HomeMy WebLinkAboutBuilding 02-0852
Qrtrtificat! of ODccnpanry
CITY OF PRIOR LAKE
lDepartment of Jiuilbing In'pection
(:B'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:
SINGLE FM1IL Y
Use Classification
Bldg. Permit No.
02-0852
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District Rl
Legal Description L34, B3. THE WILDS SOUTH
Owner of Building Site Address 15353 EAGLES RIDGE
KA TZLAFF , P.O. BOX 1135. LAKEVIL T~E . MN 55044
Contractor's Name & Address
ROBERT D. HUTCHINS. / /
// ~ilding ~cia! l /
-- - '/ - C//j
" ( .-
City Planner
Date:
DON RYE
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(p., ZlP,02-
L White File
2. Pink City
3. Yellow Applicant
I PERMITNO.Oz,"'-O~5~1
(Pk= _ mprin. m~ 00:
[ ADDRESS ~
/5~S3 L ~ (p~
ZONING (office use)
Ri
LEGAL DESCRIPTION (office use only)
LOT'?) BLOCK ~ ADDITION
PID
"'... E 8a -
(Address) Il(
(Phone)
f/.JJS f.m cJ'v-tt:r
C~) 52.2 - '-C Cf'-'~
fY) rJ gp 6
BUILDER
(Name)
(Contact Name) U~
(Address) p,O, /b:; /3S- ~ ~
(Phone) Qfb-5't0
(Phone) q!'i-t//7~
t{;-/5"SVy$t
TYPE OF WORK
)l New Construction
OLower Level Finish
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
~ Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ 2.. tX:XJ
OUtility Connection
I hereby certify that I have fumishe 'nformation 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-me . ned 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 tha e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city offic)al or a designee may
ent on the prope to perfor eeded inspections. 'ltJ I rV ~o 7 t, / ~/(}'2--
X
Permit Valuation ~
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 1()().O6
Mechanical Permit Fee $ 100 . (:)0
Sewer & Water Permit Fee $ 35.50
Gas Fireplace Permit Fee $ qO~6
Contractor's License No.
Date
TOTAL DUE
#
a Park Support Fee
SAC #
Water Meter Size 5/8'; ".
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
)-rs-02-
I ~~:e ~t~1-X~
mes Your Building Permit When Approved
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
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
"""d &+-11 =-- ~~ .-- <'~ 7 / 8/ Cr7 (D;<~../ p",J f:'~~~,,<,
(...?) ~g 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
Thr Cf'nlt'r or Ihr t.kr ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
" .,
NAME OF APPLICANT/( u4~. .~
APPLICATION RECEIVED t! C2 t., - d-...
The Building, Engineering, and Planning Departments have reviewed the building permit
'-'. application for construction activity which is proposed at:
/5"353 EQqkS j:?,'JC;P
Accepted
x
Accepted With C.Qrrections
Denied
Reviewed By:
~
Date:
Comments: ~p-e Reverse Side for Additional' Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
. 3) Er.osion 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
Th(' ('tnlff of Iht Lake Count'")
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
t~
Accepted With Corrections
Denied
~-~~
Date:
/ /C/C7-
Reviewed By:
Comments:
N:il ~'/-l),,\ ~ ~7l~&l~ ~
e'\/\LV6)GL~,^ ev:::.~p IJv\P-A/~ ,_
[j-
"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 Cfnlrr of the Lake ('ounlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (..I? ~~ ~
APPLICATION RECEIVED - c;;2- ~ - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15"35'3 EQq/cs 7?,V)p
Accepted With Corrections -X
Accepted
Denied
CJ;8~
7-3- O~
Date:
Reviewed By:
Comments:
_erf)~ a.QQ CL*~ h~cQ c>uf-s
"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."
__'_ _ ___~_ _ _.., _ __--. "__ _.._ "___ _--.::..=- ,,". ~"'.l.Ui'\ LAl'(E
@OO1.
. CITY OF PRIOR LAKE
HEATL~G/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
(!>!ast: type or ~r m<;l ~~ ~~!ll)
I ADDREss
/~~~3 FCArfJles
LEGAL DESCRIPTION (cfficc U5J;l onl~)
~ ~::. ~i~ I PERMIT NO':J_ 0-5 ~J
1. V,II_ "'rpll=' (./'" O. .
ZONING (offi.c<o.<)
~.~~
N~ k).
LOT
:BLOCK
ADDITION
PID
--'-l
I
I OWNER & Ii /, 4 r;
I eN..,,) - -. Z~ r
L(Address)L 4 /
I ~~;~~ANT ~)DkD/kP
I (AddTC:SS) ,9/0)10 ~AI'I.J' A,)'t!:.,
(.'\Mng~)
(Cont..8.C[ P/!::;-son)
- ~&>7~~
(Phone)
C1gs'-.-;9 s'9
~AJ . /??~J
[City)
(Phone:) ~~-=-.G..O.9 ~
S"'sO ;;) .Jj
(Zi-p c<>Q..:)
I
l
I
I
"--
0/1"-
AE'PT ICA.1'iT SIGNATURE
/
(Phone:)
DATE
__. APPLICANT PLEASE COMPLETE BELOW
[: ,~ ~"EW CONSTRUCTION . 0 REPLACEMENT 0 AL TEltA nONS
FUR"NACEMAKEANDMO]:)EL 7ii'Laf?cc.q~~ ~A'~ FUEL
PL.UE SIZE RETIJRN oPE"NINGS !N:PUT ______ OUTPUT
'IYPE OF'SYSTEM HEATING OR POWER PLANT .
I' OWmn Ai~ Plants
DGruviry
I 0 Mecnal1kal .'
I OAir Co"ditjoning
OVen,. System
! FIREPLACE MAKE .....J\'D MODEL dea..i ..... ..0
OSt=
o Hal Wa.t~r
o R.ndiailon
o Sp<:cla! Devic::J
o .other Devic"s
PLEASE NOTE:
Air Conaitiom:t Unlts
Crnnot Enc;"oa<::h intJo I
Requh=d Sick Ya~d I
Setbac\::.s .~
G/p
InduStria/' CDmmercial lit M'JJri-Pamlly
FRESCB.ED1J'LE
1 % of job cost M5"id~ntiAI. Gu Fi;-eobe..
$39.50 tnir,ir;;um .
,,599.50 Re~iden,i<ll,A::l:;ihioHs ;...; Aj,,,."-lio;l~
564,5) ?cS"!d~::..d::-.!. AC O<i!Y
$39..50
i<,t:sirle:r.ti;;.i. K~Rting &. Ale (New ConmUctioT1)
?..~.sid~nH~!. "P:c,:.1;~~g Cniy (tJr:'u1 C~n~rJ,=~rnr~)
.~39.:iO
S~9 'S~1
Estim2.1ed Cost S
Dttiidh'g ?crmit H
HEATING PERMIT FeE
STATE SURCB..A..RGE
TOTAL PERMIT FEE
$
$
$
~
.50
~JV
~ d f1.o
I Receipt 1'[0.
IBY~
(Om". u.~ Only)
~hid.
I
LDate
--1/ /~/{);),
TnJs App!ic:.:!.tlcn: BccQmes Your Building l"eJ-mit Wh~n Approved
Building ofl1~illl
D life
24 hQl,lr no[ite for all i"~pe~tibn$ (!'1~;l) +47-9850, (.!IX (;1$2) 4<l7-4~45
100~
HIV 03110HJ.NOJ
9L6909tlS9 XVd 6t:61 03M 6006/LT/LO
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~:~:w ~ii~~. I PERMIT NO. t1 J ~ f5~
Gold Applicant ~ '
ZONING (office use)
)SJs-_( ~AC.L{S r2-~l)Ci
LEGAL DESCRIPTION (office use only)
LOT BLOCK 2> ADDITION
~bfJ/
PI
OWNER
(Name) R. 14 t (: l () F tc
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) () ,'2- E f' H E/l f Xc...
(Address) J 10 II 2 J" 0 r '-T:.J wit '--;
(Address)
(Contact Person) (S iA. ,.. c II
(Phone) qJ-l ~ 9,2 - b'f 0 c;,
L fL vL S,jo'lY
(City) (Zip Code)
APPLICANT SIGNATURE L....
(Phone)
DATE R ~
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. D ABC rgr PVC D Cast Iron
Estimated length of sewer line J.f D 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
$17.50 Water connection only
I % of job cost with a $39.50 minimum
$17.50
.cVJ
b~ 51
CI"
Estimated Cost $ 90 C .
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
flice Use Only)
is Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
09-17-02 10:33 AM FROM FGTN PLG HTG
TO 6124474245
POI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~~
fl.w.
~. = ~~J I PERMIT NO. '\ - 051 'J
) v....... "001'..... , c7' 0 ~ .
J I ZONING,__, I
l (p1,~ """ "....' ~d DE .. ....".)
ADDR.ESS
., 15353 cClJles
.. "-
LEGAL DESCRIPTION (oftia: usr only)
LOT
BLOCK
ADDmON
PID
~::.;~R2~<if~ Haoo eS
~Address) Wit Ue..
(Phone)
APPLICANT
(Name) Fa.r
{aC;1-4CR3-7 g;).'t
^ SSO;;l
(Zip Code)
(Address)
(Contact Penon)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
. Quantity Type of Fixture Qua..tity Type of Fixture
~ Bath Tub with or without shower .~ Rough-ins
I Dishwasher I Water Heater
'.- 1 Floor Drain Watcr Softner
,
...,. LI Lavatory (Bathroom Sink) Stand Pipe (Wll$hing Machine)
- I Laundry Tray (lor 2 compartment sink Sewage Ejector
1 Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
~ Water Closet (Toilet) Other
FEE SCHEDULE
InduSlrilll, c.:oml11erc:ial & Mulli-family I 'Y. of job cost with a $39.50 minimum Residential, New One "Two-Funily $99. SO
Residential, Additions &. AlteratiorlS ~39.S0
(omn Ule Only)
Estimated Cost S Building Pennit 1#
PLUMDl::~lIR'1vrJF~E S
STA~RC tMD~_
TO Iff E lJ
'In '
.50
~ r;~,~".~...
l',! '" ',i..J' 'u'r-.
~~) ~:' ~D f _,t, , r-'\' ~ i 1 .~~
.;j..:~ ~ p/~'"":":.~ Co r,
kecclpt No. .-.~
Thi. Applic.tion Becomes Your Building Permit Wilen Appr
Bulldlal omclal
b...
24 hDur Dutice 'Dr aUln.pecClons (9SZ) 447-9850, 'n (952) ....7-41.5
PRIOR LAKE
INSPECTION RECORD
R~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JS3S3 ~r.c:.
NATURE OF WORK _~ Q\O
USE OF BUILDING SED
PERMIT NO. /14..::1}>>S'2-- DATE ISSUED '7-3-.200;)..
CONTRACTOR-1C1h~Jc..q..: PHONE c;sa- Cjas-t/I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ " "P,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 8~cC-o ~~ I I
FINALS
GRADING (Prior to Soddin ) 1 d ~ l' -
BUILDING ~ ~... t...
ELECTRICAL
PLUMBING ~/I- /5
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 beeil approved. On buildings and additions
where no service cabinet is available, card s"hall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850