HomeMy WebLinkAboutBuilding Permit 02-0924
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1- 5 ., 01-
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. OZ"O 9z4-
ADDRESS "
/535,,-~ UJ/ lei Tiir/:elA Ct:
LEGAL DESCRIPTION (office use only)
LOT '/BLOCK
OWNER
(Name)
(Address)
BUILDER
(Name)
(Address)
TYPE OF WORK
New Construction
ODeck
OPorch
ORe-Roofing
OLower Level Finish
o Misc.
ZONING (office use)
R-/
ORe-Siding
o Fireplace OAddition o Alteration OUtility Connection
-') C<-r:- 'J "7/ 00_
PROJECTCOST/VALUE (excluding land) $ ~...J:J-) 1(0
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 ans. I am aware that the bUildin~o ffi 'al can revoke this permit for just cause. FUrtherm. ore, I hereby agree that the city OffiCial.O r. a des.ignee may
enter up nth roperty erfor e inspec' s. / / / ____
X '1/l, . y/' '7+ 7 J~ 7-5~O2.
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
# $
# $
$
$
# $
# $
$
$
$ 7.
I ~~p7:1
Park Support Fee
SAC
Water Meter Size 5/8",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ecomes Your Building Permit When Approved
Buildin Official
I Paid 1, f!!,7;Vf
Date ~.:1() .. o-z.....-
~7-~
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
iSSU/7 ~ ' I,," (\ /1
'--t;~~' =r-~-?~-7 7 (u(ez__ ~ k:r~;-<.Y~~~ (~i/\~(Jr,\S
P annmg Director 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
White - Building
Canary - Engineering
Pink - Planning
Thf' ("("nln of .he L.kr ('Dunlf)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BUTLER tI DUSI Ng
7-5-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---15335 bLlLD TUtCkEY ~T
Accepted Accepted With Corrections 0(
Denied -n- /7
Reviewed By: ~r Date: ) - {t-ere..-
Comments:
~cJQ~~ ~~
"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."
t~f~~~<,~
u'~. r;1
~
White - Building
Canary - Engineering
Pink - Planning
Thf' ("rnll"r of the L.ke Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L \
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/--
"
i 'jl :
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'.") ":,,'--;''''f'-'-:::-
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Accepted
L~
Accepted With Corrections
Denied ~
Reviewed Byq~ ~~.-f""""~
Comments:
Date:
?/ut!v~
1:1
"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."
FROM
:ALLIED EXCAVATING FAX NO.
U~;l~;D~ TUE O~~~~ FAX 812~41~2~5
t
I
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j
,
:952-895-9394
CI'r't' OF PRIOR LAKE
Aug. 22 2002 i2:34PM Pi
lfijUlIl
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Date R.et' cI
CITY OF PRIOR LAKE
SEW'ER AND W A TE.R PER.~IT
i
.
i
~!1-1. \YPC <l' ItI!rUIf UId.'~ bcftI=,)
. ADDR.ESS ,
~3~~ u.)1~sUU~t'.u.( CcU'i'L
~ Et=- ~I'" l PERMIT NO. O~ -()'1:a.~
I I tONING (~-).l
! I J
I
J
PID
-- ~
i LEOAL DESCR.I~N (Dllt<lC "* oraI.Y>
I :
L LOT Sl.OCK : A.DOmO~__~.
i
!~':~~ufl~ ~"''':J . _)q\.J'Y31-L./lJ~i
11 (Ad4J&:!3')! ~-"- 1 e. Uc ~ f'n ~ !
. [ (AQI,h_: ~<:ity} {Zlp C.) .--J
~~PI.'ICANll\ \,-j'~1 C) :\-.-.' q r "\ a.al I _ e'2 4.0 '--'l
(NAme) 1\JJ1~~~CAVo..: lV\~. ~PhQnt') ~eL-c-JI-" U _ 1
(N!dtf."SIl) ~~{ J. '\ \~ ~Q ~ &1'V-eM gevc..ne.. ~ ~6T}J~
! (Addrgo) . (Cj." ltbl CDlIt) I
iC",,,,.,,pe,,,,,,) ~~\~ _~""'e)q:5d-~qr..j-B'3'(\L__1
! A?PLlCAN'TSlO~!'4~~~_ _~--=c:=--_'~~ DAT~ B-d~-o~ '~~_j
I
I
--------------l...-. APpLICAr~rr PLEASE COMPLETE BELOW
I !!liu: of water service --1..- inches. ^'"
Uogation of any couplings from Sl:l'Uc~ feet.
I . 1jypc of se~r pi~. 0 ABC ~PVC 0 Cat Iron
~mated It!:ngth of sewer line feet.
L Clean out (if required) located at Kct from !tru~tI.U'e.
R.;$idclOtiel sewer IUtd + lil'le ;OMctUOI1 S35.30
Sewer COl'Ir.octiQr. anl;r : S 17. sa
i
~st[mated Cost :5 ~___
I
FE!: SCHEDVLl:
Ind",trial. Com 'lit M:.ilti-f'amlly
Wa~ tOrlDlICtfaa 0lI1y
I'" of Job ;oac ......Ith . $19.5C miaiJm;m
117.$0
B uildina Permit f;.. .--- . . .
SEWEk AND W A!BR PER..~T FEE
I - STATE Sl11lCHARGE
: TOTAL PUMIT FIt
S
$
S
.50
;OITI~~ \i." 0lI1~)
Thi" 4PPUlJaUlIn ~.. YQ~r BlIiWing ,"cr. It Wtte.n ~pprQY"
I
,
1
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)
--.;iidi",Olllli'" I'
1)-Vi 8CEIP: No.
- .... . J I 0... ~ <iYH Y<4fu
~4 hOllr 1I0_~ for all (IUIlMiaN <gs:) 4.'-9150, fb (95Z) "'42.5
/
.
~
Thr ('f'nlf'r or ahf' I...." Country
If
White - Building
Canary - Engineering
Pink - Planning
\9-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BUTLER Ij O(,1SI NGj
7-5-02-
The Building, Engineering, and Planning Dep'~utments have reviewed the building permit
~" application. for construCtion activity which is proposed at:
~~335 WILD TUfClCE,/ GT:
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~__J2 .1 Date: 7/1-S/0l..
Comments: ~se -;'ide for Additionallnformati~~! '
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."
.f.~
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec~d
I. Pink
2. Green
3. Yellow
JJ~icanl I PERMIT NO. 02 - 0 q ~
;;ttKe.t/ ~W
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) q~- If J 1- Lf I J d-
(Address)
APPLICANT
(Name)
(Address)
(Phone) t/;,.. f':lS: bKb7
(Contact Person)
(Phone)
(City)
t/;(.. ?~S;6Rt1
.
~ /.,...,(/~
(Zip Code)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE OMPLETE BELOW
w CON~:l 0 REPLACEMENT 0 ALTERATIONS, L I fi ~~
FURNACE MAKE AND MODEL ~ ' fw J/)t) FUEL ~
FLUE SIZE "3 II fa oJ. t. RETURN OPENINGS INPUT I~ ~ OUTPUT ~1JfJZ)
. w
REA TING OR POWER PLANT
TYPY OF SYSTEM
, . 0W ann Air Plants
OGravity
~echanical
~Air Conditioning
OVent. System
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penn it #
6 ~ /oq24-
(Office l1se Only)
This Application Becomes Your Building Permit When Approved Paid
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BunnING PERMIT
Building Official
Date
DatgB)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FROM WELTER & BLAYLOCK
PHONE NO.
612 8828573
Oct. 08 2002 04:03PM Pi
"~...~~5;;F~~:;:;~'\~~/
,::",;l ;~"'I
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.,------.
~l" (~rnut or In.. t........ C"u.I'l''''''
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: W e. 1+ e r
Address: /~o €
Signature:
Lsgal Desc~iption: Lo1 Sub WI Ids' 50 '"' +~
Site Address: IS 335 Wi (d c..l~'e/"C..J (Jt<L1,. -f-
8uildir.g Permit:l Da- D 9;}. '1 PIO # il S :3 ~~ /0 '7 c>
NOTE: This permit will not be processed without complete information.
; Bfu(':
~. G.......ld
~ Y~:io-
pp ;-..i,)
FIXTURE UNITS
Quantity Type of Fixture Qvar,tity Type Clt Fixture I
do. Salh Tub with or without shower 3 Rough-ins
I Dishwasher / Water Heater
I Fiocr Drain J I 'Nater Scftr.er I
S Lavatory (bathrcom sInk) I Stand Pipe. (washir~g machine) !
