HomeMy WebLinkAboutBuilding Permit 03-0601
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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3. Yellow Applicant
(Please type or print and si8l1 at bottom)
ADDRESS
/l(Z2~
I--l~i ( ~
FO<J1>JT.,A iN
LEGAL DESCRIPTION (office use only)
LOTS,(BLOCK'-'? ADDITION F6U,vrA7~
Date Rec' d
5- c2i5...a3
I PERMIT NO. Tf3 - ~O I
c-r;
IJ. G.
H,- /15
Z IV])
PID ~Y.39o-oJ'-/)
OWNER I
(Name) We~I1/yaJJN '.J.c,mdS
(Address) /'jlfS- PI,A1.A 'DR.- <;()t~ 200
BUILDER
(Name)
(Contact Name)
(Address)
2>M1~
!f,1.UO--
TYPE OF WORK
~ New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ 102. '29/. ov
, ,
OUtility Connection
o Deck
o Misc.
ZONING (office use)
M
(Phone)
(as-/~ (I06 -tfr"OcO
sJI~
dvA)~ MAJ
(Phone)
(Phone) ~/Z-2Z/-/~Z~
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
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
;terum;perfonnDeededinspections. Irs? _,~/2-o3
"Z-/ . Signature Contractor's License No. Date
Permit Valuation ,/OZ~ ()OO .00 Park Support Fee # $ f350,Ck)
$ l 2.- 7S.OD
$ . eso. l/l:)
$ 4-6". fIO
$ I, Z,()()_OO
$ 7(){)..OO
$
$
P.:.uuit Fee $ ~ 004-. 9S
Plan Check Fee $ /'S3. z,Z"
State Surcharge $ SI. 00
Penalty $
Plumbing Permit Fee $ /00. UU
Mechanical Permit Fee $ 1000,trD
Sewer & Water P.:.uuit Fee $ ~6 ,50
Gas Fireplace P.:.uuit Fee $ ~O. dO
This Application Becomes Your Building Permit When ~}'&..., led
t
1~ ~/~/(J3
Date
~
Building Official
. $~/30 1.{, 1
!) ,
I ReceityNo. ~~
By '_
0"
SAC
#
This is to certify that the request in the above application and accompanying docum~nts is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~:=~:Thnn~:~:: Ctttifi;/:; == and -See COJIaiii"FiIek ofD=pancy mo~~
Planning Director ' Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Siz~"; 1";
Pressure Reducer ~
City SAC and WAC
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
(. 3d1' p?
" ,/~.!' 0\7
See :Main .File
White - Building
~:n~ry - Engineering
~ "Ak _ Planninp
The ('enter of the take Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
,/LJ~t4'??1r.:2n,/}1/ Ct/()'1:r1'u2.~
< - ,") -,/'~
<.:..?( 0 ,~)........)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ LI CJ. c) Y 1- (j 1/7L/LL-t.;- fk~t& (f'-r-
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
..
~~i-.J
Date:
~ h, /(JJ
,
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
See Main f4ile
<:::::White - Building;:>
Canary - t:ngineering
Pink - Planning
Thf C"tnlfr or Ihf tallt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
~~
5- 20 '-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whioh is proposed at:
1'I02-~ ::;-~I/dta- (lj-
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ '7'~
Date: -.!a / fJ, /d 3
,
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. II
See Main !-tile
White - BulldlnL....
~ ""'anltY - Eng1nMrlft9>
Pink - ~l1Inftfng
TIM Cnl., o' 11M l..k~ CO..I".
BUILDING PERMIT APPIJ.CATlQN QEfARTPttENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
, ;. ~i. / I
/ ..r., I" ",'. I'~. _~ . ,_..' 1 ;I
/" J /)",,'4 " , ,/1 hYt ,-Y' 'f"!...}t.,' i .~ /~- : ", -u.4.-"
/", \r" .t::~ /f......... J" ,,-,. I . : 'tt././ , J
~<:J_ ::"\:) '-r"] ":'.,
~~ ' ~,,<,. ........... '-"'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 1/ "")1 ;",/
I "" .~ ,"">- :,
i Co .... .....,j ........
-'~J 0'":\,. , .' ~-~. . l: / ,(/ // ..
! ! I ../" ','L~ ~~',L-,,__~__'" i ~'c...e.v
(?~1~-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/f14:I5
See tYl9/~ f,'~
Date:
~-l-C)J
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
~),
~..v
Date Rec'd
CII i OF PRIOR LAKE
SEWER AND W AI~R PERMIT
(Please type or orint and sip. at bottom)
ADDRESS
ILl?, '2- ~
I. Green File
2. Yellow City
3. Gold AppIicInt
.'
PE. ~.l NO. 3 ~"
. 0 -uv I
ZONING (of6ce use)
~VIJ"\A)L-" f..ll" ( e,,-
LEGAL DESCRIPTION (ofli~ use only)
t:-': f. ..
LOT3sBLOCK '- ADDIII0N ~UIV-r.A-1.~ I-li.11s ~~
OWNER
(Name) \6I'eN5 WtA,.)N /:::/..421!J~
(Address) -1.8!J~ PIA'" A D fL-
(A~)
, r1J) ~~"(1'J' -O,,,...a
~A,J
(City)
(Phone) ~''I~'' -'fl1'tJ
SS/~
(Zip Code)
APPLICANT ~_
(Name) ~6-
Ik
~
(phone)
(Address)
(Address)
--,....:/ ~ ~
(Contact Person) JC:JQ....'1 ~4,,IWl;1
c;/~ J ~
APPLICANT SIGNATURE ~ DATE
APPLICANT PLEASE COMPLEI~ BELOW
Size of water service J inches.
Location of any couplings from structure 2./.r feet.
Type of sewer pipe. ~ ABC D PVC D Cast Iron
Estimated length of sewer line e;2 Sleet.
Clean out (if required) located at feet from structure.
(City)
(Zip Code)
(phone) ~/"'Z-~Z./--lj, l V
Residential sewer'and wate~ line connection' $35.50
Sewer connectiQn only $17.50
.l4~ESCHEDULE
Industrial, Com '1& Multi-family 1 % of job cost with a $39.50 minimum
Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'lll J.4I!JE
$
$
$'
.50
PAID
$/JILOIN; WITH
, G PEFlAf/i
(Omce Use OBly)
...~
This ApplicatIon Becomes Your BuildiDg Permit When Approved ,~~ Ii. U ~ LS \ ,\ r' Receipt No,
Date \ By
Building OfDdal Date --AU G 1 2003 \:'.
14 hour notice for all inspections (951) -9850, fax (951) 447-4145
By-
-
tj-
LlI'Y OF 'PRIORLAKE
'~ATING/AIRCONDIII0NiNGIFIREPLALE PERM.. l'
Date Rec'd
(Pl~ tvpe,prDrintand siR:n at bottOm)
ADDRBSS
~ ~ ~:~ PERJ\1J..l.l NO. r:::2 -/ /'\ I
3. Yellow Applicant , ~ ~
14'ZZ. ~ "f;ii.u~N Ueu.$ c::.. " ,
ZONING (office use)
LEGAL DESCRll"110N (office use only)
LOT BLOCK
IADDIU.ON
.t'lJJ
.~ '} : ~
~~:RU/~$~_4L /~AU'.~
(~)./~9$~~~. a.. .C~
1&:;~/~~A~",..J~-?,'''''',","~ (Phone)/(."{"/- e/5J--l/7.$'-
(Adiltess) , ~~) ~~~;6~It'"~, 4~~ ~~'J-?
(c.ontact. .perso.n..) .. ~.' ,.".~~*Ck,. (phone) E;~.' y- ~ -,?7/..~
AFPJJ:CANTSIGNATURE . _ . ..5:::2~~. . DATE <:::t/?:.,.&;>":'a,
. ~~~.(;t~};LE~~~El.~~1!;B~.l.~W... . I
~WCONSTRUcnON' '. O:REP~ACE~ ,'EF~LlbKATI9NS
FlJRNACEMAKEANDMOD~L, ~" "3~~~Qo , ' FUEL~. ~
FLUE StzE ~. ~. c::.. fffi'ftJRN opENINGS 7 INPl.JT 'I:D, ~ ~.., OU 1 ~uT S~t ~ - ~
n.t'~ OF SYsT.BM HEATING: OR POWER PLANT
~arrn Air Plants ' . O.:stearri: '
OGTavJty' , 'E}Hoi Water '
DMechanical .CIRldilition
DAir donditioning D'S~i~J)evices
OVent. System o OtberDeviccs
(phone)
, PLEASE NOTE:
Ait Conditioner Units
Cannot Encroach into
Required Side' Yard
Setbacks
FIREPLACE MAKE AND: MODEL '
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
I c~J of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 . Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating &. AlC (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMiT J:4bh $
STATE SURCHARGE $
TOTAL PERl\t.......l . lC'J!iJ!i $
eu~ /);4/0
_ / rt..()'J.' Wi""J.,
· O'''f!!!!/ ' "G A '7
.50 'I:~4tI'"
Estimated Cost $ Building Permit #
(Ornce Use Only)
This Application Becom~ Your Building Permit When Approved
Building Ornclal
Date
I~I i~ ~ U IJj lE pi'
~ :1 "
. ~rp 0 5 2003
Receipt No.
By
C/,
L./
"Z4 hour notice for all inspections (95Z) ~7-9850, fax (951) 447-4145
,By
FILE No. 389 08/29 '03 11: 01 I D : PLYMOUTH PLlJf1B I NG
FAX:7635331121
PAGE 1/ 1
D~te Rec'd
CITY OF PRlOR LAKE PLITMBING PERMJT
(Ph::lse- IVPC or pnnl :me: siJln 31 bono!!'.,1 _
AD/4 ;).d.to-€?I30-3~-5i -3eo {iJ{)rrIW!!lti~.
I Sku: File
: Gtlld Ci.t
. \ tll...., AppliolalOl
PERMIT NO.~ / CS I
,_./ "='
ZONfN G (offiCI: un~)
LEGAL DESCRlPTION (1)ff'ICt' ~$l: only)
LOT' BLOCK
A.DDITJON
PID
OWNER
(Ntme')
~ ~h-V'
~>
(phone)
(Addr~.ss )
-
APPLlCANT /'),
(Name L-.P I ~ IM.() Ct ~ '\ .f:.l!.:l.il\.11\ I Y\ (,
tAddT{"t,S) (oct () q '^! I "" v, t + r ~ Jr l'-" k ~
(Adcre.ss)
(Phone) ('1 Lc.~ J:-j '?~--Lto5! ,..__..
hr-r,N.l '1'A.PAti~ 0iS4;J.~
(Cirj'}J (Zip Code)
(C'Ont'RC1 Pc:r~,m) /J ./'?
":k APPLICANT SlGN!.TURE ~4?~ &..:.../
~
~
~ ..._ QU;.tit),
~J
II
~:
(Ph ClTI c::)
DA'fE
tc/N/3
APPLlCANT JJLEASE COMPLETE BELOW
Typt' of Fil:tu rOt: Quan tity
8,llh Tuh wilh or Wlthou1 shower I
Dishwasher
\, Floor Drain I
C) I L:lvatory (Bathroom Sill\.: J
I LaLlndry Tra~1 ( I or .2 (:(\111 pllrtmem sink
I Shower Stall
I Sinks
. - . .
f
I
TYJ)t of ~ixturc
Rough-ms '1J h~{1,...
\)..1 ater 1-1 eater
I Water Sofcner
I I Stand Pipe (Washing lvlachine)V 6J;~ 6{1
I Sewage Ejector
I BacktiownAssembly
! ~Ackt1~w ,~s~em bly T ~s,
~
I .., ..1/ oJ Ill/\,
I 'N:lter CIO:'Cl (T~\ikt)
......-"... "';1.1' ...".....,
.. -I
I
Other
FEE SellED l.1LE
InchlSlrI.11. Commercial ~ Mulli-f'amtly 11l';l of'.jub (;llSI with lJ $39.50 mil\im~m R~iucnlial. Ncw Oru; & l\vl,oFurnih. $c)'>,5(1
Rl:Sidcnl;iJl. Addilion:; 0.:. AIlC:I~liun:; j:.3Y,5u
I2slinlJH;d Cl)SI 5: -76cf)/'e.C1-
.
Building Pcm,it II
PLUrvlBING PERM1T FEE
ST.'; jE. SURCHARGE
TOTAL Ptl{MJT FEE
$
... PAID
8lJILO,~ W,.,.,.,
G Pf:F1/"f,.,.
"
V'
./I
.50
$
IOffit,;I' U:II: 01l1\'1 _
, Thl$ ApplicotlOn I~eeome' \"<lU'. Iluild,"~ POI'ml( When A~,r"ved ~ E:@ iE 0 W if ...1 ' Recclp, No
. _. .,!~~" ow..." ____.__. II.,,, ----.-- '_ ~~~..!_5 Z OO~-d,.c B:-, _I(. .
:4 hC)ur rll\l~l:c.: 1111".:.111 ill~JiI:Cljllllli (!1~1, ~~.!J~::'Il. tal. ~9S:J -l4i.~~4~
11,~'11I I.',~k I r"l:l, """., '"f., l'rilll 1,""" ~r' .....,.., .~
--'''-1
,
,
-", ~ee IVlalD ~.ile
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTION RECORD
SITE ADDRESS IH~ FQJl./Vtai.P tJ.;1ls a.t-
NATURE OF WORK el.tJ
USE OF BUILDING R
PERMIT NO. - "D, DATE ISSUED _
CONTRACTOR ~ PHONI6~-.a/- a~t
NOTE: THIS IS NOT A PERMIT F!OR 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 wit- ~ q/~(a
INSULATION ~ ~ ~ litZ l (,,01-,
ELECTRICAL t:U..
PLUMBING "'J /~' ~ 1;/7-'2-14<..
HEATING (if required) ~ Qf'J,4 (PO
FIREPLACE
.. GASLIHEAIRTEST ~~~ 75~ q/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
· BUILDING ~ .}.,..,. \. -ot ~\. 0.
ELECTRICAL
PLUMBING
HEATING
DO NOT
s H- 1'2-2.3
(/f? L I ~ Jo '1
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 nile
CITY OF PRIOR LAKE
INSPECnON NOnCE SCHEDULED!!/~!tl> ~ , .:<<)
ADDRESS _; L:2.-~ ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-0D1
[J FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
CJ MECH RI
o WATER HOOKUP
CJ SEWER HOOKUP
AI PLUMBING FINAL
Yo MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
11' (~ ~.v~ 1~.
J~.I ~.C~~/.
)('~~W-/~~~
- .IA~ AaO . \~ /J;;:. ~* I
t// l \~~ '^~~_ . .'
.~ ~ f!(~ ~~~ U&~
~ Ylp~tuP_ /f}O/A-t.. c,^.-
C~iir b~ 7.~ Lvl~~.
v
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
-lJi.' CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
q;..-
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH d: SAFETY!
IN$NOTl
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I.-~
ADDRESS 147.... 2!>>
hu~ I:-lJ(~
OWNER
PHONE NO.
CONTR.
PERMIT NO.
5 - {,O/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
?It FINAL
o SITE INSPECTION
C PLUMBING RI
C MECH RI
C WATER HOOKUP
C SEWER HOOKUP
_q PLUMBING FINAL
~ MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
C GASLlNE AIR TST
o
COMMENTS:
J, ~ ~ ~~~ +.H.A \n,,..b, t- " fA tz, \0 dlWUA,
~
T-,o Q. of () ~Q
'1-l- 0'(
o WORK SATISFACTORY. PROCEED
o CORREC ACTION AND PROCEED
J( CORR rRK. CALL FOR RElNSPECTION BEFORE COVERING
Inspector '/} Owner/Contr:
0850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
RECORD JOf3# ! { "2,... t 7
- FLOOR . CITY. SUBURB ·
lu.J~ ~( ",A(.Lft\1!
,
INSTALLED BY ~ \.. \..~
,Gas Line By ~\~ ~
SPACE HTR. _ UNIT HTR. . OTHER
F~ HOUSE HEATING TEST
ADDRESS (1.(1-- "2.. r ..... r -l (lS Lf . APT.
· ~~ ,OWNER
OCCUPANT
HEAT LOSS ~AT~ _HTq. INST~.
SOLD BY Drl\ ~~.. ~ 6M, "~.c,l..
Electrical Work By (' '\ ~ ~ / ~
TYPE OF HEAT GA FA- v' . HW STEAM
MAKF
Model
Serial
INPUT
e ~ DESIGN
~ <; I:;) ~l't\I tJ> ~"e> /;to
~Jfp3l,ttf 117
~NTROLS
THERMOSTAT l (
t'1 ....,,~
Valve, Heat Plug 1-
Limit _ t< l \ ~ lYY\
Limit Settin~ .i..b.o ..:- ~ 6 ~
Fan Setting 'r. VVl~ P III ~
Pilot Type ~ ~ ~ '-J
Pilot Make
Pilot Model.
Pilot Timing
L.W. Cut Off \. } J...
Pressure ~ ..t;CC vt.L4ercent CO2
Input CFH ~ b _ Percent O2
Stack Temp. Jt..D ~ 0 r -- Percent CO _
~o
~i
C;~l..
(" 0/0
.T6%
~ ft~
CONVERSION
MAKE OF BURNER \.
Model_ "-.. //
Max. BTU Rating ~
MAKE OF FURNAC( "'\
Model _
Vent Size. ::tIt f\l' c....... d- f l~
KIND OF LINER . SIZE NONE,
Draft Hood Regulator
Filters. l _ Size [~~,.J) If L Number
Chimney Location _ , Inside. Outside
Chimney Construction
Smoke Bomb ~ Wiring. ~~
Draft ~~ Test Tag ./ I
Door Pressure Lighting Inst. V
Date Tested _ t e fra.., ~ /J)..3
Company Testing Alliant rJi~nical, 3650 Kennebec Dr., Eagan, MN 55122
Name of Tester (fr-t <:1.......
<11trfifitaft 'of d~ttupantl!
CI"l'Y OF PRIOR LAKE
~tparfmtuf of ~uilbiug J(uspttfiou
~ Final Peuuitted
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. 03-0601
N / A Zoning District. . R4
Owner of Building
R3 Type Construction VN Fire Zone
L35, B2, FOUNTAIN HILLS 2ND
SiteAddress 14228 FOUNTAIN HILLS COURT NE
Occupancy Type
Legal Description
Contractor's Name & Address WENSMANN HOMES, 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 5512:
ROBERT D. HUTCHINS I ~ City Planner DON RYE
Building Official .,
Date: &- ((JIL! Date:
. ,.~:-~
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