HomeMy WebLinkAboutBuilding Permit 04-0117
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vp~ or print and sign at bottom)
I ADDRESS 2 q,;-h H X
Ho u-o t-V
LEGAL DESCRIPTION (office use only)
LOT /0 BLOCK h2.. ADDITION /7!t. IIJiL..6.?
OWNER.....:. / ... . n
(Name) t /At i. t-tJ1<./ fUllrP
, , .
Date Rec'd
z.. eo4-
I. White File I PERMIT NO () I
; ~;;':w ~;'~Ik'", . 4-. 0//7
N.W.
I I
ZONING (office use)
PUSD
PID z.6: ZCf7 61(0.0
(Phone)
CJ5,J - -1;1.6 - 1-":ftJl)
(Address) /~ f,:l.() YeA/171M ;JLA{;;. , :'iAt/A6e) AjJl .05'.3 7'il
BUILDER
(Name) Jee:/L..AA/D 1111/...0f/JfSJ c.o.
(Contact Name) K. S'"1"ePH61Vj~/771'
(Address)
(Phone) SlJ7. (,57)
(Phone) ~, Z. 2. 9' n
.,7..~q
.,?~B
2/0(, ~IVIIV( DIG-. JV'O~€J,.L)
t1tJ
,sSl)57
TYPE OF WORK
o Mise \. e. c.., U Oe:::
~New Construction
DLower Level Finish
ODeck
~Fireplace
PROJECfCOST/VALUE (excluding land) $ +tfo 00 0.0 D
DUtility Connection
f!Porch
OAddition
ORe-Roofing
DAlteration
ORe-Siding
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 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 official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the Y' ....Y.... needed imp .
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/--------
~ignature
I Permit Valuation
J 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
If 4L/o 000.001
$ 3093501
$ 2010,721
$ 22..0.001
$ I
$ 100. 0 <9 I
$ 100.00
$ '3_S,S-0
$ l/o,(JO
This Application Becomes Your Building Permit When Approved
~
.
~~ d-/';)'3 fIL'-I,
----, , ,
Building Official Date
204JO 7'" L
Contractor's License No.
I Park Support Fee #
1 SAC #
I Water Meter Size 5/8"8
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
lather
I TOTALDUE ~ .1.4-.04--
..2->- ZOO 'f
Date '
$ ~O.Do
$ r3~o, 00
$ 300, De
$ ?(),OO I
$ \'2...00,00 I
$ 70 Q, 0 0 I
$ 1500,00 I
$ I
. $//'5~9. 7aJ
I Paid /1. G{,..Cj, 7t'
I Date 3,5', () ~
"
I Rece;;p.
BV(j .
4-1,.J.-?~
I 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 constitutes a temporary Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Certificate of Occupancy must be
~:;vJl~ ~/d1/0t/ j'~ tS!..il. ~
Planning Director ' Date SpeCial C.<<tdlttons, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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~~
/1'(hile - SUildiiill:)
Canary - .:.n9111~erlng
Pink - Planning
---
The C..nll'r or lh..l..k.. Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JeE;IL/t NO eVII-O/ N6 CO.
t
2.5.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
FOX' HOLL()W
Accepted
Accepted With Corrections
N.W.
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I
Denied
Reviewed By:
~~
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(/
Date: d-/~3/() <{
,
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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."
, -
'~
~~'
While - Building
Canary - ~ng
C P!!!!< - Plannin!!>
-
rhf ("{'ol.., of lht' I....l' Counlr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k E / L/~I II! L/ /:.-' L / L0/ Iv ('"7
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(';- A I> J- /" V,. l/'/' i (' ! { 1/ 1-1, IJ.
~ ......,.- tl../ I (.~ /1, I L. ,-,_ , 'v- t'
I
Accepted
Accepted With Corrections
..............
Denied
Reviewed By:
~~
~~
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Comments:
~~
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"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."
/ 0" PR/O",
~~
Tht ("rnrn nf lhf I.lllt COU"U",.
White - Buildina
,- _ "'~llarv .;,Engi.neerinh
Pink - - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPI,JCANT
APPLICATION RECEIVED
KE / Lr! /\/l)
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"7 ,) J /
L-. C7 (:J- (0
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F/: ~/
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1--, (,I ! ,', I. I
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
1)t)fJj}..
Date:
']-/7 --0'1
Comments: See Reverse Side for Additional Information!
lA/Clie, 5'f>N,ie [., ,I, si-of rf'{9U1'UJ' (;'d A.1 !'.,/H, ,l...
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See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"The issuance br 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."
FROM : PETE FlMY
FAX NO, : 7153818327
F~b, 05 2004 11:15~M P1
9524474245 ~.01(~1
r: J rr rF PRlOR LW,E
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PER.'\f11'
Date J1ec'd
I!'!gSOmf"__"lIl.I'boaDml
I AVDUSS
" :{Cf L//o
~ =. ~ I PERMIT NO.
1.'__
/1., V
!-It! 1!6W
Ii' I ZONlNO_.., I
!U, tV
LBGAL DBSCllIPTION (ollb lItO llllIy)
LCIT II) BLOCK ~ MI.-UM' I ~ t()/L./>S
'''Ill
:'f.1JL1 ~/..d)Af ii7'7t5l:!. (Phone) _fJ52-:J.:;.~ --I3&.7'
(Addmsl /3~1) ~4 ~-,7.4J(AA.E..., /J1A1. 05'.37J7
,
~;:~ F1,djmi~ArJ H~ ~4/C ~/j/s:J :f81-8J~1
~1)JjrO ~ JV.. J7tV6 #/30 /lwlfA'f/ .5Ytft_
,(-J (a",' (ZI/lOlGl)
(Ccmw:t PellOJl) ~- /7 pv' __ (Phollc) ,17/..$--) '7 b.t1 ~ /" 'i7___
APPLICANTstGNATURF.~,.., " _DATE -1jIJ;L.1J-I___M_........._
, ~A.' <<..EAR COMPLETE BELOW
tJNEW CONS-nuCfION 0 IlBPLACEMENT 0 ALTI!RAnos~
PlOOlACEMAKeAWMODBt..iJd;.L 9/J .o;j,,< FVBL
PLUliSI~ 31' 'U1URNVZ'",,,,,.,,S 1" INPUT jlo,M/) OUTf'I.JT rs;~I)"
TYPE OF "t ;),.D.l4 HBATlNG OR POwml. J'l'..ANT
, ~:~I'l"" J~~~_
~~ w=...
. - COlIll.'llOllinl! Spcoiol Oovicco
..l Sy_ .. OIl...- Dfti..,
PLtASt. NOTE.
Air~cr tlnil$
CWI01llM1Olle1\ lalO
&"qainld Sift YIII'd
Setllal:b
flIlEPLACB MAX.! AND MODEL
FU SCHEI)llLE
1~C.",.."..,:.,I"'MuJti.F...i1y I~ofjo~.. _tfaI,Gasl'irep_ S39.~
139.50 mlnIlI'AIlII
R<,idcllli&l.HoIliI1&IU/C(llltw~ <L'_:"') ~.,o R..idenliaI.~tiOftS"AlIllrallcas U9.!O
l\.eo!dooliol, Heelirc o.Jy (New Con.'IlrUolio.) S64.SQ ~ AC Only 139.~
E.lImalCcl Colt S
Bulldiall Pcmril 10
MEA 11NO PERMIT PEE $
STATESUllCHARGE S
TOTAL PDMnFU S
.so
(0lIIu llIe 0Iq)
Thll 4P__ :a-m.. Yoar llulWSall'enall WII.. App........ Paid
__'" 0IIIcI0l
DIIII
-R...1pt No.
By
\JIll
24 IInnp........... aD '-IIoon _ ..1-98SO," (.95:1) 04011~
TOT>l. p.et '
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Zq ~ ~ FOJ( -HO/A...(JlAJ t-J. w ·
NATURE OF WORK ~EW QlN~'?"~/~~
USE OF BUILDING S,t=: D '
PERMIT NO, E~O~/~ DATE ISSUED 2./2.3104./
CONTRACTOR 1(. ~ 1.l.1~I);""" ~ PHONEi.I.l~2'O,,~
NOTE: THIS IS NOT A PERMIT FOR A~Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
, FOOTING --bJC, I _ v.b I "?) -19> .., ""'if
, FOUNDATION (Prior to Backfill) IP~ ~ / I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
I INSULATION
I ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
~ r'r ~
GAS LINE AIR TEST~.. DJ:t' ,c;..J.,}
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~/..rUJtr/)S1DJEqku" I l
~L..e.~ Jrp. / FINALS ~ 01...fl'~7'
GRADING (Prior to Sodding) / rv fJ _ 1') -).,\) ~D 1.\' '" /
BUILDING r;p>J1 Co. /CJ/J'%t! ~~. V~ I LrJo1/-
ELECTRICAL ,. !":t tf!r~/(;{
PLUMBING \..OG (yD , 9 ~
HEATING I?o/ ?(I 7;:1
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.
