HomeMy WebLinkAboutBuilding Permit 03-0039
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I, White File
2. Pink City
3. Yellow Applicant
/d-Ol 3 -OJ.-"
I PERMIT NO'03 . 00.]9 I
(Please type or print and si2D at bottom)
I ADj;~S
,
..570h<< r,P5T
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ZONING (officeu,,)
,~ .;:r-
LEGAL DESCRIPTION (office use only)
LOr53 BLOCK I
ADDITION
I?J T"GciV V; ?/&.
033
PIu,,;s-3fyt-G?.,7~ -0
OWNER
(Name)
~h/</Y ~h7~
to;;I/"~/c-h-r- L?~,
~dt7
hi, I)h..r0/J Ie c..
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(Phone) ~~di'3"-~</3
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. (Address) /,) C/C'O
,- ,
BUILDER
(Name)
(Contact Name)
(Address)
~'$Ct /?? ,;?
4//
1
c5c;/J7~
s /:;';;5/7; AI
"/
(Phone)
(Phone)
.<)U /n,t7
~Sd -"-"33 -d)5"/'f'
TYPE OF WORK
%New Construction
DLower Level Finish
ODeck
OPorch
OAddition
ORe. Roofing
DRe.Siding
o Fireplace
DAlteration
Dutility Connection
o Misc.
PROJECTCOSTIVALUE (excluding land) $
I...f'~_ (ice, Cc
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 b ildmg officIal can revoke thiS perout for Just cause Furthermore, I hereby agree that the CIty offiCial or a deSIgnee may
:terUP;?j'';.';OP"2e d~n ,ecnons #,i?00/1/ 737 /d P .:ShOl..
Sl~re - Contractor's License No Bate
[ Permit Valuation .Jr 1 'to I 0 () <9 0 oC) I 1 Park Support Pee # $ I
I Permit Fee $ /'(97.751' I SAC # $ 12... ryS, 0 0 1
..o?-
1 Plan Check Pee $ '17~S" j I Water Meter S~l" $ '2.51.0 0 I
' ,
I State Surcharge $ q '5. 00 -I I Pressure Reducer $ L/S.OO I
I Penalty $ - I I City SAC and WAC # $ lzoo, DO I
I Plumbing Permit Fee $ 100.00 I j Water Tower Fee # $ 700.00 I
I Mechanical Permit Fee $ 100.00 I I Builder's Deposit $ ISQo. f)O I
I Sewer & Water Permit Fee $ 3'5.5'0 I lather $ 1
I Gas Fireplace Permit Fee $ "'O/.J l:f' I I TOTAL DUE CI'Mfm_'-e-o~ $ 1;7'H 71 I
This Application Becomes Your Building Permit When Approved I Paidtjl) 1'1/, ,71 I Receiot No, L/TI- Lf U I
~ ::kJ:J1-- /~4110"L.- I Date 1-/3<--J.. By {iY/ I
J
Building Official . Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may 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
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Planning Director
oJlI ~
Date Special Conditiffhs, "if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
"Psrm;t#
"Job .A.ddreu
ZJ <;'7 S f-rJ'\a ( f<J f
'''-''"''11 """"oc1O<HEWJ '(j!;OOl ING TWO
"Testen5/Signature /L'---_~
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I!m!
Pounds
~
"Gas line
Pre$suriJ:ed
Inspected
. Percent O2
PERFORMANCE TEST
(J 7 'f.. 'P",conl co ..1J.?-
./) ",) 1~"O
.StaCk Temp. l.AJ
.Percenl CO2
Final Inspection
Dale
5~t
While - Buildina
C CanarY - Enaineerin'ii')
Pink - - Planning
Th~ ern,.., of lh.. L.k.. Coun".,.'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
/J?9'(Z;
Date:
(),-30-0L
Comments: See ReversF> Sirle for' Arklitinn::>1 Informatinnl
See Attachments' I) Grading Plan, 7.) Rro~inn r"l1trol M~~<mp<
"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."
~~
~e - Building)
Can~ry ~ t;.IIYIllt:t:f1ng
Pink - Planning
Thr Crnlrr of Iht I.akr ('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{! eN-I-e-X
J J. - ;;;L (p ,- 0;)---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;;)359 Sfrvee-,re5T
Accepted
Accepted With Corrections ..---------.
Denied
Reviewed By:
~ 7'~ Date: /~/.;L~~~
Jf~ /J./t1 ~~/.fl ~-~,
Comments:
"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
Can::lIrY - Fn9ineerin9
Qink -Plan~-
Th~ C"fnlrr of lhr L.kr ('oUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'"
,/ I' .~ ~ ./ -I
l.-_....... _" I', I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-; 'I
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f
Accepted
Accepted With Corrections
Denied
Reviewed By: Date:
Comments: ~ ~ we-U Ch-,,- ~ ~
~ .,a...iJ-~ &-.., Z I - I\JCl~ .
I (/
"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,"
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CrTI' Of" PRIOR L~r-:.E PLl:-L3C\"C PER.\[IT
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{Office CJC Onl~)
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Thi.1 ^ppliccion B<comc:t Your Buitdin::: Pennit When Approved
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FROi1 : HEAT I tIG-COOL I NG- TI.JO
FAX NO. :7634283682
i1a r , 10 2003 10: 2,2Af'1 P 1
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
U:. ~~ I PERMIT NO, .?, - -=< Q
;I, YIIl_ ^p;ltl~l'It --/ ~ I
tPleuc tvDe or tlMt and sieJl at bottoml
ADDRi::SS
c235Q ~\rI0FOf[\-I- V~+~
/ I ZONING (oflU:;u,e)
A.
LEGAL DESCRlPTION (office uoc only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(1 (/f\.\''L-L-
/
,1\"MF\
(phone)
(Address)
APPLICANT
(Name)
(Address)
"IF,nMn" /:tintiNG TWO 1I.Jr..
18550 County Rd. 81
~.laple Gro'te "'I' '.~~O,o?01
:fMf4'!B 3677
(phone)
(Contact Person)
(2QO k
(phone)
(City) (Zip Code)
?,; :h3/r.3 -, "1!5&> 7
APPLICANT SIGNATURE 1f:.1:t2.L/
1
APPLICANT PLEASE COMPLETE BELOW
;QNEW CONSTRUSfION 0 REPLACEMENT 0 ALTERA TrONS
FURNACE MAKE AND MODEL j<, ~7'..l _,7. <)nt/P(),y 0 FUEL c:; <'?~
FLUE SIZE :J.:5ic, RETURN OPEJolINGS' ir - INPUT ~().I'lr':c\ OUTPUT .J..l, [b (')_
TYPE OF SYSTEM HEATING OR POWER PLANT
~.nn Air Plants 0 Steam
DGnwity 0 Hot Water
D)IIechanical 0 Radiation
~y.:.Conditioning 0 Special Devic<'
0Vent System 0 Othor Devices
DATE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setback,
, FIREPLACE MAKE AND MODEL
Residenti.l. Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
'FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residcntial, Additions & Alterations
$64.50 Residential. AC Only
$39.50
InduminJ. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Pemit #
~ .50 BOlt:o'NGWJTH
$ , PERMIT
(o::su~'P::::~tion Beeomes Your Building Permit Whon Approved . ~nll Re;:,~t No.
UJow-r; 1 1 (UI),l )1 By tjJ)
24 hour notlco ror allln<poetions (952) 44 Eitfl;o fax 19") 4d7,4~4S !
.. ---.....
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BlIlldlng Officlll
D.tll!
OS/28/2003 07:15 9524512155
FEB-13-2003 09:06 CITY OF PRIOR LAKE
DA5Erl COtHRACTH.IG PAGE 0~
9524474245 P.01/01
Date Rcc'd
CITY OF PRIOR LAKE
SEWER AND WATER PERJ\1IT
(l'lc.... <'a'" o,on.tll1d Ji", &tbotlllml
I ADDRl!SSI) ~ q
OJ..) 61oJf~rpDf p()"l-A,
~ ~ ~ I PERMIT NO. 3 ~ '3 q I
3, GMd AfipU_ /
I ZON!NGI'~""J I
pm}5 3R0:J 3 }'-6
i (phone)
j )w_.ir:..J~Ji./ 1~1 f1JL4-on 1212 , -? ~ ~il3:~
(eiN) (~ Cod.)
=~';.er\ (\ I)tr\1a ~t [) ..st'X'c- (PhOJlelC/()"i7-L/&1 -[)..J{J D
(Acldress) ~ j...p\-\ehP7_ 1I:uP daJltJJl'1 It' , m tJ 55D~
v.d<l<<-...) (Cll}') : (Zip Cod<)
(ContaaPenon) aO((hj ~11- (phone) /;JI'}-M-;)t:i-io
APPLICA.NTSIGNATUREJ\O~~} , DATE S:d-.f-D-;).'
u
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from strUcture
Typeofscwcrpipe. OABC OPYC
Estimated length of sewer line feel.
