HomeMy WebLinkAboutBuilding 02-0530
Qrtrfifica1e of ODcrnpanry
CITY OF PRIOR LAKE
}) Department of ~uilbing 3Jnspettion
75 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 lAJce regulating building construction or use. For the following:
SINGLE FAMILY
Use Classification
Bldg. Permit No.
07-0530
Occupancy Type
R3
Type Construction
VN
Fire Zone N I A
Zoning District
PUSD
Legal Description
L8, B2, THE WILDS
JORDAN HOMES,
Contractor's Name &: Address
ROBERT D. HUTCHINS
j/)
/ /// ilding Official .
j'/ ([ I(',U~
SiteAddress 2917 FOX TRAIL N'I-J
n~c., 20712 JUTLAND P!J., LAKEVIEE 55044
DON PYE
Owner of Building
City Planner
Date:
Date:
POST IN A CONSPICUOUS PLACE
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ADDRESS 01 'II /
OCCUPANT -"-'V,,~! l"(C~" i',
HEAT LOSS
SOLD BY
, _ HOUSE
r'~-~ X -"'7 I
'k. '. \ '
,! 1/),,/,-( <.;
DA TE HTG. INST.
HEATING TEST RECORD
"P, ,'u(
APT._FLOOR_CITY i ,\ i((
OWNER
SUBURB
. \/-9AS DESIGN
MAKE r (, ,/' C I' '\\. (,;10
Mod.1 'T~''\t. ,.c/) , .J (~~(' ,(; ~ 0
~, L -1 '/(...1 -I/.
Swia I --" ?" j " , Jf"
INPUT /;)//t6(;() , ~
<'.
CONTROLS
Heat Plug
Electrical Work By
TYPE OF HEA T
INSTALLED BY \J . t \
Gas Line By 1 ,-C",-/ ! U
GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
( ) / (
f,,---.../f I' (-.-e (" '
-,
THERMOSTAT ,l.
Valve
Limit
~
i".) ... '(.
CONVERSION
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
",
Vent Size .:.)
KIND OF LINER
Draft Hood
Filters Size
Chirnney Location
Chimney Construction
SIZE
Reguloror
Number
NONE
\;. <,
{'l- '. '
,J
.y\P .(
Limit Setting
Fan Setting
Pilot Type i-I
Pilot Make
Pilot Model
Pilot Timing
L. W. Cut Off
Pressure -:; J '-:;' I t..~A:
Input CFH(lJ.;//(;O
Stack Temp. //(j'
"
L}-'1,"".
.~ '"
,.Jnside
1;"/,.
Outside
<j~l
Smoke Bomb
Draft
Door Pressure
Wiring
Test Tog
Lighting Inst.
'0 d
,.
,~--(
Percent CO2
Percent O2
Percent CO
8 :/c.)
7 (...1"
(') ~'~/jlo.
Date Tuted
Company Testing
Name of Tester
.. 'j ii. (
'/
"') (~ ~/
. (1';-"".
I\.) j..," " /' ( r-"
~...~_"~ ~~,,?~~,",':;f'I>;;".i"".';':-""Ii.':>;:"i.r;...L' ~~;.i;~~''';L~~~.i ~~:tl:c-;.l:_~"'~';;'L' ~''4:-~_.Ji~''~~J",~~~:_,'~j'~~~~~f''-:~' ',;}~,:'~t~~..~-i':':~~i1,", .r..i":'f.'i111 '~.;:;1Jl.lfu~'~..:~~~'~~,l;~,~tt;~.u'~.i,ii.;..li~n,t.:,~t.~.a:;.>l.I!.,;i~~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-I-ZZ--02-
1. White File I PERMIT NO I
2, Pink City . 02 "'C) C,30
J Yellow Applicant . ...,/, .
ZONING (office use)
RJ X '7;l?ft / L- # tV
PvsLJ
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 2- ADDITION
77-16 f'lIl f-, OS
PID 25.297- tJ/4--0
OWNER
(N ame)
(Address)
(Phone)
BUILDER ..-.-
(Name) ~ o,.J'tv\-
MIl< e...-
(Contact Name)
(Address)
"Z(f)7
TYPE OF WORK
o Misc.
HtJ;t1 ~ S z;;" C. .
fA / I '5 K& vJ
DDeck
o Fireplace
(Phone)
(Phone)
9..>2- 292- SZ-26
OPorch
ORe-Roofing
OAddition
DAlteration
DUtility Connection
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
enter upon the e to eded inspections,
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
;<03
s Your Building Permit When Approved
it/-oc
Date
2007712-- 7'
Contractor's License No,
Park Support Fee
SAC
#
#
Water Meter Size5/8" 1'"
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
iSSU~d' , (""'" _ ~ A1. ^ /'
- . ~~ (5/1/6'2- ~1:\~~y..~~~<.
. Planning 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
The ("tnter or (he t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~Torda-)/ flcJff7 e 5
<-/ - ~;;>., - 0 d--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(29/'l Fox 7Qij TJ,r-
Accepted
Accepted With Corrections X
Denied ~
Reviewed BY:& . ~
~ents:
J afl '2:l,l1a..-c ~ J) jt.. /A--) ~
Date:
~ - 2-0'C...-
"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 ("f'nltr of .he take Countr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/
Accepted
v
Accepted With Corrections
Denied ~-, ~
Reviewed BY:~ _ ~~
Date:
J/II02-
Comments:
~~~(;\M)AM Z'i~cW1~~ wi,llb ~
V ~ ~(~ ~ ;TWtJ.,~ () tW <to
~.a.a- DJvta~ to F-' Lt,.2l~ M ~(t9f1~..
M40 lI\1~ ~t-{t2-%
(J/eb.- fV~ I
~~~eck~~~
~6US ~},/~
3 ~ P $ lMu)("~~~
"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 - Engin-eering
Pink - Planning
Thr ('"nlrr or Ihf t..kr Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~To)'dav f/Of/J/}e5
<-/ - ;;).;).. - 0 d--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;)"911 p"oX' 7Qi/ Tv
Accepted
x
'-
Accepted With Corrections
Denied
Reviewed By:
11/113
Date:
5-':/3- ()2- .
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."
..\
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec~d
~. :ir:n ~!;y I PERMIT NO. ;)- r:p
3, Yellow Applicant , vi
~~c:::>
r O~ 7r(!11<.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Jb~ Jt1J
J
I" L>mef ~ ,
~I
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Contact Person)
(City) _ f;n Code)
Phone) ,/~;' ~~ h<ilp 1
t :-~/,()jJ..
DATE
APPLICANT PLEASE MPLETE BELOW
NEW CONS~TION ,>>REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND~ODEL '/ I( rIJ JJIZ - r1~/,J() FUEL
FLUE SIZE ~ RETURN OPENINGS cr INPUT / ~ljtf1V OUTPUT
,
TYPE OF SYSTEM REA TING OR POWER PLANT
" . ~arm Air Plants 0 Steam
O~avity 0 Hot Water
EJ'Meehanical 0 Radiation
[g'Air Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL ~ J!. rh I ~/) _
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
.50
$39.50
$39.50
. ;J
1t!
bfD:.:.
Estimated Cost $ Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Paid
Receipt No.
Building Official
Date
Date0__ ~ -O;r- By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
f}. ;?:J~o2-
I. Blue File I PERMIT NO
2 Gold City
3 Yellow Applicant DL-C;Y~()
ZONING (office use)
ADDRESS
--;) c:1 .
/(../\\,
r:;~+r. Nw
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT C' .- () ,
(Name) ,_::>.,-~-, \o-'-~ V (J...M..k>)
(Address) I 00 ',~ f.~ C;.\-
(Address)
(Contact Person) ':!e:W 3.".,,;; b-J..'-..r_
APPLICANT SIGNATURE
(Phone) _(c S-/ ') 4 C') - I ~ 'S..\
F.r ~-~~)\-'rv-- S~-o2\.\
(City) (Zip Code)
-, (Phone)
-'-~
DATE
<,- 2.).- G-"2-.
Quantity Type of Fixture Quantity Type of Fixture
"'") Bath Tub with or without shower 1J-\ Rough-ins
'-
i Dishwasher / Water Heater
2- Floor Drain -- Water Softner
::> Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
/ Laundry Tray (lor 2 compartment sink ~ Sewage Ejector
I Shower Stall ) Backflow Assembly
/ Sinks ,let4--- ,-' Backflow Assembly Test
- Bar Sink / Lawn Sprinkler
:..) Water Closet (Toilet) --~,. Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Fa' $99.50
Residential. Additions & Alter ons $39.50
Estimated Cost $ Building Permit # 02-'.5 0 t)\4L
?11 f ~
PLUMBING PERMIT FEE $ (n 0 V
STATE SURCHARGE $$ P (/ I V
TOT AL PERMIT FEE P
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
7- Z5- 02.
