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Home My WebLink AboutBldg Permit 04-0569 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT e or rint and si at bottom Date Rec'd S /f;P1- I. White 2, Pink 3, Yellow File City Avplicanl [PERMIT NO. 04-. oS~r I c T tlll-L-l LEGAL DESCRIPTION (office use only) LOT 9 BLOCK ,) ADDITION.1l1t OWNER (Name) (Address) BUILDER (Name) (Contact Name) (Address) TYPE OF WORK f\~l PID (Phone) me {) (Phone) (Phone) New Construction DDeck ORe-Roofing DPorch o Fireplace DAddition ZONING (office u,,) telS.D 404-. 04-Z. 0 ORe-Siding OUtili Connection ODD lD t o Misc. DLower Level Finish PROJECTCOST/VALUE (exc1udingland) $ 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 pia 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 ent nth jiI to perform needed inspections. x Signature Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ TOTALDUE ~L~O ~.ID.04-- $ B '2.13. ::3 I Paid Y7~ -34-9>/1 Receipt No. t.I&g-7t/ Date (L7- _ - ~ By g IDlb Contractor's License No. $ $ $ $ $ $ $ $ City SAC and WAC # Park Support Fee # SAC # Water Meter Size 5/8" " 50 Pressure Reducer Water Tower Fee # Builder's Deposit Other comes Your Building Pennit When Approved (p- {OJ' Date 6 -1<2 -OL\ Dale I 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 co titutes a temporary Certificate of Zoning co tiance and allows constnJcrion to commence. Before occupancy, a Certificate of Occupancy must be issued. ..- Date Special Conditions, ifany 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ApHlo::? ~ lh..C..nl..rnflh..l.gk..Coun'I)-' qhite . Buildin~ anary . engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED T~. C~rJ~TlWmorJ 5. l0.04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /tf/7'1 Wooo ~J-fV(')C ~L----- '/.- :::~::ed L);CCjted With Corrections Reviewed BYW~ Date: (0-/-0"; C~ents: ~ o..ft ~~J ~1 ~ ~ .1JD J}1'''- t$'~ 0 ~ ~ , 0_ ':J I If . ~.~ r- ury- "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_" ~t '-------- White - Building Canary - Engineering c: Pink - t'lan",n~ Thr Crnrrr of Ih~ l.akr {'c>unl~. NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST T (. C..I_.I\., (~TlcU en C l'''-.J 5 ((o.{;4- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J4/7Cj X \\1((1/ I (11/( ',Ie -nU\ I L----" Accepted Accepted With Corrections Denied ~ Reviewed By: ~) Comments: Date: tP ~ t.( -0 Y "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 ordinanc~ of the jurisdiction. Permits presuming to give authority to violate or cancel the ):KOvlsions of this code or other ordinances of the jurisdiction shall not be valid." .. O'iPRJ~ ~, Th~ ("~nl~r "r Ihr l._"'r C()..nl~' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED -, (," --. , ,1 /; ~ t'" .', i '-1 1"--, I . . . ( ,0 ~-J '.J TIeD GT1LJ 1\..1 5. (0 o+- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-/74 l\lCOl"j (lj-fi./(ijC 77~f-Jr;{L-/ Accepted X Accepted With Corrections Denied Reviewed By: ~ Date: ~ -~-o'l Comments: See