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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