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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' . . A OI.!SS",UUII2d4.!rbottoml ~~~ - I 0- ''It {PDM1~. .- a. nao. C1" T J. a...- ""'I... NO"04. 0 z.391 ~VLL / -.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 (4,) I ?-?P. {I tL J I 1/ II /~ I '/ Q)C J1J /p.I'f.lIr'" , - 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!