HomeMy WebLinkAboutBldg Permit 04-0958 Oversize Survey No Impervious in File
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
SAND D.:{IIjTY S:ON~~TJON PERMIT
ee IVlaID f"4l.e
(Please tnJe or print and siltll at bottom)
ADDRESS
3 L:1!J
M,\\ e.< -\. .'(' .
L 1\tV'-.
LEGAL DESCRIPTION (office use only)
LOT" BLOCK I ADDITION
p:'" Y <!- u .\- '. V <..
I. White File
2. Pink City
3 Yellow Applicant
f\J\J
PONJ s
OWNER t"'"
(Name) r I\(l~', NS tov
(Address) I~ J ill!
BUILDER ~ I Y1.
(Company Name) k.. : lvS ,!.ut) .vcv'tof""'~
(Contact Name) 1!.f..~ EJ/~~
(Address) ~;2.o ff; [Ih) +-c..~() L+.
Ik",~k,p1"\.v* Co
C&J +-e,W c..*
Date Rec' d
~ /;)4-1) f
PERMIT NO. 0+. 0 95~
ZONING (office use)
(!..f S' 0
PID ~s: 4Jc(- CC6-0
(Phone) "S 1- V~- V'82S""
Go J:"4Phone) ~S-I Vt'rv Y'a2S-
(Phone)~/- 7$""'), - C(~ 9'-(
TYPE OF WORK Ci1 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection 0 Misc.
CODE: IYII.R.C. DI.B.c.
Type of <:f<;nstruction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
o Fireplace
::;00,000
~
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 orauthonzed agent for the
above-mentlOned 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 cap;~lhi~ust cause Furthermore, I hereby agree that the city official or a d;ig;;~~r upon the property to ~ necd; ~:;e~t:~'f
Signature Contractor's License No. ~. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
11 z..~(),O()O, 01) I
$ /q 63, '50 I
$ /2~1'. 7K" I
$ / Z-~. d ~ I
$ I
$
$
$
$
100 , tJ {J
/(J~, 00
'S~so
-1~, (JO
This Application Becomes Your Building Permit When Approved
~.~ 9!d/;'I
Building Ofticial ' Date
I Park Support Fee
I SAC _ _ _
I WaterMeter(S~e5~1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
Paid
Date
7 /(, r. 7d/
~ X'AJ I--
-.
$
$ 13<<;;0,00
$ l..So. 00,
$ ~~,oo \
$ ~o.~o/
$ 7~OO
/Y~I
( ~~/(4 e. 7f>J
~NO. nn~
Jo
#
#
#
#
ThIS IS to certifY that the request in the above applicatlOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~ P"~,~_~cm_"or72;"2:;'.'om='~ctSe{rMaiirFre"~' mw'~
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
\/f. --...-
See ~v~aln ~-41_:_e
<;\Vnite -:.suilding--'
Canary - Engineermg
Pink - Planning
Tht" ('("nln of Ihe L.kt Counu')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
<
NAME OF APPLlCANT4a~g!d7C ~ ~
APPLICATION RECEIVE~ () >? - d t./-<1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S~~tf- .m~ LJJ
/ Accepted With Corrections
Accepted
Denied
Reviewed By:
/? .,CJ ,. rL
q~~"~
Date: ~~~~
Comments:
See Main File
"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."
L...
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f
.J
~
f ..
See Main File
'. White - Building
Canarv - Enain~g
~,"k -=-Ptann~
The ("("nlfr or the take Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
NAME OF APPLICANT -_.j/I~ (
{
1
()
!
)-7 (:' //i )t
I' c_ ,
/ (/ --<!
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr~posed at:
, j.- J)
". .// //'// - / I / { !:~_ /\.J
Accepted
/
Accepted With Corrections
,
Den'ied'
,..
~ ~ Date:
(2 ..
~n,
9/1 'f /0 t.(
;"
Reviewed By:
.,',
Comments:
See. Main File
"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."
.~O\: PR10.-1' (
f-.. ~
U rn
See Main File
~: - Buildina
ry - Engineeriv
Pink . - Planmng
Thf efnlf' nr Ihf t.kf ('ounfry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
."'...:'. ;;,
NAME OF APPLlCANT-~:,/>:t/r../};/((.j~!q;~}7C 'ljc~:() <,"~-lt1
...-! ~, ",--" , ./"
APPLICATION RECEIVED : / )><;./ c;) (/--,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr~po$ed at:
/)' //l/' -,/?,'/
/ J j
C_/\,J
I
. )1
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
./YJ? JJ
l'
Date:
'}-/ ~-~LI
Comments:
5(L I!k,~ h'/~
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.1I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7. 2..-1' ~ ()-6
~. ~;'~n ~~;y I PERMIT NO. O~t/ 09~
3. Yellow Applicant ~() I
(please type or print and si2n at bottom)
lllll .t"
ZONING (office use)
3 7?r /Y7~J""-r!'!j~~-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) _
(Phone)
(Address)
APPLICANT L7 /
'!~_?'*' Gc:::.r Lr'\.e 1/ /c. . ~
. .
~st 2I"JF/r ,"T"J::-~v~
(Address)
;e. c-~L
~/-~
rf/
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
4~.
,,~~~~-1F,2 -CQ; 7'- .l ? j ~
A~'~C411e 5rl>~
(City)
(Zip Code)
(~JII~U,.~~~)&
A~Q!M:;(,.~A'I'Ul\E _
(Phone) ~". 2 -Y"/7'- Y.2 V .s
;~~i 4 7-Z<-/-o Co
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS INPUT
HEATING OR POWER PLANT
OUTPUT
DWann Air Plants D Steam
DGravity D Hot Water
D Mechanical D Radiation
DAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL #ee -I- -p -G:~ 7.$0 '/ ~
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
HEA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
Pft6~ Of/-
eli/V
~
(Office Use Only)
Building Permit # ./
/'
/' .50
$/
/ -----
This Application Becomes Your Building Permit When Approved'" ~
DatI, vf I vb
Estimated Cost $
l
---
Rece.
By
Duildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
SEP-26-2006
6" 'RIO~
a~~
.~
08:42
CITY OF PRIOR LAKE
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
9524474245 P.02
Date Re<:'d
(Please '-":Ee or \>rirn lIIld $i~ at bonom)
ADDRESS
,lit, .
.\ ~.
i: ~:.~', ~~, I PERMIT NO. .A
I y..l.... "l1I'lIcoo, ""r" .
Cf5~
I
ZONING (oft\ee ~,e)
3174
(Y1 ~~~~ t;c...
La. n.,.D' _
"
LEGAL DESCRIPTION (Dffice laC ollly)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(Addless)
J:t:..r """ I ~ 10 "'- \J ~ v e '" r VY"I ~ 1A.j. (phon.)
~ Oqr g rn.\I"l-tool\ ~rJ, ~n (' ~ ','. V\~:b0'\ I .5 SO:l. ~
APPLICANT
(Name) 'fD.i'''''''I'+'' ~\J 0-..,...9 ~~ (Phone) &pS\.. ~~,~::L4
(Address) ::l1O~\.4 Ch~pr.~V\A'e.. A.[!<..~ ~rr'V\tt"t""'~"""" ,~C;O::l4
(Ali~I:$I) (cllf> (Zip Cod'l:)
(Contact Person) . \i VV"\ ) h '" . (phone)
APPLICANT SIGNATURE -~ ~L~,_~;.__,_._:_ DATE q-':d'\-'O~
APPLICANT PLEASE COMPLETE BELOW
[iJNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA ~ONS
FURNACE MAKE AND MODEL ...,6LlOLL ~ -:!> ~A - (?'-'O FUEL n.~+
FLUE SIZE Ll h RETURN OPENINGS ~ INPUT 70, O!t" OUTPUT ~
mE OF SYSTEM HEATING OR POWER PLANT
OWann Air Pllnt;, 0 Steam
o Grav It)' 0 Hot Wal.cr
I!!l Mechanical 0 Radiation
iAIr COnditioning 0 Special Dcvlc:c.l
J Vent. SyS\em 0 Q~CI UD"IiCCl'
PLEASE Non;:
Air Conditioner Units
Cannot Encroach inlo
Required Side VaJ"d
Setback!