Reverse Side for Addition::!llnfmm::.tinnl mC,,:h fc.,',,- f"'ras/oro. C,^/rol (/1') -j.,-; TVr-r-- t'S E~-f"h(,:(~'" 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_" FROM :FARMINGTON PLG & HTG FAX NO. :6514637835 Aug. 23 2004 02:56PM Pi Date Rec'd CITY OF PRIOR LAKE PLUMllING PERMIT ll'lvr rill 1 (..oil' (iI, l '11,110_ "",hUll1 I PERMIT NO'Lj> S0 71 I ZONING (nffi<<uKI ~~';~;~l &ad D~ at bonom~ I 14\-7 ~'b.sk L L. LEGAL DESCRIPTION (om<< "'" only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) Ill.- Go,II~jo.'\- (phone) APPUCANT + fl () (Name) m.M i . ,,_ !~ o."'~ (Address) .110:14 c..h.~\e... (A ) (ConlaCt Penoll) ...0 ; ,....., ( b "'-'^- APPLICANT SIGNATURE ~ -:r "" _ (phone) A tJ~ _ 1=Mfr'l~ (phone) ';'(0<). ~ (Zip Codl:) DATE ;g-',).~-OY Type DC Fb:tlIr-e FEE SCHEDULE Indllllllal. Commercial. Muld./"unUy I%o'job co. with. $39.'0 minimum Rcalclalllal. New One.t TWOoPlIIIlly $99.SO R<slclcntlal, AddltlOlll. AI_Ions $39.SO Estimated Coft $ B~ilding PennilM e~ ~ PLUMBING PERMIT FEE $ .. .~~~t... ~~~S:=~E ~ .50 . ':.' .-.. .-;.t: .""A:~:.'-" .-:"i;'} ': -:' ~-- ...;.'~"..... .~'." .~..iJ",., '. (0III<lt tilt 00IJl n.. AppIlcaClotl konlet yo., aaUellll1 P.rolll Wh.. App......ocI ....... OtlIdal D... '".J-"\ ;.~.'-,,~.. .11/- -'.:,0;"" ... . " U ".r 101'" f.r .lIla,,..II.., (952) 441.,1$0 fu (n21 "'04W _ By_ '---... -,---_._,.._--"',._..__._--~--~.._._-~...._.- -.,--.-,----""...-.---....... -~..._~.._~._--- 08123/_2.00.4_ .fl.7: ~~.. 5073344811 -........ . -. .........' ........ CANNON VALLEY MOTORS ~1~1 V~ r..UM ~ PAGE 01 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINCIFIREPLACE PERMIT Dati R.e ~M_~~/-~~7f I ADDRESS if. . ....... .- :J v.., =-1 PERMIT NOH~~lJ1 I I I ZONlNOC__1 J ~~eiH'~~ LEGAL DI!SClUPTION (0lil.... oalJ) LOT BLOCK ADDITION PID I ~-=er (:C-. ~ (A "ciresi) APPLICANT (Nomc. (AlI4n:ss) ~ (PhOIle) Pft1 II 7? rtJ (COlltlCl Person) (Phollc) DATE A LlCANT PLEASE COMPLETE BELOW llW~CTlON JlJ!PLACI! ALTERATIONS I FU~ACI! MAKll:'1 MODEL ~ _ FUEL FLUE SIZE J I f de- OPENINOS ---Y INPUT l' /H/) OUTPU~ ?~1 TYPll OF SYSTSM IiE^ UNO OR. POWSIt PI..ANT ~W'"" AlrPHlnlt .r o..vily i Mc<:hllli-.l Air CoMidonil't1 Vent SySl>:m 8 S,tam Hol 'II.,. o IlIdlulon o Special Oevlea o Olh.. Dcvfoa PUASII: NOTE: Air COII4ldoner UlIilS C_ot EI\CtO&OlIItIlO Required Side Yon! Sllbook. fiREPLACE MAKE AND MODEL Indu.trlll.: CommCl1;i.l& M\l.l1i...,..."ily rEE SCHEDtlLE 1 Yo orjob colt IlClI4enlIIl, 0.. Plroplu:. 1)9,'0 miftimum $99.'0 RClldca~. Addlll... '" Al'_ions ~.'O Raldentlal, AC Only '39.'0 n9.~ $39.'0 RIIloloIIlIlL Hullnl '" Ale (N,," Conlll'\ltdon) P.'''d.n~.1. Halinl Ooly (N.... COl\Jl!11ellon) Esllmlled COil S BulldlDa Permil # 8U4-fD~~ 1N8pt;:tItn HEATING PERMIT FeE $ STATESURCHAltOE $ .'0 TOTAL PI.RMlT FEE S (om.. \1.. 0."" Thla "ppll..tloD BCCDIII" Your BwlJdln. P..",it Wh.n "pl'..."1d lollfl.. 0110;'1 D... o. 24 ~o.r ..lIt. ror Inlo.p.etl... (952).4 "SO, r.. (951) 'CT~2C5 By . .. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS jgJ 7~ Wd Q\I1Id~ (? NATURE OF WORK -lJD" " USE OF BUILDING SF'O PERMIT NO. 04. 05 (; "/ DATE ISSUED ~. If-o <( I CONTRACTOR T0. (Ir4<--a-llxf.'",,- PHONE crS;)- %/-:IUif NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT IN R DATE FOOTING FOUNDATION (Prior to Backfill) .::>-/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - I SEWER I WATER I SEPTIC FRAMING l.- L INSULATION ELECTRICAL PLUMBING HEATING (if re uired) FIREPLACE GAS LINE AIR TEST f'C.- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE'D ~ ~ FINALS 'If 11.,-/.0 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 .- ([rrfifirztfr of Ql}rrnpztnru CITY OF PRIOR LAKE :!1lqrarfmrnf of ~uil~ing Jlnsprdhrn 1i)Final Permitted D Conditional e.O. Expires ~:s Certificate issued pursuant to the requirements of Section 110 of the CJ Residential / LJ 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 04-0569 Use Classification Bldg. Permit No. Occupancy Type Type Construction L9, B3, THE WILDS NORTH R3 VN Zoning District R1SD Legal Description Owner of Building Site Address 14179 WOOD CHUCK TRAIL Contractor's Name & Address ROBERT D. T.C. CONSTRUCTION, HUTCHINS . / I POST OFFICE BOX 51, ELKO, MINNESOTA DON RYE City Planner Date: Builping9fficial r I{vt .' Date: DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS -1111 ~ ~~k OWNER CONTR. q--c;&y PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o !/IISULA TION B'FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL g~ COMMENTS: o\(1;CW ~ V'&- ?ORK SATISFACTORY. PROCEED o CORRECT TI N AND PROCEED o CORRE , CALL FOR REINSPECTION BEFORE COVERING Inspeeto Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY/ INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /l...\\ [4 OWNER DATE TIME SCHEDULED IO~ LJocxQ (\k,c\";' CONTR. PHONE NO. PERMIT NO. 4-5("1 COMMENTS: ~'~~ MdJ:; k 2, F,-",O 12".,..4..' "~1~ ~l( <f?']- 'fq7-'t~tb ~d}o,;-~ ~~~ o FOOTING o FOUNDATION o FRAMING o INSULATION )!f-FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )Q. PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o -r. ltt'o ~ L AeJ. I 17~ ~ ~r (}{W o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED J( CORRE RK, CALL FOR REINSPECTION BEFORE COVERING 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI WHOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1/ ~l{-O'f ~ ADDRESS N/71 W(Jorj ChLlt//L Ir.... { OWNER CONTR. T C. CO"1SflOCfro"l PHONE NO. PERMIT NO. {J 4 -S"t'l o FOOTING o FOUNDATION o FRAMING \ , o INSULATION ~a:ItJ.AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~6liAQiIILLING o COMPLAINT o FIREPLACE RI , o FIREPLACE FINAL I-- o GASLINE AIR TST o COMMENTS: ~ ~ ~~;j f;:~k,'Jz~~~ /j(r'v/t~ ~ {/d hu,'{Jv {-.1!tt{ Iv D... '^'. 11-'7-0'( ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: /}(,.,J?V:...... - Owner/Cantr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,,,,,,,,n 1'1"1 Job Address Heating Contractor Name 01 Tester Date Percent 0 Percent CO2 Percent CO Stack Temp.