HomeMy WebLinkAboutBuilding Permit 05-0222
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CITY OF PRIOR LAKE
~rparfmrnf of ~uil~ing Jlnsprrfion
ykFinal Permitted D Conditional e.O. Expires
";.
. This Certificate issued pursuant to the requirements of Section 110 of the [J Residential/ [J 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 FA~T['Y ::is DC/?:"'
Use Classification
Bldg. Permit No.
Occupancy Type
R3
V'J
Legal Description
Type Construction
;,C;, i3~', HER TT!\GE ',A:<D1 NC
Zoning District
1,: SD
Owner of Building
ROCK CREEK,
Contractor's Name & Address
ROBERT r. HUTCHT~S
Site Address
l6817 DUT~TH AVE.
40h9 !!EinTAGE LANE
S.E., PPHP~ LAKE, ~1l\j 55372
City Planner
,1f',;:F !':A]\;SER
Date:
. Building Official .,
/ I / .' i. / Date:
/ i l../ ,. POST IN CONSPICUOUS PLACE
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(Please
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ;J - 7 -0 ~
See Main Filel White File
2 Pink City I PERMIT NO. 05 () 22 2-1
3 Yellow Applicant , ,
at bottom)
ZONING (office use)
LA lot E.
R.I
LEGAL DESCRIPTION (office use only)
LOT k BLOCK z.. ADDITION
PI
~5~-OI;)'-
OWNER
(Name)
(Address)
(Phone)
(Phone) ~5"z... W - 0455
(Phone)
~Lower Level Finish ~ Fireplace
f~
TYPE OF WORK [>>New Construction ~eck ~Porch ORe-Roofing ORe-Siding
1JAddition DAlteratlOn Du'tii'ity ConnectIon D Misc.
CODE: ~I.R.C. DI.B.C.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S V
Division: 1 2 3 4 5
PROJECT COST/VALVE S
(excluding land)
I hereby cert that 1 have htrnished mt(Jrmation on this application which IS to the best of my knowledge true and correct. I also certtfY that I am the owner or authonzed agent for the
above-men! ned property and that all construction will conform to all extsting state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official ca cvtlke tlm rmlt fo Just cause Furthermore, I hereby agree that the Ctty official or a deSignee may enter upon the propeny to perform needed mspecltons.
X A 20Ib23oz.. ~05
Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
$
$
$
$
$
$
$
$
#
#
.s-o. () d
CJ.Oo
SO.oO
5"00('00
()O().OO
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
bO,OO
O().{)O
35:~s:-a
4tJ,. 00
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
"3 25:', 0:::;-
This Application Becomes Your Building Permit When Approved
~m,,,1~~ -f"tfs
Thts IS to certify that the request in the above applicalton and accompanymg documents is m accordance with the City Zoning, Ordinance and may proceed as requested. Thts document
:~,~, ,f,oed b, "" Cf" ",cc" mc.""'''' · "m,m", C""",." "r Zocfc, com,,,,,,,, "" '''ow> "''''~''",c co "'''See' 'M mil' "FII~"
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
See rv1alIll?ile
White - Building
Canary - Engineering
C Pink - Planning::>
---
The ("f'nlt>r flr the t.kt Counl!")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) i
I
"'-.../
Accepted
/
Accepted With Corrections
Denied
-~Z_. ,,/;;_
Reviewed By: ~ ~
Date: 3/ Z- L~S
Comments:
1Ll'1':1 rt.
~et: fil13J.fi F-IK
"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 lVlainFile
lhe ('t'nler nr fht' Lllk(' Countr)'
c-White - Building::,
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ccl~ ~
3--?- OS-
---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity WhiCh. is propose~}...7 . . .'
L/069 yJ~~,~
Accepted Accepted With Corrections /
Denied
3~~
Date: 3;Lp~
Reviewed By:
Comments:
.A I .' \r ". ....
"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."
~
~~
n"!I" 'II> 'Fe)
~ef' ;"0/\ ~:lJn I e
Tht' Crn'f'r fir thr l..kr Country
White - Building
~anarv - Enqineenng:)
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(C__,
'0/.., ,,"-:",/' ,l/
/\ (,..,(,., 1<--
..~ "7..' ~
,'::::-:-{' ./ ()--:J
\" . /~,-,~/1_.~.Qk~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose~ a~; /
i_../>'; I<~ .:;; 'X;.l )>~ J ";I l (~V::?'''-/F'''/J( 1.1 j
I' l-,j(.L." I it /._","--~' /"'''-/('(''''''-''7<... :,..t' \_~,.."rA ~ ,.w~
,
, ,/
Accepted ~ Accepted With Corrections
Denied
Reviewed By: ~ Date: '3 -/i/-t9S-
Comments: 5<< /I1e,/n f"1'/~
'~j~li;' ',,'laIn File
u~,t,
"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."
MATTHEW DANIELS, INC.
423 3017 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
APPLICANT PLEASE COM ETE BELO""
Type of Fixture Quantity
ath Tub with or without shower
ishwasher
loor Oraip
avatory (Bathroom Sink)
aundry Tray (lor 2 compartment sink
hower Stall
inks
ar Sink
3ter Closet (Toilet)
~.~.
LOT
O\VNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
Quantity
J
J
I
.:J-
~:~: ~~~ I PERJ."IIT NO_~)~. A"~
) V.IJc- ~w1jG>^, , ~V~
ZONING (offictu.sc)
prD
]
~~.~- {)qg-
(Phone)
t:S1- 423-..3'1~
.m
(City)
~~g
(Zip Code)
(phone!:) ,.
DATE
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
La~ll Sprinkler
Other
FEE SCHEDULE
Industrial, Comm rcial & Multi-family 1% of job cost with a $39.50 minimum Rdidential, New One &: Two-Family $99.50
Residential, Additions & Alterations 139.50
~
EY 1 0 2005
Estimated Cost S
Building Pennit #
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERi\1IT FEE
$
$
$
(Ol'fiee Use Only)
This Applicati
Becomes Your Building Permit When Approved
DAte
PAID WITH
qq.~BUILDING PERMIT
.50
14~.1/f-I~ ~ I
.' ....- -~..-..,-_.:.._, ..... -- .. - ',.- ',-,-' ~. -""--".
r~.~t No.
24 hour notice for all inspections (951) 447-~850, fax (95Z) 447-4245
~~" ,. .
05/02/2005 15:00
9522331202
F I ~1ALGRADE
PAGE 02
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
~,' ~ ~~~ l PERMIT NO.s: 2 Z ~
], Geld Applicant .
ZONING (oll1ce ute)
LEGAL DESCRlPTION (office U~ only)
LOT BLOCK
ADDT.TION
PID
I.
~=~~ Homes LLt
(Address) J lt8J-r ~i~. &..
~~F Grill 6rrqe 1N,
(Address) /815 I1Qrt),r cJt.ttet
(Address)
(Phone)
PrlQLJAre
(City)
Cj5/-~~~
(Zip C~)
(Contact Person) i
APPLICANT S7GNA1UR.E
(Phone) 962. .z..3~ /2/)0
rJ~f?c' 5'5~~1)
(Phone) 352. 233 /2./}{)
DATE 1i cR-o-s-
APPLICANT PLEASE COMPLETE BELOW
Size of water service ---L- inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. 0 ABC rxLPVC 0 Cast Iron
Estimated. length of sewer line .Et5-.- teet.
Clean out (ifrequired) located at ~ feet from Structure.
FEE SCHEDULE
Residential sewer and water line cormedion $35.50 Industrial, Com' I & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
i:'AID WITH
BUILDING PERMIT
(Office UJe Only)
Thill Application !keoDle, Your Building Permit When Approved
BuildIng OffiCiAl
Date
Paid Receipt No.
Da'1AY o 2005 By
24 hour notice for AI/ in~pect'on' (952) 447-9850, fax (952) 447-424S
12/09/2085 13:25
.,~"
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'3524'325005
GU]I",IHH; HEARTH rj Hm"
PAGE 01
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APPLICANT ~ 1"'.' ll1il\ ,1 I (l 1Y' I I g ~ C1 d'lL-
(Na"'e) lC2'id.\!Jl,o'iibc;J:o.tU:-,.LJrOlY1e~~ .(Phont) -::L O. 'I
(Addre~$) ..J a a tJ 6 O~i,\ _' c\ ~ ])(1~h~J " , . ".
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(Cont,cIP",on) l\jYl Sh\Y\~kf'C . ... ' ,_~ f,!:'ont) ~
APP"4~N1I' SrpNA1'UR'B J\ro~;~~:f-f-~~C::<'7~J)ATE I d I CI F
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FURNA'CElY1AkE.kND,'MO,t:)Et . .' '. 0~.>:J:f.\.uW" '_._" '.' " .' F1JEL _
fLtJE SIZE ' R:ETt1R}:Vi0.Hr:':&~t}S:', ',rnpUT '(I)1J.~~TJT
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T'S?1:1E~$}'~YST:E11 . liB~i!t~~tri0R:BOVTf;R PLANT __'_"__
OWa:t:tll;i~iJrp.ll<bts OStc'llCll ' .f'L5EASE NOTE:
o.Gi';1v,i~'. :fJIHot,W!i'~)', Air Conditioner Units
[J'MlltJ~~!~al ';I"'~iidji'li'i:tin' Cnnl10t.Encro,<Jch lnto
DAjr CCil1tlJtiQI1UJg.:',d~8~pi~}~.e8;i~~:~. , :Req1,i'ifed'Slde Yard
.Oy,rtt. Sr4rl!in . . ."",iOl~",l1",,,~,, ~ Setb,eh
FIREPLACE MAKE AND'M21{1EL,~~\. blJq~~ a 6t~~- "
~."~"~~W::'.'
(Phone) ~~1. U~65
~
Industrial,Commercial,&Mtrlij,PilJrll!y
:F:P;t)i,~CH.JHJ;tJLE
l:%'O'f'jQ~ ~13:.i t 'P;e~id ei'iti al,C;as 'Fi'rep I~'oe
$;3\): S U.JhiiJirr;\Ilij,
S99.5'O" Residential, Additlons'& Alterations
S"64.50 J<:~siCltntinJ, ACOI'rly
$39.50
Re~idel1tial, l1eating"&.iVC (New C6n:st>rilc.fiDtj~'
Rcsidcnti~J. HC:1Hing, 0111)' (NcwConstnJctiOti~
$39.50
$39,50
E!.:timatl!dCost$ ~_" ,
BiJilding Pem11! #
(Office- (JscOnly)
I ThIsA~PI;"'fl'~'B"O, "'~, i~,ur,'~" '~;ld;~Y", ~C;"n iJ,:t",:~, ~,,' b.1I ^, ..PP, '.'d,Y, (d ,',I
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2,;1: hotfn'ioUti;(or nn;Uisperttt\M{9S1) 1I47.Y8S0, fax' (952) 447-4245
Hl200Enklt CI-(,f!kA!I.'cnl1~. Prior lylJk~I.i\1N5S372
t'J,n' ./'(,' ,!!:'1"'h., ....,.,h..,.i:1E.h,'L,..i',"f'rl" , .:rE''i;:
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l'O'l'ASL:P.E1U\RT;f'E'm"
$
$
s
.50 PAID WITH
BUILDING PERMIT
.Paid Receipt No.
D3:tOEC 2 0 2005 By
-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/. S-, (\ (7
~;~:rim~;oo~m)
1-'SCc h 9 'E!~, .J ~ ~ J<..L-c
~. ~:~n ~!~ I PERMIT NO. ~ 0 ZZ .....,1
J. Yellow Applicant . .:..J . .9-
ZONING (office use)
~~t/lJ./
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone) 9s;;>- 9'97- o9s-S-
(Address)
~~
-
~
APPLICANT
(Name) AJ?bell.-rl, 4-1';' 7.#'r'./
(Address) /.:;1;;(S"'3 /f/I/,G/lk...ff AI./e/
(Address)
(Phone) f's~ - /'<7'6- _s:~ 0' c/
S~~b' ~/>>S0//,e./ s"S53'/
(City) (Zip Code)
(Contact Person)
(Phone)
~/?~
DATE
----
/'?-y-oS
PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL "6.A/;<J"r 5'$"'O~J1t/c/.?~oJ7d FUEL bVl'liT
/
FLUE SIZE ~"PJ/6 RETURN OPENINGS // INPUT .?O~ OUTPUT "/~SC/c:;/
. ./
TYPE OF SYSTEM HEATING OR POWER PLANT
21Warm Air Plants
OGravity
o Mechanical
~Air Conditioning
~Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial.. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
By
Estimated Cost $
Building Pennit #
(Office llse Only)
Building Official
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9 50, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
9524'325885
(;LOi".IH,H3 HEARTH ~j HOt..,'
PA(3E 81
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APPLICANT 1- I . - II q () r
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(AddrcSs)--1Q.Q E \ oQ\o (\o~,1)(t\,)e.. - CJOf,a Ct}j~" 1D1L_ ,5535 d-
'(Ad~$s) . (City) (Zip. Code)
(ContactP",on) . 11l'1'\ 6 hi i'rI.e t. ~W> .' .. _(Pl<one) y. Q 0. . q ~ 'llo
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~NE).VCO.NSTltiJ€:plqN;: ,'...".:L:m~Ef.,1r~(G&Nf€~r " . :lPAtTERAT:IQNS
FURNA:CE ?\1AKE. AN'D MObtL . FIJEL
FLUE SIZE ~-'----'-- IREtuRim.vPfZJ#Wi(~S . .,.lNPUT OUTPUT
nm:E,Qp:SYSmEM HE\~T1NG',t}R';PO\\TER PL:ANT
C)~V~,Aj,r.P.l.i!11ts QStt'arn .
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(phone)
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,PLEASE N01".E;
Air Conditioner Units
CannDtEncroach into
Requ,ited'SJde Yard
SNbatks
Residential. Heatiilg&NC (New GCJn'strUtfi6l'1)
Resld entia 1. Heat in g. 0 rily(N cWConslt-u clintl)
.:F$.Ei:'SCffEtJlJLt::
],%otJdolc6tt R:t~itlet'itillJ. (;AsFiteplaoc
S39.50ifiiil:1lnlll1i
S99..S(.l Rl~sidcntjal. AClditions& Alterations
$64.50 Re~Wtntinl, ACOrdy
$39,50
$39,50
$J9,50
Estimated Co!:! S
8uilding Pcrml!#
(Office Un Only)
., L' I " ""'L
This/Applicllt'lriJIBecomc!I'Ybur ::i3ulJdingr:p.i!l'mJt\V.hell Approved ,I Paid
HEA,TLN6p,nttMl'fFElE $
:SlATE'StrRC!-lARGB' $
T(:)'tAL.P:Efg\1IT,~,:t $
PAID WITH
.50 BUIL01NG PERMIT
Bul1iliri~:omda.1
OalP
! No.
I
.~. h(lUr;iOtl-;;~:'i/)~fli~';'l:dhll1!1'(95 2) 441.9850, :tnx (952) 4:i7 -4245
trl!1.00.Ellgll:'creek AVcfJue, Prior, L;akl!,.l\tN 55372
PRIOR LAKE
INSPECTION RECORD
~~Eu~~D~FE~~RK ~~'c~~ ~f(. i..i.. FSHst/)
USE OF BUILDING .F: ,
PERMIT NO. ()6, 02Z7- DATE ISSUED &2. 0
CONTRACTOR ~ ~ ~f2S, PHON -S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. See Main File
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
4~
We..
SEWER I WATER I SEPTIC
FRAMING
INSULATION ..
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE wet'
GAS LINE AIR TEST' 'III), ,. /.,l/'?() V'-5......
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ / HJIlS~ IIJItAI' I H/v; /ItJ'/' 6M/o5~-' ~~: # 7~)1-/
FINAI,.S
'~
- /-
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