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HomeMy WebLinkAboutBuilding Permit 04-0574 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT O~ PR/O", ... t' '" ., - " V I>l .'lV'NESO't"" (Please ~ or print and sim at bottom) ADDRESS j31lL... Li:r"D I-r'''-'~L f'A-J,; I. While 2_ Pink ) Yellow File City Applicarll I PERMIT NO'04-,,057.f1 LEGAL DESCRIPTION (office use only) LOT 1 BLOCK 4- ADDITION W/L.OS (p;d OWNER (Name) (Address) BUILDER " I (Company Name) Yo r,^"",- (..,,,J.....-.... (Contact Name) ~f-I- /Vi""" (Address) / fJ/1-() ~ ~ .-~ 4 H u-... ~.J Date Rec' d 5. 21-. 01- ZONING (office use) 12./ PID?,", 4j2.. Oz.5. 0 (Phone) (Phone) lS2. - l1..I.-; '1J '7 (Phone) IV~ tj'fz - Z1L -(. 'I<t 6 rr.J~L /),- ,'I' 0.-;4. ;11.J TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing DAddition DAlteration DUtility Connection 0 Misc. CODE: OI.R.C. OLD.C. Type of Construction: Occupancy Group: A B Division: I E IT F I ill IV V A HIM R 2 3 4 5 ORe-Siding DLower Level Finish 0 Fireplace $ ;3]o.Oi)~ B S U 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 loca1laws and will proceed in accordance with submitted plans. I am aware that the building offic.i<:U can revoke this permit for Just c, Fu herm?re, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. - ,r-4--' ~ Xc-::, ~ Permit Valuation Permit Fee I Plan Check Fee 1 State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee 1 Gas}ilieplace Penny Fee / I. I . tion ecomes ...... Signature .;j 3Q\OOO.--t $ ;:} 1.f~3. 2)01 $ ISff/. 1R 1 $ 1(,,5.- $ $ 100.- $ /~O,- 1 $ 35.5'0 1 $ (fb.- Building Permit When Approved & '1.."", 01 Contractor's License No. I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit 1 Other 1 TOTALDUE (ldfd t..tf.04-- # # # # Date $ - I $ I::l, .<;{).- 1 $ . -;;gOt') - 1 $ 7tJ - 1 $ /;:J 00. - 1 $ ?/JtJ. - 1 $ 1'5'/}{).-1 $ 1 $ t:f 575. '1.s"3 I I Paid Date . cj 5-/j. ; 'IS' I Receipt No. ii(,,~7 6 1......- ~ ;:;r-l') LI By /J I c:r--- II ~c.-:to I ; / . " f' , --' / I ~~ White - Building Canan- . ~ ineering I....'pink . Plann Thr C'tnlrr of Ih. L.kr ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I/il Lilli! / /C;!CI!l1 / - I r; -: {/- Oel . / I 6 l-l1.!..-:.-!;, If. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;::; ~3 ()' - ,.' J...j' /el ;r iA ~ ., i).: J./ j . ..../'- ~ _,c , , r ! (/ i..-<-_,I!..-.J I . '.... Accepted X :::::d By.(jJ; ~<J:- Date: 4:-- '7-0 V Accepted With Corrections/'\. Comments: /. ",'l<o.. "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." ~~ (White - BI.Jildinif> -C;;:;;ry - Engineering Pink - Planning The (rnlfr of thr L.kt ('auol., J'!UILDlNG PERMIT APPLICATION Oe;PARTMENT CHeCKLIST NAME OF APPLICANT APPLICATION RECEIVED Pywtty r.u~hM l C) .... ;:).L/-oq ~~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (3 3{)~- !j).LI~ prJ44/ Accepted Accepted With Corrections X Denied Date: (r'7~/ / Reviewed B : rto" . . I ---1 Jl ~ .A.J~_lx. "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." ~?r ue~ White - Buildina ~"..... y' . i::.;";ilneeririji:> r-liil(' - PlannIng ThpCfn'..roflh.. t.akirCounl"" IDlli,DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1'/ . V!) i VA),' Ir , l.I <;./;;:)/! I /1 - "T - L/ - 0<::"/ ,) i -- 'II 0 }r/e.'.:::, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-, -- .' -'7'- i i/. '-,', . .- .-, 4 (')::) - . v)., ./ /- Ii <, /A--;z' A (OJ , f-/ l /1 ,4./ _./' ...-' -...- (./ L/'-..A.-{ I....-V ;,~':l'f./ CA~ I >./~.Jr Accepted Denied ~ Accepted With Corrections Reviewed By: /y1tf-t> Date: C-/()-6Y Comments: ~pp Rp.vp.rl':p. Skip. for Addition::lllnfnrm::ltinnl See Attachments: 1) Grading Plan, 2) Erosion Control MellsllrPiIl "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 ; ~:'w ~\~ I PERMIT NO. /IJ_S/jL/ I l Gold Applicant (;( (Please tvD~ or orint and silll1 at bottom) ADDRESS ZONING (ofliceuse> 330d. ~\\'\\r\ \.\C\y-<:...", PO<::'S LEGAL DESCRIPTION (office use only) LOT 1 BLOCK 4 ADDITION 11'\;\ d I n-ih '14 A di \--, n Y\ OWNER, I "'n, \ f\ (Name) ~n...'i L-I.lS\-r,W\. (Address) lcco\ En tp.V"\ h{\Jp, -J(Address) PID \-\rme.. S,.\4e.. ~U\\d.exs (Phone) \ ~D SG\.\J o..a e... (City) U q5;;;l- .;;!;llD- 34-3-l- 5537'g (Zip Code) APPUCANr \ (Name) 1-;"'\1'1\ GlfflAp _ ()c. (Phone) Q5;;l. - ';;:>;:;)'3 - I~/') <Address) \3\""'. ~f)<:' ~(~ ~\ ~\r-(lk(\f'!"_"" 553/q (Address) (City) (Zip Code) (Contact Person) 0f':)r\V\\p ~L 1,\',\\,(lV\f'I<:' (Phone) '15.&-d3~-'d.D^ APPUCANT SIGNATURE~.-H/~ -/J!r~ DATE 1/ /2d /0"/ / / APPLICANT PLEASE COMPLETE BELOW Size of water service \ inches. Location of any couplings from structure Type of sewer pipe. 0 ABC ~ PVC Estimated length of sewer line 55 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 1% of job cost with a $39,50 minimum $17.50 Water connection only $17,50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Official Date ,paid I Date B1 B jJ;) ...." No &/~~ BU- U (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 METRO AIR 952-447-8126 NO, 824 CITY OF PRIOR LAKl~ . HEATING/AIR CONDITIONING/FIREPLACE PERMIT tPI~alt! .1)"2!1: or Clint lltd. Silll at bctLtlml. I ArJDRESS " \ . \ '3~~';).. '\N\ ~ '" ~-r ~. P. 1 uale Rec'd I, ".k rH. \ PERMIT NOM-061A- 1, Cttt'll ell,. . 3. y,lllIw 411.11u"' ' I ZONING (.1110""1 LEGAL DESCRIPTION Com" u.. ollly) , \ ~ LO.n BLOCK'" ADDITION \.r;J, \ ~ ~ \9 ~ OWNER (Nllmc) \j '\:Y'Wc..." ~ DIJI..-l..5. ,,,,,-,-YO ~\,," ~~ p..\',:\~ I \t \" \ (Pllane) \t\~.~X) .\\.\a\ c; CJ"l d., (A~cJress) A9PLICANT '" \ -r- (l'l.me1 \<\~~(\' ..... \,-. -.l. VI (., (^~drc!s) \ \.t, ~ 9. \.'l \.j "" l},)"'-I 1-\ V ....... (Addr<l!2 (C~n\acl per.on) N L\ '^ '-\/ ~ L.~ \1. '- \ '-. AFPLlCANTSIONATURE _ ~1:f\M.' 1 Ll\\lv. 1'10 (Phone) <\ S :~. '-\ ,-\'1 - ~ \ '), \.{ ~r,c.\- ~~\lI.. 'i'~ .'S~2lI~ (Clly) (Zip Cud<) (Pholle) 9~ '). - "\ 'A "'7, 't< \ I'} '-I DATE Al'PLICANT PLEASE COMPLETE BELOW ~NEW CONSj'RUC'l'ION fU~N^CE MAKE AND MOOEL C c.. ""r,' LY'"' rqJE SIZE ~ ,\ c... RETURN OPENINGS TYPB 01' SYSTEM . . gWorm Air Plontl LjOravity o Mechanlenl ~~ir Colltlilioujng ~VCl\l. S)l3tem FIl\l:!I'LACE MAKE AND MODEL o Rlll'LACEM3N1' 0 ALTERATIONS ~,)('A"~C<)C1 I'UI1L N ~ \ C"I INPUT ~~ C:'1 t\\'1 OUTPu-r'J1...~~ HEATING OR POWER PLANT OSl."lI Ol-lotWolCr o RRdla'!.1I o Speoi'l DeYiees o Olher Oaviee, PLEASE NOTE: Air Conditioner Unil! Cannot llneroach into Required Side Yard SetbacKS IR~ll5trill, t.:ammen:ial &. Mnltl.family Rl.lj~enlill, Belting &. AIC (New COIISlnl.lion) Relldential, Ilntill! Ollly (New COllslroelion) I1EE SCHEDULE \ % oC job coSI Relidenlill, On. Firel'lace 539.50.ninlmum $99,50 SG4.50 q~()~ ~ $J9.50 $J9.50 $39,50 Estimated Cost ~ HEATING PERMIT FEE STATllSURCHARGE TOTAL PEHMlT lrEE R~identinll AddiliOllS &. AllcrnliQI1! Residentill, AC Ollly Building Permit II $ $ S PAJOwnH IJI.DINGPERuIt (0111" U.. Ollly) . -,-,} This ApplleaUoll Deeemes Your Dulldlllg I'ermit Who" Approved '~r~ u: G IiIJ lI, 1" By lIalldllO.Omcl.1 DUe 1~ I AUG 1 7 20;!jo 24 tonu. IO.tl.. CUI' RUIII'l'oetl.'" (952) , 17_9S5:'.:~' (952) 447-4245 ~ By " Rcceil't No, Au~ 24 04 10:24a Jeff Scherer S52-447-6735 p.2 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~c.\ \.DC",\ J-\0\n2-S ~ ~~r Sct'exa \>\\.lm b;1q (Address) ~~Cc P\d'IO\\ C-\n:.Qj,J'S.f. (Address) (Contact PetSon) ~ ,\~ APPUCANT SIGNATU1lB ~ /0') bc1"-'1.s-. LEGAL DESCRIPTION (olIice use ODIy) LOT <7 BLOCKL.\ ADDmON 1...:: '\dS loth \\dd, i = ~~ I PERMIT NO.O A_ 0 L:,""7" J l. V-U- .......-.. .,- , ;;;;.J,"'-' ~Me ornriDt md5i2D ar: boatlm.) ADDRESS3 '? . '.-)0 Z fV/LO f!Ote..S6 ,t:J/lSS Quantity ~? ! l 1 I I ( ~ rl- I ZONING (........) PID (phone) , . (Ph01le) q")"d.- l.{YI-1c 73Y ~J ._1._ <,'''-::2 Y r Ie(" \....C...N;. ~ ~ :;J 7 d- (City) (Zip Code) (Phone) bl ~ -14 "7- 3Cls 3 DATE ~ / ~4/Oi APPLICANT PLEASE COMPLETE BELOW I Type of Fiiture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry 'fray (\ or 2 compartment sink Shower Stall / Sinks I Bar Sink I Water Closet (Toilet) Quantity 4 FEE SCHEDULE Industrial. Commc:n:ial &. Multi-family 1 % of job cost with a $39.50 minimum (om.. u.. Oolr) / I Type of Future I Rough-ins Water Heater I Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backfiow' Assembly Backflow Assembly Test Lawn Sprinkler Other OWNER (Name) (Address) / - , tiaI, New On. &. Two-family 599,50 idential. Addilioos &. A1terWons 539,50 I~ VVIl'H ~lc~ruF ,1DaJ'Ep I 0 I ~ "- I (952) 44' ,.9150, fax (951) 447-4145 tiy_ EstilDll1ed Cost $ This ApplIcation Becomes Your Building Permit Wben Approved Bu;ldinr omcial Dlle 14 hoar notice for aU ilL., ,~~- ., $ $ $ 09/07/04 08:12 FAX 7635530887 GDYERS BUILDERS SUPPLY raJ 002 Date Rec'd CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT ~::. ~. I PERl\'lll fnJ.,.,A OJ::"'7~ J. VdlolU "pflhCMI lJ&r ~ ;,., ,4fIt 11lease: ~ ar DIint and sim at bottom) ADDRESS 7., ,?J 0 d- U,)~ ld ZONING (ol6cc use) JJo r c:, c_ LEGAL DESCRIPTION (office "'" only) LOT BLOCK ADDmON PID OWNER 1\ (Name) 'Y () 1'-1.1 b ~ L <> 9., +-ON\ (Mdrcss) f-/I) /III P. r::.. (Phone) APPLICANT (Name) r..., <J \) e.1'''' (Address1 J ;2, 4 {).t:; I (Contact Person) t D (\. APPLICANT SIGNATURE P .-t-t=>C!CdP J$tf-. ~-f. (Addre.lt) \'0~ .J!J4;.~ ~ APPLICANT PLEASE COMPLETE BELOW U3NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEl. FUEL FLUE SIZE RETURN OPENINGS INPUT OU11>UT TYPE OF SYSTEM HEATING OR POWER PLANT OWIml Air Plana 0 S...". []Gravity 0 Hot WaJM o Mochanical 0 lbcliation OAir Conditioning 0 Special Device< OVent, Systtrn 0 Other Devices FIREPLACE MAKE AND MODEL .5 q ~~"'r.J'" D T:1a.n(') (phone) DATI' (Phone) ~j1 '(g~rJ-I-J" ~i~::'; I ? I~ 7J, - ~ 9'-./ - <f &,10 1 '7 b/~ <{ PLEASE NOTE: Air Conditioner Uni13 Cannot Encroadl iDto Required Side Yard Setbacks lnclustri.l. Commercial & Multi-F....ily FEE SCHEDULE 1% of job C05' R..idcntial. Gas Fireplace 139,50 minimum $99.50 Residential. Additinn.s '" Alterations 164.50 Residential. AC Only $39.50 RosidClltial. Heating & AlC (New ConstrUction) Residential, Heating Only (New ConstrUCtion) 139.50 $39.50 Estimated Cost S /0000%0 Building Pmnit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S PAID WIl'H ,50 .BUllDING uill (om.. u.. Ooly) This Application Becomes Your Building Permit When Approved D.le h ] 811ildilll OfGcial DRP I 0 2004 I ~ J By 24 hour notice Cor.1I in5p...;on, (952) 40C 'r!Y'50. fax ('S) 447....245 ,... QIntifitaft of ~ttupantll CITY OF PRIOR LAKE ~tparfnttnt Df ~uilM1tg Jfns}ltdlDn ~ Final Permitted " D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential I 0 International 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: SINGLE FAMILY 04-0574 Use Classification _ Bldg. Permit No, R3 VN Occupancy Type _ Type Construction_ _ Zoning Distrirt L7, B4, THE WILDS SIXTH ADDITION Legal Description _ Rl 3302 WILD HORSE PASS Owner of Building Site Address YORWAY CUST?) HOMES, 18170 RICE Contractor's Name & Address ROBERT D. HUTCHINS /IiV . I i f {J/ City Planner / ./ Building Official J" Date: 17 IS tY/ Date: f I I DON RYE ROAD, PRIOR LAKE, MN 5537'2.'