HomeMy WebLinkAboutBuilding 02-1277
"...
QLertificau of (JDcrnpanry
CITY OF PRIOR LAKE
\ : 1Dtpartmtnt of ~uilbing Jn~ptction
~Final Permitted 0 Conditional C.O. Expires
1n~ 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 FAMILY 02-1277
Use Classification
Bldg. Pennit No.
Occupancy Type
R'
~,
VN
Type Construction
Fire Zone
R'I
Zoning District ~
Legal Description l,OT r:., 7. R1,()r.K 1 , vF A om,) \l T FW
Owner of Building SiteAddress14408 BROOKHERE BLVD
Contractor'sName&Addres~ENTEX HOMES. 12400 WHITE'WATER DR, 11120, MINNETONKA 55343
HUTCHINS
City Planner
DON RYE
Date:
Date:
5' ~ 0 o~ooo "0 0 > -0
Ul J: ~ 0 z_
"0 ::E CIl"TlZ"Tl"Tl"Tl 0 C ~:;!
CD Z
<"'l 0 n- O :::jZCll~OO Z m :0 mO
g :u :u :u m>C CO m m
> ~ :u :u =" -rr;3:Z-i :0 C/) 0"Tl
r" r m m Z -OZ Z C/) :::!"O
r 0 0 '" '" -iffi>G'l 9 O:u
>:l t -i -i > "'tJ - -i z-
r" :E > -i m 0 - zO
Ie ';4 \ 0 1ii o Z 0 0:0
S; to 0 -i "Tl -i Z
00 :u (5 > 0 :::!r;
>:l 01 =" 0
~ 0 - Z -i Z O="
"Tl 0 > 0 mm
~ 0 > Z :u
:u r 0 ;<
r
~ -f "Tl "'tJ "'tJ
;l.. :I: 0 :u :u
~ m :u 0 0 ~DDDD
Z :u 0 0
g m m m m 3:"'tJCIl::E3:"'tJ
>< Z m m mr~>mr
-f 0 0 OC -fOC
Z ~ '" :x:3: m:x:3:
;; ~ "'tJ "0 0 C/)
~ C/) m "Tl~:U:U:u~ m 0 0
c ~ "0 ::1 0 ZZ:X::I:-Z :0 Z :I:
::! m CD -i >G)OO G) 3: -f m
0 ~ 0 r"TlOO :u :::j ;:0 0
~ ()
-f 0 Z -="=" - C
(5 3- zcc z r
~ CD ~"tl"tl 9 m
Z :-1 m C
~ "Tl
'" 0
"..
~ :I: :u
0 m M
~ 0
c 0 ~.~
:0 < 000000 ,
C/) m
:i! Z :u G)"Tl"Tlom 0
> z >:;o:;oO~
Ro C G) ~mm3:G)
~ < _"tl"tl"tl~ '-l
> ~r;r;r;o <:::)
~ z '-.J Q;J
0 >oOz:;;
""'! !TI _mm-i_ ~
~ :U"Tl:U r
-i-- r i:
",z Z m
-i~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
Yellow Applicant
g rC>81- h-Jpre R 1- vJ)
LEGAL DESCRIPTION (office use only)
ADDITION
Lj-O!J7--()
OWNER
(Name)c;,~,;< /I-n~s
(Address)) Y"OC/ wh ~r
, e C,(,/
PID~5-
(Phone)
BUILDER
(Name)
(Address)
So~
-::::J oe
.:; q n-,-f>
S-+Vcfn)rl-q
(Contact Name)
(Phone) 5: q ~
(Phone) 9'$..)- YO:? - 6;) (/ L)
TYPE OF WORK
"'fNew Construction
OLower Level Finish
~Deck OPorch ORe-Roofing ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ /:;). s:./ c:::t:::? 0
o Misc,
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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 building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon property to perfor pections.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 11>" .0 C!o
Mechanical Permit Fee $ 1:>0.OtJ
Sewer & Water Permit Fee $ -
Gas Fireplace Permit Fee $ 0, (:)0
Your Building Permit When Approved
Y-I?-&l
Date
~00767?7
Contractor's License No.
g~d6-o;;)
Date
Park Support Fee # $ ----
SAC # $ /.~O. CO
Water Meter Size5/S"; I"; $ - -
Pressure Reducer $ -
City SAC and WAC # $ J 2co .-1:)0
Water Tower Fee # $ ')~.~
Builder's Deposit $ . ...
