HomeMy WebLinkAboutBuilding 02-1420
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CITY OF PRIOR LAKE
~rpartmrut of ~uil~iug JIusprrtiou
t1-Final Permitted D Conditional e.O. Expires
I
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
S PlCLE;; AJ'iIL'{
Bldg. Permit No.
02-li120
Occupancy Type
R3
Type Construction _ V7;
Fire Zone
N/!1,
_ Zoning District
R.1SD
Legal Description
L4, t'1APLE PARK SEOR:: ,ACRES
Owner of Building
Site Address
15239 FA-RBAjKS TRAIL \E
Contractor's Name & AddressD_. R. RE>10DEL I NG, 15') 39 F AL EBANKS TFj\ I L"J. F., PH lOR LAKE
R03ERT D. HUTCHINS
Building Official
)
j,/r
City Planner
DO!\' r~YF:
'"
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /523 r
t::~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D.JHSULATION
-cf FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
f)
(, lfrnlJ,rL
1/ 1\ .
~ ~.,'"..A
- . ^
0. ("u> . ~ J} (g
Itfzfl/n.,
2 . 1c(2C;
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
00RRECT ACTION AND PROCEED
o CORREC~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
~
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JNS/iOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lrl?O~
ftY'~e:Au~/J --(gL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
\ :)2.- ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
FINAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
. \ I
/d M')C::. - () ~
- \
I " -
TIME
()7_~ /42-0
o ~X10ILLlNG
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, c;.(>.LL FOR REINSPECTION BEFORE COVERING
Inspector: Yr/.-fJ,P//L/h,J Owner/Contr:
850 FO;~ NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO Tl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec ,
+/, 1-/0'7-
I. White File I PERMIT NO
2, Pink City . d? -/,12 0
3, Yellow Applicant ..... "r<
(Please type or print and sign at bottom)
ADDRESS
,5~34F~o;s
-----
tu:
JJ~
HI'arL1ke/&~ 55~!(/"
ZONING (office use)
12-151)
LEGAL DESCRIPTION (office use only)
LOTLj BLOCK ADDITION ;11a'Dk F6r'k.. Shor..e. AC({2*5
- , -
PID?~-03~- co4 -()
~~e~R OCfJ J'd t Rael~r/'/1[ (Phoni35L)L{LI7'" 3'-17l/
(Address)152~q t:;/r J:JqtJtj-t~{) A)~':- W. l'O(LCl~e J A~ l~ - 55?/1Z
, ' G r ~ (oJ 9( , 1 _ ') (
~~~;~)ER OR K.2.II1(yj-e, j \"1", c1 (Phone/q~I)L1Lj7 w /~7
(ContactName) D "J'cl tvori'~:i 7' . }Ph,"ne){f ji~-/Bl
(Address) I ~ 7._ ;] 9 r; ir b d;/l) J- ./1r-Q-J,I/ JJ G r;. (Qif 1=1)- k,e 1~1tl) 15 >7 ?,./
ere; '2 :/ f ~' =J '\?!r
ODeck o Porch ORe-Roofing ORe-Siding
o Fireplace P.ddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ J J' /), rrz3
..
,If New Construction
TYPE OF WORK
OLower Level Finish
o Misc.
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
e,nter ~~o~~ perform nee~ections.
X I . .-?~'~0 20233533 i ;-1Z/CTZ
Signature;l Contractor's License No. Date
I Permit Valuation 1F9D )ODC>.ad I Park Support Fee # $
Permit Fee $ 'I elf.( l. 15 . I SAC # $
Plan Check Fee $ ~ ~'l. te( I I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 'lo.OO I I Pressure Reducer $
I Penalty $ I I Sewer/Water Connection Fee # $
I Plumbing Permit Fee llo..()(J $ ,0 I I Water Tower Fee # $
"i,,* -: 0(5-
I Mechanical Permit Fee Cfo.oo $ JfOI. .00 I I Builder's Deposit $
I Sewer & Water Permit Fee $ I I Other $
I Gas Fireplace Permit Fee $ 40- I 00 I I TOTAL DUE t'Jl1A.ED 10- Z4 -07..- $2,5&8.8r
./
This Application Becomes Your Building Permit When Approved I Paid Z ~ 5 eJa ,f)CJ Receipt J)J"o. ~..l?.K z...
~ if~? laM3/dOLJ I Date I /"'9 ~Ol- By .A- .
U
Building Official Date
This is to certify that the reguest 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 Ci(2!P ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
tSSUed~-) , II , \ \ ~
'V"'-:t/'~ C' [~ to !Z.:L I~YL < 0,; , fI~1{ {t.C '.!I'!~ (1"),.1/,Ji/LQ. 1,(
'. ' Planning Director Date'.J - - 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
The ('f'nler of .hf' Lakf' Counll")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPl-ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,
APPLICATION RECEIVED.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J
f
~- -" /
,
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1(_.
I
,
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;f-' \
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Accepted
~
Accepted With Corrections
Denied
Reviewed By: -~~7 !~.-/~
Date:
UJIL?-lo"2-
Comments:
~ 7"'"-<>__ /wJv.J. tl!.f.'/L7//V\/,..&' lJ""j,nJ,;'f:8vt<.
\P cv- (--<-'YL~~~"\ { cn~, ~ .
"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
l'ht Ctnlrr or Iht I.lkr Counlr}"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ]) f. [lEMOOEUtJEj (NOK:.LINGr)
APPLICATION RECEIVED A- -/2 - 0 Z-
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/523q FAlrcJ3AN~S 'lkAlL- NE
I
Accepted
Accepted With Corrections V
Denied
Reviewed By: ~ :fdl-' Date: 1t}/C;3/o.v
Comments: ~~ 1'1..1.1 ~ ~ -~, ~ cV-€,
~~ ~~ - 7Yld./~ -fA.;. ~.~ ~~ ~
A ~~ ~ ~~4S) ~~, ,
JJ~ ~ ~ 0JiI 4~~~, ~~
v
~ 0- r ~-jJ (!.(), t!:. ~ ~,.dJ.
"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- Cf'nlrr or Iht t.kt {'ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(N6ICLII'J~)
D. .E-. }/~r./l (;, ) Cf LJ NG;
A- -/7- - 02-
-i I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
FA I tc15~\ r\! L-S I J~11 ( L
/~57'~9
X
A/E
Accepted
. '-
Accepted With Corrections
Denied
Reviewed By:
mR
Date:
'1-,JL!-o).
Comments: See Reverse Sid(=! for Additionrll Informationl
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
1) Ero~i()n ~()ntml P/rln ,
"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 PRIOR LAKE PLU...a..dlNG PERMIT
(Pleue type or print iltId sil:l' ar bortOm)
ADDRESS
I. 81ue P~I, r PEt'lllllAl'IT NO I
1. Gold C., nJ....l . :,,,":"" _ ) I I ,::'10 i
J yl;lb.... A"!'",,, I ___.....1 L.-1...T ~
ZONING (office...,e)
,- -('.',;
,/ ~.J ,') .....: IJ"',:'"
I l~" 0,.~'
</"',' ,/; ja/>' f ".-, ,/~
T vl.<..-;;(...; ~/U/7,/.?,;C) I /..,
"f'/Ci:"-~-
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LEGAL DESCRIPTION (ollice' use only)
LOT
BLOCK
ADDITION
pm
OWNER !) 'I .r'-
(Name) -d::-:;/-r- tee:;'
(Address) /5::;~39
--- --
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J;t:,., ./) / ,'" ,,;
/, C" ;'L., c j ,,-,,(,\
(Phone)
,.' ii
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'''''''I ~ .~' l'l '-~ ! . .-
-/ .;1 i ..~ \r I . '7 ..,. ,....
-;- )..-L' -<~ .>C'I.,Y_A,~'-'
..-.--
I /<_~
,
~ ./";:r::=:::.:'
/ II '-.-..~
~~;~~ANTtGZ:::/2(L;/1j:"'~( AI' All /)(iJ~Oy -:;;:~'. (Phone) 9..:;'~,',{' y!~~--") -,~;i(>":;;?'7
t If ",~"J / --r /~~
(Address) .;")//.;<'6/ )(~ t:)/-J // ~/e_. ~ (,:,),"'l,l-:1/ t:i~L'r1 ~~:):,r:::;)'f:;.,,-';+"
~, (Address) (City) (Zip Code)
/; J
(Contact Person) (!/{/L.(;:5) i /)" (Phone) .,::;:).4,-');:'~:c:::, .-
-'/ Ii ","~., . ,/ ~ .' ..';,/.~ .~
APPLICANT SIGNATURE Iff /Jl//py';!&t/[)/ DATE ? ,-}- Y ,-{>~:)
"
APPUCANT PLEASE COMPLETE BELOW
I Quan tity Type of Fixture Quantity Type of Fixture
I
I ." , ,",'_
Bath Tub with or without shower ,>".. Rough-ins
, ,,") t/
I ?- Dishwasher ",:( Water Healer
I
I / Floor Drain ,,"" , I Water Softner
" '
I - l.{?' _ Lavatory (Bathroom Sink) I ff r Stand Pipe (Washing Machine)
[- l~ Laundry Tray (1 or 2 compartment sink .c:.'> Sewage Ejet:tor
I I Shower Stall /_.\ Backflow Assembly
.-'
? Sinks i,) Backflow Assembly Test
-- , Bar Sink Lawn Sprinkler
(...../ ("')
"? I Water Closet (Toilet) .~I~...... Other
-. (' j
-
FEE SCHEDULE
Indusmal. Commercial & Multi-family 1% of,iob C03t with a $39,50 minimum
Residential, New One &. Two-Family $99,50
Rt:sidcmial. Additions &. AllcraliortS S39.50
Estimated Cost $
Building Pennit 1#
Building OfJitial
DAI"
$
$
't
~ Tr(G~ I~ 1"1 (~l ~E r~ 'il
I < Paid- -- . , I IlfeceJpt N<l.
I I',
! ~R t1 3 2D03 -t jlBy
~'l
.50
PAID WITH
BUILDING PERMIT
PLUMBING PERMIT FEE
ST A TE SURCHARGE
TOT AL PERMIT FEE
(OlTicc Use Only)
This Application Become5 Your Building Permit When Approved
24 hour notice for all inJpccliops (952) 4' ~Y~.t9.511.~.17~~~~.
--_."'".:"..,",
TOTAL P. 04
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ISa~ i rac)-~s. ~
NATURE OF WORK )JJ2.W ~.~..
USE OF BUILDING SF[) ,
PERMIT NO. (JZ-~tl-20 DATE ISSUED i.f-2?,-02---
CONTRACTOR DR 1~-'M~J.oJ.:,~~ PHONE-LaJ2.- C,11C). 7"33/
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMI-JS BY~, P, ARATE DOCUMENT
,11G '-1-J r' of' r JNSP~7TOR DATE
FOOTING D.,t.-/(, ~h fM1 t-l{' I /;? ~ . _ f _ j>
FOUNDATION (Prior to Backfill) I ~ f J 2--C9 -if>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING W I ~~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
" GAS LINE AIR TEST ~'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ /.1. r)
~
~
'" J"\
Y!jj. J"~28
~*r
~
/)t~V03
,~/re,%3
, .3 I\~ fD3
;5 t ~e, kJ3
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING' \f ~ Cd~ \ill
HEATING ~~~ I
DO NOT OCCUpy UNTIL ABOVE
NOTICE
() ~~O
CfP n ~ z;fI)
HAS~~EEN SIGNED
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
~
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland Distri'ct (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address I 5 d '3 9 ~: \ bq rJ k 5" -rr-~; N E
Lot Area 7;1b\j Sf AbM: (I q 04 ,Sq. Feet x 30% = .............. ,'1 I ~ 0
************************************************************************
HOUSE
LENGTH
;J.~
x
VlIDTH
2S'
=
SQ. FEET
7 ?t./
~btj
x
=
ATTACHED GARAGE
2-4
x 3b
=
TOTAL PRINCIPLE STRUCTURE...................... / t;L/ F
DETACHED BLDGS,
(Garage/S hed)
x
x
TOTAL DETACHED BUILDINGS....~..................
DillVEWAY~AVEDAREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
~..
LI/J
x
X
X
I~J 5
10.~
=
/'32
26L/
=
=
T OT.~ P A. VED, A..REAS.........................................
~q6
P A TIOS~ORCHES/DECKS
X
=
(Open Decks Yo" min. opening between
boards. with a pervious surface below,
are not considered to be impervious)
X
=
X
=
TOT.<\1. DECKS........................................................
J l' ()
OTHER M,_,"I~o;Jolller
EXi~j(~1 De.e:: fL
/4
X 25
= ~5u
X
=
TOTAL OTF.I:ER......................................................
TOTAL INIPERVIOUS SURFACE
UNDERlaVER
Prepared By Oq~ Kv q ,p)
Company }6'/kV)t/r//p- VI/;t/ CO J?A.
/ .
Date
Phone #