HomeMy WebLinkAboutBuilding 02-1261
Q[trtifica1e of (JDccupanry
CITY OF PRIOR LAKE
\ I 1lBtpartmtnt of _uUlIing Jn~ptction
~\ 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 6tdinances of the
City of Prior Lake regulating building construction or use. For the following:
SINGL!~ FAi1ILY
Use Classification
Bldg. Permit No.
02-1261
Occupancy Type R3 Type Construction VN Fire Zone 'J./A Zoning District R1
Legal Description 1,9, Hi, THE WILDS SOUTH
Owner of Building Site Address 15434 BL<\CK BEAR CIRCLE
MITTELSTAEDT BROS., 2425 96TH ST. E., INVER GROVE HTS.,
Contractor's Name &: Address
Date:
ROBERT D. HUTCHINS
1 i Building Official
I I'
( I . ~ " 'J
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City Planner
Date;
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
~~~
Q. V) CL ~l<.E.. Jf.1 AJ
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
~
~t
PIDZS- 3ez- 00 - 0
LOS
IOWNER~
(Name) -
(Address)
(Phone)
~----
BUILDER , "TT~ ~ ~ 'M-Ef'f''' ,
(Name) ~~~~DI~::t:. LJ
(Contact Name) ~e. ~ ll1'1TE-<"S~,
(Address)
mished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
e-mentioned property and that all construction will conform to all existing state and local laws and wiII proceed in accordance with
that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city fficial 0 a designee may
ee e mspe ons.
TYPE OF WORK
o Misc.
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
(Phone) sc;"'2. -J771
CD c;-- ,
(Phone)
New Construction
DDeck
o Porch
ORe-Siding
ORe-Roofing
OLower Level Finish
o Fireplace
OUtility Connection
DAddition
o Alteration
PROJECT COST/VALUE (excluding land) $
~
() &-60
$
$
$
$
$
$
$
$
~C-(~tJ
o~
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
Water Meter Size5/8" l'
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
.00
.~
3s.~e>
C(o .00
omes Your Building Permit When Approved
r -I!-oz-
Date
request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iZ{
~ .. 0 1,.-
Date SpecIal CondItions, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
..,-.:';......,t'..'~.'.;.. ^:.-:::~.. _..-~,--'>< .,.
'.' ~ ~.~.p~,. -....'"
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. -,7..:.-''!.... H ..-:-...~::..P"E..~;J.~"'3;:.~.....~:,~,..~~,.~ :"_-'r-:7.-'~"'1"",~. .:-.'.-.:;....- ..'
<-~
White - Building
Canary - Engineering
Pink - Planning
Tht C'rnltr or Iht I..kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
H IT TE L- 577-\ GD,
Cj-/&-UZ-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
154-34- J5LA~ BbAR ~12-c.A/~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1114[)
Date:
9-~4-O<-
Comments: See Reverse Side for AdditionrJllnformil"tinnl
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."
---
Tht' Ct'nlt'r nf thl' I.lkr ('nunlf")"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I1/TThLSTA (;vT
1-/&-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/54-34- E'LA~ 8bA~ (;1 e~6
~
Accepted
UP 7:1h Corrections
Denied
Reviewed By:
Date:
9-/8--0/ _
Comments: ~aJ J1 ~ ~
"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
Tht" CE'nlf'r or Ihe t.kr Counll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I ! ,-, -; l !
,! I I --'. l--
r j \ t- Ij I
f, I' /')
I '(, - \., <::.-
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....---.
,
_ L T\ \,_
---
i i . _;.,
/ ,,-
.oJ
1
! L
, ',; J--
ii, 1.... 1../ L-
Accepted
y
Accepted With Corrections
Denied
(/l;
Date: '1'- /'-az...-
Reviewed By:
Comments:
"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."
09/19/01 WED 15:48 FAX 61Z4474~4~
"....&..1 VI. a .."....,-.,.. ---
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
or . .. boaDID
ADDRESS
I?'f~..., g/~(.1< B<',,-R.. [I.
~:a. =-.1 PERMlTNO'()~_nlo' l
I WNIKG_"'I
.
LEGAL DBSCRIPTION (oIIice use only)
LOT CJ BLOCK I ADDmON Tt.,<._JJ lidS 5.:..I~
~=tv\;t\,s~wJ+ ~(V <,- [tJ~:.~+.
\
Address) . ;).r-fJ.S '-/Io:J5.. SI. . '" . H.
PID 0 l.- - I"1Ja I
(Phone) &si- )5",).- 171 ,
S5b7)
h'
APPLICANT.
(Name) '\S .(Yj
(Address) 310 51
APPLICANT SIGNATURE
...( K.^<> A 4.17
73rY sJ..
(Address)
~~\ ~
~~_ (phone) (P5"I- 4~/- t?:. 8"
L. J;. . (,. II. J1..fV1' 5)0 7 ~
(City) (Zip Code)
____ (Phone) <n 5"" \ - J.~ ~ . 7i::, "))
S;""'~ .$cLrht; DArn /I!o7!O.A
(Contaer Fen:on)
Qaaotity Type of Fist1Ire
~r :3 Rough.ms
- Warer Heater
(
- Water Softner
0
- Stand Pipe (Washinc Machine)
ent sink I
0 Sewage Ejector
-
- I 0 Backtlow Assembly
0 Assembly ,Test
-
o' Lawn Sprinkler
. Other
-
FEE SCBEDUU
IndustriIl. Commcrc:ial 1& Multi-t8mily 1% of job .:c,st with a $39.50 minimum Rcsidcntilll. New One 1& Two-Pamily $99.SO
Rcsidcnlial. Additions &:. Alu:rarions $39.50
~t1
Estimated CO$t $ ..!..t!L...~c:1 --
BuildiDg Pcnnit #
PLUMBING PERMIT FEE S
STA'IE SURCHARGE S
TOTjU~PERMIT FEE S
.50
(0IIia v. 08Iy)
nuA___Y..'_~'m.'.~.~A__1
....,11I ~11O*
24 "11' ..til~llor.n ........, (952) 447-9151, ru (951) 441...245
Date Rec'd
CITV OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~:.;':w ~;~. I PERMIT NO. 02-1261
1, (ipfd ^PphCAII1, ..'
I ZONiN~_{Offi<. ~.J
15434 Black Bear Circle
LEGAL DESCRIPTION (officc use; only)
LOT 9 BLOCK
1 ADDITION
Wild~ Sout:h
PID
..
OWNER
(Name)
Mittelstaedt Broehers Const~~~t~o~
(Phone)
--,..,.........~
"'i1/r::,r::,?-177J ..'_
(Zip todc;) ''''
2425 96th Str~et: Ease. InVer Grove Hei~hts. MN_ r::,r::,n77
(Address) (City)
(Address)
.-
APPLICANT
(Name) Stocker F.XC'I'lVRT111g r:nmp...ny, Tn"
(Phone)
95218-90 42ft1
(Address) 8247 W. 1Z5th Street, Savage, MN 55378
(Address) (City)
Curt
(Contact Person) ~ .___.~ (Phone)
APPLICANT SIGNATURE ~ ..7JL..ffA7-'ti~1.) DATE
(ZIp Code)
same
10/10/02
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure ._ feet.
Type of sewer plpe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line. "_ feet.
Clean ~JUt (if required) located at _ feet from structure.
l
I
Residential sewer and water line: connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1 % of job cast with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office U.., Ollly)
Oalc
Receipt No.
This Application Becomes Your Building Permit When Approved
Building Omdal
By
24 hour notice for all inspections (952) 447-~8S0, ru (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~~~y I PERMIT NO"'":::l_/ -... J - J
3. Yellow Applicant bZ:: c:r 'P
ZONING (office use)
15434 BLACK BEAR CIRCLE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MITTELSTAEDT BROTHERS
(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
11/19/02
APPLICANT PLEASE COMPLETE BELOW
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 o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK & ST-TRC
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
}'ll'1ot",
.50
"jl::.
,; <.~<i.1'"
," ' f".,
~(:;.~. f.f,
. :;~/hb
t~..._~~_~T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
',,(,;,-'~/~
...."q-
Buildinl! Official
Date
NOV
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I
i~~
;;:~~
I
Residential, Heating & A/C (New Construction) Residential, Additions & Alterations
Residential. Heating Only (New Construction) Residential, AC Only
$39.50
$39.50
.';
I~~
A
b2:-
Estimated Cost $ Building Permit #
. HEATING PERMIT FEE
. STATEStJRCAA~GE: ......
TOTALPERMITiFEE
This Application Becomes Y our'BuildingPermitWhen Approved
Building Official
Date
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 15~\~ ~ ~(r-
NATURE OF WORK (\~~
USE OF BUILDING ~F 0
PERMIT NO. DZ -/2& I DATE ISSUED 1-lj-oz..
CONTRACTOR \\\ -\h.\ ~ ~os. PHONE ~6\-~~o. -1'717 L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING PiS I I(!) -: IS" - 07
FOUNDATION (Prior to Backfill) / C) ,... ~ l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS ~ {tJ-')o.1fl--
/G"- 2 C
/~- ~- OL
~-~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ./ :2 _ L/ -'
HEATING (if required) I I
FIREPLACE I (
GAS LINE AIR TEST ~ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 'l.-i~-O
ELECTRICAL
PLUMBING
HEATING
DO NOT
:L - to-ci~
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.
FOR ALL INSPECTIONS (952) 447-9850