HomeMy WebLinkAboutBldg Permit 04-0239
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
3-/~-O~
I PERMIT NO. 0+ 10 z,3 r
(Please type or print and sign at bottom)
ADDRESS
~ 95'3 FoX lIou...ow}/. u), ,I~itf)~ L1I<J3. #/1/ 5b37~
LEGAL DESCRIPTION (office use only)
LOT / / BLOCK ~ ADDITION I (71fi. IV 1'-1>5 )
ZONING (office use)
PiJ.5J)
PID,~t; -,-::) 91- all)-0
cetJ..;{t/A.) ;l.e/- forb'
(Phone) (95:2.L~'-1~():{
56'37;
OWNER Ao .J Ii
(Name). Vt!teR ~ CI'fR.I-A, Ml3/H1q 1-1
(Address) g,03 1~3~ 8A-Y \ ~Af'A<i.t _1I1/tJ
,
~':;'~~f<Ej~eu= ~..wt:d~ 1?8C~ (Phone)Cbt-:~pJ;lf(f)-:J..J"
(Contact Name) . j!'f$JJ :5/111#, ;J//t;~ /J!!V. (Phone) ~7)~51J-~:J.8'?
(Address) 12/~h GtfAAtr /)Jljy~ }/pRl!fABlJ ;till 5MJS-7
. , .
TYPE OF WORK )!New Construction
OLower Level Finish
o Misc. I. ~C, Ca-fJ65
ODeck
OPorch
ORe-Roofing
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ (, q.;; ()()O
ORe-Siding
OUtility 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 plans. I am aware that the ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;k:~cm:~ormn "~""pom. ~(f)4-3()'l~:< :3 'tl. ~
V'~ Signature Contractor's License No. ~
,
1 Permit Valuation
1 Permit Fee
I Plan Check Fee
1 State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(-
""q5000,001
$
$
$
$
$
$
$
$
4402. 7~ 1
28to(.lql
3Lf 7. 5'0 1
I
I
100e e 0
loo.ot)
3$".50
tfo , 0 0
This Application Becomes Your Building Permit When Approved
~.~~~
Building Official
3/zto/"4
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8'Q::)
I Pressure Reducer
1 City SAC and WAC
Water Tower Fee
#
#
#
#
$ &sO.OD
$ r3S0t 00
$ 360. 00
$ 7ttJ. 0 0
$ l"'Z..OD, 00
$ 700 ,00 I
$ 15 Q O. DO I
$ I
$ /3, 857. 54-1
I
I
I Paid JS/ 1357. S-4-
I Date 4-'. /:7, o~
. Receipt N1/ /J//;('~~J
By fl/:ffA-
1-
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
~ ~ Z;;;'~'- CS/2::Z;' md -Z:;" ~B'fi=~pmoy" C_me "'o=r~=n~
Planning Director ' Date Special Condition!, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Builder's Deposit
lather
1 TOTALDUE ~
of. 'l.OA-
< '!Y~~!~ -Iilu~
Canary - Engineering
Pink - Planning
Tht C'tnltr or tht> I.akf Coun1r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~d ~ojJ- ~ '
APPLICATION RECEIVED 3 - /;;;2 -Otj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c9q5~ '~'X ~lloaJ
.
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~ ~
/(~~ ~ No F~ CtJ,c(),
J~aif~~~~e'
. // - (?' I
~ ~e?-d. ~, LdtUo72- Le2/6Z-
~--Ire./~r~~~
~ ~~.~ J].~
, I' - -:-- d, J
~ ..Ix- ~~ ca/-' ~.j~-
;-Po-do ~ ~ ;4 1fP a, ':'fd? .~ ?
rod , r J
Date: 3/ ~ (6 t./
.
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
Canary - Enclineering
~.. -PI~~
The Ctnler of .he Lake CounfF')"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /
APPLICATION RECEIVED
J
':1' J..........
.,/) ,
0'
.- /
II
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
I /-:r~ . /~,/! \ . I /,- J ll)
---.,r',,__ / 1 "" _. .'
Accepted
Accepted With Corrections
/
Denied
Date: Lj /do {
f '
Lo U-J en.. UtJa-- J:I 7efft:;:,J ~ C/<.:'
-'
(?/tlUfl/tJT .8E USe);:) /1(" J'~eJ?ff7C~ LI~;Y UN/r
TfI rs /r (I S ,'IVal € ~. l.;'r' I( A-N-P ~1t1J ;- "2) ~ USe LJ
. ....J
As 4--yU7A-~ UN;"-, S136 Jlar~~r; Ala /7N~L
f?(JF tJ u;-ILt:.-3"J' /M;OlElt.tI/d~ <b'~~6- pVLlt~s T1te
,
~p /ldV87/ Stu2.J/t:TV, ifill J11LJ /!..c / A1;::' e7/.2.t/r(J tAS A1e-&74
, ,
tAJl'c- L. ~E /IUd wcZ:; ,
~~~
.,
Reviewed By:
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
~nary - Engineer~
roinj(----=-Planning
The Cf'ntf'r of Ih. l.ake' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /-''')jZ-<.l_:t;t.e1ki/ l:o.:-1 C;J ~
::;? -- / ;;J _.:'? iJ
APPLICATION RECEIVED ~.} 'q' I
(!>:~ r
._....- ,..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
g .?1 ~-'
'''''''- ,.. / I '1 j,
:') (j '.....,.-f-r~'i v f. 'f.""')' .I I......) /{ )
..~~. f -......,./ I ..._....... /X ~ . \..-~ '" . 1. .,.... (J.".,,"-
,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: /}1q- i~ Date:
Comments: See Reverse Side for Additional Information!
3-:19-0tl
. ,
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
liThe 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."
19524472350
_BOHNSACK AND HENNENG
PAGE 01
SIWC:~ PRIOR LAKE
W ATlR PERMIT
952447424$
P.01.r01
Date R,c'd
~/}1Itor' .
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~~~
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a. nao. C1" T
J. a...- ""'I... NO"04. 0 z.391
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/ -.r:..' u /-{- 0 W
LEOAL DESC~T~ON -- .
AU" ~ .I. (ollSce uae only)
LOT BLOCK
tJ,w.
ZONINa (O"'_J
..
AO!:)ITION
OWNER
CNune)
,
Q~ r t~^ol 6v ,'I('L~^t7}
L..l '0 ~ (,-r(2).r"\ t I[)~
(AddIw."
PIV
(IM/~LI (Pho~)
Nort-k~~LJ J fv\~
(Cloo r
APPUCANTn.
(Name) J.? 0 k ^ 5 IF. L~ 'i:.-)(. '-c1I. '" ,..,;", l--. ~
(Phol1e) ~ ~:l...... L/4? - 3 B 'Q.:/
(A~) I/o/~_ Re..vt1..r<=. vJcA.~ P,...'8r ~ 5"5'3?;(
~. (AcUrm) fL \) (CIty) (Zip Cadr)
(Conna Person) c.. b 5 Lb J;'t ,., .sA. J( . (i'bene) q ~- 2 - '-1'-17 - ?~ ~ y
_APPLICA~ SIGNA.TURE ~~ OAn ._ ~- 7-0 4
dtt 1"
<.7 Cat]. ~ ~O -L3LS
5SDS~
(Zlf' Co4t)
(Addl'ess)
APPLICANT PLEASE COMPLETE BELOW
Site of water service inches.
Location of any coupliniS from &1lUCture feet.
Type of sewer pipe. 0 ABC G1.fVC 0 Cast Iron
Estimated length of sewer line !::It1.... feet.
Clc8lI out (if required) located at feet from structure.
FEE SCHEDULE
RcJid<<ntial sewer axui WMer line colUlectiOn S3'.50 (ndUStriaI, Com'l " Multi.family 1 ~ of job cost with I $39.50 minimum
Seworc;onncc:t\ononly $17.50 Water C:Q(\ncction on.)y $17.'0
Estimated Cost $
Building Permit __
~Wi1H
.JUlDING PeRMIT'
SEWER AND WATER PERMIT FEE S
STATE SURCHARGE S
TOT AL PERMIT ru $
a,,1I411lC om.laI
D4re
.~~ J;; ~ 0 IV) [E 1t,lp1 No
_~atMAY 1 , ,2004 II f
(Ofl'lu lie OIlIJ)
T"i. ApplieatlOn BecC..fS You BUildinc P.rmit When Appro~ed
~4 "OlAf "otlct rer aU lUluctlon. ~7.1 441-' 'ISO, fn (J51) 447-414'
IBy .
1~
TOTR... P.01
.-.or
I
. i
DR 10 R LAKE DEPARTMENT OF
Il) BUILDING AND INSPECTION
illNSPECTION RECORD
~ '~SITEADDRESS ~58 ~ t\~ _N.tIJ.
~ t! NATURE OF WORK NEIU ~-srR.IA..~io~
Q) USE OF BUILDING ~ ,F:b . _
~ P PERMIT NO. ottv oZ3 r DATE ISSUED ~c." o"l
j:.'\I) CONTRACTOR ~.. (jJ. ItJC. PHON~-28'-~
\ ~ NOTE: THIS IS NOT A PERMI?FOR ANY OF THE INSPECTIONS BELOW
~ ~ THE PERMIT IS BY SEPARATE DOCUMENT
~ D FOOTING 1,~ f1, ll/""'" I L/_ z.-::,TE
~.~ I FOUNDATION (Prior to Backfill) I ~ <.Y'>- /
~ ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ f) ROUGH - INS
'. III ~ SEWER I WATER I SEPTIC ffj t!"" --'It> / /
. ~ S FRAMING M/ (hJ / / /<-//"Y
.. ~ INSULATION n .~-?V / r
.f'l~
..I ~ ELECTRICAL
l:S V)
~ PLUMBING
~ ~
-::r: te HEATING (if required)
J FIREPLACE , /fO
~e GAS LINE AIR TESTl'j)~ ~
~ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. -
~ ~ lA77Ic;C"OZIltErfJ ~~ I
3 FINALS
) ~ GRADING (Prior to Sodding) /' NfJ
~ ~ BUILDING'lR--'1 ~ 8-/-OS L.)~ fll
U ELECTRICAL..,..
~ ~ PLUMBING
l\J ~ HEATING
--~
\J) ~ DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
-- 0
~ J 1/5- NOTICE .
2 "~ "::;f This card must be posted near an electrical service cabinet prior to rough-in inspections . ,
a ..j ~ and maintained until all inspections have been approved. On buildings aad additions
~ where no service cabinet is available, card shall be placed near main entrance.
m
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, -
71f$/~
.'_ I
........
FOR ALL INSPECTIONS (952) 447-9850
. 0-"-_.1 --_...."._~-
QItrfifiraft xii '@~tUpanrl!
CITY OF PRIOR LAKE
~tparfmtuf nf ~uil~iug Jfuspttfinu
J2rFinal Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structur~ wa. sin.. r:mpliance wi!h the. various
ordinances of the City of~ior ke regulating building constructit.11j(~F ':tf',t-or theJtollow!i?ir. 1".,'
. INGLE FAHILY I .l,.- ,/' I 04-0239
Use Classification - BIdg, Permit No.
R3 ~ VN PUSD
, Type Construction Zoning District
Ll1, B2, THE WILDS
Occupancy Type
Legal Description
Owner of Building
REILAND BUII}o.if"NG
Contractor's Name & Address / 7
ROBERT D. HUTCHINS ! (t~//
Building Official ,/
Site Address
2958 FOX HOLLOW N.W.
CO., 2106 GRANT DRIVE, NORTHFIELD, MN 55057
DON RYE
City Planner
Date:
Date:
~ 1/'1-' _~__'". .;_~~Jii~~ i' - _L.A __.,_.;.~.L'" ;""Y:.~~""~,~~,~. -,~; ~~,.
;.:.."
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
19S€ fo1' Hvl/t9v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
iO-' I.f'OJ
O~- ::?3j
p(E>u~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
HO~M/ i t~s-t./It'1' cil'4,,,I-,'t( G-k~ ~~41(
G~ - ote
CurS f50-t..- () L
---
~rp1
~RK 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 & SAFETYI
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS ~SY & ~ //dV
OWNER CONTR.
PHONE NO. PERMIT NO. 1../ - ::z:s?
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: .
~ ~ l~L ~,<,e.~;
'2.... ~ -L-~n~ _
J- ~~v.. ~ ~
L{. ~~ ~\O~ ~
~. p~ ~-:-. l;r ,...~. ~ lIb
~ 0 0 - d ~
11 .a.o-
"*,uc {,'ru ~ PfL. w\~ ;$ ~~ 7~
*" ~\o ~~ . "'0
~ ~ B "J-05
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'J( CORREfdRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: /1 Owner/Contr:
CALL '- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS/ion
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2'ls-e fVK U, (.,~
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
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS,:) _ ~
l. ~(~ ('Af?
2~ t'i~~
3. ~ Q~~
'I. fi~ ~\~
l,^~QUo\i~
ff6:-
TIME
(( , Z 31
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Gu-~ <);,JC ~
o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRErJ/iRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!