HomeMy WebLinkAboutBuilding 02-0074
QLertifico1e of (JDcrnpanry
CITY OF PRIOR LAKE
j!\epartment of ~uilbing lnsptttion
o Final Permitted 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
SINGLE FA,'1ILY
Occupancy Type
R3 VN
Type Construction
L27, HI, THE WILDS SOUTH
Fire Zone
Bldg. Permit No.
N/A
Zoning District
02-0074
Rl
Legal Description
Owner of Building Site Address 15371 BO ReA T C I R CL EN. 14 .
Contractor'sName&Address YORWAY CUSTOM HOMES, 162:'8 >1AIN AVE., SUITE 108, PRIOR
DON RYE
ROBERT D. HUTCHINS
i ~uildini Official .
i) ~. t 1 . 0 I Date:
J U POST IN A CONSPICUOUS PLACE
City Planner
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
IZ-Z~--(J,
I. White File
2 Pink City
3. Yellow Applicant
I PERMITNO.Oz.--0074--1
IV. (;t)
LEGAL DESCRIPTION (office use only)
ZONING (office use)
I'<.. I
LOT Zi- BLOCK I
ADDITION IN.r ,-;j 5' .; ;/7 ~
PID 25-.382- ()Z7-0
OWNER :>
(Name) /l~...~tl
j, -
\ J .~...; .fr.. --,.,.~ 1:
(Phone)
(Address)
BUILDER V /
(Name) (!/'~ L. /I.lj'J_
(Contact Name) l~/< 1--7
fj
n.....~l
c," 'Ju e.
htl:. ~ /CI t~
(Phone) .,)2-? l..~ ,. .?7J y
(Phone)
A.~ BJ:J:; l
I.' ;, 1l.H-~ "'lI
(Address) / G, z z b
1V14- ~
TYPE OF WORK
~ew Construction
o Porch
ORe-Roofing
ORe-Siding
DDeck
o Lower Level Finish
-:BFireplace
DAlteration
o Addition
o Misc.
PROJECT COST /V ALUE (excluding land) $
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. I am 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 upon the property to perform needed inspecti()ns.
X " -, .~~ -Z()J'rZ7S-,/ /2 ,-~C-~(
Signature Contractor's License No, Date
Permit Valuation Park Support Fee # $ .ct>
Permit Fee $ SAC I 2~.oO $
Plan Check Fee $ Water Meter $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $ I.
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE "'OL $
Permit When Approved I Paid 8;! o./~ _ I ~;~ 4:F.(, l'
t2-;JfJ-o(
Date - .;;.) -0::;-
Date
is 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
Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
l.,/v7/()'L _ ~.~ A5J;:~l (~\NL
Plannmg 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
. ,
White - Building
Canary - Engineering
Pink - Planning
Th. e.nl.r of lh. I..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
\
,
NAME OF APPLICANT
APPLICATION RECEIVED
YOK ~1//-1 V
/2 - 2{P-O /
Reviewed By:
1I/JJf3
Date:
1- It -0;).
Comments: ' See Reverse Side for Additional Information!
See Attachments: 1) Gracl~~g Plan, 2) Erosion Control Measures
3) Erosion Control Plan" ' '-" "
"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,"
t(
White - Building
Canary - Engineering
Pink - Planning
Tht' ('t'ntt'r or tht t.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
VOle WA V
/2--2(P-OJ
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/537 / Bot3CAT C-/~et-6 /VW
Accepted
Accepted With Corrections X
Denied ~
Reviewed s/; 0
~ments:
aL~Q, cJ;Qa~ ~~
Date:
1.2 -::l.8-0/
"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."
The ('enler nf the take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\/(/l',
,
i I \ /
I '/
APPLICATION RECEIVED
/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
') ---./ /
,/ ~_/ __0/ I' I
i
,/"'-7 /
;/,/- ~~ t t
.I; l \/
Accepted
Accepted With Corrections
-----
Denied ~ ~
Reviewed BY~ ~~
Date:
tlt7/D2-
~ ~&;~ ~~ rJ;1;;O
co;;~ 10 L:'-
MqN'~S=-E' ~ ~hr~_
'T'D ~"bdJe ~ ~ b
"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."
.. ". -... " . ..-
CITY OF PRIOR LAKE
Impervious Surface Calculations" "" "
- , , '<1:0, be :Submitte,d with 13,~i1ding Permit Appiic:::ltion)', " , ,
F or All Prop~~es, Locate,~ in the Shore!and District (3D).
The Maximum Impervious Surfuce Coverage Pemi.i.tted hi j 0 Percent
Property Address /537/ gt)Da4r. 6/2C?e ;r) ~
Lot Area /4; 7;;4 . Sq. Feet X 30% =. ......,...;._ ~,jU ,2- ..
************************************************************************
.' - .
HOUSE .
LENGTH
WIDTH . SQ. FEET
x =
ATrACHED GARA.GE
x
x
=
DETACHED BLDGS
(GarageiShed)
TOTAL PRINCIPLE STRUC'TURE.__.___... 219~
X:..
X
DRlVEW A YIP.A YEn AREAS
(Driveway-paved or not) ,
(Sidewalk Parking Areas)'
TOTAL DETACHED BUILDINGS...._._._.._......
(i9 X 2>'33) - Z c;- =
#,1/
" . x.
=
7IJf,t,
I (p~
~x~
=
P ATIOS/PORCHES/DECKS.
(Open DecXs. !4" min. .opening- between
boards. with a pervious surface be.low,
arc not considered 'to be. i~p=:i~us~.
1; OT AL P A YEn AREAS.........._..................._....._.
,
t5~ f ~
x.
.x
=
=
X'
=
. OTHER
. . .. ;1/~
TOTAL DECKs......__..M.-_._..._......_____
. '. ..
x
=
x
=
. .
TOTAL IlYIPERVIOUS SURFACE
90VER. ...
Prepared By . --;;:. -;i;:;,
Company 4L Z;~.M7 e..
TOTAL OTHER....._.__._.._..______...., )/J:J
L ~tJ61-,6 {
L/3~/,t 1
Date/?~"hJ -C7/
Phone # 43 L - S OOD
NO. 407 P.l
Date Re~'d
3-1/-02-
I. Pink Pi!" I PERMIT NO
2, Gleen elLY . \... ..
J. TolI_ AI/IlII...1 O~ - O~.,....
ZONING (Dnk~ UJe)
6 Q'v;) cu..\ \.\ r ~~
LI~'GAL DESCRIPTION (office u&e Ortry)
LOT BLOCK",-\ ADDITION W'~ ~ ~ ~ ov.. -\:'"" R ~ ~
OWNER "
(Nilme) ---.J \Y' "-"J L\, ~
\
(A~drcss) \ ~ """\ ~
PID
\\-~~....s
. ew,- R.~
"
r" ()~
(Phone)
\ c.. \~ {\\JJ
ARPLICANT If\. I ~
(l'{ame) ~~~~ ~,,..... -\~ y" ~
(A~dress) \ ~ '" \.j ~ \ lu A \I "'-
(Address)
(C4ntacr Pers n) N (,\ V\ L-\J S (..,'-' ~ ,,\ \..
A~rLJCANTISIGNATURE = ~~ 11..~
(phone) S S d.. '1 \.\ l- ~ \ ~ L(
Q ", 0- lL, \ ~ {'\t() .s s ~ 'I"";).
(Ci[y) (Zip Code)
(Phone) 9 ~~- ~\ \.\ t- )S ~ ?,.''-\
DATE ~- \\- d..
FU~NACE M
FLPE SIZE
APPLICANT PLEASE COMPLETE BELOW
EW CONS'fRUCTlON 0 REPLACEMENT 0 AL TERA nONS
KE AND MODEL n)( F\ -\ ~~ FUEL N ~;-.
\f '-. RE11JRN OPENINGS "8 INPUT \ \\ ~ ~~\J OUTPUT '\ S ~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
" &warm Air Planls
OGrawlty
~ MechaniCllI
~^ir Conditioning
OVeat. System
o Steam
o Hot Water
o Radiation
o Sp.:cial Devices
o Other Devie~s
PLEASE NUTE:
Air Conditioner Units
Cannot Encrl,l/lch into
Required Side Yard
Setbacks
Fr~EPLACE MAKE AND MODEL
IncJl'5trial. CommercIal &; Multi-family
Rr:&idcntial, Healing & AIC (New Construction)
Re~rd(:nti81, Healing Only (New Construction)
FEE SCHEDULE
J% C)rjob cosl Residential. Gas Fircplace
$39.50 minimum
$99.50 Residential, AddiUons & Alterations
$64.50 Residential, AC Only
$39.50
$..19.50
$39.50
Estimated Cost $ Building Permit #
02 - ()()74-
(Oll.ice Use Only)
HEA. TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PEllMIT FEE $
.50
14 ',ol.\r notic.e ror nil inspectIons (95%) 447-9850, rnx (9S:Z) 447-4145
es Your Building Permit Wben Approved
'Z --II ~(J--;;
_/ "t:.-
O.le
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
..3
~. ~r::n '~r I PERMIT NO'/I'l_ ()O....,//!
3 Yellow Applicant . U(~ _ IY.
/
ZONING (office use)
u~ca-r t (' V- R I
LEGAL DESCRIPTION (office use only)
LOlX BLOCK ADDITION' ~ <2./. ~L
OWNER
(Name)
trOt tUCL'-1 (6/lJSrr
/
(Phone)
(Address)
APPUC~. /-? ,. r-
(Name) i)tt~.J DvIL-OeTe:!' ~ i/t'",....., t ..,
':/ ' -/1 . / Pi
(Address) 1.D y' en- / C'LJ ifV' NI ' 'I ~IUv Ii.,
(Address)
~f
(Phone) 7[...
f
~"5'V'-/l
(City)
(Zip Code)
(COllt:8et Person).
APPLICANT SIGNATURE
(PIaOfte)i '"7 ~ 3 I... '7"; L/t 6 3
M~ 3) 22 /0 2'-
APPLICANT PLEASE COMPLETE BELOW
WNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. 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
F~~~:,
'J--~~ C'hA/
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% 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)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r-'
PArD VVITH
S'!P 0'\/1":' r ' . ,
'<W ~ _ ~.. -: ,-1 . ~ ......_ .
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~\n-.~ Qj.
NATURE OF WORK AJ~
USE OF BUILDING Sf:-v:J
PERMIT NO. ~O~ DATE ISSUED /2. -~ -0 I
CONTRACTOR Yor PHONE iQ~22~-5r;s1'
NOTE: THIS IS NO~ -A ~ RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) _ _ ~
PLACE NO CONCRETE UNTIL ABOVE HA BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST b J..-
COVER NO WORK UNTIL ABOVE HAS BEEN SIG
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS B
NOTICE
This card must be posted near an electricaL.$Grvk:: 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.
d-
:1-
IGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850