Other $
TOTAL DUE $S 2-73 jCf
f /
I ReceiPtNO.~!20J
By F
Paid
Date
'~f-r~:;o
/o;3/;-z- ~ ~~~
, 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
Planning Director
~
Thf' Cf'nlf'r or Ihf' I.akf' ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLlCATIQN DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~-Vnl4--
,
9-/0- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
jill/Off &~1Y'i /JJY2( !3;0L
Accepted
.)(
Accepted With Corrections
Denied
Reviewed By:
Comments:
NJtf.fl
5ee mt!t,'vr F,'I~
Date:
'1- ~o-o z.
"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 (-("nlrr or .he L.ke Coun.!")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~
APPLICATION RECEIVED 91~ 10- A,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lill/o~ &A71fL~ &u~
AccePted,X
Accepted With Corrections
Denied
G/J
Date:
f-(?-OL
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."
~~~
Th€" Cronin of the Lakt Counlr}'
White - Building
Canary - Engineering
Pink - Planning
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:
I / /
i
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~1~~
k~
Date:
1~4/;z-
Comments:
)Z~
"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."
_lW0Z/200~2~gJ_
5
--
~ 44 A ,,(' r~ll_. I...AAI:
PAGE 13
~IOl
C1TY or PlUOR LAkE
SEWER 4ND WATER ~
n.. Ree''-
LOT
II..OCk
AODmON
~: ~ a.... ~T ~O. ,;' I;; /7...,
/No/; /1 ] L~-"'l
, 1
~5B-~~1
( CodlI;
l
~~~ ~/~CI
UlOAL DISCKJP'nOM (,.......,:
PJJ)
:~c.4~~
l(-~ tV~~SlI.JO
. J\.PPUCANT
, CN'atIIoII) K &. R Contracting, Inc.
I 3245 Lake Avenue
i CA~) - New Prague, MN 56071
. c ~ 952.758.62%
I ( 0JnI.ct.-~ /;:t? c
i -'l'PLICAN1" SIQN~TVIII ~ <U~7V-;:;-
~'1:;l~/;;AJ
CPhca.)
(QIr)
(!'kaAc)
DA~
(Zl, CDlIIJ
-i-
t
I
J
/D/7/tJ:J.
.
APPLICANT PLEASE COMPLETE a~LOW
- sa. af W"Ia"'1ce ~t.a.cts.. .
Loation of lilY couplinll from ItNcNre' 4r' () k.
Typit of JeWer pipe. 0 ABC ~C 0 CUE I!Qn
!rh-~ __ of -.wwllisa Jtt2- fwt.
ClelD out (irNqUind) located at. fia &am ltruCan.
FEE SC'Hl.DULR
Ra.ta.l1t~~ ....er &tiel '~_r.. ~ SUJO I....IriIl. ColIa'1 & MWd-a.a.iIy I~ Ofj08l;Dtl _tdl. S3'.50 mJz\ftlUll
Sewer :Ol;/ftt)uuan CIIIl)' '17.'0 W... CGMtctlan end) 111.'0
Il!n.-d COd S
luf1ciinl PlIrftltt .
SEwn AND VIA T!1 PERM1T PEE
STAn SUJ.CHAaQE
TOTAL PUMIT JU
s
s
s
10'
J:;.
~i{i ii,." ,~
~ ~ J:.J!;)' '}.''<
(oa.. u... (Wy)
I ~._^'""........... v_ ..-....... -..-- I I:: ~ . 1::-" N. ) I
- _Of"" .. I I ". ,'I t!fi'
:u ..Dlir.........n I.,. .~ (JO' "'--' fa. (In) "'1..u..
c0.d lljlOl
- "
.; ~A'-~:~ ..:
" ....
CITY Of PRlOR LA.KE Plr:vr3r~\G P[S'~\IIT
D'" '.' r- ,
~..I,;; .....,,~:..:' \~
'I '
-~l_.
,'~/
,..,~~:~~.~.>.
Jlu"
.~.!.,
PER"[Il
',("I -; J~
" -;;<- cT-, I
---,
~
,_-t.;.:'."':~I: :"''"'''':'~~ '1;"" -.:r;-;r:~~~r:-:,
-.:!: ~:..:~,~
1~"1I'
<::.,
I '!~Ijl'_
, ;J':;l'lh:~n'
~~lJ(JII/Y{ if r(
6/t/J
--------....
::..~I.:. ~.~-_ C ~::.:,~7.~? ~ :(:J:',; ',\JI:;,:-: ".1:": ::li:'J
---,
----
~:_'~l::<
..:....:: C. f7~<:~;
c r7"":
.- ",i, 'I
I)) .j-',
L' e.ll-l Q;{
--
---
1?:-:~l::=1
~-
--
'--.-
',... ..-
-.. ..
,.,',!I~./~ '~ JJ/~
:;r~{) dM.t1V ~"'fi
i..':'.J"':;:::::; ;
: :"~;~r.::: 9;/..z- c/~C-C/tj
,jOAc/at-- .:5j:LI~~
(C:-:I \ _:: '_.;~o.::
-"-.
.:
; '-.. ,'., .
.'~. --. "....... I
.' ,;:..:::)
~/L~~--
l :::::-.: ~<::J
--: ':: r "
..., ','-
- 'oj.
i~,.-:~ 1',.1, :-7'...:~.~~
;L. Vv1rMA /1 ~
Q,.... :-~
/~ '/f-tJ2-"
A.PPUC.-I,.'r'T PlL~SE CO:"lPlETE BEL()'.'\'
i.:{I~;:r;r.. Typ~ Ilr ri.-..:nJn~ I (?'I:Jnric:/ I
") eJ~:, l I~IJ I,"!ch ,Jr I.VIClliJl;, 5:'0\\'1::- I I
. .,...//
I---r' I Dr:;nw.'1:Jik:-
,-.T-'.----.;-.c::I..",Jr Gr':lr.
"1 1 1_:lo'.'lCcr:(!:3;Eh:-c,11":1 ::iq-::()
T."'p~ Ill" Fl:"CtJr::
/
R.Ju~i1-In~
""J'::"::!:" l-ie:lC~:"
Vv .::.c~;" S...: rr:,c:'
.SG:nd P~r:~ I ....\,.~.:.;~lil; -.'vr ':!';;;I,",:~:!
I
I
~.J.I~nL:r:~' r r:-1:.. ( I iJr : ',;cr~~:..:.r:.i7:~~lt ~l r.i~
5i1owe:- $C'.:lll
Slnk~
Bar Sink
W::lcer Cia:.ic:c (T'JdeCl
oSe'.\i :1:;-: Ej e:.::ar
B.:J.ckrluw A.:is<::Tlbly
8J.cktlow Assembly T e::;,
l~wn Sprinkle:-
Ot."te:
~
I ?
----:.L
1;0" i..E. ::i C EiED L'l.E
ri1CLl~,;-:;'i. ("Jr;:rr:::~c:::J .2 ;'-(~l:i-t~r.1il:, I ~~, \Jfjob t::Jsr ONic~ J. S:930 mjC'limu~
E;;,iiTl:J.co::': c..JS. :s
R~j<ic:.,ti:1J. .'k.... Ont: of. T"'Cl-;:-~iI:' :;-::':1.':0
R.::::;ic:::ui;lL AJlticiQn:; &:. .J..~:~c.:oC'l~ 5::;'),;1)
El.Oii<.!in;; P::7::;ic ';!
(om,," L';" Oni)',!
PlUJ\.(B[NG PfR.\tUT FEE S
STATE StJRCH.~GE :s
TOTAL PER,rrr FEE s
.50
I
L~- .,-C,
131!J' ,:
.\.... ',-~
Thi" ,-~ppli<:..:lC;lJ{l 8o:c[)m~ Your- B(Jildin~ PI!l"mit Wh~n Approved
P;lll:1
Re~=:~c ~Q.
I
I
i iJl1l1<.1in~ IJltir;l~j
1__,
....,J-/......
By
I
I
_.~
O.Ul:
Dace:
:.. hlll.lr lluCll~.. (ur;lll in.'$p"cClUllS \9::-:) ,'-1:- -')~~i1. (:u l':l:5:j +-17 ~:..::i
-:Or-:o -,~". I
~1",ll fl~IClN 1 GI.Jni,-U ::jiiHr',
,',17 ::=Ul ?Jlj;J?-::::!-T3iJ
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(l'lc:~e type or print 40d sign at bottom)
I ADDRESS
/~~ 6 9' &i5~k.. HtP/'-\.
~,~::w ~~1~1l I PERMIT NO. ~ I;) 77 ]
;J !-'!/
ZONING (olfl~e u~el I
LEGAL DESCRIPTION (omee Use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
Ha~s
C~f.~ f--<..~
APPLICANT
(Name) ~~Q/ .f-.' "~
(Address) ) ?'J-S"c)
(Phone)
j
+- (PooIIN']
(
eel ~I
C!C)~ ""-+.t
(Addm
(Contact Person) 0'" I
APPLICANT SIGNATURE
CC)o~
77'po
7~3- /;;J.? - -;b 77
~<;,-3" <?
(Zip Code)
(Phone)
/'h ~pl.q
(City)
G.I'~~
(Phone) <:Of" - "3!.,. '3 -1;"5"G-,7
DATE
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
EW CONSTRUCTION
FURNACE MAKE AND MODEL ..13"''1 J'9Y1-1
FLUE SIZE 4 II RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Plunts
OGravity
o Mechanical
cg.,.Gr Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
lndustriul. Commercial & Multi-Family
Residential. Heating & AIC (NII:W Construction)
Rcsidemill.l. Ht;llting Only (New Cons1rucrion)
Estimated Cost $
o REPLACEMENT 0 ALTERATIONS
"? :iJ 30 ? C:. 0 7~ FUEL (.., 0, $
~ INPUT 70, <:\<JO OUTPUT 5'5: 0<)0
HEA TING OR POWER PLANT
o Steam
o Hot Water
o RlIdlation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.S0
$39.S0
$39.50
BulJding Pennit #
$
$
$
I3u ~/D 1a.
. 11...()f Ar. PTT 'I' l
'~Pc-", '"
,-j ....
...'t/''''
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(Office U5e Only)
This Application Becomes Your Buildlne Permit When Approved
Dundin!: Official
Dale
....,.
.'
.
ReceIpt No.
~ rei~ [E 0 ill [E
Date
24 hour notice for allln5pectlons (952) -9850, flllt (952) 447-4245
By
Sd l,Jtno :60 [OOC U 'qd.::l
c89f:Bct'[9,- : 'ON ><Ij.::l
..
Dr'1l -~N I lOm-~t~ I l1j3H: lJOd.::l
PRIOR LAKE
INSPECTION RECORD
~~~-
)e.L te..t ~ +:- ~
DE,.,ARTMENT OF L
BUILDING AND INSPECTION
SITE ADDRESS (~Yo5 ~~
NATURE OF WORK IJ~
USE OF BUILDING ~H1
PERMIT NO. tJ 2 -17. 77 DATE ISSUED 1-11~ '_1
CONTRACTOR C~ PHONE Q52-l.{oj'-I.,'2t{U
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I J ]
. FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~/U .03
~ GRADING (Prior to Sodding)
BUILDING ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I t;
FINALS ~ - ()
I
"[(6
2-btl:l3
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