HomeMy WebLinkAboutBuilding Permit 01-0400
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT L./- 2 ~ ~ .a
-O~OO I
Date Rec'd
I,White File
2. Pink City
3. Yellow Applicant
~
I ZO~/(Offioeuse) I
(Please.!VD~ or orint and sign at bottom)
ADDRESS
n?? t'lx 1/;/,,, ~ftJlfV
LEGAL DESCRIPTION (office use only)
LOT tJ BLOCK I ADDITION
-1/'1t- I),,,~
, +A kVfJ mcnJ
PID 25,2375- OCJ5-c)
OWNER
(Name)
4"tJMJ
70 JCl
t:Ali~'\f2<I//r(dJJ t:;. lwe-.
,
- f. 4-tfI At/e.. 4'.+ltfwPUi-
(Phone) ljefz. - 4-()'3 ' <f ICKJ
t1u. -51}771
(Address)
BUILDER / J A
(Name) .htMf;. A~ (/IAhJli'f-
(Address)
(Phone)
TYPE OF WORK
~ew Construction
~eck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
[!;?Fireplace
OAddition OAlteration OUtility Connection
4C
PROJECT COST IV ALUE (excluding land) $ 171. av.
o Misc.
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 permit for just cause. Furthermore, I hereby agree that the city offictal or a designee may
;ter upon th petty to p. needed inspections. 1M I 4- /1 A ~ /
Contractor's License No. ~
1 Permit Fee I $ , I-; ~OOO. t;i , 1 Park Support Fee
1 Plan Check Fee 1 $ ,.~ 'e,. 4 S 1 SAC
1 State Surcharge 1 $ ~ ~ . 0;+.--1 1 Water Meter Size S/8"ll;)
1 Penalty 1 $ pL... (!)l) I 1 Pressure Reducer
1 Plumbing Permit Fee $ (DO. c<:5i") 1 Sewer/Water Connection Fee
1 Mechanical Permit Fee $ / nO .()iJ 1 Water Tower Fee
1 Sewer & Water Permit Fee $ J'5. SO 1 Builder's Deposit
1 Gas Fireplace P;rmit Fee $ </0. CO 1 Other
I TOTAL DUE
./ Building Officjli Date I Date ; <!;;'. d.o I Bv
/ . .
This is to certify that~he request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and y 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
~A -e~ ~/J(e( ~~C~~C~
~~ing Director Date SpecIal ConditIOns. If any
24 hour notiee for all in'peetions (952) 447-9850, fax (952) 447-4245
#
$ 8~.r.n 1
$ I. I <:)D. 001
$ '2...,,,,,f)OI
$ r;6 .~a
$ J. 20tJ .(rYn
$ I [6Q_ csP
$ J,~' oor
$ 1
I
I
$ 9,138~.A..7
#
#
#
Thf Cnln of Ihf L.b COun11'}'
White . Building
Canary . Engineering
Pink . Planning
6.UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~SA~~UAu UN'::'I1<:.uc::T1 CtJ
4-.. 2?", - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3353
Fox ,7-\ I L.- -'K..-I-\ I L-
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~:'....c'-' ~~
Comments:
~JIM.AM-\ 2t./lf=r~~1 0)Jzl, k-P;~ '
~ /~_ *-~u tJ.....t}.t.J ~ C~h...
Date:
n/3/'PI
"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."
'.
~1
White - Building
Canary - Engineering
Pink - Planning
Th~ ('t'nlt'f of lht' L.b CounTry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SA NDA LJ c.oN~ I K.U m 0 tJ
4- - '2.5 -- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3353
FoX 17\1L- ~I L-
Accepted ~
Accepted With Corrections
Denied ~/Y? h---..
