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HomeMy WebLinkAboutBuilding Permit 03-0083 o~ p.Il/.0.~ ... (' .. ~ - II< t.l '" +INNESO~" q'lease ~ or vrint and silID at bottom) ADDRESS /C-(111 Sk J'Z1.ltftJ hLB ec d CITY OF PRIOR LAKE BUILDING PERM , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT C::Cv,..:rlA'/0 I-hi k (1'1 LEGAL DESCRIPTION (office use only) LOT/,)BLOCK:;1... ADDITION ki,)~J OWNER I J (Name) IA/t:ffNb"'A,J~ (Address) / Jl9<" Pf A:ZA BUILDER S (Name) ~.e- (Contact Name) (Address) TYPE OF WORK {~/k hL. 4fzCJD iii New Construction DLower Level Finish o Misc. 1. White File 2_ Pink City 3. Yellow Applicant I PERMIT NO. (;)_ ~O~ O.3-CX03 I ZONING (office u,,) <1<4 (..ft II ~ 2JJ1) Plo.:;~~31o- 01 ~ ~o (Phone) 017~t(tJc:. -q~OCJ ~ <<,:102 &MA.~ (Phone) (Phone) ODeck OPorch OAddition ORe-Roofing OAlteration ORe-Siding PROJECT COST IV ALUE (excluding land) $ /0':5/ 73"J'- Dutility Connection I 1/'/0'1. DOO, 00 1$/ It) 111).lS: $ M..O,5'C $ St.,DO $ - $ $ $ $ /O(J,()() IO(),OfJ "35.~d L7o, CD This Application Becomes Your Building Pennit When Approved 7l'~.v / /.;.:ifo~ i Dare o Fireplace 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 ;teruPo~--:;=dedinspectiOnS I ~ S-l? / ./ V tv- Signature Contractor's License No. Date I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee ~ ~-t~~j.J Building Official I Park Support Fee #. $ I SAC # $ I Water Meter Size 5/8"; I"; $ I Pressure Reducer $ I City SAC and WAC # $ I WaterTowerFee # $ I Builder's Deposit $ lather $ I TOTAL DUE $ (,324, 15 I Paid ;$? 3d.. 4, i~1 Receipt No. ,....;y. / Rl1 I Date ~-II- ~ By U SS-D,OO /27S,DO Z~,OC ~()lJ /ZtJ(J. 0 ~ 7()t), ()D 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 "'"~~ Planning Director -- --A~ ~ ~~k Date Special Conditions, if any 24 hour notice Cor aU inspections (952) 447-9850, Cax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~f-~ Tht'("t'ftlt'fOffht'l.abCountry Cy.rhite - Buil~ c;anary - I=.nglneering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHIiCKLlST NAME OF APPLICANT --.Lt ~~ ~ APPLICATION RECEIVED l;;l - 8 (Y oa-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: jL/j9? F~~ ~ r2-r / Accepted Accepted With Corrections Denied Reviewed By: Comments: ~ '"' :/~p Date: _ 1j~3 "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." ~/tEi -... -l' ~ .... "., Tht ('''"It'r of lht' t.lkt' ('ounl.,.. White . Building &snu..,. _ J:n~g Pink . Pla"n! BUILDING PERMIT APPLICATION DEPART~NT CHI;.CKLlST NAME OF APPLICANT I ".~t'<'/ ,-, APPLICATION RECEIVED ... . t The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f JtA~ l: '( " /1/1/1 _J . "-i- _-I Accepted ~ Accepted With Corrections Reviewed By: Comments: ~ / '=1~~ Date: Jj~/o3 Denied .. .. "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," / f .$~~ l~ ~/(/~ nur '. .~ Th.. ("nIl" of lht' 1..1l.e ('ODItIl",. White - Building ~an=,~ . cnglneen~ Pliil( .....litlllIlIIl~ IDHJ..DING PERMIT APPLICATION OEPARTMENT CHECKLIST NAME OF APPLICANT I. i ," f b j/J,,,~../, "'1"'1..,""~#"'~'-/ ;,.r ./.~.e,").., j,,/.. /",-.<;//V /,,,,,.> , ' ,-(). l.7(Q <::",/ APPLICATION RECEIVED I..~ .,'~", ,...\ (..,.~ _.v, '. )' .~, '"..-""- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /il IC?'? f.~;:JU:,{t2 ,t:J('i,j{j~(:) l-/-r Accepted x Accepted With Corrections Denied Reviewed By: ;y,K}fJ 5e,ct11c,fh F,'lr Date: /-t-03 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 of this code or other ordinances of the jurisdiction shall not be valid." .. Job Address Heating Contractor Name of Tester Date . Percent 02 Percent GO Percent GO, Stack Temp {9r"l ~""~"'iIfJ fi1/h--~ ~.K /1/7/1/3 ;:J. 