~' ~~:w ~\~~. I PERMIT NO. /). 2 _/,,-7 01
3, Gold Applicant. L~ V J./
ZONING (office use)
Zq /7 rt/y 77~1 L-/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
'(,
(Phone) (5)- '1'f7-5.~f7,
jJ,'c' L..i tt::"- .('~5 37 ,),
. (City) '-- (Zip Code)
(Phone) >'S') '/ '11- _5 J ,j}
f
(Address)
( t' l"'1 /"it Ice Al,I(.
(Address)
t
j
(Contact Person)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service -I-- inches.
Location of any couplings from structure r1J~t..---feet.
Type of sewer pipe. 0 ABC f)(I PVC 0 Cast Iron
Estimated length of sewer line '2C {;t.
Clean out (if required) located at YlN\ ~ leet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
1% of job cost with a $39.50 minimum
$17.50
D7.-0'30 Ifl/
{{lID 7~
tV/I/O
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FIRESIDE CORNER
#7959 P.DD1/DDl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFJREPJ..ACE PERMIT
Da,te Re~'d
I. 1"'."
1, Cifll'Ol1
J. '1'011""
~~y l PERMIT NO. d- c-~ 0 I
'-'ppllaml U '-.,)
I~~f~-Z:~ ~
ZONlNG (ollia: UB~)
LEGAJ~ DESCIUPTION (office JJ5e only)
LOT
BLOCK
ADDmON
PID
1~=~(4)G-h ~~
, (Address)
(Ph-) --LoG -.JdO-'5'1~
APPf.JCANT
(Na.rne) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 6.51-633-2561
(Address) 2700 N. FAIRVJ:,EW A~
(AddrCll~)
, ON
ROSEY.ILLE MN
(City)
651-633-2561
(phone)
DATE I-IS-ad-
~Z:;1'~
(Zi.p Code)
(Cont.act Person)
APPLICANT SIGNA Tl1RE
APPLICANT
EW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETIJRN OPENINGS
TYPE OF SYSTEM
SE COMPI~ETE BELOW
o REPLACEMENT 0 AJ.. TERA TrONS
FUEL
OUTPUT
OW/lnn Air PIOnT.s
DGrn.vll)l
o McehanlcllJ
DAir CQndItlonlng
OVent. Syst.cm
FIREPLACE MAKE ANI) MODEL ll1o.k
INPUT
HEATING OR POWER PLANT
o Steam
o Hot WaTJ:.r
o IUdill.tiQIl
o Specilll Pcvlces
o Other Devices
~ 6~-
PI..EASE NOTE:
Air Conditioner Units
CfUll]ot Encroach into
Required Side Yard
Setbacks
C-
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1. % of Job Cl.lst Residential, OIlS FireplJlcc
$39.50 minImum
$99.50 Rc:slden.tial, Ai:ldidons & J\llErl][lon~
$64,,50 It=l.den.r.illl, AC Only
$39.50
R.e:side:ntllll. Hca,tJng &. Ale (New COJlstnlction)
Residential, HeatJng Only (New Construction)
$39.S0
$39.50
Estimafed Cost $
Building Permit #
.50
--
~~fD VVTr:
"',,' ~. H
HEATING PERMIT FEE
ST A"ffi SURCHARGE
TOTAL PERMIT FEE
$
$
$
(omtt l.l!e Only)
Thi~ Applh:atfDD BeCJJml!.q Your BlrfJdlng PermJt When Approved
auf
Receipt No.
O,rlldlng Offidnl
Date
By
Datil
l4 hour notice for 1111 inspections (952) 441-9850, fll:l (952) 447.42045
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ).1/'1 -fOx ~I'I 7F-
NATURE OF WORK A/euJ .
USE OF BUILDING 0~/),
PERMIT NO. O~~ATEISSUED ,s--2- 2002
CONTRACTOR~~; _ PHONE 952 -.2. i2-5'W
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL AB VE H
ROUGH - INS
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
I I
FINALS
GRADING (Prior to Sodding)
BUILDIN 0'-/2<<JS
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
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 shc;:~1 be placed near main entrance.
0./(03
-2
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850