HomeMy WebLinkAboutBuilding 03-0341 & 03-0527
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CITY OF PRIOR LAKE
~tpztrfttttnf of ~uil~in~ Jlnspttfion
#Final Permitted D 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 ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0341
R1SD
Legal Description
L17, H2, JEFFERS SOUTH
Owner of Building
Contractor's Name & Address WENS~~N) ~MES,
ROBERT D. HUTCH~N~i [ \
.7 fA Building Official I
Date: \ - - \ - f\ 7.. '- \
\ ~-
Site Address 385J RASPBERRY RIDGE ROAD
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN
DON RYE
City Planner
Date:
...L..L"'~~-~_i-.,_..:..i~.~""':.~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
a FRAMING
a INSULATION
~ I=IN4L
o SITE INSPECTION
COMMENTS:
3~s /
3~S3
3~s5"'
~ t:;. ~- 7-
SCHEDULED
32S-1 1<.4'fIx~r/
CONTR.
PERMIT NO.
o PLUMBING RI
a MECH RI
a WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
a MECH FINAL
bl'~d't. - e IL
CL;~/L, ~- O/'_
hrude - aiL
Lu/Lr, ~I- -,9~
(~f'CI~ C2 0
Cv/~g n I-- - /? /( _
DATE TIME
ldI03
~ ,dCt.<.-
I
tv (ilZSIi?CtI? II 11011I6
C>~-5Lf/
~EXI~IFILUNG
a COiPtAlNT
a FIREPLACE RI
o FIREPLACE FINAL
a GASLINE AIR TST
a
L ~ wl I
G r~th -
l/f'!~1
h /'",h
~/ v-S L, \..,/ J',.r, hrf1c!( Cu;!;) fly;_
&{.,.-
CllrAlI t')f1 +<, f:/v,< ~ IJ!rI\
." . - ---
rri WORK SATISFACTORY, PROCEED
Va aoRRECT ACTION AND PROCEED
a CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector&~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.1&'S-}
OWNER
PHONE NO.
a FOOTING
o FOUNDATION
a FRAMING
a INSULATION
Pf!INAL
o SITE INSPECTION
COMMENTS:
VJ f- rVf Q. I 1d'4dc.
r:, / ~ t'r-t';)
~/'- . t-'k<~
C>>-$c..1-
yy~~~
SCHEDULED
~~bt:/" '^" I
/
CONTR.
PERMIT NO.
a PLUMBING RI
a MECH RI
o WATER HOOKUP
a SEWER HOOKUP
a ~UMBING FINAL
;;t1IIECH FINAL
6"
r
C(?P"'~ /
PC( h-l}
,
DATE TIME
-~- Lf
-S-.:Jqt
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
a FIREPLACE FINAL
a GASLINE AIR TST
a
~"-
S'dc-l
~ ffrl/)-/
IIJ-- 3/~
a WORK SATISFACTORY, PROCEED
~GRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ f?-Iq- ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
INSliOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED '8 -1tY-C)'::>
~. ./
ADDRESS 3851 ~,
OWNER CONTR.
PHONE NO. PERMIT NO. "3~ ~'1'
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION D MECH RI D COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP D FIREPLACE FINAL
o FINAL ~LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
.L ~-~-li:~
-
? ~~ C;;~ ~~
D WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
D CORREcrORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CAL~ ~7f85~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ain File I. White File PERMIT NOG)'3 - 3 (j I
2. Pink City
3. Yellow Applicant
ZONING (office use)
RtJJP ~J ~~ RIse
\,;\ ~ .T p..C(,..r s ~h PID.2S -3~S - 031 -0
(Please type or print and sign at bottom)
ADDRESS
3851 R.~sfbef.~
}
LEGAL DESCRU'TlON (office use only)
LOT 17 BLOCK ~ ADDITION
OWNER ~1'&~l\ ~.S:.
(Name) ::r f'C .
(Address) l~~S Pb2o. ~ ~"~ ~
BUILDER
(Name) ~ ~ <aha. ..0
(Contact Name) p~ ~J
(Address)
TYPE OF WORK
~ew Construction
OLower Level Finish
DMisc.
(Phone)
~T
(051
M~
Date Rec' d
J-d--/-o3
lfOG - 'f!/Qt:j
SSl...2:?
(Phone)
(Phone) ( crS::l. ) 4l.fo - '-1587
ODeck
DPorch
OAddition
ORe-Roofing
D Fireplace
OAlteration
PROJECT COST IV ALUE (excluding land) $
J~c. ) ()(X)
ORe-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.
x 1~1;l~ f.-b,~s rN".
Signature 10u, ()~_ S1--.--~
1o~ tJOO. 00
$ ),'02/.15"
$ '~lG4.14-
$ ,52.50
$
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
1!7I. tJV
/ tf7) , (flJ
35,:'::>-V
4t? ~ t/D
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
4/7/13
Date
Building Official
)45k
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
fLqtpJ ry
4--71') - ,,)l
#
#
#
#
-3/.:21 }C3
. Date
$
$//27500
$ ":257.) . (J[)
$ 4-S dO
$ /, ZoO. 0 0
$ I 7(){). 00
$ j, bUO~()O
$ ,
$67, 9&3.69 I
,
I
I
ReCe!1r~
By
o
4"~?S7-
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
~,:t~~ d/~3 ~ 04 "
Planning'birector -.If' Date Special Condititlns, ifany
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
* -ylY!
~ White . euildinQ)
~anary ". I::ngmeering
Pink . Planning
Tht" Ctnltr of Ihe tlkt COUnlF')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
a;~~ ~
3- d-/- () "3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;Jrs/ 1?MfJ ~ 1?/~
Accepted
Accepted With Corrections ~.
Denied
~ ~~ Date: f/?/tJ:5
- , ,
fr7~~6~~
~~.
Reviewed By:
Comments:
~y
liThe 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."
Main File
I \
3/~Y
Thr ('tnftr of Ihe t.akt ('ounlry
White - Building
Canary - Enqineering
C Pink - Planning:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
/
-< - .~! -
j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
----,
'w'
c::,
:;;
I'
,
/
!\~
-:""/(..J;
,....-./
/'
,J
Accepted
Accepted With Corrections
~
Comments:
Denied
Reviewed By: ~ :/~
~
A.~, ~ ~
JJ()
Date: </ / 7~3
,
&~~.~ ~.
v '
AI"J~ ~~~
#
"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."
Main File
5~~41
Th~ ("f'nlf'r of ...,. L.ke ('oun.ry
White - Building
~anarv - i::.riYlijt!enn~
Pink - j.)laiinlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( ;'
t'0/J2-)'1:2--/J-14l?,' 'i'l/y"!.j ;(-;(./31;., 2_~ .
3- d-I-()3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,,-, .1,/) /
3 ('> -/ ' .' !-1 I"~ / .,-. .- ''../'
).,~,,~. ....., ,. ~'r, ~. ~, ,f' i
C l' ~ . I '; {i..-;J--fC' ,.w..--<c/ tAj! i t {/ Sr/'
, II (j
\....../ "-.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1lfi-)3
Date:
Comments: SAe Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan: 2) Erosion Control Me::1~mTe~
liThe 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."
~
.,
... .5 JSI t(/,.1""./V/"~J
Job Address
- - .
Heating Contractor C.fUl ~- fA1
Name of Tester U_
Date ~-I~ - C) ?1
Percent O2 9,/~
Percent CO ',7^
Percent CO2 ~%
Stack Temp. 5/~/.
Combustion air is adequately supplied per
UMC Sec. 606 VC'/
Input ----
-,
2. 2003 2:47PM
GENZ RVAN PLUMBING AND HEATING
No.830J P. 5./9
~i PR10~
t... Ir\ ('
\~ / '\ ~
::.;/'.:~"
~':.r,.' \~'.~"~'" '{~; ';:,'
~11l\~~,~~\~~~,;.~-..\.j~1V.E S 0-<''''
'"
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PER1\11T
~. ~::w ~;~ PERMIT NO'3-3' J if ]
, GoJ~ Ap~h""" '-(
(pleaSe type or POlJt and S~11;n at bottOm)
ADDRESS (). . ..0
,':)n5/ Q()Spbrr:'1
&uW
/3'dvJF If d
"-..,./
ZONING (office me)
PID
OWNER
(Na.me) Wensmann Homes
(ehone) 651-905-3709
Eagan, }lli 55122
(City) (Zip Code)
(Address) 1895 Plaza Dr Ste 200
(Address)
APPLICANT
(N~e) Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemo1..l0t::. ''j\1 55068
(.A.~s) (City) (Zip Code)
(ContactP""on) _ J71--(nem /)'_;. . r\ (phone) 651-423-1144
'r.ICANT SIGNA ~ ~J)aiiJJJ..JL)SATE <-/ /;:r-/ ():?
APPLICANT PLEASE COMPLETE B~LOW
Size of water service incbes.
Location of any couplings from structure feet..
Type of sewer pipe 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) locate~ at feet from strUc:ture,
FEE SCHEDULE
ReSIdenfJal sewer and water line connection $35.50 Industrial, Com'l & Multi-famIly 1% of job cost with a $39,50 WJrumUDJ.
Sewer connection only $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEVr'ER AND W A IER PERMIT'FEE
STAn; SURCHARGE
TOTAL PER1\1IT FE:E
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Offi(.e Use Only)
This Application Becomes Your Building Permit When Approved (nIl ~..;@ I~ n \VI Ie I I)'
Ill)! Date .
D:\tt II APR g 3 2003 ....
24 hour notice for all inspections (952) 44 -9$50, fax (952) 4,~7-424S L
By
Receipt No.
By
(j-,
Building Offjc.ill.l
IJ
. IIr'I'\ i'P leu '\] If :
CITY OF PRIOR LAKE II ~~ ~ .- Date Recr~ I
HEATING/AIR CONDITIONINGIFIREPLACE PERl\I~U JUL 092003 ~
I. i'1n.
2.~
J. Ych_
.By~--
~~~ I.PERMIT NO.,1:> _ ^? ..11_':
Appll...., U) ~ '
(Flease type or pri.tJr and sim :lot botll:lm)
. ADDRESS
3~S' R~~ Rccui.
ZONThlG (office use)
LEGAL DESCRIPTION (office U3e only)
LOT
BLOCK
ADDITION
PID
OWNER .
(Name) ~ (phone) (.,S ,- 4~-4'-1QO
\
(Address) t~qs p~;~~ ~ ;mr"\ SSk)d.
APPL1C~ .
(Name{ ~,u.:\:rnYl.oL-<- ("o.o.n..D..c9Sl CrO\..:l + &\,(.I::l.cC~ (Phone) ~ t 173-3 i S-750C
(Address) C{:) \ 0 LJl.!C'Yru n~~ Q J -e. 0; D u \' ft~ Lr"n R:.'L. J{. rn n 5<::;c..,...../ C;
, .' r)'ciciless) CJ (City) (Zip Code)
(ComactPerson) =k~'\,,-U. . (Phone) '1G::3-3tS-75iG I
APPLICANT SIGNATURE 7f;;...(:;) ,a/It '70..77':Q .~ DATE 7/9/03
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~EL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
" DWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mcc:hatlical 0 Radiation
OAir Conditioning 0 Special Devic:cs
DVent. System 0 .other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE MAKE AND MODEL ~ "3LODV~RtJ
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
Industrial. ClJmmercial &. Multi-Family
$39.50
Residential. Heating & NC (New Construction)
Residential. Heating Only (New Construction)
S39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH '
BUILDING PERMIT
.50
nlllldlog orntlal
DUt
24 hour ootite for all in,pections (952) 447.J?&, ;u (':1~1' .....,....l1:.
-
~ [l[l1L[ -,,'
. . + tece1pt No.
J L )By
I
(ome~ U3C: Only)
This Application Becomes Your Building Pennit When Approved
I' I) I) / C I) I) IiJ
X31aI~d 3~V~V~ JIIVWOlnv
~I)LI)SIC~19 YVd 91:11 CI)/6DtLI)
2003 3:41PM
GENZ RVAN PLUMBING AND HEATING
No.9631 P, 815
Date Rec'd
CITY OF PRIOR LAKE PLUMllING PER}\1llT
I .Blu. Pile
2, r",ld Cily
1 Ytllow ....pplitolll
~3 If (
~
..
I PERl\tnT NO.
(Please twe ot Ul1llt and sie::o. at bottom)
ADDRESS386 \ ~p~ r<.tdqb
ZONING (office U$C:)
LEGAL PESCRu:- uON (offic:c use only)
LOT L-nLOCK :L ADDITION J f'tfe~~ SDGc-th
PID
OWNER
(Name) W'ensmann aomes
(phone) 651-905-3709
Eagan. MN 55122
(Address) 1895 Plaza Dr
APPUCANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745
(Contact Person)
So Robert Trl
(Address)
r,V1~.i~fi ~-~ -
rAA~ ~ fJ.L)
Rosemount. MN
(City)
55068
(Zip Code)
(phone:) 651-423-1144
DATE 10- t)..J'-O ~
--- . -
APPLICANT SIGNATURE
Quantity
:J..
I
I
if
{'
\
\
~
"-
APPLICANT PLEASE COlVlPLETE BELOW
Type of Fixture Quantity I Type of Fixfure
Bath Tub with or without shower ~ Rough-ins
Dishwasher I Water Heater
I Floor Drain J2, - '[ , Water Softne:r
1 Lavatory (Bathroom Sink) , I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other ~.
FEESCBEDULE
Industnal, Commercial & Multl-fa.mtly 1 % of job cost wIth a $39 SO minimum Rcsldennal, New One & Two-Family $9950
Residential, Additions & Alterations $3950
(Office Use Only)
Estnnated Cost $
Building PermIt #
PLUMBIN'G PERlvIIT l' J::..t. $
STATE SURCHARGE $
TOTAL PERJ.'nT FEE $
.50
PAID
aUILOIN WITH
G PERM/;
Receipt No. I
;.:.!~~S Application Becomes Your Building Permit When Approve t~\~" 0 \~J ~ II
:.._. . .~ Date .
I . Building Official D~te ~ ill 0 2 2003
L...J L-'
24 hour notice for all InspectioDs (9521447-9850. fax (951) 4474245
By
;:'
-~
'1/
By
2003 3:41PM GENZ RVAN PLUMBING AND HEATING No,9631
CITY OF PRIOR LAKE
t:l.EATING/AlR CONDl110NlNG/.lf.I.KEPLACE PERMIT
p. 1 2:
Date Rec'd
~. ~~!;, I PERlVIIT NO.
J. Yellow ~'-{ r
/3~
3~ ",- J
(please typ~ or priIlt and $ij!:n at bottom)
AIJDRBSJg51
12M ,o.fx fJ YJ I~ f), ~l/'IJ .
I ~') /~
J ~ffeRJ em,-/;')
- ..: to
ZONING (ofiice~e)
LEGAL DESCRlPTION (oake use only)
LOT ~LOCK;( ADDmON
PID
OWNJ;R
(Name) tJ",." c:m::l 1'\ 1'\ >!'...,m<> c:
(Phon~ _~~1_QO~_~iOQ
(Address) 1895 Plaza Dr Ste 200
Eagan, Ml'l
55122
APPLICANT
~~~ Genz-Rv~ P'u~ & ~tin~
(phone) _ "" 1 -l.? 'i- 1 141.
(Address) 14745 So Robert Trl Rosemount, NN
. (Addre~~ (City)
(ContactP<rson) ftltM-.ii . __'i~ (Phone) -6<1-0"-'1/,,,
APPLICANT SIGNATURE {J..{,J __ 10 1KJ DATE U" d---l-IJ.-.~
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL rERA TION~ /? L
FURNACE MAKE AJo MODEL Len JIJlff tI!1fJ fA, H ,/'3f.aJ3 J/{O FUEli1ta ---Cf 4<J
FLl.JE SIZE RETITRN OPENINGs'1j" oorurCfO,o/)U OUTPUT 't:?, OZJD
,
TYPE OF SYSTEM EEA11NG OR POWER PLANT
iann Air Plants
~~vity
Mechanical
jr Conditioning
OVcnt. System
55068
(Zip Code)
o Steam
o Bot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setback3
FIREPLACE MA.ICe AND MODEL
Industrial, Commercial & Multl-FlIlluly
FE:E SCHEDULE
1 % of job cost Residential, Gas Fireplaoe
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residc:ntiaJ, AC Only
$3950
$3950
$39.50
RestdentisJ, Heating & NC (New Consuuction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
FlEA TING PERMIT FEE
STA 1E SURCHARGE
TOTAL r.r.~ FEE
$
$
$
.50
13lJIL~:D WJ7ff
G PEFlMrr
I (C':- . Use Quly) _ ._ ~--~l
, ~,~ AP:::~:~~m~ Yo.r Bulldiog ~<mi::hU APProv~~'~ J:~ ~ ~O~ I j - :~NO.
Ctr
J
24 hour notice for all inspections (95 t) 447-9850, fax (95.2) 447-424";
By. -J
,
t"RIOR LAKE
INSPECTION RECORD
DEPARTMENToMain Fi..e
BUILDING AND INSPECTION
SITE ADDRESS .3'5'1 R..spj"fl.t"',.&.l..R,'~ ~
NATURE OF WORK .N~' Co~+rl.A..i.. t-io
USE OF BUILDING S F ,f
PERMIT NO. -'23- 3'1 r DATE ISSUED
CONTRACTOR w~m"~AJ ~,MeS PHONE "'S~ -I,'V6. l{S'"8~
NOTE: THIS IS NOT A PERMIT FOrR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING ,Vec /- )r '<." _~ ..)::;> I I 12-. /-1- I s /7/03
J FOUNDATION (Prior to Backfill) L.( +i4 OIl ~--::> ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~.Ll S'_?
f/~. ~Z/
/b ?-/~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~;;""e{ """-'~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,.
I "-- I
FINALS
,IV}J' I~' t/. I)
11?
tP,6 /'5
GRADING (Prior to Sodding)
BUILDING (I..(vf /'lYlh'1
ELECTRICAL
PLUMBING
HEATING
DO NOT
10 3j""'-'
. 2 - , - 0"
-
p~ e-~
YJ,y? - ~-lq-f8
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
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4-- zi-aJ
AND UTILITY CONNECTION PERM~I~ . .
~ ~ P~;I ~O~-3<<-\ I
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PERMll~O. ()5' ~_.:{) 5Z
(Please ty[)e or print and sign at bottom)
ADDRESS
3~51
R""fb>< J
R-.:c1-y
LEGAL DESCRIPTION (office use only)
I White File
2. Pink City
3. Yellow Applicant
Ro~
LOT II BLOCK ~ ADDITION S~~ ~~\
OWNER
(Name)
uJ&~~~ ~
t ~ ~ S P\ c;.;:w., 'Of ~' -e _
:]:~ r
~ ~\k
(Address)
BUILDER
(Name) ~Y'--e
(Contact Name) Dn ,j
(Address) '1!S..;t...
TYPE OF WORK
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
R- ~o_~..Q
e.f4.0 - Co-{ 587
This Application Becomes Your Building Permit When Approved
~ ~ 0/2-/03
Building Official
Dat~
ZONING (office use)
JeISD
PID~G - ~9~ - 03}-O
-2CO
(Phone)
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J
{V\\-.i
.5$1 jJ_
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
$
I
I
I
\
o New Construction ODeck ~orch ORe-Roofing
OLower Level Finish 0 Fireplace OAddition OAlteration
o Misc. AJ.J '+0 ~ ~C;,LlI\~ ~*~.}oST IV ALUE (excluding land) $ ~ ) 0 00
I hereby certify that I have furnished information on J 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 u~ the Pfiperty R perf~ needed i~ections. . .
x~ '1<-~~ ~~~M J'158 4~1o~
. Signature ~S . ~ntractor's License No. . Datt
"9/)00,00
$ 1fL,'J.2,5
$ 10 V' 7/
$ . 'I. SO
$
$
$
$
$
(Phone)
(Phone)
,\
I
I
I
I
]
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
\
280. ~ (,0
I Paid aI'tJ,9'
I Date ,~:i
Receiot No. ~'I.~r~
BY~~
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 constitut~ a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ S/~3
Planning Director / I 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
#
#
#
Y1
yfd
White - Buildin~
Canary - En9inee\
C- ...lnk - Planmny
... '-
The ('tnler of the tlkr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v\l E 1~5111-\ rJ tJ Ho IVISS
+ · 2_1-; - 03
The Building, Engineering, and Planning Departments have reviewed the building pI
application for construction activity which is proposed at:
3 fJ5 I t~i'\SPI~F~/<..-~01 ~{06~ 8tJ.
I ,
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
,....
~~p
~~~
Date: ~/A:?
r . 4. /"
.~~
/
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."
Tht ('tnltr or Iht' tab ('ounlr)'
d'l
/7 o"'.C; c::::::.l'if1ite - Buil~
. '7 Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6t\fSMAtJN I--OMN
4- - 25-03
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 ~51 eA5PP>~~ f2A oca8"" 80.
I ,
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~ ~ Date: 6P:~.?
~.;UP' ~.~-
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,"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ l RAsP~ ~\06E ~AO
NATURE OF WORK _~'1AO~H
USE OF BUILDING /~.n~.
PERMIT NO. .O?-05Z7 ~ATEISSUED 5/2...10-'
CONTRACTOR" rylt\l1dtJc.PHON~-'tf~-t/S87
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT-OF ~
BUILDING AND INSPECTION Yl1; .
3L- \
INSPECTOR
DATE
FRAMING
INSULATION
LECTRICAL
FOOTING I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
(/(;
I /
(
)
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
M
~.. (q~rI)
HEATING M/ ~/fq-tP
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.
FOR ALL INSPECTIONS (952) 447-9850