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FOR ALL INSPECT10NS (952) 447.9850
-'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :J'f %
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITe INSPECTION
COMMENTS:
OATE TIllE
'1' rp,.
~)
SCHEDULED
.......
1-;,1-:
CONlR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
tfi-- II?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~.~'TU 'G2'L/~- 9~_9~
~(\I~
~~j ~? ~S
~, O~ L..\'--_\ ~- ~ ~t...
o WORK SATISFACTORY, PROCEED
X. COR C AND PROCEED
o CC ECT R, CALL FOR REINSPECTION BEFORE COVERING
Inspec or./ Owner/Contr:
C~ ~ 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 21 '-[ ("
r:.x
~l
OWNER
CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
D....lNSULA TlON
,.!j FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
()k l~ C'\\r><JJ .\.\lA' \:(\11
,
I~
nME
'-{-OI/7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO EC WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspee'or: \ . Owner/Contr:
CJ.LJi. 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO);J:E~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''''
OATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I ;{ -~O-oy
PHONE NO.
A 7tf~ ~J<.- HoI!~v
CONTR. Rc.;/<w'; &,'Id~c._
~
PERMIT NO. (J L/ - / / )
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'Ji(~LLlNG
'0 <:OMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
fp4.,k.- 19 L
D"t..B~&y'
. ~
. ,
5.q-
X. WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
'nspector:4~ :::::.. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
IIaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~/~'
. "
4/ he.v
SCHEDULED
ADDRESS
fi~t ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...;a"'1'INA L
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~//7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMJIIENJ5: . _ _.
PeC*.t~ /r-Z",/ d-e
i4ce/v~1 CI/sc;; ~
@) ~U/ _..50/ -/ /""--I! e~~ 0- +%-
/~ hJr~/ (",;~ Q ~/.J.//7US- (/ '
(5;/ ~ttrl hh 9' ~ ;r;:....... /' ~ cS7b ceo
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-- "'"
~p c-: v-:
~
~ -
9//~r
-
~6r-
u..,( ;/
". /
-~{C
/ /
/0 ftd,/t:7<-/,
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F. REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
3.30,04-
,(XLL~\JC~+;", ~('__
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APPLICANT PLEASE COMPLETE BELOW
Size of water service \" inches.
Location of any couplings from structure
Type of sewer pipe, 0 ABC ~ Pyc
Estimated length of sewer line feeY.'"
Clean out (if required) located at feet from structure.
(Please ~ or print and sign at bottom)
ADDRESS
29~
flY /llJU--O tAl
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Q
(Address)
(Address)
APPLICANT
(Name))2:"k ~ "-"_J . Ie..
\/07)...
(Address)
(Contact Person)
(Address)
~-
\~ <. <;
APPLICANT SIGNATURE
....L
~::::'w ~:~;. I PERMITNO'/1A~ 0117
Gold Applicant ~'"
ZONING (office use)
MLJ
PID2-6_ z97. 0/(,. (J
(Phone)
(City)
(Zip Code)
(Phone) v) '" ~ - Lj '-' 7- .58,':) <-I
(J.. ," u" L_/:;.e ivvJ <,So -3 ~rl.
(City)
(Zip Code)
(Phone)
DATE
3-30-0 'I
feet.
o
Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'! & Multi-family 1% of job cost with a $39.50 minimum
$!7,50 Water connection only $17.50
Estimated Cost $
$
$
$ ~
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tJ? () /17 ff> Y
pfYI 0 (l iJ2-
fJ/J 11./
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(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
--
""""""'-:50
-
I Paid ~o
__ I
I Date3, 30.00 By