'J h ~- "-":f~ 97~ UMG Sec. 606 Combustion air is adequately supplied per input ~J IIcJ 4h' ,~ ! FILE No.174 05/09 '03 06:42 ID:PLYMOUTH PLUMBING FAX: 7635331121 PAGE 10/ 13 ~~: '''~/olI"tSO'('':. -=-- Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I Ellu. ra, I PERMlT NO :c..,. (,,,.' '3_0'2. ; \'~Ijll'" Apjllicllll C V rf'lr:im lYre or tlrinl JJ'\c1 l11Z0;!1 \"lotl(lm-, ADDRF.S$ 14 \qq FO(h"t+A-</I\ .~ (\ s 1.0Nr.N Ci t Cltf',,~, '1~1/1 II LEGAL DESCRlPTION ,,,If,,, us,. onJv' LOT BLOCK AlX-':TleJN (\\llNER I "" I .. (N.mol "'-vV\,:,,1~ ih1t'\ HVV\A..j"-) (Addres~J I~q() ~r?J77< DC ~.."i',.f..t' I APPLlCANT d')' I (Namtl_.. PI 'jlA^-{"L~-t\.\Y IL..LJ\~\I)J~ (Phone) h(c,>I:>~"l~Ll~5( I Addro,:tl 104(\'1 \^I'_'lv,r~'y;:<o. 410../ L P-,r(,[\kJ,"J,I\jL~ GSLL?J.'K I ""lore;;,) (Ci,:;0 (Z.Jr (,.de) I(:OI1l<<CI Personl .f; l\ ~r .~'\ V,$./)(Ji1l1IAf IL1F (l:~I('n.) (71{'~)r:.,7,,?,, U 3&:)] I (\ " /1.4.\.' a )// -- -/ -. .. APPLICANT SlGNATUfC.2-Ij.v r \ )c/v~//l11A)J~JliA DATE C) q -(J 2., APPLlC'ANT PLEASE COMPLETE BELOW I QU.Dlit)' , <t- ~ i-\ I \ -.., pJrl (Phone) ).} 110 ..J.f4C[) ()..t{J Y (ifl ('>..,Uo. IA t<-) SSI}.3. " ,I " I Typ,' fir Fixtu.., I Bath Tub ",lIh elr withOll! shclwer Dlshw'l~h"r I Floor Drain Lovatory (Bathrc,<'f1\ S ",I;) I Laundry Tray II or: c(ln1panmcnl 51111, I Shclwer 5\211 Sinks QuantiI)' ~ I I \ Tvp" of Fixtu.., I I I Rough-ins Water J-Je"tcr Water Sonner Stand 1"1" Cviashlng M"chine) Sewage Elecwr I B"cldlow Assemblv B~ckllow Assembly Tesl I I.IUI '-'Ill.... I W"lcr CI",'el iTilllt1\ I O~I;~' -e' ..,n'_ FEE SCHEDULE IncJUUn;ll, (:(ln1mcrcl;.Jl8:. Multl.lumil\ lll:u nf.ln\) ":1l~1 willi iJ. $39,jlllllij)II'l1Ulil Hc:s,ldcntlal. Ni:v.' OW:. & "w~I.Fatnily S~4,.50 Hc:si<lC:nliiJl.~dchlil\l''l:; & Altcfolitln:; 3:3':\.50 blimUleo Cos, $ ,44'1, c:f) 8uildin~. Pt:m1il.~! PAID WITH BUILDING PERMIT PLUMBING PERMIT fEE $ - ST.:" TE SURCHARGE ~ .:,0 '<lln" ",,<1'"\'1 TOT....L l'ERMlT FElL .~) ~ ~ it ti ~j u;(0- I ThiS Applrc~tlO" a,clIn\c> \ ""I' HUlla,"~ PeronI! Wh," Apprll"'" I~ ~AY 1 S 20:113 .~ ! Il.C~lpl "" I H . DUlL - I B\ \ .-- Iilltlilll1:,:fJrl~,7.;I-- 1\'11 ; __ _.____ I' __tp'_.. ---- dy'- . ~Ol Iwur l'lIlIICl' lflr illl illSTJCC1jUlh 111~~I~ ""6=,11, Ilil. [~5~J .j4i--l:4~ 1,,~IJI: f',:I')I. fl'('(.'li """'" \./" )'I"hll"I.II,1.', ....1!\'~"'~~~.I'l.l , CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~lease ~ or orint and sim at bottom.) ADDRESS /0/"/99 //d~...uA:. fiL7/-?? ;;:. 5,_1 PERMIT NO. -q---<t3 I /-h/5 ZONING (officeuso) t?;L LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID - 'OWNER/_ J (Name) ~~$/H~4.L (Adt4"ess) /?'lff ~~ :::'4 (phone) ~--- ...;; - APPLICANT A . /. / ~ ~ ~ L. (Name) /'-?/hfl/Z,d' //~,...A'-~_'-- <. (Phone)............- y~-i'-~77..5. (Address) , ~~ //~r?.A!:I ~~ ,~_ ~,.~ A SS/J-;' (Address) (Ci (Zip Code) (Contact Person) ~~ ~~ A""_ (phone) ~5/-/~a?-.:?7~~- APPLICANT SIGNATURE -L ~ DATE ~!t9 03 _ j ;/L~~ - ~ .c:::t-. , APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDMODEL~ ~<;,~Vr.-zl/.126/J FUELJi.A.-r ;/,"i. 'I FLUE SIZE '7-11 PI ( RETURN OPENINGS 'S INPUT hn. 000 OUTPUT <;' "\""rlQQ.. I t TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Steam OGravity 0 Hot Water ~eChaniCal . 0 Radiation ir Conditioning 0 -Special Devices en!. System 0 Other Devices 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 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $~'~~ $ .50 $ ~ 11~~ I1h.... ~G~1t ~4#".. I I (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official ~-~ ~ ~ n \fJ It rn, ..eipt NO._ - Date . e-,.l~Y 2 1 28DJ ~I ~ 24 hour notice for all inspection. (952) 447-98, , x (952) 447-4245 ~ By Date Ree'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT ; =.. ~\~ I PERMIT NO. ,. 00Id ""',.... . 03 - 001 '] lPlease.!'(pO or orint and sim at botlDm) ADDRESS ZONINGloftloellR) 14/q 7 C:::;(}tJ~.I\()",' 1.lJ If c I!.~ . LEGAL DESCRIPTION (o~ use only) . , LOT I'-BLOCK:J... ADDmON ~UIV't".A-i~ /dill < 'Z-.u1l OWNER (Name) v./'eN"-trJIUlAJ H(1Ivl<.A. (Address) ---1...fi.q~ 7J/.A3A QIL ~) PID OIS- - YfD -0-1 (, -,:::> r.tl/....aJ (City) (phone) ~t:;"!,t/~" ....tf'1'b _tt/~ (Zip Code) APPLICANT ~_ (Name) .:::..Mt.c6- M ~-? (Phone) (Address) (Address) (Contact Person) -;E?...." ~~,(~(l:r.-' c/I,{/J~ APPLICANT SIGNATURE .J;;; , I APPLICANT PLEASE COMPLETE BELOW Size of water service ---L inches. Location of any couplings from structure 2/J"" feet. Type of sewer pipe. ~ ABC 0 PVC 0 Cast Iron Estimated length of sewer line .52SIeet. Clean out (if required) located at feet from structure. (City) (Zip Code) (phone) c;,/7--Z.2-I-/~Z./r;) DATE FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (Office Use Only) PAID WITH . BUILDING PERMIT This Application Becomes Your Building Permit When Approved _ J Paid Date ' ~j ~t!1D U; U ill Ig 111 By 24 hour notice ror all Inspections (952) 44 ~952~5 W' Receipt No. BuDdl.. OfDdal T By PRIOR LAKE INSPECTION RECORD SITEADDRESS ~ fC&tAJrA./~ NlLLS- ~ NATURE OF WORK - NEW ~/tJ 1" IJIIaCTljA USE OF BUILDING ',)U",' A. . PERMIT NO, 03 -00 J _ Df.TE.I~SUED ~ 3 CONTRACTOR ~S PHONE.1&J.I/~NJ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE , FOOTING , FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER! WATER! SEPTIC FRAMING INSULATION ELECTRICAL ~ PLUMBING "" ll!- ~ HEATING (If required) FIREPLACE GAS LINE AIR TEST vvy c>>,-- g- ~ 1-0;- fypbtB8 ./'.. ...t.L /~- \iVy"" 1L?{f2-~ ?5-.--1'--0:2 ~ ~~~ . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING ~1I'e-/J. 1,')./( W/L ~ ELECTRICAL CS14..... PLUMBING fA.? I C- HEATING DO NOT OCCUpy ~~ ~ 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. tAJ ~ k6 lL/lPt8] BEEN SIGNED FOR ALL INSPECTIONS (952) 447~9850 DATE T1IIE CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS tl!7le~ 'Y,tat~ ~I$'~ ~I,l!.. SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. q-e~3 lJ FOOTING lJ FOUNDA liON lJ FRAMING lJ INSULATION li'FINAL ro SITE INSPECTION lJ PLUMBING RI lJ MECH RI lJ WATER HOOKUP 9' SEWER HOOKUP B PLUMBING ANAL )f MECH FINAL lJ EXlGRADlFILUNG lJ COMPLAINT lJ AREPLACE RI ~ FIREPLACE ANAL lJ GASLlNE AIR TST lJ Ih ~WO SATISFACTORY, PROCEED lJ C RECT ACTION AND PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Inspector. OWner/Contr. CALL "'7-11850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE_ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ -, QIrrfifitztfr of <IDttupanql CITY OF PRIOR LAKE @.rparfmrnf of ~uilMng Jlnsprdion ~ Pinal 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: i Occupancy Type R3 Type Construction VN Fire Zone Bldg. Pennit No. N/A Zoning District 03-0083 R4 Use Classification SINGLE FAMILY Legal Description LiS, B2, FOUNTAIN HILLS SECOND ADDITION Site Address 14199 FOUNTAIN HILLS COURT 1895 PLAZA DR., SUITE 200, EAGAN 55122 DON RYE City Planner Owner of Buildin,1I Contractor's Name & Address WENSMANN HOM~j;- ROBERT D. HUTCHINS I!'J~ G' ( (,B(}tig Official ' Date: Date: .' '. "',