HomeMy WebLinkAboutBuilding 02-0571
QLtrtifirau Of (JDrrupanry
CITY OF PRIOR LAKE
J)epartment of lSuilbing 3Jnspettion
~ 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.
N/A
Zoning District
02-0571
Rl
Legal Description
VN
Type Construction Fire Zone
L7, BZ, WENSMANN FIRST ADDITION
1:<.3
Occupancy Type
Owner of Building
Sile Address
15269 FOX TAIL COURT NW
Contractor'sName&AddressWINm~OOD HOMES, 14311 EWING AVE S., SUITE 200, BURNSVILLE
55337
ROBERT D. HUTCHINS
~ "'"'"'" Offici"
i / L
I , (I. t) U Dale:
-/ {, POST IN A CONSPICUOUS PLACE
City Planner
DON RYE
Dale:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~rl {)\"-~
Date Rec' d
5- J- oJ-
1, White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO. 02-'- 05'1 J I
ADDRESS
~~~cr 5:
~ CJ::.-, ;t) uJ
LEGAL DESCRIPTION (office use only)
BLOCK ~ ADDITION
ZONING (office use)
6I-
PID ~ 5 ; 31/P-
/J-O
LOT
OWNER
(Name)
(Phone)
(Address)
i;;~ ~/,,5" <(?Lj Y ~
X lo~
/LJ
TYPE OF WORK
ODeck
OPorch
o Addition
OAlteration
OLower Level Finish
o Fireplace
o Misc.
PROJECT COST /V ALUE (excluding land) $
ORe-Siding
OUtility Connection
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
~~,"'on "" pml" m 'ifu= n"d,d i"",,"o", ~ I <j I t.t J ~ i L" rR.
Contractor's License No. Date
#
#
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ .00 Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ 00.00 Water Tower Fee
Mechanical Permit Fee $ !()Q.{)O Builder's Deposit
Sewer & Water Permit Fee $ 35'. s"'O Other
Gas Fireplace Permit Fee $ ,00
#
#
~ IO~6c
Date
$
$ /
$
$
$
$
$
$
$
03
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
~n~ m"'""'" , ,=pomry C"""",, of Zorn"" oo:""",,~..d ,110m ,oo,~ctioo '" oo=~. B~ ~f'" , C""""~~ m'" '"
~. /'J~ =~-"~ (; 17 !. /91- ~. ~_ ^"",' ~;.0~~
"Planning Director Date - - pedal Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th, C..lff 01 Ih, "ok, Coonlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
APPLICATION RECEIVED
M/Y1d~fl
s:- 1-0 C;-
WfYYYLfA
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~
X
/S;;<09
-1-. () A' f-u i I (!,-r .
Accepted
Accepted With Corrections
Denied
Reviewed By: .//A!Ji3
-:::...
. bate: -5--13-02-
Comments: See Reverse Side for Additionallnformationl
At
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."
White - Building
Canary - Engineering
Pink - Planning
Tht' Cpntt'f of the Lakt' Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
APPLICATION RECEIVED
UIL/Yl (iLa;rd
~0 L-o~
1!rrrrylLA
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i~ /s;;zfo9 rOA'f-o r' / e-r .
><
Accepted
Accepted With Corrections
Denied ~
Reviewed s(
Comments:
(2J ~({ u-fkcW F-J1~
Date: ~-(O ~~
"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
ThE' ('enler of (he Lake Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, r,
'-' '.
f I :, ',\
i..., j 'f .'t- ','
~. r ~.._', J ,/~./ "
, ",.. ;N\", , <
"',
.,..J
,......- ...........
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
----
.1;(': .,~
/..J ~;..,j i
c~.. .
I ~,
~ I
i
i
Co-"" \.
~..~
,~.c '\/\
Accepted \~
Accepted With Corrections
Denied r A
Reviewed By: SlA:tJJe.~/'f/L
Comments:
Date:
0' /J-o/e2-
, .
~ks ~ ~:;pr-~~
~(, f- tv Fr LNu\;t~ WJAA~
~ 1\0lJJ~
ev-
r
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
&'11/01/
; ~:~~~w ~ii~~. \ PERMIT NO.oz,/O 57/ \
3. Gold Apphcaot
ZONING (office use)
/C;2fP '
f D'/...T4:rL C T, /,-1, kJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) I.._J.YL,,J j w dO (j II c."" f S
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) 0 fl- ES fl6,t1.. E ~C
(Address) 110 11 Q
(Phone) tJS..2 - J' 1 J- (.1 0 t;
~,.
l..-It i/ l
(City)
(Phone)
DATE
~s 01.{ 'f
(Zip Code)
APPLICANT SIGNATURE
WA'l
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=-- feet.
Type of sewer pipe. 0 ABC 0J PVC 0 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 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(:0>(.)
Estimated Cost $ If DO .
Building Permit #
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10: 36AM
MATTHEW DANIELS,INC.
