HomeMy WebLinkAboutBuilding 02-0618
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QLtrtifirau nt UDrmpanry
CITY OF PRIOR LAKE
, l\epartment of _uUlIing 3Jnspection
"'d Final Permitted 0 Conditional C. O. Expires
.< ;;;s Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time o/issuance this structure was in compliance with the various ordinances o/the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 02-0618
Bldg. Pennit No.
Use Classification
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description L5, B2, MEADOWVIEW
Owner of Building
14365 BROOK1'1ERE BOUl,EVARD NW
Site Address
Contractor'sNamecl:Address CENTEX, 1"400 WHITEWATER DR. , SUITE 120, MINNETONKA 55343
ROBERT D._ HUTCHINS
. g Official
City Planner
Date:
DON RYE
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT, Date R-ee'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(JIJ"~~
LEGAL DESCRIPTION (office use only)
LOT S;LOCK :( ADDITION
Lj_~~O~
I PERMIT NO'D2--0&IB
1. White File
2. Pink City
3. YeHaw Applicant
/V IV'"
PID
. VW-n:rIC- i6'~r?
Iv/lfrzp;r", ,,~~ P' ;f,-
BUILDER
(Name)
(Contact Name)
(Address)
~..>
//t-#c/l-~o
ZONING (office use)
R:2
(Phone) ?)2.-?}" - 7 (J-$,3
,.,nr (,20
/'I O"...~.rrulY~4-
(Phone) f ,,-.2- r?' --18,JT
(Phone) ~{ L - Jt,? - Yf,lr
TYPE OF WORK
ORe-Siding
J;tNew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ ( ,l r; (I()iJ
OUtility Connection
o Fireplace
OAlteration
o Addition
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 plan I a are th e ildi 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon p rty to pe de tions.
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
$
$
$
$
$
$
$
$
40.'
comes Your Building Permit When Approved
,Y:2E-OZ
Date
$
$
$
$
$
$
$
$
$ 5. 300./
~4Z40 [-
2V67~777
Contractor's License No.
Park Support Fee
SAC
#
#
7'-/~ -,-<
Date
00.06
cp6 .00
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
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
""~~ 5/~~!D2- ~ ~~~CrrJr~.,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
s f~O.l t:j
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I Paid
Date
White - Building
Canary - Engineering
Pink - Planning
Tht' Ctn't>r or rhl" 1..1t.. Counlr1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT &/11' ~ =I{~
APPLICATION RECEIVED L/ - ./( -0 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!'I81a~ ~~ l3/ud
Accepted .~
Denied Af)f() Jf.
Reviewed By: ~~
Comments:
Se~ +k MeUM. Fw
Accepted With Corrections
Date:
C/-28-.()~
"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."
----. ---------.----.-_______. u___~___.,______~_____.._" _._
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Tht' C"t'ntt'r of 'hf' I..kt ("ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1&.:1( 7;1/. 7J(h71~J!J
L/- /J>:-{)~
.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposec;:l at:
.I ~/,3 ~ ~ t:;~cr k/YV~~,~ /5/ u d
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
A/~h3
5!c.. /YIC" ~ F,'((.
Date: LJ -.)'1"'& L
"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."
~Y/1f\'\~,
-~.'1
04,'.".VES01,,"
CITY OF PRIOR LAKE PLUM13lNG PER\UT
rp!":}se " Or cline .1I1d SIgn .le bottom)
, ADDREss
/</.]'c/~ k ~~,../( ,81t/.
APR I 5 l.
[<GA.L DESCRIPTION (om~"","lY)
C.OT
BLOCK
AD D fTI 0 ,\;-
{:;:;; ;::; PER.JIJT ;'00. ,_ / /C I
' Y",." ,..,,""' 0( (p /0
I
~
i (.\/J.:7':e)
I
I (.~c.dress)
PfD
I APPLIc.
! I 0iJ f:l e)
I
(Add.ress)
(Phone)
(Co;::.1..:: Per:;on)
(Phone)
~$0r
??2-C/Z/
r / uC
(Zip COde)
AP?LICA:\iT S[GNA TTJRE
I Quantity I Type of Fixture I QUantity I Type of Fixture
I 2- I Bath TUb With Or without shower I ;7 I Rough-ins
/ I Dishwasher I ) I Water Heater
/ I Floor DraIn I I Water Sonner I
.3 I Lavatorv (Bathroom Sink) I / I Stand Pi~~ nVashing ;'v(achine)
-
/(--GJ
(Phcne)
APPLICANT PLEASE COMPLETE BELOW
DATE
tf'L
I'
I Laundrv Tray (J 0, 2 "ampanme", SInk
- -
/ Shower Stall I I BacktJow Assembly
/ Sinks I I Backt10w Assembly Test
Bar Sink I I Lawn SPrinkler
-3- I Water ClOset (Toilet) I I Other
I SeWage Ejector
FEE SCliEi)LLE
'd",",1. COmmocd,J & MU/ti.'omUy 1% of jOb "" wI'h, $39.50 ml'Imum
Estimated Cost s____
::se Only)
PLUMBlNG PER1vUT FEE
STATE SURCI-lARGE
TOTAL PER.MIT FEE
BUilding Pennit /# ____
R~sidential, New One & TWO-Family $99.50
Residential, Additions & Alterations 539.50
$
---- ----
s -------.JQ
$----
<pp/1ca'Ioo Becom.. YOO' Bol/ding Perm 1, When Approved
~
Paid
'I ,-.., >,
r~',"lr, ""--, .
