HomeMy WebLinkAboutBldg Permit 04-0985
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
'i,IO-*-
;~i::' ~::y I PERMIT NO. 04-. OQ65 I
3. Yellow Applicant ,
(Please tvDe or ~rint and silU1 at bottom)
ADDRESS
R.ffCfq ('f".I1CJrl!7... JJ101-~
\7"
LEGAL DE$CRlPTION (office use only)
ZONING (office use)
Ie-/SO
(J. J J ()"
l/q:,aI h..
I
LOT I L-bLOCK
.
ADDITION
PID 25.~. 01+.0
~':e~R ~lpf)n ,,",r. J,) ('ID,1<:'J.
(Address) l)~O/- ILl ':\/1-. ,~T
,
BUlLDEW /J ) /
(Name) . '" i')~ V
(Contact ~aIj1e) \' €~t'f',,/1
43;1 ~ ? {.,o (
/'h _- C'\/;;' Y
(Phone) Q ~ ::1-
;j/JrJ)~ t1J ~
'!..L:e. - c.: ~ I
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(~'" - T"~ ,1-1...././...-.-
A, /1/1 L ,j {j;,
(Phone)y~ - t7~?-- '> '-.01
(Phone)~S-..:l..~9@' ~ lotch
#7" . SJ~/ :;V~
. (Address)? Cho f
Jc".\/~ ~'t-- iI/.s>-C""7.
. TYPE OF wbRK
~ew Construction
~ower Level Finish
~,
~DeCk .t(porCh DRe.Roofing
~ireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ C'/)']/x::,r)
/ /
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 agen~ 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 official or a designee may
enter on e p erty to erform needed inspections.
ORe-Siding
~tility Connection
li.e..C.
o Misc.
_9, 9- () y
B e.;)-:J7 &:,
x
-----
Signature
Contractor's License No.
Date
vv
I Permit Valuatitm
I Permit Fee
I Plan Check F e~
I State Surcharge
I Penalty
I Plumbing Pemiit Fee
I Mechanical Petmit Fee
I Sewer & W ate~ Permit Fee
I Gas Fireplace Permit Fee
I SC'C7, OOc:J I
I $ 3, ~S3..s-o I
I $ ..2, ,..2 ~-1. 7,r'1
$ ;1.5(;7_"'" I
$ i
$ /Pt:J, -.> I
$ /'?tP, -u I
$ sS: SO
$ jltl..-o
I Park Support Fee
I SAC
I Water Meter Size 5/8'{i9
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
$
$
$
$
$
$
$
$
,$11134-3,7?J
#
#
-
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.:sOC). .....
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/S-ClO. ......
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entt..w '1. V1_DY
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II. J4.:7. 71'
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This Applicati<)n Becomes Your Building Permit When Approved
~~
I Paid
, Date
I ReceiptN~~7l!t)O
Bv JIJAtf.
/
7;6y~~
Date
Building pfficial
This 15 to certIfy thtt the request m the above applicatIOn and accompanymg documents IS m accordance With the CIty Zonmg Ordmance and may proceed as requested ThIS document
/ - h~d by the CIty Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Cernficate of Occupancy must be
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111 ~ _ q /1..7 /D"'L- '1h.,.:J- ~ :P' ~ ley.> ~ /3P"-/6?;
~anmng Director ' Date ~ . ~ l)eClal Condi~1>"s, if any 'I .,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 v
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
Th~ C~"I..r ..r Ih.. 1,."" Country
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White - Building.
~ry - t:ngoneenng ~
. ~Ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1 ;/ ) /; Il/ /72'0
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C) /0 (;4--
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,-" iil'! ./ l' / /L
C..-f_". -../., .
Th$ Building, Engineering, and Planning Departments have reviewed the building permit
apf1>lication for construction activity which is proposed at:
7. (C:.-.', q o( ,; / /:'-/' j)/ I.) LI~-' --;-1""/
~_~. ,.' , c~ (/ c/' '-- r r , /
AClI:epted
Deried
Reviewed By:
x
Accepted With Corrections
IJ11A
Date:
9-2/-0L/
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"Ti'le 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,"
~~
Th~ ('''RIO', of Ih.. 1..11lf ('ountry
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White - Building
Canary - E(I'line~g
( Pink - Plannin
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ.ME OF APPLICANT
/'/(1 !./ ( !v / / L {)
., /
,.
, ,
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AF'PLlCATION RECEIVED
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T~e Building, Engineering, and Planning Departments have reviewed the building permit
a~Plication _~or ~o,n~t~~ction activity W~iCh is proposed at:.. ". '
/' /"' / ( , . / i ( 0""," 0-' /. /_.. / .I i--I
: L_" / " I ' I "I I 1'_. r' ( I
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Aqcepted I /
Accepted With Corrections
,
DEjmied - )
R$VieWedBY:~ M. ~ Date: 9 r)~ QI...(
C<l>mments: ~ cd ~ ;t ~ I _ I. . 4y! b ~
~ Otl~ /~ . ~ t~HOJ I1QlJ':ho~'~
"The issuance or granting of a permit or approval of plans, specifications and
c<pmputations 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
t3/.-uff
vot
~te - Buildlna---;'
ary - t:nglnt:~1 ing
Pink - Planning
Th~ ('''01.., of rh.. 1.akt ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
J11~OO/l//l &0 (!..oIJ..r?7'l-,
q./CJ.o4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z&CfCJ e-OUG/116 P/lTH
,
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
,1'1. C
~ aU
Date: 9' /2.- ~ /" 4'
~'.
COImments:
"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."
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
:~: ~~ I. PERMIT NO.^"'--.I\QQG:"
3. ytll6w AppIIoRnt ~ ~
\ ZONING (otlIcoUH) \
(Please lYnt or!1lrintlDd.iJm lit bottom)
I ADDRESS 7J. r;; Cfq CO\,\ ~ 0 f ~-+ h
v
LEGAL DESCRIPTION (ofllco u'" only) / ^ /
LOTJ Y $LOCK 0) ADDITION WI'lds I Yo rft--.
PlD
~=R We-Dona Jd (~M+('ut/+-I'OVl /!-VlC (phone) 9-rcl~>\?;;~ 7bO I
(Address) 7C;ol /YS-f;, ::;--;-. iV / fJo~A~ U//p,~ !1 V] S-~/2J Y
~~~TF,v'(J --Baf' fh4l1>b;hJ ..s-tyr~ (Phone) "-.r1-K,9- cP/cffl
(Address) h'-.\Y SU'fhrJfl10111 I)r ( /JAtfdlJH.fV M Y1 J.'\.J/~9
() (Address) I f (City) / (Zip Code)
(Contact Person) Un. V;r/ /\ S:/tYl/~ h , (Phone) d Ij/ ~ x\9,- J? I fa
APPLICANTSIG~ATURE ;f-)~ ~ ,v4.,-I;<, DATE / / - )(} - ()y
APPLICANT PLEASE COMPLETE BELOW
. ! Type of FIxture I QulUltity I Type of Fixture
I Bath Tub with or without shower I Rough- ins
I Dishwasher I I Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) f I Stand Pipe (Washing Machine)
I' Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
QUlUltitt
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FEE SCHEDULE
Industrial, Commercial & Multi.family 1 % of job cost with a 539,'0 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, New One & Two-Fomily 599,'0
Residential, Additions & Alterations 539,50
Building Pennit # 0 '1- OCJJl.r
$ 1P~ -t'r-- !N~~
$ v .so t',Ai..:. to.' "
$ " .
"4,,'I~L ..,",
; "'" ~. .;.
.
Estimated Cost $ / ;)/~-VO. 00
(om.. u.. O~I)) :
This App~lc.tlon Becomes Your Building Permit When Approved
:1'aId
~ecelpt No.
i i
BulI41ng omdal
Date
i pat~ov 1 5 2004 i ,~y
14 hour notice for au inspection. (951) 447-1~50. fax (951) 447-4145 ..- i
,..,,-"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ret'd
1: ~:~ Z~""M I PERMIT NOq_Qfl5r
(please trD4 or 'DrU:lt mcl3im a1' bottom)
I AvD~ ~qc1
(r>>It~n(l
LEGAL lJESCRlPTION (office wo. only) .
P>4/-h
ZONJNG (ofllc,,,,,)
LOT
BLOCK
ADDITION
PID
~=R h?f1 J0r..Al{),I!J
, -
c",J. ~I-:
(Phone)
~~~7~/
(Address)
APPUCANT
(Name:
CrM ~r'l.d>O
G~", 4/,,0
(Address) ,
(1)"
(Phone)
-Yhn - Ar\~A
fr7 b,.) <c::;;:?~ 4
(City) (zip Code)
(Address)~/ 0
,--
/ ~J.__ r
(Contact Person)
APPLICANT SIGNATURE.Lf>>:h ~ 2~
(Phone)
DATE
II - 2; ~O";
__ APPLICANT PLEASE COMPLETE BELOW
pEW CONS1RUCTION .0 REPLACEMENT 0 ALTERATIONS
FURNACE,MAKEANDMODEL ~~f' (]Aeztf:l/t>JCl FUEL .LJrJr
FLUE SIZE -:? ~ ~rJ(' _ RETIJRN OPENINGS ..._,.-?~ INPUT ,IPrl,rrrY") OUTPUT 9~t'YY"l
TYPE OF SYSTEM HEATING OR POWER PLANT
DWll11IlAirPlanlS 0 Steam
DGraYity 0 Hot Wa....
