HomeMy WebLinkAboutBuilding Permit 01-0151
DATF RECFIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/2-13-00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2t~:t~R?: ~ 'SU () ('0. V
3. LEGAL DESCRIPTION
L- 3 BLOCK?
lL>oOnvi~
1. DATE
l'd-jrJ..joo
R2SD
C-iV'c,\e
PID 25 - 230 -01.9=-Q
E6+a -+eS
4r:rW T~an)n'bOl1 1-704)5 -:::run Ice:eINot::h__+h
v ~ (Addres~) / J A J 1 J (TOI No.)
LQu- lJ I e, /\A/V
(Address) - (Tel. No.)
q 5d -Sq'd -( 7 dO
LOT
ADDITION
5. ARCHITECT
(Name)
6. BUILDER
(Name)
1. White
2. Pink
3. Yellow
File
City
Applicant
"~ ill-Ol"il
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H,ighl) ~~idthl ~:;;l..(D'~hl 4-'B
12. NO. OF STORIES
13. TYPE OF CONSTOI~~~N I-J
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace Cl Septic Cl Deck Cl Re-roofing Cl Porch Cl
New constructiorX,. Alterations Cl Addition Cl Finish Attic Cl Re-siding [j Finish Basement Cl 16. PROJECT COSTNALUE
Chimney CJ Misc. 1>() , 006
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Fl~Q, III Widlh~ Depth Ii?. Ves @ 5 -30-00
I hereby certify that I have furnished infonnation 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 confonn 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 ~ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform l)8eded i~ections.
X ---Y-f""VYYVY}'\ /1- ( ~rL t LA -- ;::)..:;~..("il (&.-/ I ~ / b 0
ignature' Lk:enseNo. 'Da"
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
~PA
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGV DATA CJ
PILING LOGS Cl PERCOLATION TESTS D
PLANS & SPECS 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
PERMIT VALUATION R')/~_~ _ PLOT PLAN CJ
SURVEV CJ
fli?C? " ~.......
Permit Fee ................................... $ ~ ,,-},_
Plan Check Foe .............................. 5'~5'f.. ~ CJ.
40m
Amount Brought Forward .................. $
Park Support Fee ........................... $ 80t::;rJ. ~C
SAC ......................................... $-1 ,1.9').1) i>
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Division 1 2 3 4
State Surcharge ............................. ~
Penalty .............. ......................... $
Plumbing Permit Fee ....................... $~.......c::!)
Mechanical Permit Fee ..................... $_It"'Y\ .,.,~
L/.".no
.
Pressure Reducer .......................... $
Meier Ham ....... .... ............. .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
12~.l"'lo
'(~t'l('I.~
. -'I'lI'I on 0
Sewer & Water Permit ...................... $
'<I'-~
s Your Building Permit When Approved.
Date ,2-'U:o.. 7~
Certificate of Occupancy
Issued
Date
24 hour notice for all inspections 447-9850
pancy ~st be issued.
-,,\..1 _ m-aA S
- v f'
~\
Di-6/{]
Th,,(:..nl..roflh..r..bCounlr,
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1\\ vJ TC H !\~ c~ ( r\,;
I"/.- \ ~- (;()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r7 _~, Yl--=: ~_ U (,; I< A "-I (, ! kC L f:
I
Accepted
~
Accepted With Corrections
~~~
\ ~~T.o ~ ~~~ eft-
~ _ _ 1~Jt:/] ~ -J-- ~1~~ IJkkj f2w
~h~~tJv~, ~~, ~ L~/41
tJJM..&7..t-9e-P_. ~~4 ~~
Denied /J
'" -
Reviewed BY~
Comments:
Date:
3/7/D l
"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,"
6 I' (l\( I
The' ernl... of lhe L.kt Counll'}
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MW:rOHNGON
12- '3- on
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\/303 sv N RA'-I ~J R:.Ct,6
I
Accepted )!...
~
Accepted With Corrections
BfA
~rQ(~
Date:
/2 -20-2~
Denied I~ I~
Reviewed By\p'y
Comments:
I~?JI
~
G-L.
"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~ C~nl~r of Ih~ l.k~ Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H W J""0H NSON
. -
12- \ 3- 0n
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/303 suN kA"-I cIRCLF:"
I
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
LLL
Date:
3 - B -0)
Comments:
5~ /7J~J/Jv hL,C
"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."
..-aa . ....
YI!Ll.DW' . ....",.c:.a.,wr
GaUl . QT"f
CITY OF PRIOR LAKE
S<:WZR AND WATER PERMIT
NOO/- OIS(
NOTE:
se~er and Water
contractors m~st
be registered
with the City.
A~PLICANT: '\/~Ul. 7C j)r l/"""'I"'),JL
N)::/),' IJ.-Il.,..
PHONE:
(I-,'.JI )"'I'}l.~ '~~5
ADDRESS:
I~~<:j
"'"Jj 1.-1'-)~ ~:.. .~. 110.-4 I)
,,4t?/~~
,..:. A (11:)/_)_
DATE:
~Jl.~/"I
SIGNATURE:
SIT::: ADDRESS:
I I 'Ill'''
-7, JLJ,}:J"'r"
----
( ,1z'Ct,. ~_
BLDG. PE<U1IT #
PID#J5 -,,;) 30-/)/1-D
F!LL IN THE BLANKS
1.
Estimated length of ~ater service
feet-.
2.
siZe of water service
)
inch{es) .
) .
Location of any co~plinss from structure
feet.