':'''''~!;:\I~.., r'''~-:'-'" ,
~ ~f'i.j':~i r"
BUilding Official
" ho" '0'1" [" ," I.,p",Io., (95') '-'7.9850, f," (OS,) '<7-1"5
Receipt No.
By
AM HEATING @ COOLING TWO
7634283682
P.04
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Re('d
I. Pink
2.0.-
3. Y.IIDw
File
Cil)'
^ppli.....l
I PERMIT NO, .;)~/?' I
I ZONlNG'__l I
81"p
LOT BLOCK
; .~?;1.'.' '.:.[.0. WNER
. '- -. -' ~- -
;i~H(Name)
.. .~ili'.A ~.
")j;..~' ;,i
i i...~.;,.i;.i .l(Address)
L~1"!':';1 '.
ADDITION
PID
<::: ('" f--<.~
Hd~S
(phone)
APPUCANT
'.' (Name) . ~~ClI .f-. . "7'
(Address) ) r-J-S-c:>
i- c?oo(l,,! /'7vo
~C.H'" I\.-'t-v ~'" ~ I
(AddRs~
(Phone)
7'3- q;l.? ;" 77
~\-3" <f
(Zip Code)
C. r4:M.-C
,." .pl./l
{City}
(Contact Person) ~ w 'f
APPLICANT SIGNATURE
(phone)
DATE
tal L - '3'c.;; - r;-'5~ 7
-16 -02-
jl~t
'I{o~"
i~i
,.i,..,.~
it;:;'f
...r"'.
'I~i":~;ll'
~l1.;";'
!:~[~q
t
FIREPLACE MAKE AND MODEL
TYPE OF SYSTEM
c=rWlUTtI Air Plants
o Grav ity
o Mcchanical
~r Conditioning
oVent. System
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT 0 ALTERATIONS
"? 5130 ?,,~ 70 FUEL Co 0,.$
~ INPUT 70. 000 OUTPUT SS: Oc.K)
HEATINGORPO~RPLANT
EW CONSTRUCTION
FURNACE MAKE AND MODEL <3 r"'y ,eJ 11 ..,J.
FLUE srZE 4 'I REmRN OPENINGS
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEAS~ NOTE:
Air Conditioner Units
Cannot :Gncroach into
Required Side Yard
Setbacks
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fircplace
539.50 minimum
599.50 Residential. Additions &. Alterations
$64.50 Residential, AC Only
539.50
~esidential, Heatin& & NC (New Construction)
j,;R.esidential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost S
Building Permit #
(omce Use On1)')
This Application JJecomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
r- ~.~. F~ ,
I~,. ~ ~/~'i t~~,f'i""".~.1
.::;!J:ff_I'1"'",,-, .. : ,
. ~ .' "~~', '~"-;' '.
Receipt No:
...
Paid
Date
By .
Buildine Offici.'
D.le
24 hour notice for .11 inspections (952) 447-9850, fax (952) 447-4245
-~,urf~~~~ lL:~~ 5
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C"1Tl' 0,. PaJe. LAQ
CITY or PlUoa UXI
-WE.4N'D WAn. PEaMJT
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'"4PPUcANT --
~. K ~~ R Contractin'l Inc.
· " 3 2.~5 ~ke Av.:nu~
~ CA._) _ N....~. MN 56071 _
I 9.22.758.6247
(Casaa "*-') ~~4~ t ~ 'I (7"",__
.....~1I0~~___ ~ - -~'O"'~"'<A~_' lOA,..
APPLICANT PLEASE COMPU:n BELOW
;5.. of......
lace_ Df 1113' aoup .
'J')pr 01..... ,.,..
r&tJLMN J~ of
a- a~ (It
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w_ c_.... .J, '11.'0
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II'MU Am) Vi TlI. PUlt4IT na $
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PAGE 86
1..&
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PRIOR LAKE
INSPECTION RECORD
~ ~ /'1",,>\ h ~<<-
DEPARTMENT OF
BUILDING AND INSPECTION
51TE ADD R E 55 1<./:\ ~r; 'Rl&> \:0 ""......... \)\ u"""
NATURE OF WORK N~w
USE OF BUILDING ~ SF t3:.
PERMIT NO. 02- -(Jr;7/t?> DATE ISSUED
CONTRACTOR 0."",\,,-,., PHONE &.1~3"1-l/-'5.,)'l-
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 ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
I
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
.q- 5- d..
S-~- ~
--:-; ~ 30-.,;L
" -5- do.
g-.5-d-.
]
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 bee~ 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