HomeMy WebLinkAboutBuilding Permit 03-0604
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICA IE OF ZONING COMPLIANCE r ,.. ")~, O~
AND UTILITY CONNECTION PERMIT ..u d'U
See ~ain .File
(please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. P 3 - C,c1L(
J!lZ3c.j
h:Ju/./ ,."oj JJ
tid!s eOVtL1 N. G~
. ZONING (office use)
~l/
LEGAL DESCRIPTION (office use only)
LOT?ZBLOCK 2.. ADDITION ~()^,~},J
OWNER _ I J L _
(Name) ~"S 'w.~AhJ r-vYI1.€b
(Address) /XCl~ ef.A~A ~
BillLDER
(NameL-W eN~~AlA)
(Contact Name) -4.v?~7--
(Address)
I~~ -/
~t2~
, ~ I
TYPE OF WORK
\
\
01 New Construction
/Ii/Is
-z IV])
PID ;JS:- 39o-0SJ-C)
(Phone) kilJ-l{i2h. ~t/oO
/f~ A~; I/A.J sS);).2 ,
~~@ zOO
(Phone)
(Phone) t; J z.. - z:2./-1 ~ 2. ~
o Deck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace o Addition o Alteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ / OZ ~ Z f'1 _-0
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
=teruP~~inspections. / ~S-;Y s-- /Z--
./ / ..........Sign~e Contractor's License No. Date
~
I Permit Valuation
Permit Fee
o Misc.
Plan Check Fee
/()Z~ ()~O. 0 ()
$' l~
~ ()t)eF. 9w
$ t/;5J. Z,Z-
$ ~/. 00
$
$
$
$
$
State Surcharge
Penalty
Plumbing P.:.uuit Fee
Mechanical Permit Fee
/67J-Ob
11ft> Af1)
.sS-~
4-6 . () 0
Sewer & Water P.:.uuit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~;1~
Building Official
t,(~3
Date
Park Support Fee
$ fJ~. tJ1)
$ {f ~ 7~.OO
$ Z-bO.OO
$ 4-~.QO
$ II ZO(J.,O D
$ 700.00
$ ....
$
#
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
Paid
Date
t;JO~ ;(P-?
c,. LJ. 0 'J
$~~()4-.(P7
/) ,
- R~C1!O, ~~Z
B(j ·
This is to certify that the request in the above application and accompanying documents is in accordance with thft Zoning Orqinance ~~~ proceed as requested. This document
~Uy ~;:;~ -=rCemfica2;:;= ond allowscon=cti~eece. _ \ttlulf"FiTepanq nrunbe
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (95i) 447-4i45
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht C'tnltr of Iht tab Counlry
See Main fiile
White - Building
Canary - Enaineering
rP~ -..Plannii!SD
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J .d ) ?J ,''''. .... A 7.1/";, /1"'./' . )
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whioh is proposed at:
I L/()-~-i if r- la~/J~ A?..e~/:J~) (fZ,-r"
.l.
Accepted
Denied
~
Accepted With Corrections
.
Reviewed By:
<2~
,
-=l~~
Date:
t,/,,~ '3
Comments:
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"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 of this code or other
ordinances of the jurisdiction shall not be valid."
See Main ~ile
Tht C"tnltr of Iht l.Ikt {"ounlry
c vynite - ttuildinn
~anary - t:nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
vJ~~
_ /1- d-O -O~
""-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'1<3-3 '-/ F ~ ~ (f2:;:I-
Accepted
~
Accepted With Corrections
Denied
r
Reviewed By: ~~~ ;7~p
Date: t ~ ~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.1I
See =vtain fiile
~ - Uulldlna
~ary . EnailNHlring--'
Pink - Planning
TM ("n.... of cllt lalit Co..c"
BUILDING PERMIT APPI.J.C.ATION DeBARTI4E.NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. .
/ " / '. .Ii i
I ~.Y')<~"/0-:?1./.'///Ik"'7L~ )'/- -/'-./Jl;t,.~
,~:. \ -;: t:") - I:) ,':)
.'.'''"'J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.' ..., "J 1./
/ i/:7-.-;"\ .
, .
/'Z~~:' ./;.r~7.'I'~i. T . . ...... " ,
.. ! .#. i~'f -,' .' . . .r....?t...C-. /'-'-r'#
. / '-..J ./'l --1--.-
.~ / ;:/ j/..I / I
f~-~L.:;'i iZ..-,}
Accepted
x.