I launC:;ry Tray (i Or 2 corr,pa:'tment sink) SewagE;; E;ec~cr
/ I Showe~ Stall Backflow Asse~bty (RPZ, Doucie Check,?VB) I
I
I
I Sinks Backtlcw Assembly Tes: I
Bar Sink Lawn Sprinkler !
3 Waler Closet (tcder\ r:2 Otr,~r ~~~& (J.A .... . i
'-~
v V I
FEE SCHEDULE
InGustn3.l, Corr~rnercial & Multi-Far.;ily
(1 % of jce CDS:' $39.50 minimum)
Residential, New One & TWG Family
Residentiai. Additions & Alterations
s
$99.50
$39.50
$---
State St.;rcharge
PAID WITH
BUILDING PERMIT
GRAND TOTAL
This permit is g:r:ulled upon the exprr;s.$ condition that said
(;OntraClor. shall comply (n all respr;;:;t.' with the Qrdinatlcl!:s
oi [he Stat~ Plumbing Code: and [hr; amendmencs thcreot
RECEIPT NO. DATE
A'ITEST
Call for all inspeclions 24 hours in advance.
16200 Eagle Creek. Av, S.E., Prior Lake, Minnesota 55.372 / Ph. (612) ~7-4230 / F.~X (612) 4-+7-42-15
An Equal Opportuni[)' Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I, Pink File
2. Green City
3. Yellow Applicant
15335 WILD TURKEY COURT
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
BUTLER HOUSING
(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
10/23/02
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
DGravity 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
APPLICANT PLEASE COMPLETE BELOW
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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine: Official
Date
Date DCT 3 0 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
o ~ ~ THU 14: 14 FAX 6124 47424.5
CITY OF PRIOR LAKE
[4) 00.3
.\
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Pennitted in 30 Percent.
'.
-.,;" ..
Property Address
153'6,'; '-blil~ -r;..rk\>11 rC.l~l""t
Lot Area I~, \d~ Sq. Feet x 30% - .............. 3~ ~3~
***.******+*******************~*****+***********************************
LENGTH WIDTH SQ. FEET
x = \ I toO(\
x ,..
x =
"/I 01
HOUSE
ATTACHED GARAGE
TOTAL PRINCIPLE STRUCTURE......................
.:) 3/4>
.
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS....................... N!J),
D:KlVEWA YIPA VED AREAS .1..\.5. X ,;)."\ "-\ MD\
(Driveway-paved or not) X =
(Sidewal.klParking Areas) X = ULq
72 ~.<..
TOTAL PAVED AREAS......................................... P~lo.,
P A TIOSIPORCHES/DECKS X 4,'(:, =- ,O)b
I;)"
(Open Deeks W' min, opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS...................."................................... S~
OTHER
x
X
=
=
TOTAL OTHER..,I...,...,..................."........,........,..., 'tJ./A
TOTAL IMPERVIOUS SURFACE
@DiW'OVER
Prepared By
, }r.,~"l'~ ,\-, Lu,,p c! t \(D
Date
Company H~d)\UVl('J (iI'~
Phone # l.oSI- 4 \)S -6loGt'-,
PRIOR LAK~
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J,C)3 3S- Wl"\d2... ~~
NATURE OF WORK J,.\.aJ
USE OF BUILDING ---.SED
PERMIT NO. 02---09z4- DATE ISSUED l-I?-Oc
CONTRACTOR ~ut\<:J: !:tPu:;.i~ CrtY" PHONE (,./2- 3215-:U8f!J
NOTE: THIS IS NOT A PERMIT R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~t-, ~
FOUNDATION (Prior to Backfill) 'lI0J& ()-r-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
\Le.- ~ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING /0 - / CYJ
HEATING (if required) ) I
FIREPLACE
GAS LINE AIR TEST ,/ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DATE
GRADING (Prior to Soddin )
BUILDING ~ a - - ~
ELECTRICAL
PLUMBING It - 2.g
HEATING L l ~~
DO NOT OCCUpy UNTIL AB.OVE H~S B EN SIGNE;Q
NOTICE 1"/ f>~
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