HomeMy WebLinkAboutBldg Permit 04-0724 & 06-0552 oversize survey No Impervious in File
(Please type or print and sign at bottom)
. ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filehite File
2. Pink City
3 Yellow Applicant
Date Rec' d
~ ~ 7"'Ot.l
I PERMITNO'04-.07~~.
~~
!~:t~
-" , . t
.~
),&~
V\1 ~ l S ~'.L.
l. jJ h./ '-'
ZONING (office use)
fIZ/ S /j
LEGAL DESCRIPTION (office use only)
LOT L/ BLOCK / ADDITION .~.-t ~ ,..!/e.- P#7L ~
PID 025- tj/9-oo'l- C)
OWNER r . I
(Name) r ~ 'L""" l )vt, f'pw
I
(Address) ~~61 B G ",,J~
V"'v<..l of Mo(.t__-l-
(+
~
r l-J l.
(Phone)
",- ( - l{c, 1.., Y8L>
BUILDER t= \ \11 (
(Company Name) r~ .~rfv U-(....'C. CJf!-tl-voVf:t 1- fA
(Contact Name) f<+<-- '121_ "..(. s ho.J
(Address) ;J. -:l 09rJ (A-rv'+"Vl L-t-
'1 hJ(.. ,
(Phone) c:,S-( - t((;J- ~2S-
(Phone) ~ (- 7.>) - t.KJyt(
TYPE OF WORK ~New Construction o Deck o Porch ORe-Roofing ORe-Siding
DAddition OAlteration DUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
,,/"---
~()()I (XX)
CODE: OOI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
. Division:
II
F
1
IIIIVGAai)
H~ MfOJI S U
2 CJ 4 5
PROJECT COST IV ALUE $
(excluding land)
~
I hereby cenify 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-menUoned 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,~z.is Wt cause. Furthermore, I hereby agree that the city official or;;;; ~1niu~ ;;property to perform need,I:~:.O \.f
Signature Contractor's License No. Date
I Permit Valuation d Sa, coo. 00 I I Park Support Fee # I $ I
I Permit Fee $ ~ 14~_ s-o I I SAC # $ , "3 SO. l)'l) I
I Plan Check Fee $ )2&/7. 7g I I Water Meter ~eS/f)l"; $ z50.00\ I
I State Surcharge $ /25',8-0 Pressure Reducer $ tfS.dO I
I Penalty $ Sewer/Water Connection Fee # $ I ZtlO. ~ ~
I Plumbing Permit Fee $ lot'). {)o I Water Tower Fee # $ 7ao,0 a
I Mechanical Permit Fee $ loo.co I Builder's Deposit 1$ . ' I
Sewer & Water Permit Fee $ 35, s-~ I Other I $ I "-
Gas Fireplace Permit Fee $ '0/0 , 0 t) I TOTAL DUE j$~/'B .6lJ1
This Application Becomes Your Building Pennit When Ar r _ " I' ed I Paid // bx-'~S-;) ~ ReceiPt No. W/}L/ / f I
~ ~ .lo /~{/o c.{ I Date ...-,-14-'1 By a I
, 0--
Building Ollicinl Date
ThiS IS to certify that thc 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 Ceniticate of Zoning compliance and allows construction to commence. Before occupancy, a Cettiticate of Occupancy must be
i~ M~ 1o/z.I/otf See _ · ·
Planning Director ' Date Speci
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
(Please type or print and si~n at bottom)
ADDRESS
-.....
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
2. Pink
3 Yel\ow
File
City
Applicant
I PERMIT NO.O~. 0552....1
37";;"
,
m ~ e5t,""<-.
L~.v !..
LEGAL DESCRIPTION (office use only)
LOT l.{ BLOCK J ADDITION E}C'(v+~ \J<... lJOkl~.s
I
~R rA~M\ N,f---W lkv~f()p\'O'\.-,....J- Co
f -
(Address)
PID
Date Rec' d
~. Z I. (/(,
ZONING (office use)
(Phone) {&(,4(,3 -l/~~
BUILDER 't:::: - J . V l ~
(Company Name)J fttt""\ \ )JCJ I-V".J {../.( Ofl"o.-e.y
(Contact Name) P-d-<. ttr ves fvkj.
