HomeMy WebLinkAboutBldg Permit 03-0508
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Lj-Io -63
(Please .!VP~ or print and si2ll at bottom)
ADDRESS
I. White file I PERMIT NO I
2 Pmk C;'y '/1 ':2-0 L7-.o.
3. Yellow Applicant LJ-:) ':::::;VU
/536g
Ourc
IA100 0
TR.
LEGAL DESCRIPTION (office use only)
LOT 41 BLOCK 3 ADDITION nt-E' WUA"2,S SO" f)\
I I
ZONING (office use)
lCl
PIDOI.s--3K".+-!D/-O
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) Mc.bEVITl" ltoM7S Ie-IL
(Contact Name) M. \ "-\5 M 0::>",,, \ Tr
(Address) \ '5'5"'-10 ~)T"Tf\= A'i1Z
(Phone)
(Phone)
'i ,<-, '091- S(~"
(,\'2-'''1 ''1-1 '\ 1"1
TYPE OF WORK
M.,New Construction
ORe-Roofing
DDeck
DPorch
DLower Level Finish
o Fireplace
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) S
ORe-Siding
DUtility Connection
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 ns. I am aware that~e bu. ding official can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may
enter on th er . ections.
X
Si~ature r Contractor's License No. Date
$ 8'$"'(j,00
$ /Z 7y,tJO
$~(jo. l)~
$ 70. 00
$ /200.-Q0
$ 7"6, 00
$ /5tUJ,00
$
$6, 89z,~3
I Receip~o, 4tt"7~
I By /1./
~
I Permit Valuation ~() t,;,i tJdO. tit) I Park Support Fee
I Permit Fee $ /5g-7~S' I SAC
I Plan Check Fee $ /0 S/.7r. I Water Meter Size 5/8(;"If"J
I State Surcharge $ /03, (JO I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ lOt), 0 0 I Water Tower Fee
I Mechanical Permit Fee $ Ido,Ot!) I Builder's Deposit
I Sewer & Water Permit Fee $ 35.-:;;-d I Other
I Gas Fireplace Permit Fee $ "ItJ, 0 0 I TOTAL DUE
#
#
#
#
This Application Becomes Your Building Permit When Approved
I Paid ~? ,rb/
I Date~. (., CJ
~~
Building Official
;/j'd-9A:s
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
ffiru~ ~J.. ~~3 ~A- (LL/ ,~
Planning Director Date Special Condition~ any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~\
White 'I!!uil~inq
~"O:Y . ~Q,"ee"nQ.)
Ink - Planning
Thf' C"lIlft" "r 1_ r..1l1' CO..I..,.
BUILDING PERMIT APPLI.C.ATION DEPARTMENT CHECKUSI
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:
1YJ4-0
Date:
L./ - ;1/ -0.3
Comments: ~p.p. Reverse Sine for Additional Information!
Drivewl'lY Mllst Have A Concrete AnDroach
See Attachments: 1) Grading Plan, 2) Erosion rontrol Mp""""p~
"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 riot be valid,"
ii~);
'---White - Buil~
Canary - En!fl~g
Pink - Planning
Th~ ('fnlfr of lh I...., ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7Jk! ;}J ~4/
Y-/o-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53 6, ~ IJJoocL Duc\< l V'-
Accepted
Accepted With Corrections .-----
Denied
Reviewed By:
~
/f~ ~
~
Comments:
;;~ Date: ~/.2-9~::J
I
ah~~JJ ....tl., .-1-~ r
''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
Canarv - En<lineering
cPink - Planninv
Th.. ("..nl... "f Ih..I.8k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ,
, ,
/' / /,i "
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/--
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Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments:
~
i?~
,..
