HomeMy WebLinkAboutBldg Permit 05-0054
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1- 7-0<
I PERMIT NO. 05. 0054-
1 White File
2. Pink City
3 Yellow Applicant
(Please tnJe or print and sian at b" ".,....)
ADDRESS
cfl75:J. tJ; I J s L~ne- NLU' PrlDr
L al:.tL
ZONING (office use)
.p tAD
LEGAL DESCRIPTION (office use only)
LOT 0./ BLOCK I ADDITION
()J~
6-1er Ii nq ~(,.L~ a;t;tie PID rl~- 80'1-o;;,/-C'
--
~=R M C.bofla.\J ehJ1 ~{r Ue.,{,~ I ft tJ C
(Address) 7bD I -LA) - /4- S'Itt ~., -.A PP~E VCLj{otLf fnN
(Phone) 'IS;).... 43;;-7 60 I
SS- I -;..tf
BUILDER r "'__ ~ I 11 Q I I'
(Company Name) V\4J-)nc.uLJZ. \rn ~Ir ltl!."1trA, IN c.....
(Contact Name) :Je~c. fc 12-70 I-ll~l.f'f I ~Y' V"j
(Address)
(Phone) q~~ l.J B~ ,?~O I
(Phone) q'S:J... ;;l?;l- IO&fo
TYPE OF WORK ~ew Construction ~eck lEPorch ORe-Roofing ORe-Siding (lBLower Level Finisb) ~ireplace
DAddition DAlteration [!I'(Jtility Connection 0 Misc.
CODE: ~R.C. DI.B.C. PROJECT COST /V ALUE $
Type of Construction: I II ill IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
3 (p 8. ,;zt./O
,
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 authonzed 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 building
:cial can r~Vj/?;:::::;se ==~_~_erebY agree that the city official hdtn~e mal; up01the r;:erty to perform needed 7~ect~/~ 0 S
-I ~7 ~ture Contractor's Licens~No. '-' Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~::3loa. 000.00 I
$ ..2tr/trJ l, 50 I
$ 17~9,1r I
$ /~if()O I
$ I
$ (ofJ,oo I
$ IOO,Of) I
$ 35,5"0
$ '-/0, DO
pplication Becomes Your Building Pennit When Approved
~
Building Otlicial
///?As-
Date
$ ~s: a. f) If:)
$11150,0"0
$ 300,DO
$ 7S ,00
$ /.500.00
$ ( 000. DO 1
$ '! 5"O() ,e; D .-L
$- .,/ 1-
----
$ f'. 525.. q131
Receipt No. W yuhO'
By (?
cJ
1 Park Support Fee
I SAC
1 Water Meter Size 5/8,e
1 Pressure Reducer
1 Sewer/Water Connection Fee
Water Tower Fee
#
#
#
#
ThIS tS 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
when sign' by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occu ancy must be
issue . ~ //;9~5" ~ C1--- f- ,
-. - /
Planning Director , , Date "Special Conditions, 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 ~ /.Jt{,ro
II, ,c,.. -~~-. (./. y/_
.- 1-d.-6-lJt::::..
I Paid
I Date
--
Thf' ("f'nlf'r or fh~ t.kf Counlry
~hite - BuildinQ:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
71le ~
. . I
/. 7 oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2732 ~~ ~ /VW
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ ~ Date: 1/;,:pIo s-
..a.. /7 _#'; /I /7 ~, .(~'.r//JA
Comments: ~ ct....-L-t' ~ ~
. J
~~ ~"til. ~U-e-!/~' ~
~io A- ~~A AC, ~ ~
~ ~ ~~~~ / ~~L.t~
~~ (/ I
"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."
"y-~~
The ("('nfer of Ihe t.ake ('ountr)'
White - Building
~~"Y E~9
Pink - Pia
~ -
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-;) Ie l&l7Utlt/L.
I '7 -
/. . O~
/1. . '.' - , ,.,' ' :. I
(J ) t~l 2.L (. L:.--U G Z t/ .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/;:' . ;' I'V' I t/
2 7,:52-- ,::;;/r ;:C-{()(,~ ,ft{/u:-
/
Accepted
Accepted With Corrections
'.
Denied
"...
