HomeMy WebLinkAboutBuilding 02-0298
Qrtrfifir8U of (Jrcupanry
CITY OF PRIOR LAKE
Department of JlIuUbing Jn~pectton
~ Final Permitted 0 Conditional C. O. Expires
~iS 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 complia:1ce with the various ordinances of the
City of Prior JAJce regulating building construction or use. For the following:
SINGLE FAMILY 02-0398
Use Classification
Occupancy Type
R3
Fire Zone
Legal Description
1,29,
VN
Type Construction
B3. THE WILDS SOUTH
Owner of Building
Site Address
Bldg. Permit No.
N/A
Zoning District
Rl
15310 EAGLES RIDGE Ni>J
Contractor'sName&Address\l!INDWOOD HeNES, 14311 EWING AVE. S., SUITE 200, BURNSVILhE'
55306
Date:
ROBERT D. HUTCHINS
(.' .~. ' ilding Official ?
, I... 7 /L'
, (/ ,/
./ POST IN A CONSPICUOUS PLACE
City Planner
Date:
DON RYE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- -$- 02.
~
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK.3 ADDITION
O~ER \
(Name) /... ~ +- ~,lAA ~
(Address)
BUILDER
(Name)
(Contact Name)
(Address) I '-f.3 II
TYPE OF WORK
o Lower Level Finish
I. White File
2 Pink City
3. Yellow Applicant
j1)uJ
PID",
(Phone) 't ~ ~ <g ~ '17--5 &'
......,3
(Phone) 9-<~ q9..~X'f.J Y ~
(Phone) ----X.j D ~
~ /lJfl/ 5000
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace DAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ 4"
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 pro~erty t perform needed inspections.
,
o Misc.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
mes Your Building Permit When Approved
1JJ -VA
Date
OUtility Connection
)
contract~ li1seZo.
41-3/o~~
Date
Park Support Fee
SAC
Paid1 ''is ~~"'l- 0 .~
Date 4 - . 0"- d-
$
$
$
$
$
$
$
$
Z.{J'l- $8 (,07. Ob
_../
I Receiro 4 /'?~:/)
.. By u'k
#
#
Water Meter Size 5/8'; ".
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
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
issue~-f j ___/?____~ . &i.!~&tlYL- ~L-~~~ (> ~~
jJ V't;;;....p~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11:29 FAX 7635530887
GUYERS BUILDERS SUPPLY
I4J 002/002
HEA TING/ AIR CONDITIONINGIFIREPLACE PERMIT
Fil-
Ci.,.
Applicant
I. Pink
~ '"'-
l. Y........
I PERMIT NO, .;)- ~ 9~
I
ZONING (offia:use)
[ ~~S;;:d'i~
~
IZl
LEGAL DESCRlPTION (clfLCe use only)
LOT' ~ BLOCK
ADDITION
JftJ S.~
PID :25 - "3 f? ~-O <?3
I ~= w: ^J"-J~",A
(Address)
(phone)
APPUCANT 21.. ~ U A .A -:2 ~
(Name) --"(-_~r""J ~-:I 4~
(Address) i .; 'i 0 S 1:S. ~
f'..... (Address)
(Contact Person) Ju~
(Phone)
I~
5SWI
(Zip Codl:)
APPLICANT SIGNATURE
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarln Air Planes
DGravity
o McchlUlic;:al .
DAir Conditioning
OVcnt.. System
HEATING OR POWER PLANT
o Steam
o Hat WatJ:r
o Radiatiol1
o Special Devices
o Othcr Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach in!o
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
\&'CC)
ResidcnriaL Ht:ating & Ale (New Construction)
Residential. Hcating Only (New Construction)
FEE SCHEDULE
1 % of job caS[ Rc:rida1tial, Gas Fireplace
$39..50 minirnum
$99.50
S64.50
$39.50
Ind1.l$triai. Commercial &. Multi-family
Rc:5idc:ntial, Additions' & A1teriltions
Residential, AC Only
539.50
$39.50
Estimated Cost S
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PER.~IT FEE
$
$
$
.50
(Office tlse Only)
Date
Receipt No.
This Application Becomes Your Building Permit When Approved
Paid
Building Official
Date
24 hour "atice for:lll inspections (952) 447-9850, fall (952) 447-4245
MRTTHEW DRNIELS, INC.
423 3017 P.03
Dllte Rec'd
CITY OF PRIOR LAKE PLU~IBING PER.i\lIT
, Slu. fl,l~
.: wid C;t.,
J Y 11;11,,_ .",pph':::.lRl
[ PER.'.HT NO.~_ -:::3 q $/1
(Plt::l:le C'fPt: or prine.1l1d :lign .1.[ \)0('[01'1I)
I ADDRESS .
I . . . J
I IS-d/~ '+4) <::::i(~ ~.*.
I LEGAL DESCRtPTION toffi~,,: use only)
I
1 lOTJl9 SLaCK" ADDITION m~J.;) ~di)
I O~ER . . ""\
I (:'j a.me) Jr,f,J '" all ~ ~.J ~ I ~)
I .
i (Address) I~il/ ;~1LJ'~f> a~JL. ~.
; APPLlCA"iT , . h:l
I (Name) ~ljJ';) jJ,'/l j J' . '-w4,t r1,.
(Add.ress) I~O ~JJJ-4Jl Xl ~ J, ~} J-..
! (Address) r j
I ZONING (o/li~ .~..)
PID
(Phone) b;i"J. ~;J..3.
~1J'J. A.J.LJJ, \...tI..../.)
(City)
..3'1~ ()
I
j
I
i
I
I
I
I
(Phone) 95A. 3~~ - ~44~
~.{}. LVJ.I~J7;) J-~' ~AC~1
APPLICANT SIG~ATURE
(Phone); 65"/,
$06Y
(Zip COde)
~~ . 2'Z30
(Concact Person) .
D.~TE
I
I
APPLICANT PLEASE COMPLETE BELO\V
i T)' e of Fixture QUllntity i
I Bath Tub with or without shower
I Dishwasher
I floor DTilip
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 companrnent sink
I ~hower Stall
Sinks
:Bar Sink
! Water Closet (Toilet)
Type of Fixture
Quantity
Rough-ins
i Wa.ter Hearer
Water Softner
I Stan Pipe ( 'ashing ~Iachine)
i Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
! Other
J
I
l
!
I
_3
FEE SCHEDULE
Industrial, Comm~rcial &: Ml.llti-family 1 % of job cost with a 539.:50 minimum
Residential, New One & Two-F:unily S99.50
Residential, Additions &: AI[erations 539.50
Estimated Cost S'
Building Pennit ;#
PLUMBING PERJ.'-1IT FEE
I STATE St.1RCHAROE
TOTAL PE~nT FEE
$
$
$
99.5ZJ
,50 .
/11).11" - ~r ~ilJ,., .
,..
(om.1t 1Jse Only)
This Application Be~omes Your Building Permit When Approved
Paid
Reeeipt No.
_~~Uildl"l omd.1
-"I'
Date
By
Daie
2~ hour notice for all inspections <'52) 441-9850, fall: (952) 447-4145
1
TOTRL P.03
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~~:~w ~i;~JiCant I PERMIT NO. J - 3 9 ~ I
ADDRESS
"'~7
j.j,~ 10
ZONING (office use)
Rr
G 'l-E:.f'
t2 ;::~ 6' 6
yJ. IN ~
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK.3 ADDITION
" thUh
PIDJ)"' 3t~- 083
OWNER
(Name) W~.Jf) W to" ()l) H-O'II/\ 6:S'
(Phone)
(Address)
(Address)
~~ ~~C~~
APPLICANT 0 '
(Name) . fL t::..f H i::- jl,
6~c- I
(Address)
Iblif ::rOf'L~
(Address)
Eq'y'Cif
WAi
(Phone) 9 I,} '- S' ?:2 .~~, '} 0 i.~
LIL lit .SJelfll
(City) (Zip Code)
(Contact Person)
f\
~ """"""-
(Phone)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=-- feet.
Type of sewer pipe. D ABC ~ 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
$17.50 Water connection only
I % of job cost with a $39.50 minimum
$17.50
rJ v
Estimated Cost $ qv~ -
Building Permit #
.50
fJ ld r
~~
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
--
Receipt No.
Building Official
Date
-/y-v By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
8:48AM
NO.013
p..;..lte Rec'd
S -/7 /u L
~: ~:.:.. ~!~ f);iEIW.IT NO.
J. 'idlo.. ^~"Ii...' L ~ -::.. - ~ .,. ~ ~
J
I ~ 'SIc
C 4 jlt~\ (\\ ~ ~(
l
N~
I ZONING (office u5~1
I
.-':.
l.:JiQr.L DESCRIPTION (olIi~ OR .01,)
LO' :t ~LOCJ( ~ ADDITION \...{ ~ ~ f>.. ~ .i (:)w.~h
PID
OWl.-l'ER
(NiUTJC)
.~ " ,,~\r\ ~ ~ ~ \\ '.J/''-l.~
\ " ~ .f.. '-4 ~ '" f\ ~
(Phone)
<'-\s J._ ~ c.\~-_~ '-1\.\ ~
(A~d ess)
~
"'\A-Y'\ l:i.
~ \ \t
s <;)<) l:)
AFPt-ICAN r '^ \ ~-
(Narjle) ~~~~) '"'" \ r- -L n L
(Al,ld~'CSS) \~~ '6\J \j ~\ L(j~ A V '-.
. (Add.ress)
(CI,/n'/lct Person) N 1..\ V\ c. \} S L-'" ~ '- \ '-
ABPUCANT SIGNATURE
(Phone) C\ S ;).. '-\ \.\ l- ~:), '-{
(l '"' ~\- l~\l3.. {\~ s S~....., ~
(City) (Zip Cuc!())
(Phone) 9~' ~ - "\ Y -,. ~ \ ~_ \\
DATE
API'LICANT PLEASE COMPLETE DEJ...OW
r---- -..
[JNEW CONSTRUCTION
FUfUjACE MAKE AND MODEL ("'\V f' -\C\~
Fl1J~' SIZ-E (Y L RETURN OPENINGS
TYPE OF SYSTEM
'. OiIWarm Air l'lanls
CjOravilY
o Mcctllll\iC:lll
OAir COnditioning
li!t"cnl. System
o REPLACEMENT
Urr-.' t,1r"'
~
INPUT \ CS~ .o~a
HEATING OR POWER PLANT
o ALTERATIONS
r~UEJ~ N ct'-
OUTPUT C\ >JQ~Q
o Sleam
o Hot Waler
o Radlalion
o Special Devices
o Olhl:r Devices
I'Llr.ASE NOTE;
Air Conditioner Unils
Cannot Encroach into
Required Side YlIllJ
Setbacks
FI~l!LACE MAKE AND MODEL
Indllsllial, l.:ommc;reial & Multi-Family
FEE SCHEDULE
1% of job eost ResldclIlilll, Gas Fireplace
S39.S0 minimum
$99.50 Residential. Addilions & Alleralions
S64.50 Rcsidclllilll, AC Only
.$.19.50
Re~jd~SltlQI, Healing &. Ale (New Conslruction)
Re~id~f1lial, Healing Only (New ConsLrucLion)
$J9.50
$39.50
HEATING PERMIT FEE $
STATE SURCI-lARGE $
TOT AL PEltMlT FEE S
o~~
i .'.!~NclY/rft
. so -...:...~
Eslimaled Cost S 1~~~O ~ Building penn it #I
(Olllce \Ist 0"'1)
Dulltllng ornclal
Dllte
l'hiM Application Becomes Your Building P~rlltlt When Approved Paid
I
24 hon "oriee for nlllnspec:tiollB (9S;l) 447-98.50, fRN; (952) 447--4:z45
White - Building
Canary - Engineering
Pink - Planning
The ("tnter of 'he Lake ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f
,.!'"
" .<
\, j"
,
" I
-,-" "......)
1-' I"
,f'r"r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)
.. "l_ ._.,'
/
./
Accepted I ______
Accepted With Corrections
Denied
Reviewed BY:4:., l&-P~ ~
COfu~tJ~~~ ~~L~~-
Date:
l/ /I~co 2-
iI
- 'r .
<'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."
Thf Cfnlfr or tht "lilt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
U/IA/r/U /(,cc!
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i/o~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
153ft) e01les R/d!jCY A./aJ
Accepted
Accepted With Corrections ~
Denied
Reviewed By: Ri ~ ~
Comments:
~ a U crl-\ac~ ~
Date: B I - ~~~
(~
I
"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
Thf ("fn'f. of Ihf I..kf Counll)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
U./r/i/r/uxxd iI()~
APPLICATION RECEIVED ~ - 5"- 0 ~
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53/0 e(~1ks RJdye-- ;CIAJ
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M9fs
Date: LJ- /~-o2...
Comments: See Reverse Side for Additionallnformationl
See AttaChments: 1) Grading Plan, ?)f;rosipqCo,ntrol Measures
3) Erosion Control Plan'
"The issuance or granting of a permit or approval of plans, specifications an9
computations shall not be construed to be a permit for, or an approval of, any violation 9
any of the provisions of this code or of any other ordinance of the jurisdiction. Perri);
presuming to give authority to violate or cancel the provisions of this code or 0' .
ordinances of the jurisdiction shall not be valid."
crTY OF PRIOR LAKE
Impervious Surface Calculations" ... "
.. .CT:o. be ~ubmitte.d ~ith B~iIding Permit Applic:Itiqn).. .. . .
For All Propc:~es.Lacate.d in the Shoreland District (3D).
The Maximum Impervious Surf~ce Cover3.geP~n:iiitted in 30 Percent
/4tJ E;%tC? t2/IJtf;E- ... Yrv;
~rty Address
. .
Lot Area /8 761. . Sq. Feet x 30% -' ........~.~... 5'3)', L. ..
** *** :jc** *** * * 1* ***** ******** ****************** ~******I**** *** ** * * *** *****
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
ATIACHED GARAGE
=
DETACHED BLDGS
(GarageiShed)
TOTAL PRINCIPLE STRUCTURE.._._.....___... 24-33
IN~I.W'r!S PmcII
x.
x
TOTAL DETACHED BUILDINGS................4......
. .
)/)}
~B x j~ - 5""0 = e~
'. . X,. " =
u,r . x -1- = --L t/t,
TOTAL P A YED AREAS.........................................
,
1~1-
P ATIO SIP 0 RCHE SID ECKS
(Open Dcdcs '4'" min. .opening' between
boards, willi a pervious surface below,
are not considered .to be. i~pervi~us~.
x.
,X
=
=
x
=
. . .. )/4
TOTAL D ECKs....~.:--_..~_.__........_......~._._..
OTHER
x
=
x
=
TOTAL OTHER......___.__......_.._._................. A/ II-
. .
TOTAL IlYIPERVIOUS SURFACE
~OVER_ .
Prepared ~y ~ ~.
Company I~L Z;,Uvu(~ e..
I 3~9~!
I Z.Z5"tJ, 2 I
Dateg'"" 22-tJ2-
Phone #: 4 ~ 7.. - 5 000
~- -~~fg
Canary - Engineering
Pink - Planning
ThE" ('("nler of 1hr Lab ('oun.."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I :J. / I
! /
(~ f /f/ f)/ U .,.-V)( /c!
/,1 - ~--C);;L--
/ ..
~"/('J }) T~S
.....J
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53/0 &Lr:II~s 1~),dr;C/ ;00
/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
A!9 f3
Date: Lj - /ft-02-
Comments: See Reverse Side for Addition;:)1 Informationl
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ~~J.a5~ ~\'dLdJl
NATURE OF WORK ---1Jew
USE OF BUILDING CSF D
PERMIT NO. 0'2 -03?8 DATE ISSUED L(- JI-()Z
CONTRACTOR Wc'wJ.uJ~~ ~c:, PHONE q~--Pf15'-BCf'l8 .{;i-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING % 5
FOUNDATION (Prior to Backfill) 1S ':b
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION (p-- /7~ d z
ELECTRICAL
PLUMBING 02...-
HEATING (if required) &, ~/J J elL
FIREPLACE ;Iq t>~
GAS LINE AIR TEST l Oa- If (/ -' /~ ,~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~~ I I
FINALS
GRADING (Prior to Sodding)
BUILDING 1to. rJJ lo/3f
ELECTRI L
PLUMBI G
HEATING
DO NOT
}J
j6 - ?;O--O~
I 62..-
rf'l.; I !o ?--
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 a"pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850