4.
Type of se~er pipe. ABS
I've ~ Cast Iran
5 .
Estimated leng~h of se~er line
feet.
6 .
Clean out
st.ructure.
(i t rece:uired).
loc2.t.ed at
teet
from
=========:::::Z:========::===:==:=::=:il::=::::::=============:===:::::=====:::::======:;:::========= ;=
This a~~lication becomes ~o~r pe~i~ v~en approved.
ll':
DATE:
============__='''''''_=_=========::===;:=____.ICl:::::a======_:..=.!!ii!:.::I======~~==~=':I:==' OO:'ll!!!
FEES:
5
S
5
35.00
.50
35.50
Sever and water line connection permit.
Surcharge
TOTAL
* Fee for either seYer or water individually is S20.00 plus
S .50 surcharge.
* Sewer and Va~er permits issued far new construction mus~ ~e
recorded on the building permit card at the time of iS5uence
to in5~re that no duplicate sewer and water permits a~e'
issued. -
DATE PAID
i./ - ;}.-- I
PAID WIT"
A..'10UNT PAI~UII nl~!,:: ;':'
REC'D BY
II
L
REC:E!?T *
16200 Eagle CreckAv. S.L., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 J FAX (612) 447.4!!45
An Equal Opportunity Employer .
S d gSm819gS 'ON/K LO 'ls/gnO 10 ,GO 'PO (NOW)
L9S0-Ggp-G19 1VOINVHO]W 1]ZN]M WOH~
FROM : SRBER Heating and R/C
PHONE NO. : 6124738565
Jun. 04 2001 11:30RM P2
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PRIOR LAKE DEPARTMENT OF
. "BUILDING AND INSPECTION
INSPECTION RECORD
(\.
SITE ADDRESS ,I '1 '<,~~
NATURE OF WORK ,,'w.j
USE OF BUILDING SfrA
PERMIT NO. 01- () (51 DATE ISSUED 1'"2. - ~d - ;;<1'lOO
CONTRACTOR Mtd__~~ PHONE 8'T~-77;;<(,)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
S. 'lV\.\C1 ~
a
DATE
I 4/JO(
. -
I FOUNDATION (Prior to Backfill) ~L I ~. '4/17 /.n I
PLACE NO CONCRETE UNTIL ABOV'E HAS BEEN SIGNED
ROUGH - INS
A
SEWER/WATER/SEPTIC .. .,,401 ~
FRAMING ttW-f71.I( 1Jl/e- ,,'fh.
INSULATION If;,.-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE / ,
GAS LINE AIR TEST AINJ c,jll/. 4/..
./
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ ~ 6;. .R~A/ I
FINALS
INSPECTOR
I FOOTING
I '"& .\.)~
6/J/ff
? /rr/D I
7/;;' ",/01
. ,
t
~,t
fb:r,&(11/~)
(Pr.
.
7//!'lb/
GRADING (Prior to Sodding)
BUILDING -1 .riD. cJi'.". I'IL~ 101 p-~.
ELECTRICAL '
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
~ }J.g,
Ifh
,
t'/7!flV
"iff ()fR/o v
u.~ ~l~'ll
It ~}t)"1
HAS 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.
. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~trtiftcatt. of <mccupancy
CITY OF PRIOR LAKE
J)tpartmtnt of Jjuilbing lnsptdion
~Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursumlt 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 ordi1llJllces of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 01-0151
Use Oassificatil"'"
Bldg. Permit Nr,
Occupaecy Type R 3
. Type Construction _ VN
FireZOIlC _ Nt A
Zoning District
R2SD
L3, B5, WOODVIEW ESTATES
Legal Description
Owner of Building
Contractor's Name &: Address 'MW
. Site Address
17383 SUNRAY CIRCLE
Date:
ROBERT D. HUTCHINS
Building otlifial
Cf:'Ln//12--
JOHNSON, ~17 645
if;;, f"'ity Planner
JUNIPER PATH, LAKEVILLE, MN 55044
DON RYE
Date:
- ,
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
f?/d-()/ '?3b
/1559 ~~cT
CONTR.
1- IS~
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
.," -Z,
.; r ~.
;f C1. '.'
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOK~P 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKU 0 FIREPLACE FINAL
~NAL ..l;Io-PLUMBING FIN K, 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH F"L I 0 J
*" COMMENTS: r. ~ f<6:J,,--,~ f..he/~
. ~lrla-J.
'2-. e-~ tZ: ~ fA J C 1?4<uL.- S~_ C;-
i~ '~J 'j'
~3. ~AD '_.V""'~
4. ~c' ~", . ~ (0d,'L/ I-IsE-
6;: ~ !~< I
p. ~N~1)1A.J- bY,-f't-. 5~~
t')N ~
C^UcIL.. ~~ ON ~I~
~,l2.& /.Pt .......AA.. ~~ tt:c IN\-PliJ.4,,
IN.$f~}( .\
1=?w. P~N ~.N-l~
~r-JT .
o WORK SATISFACTORY, PROCEED
""'""'".'"~""'''
o CORRECT WORK, ( jl.REIIiSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44~85D F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DAlE
CITY OF PRIOR LAKE d I
INSPECTION NOTICE SCHEDULED ~~/Oz.-
ADDRESS / ~ 3f'3 ~
OWNER CONTR.
PHONE NO. PERMIT NO. tJ t..:.. I ~ (
TIME
A-h
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"i!lFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(~
~
f'fI WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9~;t FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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