HomeMy WebLinkAboutBuilding Permit 99-0113
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r~~ il Q[ertifuau of \, (lDrnqnutty ~
~.~~ ' CITY OF PRIOR LAKE ')~~~
r :~' :mepartment of .uilbing 3Jn~pedion . ~~
l':~ ~inaI Pennitted 0 Conditional C.O. Expires . ~.l
~t This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Use Classification
Single Family
99-0113
,Bldg. Permit N",
Legal Description
Type Conslroction VN Fire Zone
L9, Bl Pheasant Meadows Phase II
N/A
R1
R3
Occupancy Type
Zoning District
Owner of Building
,SileAddress17196 Pheasant Meadows LN SW
ConlraCtor's Narne & Addr".. Williams Dev. 1535 Bavarian Shores Dr. Chaska M"N 55318
Robert D. Hutchins '--0"
J enni TO,var\
\,\vv~'1
City Planner
Dale:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED I r"'/;t.' nME
tJJ-1(/7 fltfiqs!fA1 ~ .~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~ hc$
/7 i1
/~-V~ I~oslr
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
l1t INSULAT.m
Dl!INAL
o SITE INS TION
..
'WORK SATISFACTORY, PROCEED
o CORRECT AC~IO A~ D PROCEED
o CORRECT WO ~I.J. FOR REINSPECTION BEFORE COVERING
Inspector: . \ \ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
171 C)&
OWNER
PHONE NO.
D. FOOTING
o \FOUNDA TION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~- ~"!>-~~ 3:00
p ~"S~ \-r Mx:.-~ow
CONTR.
PERMIT NO. ~'7-{13
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP ^
')KPLUMBING FINAL ~
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~OMMENTS:
- ..) (xw..u- ~J'~ ~_ P-l_ 'f&J --k..A-
{$t1{ E:t ~~ ~~~
~c1i- ~ ~
Inspector: Owner/Contr:
CALL 441-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ ARE FOR YOUR PERSONAL HEALTH & SAFETYl
lNSNOTl
1-'1-~9 to~oo
PH~:s~Nr M.EA..PO~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
\llq~
OWNER
DATE TIME
PHONE NO.
CONTR.
PERMIT NO. 'i<1 - 6 \ l3
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION ~MECH FINAL
COMMENTS: ~ I LD' N<!i
t. EAlGI'N 6t-~""",- S'ti:>^" ~~
"2.. _ S{t/fJ ?~ l'r
X ec.ec.. P#?;nl r-
-t'/ G OM --rn
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
S:..o ~T~ /AlSS-~.
! c:J! ;o/d
/ '1/ j
'j
I
o WORK SATISFACTORY,;'ROCEED
~RRECT ACTIO ~IROCEED
o CORRECT W . C LL i~SPEcnON BEFORE COVERING
Inspector: . <- Owner/Contr:
CALL 447-9850 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
11I' 9 I'n\ TEMPORARY CERTIFICATE OF
..,.,., ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS
/ I...LCJ (0
3, LEGAL DESCRIPTION
'7
ADDITION A.r.:A~--f-,
1, DATE I
/ /ly/c;1
-ai-Sm,j; .d1/.t~}<. ~~ ~h'), KL
PID$'- 3(/7- OOtJ-D
ffr~~ :rl:'
LOT
BLOCK /
U~odl:.; ),(,
4, OWNER
~
(Name)
(Address)
(Tel, No.)
5, ARCHITECT (Name) ".;-0
AJ(;,L/.",~) iJeB'1A- ,,!Au.
6. BUILDER (Name)
Ur~~~6 {)GVF!o/;~ mv
7, TYPE OF WORK
New Constructio~
Chimney 0 Mise,
8, PROPERTY AREA OR ACRES
Sq, Ft. ~ Od.--f
Fireplace 0
Alterations 0
(Address) .
r:.;;J.:;fr.6i?!o.., ttJ"
(Tel. No,)
1.-7/-G'1-:5$;.,?,j7,~
(Address) (Tel. No,)
~ . G.I';}'~'~~
Ir~~.<. tt:~~'dC'.,- ''l4f!;.,^/'~
~ '", L.k ~.=l~rJ-P
Septic 0 Deck Re-r~ofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No. 9f-o/ B
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~J ;:1-, :'/:." 7()~_!..."?'J
12, NO, OF STORIES
I
13. TYPE OF CONSTRUCTION
1ff.o~;;'EA APPORTIONMENT USE
/~ 1.<
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
C:;Olcr-.z~
9, PROPERTY DIMENSIONS .1 10, CULVERT SIZE 17, COMPLETION DATE
Width 'Yo:?' Depth 84 Yes No /--t:z'l S~ 1117,}
'cation which is to the best of my knowledge true and correct, I also certify that I' am the owner or authorized agent for
on w 9Qnform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
frm~,~rebY agree that the city offi.Cial or a designee may enter upon the property to perfo~n edjnspections,
~~/ ocr~/~~ ~ /;~q1
License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING _
::3F~
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION <1S.;rY'Y). (!)t? PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV C <r~
Occupancy Group A B E F H I ~ S U
Division 1 2 D'
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. ~.
Penalty ....................................... $
Plumbing Permit Fee ....................... !I'
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... !I'
BsCc.~
55lP. t.[O
4r"}.60
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~ C::::-O . <:90
SAC ......................................... $J (J C:;-O .00
Collective Street Fee ....................... $
Sewer Tap ................................... $
d II $
Pressure Reducer . .-:ft>.................... $
City:
l f)(j.~
I OD .()O
u 35"" .sO,
4:0 .~ ZL
Gas Fireplace Permit ....................... $
Th~~i Bespes Your Building Permit When ~d,
By.d', . Date 2.-71.
J -"
Certificate of cupancy
Meter Hom....... .jT....................... $
Water Meter ..%........................... $ L;1S . C)O
Sewer & Water Connection Fee ........... $-1.t2 oc) ~
Water Tower Fee ........................... $ --zt:rJ .de
Water Tap ................................... $
Builder's Deposit ............................!I: 11'1(<'\1..:". ~
Other ......................................... $ -- 06 ()
Total Due .............................. $~ . L.f
Paid /d()j~ Cf 0 Receipt No, -=)c.(751-1
Issued
Date3 -iY-yf By (J/<iU
''lis 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 ~~ested, This document when
~ t City Plan e constitutes a temporary Ce!~~~~Pliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued,
C' er Dale Special Conditions ~ any
24 hour notice for all inspections 447-9850
,.,. .-r-' -...-
q5_~
~~-
s ~ . HEATING APPLICATION I PERMIT
~ Dale 4 - 8 ~ 9q PIO. 2-5~347- 009 - 0
~ S8eAdd,.., 1,19 (n' 0v"'<CN'-\- ~oAnw ~f'\P
lTI
..... lot q BToc:k I AddllDn PHEJ\SAvu\ Me;f\COw 2-NO POON.
lTI - .
IS) OWnef, Namt LJ I tI i GVY\ \< 'Deu~'oo MU"'\ \-, 'l LC
l- , .
& Add,... I ~ ~ ~ ~Q.va..C" i 'A"~O ('t'~ Qr\vL
He.Ung Con;'~cto' D:S' "") ~ +i C\CA 0.( ~ 1 C
Add,.. f:ofD ~qL})(. (\~.. ~\br\u', \'.P. M\\) ~~~\
. .
If) T~~M' J../q/- ~ \
lTI
l'e Furnace Make & Mod,1 ~ ao/C?
I'-
~ Model SinGe \ LOt1 S - LJ.~, CO'?
~ Conn. load ~5, L-j 19
.. ~I1AI \\b..t ~U9 Size ~ I'
CITY OF PRIOR LAKE Me
16200 Eegle Creek Av. S.E. Permit No.9 9 - 0 f' 3
Prior Lake. MN 55372
Edr. ,
efm.,
Other DeviceJ
tYPE OF WORK
AIler8l1ons
Replacement
New ConatrllCtion X
CJ
Z
....
l-
ce
W
I
(j)
I-;
.0
R9palr. ' Est. Comp. Date
Esl. CoslS Building Permh ,
HEATING PERMfT FEE' q 9 ~
.50
CjCJ-//3
PAID WITH
BUilDING PERMIT
E:
o
Il::
LL
STATE SURCHARGE t
TOTAl PERMlT FEES . Joo
Receipt .
00
-
TYPE OF STRUCTUhL.
Single Family
Commercill
'X
MulU-FamIly
Other,
Two. Family
Indust,}al
Public
Fee Schedule
Induslrial, Commercial & Multi-Family
ResidenUal. Hea11ng & AC
R8Iidendal. Heating Only
ResIdential, Bas Fireplace
Reaidential, Addllions & Alleratlons
R8Ildentlal, AC Only
f% 0' lob cost ($39.60 mlnlmUIII)
'IJt.50
1&4.50
$39.60
$39.50
139.50
f-
Remember to add lhl Slate Surcharge Ort Ihe bottom of thle application.
The price of your helling permit Includee onl ,oo91\-ln and one finll lnlpecllon.
Additional in8pecllons will be bRled al $35.00 .ach.
House Healing Tesl Record mUll be .ubmltled with bultding IIIOI1IlIlUlllblr before build-
ing cerUflcale of occupancy will b9 isauecl.
HJ:AT ~A' r.1 II ~T~n~,q ~~('\1 "~I:n with number of supply and relurn openlnp lilted per
room wilh CfM's per opening. Nlw ,trucl\lres or addlttona .end floor platt with lupply
and relum locations shown. HEAT LOSS CALCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. s.e. PRIOR LAKE, MN 55372.
City Hili business hoolS Ire 8 a.m. - ~t30 p.m. .
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CAll CITY HALL
44704230
I hereby apply ror a mechanical IV.lema permlt and I acknowledg.'hat 1he
lnlormalion above Is completelnd accurate; thaI lhe wo,k will be In conlormaftC.
wllh Ihe ordinances 8"d cod.. of the cllV and with lh, .tale bulldlng/mechanlca'
codes; that thla fo,m dOli not become a permit unll1 .Igned bv the BUILDING
OFF~C1Al; that the work wIll b, In accordance with the approved plan In the
cast of all work whtdl 'equh~8' '.ylew and approval of plane.
"-
LI-8-99
Oat.
4-!((pjQC1
· O~I
Buildillg Olncar. Signature
1. Blue
2, Gold
3, Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ I'll f q f12.c:... ~
Address: / II si . 11 C) 'k f~lI'I-
Signature: . ( M n,)l _
Legal DescriPtionZ' Lot _., q Block I Sub PH-~IMJ( f1El\D~LN
Site Address: PJ "8. PHe: A. ~ krJ1 f^'EP\OOw.5' 2- tv P A:.DO r.J
Building Permit # C(0 - ( (3 PID # ;r:; -'~LJ7 . 06Q-()
NOTE: This permit will not be processed without complete information.
# qq-//3
Phone: (c, U) L/<-JI-S3~o
Tho Con to, of tho Lakr Country
Quantity
I
(
I
2
I
I
I
.2.
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
/
J
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbing Code and the amepdmznts thereof.
IJEj:1JfT NO. 4-./ n..rf q DATE
~~- ATTEST
Call for all i~pections 24 hours in advance.
F.
BUILL
lIT
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
-4'....._.._....",_..
I
i
''''.';''''i~~;,:;rC>:"'-;I~-;:'';:'l1:;:;;:-:
--- -.-,-~L,-,_,,,-,,:-,,:-:,:-,,,,,---,,--::'~""-'-;--7"~-,'~:--"'-'-'~:'-;T:~~~;.'''''},.''.'. ~-'~...;.,~~-- "'--..,"_"-' "
->:~~. - /,,/ ....'
-' .'/
Tht' Ct'nlt'r or Iht' L.kt' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECK~IST
NAME OF APPLICANT
APPLICATION RECEIVED
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
// r .. /'
, I i
;'
/1,
Accepted
~/
Accepted With Corrections
Denied
~AfiPJ4r~.AM
Date:
3- .~"op,
Reviewed By:
Comments:
~~ IA)\'{lA. v~ez:I) ~\J-U1 ~~~
s-2-'~"1 ( ~f.v~&J) rW~ l-0v1"'fV\ cfJ
~,; <9 N ~ L r;- rH- tfd.o,v Jv...) "{ , '
~ 168DrP,IL ~U~.JJD-vi.. ~~M,~ ' ~,-9')v..J.,
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."
c?cr-0113
The ('f'ntrr or the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-
NAME OF APPLICANT /A.Juu; ~ fko.dtH:2/~
,
APPLICATION RECEIVED 02 -It! -71
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7 (1~ ~/ua5dU1 Ifmdt%uS /JU SW.
Accepted ~
Accepted With Corrections
Denied Q
Reviewed By: ~ ~~
Comments:
Date: "2 - 2(", - 1 r
I. ~~ '"?>~ d:.t- q'T- 0 ILL- %:or P(~s. i ~5.
etG.
SUf'~: C01<1~
"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."
-
I
("-',\/ ~ PFJOR LAKE
~~~ REVIEW
2-i~~I._ I .PERMIT NO.c.LCf - 61 t 3
,- "'T'-TE D
7--
AS NOTED
i,-;:~CT g f:1ESU8!',JiIT
,,'i,;",:'-oiion AI! work shall be done
',c2:i(' budding & z.oning code re-
noted in this review,
, ;;.; ",T Al ALL TIMES.
~ 'fiPf:t:. 9"(-0/12. -=br- ~/ 5pc:1/, )CJ~ z.k
"
'"
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;.'~
~;. ""
1"
OJ'S HEATING & AIR CONDITIONING, INC.
HOUSE HEATING TEST RECORD
Permit No. qq-- (/3
Owner W\ '\\11...... r~ ~_t L.LL
I Address \iqIP. '-~~~ ~\()''''' (.."
Installed By-1{)'(. ~~J~ €-A (,.
GAS DESIGNED UNIT
Make_A"'-- .....1' cgQ6
Model bL ILO'l,Cf... :;V
SerialC) ~rr)J,'. ~
Rated Input LIe;- CVo
,.;
"
...
TEST
pilot Timing ~~r
Limit settin~~~
Pressure it ';-. Percent CO. (,e.-
Input CFH Percent O. tf
Stack Temp 3d~- Percent CO -e
Heat Anticipator settina , SS
Date Tested /1: )0,;9) - ~ '
Name of TesterM(( , ~--_.~
Ij' 'I ".;oI:..>...""....i.:,;,i;......,.~...:-LoI;.;...........,...:..Mii:...._~.J,,:..;,~............."'"~.....;.-L-l'.~~.:.j...........::.'.'~~ ,.........-.....~~~...'-.~....,.,.,,;,..:-.\.~~'...:~-.,..;.j~
"
PRIOR LAKE
lNSP~~CTION RECO
DEPARTMENT OF
BUILDING AND INSPECTION
\
SITE ADDRESS \ 7\9la ~~e~\- vY\ecJ.ol4J L~
NATURE OF WORK l\i.e'v..'\ ~h_)(__{.I'c1V1
USE OF BUILDING SP~
PERMIT NO. l~ - 0 Il ~ DATE ISSUED ;>.. - ';).(P-~9
CONTRACTOR W;\ l ,'rLW"l ~ L::Je\)..Q~01~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
".' ... THE PERMIT IS BY SEPARATE DOCUMENT .
INSPECTOR
DATE','
IFOOTING'(f~ I. . J~'::)'.', I 3-. rq'-9:'1':"";;:~\';: "":l.
FOltNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE;HAS BEE
..!' ;.: .
ROUGH -INS
'::\ .l-t/
::> .- IJ, -:- "'/~,:.;.'.;,' ..... '
~,r,'-4c.,'", .
~. ~..
I ..~.~!.:;..:. ,.;:. "",,:;,.<,,,,"'.,;" '.'
:,' .~ g c:.\q;!,~-;tl,n,,,':n;"''''i''
'l'l_( G~v~+~~;~:9;\1%~~;i~l~'i:;,,{'\,,"f"
,-",~":,",:'''''-'''
,-.;!.,..,-...>
"
SEWERIWATER I SEPTIC
'FRAMING
:INSUL:ATION;,'.....".'.
ELECTRICAL'
"PLUMBINGi Cf; t.{~/J-91
HEATING (if required) Us. l{--tJ-'1'
~:.FIREPtACE';" I
GAS LINE AIR '"tEST
'1'("'-
~.. :---)'~
-1"5.
1i1MJ\a. ---\ ',c-rW:>,
I ~ -I ',,- .;;>-;J<.
';:~~'" " ;'::;,::'>','.:.:~; ':
..,....,.".." ,,"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED\:L,,;
'"',:,.,:-,;..,',
I I
FINALS
"\A),t
GRADING (P~lorto Sodding~
BUILDING i (j). TD tf)\L\Ct~ L't'"
, ELECTRICAL /'
. :~~~~~G\ .gP7ht3/'!~
., DO NOT OCCUpy UNTIL ABOVE
NOTICE
/<?;}
0~\
If /zZ-J?:,+.
\
fAA q ql.~~
HAS, BEEN SIGNED
:1
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 447-4230