Reviewed By:
~
-
~
Date:
//;?~S-
, l
. Comments:
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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or Print and siRn at bottom)
ADDRESS d 1 J J w,/ tis. La Yl e
!YUI
i ~t ~,_ I PERMIT NO;tj__ st/J
ZONING (Oft"1Ce use)
LEGAL DESCRIPTION (office use only)
LOT~ 1 BLOCK 0 I ADDITION ~+er !;l1q .:;o\.f+h
PID
"
~V::~R!1(1./fJoYlnJd V(1h-!ffur.1:/'OY1,. .:thC,. (Phone)9,-,o>-Y"'oI- /6'11/
(A'-"') ~() J Jm), Sf Jt;ed /1if/e ValleY1 !!k s-rl d Y ,
APPLICANT r. J... III J ' - 9
(Name) " liP S JO.1' j- /lJmtJf na . J-hC_ (Phone) 6..s7- y~ ~~ 1.1./)
(AddresS)kYSOOY'/otJd f)fl~' ~tJd,/;Ufl~!1n S-SlC)9
I II (Address) / / (City) (Zip Code)
(Contact Person)Unv P ~ /th . . . (Phone) j, ,r / - YSJ~ R / J ()
APPLICANT SIGNATURE /fJ~ ~,~L7( DATE ~~ 6(;:;>-00.....
, Quantity
j
. j
/
y
"j
';:::t
j
. I
.: ~'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
I
I'
RoUgh-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
/
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $3950
Estimated Cost $ $ /~, ~, 00 Building Permit # ()~- ~-S;V
PLUMBINGPERMITFEE $ ~J;(/y\ ~'()Ifh....
~~~~S~:=:E ~ --r= ~.~_,,-::,~ "VG ~Jf
(Offiee Use Only) \ i~ \ rc; rp ~ n \. ,\ rf4,1)-
This Application Becomes Your Building Permit When Approved \ I ~~i(t:J \.':'J .L'='" , I ~eceipt No.
1t.~.~ 4 lGG5 l~sr ,
BulJdina Omclal Date X J'
24 hour notice for all inspections (952) 447-~fax (952) 447-424.C
CITY OF PRIOR LAKE
HEAl.uiG/AIR COND.lIIONINGI 1JAEPLACE PE~u 1
Date Rec'd
CP1!- type OJ' DriDt ad ale at bottom)
ADDRESS
d73d ~ j/)D~
I, l'IlIIc filo
2. 01... ~
J, Yellow AppIioMr
PERMJTN06-SJII
iAAJe
.lJ _ k.) I
, ZONING (oI':Sce
-)
LEGAL DESCRIPTION (office use o1lly)
LOT BLOCK
ADomON
PID
~~~ Wc~1U1LQ
r:na/-.
(phone)
~~- 760 I
(Address)
APPLICANT /' . L J/ D
{Name~ ~62r/J^/t.to
(JJ.Y'I
(Phone) ~h() ~ hOo; d
(Address) J I'J
;;J/;;2. /~ ?am lJ..) tI.1J..P.
(Add.re.u)
r-~1-2~, ~.
~ (air)
5"" ~;:;;L L/
(Zip Code)
(Contact Per5OI\) . / (Phone)
APPUCANTSIGNATIJRE '4../~ 7~ DATE
" APPUCANT PLEASE COMPLETE BELOW
~w CONS~ D.N:.r.L.ACBMENT 0 ALTERATIONS
PlJRNACE MAKE AND MODEL J-' .rl-n?A1-#-/: c9ff~'hm FUEL~,c-
FLUE SIZE ...\ If ~UG RETURN vr~.uNGS Cj INPUT /dqOOQ OU'MIT 9~ OCO
TYPE OF SYSTEM HEATING OR POWER PLANT
DW~A~~~ Ds~
OGravity 0 Hot Water
~edumical 0 Radiation
~ C._'c:.:....:..-o 0 Special DmCNS
gem. System 0 Other Devices
PLEASE Nu l~:
Air Conditioner Units
CannQt Encroach into
RJ:quired Side Yard
Setbacks
PIREPLACEMAKE AND MODEL
.-
Iudusaial, Commercial &; Multi-Family
Residential, H.,,:.,o '" Ale (New ConstrUCtion)
Residential, Heating 0D1y (New Consauction)
FEE S\...ur..DULE
1% of job cost Re$1dential. Gas Fireplace
539.50 minimum
S99.S0
$64.50
$39.50
Re&ideDtiaJ, Additions & Ai1a'atioJlS
Rcsickntial, AC Only
$39.S0
S39.S0
l!1tJ/~~/)~
~G
.SO .bS;
..-----.-"'" ~~}-
--, ,-\
JJ LE r \ Receipt No;
! !.
.~B 24 Z005 IliBy
I' t" t l J
Paid
Estimated Cost $ Building Permit #
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE S
(Office Use OaJy)
This Application Becomes Your BuildiDe Permit When Approved
B1dIdbIe Official
Da.
14 "our uotice for aU lupeetiou (952) 447..9850, fu (9SZ) 447-4245
'[00 ~
lIlV \1.:1110ll.LNO::>
9L~909t,[S9 XVd 6S:,[,[ craM SOO~/C~/~O
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvPe or print and siltll at bottom)
I ADDRESS
~: ~:n ~:~ PERMIT NO. ^.r ^OIlU-,
3. Yellow Applicant ~ ~
2732 WILDS LANE NW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIRQFTRRSIDE DBA FTRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA Hfj.5TON
DATE
2/15/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required SideYard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK X 2
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39.50
~t.'{t
9\l\\-O\~G
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildin2 Official
Date
Building Permit #
$
$
$
r~ !lin@ lE 0 iJJ [E 0i
Ii Iii IltA,R - 4 2005 u j! By
UL:
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 44' '81'50, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
BUILDJNG AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Z'1!> ~ wi &..1)5' ~ ~.~.
NATURE OF WORK ~~ fJJ! L.c.. ~"i....
USE OF BUILDING ,. f:': I) . , .
PERMIT NO, (j 5.00.54- DATE ISSUED Uf oS'
CONTRACTOR ~ct>>tlN.O ~.,... fJJc.. PHON$-.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR , DArE
f FOOTING wc...1 P f) .. I !/~/~~
FOUNDATION (Prior to Backfill) I 17/1 ;/~ I
PLACE NO CONCRETE UNTIL ABOVE HAs BEEN SIGNED
ROUGH /=})NS l.
~::~~~ WATER I SEPTIC %1< ,'1wr ,
INSULATION M ~ d<<-
ELECTRICAL j
PLuMBING 1 fJ~ ~/<lI5"" .
I
HEATiNG (if required)
FIREPLACE lfVy? . ~-~fiJi
GAS LINE AIR TEST ;/t,ft I- f;/{ ~ J'/4IP r
COVER NO WORK UNTIL ~OV~ H,AS BEEN SIGNED
fLAT"" / ~<<$e AtflA~ I' j:, ~ I
, FINAL~ {J
GRADING (Prior to Sodding), r, \,)
BUILDING '''''''' hJ #-(-0:1 (JI., ~
ELECTRICAL /
PLUMBING
HEATING
DO NOT OCCUpy
~ - 11 '1-'vY
~,,~~ leAn
he- uJ s#-/~
I'h"j ~2G~
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
I
~,,<.,' " ,
:~.w..;.;'~'':''':';'~!''''',"''';;:''
~erfifitafe nf @ttttpant\!
CITY OF PRIOR LAKE
~tpatfmtnf nf ~uilbing Jlnspttfinn
~Final 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 structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0054
Use Classification
Bldg, Permit No,
Occupancy Type _
R3
PUD
VN
Legal Description _
Type Construction Zoning District
L21, BI, STERLING SOUTH A TTHE WILDS 2ND ADDITION
2732 WILDS LANE N.W.
Owner of Building
MCDONALD EmlSTR. ,
Contractor's Name & Address / - /;;J
ROBERT D. HUTCHINS !j V<'
r .Building Official
~ . Ze,. (; ~
Site Address
7601 W. 145TH ST" APPLE VALLEY 55124
JANE KANSIER
City Planner
Date:
Date:
~ :~l;;:',:~~~;.';, ..' ~:~i~:.>:'~:i,<'~' i;;:;.' 't~<;:./.i;:::' ,,> ~",/" "
"f"'" ......'..ilif';,,'i,:' ;- "l~~--,,;,:' .~;."jj',i;< ;";';."'::;'~~r_i~..~, '~';..:''':~''';'l''':':_,'',::"..." .... ",} ~^'~.i!.::.':,;'~l:
~, '~1'..l.i.4.l ;":,w -",",' <'.it..:l'..., ;"r;;':,c,'\"'~"~ ..1:u;",;.;. ,i:~~;';", <1,.......~. ~ ;' ":-~I; ;,,! ;~ . "Ml/.'--"':...~:.,;. '. 'j ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
b1IJk
ADDRESS 273'2 '1., J. .{A L"""-
OWNER
CONTR.
PHONE NO.
PERMIT NO,
s- -oose.,'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
)( PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/, ~i~/'~
2, Rv~,ot~ ~~
o WORK SATISFACTORY, PROCEED
~ORREfT CTION AND PROCEED
o CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ --; Owner/Contr:
CAL\.. ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
an;{REQUlREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/
IJISNOrl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~ 732 tv,:lls LYI_
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
c::*!FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6rU~ 6J(
DATE nilE
~'2b-t)6
1JI7, ~,/
QS', Sf
~~L1NG
o COMP INT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
b1 WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpedOr:~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/t$NOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 27Q. W..~ L"",.
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULATlON
.zr FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TillE
~
5- c::>os<(
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
..1. Q~~.h--_~~ SJt:fJ..~
z.. F..~ G~. ,-,......-...fC4 -L..".
~~ ~,d:-T IUlLA ...
1__ t? (1 ~,",: ()
--~~
I
+-6
8- )-05 - .
o WORK SATISFACTORY, PROCEED
f fORRECT A ON OCEED
'" CORREC L OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL: ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INViOTI