FIREPJ.ACE MAKE AND MODEL
..--.,, ._.,,_
I . ..______..
FEE SCI:l!DULE
Indu1trllll. Commercial /JL Multi-f"amily J% ofJob COSt ~Idcntill. GI3 Fireplace
S39.50 minimum
Residential, Helling &. Ale (New ConstNcrlon) $99,'0 Residential, Acklitlons &. AIler&lion3
Rc!idential, Heating Only (New Construction) S64.S0 Resldtntial, AC Only
$l9.s0
b9,~D
S39.~O
HEATING PERMIT FEE $
5T A TE SURCHARGE $ .50
TOTAL PERMIT FEE $
o~\Q ~t~~\~
~ ...\G ~
0\)\\-Q\\'" '
Estima.ted Co~ S Building Permit #
(Omer U~C Only)
This Application Becomes Your BuUdlnc permll When Approved b--~ rt!a~ \l ~ I e\\ \\\ Re<:e1l't No.
~ U; ~9 LI I II
Dale :! , By
BulldlnlOmclal DaLe I "I -.S.E P 2 8 2006 \J
" ~." n.lI.. r" .1I1..p."lon. (m) ~ ,,_,(9_~~7..jU5 _J
cd WdPS:~~ 9002 S2 'ddS S~8Lr9~t99: 'ON X~~
: ~~Ci~.:l
TOTAL P.02
SEP-26-2006 08:42
CITY OF PRIOR LAKE
9524474245 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~ ~ ~:~ .f_P.,ERMl_T NO. .A. C/ &;9, I
l V.II.... 4"11<..., "t"" ~
ZONING (aIn't IUC)
n'k~ type OUrll\l ~ III hul\l.lIl1)_. '
ADDRESS
~;,{4
~.<I#'.'
('yJ ,~\.,
-.... ~J 1!L.
ba "^ Q
, .
l.EGAL DnSCRIPT10N (o/fir.;c \lie only)
PID
LOT BLOCK
ADDITION
OWNF.R .." -
(Nam<)~yv"l1 ~~ 'Q.~... ~l.
(Address) ~ ~ D q...R ~ "'" -k."':..""..-C" r A ci. '
. '
APPLICANT f'\ ~ ,^~j,., '.1..
(Name) 'Fa.rVX'1wd^ PI ~ bt 111"" f?o. ~Q )"'[pon~) ,..b~ 1-14Jo.}--'7~A..~1
(Address) ~~. " C bl{>(\ ~ V\ Jal ~- lq ~p
(Addl'ds! (City) (Zip Code)
(Contact Person) -.J.i_~ I n~.IQ,.,__ . (Phone:)
.APPLICANTSI0NATUR;'~ ~~O_)~_
QUi'ntity
~
,
,
.:3
I
,
1
_ '"2, ,,_
(Phone) ..'
DATE
~ - a...c;7-0~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Type of Fixture
Bath Tub with or wichout shower
Dishwasher
Floor Drain
Lavatory (Bi-throom Sink)
Laundry 1'ra)""(1 or 2 comparnl\ent Si'ilk
Shower Stall - "
Sink!;
Bar Sjn~
Wa~ Closet (Toilet),
Qunti1y
1
L
Rough-ins
Water lIeater
Water Softner
- Stanci"Pipe (Washing Machines)
Sewage Ejector
- Backflow A!lsem'biY
BncKflow Assembly Test
Lawn Sprinkler
,- Other ..
\
n:F. SClfEDUJ,E
litd\lsLrl..\, Comml:fl;illl lit. MlIhi.family 1 % of j<.>b oOSt wlth '" SH.SO minimum
(Oni~r lit, Ofllyl
(~~idenlid, N~'W Otl~ &. Two,famlly $l:I9.S0
Rcsid.:nti31. Additions &. Allenlliolls S39,SO
Estimated Cl)~l 1;
Bu\luinll. Permit ~ _
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
ltllilc1lnf, orncllll
.~~ @ \E Q~r[{-'~'
D,u ,IT:..sEf...2 8 ?OO~
24 tlUl.lr nOlit. Cor all i,,~pO/ctio~~ (952) 447-98 ,0, bx (9Sll ""7-41"'5
16100 Ealt111 Creek Ave., S.E., PrIor I.:ake ~~~5SJ7Z~!1l!.-
r
ThIll AppliClltion Becomes Your Duilding l'trmlt When Approved
~--~~" !
ld wdES:pa 9BB2 S2 .d~S
S~8Lf:9l='tS9 : 'of'>! X\:!.:1
WO~.:l
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
,
SITE ADDRESS ~?'?~ ~sr/~ I-I\W€ 1J,1fJ,
NATURE OF WORK NE.1J t~, .c..c.r",.."
USE OF BUILDING S .F: '" . .
PERMIT NO. ()4 ~ 09.:;;, t::> -. _ QATE IS$UED !j/I&(/,I/ .
CONTRACTOR ~ "~.Ta') 1)01. e4. 1,Je. PHONE is/- ~.J '.- "'-,,,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING Y)rJ,L 04) I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
, ,;'
~p~ "
~7~
?
~J2t./()(,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,
I WH6 I 1f6-1I~e- ~AI' I I
I FINALS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
We-
&PI, ..
1!7JV~
1 /
-7~
, I~ ~1~
~1I
~/J
@.d)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I (JJ
r.-- / ~
we (1/1 7dl.fftt:t
J (lit; "
OCCUpy UNTIL -AliOVE HAS
NOTICE
#
BEEN SIGNED
This cardtnust 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
QIerfifitafe of @ttupantll
CITY OF PRIOR LAKE
~tparfttttnf nf ~uil~in!J JI nspttfinn
)8'F'inal 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 04-0958
Use Classification Bldg. Permit No,
Occupancy Type _
R3
VN
Legal Description _
Type Construction
L6, BI, EXECUTIVE PONDS
Zoning District
RISD
Owner of Building . Site Address
FARMINGTON DEVELOPMENT, 22098 CANTEEN CT., FARMINGTON 55044
Contractor's Name & Address r
ROBERT D. HUTCHINS () i JANE KANSIER
Ili.i City Planner
Building Official IJ
Date: i.... / "J Date:
3774 MAJESTIC LANE NW
'. .':;";' "'.... .,.;..;..../....';,
"'" ....,'
",,",
j " . "" "L'. ,~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3'1rztl M.dJ'''\' c. LV).
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. PI~ ~ J4 b ~rw:L('
DATE
#
TIME
~ . 01S~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~,
u
~I }O
'\.
,,,! '.
C\fJ-
o WORK SATISFACTORY, PROCEED
Jt CORRECT ACTION AND PROCEED
o CORREG1, :5 FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
. V
CALL 44 - R THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_OTl
.....
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
9:' 25~
t
ADDRESS 3flf)~ ~t~
OWNER CONTR.
PHONE NO.
PERMIT NO.
1- f~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Q-t'MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLINE AIR TST
o
COP4.MENTS:
~ rl~.
1. (~4-~ \.'1-1 ./tt r-
.. l.H.Q,..
-.)
~f
~~~~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
f COR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,I / / Owner/Contr:
CAI ,lC:;QR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
I/iSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ..)1') 14 1'-\4. h~.\L'-('-
OWNER CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
o FOUNDATION
o FRAMING
D INSULATION
D FINAL
o SITE INSPECTION
D PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
\ I ~~ -l;r- M: \ l)
~.. (\""""~ .('~k ~ A A ......
~- ~ B.af ~
O',TE TIME
~~
LJ - '95~
D EXIGRADIFILLING
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GAS LINE AIR TST
o
44, -1~
\)a..~ ; \.~.""" ,,/
o
o WORK SATISFACTORY, PROCEED
X CORRECT TION AND PROCEED
o CORR W R . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspect( r:
CA\I Y FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COIH: zi.r.QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
--Job~~-~-~~~-~~~-~~-~
HeatIng. CeoL..I.r fit;~ ~,j J'& '
. ~~
Name of Tester ~.
... J.tr I').,-~
Percent ot ~
Percent CO ~ //11
Perceot CO2 7,. ~~
'.
St-*
....., ~...
...
, -I..'
iLlIliIl..1..~ ", """'~'''=__'' ;;:JWIP:..
~~