423 3017 P.t:l~
uate Rec'd
CITY OF PRIOR LAKE PLUMBING PER.M:IT
~. ~~ ~~~ I PERi'HT NO. '--.5'1 1
} YCI1Q\IIIl "P9hc~",' . c::.:>' - / _
at bottom)
ZONrNG (olflce use)
162'll ~~iJ (J~.(.Id:f N.w'.
\ LEGAL DESCRIPTION (office use only)
LOT 'I BLOCK,J.. ADDITION
A'PPLICAN~~.L. . .~
(Name:) -, r.e!Ti. OJ;) A, ~ J d~ J 1 ~~ /7 , .
(Addre:ss) J.~ {JAJtJ.Ajj Jo lJ J ~ -J-n1h
(Address) f/
I~ PID
OWNER -
(Name)~.lu/~~n
(Phone) 96'Jt. pqC. ~41JY
(Address)
DATE
.j~. d'1~(J
~()6~
(Zip Code)
..;.~ . .3'13C;
I~
APPLICANT SIGNATURE
(Phone:) bSJ.
~Jr,.vJ1r. ~7)
(City)
(Phone)' b5"J.
(Contact Person)
Quantity Type or Fixture I Quantity Type of Fixture
-.,;t I Bath Tub with or without shower ! ...s Roughwins
I I Dishwasher ! J Water Heater
I I Floor Draip I I Water Softner
5 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage-Ejector
/ Shower Stall I Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink 1M.... Lawn Sprinkler
~ Water Closet (Toilet) Other
APPLICANT PLEASE COM LETE BELOW
FEE SCHEDULE
Industrial. Commercial &. Multi-family l% ofjob CQst with a 539.50 minimum
Residential, New One c!i. Two-Family 599.50
Residential, Additions & A1te~tiOns 539.50
Estimated Cost S
Building Permit #-
PLUMBING PEltMIl FEE $
STATESURCHAROE S
I TOT AL PERMIT FEE $
9fI. S7J
.sO _ 1 . . "'
liJ.tJ.1JIJ ~ ~
_~ ..fiultdillC Offil;i.1
7
Pai~
Date
Receipt No.
(Office Vse Only)
This Application Becomes Your Building Permit When App..o~ed
By
Date
JUt
z~ hour notice for an inspection. (951) 44"1-9850, [as: (9$1) 447.41&5
,
TOTAL P.02
1-'.1
Dnte Rec'd
~.~:::.. ~:,~. [PEltMll' N<?t"- ~ "
], V.IIo... "pph.... _ (:) ~ - -0:;.> , ~
ZONING (,)mCeU5~)
~bk -\-"", l c... \- .
L&q(\.L DESCRIPTION (office use only)
LP'
BLOCrO.. ADDITION 'rllt "" ~
''\,\ ~ f\ ~ 'v4 \)~~ ~~~~
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\5}
PID
OWN."ER
(N !lr'rJf:)
(Phone)
C\ ~ J._ ~ <;.\ ~ - ~ \.1 ~ \?
(^~d css)
~
()\A.... !:.
, \\i
s ~
APPpCANr y\ \ ~.
(~a~1e) \<\~ ~ ~ '~\ r- -..\- '" t.:
(A~d~~C$S) \~q '-6CJ, \j ~\ l(j~ ~ V '-.
; (AddreS$)
S L-~ ((. ~ \ \.,
(Phone) ~ S :~.. \..\ \\ 1 ~ ~ \ ~ ~\
(' (", ('\ - \...'-1\ u.. {\~
(City)
(Phone) ~~':2. ~ ~\ \..\ ,. ~ ~ ~ \..\
Ss ~',~
(Zip Cude)
(Cl,Illl!\ct Person)
AFPl!lCANT SIGNATURE
DATE
APPLICANT PLEASE COMI'LETE BELOW
~-. K1NEW CONS'rRUC1"ION CJ REPLACEMENT 0 ALTERATIO~
FU~ljACE MAKE AND MODEL { ........4"".' ~- <"" '(' r - , ~ fUEL ,,1'
FLLJq SIZE &\! (. RETURN OPENINGS ~ INPUT \'~. ~ OUTPUT "'J \'lISt)
TYPE OF SYSTEM IlEA TING OR POWER PLANT
'. \s;;IWllnn Air PI.flls 0 519111
{jOravilY 0 Hol Woler
iMechalliCllI . 0 Radialion
ir Conditioning 0 Special Devices
cnL System 0 Olh<< Devices
I~LE^SE NOTE!
Air Conditioner Units
Cannot Encruach inlo
Required SicJe Yard
Sethncks
FI~~L.ACE MAKE AND MODEL
Ind~lsl,iBI. Commercial k MUIti.r-':JI1\i1y
Rc~jde.f1lial. Healing It. Ale (New CDnslruction)
Rc~id~plilll. Heating Only (New COlIsttvclion)
FEE SCHEDULE
1% urjob cost Residelltilll, CiDS Fireplace
S39.50 minimurn
$99.50 ReshlChlial, A~hJilions &. Altcraliolls
564.S0 RcsidcnLlII, AC Only
SH.SO
$J9.S0
$39.50
Estimated Cost $ , I,) . t)~ ~ ~
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
,..,~
/"'1 '., ~A'D I"
" .~.r.l'rr~
:;eiPl~~
(Ol~c. Un Only)
l'hi, Application JJecomes Your Building Permit Whl.!lJ Approved Paid
ate
-.-
~
Bulldlnl Om,,1I1
DlIte:
2. hour notice roo nil inspections (952) 447-91150, ru (952) 447-4245
_.-.-
~l.1YERS BUILDERS SUPPLY
1{l]2~~!~P_2_ _
08/14/02 09:53 FAX 7635530887
REA TING/AIR CONDmONINGIFIREPLACE PERMIT
,. Pi.. File ~PERMlT NO
~. c;..... Ci'Y .