Accepted With Corrections
Denied
Reviewed By:
/WfJ)
St:< #l4/n F;/<
Date:
6-' l--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 ·
.
~. .. j'
Job Address 1.J6VII 6~JtI6-
H1eating Contractor /I/t~ /I?Eti!
h~b
r 10,/3(/03
-1..D /70
~~
~ ' 'i,
--t.f> () cF
..t
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~ ~
input Cf ()/ 0>> ~
/
L
'\
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND W A 1 ~R PEln.l.l.l
I. Great File PEn... NO
2. Yellow City .ftJ........l. J IJ
3. Gold Applicant '0 ..",-,
(Please type or t>>rint and siD at boaom)
ADDRESS ZONING (oflice use)
/ '11.- 3 L{
~VIJ~A)~- 1..J..llf ( C-r-
LEGAL DESCRIPTION (oflie.,: use only)
if,". ./..
LOT 3LBLOCK ~ ADDmON 1='"o(,l1V~ bIiJJ.s ~
PID ;'S---:J9o-o3 3-0
O~~K
(Name) v./eN~JJJ l-l/rM<.nt
(Address) --1M~ PIA'" A D fL-
(AacJress)
~~
(City)
(Phone) ill''ftJ'' -'f'1'()
SS/~
(Zip Code)
APPLICANT c-_
(Name) ~6-
~
~
(phone)
(Address)
(Address)
(Contact Person) ~...~ ~J:,~r
l:/tf/ J - ~~
APPLICANT SIGNATURE ~ DATE
APPLICANT PLEASE COMPLEtE BELOW
Size of water service J inches.
Location of any couplings from structure zrr- feet.
Type of sewer pipe. ~ ABC 0 PVC 0 Cast Iron
Estimated length of sewer line t525Ieet.
Clean out (if required) located at feet from structure.
(City) (Zip Code)
(Phone) _C,I-z. - ~1d-- J J Z V
Residential sewer'and water line connection' $35.50
Sewer connectiQn only $17.50
.l4EESCHEDULE
Industrial, Com'l & 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\'u..l FEE
$
$
$
.50
(OIIke U.. Oaly) 8(J,~O WI7).,
This Application Becomes Your Buildinc Permit When Approved ~~~ ~ ~ \I ~ \\\\\ Receipt No. G, P~rr-
D$lG 1 LOnS .~ By ~
Buildi.. Omdal Date - - ., I'
14 hour notice for all inspections (952) 44 ~8r~
CIl'.Y OF'PRIORLAKE
.l:UQATINGI AIRCONDII10NING/.141KEPLAl;E PERMIT
Date Rec'd
I. Pink File PERMI NO ,. I _ 'I
2. ar- City , , 1 .""::2. .;.... V; 0
3. Yellow AppliClllt l./
(Please tvpe.orprintand sip at bottOm)
ADDRESS
1L.f2:~ 'R.u~N u-'u....S t:::r
ZONING (office use)
LEGAL DESCRIPTION (office use only)
. LOT
BLOCK
ADDi 1 ION
PID
~!::R~~$~_4L /~.~
(~~) /'95 ~.4r..2W. .a...r ~~
.~. . .
t:;~/.6'~A ~~.........."'-< (Phone)~~/- ~5"""--222..:s--
(Address) , ~~:> ~~6~ Ie .~- ~"'t&JC. ~~-?-?
-..:, ~~--<..,. (phone) ~5/- .-/~d -,?:7~~-
, ,. ~.. , ... DATE qr~b~
. .
APg!l~qJ,\Nr:':PLE4$~;:~€}~'~~~J:'E"'BELQW'
~WCONSTRUCTION.'; O'REPPACEMENr. []>ALlhKATI<;>NS
FURNACEMAKEANDMOD~L.' ~. 3~~<='~6b FUEL.J::JA... ~
FLUE.StZE~' P-Jc:.. . IffifuRNopBNINGS 7 INPl1T'~ OUlrur s~,_~ ~
n.t'~ OF SYSTEM HEATING: OR POWER PLANT
,;fif\Vann Air PlantS .O:Steam
o Gravity Ell:lot \Vater'
o Mechanical " 'OOIfidiation
DAir Conditioning o Special Devices
DVent. System o Other Deviees
(phone) ,
(Contact Person)
.ARP;LICAN'r.SIGNATURE
,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 P.:.&&&&it #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\JJ.J..l .FEE $
PAil) ~.
