HomeMy WebLinkAboutBuilding Permit 03-0506
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1. White
2 Pink
J, Yellow
1-1-'" qAJ0
I PERMIT NO'03-OS00 ,
File
City
Applicant
(Please'!vp~ or Print and sign at bottom)
ADDRESS
J.'~S" ~6 &'7" 7A;t
ZONING (office use)
1</
LEGAL DESCRIPTION (office use only)
LOT?Y BLOCK -; ADDITION
iAhl/' )l>vN
PID)S - 3 gJ.. Ofo'?-C
OWNER
(Name)
f)ewbllJJ It al6WrL
/Jt!!? U\.4, Ih~
~
~
...h.~
(Address)
SI/(-I,
lor
(Phone) (qJ~ ~ z.--'l
c, P. 141M S- n~V
-1'7/1
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone \
TYPE OF WORK
J2f'N ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
DLower Level Finish
o Fireplace
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 r.~r-"J to perfonn needed inspections.
X ~i~ature
CIJ /7. y
OCf-07-0"
Contractor's License No.
Date
Permit Valuation /Bt..tJoo, 00 I I Park Support Fee # $ 8Sa,oCJ
Permit Fee $ 11../ '7 5.~ I SAC # $ /'t 75. 0 iI
.-
Plan Check Fee $ '15'?'. '1y . I Water Meter Size 5/8'~ $ 3()~. 00 I
State Surcharge $ '13.00 I Pressure Reducer $ 70.00 I
Penalty $ - I City SAC and WAC # $ /Z-OO.OO I
I Plumbing Permit Fee $ /OO.tJtJ I Water Tower Fee # $ ?Ot:J.Oll I
I Mechanical Permit Fee $ /o{J,aO I Builder's Deposit $ /5 tJO,OO I
I Sewer & Water Permit Fee $ 3S-.50 I Other $ I
I Gas Fireplace Permit Fee $ ~O'OD I TOTAL DUE lkUg) 5 -, - 03 $ PJ.rA 97. 63J
- I
This Application Becomes Your Building Permit When Approved I Pai~ %~rJ'; .o~-3 I ~~c~_ ~ 4'. c;;, I c:r-i
~~ 4blh3 I Date 5~_n3 I
Building Official Date
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
~~.
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_7(; 110 '3
Date 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
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Planning Director
TIiI'(.'..ffl'ollllfbk'Co....11')'
j!lbit& - RuildlnQ
~Canarv - En':llneerinV
Pink. - - Planning
BUILDING PERMIT APPLICATION OEPARTIVlf:NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w,l:jich is proposed at:
,..-;I<! 5-.'7-- _;~~~t:/::i(' ('o;;./;J
Accepted
Denied
Reviewed By: /J14 B
-~
Accepted With Corrections
Date:
4~2'1-o 3
Comments: See Reverse SiQalQr Additional Information!
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<;:PP. Attachments' 1) Grading 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."
~~
uer
White . Building
Canary . Enl!.ineering
<;;e1nk .. Planiiii'!a>
Tht' ('tnln of lhf I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
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:
,
') -
,~-j
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~p Date: 4'/2//07
~ ()~ ~
<1 . t(}n -
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~
I
A. ro.
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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."
~~
(VVhile . ~
-Cana'ry . Engineering
Pink . Planning
Tht('tnff'rnffht t.h Counlr)'
NAME OF APPLICANT
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
il
(! tJ7~
APPLICATION RECEIVED
.-,
L/- 9- 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w)Jich i,s p. roposed at:
02475-- bcrf;ccvC~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments:
;E./2-.-. - . ,zdt-
/(}~ a/P
Date: ij' 12.-1~:J
~~-~(
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please tvD~ or orint and sil!Il at bottom)
ADDRESS
a 9SS (60 ~m+ \' -.r
; ~:w ~:~~ I PERMIT NO.? _c-Oh
3. Gold Applicant .7 J"
ZONING (olliceuse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER \ \
(Nar'p\ De.. ~'C" 'O"" f'I 'C<"
~ 0 I')S,
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA.l:l.T
(Name) \....:...-9QPltV SP~ .......L.vtl\-...- (Phone) q !L,'I~~.;1.:).,1 ~
(Address) S \)8'\ S\-.o re \; "-L Or M (') lAh J Sb ~ \.,--f
(Address) (City) (Zip Code)
(Contact Person) L(A.V\c-c- (Phone) qc; ~ 41), '}?,I \0
. APPLICANT SIGNATURE :;;tAhVl~ DATE 'S-I\,o~
.
APPLICANT PLEASE COMPLETE BELOW
Size of water service \ inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC [Hi'V't
Estimated length of sewer line':iJ::L feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
Building Official
Date
5O$t~
Pa,'d ~, Pp)
~ ~ Receipt No.
D~_C] 0 Bne/
va
$
$
$
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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1 ::ic:'.vJ.:;~ Fic:-.::or
8"ckrlo~'A;.;e:nb(v
BJckrlow Assembly Test
I L;1wn Sprinkler
I Ocher '
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PLlIMBfNG PER;"!8i~/Qf4a... ~
51'.-\ IE SURCHARG~' 1NA --;;;'l1 ,50
TOTAL PER.'IIT FEE S "r::RA4t:- ~-
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Thi.s Appn.c:H~Ol1 Bc~t)mE:S Your BuiIdin; per-m:t When Approved
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Dace
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'
"Pink
:.Grecft
). Ytollll"O'
~~ I PERMIT NO, <:< - -0/
Arpli~l ~) <.? b
(Ple~e tvr:Ie OiOriDt md sien at bottom)
IA~~~S robccd-T~
I ZO':'lNG (olli",,,,,)
LEGAL DESCRIPTION (office we OTlly)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name)} \00/\ ~o _ r~,('t,iYn IT IY\C.. (PhoneR'Od.-"6d.<1-i/' t
(Addrm)ln?Uo'\1: b~ ~.*'*'\OS FrL/Y\ p~ mr. _<:::5-"'LjL/
---. -(') . .
APPLIC..-.m \. r l c: - -" -
(Name{,1ll},b'rrf),r>::C.>"" \:-"L"Lf'LgOO \'.n:ru .1 I-'--U-':W,C'_\:X> (Phone) 'ilc...:,-315-7::;CC
(AddressJ~I() U\ C-yy\; -n.r) -.1 f. c: (J-,1i'\"-kS ,-"""" Fb..Jt !1In S<::;liL/<:;
. ' ;' (JddIessl" <:) (City) (Zip Cook)
(Contact Person) ~ ,',,,,,-_U. (phone) r7lt;3-3i S-7S/G
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APPLICANT SIGNATURE 7LdL.2) /-J:J/''' '>u'f}oQ-r--j DATE .
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ~EL
FLUE SIZE RETIiRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Me:chenic:ll
DAir Conditioning
OVent System
HEATINGORPO~RPLANT
o Sleam
o Hot Water
o Radialion
o Special Devi=
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL rn0~~I)LA- > 'DV3lt:OR\\J
V
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gil.1 Fireplace
S39.50 minimum
$99.50
$64.50
$39_30
Residential. Hearing & AlC (New Construction)
Residential. Heating Only (New Construction)
Residential. Additions & AILerations
Residential. AC Only
539,30
539.50
Estimated Cost S Building Pennit II
HEATING PERMIT FEE S
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
P-410
I3lJILDING "'n-11
P~Rf0.4(.,.
(Office U.li.l: Only)
This Application Becomes Your Building Permit When Approved
Dullding Official
Dm ~
II JU/II 1 7
24 hovr notice ror.1I inspections (952) 447- , Fax (951) ~-'l9./5~
Receipt No_
<:l)l)i2J
R"
l::!l<IIlId ::!~VlIV~ ~IlVliOlJl.'
.l)Ll)SI~.19 XVd ~t:8l) ~O/II;9
------- ~.-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ;) qS-S- .t3obCt:l'r- TraiL
NATURE OF WORK "J~ CLJ'uS-l-ruc::.. -I-/OA/
USE OF BUILDING c") F f)
PERMIT NO. 03- nS{)1o DATE ISSUED
CONTRACTOR [} ~er b 'r~/~ C~:Ujsf r PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING c::; U- I 0/e,/B3 I
, FOUNDATION (Prior to Backfill) I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER' SEPTIC tYJJ S--/J'
FRAMING fY j) - (:, . - ) /
INSULATION ~~ - &, Y 6-
"--
ELECTRICAL
~
PLUMBING ?~ 0-;9
HEATING (if required) P13 I <0 - J)
FIREPLACE /
GAS LINE AIR TEST "7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. ~M FI~ALS I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
-
r (f
H1I
8-Go
8-'-'1
;;/
UNTIL ABOVE? HAS
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,
INII
7, l--'-I-iJ'7
!? ~ '2- 'I
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
QItdifitZtft of Ofkrn)lZtuty
CITY OF PRIOR LAKE
~tpadmtuf of ~uilMug J1usptdiou
Xfinal Permitted 'J Conditional e.O. 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
VN
_ Fire Zone
N/A
_ Zoning District
03-0506
Rl
Use Classification
SINGLE FAHILY
Bldg. Permit No.
Legal Description
L14, B3, .'ILDS SOUTH
Owner of Building
Contractor's Name & Address DEERBROOKE, L0340
ROBERT D. ~UTCIlINS " ()
,"Y "i /' BuiY1ifg Official '
Date: /) .. /.' ( - (',) 'j
Site Add"" :'955 BOBCAT TRAP,
VIKING DR., SUITE l05~ EDEN PRAIRIE 55344
City Planner_
DON RYE
Date:
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'.';;;,~',',<
-
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,,- ).Lf
ADDRESS
; qsr t>J&.aJ-
<f r<<: (
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - 5QC
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
lit' PLUMBING FINAL
o MECH FINAL
o EXiGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
ffi
(;)
'-.....-
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rib aJ/vI.1
aclrI (.)dJ~' 'F-o
IA/dJ/~ /...k.4~,.-
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rr:>liet: 1/4 I LH'
0.(2
if ,pJl'fJ Ooh ;~r
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111- + /~" (
o )'IORK SATISFACTORY, PROCEED
"CORRECT ACTION AND PROCEED
o CORRECT '1?~ALL FOR REINSPECTION BEFORE COVERING
Inspector: r y r 1- J.~ {/} OWner/Contr.
CALL 447-9850 FOR THE NEXT INSPFC:TION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJIiSNOTJ
DATE Tille
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8- ~--o~ 'i:~
ADDRESS 2"iss-- ~J
OWNER CONTR.
PHONE NO.
PERMIT NO.
05 -nt::;Cf.p
o FOOTING
o FOUNDATION
o FRAMING
rsULATION
NAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ 6" 0 ,--.~
JfwoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR[l' CALL FOR REINSPECTION BEFORE COVERING
Inspeeto Z Owner/Contr:
CAll -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon