HomeMy WebLinkAboutBldg Permit 05-0632
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS
39S6 ~a '"
I. White File
2 Pink City
3 Yellow Applicant
Date Rec' d
~-dd-~OS
PERMIT NO. 05-(j('3Z-
(~t'l T~O-~'I Il'~)
. -
LEGAL DESCRIPTION (om"",, 001,) /
LOT~LOCK ~ADDITION W) )..s:
{; "-'
ZONING (office use)
Rl
PID J...j/;J. -DO <0
~=~d),-1Jr/ n~r'7
(Address/){yJ( /If',~
~~~~~ Name)/P) ~ ( M~ 097 c:;;.7 . (PhOne)9?-.. 'r f ~- 9@/ ,
(ContactName)\J <l.',.t:, ~ -I (~~S:J'-._ A (Phone)~c~_1C)1-r6 lIV
(Address) '1"01 r~~l/ ..>J q~7'IJ#~~ ~
- .-.-
;1/ CA/~G../ .'
(PhOne)~?;.~~- ?Q I
ORe-Siding
~er Level Finish ~irePlace
TYPE OF WORK ~.construction ODecL. o Porch ORe-Roofing
OAdditIon o Alteration ~tility ConnectIon
CODE: l<I.R.C. DI.B.c. 0 MIsc.
Type o~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 /V ALUE
(excluding land)
$ tr (J) CO '.$..0-/
I hereby cerlifY th t I have furnished mformation 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-mentIOn d rop" . 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 buildmg
official re k th' P rmit for Just cause Furthermore. I hereby a~eethat the city o~r a designee may enter upo~ ~roperty to perform nerd :ns~.
x ____'---- C-A.< ?h (., CY~-~
~ Conlr:l.Ctor'SLicense No. - Date
----- ~
Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
)j{)(J/.OOD I
$ a%Ef3.50
$ 1 ~,-~4, 7)/
.
$ ~D. -
$
$
$
$
$
Iflt)..--
';O~. ..-"
. 8~6?J
t.(t;..--
This Application Becomes Your Building Permit When Approved
~d"'-'
BllII till! Otllcml
~~9~'
. Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE ~
Paid
Date
- -'
/~ ~CI .J. 76
.7-' J"!J, (/ y-
#
#
#
#
"'1. /w oS'
I Rec~iP o.
I By
U'
$
$
$
$
$
$
$
$
$/1, ()()3. 7"
It.( CC> , -
i3 00 --
/1t?--
/500.-'
J
I /JI'!J~, -
..
/ S PO"""
~
f'~J' .;)--1
ThIS IS to certifY that Ihe 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 conSl1tutes a temporary Certificate of Zoning compliance and allows construction 10 commence. Before occupancy. a Certificate of Occupancy must be
i/#~
Planning Director
'P?~r-
# Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
~~
White - Building
(fJmarv - ~
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATlON Dt;fARTMt:NT CHfCKLlSI
/J1~. ,~TJ 0)/ a./d-
lj~ ;?-/" )
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-3 oc~f" /:-d~ ra /.; ;r /
X'
Accepted
Accepted With Corrections
Denied
Reviewed By:
m1&
Date:
t-:?o.o~
Comments:~ See Reverse Side for Adrlitionallnformationl
..
See Attachments: 1) Grading Plan, 2) Erosion rontrol Measures
"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."
~ . 8ulldin~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APP..LICATION DEPARTMENT CHECKLIST
/}1e-P f!)jJ&tld-
~,- ?/''' 5"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~ I
g 0<-5~ .h{ -ra / '/ '{ r
Accepted
Accepted With Corrections
x
Denied
Reviewed By: ..4 ~
Date:
bPc;~,.r-
Comments: ...
(5)
~~e;k ~9"~t!''''~~ 4- ~_,.,~~ u:./e/~
1/ -' / J
C)v~y- /0'" ffi/b~r
~ecl """"h~~" J6 - L..~<tIJ... /~"7!L- d,/~c..II;-
,/ fr4'V~/ q/ ~ ~/ ~ S"~,~ 1/ ,Ie>
/ / / / ""
S -e CO#t. d' Sh" V
/
(1)
"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
~ - Engineering
(Pin~ - Pl8nnln~
NAME OF APPLICANT
BUILDING-fERMIT APPtlCA.'f1O'N'DEPARTMENT CHECKLIST
;J /^ "V eL-
//
! ,~. ,/
j lIe. Di}-/lA ~ .
11- ;??' ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~s-~ rCJ.-{. 7O;x1 11' /
Accepted
/:~ -<M~ With Corrections
C/~'/r--
,/.-,- '. / l j .)
-' ., /~.
Denied
Reviewed By: ,# ~
Date:
c;~k-
( ,
.....<'\'.
Comments:
F
I
,...1
Air Conditioner and o..h~r li'lecWlI!-lC&
1J'~:bi CaI'Pot Rne.roach mto ReqUlI"ed
Side Yard Setbacks
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."
AUG-09-2005 08:05
CITY OF PRIOR LAKE
9524474245 P.02
" .
I ,~.. '...... '. . ,.' ,
CITY OF PRIOR LAKE
SEWER AND WATER PERM11'
Date Rec'd
(Plc:ue ro'Re onrint and sip at bol:tDm \
ADDRESS
3:1J;-l& F~
l. GlUA Pile
~ 'l'tUo.. cllY
). Go'" ^PJIlia1n
PEBMITN~~~
~
ZONING (onu:. lUll t
, LEGAl DESCRIPTION (office ~e only)
LOT ~BLOC:K:1 ADDITION ~ ()J,' " (
~~e~R n1 v f)n [1\ /J I ~ C) IJ l1 ~ t
~7J1
PIP
(Phone)
...
(Add.tess)
(A~dre!s)
(CUy)
(%10 CocIe)
APPUCANT
(Name)
JECHE EXCAVATING
2'3/ \J uUI~~\) I"1.Al.1:
(Address) BlOOMINGTON, MN 55431-2834
(Address)
(Contact Person) J6....t.h :-
(Phone)
,
APPLICANT SIGNATURE
(Cil)'> (Zip Code)
(Phone) 4;-l~ f) I~ () f} c..f ~-~~
DATE 9r - )>'.- tl5 '-
. APPLICANT PLEASE COMPLETE BELOW
Size: of water service I". inches. .
Location of any couplings from structure feet
Type of sewer pipe. 0 ABC 0 pvc 0 Cast IroIl
Estimated length of sewer line .}J.1l feet.
Clean out (if required) located at feet from strUcture.
FEE SCHEDULE
Re.sldel'ltialllewer and Water lin~ connection $3~ .50 InduSTria.l. Com 'I &. Multi-family 1 'Va of job eost with a $39.50 min {mum
Sewer c:onnec~ion only $17.50 Water connection olll)' S 17.50
.Estimated Cost $
. Building Permit #
SEWER AND WATER PERMIT fEE
ST A. TE SURCHARGE
TOTAL PE:RMJT FEE
$
$
$
.50
,
(omt:e tJl~ Only)
Tbl, Application Bccome$ Your Jt\lllc!ing Per... it Whe,ll Approyed
I Paid
Date
fl
,51
l)~
~/ if.eClcip~ No.
By
Building Officlal
D.re
.:4 hOl.\r norlclI ror .UlnllpllCtiOlt5 (9S;l) 447-9850, fll)r. (951) 4.7-4245
CITY OF PRIOR LAKE
IlEA TING/ AIR CONDITIONING/FIREPLACE PERMIl
Date Rec'd
t ~ Ji. I PERMIT NO. 05. O(P3~
/PleaK ~ or tnint aDd A!l:D at bottom)
. ADDRESS
.2:J$~ ~X' ,~I !1/.&J,
ZONING (office
use)
LEGAL DE5CRJr J ION (offlce use only)
LOT BLOCI<
ADDmON
pm
OWNER (b "
(Name) /'?:7(1_ A. V)/~ )
(' fM'R-/-.
(Address) Iff::' r f' t/11I1e~
APPLICANT ~ _ L I l'\
(Name) L/'}~/~(''-J OJ f\
(Address)d/~1O GOlotJ f)oe.
(Ad~s)
(Phone)
~6:;J - 7l;c I
, (phone)
,~$I - ~(-4Jj - ~o;>O~
~,-
(Contact Person). , (Phone)
APPLICANT SIGNATURE ;l{;J? - ,?~ ,,_ DATE
.- APPLIcANT PLEASE COMPLETE BELOW
,..erNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ('~~~~I' C9b?~~/('JJ FUEL /1/4.1-
FLUE SIZE ;:{ /1 J:Yr RETURN OPENINGS . INPUT I~~~m OUlPUT %? (Y'(\
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air PlaDts 0 Steam
~tr D~w~
-ef....J4cebanical 0 Radiatioa
J::JAir Conditioning 0 Special Devices
,;::went, System 0 OthcrDevices
FIREPLACE MAKE AND MODEL _
P?/.Al.O .
(City)
_~~n02/
(Zip Code)
'<6 - OJ~ - ~ s""
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required. Side Y aId
Setbacks
FEE SCHEDULE
InduStrial, Commercial & Multi-Family 1 % of job \X)~"t ResideDlial, Gas FiIepl_
539.50 minimum
Residenti.1l.l, Heating &. AIC (New ConstIumon) $99.50 Residential, Additions &; AlU:J"II:iODS
Residential, HQUing Only (New Construetion) $64.50 Residential, AC Only
539.50
$39.50
$39.50
Estimated Cost $ Building Permit #
HBA TINO PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE 5
PAID WITH
.sSUILDING PERMIT
(Omce UH 011I,,)
This Application 8ecomes Your Buildiog Permit Wben Approved 'f I!~ .~ U" Ii! If. ' 1\' Receipt No.
. ~ ~ Date By
BllildinlOflicial Date L _I AlIr, 2 4 2005 j'
24 hour oolite for aU inspettioDJ (952) 4<; 7-9SSO, tas (952) 447-4145
By
iOO IP1
lilV a3110li.LNO:>
9L~909tiS9 IVd tS:Oi ffill SOO~/C~/gO
Dat. It.c'd
CI. L i OF "PRIOR LAKE PLVMBING PERM"J.
~\t._.I!.~ .
3ct-sG Waf} TfuJ N, t<I
I LIOAL])~ ..ON (oftlco \ale DAly) . II 6fJ
r..orOc1sLOCK Od.- "DomON ~, {(j~ }'\
i =- ia. t JII&BJ~h'~ c;,~
- ZONING (....)
pm
\=---Mr,~ (;'n~+rfA{'/'htJ~~. . (Phcmo) 9~J"'Y\T;;)-76il1
.~~ . L~b ~ ~"f / Atf/r VnJ(ey; NY] -S~ Id V .,
(N-~ Ed'P '-...., (SJr JfI1~/flJf ..l:Y1'--,. ,~Pbo ) b)j-ys-9- ~,)rJYO
~l b:rY SrAfJ,e~b..d ~ ~klArlV ,~\ I ~Cf
,() (A4dzess) I (City) (Zip Code)
(C-- Jlo.l!(J ;r.Jh j - . (Pllonel h,-rl-)<J?-rf/,~O
i .ufUCANTSIGNATURE .A!~ tz:. d~-- PATE _ ~ - cY6 -:Q-.L
. APPLICANT PLEASE COMPLETE BELOW
. ~~'.. Type o"'fl'lstire : ~ Jii! Tv>>- of Jl1X.....
~ T\lb with or ....... '_ - - _ .1..
L>.snwa.1\tI' 7 ... HII._
~'l* OJ'. : I w'" SOftIM
1=o~r l~ IiDkl ! 1_ ";:.;ii1ilnJMIIohlMI
~~ ~...)' II or 2 compartment sink ' ~ ~
la)\OWW ...i ....... ARembly
IJab 11MJdIOW Aiiim1i& Tell
~~~('I'O~l - fSSIIri*I<<
I QuIIIU')'
~"S
I
/
.....<\
I
1
/
4
~..~ ek."I-.DVLE
lnddriII. COmDlCl'Oial &. Mutli.tamily 1 % ofjob cost with a $3Q.50 m\ntft\wn 1lesidtnual, New One A Two-PtMlI)' $9UO
aut........ Addidon. A Alttration. ..50
lilltlmat.cl Colt $.lY. Sao :.JJO BullcUna Perml"- <9 ~ () ~ C}
PLU~INQ PBRMIT fEE $ .L) J~ 4\- ~
STATE suRCHAR.OE S ~ J.2
TOTAL PDMIT dE S
(OIIIt u.~)
1'bII ,,"'klatioa 'Becomes Your Build. PenD" WMIl Appro"ed
.uuoa.. oak'll
ReceIPt NO.
, By /k /
14 ...... IIO*- '0.- ....,........ (95J) ~'1"""'" (9a)...RAIO . WITH '" U
BUILDING PERMIT
Pa14
Date
DtItlI
PRIOR LAKE ~~rt~:~NJI>~:SPECTION
INSPECTION RECORD
a 8' &x r 4l/ frj.
SITE ADDRESS
NATURE OF WORK
USE OF BUILDI
PERMIT NO. '. 00 Z-: . .~ DJ.TE ISSUED rttfi7
CONTRACTOR ... PH<*tJ.. 7tJ1.GIU~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING I -pj I 2/;;/~
t FOUNDATION (Prior to Backfill) 1.f1)J 8..~ ~ I ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - );"8
~ 7',ca ~
;~ ~ 4"J,1--t6
~ '.) - /0 ...€"
I
,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING /' /' ~ !7 '1 '-r ~ L,
HEAnNG (if required) rNf! ---r:f JJ,)-V~
FIREPLACE A vVV q" lIvttf
GASLlNEAIRTEST~{~ ~,,/
COVER NO WORK UNT(L AB9.Y~ HAS BEE~ SIGNED .
#/JJ I rl5 We" ?~~ I
. FINALS ~ U"t-.\JI,i~/\~
lill/> 11 tf,~'-,,(J(.,
, . {/J ~ )(~h-6
...." /)
IrIJ ."lljz'Zjic
(1fj
GRADING (Prior to Sodding)
BUILDING(I(,.-.n i: ~.(... c6
ELECTRICAL ~-~.
PLUMBING We
HEAnNG
DO NOT OCCUpy
I z/"I ~
t I
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must.. poatecI ... an electrical service cabinet prior to rough-In inspections
and malfttalned until llllnapect10ns have been approved. On buildings and additions
where no service cabinet .. available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
f'- --,~._-'~._-~-_.-..-~_..-
: " ,~, ...., ", '" -,.- ~
~ Final Permitted
~. ~,~". ,;'
Ql~rfifitaf~ lIf @ttupantll
CITY OF PRIOR LAKE
~tpatftUtuf nf ~uilbiug Jf usptrfinu
o 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 structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0632
Use Classification
Occupancy Type
Legal Description
Bldg. Permit No.
R3
VN
Rl
Type Construction
L2, B2, WILDS SIXTH
Zoning District
3256 FOX TAIL TRAIL N.W.
Owner of Building Site Address
MCDONALDr.ONSTR., 7601 145TH ST. W.. APPLE VALLEY 55124
Contractor's Name & Address /11)
ROBERT D HUTCHINS f AI! . JANE KANSIER .
V I / City Planner
I, / I r I Building Official v
Date: ~ '4. Date:
.,~. III'. '" I": ,',;.1,'.;",'1 ,f"\~"-"!","~~"",:",,,~,'::~~r.:...>ii:i"";;.i..,jJ', ~"~.::.1
..... '
"';'J,;i!:':..:1; ~jL',,,,,,':';;;';" ;~'," ~:~;,~.~j~~;;';f';'i. ,~'.. ....:.,
oli'
--'
...
TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
~ T~
ADDRESS ~2 C;V <.. ;.e>X
OWNER CONTR.
PHONE NO. PERMIT NO.
D FOOTING D PLUMBING RI D EXIGRADIFILLlNG
D FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
~SULATION D SEWER HOOKUP D FIREPLACE FINAL
FINAL D PLUMBING FINAL ,; G~~'f' AIR TST
D SITE INSPECTION D MECH FINAL
COMMENTS:
/) ( .-~ c ~t>~
v
nr
--~ *-:V
'-
~RK SATISFACTORY, PROCEED
D CORRECT AND PROCEED
D CORRE WO , CALL FOR REINSPECTION BEFORE COVERING
Inspecto: ,I 'J Owner/Contr:
C J 447.~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
1NSNOTl
DATE nME
CITY OF PRIOR LAKE l7Juj1K
INSPECTION NOTICE SCHEDULED
ADDRESS 3~5(o ~ +4i'\ T'..-
OWNER CONTR.
PHONE NO. PERMIT NO. e;- -(,,~
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
7! FINAL \ o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
). H~G~~~-
'2-. ~ d-Jn_u..b
3 - F....-"" 3kAp d- ~/u/,u- ~("\ ~
q, J1..''^,~ 1"hgfih:M.. ~
.-,~
ie>
.,
8'~ f-CJ6
o ~KSATISFACTORY, PROCEED
YCORRECT C ION AND PROCEED
o COR T K. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CA 44)\,98 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO;)r., l(r.,~MENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTI
;-
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L{-Z"~
PHONE NO.
F~~,.I 'f',.1
/YIc,~
PERMIT NO. 66-63 Z.
)4,u~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CONTR.
ADDRESS ~~
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Clf"'PINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
GIr,~
CUlIo /4;;< - /) I(
\
JtWORKSATISFACTORV, 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.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
/NSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ;3;J, c:;- (,p
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
t, l\Jl ~..-
2, '?~/&..
~\.L..oI'o-t~r
2, 'Z~ .r-L
~
SCHEDULED
,-r-_. J. .' ~
...~+...".... ~-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
X-PLUMBING FINAL
"D).,ECH FINAL
DATE TillE
l~
7;..
5-"(.I~?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
M - \ l) qL(,-,,,,.~
flcc.ec.<. ~~.t- fi!:.V/(J2~
..
dCL("
A('"("..Q~ - -?t;I. 1U~
~()r
o WORK SATISFACTORY, PROCEED
)( CORRECT ACTION AND PROCEED
o CORRECrif:K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: \. \\) Owner/Contr.
CALL 447-~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn