The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 03-0603 CITY OF PRIOR LAKE BUILDING PERMIt, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIl S M - -I . , I. White File ee - . aID ~ 1 e ~: ~~~l:w ~~~licant Date Rec' d 5 -?b,03 PERMIt NO.03- ~o3 (Please type or print and sign at bottom) I ADDREI~ 2..3 2- ~ MI FcJ(J~-r^;J.J I-II-l'~ (]ov~ )J. if' LEGAL DESCRIPTION (office use only) LOT 33 BLOCK ~ ADDITION ~<.J,.J"'^;j.;) L-hll5 1-.#!) OWNER vJ ... 1 L - (Name) (:;'}JSiYJANN l:""fDYlA1A .(Address)/'F9< PIA2^ OIL ~ ZOO BUILDER ~ (Name)c;,;;>~ _(Contact Name) -8r 1?:2,.- (Address) ZONING (office use) RLI PID ~~"391)" 03 tj.,() (Phone) ~.57- t.!tJ6 -tf"~t10 ciAc,A,J ~ MJJ illd;/ ( , (;/2- 22/ ~(tJtt (Phone) (Phone) TYPE OF WORK "- IZf New Construction ORe-Roofing o Deck OPorch o Misc. OLower Level Finish ORe-Siding o Fireplace OAddition OAlteration OUtility Connection PROJECTCOST/VALUE (excludingland) S /OZ. 2 9/...~ , - 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 ?~J1Il~~neededmspections. /1/0 V /2- ~ ) / ~ Signature Contractor's License No. Date (: ---- Permit Valuation Permit Fee Plan Check Fee - State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee /~Zi OOO.(j() $ j 004-. 95' $ , ~...c::'? Zl- $ ,c;?"OO $ $ $ $ $ Park Support Fee # # SAC ~ Water Meter Siz~';~"; Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other # # tOo. 60 I() () jOl) 35 ;51) 1000 TOTAL DUE $ t050 .CJ CJ $ {i ~-Ib' · 00 $ (z,~ . (fV $ +5.CJQ $ i, (,.00_0 0 $ -;l)o.On $ $ $ ~, 30~. "7 ~/&'Ag , Date . Rece ~ No. ~~Z- BO' . Paid Date ~~A.,7 fL ./;1,.0 '] This Application Becomes Your Building Permit When ~}'& v' led ~ ;1d~ Building Official 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 ~ ?~~ b/~/d.? Se · ,.. 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 See Main File Tilt (.rnlrr of Ihe takrCounlry White . Building Ca.,ary. . ~naln_ring <:1'fnk .. Planniiig::) BUILO'NGPERMITAPPLJCATION..Q.EPARTIlENT CHECKLIST ,: ) . / NAME OF APPLICANT II ~-J,<L-1'l{ a/Yt/}/J It..c) '.J'/'La-o APPLICATION RECEIVED $-.).~;' () ~\ '1ft .,. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity whiqh is proposed at: , · ", /l/d- 3a ii-c7U)'fz;.~41,~ ,:t-r- ,I Accepted /' Accepted With Corrections Denied .. Reviewed By: Comments: ~ t' :?-~ Date: ~/ 0/11 :J .- <<~~ " ~,.,~ A.)..";" _ 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 ~aiD ~ile C Wh'te-:- Building:) Canary - i::nglneering Pink - Planning Th~ ('~nl~r of Ih~ tab Country BUILDING PERMIT APPLICATION De.eARTMENT CH~KLISI NAME OF APPLICANT !lJ.~d-o ~ APPLICATION RECEIVED $- d.cJ .....O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity whiah is proposed at: 1'/d-3~ . ~ ~J - . Accepted Denied v Accepted With Corrections Reviewed By: ~ ?~j:-/ Date: tn /~/dg r ( 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 ~'ile Whitt - f.'uildlng t"""eanarv - Englneerlnet:> Pink - Planning ~ Cn." of IIw I_~ C....., BUILDING PERMIT APPIJCATlON DEEABTJdENT CHECKLIST NAME OF APPLICANT /ii.y.) /) /n.:"",,'j',.1-/.:/.' 1.-.1 /~....t A /J./t~':.L./'}.~7.''''./_.J2.-CJ \....'i , .~ I . ~ I ~. f .1.::.A..r f:/ .... J ~ ..../ ) APPLICATION RECEIVED .-6'~ - ,,=)..C .. (~).~~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which, is proposed at: . /. /""' ///1/ ~(!'/---. /A/.~.'-3;;;;",- ~7':2T.-tt,lt.{'cL~~-:~ ;~I"~~'~ (!..~ ~/ Accepted x Accepted With Corrections Denied Reviewed By: &fiO Comments: S"l- 1J14t,;' h'l( Date: ~-2,-~1 liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed te 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 .. .. .... Ii' , ' \ APPLIANCE PERFORMANCE tEST Attach /0 gas line adjacent /0 tegftor Heating Contractor ~(,~ ~ Name of Tester ~,S Date tc:L/ 'Z.." J O~ Job Address Ilf~ "32. ~Ia ,- Heating Contractor ~.+ ~ Name of Tester~ \ & .~ Date ' lf2/''2, 3/ (') "3 Percent 02 Ibo/O Percent CO .I f) ~ Percent C02 b-.!fb Stack Temp (~:Je, ~ Combustion air is adequately supplied per .f~ UMC Sec. 606 60 K ,-rf/UI input .~ Date Ree'd CII i OF PRIOR LAKE SEWER AND W AIJ!JR PERMIT (Please tYDe or MDt and sip. at bottom) ADDRESS / L{ 1- J lr ~: ~ ~~ PEDu J. NO. J. Gold Applicant (;J 3 G. p, " ZONING (oftke use) ~ chJ"l~) L-'. IJI 1(( C-r- LEGAL DESCRIPTION (ofti~,~ ?nly) LOT)3 BLOCK 1- ADDItION ~V^",~ 1d:i.1l< ~ OWNER (Name) 'dI'eN5WtAJN .l=loN1~ (Address) J 8 'It;'" Pl,A"'A 1) fL- (Allress) PID~~"J7/rO~'/) ~A~ (City) (phone) ~, 'I tJ ~ .", 'f'1'tJ SS/~ (Zip Code) APPLICANT ~_ (Name) ~6- .A< ~ (phone) (Address) (Address) (City) (Zip Code) (Contact Person) ~""'1 ~~AfLr (phone) _tf,I-z.-~1d-- Jj, 19 APPLICANTSIGNA~ J ~~ DATE APPLICANT PLEASE COMPLEl.tj BELOW Size of water service L inches. Location of any couplings from structure 2Ir feet. Type of sewer pipe. ~ ABC D PVC D Cast Iron Estimated length of sewer line ~SIeet. Clean out (if required) located at feet from structure. Residential sewer'and water line connection' $35.50 Sewer connectiQD only $17.50 FEE SCHEDULE Industrial, Com'l & Multi-family 1% of job cost with a $39~;SO minimum Water connection only $17.50 Estimated Cost $ Building p~& &nit # SEWER AND W A 1 ~I{ PERMIT FEE STATE SURCHARGE TOTAL PERMIT J.t~~ $ $ $. .50 9A1~ . . 8UILDIN", IStIIII/f (Omet Use OBly) This Application Becomes Your Building Pern,ait When Approved -, 1;~ IE 11 W7 ~ -:,' Receipt No. . l. .late By /L -AYG 1 2-9&- - ~ -.. T ~, 24 bour notice for all inspections (952) 44 t:J850, fax (952) 447-4245 .J Buildilll omdal Date By Clli OF .P.KIORLAKE ;~ATINGI AlRCOND1110NING/~'J..KEPLAl;.E PERMll. Date Rec'd i. Pink File . 2. Green City l. Yellow Applicant 3----/p 03 PER}\;u.l NO. (Please tvpe.Qrprint and sign at botwm) ADDRESS } Liz~ .1=iaU""~N 14.1.c..:s. c::..T'" ZONING (office use) LEGAL DESCRl.t' lION (office use only) LOT BLOCK ADDITION &!:~R~~i$~"4L /~~ (1\~1 /J"9:Jr ~~.~ ~.. .e~..,.--<- ~~~/A~A ~#44"'~~< (Pl1one)~"'r/- ~:S",.l--277S- . (AlldteSs) < ~~) ~~.6~~. .~. 4~<<-< ~~~-? (c.ontact. peno.n.)~.....i..~. .. ~~..~:W' (Phone) :LS/- ~~d-'?2/~- APPLICANT SIGNATURE _ .~-- ............~<. ...~A1Ec::r.f3.p APP:LICW:PLE.ASE::€0MR.~E.l>.I!IBELO.W'. . . ~WCONSTRtiCri6N . .DkYfACEMmr . . o Ahu>KATI9NS FURNACEMAKEANDMOD~L ~. 3~\J<=,"!!.bo60 . FUEL .J;JJ::.. GA...s FLUE SIZE :X' ~.~ . IffiTt.mN oPBNtNGS 7 INPUT .JD, L_~ Ou l.t'UT S~, l.. ~ TYPE OF SYST~M HEATiN'G: OR POWER PLANT -if.warrn Air Plants .. O:stearit. DGravity O.Hot Water . D Mechanical .OiR8diation DAir qonditioning D.Special'Oevices DVent System o Other Devices PID (phone) . PLEASE NOTE: Air Conditioner Units Cannot.Encroach into Required Side. Yard Setbacks FIREPLACE MAKE AND MODEL . 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 $ Building Permit # HEATING PERMIT ~bb STATE SURCHARGE TOTAL PERJ\tll.l. FEE $ $ $ - ~~.. .PAIOWITH .50 !UIlOING PERMIT (Office Use Only) Tbls Application Becomes Your Building Permit WbenApproved Building Official Date l)'i @ ~ ] ill ~ ~ReceiptNo. DatgEP 0 5 2003 By ~ .~r ~tr/ '14 hour notice for all inspections (951) 447- ~~O, fax (951) 447-4145 ~ .~ ~ ~ ~! if. ~I ~i: FILE No.389 08/29 '03 11:01 ID:PLYMOUTH PLUMBING FAX:7635331121 PAGE 1/ 1 CIT)' OF PRlORLAKE PLlTMBING PERMIT Date Rec'd ~D7t7;';:~b;m2_ 3d3~s'i -3Co ~ LEGAL DESCRIPTION (\~ffjc~ uSe only) LOT' BLOCK A.DD1TJON OWNER (Nunc') ~ J'YlU..-h.V'. ~l tAddrl'.ss) APPLl CANT l)' iN .me L ,_ P I Jj v',I\..n c'h '\D!d..t '1'1. \1\ j t'\ J (AddTe~s) , (0'1 (.i q '^.! I"" 11\ f + r 7't A ~~ ~ (Address) ~ ~;~ ~:~t PERMIT NO'~//. _ ~~ :; \ ~1l.1... Appliala'll .:) c.o u , 1iarr/WtJ )~_ ZONING 10m""", PID . (phDne) (Phone) (rz Le.". l~) '?7:>.-~o5 ( hr-(,l['k. \ j""P~l'k r)SLj;).R (Ciry) (Zi}" Code) (Connle1 Pc:t~on) // APPLlCANTSIGNATlIRE .~~ OK. ) '-'""'" (P heme) DA"fE ~/~/3 APPLl CANT JJLEASE COMPLETE BELO\\/ T)'pt' of Fb:tur~ Qu~ntity 8,lth Tub with or wlthollt shower I Dishwash~r . Floor Drain / L~lvatory (Bathroom SIIII-:) LaLlndry Tray ( I or 2 c(\m partment sink Shower Stall S i 11 ks QU:.ln titJ' 8-- f &:) 4 I jJ ~1I .... &I "" I "":1te1' C10:'1::1 (T(\ilc:1) FEE SCHEDULE IncluSlrI.11. (ummel'cial & Ivtlllll.f'an,ily Ill'il of'.lub ~oSI with lJ $39j() mil\lmLlm (slinIJH:d CI.)SI 5: -76cf)/-e"- , TYJ)t of ~iAturc Rough-ms 'I; h~11- \Va.ter Heater ! Water Softner ! I Stand Pipe ('Washing tvlachine)V ~h 6{1 SewaAe Ejector ; . Backflow' Assembly Btlckt10w Assembly T~st I I ....- ". f' """'1.1. .......IIiloII. ..-1 I Other Rl:~iucntii\1. New ()"t; &. TWt\.rumil~. S9C}.50 R&:~idcnLia1. ,~dditiun:; &. Allel~lilln[j j;3 '::I. SU Building Pcm,it # " PLUfv1BING PERM1T FEE $ STATE SURCHARGE ~ TnT.'..!. PE1Wlr FEE $ Il)((jc.;t tilll.' 0111\'1 ~ ~ This ^ppIiC.llCln I~ceomc' YUUI. Boilding POI'mil Whtn ....pprllvct! -;); ~ ~1 ~ \V)-~#'leiPl No ~___,_.__ r t: CEP " 5 2883 I ~l *.'. r'uih.lin::. ()/li(~lld ";11(' J --....-..