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HomeMy WebLinkAboutBuilding Permit 01-0392 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3. Yellow Applicant (Please type or 'Print and siJro at bottom) I ADDRE~~ Ab ~ ~ LEGAL DESCRIPTION (olliee use only) LOT '1 BLOCK.3 ADDITION '7iif.z WtJ.LJ:& ~ Date Rec' d 4,24.,0/ ZONING (ollice use) Rl PID-2.<'.... :1/15 "'OJ'f-(l OWNER (Name) (Address) WlNDWOOD HOMES -- - - I~ II cwmg Ave. ::;., ::;urce;!W Bumsvll/e, MN 55306 (Phone) BUILDER (Namp\ _ (Phone) (Address) , TYPE OF WORK .9Q New Construction OLower Level Finish ODeck ORe-Roofing OPorch o Fireplace OAddition OAlteration q~ -1115 ?J1.411e ORe-Siding OUtility Connection o Misc. PROJECT COST IV ALUE (excluding land) $ /Iol (IJ?I) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and conect. I also certify that I am the owner or a orized agent for the abovP-J"">. roperty and that all construction will conform to all existing state and local laws and will proceed in accordance with suti d pi aw e that 1 ding offiCIal can revoke thiS permit for Just cause Furthermore, I hereby agree that the City offiCial or a deice may ;;"'" ;r. --:::::: h~, A.~.;', / ~re Contractor's LIcense No Zt~ r ( - /(j/:~-'COO . OlD I Permit Fee $ I, 35'].' st I Park Support Fee I Plan Check Fee $ ei)"J. Sc./l I SAC I State Surcharge $ B':;:> . 0:;'(') [ I Water Meter SiZ~; I Penalty $ I I Pressure Reducer I Plumbing Permit Fee $ )OO.C)Z) [ I SewerlWater Connection Fee I Mechanical Permit Fee $ I f:>O . t:JO [ I Water Tower Fee I Sewer & Water Permit Fee $ JS-. S-O [ I Builder's Deposit I Gas Fireplace Permit Fee $ I{tJ . oj I I Other I TOTAL DUE , , I Rec~i . .:J9t;'7 By /. ./ ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ntay proceed as requested. This document when signed by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Wue 1fJ/2-~ ~ P1'.umlng Director Date Special Conditions, if any 24 hour notice for an inspections (952) 447-9850. fax (952) 447-4245 ~ t:; ~ ~~O \ I Paid ~/6. 2--1 I Date ~-14~iJJ # # # $ Bs'f'\ . CJQ I $ , (~.OQ $ '2Sb. VI'? $ 70 .1") (') $ 1. '2."0 . OCT $ 70<:1.(')0 $ I. ('n'). c::rj $ . # I $ Ar3L0. 2.~ I \ White - Building Canary - Engineering Pink - Planning Th~ ('....I..' of lh.. L.b COllln1..,. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED !J)//J1'rt,--t->>i'd ~ 1/- ~3)tI-O I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I G 3 8'0- B 1- W{}1/r1) fJ{U.4.J Accepted Denied >(. Accepted With Corrections Reviewed By: AlIfB Date: 4-30-0) Comments: See Reverse Side for AdditionClI Information! " ::see Attacnments: 1) l:iraOlng Plan, :.!) t:roslon <.;ontrol Measures 3) Erosion Control Plan "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to bea 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 . Building Canary - Engineering Pink - Planning Th~ ('t'ftlt'f of I.... L.b Country Iru.ILDING...e.ERMIT APPLICATION DEPARTMENT CHeCKLIST NAME OF APPLICANT APPLICATION RECEIVED /J) /A1',u./>>r.d ~ 1./- aLJ-Q / , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /53 8f)- f3 LL #tn/Yl) fJ~ o Accepted Accepted With Corrections Denied Reviewed B . . Date: t.{. 1'0 ~ Ccr{" ~~rA-5: "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" Billlding Canary -Engineering Pink --Planning TIM' c-uletpf 1M LIIkt. COlIalt)' (,;;,~:,i\;~:i\':::: \~ ..v.., "'"........"..,; NAME OF APPLICANT BUfLQlNG PERMIT~PPUCA"Olll DEPARTMENT CHe~KLlST !j),At'~/AYd W~..-' .tI- atl..o I , APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the. building permit application for construction activity which is proposed at: ." . / 5 3 8'0- :R .IA. #(/1/Yl) f-~ (j . Accepted ,\ Denied Reviewed By: ~ Accepted With Corrections Date: ;')/2-~ ( COA~C~~ ' ~wu <-'~_~IDJ , :t-t{ t=:~ ~. ~('hteJ.l~ ~J;~ k- ~~y~ L~ +-q-w-tJ VZLC).tJ<:fD~o "The issuance or granting of a permit or approval of plans, specifications and computations shl'lIl 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 Ree'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT c. . O' tJ/ i ~ g~ I PERMIT NO. 01-0 "?Oz.-I ). Gold Applicant -/ ' (Please ~ or orint and si2n at bottom) ADDRESS / S"J J' () fJ r C, J./ O~ AI PIr"-t-! ZONING (olliceuse) LEGAL DESCRIPTION (ollice use only) LOT 'f BLOCK 3 ADDITION WILDS.!57'f , PID25' -37S-0Z.tf-() OWNER (Name) W t.N"O(u" 0.0 Ho",," € ,i (Address) (Phone) (Address) (Ciry) (Zip Code) APPLICA~ (Name) /LM HhL. 6 X. c . (Address) } fs, II jJ :Jol'o:.-A.J 11..)14"1 (Address) (Contact Person) C. L A cl r-o ,J APPLICANT SIGNATURE tL. .'L. . (\ . ~ (Phone) G:tS-.2 ) R'9:J. -t, '10(, L t4 ILbv;X:U~ (Ciry) (Phone) s ro" Lf (Zip Code) DATE (91s-Jol . APPLICANT PLEASE COMPLETE BELOW Size of water service finches. Location of any couplings from structure Type of sewer pipe. D ABC ~ PVC Estimated length of sewer line '-I 0 feet. Clean out (if required) located at - feet from structure. feet. D 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 SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 f\,Q 'V ei pef2.-- ,~\J\V. Estimated Cost $ Building Permit # (Office Use Only) This App i - .lecomes Your Building Permit When Approved --- ~. S-.O\ Date I Paid _______ I DlrL'etO'-5"".O" I Receipt N By A 24 hour notice fnr all inspections (952) 447-9850, fax (952) 447-4245 04-20-2001 08:33AM MATTl-EW DAN I as, INC. 423 3017 P.01 I. ."" JlIo .. ""'" a", 3. Y_ .... PP No. 0 1- 3 q ()... Appllc:ant: hfn#n;ul 'J}""j,16. Inn. Phone; U.S/) ";.:l.~-'''''1.-!'' Address: 15M/() (1Lu'rDI1....,1 ~y. .P"'_I.",nunr. MAl ~ Signature: 1"1.1(" ~~'J..6 ""'~"!r Legal Oescriplton. Lot Block () ~ SUb~ - 'i\Ih. Site AddrellS: I!!f:lllJI.n ~;,. .Ij-.._ ,CM Building perm/U PIC It;f.~ - ~11!:J - UID-O NOTE: Thia permit will not be pmevA'Id without complete intonnatton. FlXTURE UNrr5 CITY OF PRIOR LAKE PLUMBING PERMIT "... c......... .... I ...... c-...,., ...3 Type of Fixture Bath Tub with or without shower Olshw8$her Floor Oraln Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (loilet) Ouantlty Type of FIxture Quan1ftV I Rough-ins Water Heater Water Soflner Stand Pipe (washing machine) Sewage Ej.e:tor 8ackllow Assembly (RPZ. Couble Check, p'Ie Backflow Asaembly Te$t Lawn Sprinkler Other L I I ~ I I I I I I FEE SCHEDULE Industrial. Commerc:ial & Multi-Family (1% of job cost. 539.50 minimum) ResidenllaJ, New One & Two Family Residential, Additions & AIleratlons State Surcharge S99.50 $39.50 S $ QItI..5ZJ $ s .50 GRAND TOTAL $ /4tJ.4tJ ~ u.. . 1bI. pemlit il poncecl upan tlle ozp.... c:ondltion that said contnlCl<>r. sbaII c:omply Ii. all rupoc:u ",h/l tlle OrdilWlCes ar lbe S- P\umbllll Code ond the . ..., ... ..,., lb.....r. RECEIPT NO.CJ -t./- I DATE rr:: ATT15ST Call for III inspectioDl 24 hours In lIIlivmce. 16200 Eqle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 4474230 I F.4.X (612) 4474245 All Equal OppclrauUcy Elnploycr SUI PAID WITH "--. LDING PERMIT TOTAL P.01 CITY OF PRIOR LAKE lie 16200 Eagle Creell Av.. S.E. Permit No. PrllIr Lake, UN 55372 v If 3fl 'J- TVPF. OF ~TRUCTURE LPIalc l.Qoa ].v_ .FlIo CiQ" c:- HEATING APPUCATION f PERMIT Data \ \ - ~,~ - ..)\) PD# ;)~'"3 ,~~nJ..l/-() ~18~ ) s '>\?;O r,",\ \\,,-'" P",.> 2- ~ Block -; Addtion ~~ '" \ ~ ~ ',. . \ \ Ownll's Nam."'-.:,' ,,~~.~ r.<'\ ~ C..,~:~ " ... . I) \ Addr_ \4'\\\ C-~"~. "... t-t y'\" '(X.Y'-,,~.ll \ ~ HnIilg ClIntr&1oT h..\\-...." 'A; ~ :TII L. Addr_ \~~~() \...l~\( (,,~ ):tilt p,..,~~ \.t\I~ Till.... ~.;;:}- ~41-~\~'" furn_ Melee &M0d81 r ."....~-V- MadelSlz. {\'\ '\/ (J- \ '00 Conn. Laad \~ -, "')\ Fuel N ~'\ Fb Siz. JJI c. SuJllllr Operingl \ I Return Openings f6. a: ~lpIIl ~. ~ CMfM r,\ ilID o . . a:,... ~;ur. CIm.~ (" f ..... ~laenIIIans . N ..... RepaIr Est. Comp. DBIll ..... '" ~ ~:st. Co." N .O~ Iluid"IIIII P..mU ~iEATWGPEFNTFEE$} _.. ~ N , ~iTA1E ~ . .50 TOTAL PERMIT FEES . TYPE OFSVSTBI.J Wam 1Jr Pl8nts A Greriy Mechanical >I A1reo...tIIoIIIIlgA VIWlLSystem HEATJ4G OR POWER PLANT Sle&JA Hal w.. R8d'1a1IlIn Specild Devices 0lMr DWica TYPE OF WORK x n.p.c.....lII1l Nw~ PAID WITH BUILDING PERMIT ~f Single Famiy )( c... . ...:,,] lWo-Femiy IndusIriaI N>&c MuJli.Family 01her . Fee ScheckJle InduslriaI, Cornmereial & MuIli-FamJy RosidenIaI, HealIng & N:, ResicIerrtiaI, H8aling Orty Residential, Gas fireplace R~;..'.,-. ~&AJleratians :-:,,,:~,..laI, N:; Only I'.:. at job cosIlS39.50 mnmum) 199.50 PLEASE NOTE: S64.50 Air Conditioner Units Carmc $39.50 Encroach Into Required Side $39.5C Yani Setbacks. S39.5C Remember 10 edd lhe Stale ~ on the bottom of Ihis appIic.tion. The price 01 your. ,,,: ., perlnllncludlls _ rougIl-in IInCI one Iimi i~,,- AddiIon8I inspections MIl be biIed at $35.00 aacIl. House Heating TIlII Flecord must be 8\DriIIed wlIh ~ IlI!lllil rwmber before ~ lng c:erIiIicale 01 ocwp8IICy wi be iuued. ~ CALCULATIONS REOUIRFO with 1UrIber 01 supply IIIld RllWn qJ&J'ings IisIed per _ wIlh CRIll pet opening. New alrucIunIs Of adcIlioIlS IIInd lIoor plan witt ~ IIIld return IocRons aIlown. HEAT LOSS CALClUTIONS, PAYMENT AND APP~IONS MAY BE MAl.EO TO THE CITY OF PRIOR lAKE, 16200 EAGlE CREEK AVE. S.E. PRIOR lAKE, MN 55372. . CiIy Half ~ hours _It B e.m. . 4:30 p.m. ALL WORK MUST BE INSPECTED (IlOUGH-tN AND FINAL) . CALL CITY HALL 46_ FA1C '+4"7 -14-ZJ.I.5' . I hereby apply tor It mechanical systems permit end I aelenowledge lhal tile inf. ",:.. above is complete and eccurallt; thai. the work will be In contDnmIIICl8 willi the Drdi_ and ClICIe. of the eil, and wlIh the state bulIdinslmec:henlc.f cow; lllal this Ill"" do.. not become a permit unlH .;gmKI by the SUILDING OFFICIAL: Ihallt1e work wll b. in accordance with the "';' " ... 'ed plUl in the cue of all work which requlr.. relliew end approval of plens. -"\'\~ ~ BuicIng ~Slgnetan s~~~-, Daht S-;:;LflJ-o/ De" PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION INSPECTION RECORD . SITE ADDRESS JS3F)O !3,'c. l4r.'t'^ ~S~ NATURE OF WORK ~I"..J v USE OF BUILDING S~D PERMIT NO. ()f -03Q2- DATE ISSUED CONTRACTOR LJ...&~~' ~ 8i5-8c{C((!) NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR IlATE I FOOTING I '(),\}tWA. I 5"'J-sdO( . , FOUNDATION (Prior to Backfill) I gc V~ : "')4-!I511 I <'B.~~ ~MD( PLACE NO CONCRETE UNTIL ABdvE HAS BEEN SIGNED ROUGH - INS ;elf ,/;/0) 171 \ /i.v4I 'l3ePtp' "b\14 sqlllOl ~ O~ ~f~+~ HEATING (if required)' <b Va rz ~lOj FIREPLACE , GAS LINE AIR TEST f> ~tM.Vf 1/ a4141 COVER NO WORK UNTIL ABOVE ..lAS BEEN SIGN'ED I~~~ 119 I I " FINALS 12 1~1 <:~ \} I ~~\1~ OCCUpy UNTIL ABOVE'~1s .. ' .. NOTICE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~ ~~1'!OI ~I ~ I Q . 01 BEEN SIG'NED This card must be posted near an electrical service cabinet prior to rough-In Inspections end maintained until all Inspections have been approved. On buildings ,and ad.dltlons 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 (612) 447-9850 .