HomeMy WebLinkAboutBuilding 02-0690
QLtrtificau of ~ccupanry
CITY OF PRIOR LAKE
.j, J)tpaftmtnt of llutlbing )uptdion
('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
Bldg. Permit No.
02-0690
Use Classification
Occupancy Type R3
Type Construction VN
Fire Zone N I A
Zoning District
Rl
L13, B2, lVENSMANN FIRST ADDITION
Legal Description
15272 FAIRWAY HEIGHTS ROAD NW
Owner of Building Site Address
WINDWOOD HOMES, 14311 EWING AVE., S., #200, BURNSVILLE 5530
Contractor's Name It Address
ROBERT D. HUTCHINS
City Planner
Date:
DON RYE
Date:
I' " - 'I -
POST IN A CONSPICUOUS PLACE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5.24-(12-
1. White File I PERMIT NO I
2 Pink City . /\? _ tJ /_Q/\
3. Yellow Applicant Uv CP I V
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
TYPE OF WORK
ODeck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
~
ZONING (office use)
,e/
PID25-J74- - O/7-(}
(Phone) ~< a. -1 /S- ~ 4 Y ~
(Phone)
(Phone)
Cf-s{).. -R1~. f? 4LJ€
Xl D:J..
ORe-Roofing
OAddition
OAlteration
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
enter upon the property to perfo\m needed inspections. f
x
Permit Valuation
I
I
Permit Fee
$
$
$
$
$
$
$
$
It)o .06
100.06
3S,Sb
.00
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ecomes Your Building Permit When Approved
5"-0-02-
Date
~ 1//
Contractor's License No.
Park Support Fee
SAC
#
#
~Jaa/C)~
Date
$
$
$
$
$
$
$
$
$
I Paid '~~3J; 11-
Date _CJ.--(l
.
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 ~~~~~ & / Ie. /iYL ~.L- ~~~/tLb~~{\{-t)YYS
Planning Director Date r Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter
Size /8"
fl.
.
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
-.
-,I '"; ".:+'
-._~~... ~..:: . .,~
Thf Cf"'rr of Iht t..kf ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT AP~ICATlbN DEPARTMENT CHECKLIST
NAME OF APPLICANT
WINO WOOD Ho/V/ES
5" - zLf., 6Z-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r-/1//?W/iV'/d;:;7C!j~ ,e;<JA-D 'NtJ
/
Accepted
/5Zf!Z
X
Accepted With Corrections
Denied
Reviewed By:
M4-J3
Date: 0- '1-02
Comments: See Reverse Side for Additional Information!
Driveway Must Have Concrete Apron
Damaged Concrete Walk Panels
win be replaeed hy the Builder
prior to Ilmtlllnce of Final C. of o.
See Attachments: 1) Grading Plant 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
The Crnl('r of the Lakfo Count'")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W/JVOWOOO HOMES
5-z~; tJ2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r/l//?t1/~ #G7~H73: ~A'D AI ~
/52-612
7
Accepted
Accepted With Corrections ;>l-
Denied -A7; /fl I
Reviewed BylJ;:i/(iJ.,-~.LX Date: S-- /YJ -02-
/
Comments:
U tL1! aJtuw ~J O-L:sG
"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
Th(> Cfnlrr or the l,.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
ili'f /. ji.
f't //\'/..-' / i (/'(, i~/ ,'(""il I', {:___
APPLICATION RECEIVED
..r ( / 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i/
1'~'
~
,1"/ {~ ...
<' ~- " ;J'i',l ,,,,,,
i. .' Ii L'
i
f i. /
I'/! ""<
/~
Accepted
Accepted With Corrections
Denied
Reviewed By: ~d/f4-. ~~
Date: & IC::/()Z-
Comments:
8;w~ ;r-R- C1v4)~-t. )4 ~b<'-k;:. 'G
S~~ t~ Lt~_,
:r~. ~vJ,r-V/-p ~ ~w~
A- L f/VIuJ~ ef~~ iMas-- ~d2Q ~_ ,
~/AU___~ {~LDFr\Q ~~ L1~~'
"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."
1:54PM NO.419 ~.l
Dale Rec'd
~: ~:., ~~ I PERMIT NO. "
3. Yellow Appli<anL . J. (p tl 0
ZONING (ll(Tj~C\l~)
~(A~ - ~"
~ ~~ ,\r\\ 1
c.."
