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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 ~ 3" 0 0 (') DDDD~ " 0 > -0 Z_ oo 0 ::I: ~ 0 ~:! 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'-" ::t 0 ~ --... ;;; 0 ~ ~ ~ c: ~ ;0 OOOOO~ ~ en ~ S! z G)"'''' 0 ~ ~ 0 )> > ~HI ~ -l ~ ~ m C 5:: < > z>> ~ Z moo_c ~ "-l 0 ~mm~ ~ !T'I ;0"';0 r -l -1-- I: CIlZ Z m -1~ G) y" I "j 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