· d'~8UILDING.;;''''
.50 IJEFlAAn-
(Office Use Only)
This Application Becomes Your Building Permit When Approved ~: !T~ e n ~n Ie -:-': Receipt NO~
.< Date By rr
Date . , SfP 0 5 2083 -r;'
'24 hour notice for all inspections (952) 44 ,:'~1I50, fax (952) 447-4245 L '
By
Building Official
FILE No.389 08/29 '03 11:01
I D : PLyr10UTH PLlJr1B I Nl,
FAX:7635331121
PAGE 1/ 1
Date Rec'd
crT" OF PillOR LAKE PLlTMBING PERMIT
t Bkle Fil'
: Gt\11I Ci,t
. \ 11.11.,.., A.ppli~1ll
. PERMIT NO.:3- 00 L(
l
ZONfNG (office ule)
(rlc~$C" typc: or pnnl:mcJ sil!n :11 boC\om I _
AD/4 d-~Co- ;;;2- 3O-3~/30- 3Co JiarrIWtJ!t-
L/ '.
LEGAL DESCRIPTION (l~trlC' u$c only)
LOT
OWNER
(Name')
(Addnss)
BLOCK
ADD1TJON
PID
~~y\
~l
(phDne)
APPL1CANT () /).
(NClmcl_,_. .v I f dAA.("> L"''-t ~ \_J:::'..JillJ"\,\1\ i (\ (:
J .
(AddT{"~S) (oq () q \^, I r"\ vd + ~ ~ t l ~ l...:.y
(AdC:T~ssi
(COl1lRCl Pt:r~Ol1) /;;; .,,-,
~ APPLICANT SIGNATURE U4J~ ~
.~
~
~ __ QU:lntitJ'
~ I a.. /
~ ~
I
'S'
~'
(Phone) ('1 <..c,~J~)?~--~o5 ( ,.__..
hr-()(\'(. \ j'/\~~~; h~Lj;)~
(Cicy'}. (Zip Code)
(P 11r.1r&C:)
DA'"fE
?/~/3
APPLl CANT I.LEASE COMPLETE BELOW
Typt' of Fb:tur"e Qu~ntiry
8,llh Tub with or without shc\wer I
Dishwash~r
Flour Drain I
L~lva.tory (Bathroom Sllll~ l
LaLlndry TI'<:1:v ( I or 2 c(\mpartmem sink
Shower Stall
Sinks
I
Typt (If ~ixturc
ROllgh-ms If} h4k'11-
v...' ater J-1 eater
Water Son:ner
Stand Pipe (Washing l'vlachine)u ~~ 6ft
Sewage E:iector i
-I
Bacldlow Assembly I
Btlcldlow Asse111 bly T I::S'
I
y
I ~"" oJlI"\"
I ~/[lter CIO~Cl (T-:likO
Other
",_", It """,'" ...".....
..1
I
FEE SCHEDULE
InduSI".l!. C0n111'I\;:rcial & Ivl\llll.ramdy 111';1 ufjub 'liS! with tJ $39j() mil\lmLJm Rl:~iJc:ntii\1. New (}ru; &. r\Vll"Fumil~, S9Cj5U
R&:sid~nljiJ1. Addilion:; 0:. t\llc'~li'ln:; S:3':l,SU
fl)((jn Uu~ Olllr)
12slinl;Ju:d C051 .$ .7jcf)j..elJ..-
. I
Building Pcm1jl t/
PLUrvlBING rERM1T FEE
ST.:'" jE SURCHARGE
Tc1TAL PERMIT FEE
$
"
U'
.]I
.50
PAID WI
BUILDING TH
PERMIT
$
ri II ilU i 11;': (>IIi (~'a I
l]~~ @ ~ - \J] ~ rlccc:iPI t~o.
g'm~ ,.l(
_~..__srE 0 !i_2003 -.J'
.H_1
ThIS ^ ppliCa1tlCln H(:e(\mc~ \-' (JUl' Huilding Pc.:rmi( V,Jhen Apprflvc:c1
n;llr
r:-'
----.f!/- "
:4 hnur rllllic.:c.' lur ~JI ill"/Jl:l.:tiulI!i (!I~~, -I47.!J ~ij. I:u.. (95:) -l4i-./~4~
J,,~lIh r.,,~j,- (r,'d, "v.... ',.f... "rjlll" l;.al.. B~~ ;,:=;.;i~.I"l,,1
J
PRIOR LAKE DEPARTMENTOF See ~ain .File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ #,'l/tS C!+
NATURE OF WORK M~
USE OF BUILDING ~ El_
PERMIT NO. (:).,. ~" DATE ISSUED .
CONTRACTOR . PHo./a-~a./-II.Oj."
NOTE: THIS IS NOT A PERMIT FOIR 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 r\~ / C- ~~ 1)0 t ~J ?E(3
INSULATION ~ ~ I tVt-'-l/~
ELECTRICAL ~
PLUMBING I It) I c- ~ /0/7 I~'~
HEATING (if required) ~ ~O / ~3 tb:1
~ -
r FIREPLACE
GAS LINE AIR TEST ~ t& I~,-( f93
..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING rf'iJk~. ~ 0 ~/l/f)?:J
ELECTRICAL r9vL
PLUMBING
HEATING ~
DO NOT OCCUpy
~
(2-/lL t~
~ l~(LLID3
~ L~(l1- to3
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
Qt~r~':ifitnf~ nf Q)trnpnntll
CI'l'Y OF PRIOR LAKE
~tpnrfmtnf of ~1ti. '.bing Jf nspttfilln
lfCFinal Peuuitted D Conditional C.D. 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.
03-0604
Occupancy Type
R3
Type Construction VN
Fire Zone
N/A
Zoning District
R4
Legal Description L32 ~ B2 ~ FOUNTAIN HILLS 2ND
Owner of Building Site Address 14234 FOUNTAIN HILLS COURT NE
Contractor's Name & Address WENSMANN HOMES.... 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
ROBERT D. HUTCHINS ~ City Planner DON RYE
/ Building Official
~.~-~, D~:
I
Date:
t ~ t:liO) I ~
,:.
ltf 2- 3 r.{ ~ L4;tl~
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
GSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PL~MBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
?-!gB.j
v
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/. ~ ~ 6-1'~.\-- wJLQ
t;_~. ~ h./ 1M.5~~'
~l ~_JM,j'\ (' ~iJ Q <{2> f)/', /43
o )YORK SATISFACTORY. PROCEED
tz{ CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4lA-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
tLI~{.,'
SCHEDULED \ l.{ ~ kf3
~~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-(,&<(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
J ~Jif!J: JI~\V t- ~ Jl~L"}/~
"J" 5t.lI\I~-~A.h t;.~/AI\, ~ ~
-r ~ v{;~! ·
"""3 ,~ aI~t t.~l~l '-1 J(o j
l{J ~Jv'\Y'iA~? ~~
5 V ^1u; ~'\. o>fi; s~
f.A~ -:5t.f/Od2_i~ #-1"~ @#
(~~~~
o WORK SATISFACTORY. PROCEED
i CORRECT ACTION AND PROCEED
. 0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOil YOUR PERSONAL HEALTH &: SAFETY!
INSNOTJ
DATE
CITY OF PRIOR LAKE 111 I
INSPECTION NonCE $CHEDULED ~ ~
ADDRESS ;tlJ1.-3i.{ ~ fA.;;U~
nilE
t L t.oa
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3~fa911
o FOOTING
o FOUNDATION
D FRAMING
1 INSULA TION
FINAL
D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
; MECH FINAL
o EXlGRADIFILUNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CODlflENTS:
~ ' I C~, ~
/' ~,O,
"vftJ. ....'(!~_~_)\~-+-
~~~ l.dk~
- ./ ~~ A ..~-1.'
t~___~ K'\U ~tNrve ~~~
c.~ :'U-vl'p~ r~~&~~
~~;,J. wtJ~ Cbf~
/\ . A ('
V"e.-~"'^-'tJ~ ~t--bl-{ 03 e- I (JJJI. - ~
'-\~H' ("'~U~O f?,tL?o3
o WORK SATISFACTORY. PROCEED
o ,ORRECT ACTION AND PROCEED
'W CORRECT WORK. CALL FOR REIN$PECTION BEFORE COVERING
,~LLt
Inspector: ~ Owner/Contr.
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI