'19 S-6
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMME~TS:
.?7~cto Ca: I
CONTR.
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
rECH FINAL
&] - L?A9
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/ I ,
/-; ~ / c1Jb~_ J/h loci
, . ,
(;2) r/;~/,"'c~hi., /4 /l Oi
~/ rA;1::~ ( ~ ~; 'r:;,td
.
-
J
-
~r~' "nh" I Ok.. ,
/~/C-""t/e d ~Y....1--q r /es r-
4Ci/
/
~tC
--.~'--
-'~'
-"",..-'.- ",.- - '. ~
./f/ ""
~/6-s-€ ///E- )
~ORK SATI Y P~OCEED _.-/
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL R REINSPECTION BEFORE COVERING
Inspector:
b
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
/""
/
OWner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
""""TI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ -5;" -(:)If
'3~ Cl..::J-...
ADDRESS 1 "'i S1..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENT$:
I. 0.)Lh;r-
"2.. 'kv....u...
CONTR.
PERMIT NO.
f-~;
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o JlEWER HOOKUP
.B'PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
t'\TlJ
~~ e-.tJ~
r
o WORK SATISFACTORY, PROCEED
J!. CORREC CTION AND PROCEED
o CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr: \
$9850 FOR THE NEXT INSPECTION 2~-HOURS IN ADVANCE,
CA
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADORESS
1'I9s"-(
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
;;rc;dIL- t9/L
DATE TIME:
SCHEDULED
5ulYl~"}- L /t"c-I ~
CONTR. /l1c.lh.,,,/
PERMIT NO. _10 ~ -l ~ 1
~~LL1NG
o COMPLAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C.kJ/6 Rm,c/ d IL
~WORK SATISFACTORY, PROCEED
'~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ __~. '.)wner/Contr:
--.1
CALL 447-9850 FOR THE NEXT INllPECTJON 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1-=
______ ___ ....____-_.-...__oT_...............~~~
Job Address 1116% Son'*1:f~(
Heating Contractor Controlled Air
Name of Tester D()
Date J / :2~~
Percent O2 I~, ~
Percent CO2 ~lJ 'Z
Percent CO I)~
Stack Temp, 1/ !'r