~N1icaJ 0 Radiation
..f31!:"1T Conditioning 0 Special Devices
-B'fcnt System 0 Othor Doyiceo
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE S...nt.uuLE
1% of jOb cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alteration,
$64.50 F,e,jdemial, AC Only
$39.50
R.esidential, HOl<ting &. NC (Now Construction)
Residential, Healing Only (New ConstrUction)
$39.50
$39.50
Estimated Cost $
Bullding Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
.' "':, J'i::
.
.... .:.)
(Offi..ll" (lnly)
This Application Becomes Your lluilding Permit When Approved
Buiiding Omc1al
D:lte
I Paid
I Da~JOV 0 ,J 2004
I ReceiptNo.
I By
01
-TI
24 hOUT notice fOT all inspeotloXlS (952) 447.9850, fax ~52) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
,00 Iii
lilY (j::!110ll~NOJ
9L.909t,S9 XVd .S:t, NOW tOO./SO/"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .:J" , Cet-t M-
NATURE OF WORK Nt!i'I4J e
USE OF BUILDING ~,
PERMIT NO. 0. -1:, () 985' DATE ISSUED -J{I.
CONTRACTOR f! " PHONE .,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/ )$ZECTOR
I FOOiTlNG 'f7 If}
;
I FOUNDATION (Prior to Backfill) I ///-1::f I /i1/rc.,/c'Q
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
#(
I ~ 4'0?
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
1/~~y/Dj/ _
SEWER I WATER I SEPTIC
FRA~ING
INSl,lLATION
ELECTRICAL
I
PLUMBING .,,~ "./.~ ....
HEATING (if required) c.'v> ,..., rd7 ~ 1/7 I UJ
FIREPLACE ~ <I (fV> ~ I
GAS LINE AIR TEST ~.P" ~';j"""v i<i-l.. 1=F (;c,y
COVER NO WORK~UtfTIL tBOVE HAS BEEN SIGNED
~'Ug~.,,~ $!> I
FINALS r~ 6
J!;f;r Irl~
y;J/ j
/1f t-j.Ji--K
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I. 1C'~
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/v-/;Zt1/o1
/7./UJ
;
GRADING (Prior to Sodding)
BUILDING 'T~,.f} IM/'( ("/-45
ELECTRICAL
PLUMBING
HEATING
DO NOT
'hj\.o(
8-2l..~D~
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
-
___.________,~"_"__.___.___.,.__.._..__~_"..,"~__..__.___ ._.__.u,.__'.'_'__"___~"____"_'_
(lltrfifiraft lIf Ql}rrupanr\t
CITY OF PRIOR LAKE
~tparfnttnt lIf ~uilMng Jlnsprdion
p-Final Permitted D Conditional CO. Expires
fI'
This Certificate issued pursuant to the requirements of Section no of the C Residential / U 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 04-0985
Use Classification
Bldg. Permit No.
Legal Description _
Type Construction
L14, Bl, THE WILDS NORTH
r3
vn
rlsd
Occupancy Type _
Zoning District
Owner of Building
Site Address
2899 COUGAR PATH
MCDONALD CONSTR., 7601 145TH ST. W., APPLE VALLEY 55124
Contractor's Name & Address
ROBERT D. HUTCHINS
City Plannf'.
JANE KANSIER
Date:
f I ~~Official
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
g-3/-or
ADDRESS ~7
C~&'cJ P,-h
v
CONTR. /Ylc. PIMA I.!
PERMIT NO. !"JL.j-<jg5;"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LING
~ 0 Cdlil1'1:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/' "'r'(u~_ - t9/(
L,.vtb u- t9 K....
5,J.;}
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: # &'. Owner/Conlr:
~.
l!ALL 447...9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
D<SNOTJ
SCHEDULED B-ZL,-flf
PJ:&
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'281 '1
(\IlJ~
,
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
..,D..J.NSULATION
A,.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
J.
h~ (om.Jlp 'f~.
DATE TIME
4 -q~<
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
te:..
o
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRE~CR~L R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 9810 F THE NEXT INSPECTION 24 HOURS IN ADVANCE,
U<SNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JrctCf ~ {}A
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
~ON
o INSULATION /in
41"F,NAL \y
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FIN~
~ECH FINAL V
COMMENTS:
~tJ l-hvd S()r~
]/ hl'\." I 'b "'--Qo-L-,
c;,.JrJ. <:L &2
DATE nME
2--~~-
L..j-{('i3 -
o EXfGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
d";"'VV'AY -t- 0cL.~--,#
. Co( /JoJ/7JV#f I
i&-- cl"'-l/(&l~ +-
--rtwO eMK 7
(),Sq)- fu+-' Q/{
7. / -os
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
i! CORRECT WOvr(K' LL FOR REINSPECTION BEFORE COVERING
Inspector: I. Owner/Contr.
e
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSIiOTI