HomeMy WebLinkAboutBuilding Permit #03-0489
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT q - a 9-03
See Main ~ile Whihi rH.
Z Pink City PERMIT NO. J_ //OQ
3. Yellow Applicant U ., 0 I
(Please type or print and sign at bottom)
ADDRESS
3fC2
g fJ-"/ At li
AI~
LEGAL DESCRIPTION (office use only)
LOTJO BLOCK I ADDITION 1f r:J ~/
OWNER
(N ame)
(Address)
BUILDER/ I
(Name) I/V l'Nf/J1if,AlN
(Contact Name) Gtt f" Y
f
(Address) /S'Pf" ~/~ z.~
1J{/n"PJ
L)r/fl('
TYPE OF WORK
--
~w Construction
OLower Level Finish
o Misc.
ZONING (office use)
R'
r,,,.. fJ J r
PID.u- - 33(, ~ Ojl)-IJ
(Phone)
e'er. , ~/V
-oJ
(Phone) ~..j'1 - .y() ,,~ J/-r I) 0
(Phone) ~I ~ - 3" f- 76 /~
/7l A/ -53"; ;2.. 2.
ODeck
ORe-Roofing
ORe-Siding
OPorch
o Fireplace
o Alteration
OAddition
OUtility Connection
PROJECT COST/VALUE (excluding land) $
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
exnrer ~!2. 0 :: ~ro~erty t/;;per prm n7Jed inspections.
/J ~ ~ /"yy-r </-,<J-oJ
,/ /. Signature Contractor's License No. Date
, t/
. Permit Valuation
Permit Fee
Plan Check Fee
r/ 5~ 000, O~
$ I / 8.!1J~
$ ? 7 3. 3'1
$ fa 7. sa
$
$
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I(J~, DO
100, tf)t)
..35, 5""0
J/()tt1D
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ '}.tdlt.J 5/1'1/d3
Building Official · Date
Park Support Fee
$
$
$
$
$
$
$
$
-
#
SAC
WaterMeter ~l";
Pressure Reducer
#
/27S":(J(j
Z.SQ, D a
~s, () ()
J 2CJd, aQ
700 ~ Oll
City SAC and WAC
Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
#
#
. $977~ .09
, w
I Paid ,-~/;'}(~,o9
I Date 0~ ;::~./5'-0.3
I 'I/~~
Receipt No. L{-,..:;>::> ~
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
~~ Pbn;:;::mpowy c~;~o~;z;anre and allows consttu~on see Be, A:~ ::mfica~;~O;:~ must ~
Planning Director bate Special cori~
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Th~ ("tnttr of th~ tab Country
See Main ~'ile
White - Building
Canary - Engineering
Pink - Planning
BUll~DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ilJ.tJ./1-l t/) -~("'~'1 {?~,},'11L't ( I'X:~'f--,:'~. )....J..:r/t~"?".;...J_.~........,,..
&.. .f:./....--- :i..- .,1',.' ..':. -.- .,. . - _ _ ~
L~/ .'- ,..~~~:)... (;.- (~).::;j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whichJs proposed at:....i
r -J ',(""...,..'/ _,
K~ ~'? (-I /""}~.~()i.d..1:... / t.~';r.",'a-d.._--,"-'"
Accepted
Denied
x,
Accepted With Corrections
Reviewed By:
Comments:
/)14{3
Sec-. 111c,/" h-tr
Date:
s - ILf-03
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."
~
See Main .File
~. Buildi~
Canary ."'t:ngmeering
Pink . Planning
The ("enter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT tL) ~~ .~
APPLICATION RECEIVED (/- ;).J:l-CJ(3
The Building, Engineering, and Planning DE~partments have reviewed the building permit
application for construction activity whic~Jroposed at:
3 ? to d... JJ J /1 M t? F71A<J../
I \~ if
Accepted /" Accepted With Corrections
Denied
Reviewed By:
~
,
~
"
Date:
5/1'1103
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."
See Main .File
wbit@__~_:-~~i~
~ -1=riigineering
~ - ~anni~
The ('enter of the Lib Country
BUILDING PERMIT APPLICATIION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ '1 I
/) J
;../'-..-)
" )
.>'~
APPLICATION RECEIVED
.! / -'')
J 'oJ
,"
The Building, Engineering, and Planning DHpartments have reviewed the building permit
· application for construction activity which is proposed at:
"......~\
~
1\ . I~J.t( I /r~-=,-.
..
"
:&
,..
r>
Accepted
/'
Accepted With Corrections
- .l,
'..
Denied
Reviewed By:
(
.~ )l~
Date:
5/t'-/~3
Comments:
t
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.1I
MAY-2~-2003 07:11 PM STAR PLUMBING & EXC.
~52 884 7468
P.02
_....
YaLOW .. AI'fIICAIIf
-.II - Cln
C.&..L l OF PRIOR LMtB
SEh.e..K UD WATER PERlUT
NOTB:
S.W.No. 3-l/t1
Sewer and Water
contractors must
be registered
with the city.
APPLXCANT: 3~~
PHORE: ~.2-~-~~
~;~ft:
BLOG . r'.1'.l\MIT ,
.p~ PIDt
SIGNATURE:
1.
Estimated length of water service
/~I
inch(es).
IN TIlE BLANKS
~d
feet.
2.
size of water service
3..
Location of any couplings from structure
feet..
4 . Type of sewer pipe. ABS PVC C>( Cast Iron
5. Estimated length of sewer lin.! 60 feet..
6. Clean out (if required), :Located at
structure.
feet
from
======___==========~=========--========~=~~===----=====-----a=~==~~
This application becomes your permit when approved.
BY
DATE:
===---====---~===----=~=---=~=====~~--~----==~--=---==-------~~~
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20~OO plus
$ .50 surcharge.
Sewer and water p84.its issued for new construction must be
recorded on the building perait card at the time OJ.~.. nee
to insure that no duplicate sewer and water pWl. ~
issued. G PI:J
DATE PAID AMOUNT PAID R4t/t
RECID'~. @ ~ ~ ~ ~ 1\
~ JUN \l 2. 2003 l ~
16200 EagIc Creek Av. S.B.. Prior~: ~~.~~ .!..::.7;~..~~.:..~6~y:~~O I FAX ~ 44714245
*
RECEIPT f
CITY OF PRIOR LAKE
10124/01 WED 11:22 FAX 6124474245
~)
~
\tl 00 1
Date Rec'd
'(11 i OF PRJOR LAKE PLUMBING PERMIT
~. ~~ ~:~ ,. ji.l!,RMiT NO. J _ ). /. rr;;..q
J. Y,I~ """iC'WIl :::::::> Lf 0 I
(PIn x lYOC or J)rint 100 Ip at L....~yl..)
ADDllSS 3lSb~ ~~\ 'VOS~ ~~
ZONIN G (ofBee \at)
LEGAl: DESCRIPTION (olli", .oe only) \ (\. _ ~
LOT 6sLOCK \ ADDmON "'~ '- ~'Ol:. '\
. 1 ~
~~e~K \J\ \eJf\S'(Y\0Jt\f\ Aam.es (phone) &,sJ-'tD'-l/'IDO
(Address) 2>~o' ~ f\Z-'" ~. ~\~ ~{) ~'r)fA.", ~S }';Z~
~;~~ANT Wf/(\Z.d 'V\b~ ~ \-\ ~ ~. (Phone) 6S/-Lfs2~ IS~
(Address) lID ~b.~ \<-.J. ~ '\\n, ~1:21
(Add.l~\) ~ (City) (Zip Code.J-,.
(ContauPerson) \T~ ~~~~ ,,' (Phone) ts/-4P.-)5bS
APPLICANTSIGNAnJRE ~ DATIl S!,QJ03>
~LICANT PLEASE~ COMPL.t., j ~ BELOW
Type of Finure Qu.ntity
B~th Tub with or without shower
Dishwasher
floor Drain
LavatQry (Bathroom Sink)
Lalmdry Tray (I or 2 compa..~uent sink
Shower Stall
Sinks
I Bar Sink
War:er Closet (Toilet)
Quantity
.;J..
I
;
~
,
r
,
,
~
ru)
Type of Flxtofe
I
RoUgh-ins
Water Heater
Water Softncr
j Stand Pipe (Washing Macbine)
I Sewage Ejector
B.ddlo~ Assembly
BatJdlow Assembly Test
Lawn Sprinkler
Other
I
FEE SCHEDULE
Indu5triul. Commerchll & Multi.ramily l'ro of job cost 'With a $39.50 minimum Residential. Nl,;w One &. Two-Fama)' $99.50
Residential. Additions Ii. A1tentions S3~.SO
Estimated Cost S
Building P~nnit H
PLUMBING PERMIT fEE S
STATE SURCHARGE S .50
TOT AL PERMI J FEE $ PAID WITH.
(Omet UIC OnlY) BUILDING PERMIT
Thi! Applicatjon Betome, Your Buildinc Permit Wh.n Approved I Paid ..., , Receipt No.
~~ I}; G \f (F~\ By , !
8ulld1nc 01Tici.I nltt \ I (\ 1
n :t, Z003 j. j I
, . ' . 1 :~ h~"""rb~ti('t for.1I in~gc~tilJ.'~) .. - r Y.~\9S:1) C4.-4245 G
[ d 6vlES0098v ON 9E'L IS,9,;.L EV.OE S lIB~!) L -(;Sv-IS9 DNIIV3H ~IDNI8wnld 13ZN3A\ W0Bd
B ~_-i
.. 't+~."~- ~~~
07/21/03 08:15 FAX 6518949955
WE~ZEL HEATING & AC
!4J002
~)
~...V
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGI r'lliEP.LACE~PERl\'11 J'
Date Rec'd
I. Piak . Fill:
~ em- Clr, PERlVul NO. 3-/ /80
1 Yd~ A"lleaal '-f I I
(Please twe Of' Print and si~ a.t bOl%Om1
ADDRESS .
.~ 3~ ..;~ I ~!SS
'/
LEGAL DESCRIPTION (office we oJ1Jy)
ZONING (office ~)
,A./iJ
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ~/--t5A?~~A<1 z!ln.~
,"
(phone)
(Address)
(phone)
~A-< / 5S-/2?
/ (City) (Zip Code)
(Phone) ...J::EJ -8=14 .L4~~
DATE ." ~4
APPLICANT PLEASE: COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL4')I~~r AC;I ~< '"')'0 ..FUEL -Lhl-
FLUE SIZE ,;)- 3' ' lp..jL RE11JRN OPENfNGS b INPUT ~ OUTPUT _~Cftt[)
;:J. / z. ctJld TYPE OF SYSTEM HEATING OR POWER PLANT
L.PAiNOX DWarm Air Plants 0 Steam
J D p,(J..D 30 o Gravity 0 Hot Water
~cchanica1 0 Radiation
~ir Conditioning 0 Special Devices
DVent System 0 Other Devices
APPLICANT
(Name) ~~ I #A?#~~
,
(Address) 4/?/ ~I ~/:J~//
(Addressy
~^r M(I (D~_
b,,,I
~/11
(Contact Person)
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndustriaJ. Commercial &. MLllti-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions &. Alterations
$64.50 Residential. AC Only
S39.50
Residential. Heating &. NC (New Construction)
Residential. Heating Only (New Construction)
S39.'0
S39.50
Estimated Cost S
Building Permit #
"
HEATING PERMIT FEE
STATESURCHA.RGE
TOTAL PERlVul FEE
$
$
S
.50
& ~~
~l) ~D IA~
~J\1G rY/~
,b~
Receipt No. ,-,.
(omee Use Ol1ly)
This Application B;,.omes Your Building Permit When APproV1J! [E ~l1: 0 ill. [E =
.. ~~ Date By ((
Buildlllg omclal Dlle JUI .9. S 2003 .,..., -
24 hour notic~ for all in~pecrions (9~ i) 44;-;S~~: r~~ (9~Z~ ~;2~ ~ ~ ~. - . - - . " -:". . .... -. -- .-. -: - .. -.
~y.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at b, !..Lorn)
ADDRESS
I. Pink File PERMIT NO Q3 OW!
2. Green City . _ -
3. Yellow Applicant
ZONING (office use)
3862 REGAL PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(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
BRfN(>A HUSTON
DATE
10/20/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OU 1 pUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent. System
..t1.bA.l.ll ~G OR POWER PLANT
D Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERlVul FEE
Building Permit #
$
$
$
PAlD W\'TH
BUtLO\NG PERM'"
.50
(Office Use Only)
Buildin!! Official
~
~ ~akt) :~ [I It ;il
I,) !
Date l J. rateT 2'1 2003 ~
24 hour notice for all inspections (952) 4~~850, ~r.~~=<:::~ 447-4245
.
This Application Becomes Your Building Permit When Approved
J
PRIOR LAKE OEPARTMENTcSee Main tile
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~a'~.a l>..et:t41 ~ASS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 0-3" DATE ISSUED
CONTRACTOR ~ PHON~/~ -~~9. 7V~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING (/v'U'i\
FOUNDATION (Prior to Backfill) tAAC;1;\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING (), &. A.. ~ 8/t~ 7 ,*; ~ ~- ~
HEATING (if required) r~ /;'- 0
FIREPLACE ~ II-n
GAS LINE AIR TEST
VlA {J t.v1
~1J
//AI?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
I/Vf/
:; -). 7'oL.J
--
f//J ~/
UNTIL ABOVE HAS
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.
)-), 7~()~J
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
---:.. " .: .;('''';-''
.
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~~
.~
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....
~
----
)
/
----~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.?8L 2- ~a I a~c;;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
jI'-FINAL $)
o SITE INSPECt1isN
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAt:-~
..z-MECH FINAL et~
COMMENTS:
~rr I
( (Jv5c-
\..
~
---...~
r;7
~/e-
IMf~v- ~/(
()~Q,f- ar--_
OA TE TIME
;2- )..l-O(i
34M
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEIFORE COVERING
Inspector. IYff Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.Q -lc:r-o <{
ADDRESS ~8lo~ Y 9 ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
"5 - 41!lr
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
XPLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~~~
'Z. J.\4"tA)J. ~v~. ..-:tA __~ ~'--L 5u-9Je
~~
~~ORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT K, CALL FOR REINSPECTION BEFORE COVERING
, / -
Owner/Contr:
'-.-
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl
'~,