HomeMy WebLinkAboutBuilding Permit 04-0629
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
or rint and si at bottom
Date Rec' d
~.Z.Of-
I. White File
2. Pillk City
3. Yellow Applicant
1 PERMIT NO. 04- . 0 cP"Z- 11
ADDRESS 303 -a &6 ~<d- Tn.~
LEGAL DESCRIPTION (office use only)
LOT3~LOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address) P.D.
TYPE OF WORK
New Construction
ODeck
DLower Level Finish
o Fireplace
PROJECfCOSTIVALUE (excluding land) S
o Misc.
Dlllh
PID2
ZONING (office use)
K..I
35z. 032. ,0
(Phone)
'5 (). ttb\ ~ 3 ~ ~Ll
Park Support Fee
SAC
#
#
~5D6.D
(Phone) 1.s~ 'ilo~- 3 <184
(Phone)1SC:9 ~/S ctUW-
ESt; aD
VVW\
\:J M VI
OPorch
ORe-Roofing
ORe-Siding
OAddition
DAlteration
OUtility Connection
~ClcC>Oc::. tv,;}J orff
Water Meter
Size 5/8
...
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 loca11aws 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 official or a designee may
;terupon theproP2-Ae~spections \ D \ b (J- ~-v y
Signature Contractor's License No. Date
Permit Valuation ~Z03 O()O, 00
Permit Fee S lIP 7(,<;;0
Plan Check Fee S lOr",. t.(?
State Surcharge S lor. SO
Penalty $
Plumbing Permit Fee $ 100, 0 a
Mechanical Permit Fee $ (DO.OO
Sewer & Water Permit Fee $ 3S".~o
Gas Fireplace Permit Fee $ 1./0.00
This Application Becomes Your Building Permit When Approved
~,; "/1l~~
Building Official
,,/ z. z.(o 'f
, Date
$
$
$
S
S
S
S
S
Co .1J.O.t- s /0
--
I ReceiptNo. Lj'.r/~ I
By 8 .
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
~a.()tJ
35"'0. 0 ~
"300.00
0,00
IZOO.OD
CO.oo
~ao, 00
#
TOTAL DUE ~
I ~~~ 1c:q~/~t
This is to certify that the request in the above application and accompanying documents is in accordance with tbe City Zoning Ordinance and may prQfCed 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 ~fl"'~ff' of Occunancv must.~__
~ .' ~ ,t? /I ,.
-~~ ~ ~ 'i ~ ~ '-/.,/6"I.-.:t;-.,.,.J
Planning Director 1"2- ~ Special Condit;.ns, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ./
16200 Eagle Creek Avenue Prior Lake, MN 55372
8~~
White . Building
c t,;anarv - Enalneerln~
Pink - Plennlng
Tht' ("t'n'''rof tht' 1..1r., Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T.
c... (OI'Jrn;0U ~t U to
(0.7..04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:? ()? Z. 13 OJ: aPt'! 'TlZ.1/1 L--
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/J1'J/J
Date:
~ -IS' ~O L.f
Comments: See Reverse Side for Additionallnformationl j'
Drivewav Must Have A Concrete Approach.
!i1c"/,k/,,, E1"IIs/(J'l Co/l/,. I ulll,' I
~4b/'5~d~
Tvr{
r
I.'.J
See 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."
~1
White - Building
Canary . Engineering
a;nk . Plannln!!:)
Thl' ("..nlll'r of lhl' t.kl' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-
I . c.... (O/\JfTlLU c;n () t.J
t.c.'Z-.O+-
The Building, Engineering, and Planning Departments have reviewed the building permit
'application for construction activity which is proposed at:
Zo:':2.. C6~(1/'tT -null/.....-
Accepted
Accepted With Corrections ~
Denied
.--
""::::::' ~ t::;..~t,~~a:. ~
.~~~. ~.~;,~.~ ~~~.
"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."
~
Thf ('fnlfr nt lhf L_kf <-'ounny
lWhitA . Buildi~
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T. C--. C,of\}S'TI2AJ m 0 0
~.2-,o4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
go:? z.. f5 O.f..aI4'/ /7Ut L L--
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
;j3~-<-rJ: ?~~
RIl~ aLl
r
Comments:
Date: I.:, // ( /.:; if
(' r.
~~ ~~tI~
"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."
88/12/2884 83:44 5873344811
.._ .....,..... .'.,. v.. ~ I rllr..&. u&....... j .....,
CANNON VALLEY MOTORS
~~~I V~ Y~1U~ ~
CI 1)01
PAGE 81
CITY OF PRIOR LAKE
REA TING/AIR CONDmONINGIFIREPLACE PERMIT
,
I~";~;n;;~:m) 8~.br~
! LEGAL DBSCRIP'IlON (... U. onJy)
. l.OT BLOCK ADDmON
Data Rec'd
~ =. S-I PERMIT NOO'tJ:id!/
I I ZONINO(_.~ I
1'HIi I _
PID
I~= '-0C-,
. (Addresl)
APPLlCANT
{Name.
c~
(Address)
(CODmCl Pmon)
(PhOIlC)
(phone) 1j)-7~:r -> 7.:'1.7'
AP LICANT PLEASE COMPLETE BELOW
w C~CTlON Il.EP1.ACllMENT AL'rEM TlONS
I
FUP.NACE MAQA MODEL 'tfhJ FUEL
1'1.lJ1! SIZE >- I' .fl~"" OP!:NO>IOS O>IPUT 11 N ~ .?h.&
TYl'J OF S'tSTEM HEATINO OR. POwn PLANT
;WImI AIr PI"""
an.11y .
MoobulOll
I Air CoIldillollin.
I Von\. 31-
1'IlUlPLA,CE MAXB Ala) MOPEL
BS~
HOI """er
~iariDn
o SpocIlI Devlca
CJ Odlor 00vIca
PLU.SIt NOTI:
Air C:llI\dklollor U11ill
C_ot I!nc:oacllllllO
P.eqIIInd Side Yard
~kJ
nit SCHEDUl,.I
l.d...rllI. ConlllloroillA MIolli-FlII\lIy Il10 orJolI _ !ta14cnl11l. au P!rtpl_
539.$0 1\I1.I,"u,"
~4trlda~ KUlIftc ... AJC 0/... ConfINwon) "9.'0 bslclontill. Acldl1lOllI'" AII~otII
Rtsidond.L Mealin. O.~ (Nt'" CoMNC'lion) ~.$O I!.aldonllal. AC Only
Estimated Colt S
HEATING PERMIT FEE
STATE SURCH.4Jl.OE
TOTAL nllMlT R1:
(Olllco \lot 0.."
TIll. AppllCllUoll '<<om. Yair ,.Ildlnl rermlt Wll... Appnv
. .
1]9.50
1]9.'0
S19.jO
$
S
S
D...
2. hour ..U.. 'ar .1I1.1pIClI... (9n .4'._. fill (tSJ) """'2<15
By
Wdl.. OIllN'
,;~
FROM :FARMINGTON PLG & HTG
FAX NO. :6514637835
Aug. 13 2~~4 ~2:53PM P1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(P\euc tYPe or priDe IDd ri~ at bortOa1)
! ADDRESS
. 303:.1.. q:l,obr:~t
Tr1
I... ". [ PERMIT NO.~ .
I Gold CIft'
J "'&l1Q.r ",.!ieaIol
I ZONING (o(focrusc)
LEGAL DESCRIPTION (0&<"", only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
Tc
Cc> jII...$ t r u.dco,^-
(phone) q~),- 4lD.\,3Qg4..-
(Addras)
APPLICANT ~.L.
(Name) ~... N\ i "'(t'- '^ f'ld- 0.. -.Q \..\ ~ (phone)
(Addleu)d./():7,4 C.hi,,~ck.le... hive. h1fM;~ SSOd-.Lj-
(AcI4zess) ( ) (Zip C~)
.
(ConIac! penonJ J 1 """ I "()a.. '^- (Phone) 1<>. c; , - 4lQ 3 -78 do 4
j 0
APPLICANT SIONA'I'URE ~ \.. Gtz,o.- DATE A - 13 -0 l./.
Qua ty
;l
I
APPLICANT PLEASE COMPLETE BELOW
Type or FbtlU'e QaaaCity
BI!Il TUb WI or without shower
D
oor
01 et)
Type orFlxtare
FEE SCHEDULE
loduolr\ol. c-ncr.1ol ~ Muld-flllllly I" of Job COIl willi . 139..so Ildohnum Raldcnd", New One 4c Two-Fondly $99..so
Raldealial. Addlllons.t ^Itendolls 539.'0
EIlimated Colt $
~11cI111I P_lt N
~-:~;" '-'..~:
. ..PI?F!Anr ,,' .
. . ...~..A-..; '. '~t;j/J.'
: .'~~.~'~ ,:,~~;" ~,:'. ',~;~.;. ':~,~:'I,. ~:."
PLUMBING PERMIT FEE $
STATE SURCHAROE S
TOTAL PERMIT FIE S
(0lIft 1JIe.,
nil Appllc:allollllecalD. You BaUdllle Pe...11 Wlte. App\'lWed
D...
"j .
~~,"'" "'~ "~" ,,' 't
.:.0:-'" ....... .
....-
.
........ OftIdol
"1
Z4 bor .011.. tor 10 I'.pecllo.. (9$Jl 447 150. t.. (952) 447~W
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3Q.s2. ~8~~ft..
NATURE OF WORK tJe~ ~io~
USE OF BUILDING .r:: 0 .
PERMIT NO. ()~. 0& z... '1 DATE ISSUED It 0
CONTRACTOR T.t.~~T'~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ;>. ??
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
OR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING If re uired)
FIREPLACE
GAS LINE AIR TEST 1'1... Fj4 ~....i!J'
-::::, -
-y
;:/ <:7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
rI/frNGlbiLr~11J S7NJ6 ~I ~ '1'-/5"" I
FINALS L~
GRADING Prior to Soddin '.
BUILDING'f 40 B I 6
ELECTRICAL
PLUMBING
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.
FOR ALL INSPECTIONS (952) 447-9850
..
Qtrrtifirafr of Ol}rrupanru
CITY OF PRIOR LAKE
~tparftttrut of ~uilMug Jfusprdiou
)2l"Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section lID of the D Residential / D 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 04-0629
Bldg. Permit No.
R1
Use Classification
R3
VN
SOUTH
Zoning District
Occupancy Type
Type Construction
L32. B1, THE WILDS
Legal Description
Owner of Building
3032 BOBCAT TRAIL
Site Address
POST OFFICE BOX 51. ELKO, MN 55020
JANE KANSIER
T.C. CONST
Contractor's Name & Address
ROBERT D. HUTCHINS
City Planner
Building Official
Date:
Date:
J'..,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~L:L'/
I~
TillE
ADDRESS ~o:?2 ~ccJ.-
OWNER
CONTR. .
PERMIT N~
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
PHONE NO.
(029
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~INAL
[J SITE INSPECTION
[J EXIGRADlFILUNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GAS LINE AIR TST
[J
COMMENTS:
-t.-h'wJ.fi,~.~.t (~ SeJ
"2. ~ :. "'jJ~
J. ~~\OOIl.A
~.qc{7'~~
.~ (I~t6
-to
I I
0/ J / nt]
I
[J WORK SATISFACTORY, PROCEED
a CORRECT ACTION AND PROCEED
)1. COR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect
OwnerlContr.
C
NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
DAll! TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s- ~-o.r
ADDRESS ~..s.z &k..-I- rrl
OWNER CONTR. J c.. .f'cafru{..f' 11.,
PHONE NO. PERMIT NO. 6cf- ~J
o FOOTING
o FOUNDATION
o FRAMING
~:~~TION
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
JI(~ILLING
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6~ -(")r_
&Pr/
)(WORKSAT~FACTORy.PROCEED
a CORRE(;>t ACtiON AND PROCEED
a CORRECT ~RK. CALL FOR REINSPECTlON BEFORE COVERING
Inspector.~ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY/
IJa1<<1n
CITY OF PRIOR LAKE "L, 1,..1
INSPECTION NOTICE SCHEDULED Io;~
ADDRESS '(O"Q.: ~~ T,
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-Y - "~'i
o FOOTING
o FOUNDATION
o FRAMING
~t"'TlON
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
JI! PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~"fi~_~'I<I'l-~e'r8
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
. b'6oRR CALL FOR REINSPECTION BEFORE COVERING
OwnerlContr:
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1N$NOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS '$C'~
OWNER
SCHEDULED vtJ;;1~ V
~.rry
nilE
CONTR.
PHONE NO.
PERMIT NO.
l.f -(') {,2i
o FOOTING
o FOUNDATION
o FRAMING
~INSULATlON
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
[J FIREPLACE RJ
[J FIREPLACE FINAL
[J GASUNE AIR TST
[J
COMMENTS:
t9~J. ~~ }'A LY !::~
'Z... to.A L c'm..D=-__,
Or Un'''; t. S""-t Ra.:tr ax- ~ , n.
6
"t/7-~"3D
)~l>!.11 .s~~!t.
~~r~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
J<.CORR WO. CALL FOR REINSPECTION BEFORE COVERING
Inspect
C
OwnerlContr.
50 FOR THE NEXT IN PECTlON 24 H
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
IIaI'OTl
"
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent C02
Percent CO
Stack T ell1'.
c
:30"}2 ~t:4f 1(.
jj.'r ->ysh",
fiicJc
10 -/-0'/
FJ.:J.
q,y
~~tIt
IIi) D
----