HomeMy WebLinkAboutBuilding 02-0417
QLtrtificau of (J)ccupanry
CITY OF PRIOR LAKE
~tpartmtnt of Jiuilbing )n~ptction
~ 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 Bldg. Permit No. 02-0417
Occupancy Type
R3
Type Construction VN
Fire Zone
Zoning District R 1 SD
Legal Description
LOT 1. BLOCK 2. WILDERNESS PONDS 2ND ADDN
16742 BLIND LAKE TR
Site Address
Owner of Building
Contractor's Name &: Address L S HENNEN CONSTR. INC.
{L1r~
ROBERT D HUTCHINS
Building Official
7 - , I-i . ( f\..
City Planner
16700 WINDSOR LN SE. PRIOR LAKE
DON RYE
Date:
Dale:
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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
z.. g L/#tJc/
LEGAL DESCRIPTION (office use only)
LOT I
Date Rec' d
3- 4- '" tJ2.
I. White File I PERMIT NO 2
2 Pink City . P...-""'1 _ /JLJ/
l Yellow Applicant . L,./ ~ ~_
v
ZONING (office use)
l</sD
ADDITION W
'10
OWNER
(Name)
(Address)
BUILDER
(Name) L
(Contact Name) L. ~ l!r
(Address)
(Phone)
(Phone) 9,-z.... "11' GO 7 7
(Phone)
e- !l.L,
TYPE OF WORK
~ New Construction
OLower Level Finish
o Alteration
o Misc.
ODeck
ORe-Roofing
ORe-Siding
OUtility Connection
!ES2-
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 ro to perform eeded inspections.
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
OPorch
o Fireplace
o Addition
PROJECT COST /V ALUE (excluding land) $
397'1
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Siz 5/ '; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other I"i="e<.
TOTAL DUE
3
q-z~Z-
Date
$
$
$
$
$
$
$
$
$ -
I Paid
. Date S -tCn - (")"C:--
-d.{/O J...
~NO. 'l'lo4.3
mes Your Building Permit When Approved
3-II-OL
Date
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
:~ueey~l~ty Planner constitutes a temporary certificate/'f 7""'", ro~,""" ,,' "'~''''" "'~;:-.Bda '=';"~' a ~ertificate of Occupancy must be
~ ~~~ t( 2k!t91.- ~ ~ll\~X
PIa mg irector I 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
P J}/i/I?AN( --#- ) :( - If 17
Tht" Ct"nft"r of the I.akt Counlr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1- J HbNN(;rJ
.:s - ~-O 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ 7 42- /3 L, I Ai 0 I-Ftt::O 772A---
Accepted
Accepted With Corrections
Y--
,
Denied ? 112 ~ __~
Reviewed BU7j} ~
Comments:
Date:
3 - II -0'-.
~~ ceQO ~
~~
"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
Tht' Ctntf'r of 'he t.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J.'-.,.-
"",)
I..
t , '-
t . l.......
/ \
--:'>
-)
4:._~._._~
......-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1 ~.y ~
i /
'I' , , ' /
J,,' ! f- ..._
i
i.___"
-:"~..:,~.;.. "'~"",;: ).
Accepted
L~
Accepted With Corrections
Denied
~
Date:
;f luh
Reviewed By:
,
"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."
_____=_-" ,J.
iJe - !~~;g
. nary - Engineeri~
Pm - nmg
The' Ce'nlrr or lhe' I.ake' Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L J H6/v^-J~rJ
..s - 4--()2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ & 7 4- Z. 8 L J tV 0 /-;;; ;::z; 77bl--
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J14 (3
Date: 3-/)"-oc
Comments: See Reverse Side for Additional Information!
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."
~r
v
CITY Olr IJIUOI{ LAKE
SEWEU. AND WATER I)ERMIT
D.te Rcc.d
'-- I
~) .
i: ~ i~lioont jlJERMrr NO. td-~~ J I) J
J riONlNO(-~ I
I T .'pr.4 T 'n'DC'''''''",,'''.'''''
I T.OT DLOCK. ADDITJUN
~.
OWNER
(Name)
(Address)
.--------..." ..
rID
..-"-.
(Phune)
.. ---- . ---'"
(AddJe~~) (Cii )
. (Zt Code)
APPLICAN'I'-:- I C'
(Name) 'J ~ I\,e,... t::-yQ.. _
(Address) JalD. ~ ~1I~ E.1LJ ~ e-~
(Addcc$s)
(Phone)
DATE
. (CorJtact Person)
APPLICANT SIGNATURE'
Al'PLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any c.ouplin~s from Structure feet.
,Type of sewer pipe. 0 ABC ~ 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean ()ut (if required) located at _ feet from structure.
., .
". ~
Residential Sewer and wllter line connection $35.50
Sewer eonnection only $] 7.50
Estit'natcd <':05t $ qr,- t')
FEE SCHEDULE
Industrial, Com'l &. Multi.family
Water connection only
1 % of job cost with B $39.50 minimum
$17.50
Building Permit # .
SEWRR AND W ^ TER Pb:RMIT FEE
STATE SUkCl-lA.,GE
TOTAL l"ERMIT }i'KE
$
$
$-
""'-
.50
,~
>me" lIn Only)
This AflPUetltiUn_D.tc Umefi YQU.:U_IldI.. P.;;;;Uwi... Approved I Po.d
~ . Date JUN 2 5
D..lIdlll~ O/1lda' .)al, ,
"_.
'--,
24 hOlit, lIutle&l (01'.11 inspections (951) 447~98S0t f81 (952) 447-4245
Receipt No.
By
P.1
1:29PM METRO AIR NO. 576
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
~ \~ ~ ~ \"4.\
Date Reed
i:~~:w E~icOnl I PERMIT NO. (~-iJ/~
ZONING (offiCI! u~el
--- ..'
\ r'1'A.~ l
U~'GAL DESCRIPTION (office: lISe: onlY)
LOT
BLOCK
ADDITION
PlD
OWNER I -
(Nlime) L~
\-\,~"'^-~
\
-, 00 '-J', "'~ . --
AFPLICANT '^ \ ~
(N,ame) \1\~ ~(\:) ~ 'I""" -L Y"\ L
(A~dfess) \~~ ~t) \.j '-, L(j~ f\.\f '-
N (Ad~5s)
S. L~ ~ ,\ '-
(O"lntact Person)
(l'houC!:) 19' ~- ~ ~ \ ~ c) ~ , ~
\
\'L
(Phone) C\ S ~"\1 \\ l- ~ \ :;l, ~
~ ., 0 - l~ \ ~ {\t() S s, ~ '--1""~
(Zip Code)
I~_~
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
NEW CoNSTRUCT~ON
FURNACE MAKE AND MODEL (c...,v ~ .q....-
,
FL~E SIZE ([ \) '- RETURN OPENINGS
TYPE OF SYSTEM
. .,-aWllrm Air Plants
DOravity
~ Mcchanil:al
Air Conditioning
Vent. System
o REPLACEMENT 0 AL TERA TIO~~
(">c 'A - gC) FUEL ~ lA \'
\4 INPUT '6~] ~(\C\ OUTPUT 1 C ~()O
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o SpeCilll Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~ \...'''''\1.')( o~ ~ .
FI~EPLACE MAKE AND MODEL --\
,,"t::3~ S",.. \ c)"'"
FEE SCHEDULE
1'Vo of job coSt Residential, OIlS fireplace
$39.50 minimum
$9~UO Residenlial, Additions & Allerations
$64.50 Residential, AC Only
Ind\lstl'ia1. t.:ommcrl:ial &. Multi-Family
RCI:\Idcnrial, Healing &. Ale (New COllsLT\lction)
Rc~idcnlial, "'eating Only (New Construction)
Estimated Cost .$
$.l9,50
.$39,50
$39.50
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
rf::
lffiugi!' .;
.50
(O'~ite tin Only)
~hi' Application ""om.. Your "ulldln. Pennlt When Approved
t: Uulldlng Official Olue
~
Paid
Receipt No,
Date
By
24 bour notice for all inspectIons (9SZ) 447-98.50, fu: (952) 447-41245
Dllte Ret'd
CITY or PRIOR LAKE PLUMBING PERMIT
~::: ~iiJ f PERMIT NO. .'),,- t/1'7
, V_I.... """'i_ ~
L
\lD'l L\ ~ ~\lr\ci L~~ l~Q\\
LONING ,""'" ,.J ~
I LEGAL DI!SCRlPTlON (ol&ce '* oDJy)
i LOT BLOCK ADomON
,
PID
I
~
,
I
J
I OWNER
(Name)
! (Ac1l1ress)
l.Q..~ ~\Q.nf\~ ~~.
(Phone)
I ~~;~~fANT S01~\e.\ Q\urn\)\f\
/il (Address) \...\ ~ {1 dr\a('\ Q. \\C\a. \~
(Address)
(Con[act Person) -S e.....\t S~a..r
(phone) ~.::s d. -l.\Yl~~ 1 ,L__
~\o\Ln~ 5S37~
(City) (Zip Cod&!)
(Phone) (old -lY 7- ~8 3
DATE Dll~IDr
,
~
APPLICANT SIGNA run
~
Type of FiI.t",re
Rau -ins
Water Healet
Water Softncr
Stand Pipe (Washing Machine)
Sewale Ejector
Backflow Allsembly
Back ow Assembly Test
Lawn Sprinkler
Other
---1
FE. SCHEDULE
Illdustrial. Commercial&. M~lti.rllll'\ily J% "fjob cost with n $39.:'10 trtinimum
(Ot1In \.lIe Onl,1
This Application lJecoJlln Your BIIJldta. Pe,-.il WileD Approved
PLUMBING P
STATE SUR
TOTAL
Residential, New One &: TWQ-Family S99.S0
. "tinl, Additions & Aller.lIons S)9.~O
Estimated Cost S
$
S
$
.so
/IIl----
I," AII,~"
, " ,~, f..; ''''''''', ,
.. ~~:~'~~NO_. -3
Pai
Bul'dtt.. oma..
Date
D..
J. h..r .odeI fo. alllaapecdo.. (951) ""~5D, r.. ("1) "''''''.5
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For AU Properties Located in the Shoreland Distrlct (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address \ ~14L.. '6 h ~(~ LA-~~(:\\ \ :-; \2
Lot Area. \\ 1~t\\.\c)tL~\eb-s~A,\~Sq. Feet x 300/0 = ............... '0Cjf)3... . .
************~****;~*****************************************************
. LENGTH
WIDTH
SQ. FEET
HOUSE
\ .:It
t"i
\
AITACHED qARAGE
x
=
x
=
x
=
TOT ALPRlNCIPLE STRUCTURE...................... '2\ \ ~.
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
D RIVE WA YIPAVEb AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
X
=
~D{)
llt t?
~l
X
\ '.
=
TOTA.L P A YED A.REAS.........................................
12LP
PATIOSIPORCHESfDECKS .
x
=
(Open Decks'!." min. opening between
boards, with a pervious surface below,
are not considered to bt: impervious)
X
=
x
=
TOT AL. DECKS............ ..........~.................................
OTHER
X
X
=
=
TOT AL OTlIER ......... .............. ... ..... .... ................."......
TOTAL IMPERVlO.US SURFACE
~'OVEt> ...<.... .... .. · . ....
~~ .. -. .~)
Prepared By .~"'{:"-. . \\\1 ~
company~~\~~~~~\~6~>) ~.t\.
\. \
1..<0\.\0
'1'-\ ?;
Date ~-L6 ~ 02
Phone # ~ \.\1- 7;-::;.1'0
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ICo 742- 1St'lAc! IcJ~ ~
NATURE OF WORK ")~
USE OF BUILDING <2; f='f)
PERMIT NO. O~( 0"11"7 DATE ISSUED J - / ( -0'1...-
CONTRACTOR . T l~ PHONE <=;62 - ~ <(7 - ~ 77
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING "SPE"6r ' 15/1 7/D:TE
FOUNDATION (Prior to Backfill) . (; 3 1/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION 9-~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST u
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ^.{ J VV\tf \
ELECTRICAL
PLUMBING
HEATING
DO NOT
t./{-U)
s -- ( - t./).
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
0,07
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850