HomeMy WebLinkAboutBldg Permit 04-0722
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
31 S- LI
Date Rec' d
(;, -1-c1
M. pe-
J. While File PERMIT NO
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LEGAL DESCRIPTION (office use only)
LOT :J... BLOCK I ADDITION
OWNER
(Name)
fA\Lk ~ Wc./-.,w
I
(Address)
~ 1 01 S
LrV
tVV
;;-A/I./'~~ fJ071rh-
I
PID ;;15- L//9. (JO ().. - 0
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r~ It M ~vVCj +ClI'ol
I
(Phone) --,r 1- ~b? - 'tY2S-
M 1lJ ),ClZ'i
PROJECT COST /V ALUE $
(excluding land)
'-tJo ~J1.00
Contractor's License No.
I Park Support Fee
I SAC ~
I Water Meter (Site~";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
-
7/ h>?', ~- ()
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BUILDER . _ V1 L
(Company Name) rf\~1'--- , ~~ h..J V-<..u,Jo('Yl'l...rr
(Contact Name) f-<,t<... e (U~5.t-4t?
(Address) ~ l..D'fg Gtl\Vo/bv t.+- f~ Iv
.
O-tue.IOf f"\.<'-v + ~
( ttll\J +CikJ L t
Ih .1 we..
(Phone) _
(Phone)
~~(-V'J-l(BJ.S-
cr (-1~S- - YBttr
S-S-u 2. c.. (
Y'1.~
TYPE OF WORK. ~New Construction ODeck OPorch ORe-Roofing ORe-Siding DLower Level Finish D Fireplace
o Addition OAlteration OUtility Connection D Misc.
CODE: ~I.R.C. OI.B.C.
Type of &"nstruction: I
Occupancy Group: A B E
r Division:
II
F
I
III IV a> A Q)
H~M!'9SU
2 \ql 4 5
~ S"'D, 000
x
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 authoT1zed agent for the
above-mentIOned property and at 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
official c revoke this permit ~ j Furthermore, I hereby agree that the City official or a designee may enter upon the .... -.......i to perform necded mspections.
("
Signature
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
c::25lJ~ (J dtJ ,tJ-e I
$ /t:fSy. 5""0 I
$ (Zfa". 74>
$ 12-~ , 0 0
$
$
$
$
$
IDa. 00
IOd. C)o
3$".<:;;"0
qo ,00
This Application Becomes Your Building Permit When Approved
~~p
Building Otlicial
!a/2/~l/
r Date
#
#
#
#
&-)...-0'-(
Date
$
$
$
$
$
$ 7Q O. f) 0
I $";_.
I $
I $ ~~ /(,8.50
. ,
c.I/;q I 11
, I
I ~5~' lJo
OlSt1.tJO
45,0 lJ
r UlD, 00
\
Receipt No.
Bd
and ma proceed as requested. This document
J1 cCFi'~ epancy must be
ThiS IS to certify that the request 10 the above applicatIOn and accompanymg documents IS 10 accordance with ttity Zoning Or . anc
3=~;. "'~m""'" C,",,,",, "lo"":2';' ".,..~~ ~ee"_ ro
Planning Director -41'- '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
See Main File
White - Buildina
(" CanarY - Enaineer~
"'lnK - - ': Planning
..
Thr Crnff'r or 'hr L.kr ("ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--'- /--~/-... J i ./1 ..,1 '--/.
......./ /"...... './.< ,. : / i ..-. J' ?r./
.".; ....;. - .I i/ / // ,'/'. ,- ,.'
f .I' - t .. \- .r - l---{...--__..
/
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/kZH3
~~ /1If4/~ F;/ot
Date:
)- /~/-P(I
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. II
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.'. ::I-~" . -', .~.__.. " .
....."~,,- ".-.,.._~-- ~'-'..~.-..,..---...."- '.
-
See ~ain File
White - Building
Canary - En ineering
c:ak - PI~"n1
Th. C.nlff or Ih. tlk. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.._:::.1:/1 J A'U./ )/[. try \..
i ?,- _ '7-,)(.) ( /
f"", //""\
IJe v' (U(!),
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which ~ proposed at:
.-'-- r~"--. )'-/ 1,..,'1.. .. 1<. .
-< Z') ,,_ 1/1 '2/ C' 1 '/
~ - I I,.)" 1.1 -(~.
,/";,, ,ft,,! ;;
"--.-'./IL/L_......
Accepted /
Accepted With Corrections
Denied
Reviewed By:
~
~I-
Date:
G:,/?-I/ot-L
,
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."
See Main File
<:White -" BUil~
Canary - t:.ngmeermg
Pink - Planning
Th. C".nltr 01 th. "ok. Cuunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
4//
/
?- '1-
~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
375'1 /J1tl~ K~
, ~ .
