HomeMy WebLinkAboutBuilding 02-0316
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~~."''t:,-"",:,_...,.,
Qrertificau nf (JDccupanry
CITY OF PRIOR LAKE
Jilepartment of 1SuiUring 3Jn~ptttion
~ 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 FAMILY
Bldg. Pennit No.
N/A
Zoning District
02-0316
PUSD
Occupancy Type
\TN
Type Construction Fire Zone
Ll, Bl, WINDSONG FOURTH ADDITION
R3
Legal Description
Owner of Building
Site Address
15250 NAUTICA CIRCLE N.E.
Contractor'sName&Address STEVEN & LUCY
ROBERT D. HUTCHINS /1 IF
Building Official ' i
I / .~) (/-n\
r
LEMAY, 13868 LOUISIANA AVE., SAVAGE, MN
.~'X:x DON RYE
City Planner
Date:
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
IS~SO t0AlA.rr.c..
L-:t.t<.t..L
~ E.-
LEGAL DESCRIPTION (office use only)
LOT' BLOCK' ADDITION 4 ,1-/
OWNER
(Name)
STe:\Il:::....J ~
Lv.....<..v
l e.. 1"'\ 0.. J
A\l~rJv...€'
(Address)
BUILDER
(Name) <S.. c \le;,..J , L u.. L '(
(Contact Name)
(Address)
l iC.. rr'\Ci. ..,
\
Date Rec' d
''3-)Q-tJ2-
--
l. White File I PERMIT NO I
2. Pink City . 02-o-'I-:?II~
3. Yellow Applicant .....) ~
ZONING (office use)
P~/50
PID2S-3~1- 001-0
(Phone) ('l S ').. ') d.. ~ b .. 5 ;). g Ie,
~
(Phone) (q:) .;t)}.}.1o S 1. fir> b tilL
(Phone) l q s 2) ~ ~ 1 - .~ ~ i C
TYPE OF WORK
C3'New Construction
ODeck
ORe-Siding
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ J-. :s 0 (:) 0 0
o Misc.
OPorch
OAddition
ORe-Roofing
OUtility 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 u on the property to perform needed i pe 'ons.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ur Building Permit When Approved
3-2t-;-oe-
Date
OAlteration
Contractor's License No.
3/1110,)....
Date
$
$
$
$
$
$
$
$
$ 9. 20/. /9
I ~~J1f 41S(; t.
Park Support Fee
SAC
#
#
Water Meter Size 5/8" I"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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
~~~e;dSig~ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allo~nstruction ~c~ Before occupancy, a Certificate of Occupancy must ~
, ~ 3f:29t{fJ'L ~ ~~ ~~~~.
. nini15lrector Da -r Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
TOTAL DUE
I Paid tt 2-0 j. I f
Date if". 5:" -0
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/k..L~#C'CL 6'r-c (-e
~. ~~w ~l~icant I PERMIT NO. ti)~ 3 L" I
ZONING (office use)
.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
cSkl~
Le /Y7 ~ <--/
I
(Phone)
97d-5?g7- 3~J~
(Address)
APPLICANT /
(Name) c.JOl~ '7-L /77e e-A~ n...--t'c ~
J!/C'CJ:;- ~?~c/
<.-/
(Phone)
~9'd- -d9'9't1
~rdtIfC.A_
(Address)
/Tl/--€ ,IL{~ >>5~
(City) (Zip Code)
(Phone) ~5',;J - 1/7t?1-~f/.d
;<L DATE -1/ -/t/ -0 Z
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION
FURNACE MAKE AND MODEL ~'1 n..L
-
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
D REPLACEMENT D AL TERA TIONS
'7~ ~D / PO" eve:> &', l/L FUEL /? - c$ .
/;;1- INPUT OUTPUT
HEATINGORPO~RPLANT
. . DWarm Air Plants
DGravity
o Mechanical
.HAir Conditioning .3 5'7'7.....-
DVent. System / 0 ~.....-
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
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
SU/~~G ~;H
,- t.:. '--'~jV:lr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
APR I 7 2002 By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~;~ ~:~y I PERMIT NO. /? ) -3 ) ~ I
) Yellow Applicant , ~ ':1. '
ZONING (office use)
/,7au:hL .cL
C;'rc l-(
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
S Ie-,,-e.
U-.rv)eL,/
,
(Phone)
9@-.837-33ICJ
(Address)
APPLICANT
(Name)
r ~~ /7#'L..k-~"ctt'~ (Phone) ~7az-..-df'~O
Z/ de 5' dz./-?7~ /'h-e ~cL- /uk- ~~~c:z
(Address) , (City) (Zip Code)
kO/7 a.Ld (Phone) 95"cl - ~~ -- dJt'YYO
/7d!-/7~-/ ~~AL DATE //-/C;-62-
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower Rough-ins
I Dishwasher / Water Heater
I Floor Drain Water Softner
~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
/ Laundry Tray (lor 2 compartment sink Sewage Ejector
.;L Shower Stall Backflow Assembly
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
-
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
.50
,r;~ ("
. 1:1..) fA"
. D.'.,,("'\ vvrr,.., .
J.f \..:l /):::--.-, )
~!~3d t"\ \......';::.;1]"
H v "0'"
~J/II OiVd ana
J
Estimated Cost $
Building Permit #
PLUMBfNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~~~~w ~ii;~. I PERMIT NO. /Yl_ /Y? 'III
3. Gold Apphcant, ~2i CL:::l/~
ZONING (office use)
/5:),S- 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER -L I
(Name) ~S I ecE fl/70Y
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Address)
S07- JYfl ~ .:lo }IS
o..e . -5 ()) /
( . &..tI.zt: (Zip Code)
(Phone) 6/.;1. - 5;J..fI-Il/'1P
y-~t. - (!;> ~
DATE
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
fJJ;)
Building Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
GREEN - FILE
YEllOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. O~- 31 b
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: l ~-'Lt~ /1.:kc~~~t..(~4:..t' PHONE: --YY'/--~.yGJ
ADDRESS: Z/cc5 /d//1/;-c/,/0--< ~~DATE: 1/-/.-"ej-C:Z
c..-/ ., .
SIGNATURE: /7.<<'/~ ,V ~~ /;., -e: BLDG. PERMIT #
SITE ADDRESS: /-7'/5c /7a t:-(~.,2,;#c c;.)--
PID#
FILL IN THE BLANKS
3 .
feet.
- /-
/7 CJ ?t"J ~ ~~ e.)U..R6
Location of any couplings from structure () feet. ~ e~
Type of sewer pipe. ABS PVC ('/0 Cast Iron
Size of water service
/
...JfJ
1.
Estimated length of water service
2 .
inch(es) .
4 .
5.
Estimated length of sewer line
c50
feet.
t!.ket/7?'U.1 ;~t &t4L;~J-
(") feet from
6 .
Clean out (if required), located at
structure.
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water ~rmits are
issued. .r\pP I 7 2002 ;'~<~ W'i,.., '0
"...:J p.~..,.
AMOUNT PAID
DATE PAID
...,.........
j, r/
RECEIPT #
REC'D BY
J
4629 Dakota 51. 5E, Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
15:42 VIERECK FIREPLRCE 861 0456 P.01/01
......-, I""~'.--
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
I Pi.k
:';.01ll:r:1\
), YI(i!u\Y
~~~1, LPERMIT NO., -3 ) ~
~ppbc.~nt __ c::;J..
I ~~;S~~;:d'i~~~7C~
ZONING (office use)
(!.,....
LOT
BLOCK
ADDITION
PID
I
~-
LEGAL DESCRlPTION (ottk" Us" only)
OWNER ilL
(Name) ~~e.u e.
~ LlLL~ Le ~,
. UC). ~.)b-r-Ca C.,,, r '
. (Phone)
I (Ad.~rEss) '5 ::;;ll~
APPLICANT, , 0
(NamE) V~ p ..r ec...k J.~t."".r~ f l ~ (
I /PIS I YlIIlDt'"-V/' /tve SF
(Addn:~5)
(Phone) 9L~d - L/ /.( D- ~~&o
p~. 55'3"1-"2-
(Cicy) (Zip Code)
(AddrEss)
(Contact Person) _~ lI\
APPLICANT SIGNATURE
(Phone)
..~ DATE ~~l.L&_!o L-
'p ICANT PLEASE COMPLETE BELO'\V
- rew CO>lSTRUcr'ON 0 REPLACEMENT -0 AL TERA TIO"S---"- .--.------
FURNACE MAKE AND ODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEA TTNG OR POWER PLANT
OSlc:am
o Hot W!lt~r
o RlIdi;ltion
o Sp.-:cial Devices
o Othc;:r D",-ictls
OUTPUT
OWarm Air Plants
DOravity
D Mechanical
DAir Conditioning
OY"nL System
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ~Lf:-_ SG:r:>
Rc:~;i(k:lciJL i-lCi.H:r,g &. AIC !.~~W CllnstruClion)
Rc:sillt::;:ciaL H~:J.;ing Only (New CIJ!1struction)
FEE SCHEDULE
1% l1f job cost ResidcntiaL GllS Fm:placc
539,50 minimum
599,511
S6...1.5\)
$3g 50
II1lJUS[fi~!. C:l)iTlm~rci:i1 &. i\;lulti-FJfllil~'
Ri:siuc:ntial. Addition~ & ,~Ilc:riltion~
R=sid:nt:i11. I\C Only
S39.50
539.50
Estinlat~d Cost S
BUilding Pennit >!
".
161. p~.
.. teJ~!LD::D "
Jj,~IG .;'
r
HEATll':G rER~llT F'El2
STATE SURCHARGE
TOTAL PER:\'IIT FEE
S
$ .50
S__~__
(()fIi~( LSt Onl~')
-'--"--uui)(lin~ Official
I Paid .~~-_.
E. -"~.-
,_.'___H._ ~ ate .. ~y
D:II< ____ II l~ ~.
- .' .'... f (I
2~ hllllr notice for ~II inspections (952) 447-9850, fax (952) 447~1:!45
Rcc~ipt -t-.:o.
---l
I
I
This Application Bt:comt:s Your Building Permit When Approved
TOTRL P.01
The ('enftr or the Lab ('oun.r)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LI /_ j. /'. I I i ;'
, '" i J I ! \.
~ {
I I
f t"
1\
.' / .....
L . ~ "~I
,
! I" I L--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ;:.. .."- ( .' if /-/., ..,... :'..'. It /_. ,.',.( (-/
, -- c_ '-.,,- -". ,,{ I / ,../. I, - '-
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~~L7-e'-~
Comments:
Date:
~3/z-~/f)2-
YOZA\
,
iO~~
"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."
Tht" Ct"nlt"r or the takeo Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LEI'111 ~ STEVEN ~ L-(j(!Aj
,
3-;1--02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5250 /\/ f-J UTI (-/1 (~I R.. c.A-/e;
.
Accepted
Accepted With Corrections X-.
Denied ~
Reviewed By: L. ..
Date: 5-~/-O~
Comments:
I. ~aJ. lilll (.dtac ~ct h ttJ " ok
"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."
0). - 63/h
White - Building
Canary - Engineering
Pink - Planning
ThE" ("f'nler of thr t.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L61//1 y, SiEvE--A! f LUG'!
3-;1-()?-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5250 /VI-/(j-TI C/-\ 6/f<2C--L.6
.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
A#J-B
Date: 3 -:.J1l-Q;l.
Comments:
See Reverse Side for Additional Information!
St::t:: Attachments: 1) Grading 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."
crTI OFPlUORLAKE
" "Impervious Surface Calculations" - - "
., Fo, be ;Submi~ with B~ilding P~it Applic:xtion)'. ,. . ,
Far All PrQPc:~es.Locateo~ in the Shoreland District (3D).
The Maximum Impervious Surface Coverag~' P~n:TIitted ii:i 30 Percent
Property Address
/525' () #-10("1 C'-4 {3;ectE
d?
Lot Area Zo64/ Sq. Feet x. 30% -' ........~.~... ~ I fZ, 3 .
*****~****************************************~******~******************
LENGTH
VlIDTH . SQ. FEET
x =
HOUSE .
,
,". .
ATIACHED GA..RAGE
x
x
=
TOTAL PRINCIPLE STRUCTURE.__..__._.....
27t,J
DETACHED BLDGS
(Garage!Shed)
X:..
X
/V It
TOTAL DETACHED BUILDINGS.........._..._......
DRlVEW A YIPA VED AREAS
(Driveway-paved or not) ,
(Sidewalkt'arking Areas)'
u X 6r
=
It 1tJ
'. 0 x.
=
4- x ~)
=
Uo
,
TOTAL PAVED AREAS...._........................-.....-.
/r~tJ
P ATIOSIP o RCHE SJD ECKS
(Open Deck;. v." mln. .opening- between
boards, willi a pervious surface below,
arc not consid~ 'to be. i~per:rj~~~o
Xo
oX
=
=
x
=
, . -
TOT.t\L D ECKs......__..~_......._......_......__....._.. I ~C tVQ€t:J ,t;1i'4ve
. '. ..
OTHER
X
=
x
=
TOT.A.L OTHER......_.__._.....___.....__........... }/ J7
o 0
TOTAL ThIPER"V10US SURFACE
~OVER o'
Prepared By.. ~ ~
Company I/lfilL Z;~~ 0.'
147/3 [
I /471, j 1
Date /1-5"-p7/
Phone if: 431. -:5 000
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.J 5~So (lauticQ. Qir.
NATURE OF WORK rJQ.1..U
USE OF BUILDING S. FO
PERMIT NO. ,.. 3/ DATE ISSUED 3- ~'7- O~
CONTRACTOR PHONE 9s;?';)~'-'" s:).alo
NOTE: THIS IS NOT A PERMIT F ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ~~~ tiJllo2--'
FOUNDATION (Prior to Backfill) ~:3 0(",-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH · IN
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired)
FIREPLACE
GAS LINE AIR TEST 50n 0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
GRADING Prior to Soddin
BUILDING --[ 0 tj. /1 OJ-
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
Sit
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 ne~r main entrance.
4' - I~ - d-'
- ( - J.
Call between 8:00 and 9:00 'A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850