\~!-
PID
~
LB.O'AL DESCRIPUON (omce use only)
LO'f \ ~LOCK -a-. ^DDITIO~
~~'l"
o \.A. .... "" ~
(Phono) "\ 0.- 'i? <i ~ -'l! '1'-1 \? I
s s )()
O~ER
CN!:tI1'}C)
(A~d(ess)
~
, ,~
APr{..ICAN r -l \ -r--
(r-{arpe) \f\~ ~ r~ \~",.... --1_~'~
(A~d~eSS) \ ~ ~ ~ lJ '\j, \ l (j ""'- ft \! '\....
.' (Address)
(ClJnll\CC Person) N t.\ V' L \1 S, t..-" ~ '- \ \..
AFPpCANT SIGNATURE ~v\{V-\.:6 t..Ll..~
'.
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPI...^CEMENT 0 ALTERATIONS.
FU~1jACE MAKE AI'D MODEL '" ~~;., .~ r-." P IS~ FUEL N ~ t
FLl:'~ SIZE <' Ii ~ RETURN OPEN,- .OS ~:::>" INPUT <i. ~ ~ <:> <l OUTPUT') , 0tP
'TYPE OF' SYSTEM HEATING OR POWER PLANT
(Phone) ~ S ~), ~\\\ l- ~ \ d~
"., ()_ \..l.,\~ ~~ S~ ~'....,~
(City) (Zip code)
(Phone) 9 ~:2." \i\ ~ -,. ~ \ \l \.\
D^1'E \0 - :;It- ~
, . l8.Wann Air I'll\nlS
OOravity
o Mechanical ,
OAir Condilioning
~Venl. System
o Stellnl
o Hot Willer
o Radiation
o Special Deyices
o Other Devices
.'LEASE l'lu'fE:
Air Conditionel' Units
Cannot Encl'uach into
Required Side Yard
Sethacks
Fll\EfLACE MAKE AND MODEL
FEE SCHEDULE
Indilstllal. <.:ommercial &. Multi-family 1"10 of job cost Rcsidential, Gas Fireplace
539.50 minhtll~m
RClIldc;I'lial. Healing & Ale (New COl1stroctiOI1) $99.50 Re:;ldential, AlIditlol's & Allcrotions
Re~idr;f\lial. Heating Only (New Conslruclion) $64.50 Residenlial, AC Only
Estimated Cost $ <\ S c:s~ ~ Building Pennil #
$39.50
S39.-S0
S39.50
HEA TlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.so
. /!JUl.! ':.A. if) ".
"4/'.!I. IV"
I,'".,,..,, II; I
ReceIpt No. ':",-~."/..
J".j/~
(Ol~eal'se OnIJ)
l~ Appli<aU.. Jl<cn,n.. Yon. Ihlildlna permit When Appr.ved
Uulldlnc omclllll Oala
~
lit
Date
JUL
24 hOllr notice for .n Insllectlons <'52) 447-9850, fA'!' (952) 447-4245
10: 35RM
MRTTHEW DRNIELS, INC.
423 3017 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVIIT
~. Blue=: Ifile
~. Gold City
1 Y 4tllow A"hca".
tY.w.
I PERL~nT NO. A -'"096 ]
I
ZONING (ol'lit;. liS'"
(PI<", .,.. o. ~rio' "'" '=""
[ ADDRESS 1 . /.aI ~
~2, t. ~~ ~L
I LEGAL DESCRIPTION (office I,l$c only)
i LOT 15 BLOCK ;;.. ADDITION .JIr~ /1J1:;
PID
OWNE~' ~ ~ J
(Name) ~ ~.L ~I ~ ~ JJl1
(Phone) ~. ?flS- ~44-K
~.. ~dll A vu"J 4i;) I w. II .. 5.5.~'1
! (Address) I~II I~~u.~ t ().Ill ~ ~~ J
APPLICA~~ _ ~
(Name) -,~i.._gj-;J illl'JlJAJ .'-AA(l~. (Phone) t.,S). ~J..?j.
(Address) /O-tl) (J.JlkJ. AJ1)(\ I} J ~ .JnJh q'4J ri 41 J 1 f-'. \..ji 7)
(Address) If (City)
.j73o
I
I -
\ (ConraccPerson)
APPLICANT SIGNATURE
(Phone)" ~5"J .
.sso68
(Zip Code)
J.u5 ".3'J30
DATE
Quantity Type of Fixture i Quantity Type of Fixture
I Bach Tub with or without shower ! S- Rough.ins
J Dishwasher J Water Heater
I .a floor Drain J~ Water Softner
I
~ Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
I laundry Tra:y (lor 2 compartment sink i Sewage Ejector
I Shower Stall ! Backtlow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
..2- I Water Closet (Toilet) ! Other ,
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commcrrcial &. Multi.family 1% of job cost with a S39.50 minimum
Residential. Ne:w One: & T~o.Family $99.50
Residential. Additions &. Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
s
S
$
99. Gl) \(..1"
.50 ~ \v(\) rJ
~ft~~,.t1-&1k. -r ~
(Oflic:e Use Onl~)
This Appli~ation Becomes Your Building Permit When Approved
_~ ...1iuildinl Omcial
,L'
al V j
:( I
, I
Date
Receipt NQ,
Date
24 hour notice for.1I inspections (951) 447-9150. rax (951) 447..4245
,
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7 --I d-o Z--
I. Green File I PERMIT NO a
2. Yellow City, . O'? - (J(p ~
3. Gold Applicant L-
ZONING (office use)
J s) 7.2 r 41::.2 w I+~j
H' r JI~, /2 f) . nJ . kJ .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) IN ':t:-vJ D W 0 ow::) H OM tSJ'
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) OIL 6-S'J.I-tJL b ,^C .
(Address) lbllJ 'J'6fL-~ lAJ'A-.'1'
(Address)
(Contact Person) r1l-\.. .r C U
"\
APPLICANT SIGNATURE
(Phone) (9 S.2 J g\ 92 ~4:.. q 0 Ie.
LV,-U L , rS-olfL{
(City) (Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ---L- inches.
Location of any couplings from structure -- feet.
Type of sewer pipe. 0 ABC [] 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
c/o
Estimated Cost $ '1" ()O .
Building Permit #
oz.-0010
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ~
~
~-
/- P~1
(j vOfl-.-'
(Office Use Only)
This Applicati
es Your Building Permit When Approved
1/1 ( .., {J V"
Date
or (y "'" z..,
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
. .... .
CITY OF PRIOR LAKE
.. Impervious Surface Calculations" - - '.
. '. .c1:o. be ~ubmitt~ ~ith 13~iIding Permit AppliCltion)'. " , .
, For All Prop~I:t!es Located in the Shoreland District (SD).
Prope~ A4~s~;;~;eITi::urfuc~:~::e~rn:ed ~:percent
Lot Area /4 I 61 ' S-- Sq. Feet X 30% -' ......~.~.~... 4 2-4/ ~ CJ
*****~****************************************~******~******************
LENGTH
"WIDTH , SQ. FEET
x =
HOUSE
ATIACHED GARAGE
x
x
I
... .
=
"'/
t6//
TOTAL PRINCIPLE STRUCTURE._.._....._.__...
. DETACHED BLDGS
(G arageiSh cd)
~"
x
p/J
TOTAL DETACHED BUILDINGS...............-......
DRlVEW A YIPA VED AREAS
(Driveway-paved or not) ,
(Sidewalk Parking Areas)'
2? X Zo;
=
~t7
.. . x.
=
,2- x 4-
=
12-5
,
TOTAL P A YED AREAS......................................... 7'17
PATIO~ECKS.
(Open DI:1:Xs '/.... min. ,opening- between
boards., willi a pCT'Vious surface below,
arc not considered 'to be. i~pcr:i~~~,
x. = 264,(
X -
X =
. . ..
T OT _~ D E CKS......__..~_._..........._........_....._..
'. ..
2f;4-,r;-
OTHER
x
=
x
=
TOTAL OTHER......_.__._...........-....-...-.......... pit
. ,
TOTAL !lVrPERVIOUS SURFACE
~VER . -d-
Prepared By. . ~ fL.
Company I~L Z;~-M~ ~..
I j(P7tJ.;-' I
I 57/,4- !
Date . ~ ---It! .-tJ'L- .
Phone #= 4,1.. - :s OoD
PRIOR LAKE
INSPECTION RECORD
~'l~
SITEADDRESS. l~ &ir~ ~elfds ~
NATURE OF WORK .eu-)
USE OF BUILDING ~ FD
PERMIT NO. 02-0090 DATE ISSUED 5- 30 -OL
CONTRACTOR \AJiVv~L~'lf.,}{~ ~ PHONE 95;;. - ~15-8<<tC/6
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill) AA.~ - ~ el
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ 10 "'1-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL
t,.;
GRADING (Prior to Sodding) . ~ 5 .67
BUILDING
ELECTRICAL
PLUMBING / / - / Y
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 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