~.-~~~.,' :," "~"~'~ ,~. ;"~.'" '-"'_i..' 0.;,,:.-':' Io;,.i""' .j"'" ...."'.. ~" ..;"Ilj~t j. :Ji t"~_~~ .~,.. .A~'\fi=iiI""" " " ' ., ~ :; il Qttrtiftrau of ""'~Uf'~ty .:-~li Cl.l ~ OF PRIOR LAKE l' Dtpartmtnt of .uilbinll In'ptdion ~ ri.J.inJ11 Permitted 0 Conditional C.O. Expires _ r !nus Certificale issued pursllll1ll to the requirements of Section 307 of the Uniform Building c.~ certifying that at the time of isslIQIICe this structure wa.s in compliance with the WJrious ordint1llCes of tM City of Prior U1lu reguloting building construction or use. For the following: Use C1usi_ Occupon<y Type R3 Lepl DaeripIion ~9 . SINGLE FAMILY BIdS. Permit No 0 I-Ql2l N/A R1 Type Consttuction VN Fire Zone B3, THE WILDS FIFTH ADDITION Zonins DiIlricl SiteAddress 15380 RIG HORN PAS!: Owner ofBuildi.. Con_', Nome A Address WINDWOOD HOMES. 14311 EWING AVE. S.. SUITE 200. BURNSYILLE ROBERT, D. HUTCHINS rity PIInaer t17~0IficW 16 '~1.61 f POST IN A CONSPICUOUS PLACE DON RYE Dote: Date: CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS / S3?6 OWNER PHONE NO. o FOOTING o FOUNDATION o FRJ.MING DINS JLA TION o FIN \L o SIT: INSPECTION CONlMENTS: J I 7 I DATE TIME: SCHEDULED 0'-[>>0/ /tJ /~ ~~IJ~ (/ CONTR. ~G/ PERMIT NO. r 1 rJ 1-- -?Cj:::+--" o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o bAl- J / I I I o PLUMBING RI o MECHRI ~ -G-WATER HOOKU ...er-1'EWER HOOKU o PLUMBING FINA o MECH FINAL I I I I I L,)! r( " I II /) ( \ \ ~RK SATISFACTORY, PROCEED o CORRECT f!t.""~ND PROCEED o CORREC(V: C, ALL FOR REINSPECTION BEFORE COVERING Inspector: ,---,' Owner/Contr: , CALL "7-sul. FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ _<m DATE TillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~-3l-' a;37:) /~gg-() ,6~~ () CONTR. ADDRESS OWNER PHONE NO. PERMIT NO. /- 37~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP Jt-O~RHOOKUP (I ,..;;n'LUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: v1MlADlW'>1-er (jlr' JAAf:t-PJ' Sea.\~/ II - o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~~K CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ (1J.Hl Owner/Contr: CALL "7.9850 FOR 1E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI DATE TIME SCHEDULED ?- 7-) J ,~J0 /:U~ Ikm p~ CONn?! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Is-3ft) OWNER PHONE NO. PERMIT NO. t --37 a o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP f+ 0 INSULATION 0 SEWER HOOKUP ...B"FINAL 0 PLUMBING FINAL o SITE INSPECTION ft~EfH FINt COMMENTS: hi !OIlS-It) I / /. ~..~ Ilff(O\)cl \or-0+'1 - ~d (}If\A trp d€VPJD~ ..... I s.s::.u.f: o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o - .- C-D /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~Ri ( ALL FOR REINSPECTION BEFORE COVERING Inspector: J') ~ ~ OWner/Contr: CALL "7-9860 ~ INSPECTION :u HOURS IN ADVANCE. } CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ lNSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~g() OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION COMMENTS: bN,,k ~ SCHEDULED DATE TIME 10-),$-(>( f}fV/ Bjhorll RL<S CONTR. w,'td wd 11&",,1:.,5 PERMIT NO. (') I ~ S <7 L o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL c9K... - L" f'7u rod -10 ~__J~(,..I !:ufb !?r?~ -- r?J::: ~~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o f- r};r+ /), '(~ C,$ L.~~J,~ , tll(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING In.pector:~ _ - Owner/Contr: CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ IN$NOTI