HomeMy WebLinkAboutBuilding Permit 03-1367
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~. Z..I. 03
(Please ~ or print and swat bottom)
ADDRESS
334-4- Wlt..-O /1O/C.S6
LEGAL DESCRIPTION (office use only)
LOT .;t-BLOCK.. 4- ADDITION
w/&O~ Sffl
OWNER
(Name)
(Address)
BUILDER
(Narne)..:JJtY J7Jf!tJro,J t'.A/J77JM /tOM€.$'
(Contact Name) JAY ;:roHN'SO/J
. (Address) /()4-()" I"1IS51..s::J'IPP/ ~L.V~I
I TYPE OF WORK
)(New Construction
DLower Level Finish
Ild'Deck
Date Rec'd
], While File I PERMIT NO 1 I
; ~;;'~w ~::'k~' -. ():5 ~J3~
{In!:.1J;._~ PlJ?5
(Phone)
(Phone)
(Phone)
MOA/ .eAf'///J5'
Dporch
ORe-Roofing
ZONING (office use)
,e./
PID .~~,~ tJ35' IJ.-
~/2.. 328. //<11
I'1N
554-33
,
DRe.Siding
~ Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ 3.;) '-II (/7()
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge tlUe and correct. I also certifY that I am the owner or
authorized agent for the above~mentioned YA_r_..,i and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted 1 m 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 up erform needed inspections.
1-' """-
Signature
x
1/\ ,
I Permit Va1~on
I Permit Fee
I Plan Cheek Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
r 37 Lf I o()() ,Of)
$2-52$.15
$ /tJ, '13. 30
I $ 787. 00
$ .--- I
$ 100,01> I
$ 100.00 I
$ g$". 5~ I
$ l/(),oo I
This Application Becomes Your Building Permit When Approved
~
:(~f--
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Date
Building Official
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"~
I Pressure Reducer
City SAC and WAC
Water Tower Fee
I Builder's Deposit
Other
TOTALDUE~ ~.q.O~
-
I Paid
I Date
In C; d.K -4 ~
/" - I O--.!!)
/0 -10 ' C3
Date
#
#
8t;;d.OO
/2-7<;;' au
3Oo.o~
71l. eo
/2...00. Do
700. fJO
Kot) .(jo
#
#
I ReceiptNo.l./~ :5
BY. tr
- ,
-r,b
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
~ 7~ 9/r4'5 PJ aLl' .-<-~i~" "f;~
Planning Director Date Special Conditi s, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
~
White - Building
Canary - !;!'gineering
C ..ml< - t".an",n\l:::>
Tht' ("tonlnof Iht' I..kf Counlry
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\];-1 i}J l4 )flS ( tJ C f) J TlJ 1'/1 H () t7 c..::;
r.:: -'I 0<
". ,.... . .-I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"5-;; 44- tvl f-J) HOi.:J e; e. / t: Ub
Accepted
Accepted With Corrections ~
Denied
~
Reviewed By: ~ 9-,<-~dJ~
Comments: At:, I L.-~.to t!-..;". ~
~~~.
Date: 9je/o:J
~
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U
"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."
j
&~~
ClkW.. .~
Canary - . E'ngihdnng
Pink - Planning
Thr ('''olfr of lIlf L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT JA1j V7JHJJ.SON (/tJSTV M Hof16S
APPLICATION RECEIVED A. Z ,_ 03
Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Ifo..ll
~~ Dme: ~3
o..U~~ ~~
/
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."
v
.
~\
White - Bulldlnjl
..... . :.~. "~J - Enqineerlnlt"::>
I5fnr- - Plilii'lnlng
TIIt'c..trTOrIMI..IurCa..try
BUILDING PERMIT APPLICATION DEPARTMf;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
01-/t/ ::J7Jfltv'S(IJ COrn) 1"1
...... 7/ fl""
tj. v . ~....;.;
H. .. '7E.'-
"1"-"''' .'
L.-! ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-3-) 44- tVlL~ [) i-!ti.e.J 6 ~ leu E:
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
m45
Date:
9/1:</&3
Comments: ~.... ~r~.. ~idA fnr Additinnallnfnrmatinnl
See Attachments: I) Grading Plan, 2) Erosion rnntrol 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 of this code or other
ordinances of the jurisdiction shall not be valid."
83/18/2884 89:38 7632592299
11/05/02 TUB 12:23 FAl 0124474245
SCHULTIES PLUMBING
CITY OF PRIOR LAKIl
PAGE 82/82
!g) DDZ
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
c'f'ly~cor~tI!l4!1i.c<l.tboa.om'
ADPItESS ~
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"3~ ~tjj4n .A~~
,
t~~ ~':, 11'Jl.NnlrNO"iC.''2~
t "tdw... ^",iclal "'-' ~ I
ZONINOtoffi<:a1llC)
LEGAL DESC1l.IPTION (olll"" use only)
LOT BLOCK
ADDmON
PIP
/~ .dv...v (Phone) -zt;:?'-~/-9fY'h
/tJ~lJ5f ~/.~~&'~;//a/ .
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~~~AN'T.~~ (Pho~>-~_75-7~-<IJ17
(Address) /?2/ ~f/#;~G;7~ ~.1I;?lt ~~~
.(A (City) (z".IS~r
(Contact p.rson)~ (phone) 765 ....1)3t"....,~ 7
APPLICAN'I'SIGNA'TURE ~. t2..-; DATE .:Y/~~
- /)// '
APPLle.<NT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Typ.ofIi'ixtllre
Bath Tub with or without shower ~ I Rough-ins
I Dishwasher I / W Iter Heater
Floor Drain Wa~r Soflner
LAvatory (Bathroom Sin!!:) / Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sinle: Sewage Ejeotor
I Shower Stall Backflow Assembly
I Sinks \ Bacle:tlOw Assembly Test
'Bar Sinlc Lawn Sprinkler
W Iter Closet (ToIlet) lather
OWNER\
(Name) '-.
(Address) ?I
,-
.
,
QuantiI)'
C;;Z
/
I
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J
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FEE S'-'..,...JJuLE
IllClustrl.I, Comm.,..,;ol" Multi.ramlly 1'1. of job ...1 ..ith. 539.50 minimum Rc:lidenti.l. New On. &. Two-Family S9'l.SO
Residential, Addition, &. AI,e"'io", U9,SO
Estimated COSt $
Builditlg Penni! #
PLUMBING I'!ill.M1T FEE $
STATESURCHAROE S
TOTAL PERMIT FEE S
(Of't"ICC:U,C Oa~)') F-"'.U'~-'-'
ThliAppllcatlon aeoomes Your Building Permit When Approved' Paid
.sn PAID ........ ,
~"~ ""UIi'iI
~~gNG ~R~it
Receipt No.
I
\ '
BUildi.n: Oftic:ill
. " ~ft ~ ;, 2004 : By
2~ hoer nolie. Co. :,:':.pedIon, (952) ~~"8S0' r.~ <,51) 447-4101S I'
t6200E.gleC,...k^"l.,S.E.".~ ... .-.--.. ....~
03/18/2004 09:38 7632592299
,11105/02 TllE 12: 23..FA.I ,8124474245
SCHULTIES PLUMBING
---9ITY OF PRIOR LAXE '.
PAGE 01/02
~001
DatI: Rec'a
CITY OFPlUOR LAKE
SEWER AND WATER PERMIT
\~~~mm"04s1m..~'/ }. .
... . 33S/Y;~~A~@~
k =. ~ I pERMIT NO.l'l'2 .":i/IIJ,.1
1.00l4 ,"'- ~I
\. \ ZONING~...)
LEGAL Pl!S~ON (o&c'" OIlly)
LOT BLOCK
APpmON
pm
~~)~ \/~_/l~~.,t4~ }PhFe) ~~-yt~/- t/!{I&
~AMmsrozr;~9'4;. ~4t?<C<JL~ ~J' ~
. . <A<I4Ia') (Cl<y'),.. II' Code)
r
'W!:e~14.~~L1;:/R~ . ~~ 7~-7$t.,-qm7.
(Addless) _ /92/ t?~ ,. .~~ - . g .,~~ $~
. '. /?J~") . (CitY) ., (ZiP Code) .
(Con\&l:t pmon(..J./)1' . ' (Pholle) -z.:r -7&t - ~7
APPUCANT SIGNATU:RE.. ~ . __PATS 'o///2Iffd
. AP;UC.Jt!P~ASE COMPLETE BE:OW '
S~ of water service. L illches. .
Location of any couplings from suuc:tuIe _ feet.
Type of sewer pipe, .. o ABC I G3'PVC 0 Castlron
. EstiInated length of sewer line ~ feci . ..
I , ... . Ckan out. (ifreq~d) located at _ feet from structure.
~
FEE SCHEDULE
Raidential ,ewer uulwar.or .1ine conneMn 535.50 Industrial, Com'\ & Mul1i-famll)' 1% of Job cost with a 539.50 JDinlm1IIn
S;"'orcOlll1OCtlonollly . 3\7.50. WaTm'~I""Uy 517.50
Estimated Cost S
BuUding Pennit #
,,'
. SEWER AND W t\TER pERMIT FEE
STATBStJRCHARGE
. '. TOTALl'~FEE .
s
s
s
.50
~AAO '
o;;;.J'l.fD~~~~' '.
, . .. '\;/ n::FJiMiii
(Ol!l<t II.. Oalf)
TIt;' Appu.sUII Becomes Your B\lildlDg Permit When Approved ! I Paid.
~Oat.
~ '01.12 . J i:.. MA~ ~ ;" Ll:IJ"-
iJu I
l.hut IIDtie< I'Dr all i.8Ilcdi.~. (9S144t~1IS0, rax (952) "'1~2A5
~,-' I__~--
I ~lptNo.
16)'
I
\
Boilrlll& OlDdoi
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 3341&./ WI' ~ ~
NATURE OF WORK N6/AJ ~
USE OF BUILDING S.1'r1J ' ....
PERMIT NO; 0;5 - (3'f 7 _. DEE 1~~UEp -71'/'7
CONTRACTOR~V~H~ ~HONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING ~
, FOUNDATION (Prior to Backfill) I t?"/ N..L..f I
~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ffI :$02.-01( ROUGH - INS
SEWER I WATER I SEPTIC h j'.c
FRAMING {tIJ
INSULATION ~ :!>"/./
ELECTRICAL
PLUMBING ~,~. v\.~ve..t. '; 1~~;'''1 ~
HEATING (if required)
FIREPLACE
; GAS LINE AIR TEST /c ~
"" COVER NO WORK UN L ABOVE HAS BEEN SIGNED
...
M71JEIfJIBJ"J/IID ~I ~ ALS ~~,)tJJtL.;:b
;VIS /tJ.d.~ '
fr~
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~ .~-......~
UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDING rtC........ d--p 1'0.1-01'\
ELECTRICAL J I
PLUMBING
HEATING
DO NOT OCCUPY
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
{;et~
Q-~
If/}
(J I/)
~b-(P
,t:;- (,
J .
ItJ/d",
/ ,
'(- J'3-u1
BEEN 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
@nfifltat~ of ~mxpantl1
CITY OF PRIOR LAKE
@epadmeuf I1f ~uilMug JfuspediIlu
I;winal Pennitted 0 Conditional C.O. Expires
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.
Occupancy Type _ R3
SINGLE FAMILY
_ Bldg. PennitNo. 03-1367
Fire Zooe N/ A Zooing District R1
TYPe Construction. VN
Legal Description _
L4. B4. THE WILDS FIFTH ADDITION
SiteAddress 3344 WILD HORSE PASS
.. J
CUSTOM HOMES, 108408 MISSISSIPPI BLVD..
y
,/ City Plllnner DON RYE
Owner of Building
Contractor's Name & Address JAY JOHNSON
ROBERT D, HUTCHINS
J*rl1ding Official
Date: //.. '-7/~'/
/
/
Date:
,
~~"
.
":
,.
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1,1
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 53 '1'1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,d:.EJNAL
o SITE INSPECTION
COMMENTS:
r.:.h-~~ ~ & K.
-
DATE TIME
SCHEDULED
/fJ-/i4f
w,',J tI(J~~' C/r-
CONTR. r .JtW,>1$e>t'I Lv6 ~ ~
PERMIT NO. _,O? ~ 13f.7
rL~UNG
'iJC<)MPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(,u ~h I~~ -trY l' .
5rPr-
,.,t WORK SATISFACTORY, PROCEED
iI'~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector. ~ OwnerfContr:
CALL 0&47.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""'""'
SCHEDULED i7-~J'~
I
Lu,./dht/K-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1744
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING R1
[] MECH R1
[] WATER HOOKUP
[] SEWER HOOKUP
~LUMBING FINAL
[] MECH FINAL
COMMENTS:
(,)
()
r-CM(M
[011
r/)I>f- /JtO<:
0111 A 'h~.-
DATE TillE
Z-/v..7
[] EXlGRADIFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASUNE AIR TST
[]
~L-
<4-4c{
[] WORK SATISFACTORY, PROCEED
jlI""CORRECT ACTION AND PROCEED
[] CORRECT:.?r~ FOR REINSPECTION BEFORE COVERING
Inspector. r V , - Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IIiSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~{J
,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
O.JNSULA TlON
tr FINAL
'0 SITE INSPECTION
DATE T1IIE
SCHEDULED 7-21,-
W ~ lJ- hb.-t <;I
CONTR.
PERMIT NO.
o~ - GO}
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ f ~OMMENTS: ~ crsz."1{7-"r8~
'r-r. ':;_1 tA-..o, I~r' L-n~~ .c:..c
(Ji/l. R..J/,D" ~ tM~~I. I.-.:- ~ ~
6V~. s....u~ C'1J1"~ Ip~ 4-0 ~ (LA ~
t '" t:-:t--
()4. M'lA 'G." IA-d) ~.fA... ~o.!,,~\L ~.
o\"';;~ -J.- l'\L...... .1. ....J... r~.~i:A,....- 11... *-
t;~ L- . ;'\ ----------
.~~ -,.l~"- r aL- :-v-. - -K.a.... JI... -
tJ1 _ :J;fa..- (j
~~o Ci"V 0 ~ fL./f)d=o f
~-3~/J.. {)I4~.~Lw\ - it p--- 9~
o WORK SATISFACTORY, PROCEED '
O. COR~ \CTION AND PROCEED
~OR 'Jo.RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector i '1 Owner/Contr:
CALJ.L7-8850 FOR THE NEXT INSPECTION 2>1 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-tC:;-tJ'(
ADDRESS 33 Y Ll
LJ: \.& u.....-o
OWNER
PHONE NO.
CONTR.
PERMIT NO.
:? - I '.f.J, 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o J'WMBING FINAL
jd"MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/'
~ SATISFACTORY, PROCEED
~ ::~ECT A ION AND PROCEED
o CORREC . CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CAL
FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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