Clean out (if required) located at _ feet from structure.
feet.
o CllSt Iron
FEE SCHEDULE
Residential.ewer anQ water lino connection $35,50 Industrial, Com'! &: Multi,(amDy 1% of Job co.It with. $39.50 minimum
Sewer cOMection only $17.50 Water conneerion w!Y $17.50
Estimated Co.t S
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
euJldinlC omd.1
11...
I Paid
I Date
. ~II J
.fJ;J V ,if - Receipt No.
{:,>;} '1/3 BY~
V
(om.. 0" Only)
Thi. Applie2lion Becom... Your Building Permit Wh.. Appro..d
14 ~our noti.. for '11Insp.r:tIon, (951) 447.1830, fAx (1~Z) -I47-4l.45
TOTAL P.01
PRIOR LAKE DEPARTMENT OF
' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS s ~~e'~~TK
NATURE OF WORK N S ~
USE OF BUILDING ._
PERMIT NO. $-0031' DATE ISSUED JJJIJIU...
CONTRACTOR c.&.MTlrX MlA\U p~-i. · ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
SEWER I WATER I SEPTIC
FRAMING IN II'A"AIV.,LS:"\LM-.(,
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-FIRCPLACI!
,.GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS q1~p ~ D ,~cl.cr3
GRADING (Prior to SodJ:Iing) /lIP 6, g ('3 r
BUILDING 'll] / C- ~
ELECTRICAL ~ -,
~ PLUMBING (1) {L--' ~
HEATING V~~ _ ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
I FOOTING
, FOUNDATION (Prior to Backfill) I 7('< f\.00c-<' I 1- - <F'O>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
7iA
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':? 11/6 /03
~ /2-678:3
1'7/ J.4 t {)3
L{ t~ An..
fJn7/m
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.
FOR ALL INSPECTIONS (952) 447-9850
<Utrfifiraft of @rtupanry
CITY OF PRIOR LAKE
@,epadmeuf of 'lJiuilMug Juspediou
'\b Final Permitted C Conditional e.O. Expires
this Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code cert~fying
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:
Use Classification
SINGLE FAlHL Y
Bldg. Pennit No.
03-0039
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal De,cription L33, B 1, MEADOWVIllW
Owner of BuildinQ
Site Address
2359 STONECREST PATH N.W.
Contcactor'sName&Addre" CENTEX HOMES, [2400 WHITEWATER DR., 11120, MINNETONKA 55343
ROBERT D. HUTCHINS
City Planner
DON RYE
Date:
C}flUjldi~=:/~~1
) v I'
?
(; ) Date:
POST IN CONSPICUOUS PLACE
SCHEDULED ~J'~~~
~~~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~Jgj
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ WATER HOOKUP
'J!! SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
\
\
~~~L
~~
.J 1/
II
I
<? / fA)
/ I
I L
DATE TIME
3-o3C{
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(
p
?-t>
(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
7/U,tf3
ADDRESS z.:)..c;c; ~\O/' tl'tP ~
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~v& .t-T('~
v
COMMENTS:
~~
/
3-3'1
o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(j4.';~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'IUNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
E FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
;;a'MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
L-r ^~ ~('~...A d::/~ ~
l,i/L"5 ;~l9-V'\ . , .;>, ...-n-L.. /1 ~ . .J\
?--.- ~1t.':~ nY'ea.-.< V-~~C::;~
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.~j_MAY~ e-\l~teM {AY~7.:Qfl,
_V~'5t~ f)/~/D..5
" 14)11{.\A, ('f; h 9-" l cO:S
o ~RK SATISFACTORY. PROCEED
_ ~~~=CT ACTION AND PROCEED
~ ~T VVUK", CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSlfOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~3S7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
(., r-d-t -
SCHEDULED
DATE TIME
frJO .() 3
SJoI1€GY65 r- fJOfJi,
u d-c.y...
f9~- 3$
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
IJ{:.-
Lull.., l3tr;t.- nL
OO~FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
('X'WORK SATISFACTORY. PROCEED
~ D);ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT ION BEFORE COVERING
Inspector: #;1~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl