HomeMy WebLinkAboutBuilding 02-1302
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CITY OF PRIOR LAKE
~rpZtrttttrnt of IOuil~ing Jfusprrtion
\-p Final Permitted D Conditional e.O. Expires
i
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:
Use Classification
SINGLE FAHEY
Occupancy Type
1(3
Type Construction
\,:\,}
Fire Zone
Bldg. Permit No.
N./A
02,- 1 3 0 .~
Zoning District
R!+
Legal Description
/'"
/'Owner of Building
LEl, B3, FOUNTAfN HILl,S SECO:-.;i) ADDITION
Site Address
14259 fOUNT~IN PILLS COUqT
Contractor'sName&Address wENSi1AN'~ HO'1ES, ]89'; PLAZA DRIVE, SllITS 200, EAGAN 55L~'~
ROBERT D. HUTCHINS
/" Building Officia!,
L l1 !. i -'I
"J (: I'" ~i' J
/
City Planner
DO:'\ i{YE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I '-I 1- ~<~
-'
1- .~- ", c..," 1\-1 -")/:.. . l,J
Date Rec' d
~1 - ...,
~ - -5 ~ (1 L-
White File
Pink City
Yellow Applicant
PERMIT NOt? 2- -150 l-
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1---'
l..._ .,
ZONING (office use)
~4-
LEGAL DESCRIPTION (office use only)
LOT '3 BLOCK \ ADDITION
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PID..2 s-:-- ?1 () .- 0 (/S--o
OWNER
(Name) i\./ {~A../ .; !/J/1 ~:,' j "j
(Address)
BUILDER , ,
, (
(Name) .
'?
(Contact Name)()( ;z.:/:-
(Address) \
TYPE OF WORK
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(Phone) (;0-- tl(;t:>, '!(//'J/\
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(Phone)
(Phone) /,:-,.:/ ,;;: 3 '5 A~=~[
y J'C'~
,/
ew Construction
DDeck
DPorch
ORe. Roofing
o Fireplace
o Alteration
DAddition
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Re,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 plans. 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 upon the property to perform needed inspections.
".J'~ '~
/,~ /;~
l_/ ,/ , ignature
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
... ' /-r--)'
/ ~. "-
, -' "'--
,(]- /
/ .,,'
~
Contractor's License No.
Date
$
$
$
$
$
$
$
$
City SAC and WAC
Water Tower Fee
#
#
Park Support Fee
SAC
#
#
Water Meter
Pressure Reducer
Builder's Deposit
Other
TOTAL DUE
ecomes Your Building Permit When Approved
q-~- t/t/
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
issued.
\ 0 .7 -O'J-
Date Special Conditions. if any
4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thf Cfnlrr or Ihf (,ok< ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
vV GNS rlA N tJ
q- s - 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14ZSCj FOUNTAf N H/lGS ~T.
Accepted X Accepted With Corrections
::::::ea,'s, y: A..,.. ... . () ~l
.. ~O'V
Comments:
Sf$.. 'y(} A!.w r~f..E
, Date:
~O1-
See Reverse Side for Additional Information!
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."
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_____ _~ ,.__..----c--~--"..---.---.-_.__ ______________.,_-..__-__.__.. ._....,_...
fhf ("t>nft>r (If tht> I.akt Countr,.-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
WSNS MA N 1J
Q-..5 - 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1425(1 Fo U NT A f f\! l-it ~cS (.T,
Accepted e><!",,---- Accepted With Corrections
Denied i f) J
Reviewed By: 0 - ! P~-r Date: q - /') - ~
Comments:
-2u- ~ ~ /J-e
"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."
. 03 10: 59 I D : PL\l10UTH PLUf18 I ~.jG
FA;< :7635331121
PAGE 45/ 47
Gal:E. - "Jl.f
YELLOW. APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No.}- / ::30 ~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT~-%O"+IA PllAl/YIVl ~
(DDRESS' I . ~~ F00V\t:aiv'\ ~ . \\<, ('.'\-
SIGNA Tu~-:blLOb^l.Jv)'.P. ~'Y\\WQ~ I ~
SITE ADORES :
PHONE :G/sL"']).5?J!J- W QS7
DATE: ri-... \L:\- 0 ~
BLDG. PERMIT #
PID#
FILL IN THE BLANKS
1. Estimated length of water service
I
AD
feet.
\ "
inch(es).
2. Size of water service
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron____
5. Estimated length of sewer line .t-l' Q
feet.
6. Clean out (if required), located at
structure.
feet
from
=====================================~==~==~=============~~~~~====
This application becomes your permit when approved.
BY
DATE:
========~;~====~=====~====~=~=======;==============~========;=====
FEES:
$
$
S
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer cr water individually is $20.00 plus
S .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
r~s~~~~re that no duplicate sewer and water pe~it~ are
~ ~ @ ~ 0 w m ::~:T B:AID ~IIJ)~G
DATE PAID
RECEIPT #
By
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opponunity Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
#70?~
~: ~:n ~:~ I PERMIT NO. ""J - / ~/)I I
3. Yellow Applicant , U ~ L- 0'-
ZONING (office use)
/u~k~
~6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
a
APPLICANT A . /. ./~
(Name) /-7//~A.A.' /,~~~-r~ (Phone) '"/-
(Address) L -?C,~7) /~~ 6~ ~ ~_ /:=- ~~
(Address) (CityV'
(Contact Person) A~c;~ ~c.~ (Phone) 5/-
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL~Y4.tr ~c~"fZL/(')')CJ FUEL J.,.)h. c...A..S
if 64 (DO
FLUE SIZE t.f RETURN OPENINGS INPUT OUTPUT S'3" co ~
TYPE OF SYSTEM HEATINGORPO~RPLANT
~warm Air Plants o Steam PLEASE NOTE:
Gravity o Hot Water Air Conditioner Units
G9 Mechanical o Radiation Cannot Encroach into
@Air Conditioning o Special Devices Required Side Yard
GZIVent. 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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
BU PAID WITH
ILDING
. d"~ PERMIT
.50
Estimated Cost $ Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Building Official
Date , !!
Uu
24 hour notice for all inspections (952) 4 7-9850, fax (952) 447-4245
By __'_...,____
FILE ~,Jo. 502 04d 1 '03 06: 53 I D : PLYflOUTH PLUflB WG
1/<, :7635331121
PAGE ;3/ 11
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CITY OF PRJOR LAKE PLUMBING PER1\1IT
Date Rt:c'd
(J"lcasc I"PC or prinl.1J1d Sl!!n JI l10ttC'ln11
I ADDRESS
~~Sq fouV\~ot(\ ~ll~
J
I Ill., F,I, I PEn II .f"IT NOg ~
: enl" CII)' !'\JYl _I d. 027-
J VeIIO" .l..pplif'HIi . J
ZONING I.oflk" ".0'
LEGAL DESCRIPTION (olk, use only)
LOT
B:.OCK
ADDTTlON
PID
OWNER /
(Namel V. --eM ) I/Y\ "?"'IA ~
(Address ) ,,~ .p (
(Phone) L\ 06 - t-1 L( en
CY1J1 M tv '~l'l ! ~ j
"J \
APPLICANT,') /' I' .
(}I,me) y_1 'Ji6"-(' L"::\: \. J V u. 'bh I '^-) (Phon,) .6 [c}l ~J ":;")'Y?:>~ (
IAc1drml .l.2Ci. C q \/\) 11'1 vdj \r N A- \~, L ~)nl["k L"'l''\ .pc\~,\( GC:;L(d-'0
(.Adc.ress) (Ciry'}J (Zip CJdej
(Cont'" Person I S; II is ~ ~ Y'v1iA 'f (k. (Phone) fly 'j)'!J"f3- L( YJ 7
I APPLlCANT SIGNATlT'9 QP &~~ DATE :1-:-1 ( -- 2[-3
APPLICANT PLEASE COMPLETE BELOY\!
Qu:mtlt)' Type of Fixtu/-c OU~Lntirv T:vpt of Fixture .. r
" . .!
I Bath Tub with or wlthmlt sh cw"er Rough-lI1s
Dislwn\shcc I Water I.Jeater
~ Floor Drain T Water Sonner
~ Lavatory (Bathroom SlliJ.:) I Stand Pipe (W;'bhlng Machine) I
LaLmdry Tr<l); ( ) or 2 compartment sink Sewage EJectar
Shower Stall 8aclcnow Assembly
, Sinks Bacldlow Assembly Tesl
- . . . . I
U""l,l ...; 'ljJ\.
\).,I;;;tel' CI()~e\ I T(lilet)
FEE SCHEDULE
InclllSln:ll. Commercial &. h-'luiLl-i.lll1J!)' 1"';'ll(lllb l:clSI \Villi" 5:3li5{'1l11l11ll11um
R~~ldc:nlllli. Ncw Onc &. T\V(l.F~n1i1)' $Q950
Rc:Sldc:Ollul.'\ddililJl1i; .I::. AIlJ:fJlaln:' 1:,395ll
t:stlm:lled C05\ S;
81Jilding Pc:m1n 1:1
0'
.j)
,;'0
& ~
~l) ~ I...
~G 'Y/~
,,o~
"~4f/~
PLUMBING PERMlT FEE
STA TE SURCHARGE
TOTAL PERMIT F'EE
$
IlIJlIUI"~ Ot1il'l.>i
3;
IOlTin Lise (\nl)'1
ThiS ^pplic:nion ni:ClJme~ Ytllll' Building P~rmi( When ApprovccJ
{ !:J !~'
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and sign at bottom)
I ADDRESS
( '{Z-S,
I. Green File I PERMIT NO
2. Yenow City .
3. Gold Applicant '01.. - /30 "Z--
ZONING (office use)
~(}tJ-)^I~ 1.11/( ( e.,-
LEGAL DESCRIPTION (office use only)
LOT? BLOCK3 ADDITION
PID ;;1)~
OWNER
(Name)
(Address)
WGN5m~,JJJ H/J1VI0
J81~ P{.A?,A nIL
(Aa'"'dress)
t:!A4AJ
(City)
(Phone) (,~/,t/tJ6 -'II/I'b
S-S /80:J-
(Zip Code)
APPLICANT C-.
(Name) ~cr
A~
Af!JCJ7A3-
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone) t;/7.-}.Z/-- /J.29
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service -L inches.
Location of any couplings from structure 2..fT" feet.
Type of sewer pipe. ~ ABC D PVC D Cast Iron
Estimated length of sewer line 62 .sleet.
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 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
.50
b P~//'
dUllD lJ 111~
~tvG ,t:JI2~
rP~"~"-~~'~~,,,,,,, "".', ._~eceipt No.
Building Official
'A
Date ,'j
: ['I a
24 hour notice for all inspections (952) 447-9 . h-) fax (952) 447-4245
By_
PRIOR LAKE
INSPECTION RECORD
c+.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -/425q FQOVrb(Y1 I-h/r 5
NATURE OF WORK AJew
USE OF BUILDING ~F fJ
PERMIT NO. ()Z -/.302- DATE ISSUED 1-1 ~-02-
CONTRACTOR JA~~ ~~ PHONE Iiet- ~P-23?-I$0tf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING t c-~ ?a:3
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 been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850