. , "I'" ,,>..",.~'...~, ..,,:'''JF " ", 'h;';;;j,' ',itA; d" ,'~. '.", I DATE TIME SCHEDULED /(k~~ , " ' CUtYJ /t,.f~ Ao CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~2?~2 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~~NSPECTlON o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )il'!!.UMBING FINAL ~ECH FINAL CO~~NT~ ~ " 8--ec '7;-/ C"" ( ,r-:-;<t4 / c:f:v, <- 0</ "<.S-7~ o EXIGRADlFILLING o COMPLAINT o ..fIREPLACE RI ,I!Yl'IREPLACE FINAL o GASUNE AIR TST o , ~ // /Syoi/ - - . //k~JJu ~te~ /.. ~UO-<t h,-- -red r ~K '. \ ~/4-L: e- hi.... / Cl~ M/f;~ (;::> ~,." '/d/d ~&~{. h':4'r / A. _ ~E CJ;-~~~ ?"is- r ..k CJH:Ce {JJ - ~~~ -i 7/e~.[ a;;~,. -4.. /' Qr+de 1f:?#~/t7..u~/ _ / / -rl:.-;'A? I ~ l:7, d/; /' F/~/~ o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK, CA;~R REINSPECTION BEFORE COVERING Inspector. ~Z---' OWner/Contr: CALL "7.9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE. """"" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~ 7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~NSULATION NAL o S INSPECTION DATE TIME SCHEDULED II-It?-or Lu.'td hf?r5f fJ~ (5 CONTR. YO/lI\I"t v' PERMIT NO. tf)LJ~5"7'1 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL - . ~ING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: 6,c,6~6 ~ . Cur b ~/)jL ~ to Y ~ ~ .<:"rf-I ~ SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~.... /'1_ ____ Inspecto??' '~.- ~ Owner/Contc 9ALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENT8 ARE FOR YOUR PERSONAL HEALTH & SAFETY! """"" PRIOR LAKE DEP~RTMENTOF BUtLDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 330J.. ~\.'l&. ~~ ~~~ NATURE OF WORK 1.).Qu..I USE OF BUILDING ~O PERMIT NO. 6'f.(}574- A DATE ISSUED l,."7-r:>{ . 'rV! CONTRACTOR 'r; \ \:-L...... b PHO~J~ 3t.r!t!v"~ NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSpifcffONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~PECTOR ,1 () I FOUNDATION (Prior to Backfill) I ~J ' ;::> -.I ?I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED LL ~ 7. of; ROUGH~NS . SEWER I WAT~Ff I SEPTIC c!J.? -/.S' FRAMING VJ Ar 71..J INSULATION fl} 7'- ? ELECTRICAL PLUMBING HEATING (If required) II 'f1.&" FIREPLACE , ~ . GAS LINE AIR TEST~! Ff/11. ," : COVER NO WO~ U'NtlL ABOVE HAS BEEN SIGNED I I t FINALS "L~nJ~ ' , GRADING (Prior to SOdding) I ~ - ~- - 1cJ- / 171D Lj BUILDING 1'i"Y C'(J. ,-f'""#fts ~ //~ f~ V'Z.\ \~\g>!J ELECTRICAL ;,. /sYaI PLUMBING ~~ ///J"/~ HEATING ~ /%-/~ 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. DATE I FOOTING wG/' tp-2e/ P'Zl 8..,,> FOR ALL INSPECTIONS (952) 447-9850