HomeMy WebLinkAboutBuilding Permit #03-0022
(Please type or print and sign at bottom)
ADDRESS
cse-e- M.~/1J FILe
CITY OF PRIOR LAKE BUILDING PERMIT, ~ ~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
./5'2. 7-3
SpFFl'rJ'
~J'J'
LOT A..BLOCK I
LEGAL DESCRIPTION (office use only)
ADDITION
If f',,,,. J
"
OWNER
(N ame)
(Address)
BUILDER I )
(Name) /A-/ ~
(Contact Name) G c:r r y
/
(Address) /tf7> j? -0c.. L)/J
. --
trNew Construction
TYPE OF WORK
o Misc.
1()-/F't1) /
O~ -CX);).~
PERMIT NO. ~
I. White File
2. Pink City
3. Yellow Applicant
A/tJ
ZONING (office use)
1<1
CrpJ'/
o()~ - ()
PID;;S-- JJ>t- -IH6.l' -1.
(Phone)
,lJ~
DLower Level Finish
(Phone) 6J7- Yo ~ - Y'}/I) v
(Phone) &/.2 -Jh?- /'&12.
~.
~
s- -5 /:L.2....
DDeck
OPorch
OAddition
ORe-Roofing
o Fireplace
o Alteration
ORe-Siding
DUtility 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
;ter 21e;;:;o Perfl:Z::- /ys--r /tJ-/F- (fA
/ /~gnature Contractor's License No. Date
V
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST/VALUE (excluding land) $
,. I ~ ot'd r t/f)
$ 1J117, 7~~
$ 79 / I 5 'I-
$ 70,00
$
$
$
$
$
I d(), () 0
/l)tJ, (Ju
3'5.~tJ
J.{tJ. 6-0
This Application Becomes Your Building Permit When Approved
~ :/~~
Building Official
/(J/~/bL-
,
Date
$ --
I~ ?S~ ~~
$
$
$
$
$
$
$ $ .. L 1-. ":IJtI
5'?J~ Lj, "1JJ I
Receipt N oU z::; ~ :) ~
, - - ,
By ff-- ~
I Park Support Fee
SAC
#
,~eJ, ~
t?2 S{::>, 00
4'5:: 00
/;2CJ~t(JO
'7 (JO t' de
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
~ ~ I~~ft ~ ~ / (M~:f,1.,.)
Planning Director Date S cial Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter (SiZe-S-jJ; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
Paid
Date
5f6 c)'f, /'1
f</ ri-I-a ~
White - Building .
Canary - Engineering
Pink - Planning
Tht ('tnttr .of thr I..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.APPLICATION RECEIVED
IfJ~~
/0- /8~O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IS d 73 j?~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1)/#f3
Date:
ll-I'i-~?
-
Comments: ..... Sa /J1e, 1 ~ . 1','/ (
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a..p'~r!!lit ff>.r, 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. II
'::f-~
The ("enler of Ihe "'ke ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I I ". .i'
/ IJ' :'/t,,JA .,/1 /}'>;'1.' (. /\/,.')-11 ':."/.i'-j.t.r'i'-' '/".. ~ ,.
J A ~.,. ~ . ;'t....' ,;.;' ~ "'''L-~ 7"':'" <-. L'J/I .k'.~~'~~
v- t
/'0" /.\.':_{).'~
j ,I'),'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~I
,/n -) /7..... .,2
;/<...""";;;'.; ....x' .--..J
..... ."'" .
/ ~~/ /.::J.. ....)-.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
~
~
:f~
Date:
,/~
/5~t/ /! 2-
/ . .
Comments:
~
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."
A ~ 7L~
Tht Ctnltr of Iht t.kf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I{J~~
/ 0- /8 -(J~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
/~d?3 ~
jJ~-
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~ .
~ '1JI'-
Date:
lo4-~~;J-
Comments:
~Il~
~~,
~
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."
lO/~4/01 WED 11:22 FAX 6124~7424S
r.ITY OF PRIOR LAKE
f(J 001
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I "!we Pil..
I. (joltl tilT
J. Y./1l;,w Appt'C;M'
PERMIT NO. 3-;;)' ~
(pleaJC CYf)e or p1'U1t IDd I~ ilt b.. ~t....,)
ADDRESS , . _ ~~ - ~
S~/~ ~ ,~>
ZONING CGb uae)
LEGAL DESCRIPTION (oRia: use only) D~. .
LOT ~LOCK \ ADVmON \~~ ~'t-
~~~ ~\eJY\?m~" ~Qm~ cphone)G.5)-LfD(,-tfLjDO
(AdclmS) 12>~0 ~(Yz.o.. h-. ~\'ko?bO ~'r\ f~~\ ~':>/~rz
~~;:~ANT ~~d "\>\'b~ ~ ~\~~. (Phone) ~J-'fs)~/SbS
(Addrl'Ss) 7/D 'I\~b.~~ \<-.J, ~"'- .\\n. 55"/;;2/
(A~) ~ (Ciry) (Zip CodeJ--
(Con[actPe~on) \\-~ \{~9}':;'l>o- ,,' (phone) tS-Ir-1D-15bS
APPLICANT SIGNATURE _~ VATE 'DPS/D'3.
~LlCANT PLEASE COMPLE 11'- BELOW
lY pe of Fixture QIIJlutity
Bath Tub with or withom shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compa.U4.ent sink
Shower Stall
Sinks
Bar Sink
W;ll.l:-r Closet (Toil~)
Quantity
~
I
;
1
,
I
I
r-:s
Pro
I
Type of Fixture
Rough-ins
Watln Heat~
Water Softner
Stand Pipe (Washing Machine)
Sewage E.jector
Backflow Assembly
a.e.kflow Assembly Test
Lawn Sprinkler
Other
I
FEE SCHEDULE
Industrial. Commeccl..l & Multi-famil)' 1"-. of job cort with 3. SJ9.~O minimum Residential. New One &. Two-Family S99.S0
R~ident.al. Additions &. Alterations SJQ.,O
(om" Ute O"ly)
Estimated Cg~t S
Building Pcnnit j
PLIDAnINCi PERMIT FEE S
ST ATE SURCHARGE S
TOTALP~u~FEE $
at ,..'~/O wm.,
.~Q NG PERMIT
This Application Becomes Your Buildinc Permit Wh.n Approyed )u~1.~~ u u ~ :ccipr No.
if"e AUG ~ 7 Z003 Bt /1.-,.
B"j(dl~ Omcial Ihtt . J L ) ~'
:4 hou," aotice .rOi' all illl~etioll' (951, ~7->o. iv, i.lilll. ,952) <.4~ -4Z..5
E d 08tES0098v 'O~//ES:L 'lS.,/vS:L EO ,9G'8 (3fl1) L9E}1l~~ rr,r} r}M;~1 ~ r\~I8Wfl1d' 13ZN3l~ WOBd
..--'
C!~y OF PRIOR LAKE
SEW"ER A_ND l'r1A'I'ER ?S~IT
AP?LICA...~T :
AOOR~SS:
c - '-:' . ~ :-:T - -::- -:- .
I. _ _ . _ ".. _ .
~~r." . ,....~
'Yt!l.J~ . A.~rur:.a."T
(;.0 '- 0 . CTT l'
NO.
~-d')
NOTE: Sewe~ and Water
contractors must
be registered
with the City.
PHONE :rJSJ-.i.J:9-~ J 565.
DAT=: : <6/~t:) 3>
"3 : . :':' G ,
~-::-~'A' ,"'" .:.t
... ------ ~
1 .
E~ti~~~2C le~g~~
of water serJice
I
=~LL rN TEE SL~N~S
30
fe'.2't'.
incj (es) . 1
S '.::-'Clc'.:u:-e v.j { V\-
P"'IC ~
,3CJ
2,
Size 0: wate~ se~vice
3 .
