HomeMy WebLinkAboutBuilding Permit 03-1426
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main ttjleF;k
Date Rec' d
2. Pink City
3. Yellow Applicant
I() , ~r ~
PERMIT NO. 03-/~~(p
(Please tvDe or print and siJUl at bottom)
ADDRESS
ZONING (office use)
3i(,6
R afl'il'r'/'I,y !<,-r!.tr
f(oI NtJ
LEGAL DESCRIPTION (office use only)
LOT CJ BLOCK I ADDITION
:JfFF,rJ Sou ~
PIDU-J7J- o(J9-0
OWNER
(Name)
(Phone)
(Address)
BUILDER J ,
(Name) Welv..J/IJ~NN N61'n P..I'
(Contact Name) a ~"'?" -L h N J' (J/V'
/
(Address) Iff~ 1'14z~;)r & 'O/V
v
/1}N
\
(Phone) {,S/- -<j IJ (, - .yY {lO '
(Phone) 1,1...2. -o3'? - 7(, I ~
.s..s I ~ 2.
TYPE OF WORK
~ ;onstruction
o Deck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition o Alteration OUtility Connection
~
PROJECTCOSTIVALUE (excludingland) $ /550() 0
o Misc.
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
;terz= '0 7::z::::::..oru Irsr /D-J-03
r /7 Signature Contractor's License No. Date
V
Permit Valuation 15S"} 000 _ Park Support Fee # $ .----..
Permit Fee $ toot.., 15 SAC # $ f~/}5.---
~
Plan Check Fee $ 8L/(o'/4 Water Meter S(e 53" I"; $ - ~5{).--
State Surcharge $ 1'7~ 5t) Pressure Reducer $ 1/6,'"
Penalty $ City SAC and WAC # $ I db!)--
Plumbing Permit Fee $ ItKJ~--- Water Tower Fee # $ 7t:?O -.--
Mechanical Permit Fee $ /O().-- Builder's Deposit $ ---
Sewer & Water Pcuuit Fee $ 35/~D Other $
Gas Fireplace Permit Fee $ '-/-0 lOt) TOTAL DUE $6q~Ov ~
~~'7(j. n Q A~ /
This Application Becomes Your Building Permit When Approved Paid ReceJ No. qt, d I 'r
~ ~ l(JtJ~~:L Date iO.7/~d7 By
U
Building Official 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
~~I~-=C~~~b;:;andalloMcomttuctionSee 3rain~l1eCYmun~
Planning Director I Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Department of Administration
James Holzer
3868 RasDberrv Ridae Rd.
Prior lake MN 55372
f)
~.~
,~I.o
3- \ L\
June 16, 2004
,
RE:
Residence:
Tract' ""tl"\.jtll -)- Elevator 10#
Her, James Residence
68 Raspberrv_RidQ~/c'
~~37'~
-10318PT04-03R
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota, An Inspector from
the Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code,
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17,1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BUILDING CODES AND STANDARDS
~~
Bill J. Reinke
State Elevator Inspector
bir/rkr (CE-2)
c: Hutchins, Robert Dana. BO. City of Prior Lake
Premier Lift Products LLC
Wensmann Homes Inc.
EIFormCE2R
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place EaSt. St. Paul, MN 55101-2181
Voice: 651.296.4639. Fax: 651.297.1973; ITY: 1.800.627.3529 and ask for 296.9929
See ~\1ain ~ile
White - Building
c:::-\oo~irIHI'~ - CI ~!:Iill _'*1 ill .~)
Jllnk - Plannjng
T1w C'IIIft' of tll. l.ak, Cou.lry
BUILPING peRMIT APPLlC,ATION QEPART'4ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'l
l~~r/ :!~.')/.,::,:",:;<~~.,/ (~~:./).,~>"?'-...-;.. J~.{' ,~~7-~>.H_..2'<J_.,;/
/ .^ -... .,.-:::;
/ fj-- :; -.J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whiq~ is proposed at: . ..'
~5 8.{,S:. -- !{'./~~!~.,:".Jif;'~'::.:"'lrl~~:/ /("Lt )!~~".;{~'..' <:l..
"
Accepted
Denied
^
Accepted With Corrections
Reviewed By:
f)1f/~
./
(x1'/J14f n F,'/(
Date: II') -It -O"~
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 qf this code or other
ordinances of the jurisdiction shall not be valid. II
~@@ :\1rain File
White - Building
Canary - En9,;ineering
~ - Plann~
The (.enter of the tab fountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKList
NAME OF APPLICANT
\
I ~ J '/ . 1 .v1/ . ;.'.(....,..-, ~11 ./4 )
1~{.,,1j .;)/, (/ 4'!-,/)(/")I.../ .'.i V i".~~......:.v
APPLICATION RECEIVED
/IJ- 3-3
.f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi.9h is proposed at: .,,_) (',
~.t?(.c..,.,. 1/.'.-.">-;. ::'.' '. /-, Ll~A/f.._/,J. ;;;11'/' i~~~ij !(- d
oJ J ~i" ;J I~,# .t,. " V..f . 7 ~,...l
! '. I //." '>/
....
..
Accepted
,/
Accepted With Corrections
Denied
Reviewed By:
...
~~~
Date:
/0#5/11:5
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
r. 'Wlj.te - Buildinp
Canary - E::ng.neerlng
Pink - Planning
Thr C"rnlrr of Ihr "'kr Country
BUilDING PERMIT APPLICATION DEPARTMENT CHecKllSI
NAME OF APPLICANT I.LJ~~ ~
APPLICATION RECEIVED I~- '3 - 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for const;i~::;~itY w~;:;: ~ d-
, , U (/
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~
,..
~~
Date:
IO/I~ /03
. ,
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.1I
,...~
....".,....,
Cl\U M . ''''J:.
Y~U..Q'W' . -''''''JI:A,,'T
c;..o\. 0 . (:rT ~
C!~Y OF PRIoa !..\J:<E NO O!J~"
SE\';::R ~.NO WATER ?:::~~rT . ~
NOTE: Sewer and Wa~er
contractors must
be registered
with t.he City.
PHONE:tiSJi:9'.J~
DA T~ : c;;LJ (p / 0'(
~ -::-;': ~.~~~"? -:: ~
=:::~.
:?~?.=~:':' :
. ._.~- ....-.-.....
~~~L IN
THE 'S ~...l.'.f~S
3.0
f e~-c'.
,
.., .
Es~i~ated len~~h of water s~rvice
Size of ~aCer se:vice / inc~(es) . 1
Lccatior. of any couPlin~~ from s~:~c~ure ~/V\
PVC 'b( Ca st:. 1: ::-on
~s~i~a~ed leng~h of sewer line ,~C)
feet.
1 .
2.
4.
~ype 0: sewe~ pip~.
ASS
6.
Cl~an
out
( . ~
1...
requ ired.) ,
lcca't.~ci
a~
fe~Vt-
feet
f~orn
5 .
s-:'=;.lc-:,~=e.
===~~~;=========~============:~=============~=~~=~~==~____===~r_===
T~~s a;plicaticn bec~mes ~ou~ pe~:t ~hen a~provee.
a~ DATE:
==================~-=-;============;===~~======================~=~
FZ::;S:
s
s
S
35.00
.50
35.50
Sewer and w~~e= lin~ connection pe=mi~.
Surcharge
TOTAL
* Fe~ fc= e:~he= sewe= c= wate~ i~civici~a~ly is 520.00 pl~s
S .50 su:=c~ar:;e.
* 5~~e~ a~c ~ate= pe~its issued :or ne~ c=n5tr~ction mus~ be
=eco~c.ec.on t.h~buildinc; pe-::-mit ca::-c. ~t the ti:m: of issu.a:1c~
.. "'\ ; ~ $~~._~'-=t-_.~-:;~~-:- -no ~c- __no:.:a;..~ 1 ; ca.... Q s~' Ie - a""~ ., ~.... Q r oe--. ; ... s a ~~
i ~ s ~ ~ ~ I .. !o~ !~~(. 2; \. .0 ~ ~~ - ~ - ~ -.. .." w - \. - .. . - ..I - .. .. .-
i
~.~.:'Z ?,l.:ji:'r- FFR 0.-6-20.03
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"(or~~~ '0 ~ - D
r..... I,J ~.:.. .. . ~ PAJ9. V"TH
R~C' D S.! ~.~l.LDJNG PE,IDn'1:_...
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b-:...,........._._..._...._.._..__""""' __ J
.. . I" .... _. ... ,...,. :1,.., \ ,r~ '..' __,.. .t':., -. . .~"". .:." .'..~'-...~.:~:i... . ':" ~~.: ~."~' -.... .'. '...., .,...: .~::
9 d EE~ES0098~ 'ON/L~:8 'lS/8~:8 ~O ,9 .~ (IH~)
L9EO-~S~-tS9 DNIIV3H ~ DNlawn1d 13ZN3M WOH~
lO/2J/Ol WED 11:22 FAX 5124414245
r.ITY OF PRIOR LAKE ~\,,\:77) \......l'... .....,/ ~DUl
LJ. 1 i OF PKlOR LAKE PLUMBING PERMIT
Date Rec'd
~~e~ l", \eft'\6'N\~~'W\ _ ~OlY\e..,S (Phone) 6,S}-'tDb -l/iIOO
(Address) .2>'tS 'f'o..Z-~ b\. ~\~~DO ~Y\ I~~f\, ~}~Z-
-~~~~Al'lT ~~d '\>\'c~ ~ \-\.~~. (phone) 6S/-LfSJ-J5hS
(Addle..) 17/D ~~nJ~ ,~J. ~"- MM. ~/,21
~ _ (Addr:s\> ~ (City) (Zip Code~
(ContaCt Person) \T 6el t-\~9 (Phone) t-S-I--1D - J 5/:'S
d DATE 0l/6JDtf
;.hLlCANT PLEASE COMPw.u.. BELOW
Trpe or Fixtare ~..Dtity
Bath Tub with or without shower
Dishwasher
Floor Drain
- Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compL W&.ent sink
Shower Stall
Sinks
Bar Sink
. W ilter Closet (Toilet)
(Pleate ., .. .. or PMt IUd sigu at b..........)
ADDRESS 38bg ~~('') ~~~<
.lEGAL DESCRI.t' liON (office UIe only)
LOT BLOCK
ADDmON
. APPLICANT SIGNA roll
Quantity
~
,
,
~
,
I
tJ..
~,= ~~ PERMIT NOQ3 .'~
J Y./lo'w ~""_' ~...
ZONING (oflcc~)
.t"u.J
Type 01 .!'Astan
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Bj~or
Baekflow Assembly
Sackflow Assembly Test
Lawn Sprinkler
Other
I
FEESCH!DULE
Indu$rri.1. Commerchil ct. Muhl.!amity r1)'. of job cost with a $)9.50 minimum Residential. New One & Two-Family S99.50
Residential. Additions & Altentions SJ9.S0
Estimated Cost S
BuildjnJ Permit 11
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOT AL r~u 1 FEE S
(omu Ute Only)
ThiJ Applicltion Become, Your Buildinc Permit Wh." Approved
Blllldlnc Offici.'
Otic
PAID WITH
RI III r.1I~G PERMIT
paid
I Receipt No.
~ 0 6 2003
By
:4 ho~..' i)otiC1l rOr .n inJpedioa. ~/"~7..";;;;. r". ,~S1) ~.., ....l~~ ;
E d EE~ES0098~ 'ONlLl:8 'lS/8l:e ~O ,9 'l (IHd) ~~-f):~i-st~lg{).~N~.iVM!:t DNIHWfl1d 13ZN3Ni WOHd
WENZEL HEATING & AC
CITY OF PRIOR LAKE
~A lING/AIR CONDIIIONING/I utEPL-Al:'~-PERMlT
IaJOOl
Date Rec'd
(Ptease tvDe or Drin~ and sim at bouom)
ADDRESS
, ~~i' '. -:;~~<P5'h:,P"L4
- .. I
LEGAL DESCRJ.r ,uON (ollia use oaly)
~=. .~. PEDll1 NO~ _ .~hI~
:I. y..,. AppIkMt W l!!JII'''
&l40ed
I
ZONING (af6cc \lSC)
LOT BLOCK
ADDITION
PIn
OWNER. I . ) "'. T ~JV'L,..", ,A'
(Name) ~,~f\
~
(phone) ~~ -4CJh-44-31-
(Addr~)
..'
APPLICANT / ~ / /
(Name) ~/'/ a?/ ~~k:;
, . /
(Address) 413/ dd 4/&// ~/Yl
l\.$J _ A I (Addms) / .
(Contact Person) ..t..)::) I\....J..
(phone) bS/~4-l,~
~~~/
~)
~ It-Z-
(Zip Code)
APPLICANT SIGNATURE
(phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONS1RucnON 0 REPLACEMENT 0 ALTERATIONS
FUR..l~ACE MAKE AND MODEL b.I/\II'JY ~I G~ ""'1 ~ FUEL ~I-
FLUE SIZE ~-~" REnJRN OPENINGS (.o? INPUT is! CXi) OUTPUT b 7 2:tJ
TYPE OF SYSTEM HEATING OR POWER PLANT
~um Air Plants 0 Steam
o Grav ity 0 Hot Water
~l"Ic:chanical 0 Radiation
~ir Conditioning 0 Special Devices
JaVent. SyStem 0 Other Dl:Viccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL __'-~_'.'.-,.::
.....-.... ....-
.,LL .'_._.1_____
l~dUStrial. Commercial &. Multi-Family
Residential. Heating ct AlC (New Construction)
Residential. Heating Only (New ConSTrUction)
FIE SCHEDULE
1 % of job cost ResidentiaJ, Gas Fireplace
$39.50 minimum .
$99,50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.S0
$39.50
Estimated Cost S
Building Penn it #-
HEATING PERMIT FEE
STATE SURCHARGE
TOTALx.l..I.\lV.ul~.r..1!.
S
$
S
.50
PAlowm.,
BUilDING P9lMIT
(Olliee Use Qllly)
This Application Becom~! Your Building Permit When Approved
Buildilll Omci:11
Paid - ,-' ~~""
1 ~~ \
Date \':, By ~
DAte. _ hEa. '1_1J.e.Rt I;L+.....~._"..-._.- _ _ _ _ ~..__...._..
Z.a hour notice for all inspections (9S2) 44'1-9850, tal: ('52) 44~-4~ '
I
Receipt No.
, I
1--' Y
;.; =s" f"
PRIOR LAKE
DEPARTMENT OF See :M:ain .File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 381:,$' ".., ~, :.L - P_J
NATURE OF WORK -H~.tv . ~
USE OF BUILDI~G 6-F A .
PERMIT NO. y.,. J~z.rc; DATj;ISSUED
CONTRACTOR -IJ,JUIS ~AN# 1!t9""S PHON" ,_- '-5&-'- 7~ I~
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
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Y/7
(
?--J /-T
r/p.
." Ph
r'
.~-~
$tif?
~
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(lb
~
(/n
.".
OCCUpy UNTIL ABOVE
NOTICE
~-f
~y'
_ #4;
HAS BEEN --'SIGNED
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
l,
"
Q1~rtifitat~ of (t)ttupantll
CITY OF PRIOR LAKE
~tparfmtnf of ~uilbing J nspttfion
,;gf 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
Bldg. Permit No.
03-1426
Occupancy Type
R3 Type Construction VN
L9, Bl, JEFFERS SOUTH
Fire Zone
N/A
. Zoning District
R2
Legal Description
Owner of Building ......--.....
Contractor's Name & Address WENS~N H~S,
ROBERT D. HUTCHiNS AI \,
- I ,\ Bui1di~ Official \) V. /
Date: l" 0' - . !) '/ //
Site Address 3868 RASPBERRY RIDGE ROAD NW
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
DON RYE
City Planner
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o Jf4SULA TION
~ ,tr FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
1Zee-5f-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
q PLUMBING FINAL
VL MECH FINAL
r AtC 0 \ cS?oad
/
/
DATE nilE
{,-J I-oy
?~
3-/!::L2r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY. PROCEED
/0 CORRECT ACTION AND PROCEED
o CORJjRK. CALL FOR REINSPECTION BEFORE COVERING
Inspect )r: 1 Owner/Contr:
C __'./.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
l.-l..aJ
ADDRESS.:sec..e · R-., - ~.
OWNER CONTR.
PHONE NO.
PERMIT NO.
3-l'l )V
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
;d PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COPMtftENTS:
\, I(t"OV';~ 14r,....~ +~.l )\....0"\ ~_I ~
7. ~_ 41.Q. f-".~r--rv&.A- ilJl;.:V ~
~. ~"-.)-Q~ ~ ~ ~
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORR~ W . CALL FOR REINSPECTION BEFORE COVERING
InSpectJ.. ~ L Owner/Contr:
850 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
J/IISNOn