HomeMy WebLinkAboutBuilding 02-0987
Qrtrfificate of (JDccnpanry
CITY OF PRIOR LAKE
Department of JiluUlIing Jn~pettion
o 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 Owinances. of the
City of Prior LaJce regulating building construction or use. For the following:
SINGLE FAHILY 02-0987
Use Oassification Bldg. Permit No.
Occupancy Type
R3
Type Construction V N
Fire Zone
:v.! A
Zoning District R 1
Legal Description
Ll6, B2, WENSMANN FIRST ADDITION
NCDONALD CONSTRUCTION, 7601 145TE ST., APPLE VALLEY 55124
Contractor's Name &: Address
Owner of Build~~
Site Address 15248 FAIRWAY HEIGHTS ROAD
ROBERT D. HUTCHINS
Building Official
I! J 0 -~
/ " I
II
1/
/ /
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
'7-/5---0d-.
White File
Pink City
Yellow Applicant
I PERMIT NO. OZ,-'OCjfJ1
tizo, ReL
LEGAL DESCRIPTION (office use only)
LOT I b BLOCK
ZONING (office use)
RJ
~
7fc- tJ).{J'-
\
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER M n I /",r, - f -...L
(Name) / / lL'0uJf!Z/( ~ (V 5.1 . y--
(Contact Name)' ,je+,P Cur/SoP
(Address) 7 ~o I I LI5R S.,
(Phone) 952-
(Phone) ~ - 4a:1. ~7 (00/
S5/d-L
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
New Construction
OLower Level Finish
o Fireplace
OAddition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 pI ns. 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 upo op rty to perform needed inspections.
x
fle ~J~~
- , I.'"
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ too .00
Mechanical Permit Fee $
Sewer & Water Permit Fee $ 35.50
Gas Fireplace Permit Fee $ '-#0. (!)O
Water Meter Siz 5/ ; I";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
fi- 7-C1
Date
$ 8 SO. 00
$ CO .~
$ $'0 . 0 0
$ '/5 . cx5
$ f 2.0" . 00
$ )::::t~). ~ e
""-
$ / ~.C)O
$
$
TOTAL DUE
ames Your Building Permit When Approved
I Paid C( I tt' ~~::- I
Date /{-;;r-
?-zr-o'Z--
Date
Receipt No.
By
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
::::::"'" by fu, Ci~ PI"mcr ~'''M. , .mponry ""'ma. or Z,m"" rompb"re "d '"~~OO m ro~_ "'''''~''' , C~ma" or """""''' m",' b,
~ {,.. Director 'i A:"~ '7 a;;[<!J2 .' y ~~~~i~;;frany Cc~~\\-Bi\?
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
Thr Crnlf'r or Ihr L.kr Counlry
:)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LfJ'J& ~cdrE ~~
7-15-0~
The Building, Engineering, and Planning Departments have reviewed the building permit
Co application for construction activity which is proposed at:
/?~,-/p- '1-w~ LtJog y)& F:;cL
Accepted
x
Accepted With Corrections
Denied '
~llJ'L .. Date:
~'Must Have Concrete Apron
See Reverse Side for Additional Information!
,I?LJ I ()~
f
Reviewed By:
Comments:
Gu~6 M'K V'V\us"T \-lA.uf- A'l 1'TPE. GA.~i't),)~
See Attachments: 1) Grading 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."
ThE' ("E'nln of thE' Lakt Counlr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
LfrJ~ ~ai2& &~,
7-/5-C7d.-
APPLICATION RECEIVED
Accepted
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/?~'iP- 1-w~.tQet;j ~ Rei-
Accepted With Corrections Z
Denied 4 /J 12 ~
Reviewed By: if ~ f/ 7
(lI{ ~w ~wJ. ewts-
Date: )-2 C(-c52-
com(2~
"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."
ThE' CE'nlt"f of Iht" Lab ('ount,.,.,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'-
'--~" .
I
, ,c,'-"'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~c'
/
I,"
l .I,
,/ ~j .,/,,' "
Accepted
v--
Accepted With Corrections
Denied ~
Reviewed By: 9-""- - -~
Date:
71 ;ZO!C) '2-
Comments:
'Ti6€- ~v~~ ~~ e<< r{)}/~~
riA ~ "ilieA'_ VuV-P.M.Y-~ ~ ~
fA Jp~"t$ tMbAA~~vt Ik,~ Mdt l~ ~9-bj)~'p
~~~]~j?;~~;t#; ~...
~~ ~c,.
"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."
CITY OF PR.IOR LAK.E
SEWEn ANn WATER PEl~MIT
Date Rec'd
. ~: ~:~'" ~\:; [!ERMIT NO. t) '/ _(./ o--r;--l
j, Cold "PPU""nl CJ{ (} .LJ
lease cor rinrOllldsi atho[[~.~__,__, __... '__.. .._, _, . _ '_,
ADDRESS ~ J ~ rZONING('ffl"~)
.IEi a 'jlj?' fa-'~.klf4tJl?rJJ:.L OIJ, .' ----.__J ___
:;);:::::n;~:~~I::)t:~~6~ I~ ==PlD~=~~]
::::: _~~:,~c~~~~ '2~::p~o~~~ ~ _ -;~- _~_- --- J
APPLICAN1~h.e.-t: --~--_.--;- ?t20 7~ ~h
(Name) _.~~.~,_..~__~_ (Phone) '"_/1 .--~-L
(Address) d.3.1.1L20.~..-...fla~L:..~_..___". 81 f)()m~~'+~k1J:'!1.11L_., (L;,S-4:~ 1__.__
<Address) ~ (Zip Code)
~Cp:~:::O;:nNATURE _ -;t:-=.~ (Ph~::~:r~_~~ ilJ4~~=:=-
AllPI.ICANT PLF.ASE COMPI..:ETI~ RE:LOW
-... 'Si~e.of w~ter ~~clyi~~~~ 1 . inchc~."--~._-""-'''-""'-''''',-",
Locatiun of ~ny couplings fa'um structure l--f9_ feel.
,Typ~~ vf ~cw~r pip~. I.J ABC r] live 0 Cust Iron
Estimated lenglh of :R;wer line 5.,1. teet.
'_. C~cal~..~.~..(ifr~~~r~~d),J,~~~~I~~d at _..._ feet frum ~tru~~.~::.._.__._,.__.,.___.....__.,,__.,___,.._
Re!lidential SeWer ond Wl.Ccr lillt: COl1nection $J.L~iU
Sewer connection only $17.50
<:7' .,.- ')
F.~tinlntc,J CoM .$ --,O~).-'l___
.FI~F. SCHEDULE
Industrial, Com'l & Multi-family
Willdr connection only
1% of job cost with a $19.50 minimulll
$17.50
Building Perrnit # '__"___,_,.__
SEWER ^ND WATrm. PERMIT rEE
STATE SlJ/{CHAl(UE
TOTAL PEI<MIT (l'lm
$ '-'.'--.
$ _.. ....__.__ :~O
$ - .._-..~..-
........,.
Thi. Appliclltlon BelO!Omell Your Rllitdin~ p.,rllllt Wht'ln All.,ruv.d
:r-
(Office U.e Ollly)
<.. -----..-----.-..---..
b1a1d -- '----f" 'R~No. '---j
-I.>nl\: AUG"' 2 "9- f" i ;';:' U'y---"-', ~~..-
."'--_._-_..._--"~'~-=-.,' -,..:._--_....~...._,. .
2J hour nofi(!1) (or 1111 ill$IH:o:ttOIl~ <"~Z) ""1-98.59, fllll (9~2) 4~7-IU45
--"-u;;iicilri.'oiij.:'j;r-'-' .--..-
n~ic------'-'"
10d WdSl:cl c00c 6c'5n~
96~9c68 c19
'ON 3NOHd
::JX33H::J3.f WO..l.:l
_ - ~ (cfPR/~,
~
TN C- "I Ill. L.. e..."I'"
I "Iluo Fiie
~ ./.,lld Ciry
'1 (ei. l\4r
_. -
Quantity Type of Fixture Quantity Type I')' FiXture
r'~ --..--.---..-
Bath Tub with or without shower RouQt"'-lr:s
~ I -_.
Dishwasher Wat.r Heater
~ _. .-
./ Floor Drain . WatN S(.)ftnsr
'-I. Lavatory (bathroom sink) J Stene Pipe (wCtShing machine)
/ -
Laundry Tray (1 or 2 compartment sink) SeW3IJe Ejecta,"
r~ ,-
Shower Stall Bac:kflo"'J Assembly (~PZ. DoublO
~o- Sinks BackfloN Assembly Test
-
Bar SInk Lawn Sprinkler
. -~~ Water Closet (toilet) Other
Ctl~k, P\
--
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
<<
'it .,_
$99.50
$39.50
,.
'11
... -
$
.50
GRANO TOTAL
$~~~
" I
~" .j
This permit is granted upon the express condition that sair'
contractor, shall comply en all respects~ith.,.. the ord,i,J.I~es
of the State Plumbing Code: and the amotl)dftiert-$ @etW{
RECBIPT NO. DATE
A TrEST
Call for all inspections 24 hours in advance.
9 2002
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota S~37Z I Ph. (612) 447.04230 / FQ~612) 447-4245
An Equa! Opportunity Employer
,_ __ _ ___,__'_ __ _."-~~ -l' rZ'.tl,lK ).AKf:
. .
~OOl
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERlVIIT
Date Rec'd
I. rln~
1. Orltcf\
), Y,U....
~:~ I PERMIT NO. '1/ II (j1
^~pll."nr C7 '1 tJ
(plene ~c or ~t ud riIQ:l ~t ~l:tt)m)
I ~DDRESS , '
~
ZONlNG (o!:\c. 11$')
D.
I
LEGAL DESCRIPTION (office nsc O1'lIY)
LOT
BLOCK
ADDITION
PID
J
I OWNER
I (N,mo) r:?r:/Jc,;,y;./D
I (Addtess) A. l/...
I ~~;;~~~~ ~(e Q a,' ~ _ (Phone) ~ ~ fed ~
:(Add.H:.ss)~/;::;/Q ,__~,/lv_~~__-:. _,_.~_~____ ____.m.J::;:.,-:-=-
(.n.M.i"~$) '~-(a;y)
(Phone:) II
C~^ ~I-l
(:fhone)
~rt9-' 7(;c, I
5.56 -a.L/
(Zi1"'c:;d;) --
(ConbCl; Person)
APPLICA..1-lT SION}.-TURE dc:h
, (/J
..z~~~
DA1'E ,
9~/h- 0 C),
./ APPLICANT PLEASE COMPLETE BELOW
I- ~""EW CONSTRUCTION 0 REPLACEMENT 0 AL TEM nONS f
I :~~ACE MAKE AND MODEL ~flcrlft7ak(" GW)CyoC') FUl::L A'j/J ~
I FLUE SIZE ;K rf P/Je- RE1UR.N OPENINGS INPUT /1jt7 ~ OUTPUT '70} QCr)
, r ~
'mE OF SysTEM ;HE,A..TING OR POWER PLANT
1
PLEASE NOTE:
Air Conditioner Uni,s
Cannot B-m:l'oa,<;:h into
Requir",d Sid" Yll.rd
Se~bl!lcb
OWIlrn1 Air PllIllts
(JGl'llviry
~e..hani<;;t.1 .
~ CO[lditlol'dng
..eJ" e.~.. Systl;;m
o $t::un
o Hot WaT.er
o Radiatiot]
o Special I:l"vic=s
o -Other De'Vic!l.S
L FIREPLACE MAKE M'D MODEL
J
TnciUSltlaL Commc:'Clal & Ml<lti-Family
FEE SCR"EDULE
1 % of job cofl ~id<;:ntil!.l. Gu rii,,?I~c::.
5;39.50 minimt\m
$99.:50 ?,aGidlt!ltiel,.Ad:iili::>n~ &. Alt..r~.rion~
$61.:5Q P.=::id~T,\:;:1. AC Only
S:39.50
P,..sid"l'tizL ;{,,:.:tihg & J.)C (N.:w Consmll:tio,,)
P.esi'J~t'l\j>11, fI6a~\r.g Only (tJ<:>o,' COTls!rJc,b::)
S.3;;,50
';19 sa
EstimE.ted Cost 5:
Bt.:i1din!1, ?ermit #-
REA nNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S~
.50
/'~
,I ,
~ ."
rom,=, t:l'5t Only)
DUe
f.Paid
i
I DUe
~(- -~.-
j !{e;cipt No.
SEP -, I By
1 .9 tn/v
Tlds A~p!ic3.tlon Becomes Your Building Permit When Appro"itd
Building Ollidlll
Z4 hour notice. for all illspectihn$ (~!;1.) 44'i-98S0, fu (952) f..Il7-4~-4~
i':00~
lIlV G3110H.LNO::>
9Li':909t1S9 XVd 8i'::LO NOW i':00i':/91/60
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
l. Pink
2. Green
J. Yellow
File I E
;~~icant P RMIT NO. r~- 9[(1
ADDRESS
ZONING (office use)
15248 FAIRWAY HIEGHTS ROAD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/25/02
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
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 X 2
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)
1"'----.
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
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J -::
.~-~
'I ,
/"...
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine: Official
Date
Date OCT _ 3 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J S;ll.fB ~I'rw-.. H~,'Ms t.o(
NATURE OF WORK N....J (f 0
USE OF BUILDING ~FD
PERMIT NO. ~ 7 DATE ISSUED 7 - '1 'i ^d"L
CONTRACTOR ~ PHONE c,/Z- 4:!2-71.,()f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING INSPE~ DATE
. _ I ?j/"lotJ
FOUNDATION (Prior to Backfill) ~ Z'1 ()2..- ~~ 'tJiJ-!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) 1)
FIREPLACE
GAS LINE AIR TEST
1t1~ (
{"6 ,1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I StuCc.o ~ ~ I~ //~ ~~ I
FINALS
GRADING (Prior to Sodding)
BUILDING ~ +0 8-l-0
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTI~ ABOVE HAS BEEN
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.
FOR ALL INSPECTIONS (952) 447-9850