HomeMy WebLinkAboutBldg Permit 05-0296
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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O~ PRIO,,"
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ADDRESS
/ /;vI if 6/UVOr-.-t:::
/4790
LEGAL DESCRIPTION (office use only)
LOTSSaLOCK
0JmDS
ADDITION
OWNER _
(Name) I' rv-.f!,t:; IlJDc..c=
(Address) ?O Bu}- r71y.
~'L~elL <...,
-?fZtott- [Mcc
BUILDER
(Company Name)
(Contact Name) IV\ II<..c
(Address) Po B::>'f-
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05.0 Z 9h I
77Zfi/ L--
;1/N
ZONING (office use)
Ptl ..0
0-1'" lite w( tJ..-S PID 2.c5',3&3. 033. 6
(Phone)
'-Iy'O-3~('~
II M.&'~(tIDC-E 8-LlvI L~ t:?" II- ~
LA-u.M-At-:J~
fll,-{ PftlO/L LA-l<-b
(Phone) <fs-z- Y4.D- .3.3' S
(Phone) 7Sl-LfIZ- 3,-/llb
fVlN
ORe-Siding DLower Level Finish 0 Fireplace
TYPE OF WORK aNew Construction. DDeck DPorch DRe-Roofmg
DAddition DAlteration DUtiJity Connection D Misc.
CODE: bn\,R,C, DLB.C,
Type oC&;struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE
(excluding land)
s S50. OJ.)
I hereby certify (IFit I havl' 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 authonzcd agent for the
above-mentlOned 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
:~?;/f~'U" Furtherffio". I hereby"", 'h"'h'''~:9~~d'~nLrB '8er~on 'h'prop,rty '0 perform 0;:;/"J7;;-
p- i:--..---- Signature Contractor's License No. Date
Permit Valuation 1350.000.0-0 I
Permit Fee $ 2-55"3, So
Plan Check Fee $ I (Qf19. 7 R
State Surcharge $ I7S,oo
Penalty $
Plumbing Pennit Fee $ (00. ~'f)
Mechanical Permit Fee $ /0 0.00
Sewer & Water Permit Fee $ '3S.~O
Gas Fireplace Permit Fee $ 46, {}"
&:~1;j:Buildmgpe~;~~:ved
13uildlllg Official Date
Park Support Fee #
SAC #
Water Meter Size 5/8'V
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTALDUE t/fUW 4-. t(),Or
Paid
Date
/1 1/f'. 71
, (/ 2--f - i) ,--
\ ReceIPt No.
By fif//L
/
4'//7
---
$
$
$
$
$
$ IOtJo,o()
S I~o(), 00
$
~O,OCJ
I<{SO,Oo
3o~ ,eo
7'5,00
ISao,o1!l
$/C3J8"b
ThIS IS to certify chat 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 temporal)' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertifIcate of Occupancy must be
"~Pl~ ~J?;g': ~~ ~pecJ~~~ )
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Buildina
~~aFla'1' o;~ineeri~
Pink - Planning
IDnLDING PERMIT APPLICATION DEPARTMJ:NT CHE:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
f " ~ ~'"- , ' ' " ! ,,-~ ,-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: [, /
I -~-'-:,:' '/"/'~' ,/~_'_:' -~/-/" f ' -:;-,f " ,- - "'- ~ ". ,,,,," ,/ , , ..// / 1/1.,.,,1
1/ (~ -' . I / /cv- (,'-OJ 'i':'''''/.;; r.'..--v..../,r.'l /:;;:..- .,~:,.I;~:..,.>~.", ~_ v '_
jl j \-f .." '_~" ....~.,.." \..... '-, ,-,.~,
Accepted
:x
Accepted With Corrections
Denied
Reviewed By:
-1i?&A
Date:
'1-/9-01;
Comments: .SFl'e Reverse Side for Addition::!1 Inform:::ltinnl
See Attachments: 1) Grading Plan, 2) Rrosion Control Measllr"~
"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,"
C1tbit,:, -l'luildingJ
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ /1'18 EK I 0 ~ 6' D (// L-OEJeS
c:f,/I. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlic;i4f;c90ctio~~~;~;/;~:~ //dJ/L l'itJ
Accepted
Denied
Accepted With Corrections
/'
0<A '7 _ /7/"
Reviewed By: ~ T~'-
Comments: ;:2~ a.Lf
'?6CTU-<LL-~ ~~
Date: L./10 ~
~-~,~
,
/YLfl..~~
"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
~Ink - t'lsnrunV
.-~-
BUILDING PERMIT AeeLICATION OEfARTMENT Cl:iECKLlSI
NI~ME OF APPLICANT
AI'PLlCATION RECEIVED
//I/CE/c:/uCiC /:'1//1... I,--,/CI":'~,
d-- II <c~
I. . t/-..o"
T~e Building, Engineering, and Planning Departments have reviewed the building permit
a~plication f~r.constr~ction_~:tivity which is proposed at:_ _, . I )
i /9- /'lC- ///'/.{/tlc:lir'C/- II,rl/L /\/'/\.
Aqcepted
D~nied
RE!viewed By:
Cdmments:
Accepted With Corrections
/
~
l15f~ ~ Date: ;0~s;-
~~ ~ ti~
AU- Conditioner ane.:. Otbi.:;r .Med-umical
Units Cannot Encroach into .Requaea
f'\irlf' Yard Setbacks
"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 Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
0. 9 05'
: ~';: ~:~ rriKivIll ~u. os: 0 Z 0/_
). Yellow Applie.nt I - -/~
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AnDRESS
/ '/790 'T.~ JurI. ..,
I
LEGAL D :!SCRIPTION (office use only)
ZONING (office",.)
/1- Ir
.
LOT fLOCK ADDITION
OWNER ~
(Name) I \ ~ -- k,..: ,,~ ~u f/.Lt,,....
(Address) !
PID
(Phone)
I
APPLlCAI\ltI'\
(Namp) I t:""t"'o
(Address) i ~O ~
M...-..,.J.,.~ f Ihe>, (Phone) {, 'lj- y/. 1)- If V 2 ~
fA) j'l j-l;:S. / 5;-- ~~ '';-<:<6 'Z-.".....
(Address) '(CityY (Zip-Code)'
(Contact Person) ~---- [, . f /J (Phone) L '5"" / - V t 1)-. 8 ~ 2. ')
APPLlCA~TSIGNATURE~. s. tJ!~ DATE ~-1-oS-
'j {JAPPLICANT PLEASE COMPLETE BELOW
QuaDti~ Type of Fixture Quantity I Type of Fixture
'" Bath Tub wilh or withoul shower '1 Rough-ins
, Dishwasher I I Water Heater
, I Floor Drain I Water Softner
{t Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
1 I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall I. Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
'I Water Closet (Toile!) Other
FEE SCHEDULE
Industrial. Oommercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two~Family $99.50
Residential, Additions & Alterations S39.50
Estimated Cost $
Building Penn it #
OP.oz.qc"
f;L ~
pO 0/VO
~
Building Official
Date
$
$
$ ./
/
Paid____
Daterv.q oS
I Rece~
I By
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
--'"
~.50
(Office Use Only)
This Applieation Becomes Your Building Permit When Approved
24 hour notiee for an inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S,E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
I
cr1ease!VDc:. ~ . orint and sien at bottom)
ADORES!
77 1'1 K'G!Gu/CJc....-;:=
/~'7qO
i
,
LEGAL D~SCRlPTION (office use only)
I
I
pLOCK
OWNER I
(Name)
LOT
ADDITION
J:) tA:J/d.
1/1'7 t5'elLI 0 G- e;
(Address)
APPLICAlI1'-. _
(Name)_~
(Address) ~,,?~
~}~
tl.7?'t ~~CJ' J
(Address)
(Contact Pe~on) . ").~..J ~~_
APPLICAJTSIGN;TU~ 0~~~
_ _ _ .iiiiii..
Date Rec'd
c., Z/~OS-
:~ ~:~ IPERMITNOo05.0ZPI_!
J. Yellow Apphcanl \ - / 1'1'
7JU-
I ZONING (0_ use)
/'V -0
PID 2-J. '! I 3 0 oJJ... c)
(Phone)
(Phone) 7~"3-,jt,5--~7;J
,(Ix6r ~ pt,./ ~
(City) (Zip Code)
(Phone)
DATE
t,~~
APPLICANT PLEASE COMPLETE BELOW
. ~NEW CONSTRUCTION
FURNACE ~AKE AND MODEL ~~
, t
FLUE SIZE -;S' RETURN OPENINGS
TYPE OF SYSTEM
o REPLACEMENT 0 AL TERA TIONS
DSWl J 1.<;:' ~J) FUEL YV./.... 'D Q r:...x
Q'" INPUT ---LL.J:;-.ceo OUTPUT ~ ~
HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanical
~Air Conditioning
OVen!. System
o Steam
o Hot Water
o Radia.tion
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
Residential, Htating & Ale (New Construction)
Residential. Hlt;ating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OfficellseOnly)
This Application Becomes Your Building Permit When Approved
Building Official
Date
S39.50
$39.50
S39.50
Building Penn it # d J: 0;;-9 (P Y
~ pl11D 60~
..--:slJ rp)f l/
$
$
$ ------
.L:
I Paid
I D~. 2/ oS-
Receipt No.
-
-
.--/
By A/lUtI
I
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Aveuue, Prior Lake. MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
L Pink
2_Green
3_ Yellow
~::y I PERMITNOAl ",~
ApplIcant .,.. .~~
(Please tvoe oJ' Print and sim at bottom)
ADDRESS
ZONING (office use)
14790 TIMBERWORLF TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name TTMBRRIDGE BUILDERS
(Phone)
. (Address)
APPLICANT
(Name)HF^,RTH AND HOMF TFrHNor.OGTFS DRA FTRFSTnF HFARTH,. HOMF (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
';5113_
(Zip Code)
(Contact Pel!Son)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
611 0/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TRN-C AND SL-550TR-D
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
,
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
scPAID WITH
8UILDING PERMIT
(Office Use Only)
HuUdine Official
lil;'ffE a; r r; \ Receipt No,
, ['Pate 'i [By
Date ! I: i JUN 2 4 2005 ! i I
24 hour notice for all inspectious (952) 447- 1850, fax (952) 447-4245 -' \
\3 y-=,=~,::",:==.::::----I
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1~79 ~ Ti;"l/I1ebJlJt-r '7%A I' p.iiJ,
NATUREOFWORK ~ CMJs~,~-(f"~ tWD L,L-. ~
USE OF BUILDING S;J:: D. __
PERMIT NO. 05oZ'1(P DAT,E ISSUED DIDS
CONTRACTOR. . -. 'UI4IJfiJU PHONE~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING l<JL I PI::> ~k > I
, FOUNDATION (Prior to Backfill) I (YiP ~~
I
PLACE NO CONCRETE UNTIL ABOVE HAS: BEEN SIGNED
ROUGH - INS
Il~
",; C . (f f!;
of5
DEPARTMENT OF
BUILDING AND INSPECTION
OATE
SEWeR I WATER I SEPTIC
FRAMlING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ~)
GAS I.;INE AIR TEST y..I._\ ~l a:>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
~TII' / HltAS'WIIA~ I I ~'1'}) t1-/P~
r FINALS ~Q....<.J:-UU-rOA/~
GRADING ,(Prior to Sodding) 1I1/j 4.,}-, '. (J
BUILDING' ' ~17 (O~"''7-aS
ELECtRICAL
PLUMBING
HEATING
DO NOT
sf
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t,h?
WG
,
wL
~~.
(rpp
,
~J2?-
I
.
,
rlf.. '0/.., J<<J
~ "{Z"{oO
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
<tl:erfifitab of @trnpanqz
CITY OF PRIOR LAKE
~rparttttruf nf ~uilMug JIusprtfinu
J2f-Final Permitted
o Conditional CO, Expires
This Certificate issued pursuanLlo the requirements of Section 110 of the 11 Residential / D International
Building Code certifying that atthe time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake r-egulatingbuilding construction or use. For thefol/owing:
SINGLE FAMILY 05-0296
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
Zoning District
PUD
Legal Description
L33, WOODS AT THE WILDS
Owner of Building Site Address
TIMBERRLD~BUILDERS' P.O.
Contractor's Name & Address - (t
ROBERT D. HUTCHINS ',- ( r'J . . City Planner_
, I. B~j.lding Official v '
Date: I b "7 _I ft, Date:
14790 TIMBERWOLF TRAIL NW
BOX 714, PRIOR LAKE, MN 55372
JANE KANSIER
.'
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I '-11 'it')
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
....0 JNā¬ULATION
)!ICFINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~ I twlo..... t \-trJ...r:
. . v
CONTR,
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
ok +.::5 LI,.,. h~
DATE TtIlE
lOW Lj:OO
05"-2..1'(,;,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~(~
...-/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE ALL FOR REINSPECTION BEFORE COVERING
Inspeeto '
Owner/Contr.
THE NFXT INSPECTION 24 HOURS IN ADVANCE,
'NTS ARE FOR YOUR PERSO'NAL HEALTH 4 SAFETYI
"-T,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J41'10
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDULED ~~
......., ~
a- I... ;:;,
~c>><' ._" ""\) r-
CONTR
PERMIT NO,
~ - '2crc,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)l1' PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
I. <.1.(/ +_ ~ TI J
2. 94Oi!cut"U...-
~,
~.
~c.>"'- .11
'-/41) - lB'18
J 1(1.
l-.:? J-
c
c.-r
o ~SATISFACTORY. PROCEED
fiORRECT ACTION AND PROCEED
o CORREC ORK. CALL FOR REINSPECTION BEFORE COVERING
C
Inspector:
.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Cont~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/'lOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
ADDRESS
1'1770 Thk'ooA/'vJf 7'.r I
OWNER
PHONE NO,
o FOOTING
[J FOUNDATION
[J FRAMING
o INSULATION
r:;Ilf FltL\L
[J SITE INSPECTION
COMMENTS:
~-{PL
CONTR,
PERMIT NO,
o PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
DATE TIME
7-2-I-oS-
65- 'Zs-t
~~ILLING
[J COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
5ir
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Owner/Contr:
CALL 447.9850 FOR T>lE N'S.XT IN!lPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI