HomeMy WebLinkAboutBuilding 02-0363
Qttrtifirau at (JDrmpanry
CITY OF PRIOR LAKE
J.ltpartmtnt of Jiuilbing 3Jn~ptttion
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 FAMILY
Bldg. Permit No.
0')-0363
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
pun
Legal Description
L77, Bl, STERLING SOUTH
Owner of Building
Site Address 14983 SUMMIT CIRCLE
Contractor'sName&Address XCnONALD CONSTRUC".i'ION, 760] 145TH ST. W., APPLE VALLEY
ROBERT D. HUTCHINS DON RYE
: City Planner
Hding Official_ .
~, " (\ Date.
J POST IN A CONSPICUOUS PLACE
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4-z-oz
/ LJ G &:
~ '-" "''1 "h ,- -r c \ .
LEGAL DESCRIPTION (office use only)
LOT f7'7BLOCK i
ADDITION
I (g;~::'e~R /11 ,f), ~J J (r". s-)
(Address)
BUILDER /h / (J
(Name) .,lJo J")vJJ{I'),.-..5 T .
(Contact Name) :s -e.t p C. 0./2 \ s <)----
(Address)
Date Rec' d
I. White File
2. Pink City
J Yellow AppJicaot
PERMIT NO. 6Z-03&3
L-
PID
(Phone)
ZONING (office use)
(Phone) q ')-'d - 4 ~~ - J C:, cJ (
(Phone) cfprJ..-jO{ - ~4"
") (
TYPE OF WORK
~New Construction
Ji:tLower Level Finish
o Misc.
~eck
~orch
OAddition
o Alteration
ORe-Roofing
~ Fireplace
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
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
exnter upon e rOJ?erty to perform needed inspections. a ~ _ C)? 7 ;:
J. ~ ~ _!?-0 (0 3 -dJ )- 0.)....
Signature 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 $
s Your Building Permit When Approved
1- 8 -dOO~
Date
Park Support Fee
SAC
#
#
\
Water Meter Si e 5/8 ; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$ 8 554- 4-S-
TOTAL DUE ~!)
~~~ ~'-~
1iJ "OZ-
I ~~ ~/?~
This is to certify that the request in the above application and accompanying documenls is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificale of Occupancy must be
"=.. J4/U;/DL ~~~ ~~
PI ning Director ., Date pecial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~-..
Th, (",nl.. or Ih, I..k, Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT me- !J/J~1d (JJ/t/5f y-
APPLICATION RECEIVED L/_ c;2 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ t/ tjf:3 .... ~Sl A rJ1 tJ1.if- (~/r
Accepted X Accepted With Corrections
Denied
Reviewed By:
#Jj-J3
Date: L/ -IO-C):J...
Comments: See Reverse Side for Addition~1 Il1formationl
.Se.rv /(e hov Sr IN (?~ ~ '(.t" 'W~llu I,'~ <.
See 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."
ThE' CE'nlE'r fir IhE' "Ikt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /llL 1J1Ju:Jc:L{~1U6+Y-
APPLICATION RECEIVED '-j- ~--o;:;)--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It!tlf3- tSIA,YJ1J?1i' f a/r
Accepted Accepted With Corrections X
Denied
Qj~L
Date:
C/-&2-0'L-.-
Reviewed By:
Comments:
~cJla&J,J ~
"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."
White - Building
Canary - Engineering
Pink - Planning
Th. ("enl., 01 lh. take ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, 1.---
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.r
i
"~
Accepted
,/
Accepted With Corrections
Denied ~ b
Reviewed By: ~ 1~
Comments:
Date:
tt/{l? /0 1-
~.~ '
l/VU.,L.UA
112J=, ~l,tL{"k4=- ~2t:t~ II
liThe 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."
From : JECHEEXC
PHONE No.
612 8926396
Ma~.20 2002 6:56RM P02
'.' , ,
CITY OF 1>>IUOR LA~'
SEWER AND WATER PERMIT'
\ \. . Date a..'d
J
""1
~ !'.:l~ r: PERMIT NOtd - J ~ ~~ 1
ZON 0 (Cl",,* Wit)
-'!!.B..~'" l)'lll!ll\r ,rill! u4 Illn It bO!tom}
Al.lDRBSS . .
~5?3 5u M~JI1~ I\i~_. C~'I'v~Je_.
-, .
LEGAL nnSCRlPTJON (office u'e only)
LOT?'] bLOCK I . .",,!?'TION <Qt ~r (I'111- ~cl,
~~c~~~ ~) f\ Y71l l c\ Qo Y2 ~t. .
,.'\1\
(....ddlw..)
PIn
. (Add:css)
.1;~~J1rl"'("\:\~' {.~ .,;,
~'I-"""'"
. )f, ~';..( ~ft-;.j " :' , . .'.
.. , ,01. . '"
\^.PPQCAN'1~
; (Name)'i~~' ,. e.e, ~e.,; -Eye.
(Adche&~):d..3l D ~ N ~ EJ.q C'J ~
(Address)
:,'
ANT SIGNATURE
(Phone) 1./ ;) ') r1fJ '7 '-I ~~
R/f)r))f1;~+tJY1 MAl hS-4.?j
. ( Ily) (Zip Code)
4/,1 1;;? 0 7t.fSh
b-'-~ () - {~ .
(Phone)
DA'rE ;;::-
(Contact Person)
.:;~.
-
. <"::~'
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Locution of any cou.plings frum structure teet.
. Type of sewcr pipe. 0 ABC._ ~ 0 Cast Iron
Estimated l~ngth of sewer line .JJ-. feet.
ClcWl out (if' required) loc~lcd at feet from structure.
Re!>ldential ,ewer Illlc;l Wuler line cOI\.Ilectiull $35.'0
Sewer connection only $17,50
Estimated Cost $ q ~ (J
FEE SCHEDULE
Industrial, Com" & Multi-family
Water eonnec:tion only
1% of JOb cost with. $39.50 minimum
517.50
Building I'errnit #
SEWER AND W ATBR PERMIT FEE
STAT1!SURCHAROB
TOTAL 1-1:RMIT FEE
$
$ ____ow. ..~ .50
$
'. ".
i
fl..; ,.
,~ r ;~..,.
lorn.. u.~ On I)')
Thl. A.ppUcarlon Becomes Your Dundin!: J1errnil When Approved
"'" ,.~ .. .
--..,
-.....-
Dale
.
Bulldln~ Officlll
14 hn...r nutlce r"l" IIl1ln$pectIO"$ (952) 4"7~9850, r.lI (951) 447-4145
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~:~y I PERMIT NO. '"")-3C:, ~
3. Yellow Applicant , J
ZONING (office use)
14983 SUMMIT CIRCLE NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDONALD CONST
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/5/02
X NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
(--:-U;:;",..'
'~~__'
Receipt No.
.... ,',
'-"J' !J"
Building Official
Date
5~ By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
- .---.---'_ _ _ ____._._0__ ___ .___---=.=_.. >oJ.... r_"'\l.UX L.';..KE
41001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PER.l\1IT
Date Rec'd
(P!(:ZSC' l:i-"Pe aT ~.nr ?..C.ci sirr:n .at bc.:tcm)
ADDRESS
;: ~;.:n ~!'~I '1 PER.MIT NO..., _ -::::2.. I ;Z
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ZO?-.'TNG (oE\=:c,o)
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L:C:G.A.L DESCR.l"'PTION (QF.iQ~ U~Q er.ly)
LOT
BLOCK
ADDITION
PID
Ow"NER . 1) ') D
(Na::nc) /--r(.'7(lp~cJ).. .
U<-11--~f-
(p;'lCne)
...y.::\~ - 7(.0 (
(Ad~ess)
A?PLICAZG 'G/J'J 0
(Nar!1e). ..' 'j-7--LJ / ~o(f--t f:'~' -a .
(AddT:::SS) r}~-::;)J ('\
6'CL0+-7-?
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(Phone) _dfa.~c;.. 0.;;2;~
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(Zip C-:JcL.)
(CaNace ?crson) '/
.A..I'PLIC.~r.j'T SIGNATURE 6:;r4<.Z;t;;;;4
(Phone)
DATE ,~',99 '-O.~
APPLICANT PLEASE COMPLETE BELOW
1_ 'cW CO'NSTRUCTTON 0 REPLACEMENT 0 At TERP.TIONS
FURNACE MA.KE AND MODEL L;'~-:t;.,~-'( C9/~flh/CJCl~d i~' FUEL )..);rr- ____
FLUE SIZE ~"5 i/('\.l!C_ RETlT~'I'UNGS 5" INPUT /C',C). C>CC:> OUTPUT 9c:;;' ~CC",
~ . , ,-
TiPE OF SYSTEM HEATING OR POW~R PL1Q,n
OWll.-m .".ir Pla.,t.,
OGrnyj;y
il ~-.1echanh::.t!
OAir Cor.di~iD1'.ir.g
O.,,:enr. SYSt-:::7l
o Sr:3I1J
LJ Hot Watej
U Ri\oie.tior,
o Sp:::ial D:::vic=>
o 0:hej DeyiQe~
PLEASE NOTE:
ReguiT~d Sid!: YiliO
Setl:ac.b
.t..1T CC:ldjtjone:" LTnits
;
Cannot Enc:-~ach :iito t
I
I I
I
J
~IP..E.?L.ACE ~,1.A_.K2 p_NlJ .:\.10DEL
--
I
--~--'-------
JildLlSij;~J. Comi'7u::~~j&l &. MuJli-'=amHy
FEE SCHEDULE
JCY~ DfJob cn~~ ~sid'=:'ltial, G~ Fj-;~?b.!:~
S39.50 m:n:!7lIj~
5'33,.50
F~.-:~~iri:.;;rl;:.~H::-:~:::tn5 &. .l_fC (l";::v.,' C:or~$'::-o"':cTin0)
?,I:.:.=-:;.j::-;-.~:'o~~i ::-~"~_:.'";~:g- "~'!!"'"ii:.. 1:'!'.i~....I' C~~,;:-..!.~~j,:,,:::,
S99.50
F~~3idt'!l:i::.L /.;,d::i i ~i::J-;;$ &: o~-!:c:'l.!:G;'i~':
5:33.5:)
oS-:,'~~. ::;'J
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Es~ij;) 2.t~c CO~! S
3ujiding Pern1t ??
i---:::EA TING PERlv!IT FEE
STATE ST_~RC}-T.?RGE
TOTAL PER~T F"EE.
s
1--
'"
"'
.50
(O~,:~ USt Only)
j
PA,'I') '" .
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1"/ a .~' ,_~. '
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s
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! Tb:s App!ication Becomes Your Building Permit When Approved
i
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L Building OffidRI DI!'
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Receipt Nc.
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24 hour necie. for ,,/I ir,sp.dibn~ (952) 44'7-9850, r.!lX (951) ~7-4245
ZOO~
HIV mrnOH.LNO::>
9LZ909tlS9 XVd 9t:tl G3M ZOOZ/6Z/S0
Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~I~ I PERMIT NO.Od- os 6:] I
J. Yellow Applicant . .
SUmm,'i CI/1c/f
ZONING (office use)
I LEGAL DESCRIPTION (office use only) '----h / '
LOT ?/BLOCK oJ ADDITION S / e r fllg
S'o Vf i-h
PID
APPLICANT
(Name)
I (Address)
I
\ (Contact Person)
j APPLICANT SIGNATURE
(Phone) 9rJ~ Y~~-76o/
/;:/l )k(h ~~!;)y
T
,-f/- dJO
(fjJ() IJ r3 ~'fC716
(City) (Zip Code)
(Phone) j S- / '- ys-r ~ \P !\pO
b L\r-O~
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower Rough-ins
/ Dishwasher / Water Heater
J Floor Drain Water Softner
y Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
J_ Laundry Tray (lor 2 compartment sink I Sewage Ejector
! / 'N-- Shower Stall Backflow Assembly
/ Sinks Backtlow Assembly Test
/ Bar Sink Lawn Sprinkler
,y 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
Estimated Cost $
Building Permit # "
$ #~LIA-
$ .50 r
$ j>' ,.,....
Ia-j~. r\;c.,.'
8UJgiD~t^lj0. f
Receipt No.
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Building Official
I Paid
I
, Date
By
This Application Becomes Your Building Permit When Approved
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
QREU . flU
YEllOW . APPlIC.....T
GOLD. CfT f
CITY OF PRIOR LAKE S.W. No.
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with .the City.
APPLI 'ANT: /41,(2 ....,Vl/IJ (~. s: y .'
ADORE S: A;~ 'f""'" -<;r- r;,,? Y
SIGNA' 'URE: ~
SITE. DDRE : Itrq,g? 5~...........-I- C ,/-t -el L
FILL 'IN THE BLANKS
1. E: timated length of water service 30
,
t,)
PHONE ~:;._LI '<:~ 7b{)"(
DATE: ?-/j. 7"'Ot2..
BLDG. PERMIT #
PID#
feet.
2. S ze of water service
?
inch(es) .
3. L cation of any couplings from structure
feet.
4. I pe of sewer pipe. ABS PVC
5. E timated length of sewer line
Cast Iron
feet.
6. C' ean out (if required), located at
s ructure.
feet
from
===== =========~~~:===========~~==================================
This, pplication b~comes your permit when approved.
BY DATE:
=====~ =~======~==============~~===================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* F e for either sewer or water individually is $~1.4D plus
$ .50 surcharge.
* S wer and water permits issued for new construction must be
r corded on the buildin9 permit card at the time of ~ssuance
t ' insure that no dupllcate sewer and water permits are
i sued. _
DATE 'AID
AMOUNT PAID
REC'D BY
RECEI 'T #
16200 Bagl : Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
. An Equal Opportunity Employer
Till - ?F,- ?V\V\V\ 1 c:;: ?Cl
F,1?4474?4C:;
CJ7%
P Vl1
PRIOR LAKE
INSPECTION RECORD
OEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /cj18~ ~W\~\'t ~i I '
NATURE OF WORK ll.~
USE OF BUILDING SFP .
PERMIT NO. 'ft-03C,J" _ I;>ATE ISSUED '1- 8 - ~ooZ
CONTRACTOR -.Me. ~ ([)~. PHONE (P12-70("'~{P'l1.f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
5~#~ I t?Z/ I ~..(,-o,-
-
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
c"l\
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850