---- :4 hnur rllllitll.: (ill" ~Illl..."cct/llm (!):':!1447-!J:~~~~~;:, -l'::';-~:':::' - - /--_. 11.~llh r.~I~1r ('.".:1.'\\"',. -,.r. "rill!' I.~I.I.' \1!\. ~::;~':'~.J"'lol jU PAID WITH BUILDING PERMIT I --p-' I I I PRIOR LAKE OEPARTMENTcjee :Main .File BUILDING AND INSPECTIOr . INSPECTION RECORD SITE ADDRESS -EI a' ~ F D IUd:ai.N IJ;JJ. t!!r NATURE OF WORK ~&&U USE OF BUILDlriG ~ 9 PERMIT NO. 12..:'r~. DATE ISSUED CONTRACTOR ~S/M.Ittij.J PHO~. ~. ,,~, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPE",. 'wR DATE FOOTING ~. ~ G+le FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROU!GH - INS . , SEWER I WATER I SEPTIC FRAMING ~~ INSULATION ~) ! ~ ELECTRICAL ~ PLUMBING ( Ii I c- 1ft '\ HEATING (if required) I A> I" ~ FIREPLACE .. GAS LINE AIR TEST ~ q /17 Ie3 COVER NO WORK UNTI,L ABOVE HAS BEEN SIGNED 1?~ ~ 1/U-(B.l t[ / j,,~UJ3 q,/t? (d3 ~,I t? ~ FINALS GRADING (Prior to Sodding) BUILDING ...~ L..c:;/ tJ,r/ I /eg ELECTRICAL (crt<. PLUMBING L,,) j~ HEATING DO NOT ~ lD/Jo ~ /j2)! ~~t€J3 ~ ~/3DI'~ 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 h.ve been approved. On buildings and additions where no service cabinet is available, ca.,d shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 .. ,-<l &.,.... Qltt~ -:ifitaf:e 1l~ ~ Q)ttu: JaUt\! CITY OF PRIOR LAKE ~tparfmtuf nf ~uilhiug JIuspttfinu l 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: SINGLE FAMILY R3 VN ~1APermit No._ Zoning District 03-0603 R4 Use Classification Occupancy Type Type Construction. Fire Zone L33~ B2, FOUNTAIN HILLS 2ND Legal Description _ Owner of Building 14232 FOUNTAIN HILLS COURT NE Site Address WENSMANN HO.MES, 1895 PLAZA DRIVE~ SUITE 200, EAGAN~ Contractor's Name & Address W/7 ROBERT D. HUTCHINS Y -" DON RYE City Planner &~ (bl!i~ Official ." ,~ Date: Date: DATE TIllE CITY OF PRIOR LAKE INSPECTION NonCE SCHEDULED Lt)/2-~U<~ ADDRESS 1<42-1>2- ~, IM'6 OWNER CONTR. PHONE NO. PERMIT NO. -.5 -~() ~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH AI o WATER IHOOKUP o SEWER IHooKUP J!PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: ~~ r~fh..f-t;- ~ ~ t~, ,U(L y.. ~0J~~ W"e~~t-V\ r~V~ L2~ ~W~i:..fCVV'v ~t)1.@,...\ ~ C~ J){ . &.. 'l':JC~ \~O _5 ~ I I/l o WORK SATISFACTORY. PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING Inspedor: / ~ C-. Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/ lNSNOTl DATE TIllE CITY OF PRIOR LAKE INSPEcnON NonCE /lD1Jq'~ lLL2-~1-~ k1-J6 SCHeDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. ?; ... ft;o:} o FOOTING [J FOUNDATION o FRAMING o INSULATION fJ FINAL [J SITE INSPECTION o PLUMBING RI o MECH RI a WATER HOOKUP a SEWER HOOKUP q PLUMBING FINAL 11 MECH FINAL o EXlGRADlFILUNG D COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o 4. <~\. ~, ~.... -~ o WORK SATISFACTORY. PROCEED " CORRECT ACTION AND PROCEED o CORRECT ~ ALL FOR REINSpECTION BEFORE COVERING Inspector: ~ ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI /NS1tOTl