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
(~
~~
Date:
~ ("2.,( j(J t/
. I
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDIII0NING/FIREPLACE PERMIt
. '. bite Rec.d
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,tr2.0. Or-
,
1. Pink !'ile PERMIT NO
2. Green City · A..A.....1.1'J.'7 .
3. Yellow Applicant err V l/
(Phone) tfS.:l- v~9 - .:) 7 ;?~
L ~/. s-s""a'~
(City) (Zip Co~)
GI'2-ca..V- V:LV ~
/.2 -:IF-""d q
c:2ortS- ~A".(;
(Address)
12 (..(;L (Phone)
~~/~~;:,c.... DATE
AP~t~~~ PLEA~E COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
(Please type or print and si2n at bottom)
ADDRESS
315~ ;V;,4JbJ77~ uJ.
LEGAL DESCRu" HON (office use only)
LOT BLOCK
ADDITION
OWNER
(Name)
(Address)
flp~~~~~
&r__:...,~
t!o.
(phone)
APPLICANT /'
(Name) U~S"
L,:~
P?ht.s
(Address)
~.
(Contact Person)
APPLICANT SIGNATURE
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
",.--- ~ ent. System
~ FIl?,ij,PtACE MA~D MODEL ~;..kd--!/- 6t;
'---
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
7s-z, r/?
..
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ~ .SO
$/'
,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~
Diz. ~(,() ~
Building Ornclal
nate
24 hour notice for all Inspections (952) 447-9850, fax (951) 447-424$
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (office tise)
I..
PIn
"LEASt. NOTE: '
Air,Conditioner Units
Cannot Encroach into
Required Sidc!)~.Atd
Setbac~ ., .\';, . ,~:>.
$39.~O .
$39.50
$39.50
ffJ'fO ~~
~1JIl/
\
.~
DEPARTMENT c$ee ~ain F[e
,. BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
- LN
SITE ADDRESS ,~" S~ -
NATURE OF WORK ~
USE OF BUILDING SF~
PERMIT NO. 0 - '2 2. D~E ISSUED _
CONTRACTOR 10 · oelJ. ~ PHO*5"/. 7S. li6'1 tJ
NOTE: THIS IS N A PERMIT FOR ANY OF THE INSPECTIONS BELOW
' THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING O<4L HJ -c
FOUNDATION (Prior to BackfUi) i .1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
lJC- , W~
, 1;#
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING d IS (J c;
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WIfq/MLrltllllJ ~ I I
FINALS
. GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
DATE
1
I
I I
J2/,/o?
/2/7/or4
/ I
~/$
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If/.$
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12/CIP
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'~~~~
./ ' '~ll%~
J( (J ''(If&' JI
, ~ bPft6
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
Qt~rfifitaf~ nf @ttupant\t
CITY OF PRIOR LAKE
~epatfmenf of ~uil~ing Jf nsperfion
~Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 04-0722
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Construction
EXECUTIVE PONDS
VN
Zoning District
RISD
Legal Description
L2, Bl,
3754 MAJESTIC LANE N.W.
Owner of Building _ Site Address
FARMINGTON DEVELOPMENT, CO., INC., 22098 CANTON CT., FARMINGTO
Contractor's Name & Address f4/
ROBERT D. HUTCHINS
_ City Planner
Building Official I'
Date: ---6: h k; ~ Date:
/ / POST IN CONSPICUOUS PLACE
JANE KANSIER
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CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS J? s--Y ~.."..,.cr/.,~
- ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
DATE
~~
t.- /
4~
TIME
t7 -- 7.;2.2
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
..l].oPINAL 0 PLUMBING FINAL
rD SITE INSPECTION ~CH FINAL
COflMEijfS: ~ -'
Z/~~(" /~ / /
~e~~'- ~ ~ ~scvA-.~
#~~; ~ // / / /1/?
~y ~r.s~/ 70- T ~ CJH;t-c
~y - 9-5:2 -.qQO-QC7R' . .
,
~ /'
~ /f~1'
~/
L.://L
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
J/ ~
~ fl. ~~~
Q,./
~ ~
--------
/ /" ,,-' , '\
_ ( (./aJ'~ r-/ /Q )
kORKSATISF~n.'~CEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK~~~ REINSPECTION BEFORE COVERING
Inspector: / /" Y Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INViOTI
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
{f+,
ADDRESS 3t').C;l.{ ~\.""",: ~.J..-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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
,!f""PLUMBING FINAL
o MECH FINAL
COMMENTS:
j. ~ t~~'
oz.. CiS (Uti' C (.e.-..- ~
nME
(J - 72"0
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.. 0 JIORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1NSNOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/