Reviewe~t!/y
(l7Jn:m a1i~~~
Date:
4'--~/~
~J)~T7_ ~
"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 - Building
Canary - Engineering
Pink - Planning
Thll'C"lI'nll'roflhrukfCounlry
BUILDING PERMIT APPLlCATIOIlt.D.EfART~ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SANDAU c..o"J::;,II<:::..UmON
4- - '2.5 - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3353 FnX i'A I L..- Tle..A I L-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1J1Jf3
Date:
l/-~J _~I
Comments: See Reverse Side for Additional Information! J
,
"
See Attachments: 1) c.;radmg Plan, 2) erOSion vontrOI lVIeasures
3) Erosion Control Plan
"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."
\
1
GllEE. . 'Ill.
YELLOW. APPUCAIIT
GOLD . ClT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
01- L.jO <:)
S.w. No.
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~J.. GWJE :DJc.
ADDRESS: SUi J1JlJ.lfI.<::' S 71fp:J St-I/I/(lyEE
SIGNATURE: ;?1:;;UMJ( ...;/7$./J)./4~)
SITE ADDRESS: ~? Fox lAM... TRAIL.
FILL IN THE BLANKS
PHONE: 967.t!Y,1r5l0D
DATE: 5-9"'0 I
BLDG. PERMIT #
PID#rlS"'315"'4 d05-()
1. Estimated length of water service
50
feet.
2. Size of water service
III
inch(es) .
3. Location of any couplings from structure
-
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line 50 feet.
6. Clean out (if required), located at
structure.
- feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your Permit when approved.
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and
Surcharge
TOTAL
water line.connection permit.
"~"
* Fee for either sewer or water individually is $tr.~ plus
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer 'and water ~ermits are
issued. BU,Lt'O WITH
DATE PAID -!-;--'1-0 / AMOUNT PAID' ING PERMr,
REC'D BY J1C /
. J
. ,
J
*
RECEIPT #
.--
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
\
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
#//~::>
Date Rec'd
; ~ ~:~ I PERMIT NO. I f '0{)
3. Yellow Apphcant - L--f
(Please ~ or orint and ,i.. at bottom)
ADDRESS
'::> D'S ~ ~:Y-J- \'1\. \. \ "\ '\'c..\ \
ZONING (ollie. use)
1</
LEGAL DESCRIPTION (office use only)
LOT5"BLOCK J ADDITION~~ IJ..AJito
s-1:Ic
PIDdS- 37S'- oo<;....-b
OWNER ~ _ ~
(Name) 0U1\c:lAIA C'..t)(\~,\nN\ (PhOne)t1('::G- L.\()'b-'1I\)(j
(Address) 'OD\O ~.c..~\ u..m (\.~. 't,'v'Ll"U\{)Qe,. \\1\(\\ "S(:)?--rl'4
APPLIC~ ... '^ \ ~ (\. \
(Name) \...JO.\.'O.A\'U~ ~('\ (\{'). (Phone)C!-S'd..-l\L\.C'.-\q(JC'\
(Address) O~ \CD~ ~.W. ~"G...I.L.0{Je€J . ('(\1\) -D'S"b'lq
,
(Address) (City) (Zip Code)
(Contact Person) ~ ~ (Phone) q,~d-- ~'-\2>-\4 G(J
APPLICANT SIGNATURE ~ ~ DATE (o-\~-o\
(j
, f APPLICANT PLEASE COMPLETE BELOW
,KiNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL \:' I(f~ \''v---OC '?-,C'> FUEL ~ A..l
FLUE SIZE <;=Y RETURN OPENINGS INPUT ~ . DDC> OUTPUT 7 ~ cD
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
..e:Jii.iI' Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
, FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ q C\ . .::,-0
$ .50
$ \~.c--.=
PAID WITH
,BUILDING PER;\I.IT
'=>V\ b\d.<'
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
, Paid
-
Receipt No.
Building Omcial
Date
I Dateh_ /Cj-tJ/
B~
V
24 hour notice for all inspections (952) 447-9850, fox (952) 447-4245
861 0456 P.01/01
JUN-13:-2001 15: ~ I ,v=v- \)1~~K /~~~~lVl<. LAKE Lj l..j -"'( Lj). LIS
5~ !)J~ HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
.........o'~ ~ --yo Pv Pi re.,p,~ ~\J j""'-~
~ e.c..*i~ f}trr -6- lot ~:-;:, ~!~ I PERMIT NO. /_1' /eCJ
.) Yellow ,*,,,,h'll1I Y'
(Plcase t\1)c:' or vrint and sim at bottom)
'ADDRESS
33 '53 FoK+A-;l
Date Rec'd
"Tr "': I
ZONING Corl\c.u..)
AI
LEGAL DESCRIPTION (ollie. us. only) r
LOi 5' BLOCK f ADDITION ~ '11t IJ /; / gjd/) ~~'17c.
OWNER < .
(Name) ~
(Adc!.ressi$/tl> (;- y~
~ff'~---' I
. Av~ ~ ~JlO-
(Phone)
PI!b?S - ? /1"-00 l)-C::;)
~/;). 363 ()/ ~
l.{o'J, 9600)
"'^""
APFLICANT
(Name) V' I ~ L"' "-
r= i r €--P I o-U....
(Phone)
-P( ~ At.....
I fJ.1G..
(CitY)
C1<;1 1..\r;0 56C)()
/YI"J $ S 3A.J.-
(Zip Code)
QS.J l{'10 .5 6dv
(: - I?-Ol
(Addrc's)
f 6151
IYIIJ.;rJ A II
(Add....s)
(Contner Person) I ~ c...."') rr tS cd~1 ....~ (Phone)
APPLICANT SIGNATURE A.::.A.7'\. ~ DA1'~
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT P ALTBRA nONS
FURNACE MAKE AND MODEL I'AAi R.AXlL b\J '360 RFrJ FUEL tJa:Ir-
I .
FLUE SIZE RETURN OPENINGS l'NI'UT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DOravity
D Mechanica'
DAir Conditioning
OVent. System
o Steam
D Hat Water
o Radiation
o Spl;clal Devjces
o Olher Devices
PLE;\SE NOTE:
Air Conditioner Units
Cannot Encroach into
R.equired Side Yard
Setb.cks
FIREPLACE MAKE AND MODEL
f'I\.O.j J2J.. '* k... j::) \, 3 b'1 9.. F Ai
I
Industrial. C:omrne:rcilll &: Muhl...famlly
FEE SCHEDULE
I % of job cost Rtsir.1cntial, Gas Fife-place
S39.50 minimum
599.:50 Residential. Additians & AltcrilLions
S64.50 Residential. AC Only
539.50
R,c:sidenttOlJ. Ht:i1[jng &. AiC (New Constnlction)
Residential. HCilting Only (New C(')nstrutrion)
S39.50
SJ 9.50
Estimated Cost S
Buildin!: Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PEa..vrrr FEE
$
$--
S
.50
I3lJ/~I4ID WI"" .
~NG f:J. ~ ,.,
~J:>~
I Receipt No. . - I
I BYftY" I
omccUscOl'llf)
T~js Applicalion BecomeS Your Buildine Permit When Approved Paid
Buildin~ Offlcllll
O.tc
DOlt; ~ (LI--- /
2~ hour noti.. {ar.1I inspection. (9SJ) 4~7-98S0, r.. (952)447-4%45
TOTAL P.01
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 53$~ t="ok \ Gti t rrt O\..~ \
NATURE OF WORK 1J~
USE OF BUILDING SF'()
PERMIT NO. o.l- h4{J) DATE ISSUED 1../- 'So- 200f
CONTRACTOR ~~ ~. '1~,~ <'(03-7/015
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I 't..v~
.
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
I 5'1~io,
I FOOTING
, I.