.;L€- ef!~
Date:
.t//c9-'7 ~ 'i
~
CLl1'
,
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,
'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,"
HEATING/AIR ~~~~~~~~PLACE PE"'~UN : ; ~~~d
By~
i ~~:~w J!~;"m I PERMiT N~..508
(Please tvve or urint and siltD. at bottom)
ADDRESS
15368 WOODDUCK TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) MCDEVITT HOMES
(Phone)
(Address)
APPLICANT
(Name) ATJJRDFTRRSTDR DBA FTRFSTnR HEARTH & HOME
(Phone)
65 I -63.3-256 I
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Y onr Building Permit When Approved
HuUdinl!: Official
Date
I Paid
I Date
I Receipt No,
I By
24 hour notice for all inspectiuns (952) 447-9850, fax (952) 447-4245
_h____ ___J._
Jun 18 03 10:22a Mike Schiltz
;/O:l TUl' 14.:<11 .t'AA tSlUH.U4:;
cur Ute t'KJ.UK LAru:.
651-681-8306
p. I
'i!;I''''''.1.
CITY OF PRIOR LAKE PLUMBING PERMIT
Date R<<'d
tP1e.uc JYJ!C 01' oriJI,lllQd!Uot.t batlnml
I ADDRJ!SS
/53C.,p;
; ~ ~~ I PERMIT NO.-::2. _r7ilr ,
J. ...d.... ^"li__ U ..:::::;JL/
Woo ~ A .H_V<
I ZONING (011\.....)
T reo; j
LOT
LEGAL Dl!SCRlP110N (oma... only)
ADDITION
OWNER
(Name)
, (Addnss)
APPUCANT
(Name)
(Address)
BLOC)(
m" () ~v .'t-t--
,$0""7 e r
, . .
nllll.u" ~ ''''''"mlt ')1>, *'11111:>, u.~.
Dn Q,......v')"t"7f'l1
(Add"'f!6gan. MN 55122-0172
(Contact Person) VVI ~ V~
APPLlC^NTS[GNATUR~ /?7 A..lu
Quantity
d.
1
1
.s-
f
f
I
~
(Phone)
~
PID
(phone) <1 5 ,-.. 8"j 1- S ")]'"
(phone)
((>51-(, rg/~ ~,';l,S<.
(Cily)
(Zip Code)
(,., /2-G/'7-?8/&
DATE (", - I ~-o 3
APPLICANT PLEASE COMPLETE BELOW
Type of Filture Quautity
Bath Tub with or withonl shower 3
Dishwasher I
I Floor Drain I
Lavatory (Bathroom Sink.) I
Laundry Tray (1 or 2 ClImparunent sink
Shower Stall
1 Sinks
Bar Sink
I Wakr Closet (Toilet)
Type of Fixture
Rough-ins
Waler Heater
Water Softner
Sllmd Pipe (Washing Machine)
Sewage Ejector
Backnow Assembly
Backllow Assembly Test
Lawn Sprinkler
Other
/
FEE SCHEDULE
lndumi1.l. Commercial" Mulli.rMlily 1% of Job to)t with.. $3',50 minimum ~idClllial. New One &. Two-fDmily 599.50
Residential. ^tldilions & AUetations 539.50
PAID WITH
Bln1.DING PERMIT
ilt ~ 0 \~ ~ 1r,~i~~ I
to ~~Ml~~~.J~3 J q
.. MI'I S53n-171.
E.limated Cool S
Building Pamit_
PLUMBU<OPERNUTFEE
STATE SURCHARGE
TOTAL PUMlT FEE
s
s
s
(omtt Vir O~ly)
This A""Ue.tloR Betom.. Yo.. Ilullding Pormil When Approved
Baitdinr; 0fIiciI1
D..tt'
14 haur aDtia: ror aU iaapcdiD.. (952) "j
16100 F.oKIt: Creek A.... 8.L, Prior L '
By,
,
.50
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /53 bg WDO IJ () t{C-!( TR-
NATURE OF WORK ;V e..LU CL; N St-r 1..L<:.. +,. oN
USE OF BUILDING SF D
PERMIT NO. tJ'3- ().50B , DATE ISSUED ..(y~- q/9~ -1 Cf 1'1
CONTRACTOR R1c /kvi -if- ffoJlfl es PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
/(/'1/G3
I FOOTING ~
, FOUNDATION (Prior to Backfill) I ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~'
~D
p~ ?-;;
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~u....p I').~. 7/t- S~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST JV\ ~ F:~ rJ:1S
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~<<D g,ulr IJI!M/J >>at/; t/W I ?5 -IIl'd)
. .
FINALS j'()
_1\J )
\~
~
GRADING (Prior to Sodding)
BUILDING~, ~-o7
ELECTRICAL . -
PLUMBING eN / C-
HEATING
DO NOT OCCUpy
frl u. to 7,
7-7
r-'.D t::.~?-
IfII
'?
/-~
7~
7/~
...-
q.(.v{ )
..!b _I\{) \'(1~
~n
UNTIL ABOVE HAS BEEN
NOTICE
q/tj, 105
~"'\l~, ~
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
mrrfifiratr of <0rmpanr1,!
CITY OF PRIOR LAKE
~rparf1Urnf nf ~uHMng Jlnsprdinn
~nal Permitted ~'tonditional C.O, Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake rCf;ulating building construction or use, For the following:
Occupancy Type
R3
Type Construction
VN
Fire Zone
_ Bldg. Permit No.
N/A
_ Zoning District
03-0508
R1
Use Classification
SINGLE FAMLLY
Legal Description.
L47, B3. THE WILDS SOUTH
Owner of Bu;lding Site Address 15368 WOOD DUCK TRAI'..
Contractor's Name & Address !lCDEVITT Hq);!ES, 13540 FLAGSTAFF AVE.. APPT~E VALLEY 55124
ROBERT D. HUTCHINS
Building Official
I'
City Planner
DON RYE
Date:
Date:
'-. '""
.'.'
~. . c.,
.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(;(1(/05
ADDRESS
153r;8 tJcd dvd:_ iJ
mUll' +
CONTR,
OWNER
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
jt! ~ILLlNG
o CO'tiiPaiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.s I~/~/~/I"-'-r)/{
tzt WORK SATISFACTORY, PROCEED
I~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /jl/,o/~ Owner/Conlr:
-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE cr-l~-o3
INSPECTION NOTICE SCHEDULED to -00
ADDRESS 15~ I Joo,Q ~'w
OWNER CONTR,
PHONE NO, PERMIT NO, "1- tfl)~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
J( FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
\. t=",~ ~ I ,^~l'hV\ ~r<t\'-L ~eci
2. ~ a.wO .t-tlOo.o.. pe.,".-Qa~~.
3, K..;,..Jt>I" ~~ r>,.". t"..1
01. 4. P.....r:& ~bN)Ui'~ ""^ ~
(5k.5. I-fcokllV> qUlM.r "---- s.~..,..u- ...\,\~ ~'__
.-- --". ~~~
f)~~ ~~
T'J'j:
1 " ,
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~~.~ '-j(
~
,~
I
I
+~
,
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORRrrWORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector..., OWnerlConlr:
CA ~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""TO
11f4((f
t57b.~ (~~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
g( FOUNDATION
/0 FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
CONTR.
PERMIT NO,
~-<r~
o PLUMBING RI
o MECH RI
~WATER HOOKUP
ZSEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
11_, ._
~ ~~C-
/' /1 nl
( ~fl:SV<....
l
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( '.O.J2lv....
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/
"7 f l.t)
I
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{~1'\, 'S"{"".I~,.
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINsPECTION BEFORE COVERING
~t~
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
''''SNOrt
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ -~tJ.t:6'
~DDRESS IS;3lP9, w..,..Jl, l),,,,k
OWNER
CONTR.
PHONE NO,
PERMIT NO,
?-Sa3
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 EX/GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE ~IR TST
o
COMMENTS:
.
I, F......L lc)~ l,^ ~.cJ,C'o;
o WORK SATISFACTORY, PROCEED
>:'CORRECT ACTION AND PROCEED
o CORR~RK' C~LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
C~ "9850 FOR THE NEXT INSPECTION 24 HOURS IN ADV~NCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.i SAFETY!
lNSNOTI