HomeMy WebLinkAboutBuilding 02-0944
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CITY OF PRIOR LAKE
\ ~rparfmrnf of ~uil~ing Jfnsprrfion
O/Final Permitted D Conditional e.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 thefollowing:
SINGLE FAMILY 02-0944
Use Classification
Bldg. Permit No.
Occupancy Type
R".,
.."
Type Construction
VM
Fire Zone
Zoning District
',OT L', HLOCK 3, FOUNTAI ': '-lILT.S ')ND
Legal Description
Owner of Building
Site Address
14246 FOUNTAIN HILLS CT
UEN'\.{AN}; 1-J()MFS 1,~.9.!-) p.r.A',,~/\ flP., #.:)(\,.(1.... "',AGA"'..l, '.'..I,J
Contractor'sName&Address w<,j~.:; ,.j' I. :,.~,., . . ...... II r.
5512'2
ROBERT D HrTC~HNS
. ,~, . Buildin, g Officia,l
t I i ~. C"
. , j )
City Planner
Dm.; RY~
Date:
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L See Ra ~'^~0
Date Rec' d
7-J/-J-
White File I PERMIT NO I
Pink City . /)? -O~ AA ~
Yellow Applicant . J,Lv L ~
ZONING (office use)
It/:J 4~
T: J/.r'j) J /ji
{tL.t'; ~ ~
LEGAL DESCRIPTION (office use only)
LOT J Z BLOCK 3 ADDITION
z,,~
~"^ \ ~- \-t \ \.s
PID
OWNER
(Name)
-tv'~V"" tV\v1 (-\Or" tS
P\AZ~. On w.
<:; \A.\e. "ZOO
(Phone) _(&s~ 40 6 - 4460
~t. ~ 1"1"-1. 55122.
(Address) t<6'15
BUILDER
(N ame)
(Contact Name)
(Address)
tll\~ V"\ ~'" ~ 0 'f'^. e S
t-/\ fA t\ t-I\ 11I Z~ '-
P\t.1t; D r\ ~
(Phone)
\ <6~ 5
<;J~
zoo
TYPE OF WORK
New Construction
ODeck
OPorch
ORe-Roofing
ORe.Siding
OLower Level Finish
o Fireplace OAddition OAlter7 OUtility Connection
PROJECT COST IV ALUE (excluding land) $ ~Jf 6Zt 000
o Misc,
I hereby certify that I have fu ished 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 e.mentiom:d property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. m e tha uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official orl designee may
:nter upon e rfj ded inspections .tl {4 S- <6 17 10 L
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Si '; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $ ( 200. CX)
Water Tower Fee # $ 100 . 00
Builder's Deposit $ .-
Other $
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ loo.c:>O
Mechanical Permit Fee $ 100 .00
Sewer & Water Permit Fee $ 5' .Q/
Gas Fireplace Permit Fee $
TOTAL DUE
$~7/2.Z;
:~ 'l(~_.Io'~~ ~~eiEtNO 'fj2~ i'
7-25-02-
Paid
Date
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
:~I~; Slg,ned by the Ctty Planner constitutes a temporary Certificate of Zonrng compliance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy must be
~,P~./4'--:::--L, '7 { -~t01 t!Y2-
. I annlOg Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/'
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~'2/i-- i:J z- /,e ~
ADDRESS lLit.-Lt ~y{3 ~~t4&LL;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
. PLUMBING FINAL
MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
,.
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1ISltOTl
.
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White - Building
Canary - Engineering
Pink - Planning
ThE' Cfnler of thf Lab Count.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ii/ iM'1y/J~a'U/}1../ ~
APPLICATION RECEIVED 7- J J - d-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;X tJ T 1;;2-, ;1L '3 ~(J1L~i~7? Ilia :2td-.. , .
I /L/cA I/~? ~b'1(/~. MLh (Jf-
Accepted /< Accepted With Corrections
Denied
(/l;.
Date:
7-25'-oZ-
Reviewed By:
Comments:
J~ L ~cu'v\ {?(~
"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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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT k/ Ml('/./'J1!c~ r)J~
APPLICATION RECEIVED 7-) J - d--'
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
/3{ {) -; , I ~ I /:; i 3 ~()Zt/fl.tlMJJk~ ,:) jUj
fl.
/L/;J 'I ~
Accepted >< Accepted With Corrections
Denied
Reviewed By: Ml Dale:
Comments: See Reverse Side for Additional Information!
See Attachments: 1} GradinQ 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."
FILE No.885 10/04 '02 06:24
ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 5/ 11
~~
~--
The CC'"I~r or (he L..~c Couillr}
CITY OF PRIOR LAKE ~: ~~~~w '~~~ucao(
PLUMBING PERMI.T PP No. J - ~LILj
:~~:,::~l~~~~p:h~;re~~~~
Legal Description: Lot Block Sub
Site Acldress:-14CJ..4,( q F~ .,V\-t~ 11\ }\; l \. ~
BUilding Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
, Bath Tub with or without shower Rough-ins
t Dishwasher \ Water Heater
1 Floor Drain l Water Sottner
a.... Lavatory (bathroom sink) \ Stand Pipe (washing machine)
, "...
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Back1low Assembly (RPZ. Double Check, PVB)
, Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
d- Water Closet (toilet) t Other -.z;,. {( (111Jr V
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 OJ,, of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
Stale Surcharge
$99.50
$39.50
$
$
$
$~
.50
GRAND TOTAL $
This permit is grant~d upon the ~);prcss condition Lhat said
ContracLor, shall comply in all respects with lhe ordinances
afthc: Sl,atc Plumbing Code and the amendments thereof.
RECEIPT NO, DATE
A TT'EST
.,
.......".
"..,~;
, ,.,!:) ~<l!/'I
'~ ",h.
~ '~l"1
. ,
'0
, I
; ?nn?
Call for all inspections 24 hours in advance. ~
16200 Eagle Creek Av. S.E., Prior Lake, MinnesOta 55372/ Ph. (612) 447-4230 I FAX (6J2) 44~145
An Equal OflPorlunity Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~~7?~
Date Rec'd
~. ~;':n ~~~, I PERMIT NO. -"/- Q tj) I I
3. Yellow Applicant , ()< -/ ':1.,
ZONING (office use)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(Phone) q5~ ~ q ~5 -70172
o L.t
~=~RD.~. Horfon Gusbm
APPLICANT J\ , I . 1 M ---
(Name) i11J' Qr1T e<L. ,].,t/Y2...
(Address) 3~50 f<enne bee.. L::r.
en (Address)
f z;
5+e. #/
(Phone) Ip51- 45~ - c:?775
):"afjan 55/~
(City) (ZIp Code)
(Phone) (P5/-45~- ;;770
(Contact Person)
DATE
~NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~4n+ 383KA-Vb1J,ll)i 0 FUEL I\JO..hAr"n.. I
FLUE SIZE 'f1\c(a.S'D B RETURN OPENINGS ~ INPUT 10.000 OUTPUT '5i.o~CO 0
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical . o Radiation Cannot Encroach into
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
/ .50
u?
?
r~ W -"-"
. ., I"""
,...!~'n
~ pr-:: '::'~M?
=:;,0 w;:; IJ.~~ (J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Inn?
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~onw ~l~icant I PERMIT NO. ;;)- q LIt! I
ZONING (office use)
14246 FOUNTAIN HILLS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN 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
10/17/02
xD NEW CONSTRUCTION D REPLACEMENT D 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:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
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
Receipt No.
Building Official
Date
Datett'r ') t;' '11'
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FILE No.303 02/14 '03 10:54 ID:PLYMOUTH PLUMBING
FA><: 7635331121
PAGE 7/ 47
~I!. - FILl:
'HLLOW - APPLICANT
GO~D - CtT'f
CITY OF PRIOR LAKE S.w. No, c;: ~ 9/-11J
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT '~~n( ,+IA P\Li.v'YI ;~
~DDRESS'~ ~00V\t.-a\v'\ . \ \":> t'\-
SIGNATU:Jlb)'~~Ye j
I '
ITE ADORES :
PHONE :t!~~)5?2!:J-'W .~C)7
DATE: ;)..- \ ~- 0."
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
,
AD
feet.
2. Size of water service
\ "
inch (es) .
')
Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVCY-' Cast Iron_
5. Est irr,ated 1 ength 0 f setoJer 1 ine t'-IO
feet.
6. Clean out (if required), located at
structure.
feet
from
=====~~~===~=~=====================~~~~=~=~=~===~=~~==============
This application becomes your permit when approved.
BY
DATE:
;========~===========~~=============~~========;==~=~~~=~~~=~~=~~~e
FEES:
$
$
c:,
.."
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer
record
to ins
issued
~~~rE
that no u
FEB 1 8 2003
issued for new construction must be
permit card at the t,irne~ issuance
'cate seWer and ~at801 ~~. are
I " 'NG
DATE PAID
RECEIPT #
AMOUNT PAID
REC/D BY
qj
16200 Eagle Creek Av. S.E., Prior Lake, Mmnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equ;~l OpPoTlunl(Y Employer
PRIOR LAKE
INSPECTION RECORD
/ t/~+L11p ::f dU7'v7at4J tJ;u;j.. r
L l'2 - 'Q. ~ Fc:u"'~"",-,,- H \ U '2.....J.
cefC.. ~ M.o.\\A kte
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK ~e\J
USE OF BUILDING 'S~~
PERMIT NO. OZ-OC?# DATE ISSUED 7-?.5"-oL
CONTRACTOR \.i )~~"'- (~c PHONE &51- <{o~- '{(j:[3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
DATE
~
I FOUNDATION (Prior to Backfill) I ~ I 1, Ie..( IDL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
U~J) ?(Is(()"v 10/"
&, t~7 t:8~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
(Or)-l[
{;@ (3DltIL
, " l' '
" J .. ./ ~
,. v'
.I
/0 - A/
I ~2--11
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING <(elM P Ui1 lit ~-I-(Jl;,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
s
I V 2-/1:7___
/)..- J t. trl
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been ~pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850