SEWER I WATE~ I ~EPTIC /?fI. 51t~ /011
FRAMING td;/.0Ig\l ~~ Va, . ~/~:r &1
INSULATION \ ' <'?,. . \) Dr
ELECTRICAL
PLUMBING "V-, \)E (0.' :r-~o\
HEATING (if required) -g \ ;:;I}'. If
FIREPLACE <gJ aJ" " . ~
GAS LINE AIR TEST p,\)~ r . h!~~!OI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
AI? f- t,I- (};J
~\IlLW1
. I
lY
(~- \},{l4
'h.\ \/1 'N~
OCCUpy UNTIL ABOVE H~S
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.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I I
q/4/M
"I
I
~/l) p(
4 f~ b-j .
'r .
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrtifuau of Q)rcupanry
ell i OF PRIOa L~
Department of .uilbin~ \ Jrt~tion
)(Final Permitted 0 Conditional C.O, Expires.
1his Certificate issued purslUUll to the require1fU!nI.r of Secticm 307 of the Uniform Building Code
certifying that at the time of isStllUlU this structure ww in complimu:e with the various ordi1llJllCes of the
City of Prior Lake regu/oling building construction or use. For the following:
SINGLE FAMILY
Use Classification
BldB. PerDU' No
01-0400
Occupancy Type R3
TypeCc ". ..:.
VN
Fire Zone ..JjJ A
Zol>iDI District R 1
uFd~ L5, B1, THE WILDS FIFTH ADDITION
OwoeroflluildinB ~ite Addross 3353 FOX TAIL TRAIL
SANDAU CONSTa., 3010 E. 4TH AVE., SHAKOPEE, MN 55379
Contn<tor', Nome & AddreII '
ROBER,!: D. HUTCHINS 1; VCity_. DON RYE
Dote: q ] /I ) 07"1 OffICial Dote:
I I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
CllCFINAL
r 0 ~OUNDA TlON
o DEMOLITK)N
o FIRE PREV.
COMMENTS:
SCHEDULED
3353 fox";',) /;..;/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
( ",b
&,,>t. - nl<.
Gl'QdL -" K.
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT10N BEFORE COVERING
.A-" .
InSpeclOr:,"r.;'~~~
_ow~ontr:
DATE TIME
9-'-/-0/ M
5c,!Jc/oo Com-/..
01- "(9(')
"'EXC~LLING
-O'iKS~TLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
D
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED q -11-0 I
ADDRESS 3353 Fo( ~~l T Q)..~l
OWNER CONTR.
PHONE NO.
PERMIT NO.
OI-c4ID
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EltIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
OK
~().
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO,)' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ - ~ Owner/Contr:
CALloUT.9UG FOR ~E NEXT INSPECTION 2<1 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1NSNOT1
DATI!
TIME
l.(; (7l)
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
CONTR.
SCHEDULED 9-J(-(){
~x:~tuJ.
/-Ll6tJ
PERMIT NO.
ADDRESS
3353
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
k 0 J/ilSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
..JI"FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECI" FINA . 0
COMMENTS: \a iA C{ 15'0 I _ r_ J A
P41\,,\P.,'eAr~('nJe., r
~.I".AA
S~~ ~ 1t~ p"r cku@~J~
l~~\Ae T-~ en I
;5' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'h. \VI ~J-- OWner/Contr:
CALL 0&47.9860 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY!
1NSNQTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3' 3 t) 3 -=}ox
.$J~-o'
Tv-
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 400
it~;~~:~ ~]~;;;~u ~ ~i~fi;~::
o FINAL 0 PLUMBING FIN 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0 L 0
COMMENTS: ( c:;; fc.J C7 f IZ. /\ (I
~ FA64L ON' 7Cf> cx:::- Ie:. i ,..J
I i y!_
\ \
L
-
II
.'1
.,.../)
/./
r,:/
I
\
.
O'
~RKSAnSFACTORy.PROCEED
o CORRECT ACTION A '10 PROCEED
o CORRECT Wf'\)<. ' ~ LL FOR REINSPECTION BEFORE COVERING
Inspector: 1<". \. Owner/Contr:
CALL 447-9860 >bR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
JNSNOTl
j/-;07j