HomeMy WebLinkAboutBuilding 02-0616
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Qrertificau of ~crnpancy
CITY OF PRIOR LAKE
\ . J)tpartmtnt of jiuilbing Jn~ptttion
'cl Final Permitted 0 Conditional C. O. Expires
~~ 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:
SING1~E FAMILY
Type Construction
VN Fire Zone
Bldg. Permit No.
N / A Zoning District
02-.0616
Use Classification
Occupancy Type
R3
R2
Legal Description
LS, B2, MEADOWVIEW
Owner of Building
Site Address
14361 BROOKMERE BOULEVARD h'W
Contractor's Narne & AddressCENTEX , 17400 WHITEWATER DR.. SUITE 120. 1>HNNETONKA. 55343
Date:
ROBERT D. EUTCHINS
, Bu,i1di,' iii) Official
" \ ., T..,
\ \ \ V
\ \
City Planner
Date:
DON RYE
POST IN A CONSPICUOUS PLACE
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IS~~M~+)4L
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 11_ /1:-0")
AND UTILITY CONNECTION PERMIT 7 I:J ~
It/.J 01
/Z'd' ~E"/2t::-
t1vJ..-(/~p
/V;v-
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK :2
~'~i~i~e ~::y I PERMIT NO. () 1 -01,," If) I
3 Yellow Applicant , V ~/ W,
ADDITION
OWNER
(Name)
i'e-/lr~ X
i/o/I'Vt/'
(Address) I~ V ()7) VVH/ t;rhr~
BUILDER fi
(Name) ( _ .cV~
(Contact Name) L>If~(,)
(Address)
"/l.. '
Mht.€"$
/J ~ A-:> c H /tC. ()
(Phone)
5~rrc
1':2 0
(Phone)
(Phone)
ZONING (office use)
d-
8l/- t)6C;~
~5,2 -?3" .-7B:3'3
/I/"/I4i7)/W,c.;t- /?l."v-
5'5"'" 3~-;$
7~-2- 73"-7B g:.?
VI.2 - 5'''' '-~3~?
TYPE OF WORK
~ New Construction
o Misc.
DDeck
DLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
( 2S-;(),'O
OAddition
o Alteration
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
SUbmitt(fJCed 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 p. to ~~7.?'1nspections. .
X /~. 'ztJ07fo737 r-IF-oJ.
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$ ...
$
$
$
$
$
$
$
2 a:? . CD:)
00.00
00.00
#
#
. cxO
.CSJC>
TOTAL DUE
Building Permit When Approved Paid
,. / 2 Date
'1- 8-~
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
'ty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~~y(~MM
S/2-q!8L
Date
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 CronIn of .he Lake Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Cevl-~ 'IJ 0 m ~~-
APPLICATION RECEIVED '1-1-t-Od-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: d
1'I31v I (6f1CCJ~ /J1fC-?Y'6 ~/ t/
Accepted /~
Accepted With Corrections
Denied ~
Reviewed By: ~ b
Date:
L(- 28 -02-
Comments:
S~~ -Jto M ahA D l-e
"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."
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CtO/Hd P
White - Building
Canary - Engineering
Pink - Planning
lh. rtnl., .llh. t.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C e vfc::x 'iJ 0/17 e ~
APPLICATION RECEIVED I( -I ~ 0 if-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: d
/ '13& / f)l'aj: !J1'PY6 rtJ/ [/
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/VII 8
5~~ f)1c,/~ (,'( C
Date:
f-)'1-o;J.
Comments:
"The issuance or granting of a permit -or approval ,of plans; specificatioos 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 PRlOR LAKE PLuylBING PERvIIT
APR 1 0 2002
I Blue Fiie I PER.'IlT NO. d,- ? /p l
:, wid Cty ( j
}, Yellow -\oolic.:J.nt
(P!~:lse tvo~ or orint md slim ,It bottom)
ADDRESS
zo :--jl.'jG (otf:c~ use)
/t/:lj /
/7 I
:D/!JiJUV'!{
6/t/l
LEGAL DESCRlPTION (offic= use only)
LOT
BLOCK
ADD[TION
pm
~
(Phone)
(~;'\Jdress )
APPLICA
(0iar:1e)
(Phone)
t?j/~ - r/tJ0/ ob/cJ21
S::/fS2--
(Zip Coce)
C-\ddress)
(C~(y)
I (Cor.cae: Pe~~on)
I AP?LICA~'T SIGNATURE
(?hor:e)
~/'
DATE
APPLICANT PLEASE COMPLETE BELO\V
I
I
I
I
Quantity
.J
I
I
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
Lavatorl (Bathroom Sink)
Quantity
..J
I
I Type of Fixture
I Rough-ins
I Water He:lter
I \Vater Sofmer
I St:lnd Pine (\V:lshing M:lchine)
I
I I Laundry Tray (lor 2 compartment Sink i I Sewage Ejector
I Shower St:lll I I Backtlow Assembly
/ Sinks I I Backtlow Assembly Test
Bar Sink T I Lawn Sprinkler
:? I Water Closet(Toilet) I I Other
FE.E SCHEDuL.E
Industrial. Commercial & Multi-family 1% of job cost with a 539,50 minimum
R~sidential, New One & Two-Family 599,50
Residential, Additions & Alterations 539,50
Estimated Cost S
Building Permit #
PLUMBlNG PERMIT FEE $
STATESURCa~RGE $
TOTAL PER.1VIlT FEE $
.50
to'1" -""-'. 1
':(1 r"\'"
<I,;' : r:::
,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
By
Date
1~ hour no [ice for all inspections t9SZ) -44i-9850, fax (95::) ~4i-4145
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~'~~:n ~~~. I PERMIT NO. 'J _ I (I..,
3. Yellow Applicant , ,:;?'l V f'/
ZONING (office use)
14361 BROOKMERE BLVD NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/7/02
X NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
OGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL _HEATNGLO SL-550TR-C
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
AM HEATING @ COOLING TWO
7634283682
P.02
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
'~';',
~: ~ ~:~ I PERMIT NO. ;;(-- & I "'I
), Yellow Appli_1I , '
\i,',",.,..,i',..'.1 ~~;~,.... ~ ..bo<1om)
i~::;_/~i~/ 8/b~L
';~1~.,:.; ;
ZONING (ol!le~ us~)
h1.t J1'-f.
~/c..-p
~': LEGAL DESCRIPTION (olfice use only)
,':~: .~ ~
~'. ...., ~
LOT
BLOCK
ADDITION
PID
M)jloWNER
;J':; '(Name)
~,~... '. .
:;.~'<t (Address)
~(" r-<. 'I.
ttOn-tlS
(Phone)
.";~'~, :t-
\~...., '.'".
APPLICANT
(Name) ~~.... ~. . -.,
(Address) ) P'J-S-c:>
~ (700(i^?
t:!CJ\wI t\.~1..J ~c/
(Addre5~
(Contact Person) ,~ , '1
APPLICANT SIGNATURE
77"..,Q
gl
(Phone)
7'-3- q;J.9 - ~" 71
5"~3"<?
(Zip Code)
~ .,- ..'":
l:I;~I~
r .;...
" "1';;
rn.pl./l c.~
(City)
\~~-:' .';:.;,
(Phone) fcl 2. - "3(. -; -~'5"Cn 7
DATE ? -/~ ' (7).,r
APPLICANT PLEASE COMPLETE BELOW
. ';:;~\:; -~:.~
l~j!
.- '.0~
,;;I~;. .
i,f;~ '~ ., ",
:~~~-,::-.
; '..- _'.r .~
:i.:';j
. ,~~"
,I: ~. .:,
-,.f...
W CONSTRUCTION
FURNACE MAKE AND MODEL 8"''1 ~",.,J.
FLUE SIZE 4 It RETURN OPENINGS
o REPLACEMENT 0 AL TERA nONS
'? 5/30 ~"c!) 70 FUEL Co 0,.5
~ INPUT 70, o<x) OUTPUT .5"5': cOO
REA TING OR POWER PLANT
tt'>-...~. TYPE OF SYSTEM
'l",'" . ~arm Air Plants
t:..: OGravity
;y,,;,, 0 Mcchanical .
fi";: ~r Conditioning
:t,.;;. OVcnt. Systcm
:./>.-,,<...;
.;~~,',....t'
tt~'!'~,~,J:lREPLACE MAKE AND MODEL
j~,;1'i
A:>:tl; , ::::~::~~:::i:;i: :::::::tructiOn)
'I!!'~ Ro<;d<nti". H""ing Onl, (N.w Con"",";on)
;~ .
r~::,,'-'i
o Sleam
o Hot Water
o Radiation
o Spccial Dcviccs
o Othcr Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
539.50 minimum
599.50
564.50
$39.50
Residential, Additions & Altcrations
Residential, AC Only
539,50
539,50
Estimated Cost $
Building Permit #
':-"; .
;;;':
'~J
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
S
.50
F
Date
By .
';r. ,/1
.','
~: ,:.( This Application Becomes Your Building Permit When Approved Paid
(Orner Ule: Only)
Date
Buildin& Official
14 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10/07/2002 12:00 5
_0._. __ _____.._ ~ __........
CItY 0,. PllC8 LAD
PAGE 05
a..,
,. oU'I'tiCAHT
K ~.. R. Conc:rac[inl. Inc.
324~5 Lake Aftnu~
I (A~) _ Ne-,v Prague, MN 56071 ea.t
I 9~2. 758.6247
(Clmga,...) tt ~'~.t-~a~ t . '\ (1'..)_
.,APP~~NTao~~._--~-~'IJ12?7t~ DATI
APPLICANT PLEASE COMPUTE BELOW
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'ry,. eI_ pipe, CJ 48C 1Rl~ 0 C.1ran
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-WE.4ND WATER naM1T
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ra....aw" CIMl'. )CuftI.o_i1y J" CltJot. ~ ..hila 53'.50 ......
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I
j
!
PRIOR LAKE
INSPECTION. RECORD
l?fJ/d
l Se~ +4 ~a-l'V\. f;"t ~
DEPARTMENT OF -. ---~ -
BUILDING AND INSPECTION
SITE ADDRESS I L/)~ { KIt-()l::-lAN't-..O
NATURE OF WORK ~J P L. J
USE OF BUILDING 5F-A
PERMIT NO. 02 -(){c/h DATE ISSUED 4-"::<f3-o C
CONTRACTOR -0 ~AATo.,x... PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
! FOOTING I 1; l/ I
I FOUNDATION (Prior to Backfill) i ~ >- i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J
SEWER I WATER I SEPTIC ~. \ /
v
FRAMING
INSULATION -
ELECTRICAL ~ ~.....~.~
PLUMBING 0;;, 7/.7<1/0 7-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
~ FINALS
1
t llljEJ2-
GRADING (Prior to Sodding)
BUILDING ~.Ri..r~~l .'>
ELECTRICAL
PLUMBING
HEATING
DO NOT
30W
o q Z-3 DJ-
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 heen. 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