HomeMy WebLinkAboutBuilding Permit 03-1113
(Please.!Yl!e or print and sien at bottom)
ADDRESS
.~ f"J " J..
3~c..
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Lo'-L..<t.:\'"
LEGAL DESCRIPTION (office use only)
LOT 'if BLOCK;S ADDITION
OWNER......-
(Name) \ \\l)~.....,.,
(Address) J' :) J. 5
:';" =l"'" eJl., <,
I. White
2. Pink
3. Yellow
File
City
Applicant
Date Rec'd
ft j-{J3
I PERMIT NO. 03 _ / / 1.3
I ZONING(officeuse)
PID J.S - 395'0 "0 l:>
\r\~n!;;12 ('...ooJ~. (Phone) ?5J.-~q, &:>56'i5
~A-M~UlL"'" fJ,U/? lDKglJ.I:l,LJ;"" MAJ. C;SOi/tI
BUILDER '^^
(Name)~~ Ir\~u~
(Contact Name) ~.""7 IMI'l1.1 ~e
(Address) ,;II Gl~5 ~P.>-.lI~(". !tV,;
TYPE OF WORK
o Misc.
(' ,m;.~-
~ New Construction
DLower Level Finish
(Phone) QS?-'-!jJ9-1dSk?
(Phone) 95)-4-.6.9- 6S~
~4'14 441i. \..
~--'1"/ - f~_l) -WO-3707 /j'
l_ ;-
ORe-Roofing ORe-Siding
t-.\ \0
c;;;" u-. lor
LA/<.B1J.]::o L:
DDeck
DPorch
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exdudingland) $ Q,1o rtf}OO
I
Dutility Connection
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 proceed in accordance with
submitted plans. 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 u nth roperty perform needed inspections.
x
,
\ -
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
'1UUjUcO I
$ ;:lto'13 . 7e) I
$ 1'7?YJ,Cj4
$ ;),OD,-
$
$
$
$
$
J t'l t'J , --
'//flll, -"
~~t;:6"o
tjD_ -
This Application Becomes Your Building Permit When Approved
~ 1~ 8/20/03
Building Official
Date
'1131
Contractor's License No.
I Park Support Fee
I SAC /)
I Water Meter Si~5~; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE CAWrn ~ 7,'-'.01
I Paid Ch{o-7. ICj
I Date "*~ ;;l.'='-n"
~-I-OJ
... Date
#
--
Jd?,?- -
. :::L EZ), --
1./5,-
I ;:u:J() ------
,00".-
#
#
#
. ~- - ..... ,.,
I ~~cei8~'F~ :; 5 7
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
~ningDt~ ?!L:{03 f(~ ~peclicti:::!:~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
White - Building
Canary . Engineering
('1>ink - Plannin!t:>
I"heCenlnnflhfl....eCounl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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:
, 1-,' ,-
__") -;.1 '-: ~
, 1(:>,-
Accepted
Accepted With Corrections
---
Denied
Reviewed By:
~'
;l~
r-
Comments:
:f.p -121-- Date: -8/'Z...t/O"3
aLl ~~
"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."
5~~
c:::::lll!";tll - R\lildinQ-->
Canary - Engineering
Pink - Planning
Th~ ('~nl..r of lh.. 1..lu ("ounl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT """,,"1A.CJ1'111./J fJ/ ~
APPLICATION RECEIVED S?- /-D3
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~7~;:/'7 1J~~LJ([r
-Z/oU ---
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~ -:J4l.J4.J-; Date: 8/...J-1/63
~12b-d2 r1.1.-f ~./ ~
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
-- - ~ - - ~ -= ~ -=- -.
- -- - -
White -~uilding
r _ <;anMY - t:n!l,neerlnV
. Pink - ....lal1nln9
Th.,("pnln..f1M I.-It.. COII..I". I
.B.!JILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. ,
"
.. // -:-, /j (' '1 .:. J
'/"1 <i ),,.)~; /) t ;'< f I ,_", _,.-,/ -..........' \..--"
~,
)< -
f_ ,.:..., -'"
,"-..I ~ .J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.--; -}/ 1. "j -; .,1 1 .-1-.-
~, / f '-"'-.i ;",('..;,i'i ~~._>
,--.-:.)",-.1 ;'~./
,.
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~~^f'V D~te: 55! 1 (()'~
Comments: _See Reverse Side for Additional Information!
See Attachments: I) Grading Plan, 2) Erosion Control Measures
"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 ot this code or other
ordinances of the jurisdiction shall not be valid,"
.,
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or mint and sim at bottom)
I ADDRESS
St0 2- n~)rrFf~(('" Cl
~~;:w ~:~~. I PERMIT NO. 2_ Ill'"
Gold Apphcant ,7 '--/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(y\ AvR-Ee...
C()N~.
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT/ ";) -
(Name) ~.., \L CO~\ItA:C.:<I-X...~, .-L~
(Phone) c; "\ l - 7, ,q - bLq.~
(Address) 374'" l ME- .AN~
(Address)
(Contact Person) ~\J t=:.... ycZ.Og. y A-
APPLICANT SIGNATURE
~L--...n:. P(bdl~JP S:-c.-,G' (
(City) (Zip Cude)
(Phone) ,{ t'1 \,? _ - SIc:,(O-- 4(Cl ~~
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service \ inches.
Location of any couplings from structure (J feet.
Type of sewer pipe. 0 ABCRl PVC 0 Cast Iron
Estimated length of sewer line 3b feet ,
Clean out (if required) located at n feet from structure.
Residential sewer and water line connection
Sewer connection only
$35,50
$17.50
FEE SCHEDULE
Industrial, Com'] & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
,S{)
~
r Paid (fy\ ~ I Recei~ -"
Date I Datt:t_ '3 -(]3 I By rv
24 huur notice for all inspections (952) 447-9850, fax (952) 447-4245 '(]
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
SEP.30'2003 06:29 651 633 8884
fI RES IDE CORNER
#3598 P.005/005
CITY OF PRIOR LAKE
HEATINGI AIR CONDITIONING/FIREPLACE PERMIT
Dote Rec'd
i S::. ;~",m I PERMIT NO. :::s-- / / { 3
(Me.1lC tU'< or ,rlDt .nd oiJtlll\t ~.ltoml
I ADDRESS
3762 JEFFERS COURT
ZONlNG (015", u.e)
LEGAl. DESCJUJ'TION (ollice uoc only)
LOT
BLOCK
ADDITION
PID
OWNER
(N~mp TIIDMA!'; J MAUER CON~TRUCTION
(phone)
(Address)
APPLICANT
(Name) ALLIEQJ:.IRESIPF. DBA FlREST1;lE HF.ARTH & I-I~E
(Phone)
651-033-2<'"
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633.2561
55113
(Zip Code)
(Address)
2700 NORTH PAIRVlEW AVENUE
(Add,ts,)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/30103
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPI.ACEMJ:NT 0 ALTERATIONS
FURNACE MN<'E AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OP SYSTEM HEATING OR POWER PLANT
OW'1'm Air Plont>
OOrovity
o Mechanical
DAir CQndir,ioning
OVent Sl"'tem
D Steam
D Hot W'ler
D Rodiotlon
o Special Devices
D Ol!>e, Devices
PLEASE NOTE:
Air Condition.,. TJn;lJ;
Cannol Encroach into
Required Side Yard
Selh.cJ~,
FIREPLACE MAKE AND MODEL
HEAT N OLD 60D.OTR.ONC
Industrial. Commcreiol & Murr.i-F~mily
FEE SCHEDULE
1% of job CQS1, ResidentiAl, GI1~ Fireplar.e
$39.50 minjml.lfn
$99.50 Rcsidenr.lol, Addition, & Alternrion,
$1\4.50 R.,identi,l, AC Only
$39.50
E~timated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building PCD11ir #
$
$
$
.50
$39.50
<5'( .<y39.50
'~,...4~'.o
'. v,, (,,~,
-~:"". _ ;.1
'"'f'" ~/"
,;.' /)
''-';';'" R)
>',>..
'f-""'..
Residcnr.ial. Helting & Ale (NEW Coniih'IJClron)
R""idcnti"l. liesling Only (New Construction)
(OffIce [J", Only)
Thi. Appllcatl<m Becomes YOllr BIIJldlng Permit When Apprllved
Building Orneral
Dnr<:
j Pa.id
.1 Date co.,
G,~ ,
~ :'; ~nnl
I Receipt No_
IBY U
()
24 hour n.tiee for .lIln'p<etlon. (952) 447-91l50, fax (952) 447-4245
1
.~
~
'J
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ..3?t.2.. J"e:Ff"'as r.l)lHtT r-l.W.
NATURE OF WORK' N~ ~ c..oNST&fAcT"~
USE OF BUILDING S'~ b. .
PERMIT NO. DATE ISSUED sILl ID ~
CONTRACTOR l}t6MAI ~~ PHdNE1s2-4/".~'8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~OR
, FOUNDATION (Prior to Backfill) I g/b ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IlJS
SEWER I WATER I SEPTIC ~ .r~ I
FRAMING /"7 fI h / ~ - 18-
INSULATION ~ /"p../ZI
ELECTRICAL I
PLUMBING ~ /~~ I
HEATING (if required) f II I I / ,p'-8
FIREPLACE A? I ~
GAS LINE AIR TEST I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
llArHI /614rll/lll) mtJ8 I I
, FINALS
. GRADING (Prior to Sodding) fi .t>1?_~ ~<7 <I
BUILDING'l,,_,,1,. /(.(-ot/ /If? e-~-(jCj
ELECTRICAL' I
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
I FOOTING
18~-()\
j
l
-1
t::P
~/5' ./~- ~~
OCCUPY UNTIL ABO~~ HAS BEEN
NOTICE
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
Qlerfifieafr of Ql}etupanell
CITY OF PRIOR LAKE
:!El~padm~nt of ~uilMnB Jlnsp~dion
j::i<'] Final Pennitted D Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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
Bldg. Permit No.
03-1113
Occupancy Type
R3
Type Construction
VN
_ Fire Zone
N/A
_ Zoning District
Legal Description
L8, B3, JEFFERS SOUTH
Owner of Building Site Address
Contractor's Name & Address THOMAS MAUREB CONSTR., 21225
ROBERT D. H~TCHINS,.1
~ _ City Planner_
3762 JEFFERS COURT N.W.
HAMBURG AVE., LAKEVILLE 55044
DON RYE
Date: ()
/__ tUilding Official
, ) . /')l.
Date:
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 17.-2<.,-O( 10<0If'
,
ADDRESS ~n7 ~ \~~~ CJ.
OWNER CONTR.
PHONE NO. PERMIT NO. s-I/J3
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL }'(PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
O\~-t~ (!....>>-~~..... 11T1] ~-'f!?- '2;~?~
L.. Gluo ~t>.I'-U!<'- (I (eLA...... /_ J.-
, Q.w.."rUJ _ ~~ ~O<o. -.
4 ~A.. ~ T~ )4CLD~ +-", ZJ~T 'r.;y
o WORK SATISFACTORY, PROCEED
~CORREC CTION AND PROCEED
/ D~ORR T RK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: I
CAL~ 4.17-
V
CODE RE
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fNSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~(l'~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)ClBNAL
o SITE INSPECTION
COMMENTS:
nkL
DATE TIME
SCHEDULED 8- '5-" '7
1.p D2~ Q)
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I
d-cs
"
rlc9..o.
'3-1
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASWlE AlR TST
;:H( ---" '" '~ T
t'
~~l,~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
lJiSNOTJ
7-11{-cf
37(;Z :sJ.M c: T
lleMtlJ /J1v.
I'>~ ~ 110
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
Cl).!ISULA TION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Collo ~6:f-o l::..
DATE TIME
~ILLING
"iJ co'lrlltXlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'K~~ ~i l+ 01.......1/.1 /(~
o WORK SATISFACTORY, PROCEED
)/ CORRECT ACTION AND PROCEED
. a CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
"''''''"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <\ SAFETY!
DATE TIllE
CITY OF PRIOR LAKE l - ~O -o'f j r: ')(3
INSPECTION NOTICE SCHEDULED
ADDRESS 3t) Ct..1.. ~jB,s 0)
OWNER CONTR.
PHONE NO. PERMIT NO. '(-((1'\
o FOOTING o PLUMBING RI o EXlGRADtFlLLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL )!( GASLlNE AIR TST
o SITE INSPECTION )I!l. MECH FINAL 0
COMMENTS:
l" h~.
1.
~
.c....._
(r\~ . ,\1 ~\(":'_..A ia.J~\..t ~
'~_ 1/1
...1....1t-~ r,,_ d) 2...7, +~
~... \ :-:>_ ..J. ~'2) <~~
-
"1k..t/l
f
() .,C
o
r
-16
- /
?!- 1_ 0<-1
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRE~ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: II ~ OWner/Contr.
CAL JI. '.9SJFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.y .
'-----€a",,, ';"QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""