). y...,.... Appli_
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ZONING (olfi~l.lSl:l
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
O~R d d
(Name) W -\ v'\ W(!)(!J
Co,
(phone)
(Address)
APPLICANT r 't--
eN ame) L.:> U "1 e... to ~ ,- t r- -e.. ~ ( a... c:.. -e.
~
(Add.resS) J 3 ~ 0 5 15 A t/~.-'l f.) tl2.
(Ac1dren)
(phone) 7b3-1P 'i~-'1b6 3
P/YMIJU+h
(City)
~ 5 y~ ;;...
(Zip Code)
(Contact Person)
Do,^,
(phone)
APPLICANT SIGNATURE
DATE
8/;~ /0 ;;t
t)!.NEW CONSTRUCTlON o REPLACEMENT o AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants o Steam PLEASE NOTE:
OGravily o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach intO
. OAir Conditioning o Special Devices Required Side Yard
OVMt. System o Other Devices Setbac:ks
FIREPLACE MAKE AND MODEL S, U ~-e..~\ 0 r ~ T bOO
APPLICANT PLEASE COMPLETE BELOW
Rt:.SidentiaJ. HC::lilting & AlC (New Construction)
ReSidentiaL Heating Only (New Construction)
FEE SCHEDULE
I % of job oost Residc:ntial, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions'& Altcmillns
$64,50 Residential, AC Only
S39.50
IndUStrial. Commercial & Multi-Family
S39.50
539.50
Estimated Cost S 1 a:o. 0 (;)
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER..V1IT FEE
$
$
$
.50
....~
~~q,,---
. .~ ~f.l'
" ...
(Office llsc Only)
This Application BecomeS Your Building Permit When Approved
P d
Receipt NQ-
Date
By
Dille
~j
Buildin!: Orotin!
14 hour notice for llll inspectio":s (9S2) 447-9850, fu (951) 447-4145
i
CITY OF PRIOR LAKE
Impervious Surface Calculations" ~ - .,
, . .<.1:0. be- ~ubmitt~ w.ith l3~iIding Permi~ Applic:xtion)-. .' . .
F or All Properties Located in the Shoreland District (SD).
The Maximum Imp'e'rvious Surface Coverag~'PerrDitted hi 30 Percent~
Property Address
IGZh9 !by 7A:Ie- &~/ "
. .
Lot .Area .I J/ /; ff Sq. Feet x 30% _.........~.~... 4/?J9r 7 .
. . i
*****~****************************************~******~******************
LENGTH
WIDTH . SQ. FEET
HOUSE .
x ==
x
x
ATIACHED GARAGE
==
TOTAL PRINCIPLE STRUCTURE.....-.....-.-..... 24Z)""
. DETACHED BLDGS
(GarageiShed)
X:'
X
TOTAL DETACHED B UILDIN GS..........-...-......
)/IJ
x.
" . x.
==
/tJ9J
.A VED AREAS
riveway-paved or not) , .'
~w~king Ar~3S)'
==
z r- x 4---
==
1M
...
TOTAL PAVED AREAS....._.................................. /1) tJ
PATlO~C~ECKS .
(Open Det:Xs' W' min. .opening- betwect
boards. with a pen-ious surface below,
are not considered 'to be, i~per:'i~us~.
7 x. 14--~7
,x
==
/ ~2, 6 f
x:
==
. . ..
T OT _~ D EC'KS......--...;..-.-...........-........-.-.-..
.. ..
;02'Af1
OrtiER
x
==
x.
==
T OT _~ OTHER......-.--.-..........-...-......-........ j/IJ
. .
TOTAL IlYIPER'VIOUS SURFACE
UNDERlOVER --ff
Prepared By .~ 7 tvM
Company I/ZAlL ~1A~ c;..
Phone it 4,1.. - S OoD
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
EUILDING AND INSPECTION
SITE ADDRESS J5".:2CoLIoK. -tail T,
NATURE OF WORK rJ€W
USE OF BUILDING ~Fr)
PERMIT NO. 02- ~ DATE ISSUED -i)- L() - oc
CONTRACTOR Wl'~ ,~ PHONE qr-)'2 ~~95'- $J:!Io
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 6 1,0 O~
FOUNDATION (Prior to Backfill) (c; go ~ "77-dL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST M. f./. icp t14
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING1',C.O.WII. '1101.,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrii;a'l 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