(Address) I) Jo t( 9 C ft'''' t<~..v L ~ t=tfW
Go
(,C,/- 1.,> . L{99'1
(Phone)
(Phone)
S-S-Qz.{
M'V'
TYPE OF WORK. 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding MLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Connection ~
CODE: ~.R.C. DI.B.c. o Misc.
Type of onstroction: I 11 III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST/VALUE $
(excluding land)
I hercby ccrtify that I have hlrnished mformation on Ihis application which is to the best of my knowledge true and correct. I also certify that I am thc owncr or authonzcd agent for thc
above-menlloned 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 buildmg
:fi:&ChIS ~~Just cause FlIIthermore, I heleby agree that the City offiCial or a deSignee may enter upon the property to perform necd2:r1t,J:SO.(;
Signature Contractor's License No Date
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
$
$
$
$
$
$
$
$
$ 11t,.2S
Rec~ No. 57S'8"
(1
"3000.0-0
$ '14-.7S
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
I. SO
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
4--0.00
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~~~
~/Z.I/OCp
,
Paid
Date
II/'. Z5
~. ~1.0'
BlIildil1~ Ofticial
Date
ThIS IS to certify that the requcst in the abovc applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may procced as rcqucstcd. ThIS documcnt
whcn signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificatc of Occupancy must be
issued
Planning Director
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
...-. .
~
.
Residential Building Pel wit Che~k1ist
Basement F'mish or Interior Alteration to Single Family Hom~
Q t
EY:~
~
Date: ~(Zt(O"
Building Permit #
Site Addr~s 3 7 ~ 2-
L~:L B
PID~
~r~
(
~;~
Zoning~
Subdivision:
Existing saucture:@r NO
CONFORlv!S TO ZONlNG
ORD lli.AJ.~ CE
C rfiJ]>
NO
Is tills an '-,,:,c:w.Sion or the ~...sting fO"''':'4~t or
bm1ding hdght'?
YXS
Refe: to Pl-...,:" g
NO
Is the l'",v':;Je:r'f Leete::! ";1t~~ the flood plain?
Refe: to pl...... :"g
rJc
fJo
tJO
Does the alt.e:"1..rion include any additional kitche=s?
Rete:- to PlarIring
Does the 1oI4v...osed alte:':ltion include any outside.
. . .
e:ltranC:S othe: than patio do~?
Refe: to Planning
tJo
Is the :;4101':;Josed use or the furished space or
alte:':ltion for anythmg otbe:- than a o.or:nal single
family home (oce:. group ho~e. 6y ezr:. e~.)"?
Re:e: to Pla"M'l~g
No
Tms I....::u:..CX!.lS7 :\'11:'57 BE COMPL.ETED A..'!'D li'fCUJDED li'f T:-rr BC1L.DC'iG PER.'Y!I7 Fi~.E TO
:\'l.lJNT.-U'f .-\ RICORD OF 1m: RIYT.E\V.
..
..
..
~
g@@ Main File
White - Building
Canary - En~g
r: Pig.k - PI~nmn
The eenl.. of Ihe take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ::-l(;~--'l/'// ["- /)1,/'
APPLICATION RECEIVED' t~ - ? - oL/)
,
.-t-.
11/ L
/1
, r- ( 1.......0.'
,/ - \--. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~ proposed at:
:>- /1/. - J --1~.1.'1' (r.11-.'r 1''''/;/' AA () -
_,., / ~ / J I/j y.,'\.v (I ~.. .. u- r___
Accepted ~ Accepted With Corrections
Denied
Reviewed By:
~.:,
.
~~
Date:
t, /?-/ /a ~/
,
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 ~VIain File
White - ~uilding
~2narv - tinalneeulI!:&:>
I ~ .-.
Pink - Planning
The' Cf'nltf or tht I.akr COun1ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
--7 '
NAME OF APPLICANT - / C.t--.t.>1..?,t.{<,}-('t l~,;
{ .-.,...
APPLICATION RECEIVED {~-.J - 04,1
f'.-
/~ L d<(~i2- /./:. (,t(~:).
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. -
. -
~J I',....J /,.- 'J _'--.,ll.?.... ... /1 .n--:r:-:..
-">-...' / ~C):~:< / /~~_1iV\..i.J {.(._/
.-f
.T;:i......Y-52-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1YP'J-8
- ,
!; (~ /fJ;,;", r:,- Lt -
Date:
/- / 4- 0'1
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
See Main ~ile
em.i~! ~
Canary - ~ngineering
Pink - Planning
The Cenler of the I..k" ('OU"II')"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT .7~f1-~ (h ~.
APPLICATION RECEIVED h -1- Of)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..37b:)- '-1fI{!jUt;'& rJ.~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
ro/~( t L(
. I
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."
;1} PR/~
~~:
~;.~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIt
Date Rec'd
I z,. -z%. 04-
i ~:w E~iClftI PERMIT NO.ot~.
(Phone) C(s.<.- cr'tf...2 7 :1?
.( );:.f/l. ~ .> o~
(City) (ZiP COde)
G 1'2 -0:..V - V:V:C.J
/.2. -~F--r:>"
t2oPtS- ~~
(Address)
f(~c-L (Phone)
~/ ~~ DATE
AP~[~NT PLEASE COMPLETE nELO~..
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 ot tniht and sian at bottom)
ADDRESS
51eo1,r ,M/fJbJ77~ uJ.
LEGAL DESCR1.t' lION (office use only)
LOT
BLOCK
ADDITION
OWNlR
(Name)
(Address)
~,~~~~
,
h.r ~: '11:.,..
(Jo.
(Phone)
.APPLICANT /'
(Name) U>~S
~:R
fllets
(Address)
~-
(Contact Person)
APPLICANT SIGNATURE
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
".--- ~nt. System
t FI~LACE MA D MODEL
""--
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
;/ed-I/- 6/0
7S?J r/?
-
FEE SCHEDULE
I % 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 Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ~ .50
$/
.r
(Office Use Only)
This Applitation,Becomes Your Building Permit When Approved
~
Di2, ~(~() f'.
Building Official
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (oMce use)
)elf 1:J
PID
PLEAstNOTE: .
AirConditionet Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~i
ffflO ()~
~ VI L;
\"
----
PRIOR LAKE
INSPECTION RECORD
OEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ::J7 (p Z /1fl-v ~ 'no /'
NATURE OF WORK L-o~~ ~
USE OF BUILDING I2er N1e
PERMIT NO. 0&.0552- DATE ISSUED (p. 2/. () f;
CONTRACTOR ?/I1rA4;~6rtJ/-J .ok-V. PHONE 4.S-I. 7,rs-' "r:i~
. .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I
IL ABOVE HAS BEEN SIGNED
__R 0 UGH - INS
III
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
./J
IfI9
Jttr!
"
f1tJ
M
A /
6/~?Ab
b /.2f" /~
I, /,21 Jab
6/~f /()~
" J;.Y /tJ(,
COVER NO. WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELEC11RICAL
PLUMBING
HEATING
DO NOT OCCUpy 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
PRIOR LAKE
INSPECTION RECORD
,
SITE ADDRESS ~'7~;J. /1!4/et'f/c.. LJu .
NATURE OF WORK ~
USE OF BUILDING ~-----". .
PERMIT NO. D~- 0724- . AATE IS~;D 1A:d11
CONTRACTOR . ~U PHo~/.~. ~TY
NOTE: THIS IS ~OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
bEP~RTMENT cSee Main Fre
BUILDING AND INSPECTION
A
I FOOTING O-u,(e- vtfl
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I ,
we-I ~ ;0 I~/o .
,~ . ~~y /<?~~
/' ~
.' fJh .
p~ I ~/~
p'/I ,..?/~
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING .H'~t':1
HEATING (if required}
FIREPLACE
GAS LINE AIR TEST
//-ef/
I
I
, -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~&ll7ltIt.., ~ I I
FINALS
t
GRADING (Prior to Sodding)
-BUILDING ~IO
J _
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
vvv/
II IV /J
/lIlt: /7
Jy //f/
UNTIL ABOVE HAS BEEN
NOTICE
/ /-7-U
II-vtz,
1'-7 -u,
SIGNED
,
.'.
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
QItrfifitaft rrf o. Q~ttupant\!
CITY OF PRIOR LAKE
~tpatfmtnf nf Iiuil~ing Jf nspttfinn
D 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 04-0724
Use Classification
Bldg_ Permit No.
R3
Type Construction
L4, Bl, EXECUTIVE PONDS
VN
Zoning District
R1SD
Occupancy Type
Legal Description
Site Address
FARMINGTON DEVELOPMENT, CO., INC., 22098 CANTON CT., FARMINGT'
Contractor's Name & Address
3762 MAJESTIC LANE N.W.
Owner of Building
ROBERT D. HUTCHIij..~ ~"I'~')
f \IV \.'1. City Planner
l\,.,./1 ~~il~ing Official J. "'
I Y" Date:
POST IN CONSPICUOUS PLACE
JANE KANSIER
Date:
~
.~'
'.'
-oli'
.........
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
"-
',,-
DATE ~
I !-6.,ac- .""-'-,,-,
ADDRESS
~'..r Z7 (, 1- 1t1tt..szS; h-c ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/7 ./ 14I1{/)rC.
CONTR.
PERMIT NO.
Lf--7Llf
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP @
~LUMBING FINAL
j;it'"MECH FINAL .
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
fZJlJ~h
, /'
o WORK SATISFACTORY, PROCEED
.JI!f CORRECT ACTION AND PRO
o CORRECT WOR ,C R NSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I("'r~
ADDRESS
J 7C,L
fl1UJ'7.;h-~- ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4- Jl-c.l
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FIN~ ) 0 GASLlNE AIR TST
~ECH FINAL ~ 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)3"fINAL
o SITE INSPECTION
-----
~_ I
/ / /
( ( ) () ";)..c
" ~
~
----
-=--
~
(-;( 1
~ /
~
---
pORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K. ~L#EINSPECTION BEFORE COVERING
Inspector: y V r Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOT]
DATE TIME
CITY OF PRIOR LAKE r.-;f
INSPECTION NOTICE SCHEDULED' / ...zf1'~C
l
ADDRESS J 7 b2 ~-;;;'042-S ~ C #
~
OWNER CONTR.
PHONE NO.
PERMIT NO.
~~UMBING RI
,)I--ttECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
9':" 7...29'
&
o FOOTING
o JOUNDATION
HFRAMING
~SULATION
o FINAL
o SITE INSPECTION
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C~ENJiS:'\ /" __
?/~c:P;~ ( L-7r
/? -" / /? ..;.--
/"~/~I/~~ /L 4,- .. /
0(( V~ ~/;/ ,~~.r~""" arL:Jud,
//?,k v /
I'
r~C~1
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b/ZI /0/
I "-"
- -~
,/Z c..L ~
8/c
.-/' / /
JZ-,-~ Ae-, /' k<::;- r c.u/G'?"7" o~
/~/'
C:../ / L.
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
INSNOn
~.
....
Job Address .3 7.,4 t1 "'/~St, ~ t-J I
Heating Contractor ~,~~I.:,A) frrff
'T' .. v_
Name of Tester III r-t I
Date Jr30-P'
.5. 5" ~j')
7,0?0
{}tI!fJ
:3,,~ d
Percent 0
Percent C02
Percent CO
Stack Temp.