Lcca~io~ of any co~?linqs
from
4,
~ype of 5ewe~ pipe,
ASS
5 .
~5ti~2~ed leng~h
line
of
s e fN'"e:!:"
6 .
C!.e~n
( . .c
1J..
re~irec) I
loc2":.~c.
out
S~:-"..l.c~'..1:-e,"
feet.
Cast Iron
a'.: Ee:~~
feet
f:-o~
========~==~-=;=~==:=================~~=-==============.;=========
EV
?~~s a~9!.icaticn cecomes ~ou~ pe~~t ~hen ap9=ovec.
DAT=::
F::::::~:
~~=============;~~===~~====~=~;;~==~=~~===========~~~~========:==
S
5
S
35.00
.50
35.50
Sewer and wate~ line connec~ion pe~~it.
SurchargQ
TOT,"~L
* :ee f~= e:~hc~ sewe= c~ wate~ i~civic~c~ly is $20.00 p!.us
S .50 s'J.~c:"a~ge.
* S.:'" e::- and. \oJ Co t..e::- p e ::"":l its is 5 u e c:. f 0::: neW' c ~ n s t ~ .J. C t ion In us t be
=eco==ed ,on t~c buildins\pe~~~ ca::-~ et the ti~e of issu:~ce
~~ i~s~=~ t~~Mrnc7 '~~~i~~a~e se~e= 2~d ~2ter pe~i~s a~e
:'..55-":'-:-::. jl,U"I ..,.' LJ
\ . ~
D~:::: ?A::J HY======--=- - i'~~OUN,"" ?>"!D8111l_~~~
?:.:~:?~ ~ R~C'D 5~ ~~~rr
, ',..:. 'l. ~ ,~ .' ." . _ ... ...
I.... .', .......:?;..
, ::; -.~,.-
f/:.
f ~. ..-
t d 08tES0098t 'ON/ES: L 'IS/ItS: L EO .9~ '8 (3[11)
L9EO-GSt-lS9 9NI1V3H ~ 9NI8Wfl1d 13ZN3M WOBd
~~
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
~: ~e:n ~:;y PERMIT NO.A'. AA.~
3. Yellow Applicant ~ ""~
15273 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name WENSMANN HOMES
(Phone)
. (Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
ZONING (office use)
PID
55113
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
651-633-2561
12/18/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
l1hA 111 ~G OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
HEATN GLO R-CORNER
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Buildine: Official
Dl!t 3 0 2003
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
Receipt No.
;j-
10/21/03 09:33 FAX 6518949955
WENZEL HEATING & AC
!4J 002
CITY OF PRIOR LAKE Date Rec'd
H~AllNG/AIR CONDI110NING/.tJ..1{EPLAGE-PERMIT.~.~..-"" '-'.'. -.--
CPka3etvoeotorillUDdnIDU_m)(\~, ~
ADDRESS . "-J.r
A-5;:)"J~ ',. ....-~-~ ~ ~/w
, f
LEGAL DESCRIPTION (omce use oaly)
~:~ ..,~~. PERlVul NO.IJ2.()^~~ I
3. VdIDw AMlliCl41 ~ ,,~
ZONING (o~ use)
LOT
BLOCK
ADDITION
P!D
OWNER ~.. L,
(Name) {&/,t?~~/dtt:"l#N
h6~
(phone)
(Addr~s)
APPUCANT (~/..... _ / .u
(Name) W~ ~C;
(Address) 4IJJ al.:.f ~NI"t// #JA1
(Addra!s)
(ConcaaPerson) ~./ d/Je:
APPLICANT SIGNAT~ / -;':;J
(phone) ...Jpt;; }~4.q~
~CH -s51?C
- , (City) (Zip Codt:)
(Phone) -1::5~q~R
DATE _- /~c:J
.....,..
APPLICANT PLEASE COMPLEl~ BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL &5/ a~/O 'FUEL ~t-
FLUE SIZE 6):3 'W~ RETIJRN OPENINGS ( p INPUT 2S1:i;:t:) OUTPUT ~~
!f'e. ~/ TYPEOFSYS!.cM . HEATINGORPOVlERPLANT
~cI- OWarm Air Plant! 0 Steam
J.A/V'~ D30 OGravity. 0 Hot Water
,~ ~echamcal 0 Radiation
~~r Conditioning 0 Special Devices
, OVent. System 0 Other Devices
PLEASE NOTE:
. Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercia! &. Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64..50
S39.50
Residential. HeO!ing &. AlC (New Construction)
Residentia.l. Heating Only (Nc:w ConstrUction)
Residential, Additions & Alterations'
ResidentiaJ. AC Only
539.50
S39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE~lll. ~J!,~
$ CAIn V'~OH
~ SUILOING ~t:~M'T
(Office Un Only)
This Application Be.om"" Your Building Permit When Approved Paid Receipt Nj
Buildiaf OrticJal Da.re' 5~}J 2 6 2003 By ..." "'- .
14 bo u r .otlce rDrall ins p'-'~on' (952; 4~; _;~~~. ;.~ (~~1)~; .::u~;" - - =~ ;;. ~ (j.;' ~., - - ~ 0'. ~ -" .0. 0
PRIOR LAKE
INSPECTION RECORD
.S~ ~ 1-~
DEPARTMENT OF
BUilDING' AND INSPECTION
SITE ADDRESS /:5 ~ '? .3 q~ ~ MtcJ,
NATURE OF WORK NeW Ufd(1U..LCA /fJ;:::;
USE OF BUILDING SF:A.
PERMIT N005;OO~ DATE ISSUED /o/.;Js /0 ~
CONTRACTOR /)JeuSM.ftUN ~5 PH6NE~-j'6," - '/~r~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.
FOOTING
FOUNDATION (Prior to Backfill) ~ ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING l/J Ie-- ~~ ~ t\(1--1o
INSULATION f/$ v /2 - :?
ELECTRICAL
PLUMBINGV"I~ U0 r'~O"'1t:; ~ 1'1 /}- J?
HEATING (if required) w/i Llm ~ ~~J'U?
FIREPLACE /l
GAS LINE AIR TEST "; 7 ? .. 7f>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING .,
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
J
I
1
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
rilJ
2.-;20
fb
2.~\'"
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
@erfifirafe of O}rrnpanrl!
CI'l'Y OF PRIOR LAKE
~eparfmeuf lIf ~uilbiuB JfusperfilIu
~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 FAL\fILY
Occupancy Type _
R3
Type Construction
VN
Bldg. Permit No. 02-1501
Fire Zone N/A Zoning District Rl
Site Address 15273 JEFFERS PASS N.W.
1895 PLAZA DRIVE, EAGAN 55122
Legal Description _
L2, B1, REGAL CREST
Owner of Building
Contractor's Name & Address WENSMANN ~S,
ROBERT D. HUTCHIN{J,f)
2 ).. . Buil~g Offi:~l l/ r
~ ,. [)- <::.: CX:::HI
I
City Planner
DON RYE
"f
Date:
Date:
l'
DATE TIME
CITY OF PRIOR LAKE ~ ..20- tI-{
INSPECTION NOTICE SCHEDULED
ADDRESS JS2)-~ :~6k
OWNER CONTR.
PHONE NO. PERMIT NO. ,?-ao~'-
1L 1
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
Ok ~ C f~<:J -H1.('~
/}
f"
J~~~
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR71c 0 K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CA -9~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH ({ SAFETY!
INSNOTl
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~, I~-Q'i
ADDRESS J5~ l(3 ~~ r~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.3 - 00 ~ 2.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.~ r-LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-~~h~ H ~
~. C\lU~D ('~~
_~. o.eJ..L ~~ lM--r\)
o ~RK SATISFACTORY, PROCEED
A CORRECT ACTION AND PROCEED
o CORREC~.ORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector." 2; Owner/Contr.
CALL '-9816 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl