HomeMy WebLinkAboutBldg Permit 01-1260
(Please type or print and silm at L..__l
. ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ~ t
AND UTILITY CONNECTION PERMIT Le.f+
10- -O(
;:::~ ~:~ I PERMIT NO. 0 I Z' 71- 0 I
3. Yellow Applicant h L, (p
nrTrtJ p/W
:J /4LJ) 7 - gr-OOkMe-re.. BlvJ.
LEGAL DESCRIPTION (office use only)
LOT5"6 BLOCK 2... ADDITION M ~()tJ.LJJ i tW
OWNER
(Name)
(Address)
12 'fOO
BUILDER
(Name)
(Address)
PID
.-
zs., 3r4- - ~~...O
... .
(phone) 952- q 3~- 7833
M;;1,..do44. J ,A.f/IJ J-S-3'/~
I
120.
-'
(Phone) 95L- ~36 - ~83"1
(Phone)~ L -3-" <;-3" <7 3
M,'", n~,,4., MA.J 5 S3'1~
,
I Z '1tJO fA) N' f4A.Ia.fe,r Pr. 5 w' k
/
/20.
/
Cetd-~ X Ha m es
Wki f-~wd-er-/)r} 5~';'L
C~e){ fk;rne '5
(Contact Name) ko..:J;f- () Co" J1 eLl
TYPE OF WORK
~New Construction
OLower Level Finish
~ Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) S /2.4,000
.,
o Misc.
)i'[Deck
o Porch
ORe-Roofing
ORe-Siding
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 y_ w .....li in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
$
$
$
$
$
$
$
$
/2.c..f.oon.
li''2~.,S-
t?33.~D
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/(1) ,,00
tt)O . &>0
.36 · c:ro
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Becomes Your Building Permit When Approved
to - (5" 7JDo1
Date
200 7t, '73 ~
Contractor's License No.
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
I Paid
I Date
r, 0 rf,Y. 'Is-
~~
#
#
#
#
/~/3ItJ/
I Itate '
$ ~().o'6
$ I. ISO.06
$ f 0
$ 0
$ If ~OO. t)(j
$ '100. t!)D
$-0-
$ - 0
$(P,09a..gS
..
ReCeiy~.~ 4OCI~.,;J.
By / r/'-
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~",~~~_ tlJ~ (~Aa-~~~
- Plannlt;g ISIrector - Date - ~C~ditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
..
White . Building
Canary . Engineering
Pink - Planning
Thf ('fnlf. 01 thf I..kf ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r~ E N"t eX! f-fo /VI E S
JO- 8>- OJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:.. .
) '-I L/ 2 2... Br&o kl11e...f/( J.3c90/ -( vtt/'d
Accepted
.~
Accepted With Corrections
;i
Denied.
. Reviewed By:
. Date: //-li-o/
Comments: See Reverse Side for Additional Information! rile. (~ h\ / C.
/riD SLf4"~' 6r Vc,/.v h(poK-C/f) V~/,"II 8Ctc-hl",~ I }-cS1j Qrc.
.
04 ;1e~
M1-B
See AUachments: 1) Grading Plan, 2) Erosion Control Measures
~) I=rosion Control Plan
"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 jurisd!ction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~
Th. C.n'.. nf th. Llk< Coun'ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~1E~rl t:x HotvJ ES
Jo-6-ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
V'
Accepted With Corrections
Denied
Reviewed By: ~~L&r'::::-~ rs:'-~ Date:
Com ents:
1 L / ~ (t) I
t9-_~~;;]~~~, ~ 1lP~~t~~
)//'~ 11
"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 - Engineering
Pink - Planning
Th. C.nl.. of Ih. tok. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~BNTbX HoMES
10-5-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
'/-
Accepted With Corrections
Comments:
Denied ,/) /J {) 1
Reviewed By:}d'J! ~~
~_~ ~,^Qlo
Date: 10 -IS-~O {
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i:~~ ~~~ PERMITNO.O/_/Z'O
l Yei\ow Applicant \I!
(Please type or print and sign at bottom)
ADDRESS
I t/ t/ rJ c2 (b /'tJtJtM ~/,{l
bIll
ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
PID
BLOCK
ADDITION
OWNER /J j,..
(Name) L :P,A 1 tJ'y
(Address)
(Phone)
APPLIC~ h ~
(Name) '/)(;: II~
(Address) ~~O (';;//1 /r IJlJe
(Address)
(Phone) II t?,~..2 - (/ tJ .:)- ,.J /,J /
,f;;dAA '<$J5~
(City) (Zip Code)
(Contact Person)
APPLICANT SIGNATURE .-U A~
Quantity
J
/
/
q
7
1.
{
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h~~
(Phone)
d!JAf/ ;2 f: 0 /
DATE
7
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower 4'
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
/
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other '
'I
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~\Dwrn"\ \T
~'LO'NG pawM .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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Dale
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OWner's Name
Address
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Conn. Load
;
Fuel
G,,-s
Supply Openings
Relurn Openings
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Perm II No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PID'
l'f~ ~.'O - 0 I -- I 2-& 3
i"l"'f 2-(# - 0 I ~ /Z& 2-
/'-I'-Izt.l - elf' /ZCR /
I ~ '1 22.- ... fJ/ - 12~O
.... Single Family
Commercial
Public
Multi-Family
Olher
,/
40...1'-.1.. )"
Flue Size
11 II
1-~1) .O~
She Address I,,,,. ~ . 2 (.. 2.., .
Lot Block Addition
~" rVC
Heating Conlraclor I-Ie"t h ~ J. (,.DD ( ; 1'-4
I
Address I ~ >' S- 0 (1 0'.... '" tL.., e..d ~ ,
t .
Telephone'. 1 ("..:;, 4'J.. 9 ' 7'=- 77
Furnace Make & Model '? ~ r:; 3 (,0 7l'
Model Size 10, ,.)0,,> !?1i.f
J~
1,) ~,;}) Oulpul fJ:~/d
--.
I
Input
Edr.
Clm.
-.Ii
;J
;i
>I
,
;1
Alleratlons
Repair.
Esl. Cosl $
I!
H
'j
TYPE OF WORK
Replacement
3. Yell", .
ConlrlCtor
mE OF STRUCTUm;
Two-Family
. Industrial
~2..
1i".~Ic.~ A/vo NW
Fee Schedule
T:...d
Induslrlal, commer~UIti-FamIlY
(R;sidenlial, Healing & A
-----
Residential, Healing Only
Residenlial, Gas Fireplace
Residenlial, Addilions & Alleralions
Resldenlial, AC Only
1 % 01 Job cosl ($39.60 minimum)
$99.50 r l-\
$64.50
$39.50
$39.50
$39.50
Remember to add the Slale Surcharge on lhe botlom ollhls application.
TYPE OF SYSTEM
Warm Air Plan Is
Gravity
Mechanical
Air Conditioning .
Vent System
The price 01 your healing permlllncludes one rough-In and one finallnspecllon.
Additional inspections will be billed al $35.00 each.
House Heating Test Record musl be submllled with bYIklIng wwnJ1 number belore build-
ing certificale of occupancy will be issued.
HI;AI ~AL.cJ.l.LATION~ REQUIRED with number of supply and relurn openings listed per
room with CFM's per opening. New slructures or addllions send floor plan wllh supply
and return localions shown. HEAT LOSS CALCUlJ\TIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lJ\KE, MN 55372.
Cily Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
HEATING OR POWER PLANT
Sleam
Hol Waler
Radiallon .
Speclal Devices
Other Devices
New Conslruction ,1/
I hereby apply for a mechanical systems permit and I acknowledge lhallhe
Inlormation above Is complete and accurate; that the work will be In conformance
wllh lhe ordinances and codes of Ihe city and with the stale building/mechanical
codes; lhat this form does not become a permit until signed by the BUilDING
OFFI~IAl; that the work will be In accordance with the approved plan In lhe
case of all work which r,oqulres review and approval of plans.
h /~t 1--10 ~ 0)-'
pllcan>,pJ9"i-"'9f /' .. Dalo
LJ( fAA/ /- 30-0':>-
u7g o;ncirs Signature Date .
Est. Comp. Dale
. Bundlng Permit ,
HEATING PERMIT FEE $
STATE SURCHARGE $.
TOTAL PERMIT FEES $
!
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.,
d
,
./
.50
~
.........
(
Receipt"
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CIlY or PaUli LAD
PAGE 14
11001
10/07/2002 12:00 5
D..Ibe"
\..a ~ I OP PIUOR LAJCI
SEWER AND W A.U. PERMIT
~ =- ~"h. r ! PIWQTNO. 1- let-&' 0 1
.. ~ni~"'*U!~ .
,ADD ~ . ~aN'DlIO~_
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mirJhLJAk,- . !'M 5S~~~
tOlr)' (lip t;.o6tj
, APPUCANT
i (NaaYl) K &. R Contracting, Inc.
32-1-5 Lake Avenue
i (A",-) New Prague. MN 56071
I 952.758.6247
: (Coat~~) Bl~
i APPUCA!<l SIQ"'ATtJ1Ul<A;tfil" ~.. .
(PbaM)
I
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cOIrJ
C,ZlJ ~,
(?....,
. DATa I,..., J -t J,~.... -:
1_11~
Al'PLlCANT PLEASE COMPUTE BELOW
SIIa af.. -"* I ~ iDIb8I. .
Location oflD)' CD.. from 1WCNre'k. D --
Tn- 01.... pipe. 0 ABC 3PVC 0 C.-Iran
,...--I 1.... or... ~..kll. r..
o..a out (it~ 10cawd at -.fiL- frofIl~.
Fa. k......otJU
&.i..~ ..war .1'N",,"'ecr.t.ca '15.50 ~. c:.'1 a )t1olltJ....i1y ,.. Clljo1t.-r.~ .13'.50 aialllt...
s..er :.1:.".... OD~ 11'7.50 Vi... ClftlDctian ~ 111.20
~ CQd S lulkliDl..mil"
SIWD AND WA'nA 'EaMlT R! S
STAlESv.eHAAOE S
TOTAL pDMJt J'U S
.s
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ey
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PRIOR LAKE PEPARTMENTOF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / ~~z,z- $liPk (\A,pr-e 15WJ~
NATURE OF WORK tu~ 0",,;\.- eX
USE OF BUILDING SPP-- 1.e.P\- ~...~~
PERMIT NO. 0 l./ /2- (PO DATE ISSUED '
CONTRACTOR ~ PHONE ~ ( (. - 3(0 1 -"?C:,CJ. <'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I INSPECTOR. I ,DATE
I FOOTING (w!~ ~ I ILIl I /1/zI/o1
FOUNDATION (Prior to Backfill) I 'lJ~~ /I' ~}J\ I l~ 4\ n(
PLACE NO CONCRETE UNTIL ABOVE iAS BEEN SI'~NED
ROUGH - INS
SEWER/WATER/SEPTIC 1?~~
FRAMING v.>\o 1>~;
INSULATION ~~/
ELECTRICAL
PLUMBING M,G,. fA IMID?-- d..r f}'~.~ ] \1..... ~-Iq-oa
HEATING (if required) ~ U ~-rq-O~
FIREPLACE ~ \)GAJ ~-( q...o~
GAS LINE AIR TEST 1S \~~, .;;2.-/4--o~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
AlIJ
~~~
~ '\n.M.lI 4/,02.) U?--
art j),) tV;tSf 0 ~
OCCUPY UNTIL ABOVE HAS B~EN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I \
fl ;00\
a-<.~..oOt
0--';)./)...0)..
I'r~l~ '!
A ~-JOY
l "
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~/~.:.J,.'"",.~~~~~~~",,:Z.~~. .
~ . ",--
l .~, "
;~; QLtmfuau of 'cCllpdory
.~':-~ ell i OF PRIOR LAKE
~; 1Departmentof JluilbinlI Jnspection
~ - ~inal Permitted 0 Conditional C.O. Expires
~ t This Certificate issued punUD1lt to the requirements of Section 307 of the Uniform Building Code
~ certifying that at the ti~ of issuance this structure was in compliance with the various ordiM1lCes. of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY
Use Classificatioll
Bldg. Permit No..
01-1260
Oc:cupancy Type R3
Fire Zone .J!/ A
Zoning District
R2
Type Construction VN
Legal Descripcion L56, B2, MEADOW VIEW
OwnerofBuiJding ~iteAddress 14422 BROOKMERE BOULEVARD
CENTEX HOMES, .12.400 WHITEWATER DR., SUITE 120, MINNETONKA
ContnlctOr's Name cI: Address _.. -
ROBERT D. HUTCHINS !/1/' City ~
Builcting Official
I-~~-()<"I
DON RYE
Date:
Date:
POST IN A CONSPICUOUS PLACE
SCHEDULED J- 21-0'/
f1v,;~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/LIL-12~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5cJcf -i-
COMMENTS:
~,
/ //
/ / I f1)s::,..
\ C/' l/t,
~
-
DATE TIME
I - J~~ 0
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
1h'f~
--
~
r 1 '\
hLt }
/
~
----
....wiGRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F 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!
INSliOn
DATE TIME
SCHEDULED 5- /'7 - d.... 3"3e?
~R~ ()"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/LlL/9-;;)'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.!/J. PLUMBING FINAL
'-!P MECH FINAL
tr-
~~-e. lrf)
o FOOTING
o FOUNDATION
o FRAMING
fl,., 0 INSULATION
fl ' FINAL
~ITE INSPECTION
COMMENTS:
tM.O J e..-
,
1."'-
\
~ f) ol l)~
t
~'4 J ~I -rrP~
I -/;;.. ~"3
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.~f"-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W01fLL FOR REINSPECTlON BEFORE COVERING
Inspector: <1:)", i(J.).J..tf Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
_ ilt'"'FINAL
o SITE INSPECTION
COMMENTS:
hl'caL<~ -CJ/(.
'-
DATE TIME
SCHEDULED 1-/4I-~
.
Br(90~,rltrc &u/~l/4rd
CONTR. ~-eJ/1 k,J<- I-tC9NJ
PERMIT NO. I -I U~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~D1J;lILUNG
......0 co1ll5LAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
11( WORK SATISFACTORY, PROCEED
""0 'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspeC1.or.~~4 --. VYiner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl